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Home My WebLink AboutHAZMAT REPORT 1998/1999 .-"",_,:{j;":"":,;:\;{(:~'!?~:;:,':~!~';:;;~~r~,(::f:{:'}.·:·!)r:;:;~~¡"· ..-er.. ~~ , , . ¡¡~ , ~ i .' , , I ,Permit 10 #:: 015-000-000564., " rAM PM MINI MARKET #5365 '; ~.~ ¡ LOCATION: 4010 WIBLE RO' ~;: I· I I Issúed by: .~ > . , " !. . -..:..... ~i , " .:., ",. ",: .' ~! .' ~ . -- , ", " ~",,} . . ". ", ,;; , .' -'~.. " " .. .. ,'" -<. " . --, , . : ~!: ~ " '. ~ ¡ :;'~ :~.,~. : > < : : . . Bakersfield Fire Department OFF/CEOF EN'v/RONMENTAL-5ERV/CES' 1715 Chester Ave., 3rd Floor Approved by: Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: T Issue Date 'June 30, 2003 ." ~US MATERIALS D.SION TIME CHARGED --'~ BUSlNESS/DEAPRTMENT NAME: frtVl pM ~ ~"3~S- ADDRESS: AC(O w.Io{e.., {LJ PROJECT DESCRIPTION: 'D \ S(;>M.W, U p~Je ,.- $v, l C~k.tk...c-l_ 1"'.J~q ¡·set..... ' PROJECT NUMBER: s~4 fO-~ TIME DATE: NAME: CHGD: COMMENTS: //7-("'- ,j-" 'ó rI.- w ( ~e 5 Z "", {2w,,,,-,?; CCO'l. «¡>or,,";f ,¿<~ tf/;;¿O/Ilt¡ 6hJ ¿;¿ rtiw@ If 6~ $ (s[) ~c< PROJECT COMPLETION: DATE: I ' .' .. , . ."~ 'I J. , / : I CONTINUED (See 2nd File) I " I ,. I.-::=~ - I / , UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION Page of I. IDENTIFICATION FACILITY ID # I I 1",1 I I l;q~1 I I I I I 1 I BEGINNING DATE 100, I ENDING DATE 101 (Agency Use Only) 01/01/02 BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3, I BUSINESS PHONE 102, Facility No. 05365 661-839-9685 BUSINESS SITE ADDRESS 103, 4010 Wilble Rd CITY 104, I CA ZIP CODE 105, Bakersfield 93309 DUN & BRADSTREET 106, SIC CODE (4 digit #) 107, 09-720-0401 5541 COUNTY 108, Kern BUSINESS OPERA TOR NAME 109, BUSINESS OPERA TOR PHONE 110, Sayegh Group Inc. 661-839-9685 " II. BUSINESS OWNER OWNER NAME 111 OWNER PHONE 112, BP West Coast Products LLC 714-670-5402 OWNER MAILING ADDRESS 113, P. O. Box 6038 CITY 114, I STATE 115, I ZIP CODE 116, Artesia CA 90702-6038 III. ENVIRONMENTAL CONTACT CONTACT NAME 117, CONTACT PHONE 118, Carlos Rodriguez 714-670-5402 CONTACT MAILING ADDRESS 119, P. O. Box 6038 CITY 120, I STATE 121 I ZIP CODE 122, Artesia CA 90702-6038 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY,. , ", 0 NAME 123, NAME 128, Salim Sayegh ARCO MAINTENANCE TITLE 124, TITLE 129, Franchisee MAINTENANCE BUSINESS PHONE 125, BUSINESS PHONE 130, 661-839-9685 (800) 272-6349 24-HOUR PHONE· 126, 24-HOUR PHONE· 131 Same (800) 272-6349 PAGER # 127, PAGER # 132, N/A N/A ADDITIONAL LOCALLY COLLECTED INFORMATION: 133, Certification: Based on my inquiry of those individuals responsible for obtaining the infonnation, I certify under penalty of law that I have personally examined and am familiar with the infonnation submitted and believe the infonnation is true, accurate, and complete, SIGNATURE OF OWNER/OPERATOR OR DESIGNATED REPRESENTATIVE DATE 134, I NAME OF DOCUMENT PREP ARER 135, ~.$ ;< R~~ 12/26/01 Stevenson Aiban,gbee NAME OF SIGNER (print) 136, TITLE OF SIGNER 137, Carlos Rodriguez Environmental Compliance Specialist · See Instructions on next page, UPCF hwf2730 (1/99) - 11/29 http://www.unidocs.org Rev. 04/17/00 · i~· I' . -', UNIFIED PROGRAM CONSOLIDATED FORM TANKS UNDERGROUND STORAGE TANKS - FACILITY (One page per site) Page of TYPE OF ACTION (Check one item only) o I, NEW PERMIT o 3, RENEWAL PERMIT 1815, CHANGE OF INFORMATION 04, AMENDED PERMIT (Specify change) ~Name Change o 6. TEMPORARY SITE CLOSURE 07, PERMANENTLY CLOSED SITE 08, TANK REMOVED 400, I. FACILITY/SITE INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3, I. Facilit No. 05365 NEAREST CROSS STREET White Lane / Wible Rd BUSINESS I:8J L GAS STATION 03, FARM 05, COMMERCIAL TYPE 0 2, DISTRIBUTOR 0 4, PROCESSOR 0 6, OTHER TOTAL NUMBER OF TANKS 404, Is facility on Indian Reservation REMAINING AT SITE or trust lands? 04 0 Yes I:8J No II. PROPERTY OWNER INFORMATION 401. 