HomeMy WebLinkAboutUST ASSESSMENT 2004
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CITY OF BAKERSFIELD FIRE HEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave.~ 3rd Floor, Bakcrsfield~ CA 93301
FACILITY NAME
fjý<!oAriiPm
INSPECTION DA TE~/l.. +10+
Section 2:
Underground Storage Tank~ Program
o Routine ~ Combined 0 Joint Agency
Type of Tank Dw~
Type of Monitoring _ C-"W'\
o Multi-Agency ,0 Complaint
Number of Tanks ---1-
Type of Piping ~F
o Re-inspectìon
OPERA TION C V COMMENTS
Proper tank data on tile f
, " tv <;;L MC1"\' ,\-v...¡ ;.J ~
Proper owner/operalor dala on tilc y.. ,- t'c,J þ ÞOJ
Penn it fees current 'I.. No A\1'lW'-S
Certification of Financial Responsibility ~
Monitoring record adequate and current ')(
Maintenance records adequate and current y..
Failure to correct prior UST violations ."f...
Has there been an unauthorized release? Yes No X
Section 3:
Aboveground Storage Tanks Program
AGGREGATE CAPACITY
Number of Tanks
TANK SIZE(S)
Type of Tank
OPERA TION Y N COMMENTS
SPCC available
SPCC on tile with OES
Adequate secondary protection
Proper tank placarding/labeling
Is tank used to dispense MVF?
If yes, Does tank have overtill/overspill proteclion'?
C=Compliance
V=Violation
Y=Yes
N=NO
~~~
:::;...þ Business Site Responsible Party
Pin~ - Rusin!:ss Copy
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~RECTtÐN N<4iITICE
I~;"~ 0 491 a
BAKERSFIELD FIRE DEPARTMENT
Location 4V 10 (;V ,61 E:. 'R d
Name A" '(!D AM 'PYV1
You are hereby required to make the following
corrections at the above location:
Cor. No.
Completion Date,for Corrections
Date {¡3D/ Ó+-
FD 1950
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-- ------.-.--
PRESSURE LINE LEAK ALARr"!
Q 1: 87
PLLD SHUTDOWN ALARM
JUL 30, 2004 10:59 AM
~ -PRESS ldR-E-b-I'NE -hE~\K- ALAR!"!
Q 2:91
PLLD SHUTDOWN ALARM
JUL 30, 2004 10:59 AM
PRESSURE LINE LEAK ALARM
Q 3:89
PLLD SHUTDOWN ALAR!"l
JUL 30, 2004 10:59 AM
. 0
----- SENSOR ALAR~-
L 2:DISPENSER 3-4
DISPENSER PAN
FUEL ALAR!"l
JUL 30, 2004 10:59 AM
PRESSURE LINE LEAK ALAR!"1
Q 1 :87
PLLD SHUTDOWN ALARM
JUL 30, 2004 11 :00 AM
,--------
------ .-- -- --
PRESSURE LI NE LEAK ALAR!"!
Q 2:91
PLLD SHUTDOWN ALARM
JUL 30, 2004 11 :00 AM
PRESSURE LI NE LEAK ALAR!"!
Q 3:89
PLLD SHUTDOWN ALARr"!
JUL 30, 2004 11 :00 AM
i !
G)
- - - - - SE NSO R ALARr"!
L 1 :DISPENSER 1-2
DISPENSER PAN
FUEL ALARM
JUL 30, 2004 11 :00 AM
"
I
I
:
,
¡ i
PRESSURE LINE LEAK ALARM
Q 1:87
I' PLLD SHUTDOWN ALARr"!
:/ JUL 30,. 2004 11 :01 AM
~-
PRESSURE LINE LEAK ALARf"!
Q 2:91
PLLD SHUTDQl¡JN ALARr"!
,JUL 30, 2004 11 :01 Ar"!
--~~
-
'.----
PR~SSURE LINE LEAK ALARf"!
Q ~:89 .
PLLD SHUTDOWN ALARr"!
JUL 30, 2004 11 :01 AM
(i)
----- SENSOR ALARM
L 3:DISPENSER 5-6
, DISPENSER PAN
FUEL ALARM _
JUL 30, 2004 11 :01 AM
I
j
I
PRESSURE LINE LEAK ALARM
Q 1 :87
PLLD SHUTDOWN ALARM
JUL 30, 2004 11 :02 AM
PRESSURE LINE LEAK ALARM
Q 2:91
PLLD SHUTDOWN ALARr"!
JUL 30, 2004 11: 02 Af"!
PRESSURE LINE LEAK ALAR,.,!
Q 3:8'9
PLLD SHUTDOWN ALARf"!
JUL'~O, 2004 11 :02 AM
c4)
SE NSO R ALARr"
L 4:DISPENSER 7-8
DISPENSER PAN
FUEL ALARr1
JUL 30. 2004 11 :02 AM
PRESSURE LI NE LEAK ALARr",
Q 1:87
PLLD SHUTDOWN ALARM
JUL 30. 2004 11 :03 AM
L
PRESSURE LINE LEAK ALARM
Q 2:91
PLLD SHUTDOV,JN ALARr",
JUL 30. 2004 11 :03 AM
PRESSURE LINE LEAK ALARM
Q 3:89
PLLD SHUTDOWN ALARr"l
JUL 30. 2004 11 :03 AM
- --- ~----
~~-
@
----- SENSOR ALARr"1 -----
L 6:DISPENSER 11-12
DISPENSER PAN
FUEL ALARr1
JUL QO. 20~4 11 :03 Ar"1 .
'--
PRESSURE LINE LEAK ALARM
Q 1:87
PLLD SHUTDOWN ALARM
JUL 30. 2004 11 :04 AM
Ii
PRESSURE LINE LEAK ALARr"1
Q 2:91
PLLD SHUTDOWN ALARM
JUL 30. 2004 11 :04 AM
PRESSURE LINE LEAK ALARM
Q 3:89
PLLD SHUTDOWN ALARr1
JUL 30. 2004 11 :04 AM
Q
~---- SENSOR ALARM -----
L 5:DISPENSER 9-10
DISPENSER PAN
FUEL ALARt"l
JUL 30. 2004 11 :04 AM
PRESSURE LI NE LEAK ALARr1
Q 1: 87
PLLD .SHUTDOt.JN ALARr1 .
JUL 30. 2004 11 :~5 AM
'--------- -.
PRESSURE LINE LEAK ALARM
Q 2: 91
PLLD SHUTDOWN ALARM
JUL 30. 2004 11 :05 AM
PRESSURE LINE LEAK ALARM
Q 3:89
PLLD SHUTDOWN ALARM
JUL 30. 2004 11 :05 AM
(j)
SENSOR ALARM -----
L18:89 ANNULAR
ANNULAR SPACE
FUEL ALARM
JUL 30. 2004 11:05 AM
PRESSURE LINE LEAK ALARM
Q 1:87
PLLD SHUTDOWN ALARM
JUL 30. 2004 11 :06 AM
PRESSURE LINE LEAK ALARr"1
Q 2: 91
PLLD SHUTDOWN ALARM
, JUL 30. 2004 11: 06 AM
- 2::_.c:....
--'-~
.-,,--- / ~
~-_........-.<-
PRESSURE LINE LEAK "L"Rr"1
03:89 .,.nn.
PLLD 'SHUTDdWN ALARt"l
JUL 30. 2004 11 :06 AM
~
, ,-:;~--- SENSOR ALAR!"'1
, . Ll 7: 89 FILL
~:.oTHER SENSORS -
.FUEL ALARM
'JUL 30. 2004 11 :06 AM
, PRESSURE LINE LEAY ALARM
o 1:87 .
PLLD SHUTDOWN ALARr"1
JUL 30. 2004 11 :07 AM
PRESSURE LINE LEAK AV'Rt"1
, 0 2: 91 H
PLLD SHUTDOWN ALARM
JUL 30. 2004 11 :07 AM
---. ---
~RESSURE LINE LEAY AL"RI"1
, 0 3:89 . n.
PLLD SHUTDOWN ALARM
JUL 30. 2004 11 :07 AM
/
/
SENSOR- ALA""@--
Ll6: 89 TURSI NE
STP SUMP
FUEL ALARt"1
1 JUL 30.2004 11:07 AM
----- SENSOR ALARr.,@)--
Ll5: 91 ANNULAR
ANNULAR SPACE
FUEL ALARt"l
JUL 30. 2004 11 :07 AM
PRESSURE LINE LEAK ALARM
o 1:87
PLLD SHUTDOLm ALARt"1
JUL 30. 2004 11:08 AM
PRESSURE LINE LEAK ALARt~
o 2:91'
PLLD SHUTDOWN ALARM
JUL 30. 2004 11 :08 AM
'I
I,
PRESSURE LINE LEAK ALARr"1
o 3:89 --
PLLD SHUTDOWN ALARr"1
JUL 30. 2004 11 :08 AM
----- SENSOR ALA~--
Ll 4 : 91 FILL
OTHER SENSORS
FUEL ALARM
JUL 30. 2004 11:08 AM
PREsgURE L FNE LEAK ALARr"l
o 1:87
PLLD SHUTDOI"JN ALARr"l
JUL 30. 2004 11:09 AM
PRESSURE LINE LEAK ALARM
o 2:91
PLLD SHUTDOWN ALARr"l
JUL 30. 2004 11: 09 At"1 ,
PRESSURE LINE LEAK ALARM
03:89
_PLL[LSf:!UTDOlhJN-~L~Rr"l, --
JUL 30. 2004 11 :09 AM
GY
----- SENSOR ALARr"l
L1 3 : 91 T URB I NE
STP SUI"lP
FUEL ALARM
11',U-o AM
JUL 30. 2004 ::>
PRESSURE LINE LEAK ALARr"l
Q 1:87 ,
PLLD SHUTDOiJ,JN ALA13!"l,
JUL 30. 2004 11 :O':J A!"l
PRESSURE LiNE LE8K ALA?M
Q 2:91
PLLD SHUTDOI~JN ALARr"1
JUL 30. 2004 11: 09 At"l
PRESSURE LINE LEAK ALARM
~ 3:89
~LLD SHUTDOiJ,JN ALARI"l",
JUL 30. 2004 11:09 AM
~
----- SENSOR ALARM -----
L12:87 MASTER ANNULAR
ANNULAR SPACE
FUEL ALARr"1 0 DoM
JUL 30. 2004 11:0::> n
PRESSURE LINE LEAK ALARr"!
Q 1: 87
PLLD SHUTDOWN ALARr"!
JUL 30. 2004 11 :10 AM
PRESSURE LINE LEAK ALARM
Q 2:91
PLLD SHUTDOWN ALARM
JUL 30. 2004 11 :10 AM
PRESSURE LI NE LEAK ALARr"!
Q 3:89
PLLD SHUTDOWN ALARM
JUL 30. 2004 11:10 AM
@
----- SENSOR ALARt"1
L11 : 87 MASTER FILL "
OTHER SENSGRS
FUEL ALARr"1
JUL 30. 2004 11 :10 AM
- PRESSURE Li~LEAK ALARr"1
Q 1 :87
PLLD SHUTDOWN ALARM
JUL 30. 2004 11 :11 AM
II
PRESSURE LINE LEAK ALAR!"!
Q 2: 91
PLLD SHUTDOLm ALARr"!
JUL 30. 2004 11: 11 AM .
PRESSURE LINE LEAK ALARM
Q 3:89
PLLD SHUTDOL,JN ALARI"l
JUL 30. 2004 11 :11 AI"l
@
----- SENSOR ALARI"l -----
Ll0:87 MASTER TURBINE
STP SUr"1p
FUEL ALARr"l
JUL 30. 2004 11 :11 AI"l
PRESSURE LINE LEAK ALARI"l
Q 1:87 ,
PLLD SHUTDOWN AL'AR~'1
JUL 30. 2004 11 :12 AM
PRESSURE LINE LEAK ALARI"l
Q 2:91
PLLD SHUTDOWN ALAR!"!
JUL 30. 2004 11 :12 AI"l
--
- .. ___ --0- __
PRESSURE LINE LEAK ALAR~
Q 3:89
PLLD SHUTDOl"JN ALARI"'.
, JUL 30. 2004 11: 12 AI"1
SENSOR ALA~-
L 9:87 SLAVE ANNULAR
ANNULAR SPACE
'rUEL ALAR!"1
l JUL 30.2004 11:12 AM
PRESSURE LI NE LEAK ALARt'1
Q 1:87
PLLD SHUTDOWN ALAR!"'1,
JUL 3D. 2004 11 :12-AM
, PRESSURE LINE LEAK ALARM
I Q 2:91
, PLLD SHUTDOWN ALARI'1
; JUL 3D. 2004 11:12 AM
-,
;\
'"
PRESSURE LINE LEAK ALARM
, Q _3,:_ª-9 ' ~
'ÞL.LD SHUTDm~N ALARI.,
i JUL 30,. 2004 11 :}2, AM "
;.
\. ·0
----- SENSOR ALA~--
! L 8: 87 SLAVE FILL
, OTHER SENSORS
! FUEL ALARM I
I, JUL 3D. 2004 11: 12 AI'1 :1
I: IK í)1ll I
\ -({,dO 5ö1 I
I SE~~ I~__ I
\, L 7: 87 SLAVE SUI'1P
I PIP I NG S UI"1P
I FUEL ALARI"I
~ JUL 3D. 2004 11: 13 (,Ivl
¡
I
pRESSURE LI NE LEÄK- ALARI"1
Q 1:87
PLLD SHUTDOWN ALAR!"1
JUL 3D. 2004 11: 13 At"1
PRESSURE LI NE LEAK ALARrv1
Q 3:89
PLLD SHUTDOWN ALAR!"l
JUL 3D. 2004 11 :13 AM
J -~
.~
~~
---~-,SENSOR ALARM -~---
, L 7:87 SLÄVE SUMP
PIPING SUMP
FUEL ALARM
JUL 3D. 2004 11 :13 AM
ARCO 5164
410 WHIBLE RD
BAKERSFIELD CA 93309
661 835 1377
JUL 3D. 2004 11 :18 AM
~' i SYSTEM STATUS REPORT
PRESSURE LINE LEAK ALARM
Q 2: 91
PLLD SHUTDm~N ALARI"1
JUL 3D. 2004 11 :13 AM
\
------
ALL FUNCT IONS NORI"1AL
r;;¡, ,;
-;;
.
Bakersfield Fire Dept.
Prevention SerVices
900 Truxtun Ave #201
Bakersfield, CA 93301
Tel: (661)326-3979
JOB CARD
POST CARD A TJOB SITE
ADDRESS
OWNER 0P Nes f IOl6lProdUcls
ADDRESS 1- CeN kv m N t-c Þ ý'
CITY ? , ~ A ZIP
L.¡... I Þ W1~ 'f.J Zfaz r
í~r: - 0309
PERMIT No,
FACILITY NAME
CITY
PHONE No,
INSTRUCTIONS:
PLEASE CALL FOR AN INSPECTOR ONLY WHEN EACH GROUP OF INSPECTIONS WITH THE SAME NUMBER ARE READY, THEY WILL RUN IN CONSECUTIVE
ORDER BEGINNING WITH NUMBER ONE, DO NOT COVER WORK FOR ANY NUMBERED GROUP UNTIL ALL ITEMS IN THAT GROUP ARE SIGNED OFF BY_THE
PERMITTING AUTHORITY, FOLLOWING THESE INSTRUCTIONS WILL REDUCE THE NUMBER OF REQUIRED INSPECTION VISITS AND THEREFORE PREVENT
ASSESSMENT OF ADDITIONAL FEES,
INSPECTION
~íP;INQ$YsteM~
.- ». " '-,,' ~- " .' - '.,. ~ ,,;,
PRIMARY PIPING
SECONDARY PIPING
TYPE OF PIPING
o FLEX 0 FIBERGLASS
CATHODIC PROTECTION SYSTEM-PIPING
DISPENSER PAN
'\,sÉ'CQN,I)ï\RYCÖN"fAí~MpN1'ý;ÐVeRFítl~R();YEctloN;LeAK'Defêc'ÌIQN
.,m 0". ~ ".' _,' "" .". ,_, .,' ,;, ' _ -. ,~ ' '," '-- "- , " , " .' »_ - -, ,,'- "
CONTINUOUS VAPOR MONITORING
ENHANCHED LEAK DETECTOR TEST
, '
MONITORING REQUIREMENTS TYPE
~.
LEVEL GAUGES OR SENSORS, FLOAT VENT VALVES
FILL TIGHT FILL BOX(ES)
PRODUCT LINE LEAK DETECTOR(S)
LEAKDETECTOR(S) FOR ANNUAL SPACE-OW, TANK(S)
MONITORING WELL(S)/SUMP(S) - H2o TEST
SPILL PREVENTION BOXES
<0 ¡V-
MONITORING WELLS, CAPS & LOCKS
FILL BOX LOCK
AUTHORIZATION FOR FUEL DROP
CONTRACTOR ___MJiLQOD_____ßJ¿_~_ld~_{~__ZL~~______________ LICENSE No. _1_~~_3.±?
CONTACT -~----jJILç¿~---~~-----------------------------,------_______ PHONE No. _~12__Z2LL?JB ceil
fd1743
~~L - _
~~ ....,
........ ~ Tait Environmental Systems
UST Construction' Design' Maintenance' Compliance
May 21,2004
-, -- .......,-"
Certified Mail - Return Receipt Requested
~ -- -.-~- --- -~ "--- -,- - ~ .~ -.. -~ ~--
Mr. Steve Underwood
Bakersfield Fire Department Prevention Services
900 Truxtun Avenue, Suite 210
Bakersfield, CA 93301
Re: Arco SS #5365
4010 Wible Road
Bakersfield, CA
ToWhòm ,It M~y CQncern:
< . " ".
Enclosed for your files is the Acurite Single Line Test Data Sheet for the above-
referenced location.
Feel free to call if you have any questions.
I -..
Very Truly Yours,
TAIT ENVIRONMENTAL SYSTEMS
BR ~ARM N
Compliance Specialist
BH:clb
:~ds\arco\letters\arc 5365-03
Enclosures"'..',·,'
.,;. ....., J "
, >. .'" ... ';-, '.' . ~" .'., ';
. '.' ,
CA Lie #588098 . AZ Lie #095984 . NV Lie #0049666
1863 North Neville Street· Orange, California 92865 . 714.560.8222 . 714.685.0006 Fax
11280 Trade Center Drive. Rancho Cordova, California 95742 . 916.858.1090 . 916.858.1011 Fax
www.SB989.com
Date:
-ACURITE e
Single Line Test Data Sheet
€J 5. 17. z. ~o it
'-~. .'~
Operator: I 'D PI N 11 ~ fl.1 t-I ~~e.u I
Signature: I . ~. I
The licened tank tester that signs this docUment certifies that
all of the information contained here is true and accurate.
Location:
\i R~o ..... S ~ "ç
4010 W/SL£ (¿oJ.
Q OÞr~£R ~!F' EL~.
I- -
Product ~'7 B9 q ,
- . +£·!?~~O ifE 1iTI2() ii ?ETRo
Pump Manufacturer
Isolation Mechanism (pump) 9 \.1 ,..,;> . ?t.J H? !?~,..,,?
(1 1/2 times working pressure) 50 ?~:r 50 ~~T S\~ ? ~T
Test Pressure
.
Initial Cylinder Level (ICL) ,O?? . 015 . O~&
Final Cylinder Level (FCL) ~ o~'f Q7~ t o~'"3
Leak Volume = ICL - FCL . ~(!)~ . OO~ .. &~~
J C \ ~c )2 ~ , ~ l~(.4-r
Time Completed . ~
Time Started ~iQ ~OO \ \ :4b ):s ~ ~r
Total Test Time (30 min. minimum) ~ HII/ "bo M \ t'-l -s:...o 11"N!.
-- ..- 5> s:r~~~. ~~'1.\ .
Conclusion (pass or Fail) . \ ~\:-~
' --
(If available.....)
Tank Leak Rate at Start of Test
(If available.....)
Tank Leak Rate at End of Test
Comments:
..,.
~,N02 2003 14:33
BKSF_ FIRE PREVENTION,
(661852-2172
'B(-
p. 1
Of5"DJ
CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield,'CA (661) 326-3979
APPLICA TION TO PERFORM A TANK TIGHTNESS TEST/
SECONDARY CONTAINMENT TESTINGrrRACER TESTING
'-PACrÚiy /1([CO tf 7"'?CzS-
ADDRESS' I/o I 0 6.Jl8le f20
PERMIT TO OPERATE # 0 ()' - 000 - QooS""'æ '1
OPERATORS NAME (I1lke. Wit S~'
OWNERS NAME BP wesí ccy¡,J-sí PIloPdv7-5, L¿ C
,
NUMBER OF TANKS TO BE TESTED .-& ,IS PIPING GOING TO BE TESTED .5
TANK #
I
:J..
3
~?/
VOLUME
(J), 000
lO, oo()
{<1 000
to,dOO
CONTENTS
g7 (¡N.fe~
~o¡ p¿Ct6 tt»Le~
CJ f 9c¿f2e1t tIA.Jje~
<¡flú.(),te1fÞ«'}
~ í/}'tl It #.{ D Ct e.5 NO T tfl'J v e 4- p f2. ð D I.tc" T Lw~ ~lJ-cf/eLJ,
.. T ANI( TESTING COMPANY yBl/í 12-A/ p't/2cw/YÞ-eAlVd-¿ -5 v s rem5
,
MAll..INGADDRESS l~w3 AI, ...vevtUe 8Tlle-6T,o¡¿~Ge, c¡f}- r;;L~W6
NAME & PHONE NUMBER OF CONTACT PERSON fJ12IB.AJ lItJæm.o,J ~71¿J s-tP7-CLf B
TEST METHOD (i1fèli:vbF:fr=¿ fi¿:l¿Y~7·7t·i:Úfire:i3 ,i7d . ',;
NAME OF TESTER OR SPECIAL INSPECTOR DaÆJ m fJlU A/e. Sc {/
CERTIFICATION # .{ 3? 3
.D':¡;2:TOBECOND~O;/(2?-~
APPROVED BY DATE SIGNATURE OF APPUCANT
~
e
-
,/f
..... ~ ;!it Environmental Systems
UST Construction . Design . Maintenance . Compliance
May 6, 2004
Steve Underwood
City of Bakersfield
Fire Department
1715 Chester Ave., Third Floor
Bakersfield, CA 93301
Re: Arco #5365
4010 Wible Road
Bakersfield
Dear Mr. Steve Underwood
Tait Environmental Systems will be at the above referenced location to conduct an annual
hydrostatic product line test. The test is for the piping between the UST's and the dispensers.
The date and time for the test is as follows:
Mondav 5/17/04 @ 9:00am
Enclosed is the permit application and fee for 3 product lines @ $66.00 per line.
Please call if you need any more information or have any questions.
Very Truly Yours,
T IRONMENTAL SYSTEMS
'~--~
AN HARMON
Compliance Manager
:\tes\arco\letters\arc536502, bkfJd
CA Lie #588098 · AZ Lie #095984 · NV Lie #0049666
1863 North Neville Street· Orange, California 92865 . 714,560.8222 . 714.685.0006 Fax
3283 Luyung Drive· Rancho Cordova, California 95742 . 916,858.1090 . 916.858.1011 Fax
www.talt.com
UNIFIED PROGRAM IN'ECTION CHECKLIST 1:
_____¡¡¡¡¡~,__¡lt-,.,-Wi-!;!S;;-
SECTION 1 Business Plan and Inventory Program "
Bakersfield Fir~ Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
FACILITY NAME
.m_. _._~__ .__.___.....__...... .__...n_____'.___~_._. ____
INSP.E)iIlON DATE INSPECTION TIME
7(z.+/o4
PHo;..iE-No, ------- ÑD:-OfEmployeèi------
~:3~~~_¿______,__
usiness ID Number
ADDRESS
'=Rd
._----,-~---_.._._-------_._----_.__._----- ---_._---------~----------_._-_.._._----,._-----------.-..-..------.---------..
FACILlTYCONTACT
15-021-
"""~ - .' ,'.,
, Seêti()n 1: .Bu!)iness Plan al1d hwentory Progr~m .
LJ Routine
)!( Combined
I:] Joint Agency
LJ Multi-Agency
LJ Complaint
LJ Re-inspection
C V
( C=Compliance )
V=Violation
OPERATION
COMMENTS
~_ LJ _~~~~~~ATE_ PER_~~~~ HAND ________ __________
~ LJ BUSINESS PLAN CONTACT INFORMATION ACCURATE
..----.------..-
---------....-.----. ----
.. ----...-....- ..- -._-
_. .n_ ._.. __.u __._ ___.__________~______.________ __.____.____
__________~~_________~.._..______~________.__.____.__..______._____m.._____·____n_.____.
- ---~--_.._._.__.
-.--. .----.-.-. ..-. ------- -
. .,.--- .-...------.-.-.- ..-.-- ----- .--.---.
~ LJ VISIBLE ADDRESS
-------.-......,..-_._.~._---------~._-~-_.-------_._--_._._----.--------.---.--.-----------
...._.____~...__ ~. _u~___n.___._____________
. n._ _._ ___ ._..__.n__.____
JØ- LJ CORRECT OCCUPANCY
~__.___.__________________ ____..._____u~~_____________.._..__ _.u.___ ___u________.._______
~ LJ' VERIFICATION OF INVENTORY MATERIALS
------.-.--.-..-.--.---.-----.- .. ---.. -...--..-----. --
- __+ _-'_uu,._.___.",._.,~,,_.,
____________._____..____u_______.______~..___.__.._____._...__.____~___~_..____~__.__.__._..__ .__ u ____..._.___.._.__ .___,__ ---_ ---.-----~-
n. ._... ___.,__ ._uu___..._._..____ _o._ ____.
':g¡ ___~ ___~~~I~~~I~N OF ~~~~~I~IE~ _ _ ___ _ _____ ___ __ _ _ 1----, ___ __ _ ________ _,
~'~¿- VE~::::~~:~:N ~T;"ALm-. .--- { .. u_ . -- - . ....-
----- -' ----------------------- - -- ------ - - ------ -,- - -i - --, -- -,,-,-,---,----- -,-,-----------,------,-~- --- ----------,----------,---------
)( VERIFICATION OF MSDS AVAILABILlTYE I
-~--~~-,-----------------'--------------------- ---r----'-'-'------
J;iØ )J( VERIFICATION OF H.Al;.MAT TRAINING '
__,_____"m___'_________'m_'_____________n'___'___________-," ---"m---'----t _,_,_,__,__,_____'____m'___' --- ,----,---
_~__~___~_=~F~:~I~_N OF ABA~~_MENT ~UPP~I~_=_~~~~~~~,~~~~_=~ --.'1'----'-'---'-------'-----'-'-"-- __'_______m'___' ,-'-, ---- ,-,-------,-------,-,-,-,..---,------,
~_~____=~_~~~:NCY P~~_~:~~_~:~~~~~~E___________________u__,____,_ _,______________ __ __ __,___ _____ ...___ ____,_ ,___ ____
}tl. LJ CONTAINERS PROPERLY LABELED
,kCD H;';;-s~ ------------1---- --
~-=~F~~."~~;~-~-=..-~--]--.·~-=-.-.=~·.---· .~... . ..........~..=_.._-....~_.~..
(]Q. LJ SITE DIAGRAM ADEQUATE & ON HAND I
- -- -.---...-----.-------
..-..--------
--...----....-----....
_ _u ______._.._________.._....
._.__.__..__.__.__~_ _______u___._._
,- -..- _ --- _._..~-_.-._-_._- -- --- ----------
ANY HAZARDOUS WASTE ON SITE?:
LJ YES
~No
EXPLAIN:
IS INSPECTION? PLEASE CALL US AT (661) 326-3979
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White - Environmental Services
Yellow - Station Copy
Pink - Business Copy
· Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
· Print your name and address on th~ reverse
so that we can return the CtJrdtclý5u.
· Attach this card to the bac1tof the mail piece,
or on the front if space permits.
1. Article Addressed to:
\AMlPM
4010 Wible
l~Bakersfield, CA 93309
3, Service Type
XI Certified Mail
j 0 Registered
o Insùred Mail
o Express Mail 1
o Return Receipt for Merchandise I
o C,Q,D,
4, Restricted Delivery? (Extra Fee)
DYes
2, Article Number
(Transfer from service labelj
PS Form 3811, August 2001
7003 2260 0004 7652 2617 I
Domestic Return Receipt 102595-02-M-15401
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UNITED STATES POSTAL SERVICE '
First-Class Mail
Postage & Fees Paid
USPS
Permit No, G-10
.---""
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.......
· Sender: Please print your name, address, and ZiP+'4 in this box ·
Bakersfield Fire Department
Prevention Services
1715 Chester'Avenue, Suite 30'
Bakersfield, CA 93301
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Sent To : AMJpM
=---..-._.._./4010 Wible
;:,rreet, Apt. Ne B
or PO Box No.1 akersfield, CA 93309
ëitÿ;-šiãië:žii
: I I ì;:"oWJIII
Postage $
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I:J Retum Ree/ept Fee
I:J (Endorsement Required)
Certified Fea
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Restricted Delivery Fee
(Endorsement Required)
Postmark
Here
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Certified Mail Provides:
· A mailing receipt
· A unique Identifier for your mallpiece
· A record of delivery kept by the POstal Service for two years
Im~rtsn' F1fHDinders:
· Certified Mall ma~""'NL Y be combined with Rrst-Class Malle or Priority Maile.
· Certifjed Mail is not available for any-class of International mall.
· NO INSURANCE COVERAGE IS PROVIDED With Certifjed Mail. For I
valuables. please consider Insured or Registered Mail. I
· Foran additional fe, elùa Return Rece/pt may be requested to provide proof of
delivery. To obtain Re m Receipt service, please complete and attach a Return
Receipt (PS Form 3811), to the article and add applicable postage to cover the
fee. Endorse mallplece 'Return Receipt Requested". To receive a fee waiver for
a duplicate retum receipt. a USP~ postmark on your Certified Mail receipt is
required.
· For an additional fee. delivery may be restricted to the addressee or
addressee's authorized aaen!. ÄdVIse the clerk or mark the mallpiece with the
endorsement øRestricted1Je/iveryø.
· If a postmark on the Certified Mall receipt Is desired, please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mall
receipt is not needed, detach and affix label with postage and mail.
IMPORTANT: Save this receipt and present It when making an inquiry.
Internet access to delivery information is nol available on mall
addressed 10 APOs and FPOs.
(6SJEM8tjJ ~¡: 8unr 'ooæ W'D::! Sd
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FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 "H" Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
SUPPRESSION SERVICES
2101 "W Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
PREVENTION SERVICES
FIRE SAFm SERVICES' ENVIRONMENTAL SERVICES
1715 Chester Ave,
Bakersfield, CA 93301
VOICE (661) 326-3979
FAX (661) 326-0576
PUBLIC EDUCATION
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (661) 326-3696
FAX (661) 326-0576
FIRE INVESTIGATION
1715 Chester Ave,
Bakersfield, CA 93301
VOICE (661) 326-3951
FAX (661) 326-0576
TRAINING DIVISION
5642 VICtor Ave.
Bakersfield, CA 93308
VOICE (661) 399-4697
FAX (661) 399-5763
.
.
December 12, 2003
CERTIFIED MAIL
AMlPM
4010 Wible
Bakersfield, CA 93309
RE: Propane Exchange Program
Dear Owner/Operator:
The purpose of this letter is to advise you of current code requirements for
propane exchange systems, such as "Blue Rhino" or "Amerigas." This does not
apply to large propane tanks, only propane exchange systems.
Over the past two years this office has noted a dramatic increase in the propane
exchange system in the city of Bakersfield. It has also been noted, with great
concern, that many of these installations are a clear violation of the UFC
(Uniform Fire Code) and represent a danger to public health and safety.
Accordingly, procedures for storage of propane cylinders awaiting use, resale or
exchange, have been adopted through BMC (Bakersfield Municipal Code) and
adoption of the 2001 UFC. The procedures are as follows:
Storage outside of building for propane cylinders (1,000 pounds
or less) awaiting use, re-sale, or part of a cylinder exchange point
shall be located at least 10 feet from any doorways or openings in
a building frequented by the public, or property line that can be
built upon, and 20 feet from any automotive service station fuel
dispenser. (Note distance from doorways increases when
cylinders are over 1,000 pounds cumulatively.)
Cylinders in storage shall be located in a manner which
minimizes exposure to excessive temperature rise, physical
damage or tampering (Section 8212, California Fire Code, 2001
Edition).
When exposed to probable vehicular damage due to proximity to
alleys, driveways or parking areas, protective crash posts will be
required as follows (Section 8001.11.3 and 8210, California Fire
Code, 2001 Edition):
1) Constructed of steel, not less than 4 inches in diameter,
and concrete filled.
2) Spaced not more than 4 feet between posts, on center.
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Letter t_: Owner/Operators of Propane Exchange SyAs
Re: Propane Exchange Program --
Dated: December 12, 2003
Page 20f2
3) Set not less than 3 feet deep in a concrete footing of not
less than a 15 inch diameter.
4) Set with the top of the posts not less than 3 feet
aboveground.
5) Located not less than 5 feet from the cylinder storage
area.
Excepti~:ms: Cylinders storage areas located on a
sidewalk which is elevated not less than 6 inches above
the alley, driveway or parking area, with not less than
10 feet of separation between the curb and the cylinder
storage area.
"No Smoking" signs shall be posted and clearly visible
(Section 8208, California Fire Code, _2001 Edition).
Resale and exchange facilities must be under permit to verify compliance. All
existing facilities will be checked and when compliance is confirmed, a permit
will be issued. All new propane exchange systems must be permitted prior to
installation.
You will have 90 days (March 4, 2004) to comply with the procedures outlined.
'Once compliance has been confirmed, each exchange system will be issued a
permit, which will be placed on the exchange system.
Sites not conforming to CUITent code, will be "red tagged" and must be taken out
of service immediately.
You should contact your Blue Rhino representative, Mr. Taylor Noland, or your
local Amerigas representative. They are aware of current code requirements. If
you do not have a propane exchange system, please disregard this letter.
Should you have any questions, please feel free to contact me at (661) 326-3190.
Sincerely,
v\i~
Steve Underwood
Fire InspectorlPetroleuml
Environmental Code Enforcement Officer
~\'i
" MONrt;kNG SYSTEM CERTIFt..)rION
For Use By All Jurisdictions Within the State of California
Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations
r.
/
This fonn must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared
for each monitoring system control panel by the technician who perfonns the work. A copy of this fonn must be provided to the tank
system owner/operator. The owner/operator must submit a copy of this fonn to the local agency regulating UST systems within 30
days of test date.
A. General Information
Facility Name: ARCO PRODUCTS COMPANY
Site Address: 4010 Wible Road
Service Station No.: 5365
City: Bakersfield
Zip: 93309
Facility Contact Person:
"'"^" ~ V.ß, ~- \. \ SCH'\.
Contact Phone N0fi II}/ ~'O S"~ ~ t
MakeIModel of Monitoring System:
<"D ,...~~~ ..¡., b S
Date of Testing/Service: ,O-2:1-o}
C. Certification - I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers'
guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is
correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also
attached a copy of the report; (check all that apply): 0 System set-up 0 Alarm history report t4-A-
Technician Name (Print): --07.\",~~ ~~~_ Signature: c_ ~
Certification No.: ¡(so ð04"Þ, License No.: 588098
Testing Company Name: TAn ENVIRONMENTAL SYSTEMS Phone No.: (714) 560-8222
B. Inventory of Equipment Tested/Certified
Check the a ro riate boxes to indicate s ecific e ui ment ins
Tank ID:
DIn-Tank Gauging Probe: Model:
IiIAnnular Space or Vault Sensor: Model:
ÇlfPiping Sumpffrench Sensor (s): Model:
¡;zIFill Sump Sensor (s): Model:
(;ÀMechanical Line Leak Detector. Model:
bElectronic Line Leak Detector Model:
DTank Overfill/High-Ievel Sensor: Model:
DOther, S ecify e ui. e and model in Section E on Pa e 2
Tank ID:
DIn-Tank Gauging Probe: Model:
ÇJ'\nnular Space or Vault Sensor: Model:
ç;wiping Sumpffrench Sensor (s): Model:
Ç21Fill Sump Sensor (s): Model:
~echanical Line Leak Detector. Model:
DElectronic Line Leak Detector Model:
DTank Overfill/High-Ievel Sensor: Model:
DOther, S ecify e ui. e and model in Section E on Page 2
Dispenser ID: - z..
~Dispenser Containment Sensors: Model:
I;zr Shear Valve(s).
DDis enser Containment Float(s) and Chain(s)
Dispenser ID: 'S" - b
Ç4Dispenser Containment Sensors: Model:
ILl Shear Valve(s). ,
DDis enser Containment Float(s) and Chain(s)
Dispenser ID: .... ( 0
ØDispenser Containment Sensors: Model:
IrJ Shear Valve(s).