402, 403, 405, · If owner of UST is a public agency: name of supervisor of division, section or office which operates the UST. (This is the contact person for the tank records,) 406, PROPERTY OWNER NAME BP West Coast Products LLC. MAILING OR STREET ADDRESS P. O. Box 6038 CITY Artesia PROPERTY OWNER TYPE I:8J I. CORPORATION 407, PHONE 714-670-5402 410, STATE 411. ZIP CODE 408, 409, 412, CA 90702-6038 02, INDIVIDUAL 04, LOCAL AGENCY / DISTRICT 06, STATE AGENCY 03, PARTNERSHIP 05, COUNTY AGENCY 07, FEDERAL AGENCY III. TANK OWNER INFORMATION 413, TANK OWNER NAME BP West Coast Products LLC MAILING OR STREET ADDRESS P. O. Box 6038 CITY Artesia TANK OWNER TYPE 414, PHONE 714-670-5402 415, 416, 417, STATE 418. ZIP CODE CA 90702-6038 04, LOCAL AGENCY/DISTRICT o 5. COUNTY AGENCY 419, I:8J I , CORPORATION o 2, INDIVIDUAL 03, PARTNERSHIP 06, STATE AGENCY 07, FEDERAL AGENCY 420, TY TK) HQ 44- IV. BOARD OF EQlJALIZATION USTSTORAGE EEE ACCOUNT NUMBER Call 916) 322-9669 if uestions arise V. PETROLEUM UST FINANCIAL. RESPONSIBILITY 421. INDICATE METHOD(s) 1811. SELF-INSURED 02, GUARANTEE o 3. INSURANCE o 4. SURETY BOND o 5, LETTER OF CREDIT o 6, EXEMPTION 07, STATE FUND 08, STATE FUND & CFO LETTER 09, STATE FUND & CD o 10, LOCAL GOV'T MECHANISM o 99, OTHER: 422, VI. LEGAL NOTIFICATION AND MAILING ADDRESS Check one box to indicate which address should be used for legal notifications and mailing, Legal notifications and mailings wilI be sent to the tank owner unless box I or 2 is checked, 0 I , FACILITY 0 2, PROPERTY OWNER I:8J 3, TANK OWNER 423, VII. APPLICANT SIGNATURE Certification: I certify that the information provided herein is true and accurate to the best of my knowledge, SIGNATURE OF APPLICANT ~.s xR~~ NAME OF APPLICANT (print) Carlos Rodriguez STATE UST FACILITY NUMBER (Agency use only) (See Data Element I, above, DATE 12/26/01 424, PHONE (714) 670-5402 425, 426, TITLE OF APPLICANT Environmental Compliance Specialist 1998 UPGRADE CERTIFICATE NUMBER (Agency use only) 427, 428, 429, UPCF hwf2730 (1/99) - 12/29 http://www .unidocs.org Rev. 04/17/00 ,"",. - 01-ARE-003: Bakersfield Site List e ~,..,--'. 12/27/01 BAKERSFIELD CA BAKERSFIELD CA BAKERSFIELD CA BAKERSFIELD CA BAKERSFIELD CA BAKERSFIELD CA BAKERSFIELD CA BAKERSFIELD CA BAKERSFIELD CA "'W' '''.> "'1Ñ.i"i: .J:t....¡"'g¡;,. ' --" '-ift·¡"¡",,,,,,. t\ï;~fAGt'!$!-'3 {¿~,¡§\tr.::" !,; ;,D.ßr:S~ , 00371 2698 MT VERNON ,COLUMBUS/MT VERNON 00583 3220 MING AVE ¡WIBLE RD/MING AVENUE Q.1_~60_=_ ~_X01 BRUNDAGE LANE -l"H" ST/BRUNDAGE 03054 1129 UNION AVE CALIFORNIA/UNION AVE .-- .- 03090 3333 UNION AVE 34TH/UNION 05365 tQ::ULWtB~-RÐ7 ,WHITE LANE/WIBLE RD 05420 6450 WHITE LANE ASHE/WHITE LANE 05496 4800 FAIRFAX ¡AUBURN/FAIRFAX 05526 900 MONTEREY BEALE/MONTEREY O~ R 05751 2800 PANAMA LANE DENNEN/PANAMA 06218 4203 MING AVE STINE/MING AVE 06353 3125 CALIFORNIA AVENU CALlFORNA/OAK 06356 2301 F STREET 24TH/F BAKERSFIELD CA BAKERSFIELD CA BAKERSFIELD CA BAKERSFIELD CA Page 1 93313 !93309 93302 93301 . . - e CERTIFICATE OF INSURANCE Name & Address: See Attachment 7.A and 8.A for names and addresses of each covered UST location. Policy Number: Contact facility representative or Jeff Hall at MARSH (312-627-6000) for copies of all UST waste facility liability endorsement policy; numbers, '- -- Period of Coverage: January 2002 through January 1, 2003 Name of Insurer: Insurance Company of North America Address of Insurer: 195 Broadway, New York, NY 10007 Name of Insured: BP America Inc. Address of Insured: 200 E. Randolph Drive, Chicago, IL 60601 Certification: 1. Insurance Company of North America, the Insurer, as identified above, hereby certifies that it has issued liability insurance covering the following underground storage tank(s): (see Attachments 7.A and 8.A) for taking corrective action and compensating third parties for bodily injury and property damage caused by accidental releases arising from operating the underground storage tank(s) identified above. The limits of liability are $ 1,000,000 per occurrence and annual aggregate $ 2,000,000, exclusive of legal costs, which are subject to a separate limit under the policy. This coverage is provided under (policy number). The effective date of said policy is January 1, 2002. 2. The Insurer further certifies the following with respect to the insurance described in Paragraph 1: a. Bankruptcy or insolvency of the insured shall not relieve the Insurance Company of North America of its obligations under the policy to which this certificate applies. b. The Insurer is liable for the payment of amounts within any deductible applicable to the policy to the provider of corrective action or a damaged thirdparty, with a right of reimbursement by the insured for any such payment made by the Insurer. 