DDis enser Containment Float(s) and Chain(s)
*Ifthe facility contains more tanks or dispensers, copy this form.
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Monitoring System Certification
ected/serviced:
TankID: 87 S
DIn-Tank Gauging Probe: Model:
[2mmular Space or Vault Sensor Model:
[315iping Sumpffrench Sensor (s): Model:
¡;aFill Sump Sensor (s): Model:
DMechanical Line Leak Detector. Model:
DElectronic Line Leak Detector Model:
DTank Overfill/High-Ievel Sensor: Model:
DOther, S ecify e ui. e and model in Section E on Page 2
Tank ID: /
DIn-Tank Gauging Probe: Model:
Çd'Annular Space or Vault Sensor Model:
ttn>iping Sumpffrench Sensor (s): Model:
ØFill Sump Sensor (s): Model:
J4'Mechanical Line Leak Detector. Model:
DElectronic Line Leak Detector Model:
DTank Overfill/High-Ievel Sensor: Model:
DOther, S ecify e ui. e and model in Section E on Page 2
Dispenser ID: "3.--4
I;ZIDispenser Containment Sensor(s): Model: 00/
ø Shear Valve(s).
DDis enser Containment Float(s) and Chain(s)
Dispenser ID: -Z -8
¡2tDispenser Containment Sensor(s): Model: 00
IZI Shear Valve(s).
DDis enser Containment Float(s) and Chain(s)
Dispenser ID: ( - ( Z-
ØDispenser Containment Sensor(s): Model: 00
ø Shear Valve(s).
DDis enser Containment Float(s) and Chain(s)
Include information for every tank and dispenser at this facility.
~
Page 1 of3
03/01
'i
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Site Address: SS #5365,4010 Wible Road, Bakersfield
Date ofTestinglServicing: \f O-Z...:'l -03
D. Results of Testing/Servicing
Software Version Installed:
Com lete the Collowin checklist:
Yes 0 No* Is the audible alarm 0 erational?
Yes 0 No* Is the visual alarm 0 erational?
ø Yes 0 No* Were all sensors visuall ins ected, functionall tested, and confirmed 0 erational?
~J Yes 0 No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will
not interfere with their ro er 0 eration?
,If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem)
operational?
For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment
monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate
positive shut-down? (Check all that apply) Ç? Sump/Trench Sensors; 0 Dispenser Containment Sensors.
Did you confirm positive shut-down due to leaks and sensor failure/disconnection? Yes; D No.
D No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no
ø N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank
fill oint s) and 0 eratin ro erly? If so, at what ercent of tank ca acity does the alarm trig er? ????%
Was any monitoring equipment replace,d? If yes, identify specific sensors, probes, or other equipment replaced
and list the manufacturer name and model for all re lacement arts in Section E, below.
Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) 0
Product; D Water. If yes, describe causes in Section E, below.
, Yes D No* Was monitoring system set-u reviewed to ensure pro er settings?
'Yes D No* Is all monitoring equipment 0 erational er manufacturer's specifications?
* In Section E below, describe how and when these deficiencies were or will be corrected.
DYes
D No*
N/A
D No*
D N/A
DYes
D Yes*
rfJ No
D Yes*
!If No
E. Comments:
t-.J-p..
Page 2 of3
03/01
'.
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Site Address: SS #5365,4010 Wible Road, Bakersfield
Date of Testing/Servicing: 'o-'l/l....ø..:)
F. In-Tank Gauging I SIR Equipment:
o Check this box if tank gauging is used only for inventory control.
~Check this box if no tank gauging or SIR equipment is installed.
This section must be completed if in-tank gauging equipment is used to perfonn leak detection monitoring.
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ompl ete t e ollowIDI! c ec 1St:
DYes D No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults?
DYes o No* Were all tank gauging probes visually inspected for damage and residue buildup?
DYes D No· Was accuracy of system product level readings tested?
DYes o No· Was accuracy of system water level readings tested?
DYes D No· Were all probes reinstalled properly?
DYes D No· Were all items on the equipment manufacturer's maintenance checklist completed?
* In the Section H, below, describe how and when these deficiencies were or will be corrected.
G. Line Leak Detectors (LLD):
o Check this box if LLDs are not installed.
c
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ornPI ete t e 0 OWIDI! c ec 1st:
¡zf Yes o No· For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance?
o N/A (Check all that apply) Simulated leak rate: ø 3 g.p.h.1; D 0.1 g.p.h.2; 00.2 g.p.h.2
Notes: 1. Required for equipment start-up certification and annual certification.
2. Unless mandated by local agency, certification required only for electronic LLD start-up.
çtYes o No· Were all LLDs confirmed operational and accurate within regulatory requirements?
[z1 Yes o No* Was the testing apparatus properly calibrated? ,
Ø" Yes o No· For mechanical LLDs, does the LLD restrict product flow if it detects a leak?
o N/A
DYes o No· For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak?
Q1N/A ,
DYes b No· For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled
rtN/A or disconnected?
DYes o No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions
¡z( N/A or fails a test?
DYes D No* For electronic LLDs, have all accessible wiring connections been visually inspected?
er N/ A
qJ Yes o No· Were all items on the equipment manufacturer's maintenance checklist completed?
* In the Section H, below, describe how and when these deficiencies were or will be corrected.
H. Comments:
Page 3 of 3
03/01
. (.'
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Site Address: SS #5365, 4010 Wible Road, Bakersfield
e'"
Date of Testing/Servicing: , 0 -1':1- 0 ~
Monitoring System Certification
UST Monitoring Site Plan
: : : : : : : : : :w \:\Q[é..,; : rd
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Date map was drawn: '0 / z..1 / ~.
Instructions
If you already have a diagram that shows all required information, you may include it, rather than this page, with your
Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify
locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular
spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak
detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan
was prepared.
Page ---.L. of --L
05/00
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~,.. ARCO Products Company
Check Valve Survey
Station # 5365 Address 4010 Wible Road, Bakersfield Date /0.2..7..°'3
Hose # Product Remote Check Current Nozzle Other Nozzle
Valve on Emco/Wheaton Type Model
Dispenser Model Type
1 Yes 0 4001/ 00 /4015
2 Yes No 4001/ 00 4015
3 Yes No 4001 00 /4015
4 Yes No 4001/ 00 /4015 ,
5 Ye No 4001 00 4015
6 Ye No 4001 00 4015
7 Ye No 4001 400 4015
8 Ye No 4001 00 4015
9 Ye No 4001 4005 4015
10 vet 4001 40054015
11 Yes 0 4001 40054015
12 Yes 0 4001 015
13 Yes/No 4001 005/4015
14 Yes/No 4001/4005/4015
15 Yes/No 4001/4005/4015
16 Yes/No 4001/4005/4015
17 Yes/No 4001/4005/4015
18 Yes/No 4001/4005/4015
19 Yes/No 4001/4005/4015
20 Yes/No 4001/4005/4015
21 Yes/No 4001/4005/4015
22 Yes/No 4001/4005/4015
23 Yes/No 4001/4005/4015
24 Yes/No 4001/4005/4015
COMMENTS:
I~
'< 'f'"" -' ,
12-12-03
10:02am
e
From-TAIT ENVIROMENTAL
714-560-8237
e
T-968
P.03/07
F-088
"
MONl~RING SYSTEM CERTIF~ATION
For Use By All Jurisdictions Within the State of California
AuthQrity Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23. California CodeofRegu/tJtio1l$
This form must be used to docwneut testing and servicing of monitoring equipment. A separa~ ç~rtifiçation or te¡lort nmst be ptcpared
tþr each monitoring ~tem control Danel by me technici¡m who performs the work. A copy of this form must be provided to the tank:
system owner/operator. The owner/operator must submit II copy of this form to the loc~l &gency regulating UST systems within 30
d4ys of rest date.
A.. Generallnformation
Facílity Name: ARCO PRODUCTS COMPANY Service Station No.: 5365
Site Address: 4010 Wible Road
City: Bakersfield
Zip: 93309
Facility Contact Person:
__=- \Lp~ ~- "\<lla0'V'!t.
Contact Phone NO:;; tJ... c., 0 S'..~ 'Z.. t
MakeIModel of Monitoring System:
-r.::P ""~ð.~ --&., ~S
Date ofTestinglService: J O-Z7-Ø}
B. Inventory of Equipment Tested/Certified
Check the a ro riate bo~es to indicate, ecHie e ui ment ins ec:ted/serviced:
Tank ID: Tank ID:
Din-Tank Gauging Probe:: Model: DIn-Tank Gauging Probe: Model:
I¡rAnnulllf Space or Vault Sensor: Model: r.:;1mnular Space or Vault Sensor Model;
¡;;ïfPiping SumpfI'tench Sensor(s): Model: [3tfiping Sumprrrench Sensor (8): Model:
gEiU Swnp Sensor (6): ,Model: r;aJfm Swnp SCDSor (s): Model:
echanica! Line Leak Detector. Modçl: OMechanical Line Leak Detector. Model:
Electronic Line Leak Detector Model: DElectroDic Line Leak Detector Model:
DTank OverfilllHigh-level Sensor: Model: DTIUIk OverfilJJHigh-Ievel Sensor: Model:
DOrher, S ec e ui. e and model in Section E on Pa e 2 Other, S ecir e ui. e and model in Section E On Pa e 2
Tank ID: Tank ID:
DIn-Tank Gauging Probe: Model: DIn-Tank Gauging Probe: Model:
ç;l'Annular Space or Vault Sensor: Model: Ç!1'Annular Spa~ or Vaulr Sensor . Model:
taÞîping SurnplTrench Sensor (sh Model: ta'Piping Sump!I'renc:h Se:nsor (5): Model:
Ell Sump Sensor (s): Model: ¡aFill Sump Sensor (s): Model:
echanical Line Leak Detector. Model: Ji',Mechanical Line Leak Detector. Model:
Electronic Line Leale Detector Model: DElec[[onic Line Leak. Detector Model:
OTank OverfilllHigh-level Sensor: Model: OTank Overfù!/High-Ievel Sensor: Model:
OOther, S eci ui. e and model in Section Eon Pa e 2 DOther, S ecif e ui. e and modd in Section E 011 Pa e 2
Dispenser ID: Dispenser ill: '3. ~
j;aDispenser Containment Sensors: 00 , ~Dispenser Containment Sensor(s): Model: 00/
t2J Shear Valve(s). rzr Sh~ar Valve(s).
DDis enser Containment Floa s and Chain s DDis enser Containmenr Float s and Chain s)
Dispenser ID: Dispenser ID: -Z -
c;¡;Dispenser Containment Sensors: Model; 0 0 f ¡ðDispenser Containment Scusor(s):
ø Shear Valve(s). IZI Sbear Valve(s).
ODis enser Con~inmenr Floa sand Chain(s DDis cnser Containment Flœt s and Chain s
Dispenser ID: ... 0 Dispenser ill: 'Z-
ØDispc11ser Containment Sensors: Model: ,oc;) ØDispenser Containment Sensor(s): Model:
IZ1 SheaI Valve(s). ø Shear VaJvt(s).
ODis enser Containmenr Float s and Chain s) DDis cnser Containment FI04t $ and Chain s
'*Ifthe facility contains more tanks or dispenscrs, copy this form. Include infonnanon for every tank and dispenser at this facility.
C. Certification - I ceniry chat the equipment identified in this doeument was inspectcd/serviced In accordaneo with the manufacturers'
guidelines. Artaehed to rhis Cenineation is Information (e.g. manufacturers' checklim) necessar-y to verify Chat tbis information is
correct and a Plot Plan showing the layout of ffloniroring equipment. For any equipment c;apablc Ofgeperatîng SlIcb rtpon5, I have alIa
attached a copy of tbe repon; (check a/I tll"t øppl¡); Q System set-up 0 Alarm history report ,.,. ~
Technician Name (Print): -c!' . \~,.. -"\ ~ 1* I:> -r-- Signature: c ~ t!?-
Cenificacion No.: . "''''0 êOL(.Ð 1 - License No.: S88098
Testing Company Name: TAIT ENVIRONMENTAL SYSTEMS Phone No.: (714) 560-8222
Model:
00
Page 1 of3
03/01
Monitoring System Certification·
12-12-03
10:02am
e
From-TAIT ENVIROMENTAL
714-580-8237
e
T-988
P,04/07
F-088
r.r
'-:...-/
Site Address; SS #5365, 4010 Wible Road, Bakersfield
"-"
Date ofTestinw'Servicing: , O-Z..,;Z -0 '3
D. Results of Testing/Servicing
Software Version Installed:
....-p..
Com lete the Collowin checklists
Yes 0 No· Is the audible ahu:m 0 erational?
Yes No· Is the visual alarm 0 crational?
Yes 0 No· Were aU sensors visuall ins ccted functionall tested. alld confirmed rational?
JZT Yes 0 No· Were all sensors installed at lowest poÎnt of secondary containment and positioned so that other equipment will
ÐOt interfere with their ro r 0 tration?
U' alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem)
operaåoaa1?
for pressurized piping systems, does the turbine automatically shut down if the piping gecondary containment
mo1Ùtoring system detects a leak, fails to operate, or is electrically dÍ$connected? If yes: which sensors initiate
positive shut..oown?· (Check all that apply) ¡¡r SumplTrench Sensors¡ 0 Dispenser Containment Sensors.
Did you confirm po¡¡:ilive shut-down due to leaks !ill! sensor failure/discoIUlecrion? Yes; D No.
D No· For 1:aDk systems that utilize the monitoring s~tem as the primary lank overfill warning device (i.e. no
~ N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank
fill oin sand 0 eratin r erl? Ifso. at what ercent of tank ca aci does the alann tri er? 7??1%
Was any monïroring'eCJ.l.lipment replaced? If yes, identify specifIC sepsors, probes, or other equipment repl&ced
and list the manufacturer name and model for all re lacement IIrts in Section E, below.
Was liquid found insid.e any second2U}' containment systems c:iesigned as dry systems? (Check all that apply) 0
Product: D WateT. If es, describe causes in Section E, below.
Yes 0 No· Was monitorin tern sct-u reviewed to ensure ro er settin 5?
Yes 0 No· Is aU momtorin e ui ment 0 era(ional er manufactuJeT's s ecificariom?
* In Section E below, describe how and when these deficiencies were or will be corrected.
CI Yes
CJ Yes'"
f1J No
Ip' No
DYes·
,
E. Comments:
Page Z of3
03/01
0'
12-12-03
10:03am
From-TAIT ENVI~NTAL
714-560-8237
e
T-96B
P,05/0T
F-088
'õ
'-.-I
Site Address: SS #5365, 4010 Wible Road, Bakersfield
'---'
Date ofTestinglServicing: ,g-Vl....~J
F, In-Tank Gauging I SIR Equipment:
D Check this box if tank gauging is used only for inventory control,
-;g(Check this box üno tank gauging Or SIR equipment is installed.
This section must· be completed íf ín-tank gauging equipment is used to perfonn leak detection monitoring.
ComDlete the followine cbecklist:
o Yes o No· Has all input wiring been inspected for proper enay aud termìI1adon, including testing for ground faults?
DYes o No· Were all tank gauging probes visually ~Cted for damage and residue buildup?
DYes o No· Was accuracy of system product level readings tested?
DYes o No· Was accuracy of system water level readings tested?
DYes o No· Were all probes reinstalled properly?
DYes o No· Were all items On the equipment manufacturer's maintenance checklist completed?
· In the Sef::tion H, below, describe how and when these deficj!ncie!i were or will be corrected.
G, Line Leak Detectors (LLD):
o Check this box ifLLDs are not installed.
c
h f< II
h kl"
omDlete t e 0 OWIDe c ec ISI:
JZfYes o No" For equipment start-UP or annual equipment certification, was Ii leak simulated to verify LLD performance?
IJ N/A (Check all that apply) Simulated leak rate: Ø'3 g.p.h.lj 00.1 g.p.h. 2; 00.2 g.p.h.¡ , '
Notes: I. Requited for equipment stan·up cenification .!!DQ alU1ual cemfU::l1tion.
2. Ualess manœted by local agency, certification required only for electronic LLD start-up.
vrYes o No· Were all LLDs confumed operational and accurate within regulatory requirements?
12!"Yes o No· Was the testing apparatus properly calibrated?
Ø"Yes DNa· For mechanical LLDs, does the LLD restrict product flow If it detects a leak?
o N/A
DYes o No· For electronic LLDs, does the wbine automatically shut offïfthe LLD dC!:tect$ a leak?
Iir N/A
DYes tJ, No'" For electronic LLDs, does the tUfbine automatically shut off if any ponion of the monitoring system is disabled
r¡f N/A or disconnected?
DYes o No· For electronic LLDs, does the turbille automatically shut off if auy pomon of the monitoring system malfunctions
czr NlA or fails a test?
DYes CJ No· Por el~tronic LLDs, have all accessible wiring connections been visually inspected?
2rN/A
£If Yes o No· Were all items on the equipment manufacturer's maintenance checklist completed?
* In the Seetion H, below, descrlbo how and when these deficiencies were Of will be corrected.
H. Comments:
Page 3 of3
03/01
-Ø'
12-12-03
10:03am
e
From-TAIT ENVIRO~NTAL
T-968
e
714-560-8237
'--'
Site Address; SS #5365. 4010 Wible Road, Bakersfield
'-
Date ofTestinglServic:ing: 10-'2.' -ø~
Monitoring System Certification
:3 :
UST Monitoring Site Plan
: : : : : : : : : W ~\G (e..; : n:t ~ : : :
~~: ~h:cri' .. ·o~ ,\::: (\: : : :/~:
. . . . ~. . . VK' ~';.?:IV'
:'m'O¡~ . :.:
. . . ,(S. . . .
:D:::·~:~:
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..~..~...
~
: ,;;j~ :
P,06/07 F-088
If you already have a diagram that shows all required information, you may include it, rather than this page, with your
Monitoring SyStem Certification. On your site plan, show the general layout of tanks and piping. Clearly identify
locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular
spaces, sumps, dispenser pans, spm containers, or other secondary containment areas; mechanical or electronic line leak
detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan
was prepared.
Date map was drawn: to /:z.1 / .£..J...
Instructions
Page --1... of ---1..-
05J00
~I.\
e
12-12-03 10:04am From-TAIT ENVIROMENTAL
714-560-8237 e
T-96S P,07/07 F-088
'---'
'--'
~-...
~~ ARCO Products Company
Mechanical Leak Detector Test Data Sheet
Station #
-S3~~
Date
0 -21"()~ .
Address
Test Infonnation
1
2
3
4
5
Product
Manufacturer
î
I vL
U) 2.{)oo
~o
200
Fe
Model
Full Operanng Pressure (psi)
Line Bleed Back (ml)
Trip Time (see)
Metering Pressure (Psi)
FIE Holding Pressure (Psi)
Test Leak Rate (mlImin) (gph)
PASS Or FAD..
2.. Sp C"
I
Replaced All Failed Leak Detectors Yes
If No, Replacement To Be Completed By (Date)
No
/
l
N/A
L
This Jetter cenifies that the annual leak detector tests were petformed at the above referenced facility
according to the equipment manufacturers procedures and limitations and the results as listed are to my
knowledge tnJe and correct. The mechanical leak detector test pass/fail is determined using a low flow
threshold trip rate of 3 gph at 10 PSI.
.
Inspected By: Contractor ~"', \"""" 6Ñ'-.1 ~ ~N MB).j ~ l ""5'(5 .
Tcchnician ~ù\::e- --v"\ \?pC' ¡Of rG..... Lic#
Signature ~' <::- ~ ~ J
A/>C.B325 (8196)
.
G:\HAZ\SHARED\CORRES.NCE\2003olO\INSPECfION CHECK LIST sunderw.
".¡;.
7'\
, Ÿ
'\.~
;~:;J
\.
,,:)
\~~,:;
"
" f I
INSPECTION CHECK LIST
~
YES NO
1) Are fill boxes cleaned?
2) Is there excessive spillage on island?
3) Are all "No SmokinJ!" - "Turn Off Engine" signs in place?
4) Is the address number visible and 1" x 5" numbers?
5) Is the ESO (Emergency Shut-Oft) visible? .
6) Are there Propane Tanks or Tank(s) at facility?
6a) Is it recorded on customer chemical inventory?
7) Is there a Fire Extinguisher on dispenser island?
7a) If not on Island is there an Extinguisher near front door?
8) Are Extinguishers mounted?
9) Is Extinguisher 2A20BC rated?
10) Does UST Facility have a cooking hood?
11) Has it been serviced and free from grease build-up
12) Are there any extension cords being used for permanent wiring?
13) Is there minimum of 30" in front of breaker panels?
14) If illuminated exits are all the lamps workine:?
15) Are co2 cylinders chained?
16) Are any exit doors being blocked?
17) Does the fuel monitor device indicate any problems?
18) Is there a sticker on the fuel monitor showing service date?
19) If UST site has cathodic protection is rectifier working?
19a) Has it been serviced within (3) three years?
20) Does customer have MSD's sheets and Emergency Response Procedures?
21) Does customer have adequate training records?
22) Is there sufficient absorbent material (kitty litter) on site?
23) If customer has waste oil is it labeled and have secure lid?
;>-
11/24/2003 10:21 FAX 53074386JIIÞ
Wl1Con Bulders Ine
e
~004
PERMIT APPLICATION TO CONSTRUCT/MODIFY
UNDERGROUND STORAGE TANK
Bakersfield Fire Dept.
Environmental Service
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
PERMIT NO. Lß:r: - 031 q;
TYPE OF APPLICA TION (CHECK)
o NEW FACILITY ODIFICATION OF FACILITY
LI NEW TANK INSTALLATION AT EXISTING FACILITY
STARTING D.4TE
PROPOSED COMPLETION DATE
EXISTING FAClUlY PERMIT NO.
I""'" {r"'r""'i\lOE!fL l~
JjJ m ~ \01\
ARE T~EY FOR MOTOR FueL
D)i¡ES CJ NO
SPILL PREVEHTION CONTROL AND COUNTER MEASURES PLAN C»I FlU:
YES C] NO
THIS SECTION IS FOR MOTOR FUEL
TANK NO, VOLUME!
UNLEADED
REGULAR
PREMIUM
IJESEL
AYlATlC»I
THIS SECTION IS FOR NON MOTOR FUEL STORAGE TANKS
TANK NO. 'WLUIIIE CHEMICAL STORED (NO BRAND NAME)
CAS NO (IF KNO~)
CHEMICAL PREVIOUSLY STORSD
I FACIUTY NO.
I NO. OF TANKS
I FEES I
I
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
13
~
~
e CITY OF BA~SFIELD
OFFICE OF ENVIRONl\'IENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (661) 326-3979
INSPECTION RECORD
POST CARD AT JOB SITE
Fa~ilily
Owner
A Jd ress
Address
CiIY. Zip
City. Zip
Phone No,
Pennit #
INSTRUCTIONS: Please call for an inspector only whèn each group of inspections with the same number are ready, They will run in consecutive order beginning with
number I. DO NOT cover work tor any numbered group until all items in that group are signed otTby the Pennitting Authority, Following these instructions will reduce the
number of required inspection visits and theretore prevent assessment of additional fees.
TANKS AND BACKFILL
INSPECTION DATE INSPECTOR
Backtill ofTank(s)
Spark Test Certification or Manufactures Method
Cathodic Protection ofTank(s)
PIPING SYSTEM
(
Piping & Raceway wlCollection Sump
Corrosion Protection of Piping. Joints. Fill Pipe
./ Electrical Isolation of Piping From Tank(s)
Cathodic Protection System-Piping
.
Dispenser Pan ,
SECONDARY CONTAINMENT OVERFILL PROTECTION, LEAK DETECTION
.
Liner Installation - Tank(s)
Liner Installation - Piping
Vault With Product Compatible Sealer
Level Gauges or Sensors, Float Vent Valves
Product Compatible Fi11 Box(es)
Product Line Leak Detector{s)
Leak Detector{s) for Annual Space-D.W, Tank(s)
Monitoring Well(s)/Sump(s) - H20 Test
Leak Detection Device(s) for Vadose/Groundwater A
Spill Prevention Boxes hn1rc....- t:JL 1'7 ,.... I () "1J3 -;JJ
FINAL
Monitoring Wells, Caps & Locks
Monitoring Requirements
Type
-03
Fill Box Lock
(
Authorization tor Fuel Drop
CONTRACTOR f U('J('l)N
ßt,h rdtt5
LICENSE #
CONT ACT ---/±l d H
PHONE# ~3() '~~1: 411'0
JUyN, '18, ,2003
¡,v: >
1(.. F
,,/
8:10
BKS. FIRE PREVENTION (66W52-217~ po:
Permit No. ß J-. ----- ():3 () 9
CITY OF BAKERSFIELD
OFFICE OF ENVlROl\TMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (661) 326..3979
PERMIT APPLICATION TOCONSTRUCTIMODIFY UNDERGROUND STORAGE TANK
TYJ>E OF APPLICATION (CHECK)
[ ]NEW FACILITY []MODlFICA TION OF FACILITY [ ]NEW TANK rNST ALLA T10N AT EXISTING FACILITY
ST ARTINO DATE r/t if PROPOSSD COMPLETION DATE Y /tq
FACILITY NAME J9-llc (;I t/ fJ,(¿fr EXISTING FACILITY PERMIT NO. '
FACILITY ADDRESS ~,o W/l;Jte fU) CITY f]¡J/¢4$,øleC4) ZIP CODE 'f,?30?
TYPE OF BUSINESS ;;¡, ~ D. ~. APN #
TANK oWNER Br eS coÄ. -1ç.f)acr5 / mlli--e ti.)c ¿ ~,c-.-v PHONE NO. 7/11 - Ú ïO-5"Y)./
ADDRESS!! C~,AJre.j}'¡;:;/</T n. CITY "-'()¡;PA¿m~ ZIP CODE 1oti.1~
CONTRACTOR rQ. -r __ //1/lo.v#-t'A419t. Ski ~_ _ CA LICENSE NO. '7 1J' g o:JS
ADDRESS/~¡;t~' t!/,!PlUe CITY o~ri. ~ ZIP CODE ~ ~ ~
PHONE NO. t, -~Q -~;;L ~2 BAKERSFIELD CITY BUSINESS LICENSE NO. or ;;¡
WORKMANCOMPNO.012oC0<7l'i?,) INSURER6m~ C-o??l-;P Z'A./S. Pi¿
BRIEfLY DESCRIBE THE WORK TO BE DONE f2JePtØce ,3' 'Dil~¡7¿Dr9...~ t"-,<i jJltt. ßl¿c.Æ$r
I;/.. - {, '!/i7 'j eS.i 1./ -v-eAJ r c #,0 5" J ;l- Irl'!J-'pc'Æ 1).-()¡(}ftJT'f9t26
WATER TO FACILITY PROVIDED BY .v / ,4
DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE
NO. OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL YES NO
SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE YES NO
SECTION FOR MotOR FUEL
~ 7 8"'1 ; c¡ I
UNLEADED R£CULA1l PREMIUM
;(
'9(
. ....
TANK NO.
t
;l
~
L/
fiT
TANK NO.
VOLUME
APPLJCATION DATE
DIESEL
AVIATION
,4.. ~,
.~
.
SECfION FOR NON MOTOR FUEL STORAGE TANKS
CHEMICAL STORED
(NO ERAND NAME)
CAS NO.
(IF KNOWN)
CHEMICAL PREVIOUSLY STORED
FOR OFFICIAL USE ONt Y
FACILITY NO. NO. OF TANKS
FEES $
THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THEA IT ACHED CONDiTIONS OF
THIS PERMIT AND ANY OTHER STATE. LOCAL AND FEDERAL REGULATIONS.
OMPLETED UNDER PENALTY OF PERJURY. AND TO THE BEST OF MY KNOWL
ßI2IIJ/f/ ~<>J ..
.APPLICANT NAME (PRINT)
l
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
~
" r,:/!'·
e _permit No. ß:ç..-D3lß
CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (661) 326-3979
PERMIT APPLICATION TO CONSTRUCT/MODIFY UNDERGROUND STORAGE TANK
TYPE OF APPLICA nON (CHECK)
[ ]NEW F ACILlTY ~MODIFICA TION OF FACILITY [ ]NEW TANK INSTALLATION AT EXIS:rING FACILITY
-\
STARTING DATE PROPOSED COMPLETION DATE
FACILITY NAME ~~(å Ap\ 19~ EXISTING FACILITY PERMIT NO.
FACILITY ADDRESS 40 I \:) ~ I God; q~A'\::) , CITY t\A" ~Il~ ç.,e ~ ~ J C,. ZIP CODE
TYPE OF BUSINESS t"\LIoI' ~~"\ I ç:l) EL\foi) s.,. "''''\0 to- APN #
TANK OWNER ~~ c...€.)r c:.Q~T Ç>",,, ~u"T ~ . LlC... PHONE NO."\'~ ~ Cð lö- &~QI;)
ADDRESS ~ C(;...."t'èL\>ol....,~ On.\u':' CITY LA~"\._A ZIPCODE~O(,,~'1
CONTRACTOjt \o\'ftt:)CA LICENSE NO. \4c ~
ADDRESS ~t\ '1.\ lu~~\ ~..\t I\-r.... t)\i)~ CITY TOQ.U"L~ ZIP CODE '\061) \
PHONE NO. '!\~ - Q \'). ()~ i ~ BAKERSFIELD CITY BUSINESS LICENSE NO.
WORKMANCOMPNO. \,,)04':U'b-O~ INSURER ~T~"r. ç.J",1)
BRIEFLY DESCRIBE THE WORK TO BE DONE E\lCZ - c.o~(>\.\A""~¡ vÇ)c,II.A()ê
,
¡
WATER TO FACILITY PROVIDED BY
DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE
NO. OF TANKS TO BE INSTALLED "'f¡'\ ARE THEY FOR MOTOR FUEL V YES
SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE YES
(
TANK NO.
VOLUME
TANK NO.
VOLUME
APPLICATION DATE
NO
NO
SECTION FOR MOTOR FUEL
UNLEADED
REGULAR
PREMIUM
DIESEL
A VIA TION
SECTION FOR NON MOTOR FUEL STORAGE TANKS
CHEMICAL STORED
(NO BRAND NAME)
CAS NO.
(IF KNOWN)
CHEMICAL PREVIOUSLY STORED
FOR OFFICIAL USE ONLY
FACILITY NO,
NO. OF TANKS
FEES $
THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE A IT ACHED CONDITIONS OF
THIS PERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULATIONS.
(
~~~
APPLICANT SIGNATURE
bA...~".~. Av-¡ç., 'l(
,APPLICANT NAME (PRINT)
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
~~
~~
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PART' e
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61VSA-1020-EVR
1711T-7085
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FSA-4OQ
6' SAU'-1020-EVR
634TT -7085
ISC-2'OO FIll W/ DRAIN
61 JSK-44QO-EVR
61T-7368
233VM-4433
305XPA 11 OOAl(EVR
623V
53VML-3120
RB-'600
VR-79009'-001 ALARM
VR-790095-001 SWITCH
VR-847390-10X TANK GAUGE
TLS-350 PLUS W/ PRINTER
-# VR-847090-022
SENSORS (TURBINE, FIll, UOC)
-# VR- 794380- 208
INTERSTITIAl MONITOJ;
-# VR-794390-40X
MANUFACTURER I MODEL ,
POMECO 52
61VSA-EVR
1711T-EVR
ISC-2100
FSA.-400
61SALP-EVR
-
634TT -EVR
-
SC-2'00
OPW 61JSK-44QQ-EVR
-
OPW 6H
OPW 233
-
MORRISON BROS> 305XPA 11 OOAKEVR
OPW
623V
OPW 53VML-3120
OPW
OPW
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consultant Jobl
OB80'
20·x14·x1/."
STEEL PLATE
PAINT TO
MATCH SITE
CONOITION
--'<-
bl ~
I .
:.r ;Ii
ALARM 2'-0"
ACKNOWLEDGE
SWITCH
6" . BOLlARD I
FILL wI CONe.
(1YP, 2)
ESO
WP ENCL
RECEPT,
4"x4" STEEL
POST PAJNT TO
MATCH SITE
g;;
SEAL-OFF
,. RGS CONDUIT
FINISHED
GRADE
EQUIPMENT
'., , DESCRIPTION
-
CD 42" DIAMETER MULTI-PORT SPILL CONTAINMENT MANHOLE
2) PHASE I BRONZE SWIVEL ADAPTER
3) PHASE I VAPOR TOP SEAL CAP
o WE'~0~~270~~~~ S~L'&G CONTAJNMENT, 5 GALlON
5) FACE SEAL ADAPTER, PHASE I RISER, ATG RISER, 8< Fill
V FILL BRONZE SWIVEL ADAPTER
CD FILL TOP SEAL CAP
(8 ì JLL SPill CONTAJNMENT, 5 GALlON CAST IRON,
"-/ ,n/EVR DRAIN VALVE
9) JACK SCREW ASSEMBLY IN FIll BUCKET,
, g) STRAIGHT fiLL DROP TUBE
11) FITTING, EXTRACTOR, TEE, 4"X4"X3"X3"
@ TANK GAUGE PORT COMPONENOS (CAP 8< RING KIT)
@ THREADED PRES5URE VENT CAP
I@ , NOT USED,
I(îs)
~
'6
~
@ OVERFill ALARM WITH HORN/STROBE ,2OVAC,
ACKNOWLEDGE SWITCH. &, AUTOMATIC TANK GAUGE
@ TANK &: UNE MONITORING SYSTEU PANEL ,& SENSORS
0
<C
si
:)Ä!t!
:¡:
!off:: Acceptance applies to plans as submttted
"6" OO""f .."J/o, ""Iallall," lhenoOn,
,~"t tof'~II¡U'" ~
Auth, y
Q;J;? ~ (J 2;
LIST
3" X '2" BALLFLOAT
WATER SHIELD
;r.~~--
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EXIST. VENT
CD
E.5.0.
EXIS11NG BUIlDING
~,
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=~..
7
~,
r PlANTER
TRASH
ENCLosuRE
/
~
=;
/PIANTER
~ EXiST, CONe> DRIVE SlAB
""
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BY G,C, (1YP,)
:
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N.T.S.
"11mlf~
~
~
~
mast.r
drown by
JWO
project
e.1 date
08/12/03
TK
-
m
,
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:
"
OVERFill ALARM
~
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:,"t~:~:·
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STEEL RISER w/
PIPE CAP
EXTRACTOR -
FITTING
@
1
J
-,
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COATED
CONDUIT
r
2
FACE SEAL
ADAPTER
~'1 EXTRACTOR
F1mNG
(BEYOND)
,
~ BALL FLOAT
~~~o:LOCATED
CAPACITY
SET AlARM
0900:
@
--
r
~
N.t.S.
BY E
BID
CONST,
AS-BUILT
'8
~
.
.J
.:
V PHASE I CAP
Ð ~~i~lE
~R
@
o PHASE I 5
GALlON
BUCKET (NO
DRAIN VALVE)
8> ATG CAP AND
RING KIT
5
~
FILL 5 GALlON
BUCKET (W/
ORAlN VALVE)
<V
JACK SCREW
ASSEMBLY
<Ð
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Q
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1
---=--
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BALL FLOAT VÞLVE---
LOCATED AT 95"
CAP,ocITY
@
+
~~rLECT10N
.L!'!' TE
\.../
TYPICAL TURBINE ELEVATION
LLC WASTER REVISIONS
COAST PRODUCTS,
REVISIONS
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1 STAGE I VAPOR RECOVERY &
Fill DETAil (GASOLINE)
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~ URY AND CONFID&NTIAL INPORIIATlON NO, DATE
THIS DOC\.JMENT AND THE INFORtMTION HEREIN RELATING TO fR£D FIEDlER
AND ~ttS AND ITS ClIENT ~ BEEN f1JRNlSHED IN CON'IDENCE roR
THE PRIVATE USE OF AUTHORIZED PERSONND.. NO PART HEREOF SHALl 9[
COPIED. DUl'UCATED. DISTRIBUTED. DISCL.OS£D OR WDE AVAlLA8lf TO
OTHERS OR USED TO AH1 EXTENT W*TSQEVER EXCEPT AS EXPRESSLY
AUTHORIZED IN WRfT1NÇ 8'( FRED FlEDl.£R AND ASSOCIATES AND ITS CUENT.
Nf( PERSON. FJRiA OR CORPORATION'R£CEMNG THIS DOCUMENT, HOWEVER
OBToNNED. Stw.L BY YlRTUE HEREOF BE DEDlED TO ~\IE AGRElD TO THE
FOREGOING RESTRICTIONS.