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 280.95280.102. c. Whenever 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 endorsements. .' e e d. Cancellation or any other termination of the insurance by the Insurer, except for nonpayment of premium or misrepresentation by the insured, 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. Cancellation for nonpayment of premium or misrepresentation by the insured will be effective only upon written notice and only after expiration of a minimum of 10 days after a copy of such written notice is received by the insured. ,~ The insurance covers claims otherwise covered by the policy that are reported to the Insurer within six months of the effective date of cancellation or nonrenewal of the policy except where the new or renewed policy has the same retroactive date earlier than that of the prior policy, and which arise out of any covered occurrence that commenced after the policy retroactive date, if applicable, and prior to such policy renewal or termination date. Claims reported during such extended reporting period are subject to the terms, conditions, limits, including limits of liability, and exclusions of the policy. -- e, I hereby certify that the wording of this instrument is identical to the wording in 40 CFR 280.97(b) (2) and that the Insurer is licensed to transact the business of insurance in one or more states. Authorized Representative of Insurer December 21, 2001 195 Broadway, New York, NY 10007 Address of Representative · " e ObP - Attachment a.A Financial Assurance for Corrective Action and Third Party Compensation for Underground and Aboveground Storage Tanks Owned, Operated or Guarantêed by BP Amoco Corporation or Subsidiaries Regulated by State Administered Programs ~- 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: Location: Capacity: Construction Material: Substance Stored: Installation Date: Location: Capacity: Construction Material: Substance Stored: Installation Date: Location: Capacity: Construction Material: Substance Stored: Installation Date: BP Amoco Chemical Company Chocolate Bayou Storehouse Alvin, TX 2,600 gallons FRP Diesel Fuel 1982 BP Amoco Chemical Company Chocolate Bayou Administration Alvin, TIC 2,000 gallons Steel Emergency Diesel Fuel 1982 BP Amoco Corporation Naperville Site Naperville, IL (see tank listing at office) AmocO Production Company 4502 E. 41st. St. Tulsa, OK 40,609 gallons Diesel Fuel Amoco Production Company Tulsa, OK 10,000 gallons Diesel Fuel 1991 Amoco Production Company 7575 N. Lakewood Tulsa, OK 3,000 gallons Diesel Fuel Amoco Production Company, Westlake I 501 Westlake Park Blvd. Houston, TIC 10,000 gallons Fiberglass Diesel Fuel 1982 Page 17 2001 Financial Assurance 12/28/01 BP ,Amoco Chemical Company Chocolate Bayou Storehouse Alvin, TIC 4,000 gallons FRP Gasoline 1969 BP Oil Company Toledo Refinery Oregon, OH 10,000 gallons Fiberglass 1990 Amoco Production Company 4502 E. 41st. St. Tulsa, OK 40,609 gallons Diesel Fuel Amoco Production Company 4502 E. 41st. St. Tulsa, OK 500 gallons Waste Oil and Oily Water Amoco Production Company Earth Science Lab 11611 West Little York Houston, TIC 4,000 gallons Fiberglass Diesel Fuel 1984 **Sbirley '1'se, HARSH, maintains copies of ALL US'1' facility liability endorsement policJ.es. 312-627-6247** e .. Attachment a.A (continued...) - Financial Assurance for Corrective Action and Third Party Compensation for Underground and Aboveground Storage Tanks Owned, Operated or Guaranteed by BP Amoco Corporation or Subsidiaries Regulated by State Administered Programs Location: ARCO California, Nevada, Washington, Arizona, Utah and Oregon UST facHi ties (see tank listing at regional office) Capacity: Construction Material: Substance Stored: Installation Date: Location: BP Exploration (Alaska) Inc. Anchorage, Alaska 15,000 gallons Fiberglass Capacity: Construction Material: Substance Stored: Installation Date: Location: 1984 BP Chemicals Green Lake Facility Port Lavaca, TIC 7,600 gallons Fiberglass reinforced plastic Unleaded Gasoline 1981 Capacity: Construction Material: Substance Stored: Installation Date: Location: BP Amoco Chemical Company Joliet Truck Terminal Joliet, IL 10,000 gallon Fiberglass Diesel Fuel 1993 Capacity: Construction Material: Substance Stored: Installation Date: Page 18 2001 Financial Assurance 12/28/01 -' -- BP Exploration (Alaska) Inc. Anchorage, Alaska 4,000 gallons Fiberglass 1984 Amoco Pipeline Bryan, Texas (see regional office for tank listing) BP Chemicals Green Lake Facility Port Lavaca, TIC 7,600 gallons Fiberglass reinforced plastic Diesel Fuel 1981 **Sbirley Tse, MARSH, maintains copies of ALL UST facility liabili ty endorsement policies. 