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GRAPHIC SCALE
INSTAllATION NOTES
BEFORE START OF SAW CUTTING, REMEASURE TO CONFIRM THAT EXISTING totANHOLE FRAME JL!iQI COMPATIBLE
WITH NEW totANHOLE LID, IF LID IS COMPATIBLE, 00 NOT CUT UNTIL FIELD ENGINEER HAS CONFIRMED A NEED TO
REPlACE MANHOLE FRAME,
CD CONTRACTOR TO SAW CUT 6' X 6' WINIMUM SECTIONS OF EXISTING TANK SlAB AT EACH MANV/AY AS SHOWN,
CD CONTRACTOR TO REIIOVE EXISTING FIll SPill BUCKETS, REMOVE EXISTlNC DROP TUBE FlAPPER VALVE (IF ANY),
AND IoN'( NON-EVR BALl FLOA1S,
CD CONTRACTOR TO INSTALl NEW EVR RISER ADAPTERS,
CI:> CONTRACTOR TO INSTALl NEW 5 GALLON SPill CONTAINMENT BUCKETS ANO MANHOLE W/ FRAME AT EACH TANK
FILL EVR VR-102-B COMPLIANT, INSTALl NEW WATER SHIELD AND RISER SUPPORTS AT EACH Fill SUMP>
TUBE AND BALl FLOA1S AT EACH TANK,
A 0"· ~
EXIST. FILL SUMP (TYP.)
~
5 6 8 11
INTERSTITIAl.. MONITOR
(TYP,)@ PLANTtR
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Service Alert
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1-800
227-2600
BEFORE YOU DIG
Underground
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TWO WORKING DAYS
EVR VR-'02-B COMPLIANT,
GAUGE RISERS> FIELD VERIFY EXACT RISER
RISER,
® CONTRACTOR TO INSTALl NEW FIll DROP
Q) CONTRACTOR TO INSTALl NEW RISER COMPONENOS AT EXISTING TANK
LOCATION, EVR VR-102-B COMPLIANT,
ø CONTRACTOR TO INSTALl NEW PRESSURE VACUUM VENT VALVE AS NEEDEO, AT EACH GASOLINE
MANIFOLD 87 UNLEADED RISERS, EVR VR-'OZ-B COMPLIANT,
Q) CONTRACTOR TO PATCH All REMOVED CONCRETE TO MATCH EXISTING>
CD NOT USED,
® INSTALl NEW VEEDER-ROOT OVERFill ALARM W/ ACKNOWLEDG"ENT SWITCH ANO NEW AUTOMATIC TANK
GAUGING,
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,09-25-03 01:28pm From-TAIT ENV~NTAL
~EP 25 2002 10¡52 ÐKSFLD FIRE PREVENTION
714-560-8237 4IIIÞ T-46T P.02/06 F-89T
(SSl~S52-2172 ~.2
PACIllTY
ADDRESS
OPERATORS N
OWNERS N
NAMBOfMO
DaBS PACIUTY
,
CITY OF BAØRSF1ELD
OFFJICE OF ENVIRONMENTAL SERVICES
1715 Chester- Ave., BakerstJeld, CA. (661) 326·3979
,
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APPLICA TlON TO PERFþRM !
FUEL MONITORING CERTlJfICATION
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From-OIMELVENY~ERSLLP LAI/Z
+Z13430640T
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Lo~ Angdes, C4lhfQmi3 90071-¡899
r:;Lt:>Hul'>/>' (:13) ·no-6ooo
IACSIMII ,: (413) i30-6407
II'iÜ:lINt'T www.omT1,l,:um
WAStlIN(;l'UN, 0 C,
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November 3, 2003
uuJl flJ.1: NIJMII/>.I!
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VIA F AÇSJl\1ILE (213) 894-6436
wltl1'¡;:II'~ !.....AII- M'PRf'S.
bvega@omrn.com
William Carter, Esq.
Assistant U.S. Attorney
Pubhc Corruption and Government Fnu~d Section
Joseph Johns, Esq.
Assistant U.S. Auomey
Offic~ of the U.S. Anomey
312 Nonh Spring Street
Los Angeles, California 90012
Re: AßÇO Work on UndeTgl'(mnd S'orQl!~ Tank Svslems
Dear:am and Joe:
Pursuant to OUT agreement. this lener provides notice that ARCa is going to perform
work at the followmg site.
On Wednesday, November 5,2003, ARCa will begin construction at the following site:
ARCO Station No. 5365
4010 Wible ROM @ White Lane
Bakersfield, CA 93309
Project: Enhanced Vapor Recovery System
Contractor: WilCon
Contact: Mark. Wilkey 530-743-8699
We ex.pect that the scope of work wiU involve the cutting of asphalt or concrete.
-..~, -=-'I~'
Nov-03-2003 11 :13
From-O'MELVENY~ERSLLP LAI/2
+213430640T
-
T-92T P,003/003 F-6TT
O'MHV~NY & M'tI:~ U.P
Wilham ClUttr, Esq_ MId Juseph lo1\u$. Esq" Novemhc:r 3, 2003 - Page 2
Please give me a call if you have any questions.
V cry truly yours,
~V~/M't..
BelindaM. Veßa
for O'MEL VENY & MYERS LLP
cc: L.eshe Alford
Kathleen J, Giles
Ron E. Modjeski
Carl W. Sjoberg
.Amy Green
Steve Underwood
ßMV:ml
1-.'1.2 695427 1
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Station #
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Address
-
Mechanical Leak Detector Test Data Sheet
Date
10-2 7 ...{)~ .
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Product
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Manufacturer
Model
Full Operating Pressure (psi)
Line Bleed Back (ml)
Trip Time (sec)
Metering Pressure (psi)
FÆ Holding Pressure (psi)
Test Leak Rate (mVmin) (gph)
PASS or FAIL
Replaced All Failed Leak Detectors
Yes
If No, Replacement To Be Completed By (Date)
Test Information
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3
4
5
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This letter certifies that the annual leak detector tests were performed at the above referenced facility
according to the equipment manufacturers procedures and limitations and the results as listed are to my
knowledge true and correct. The mechanical leak detector test pass/fail is determined using a low flow
threshold trip rate of 3 gph at 10 PSI.
Inspected By: Contractor ~ ~,\ ~~,}l~~ M~~l 5ý«$ ~
Technician ..---:;;;c~\oe:o..A/\ ~(" PfrG......
Signature ~ ~ ~ ~
APC-3325 (8196)
Lic#
I
" MONITttuNG SYSTEM CERTIFI&TION
For Use By All Jurisdictions Within the State of California
Authority Cited: Chapter 6.7. Health and Safety Code; Chapter 16, Division 3. Title 23, California Code of Regulations
"
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This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared
for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank
system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30
days of test date.
A. General Information
Facility Name: ARCO PRODUCTS COMPANY Service Station No.: 5365
I
I,
Site Address: 4010 Wible Road
City: Bakersfield
Zip: 93309
Facility Contact Person:
-.~" Þ. ~- \.\sa-v"\.
Contact Phone N0=ñ c,1" ~ 10 5'1- ~ t
Date of Testing/Service: ,O-Zì-o}
Make/Model of Monitoring System:
~ ^~c.~ ~ïbS
B. Inventory of Equipment Tested/Certified
Check the a ro riate boxes to indicate s ecific e ui ment ins
Tank ID:
DIn-Tank Gauging Probe: Model:
~Annular Space or Vault Sensor: Model:
Ç2fPiping SumprrrenchSensor (s): Model:
~Fil1 Sump Sensor (s): Model:
ç¿rv1echanical Line Leak Detector. Model:
bElectronic Line Leak Detector Model:
DTank OverfilllHigh-Ievel Sensor: Model:
DOther, S ecif e ui. e and model in Section E on Pa e 2
Tank ID:
DIn-Tank Gauging Probe: Model:
ç:tAnnular Space or v, ault Sensor: Model:
l;ð1>iping Sumprrrench Sensor (5): Model:
'If Fill Sump Sensor (s): Model:
~echanical Line Leak Detector. Model:
DElectronic Line Leak Detector Model:
DTank OverfilllHigh-Ievel Sensor: Model:
DOther, S eci e ui. e and model in Section E on Page 2
Dispenser ID: - z..
µ1Dispenser Containment Sensors: Model:
~ Shear Valve(s).
ODis enser Containment Float(s) and Chain(s)
Dispenser ID: 5'" - b
~ispenser Containment Sensors: Model:
rz¡ Shear Valve(s).
ODis enser Containment Float(s) and Chain(s)
Dispenser ID: ... ( 0
ØDispenser Containment Sensors: Model:
IlJ Shear Valve(s).
ODis enser Containment Float(s) and Chain(s)
*Ifthe facility contains more tanks or dispensers, copy this form.
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ected/serviced:
TankID: 87 S
DIn-Tank Gauging Probe: Model:
~ular Space or Vault Sensor Model:
~iping Sumprrrench Sensor (s): Model:
ldFill Sump Sensor (s): Model:
DMechanical Line Leak Detector. Model:
OElectronic Line Leak Detector Model:
DTank OverfilllHigh-Ievel Sensor: Model:
DOther, S ecify e ui. e and model in Section E on Page 2
Tank ID: /
DIn-Tank Gauging Probe: Model:
Çd'Annular Space or Vault Sensor Model:
'[A1>iping Sumprrrench Sensor (s): Model:
12JFill Sump Sensor (s): Model:
,t2JMechanical Line Leak Detector. Model:
DElectronic Line Leak Detector Model:
DTank OverfilllHigh-Ievel Sensor: Model:
OOther, S ecify e ui. e and model in Section E on Page 2
Dispenser ID: 3-4
I;ZIDispenser Containment Sensor(s): Model: 00/
ø Shear Valve(s).
DDis enser Containment Float s) and Chain(s)
Dispenser ID: -Z -8
¡ltDispenser Containment Sensor(s): Model:
IZI Shear Valve(s).
DDis enser Containment Float(s) and Chain(s)
Dispenser ID: (( 2-
ØDispenser Containment Sensor(s): Model: CO
ø Shear Valve(s).
DDis enser Containment Float(s) and Chain(s)
Include infonnation for every tank and dispenser at this facility.
00
C. Certification - I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers'
guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is
correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also
attached a copy of the report; (check all that apply): 0 System set-up 0 Alarm history report N -A-
Technician Name (Print): ~~\'o~~ ~ß~__ Signature: ~- ~
Certification No.: 1,,"0 e>oc.lj)' License No.: 588098
Testing Company Name: TAU ENVIRONMENTAL SYSTEMS Phone No.: (714) 560-8222
Monitoring System Certification
~
Page 1 of3
03/01
:\'
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SS #5365,4010 WIble Road, Bakersfield
-
Date of Testing/Servicing: If O-z.,.-¿ -03
Site Addi:-ess:
'"
D. Results of Testing/Servicing
Software Version Installed:
t--1-¡o..
Com lete the Collowin checklist:
Yes 0 No· Is the audible alann 0 erational?
Yes 0 No· Is the visual alann 0 erational?
ø Yes 0 No· Were all sensors visuall ins ected, functionally tested, and confinned 0 erational?
~l Yes 0 No· Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will
not interfere with their ro er 0 eration?
DYes 0 No· If alanns are relayed to a remote monitoring station, is all conununications equipment (e.g. modem)
N/A operational?
For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment
monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate
positive shut-down? (Check all that apply) !If SumpfTrench Sensors; 0 Dispenser Containment Sensors.
Did you confInn positive shut-down due to leaks and sensor failure/disconnection? Yes; 0 No.
DYes 0 No· For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no
ø N/A mechanical overfill prevention valve is installed), is the overfill warning alann visible and audible at the tank
fill oint( s) and 0 eratin ro erly? If so, at what ercent of tank ca ' aci does the alann tri er? ????%
DYes· I1J No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced
and list the manufacturer name and model for all re lacement arts in Section E, below.
o Yes· 'I" No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) 0
Product; 0 Water. If yes, describe causes in Section E, below.
Yes 0 No· Was monitoring system set-u reviewed to ensure ro er settings?
Yes 0 No· Is all monitoring e ui ment 0 erational er manufacturer's s ecifications?
* In Section E below, describe how and when these deficiencies were or will be corrected.
E. Comments:
Page 2 of3
03/01
,0
e
-
Site Address: SS #5365,4010 Wible Road, Bakersfield
Date of Testing/Servicing: ,o-'V1,...ø.3
F. In-Tank Gauging I SIR Equipment:
o Check this box if tank gauging is used only for inventory control.
~Check this box if no tank gauging or SIR equipment is installed.
This section must be completed if in-tank gauging equipment is used to perfonn leak detection monitoring.
C
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h kl'
omcl ete t e 0 OWInI! C ec 1St:
DYes o No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults?
DYes o No* Were all tank gauging probes visually inspected for damage and residue buildup?
DYes o No* Was accuracy of system product level readings tested?
DYes o No* Was accuracy of system water level readings tested?
DYes o No* Were all probes reinstalled properly?
DYes o No* Were all items on the equipment manufacturer's maintenance checklist completed?
* In the Section H, below, describe how and when these deficiencies were or will be corrected.
G. Line Leak Detectors (LLD):
o Check this box ifLLDs are not installed.
Complete the followinl! checklist:
Ø'Yes o No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance?
o N/A (Check all that apply) Simulated leak rate: ø3 g.p.h.l; 00.1 g.p.h.2; 00.2 g.p.h.2
Notes: 1. Required for equipment start-up certification and annual certification.
, 2. Unless mandated by local agency, certification required only for electronic LLD start-up.
Ç1Yes o No* Were all LLDs confirmed operational and accurate within regulatory requirements?
[zf Yes o No* Was the testing apparatus properly calibrated?
I Ø'Yes o No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak?
o N/A
DYes o No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak?
Ø' N/ A
DYes 1J No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled
It N/ A or disconnected?
DYes o No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions
¡z( N/A or fails a test?
o Yès o No* For electronic LLDs, have all accessible wiring connections been visually inspected?
Ø'N/A
,[l1 Yes o No* Were all items on the equipment manufacturer's maintenance checklist completed?
* In the Section H, below, describe how and when these deficiencies were or will be corrected.
H. Comments:
Page 3 of3
03/01
f
.
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.. ~
~ite Address: SS #5365,4010 Wible Road, Bakersfield
Date of Testing/Servicing: 10-1:1- D~
Monitoring System Certification
UST Monitoring Site Plan
.4.
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· . . .
. . . .
.
· . . .
. . . .
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Instructions
If you already have a diagram that shows all required information, you may include it, rather than this page, with your
Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify
locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular
spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak
detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan
was prepared.
Page --..L of --L '
05/00
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From-OMELVëNY~ëRLLP LA1!Z
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T-T18 P,00Z!003 F-OTl
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,Oct-Z9-Z003 IT:05
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('rN',lI~f CITY
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lONDON
SHI\"CI1I\I
TO"YO
October 29, 2003
UUK I'ILI!. /'ôUMIIU
0]8,609-001
WIUTf.It'S DilIEl'T Diu
.:I13·..uo.6078
~l~ fACStl\1.l+E {213~ 894-6436
WiUia.m Carrel', Esq.
Assistant U.S. Attorney
PL!blic CotTUption and Govenunent Frau.d Section
wR.....,:R·s ~:-Nl^JI- AO¡)Jlt.SS
bvega@omm.com
Joseph Johns. Esq.
AssistanT U.S. Attorney
Office of the U.S. Attorney
312 NOM Spring StreeT
Los Angeles, California 90012
Re: ARCa Work on Undef1lround S'ora~e Tank S}!s!ems
Dear Bill and Joe:
PLU'suant to our agreement, this letter provides notice that ARca is going to perfonn
work aT The following sHe.
On Monllay, November 3, 20Q3, ARCa wiU begin construction at the fol1owing site:
ARCO StaÜölrNo. 5365 ,
-- 4010 Wible Road @ White Lane
Bakersfield, CA93309
Project: Enhanced Vapor Recovery System
Contractor: WilCon
Contact Mark Wilkey 530-743-8696
We expect thar me scope of work win involve the cutting of asphalt ar concr~te.
'i
FrDm-OIMELVENY~ERLLP LA1!Z
y
Oct-Z9-Z003 17:05
O'Melveny & Myers LLP
400 South Hope Street
Los Angeles, CA 90071-2899
FAX TRANSMITTAL
DATE: October 29, 2003
RE: ARCO #5365
TO:
William Carter, Esq. - Office of the U.S. Anomey F: 213-894-0141
Joseph Johns, Esq. - Office of the D,S. Anomey F: 213-894-0141
Kathleen J. Giles - Fed. Bureau of Investigation F; 310-996-4482
Ron E. Modjeski - U.S. Env. Prot. Agency F: 626-583-7533
Leslie Alford - Water Resources Ctrl. Bd. F: 916-341-5808
Carl W. Sjoberg-LA County Dept. of Public Works F:626-458-3569
Amy Green-UST Compliance PrograIU F: 661-862-8701
Steve Underwood-CUP A F: 661-326-0576
FROM:
Belinda M. Vega - O'Melveny & Myers, LLP
T: 213-430-6078
e
T-718 P,001!003 F-071
T: 213-894-3547
T: 213-894-4536
T: 310-477-6565
T: 626-583-7528
T: 916-341-5810
T:626-458-3539
T: 661-862-8700
T: 661-326-3979
If you did not receive all pages, please call Ruth de la Rosa at 213-430-6336, or our fax
departn1ent at 213-430-6357. :;";;-:;":' :,~: :: ~
OMM File No.: 038,609-004
OMM User ID No.: 08937
!-A2 69~n 1
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From-O'MELVENY & MYERLLP LA1/Z
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T-T18 P,003/003 F-OTI
#-
Oct-Z9-Z003 IT:05
O'MELVENY &. M'yERS LLI'
Wil1lam Carter, Esq. :md Josepb Johns, Esq., O,·tober 29, 2003 . Page 2
Please give me a can if you have any questions.
, Very tm1y yours,
13.tkú ~/NL.
Belinda M, Vega
for O'MEL VENY & MYERS UP
cc: L-estie Alford
Kathleen J. Giles
Ron E. Modjeski
Carl W. Sjoberg
Amy Green
Steve Underwood
BMV:ml
W:éi95427,
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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield. CA 93301
Tel: (661)326-3979
I
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FACILITY ~AME A ~ ! INSPECTION DATE INSPECTION TIME
ADDREs{1ft-CL--~-~---~----------,------ --------'--- -- ,-,,--,-----,-,-- -----"------,-~ò~J-t;-O-'2--.- -Ñõ-OfEmploýees'--'-
,,,,um~!P !J.lJ¡.~LÅl(L___________ ... ----rT!~~~~'2-. .-.-.......
Section 1: Business Plan and Inventory Program
a Routine
~Combined
a Joint Agency
a Multi-Agency
a Complaint
aRe-inspection
c V
co/D
( C=Compliance )
V=Violation
OPERATION
COMMENTS
ApPROPRIATE PERMIT ON HAND
-~------------..---._--------~.----------.~-------.--. -- ·_~__·___·_____·___m_._____ _ _ . _._.._ _.____ _._. _ ___.__.___.___n.__.___... _ ._h. _____ ____., .'_
..--" ----...-....--
..-- ,.---..,--
0.1' a BUSINESS PLAN CONTACT INFORMATION ACCURATE
~~'---~~SIBLE -:'DR~SS---- ,----,--,---,- - ---------- - -------
e------,-' -.-,--~---..---,-,--________,_,____,_. ,___,___,_ ___,.__,,,_, __ '_'__n___'_'_____, ___, ____ _ _,_ _n _____
¡n/Ó' CORRECT OCCUPANCY
.-'-.,-'--------------,-,-----,---,------______,__________,.. _, __, _,___________n_.. "'_ ,__ __.._____ ____,
It1/'6 VERIFICATION OF INVENTORY MATERIALS
. - --..-..-----.----
.. -----....-..--
--~~---_.~ .--,---.--..---...
-..-.--.--..--..--- _._.~_.- -_. -..---.-.- ...-.--. .
---------------_·__________._________._n..____.___ _______ _____ ..._~______._ _ ___ __._____._ __. ______ _'h .. n.____._______.. ________.....____...._ ~__.. _.._._._ ._._
Ð/Ó VERIFICATION OF QUANTITIES
'tU7c]- -~ERIFICA~ON'-;-~~~I~~-------
.. . ~_~,"____.n_
. -----.---___...___._ __._ ~··__··_········_"__·____..·._......___.._.n___.__ ._~_ _...._..~..___.___.._... ._._
--.--..-----------.--------------.--------.---..-----.----~--------_.._.
----.------..- ----.----.--.-..-
..<_.....____.__._..______._ ._.__.._._....__..._.....__. _ _ ________.n_.._ ..__
0/' a PROPER SEGREGATION OF MATERIAL
V~-- VER;~~TION ~;MS~S A~~;~AB~I~~----------'------- _,__________,_'__"mn_n____ -. ---------,--------------- ---,-----
-.-,;.---T-'--------~'---------'-----------'-n"--n'-----n------- ,--,--,,__ _'_n________,___'__'_'n ,___ "______'__',__..____,____________"._______ ..,_,__ _,_
a1/'a VERIFICATION OF HAT MAT TRAINING
~-~v;,~IFICATI~N OF n~~~TE~;NT SU~~~;~~-~~D- ;~~~~~~~~~-'---------- -- ---~---------' - ___________"___n, "_n__ '" ,. - _n __n'
, ~-------'-_-----------'--'----n'--- __,________.'________ ,_,___,______,__ ___,_________ _______'.'__,_",_, ___, _____n'______________,__ ____
~-~~::~:~_;:~::~~E~~:~UAT'--_ ~_m t- -- . mm_m un .. ---
:~~~~~I~:~~~~;N;~N~~~=~~2::~~f~:~~:~~1'~=~~<
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ANY HAZARDOUS WASTE ON SITE?:
C:J YES
~ No
EXPLAIN:
a~GAADING .
Inspector
SPECTION? PLEASE CALL US AT (661) 326-3979
£ f1~
__,_____,_________,_,'1,______________________
, ,---,-------ý-,- -----,---
-
Badge No,.
Business Site Responsible Party
White - Environmental Services
Yellow . Slation Copy
Pink· Business Copy
-
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield. CA 93301
FACILITY NAME----=A f'( 0 ~ PM
INSPECTION DATE ~ -tl"03
Section 2:
Underground Storage Tanks Program
o Routine I1f Combined 0 Joint Agency
Type ofTank_ß:ùP
Type of Monitoring C L.t-k
o Multi-Agency 0 Complaint
Number of Tanks t.f
Type of Piping tf}111 F
ORe-inspection
OPERA TION C V COMMENTS
Proper tank data on tile '\.... V
/
Proper owner/operator data on file V V
/
Pemit fees current ../ V
Certification of Financial Responsibility ,/
./
Monitoring record adequate and current /
Maintenance records adequate and current I V
Failure to correct prior UST violations /
Has there been an unauthorized release? Yes Nð... /'
Section 3:
Aboveground Storage Tanks Program
TANK SIZE(S)
Type of Tank
AGGREGA TE CAPACITY
Number of Tanks
OPERATION Y N COMMENTS
SPCC available
SPCC on file with OES
Adequate secondary protection
Proper tank placarding/labeling
Is tank used to dispense MVF?
I f yes, Does tank have overfill/overspiJl protection?
C=Compliance V=Violation Y=Yes
¡n'p'do, _~ U{~
N=NO
----:--
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Oftìce of Environmental Services (805) 326-3979
White - F.nv, Svcs,
Business Site Responsible Party
Pink - Business Copy
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........ ~~ Tait Environmental Systems
UST Construction ' Design ' Maintenance ' Compliance
June 17, 2003
Certified Mail - Return Receipt Requested
_B_?k~r~fi~l~ }~'ire Department
21 02 "H" Str~et '- ----'
Bakersfield, CA 93301
Re: Area SS #5365
4010 Wible Road
Bakersfield, CA
- --..~-- -- - -- --
To Whom It May Concern:
Enclosed for your files is the Data Chart for use with Petro Tite Line Tester for
the above-referenced location.
Feel free to call if you have any questions.
'¡I.,..i
BRIAN HARMON ,
'Cómpliancé'Specialist
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BH:clb
:~ds\arco\letters\
Enclosures
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.: 'CA'Lie #588098 . AZ Lie #095984 . NV Lie #0049666
1863 North Neville Street· Orange, California 92865 . 714.560.8222 . 714.685.0006 Fax
3283 Luyung Drive ·'Rancho Cordova, California 95742 . 916.858.1090 . 916.858.1011 Fax
www.SB989.com
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TAITÉNVÎRONMOOAl SYSTEMS
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DATA CHART FOR USE WITH PETRO TITE LINE TESTER
CA Lie. #588098 . AZ Ue. #095984
LOCATION:
~' tJJ~ ~().
Street No.
ARe<:>
Dote of Test: '1<1103
I3A~esFf£LD. CA
City I' state
Telephone No.
Job Number: fil<c,,53~5f3
OWNER:
, Nome
Address
Representative Position Telephone No.
OPERATOR:
Nome Dealer. Mgr. Or Ofher Address (if different than location) Telephone No.
REASON FOR TEST:
TEST REQUESTED BY:
Nome
Position
Order No.
Billing Address
SPECIAL INSTRUCTIONS:
TECHNICIA~: ~~ 1?€..."f> 1C--
Nome
~
' .
JJ' )
Si n ure
/65/
license Number
IS A TANK TEST TO BE MADE WITH THIS LINE TEST?
MAKE AND TYPE OF PUMP OR DISPENSERS
WEATHER
. COVER OVER LINES
DYes ¡g No
r.~, fÐíR.o /-f/¡¿f55UR1S'(D,
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PRESSURE
TIME PSI
MILITARY BEFORE
BLEED BACK SD
00 START TEST
(~
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[ ~;1ì.f5.;
t~ø
I:?l rs
BLEED BACK
BLEED'BACK
START TEST
Sù
50-' ,
5'0
5'0
BLEED BACK 6C>
BLEED BACK 50
START TEST
5'0
50
50
50
TEMPERATURE IN TANKS Of _ °C
APPROX. BURIAL DEPTH ~ I
VOLUME
READING TEST RESULTS
BEFORE AFTER NET CHANGE CONCLUSIONS
.OI'!D , f781S +-, 0735
..,..,. ÐÐ;¡':s G.P.H.
line TIght 1)0 YES 0 NO
Bleed Bock I!I gK
o NOT OK
-r. Ot>,5' G.P.H.
Line Tight ~ YES 0 NO
Bleed Bock'!gOK
o NOT OK
of: ()D70 G.P.H.
Line TIght,li.! YES 0 NO
Bleed Bock Jß OK
o NOT OK
1100 Town & Country Road . Suite 1200 . Orange, CA 92868 . (7.14) 560-8222 . (714) 560-8211 FAX
Other Locations: San Diego, CA . Concord, CA . 'Sacramento, CA .- Phoenix, AZ . Tucson, AZ
Established 1964
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tk.. ~ay 13,2003
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SENT VIA US MAIL
7002 0860 0005 4756 5803
Steve Underwood
Bakersfield Fire Department
1715 Chester Ave., Third Floor
Bakersfield, CA 93301
Re: Ronan Monitoring System Investigation
Dear Mr. Underwood,
This letter is written to inform you of an investigation BP West Coast Products LLC (BP) is conducting
related to Ronan monitoring systems. We currently utilize Ronan equipment for leak detection at sites
within your jurisdiction. A list of these site locations is attached for your reference. Specifically, we
have discovered isolated cases of underground storage tank interstitial probe failures where the Ronan
probe has exhibited deformation, rendering it inoperable. We have an affected unit undergoing testing.
We are working directly with Ronan to discover the cause of the deformation so that, if necessary, we can
prepare a plan to address the situation. Although we consider the discovered cases to be isolated and we
continue to consider the Ronan monitor our primary monitoring system, we have decided to conduct
additional leak detection while this investigation proceeds. We will begin using Statistical Inventory
Reconciliation (SIR) as a backup to the Ronan monitoring system wherever we utilize Ronan equipment.
In addition, over the next few weeks, we will perform an inspection of each Ronan interstitial probe to
ensure that it is in good working condition and functioning as designed. We will provide you with the
results of our investigation and an outline of any future plans related to our monitoring systems as such
information becomes available.
If you have any questions or require additional information, please do not hesitate to contact me directly
at (714) 670-5321.
ike Wilson
Environmental Compliance Specialist
BP West Coast Products LLC
4 Centerpointe Drive
La Palma, CA 90623
Attachment
cc: Deborah Perfetti Felt, Esq.
Ronan Investigation I .doc
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RONAN MONITORING SYSTEM
Site # Street ',,-,!' ,,', ",;"';(+i ,:'," ' " "",' . , ,Citv;',<;,'" ST Manufacturer ",," 'Model';>" " , Serial # Aaencv
00583 3220 MING AVE BAKERSFIELD CA API Ronan X76 BAF
03054 1129 UNION AVE BAKERSFIELD CA API Ronan X76 BAF
03090 3333 UNION IWE-t BAKERSFIELD CA API Ronan X76 BAF
05365 '~010 WIBLE RD / BAKERSFIELD CA API Ronan X76 BAF
, -.
-_:00'__-.____
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 "W Street
Bakersfield. CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
SUPPRESStON SERVICES
2101 "H" Street
Bakersfield. CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
PREVENTION SERVICES
FIRE SAFETY SERVICES' ENVIIIOHIlEHTAL SERVICES
1715 Chester Ave.
Bakersfield. CA 93301
VOICE (661) 326-3979
FAX (661) 326-0576
PUBLIC EDUCATION
1715 Chester Avè.
Bakersfield. CA 93301
VOICE (661) 326-3696
FAX (661) 326-0576
FIRE INVESTIGATION
1715 Chester Ave.
Bakersfield. CA 93301
VOICE (661) 326-3951
FAX (661) 326'{)576
TRAINING DIVISION
5642 Victor Ave.
Bakersfield. CA 93308
VOICE (661) 399-4697
FAX (661) 399-5763
.
.
January 22, 2003
AM/PM
4010 Wible
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.
Si2
Steve Underwood
Fire Inspector/Environmental Code Enforcement Officer
Office of Environmental Services
SBU/dc
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ARCO <>
BP West Coast Products LLC
4 Centerpointe Drive
La Palma, California 90623-1066
Mailing Address: Box 6038
Artesia, California 90702-6038
December 13, 2002
CERTIFIED MAIL #: 7002 08600005 4752 5302
BAKERSFIELD FIRE DEPARTMENT
P.O.BOX 2057
1715 CHESTER AVE. 3rd Floor
Bakersfield, CA 93301
RE: LEAK DETECTOR AND MONITOR CERTIFICATION TEST RESULTS
ARCO Facility No:
Facility Address:
5365
4010 Wible Rd
Bakersfield, CA
October 31, 2002
Test Date:
This letter is to notify you that at the above facilities the Leak Detector and Monitor Certification Test
passed the systems test as noted in the attached results,
ARCO is committed to the compliance of all enviromnentallaws that govern the safe operations of our
Facilities. Feel free to call me at (714)-670-5321.
Sincerely,
~ßü.;.; Iiv
Environmental Compliance
MONIT~NG SYSTEM CERTIFIc!TION
<f For Use By All Jurisdictions Within the State of California ,
Authority Cited: Chapter 6,7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations
"
This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared
for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank
system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30
days of test date.
A. General Information
Facility Name: ARCO PRODUCTS COMPANY Service Station No.: 5365
C. Certification _ I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers'
guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is
correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also
attached a copy ofthe report{(check all t/~a}apply): 0 System set-,uP 0 Alarm hist~t1 report. 1
Technician Name (Print): 6ftiWþ,,,~ Signature: ~ I::J.c-
Certification No.: l'ìJI.( ) r ' ' License No.: 588 098
Testing Company Name: TAIT ENVIRONMENTAL SYSTEMS Phone No.: (714) 560-8222
Page 1 of3
Site Address: 40 I 0 WIBLE RD
1111't-e- (;J; If av-J
Make/Model of Monitoring System: .torJ AtJ Xl 65
B. Inventory of Equipment Tested/Certified
Check the a ro riate boxes to indicate s ecific e ui ment ins
Tank 10: ' 1.
DIn-Tank Gauging Probe: Model:
I$IAnnular Space or Vault Sensor: Model:
I$Piping Sumprrrench Sensor (s): Model:
!!IFill Sump Sensor (s): Model:
~Mechanical Line Leak Detector. Model:
OElectronic Line Leak Detector Model:
OTank Overfill/High-Ievel Sensor: Model:
OOther, Speci e ui . ty e and model in Section E on Page 2
Tank 10: ~ ."
DIn-Tank Gauging Probe: Model:
~Annular Space or Vault Sensor: Model:
l8Piping Sump/Trench Sensor (s): Model:
œJFill Sump Sensor (s): Model:
¡;tJMechanical Line Leak Detector. Model:
OElectronic Line Leak DetectOl:" Model:
OTank Overfill/High-level Sensor: Model:
OOther, S eci e ui. e and model in Section E on Pa e 2
Dispenser 10: (~
I=IDispenser Containment Sensors: Model:
~ Shear Valve(s).
ODis enser Containment Float(s) and Chain(s)
Dispenser 10: J --(
I£Dispenser Containment Sensors: Model:
~ ShearValve(s).
ODis enser Containment Float(s) and Chain(s)
Dispenser 10: Y-,-
23Dispenser Containment Sensors: Model:
ø Shear Valve(s).
ODis enser Containment Float(s) and Chain(s)
*Ifthe facility contains more tanks or dispensers, copy this form.
Facility Contact Person:
L1,'
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Monitoring System Certification
City: BAKERSFIELD Zip: 93309
Contact Phone No.: ~ ~ 10,' j Jt i
Date of Testing/Service: I 0 - t. '- ð~
ected/serviced:
Tank 10:
DIn-Tank Gauging Probe: Model:
lZIAnnular Space or Vault Sensor Model: LS~
~Piping Sumprrrench Sensor (s): Model: ~ r·
[BFill Sump Sensor (s): Model: J)
OMechanical Line Leak Detector. Model:
DElectronic Line Leak Detector Model:
OTank Overfill/High-Ievel Sensor: Model:
DOther, S ecify e ui . ty e and model in Section E on Page 2
Tank 10: 7'(
DIn-Tank Gauging Probe: Model:
!i]Annular Space or Vault Sensor Model:
IlJPiping Sump/Trench Sensor (s): Model:
[BFill Sump Sensor (s): Model:
æMechanical Line Leak Detector. Model:
DElectronic Line Leak Detector Model:
DTank Overfill/High-level Sensor: Model:
OOther, S eci e ui. e and model in Section E on Pa e 2
Dispenser 10: 7 ..-y
EjDispenser Containment Sensor(s):
EI Shear Valve(s).
ODis enser Containment Float(s) and Chain(s)
Dispenser 10: ~ ''''
[JDispenser Containment Sensor(s):
EI Shear Valve(s).
ODis enser Containment Float(s) and Chain(s)
Dispenser ID: I( -f'--
25Dispenser Containment Sensor(s):
tJ Shear Valve(s).
ODis enser Containment Float(s) and Chain(s)
Include information for every tank and dispenser at this facility.
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Model:
Model:
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Model:
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03/01
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Date of Testing/Servicing: I ö·? i· ~
Siti Ad9jess: SS #5365, 4010 WIBLE RD, BAKERSFIELD
D. Results of Testing/Servicing
Software Version Installed:
Comnlete t e followim! check 1St:
III Yes o No* Is the audible alann operational?
trI Yes DNo* Is the visual alann operational?
¡z¡ Yes o No* Were all sensors visually inspected, functionally tested, and confinned operational?
1;21 Yes o No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will
not interfere with their proper operation?
DYes D No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem)
tzI N/ A operational?
~Yes D No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment
D N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate
positive shut-down? (Check all that apply) fB Sump/Trench Sensors; D Dispenser Containment Sensors.
Did you confinn positive shut-down due to leaks and sensor failure/disconnection? 12 Yes; 0 No.
DYes D No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (Le. no
Ið N/ A mechanical overfill prevention valve is installed), is the overfill warning alann visible and audible at the tank:
fill point(s) and operating properly? Ifso, at what percent oftank capacity does the alann trigger? ????%
o Yes* Ø'No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced
and list the manufacturer name and model for all replacement parts in Section E, below.
o Yes* cz¡ No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) 0
Product; D Water. If yes, describe causes in Section E, below.
f2I Yes D No* Was monitoring system set-up reviewed to ensure proper settings?
(;! Yes o No* Is all monitoring equipment operational per manufacturer's specifications?
h
r
* In Section E below, describe how and when these deficiencies were or will be corrected.
E. Comments:
Page 2 of3
03/01
"
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Site Adilress: SS #5365, 40 I 0 WIBLE RD, BAKERSFIELD
Date of T estinglServicing: { Ó - .3 I - <S'1-
F. In-Tank Gauging / SIR Equipment:
o Check this box if tank gauging is used only for inventory control.
~ Check this box if no tank gauging or SIR equipment is installed.
I
I.
This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring.
Complete the following checklist:
DYes o No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults?
DYes o No* Were all tank gauging probes visually inspected for damage and residue buildup?
DYes o No* Was accuracy of system product level readings tested?
DYes o No* Was accuracy of system water level readings tested?
DYes o No* Were all probes reinstalled properly?
DYes o No* Were all items on the equipment manufacturer's maintenance checklist completed?
* In the Section H, below, describe how and when these deficiencies were or will be corrected.
G. Line Leak Detectors (LLD):
o Check this box if LLDs are not installed.
Complete the following checklist:
~ Yes o No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance?
D N/A (Check all that apply) Simulated leak rate: :83 g.p.h.l; 00.1 g.p.h.2; 00.2 g.p.h.2
Notes: I. Required for equipment start-up certification and annual certification.
2. Unless mandated by local agency, certification required only for electronic LLD start-up.
fži Yes o No* Were all LLDs confirmed operational and accurate within regulatory requirements?
o Yes o No* Was the testing apparatus properly calibrated?
IE Yes o No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak?
o N/A
DYes o No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak?
IS! N/ A
o Yes ,0 No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled
I;zI N/A or disconnected?
DYes o No* For electronic LLDs, does the turbine automatically shut off if any portion ofthe monitoring system malfunctions
I',žI N/A or fails a test?
DYes o No* For electronic LLDs, have all accessible wiring connections been visually inspected?
..et N/ A
,.E] Yes o No* Were all items on the equipment manufacturer's maintenance checklist completed?
* In the Section H, below, describe how and when these deficiencies were or will be corrected.
H. Comments:
Có,¡l/ vcr -fC';I '11 / A..rdA.1 ~ÞO/)) NO !oVf!/;...
Page 3 of 3
03/01
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'siÌe Ad;rress: ss #5365, 4010 WIBLE RD, BAKERSFIELD
Date of Testing/Servicing: (c - J ( -UL
Monitoring System Certification
UST Monitoring Site Plan
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Date map was drawn: I ~ / ~ 01'-.
Instructions
If you already have a diagram that shows all required information, you may include it, rather than this page, with your
Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify
locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular
spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak
detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan
was prepared.
Page _of_
05/00
:" l1li -- l1li =Ë¡ BELSHIRE
_ ==-~E ENVIRONM, ENTAL
=:;;:-~~= SERVICES, INC.
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PMB 269
25422 Trabuco Road #105
Lake Forest, CA 92630-2797
(949) 450-1010
Fax (949) 450-1177
November 20, 2002
VIA UPS 2nd Day Air
City of Bakersfield Fire Department
1715 Chester Avenue, 3rd Floor
Bakersfield, CA, 93301
ATTENTION: Steve Underwood
RE: SECONDARY TESTING RESULTS - SB989 COMPLIANCE
ARCO Facility No.:
Facility Address:
05365
4010 WIBLE RD, BAKERSFIELD, CA 93309
Per California Water Resources Control Board requirements, attached are results from secondary
containment testing performed at the subject facility. Please note all secondary components have
passed testing requirements.
Test Date Pa2:es
06/26/02 2
07/12/02 1
09/13/02 5
09/17/02 2
10/22/02 5
11/14/02 4
ARCO is committed to the compliance of all environmental laws that govern the safe operations
of its facilities. Should you have any questions or concerns regarding testing activities at this
facility, please do not hesitate to call Michael D. Wilson, BP Environmental Compliance
Specialist for this facility at (714) 670-5321, or myself at (949) 450-1010.
Sincerely,
Jim r wn
Proje anager
Belshire Environmental Services, Inc.
Underground Storage Tank System
Secondary Containment Certification Form
Turbine Sumps, Fill Sumps and Under Dispenser Containment
Page_ of_
&V(-e~Q~~\ct ~~
ll)\t>\e R \J
Testing Contractor: 11// f)fãr }Jd V17 t.eurY[ Test Date: t..o-J.I,,p-CJ'-
Contractor Address: t../éJ~ t~) 'J -en f1 v'~o1~ech. Name: h1.n V'1 (A Il/ [
Facility #: City:
FacilityAddress: ~6 t(')
Turbine Sumps 87 91 D 87 89 @D ~89 91 D 8 89 91 D
lD (north, slave, etc.)
Manufacturer
Start Time (to)
Water Level
Time (tl)
Water Level
Time (t2)
Water Level
Time (t3)
Water Level
Time (t4)
Water Level
Test Results Pass
Signature 4
UDC
ID (1/2, 3/4, ete.)
Manufacturer
Start Time (to)
Water Level
Time (tl)
Water Level
Time (t2)
Water Level
Time (t3)
Water Level
Time (t4)
Water Level
Test Results Pass Fail Pass Fail Pass Fail Pass Fail
Signature
Rev. 11/01
White - Original
Yellow - Arco Environmental Compliance
Pink - Contractor
Fill Sumps 87 89 91 D 87 89 9 D @ 89 91 D 89 91 D
lD north slave etc.
Manufacturer
Start Time (to)
Water Level
Time (tl) ~C) ð~
Water Level
Time (t2)
Water Level
Time (t3)
Water Level
Time (t4)
Water Level
Test Results Pass Q Pass @ Pass @ Pass (Q
Signature
UDC
ID (1/2, 3/4, ete,)
Manufacturer
Start Time (to)
Water Level
Time (tl)
Water Level
Time (t2)
Water Level
Time (t3)
Water Level
Time (t4)
Water Level
Test Results Pass Fail Pass Fail Pass Fail Pass
Signature
Tanks, Piping, & Spill Buckets
Underground Storage Tank System,
Secondary Containment Certification Form
1I!iIiIiiiIIiI£ Ð ~C; Q..... n l
Facility #: ~ "'City: LVX~M \ :e.. \0
Facility Address: !...¡tJ tD 'LUl'b t.e.-rd
~
Page_ of _'
e '<\ Testing Contractor: fIll STð. r Jk-T mle.LlYh Test bate: 0- 2.. ~. 0 2.
9¿;E ;]é, . :::I:k I ~ /
Contractor Address: ' ',( Á ) "'1 ri# e""" Tech. N~me: vYll::!o1u f' \
ô
UST Annular S ace
Product
Capacity
Manufacturer
Test Start Time
Initial Pressure
Test End Time
Final Pressure
Test Results
Signature
S ill Buckets
Product
Manufacturer
Start Time (to)
Water Level
Time (tt)
Water Level
Time (t2)
Water Level
Time (t3)
Water Level
Time (t4)
Water Level
Test Results
Signature
Rev. 11/01
Tank #1
Tank #2
Tank #4
Overfill #1
@ 89 91 D
Overfill #2
@ 89 91 D
Overfill #3
87 89® D
Overfill #4
87 89 91 D
Jtö
~~'tO
Pass
White - Original
Product
Piping Type
Manufacturer
Test Start Time
Initial Pressure
Test End Time
Final Pressure
Test Results
Signature
Product
Piping Type
Manufacturer
Test Start Time
Initial Pressure
Test End Time
Final Pressure
Test Results
Signature
Yellow - Arco Environmental Compliance
Line #1
87 @)91 D
Q'~~ Siphon
Line #3
Line #4
Line #5
87@)91 D
Line #6
87 89<9 D
Line #7
87 89 91 D
, Line #8
87 89 91 D
Primary Siphon
Fail Pass
Fail
Pass
Pink - Contractor
~~
Undergrouml Storage Tank Systcm
Secondary Containment Certlfiution Furm
Turbine Sumps, Fill Sumps Bnd Under Dispenser Containment
M
Q..
Page_ of_
~Á \c I.r -:,.~.t.- U'
l.0 :-.\.¡\..I 12.~.
Testing Conlractor: A I 1 S~ Pe. .\..n)lø ~ 1__
Contractor Address: f1ini~ Lv. ~ ......{ll~ r ,¡"J../ð I
Test Date: "/11./ ð~
Tech. Name: ~Q~
Facility #: 05 ~""" City:
. Facility Addms: 40l D
Turhine Sumps 117 89 91 D 87 89 91 0 87 89 91 D 87 89 91 D
ID (north, slave, elc.)
Manufacturer
, ,.
Start Time (to)
Water Level
Time (IJ)
Water Level
Time (t2)
Water Level
-
Time (tJ)
Water Levcl
Time (t~)
Watcr Levcl
-
Tc-~t ResuUs Pass Fail Pass Fai1 Pass Fail Pass Fail
.-. . --
Signature
---
Fill Sumps 87 89 91 D 87 89 91 ) 87 89 91 D 87 89 91 D
.JQ.i!!.çrth slllve etc.)
Manufacturer
Start Time (tn)
Water Level
Time (tl)
Waler Level
-
Time (t1)
Water Level -
Time (tJ)
Water Level
Time (t4)
Water Level
Test Results Pass Fail Pass Fail Pass fail Pass Fail
--
Signature
~;
..
e
UDC UDC q
ID (1/2, 314, etc.) ID (112, 314, etc,) ,)
Manufacturer Manufacturer
t '!()',O4 C,\: \ 0.. , \J e
Start Timc (to) Start Time (to) . d
Water Levcl 001"1 Water Level ~.,
, '\
rime (t)) ,¡; Time (t1) ~~3~ ì .~
Water Level Water Level
Q.. Time (t2) Time (t2)
ltJ Water Level Water Level Oco
M
M Time (t) Time (I) ß'll.(
0 Water Level " Water Level
Q
C\J Time (t4) Time (t4) "ilt.")
0
\¥.ater Level Water Level
['
.... Tèst Results Pass Test Results Pass Pass Fail , Pass Fail
lO
:J SignAture Signature ~\~, ~~/Œ
CI:
Rev. 11/01 White -, Original Y cHow - Arco Environmental Comoliance Pink - Contractor
~.'
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, "
Page ___ of__
Secondary Containment Testing Report FonD - DRAFT
lñisJorm is û,tendet/JQI' use by cOlltractol'S performillg periodic testing of USl' secQrlliwy COr/(/;lIIrlen( system:;, Use the
appropriall W&U oj tJus form to report results for al/ ''OI1IIJ01II!III$ tested l7lf! c:ompleted jorll/. wril/ell le,I'f procedure.)',
UJrd prlntOItlsfrotn tests (If (Jpplil,;able). should be provided to Ihe facility o/vfler¡'(Jpemtor for :.-ubmiltuf to ,he local
regu/atory~.
1. FACILITY INFORMATION
Facili Neme:
Facility Addrest: tþ/ð , Ö.
Facility Contaot: ~lle:
Date Local Asençy Was Notified ~fTesúng: '1/Jz,þL-.-.
Name of Local Agency Inspector I'resent: r¿.y)t, Ull.'!Jil,~l>
Date ofTcstin :
1-(.,,6,,1· !ß~- '~e>
~-_.-._--
o SWRCB Licensed Tank Tester
..,....':.-.-
Training by Maourarturer
Component(s)
13-~ß
Dille Trainin Ex ires
Maøufàcturer
þN(..o,.J
-~-~-----._-_.__._.--.
.'.'---'---.
,~~
~.
3. SUMMARY OF TEST RESULTS
Number of Piping Runs Tested:
Nwnber ofUDC Boxes Tested:
Number of Overfill BOKes Tested:
Comments
Tedmician's Signature:
o
o
o
o
...------.
-.-......-.
Date:__
1)pl',.."'h..., ?()!)1
SWRC"R
_.- .--.--. -_.
---..
-~-"-'
7. UNDER-DISPENSER CONTAINMENT UDC TESTlNO
Test Method Developed By: 0 UDC Manufacturer 0 Industry Standard lJ Professionul Engill~1'
LJ Other (Speâfy)
Test Method Uses: 0 Pressure
. . 0 Other (Specify)
Measuring Equipment Used for Testing:
.
~
Was seosorremoved for
testin ?
Was sensor properly replaced
after testi
j
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e
Page _~. of ___
"---'-----'-"-~---'--
o Vacuúm ' /0- drostatic --------
--.-----.-,-.-----.--.----..
UDC#
UDC#
UDC#
~
It
~~
., $"
Ó
'éJ
b-a-L
--~~-----_.
~?
~?
,,¡{ /jtW
(þ
þ
J!_____,__
~
-----.
~
1651fV
t6 SYz./..;·
~---'
------
..IiFß:::> ~:;.:}\~~~;~~t\i·{·~:.:::::::\.:;:¡:<._;)
JO 14f,J
p30
-'----~-. ----.-----
Z.z¡cJ
- ,--.--J :1./5" -,
.z·t>~
1b'Y4N
- Cx:'t
.~'Z
,..: ',\;~.,":};<;".(';¡:;,:,L}
~s
- -... --'fø
t(~
V~,
rflØAb ~J1/,
----..
---------.-
'lfthe testing method does not test Ûle en\Ìre depth of the UDC, specify how much ofthe UDC was tested, Methods nol testing tho
entire ~~ only be used if the monitoring system provides f.ûl-safe turbine shutdown.
2 With:~.~ pum~ running, place the se~r in p~oduCl (di~criminating &en~ors sh?~ld also be placed ~ water). The lillle
betweeu, it:fJe sensor Jß product and the turbano ,buttlDg dOWIII:! the response time. 1 his should be done It the secondary
CO method used does Dot test the entire volume of the UDC
~W"R(,R':1¡,., ,:"" n..r...."'"'" 7001
\I ) ¡q{?
. '
? -.
SwRCB, January 2002
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Page_of_
7. UNDER-DISPENSER CONTAINMENT C TESTING
Test Method Developed By: UDC Manufacturer Industry Standard Professional Engineer
Other (Specify)
Test Method Used: Pressure Vacuum Hydrostatic
Other (Specify)
Test Equipment Used:
UDC Manufacturer:
UDC Material:
UDC De th:
Height trom UDC Bottom to Top
of Highest Pi ing Penetration:
Height trom UDC Bottom to
Lowest Electrical Penetration:
Condition ofUDC prior to
testin :
Portion ofUDC Tested
Does turbine shut down when
UDC sensor detects liquid (both
roduct and water)?'
Turbine shutdown response time
Is system programmed for fail-
safe shutdown?'
Was fail-safe verified to be
o erational?'
Wait time between applying
pressure/vacuum/water and
startin test
, Test Start Time:
Initial Reading (R¡):
Test End Time:
Final Reading (Rp):
Test Duration:
Change in Reading (RF-R,):
Pass/Fail Threshold or Criteria:
11estR¢sult:
Was sensor removed for testing?
Was sensor properly replaced and
verified functional after testing?
Equipment Resolution:
UDC#
UDC#
UDC#
D
0
~~
@ No NA
.AS"SI[.¿
Yes No NA
Yes No NA
Yes No NA
Yes No NA
Yes No NA
Yes No NA
Yes No NA
Yes No NA
Yes No NA
Yes No NA
Yes No NA
lit> MTAI
1:3D ?1'7
2. 1
¡:
'2.ß5'C
J6" ~
.~,
. ðe--¿
Pass 0 Fail
No NA
No NA
o Pass 0 Fail
Yes No NA
Yes No NA
o Pass G Fail
Yes No NA
Yes No NA
GPass DFãil
Yes No NA
Yes No NA
Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests)
, If the entire depth of the UDC is not tested, specify how much was tested. If the answer to ill!):: of the questions indicated .
asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG-160) . ~
·'
Q/
-+--
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Page _ of_
8. "'ILL RISER CONTAINMENT SUMP TESTING
o Sump Manuiåclurer lJ Industry Stsndl\l'd 0 PrQlc3sion,u Engineer
)tother (SpeciM 7-A/UN
,. 0 Pressure 'o-va~-'-----~d~-;;-stalic .
o Other (Sp~cify)
Measuring Equipment Used for Testing:
Tost Method Developed By:
Test Method Uses:
,
~-----------
FlU Sum 1#
¡'ilI Sump It
---
.-----
._--+---
--
- --------
-----..-
.,~.
. : _~.'::',;··:r.·\ .:.1:
'.'-.":""',-;:
',.:.,.'-.',.:," ....-
.~:. . .
Is thore a sensor in the sum 7
Does the sensor alann wben
either product or water- is
detected7
Was sensor removed for
testin "
Was sensor properly replaced
&fler testin 7
-.-------.
Vlt?___
~
------"
-~_._-_._+-
Comments
..-.--'.
--
,1
-'-
,--
._-~
----.-
--..-
.----
--------
..._-
n....Plnl- ?,IIO'
~W1H"R
---ë=ïñãìEbüëõlïS@cwp:sWfc!i-:-ëa.-gõV-- ,--' -- ,---- - --- - --
--- -----..- -----.
SWR C'R
~~~i'~
, .'
8. FILL RISER CONTAINMENT SUMP TESTING
ump Manufaclurer 0 Industry Standard
Other (Specif>~
o Pressure
o Other (Specify)
Measuring Equipment Used for Testing:
.~
Test Method Developed By:
Professional Engineer
Test Method Uses:
Ll Vacuwn
---.-----.------------
pt-!ydrostalic
;~
, .
Is th«e a BCIISOr in the sum 1
Does the scn.sor alann wben
either product or watel" is
detec;ted1
Was sensor œmoved for
testin ?
Was lCII80r properly replaced
after testi 1
~
~s
'~
y'~
tÁ-s
Comments - (include information Qtl repairs made pr¡vr IU testing)
11111 Sum 1#
~~--
,-~,-~-
/v/rl
'23 u
',-~.~.).~-.\.:::";~\. ~~.~ ':"
~þ
-~-
\1í-S.
--'.
----
----
--".
.--.--
~WtU:R
n,"'~mhP.r 711(\ I
----' ---e:-triãifbiÏëõlïS@c\vp:swra.;:(;a.göV-- p--' --.-- -- ----- .'
_._-. ---"'-'- ----
SWR C'R
\)....."'mn"r ?.of11
~~
_ ..~ \1\
'f ....
e
e
.:
. --,:
Secondary Containment Testing Ucport Iform - DRAFT
l'hisJorm Is illIÐJåedJor us/! by cOlltractol'S petj'orltl¡"K periodic (esttflg (If USl' seCQlkkrry ('U/II(/illl/lelll systems, Use the
~ JX1IIU of thisform to report reS/ills for all "OI"pollell/$ (ested. n'l! completed jÒnll. 111';1/('" (eM procedure""
will printøIIII,/tøIn lests (if ('PPI;(:uhle), should be provickd to the jàdlity OII'lItm'Upemtur for s~blllillufto ¡hI! fOCdf
regulatory....,.
I'age hO_,O 01'.__
F .. NIIDO:
Fadliay Address: 0J?,b .
FadJit1 CoørIct:
Date LooaI'Ar/:tttt11 Was Nolilled ofTesúng :
Nante ofLocarAseooY Inspector I'resent:
1. FACILITY JNFORMATION
Dale of Tc¡¡lil1,
=n---------'-'---~-----
Phone: 'Ú¡"'~· '/C.zn
. --------.~-- _.- ._---.-_._---~--_.
._--~- ----.--.---.- .-...-- --.--. ..._,--- ,..-,.-
._._---_.._~---_._- -----..-- ---.- ---- ----~._-
_.----_._.__._--_..._--_._--.~_._-_. .------.--
o SWRCB Licensed Tank Teslt'r
----.-.....-.------.
: ··~··;,;----1.·};..t,·'··
Training by Malluracturel'
Com onenl 51_,
73 .;--:57.5
___. Ullle Trail~ng Ex.pir~
Møufàcturer
fNtpI./
..--------------
---.------------.....--.--
--------,.--
..------,.- ..---'--...-. .-.-_....._---....
..---.
-.--_.' ..-.--..' ,..
-.--.----.
Number ofTIDb Tested: _Number of Piping Runs Tested:_______
NumbctofSubmcniblc Pum) Sumps Tested: Number ofUDC Boxes Tested:
NumbeiofPiDSumos Tested: NumbcJ' ofOvertìll Dox.es Tested:
" "'~CGIDDOaeßt lass FaD Comments -
1.iW .. 9110 ~ n
-,.---------..--------..-.-. ---------
lJbt... II /rl. pj 0 ..-..-.....---------
-------.--..
/0 ~. ~..__._._.-._-_._--_:....---._-----_.__.
0 0 --.-.' --
0 0 ----_._---~._--
0 0 .-.----.-..-----
0 0 ----_._- ..-----.-----
-
0 0 .-..----------------. ------.------...--.-..-
0 0 ---~-------_. - ..--....----.---
-----
0 0 -----------..-.--....----------.
0 0 ..----.---,.-----..-----..-
-
0 0 .-.--.--...-----.-.---..--
0 0 .--.- ..----------....----.
f I 0 0 I -~'
Tedmii:ian'sSi¡øUure: ~ \\11/7- ..~ Dale:
-- --.- .----------...-.---.-
~ , y
3. SUMMARY OF TEST RESULTS
~WR(,R
\),.",..."h.·., ?Ot)\
~-- .--.--- --.
---- -~
._--_...~..
..> ~
,.... ~
e
e
p.4
Test Method Uses:
UNDER·DISPENSER CONTAINMENT UDC TESTING
o UDC Manufacturer 0 Industry Standard 0 Profe$SÍonal Engin<x:l'
o Other (Spect/ý)
o Pressure
Page _. of_
7.
Test Method Developed By:
o Vacuum
o Hydrostatic
o Other (Specify)
Measuring Equipment Used for Testin :
'UDC#
~
UDC#
UDC Manufacturer:
UDC Miiterial:
UDC De tll:
Height tram UDC Bottom to
Hi est Pi' Penetration:
Height trom UDC Bottom to
Lowe.'>1 Electrical Penetration:
ConditÎon ofUDe prior to
tcstin :
Portion ofUÐC Tested
Does turbine shut down when
UDC sensor detects either
roouct or water'?
Turbine shutdown response
tíme2
Is system programmed for tàil-
safe shutdown?
Was fail-safe verified to be
o rational?
Wait time between applying
pressure/vacuum/water and
start' test:
Test Start Time:
Initial Readin R:
Test End Time:
Final Readin
Test Duration:
Chan e in Rcadin . R¡):
PassIFail Threshold:
.., '. . .... ..·.'··.c,-.:..:-.. ..:.;.... ,.:-'~'_':'
': ,es.t':R~\ilt:,::;>i:, '., ':'>:::::;::å\',
Was sensor removed for
testin ?
Was sensor properly replaced
after testi ?
~
ó
Ó
Ó
tJ
þ
~?
/5-
\(~
1.5' ~~
IÔ fr"¡pV
. ~
¡·¿¡'1I
()µg:N
1:1/
~
~~
~
'(~
Comments - (include information on repairs made prior to testing)
1 If the testing method does not test the entire depth of the UDC, specify how mucb of the DOC was tested. Methods not testing the
entire UDC should only be used if the monitoring system provides fail-safe turbine shutdown.
2 With the submersible pump running, place the sensor in product (discriminating sensors should also be placed in water). The time
between placing the sensor in product and the turbine :¡hutting dowu il:i the response time. This should be done iftlle secondary
containment testing method used does Dot test the entire volume of the UDC ~\TLÇ
~WR(,R Th>r-""m
-'
¡¡-¡j-U¿ UD:j¡fM fKVM ~!ttN ~VN~!ttU~l!VN
e
[VI
e
~. .... A
., " ;..
PItß/: ._, _,.0/'__
Seeondary Containment Testing Jtcl'0J"t li"orlll - DI{AFT
7"jønI " ...., Þ flU 6,; t:OI"I'flC'OI'I ~rfé'lftlf;"K pcrluJlc 'Im1'1I! of U$'' ~'flI.:(JIu.ltIl'Y ('ù/ll"/tllllt!III .ty.t'I!/"S. U.w. ,II,¡ " .. ,
..... .....4ww,... tl/lJIbj'tJnl. 'eI ,Vlpr,If'I N8Uf" Þ lill L'PI1I)(HIlfll/J lfilled 'J1,fJ t"ltlf"fttlllJ jimn, "'"illt!1I le.l'l fJl'.c.!J,uV!~.
_~"... (ffcpplt''ØhillJ. MO"fJ ". prøwJø.J tø "II! IrJtJlIlI)I UlI'/II!'Ýup."C"01' jo,. $Ub",¡lful toJ ,hl1lucul
,.."""".....
FAcu..fn' INlfORl\'lATION
-,---~
T!h~uø: I ~,i.+ sj f...~"¿!:~_..__===---=~
.--.-----
--~...._..._._. -. ----...-.....- -- ..--
.J'
C
T~
. -. ..
o SWRCß Lkenøed TMk 'feølll'"
-- -..... ..
u...
. "¡. ,,4 ...~.: I
-------------
Utile 1"raill!tm HlI.Pjre~
""
..---"--.---0,,- .
..-.---.--- "'---'-
.._~___._. .._... ..... .0_- ...____.., .",
,.................-.....---.
. .___... ....... .._--0'
SUMMARY OF 'fEST RESULTS
~Nuulber ørPiè-~!!!!.I!~ted: 3______
NU&nber ofUDC Boxe!! Teated: f
Number ot Ovcr11l1 Pu~q ']'çned:
C:omnlcD"
....-....--....- -.-..-......
-. .... .--.--.---.---
T~~'llMpùun:
~C"R
o
o
ø
iI
@
~
o
D
o
o
o
o
~I A..2.!lL~. " ~___.<--. -- .~~_..---
---...-..-...-..----...-
...-. .-.- .-..-.--.
...-..-----
--..........--
....-.------..---
.....-----------.-----------.-
------.-. . .~_._....-_.-
----_..._......--.-_.._-~...._.----
---.-.-_--0..0",-"---'-
--.~.I_·.._-·_--,·_,--.................--
---,.. ..-...----.--..-....
Døh::____ .!!!j~-J~. ..-'-'
\....."IV;,\"".· ?om
If
--'
.-....-..----
...--.....--..
----..--.
Comments - (¡nclude information on repairs made p,io, to testing, and recommendedfollow-up fo, failed lesls)
- ~I L~ J AJO~ ~ ,~. ~i.r: -pb.....~ /.ot:t.A ~~/; "\ cIl"!.fV\SL~
~f'
- g'í I_l~ t..-..t b,-l ~x.-z.. ~-\. ~ ~c.wl.,( JA..ttf ~ .~~_
~'H'~~ ~:k Ë:;;; ~~ ~~
- :, ~ÁI.¡.: J :- .....; ~ - ~-.-~ .. .~ J._ ~~;;:-t
.çL ~toJ d·'.6pc~r" ~ J~J ,4k---.. ~ ""~~'-L.C..
11) L.'± UL.
U;:J.L.Ul1.m
-'
5WRCB, Jaz¡UIU)' 2002
Test Method Developed By:
Test Method Used:
Piping Material:
Piping Manufåcturer:
Piping Diameter:
Length of Piping Run:
Product Stored:
Method and locatiDn of
ì' ·run isolation:
Wait time between applying
pressure/vacuum/water and
startin test:
Test Start Time:
Initial Reading (R¡);
Test End Time:
Final Reading CRy):
Test Duration:
Change in Reading (RrRt):
Pass/FQ.iI Threshold or
Criteria:
Test Result:
1'1\Vm 1\J:.1\lën,:¡U\UV¡ ¡vn
[ UJ
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Page _ of ~
5. SECONDARY PIPE T
Piping Manufacturer IndusUy S
ify)
Professional Engineer
Vacuum
Hydrostatic
Equipment Resolution:
Piping Run #
,rut
CJ ()~--
,
'1c........~1~ s...
1Z...,- bl~ S''-
"'" . >o?
L tJ ......, ~
o Pass . Fall
('). 7..- \ \:a s
J( Pass 0 Fall
o Pass 0 Fail
o Pass ail
~~\~
lU-.::q-U'::
U::J; '::OlUVl r l\VlVl 1\f.rm,ni:lU\UI.d 1Vn
,-
SWRCB, JlIl1uary 2002
T~st Method Developed By:
Test Method Used:
Test Equipment Used:
Sump Diameter:
Sump Depth:
Sump Mat.erial:
Height from TIII1k Top to Top of
Hi est Pi in Penetration:
Height from Tank Top to Lowest
Electrical Penetration:
Condition of sump prior to testing:
Portion of Sump Testedl
Does turbine s ut down when
sump sensor detecu liquid (both
roduct IIl1d water 7"
Turbine shutdown response time
Is system programmed for fail-safe
shutdown?"
Was fail-safe verified to be
o erationa1?"
Wait time between applying
pressure/~umIwater and starting
test:
Test Start Time:
Initial Reading (Rt):
Test End Time:
Final R.eading (R.p):
Test Duration:
Change in Reading (R.p-R¡):
PasslFail Threshold or Criteria:
Test Result:
Was sensor removed for testing?
Was sensor properly replaced IIl1d
verified functional after testin 7
1 U'±
e
Page_of_
6. PIPING SUMP TESTING
Sump Manufacturer Industry Standard
Other (Specify)
:Pressure Vacuum
Other (Sp«:(fy)
NA
'S
(fii) No NA
t9 No NA
,
LcJ -,~..
YeS
No
Yes No NA ~ No NA
-s-:
Yes No NA 1/S.Y No NA
Yes No NA ~ No NA
NA
Professional Engineer
, Hydrostatic
Equipment Resolution:
YèS No NA
Yes No NA
Ye$ No NA
.
tV ~ I",
o Pa..
Yes
o Fail
No NA
NA
Jtii?
NA
Yes
No NA
No
Commenta- (include in/ormation o1lrepalr9 made ~rior to testing, and recommende(1f(Jllow-up for failed tests)
1 If the entire depth of the sump is not tested, specifY how much was tested. If the answer to !!m:: of the questions inditat~ ~
asterisk (*) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG-1(0) \- $ , 1/
, ., ~ ~'ÇJ
~I )
Ii.:
1 U L. 't U L. U,J . L. uruu 1'1\ vm I\I:'¿\" 1.11.1".... ¿ ¿\U\H ¿ vn
1 U;J
- "
e
e
f· ~
.;
6.
T.M~I,~B1;
. ~ .'. :',....:·,..1~·
1'eac~~;,,'
..-~~~~:~I
S1JBMERSIBLE PUMP CON1'AlNMENT SUMP TES'rING
o Sump ~rer 0 lndU8U}1 ~,.tu:1ard ,0 PrOf"i.iuIILll Englol'Jef
o Other . ~
o Prasure
~ IJ Ocher (~~
U.... for TOII,in ~
P1we _ )f ~
.----.---.
o Vawwn
o HydJulitaUG
:,\., .
------"-"
---
Sump if
.........._-~----.------
..-.......---....
.----....-.....-
-...--.0--
--
>.
,I~. .
~;..;;:~ .
-.--.....--..,---
.'
J:'
,"
I :I~~~~··
~:,
~':\i*,
.'..~.~
.....\.,..
.. '
,;", ;,?·t,)./.:-,:::~~/i.¡'):,S ¡:,'¡)f:Ti ~:':';,' ,:;:;""'~' ,:";'\, ','::,i'!¡!'t:r~~j~'i;~~',~,:
'P~
Com...... ~ find_I! IlIjorlflDlioll on repa;fj nIQde priur tu testlllW
.~ ~*I~~'~I
,-
~
~ .. t ..
J U,be ~~ dcieI not tcnK &he cCltlrc depth ofllJé sump, Ipec:üy huw much oCtile l\UlIp wu tested. Methods not ,,,&ting Ute
eadro 1AUII.JÌ~-1 be uacd if tbe lnOIIi,oåDA ".tap PfOvidø fall~Qfe turbine ,kucd4Jwn.
. ~~':"........ pIaœ.... _Iu produd l-. ~ ~... be plloed i. 01....). The.....
bet " Iá P1Vd\AØ111114 the turbinø øbuUlal c1uwn ts tltc reøp<»Ue ttmO. Tbis should be dono If th\: aCCIIJlldaty
GO .. ';PiCtÞød wid do. no,t tee, d1e eII1iro "lohlme of tho IUØ1p.
~ .(~~. .~:.,
~Wltr.R'-:;~,,('-;;"',:',,' ' Ill'n"\IlIhrr 7nOl
'\iiij~: :
1'1' .
..
~
\;
i.V c...-:r V'"'
V...J. ","UJU'L L L\.VLIi
""""a.=nuu. .un .. __ A.m
_ _____,_....... ___~ _ .0.". _OM_
1 UU
SWRCB, January 2002
Page~of_
7. UNDER-DISPENSER CONTAINMENT rUDC) TESTING
Test Method Developed By: UDC Manufaçturer Industry Standard Professional Engineer
Other (Specl/Ÿ)
Test Method Used: Pressure Vacuum Hydrostatic
Other (Specify)
Test Equipment Used: Equipment Resolu.tion:
UDC # -:<t &.4 UDC# UDC# UDC#
UDC Manufacturer: ?
UDC Materiill; ~, . -
UDC Depth: ,.", V I _
Height trom UDC Bottom to Top fh,..e.~..-t'; ~
ofHi2hestPipÌI1RPeneúaûon; '.- -~"'~DC.~.
Height from UDC BQttom to \1 "
Lowest Electrical Penetration:
Condition ofUDC prior to &u.øA
testina;
·Portion ofUDC Tested1 T - -" c.. · ~
Does turbine shut down when ðJ
tIDC sensor detects liquid (both No NA Y~ No NA Yes No 'NA Yes No NA
product and water)?"
Turbine shutdown response time ~s..c....:...
Is system programmed for fail- ..l@ No NA Yes No NA Yes No NA Yes 'No NA
s.& shutdown?"
Was fail-safe verified to be € No NA Yes No NA Yes No NA Yes No NA
ouerational?"
Wait time between applying I (J ,.,..... .'.......
prlSssurolvaouwnlwater and
startin&!. test
Test Start Time: ~.tJc. ~
Initial R.eadinll Otr,: ~ i.Jð I
Test End Time; -r.:-~-z.-( p~
Final Rtsadini!; (R¡.): ~ Co4..
Test Duration: l~"""',~
ChanRe in Readin~ CRrRr): ii?
PasslFail Threshold or Criteria; · oc.~
Teat Result; JI -¡-a!ll DFaU o Pau o Fall o Pasll o Fall o Pass o Fail
Was sensor removed for testing? 7IiiI'. No NA YISS No NA Yes No NA Yes No NA
Was sehSor properly replaced and .;Ø? No NA Yes No NA Yes No NA Yes No NA
ver1fiec1 functional after testil1Jl7
Comments - (include i""ormation on repairs ",ode p,,¡or to testing, and recommended/allow-up for failed test$)
J If the entire depth of the UDC is not tested, specií}r how mu~h was tested. If the answer to MY of the questions indicated with an
asterisk (.) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG-160)
>;",' I
,.,.,P£D
'~þ6'
\'V
11 lU U£.. lU.l,JI1J.U 1".1\V1U l\,.a.;.nl1 vvn.......¿,\,uv......VI1
1 UL.
e
e
SWRÇB, Jtm~ary 2002
PBge_of~
Secondary Containment Testing Report Form
This form is tmended for ue Þy contractors per/orming periodic lesting of U$T secondary containment syatBm3. Use the
appropriate pages of thlsfo,.", to report results for aJ/ components tested. The completed form, written test proceåwBS. and
prtnt01lta from testa (if applicable), should be provided to the facility owner/operator for $ubmittal to the local regulatory agency.
1. FACaITY n-Œ'ORMATION
Fac:jJity Name:
Facility Address:
Facility Contact;
Date Local Agency Wu Notified afTesting : '" 6"L
Name of Local Agency IDspector (f/PNSB"t dur 1'18 testing):
~~
Credentials:
License Type:
SWRCB Licensed Tank Tester
License Nvmber; "( Y ( IJ S'"'"1
DBte Trainin ires
Component P... Fall Not Rapaln Component Pall Fall No. RepBin
TØ$téd MAde THted Made
~ ï ..,- ",-..rb t ~ ,;' X
~..., seu.-.lc.,......, , )()
""", ~- ..J".¡rL. \C
1l"'i ~ L..., <...: U 1$,.. )(
rfd ~~; U ~ Jo
I
3. SUMMARY OF TEST RESULTS
CHrnèlAN RESPONSIBLE FOR CONDUCTING THIS TESTING
tlliéiJ in this document are tlcc"rale and In lull compliance with legal Tequirements
Date: (I j c../ Ä7-
I
Technician's Signature:
\:;\~\f .
oJ. u u (.
u . J/\lVI 1'1'\ vm 1\&:.1\1."\.1 11\\.1\.11 1 vn
e
SWRCB, January 2002
Test Method Developed By:
Test Method Used:
Piping Material:
Piping Manufacturer:
Piping Diameter:
Length of Piping 'Run:
Product Stored:
Method and location of
i' -om isolation:
Wait time betweel1 applying
pressure/vaçuwnlwater and
startin test:
Test Start Time:
Initial Reading (R¡):
Test End Time;
Final Reading (kF):
Test Duration:
Change Ù1 'Reading (R,-R¡):
Pass/P1lil Threshold or
Criteria:
,t.,R.01iJt:
. Uv
Page_of_
5. SECONDARY PIPE TE
Piping ManutåctW'er i1ustry Standar
Other ;p)
Professional Engineer
Vacuum
Hydrostatic
Equipment Resolution;
Piping RUD #
i' 1 ð~
~".~ I ~ 5",,~1' -r;..~, ,;'" ~t...-.(I
~ CoIA:-
s- M.~. ~W\.À
D:PèØ 0 ,Fail'
$".