312-627-6247** e - ;;- 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 Chica~o, 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 a~cidental 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 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). ;¡\ e e . ,i" ,'> a. Bankruptcy or insolvency of the insured shall 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 amo1Jnt 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. ~~~ R. Ll/ RòbinR. Soss Assistant Vice President ACE Excess & Surplus Insurance Services, Inc. 1601 Chestnut Street Philadelphia, PA 19101-1484 II e CITY OF BAKERSFIEI.D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITYNAME~Iì'O ß(J , ADDRESS VI 0 «) (0 I L I2J FACILITY CONTACT_ INSPECTION TIME" ' INSPECTION DATE /1 [rg(()/ PHONE NO. ~Cøl - t.( 3(0 - 1fL1 ~ BUSINESS ID NO. 15-210- N.VMBER OF EMPLOYEES c¡ ~ ;, . '~, ",,:.t.,j';..,. Section 1: Business Plan and Inventory Program D Routine ~Combined D Joint Agency o Multi-Agency D Complaint D Re-inspection OPERA TION C V COMMENTS Appropriate permit on hand 7 ....,I Business plan contact information accurate / V Visible address V [7 Correct occupancy 1'-" V Verification of inventory materials I\.... V Verification of quantities 1\ V Verification of location '- V Proper segregation of material I\. [7 or Verification of MSDS availability '/ Verification of Haz Mat training / \......; '-' /' 'Vérificationof abatement supplies and procedures Emergency procedures adequate \.,.. / \..... / Containers properly labeled Housekeeping \....., Fire Protection L c.. '7 Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes ~¿{)!J£ si ess Site-Kesponsible Party Questions regarding this inspection? Please call us at (661) 326-3979 While - Env, Svcs, Yellow - Station Copy Pink· Business Copy Inspector: I , · CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST t 7 t 5 Chester Ave., 3rd Floor, Bakersfield, CA 9330 t FACILITY NAME A'^ \PW\ lAu~ ~~t INSPECTION DATE~ Section 2: Underground Storage Tanks Program o Routine ~ Combined 0 Joint Agency Type of Tank Dl1JF Type of Monitoring Ct...1V\ o Multi-Agency 0 Complaint Number of Tanks t.( Type of Piping t}wF ORe-inspection OPERA TION C V COMMENTS Proper tank data on tìle V Proper owner/operator data on file V Permit fees current J Certification of Financial Responsibility l/ Monitoring record adequate and Current '-.../ Maintenance records adequate and current '-" / V / Failure to correct prior UST violations Has there been an unauthorized release? Yes No J Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGA TE CAPACITY Number of Tanks OPERA TION Y N COMMENTS SPCC available SPCC on tìle with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=VioIation Y=Yes vi dlmo N=NO Inspector: Oftìce of Environmental Services (805) 326-3979 White - Env, Svcs, Pink - Business Copy 0J· t~ ~~ ~~ ARCO Products Company e Date '") . I 7 ' ø Type Inspectíon: Annual Recheck ertü1cation Inspection This letter certifies that the monitores) is/are in plé:..cE:, the probes are in carre t position and the system is operating properly. Station # 5J6 r Address Y<?/'o '-'I /J 4:-- æ 1/) 13 A /"!:.ïl51'J 6?,V') 19 Type &: Model of Monitor System Function Tanks i2.,,..,/] ~ '/7' S Regular Midgrade Suprem~ Wnste Oi1 Other Product Lines Annular Space P::e Foil -¡;:;r N/A Pass Tank F:1iJ ~ ...IL:- -1L- ~ -:::Z: Turbine Sump In-Line Pass Pai] NI A Pas~ Pail Nt A P S5 Regular -L"-~ .L.