I r
ð· "'3 I~'f
0:2 I""~.
o Pasl
"
é).""2.. "s
Pan 0 PaU
II. Pall 0 ¡raO
~
)/I/?/têJ-.-
j.j-jO-U¿
j U . j JJ1JVJ r 1\ VJVJ l\£,fL.vnV! fLU\J! ! vn
e
[ Uq
.'
SWRCB, January 2002
Pagc _ of_
6. PIPING SUMP TESTING
Test Method Devoloped By: Sump Ma:nufaçturer Stan~ Professional Engineer
Other (Specify) -
Test Method Used: Pressw-c Vaçuum W'V""drostativ
Other (Specify)
_--r<'"-s"'"/'$ Equipment Resolution:
Sump t# 1f1 Sump # Sump # Sump #
Sump DilUDeter:' t.{g" . I
Sump Depth: {. C/z. '
Sump Material: F'I'~" I~'\
Height Û'om Tank Top to Top of "
, Highest Pipin~ Penett'adon: "J p+
Height ftom TZIIlk Top to Lowest :l .rf I
Blcctrieal Penetration:
Condition of sump prior to testing: (.,Q ~.,f
Portion of Sump Tested1 J~ 3~,
Does turbine shut down when
sump sensor detects liquid (both Yes @ NA Yes No NA Yes No NA Yes No NA
òroduct and water)?·
Turbine shutdown response time YA
Is system pro¡uammod for fail-safe Yes 9 NA Yes No NA Yes No NA Yea No NA
shutdown?"
Was fait-safe verified to be Yes ~ NA Yes No NA Yes No NA Yes No NA
operational?'
Wait time between applying I ~ 111ft ,".,..
pressurelvacuwnlwater and starting
tcst:
Test Stan Time: if I ~-,
Initial Reading (RV: ('l~~
Test End Time: t-I..~z..
Final Reading (RF): - 7Z.D/
r T.;;;¡¡i' . .
Test Duration: I ~ ,.... .;..
Change in Reading (Rp-Rl): . ~e.'
Paslllf'all Threshold or Criteria: . CI c. "Z.. ,
,¡Ten Result: A Pass o Fan o Pass o Fldl o Pass o :Fall o PaIS o Fall
Waa 5ensor removed for testing? t!!/iil No NA Yes No NA Yes No NA Yes No NA
Was seßsorproperly replaced and 4i? No NA Yes No NA Yes No NA 0: Yes No NA
verified functional after te5tÎJUt?
Comments - (include ¡"/ormalio,, on repairs made prior to Jesting, and recommended follow-u2.1or foiled tests)
If the entire depth ofthe sump is not tested, specify how much was tested. If the answer to ~ of the questio
asterisk (') is "NO" or "NA", the entire SU1tlp must be tested. (See SWRCB LG·160)
ed with an
.. ..... . .. v ~ ~~'...
. .. --,- ..-... -..-. ..- -. .-..
e
, vv
~
4)
Sw:RCB, January 2002
Page_of_
9. SPD.,UOVERFlLL CONTAINMENT BOXES
Fac:ili is Not ui With S ill/Overfill Containment Boxes
S ilVOverfill Containment Boxes IIJ1 Present, but were Not Tested
Test Method Developed By: Spill Bucket Manufacturer Professional Engineer
Other (Specjfý)
Test Method Used: Pnlil!lure Vacuum
Other (SpecifY)
.-3 -N Equipment Resolution:
Bucket Diameter:
Bucket Depth:
Wait time between applying
pressure/vacuum/water and
start test:
Test Stan Time:
Initial Reading (RI):
Test End Time:
Final Reading (Rp);
Test Duration;
Change in Reading (R.¡,-Rr):
PassIFail Threshold or
Criteria:
, '.--
;',' :' 't:
,~-
Spill Box ##ð
, ,l.iéo'J...
IZ- I..:c....(..
Spill Box ##T1
if , ~~
'Z. ¡ --<.. c..
SpUl Box #
SpJU Box #
Ib' W\.-,.;
",,;- .........~ '
.~-:z..
Pass 0 Pall
.4<-"'2.
Pan 0 Fan
o Pas. 0 Fail
o hel.l OF:.U
Comments - (includl! i,,¡ormation on repairs made prior to tuting, and recommetldedfóllów-IlP for failed tests)
i}
It
e
'=-=~ _ = =¡ BELSHIRE
"= _=-:: _Ë ENVIRONMENTAL
---~E SERVICES,INC.
PMB 269
25422 Trabuco Road #105
Lake Forest, CA 92630-2797
(949) 450-1010
Fax (949) 450-1177
November 20, 2002
VIA UPS 2nd Day Air
City of Bakersfield Fire Department
1715 Chester Avenue, 3rd Floor
Bakersfield, CA, 93301
ATTENTION: Steve Underwood
RE: SECONDARY TESTING RESULTS - SB989 COMPLIANCE
ARCO Facility No.:
Facility Address:
06353
3125 CALIFORNIA AVE, BAKERSFIELD, CA 93304
Per California Water Resources Control Board requirements, attached are results from secondary
containment testing performed at the subject facility; Please note all secondary components have
passed testing requirements.
Test Date Pae:es
02/21/02 3
05/07/02 2
09/04/02 3
11/12/02 2
ARCO is committed to the compliance of all environmental laws that govern the safe operations
of its facilities. Should you have any questions or concerns regarding testing activities at this
facility, please do not hesitate to call Michael D. Wilson, BP Environmental Compliance
Specialist for this facility at (714) 670-5321, or myself at (949) 450-1010.
Jim r wn
Proje anager
Belshire Environmental Services, Inc.
Underground Storage Tank System
Secondary Containment Certification Form
Tanks, Piping, & Spill Buckets
Page_ of_
~~o~1ý)~ð Testing Contractor: A-LL~ øÂ-rD~ Test Date:
C.9~.\ ~~ V'\ Î fA ~ Contractor Address: L.flo ~ w, j.e 60'\ V\ ~ ~ ~ Tech. Name:
Seconda
FaciHty #: (() \.0 ".?"S3> City:
Facility Address: ð\ ðS"
UST Annular S ace
Tank #1
Product
Capacity
Manufacturer
est Start Time
Initial Pressure
Test End Time
Final Pressure
Test Results
Signature
S ill Buckets
Overfiíl #1
Product
Manufacturer
art Time (to) \:4~
ater Level
Time (t¡)
Water Level
Time (t2)
Water Level
Time (t3)
Water Level
Ii Time (t4)
Water Level
I Test Results
~ Signature
Re"v. 11/01
Tank #2
Tank #4
Tank #3
Product
Piping Type
Manufacturer
Test Start Time
Initial Pressure
Test End Time
Final Pressure
Fail
Test Results
Signature
Line #1
@)89 91 D
~
Line #2 Line #3
87 89 ® D ŒJ) 89 91 D
Line #4
87 89 0 D
~
.
\
Overfill #2 Overfill #3 Overfill #4
@ 89 91 D @89 91 D 87 89 D Line #5
:.3 Product
::::::>
3~ ~S- 2~.3 3:t.l3 Piping Type
Manufacturer
3:.Sb 3:"t.t 1.0 Test Start Time
00 0
3ì41 ~;c.{" Initial Pressure
Test End Time
,y 4 '-f ö ~ ');;t Final Pressure
~~ Test Results
Signature
, White - Original
Yellow - Arco Environmental Compliance
Line #6
Line #7
Line #8
Pass Fail Pass Fail
87 89 91 D 87 89 91 D
Primary Siphon Primary Siphon
Pink - Contractor
~
...¡
~
Underground Storage Tank System
, Secondary Containment Certification Form
Turbine Sumps, Fill Sumps and Under Dispenser Containment
Page_ of_
Fae;!;.y.' 0Cce:6::> Œy' )':..".:r ''tßJ&
Facility Address: 3(;>-s- C~.( l V\ tC4 !n.r<
Testing Contractor: .ÀLL-~~..()~~ Test Date: ::J./ri-{ In')
Contractor Address: g(" ~~ ¿~ ~n ~ W ~ Ù( Tech. Name: (~_I:...rr~
(.
Turbine Sumps <!?¿ 89 91 D @z> 89
ID (north, slave, etc.)
Manufacturer
Start Time (to)
Water Level
Time (t2)
Water Level
Time (t3)
Water Level
Time (t4)
Water Level
Test Results
Signature
UDC
1D (1/2, 3/4, etc,)
anlJfacturer
tart Time (to)
Water Level
Time (t1)
Water Level
Time (t2)
Water Level
Time (t3)
Water Level
Time (t4)
Water Level
-Test Results
---
Signature
õ
Rev" 11/0 I
91 D 87
89 ®> D
87 89 91 D
\;~,
\ ~\
\'!J:J
c.?~
\3~
O~
p.~
..O~S
\
Id7
\~O
Pass Fail
S- <D?,
Ç\:) ~
00
S\~
~o~
O~O
$~O~
<.::>0
-5'l\
000
.-s-ll..\
o
Fail
4SC\
White - Ori.e;inal
Fill Sumps
ID north slave etc.
Manufacturer
Start Time (to)
Water Level
Time (t1)
Water Level
Time (t2)
Water Level
Time (t3)
Water Level
Time (t4)
Water Level
Test Results
Signature
UDC
1D (1/2, 3/4, etc,)
Manufacturer
Start Time (to)
Water Level
Time (t1)
Water Level
Time (t2)
Water Level
Time (t3)
Water Level
Time (t4)
Water Level
Test Results
Signature
D 87 89 @) D 87 89 91 D
.....
;;I ;r ")-
o
ad''?:,
000
~31
00
~ '&'1
000
~3>
t4~
~()d.
bOl
Õ-0~
D\
Fail
Fail Pass Fail
q 'u (t
S-'IC 'S'"¡ l c;- ~~
Ð 000 0
5'; (~ <00'1
Ò
5~\ (o\d
~D
5èr~
\CO
S?J"'ì
0
~
,..
c
,..
/'
(
~
YeHow - Arco Environmental Compliance
Pink - Contractor
Underground Storage Tank System
Secondary Containment Certification Form
Turbine Sumps, Fill Sumps and Under Dispenser Containment
Page_ of_
.....
Facility #: Olo'?;>'53 City: k~6{ g J... J
Facility Address: 31~-
Testing Contractor: ALL ~ ~ Test Date:
Contractor Address: -.9(0 ~ (~. ~v'\ \ ~ ~\ Tech. Name:
, I
II
I
Turbine Sumps 87 89 91 0 87 89 91 0 87 89 91 0 87 89 91 0
ID (north, slave, etc.)
Manufacturer
Start Time (to)
Water Level
.~e (t¡)
ater Level
Time (t2)
Water Level
Time (tJ)
Water Level
Time (t4)
Water Level
Test Results Pass Fail Pass Fail Pass Fail Pass Fail
Signature
"
UDC
10 (1/2, 3/4, etc,)
anufacturer
tart Time (to)
Water Level
Time (t¡)
Water Level
Time (t2)
Water Level
Time (tJ)
Water Level
Time (t4)
Water Level ,
,Test Results Pass Fail Pass Fail Pass Fail Pass Fail
Signat-ure
.
Fill Sumps 87 89 91 0 87 89 91 0 87 89 91 0 87 89 91 0
ID (north slave etc.)
Manufacturer
Start Time (to)
Water Level
Time (t¡)
Water Level
Time (t2)
Water Level
Time (tJ)
Water Level
Time (t4)
Water Level
Test Results Pass Fail Pass Fail Pass Fail Pass Fail
Signature
UDC
1D (1/2, 3/4, etc,)
Manufacturer
J7
Start Time (to)
Water Level
Time (t¡)
Water Level
Time (t2)
Water Level
Timè (t3)
Water Level
Time (t4)
Water Level
Test Results
'S~s
5$ <;"'
s-s-ß
<:)
fD or
~
bc~
\
Fail
Pass Fail
Fail
Pass
Pass
Signature
Rev.. 1 1/01
White - Original
Yellow - Arco Environmental Compliance
Pink - Contractor
Tanks, Piping, & Spill Buckets
Underground Storage Tank System
Secondary Containment Certification Form
Facility #: (9to3S:--~ City: ~Ct.rOJ.A-r~{ ¿
Facility Address: '- ~J,.¿s- CAJ!....( ;Qr.....~"" Ä.r'!-
Page_ of_
Testing Contractor: A-L( ~ ~ ~ ~ Test Date: S /77) d
¢, \ I
Contractor Address:q(¿,? 8 lv, .... )<1I\.n.,~/' \ '0 \ Tech. Name: ~)~
UST Annular Soace
Tank #1 Tank #2 Tank #3 Tank #4
Product 87 89 91 D 87 89 91 D 87 89 91 D 87 89 91 D
, Capacity
Manufacturer
est Start Time
Initial Pressure
Test End Time
Final Pressure
Test Results Pass Fail Pass Fail Pass Fail Pass Fail
Signature
S °11 B k
~Pl uc ets
Overfill #1 Overfill #2 Overfill #3 Overfill #4
Product ,®9 91 D 87 89 91 D 87 89 91 D 87 89 91 D
Manufacturer Q,^I\~
tart Time (to) 730
ater Level OaQ
Time (t¡) I ~..3
Water Level ,",,'l.\
Time (t2)
Water Level
Time (t3)
Water Level
Time (t4)
Water Level
Test Results Pass ¿§jD Pass Fail Pass Fail Pass Fail
Signature --- "
--.)
Rev. 11/01
.
White - Original
Yellow - Arco Environmental Compliance
Pink - Contractor
$J
~)ð7/@
S d P"
econ ary 'tplm.
Line #1 Line #2 Line #3 Line #4
Product 87 89 91 D 87 89 91 D 87 89 91 D 87 89 91 D
Piping Type Primary Siphon Primary Siphon Primary Siphon Primary Siphon
Manufacturer
Test Start Time
Initial Pressure
Test End Time
Final Pressure
Test Results Pass Fail Pass Fail Pass Fail Pass Fail
Signature
S d P"
econ arv îpm/i.
Line #5 Line #6 Line #7 Line #8
Product 87 89 91 D 87 89 91 D 87 89 91 D 87 89 91 D
Piping Type Primary Siphon Primary Siphon Primary Siphon Primary Siphon
Manufacturer
Test Start Time
Initial Pressure
Test End Time
Final Pressure
Test Results Pass Fail Pass Fail Pass Fail Pass Fail
Signature
Underground Storage Tank System
Secondary Containment Certification Form
Turbine Sumps, Fill Sumps and Under Dispenser Containment
Facility #: <at., ,;~~ City: ~,t.o...f"'It ~A~
Facility Address: 3) J.s r Ct. \\ ~(V), CI\
Page_ of_
Testing Contractor: ÅlL. ~ ~~ Test Date:~/ '7 /0 ~
. C I
Contractor Address:Ll G,~~ W, ~ "'lV'll ~ -r:;rn Tech. Name: (jO..5L""""
Turbine Sumps 87 89 @D 87 89 91 D 87 89 91 D 87 89 91 D
JD (north, slave, etc.)
Manufacturer ~h O. '-hI if. . . .I
"~5"'Z> T
Start Time (to)
Water Level DC\)
'~e (tt) .,;~ 3
ater Level Q5"11
Time (t2)
Water Level
Time (t3)
Water Level
Time (t4)
Water Level
Test Results Pass ~ Pass Fail Pass Fail Pass Fail
Signature #" \. :;>
--...~".. .~.~.J
UDC
lD (1/2, 3/4, etc,)
anufacturer
tart Time (to)
Water Level
Time (tt)
Water Level
Time (t2)
Water Level
Time (t3)
Water Level
Time (t4)
Water Level
Test Results
.
Signature
Rev. 11/01
Fail
:~i
Pass
Fail
Pass
Fail
Pass
White - Original,~'iì';itþiif;~'Yèllow - Arco Envir
Fill Sumps 87 89 91 D 87 89 91 D 87 89 91 D 87 89 91 D
JD (north slave. etc.)
Manufacturer
Start Time (to)
Water Level
Time (tt) --
Water Level
Time (t2)
Water Level
Time (t3)~
Water Level
Time (t4)
Water Level
TeseResuIts Pass Fail Pass Fail Pass Fail Pass Fail
Signatur;'~
UDC
lD (1/2, 3/4, etc,)
Manufacturer
Start Time (to)
Water Level
Time (tt)
Water Level
Time (t2)
Time (t3)
Water Level
Time (t4)
Water Level
Test Results Pass Fail Pass Fail Pass Fail Pass Fail
Signature
onmental Compliance Pink - Contractor ~~
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Secondary Containment Testing Report 'Form - DHAFT -
1'hisJorJJ.)~~J;.~for use by cOlltractors perfor",illg per/odic lest/llg (If USl' secolltilJI)' CU/IIuj"",ellt systems, Use the
~JI¡1/lØ,of/J'¡s/or", to report results/or all COlllpollellt.s Jested n,e colnl'leledfo/'III, wrill(!/I (/?.I'I/lf'ocedlll'e:i,
ØI-!P(~~ 'lists (if appIÍl.:'CIble), should be providød to the jáciJity oll'''m'upemtor for submj((ul tu ,he local
np .
Dale ofT~1 J. 't1Z
._---_._-----~..__.
----
-lli~ne: ¿~/-~"ðJSð
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....------.-.--. --_.__._---------_..~.
H._·_·_--·---------·-----·--·----·-·-·
[] SWRCß Licensed Tank Tester
.--.-.--..-.--------.
Dille Training Ex.pires
-¡S-1JT~
--------
;.:~;~~::
-------.----..-----.
- ----.- ------.---. ...-.----- .. .-. -....
-----
----- ..--.--...-..----.---
3. SUMMARY OF TEST RESULTS
. Number oCPiping RUlls Tested:
f Number orUDC Boxes Tested:
Number of Overfill Boxes Tested:
Comments
I !1? </If -s:B
-ssr; 7fijq~lf:1___~i' fj/tiíElíf¿~
-------------------
---..-----..-
-.".;::-t~,-,,-~' r: -.~
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SUBMERSWLE PUMJ- CONTAJNMENT SUM I) TESTING
o Swnp Manutàcturer 0 Industry Slandard IJ I'rofe56iullul Engineer
){Other (.'ipecify) J)I/C.£:N
o Pressw'e 0 V IiCUlUlI
o Other (Specify)
, :Used for Testing:
¡}age __ of ___'__
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I Jftbe tesdpømetbod docs not test the eutÍIe depth oftlte sump, specily how IImeh oCthe sump was tcsled, Methods not testiJlg the
entire 1II',!,~only be used if the monitoring system provides fail-safe turbine shuldown.
1 With ~\~Ie pump running, place tbe sensor in product (discriminaling sensors should &50 be placed in willer). The lime
betwceo-I'I~."1he sensor in product and the turbine shutting down Is the response time, Tlùs should be dmlc ¡flhe secondar)'
cont~\.~ method used does not test the entire volume of the sump.
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Industry Standard
Professional Engineer
Vacuum
I-Iydrostati~
Equipment Resolution:
Spill Box #
Spill Box #
Spill Box #
/0 hf;t/
C¡.'3Z 1M
/.t:JC4
:1./" .41'1
/-11/1
1'5 ;tpv
o
-,cx:rz
o Fail
o Pass 0 Fail
o Pass 0 Fail
o Pass 0 Fail
. " -', >.\~(t~:f:~~",,;;. ~ ','. ~
Comments~;';"'(include information on repairs made prior to testing. and recommended/ollow-up /ol'jàiled tests)
. :'{':';-~\'~~~b*~~~~~;~:,Î;~~'·'·
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, U'T
SWRCB, January 2002
Page ~ of ...L-
Secondary Containment Testing Report Form
This form Is Intended for 148 by co,.".acto,s per/ormin, periodic: testing 0/ UST secowiary containment systems.' Use the
appropriate pages ofthi$form to report results/or a1/ components tested The completed/arm. written test prr;x:eJu1'es, and
printorJI8 from leJts (if applicable), should be provided to thBfar;:illt}l owner/opél'Øtor fo, 8flbmittal to the IQcal1'egulatory agePlC:J.I.
1. FACD..ITY INFORMATION
Phone: ''" ( ,;,..~ 3 t.( 'C)& ~
CredentiaJs:
License Type:
SWRCB Licensed Tank Tester
Liçense N\ßD.ber: u '!;'" '1'
Manufacturer
Date Tram E ires
Component Pa.. FaU Not Repaln Component Pasl Fall Not Repairs
Tesn,d Mad. Tested Made
"I -¡- t..-"~ ¡""" S'~ X
,
-
/ ............
Ifbydrostatic testing~ ps;iiòrmed~rlbe what was done with tbe water after completion of tests:
{~ + fl ~~........ A:;9 .::-,,~
"'-. y-
'- ~
3. SUMMARY OF TEST RESULTS
CERTIFICATION OF 'tECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
To the best olmy knowledge, the lids stated In this document lire accurate and 'n/ull compliance with legal requirements
T..Im'.'"'' s,....,"~, Dat.,~ It> ';2:
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6. PIPING SUMP TESTIN'Q
Swnp Manutåcnø-er , ~
Other (SpeclJjJ) --:::::
Pressure V IICUum.
Other (Speçify)
~ ~-~"'IS
_SUIÞP##""
Swnp Diø1eter: /.Ii "
Sump Depth: ¿, f
Sump Material: l+=t 1-~ 1 ~
Height fiom Tank Top to Top of
Hiahest PiDÍJ1£ Penetration:
Height from TIIDk Top to Lowest
Bleçtrical Penetration:
Condition of sump prior to testing:
Portion of Sump Testedl
Does turbine sbt down when
swnp sensor detects llqutd (both
DTOduct and. water)?-
Turbine shutdown response time
Is system programmed for wi-safe
shutdown?"
Was fail-Si\fe verified to be
operational?"
Wait time between applying
pressW'è/vacuumlwater ønd starting II) _ í ~ ,
~st:
Test Start Time:
Initial Reading (Rr):
Test End Time:
":
SWRCB, January 2002
Test Method_Developed By:
Test Method Used:
Final Reading (Rp):
Test Duration:
Change in Reading (R.;:.R¡):
PassIFail Thresbold. or Criteria:
Teat Result:
Was sensor removed for test.ing?
Was sensor properly replaced. IJlId
-verified ti.lnctional after testine.?
Page '¿ of 'Z-
Professional Engineer
[HY~
--
Equipment Resolution:
Sump #
Sump #
Sump ##
"3 -=r II
1]'
I....J.
JL_ . /,...~f....A eJ~.
l!Ji) No
NA
Yes
No
NA
NA
Yes
No
Yes
No
NA
"L ~c.. .
C!fY No
Lfi; No
NA
No
No
NA
NA
Yes
No
Yes
NA
Yes
NA
v.es
No
NA
NA
Yes
No
Yes
No
NA
?~).u
'-I. LClU
z:.: t.fr-
Lt. ,.".
1<'"... ,-..... .
- /
.6o~ I)/
)¡{PBII .Ail
i!ii No NA
fB No NA
.()IJ I
o }tll"" 0 Fail
Yes No NA
o Pass 0 Fall
Yes No NA
a Pal. 0 '211
Yes No NA
NA
No
NA
Yes
NA
No
Yes
'No
Yes
Comments - (inçlude i"¡ormaiion on repairs made prior to testing, ez"d recommended follow-lip lOT failed teats)
I If the entire depth ofthe sump is not tested, specitÿ how much was tested. If the answer to ßI!:ï of the questions indicated with an
asterisk (*) is "NO" or "NA", the entire sump must be tested, (See SWRCB LG-J60)
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,--' = = =oB; BEL SHIRE
::~ ~E ENVIRONMENTAL
_----~.".¡;:!E SERVICES, INC.
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PMB 269
25422 Trabuco Road #105
Lake Forest, CA 92630-2797
(949) 450-1010
Fax (949) 450-1177
November 1, 2002
Via UPS 2"d Day Air
'City of Bakersfield Fire Department
1715 Chester Avenue, 3rd Floor
Bakersfield, CA, 93301
ATTENTION: Steve Underwood
RE: PRELIMINARY TEST RESULTS - SB989 COMPLIANCE
ARCO Facility No.:
Facility Address:
05365
4010 WIBLE RD, BAKERSFIELD, CA 93309
Per California Water Resources Control Board requirements, attached are results from secondary
containment testing performed at the subject facility.
ARCO is currently coordinating necessary repairs to satisfy testing requirements. Once repairs
have been made, your agency will be notified of all scheduled re-testing.
Test Date Pa!!es
06/26/02 2
07/12/02 1
09/13/02 5
09/17/02 2
10/22/02 5
ARCO is committed to the compliance of all environmental laws that govern the safe operations
of its facilities. Should you have any questions or concerns regarding testing activities at this
facility, please do not hesitate to call Michael D. Wilson, BP Environmental Compliance
Specialist for this facility at (714) 670-5321, or myself at (949) 450-1010.
Underground Storage Tank System
, Secondary Containment Certincatlon Form
Tanks, Piping, & spin Buckets
Facility #~ ~ City: fu. ~ ~\ "-e. \c'\~
Facility Address: l..¡tJ I () "u. }lht~ ,,¿,
Pago_ of_
Q ~ Tesling Contractor: fll / ~TI'J.r"" peTmeùt"b..- TeSI Date: b- 2. ~. 0 2
/,jCJQ ¡ . ,::j.é '~I (
Contractor Address: 7..Ii:t7J (.u., vp;-¡riJer TI:«:I1. Name: vr't:lll II ~l
UST Annu/arS nce
Tank #1
Product
e
Capacity
Manufacturer
Test Start Time
InfUal Pressure
Test End Time
Final Prenure
Test RUlllts
Signalure
S UI Buckets
Product
MaDufadurer
SIart Time (to)
e Water Level
Time (tl)
Water Level
I Time ('1)
Water Level
I Time (t.J)
Water Level
Time (t,J
Water 1&vel
I Test, Results
I Si¡nature
I
I Rev. 11101
..
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Overfill #2
@ 89 91 D
Over !ill HJ
87 89@) D
Overfill "4
87 89 91 D
White - Original
Secondnr
Product
Piping Type
Manufacturer
Test Slarl Time
(n!rlal Pressure
Test End Time
Final Preuure
Test Resulls
Signature
Seconda
Line #15
87<!!J91 D
Line 116 Line #7 Line #8
117 89 <!!þ D ti7 89 9 I D 87 89 91 D
l'l;nllll'l' 'sip)II'" I'lilll~1)' Siphon
, Produci
Piping Type
Manufacturer
Test Start Time
Initial Pressure
Test Eml Time
Final Pressure
Test Results
Si¡nature
Pass fail Pass Fail
Yellow - Areo Environmental Compliance
Pink - Contractor
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Underground Storage Tank System
, Secondary Containment Certification Form
Turbine Sumps, Fill Sumps and Under Dispenser Conlainmenl
Page_ of_
FBCilily #: ~CitY: fu.\(..e (\ ~ ~ ~\~ ~'~
Facllily Address: Lt6 t('}U \ \ \; \.Q R \)
Testing Contractor: fll/ ~r;J¿"" ?d IIè? {~c..(.rY[ Test Date: (¡;-2/;-O"z..
Contraclor Addreu: t.¡6æ Lt) 0ß1r1 "~~eeh, Name: h1Q 11'1[,( /( l
Turbine Sumps
ID (nDM, slavl:, cle.)
Manufacturer
87
91 D 81 89 @ D ~ 89 91 l) 8
89 91 D
87 89 91 D 87 89 9 ) @ 811 III ) '@ 89 91 D
Start Time (to)
Water Level
Time (t,)
Water Lenl
Time (11)
Water Level
Time (tJ)
Wafer Level
Time (~)
Wafer Level
Test Results
a:\~
Slgnalure
UDC
ID (1/2. 3{4. ~c.)
Manufacturer
Start Time (tø)
Water Level
Time (tl)
Water Level
Time (tl)
Water Level --
Time (t,)
Water Level
Time (t.c)
Wafer Level
Test Results Pass Fail Pass Fail Pass Fail Pass Fail
Sigoature
"
Start Time (to)
Water Level
Time (I,)
Water Level
Time (t1)
Witer Level
Time (lJ)
Water Len!
Time (Id
Wllter Level
Test Results
ð,'QO
OD6
J 0: D
t)ÐI
1ð~ ó3
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lÙ;a~
ð
q.'ðO
1902
Signature
UDC
ID (112, 3/4, etc.)
Manufacturer ,~
Start Time (10)
Water Level
Time (I.)
Water Level
Time (11)
Water Level
Time (I)
Water Level
-
Time (tc)
Water Level
Test Results Pan fail Pus Fail Pass Fail Pass Fail
-
Signature
':rt"';'..-:'-"""
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Underground Storage Tank Systcm
Seconùary Cuntainment Certificatiun Furm
TÜrbille Sumps, Fill Sumps and Under Dbpenser Containment
Page_ of_
Facillty~: 05 "!J~) City: ~-"- \cH"'~"¡". (.1.
, Facility Address: 4 tJ l D L~--'7",~\..I 12. ~_, ,.
Testing Contractor: All S~ P~.\-ruln(.L""""
Con~raetor Address: ~In~), w. ~ ...\>0'), t~ r dPJ-/ð I
Test Date: 'f I, )..1 ""'.::I
J
Tech. Name: '- )Q'"'F=
UDe UDe
ID (1/2, 3/4, ere,) ID (1/2, 314, ete,) ~
anufactllrcr ManufHcturer
, r:r r¿
Start Time (to) Start Time (to) ,
Watcr Level Water Level
Time (tl) Time (tl) ,~
Water Level Water Level
Time (tÛ Time' (t1)
Water Level Water Level
Time (tJ) Time (t)
Water Level ,/' Water Level ()
II Time (t4) Time (t4) ,ltì
I
Water Level Water Level
Tèst Results Pass Test Results Pass
Signature Signature
Rev. II/OJ White -. Original Yellow - Arco Environmental ComoJiimce Pink - Contractor
Turhine Sumps 87 89 91 D 87 89 91 0 87 89 91 D 87 89 91 0
ID (no~h. slave, etc.)
Manufacturer
Start Time (to)
Water Level
_e (t)
ater Level
Time (t2)
Water Level
-. -
Time (tJ)
Water Level
Time (t4)
Water Lcvel
-
Test Results Pass Fai! Pass Fail Pass fail Pass Fail
.-. . ---_.
Signature
..--
Fill Sumps 87 89 91 D 87 89 91 ) 87 89 91 () 87 89 91 ()
..!!2i!!.q!!!.! slave. etc.)
Manufacturer
,
Shirt Time (to)
Water Level
Time (tl)
Water Level
Time (t2)
Water Level ~
Time (tJ)
Water Level
Time (t.)
Water Level
Test Results Pass Fail Pass Fail Pass Fail Pass Fail
"
Signature
Pass Fail, Pass Fail
Di
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"', §~ondary Containment Testing Report Form - DRAFT
'~õ'":_J:>~~~
l'his/OfIII~~Þ use by cOlltractors performi"g perlcxJic test/"g of US1' secQlWllIY cuttt";lIlIIellt system:;. Use the
QPPl'fJptrif1lllJ!lll'!l~9/lhislorm to report resultsfor all "OIlIpollel/ls lested 1711! CO/fJpletedfurltl, w/'Ìf1m fe.lt 1II'(}ceJIl,.e~'.
;;~~~:~.st.r (If applicable), shollld be provided to the filcility Q..."ef~'upem((Jr fur suÞm;((«1 I() ,he local
ClLlTY INFORMATION
Dalc ofTcliLÏn :
~ne:
'1/I'l-hl..
~ U~~þ ----------.-----.--
-~------------
-----.-------.-
o SWRCB LÍ<:ensed Tank Tesler
Training by Manur.dure,·
CompQoenl(s)
ß-SB
Dille Training Expires
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3. SUMMARY OF TEST RESULTS
Number of Piping Runs Tested:
Nwnber ofUDC Boxes 1'esled:
Number ofOverfiJl Dox.es Tested:
Comments
rass FaD.
-Sí ~ï5 ~5 B'1 ~'1,ffi----'
-~-------
---
.;.....;......------
-----..
.-.--..------
,-'
----
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.... ---..-----.
;~"~:.ti,~:f4H.
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--. '-~.'~
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-----..-.
...' .....'" ",''':,''''--
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Test MethodDeveloped By: UDC Manufacturer Industry Standard
Other (Specify)
Pressure
Test Method Used:
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Professional Engineer
Vacuum
Hydrostatic
Other (Specify)
Equipment Resolution:
'1A
UDC#
UDC#
UDC#
UDC~' :.~ -- ,'-~,L .
D
()
~~
@ No NA Yes No NA Yes No NA Yes No NA
.A$'"SfU.
Yes No NA Yes No NA Yes No NA Yes No NA
Yes No NA Yes No NA Yes No NA Yes No NA
; WaÚ~ )jloved for testing?
Wm¡~sensQrproperly replaced and
.-').<~'¡"'''' .
'venfied'furiC1:ìonal after testmg?
,!,._..t",,~t"I;(,.:
. C~;;'me¡¡ì~*=:'(inc1ude information on repairs made prior to testing, and recommended follow-up for failed tests)
"'¡':'J;t,u~ ,'" ("
NA
o Pass 0 Fail
Yes No NA
o Pass 0 Fail
Yes No NA
o Pass 0 Fail
Yes No NA
No
NA
Yes
No
NA
NA
Yes
No
Yes
No
NA
.:,:j,~t
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~ asteris~ <nk''NO'' or "NA", the entire UDC must be tested. (See SWRCB LG-160) ~'\ \Ä{ '\
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f1'~"""'/ 7.
, Test Method" _ ' B:
... .",~Y
. ' Test Method Uses:
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DUDe Manufacturer \J Industry Standard 11 Proiessiullal ElIgill~r
[J Otl~er (Specif.v)
o Pressure
o Other (Specif.)')
Used for Testing:
-ovacl;;'~'I-;-------~yùru;;ïatic'----'----' .
.~._----- -_.- --- ____A -
-- - _.-
UDC #I
{p
UDC ##
UDC#
~
16 ~Iib
- ,:~~1i0 _---.:~7!!Jf~~---
ó (þ
ðl ()
.------.--- -.--..---- ---.--..-- .-----
~----- -&æ--.-----,-
~____--- _____2_____·.___-----
y¿~ Yftj
_,__~ ~1fÞ _-
-.---:""' ~. .-----.--..-.-------..
r(Ç £>~.
..------ ...--...----..-...-.-----.
. ------- ---.------..---.----
'{(þ
ý~
~. .0 4[,J
--- ---- -·--tí3C)-------
__ - ~--- ~~-u·2~,.--·'~-:~:~~
~J"tK
.- f 4.,;~--'~-t:£>~ -====,
---i~ 16" YIÍI\i_
- (;01.,__--
,t::t)"l
~:,,'?;,:'-i~c::';,',~;':
. .,' .~. ....... . . . .. ...~
~j
-\fø
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------
f':/'i ~
~UfL, "~Íé.e'¡/ 1fØ;vb I/6It;¡V,
-----_.._------_.~
--.-----.-----..-
---..
--
.---v--... ...-...
t 1ftho t.rœthod does nol test the entiro depth afUte UDC, specify bow much o[tbe UDC was testeù, Melhods 1101 tesling Iho
entiro~onlY be used iftbe monitoring system provides f.ùl-safe turbine sbutdown.
2 With~~~ pump running, place thIS sensor in product (discriminating sensors should also be placed in wllter). The 1i.1l1l~
betweg[ '~sensor in product and the turbino 3buttiuð down i:l tho respon5e timo. This should be done irthe secondary
co .' ' method used does Dot test the entire volume of the UDC
¡.(,
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Test Method Developed By:
8. "'ILL JUSIGIt CONTAINMENT SUMJ> TESTING
1'118& __ uf _
Test Method Uses;
o Sump Manufaclurer lJ Industry Slftndl\,-d [II'roli:3sioI\4I ElIgilléer
AOtlu~r (Specify) ':P\IUN
, o Pressure [-Vacuwn-·-"-----~d;~~i;-------
o Other (~i~cijy)
Measuring Equipment Used for Testing:
Fill Sump f#
._------~---_._-_._._-_.__.._--_._---_._.
['iII Sump It
---...- --.-------.-
¡I¡t " ,
--- .-..---.--------
.-----.- -.---------.
...---.--.-- --
-----.--.-..-. ---- --.--'---"--
.----------.- -_.
------ .-..... ..----------.-.---
'---~
-----.----.--.
---.--...---- -.---.--.----
-----_.------
--.-- ---.-.----.----- ----.-------.-
---.-- ----.
'(~
~
·7--··-~':~-::-:-:--:~:~~-:-:.::
.~
. - - . ..
.------..------ --
-------.-- --.--------
Comments - (include illformatiof 011 repairs made privr tv testing)
-------...
---_.
---.----
.--------------.--.-.
--- -.-- ---'.- ----.-
----
---_._------
-----
----- -----.---.--.-.
.-----.--.-
---_._--
------.---------
--"
--.----.
---------.--------.-.------
--.----.---.--
.._--_.__.
-------
----
~WR~I\
---~. ----- e-1.wE bQëoii~®ëwp.swfçb~ëÌt'8öv-- n.
.----- -- ---
sWlwn
11.·("""".....7.11111
~~ .-/-.-,
----;...I - ," 'V
\~, 1. t
~. 'Y
"o"OI/"'r?(l1I1
aSump Manufaclurer
WOther (Specify)
o Pressure
Ll Industry Standard 0 Prolc3sional Engineer
-- ----,--a
U Vacu\Un ~yj~;;-::ï;;;¡;;-~---
-----.------
-----.
zz~/
~b
&~
_._._.--.!17[I-~·--
/V/Á
"'23 u
. -.-.-----
---~---~--
-- - ~-
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ý~s
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---- ----':ij3,.---' ---~-----
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. ðbl -.--z¡-----
. -'c"f~':\:';;;~~ ~""';'"~
~þ
-- =_== .Ý!i2-=-=
}1í-5.
lð, }/1rN
y{t~
~
'lis
COUlI.ents - (include illformation on repairs Illude prior tv testing)
"·';''<J'H··f.',rt;--~::i.·''-··'i- :
>0 '
~'., -f. .
---.
¥;'
-----..------
---.-.-----
.--"
..------------..-.--
----.-----...- .----..-----
.-----.- ----. ---
,~:r"
------.--------
:.':." .";lJ·-" .
-.--.. --------
': ~ ~~~-~.;: :<i -.
"
----- ------
n'~rnl'''''r 711ft I
f:.W'U~\\
----. --- e-mãir:bìiëõiiS@jëwp:šwra;:ca,gov---'· -,,--'- . -
_."." __ __0'_'-
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~\~-¡I
~õ~
---
It e l'''t~C_
Secondary Contßinmcllt Tcsting H.CpOI-( Fonu - DRAltr
7'hú/ønIII", ~þ use by cO/ltractol'S pe,fonn;IIg per/uJic lest/ilK (/f (1ST set:(J/ltliJ/)' CUII/(I;II//lW( .syslef//s·, Use (he
opN~~JfthJsJorm I(J l't!porll'eSllllsfol' all "OI"po"elllJ lested nle cO/nl'letedjÓr1/l. ".,.¡ltCII {e,l( IlIw:.:Jun:,I,
ØlrJp'~""'''Sù (if crpplic:able), slrould be 1I'Ovided 10 lire facilit)' (lII'II...r/ul'l!mtur for sl/bmillul tv lire luclIl
r~
", ..-....
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FACILITY INFOIlMATION
{,
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ED·
Dllte ofT~lili/lg "1.7¡rili£ .
.__..I..('!--------.-- ---
.-----
.,- T-'------," ,.,',.,-';&/'-----,.,.--
.~~o..~..i(¡(;!'" ~~-~f¿~_ -----------
._-~.- ---- .---.---.- . -- .----.-....- --.". ._----
.-------
_._._.,_... .__ .._.___.. _"... _ .._________.u.
-------....- .-.------." .-.--" --.-....--.-.-..----- .--.-.---.-
[ SWRCB Licensed Tank Test(',.
.----.--...-- .-..------.-----
UIJ'I-
..._.-a~
Training by Mauuradul'tt'
çomponenl(sl____.______..___..l1l1h~ Training Expir~_
13 ~-sr5 ___--.-.------.-.--------..---- ._--'-'
o
o
o
o
o
o
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-------..----..--.--------- ---.----.
. ----..-.--.--
_..__. ..._u_.
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----.-----.-.- .-------.-....---.-.
------.--.-----------
>,
_. .h______·_
3. SUMMARY OF TEST RESULTS
}~umber ofl'iping Runs Tesled:
Number ofUDC Boxes Tested: .
Numbc..- ofOvet1ì11 Dox.es Tesllxl:
1'... Fait
n
[J
LJ
o
o
o
0_ __------,------------------'---.-
o
IJ
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o
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.---.-----
- -.-.----------..-.-----.. ..- -.--.---...-.
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.. ----.--- ---.,--.-
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-------.-..--.-----------
.-.---..-----..-----
.------- -.---.----.---..----.---.
...------.--------.. - _._----,------ .----
.--------------..--.-.-. .
......-.--.--
..---..------.---.---..-.-----.----
._-.------.-.-- .__._...~_._-_. ._4
--~._-_._..._.~---- .------..-. --------
.--.. . ---------.-.--.-....------.-.-.
---
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Page _~,. of ~
7.
Test Method Developed By:
UNDER.DISPEi"fSER CONTAINMENT UDC TESTING
DUDe Manufacturer 0 Industry Standard 0 Professional Engin~r
o Other (Speäjý)
o Pressure
" "
Test Method Uses:
o Vacuum
o Hydrostatic
UDC# ~ UDC# II I UDC#
~
/d'
Ó Ó
Ó tJ
Þ ~
~? l(~
;<s- IS' ~JU---
/ô ,.., ¡¡:¡V
. ~
I .'Lll/
ItJ ~
1:1/
:1/
'.. : ·:~~~~i~t~;{~1~:f~~~{f.1~t~~:
~
~~
Comments - (include information on repairs made prior to testing)
1 If the,JestWgmethod does not test the entire depth of the UDC, specify bow much of the UDC was tested. Methods not testing the
entire UDÇ'should only be used if the monitoñng system provides fuil-safe turbine shutdown.
2 Witbthe(submersible pump running, place th~ sensor in product (discriminating sensors should also be placed in water). The tÍIDe
between placing the sensor in product and the turbino shutting down ill the response time. This should be done if the secondary IJI¡:
containment tesûng method used does Dot test the entire volume of the UDC ~~, ,. 'ì
~WR C'R O.-r",rnh"r?, o-~~ ""
, "
:ð!
.J U-¿4-U¿ U~: ¿öAM HWMKJ!.KN .~lKU(';T iON
SWRCB, January 2002
t'U¿
e
Pagc_of_
Secondary Containment Testing Report Form
This/orm is intended/or we by contraclors pBl'/orming periodic testing ofUST secondary containment systems. Use the
app,.op,.lale paget of thi$ fO,.", 10 report rØ$Jlts for all co"'p0flenls tested. The completed form, written test pròcedllres, and
prtnrours from resrs (if applicable), should be provided to the fact/i1)i owne,,/ope,.ator for submittal to the local regulatory agency.
1. FACILITYJNFORMATION
~ ~5\'~
4.6 to
Facility Name:
Facility Address:
Facility Contact:
Da~ L~ Agency Wu Notified of Testing ; to Z,&, 0 z...
NlUtle of Local Agency hupectot (ifpruønt duritg testing):
Company Name;
Credentials:
License Type:
:s
....
Component
g¡ ~c:.-o·' PI~
8'4Ij ~c...I.J P. ~
Ifl C___..J_ 'AH
Sé, ....,.""",I......:.c. ~:,._.
Së: Î <.; ~ A.,."A..tVI ~ ~""ð
.i"~ ~....."''''\~ ~~-~b
ell ...-r-u..~~\~ <L ~ _,
(.) .'" -" .. r '1 ~ L.I ·
I
Date of Testing: t() 122.. D'2..
U~"IoVÞ~
SWRCB Licensed Tank Tester
License Number: ~ ðfIJ
Date Trainin Ex ires
3. SUMMARY OF TEST RESULTS
Not Repair.
Pau Fa" Teatect Made
~
Componetlt
Pasa Fail Not Repairs
TeJted Made
')(
~
~
y
'X.
~
')(
¡[hydrostatic testing was perfonned, describe what was done with the water after completion oftests:
pt.\,,~ vv~ ì~ eAAA -....:I ,..~ I.J./ .f ~ ,,~~ ,T f-'
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
To tile bQt If"'J' 411(tfIledge. Iltefø sløted", tit" dØClllfJf!lI1 øre accllrøte alld l1rfllU complúutce with leg,,' requIrements
Technician)s Signature:
Date: t:u¡k 2:f>-Z
:'~
':,~e
lU-¿4-U¿
U\:J: 2öAM rKUM KhKN l::i1 KUl;T lUN
e
Comments - (include information on repairs made prior to testing, and recommendedJollow-up for failed lesls)
- ~I L~JI\.J1 ..-I'ø~ ~ ,Lid ~i.r: "FÞf.A.~ ~ I:,¡uPI;.... cJ1tfV\SL'-
z;-~,
- ~Î I~i.",- L.._..{ L---' ~x.'"2- ~-l ~ ~c.."l",( ~.,. ~ .--r~_
- ~~~~k~;~~1:j=E';::~~~k h~~r.:~~^
a. ~~ d 'a.5~~-- 4-ø J~.I ,,4J...-__ ~ t-.lL.f~~'-L-C..
"
SWRCB, Januaty 2002
Test Method Deyeloped By:
Test Method Used:
Piping Material:
Piping Manufacturer:
Piping Diameter:
Length ofPiplng R.un:
Product Stored:
Method and location of
i in ·run isolation:
Wait time botween applying
pressure/vacuum/water and
startin test:
Test Start Time:
Initial Reading (R¡):
Test End Time:
Final Reading (Rp):
Test Duration:
Change in R.eading (RrR¡):
PassIFa.il Threshold or
Criteria:
Test Result:
l'Uj
Page_of_
Professional Engineer
Vacuum
Hydrostatic
Equipment Resolution:
Piping Run #
1:~ ~I~ $,-
¡Io"o . 100)
L () ...... W'I.
b· "Z... llo tr
D Pess . Fall
('). "Z- \ b~
J( Pass D Fail
o Pass ail
o Pass 0 Fail
I
I
~~\~I
\I
10-24-U2
UY: 2~AM FIWM KERN ,::¡TIWt:llUN
rut¡.
.
e
"
SWRCB. JlUluary 2002
Pago_Df_
Test Method Used:
6. PIPING SUMP TESTING
Sump Manufacturer Industry Standard
Other (Specify)
:Pressure Vacuum
Other (Sp($c(/Ÿ)
Professional Engineer
Test Method Dcveloped By:
, Hydrostatic
Equipment Resolution:
Sump Diameter:
Sump Depth:
Sump 'Material:
Height ftom Tank Top to Top of
Hi est Pi in Penetration:
Height Û'om Tank Top to Lowest
Elcctrical Penetration:
Condition of sump prior to testing:
Portion of Sump Testedl
Does turbine shut down when
sump sensor detccts liquid (both NA Yes No NA ~ No NA Yes No NA
roduct and water 7·
Turbine shutdown response time ~ ~
Is system programmed for fail-safe @ No NA Yes No NA 1tJŸ No NA Yes No NA
shutdown?'
Was fail-safe verified to be t9 No NA Yes No NA ~ No NA Ye$ No NA
o erational7·
Wait time between applying .
, tv ......~
pressureNacuumlwater and starting Lv -.Wot ..
test:
Test Start Time:
Initial Reading (R¡);
Test End Time:
Final Reading (R¡r):
Test Duration:
Chan~e in :Reading CRrR¡):
PasslFail Threshold or Criteria:
Test Result: o Pa.. o Fail
Was sensor removed for testing? Yes No NA
Was sensor properly replaced and YeS No NA NA ltii' No NA Yes No NA
verified functional after testin 7
Comments - (include illlol'mation olll'epaira made ~l'tOl' 10 leslinK. and reeommenåedføllow-up for failed tests)
I If the entire depth of the sump is not tested, specity how much was tested. lfthe answer to!mï of the questions indicated.,,, '~
asterisk (...) is ''NO'' or uNA", the entire sump must be tested. (See SWRCB LG-IliO) ~ $ , 1/
"~ ~'I:¡
~I j
. ' ~
JU-¿It-U¿
U~: ¿DAM HUM l'd!.lŒ 1::J1!WlillUI~
ru~
,~
e
p. ;;1
.J :Î\
6-
T.M~¡,~B1;
'. ... ·,i-:,.:fl)·
,..~' "
.. ........
. . 'i . '. ..~:¡. .
SUBMERSIBLE PUMP CONTAINMENT SUMP TES'rING
a Sump ~Nrer 0 Indus")' Standard 0 proCeüiulIl&l Engineer
o Other I}
o Preasuro
. ~ IJ Other (Specø~
Udd IQr T..eln :
Pawe_or~
o Vaçuwn
'0 HYIIJtJlìUiÛC ,---,~~-
, .
-..----,.-.. ---
SUUlII N
.-..-----------
. .. ...- -
---,-.....-
--
"
~··~.i .
-.--.-..---
~I' ~z:..
'Z.. '1 ":) h
.ç:~
:k.,.7r7
,r ~,~
.---.-------....-
;,:,~,
/;.~~ .
fj¡,
.,~~.~~
.7'~'., :
'.;' ',' ?~'~...t.,),,,:;,",:~~\;' ii,s ¡:,;¡¡nt. /',.;,,- .:;:;"':, ,:';<,,'::''/!;.'' /'\\!:j~i;~i/:
r;ur tu lesll"
,-
Jft&e ~~ .... not tat tlte entire depth or lip; lUmp, specüy huw mucb of the aloUup wu tested. Me\hods I\QlllltlÍllg the
IIIIdro 1IIID.P~:o.11 be IIMII if tb& InOIIiwriDA ,y.tem ptuVidea fajtoQfe turbine ,kutc!own.
2 W1th,~: 'pump runnin& place the øen801' In product ldillCrinainatinø aenaQR mould å180 b. plliCe4 in WIl\Cf). Tb& time
bel: I' " . iù PJVd\iOl _ the turbu. .1&1111 down ts tbe reapòJtlle ri~ This should be done if \bç aecondaty
GO .' iaQctbø4 used do.. no.t te" cbe eIItiro \'Glum. of tho 8UØ\P.
Ii:,
,',' .
....m'(~~;:
nl'n'\tlllM"r 70m
..
~~J
. \;
JU-é.<t-Ué.
(~
Uj,é.o^œ ravœ ~~n~ ~v~~!nU~l!V~
-.-- --~ ," .-
ruo
-- a_--
--'-" - ".." -.. .
f~
SWRCB, JanUlU)' 2002
Page_of_
7. UNDER-DISPENSER CONTAINMENT roDC) TESTING
Test Method Developed By: UDC Manufaçturer Industry Standard Professional Engineer
Other (Specify)
Test Method used: PressW'e Vacuwn Hydrostatic
Other (Specify)
Test Equipment Used.: Equipment Resolution:
UDC # 3~c...f UDC# UDCN UDC#
UDC Manufacturer: ?
UDC MatcriiLI; ~.L k.ø
UDC DeÞ1:h: 1"'7~ IV 1 ...
Height from UDC Bottom to Top fh....~..-4 ":tooIt ~
of Hiahest Piping Penetration: -' _......~~DG~I
Height from UDC BQttom. to \.1 II
Lowest Electrical Penetration:
Condition ofUDC prior to 6~
testina:
Portion ofUDe Tested I - _I £ . , --
Does turbine shut down when ðJ
tIDC sensor detects liquid (both No NA Yes No NA Yes No NA Yes No NA
product and water)?-
Turbine shutdown respoDBC time ~~
Is system programmed for fail- ..i@ No NA Yes No NA Yes Nå NA Yes No NA
s~e shutdown?"
Was fail-safe 'Verified to be € No NA Yes No NA Yes No NA Yes No NA
onerational?-
Wait time between applying I tJ ""'" I' ~
pressurolva<:uwnlwater Bbd
startinli! test
Test Start Time: C,·. ~ c;. pø..,
Initial R.eadine: C1lr): , ., ~I
Test End Time: (. ,~7..( p~
Final Reading (Rp): ð.4-'
Test Duration: (~""",, ~
Chmi!;e in R.eadine; lRF-R.¡): fK'
Pass/Fail Thresholà Of Criteria; . ()(.Þ ~
Teat ~ult: Jir J!a!l!l DFaU o Pall o Fall o Pass o Fall o Pass o Fail
Was setl$or removed for testing? lfu! No NA Yes No NA Yes No NA Yes No NA
Was séfi$Or properly replaced and .¡¡;? No NA Yes No NA Yes No NA Yes No NA
verified fWtétional after testing?
Comments - (include iriformation on repairs made pl'lo, to testing, and recommended/allow-up for failed t6$I$)
I If the entire depth of the UDC is not tested, specifY how muc:h was tested. Ifthe answer to Wlï of the questions indic:ated with IIn
ast¡;risk (.) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG-160)
{\e~"'Æ I
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%,(1; ARCO <~
v -b-
i\' ~c.; ,) lY
\ .. \- ,\\.\ '\" '
,&"C; ~\\'
\~'-rtP(-~ July 10,2002
Inspector Steve Underwood
Bakersfield Fire Department
1715 Chester Ave. 3rd Floor
Bakersfield, CA 93301
(It
(.
BP West Coast Products LLC
,¡ Cp.nterpOlllte DrI\e
La P::llrna. CJliforl1ld 90623, 1066
Mailing Address: Box 6038
Artesia, California 90ì02-6038
Fax
Subj'ect New Environmental Specialist
Dear Insp. Underwood:
Per our phone conversation today, this letter is to advise you that I will be handling any
Environmental issues relating to the ARCO stations in Kern County. I have attached a list
of stations that fall under my responsibility. If you need further information do not
hesitate to call on me.
Please feel free to contact me with any questions or concerns.
Sincerely,
;J! tJ~
Michael D. Wilson
Office (714) 670-5321
Cell (714)815-2455
- I
UNDERGROUND STORAGE TANK SB 989 COMPLIANCE REPORT
"
'"
~
I
34th STREET CAR WASH 301 920 34TH ST. DWFS DWF 2 YES 11998 -). ,,;. 'C1 r; , I
34TH STREET ARGO 481 1102 34TH ST. SWL (C P) SW 3 NONE
711 "- 807 1701 PACHECO RD DWFCS DWF 3 YES 11997
7 11 808 4647 WILSON RD DWFCS DWF 2 YES /2001
7 11 1885 9600 BRIMHALL RD. DWFCS OW FLEX 3 YES /1998
711 817 3601 STOCKDALE HWY. SWL (C P) OW FLEX 3 YES /2001
7 11 1884 4101 CALLOWAY DWFCS OW FLEX 3 YES /1998
711 806 525 W. COLUMBUS DWFCS OW FLEX 3 YES /2001
AT&T 1274 1520 20TH STREET DWFCS SWS (C P) 1 N/A
A-1 FOOD STORES 2203 1200 ·H· STREET DWFCS OW FLEX YES /2001
AIRPORT BUS OF BKSFLD 145 1800 GOLDEN STATE HWY DWFCS ' DWF 1 YES/1990
AM/PM 1220 3333 UNION AVE. DWF DWF 4 YES /1998 7/10/2002 ,-."
AM/PM 1880 2301 "F· ST. DWF DWF 3 YES 11998 6/512002 6/1
AMIPM 564 4010 WIBLE RD. DWF DWF 4 YES /1993 6/1812002 6/2E
AM / PM 629 6450 WHITE LN DWF DWF 3 YES /1999 t¡'17-~ 1.. 2A
AM/PM 1415 4800 FAIRFAX RD. DWF DWF 3 YES /1995 YES 6/25/
AM I PM 1416 900 MONTEREY DWF DWF 3 YES /2001
AMI PM 563 4203 MING AVE DWF DWF 4 YES/1999 51101
AM/PM 566 1129 UNION AVE. DWF DWF 4 YES /1997 6/1312002 6/241
AM/PM 1899 2800 PANAMA LN. DWF DWF 4 YES 11999 5/28/2002 6/271
AM/PM 417 1701 BRUNDAGE LN. DWF DWF 4 YES 12001
AM I PM 1898 3125 CALIFORNIA AVE. DWF DWF 3 YES/1998 NO 2/21/
AM/PM 265 2698 MT. VERNON AVE. SWFSC SWL 2 YES 11990 NO 3I29~
AMI PM 1903 7851 ROSEDALE HWY. DWFCS DWF 3 YES /1998
AM I PM (V AllEY PlAZA ARCO) 1007 3220MING AVE. DWF DWF 4 YES /1997 ?
BAR.C. INDUSTRIES 1402 2240 SO. UNION AVE. DWFCS DWF 1 YES 11996 5/16/2002 5128/
BAKER STATION MOBIL 917 631 BAKER ST. SWF SW (C P) 3 YES 5/16/2002
BAKERSFIELD AUTO SPA 1843 5201 STOCKDAlE HWY DWF DWF 3 YESl1996
BAKERSFIELD CITY SCHOOlS 2378 1501 FELIZ ST. DWF OW FLEX 2 YESl2002
BAKERSFIELD HEART HOSPITAL 7987 3001 SILLECT AVE DWFCS OW FLEX 2 NIA
BAKERSFIELD MEMORIAL HOSP 1121 420 34TH ST. DWF DWF 2 NIA
BAKERSFIELD POLICE DEPT 1050 1601 TRUXTUN AVE. DWF DWF 1 YESl2000
BAKERSFIELD P.O.P. 131 715 SUMNER ST. DWF DWF 1 N/A
BAKERSFIELD REGIONAL REHAB ' 1021 5001 COMMERCE CENTER DWF DWF 1 NIA
BARBER HONDA 606 4500 WIBLE RD. DWFCS OW FLEX 1 YES 11998
BEACON LIQUORS 281 649& S. UNION AVE. SW (C P) DWF 3 YES /1998
BILL WRIGHT TOYOTA 1085 5100 GASOLINE ALLEY QWfC.~ Oulf- I _'tt~ 1\'" ¿
BPOIL 572 2 OAK ST. DWF OW FLEX 4 YES 'I 2001 'l1 /1. ý> 10'1-
BROOKSIDE MARKET 1756 4700 COFFEE RD. DWFCS DWF 4 YES /1996 5/2912002 6/141
',BROOKSIDE MARKET AT THE OAKS 2197 8803 CAMINO MEDIA DWBSF DWF 3 YES /2000 513012002 6I5IC
CAL MAT 579 529 DOLORES DWFCS FLEX 3 NONE I
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, \. INSPECTOR S. UNDERWOOD
, .. "7124/2002 ................
. 1 OF5 ~,,~ . ..
.~..-
S:IUNDERGROUND STORAGE TANK REPORTS1UNDERGROUNDSTORAGE 7
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CITY OF BAKERSFIEI,¡D FIRE DEPARTMENT
OFFICE OF ENVIRONMENT AI.. SERVICES
UNIFIIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd f'loor, Bakersfield, CA 93301
F ACIUTY NAME treo t"- J",,- .
ADDRESS 40{ U), (( _ 1lJ·
FACILITY CONTACT
INSPECTION TIME
INSPECTION DATE If) r 10 ~ V 7,/
PHONE NO. ß3G, - t:{eø Ss-
BUSINESS ID NO. 15-210-
NUMBER OF EMPLOYEES '7
Section 1:
Business Plan and Inventory Program
o Routine
~ Combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
OPERA TION C V COMMENTS
Appropriate pennit on hand L- /
Business plan contact infonnation accurate /
v
Visible address /'
v
Correct occupancy '-' /
Verification of inventory materials /
......
Verification of quantities t.. /'
Verification of location /
v
/
Proper segregation of material v
/
Verification of MSDS availability v
Verification of Haz Mat training v '"
V erification of abatement supplies and procedures "..
Emergency procedures adequate ./
Containers properly labeled ,/
Housekeeping /'
Fire Protection /
Site Diagram Adequate & On Hand /
C=Compliance
V=Violation,
Any hazardous waste on site?:
Explain:
DYes c)NO
~~
Business Site sponsible Party
Questions regarding this inspection? Please call us at (661) 326-3979
White - Env, Svcs,
Yellow - Station Copy
Pink - Business Copy
Inspector:
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CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME A\fto A\\-l ~U\
INSPECTION DATE 10 - 3{) ~ 0 "2
Section 2:
Underground Storage Tanks Program
o Routine ¡:::g Combined 0 Joint Agency
Type of Tank ûWF
Type of Monitoring Ct.-Wl
o Multi-Agency 0 Complaint
Number of Tanks L(
Type of Piping ()(¡, IF
ORe-inspection
OPERA TION C V COMMENTS
Proper tank data on tile \.... V
Proper owner/operator data on tile '-' V
Permit fees current .." V
Certification of Financial Responsibility ,/ V
V
Monitoring record adequate and current /
v
Maintenance records adequate and current "
Failure to correct prior UST violations ",.
Has there been an unauthorized release? Yes No ( /'
-
Section 3:
Aboveground Storage Tanks Program
TANK SIZE(S)
Type of Tank
AGGREGATE CAPACITY
Number of Tanks
OPERATION Y N COMMENTS
SPCC available
SPCC on file with OES
Adequate secondary protection
Proper tank placarding/labeling
Is tank used to dispense MVF?
I f yes, Does tank have overfill/overspill protection?
c~comp¡¡,o"~~V;~]'¡¡OO y~y"
lo,p"to<: _ ~
Oftìce of Environmental Services (805) 326-3979
White - Env, Sves,
N=NO
~ ,---"' ::/
C- ~"~
Busine·sš-'SìteResponsible Party
Pink - Business Copy
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10-23-02 04:34pm
.
From-TAIT ENVIROMENTAL
T-161 P,08!08 F-565
(8Bl)a5~-217~ p.2
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714-560-8237 -
SEP 25 2002 10:62
BKSFLD FIRE PREVENTION
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CI'fV OF B~RSFlELD
OFF1CE OF ENVIRONMENTAL SERVICES
1715 Chester A 'fe., Bakersfaeld, CA <6(1) 326-3979
APPLlCA 11.0N TO PERFORM
~ .¥~~rf.-~w~G Ç~~TIFIC¡~~p~
FACILlTY .~c.o (I:- 53 6 s- '
ADDRESS ~ ':; f) I ;; I..ÆJ ; b ¡<of.,. £oa....,D
OPBRATORS NAME
oWNBR8N~' ,.', .',-, . ..........., '
NAMBOFMONlTOR~^-"" (};tC;'~,' 'Tt<;" '<ç1)
DOBS FACILITY HA VB DJSPEN'SEll·PANS'l .¥B$..J...L:: ..." NO_
TANK'
, V~~UME
CONTBNTS
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NAMBOPTESTlNOCOMPANY "",: rTtI r
CONTRACTORSUCENSB' s:ø.B·:~o q~ " ,.
NAME" PHONE NUMBER. OJ' CONTAcr PERB~dz! "TÃ ,."c/:)w,.¿.~ ~6~ 6 Y/ 6
DATB&.TJMSTBSTISTOBECONDUC1ED 10 -3/-ð?- IS!... / :ðð P!!!!':1
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APPROVED BY
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SJ;GN~rmœ OF APPUCANT
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~ \ ~.:.. .::=. =; BEL SHIRE
;;= -: ::'Ë ENVIRONMENTAL
_ ~-:!!i SERVICES,INC
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PMB 269
25422 Trabuco Road #705
Lake Forest, CA 92630-2797
(949) 450-7070
Fax (949) 450-77 77
October 4, 2002
Via UPS 2"d Day Air
City of Bakersfield Fire Department
1715 Chester Avenue, 3ed Floor
Bakersfield, CA, 93301
ATTENTION: Steve Underwood
RE: PRELIMINARY TEST RESULTS - SB989 COMPLIANCE
ARCO Facility No.:
Facility Address:
05365
4010 WIBLE RD, BAKERSFIELD, CA 93309
Per California Water Resources Control Board requirements, attached are results from secondary
containment testing performed at the subject facility.
ARCO is currently coordinating necessary repairs to satisfy testing requirements. Once repairs
have been made, your agency will be notified of all scheduled re-testing.
Test Date Paees
06/26/02 2
07/12/02 1
09/13/02 5
09/17/02 2
ARCO is committed to the compliance of all environmental laws that govern the safe operations
of its facilities. Should you have any questions or concerns regarding testing activities at this
facility, please do not hesitate to call Michael D. Wilson, BP Environmental Compliance
Specialist for this facility at (714) 670-5321, or myself at (949) 450-1010.
Ji rown
Pro' e t Manager
Bels ire Environmental Services, Inc.
Underground StDrage Tank System
Secondary Containment Certification Form
Tanksl Piping, & Spill Buckets
Page_ of_
Facilityt:~ City: fuX9~\e.\C'~
Facility Address: 41'Jlð 'ÙJlh~~ td,
. e" TestingContractor:fJ./1 STI1t'" ikT(t~ú.I'b-. Te5lDale: b-2/p·02
~¿¿£ ¡ . ,::jé '"I \
Contractor Address: W-V.~ri/1e"" Tech. Name: vr1t.:1r1/ (e.
UST AnnulafS nee
Tank 'II
Product
e
Capacity
Manufacturer
Test Start Time
InUlal Pressure
Test End Time
Final Pre5Jure
Test Results
Signature
S UI Bucbls
Product
MaDuradurer
e
I
(
Slart Time (10)
Water Level
Time (I.)
Water Level
Time (11)
Water Level
Time (tJ)
Waler Level
Time (t.)
Water 1..e'Jcl
Telt Results
Signature
Rc:v. 11/01
Overfill ##1
@ 89 91 0
Over !ill #3
87 89@) Õ
Overnll /14
87 119 91 D
White - Original
Secondnrl'-!!p:'i/f
Product
Line III
117®910
Line #3
Line #4
Piping Type (í~~ Siphul1
Manu(aclurer
Test Start Time
Initial Pressure
Tesl End Time
Final Pressure
Test Results
Signature
Secondo
, Product
Piping Type
Manuraclurer
Tcst Start Time
Initial Pressure
Test EIIII Time
Final Pressure
Test Resulls
Signature
Yellow - Areo Environmental Compliance
Line 145
87®91 D
Line 116 Line #7 Line "8
K7 gq ~ D H7 89 91 D 87 89 9\ D
"rinlill'l' .~ifllh)I I'rim~1)' SiphDn
Pass Fail Pass Fail
Pink - Contractor
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:J N
00
....
w 0
N N
....
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o ..
.. 0
W W
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Underground Storage Tank System
Secondary CODtainment Certificatioo Form
Turbine Sumps, Fill Sumps and Under Dispenser Containment
Page_ of_
Facility #: ~CitY: fu.\<'...e((\ ~\ ~\c\ ~~
Facility Address: ~6ta fJ)\ b \.Q_ R \)
,
Testing Contractor: fill - åJð.,," +--:Jd m l-el..l..rYf Ten Dale: &;-2&-0"'-
Contractor Address: t¡6æ LtJ ~ß1r1Ir'~~eC:h. Name: h1ctil1lÁ.(l L
Turbine Sumps
ID (north, slavl:, cl¡;,)
Manufactarer
87
91 D 87 89 @ D ~ 89 91. I) S
89 91 D
81 89 91 D &7 89 9 I) @ 81,1 1,1, II ~ 19 91 D
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St.a rt Time (to)
Water Level
Tìme (tl)
Water Level
Time (tl)
Water Level
Time (t,)
Water Level
Time Ct.)
Water Level
Tar Results
Signature
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UDC
ID (1/2.3/4. de.)
Manufacturer
Start Time (ta)
Water Level
Time (tl)
Water Level
-_._-
Time (t1)
Water Level
----
Time (t,)
Water Level
Time (f.4)
Water Level
Test Results Pass Fail Pass Fail Pass Fail Pass Fail
Siguature
II
Start Time (to)
Warer Level
Time (I,)
Waler Level
Time (h)
Water Level
Time (I,)
Waler Uvel
Time (I.)
Water Level
Test Jùsults
}QO
Do6
C¡.'ðO
oCZ
} EX JD
0191
)<)~ ò3
00
IÙ;ð~
c)
Signature
UDC
ID (112,3/4, ctc,)
Manufacturer -
Starc Time (10)
Water Level
TIme (II)
Water Level
Time (II)
Water Level
Time (IJ)
Waler Level
Time (C4)
Water Level
Test Results Pass fail Pass fail Pass Fai! Pass Fail
-
Signature
'-'
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... a3
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1\1 N
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þoI a3
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(¡J CD
N III
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Undergruund Storage Tank System
Seèomlary Cuntainment Ccrtificatiun Furm '
TÙrbine Sumps, Fill Sumps Bud Untler Dispenser Containment
'-~ ..' -""--:.'>- -~.
Page_ of_
Facility #: 05 '!:;\.pC:; City: ~Â \c.J.r~~~ (!,
,Facility Address: 40lD .lA.J7".~l.l 12.~__ ,..
Test Date: ·;/I:l.¡ ð~
Tech. Nallle: ",-)Q~
Testing Contractor: A I L S~ Pe..\.rolo ("""""""
Con~raetor Address: ~ ~-y Lv, ~ ,^-'l í+; r J4./ð I
Turbine Sumps R7 R9 91 D 87 89 91 0 87 89 91 D 87 89 91 0
ID (no~h, slave, elc.)
Manufacturer
,-,
Start Time (to)
Water Level
.:ne (11)
ater Level
Time (t2)
Water Level
-.
Time (tJ)
Water Level
--
Time (t4)
Water Level ,
-
Test Results Pass Fail Pass Fail Pass fail Pass Fail
.-. . -,-
Signature ,
---
,.
Fill Sumps 87 89 91 D 87 89 91 D 87 89 91 I) 87 89 91 I)
J!2i!!.Qrt!!..sluve elcJ
Manufacturer
Start Time (to)
Water Level
Time (t1)
WaleI' Level
-
Time (t2)
Water Level .-
Time (tJ)
Water Level
.
Time (t4)
Water Levcl
Test Results Pass Fail Pass Fail Pass Fail Pass Fai)
"
Signature
UDC UDC
ID (112, 3/4, ete,) L ID (112, 3/4, ete,) J
Manúfacturer Manufacturer
Start Time (to) t -;'C',OI.( Start Time (to) . C)
Water Levcl Water Level , ,
Time (t1) Time (t1) {l¡?J"h
Water Level Water Level
- Time (tÛ Time (t1)
I Water Level Water Level OCo
I
Time (t) Time (tJ) '8'11.(
Water Levcl ",' Water Level
û
Time (t4) Time (t4) 1l(ì
~ater Level Water Level
" Tèst Results Pass Test Results Pass Pass Fail , Pass Fail
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I Signature Signature ~~/Cb-
Rev, II/OJ White -, Original Yellow - Arco Environmental Conmliance Pink - Contractor
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.~ondary Containment Testing Report l1'orm - DltAFT
,~.~~<~~~.... ,~
l'his/~,~Þ use by cOlltractol'S peiformi"K periCJÚic testl"g of US1' secQ,uiQ/Y cun/a;"",ellt systems. Use the
. ~'~;ft'Ihù/OI'nlIO report results/or all c:ompo"e"ts tested 1711! (,olnJleteJjorm, ",rille" 101.\'1 procedure,,',
Øli.~AifJ!lIl:~Sû (If ('PPlicable). shollld he provided 10 'he facility U/I'"el/upemtor fur sub",iUullu tile lucal
T~ "'~
"~--':;"; -''I' '
ClLlTY INI1'ORl\IATION
-- Dale ofTclilÎo: .'''_'ß~'.Z
Ö.
~h ~~/~~/.~~~~~. -
'1 J'l- ~'__-__'_._'----'----'----'--'--"---
y)'¿, Uliblï~.b
"'.,":¡'1~~;'"
;'.ir"Wi:;~ ~ ,:th>~ 11.....,~
'~;~...~":t~: _:~>:-...' ,.,,::'.-..<;
----.---.--------.-.-.-
o SWRCß Li~~ Tesler ,_________--
Training by Manufacture,'
Componeut(s)
-¡:5-Sß
Dille Training Expir~
...-.-.--.
-~----_.. .-.-.--.--.-.---....--.- -- ...-.
-.-----
-.--.'
-..--.--.----..
~.--._.--
·_-_,.,.;.:~¡.i, .
, ......
3. SUMMARY OF TEST RESULTS
Number of Piping RUlls Tested:._.
Number orUDe Boxes Tested:
Number of Overfill Box.es Tested:
CommenCs
-Sí ~"ß (j) B? '~_Bf--'
-.-------.:.--------.---.
_._----~------
--..----.
-~.-----------
..------------------.-'.
----------.-.-
.....-------
.,'-~".......
----------
------...--------....---.-
~:" !.:,~~~~,.,~~. ,
Dale:__~à 2-_n..._
"....