-1L. ~ Midgradc ..:L ----v' ~~ ~ Waste Oil ~ -4 -1- ~ - - ~ - - ~ T When monitot is turned off or in alarm, ís there positive shutdown of turbine? Yes / No_ If No, were precision product line tests performed? Yos_ No_ Monitot Panel Is the monitor panel mounted and labeled correctly? Does monitor alarm horn function properly? Is panel accessible and 'Visible [0 station personnel? FilJ Sump Fail N/A ~ Replaced all failed probes? Yes- No-- N/A / / / , ~ 1 If No, probes to be replaced/repaired by (Date) Inspec.ted By: Contrndor Technician Signature ~íTl~ J or-/I.) J( t-k~.,,~ k I Id3Œ 3SH ¡ OJ 1l0JS I Wd9S : ~ ø6ÞSøL '3Þ 1L ~ØØ2 . ~2 . d3S LÞ:Þ1 113136/16/513 1\I'c.3:3l¿ (øI~,:. /!7 . ,.. £0 39Ç1d FR?'·()f.J ,¡ e AMEW¡ S# ~ <> . ~:RCO PRODUCts COMPANY E. ø&S INSPECTION PROGRAM VBNDO~ NAME $CÐ7T G ADDRESS CITY, S'r A 'TE WORK ACKNOW HDG~NT DATB 7-/2"'"0,,1' AUTH# ~ ~ FACILITY# ,Ç :3 " :r [ LOC ]'ON yorC> -~tð¿C £0_ í1 ~I SERVICE REQUESTED (CHECK) TANKIl1NE TIGHTNESS TEST 0 Y APOR RECOVERY TEST 0 OTHER 0 FACILITY IN)PSCTION ~ ENVIRONMENTAL REPAIRS 0 SERVICES PERPORMED (REPAIRS ONLY! t¿Jz¡:::Of.¡//IC'() A-Ul..t71 ~ 3Æ~17·r ~rttiO ~i'-~;.) X7bS f - I .~ /vö 1~/34'Y11. ~ l=õCAY:,? I r I _I I I I' 1 I - ~ NUMBER OF PERSONNBL TOTAL 'TRAVEl, TIME LESS MEA L... TIME~ CHECK IN grECK OUT ~ ARRIV t\L.S AS or: CHECK IN AM: PM DEPARTURES AS OF crœcK 0 _ AM PM PRINTBl) NAME OF .D:BAI..I3R PRINTBD NAME OP DßAŒR OR STORE £MpLOY'EE OR STOlU! EMPLOYS DATE _- DATE $IGNATU:R.B OF DEALER OR STORE EMPLOYEE SIGNATURE OP D<AŒR oa t~ _LOYEE I "r I SIC-NAT\11Uií OF D&\LB lOB. STOlE ~ANA(11!OO DOES NOT OBLlGAtE DEALBR ]1'0 ANY WA.'Y, ~O~ 'DOES If SJGNlFY ANY APPRO" AL OF WOlUt DONE, CONTRACTOll IS R;~SI'ONSIBLE 10~ F1LLINt OUT nus J'0ItM AMI OBTAJNJNG SIGNA'1'URE" c./Ç'.....I 2:121 38\;fd ::,R;:>"m, J:lRCO ld3G 3SH 0) 110JS WdSS:t i002'iZ'd3S 1212:Þ9I21L9Þ1L LÞ:Þ1 1121I21Z/1Z/5121 ~_ I...; - . .' ~.~ ~".. ARea Products Company e Emergency l'UI11P and Dispenser Shutoff Ch ddist St~tion # ~J"S- .Address t.¡OID tvll..~ /GO '.' I ' a.te 7- / :; . 0 I Stop Switch Comments (p..epms , Shuts Do-wn Turbine Dispenser ('f IN) , (Y / N) ARC Om.lri 0 íJubide Wall Inside Store Other 1'1 ¡y H H ^' - t Y /\1 t I I l I -I Co ø,ments: -- Co otrac:to r: :; Co 7f ~ - Tel:hnicia.n: c )~tf /J l.i.I:',..,/2A- (£- Sisnab=_ ?1 -- '::'/Q''' 90 3ÐV'd :,:!;7'nlJ Id3G 3SH I I OJ 110)51 Wd9S:1 02:Þ90L'3Þ1L " '1 1002 '12'd3S LÞ:Þ1 1002:/12:/50 Test hd'ormation 1 2 3 I 4- 5 Product 8'7 89 ,~ Manufacturer ¡; ~--p /~ fé-f :Model ¡r.U) "" yv1 ¿. D f';íI J Full Operating Pressure (psi) 30 ~ z¡ Line Bleed Back (m!) /'tr i~{ {?r .~ Trip Time (see) :; . '7> 'J.V J..~ Metenng Pressure (Psi) IL- l'! If FIE Holding Pressure (psi) J,.(" .~í ~Î Test Leak Rate (mlImiB) (gph) /q¿, I~ê) ¡f"'O PASS or FAIL 1~55 ;P k5 s ?A-1 ) ./ /' bpI aced Al1 Failed Leak Detectors Yes No N/A If No. Replacement To Be Completed By (Date) - I I This letter certifies that the annual ieak detector tests were perfonned at the abo...e referenced fe.cilit)' according to the equi¡n:Dent ma11ufacturets proced\lIeS and limitations and t1 e results as liated arc to my knowledge true and correct, The met:hank:a1 l~ak deœctor te!ß passJftÜl is detenDined using a low fio.. threshold trip rate of 3 gph &t 10 PSI. Inspected By: Contractor ~1/k Technician \" ~tf¡) C.A~,~'; uct SÎ.gDØture ~' ! APc.a:ø I,;/ë:, . rl £82 'ON OJ 110:)5 Wd9S:1 1ØØ2·tZ·d3S 121 39'Vd .';' ,e ..... 0 " ~~ ~~ ARCO Products Company Station # S3'~ Address '101 c) wi Æt.<..· - /2~ Þ - MeclumicaI Leak etector Test Data Sheet Date 7 "(2 -0/ 19 &,rç"tS?7BD ¡- I Id3Q 35H 0(;Þ9121L9Þ1L LÞ:Þ1 1121121(;/1(;/6121 \JP~3/2eel 09:36 714571215. HSE DEPT PAGE 1213/1215 AMEaANS# 'ì , <> ~CO PRODUCTS COMPANY E H&S INSPECTION PROGRA (( .5úo7TG SBRVïœ REQUESTED (CHECK) TANK/LINB TIGHI'NBSS TEST VAPOR RECOvERY T2ST OTHER FACILITY IN~:P ENVIRONMENT VBNÞOR NAMB ADDRESS CITY, STATE AUIH# FAClLrrr* ~ç 3 ~ r LOCATION <.¿O / Ò wl/3 ,sAÇ¢-'7?-8Ft6è.o ~ ~ o ,// ----/ --- SERVICES PERFORMED (REPAJ S ONLy) A-C1'-/'r1 ~ ¥~ç~po~ 7'~ I I I ~. . ~ ,. NUMBER OF PERSONNEL TOTAL TRAVELTIME LBSS MEAL TIME CHECK IN CHECK OVJ.: ARRIV ALS AS OF' CHECK IN AM PM P£PA~TURJU; AS Op CIU¡CII;., OUT AM PM PRImED NAME OF œ:A:I..~ PRI!'ITBD NAME OF DBr\LER OR STORE El\IIPLOYEE OR STORE EMPLOYEE DAm DATE SIGNA nJlU! OP DEALER OR S'rOIW ß 'r1PLOYEB SIGNATURE OF DEALER OP. STORE EMPLOYEE - 'UGN:A'rIJRFj OF DFJAI.J~R IOJl S1'l)RE ÅJl/AGER) DOES N01' OØI;IGA1'tJ nF,AI,ER IN AN1- WAY, NOR D02S IT Sn;NIIIY ANY APPRO" AL of WORK OHF_ CO~C'rO~ IS iUliSPO!'CItBLI:!: J'OQ J'l:u..