..WR~ ¡J,lii:,~",'
.~ ~:'~yAA_~,'{"
\)"{',,,"'h.·., ?()(ì,1
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7. UNDER-DISPENSER CONTAINMENT UDC TESTING
Test Method Developed By: UDC Manufacturer Industry Standard Professional Engineer
, .~ "~ht>:; r;'~;:,
Other (Specify)
Test Method Used:
Pressure
Other (Specify)
Vacuum
Hydrostatic
:" ..'/~-~- \:.,':·~(1 (h
Equipment Resolution:
UDC#
UDC#
UDC#
CJ
0
~~
@ No NA
AS"SIU
Yes No NA
Yes No NA
Yes No NA
Yes No NA
Yes No NA
Yes No NA
Yes No NA
Yes No NA
Yes No NA
Yes No NA
Yes No NA
"
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No
NA
NA
o Pass 0 Fail
Yes No NA
o Pass 0 Fail
Yes No NA
Yes No NA
o Pass 0 Fail
Yes No NA
Yes No' NA
Yes No NA
>.~Æ~~l$.:~: "-1' t i"
~. " '.:~
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I If the enÌß.'9:depth of the UDC is not tested, specify how much was tested. If the answer to ª-!!y of the questions indicate,\~,ith an
asterisk (~Hs,"NO" or "NA", the entire UDC must be tested. (See SWRCB LG-160)~V ,At.
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UNDER-DISPENSElt CONTAINMENT VDe') TESTlN(~
DUDe Manufacturer U lndush)' Standard 11 Professiunal Engill~r
I] Oll~~(Spet:ijl)
, 0 Pressure
,-, ..---,--,---'------' ""&11-- - -,----'
LJ Vacuum /",,(YdruSlaÜ(; --------
o Other (Specify)
URd for Testing:
------------.~----'------..----- '---"--~-'--'-"--'
UDC ##
UDC II
~
It
-,-",-~~~
- ------' - ------_!?_- ---------'-
Ó (þ
---------- -.. ...-.---.-...-.-..-----.-..-
__ 'é!!._,_,__.__--- _,__P-h -----,----- ,-----
~_ ~-==== =&t-~~=--=-==~=-
~:~ _,_'fÍ2-----
~ 5FU,· h_~ <$fiÞ__
ÝfÞ
1651fV
.----..------- -.. . ---_.~.._-_..-..,---------_.
.----..-. .------- -.-" --------_._--~_..,_.-
~--Å- __~~ ,0 14f,J
-~~~/1:--~ _==TI~,=-~~=~
'" _,~~"l_--,,----
~ J~
-- ,4.J -~~~=-~~-Z.£>~ ~==---==-
-I~ --- _,___,b'y/Ú\/.-------
,_~~CX?& _.__--h-
.ø"l '
;';'j(.:'¡'-: ,.,'-,~';.;/:"':,-~~
~j
,------ ..-' "'~
.- ,
.&>01
. ð(;Y'l
_~!'O
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-.1 I:.'
".~.f"'~'~;"
. . '. . : " .
.. o. -. .-',' ..,"
t(~j
V~,
~~. -~:~~". '. 1"- . .~. . ~::~~}/~~;.~~:·\·;rt:;~~
......
.. ,
Y(þ
y~
Was~~Yedfor
testin ?,""/'"
,Was sel"or~perty replaced
after t' .' ~~,.
rior to testing) _- --- ------- --
¡tI'i~ 'J?> ~M~1é:O'l- _~vÞ l¥!!HV'
--------_._--_.._------_._.~
----.--..----
----.--------.--...----.--------.
..---.
..-----
11ftbo t.JP8'hod does not test tbe eOlin deptll of lhe UDC, specify how much of the UDC was lested, MCllwds nol leslÍlIg Iho
entiro~onlY bo used iftbe monitoring system provides fail-safe turbine shutdown-
2 With)"~ pump running. place the sensor in product (discriminating sensors should also be plllced in water). The \i.l\lt~
t>et~ ,~, sensur ill product and the turbino sbutting down i:t tho responso time. This should be done if the secondary
co .' . ' method used does Dot test the entire volume of the UDC
Opc...,...I..... 7nn I I
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Test Method Developed By:
8. I<'lLL RISEn. CONTAINMI£NT SUMJ' TESTING
l'~gc __ or __
Test Method Uses;
o Sump Manufàclurer lJ Industry Slnntlll,d [J I'roli:3sional Engineer
AOlher (Specify) , ";J:./VUA.I
, ------'--'-'---'--rr-'------'----
o Pressure [ VacuWII ,l\llydruslatic
Fill Sump. #
--------------.--.-.-.---.--.--.-..-- ------.
l'iII Sump If
---. .- ---'--'---.-.
-.--.--------
---.-. -.---------
----~.-----_._- -_.~--.._-_._-----
.-..-----
---_. -..-.-----.-. -.-.-- -----.-----.--
------.--.-.--
...~-_._---- --- _._----------_._._-~
-._---- - -- ---
.----..--.-
-----.-- ---. --
----- -.---------.--.-
----.--- .--.----- -.---.----.-.----
-.----..--.-.----- ------------ ---
-.--.-.- ---.-.
">r _. .
Y/t?
y~
Y¡"j
- --------..-----
·.7-~..--::~·;:7:·---:~·~~T
'--'" ...::~~~
-------.._------ -.---
-------_._- --._----- ------
----------.--.-- -..-- ----..- .-------.-
Comments - (inelude illjòrmatiofl 0" repairs lIIade pf'lvr tu te.'it;,!1!.!______
---------------- - --- --- ---
---..--
---..----..-----
_._-------_.~--~----
-.-.---
--.----
----~--
-------~-
----..----
------ -
---.---------- .
----------
..------ ---..- .--
.----.
._-_.------~---
._-~--._---
---.---------.------.-
-~.._-_.----
----.---
._---~
~_._._~_._---~--
._-_._----..-
~WIH"R
'-: 1,'\,-ß'ì-1;.i <'·'i
If,' .;v.,:~,',:~,f¡i;,'
'~';' -~"
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...._-~._~ .--
~WIWR
---~-"---'---'-
f 1f~(".p_l11hp.r 71 to 1
~l'~_, .--/-'-'
---- ';,.,I 'V
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, /. 'Y~
."""',,,., 711111
~...,,----:.:-:.~~.......
...~- .._-~., .......-........
iTèMet&õd'Dcve1oped By-
'Wi?'1è~.#t····, .
Test }d~, Uses:
- ,.,.~;~~;~:{:. '.~
ump Manufacturer
Other (SpeciJj~
o Pressure
......-.:.6..,... ~.......1'.... ..JC,f....,.............
L11l/dU61ry SI8~:I:~._:~I~::~~æ~lIgil~~
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--------- ----
II -~SÚÙI ~_ _ lìlll~ump# ~.,
,- --~ --------,-!:it..,'Ar.
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Commentl- (include illformatioll 011 repairs made pr¡ur I() It:JlillgJ
,:~><,~.~:t·ty_í:·'·\·:.·~·'-~~:·ï .
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qSecondary Containment Testing UCPOI't Form - DHAltr
I)~gc _'. __ . c>f_____
17ris.Jr¡n-. uf.~þ IIse by'colllracfol'S pe,j'or",¡IIg periudic leJitl"g of USl' SI!t.'QIIUilI}' Cu/II<litlIllCIII ,1y.WefllS, Use tlte
ØPJW.~I1f!!II,6..f~flhJslornllo report reSlillsjor 0/1 "QlIIJJOflI!IIU Il!steJ. nIl! l'olnll/eted.lánll, l11'ÌffClI (t?,ll¡)f'<I(.'t?uure,I',
ØlrJ".I.I1!J1i"..". (if &'Ppl;l.'able). should be provitkd 10 lite jerei/if)' OIl'''I!1/uJ1l!f'/tur for .\/Ibmilluf to ,he fuCtl1
rt~~.
\ «:·::¡:i:'.1{i~~·'·-'i>-~>·.,'·:
1. FACILITY INFORI\1ATION
Dule úrT~filillg ._¿¡'-tµ,Jii '
.._..I.l'I__ _______..__ ___
--.----.--------
4~__··___..
~,
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._--~._- ------- .--.--.---.- --. -----......-- -_.-. ..--- ---
.------
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-- -'.-'--'- .-. .--,_.~_'- ---. . -. ---- ------...
...------....- .--.-.------ .-.--'" -_..-
..---..---..----. .._.~---_.-
[I SWRC~} Li~~~Jlk '1'£'6«'1'
.-.---- --.-------
w----~
Training by ManuraCturea'
Componenl(sJ____,___._,,_.,___, Dille Trailling E;\pir~_
13" "S13
---..----...---.------.....-.-.-.-- .-.---..-.
-_._----_._.._-_..._--.~-._--_._-.. --.---..
------...-- ---.-.-
..___._______ _... ..._k__.___· .---....--..--
....__ "__U_'
..--- -_._-_..~----_.--_.--~
----..--....
..--------..
3. SUMMARY OF TEST IŒSur:rS
~Number of Piping ~\lS 'I~~lcd~____ ________
Number ofUDC ~oxes Tested: ___._~-----
Number ofOVtl1i11 Do~es TesletJ:
la.. FaU
n
n
lJ
o
o
o
0____________,________,._-,--"---'---'--
o
LJ
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Comments
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. _._.------_._----._.--~--_...
.-.-.--.-..-.'...
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-....--.-------
._-- _. .------. '--- -- ,------ --_..-- ~
._.----_._.._-_.__._--_.-_..-~..-
.---.--..-------. -------
.---.
.-.--..------ -.---- -.--.-..---..---.------.
....._-------~--------_.__.-.-
--_.~-_..__.._--- ..--.-,.-
..---.--------.----.-..-- ...--
.,-.-------
-------.---..-------..---.--. -.--.---.--..--.-
._-_.~----_.-_._- .--.--....-.---. .--.
---_..._-_._..._._-~--- .--,-,--.,,-- -.---..---
-.._--_..---
- . ----------.-..-- --....-------.--.--
,T~~2~ure:
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Page __. of_
7. UNDER·DISPENSER CONTAINMENT UDC TESTING
Test Method Developed By: 0 UDC Manufdcturer 0 Industry Standard IJ Professional Eogin~l'
c -. 0 OÙler (Spec{lý)
Test Metbpd Uses: 0 Pressure
',-", ,.-'.
\"~i'~~l-:-i(.'·: 0 0 h /{Y ;I;,}
.. '-'i.,,",,"'.' ,_ t er l<3pec&.!/
MeasyQq8i~llÌpment Used for Testing:
o Vacuum
o Hydrostatic
UDC# II I
UDC#
UDC f#
~
~:
UDCtMlltci'ÏaI:' '
UDC: 'th:
H~8!!!Jj:9m.JJDC Bottom to
Hi est,P¡ 'Penetration:
Hejg~Aì:om,;t)DC Bottom to
Lowest:E1ectrical Penetration:
Conditiç!Y(;µDC prior to
te "'Ð"";';'~,¡,:y
PortionofUDC Tested
Does !~~ shut down when
UDC sensorßetects either
roduct or\vater'?
Turbint; shutdown response
tímeZ"h"; "",
Is system programmed for fail-
sak shutdown?
Was' fail.:<safe verified to be
o erational?
Wait time between applying
pressurç!v!ÇIoium!water and
start' test:·
Test StariiTime:
lnitialR
Test Erid,Time:
Final Rëadin
Test Duriltiori:
C ' è'in'1leadin ):
PassIFail Threshold:
<; '~iIi" '.",
Was sensor removed for
testÍt1 ? _,~O '
Was 'sensor properly replaced
after testi .
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Comments - (include information on repairs made prior to testing)
1 If thetestipgmethod does not test the entire depth of the UDC, specify how much of the UDC was tested. Methods not testing the
entire UDC'should only be used if the monitoring system provides f.ill-safe turbine shutdown.
2 Withthe,isubmersible pump running, place the sensor in product (discriminating sensors should also be placed in water), The time
between placing the sensor ill product and the turbine shutting down i:i tho response time. This should be done if the secondary lJÏ;;
COntainm, em testing method used does not test the entire volume of the UDC ~" ~.
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MONITORING SYSTEM CERTIFICATION
For Use By All Jurisdictions Within the State of California
Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations
This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared
for each monitorine system control pane] by the technician who perfonns the work. A copy of this fonn must be provided to the tank
system owner/operator. The owner/operator must submit a copy of this fonn to the local agency regulating UST systems within 30
pays of test date.
A. General Information /J ~ <,.- 3h \'
FaciJity Name: /7 ¡. ~
Site Address: '2-" Ð~ D c...., ~ '--~
FaciJity Contact Person: /' \.0 : b~
Make/ModeJ of Monitoring System: /6 ^'.,., ,,,J ,X-? ¿, ..s
B. Inventory of Equipment Tested/Certified
Check the :I ro riate boxes to indicate s ecilic e ui ment ins ectedlserviced:
Bldg. No.:
City: /s,A-r¿{:;'J7.S P7éê.r.:J Zip:
Contact Phone No.: (
Date of Testing/Servicing: L/ /'1/ (J a..
Tank ill: (i- 7 ¿ 0 1<- Tank ill:
DIn-Tank Gauging Probe. Model: 0 In-Tank Gauging Probe. Model:
B"Annular Space or Vault Sensor. Mode]: L5 - 7 e::Þnnular Space or Vault Sensor. Model:
Ø'Piping -Sump 1 Trench Sensor(s). Mode]: L"" - Y er)~¡ping Sump 1 Trench Sensor(s). Model:
e(í:;i¡¡ Sump Sensor(s). Model: L 5 - 3 áßilI Sump Sensor(s). Model:
¡;;r-Mechanical Lin'e Leak Detector. Model: ¿...L) 20 co A- t1 g;f MtçÌl:¡Ri~.J ~;,,~ L..J, ~l~~tor. Model:
o Electronic Line Leak Detector. Model: 0 EJectronic Line Leak Detector. Model:
o Tank OVertm 1 High-Level Sensor. Model: 0 Tank OverfiIJ 1 High-Level Sensor. Mode!:
o Other (s ecifve ui ment tv eand model in Section E on Page 2), 0 Other (s ecif e ui ment tv e and model in Section E on Page 2),
Tank ID: ,<::, lr Tank ID: /0 Ie '9...at-
o lJvTank Gauging Probe.' Model: 0 In-Tank Gauging Probe. ModeJ:
~nUlar Space or Vault Sensor. Model: L.S - 7 I2"Annular Space or Vault Sensor. Model:
, ing Sump 1 Trench Sensor(s). Model: ~, -' - 3 ~~ ing Sump 1 Trench Sensor(s). ModeJ:
u Jill Sump Sensor(s). ModeJ: ~,5-:2 'II Sump Sensor(s). Model:
erMechanical Line Leak Detector. Model: 'G.<) S I P Mechanical Line Leak Detector. Model:
o Electronic Line Lèak Detector. Model: 0 Electronic Line Leak Detector. ModeJ:
o Tank Overfill 1 High-Level Sensor. ModeJ: Q, Tank Overfill 1 High-Level Sensor. Model:
o Other (s ecifv e ui ment ty e and model in Section E on Page 2). Q Other (s ecifv e ui ment t e and model in Section E on Page 2).
DispenserID: ' - Dispenser ID: -- Y
!3'1)ispenser Containment Sensor(s). Model: V Ie. 3 "36 "ZI;)' - 00 l ~spenser Containment Sensor(s)., Model: v,~ :3 3 D JH;;' - 6.7}
erShear Valve(s).' c:fshearValve(s).
o Dis enser Containment Flaat(s) and Chain(s). 0 Dis enser Containment Float(s) and Chain(s),
Dispenser ID: Dis2-enser ID: ') --
D15'ispenser Containment Sensor(s). Model: 3 ~o;J-¡¡;) - O....t a"l)ispenser Containment Sensor(s), Model: 33Cµ:J. -0.. f
0--8hear Valve(s), C3"Shear Valve(s),
o Dis enser Containment Float(s) and Chain(s). 0 Dis enser Containment Float(s) and Chain(s),
Dis¡>enser ID: Cj? -r= Di~nser ID: / - /2-
~spenser Containment Sensor(s).ModeI: 3..1 O.)../;J -0 é7 I' c:r .9ispenser Containment Sensor(s). Madej: 'f /2. ~ 3'~:l oOD
.e-'Shear Valve(s), [3'Shear Valve(s).
ODis enser Containment Float(s) and Chain(s). 0 Dis enser Containment Float(s) and Chain(s).
"If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility,
C. Certification. I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers'
guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this infonnation is
correct and a Plot Plan showing the layout of monitoring equipment. For ::my equipment ca Ie of generoting such reports, I have also
attached a copy of the report; (check all that apply): 0 System set-up 0 r istory report
Technician Name (print): John Schellenbach Signature:
/.s-?
1'$-)
/5-'3
/.5-7
( S~1
( -> - ~
)ut..O ",0
Certification No.:
License. No
1 ~l1.180
Phone NO.:( S10 ) RQr;-?,,:!,,:!,,:! y ':\RC¡
Date of Testing/Servicing: Co / ( / /0.2-
Testing Company Name: Scot~ .sO_..of~fo~a ,
Site Address: 4"D/~~ l AJ \, W.../
Monitoring System Certification
Page 1 of3
03/01
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e
D. Results of Testing/Servicing
¡" ~.
Software Version Installed:
Co lete the following checklist:
Ye 0 No'" Is the audible alann 0 erational?
o No* Is the visual aJann 0 erational?
o No· Were al] sensors visual] ins ected, functionally tested, and confirmed 0 erational?
o No· Wer,e al] sensors ,installed at lowest point of secondary containment and positioned so that other equipment wiII
riot interfere with their ro er 0 eration?
If alarms are reJayed to a remote monitoring station, is al1 communications equipment (e.g, modem)
operational?
For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment
monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate
positive shut-down? (Check all that apply) ~mprrrench Sensors; 0 Dispenser Containment Sensors.
Did you confinn ositive shut-down due to leaks and sensor faiJure/disconnection? ~s; 0 No.
D~" For tank systems that utilize the monitoring system as ,the primary tank overfil] warning device (i.e. no
CJoo"1\I/A mechanical overfil1 prevention vaJve is installed); is the overfi1J warning alann visible and audible at the tank
fin oint(s) and 0 eratinu ro erl ? If so, at what ercent of tank ca acit does the alaim trigoer? %
Was any monitoring equipment replaced? If yes, identify specific sensors, probes. or othe,r equipment replaced
and list the manufacturer name and mode! for alJ re Jacement arts in Section E. below.
Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) 0
Product; 0 Water. If es, describe causes in Section E. below.
No" Was monitoring system set-u reviewed to ensure ro er settings? Attach set u
Yes No" Is all monitoring e ui ment 0 erational er manufacturer's s ecifications?
.. In Section E below, describe how and when these deficiencies were or wi\1 be corrected.
o No·
~
D No·
D N/A
DYes
o
D
licable
E. Comments:
.5/-1 v"TS
0/ ~¡J leI'! S (:;')'l..,t /.J4-~ Sc:.-ðJ~ 0 e~
, ,
tJ'V v.../J /)1 S}) ~.sé"l(_
/' ".
A--ê-<..:-
1 k,.... D /è!' ...
Pnge 2 of 3
03/01
e
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"F. IIi'.. Tank Gauging / SIR Equipment:
o 9teck this box if tank gauging is used only for inventory control.
if Check this box if no tank gauging or SIR equipment is installed.
This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring.
C
h f II
h k!'
omp ete t e 0 OWIng c ec 1St:
0 Yes 0 No" Has all input wiring been inspected for proper entry and tennination, including testing for ground faults?
0 Yes 0 No'" Were all tank gauging probes visually inspected for damage and residue buildup?
0 Yes 0 No'" Was accuracy of system product level readings tested?
0 Yes 0 No'" Was accuracy of system water level readings tested?
0 Yes 0 No'" Were all probes reinstal1ed properly?
0 Yes 0 No" Were all items on the equipment manufacturer's maintenance checklist completed?
... In the Section H, below, describe how and when these deficiencies were or will be corrected.
G. Line Leak Detectors (LLD):
~ck .this box if LLDs are not installed.
C
onwlete the following checklist: ,
@'" Y es o No" For equipment start-up ~r annual equipme~cation, was a leak simulated to verify LLD perfonnance?
o N/A (Check aLllhal apply) SImulated leak rate: g.p.h.; 00.1 g.p.h; 00.2 g.p.h.
~
,12f' Y,9 0 No" Were all LLDs confirmed operational and accurate within regulatory requirements?
8"" Y es 0 No" Was the testing apparatus properly calibrated?
c;vy es 0 No" For mechanica] LLDs, does the LLD restrjct product flow if it detects a leak?
o N/A
0 Yes o No"· For electronic LLDs, does the turbine automatically shut off jf the LLD detects a leak? ~
~
0 Yes ,~, For electronic LLDs, does the turbine. automatically shut off if any portion of the monitoring system is disabled
or disconnected?
0 Yes ~ For electronic LLDs, does the turbine automatically shut off jf any portion of the monitoring system malfunctions
or fails a test?
0 Yes ~.. For electronic LLDs, have all accessible wiring cl;>nnections been visually inspected?
./" N/A
I prYes o No'" Were aU items on the equipment ,manufacturer's maintenance checklist completed?
'" In the Section H, beJow, describe how and when these deficiencies were or will be corrected.
H. Comments:
Page 3 of3
03/01
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.~~
~". ARCO Products Company
Mechanical Leak Detector Test Data Sheet
Station #
S-.3 (;, S-
Address
ý%
w/~'-
<'
t.-µ
(-//-- 0 2..-
Date
~~ '=72.s /~ t.:'-ð
19
lJ:~
Test Information
1 2 3 4 5
Product 8? 8-, 7,,';l-
Manufacturer V;4t/ réP Pc p
Model ¿ L'J 70 00 1.J-¡4 P1¿,v 5 'T,o ml-O oS 'f?O
Full Operating Pressure (psi) ;;t'7 ;)-7 Z-~
Line Bleed Back (ml) 17û ~o ;}--f)
Trip Time (sec) 3·-0 3..~ 3~D
Metering Pressure (psi) Id' /2- JD
FÆ Holding Pressure (psi) d-.L ;:Þlf ;)7
Test Leak Rate (mlImin) (gph) , Ir¿ð 1'77) l'ið
PASS or FAIL AJ..5 1trJ5 J?J.S.5
Replaced All Failed Leak Detectors
Yes
No
N/A
/
If No, Replacement To Be Completed By (Date)
I
I
This letter certifies that the annual leak detector tests were perfonned at the above referenced facility
according to the equipment manufacturers procedures and limitations and the results as listed are to my
knowledge true and correct. The mechanical leak detector test pass/fail is determined using a low flow
threshold trip rate of 3 gph at 10 PSI.
.sCoif ~
Technician Jon).J Sc
Inspected By:
Contractor
~
Lic#
Signature
APC-3325 (8196)
'Ö'l:HH J<:\j Ubi \j
-=' Ut 11 11.~Z ¡\tAl 11 1 \
Lgj t)"t)":'
O~,.U5/U;¿ lu:14
:/~:'.j 7\.e/ '
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1\
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! :
CITY OF B~RStË~~o'~¡~1Ð
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA(661) 326-3979
.
", :-'; .~'-:~' t"2~!-lr~"" ~ i
, PERMl't4~PLICATION TO CONSTRUCTIMODffY UNDER(;ROUND STORAGE TANK
·'~'¡(j','~)jt~1'--;:'.';· ,
,-,}~l:,~~~;'r;}~:'.J'i·:: ' , .
TYPE OF'APPLIC~ (CHECK), ,
,[ ~'" ":!WY ODlFICA TION OF FACILITY", [ )NEW TANK £NST ALLA nON AT EXISTING F ACILlTY
';":, ,'~;<'
STARTniìO;DATE PROPOSED COMPLETION DATE
FACIL.i1ii~~E AIUß ~1AA.. ~365"' EXISTINGFACIL1J.Y PERMIT NO-
FACItI11Y'fADDRESS ~o lVI'';/! -"<AI CITY .G441/r{"I'/~ ZIP CODE,
TYPÉ~O¡¡fBUSINESS Óf4 5"'" ¡("" ~ APN # '
T~:Ö~¡" '/l..c, PHONE NO. ¿&./ ~,... t>yt
.,ADDâ£Ss~~¡~Ui r. , ZIP COOE øÞ'
coNj1~èro' e CA LICENSE NO. '16'105'3.
ADIi~~~;;~.' Bo>, Ko~~ CITY Jill p~ e /. ZIP CODE ¿¡J? 1~
PHo~lJiP:<r~¡Ù;" 61 '1-- ..,e, tJ d BAKERSFIELD CITY BUSINESS LICENSE NO_
Wo~¡COMP NO.' IN UREa.
BRJ~,c~':~~~,ìr}Ê" 'S",Ç",~E THE WORK TO BE DON~ e jt¿ filJ eJ
,.. ....! '"::~~i'!iJ" *' 'hI aft. /. . 'f'
~
SOIL TYPE EXPECfED AT SITE
TO BE INSTALLED ð' ARE THEY FOR MOTOR FUEL
ION CONfROL AND COUNfERMEAS1JRES PLAN ON FILE ><
SECTION FOR MOTOR FUEL
NO
NO
VOLUME
I/)/¿-
=+=
UNLEADED
(7
J'7
it"
tit
REGULAR
PREMIUM
DIESEL
AVIATION
," ,~ "1 .
. '. ;'~"¡~' _: " .
. :.:~ ',:~ :, ",:",:: . ~,.
SEcr10N FOR NON M OJOR FUEL STORAGE TANKS
VOLUME
CHEMICAL STORED
(NO BRAND N:AME)
CAS NO.
(IF KNOWN)
CHEMICAL PREVIOUSLY STORED'
FOR. omclAL USE ONLY
ç '?.S" /YLF ACIUIY NO. . NO. OF TANKS
FEES S
, ,HAS RECEIVED, UNDERST ANDS, AND WILL COMPLY WITH THE ATTACHED CONDIT IONS OF
. , <~ ANY OTHEft STATE, LOCAL AND FEDERAL REGULATIONS.
f'
A.SBEEN CaMP LETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS
cr. ~
' ~ Æ '
t£t#'5 5JMIw5h5 ~~
APPLICANT NAME (PRINT) PLlCANT SIGNATURE '
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
£18/12/2£1£12
:"'I _6
~'".. -"
1£1:24
71467£1542£1
.
HSE DEPT
PAGE £16
/
e
TORING SYSTEM CERTIFICATION (
or US/! By All Ju.risdictiøns Within rhe State of Califemia
eaLtf¡ Qtll1. Safety Code,- Chapw 16, Division J. 'Title 23. Ca.lifomic Code of RegJllarions
tiog and servicing of monitoring ~ql.lipmcnl. ~ setmrate c!:rtific:ation Or reDon: must be prepa~.â
o monitorinl! sv tem I by tl1e lechnic;ia.n wbc pert'orms thc work. A copy of this form must be provided to the tank
system owner/operator. Th~ owftcr/o erator must submit a copy of this fonn to the loca.) a.gency ~g1.l1atíng UST sY$tem.s within 30
, days of tellt da.te.
A. Generallnfo't~~#on A
FacilitY Na.me: . /7 {<
Site Add"ress: o/Ðr''' .
Bldg. No.:
City: )5¡4-'Cf::')lS P76-f.hJ Zip:
FacilIty Contact Pers(!n:
MakclModel of Mortï'toring SysLem:
Conlact Phone No.: (
Date of TestinglSe.nricing: ~I ~ 1/ -". ~
Tank ID: 5- 7 I't:> /<. Tank lD:
o 'In-Tank G~uging Probe. M el: ' Q In-Tank G:lUpng Probe:. Model:
cr'Annuhn'Sþuc: or Vault Sensor. M t:ld: L.5 - 7 ~nular Spaer. or Vault Sensor. Model:
¡;¡(fiping 'St.tmp I T~néh Scnscr(S). M el: L-' - :J crþping Sump I Trench Scnsor{s). Model;
~FiII Sump Sensor(s). M c:l: L ~ -.3 a'..,Pi11 Sump Scnsor(s). Model:
~echanic:t] Line Leak Detector. M dd: é-L> 2c co A- A- ~~~T'í dI L,~ W. D.l""&"r. Model;
o Elecvonic Line t..c::¡), Detector. M del: 0 EJectrortic Une Le:lk Detector. Model:
Q T¡mk Overfill I High-Level Sensor. M del: 0, Tnnk OverfiI! I High-Le"'d Sensor. Model:
'D Otöcr s ¡fv e: ui m~nt t e and mo 1 in Section E on Pa~e 2). 0 Olher ($ cdf c ui men! tV c:¡nd model in Sel;Üon E on Pa e 2).
'Tnnk ID: tt:::. ~ Tan¥. ID: C> I
o JÞ--Tllnk Gauging Probe:. ' M el: Q In-Tö1nk Gauging Probe. Model;
~Ulílf Spüce or Vault Sensor. ,M del: L.S - 7 ~nnular Space or Vault Sensor. Mode]: / 5 -- 7
. in!: Sump I Trenèh Scnso~(s). M el: ~ ~ - ~ ~' in~ Sump I Trench SensQr(s), Mode:l; ( ~-'1
u Jill Sump Sensor(s). 'M del: 5- :2 "n Sump Senso('(s). Mode]: t.:s -~
erMee"lI.nic:;I,1 I..ine L~ De(ector. M de:l: ~ 5Tf> Mechanical Line Le:ùc Detector: Model: ~ '5TP
a Electronic Line LC:iLì: Detector. M del: 0 Electronic L.ine l,.cak Detector., ModeJ; "
o Tank Ovc:cfilll Hish-Leve] Sensor. M cl: 0 Tank Ov~JJ I High-Level Sensor. Model:
Q Other (5 c:cifv é; ui mènl t'f c ,!nd mod I in Section E on p~ t 2 . Q Other (s tcifV t \Ii ment t e and mode] in Scètion E on Page 2).
Dispenser ro: D~S enser ID: - V, ' ,
~a~nsCr Containment Sensor(s). ,M del: . spenser Containment Sensor(s).. Model: '(It ) 3 ð ~;¡ - 6.:1)
~ Shear valve(s). ' Shear V.lvc(s). '
o Dis c:nser Contiiínment F1ollt(s) and Ch 'in(s), Q Dis nser CpO(llinmenl Flo¡¡t(s) nl'ld Chain(s).
Disperu¡tr ID: '" - Di~E:nser ID: -
D'15ispen~t;r COlu:unment Sensot(s). ,M del: ~ . ó ~ I e'''þispcoser Contn.¡nmenl Sensor(s). Model: ~ ~C
Q...8he¡¡r Vul\le(s). cTShe¡¡r V¡¡lvc(s).
o Dis enser Conu~jnmem Ploa¡(s) andCh in(s). 0 Dis cnser Cont¡¡jrlY1)erll FJcat(s) and Chain(s).
DÎ$~enser ID: - 0 Dl§Pen5erII): / - 1'2-
~spe:nscr Containment Sensor(s). M cl: J.) O..;;J..,:J -0 tS1 r Cf!Þape:n5er Cor1lainment SCn5or(s). Model: V /2" ~ ;~~ -<''''
oIa"'SheJIr V;I\I'=(s)., IJ""'SbeàT Valve(s),
. ODis n:ser Containment F!O:1t(s) Illld ChI! n(3). 0 Pis c:nS1:r ContiÙnmenl Roal{s) ö1nd Chain s)"
" ·1(loe fücílity c:onli1ins more tBnk$ or dispe 6CU. copy this form. Inellloe ¡nforml/tion (or every tank I1nd disp'/:ruer al the facility.
. C_ Certifícation - I certif)' that the qulpment identj(jed in tbJ, document was insJ?ectcdl:senkcd In accordance with the manufactt.lrl'J:'s'
¡uidelil'lCS. AUIlt:hed to th.is Ce/'"tUic:ation is inrormõl~lon (e_g. mJ:\nu.1::I<:tu~U$· chc:cklÎ$lS) necess:ólry to Vtrlt'y that tlús inConnntlon 'is
co/'"rec:t and a Plot PI::¡,n showing the ayo\lt of monitonng equipment. Forgn)' equipment C.:1 Ie Dr generDting such repo/'"lS, 1 have Dlso
, attached <I copy a~ the report; (chtc t:Jl t/uzr tlpply): a System set-up 0 r istory report
Tccbnic:ian Name (pi'int): 30 Signature:
/-s - 2
.... $~ '}
/5-.')
_c.(
I
Ccnification No.:
License. No
, R4.c180
Phone No.:( ~, () ) 8q~-?1~~ ,... ~RS
Dale of Testi.nglServícing: G / (' / ¡Q..2-
Testing Company Name:
Site Address: ~l>/ i:>
Pace 1 of 3
03101
Monitoring System CertUkation
08/12/2002 10:24
.J¡
7145705420
.
HSE DEPT
PAGE 07
~~
e
D. Results of TestinglServicin
Software Version Insta.lled:
Q~
~/A'
I:J 1'10*
1:1 NI A.
o Yes
E.
()'R!'~
- .
,.
Pl1ge 2 of 3 03/01
,
.
08/12/2002 10:24
7146705420
HSE DEPT
PAGE 08
'" .
:ᒠ.
F. In· Tank Gauging I SIR Eq µipment: ~Ck this box if lank gnuging is used only for inventory control.
Check this box if no ta.nk gauging or SIR equipment is insta.lled.
This section must be eompleted f in·tank gauging equìp.ment ìs used to perform leak detection monitoring.
, Comulete die followin!;1 checklist:
Q Ye¡ I CJ No" H~ a1linput wit ng been inspected for proper entry arid termination, including testing for ground faults?
o Yes o No· Were :al! tank gal zing probes visualJy inspected for damage: and residue buíldup?
a Yes Q No· Wt\s accuracy of system pròcluct level readings I~sted? '
DYes o No· Was accuracy of sys~m water level readings tcstr:d?,
a Yes o No* Were :111 probes cinstnlled properly?
c:J YeS o No* Were all items 0 the:. equipment manufacturer's maintenance checklist eomplctcd?
.. ¡" the Section H, below, describe ~ ow and when these deficiencies were or will be ~oo-ec:ted.
, '
G. Line Leak .Detectors (LLD ; l415h'eck .this box if LLDs ~ ~ot inst:l.l1ed.
Conwlete the followin2 checklist:
tr' y C5 o No'" For equipment s art-up ~r annunl ~qujpme~.ation, was a leak simulated to verify LLD performance?
o N/A . (Chéck tzU/hat a Þply) SJmulated lenlc rate: g.p.h.; a 0.1 g.p.h: 0 0.2 g.p.h.
~
, E1' '1).s a No· Were all LLDs c ~nflJ1Ted operational ôlnd accurate within regulatory ~Cuirementsi ,
e'Ye:.s 0 No'" Was the testing ¡; þparatus properly calibrated?
!;r""ies o No. For 'mechanical 1 j.LDs. does the LLD restrict product flow if it detects a leak?
o N/A /
o Yes ~. For eJec~onjc U Ds, docs the 'turbine automaticAlly shut off if the LLD detects a leak? -
IA
o Yes ~ For electronic L¡ Dj¡, doest}¡e turbiM.ButomaticaJJy shut off if any portion of the monitoring system is disàbled
, N/A, or disconnected?
Q Yes ~ For electronic U Ds, does the turbiM automatically shut off if any portion of the monitoring system malfunctions
or fails a test'] , ,
a Yes ~. For electronic U Ds, have ail accessible wiring c9nnections been vjsut\lJy inspccto::d?
, ;/" , N/A
I ;;¡¡r y C5 o No'" W~rr:. all hems 01 ~h~ c:quipme¡'t.manufaGturer's maìntGn¡¡!'I¢1!: checklist complete.d?
* In the Section H, below, describe h þw and when these deficiencj~ were or will bt corrected.
H. Comments:
Page 3 of 3 03101
" .
08/12/2002 10:24
7146705420
HSE DEPT
PAGE 0'3
r. --
JiI!,~r~,...-o<~ e "
,
~~ Mechanical Leak Detector Test Data Shee
~~ ARCO Produc~ Company
Station # s-j ¿~ Date (-//.. 0 :2.- 19
ç,% - l-;....) A+~C:-/l.s 4é-~
Address (.".J /; /7è'
Test Infonnation
1 2 3 4 5
Product 87 8'j 7)...-
Manufacturer VAl PCP Pe:= p
Model LD7Qco¡}A P'W S rJlO 7"1'--<> S r-;o
Full O}:Jerating Pressure (psi) ~~ d-7 2-ð"
Line Bleed Back (m!) /7?> ~o ;;-rr
Trip Time (see) 3·-0 3..0) 3ro
Metering Pressure (psi) Ii', /)., JD
FÆ Holding Pressure (psi) :J-L ;:;,t¡ .:2-7
Test Leak Raœ (m11min) (gph 1?6 1'77:> 17ó
PASS or FAIL ßrJj ß,..ú J?fs5
Replaced All Failed Leak Detec tors Yes No N/A /'
If No, Replacement To Be Con pleted By (Date) I I
(
This letter certifies that the ¡¡ jnnual leak detector tests were perfonned at the above referenced facility
according to the equipment m ~nufacturers procedures and limitations and the results as listed are to my
knowledge true and correct. 1 (he mechanical leak detector test pass/fail is determined using a low. flow
threshold trip rate of 3 gph at 1 o PSI.