~O ()t]T TIUS FORM ANI> oB'rAUIIING SI<iNATUJU;. AReO APe J~¡'/?''''¡ ';~'n'" nì I nì~ 1.IH);:¡,t:, TDlI?I::::> . ÇT . ...r:¡~ 09/13/2001 09:35 7145705;. . -, <> ARCO Products Company HSE DEPT . PAGE 04/05 Monitor Certüication Inspection This letter certifies thut the m nitorCs) is/are in pla:.e, the probes arc in correct position and the system is operating properly. Station * ~ 3 ~ r- Address y~l'~ ~ 13 ßr-) ?/. Type & Model of Monitor System FUnctiotl Tanks ~µ""~ Regular Midgrade Supreme Waste Oi1 Other Product Lines ~ ---¡;;r- nnular Space Fan Turbine ump Pass Fail Nt A 4L -iIt::- -L Regular Midgrade Supreme Waste Oil Other ~ N/A ---L.: -:::z Pass Date 7" i 7 .. d J Type Inspection: Annual ~ Recheck In-Line flail N/A ~ -1L v :;z Permit Leak Pass In Tank Fail Pill Sump Pass Fail + 19 Ž ../L..- ...JL: + N/A :ž Yes~ No_ When monitor is turned off or 'n alarm, is there po¡;itive shutdown of turbines? If No, were precision product 1 De tests performed? Yes _ No_ Monitor Panel Is the monitor panel mounted d IM>eled correctly? Does monitor alarm horn functi n properly? Is panel accessible and visible t station personnel? Replaced a)1 faiJðd probes? es- If No, probes to be replaced/rep ired by (Date) No-- N/A / / / Inspected By: Co tracror Te hnician . stature ~7T(~ J Ð"¡J.) .rt.'~ U:,..".~ ~ 7 APc.W4 (l1l1I81 b/C·~ CCC·""I..I ()") I I ()")c:: I(;:~ ~~ f I.IH)?,C T. /AlA? . ç T. . ...r:¡c:: 09/13/2001 09:35 7145705. HSE DEPT PAGE 05/05 I . .. ~:.. , . , "'~ r, '" ", " Mechanical Leak Detector Test Data Sheê ~ ~~ ~". ARCa Produ~t s Compuy Station # S3,Ç- Date 7 -( 2 - 0 I 19 Address I¡o/ ç) wrÆ¿ -- /2/,) A+,~"'2Shat:> Test IDformation 1 2 3 4 S Product go7 89 ,z., ManufactUreI' ,c. (:-p ICJ (é--f Model h-W Þ~J yv¡ t.- 0 Full Operating Pressure (psí) 30 ;).~ Zi Line Bleed Back (m!) . /<¡r rr ¡-¡r Trip Time (see) ).'7) $.D J..~ Metering Pressure (PSi) /2- l'i Ij" FIE Holding Pressure (psi) ?-f' '¡" "7 ¡'7 (; , Test Leak Rate (mJlmin) (gp ) ¡q¿, /7() /1."1:> t, PASS or FAIL IA-S 5 i::> ¡r-t; S ?k5 ) Rep1aced AIl Pailed Leak. Det.c dOrs Yes No NJA ~ If No, Replacement To Be Co np1eted By (Date) I I Thia letter certifies that the annual ieak detector tests we¡;e performed at the above referenced fac:Uity ;according to the equipment I ¡}3D,ufa~ procedures II1'1d limitations and the results as listed are to my knowledge true and couect, The mechanical leak detector test pass/fail is dc1:crlIÜned usin¡ a low flow threshold trip rate of 3 &Ph at 1 o PSt Ins ected By: Contractor VL:J7'Í k, t I p Sign14me ~~."t Lie#' Techuician AP~_) "'.... I I ..........c: 1.11-4 J:> . c: T[;!CI? . ¡:-T . __r:¡c: -- . CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILlTYNAME~~ b~ ADDRESS t( () ( ~ . FACILITY CONTACT INSPECTION TIME INSPECTION DA TE~ () () PHONE NO. ~ 1(;,"' 'It; /"S BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES c¡ Section 1: Business Plan and Inventory Program D Routine Ell Combined D Joint Agency o Multi-Agency D Complaint D Re-inspection OPERATION C V COMMENTS Appropriate penn it on hand v i/ l/ :..-- Business plan contact infonnation accurate /' Visible address V /' Correct occupancy Iv Verification of inventory materials .v'" / Verification of quantities V Verification of location / II Proper segregation of material /' v ./ Verification of MSDS availability ¡/ Verification of Haz Mat training ,/' u , Verification of abatement supplies and procedures vi Emergency procedures adequate V V Containers properly labeled V Housekeeping V V Fire Protection VV Site Diagram Adequate & On Hand v C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes DNo White - Env, Svcs, Yellow - Station Copy Pink - Business Copy v?~µ~ /' Business Site Responsible Party Inspector: Æ I itltHO Questions regarding this inspection? Please call us at (661) 326-3979 · CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME--.AmiW\ Vkl(A\ lM~ INSPECTION DA TE.--11{Z ~ /(){) Section 2: Underground Storage Tanks Program o Routine m Combined 0 Joint Agency Type of Tank .J)WF Type of Monitoring eLM o Multi-Agency Number of Tanks Type of Piping o Complaint '-I .(1w ~ ORe-inspection OPERA TION C V COMMENTS Proper tank data on tile / Proper owner/operator data on file tI Permit fees current V Certification of Financial Responsibility V V Monitoring record adequate and current V Maintenance records adeguate and current V Failure to correct prior UST violations vi Has there been an unauthorized release? Yes No t/ 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 tile with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: ~ I da~kJrJ{) - /~~ //~:2J<'OG C Business Site Responsible Party , Oftìce of Environmental Services (805) 326-3979 White - Env, Svcs, Pink - Business Copy ~. .~~ - . ~". ARCO Products Company M.tor Certification Inspection v This letter certifies that the monitor(s) is/are in place, the probes are in correct position and the system is operating properly. /, Station # 5 '36 5 Date ~LL 7 yJ 2ðøÐ Address ~O/O ~!'~~ Type Inspection: _~ ~__ ~¡._ _~ Annual X' Permit Recheck Leak ,X' 76 \.<) Type & Model of Monitor System Function Tanks ~Md--1. Pass Regular ~ Midgrade -X- Supreme -Y- Waste Oil - Other <;;-7 51~ +- Product Lines Turbine Sump Pass Fail N/ A ~ =3£' Annular Space Fail N/A Pass In Tank Fail Pass In-Line Fail ;¡ -:l ~ N~ ~ ) -+ Fill Sump ~ Fail ~ -;L N/A =- -=Þ- Regular Midgrade Supreme Waste Oil - Other 5}AA.L<67 + -X- -X- When monitor is turned off or in alarm, is there positive shutdown of turbines? If No, were precision product line tests performed? Yes _ No---d:: Monitor Panel Is the monitor panel mounted and labeled correctly? Does monitor alarm horn function properly? Is panel accessible and visible to station personnel? Yes_ No-X V'~ ~ ~et) Y.f' 5 Replaced all failed probes? Yes- No- N/A ;X- I I If No, probes to be replaced/repaired by (Date) Inspected By: Contractor Technician Signature APC·3324 (8196) I' 0,; I '. ~ .~ - ..~ . ~" ARCO Products Company M.tor Certification Inspection This letter certifies that the monitor(s) is/are in place, the probes are in correct position and the system is operating proper?" Station # :s;- ..J" Date b - l"i. Address Ýð~ 0 tv 116k- (Lr:) Type Inspection: ~ A-~,zs ÑéJ,A Annual Permit Recheck t~ Leak ~ ~oo Type & Model of Monitor System Function Tanks ¡hlJ +/V X? c.. .$ Annular Space Fail N/A In Tank Pass Fail ~ - - - :sL Regular Midgrade Supreme Waste Oil Other Product Lines Pass -4L. -1L- -L - --1..L.... ¡/" Regular Midgrade Supreme Waste Oil Other Turbine Sump Pass Fail N/ A -IL -1L. ---1L' Pass In-Line Fail ~ -ij Fill Sump Pass Fail -L" _ -'L ~- N/A ,/ -1L' / ¿.,..,.- When monitor is turned off or in alarm, is there positive shutdown of turbines? If No, were precision product line tests performed? Yes_ No_ Monitor Panel Yes~No_ Is the monitor panel mounted and labeled correctly? Does monitor alarm horn function properly? Is panel accessible and visible to station personnel? !(;-) 'Vó /Ýd/ t Replaced all failed probes? Yes- No- N/A ~ / / If No, probes to be replaced/repaired by (Date) Inspected By: Contractor Technician Signature APC·3324 (8196) , '. . ' . ' '. - e Mechanical Leak Detector Test Data Sheet :1 t ~~ ~". ARCO Products Company Station # .5"3 ~ S- ~otD fv I ßW IUJ Date ,... 2" Zoo~ T9':::::::: Address fA (fA:-.,~PIHLJ Test Information 1 2 3 4 5 Product CJZ ff [;7 Manufacturer fcH::-r~ {;-(Je -rrÞ 12.:) Model S7P-h1LC SrP -Ih <.,,0 P')(( Full Operating Pressure (psi) ;)..7 2fø 2..~ Line Bleed Back (m!) ~O,..,. ( 7S~( <.¡ 0 ,-. t Trip Time (see) 3.0 , ./.D '].0 Metering Pressure (psi) tV 12., '1 FÆ Holding Pressure (psi) :2S- zeI 26 Test Leak Rate (ml/min) (gph) 90,.,,/ /3--0 ,q(J vt-/ 1106 I~O"" /3 I PASS or FAIL (Jr/¡j$ (J4<sJ (J~S.5 Replaced All Failed Leak Detectors Yes If No, Replacement To Be Completed By (Date) No N/A~ I I Inspected By: 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 detennined using a low flow threshold trip rate of 3 gph at 10 PSI. S- Ú/7Í ~ /1' H P.,{C .~..t Contractor Lic# Technician Signature APC·3325 (8196) :; .. B.. CITY OF BAKERSFIELD __FICE OF ENVIRONlVlENT ~SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS - UST FACILITY e TYPE OF ACTION (Check one ,fem only) D 1, NEW SITE PERMIT o ), RENEWAL PERMIT D 4, AMENDED PERMIT D 5, CHANGE OF INFORMA nON (Specify ch.nge . local use only) D 6, TEMPORARY SITE CLOSURE Page _ of _ D 7, PERMANENTLY CLOSED SITE o 8, TANK REMOVED 400, I. FACILITY I SITE INFORMATION ARClJ NEAREST CROSS STREET Ú/(f/~ 8USINESS NAME (Same as FACILITY NAME 01 DBA - DoIng Business As) :# 53bS- é/lN!' 3 FACILI1Y 10 " o 4, LOCAL AGENCYIDISTRICT' o 5. COUNTY AGENCY· o 6, STATE AGENCY· D 7, FEDERAL AGENCY· 402. 