Inspected By: Contractor 15Coq' ~
Technician ~ )0/1).) .sC/L~J =V~r Lic#
Z1
Signature .
/L
~ (&'86)
t
~
_I:
~===..,¡¡¡¡¡¡¡,=/ BEL SHIRE
- -- ~-
=-=_ ~E ENVIRONMENTAL
=:;;;::":=;;;;;;-'ll!lf=ØE SERVICES, INC
It
e
/\'u '
~
PMB 269
25422 Trabuco Road #105
Lake Forest, CA 92630-2797
(949) 450-1010
Fax (949) 450-1177
July 17, 2002
Via UPS 2"d Day Air
City of Bakersfield Fire Department
1715 Chester Avenue, 3rd Floor
Bakersfield, CA, 93301
_._->-~-....:--.
'-,
»'"
A TIENTION ~,§J~v..e~Unde1=Wood-_..__.:..__.,",_" ""'''-_
/'~"---- --------------" ~
I RE: PRELIMINARY TEST RESULTS - S8989 COMPLIANe¡¡;j
\ ARCa Facility No.: 05365 /
Facility Address: 4010 WIBLE RD, BAKERSFIELD, CA 93'309
//
, /
'-'- .....--/
peF....C~ifornia Water Resources Control B..~~IçLrequitéments, attached are results from secondary
containÌñèht-te-sting-perfornled-at-the'suoj ect facility.
ARca is currently coordinating necessary repairs to satisfy testing requirements. Once repairs
have been made, your agency will be notified of all scheduled re-testing.
Test Date
06/26/02
Pae:es
2
ARca is committed to the compliance of all environmental laws that govern the safe operations
of its facilities. Should you have any questions or concerns regarding testing activities at this
facility, please do not hesitate to call Michael D. Wilson, BP Environmental Compliance
Specialist for this facility at (714) 670-5321, or myself at (949) 450-1010.
~
Project Manager
Belshire Environmental Services, Inc.
,I
I,
Underground Starage Tank System
Secondary Conføinment Certification Form
Tanks, Piping, & spill Buckets
Page_ or_
Facility#:~ City: fuXct'~\e.\0~
Facility Address: l..¡tJID 'üJlh{~ rd ' í
e ~ Testing Contractor: fl.!1 STt1r' peT'(?J~u.I'b-._ Tesl Date: 0-2 ~·o 2
è/~ -r . ,;/é: 1(11 ~
Contraclor Address: r4.lJ../PJ#1riJer T~h. Name: vr1t::!t1( I P
UST Annular S nce
Tank #1
Product
e
Capacity
Manuracturer
Test Start Time
I
I
:1
,
I
InlUal Pressure
Test End Time
Final Pressure
Test Results
Signature
S UI Buckels
Prodtu:t
MaDuradurer
,e
I
I
Slart Time (10)
Water Level
Time (I.)
Water Level
Time (tl)
Water Level
Time (t3)
Water Level
Time (14)
Water Lenl
Tert Results
Signature
f~
Rcv. 11101
\
.
Overfill /12,
@ 89 9\ D
i Over(j1l1#3
~7 89@> Õ
Overfill /14
87 89 91 0
White - Original,
SecondnrJ!..!!J!.i"
Product
Piping Type
Manufaclurer
Test SI8rl Time
Initial Pressure
Test End Time
Final Pressure
Test Results
Si~nature
Secondo
Line #15
87@>91 D
l.ine "6 Line .,7 Line 1#8
87 gq <9 D ti7 89 91 0 87 89 9 I D
, Product
Piping Type
Manufacturer
Trst Start Time
loilial Pressure
Test End Time
Final Pressure
Test Results
Sian.ture
l'rinlll1'\' !'iillh.." Primary Siphon
Pass Fail Pass Fail
Yellow - Area Environmental Compliance
Pink - Contractor
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co
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trJ 0
N N
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0
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0 ..
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trJ CD
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Underground Storage Tank System
S«ondary Containment Certification Form
Turbine Sumps, Fill Sumps and Under Dispenser Containment
Page_ of_
Facility H: ~Cit.Y: .fu.\\'...e ~ ~ \ ~\d' ~~
Facility Address: ~6tC 'tJ)\ b \{'R \)
Testing Contractor: !I/ J %. ,," ¡2d If'r7 l-e c..c.rYJ Test Date: &;-2~ -0-1-
Contractor Addrm: ¿¡6æ 4) 0€J1r1I(~~ech.Name: ~IÁ.Q t
Turbine Sumps
ID (north, slave, etc.)
Manufadarer
87
91 D 81 89 @ D @ 89 91 I) 8
i
i
I
89 91 D
87 89 91 D &7 89 9 ) @ 81l III II '@ 119 91 D
e
Start Time (to)
Water Lenl
Time (t.)
Water Lenl
Time (tz)
Water Lenl
Time (tJ)
Water Level ,
Time (~)
Water Le\'el
Test Results
I[
I
I
II
I'
I
!
Slgoalure
UDC ,
ID (112. 3/4. dc.1
Manufacturer .
,
Start Time (fo)
Water Level
Time (tl) i
Water Level j
-, I
Time (tl)
Water Level I
I ----
Time (t) I
Water Level i
I
Time (t.c) I
t
Waler Level I
Test Result¡ PISS Fail Pass Fail I Fail
P¡us PMS Fail
Slgoature !
I
.
I'
I
'~
\
Start Time (to)
Water Level
Time (I,)
Waler Level
Time (It)
Water Level
Time (IJ)
Waler Level
Time (14)
Water Level
Test lùsults
;'00
006
'1.'00
002
0: JD
VOl
1ð~ ú3
00
'D;a~
c)
Signature
UDC
ID (112. 3/4, ctç.)
Manufacturer j
Start Time (10)
Water Level
TIme (tl)
Water Level
Time (I¡)
Water Level
Time (tJ)
Water Level
Time (14)
Water Level
Test Results Pass Fail Pass fail Pass Fail Pass Fail
-
Signature
L.
c:
(.¡ J
c:
, N
CD
...
(¡) 0
N N
...
o
... CD
o ..
.. 0
(,) U)
N !II
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n
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~(\ ARCO ~~
\\Ij.~v \J
~- ~\.\ ~
(J;" ~ \C\
II'.. /, July 10, 2002
, \" jé'
-e
.
BP West Coast Products LLC
4 Centerpointe Drive
La Palma, California 90623-1066
Mailing Address~ Box 6038
Artesia, California 90ì02-6038
[nspector Steve Underwood
Bakersfield Fire Department
1715 Chester Ave, 3rd Floor
Bakersfield, CA 93301
Fax
Subject New Environmental Specialist
Dear lnsp, Underwood:
Per our phone conversation today, this letter is to advise you that I will be handling any
Environmental issues relating to the ARCO stations in Kern County. I have attached a list
of stations that fall under my responsibility. If you need further information do not
hesitate to call on me,
Please feel free to contact me with any questions or concerns.
Sincerely,
/l1 ¡J~
Michael D. Wilson
Office (714) 670-5321
Cell (714) 815-2455
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
__r...
," ,.......,~", 'i-<{>I':.
-
e
June 30, 2002
AM / PM
4010 Wible Road
Bakersfield, CA 93309
REMINDER NOTICE
RE: Necessary Secondary Containment Testing Requirement by December 31,
2002 of Underground Storage Tank located at 4010 Wible Road.
Dear Tank Owner / Operator:
The purpose of this letter is to inform you about the new provisions in
California Law requiring periodic testing of the secondary containment of
underground storage tank systems.
Senate Bill 989 became effective January 1,2002, section 25284.1 (California
Health & Safety Code) of the new law mandates testing of secondary
containment components upon installation and periodically thereafter, to e~sure
that the systems are capable of containing releases from the primary
containment until they are detected and removed.
Secondary containment systems installed on or after January 1,2001 will be tested
upon installation, six months after installation, and every 36 months thereafter.
Secondary containment systems installed prior to January 1,2001 will be tested by
January 1,2003 and every 36 months thereafter. REMEMBER! Any component
that is "double-wall" in your tank system must be tested.
Secondary containment testing shall require a permit issued thru this office and
shall be performed by either a licensed tank tester or licensed tank installer.
Please be advised that there are only a few contractors who specialize and have
the proper certifications to perform this necessary testing.
For your convenience, I am enclosing a copy of the code for you to refer to. Once
again, all testing must be done under a permit issued by this office.
Should you have any questions, please feel free to contact me at (661)326-3190.
"~"
- ..
, '
St ve Underwood
Fire Inspector/ Environmental Code Enforcement Officer
Environmental Services
SUIkr
--7~ de W~ ~.A0Pe y~ A W~"
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 "H" Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661)395·1349
SUPPRESSION SERVICES
2101 "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
-
-
AM-PM
4010 Wible Road
Bakersfield, CA ,93309
RE: Necessary Secondary Containment Testing Requirement by December 31,
2002 of Underground Storage Tank located at 4010 Wible Road
REMINDER NOTICE
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 shall be tested
upon installation, six months after installation, and every 36 months thereafter.
Secondary containment systems installed prior to January 1,2001 shall be tested by
January 1,2003 and every 36 months thereafter. REMEMBER!! Any component
that is "double-wall" in your tank system must be tested.
Secondary containment testing shall require a permit issued thru this office, and
shall be 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.
Sincer~ ., '
~~
Steve Underwood
Fire Inspector/ Environmental Code Enforcement Officer
SBUIkr
enclosures
--.7~ ~ W~ ~.A0P6 .9"'~ A W~"
(C~J
'\'''
_ _ermit No. ?iC - 02-19
CITY OF BAKERSFIELD 7) l'dI-t)q(¡2-C)
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (661) 326-3979
PERMIT APPLICATION TO CONSTRUCTIMODIFY UNDERGROUND STORAGE TANK
TYPE OF APPLICATION (CHECK)
[ ]NEW FACILITY []MODIFICATION OF FACILITY []NEW TANK INSTALLATION AT EXISTING FACILITY
STARTING DATE 6<- h ~z· PROPOSED COMPLETION DATE s- ;142
FACILITY NAME EXISTIN..Q.FACILITY PERMIT NO.
FACILITY ADDRESS ":û5L-Tl- CITY t5Jfxj¡;e5'F'JtU-6, ZIP CODE "953" c¡
TYPE OF BUSINESS s:n>-E/ê- APN #
TANK OWNER PHONE NO.~ ZIU"ó2.rl
ADDRESS CITY ZIP CODE UI~
CONTRACTOR ít:U17 tft;¡A./Ty CA LICENSE NO. ~ø' o~ ~
ADDRESS '#/YM· s-t CITY ~ /.. ZIP CODE ~tP,
PHONE NO. t:l5lf-t::'/'1s-0 BAK.ERSFIE~-º CITY BUSINESS LICENSE NO. !~. -~ Fde-
WORKMAN COMP NO. Fft..A£... INSURER ¡.::;rl..-1L.
BRlEFL Y DESC~HE WORK TO BE DOfiç ('~:Pt/ø 72? ::Ot/5"r/1U,.. Zð é~:r) 'EÆ.r--~ IiTr
¡¿t..ltCTl?THL. 75. I :JÑS77'1f....t.... (I) ~O'l.ðW ~uJáC.rr;-
,
WATER TO FACILITY PROVIDED BY ?Vøt ,. (1'1 I '<.
DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE
NO. OF TANKS TO BE INST ALLED 1-/ ARE THEY FOR MOTOR FUEL ~ NO
SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE ><. YES NO
TANK NO.
t
2-
~
"I
VOLUME
17>/<-
(ð/L.
lOlL
1°1{
TANK NO.
VOLUME
. -' ~ .
I APPUCATI;)N~¡\~~ '
SECTION FOR MOTOR FUEL
UNLEADED
X-
x
.B,EQ~f:1Œ19 PREMIUM
DIESEL
AVIATION
.(
v
...
SECTION FOR NON MOTOR FUEL STORAGE TANKS
CHEMICAL STORED
(NO BRAND NAME)
CAS NO.
(IF KNOWN)
CHEMICAL PREVIOUSLY STORED
FOR OFFICIAL USE ONLY
.'\
. ,. - " .
'FAclllTY NO.
. ,.. . .
.., NO.QFTANKS
FEES $
, .
THE APPLICANT HAS RECEIVED, UNDERST ANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF
THIS PERMIT AND ANY OTHER ST ATE, LOCAL AND FEDERAL REGULATIONS.
THIS FO~ HAS BEEN COMP LETED UNDER PENALTY OF PERJURY, AND TO THE BE T OF MY KNOWLE E, IS
TRUEJftº C~RJf~ /""'\ ,,/' "
..,utéu ~) j:f/l£'ð/I/ ~17ZIIf¡/ ~
APPROVED BY: APPLICANT NAME (PRINT)
Tms APPLICATION BECOMES A PERMIT WHEN APPROVED
.~
~'
j
.?t "
05-03-02 12: 49PM FROM. CONSTRUCTION
P02
-
Kern County Construction, Inc.
P.O. Box 6096, Bakersfield, CA 93386
Contractors License # 481053
(661) 634.9950 Fax (661) 634.9233
Bakersfield City Fire Department
A IT. Steve Underwood
Scope of w
To install 20 SSI RE-ENTRY boots
Replace 1 OPW Overspill bucket
Replace 2 Total Contaminate boots at dispenser
tþ
~,
;ï"- -
05-03-02 12:49PM FROM" CONSTRUCTION
PO!
.
-:!
--IŒf~r
:~I'~':;;. ,
~...-...-
KERN COUNTY CONSTRUCTION, ·Ii'¿~,
PO B 6096 ;ë, :!~~'~, ,
. . ox ",;,-':,
Bakersfield, CA 93386
Phone: (661) 634-9950
FAX: (661) 634-9233
DATE: s- h jz...
TIME: /ó :5~ ~"'1
:."
ATTN: ~~VL- Ú~e
.. '
>,',t,
¡ :.
COMPANY NAME:
:~
:",~t~\1
".t1
::1:,1
,,~ 1~¡
, ,
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P.O. BOX 6096
BAKERSFIELD, CA 93386
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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 93306
VOICE (661) 399-4697
FAX (661) 399-5763
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April 17, 2002
AMlPM
4010 Wible
Bakersfield CA 93309
RE:
Necessary Secondary Containment Testing Required by December 31, 2002
REMINDER NOTICE
Dear Tank Owner/Operator:
The purpose of this letter is to inform you about the new provisions in California law
requiring periodic testing of the secondary containment of underground storage tank
systems.
Senate BiII 989 became effective January 1,2002. Section 25284.1 (California Health &
Safety Code) of the new law mandates testing of secondary containment components
upon installation and periodically thereafter, to ensure that the systems are capable of
containing releases from the primary containment until they are detected and removed.
Secondary containment systems installed on or after January 1,2001 shall be tested upon
installation, six months after installation, and every 36 months thereafter. Secondary
containment systems installed prior to January 1,2001 shall be tested by January 1,2003
and every 36 months thereafter.
Secondary containment testing shall require a permit issued thru this office, and shall be
performed by either a licensed tank tester or licensed tank installer.
Please be advised that there are only a few contractors who specialize and have the proper
certifications to perform this necessary testing.
For your convenience, I am enclosing a copy of the code for you to refer to. Once again.
all testing must be done under a permit issued by this office.
Should you have any questions, please feel free to contact me at 661-326-3190.
SincJlLe,rel,~,/ ,
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Steve Underwood
Fire InspectorlEnvironmental Code Enforcement Officer
SB U/dm
enclosures
""7~ ~ W~ $OP vØ/;0Pe.r~ A W~'I'I
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April 1 2002
Via USPS
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BP West Coast Products, LLC
Environmental Compliance Department
4 Centerpointe Drive
La Palma, California 90623-1066
RE: Certification for Financial Responsibility for ARCO Facilities
Enclosed is a copy of the current Certification of Financial Responsibility, which covers all
ARCO facilities in your area (see final page for a detailed list). This Financial
Responsibility is active through January 1, 2003.
If you have any questions regarding the enclosed document, please contact me at (714)
670-5336.
Best Regards,
~~,.
Nora Koskenmaki
Environmental Compliance Specialist
BP West Coast Retail Business Unit
Enclosure:
Certification of Financial Responsibility with Attachments
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BP Amoco Corporal,on
HSE Group Resource
801 Warrenv,lJe Road
L,slc, IL 60532-4323
February 4, 2002
U.S. E.P.A. Regional Offices/State Implementing Agencies
Dear Sir or Madam:
SP West Coast Products, LLC. - Financial Responsibility Documentation
Petroleum Containing USTs - 40 CFR Part 280
The enclosed document comprises the financial assurance mechanism by
which SP America Inc. demonstrates financial responsibility pursuant
to 40 CFR 280 Subpart H for taking corrective action and compensating
third parties for bodily injury and property damage caused by
accidental releases arising from the operation of petroleum
underground storage tanks.
This document is believed to be complete and accurate. However,
considering the number and geographic dispersion of USTs covered by BP
America Inc.'s financial responsibility, it is possible that errors of
omission have occurred and the tank listings will not always be
current as of the date of the review. In any case, it is the intent
of BP America Inc. to provide the mandated financial responsibility
requirements for all USTs subject to 40 CFR 280 Subpart H.
(see attached list of facilities. All tanks maintained at each of
these facilities are assured by this mechanism)
If you have any questions regarding the information submitted, please
contact Michelle Bien at (630) 434-6181.
Sincerely,
Jerome P. J{ouren
Jerome P. Houren
Manager, HSE - Financial & Performance Improvement
-'
Enclosures
M. F. Burke, San Diego, CA
S. D. Comley, T2-l29, Long Beach, CA
R. H. Halsey, 4-463, La Palma, CA
L. C. Hernandez, 4-469, La Palma, CA
M. J. Lowe, 869, Midland, TX
N. Norcross, Carson, CA
D. Portello, Richmond, CA
V. C. Slayrnan, 4-460, La Palma, CA
J. D. Starr, Cantera I"Warrenville, ,IL,
R. M. Walker, South Gate, CA.
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CERTU·:IChTE OF ~CE
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Name .. Addres s :
See Attachment ì.A and B.A for names and
addresses of each covered CST location.
Policy NUmber:
Con~act facility represencative or Jeff Hall at
MARSH(3~2-627-6QaO) for copies of all üST
waste facili~y liability endorsement policy
numbers.
Period of Coverage:
January 1, 2Q02 through January~, 2003
Name of Insurer:
INA Surplus Insurance Company
Addrees of Insurer:
1601 chestnu~ Street Philadelphia,PA 19101-1'94
Name of D1sc.red:
BP America I'nc.
Address of Insured:
200 E. Randolph Drive, Chicago. IL 60601
Certi.fic3.'Tion:
1. XNA surplus Insurance COmpany, tbe Insurer, as identified above,
hereby certifies that it has issued liability insurance covering
the following underground s~orage tank(s): (see Attachm~ts 7.A
and a.A) for taking corrective action and compensating third
pa.rt:i.ea for bodily injury and. property damage caused by
accidental releases arising from operating the underground
storage tank(s) identified above.
The limits of liability ~re $ J., 000, 000 per occurrence and annual
aggregate :¡¡ 2,000,000, eY.clusive of IB9'dl costs, which are- ~ject to a
!;6p3.ra.te limit \md.e.r the policy. 'l'hio cover~go 10 prov:!.dcd under
(policy number). The effective date of said po~icy i~ January 1,2002.
2. ~he Insurer fur~er cercifies ~he follo~g with respec~ to thg .
~urance described in Paragr~ph 1;
a. Bankrup~cy or insol veney of the insured shall not relieve
the INA Surplus Insurance Company of its obligations: u.nder
the policy to which this cdrt.ificate applies.
b. The Insurer is liable fo~ the payment of amounts wi::hin ,any
deductible ~pplicable to the policy to the provider of
Corrective action or a ~ged thirdparty, with a right of
re1mbursemen~ by the ingured for any such payment made by
the Insurer. This provision does not apply with respect to
that amount of ~y deductible for which coverag~.is
demonstrated under another mechanism or combinati~n of
meChanisms as specified in ~o CFR 260.'5280.102. ;
c. Wh~ever requested by (a Director of an implementing
agency), the Insurer agrees to furnish to (the Director) a
signed duplicate original of the policy and all
endorsemen~s.
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Cancellation or any other termination· of t.he in.sura:lce by
the Insurer. except for nonpayment of premium or
m1arepresen~tioQ by ~ iD$uxed, vill he effective only
upon \n:it:t:en notice and only after the expiration of CiO
days ~fter a. copy of 'such written notice is 1:'eccùved by the
insured. Ca.nc:ellaticn for nonpayment of premium or
misrepresen=atian by the insured will be effective only
upon written nocice and only after expiration of a minimum
of 10 days aft:e::- a copy of such vritten notice is received
by the insured. .
The insurance covers claims ot.he.1:Wiee covered by the policy
that are reported t.o the Insurer wi~ ~ix months of :he
effective date of cancellation or nonrenewal of the policy
except where the new or renewed policy has the s;¡me
retroactive date earlier than chat of the prior policy. and
\,Ihich arise out of a.ny covêt'ed occurrence that connnenced
a.fter the. policy retroactive date, if applicable. and prior
to 6uch policy renewal or terminatio~ date. Claims
reported du~g süeh ext:ended reporting period are subject
t:o the terms, cocrlitions. limits. including limits of
liability, and exclusions of the policy.
d.
e.
I hereby certify that the wording of this iIlstrument: is identical to
t:he wording in 40 CFR :280.97(b) (2) and that the Insurer is licensed to
transact: the business of insurance in 0:16 or more states.
&.A J1M-'~
Authori~ed Representa~ive of Insurer
S2S West Monroe. Chica~o, IL 60606
Address of Representative
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&.~ Stal.: or Wal.:r R.:sourœs Controllloard
Division orCkan Wal.:r Programs
1',0, /lox <).14212
~toC~' ,.~. Sacram.:nlo. C^ ()4244-2120
~~~~~.o:.~". . (Inslrn':li"l1s "11 rc\'crsc siùc)
CERTIFICA TION OF FINANCIAL RESPONSIBiliTY
FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM
A I am relJuired to d.:monstrate Financial Responsibilily in the RelJuired amounts as spccified in Seclion 2X07. Chapter IX. Div, 3. Tille 23. eCR:
D 500.000 dollars per occurrencc 0 I million dollars annual aggregate
or ^ND or
ŒJ I million dollars pCI' occurrcnce ŒJ 2 million dollars annual aggrcgate
B, BP Comoration North America Inc, hereby certifies that it is in compliance with the requirements of Section 2807.
(Name o( Tank Owner or Operator)
Article 3, Chapter 18, Division 3, Title 23, Califomia Code of Regulations.
The mechanisms used to demonstrate financial responsibility as required by Section 2807 are as follows:
C. Mechanism Mechanism Coverage Coverage Corrective rhird Party
Type Name and Address of Issuer Number Amount Period Action Comp
INA Surplus Insurance NIA $1,000,000 per
Certificate of Company occurrence 01/01/2002- Yes Yes
Insurance 1601 Chestnut Street 01/01/2003
Philadelphia, PA 19101-1484 $2,000,000
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Note: If you are using the State Fund as any pari of your demonstration of financial responsibility, your execution and submission of
this ceriification also certifies that you are in compliance with all conditions for pariicipation in the Fund.
0, Facility Name Facility Address
SEE ATTACHED LIST OF SITES
Facility Name Facility Address
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Facility Name Facility Address ~
:
E, S;g"~.. .'0"-"'',", _ Date Name and Title of Tank Owner or Operator
(_:::._ . . 70r::?'~) ~ rlSí () :2- Glen VanderVeen, Environmental Compliance Manager. West
Coast Retail Business Unit
Signature of Witness or Notary , Date Name of Witness or Notary
~ ~ ~\, S- \ oz.... Nora Koskenmaki, Environmental Complié!nce $pecialist,
'.
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CFR (Revised 04/95)
....I.E: Ori,:inal - Loc:!1 Agcne)'
COplCS - I-aclhty/SltC(S)
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DECLARATIONS [X] INA Surplus Insurance Company
UNDERGROUND PETROLEUM STORAGE TANK
POLLUTION LIABILITY POLICY An ACE Company
(Scheduled Tanks)
PRODUCERS NAME:
Marsh USA Inc. POUCY IDENTtFlCA1l0N
500 West Monroe Street PLI G20308175
Chicago, IL 60661
TillS IS A CLAIMS - MADE POLICY - PLEASE READ IT CAREFULLY.
THIS POLICY COVERS ONLY SCHEDULED TANKS.
ITEM 1
NAMED INSURED
BP Amoco PLC
BP America Inc.
ADDRESS
Mail Code 2304
200 East Randolph Drive Chicago, IL 60601-7125
ITEM 2. Policy Period
From January 1. 2002 To January 1. 2003
12:01 A.M. standard time at the address of the NAMED INSURED shown above.
ITEM 3. RETROACTIVE DATE
This insurance applies only to "bodily injury," "property damage" or "environmenta¡ damage" caused by an
"Underground Storage Tank Incident" when the "Underground Storage Tank Incident";commences on or after
the Retroactive Date shown below.
Retroactive Date: January 24. 1989
(In the absence of an entry, the Retroactive Date will be the date this policy takes effect)
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DECLARA TIONS
UNDERGROUND PETROLEUM STORAGE TANK
POLLUfION LIABILITY POLICY
, (Scheduled Tanks)
e
POLICY IDENTIFlCATlQN
PLI G20308 I 75
PAGE 2
ITEM 4: Limits of Insurance
In return for the payment of premium indicated below, we agree with you to provide the following coverage(s)
. at the limits shown, subject to all of the tenns and conditions of this policy.
Coverage A - Bodily Injury and Property
Damage and Coverage B - Mandated "Corrective
Action" Combined Single Limit
$ 1.000.000
Each "Underground Storage
Tank Incident"
Coverage A - Bodily Injury and Property
Damage and Coverage B - Mandated "Corrective
Action" Combined Single Limit
$ 2.000.000
Aggregate Limit for all
"Underground Storage
Tank Incidents" combined.
ITEM 5. Defense Expense Limit
$ 500.000
Aggregate Limit for
all "defense expen~e."
ITEM 6. Deductible Amount
Coverage A-Bodily Injury and Property
Damage and Coverage B-Mandated
"Corrective Action" Combined Deductible
$ 1.000.000
Each "Underground
Storage Tank Incident. "
ITEM 7. Scheduled Locations(s)
SITE # 1
See Under~round Petroleum Stora~e Tank
SITE #2
Pollution Liability Certificate Endorsement No.4 thru 7
SITE #3
See Scheduled Tanks_
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ITEM 8. Scheduled Petroleum Storage Tanks See Schedule of Tanks attached
ITEM 9. Advance Premium $ 2.500
( $2.500 ) Flat
Minimum Premium $ 2.500
at inception.
( Nt A ) Adjustable
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DECLARATIONS
UNDERGROUND PETROLEUM STORAGE TANK
POLLUTION LIABILITY POLICY
(Scheduled Tanks)
PAGE 3
POLICY IDENTlflCA 110N
PLI G20308175
ITEM 10. Audit Period: Annual unless otherwise stated: Not Applicable
ITEM II. Fonns and Endorsements attached to policy at inception:
CG00420798
CC 1 EI5
CCIE15
CC 1 E 15
LD-5S23e
XS3496b
XSI U93d
Endorsement No.
Underground Petroleum Storage Tank Pollution Liability
Coverage Fonn
Deductible Endorsement 1
Nuclear Energy Liability Exclusion Endorsement (Broad Fonn) 2
Schedule of Tanks and Locations 3
Underground Tank Endorsement 4
Underground Tank Endorsement 5
Underground Tank Endorsement 6
Above Ground AndUnderground Tank Endorsement 7
Amendatory Endorsement 8
Underground Tank Endorsement 9
Underground Tank Endorsement 10
Signature Endorsement II
Service of Suit Endorsement 12
Surplus Lines Notification 13
This Declarations and the Coverage Fonn and Endorsement(s). if any, listed above complete the above numbered
policy.
Countersigned :
Ar(·~
/llor
DATE
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AUfHORIZED REPRESENTATIVE
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Endorsement Number 4
Name: Underground Tank Endorsement
Address: Per list attached
Policy Number: Claims Made PUG 20308175
Period of Coverage: 1/1/2002 - 1/1/2003
Insurer: INA Surplus Insurance Company
Address: 1601 Chestnut Street
Philadelphia, PA 19101-1484
Name of Insured: BP America Inc.
Address of Insured: Mail Code 2304
200 East Randolph Drive
Chicago, Illinois 60601-7125
1. This endorsement certifies that the policy to which the endorsement is attached
provides liability insurance coverage for the following underground storage
tanks in:
Per list attached
for taking corrective action and/or compensating third parties for bodily injury
and property damage caused by either sudden accidental releases or non-sudden
accidental releases or accidental releases.
The limits of liability are
$1,000,000 each occurrence
$2,000,000 annual aggregate
exclusive of legal defense costs
This coverage is provided under policy number Claims Made PUG 20308175
The effective date of said policy is January 1, 2002
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2. The insurance afforded with respect to such occurrences is subject to all of the
terms and conditions of the policy, provided however, that any provisions
inconsistent with subsections (a) through (e) of this Paragraph 2 are hereby
amended to conform with subsections (a) through (e).
'.
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a. Bankruptcy or insolvency of the insured shaH not relieve INA Surplus
Insurance Company of its obligations under the policy to which this
Endorsement is attached.
b. INA Surplus Insurance Company is liable for the payment of amounts
within any deductible applicable to the policy to the provider of
corrective action or a damaged third-party with a right of reimbursement
by the insured for any such payment made by INA Surplus Insurance
Company. This provision does not apply with respect to that amount of
any deductible for which coverage is demonstrated under another
mechanism or combination of mechanisms as specified in 40 CFR
280.95-280-102.
c. Whenever requested by a director of an implementing agency, INA
Surplus Insurance Company agrees to furnish to the Director a signed
duplicate original of the policy and all endorsements.
d. Cancellation or any other termination of the insurance by INA Surplus
Insurance Company will be effective only upon written notice and only
after the expiration of 60 days after a copy of such written notice is
received by the insured.
e. The insurance covers claims for any occurrence that commenced during
the term of the policy that is discovered and reported to INA Surplus
Insurance Company within six months of the effective date of the
cancellation or termination of the policy.
I hereby certify that the wording of this instrument is identical to the
wording in 40CFR 280.97(b) (1) and that INA Surplus Insurance
Company is licensed to transact the business of insurance or eligible to
provide insurance as an excess or surplus lines insurer in one or more
states.
TI.J~ R. j~y
Ròbin R. Soss
Assistant Vice President
ACE Excess & Surplus Insurance Services, Inc.
1601 Chestnut Street
Philadelphia, PA 19101-1484
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Attachment 7
Financial Assurance for Corrective Action and Third Party Compensation for
Underground and Aboveground Storage Tanks Owned, Operated or Guaranteed by
BP Corporation North America Inc. or Subsidiaries
Regulated by State Administered Programs
location:
BP Amoco Chemical Company
Chocolate Bayou Storehouse Alvin. TX
2,600 gallons
FRP
Diesel Fuel
1982
BP Amoco Chemical Company
Chocolate Bayou Storehouse
Alvin, TX
4,000 gallons
FRP
Gasoline
1969
Capacity:
Construction Material:
Substance Stored:
Installation Date:
location:
BP Amoco Chemical Company
Chocolate Bayou Administration
Alvin. TX
2.000 gallons
Steel
Emergency Diesel Fuel
1982
BP Naperville Complex
150 West WalTenville Road
NapeMlle. Il
(see tank listing at regional office)
Capacity:
Construction Material:
Substance Stored:
Installation Date:
location:
BP America Production Company
4502 E. 41st. St.
Tulsa, OK
40.609 gallons
BP Produds North America Inc.
Toledo Refinery
Toledo.OH
10.000 gallons
Fiberglass
Capacity:
Construction Material:
Substance Stored:
Installation Date:
Diesel Fuel
1990
Capacity:
Construction Material:
Substance Stored:
Installation Date:
10.000 gallons
BP America Produdion Company
4502 E. 41st. St.
Tulsa. OK
40,609 gallons
location:
BP America Production Company
Tulsa. OK
Diesel Fuel
1991
Diesel Fuel
Location:
BP America Production Company
7575 N. Lakewood
Tulsa, OK
BP America Produdion Company
4502 E. 41st. St.
Tulsa, OK
500 gallons
Capacity:
Construction Material:
Substance Stored:
Installation Date:
location:
3,000 gallons
Diesel Fuel
Waste Oil and Oily Water
Capacity:
Construction Material:
Substance Stored:
Installation Date:
BP America Produdion Company
Earth Science lab
11611 West little York
Houston. TX
4.000 gallons
Fiberglass
Diesel Fuel
1984
·'Jeff Hall, MARSH, maintains copies of
ALL UST facility liability endorsement
policies. 312-627-6000"
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Page 11
2002 Financial Assurance
2/4/2002
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Location:
Location:
Capacity:
Construction Material:
Substance Stored:
Installation Date:
Location:
Capacity:
Construction Material:
Substance Stored:
Installation Date:
Location:
Capacity:
Construction Material:
Substance Stored:
Installation Date:
Location:
Capacity:
Construction Material:
Substance Stored:
Installation Date:
Attachment 7 (continued...)
BP West Coast Products, LLC.
us Logistics Terminals in CA, WA, OR, AZ
(see tank listing at regional office:
1306 Canal Blvd, Richmond, CA)
BP Exploration (Alaska) Ine,
Anchorage. Alaska
15.000 gallons
Fiberglass
1984
BP Chemicals
Green Lake Facility
Port Lavaca. TX
7.600 gallons
Fiberglass reinforced plastic
Unleaded Gasoline
1981
BP Amoco Chemical Company
Joliet Truck Terminal
Joliet. IL
10.000 ganon
Fiberglass
Diesel Fuel
1993
BP America Production Company.
Westlake I 501 Westlake Par1\ Blvd.
Houston. TX
10,000 gallons
Fiberglass
Diesel Fuel
1982
Page 12
2002 Financial Assurance
2/4/2002
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BP West Coast Products. LLC,
ARCO Retail Facilities in CA. WA. OR. AZ.
NV. UT
(see tank listing at regional office:
4 Centerpoint Drive, La Palma. CA)
BP Exploration (Alaska) Jne,
Anchorage. Alaska
4,000 gallons
Fiberglass
1984
Amoco Pipeline
Bryan. Texas
(see tank listing at regional office)
BP Chemicals
Green Lake Facility
Port Lavaca. TX
7.600 gallons
Fiberglass reinforced plaslie
Diesel Fuel
1981
"Jeff Hall, MARSH, maintains copies of
ALL UST facility liability endorsement
policies. 312-627-6000"
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Sites in Kern County Covered Under the BP Corporation
Certification of Financial Responsibility
FAC FAC ADDRESS CITY STATE ZIP COUNTY
00371 2698 MT VERNON BAKERSFIELD CA 93306 KERN
00583 3220 MING AVE BAKERSFIELD CA 93304 KERN
01960 1701 BRUNDAGE LANE BAKERSFIELD CA 93304 KERN
03054 1129 UNION AVE BAKERSFIELD CA 93307 KERN
03090 3333 UNION AVE BAKERSFIELD CA 93305 KERN
05365 4010 WIBLE RD BAKERSFIELD CA 93309 KERN
05420 450 WHITE LANE BAKERSFIELD CA 93309 KERN
05496 4800 FAIRFAX BAKERSFIELD CA 93306 KERN
05526 900 MONTEREY BAKERSFIELD CA 93305 KERN
05657 35300 IT" STANDARD RD BAKERSFIELD CA 93308 KERN
05751 2800 PANAMA LANE BAKERSFIELD CA 93313 KERN
06218 203 MING AVE BAKERSFIELD CA 93309 KERN
06353 3125 CALIFORNIA A VENUE BAKERSFIELD CA 93302 KERN
06356 2301 FSTREET BAKERSFIELD CA 93301 KERN
06208 20650 S TRACY A VENUE BU1TONWILLOW CA 93206 KERN
05634 2241 GIRARD ST DELANO CA 93215 KERN
05674 16300 SIERRA HWY MOJAVE CA 93501 KERN
06150 2101 ROSAMOND BLVD ROSAMOND CA 93560 KERN
2002 Financial Assurance
Updated 1/1/02