401, ~ITY OWNER TYPE ß.. 1, CORPORATION D 2, INDIVIDUAL D 3, PARTNERSHIP , BUSINESS TYPE 1, GAS STATION o 2, DISTRI8UTOR TOTAL NUMBER OF TANKS REMAINING AT S~ o ), FARM 0 5, COMMERCIAL D 4, PROCESSOR 0 8, OTHER 403, Is facility on Indian ReseIValion 01 IrusUands? 404, Dyes ·It owner of UST a public agency: name 01 SUpeMsor 01 dilliSion. section 01 ofIk:e whien oøeraIes the UST, (This is the conlact person fOlthe tank records,) No 405, 406, II. PROPERTY OWNER INFORMATION PROPERTY OWNER NAME MAILING OR STREET ADDRESS A-RCo . ð- !Jf?7ES/ /! {>~ÒV1.CÄ3 !>ð 00~ P 407, (7/ÐC70 -SÝ07 408, Co. 409, CITY 410. ~ 6 zo.:2 - bO-3jI PROPERTY OWNER TYPE'vrJ ¡=-" CORPORATION D 2. INDIVIDUAL D 3. PARTNERSHIP o 4, LOCAL AGENCY I DISTRICT o 5, COUNTY AGENCY o 8, STATE AGENCY D 7, FEDERAL AGENCY 413, , CITY III. TANK OWNER INFORMATION TANK OWNER NAME 414. 67CJ- çyó 415. 416, 417, 6702-60 D 2. INDIVIDUAL o 3. PARTNERSHIP o 4, LOCAL AGENCY , DISTRICT D 5, COUNTY AGENCY D 8. STATE AGENCY D 7. FEDERAL AGENCY 420, TV (TK) HQ IV. BOARD OF EQUAlIZATION UST STORAGE FEE ACCOUNT NUMBER Call (916) 322-9669 If questions arise 421, V. PETROLEUM UST FINANCIAL RESPONSIBILITY INDICATE METHOO(S) , SELF-INSURED D 2. GUARANTEE D 3, INSURANCE o 4, SURElY BONO D 5. LETTER OF CREDIT o 8, EXEMPTION D 7, STATE FUND __ o 8. STATE FUND & CFO LEITER 09. STATEFUND&CD D 10, LOCAl GOV'T MECHANISM D 99, OTHER: 422, VI. LEGAL NOTIFICATION AND MAILING ADDRESS Check one box to indicate willen address should be used fOlIega! noUncatlons and mailing. Legal notifications and mailings will be sent to the tank owner unless box 1 01 2 is enecked. D 1, FACILI1Y D 2. PROPERTY OWNER TANK OWNER 423, VII. APPLICANT SIGNATURE provtded herein is true and accurate to the best of my knowtedge, Jla ~~Æ/ 426, DATE 5)~ a; TITLE OF AP~ Lðn1 /ÄUO 424, 4Xl, I STATE UST FACILITY NUMBER (For~ u.. only) 428, I 1998 UPGRAOE CERTIFICATE NUMBER (For Ioc.' UI. only) 429'1 UPCF (7/99) S:\CUPAFORMS\swrcb-a. wpd " , ~ --- ./G!t".. A.'. ...... ...... -. -- '-' LIT~ Ut tsAau;lCStl~LU ~ICE OF ENVIRONMENTA"ERVICES 1715 C-'ster Ave., Bakersßeld, CA 93](fl (661) 326-3979 UNDERGROUNDSTORAGETANKS-TANKPAGE1 I a s. CHAHGI~IN'ORIoMnoH) ... tII a e, TEAØ'OAARV SITI C&.O~ a 1. PEIUWEHTl v C&.OSED ON SITe a e. TANK~D NIlE OF ACTION a ,. feN SITe PfMIT a t. AMIHDID PERMT (Cltec. .,... ,,..,. 0tIIy a 3. ~Pt!IUT , t.OCA TIO" WITH" SIT'I ~ AN I . No I .I I L TANK DESCRIPTION COfoPNmoENTAUZED TANK a V. w -V.'. cam,.. one ø-ee for Mdt 4.:' .. TANK canIN'rI , TANK UII _ ~, MOTOR V!HlCLlII\& I (If --. ---,......... J)pe ! a 2. JtoION.FWL ÆT'IU.EUM I 0 J. OEMICAL PROOUCT lOt. HAZARDOUS ~ (tICIWu I 095, =:,. I I TYPE OF TANK I (C/Iedl_..... 0lIl)1 i I TANK aMTERIAL· ~ 11M 0 t. BAAl! ST!I!L , (CIt«It - 1M 0lIl)1 0 2. STANØS S1UL I TANK aM TERIAL . -*'Y 11M 0 t. BAAl! ST!I!L (C/Iedl_..... 0lIl)1 0 2. STANDI S1UL o t.___WALL Ìf!Í2. ID.a.I WALL TANK INTI!IUOR L...cJ OR COATN3 V NTta.IUU 1'VPe A ta. MGULM UM.fAŒD 0 2. L!ADED o tla. ....... UM.fAŒD 0 3. DIESEL Otc.loIDOfWII!~ 04. GASOHOL COMMOH NMÆ~"..,.,......... ~""J tks;;o} Nt 4- o S. ÆT FUEL EJ .. A'MTION FUEL 0111. OT1ER CAS' (rIom HIIIIIdIuI...... ~,.,.J poor;, -'/-f 44t .. .. TANK coramtUCIION o a. INIU! WALL wrt'H QTeRtOA ''lPWWE LINER 0.... INIU!WALL"AVAULT ~ FIIERGlASSI P\ASTIC o 4. STEEl. a.AO M'III!ROLASS REINFORŒD PLASTtC FIIERGlASS I P\ASTIC 4. ITI!B. a.AO WF1IERGLA8S REN'OACED P\ASTIC (FRP) o s. COHCRm! o a. !POXY LINNJ o .... PlI!lIOIIC LINfIIO o So SINGLE WALL WITH INT'eANAL II.ADDER SVSTÐe o IS. UNKNOWN o III. OTHER o s. CONCRET1! 0 II. UNICNOWN 0.. FRPc:oMPATØ.EVWtOO1UtETHANOI. 0.. OTHER ~ I I 444 o .. FRP c:oMPATa.I! VWt~ METHANOl. o .. FRP~JAQ(E'f o to. COATED STEEL o So caAI8 L...o ~ II. IJNCNCMtoI o .. UN.M!D 0.. 01M!R o II. UNICNOWN 0.. OTHER 445 ... Do\TE INSTAU.!D 447 o t. ...... LND o 2. AIJM) LINNJ ",.,- Do\Te INSTAU.!D 4481 (CIt«It _1M 0lIl)1 SPIU. AND OWAFI.L I (CIt«It.. tN, WIYJ I C t. IWUIACTUAID CATHDOIC IIAOTICTION C 2. ~ANOOI! YeAR MTALLED 450 TYPE (For IOUIIM 0lIl)1 ~. SPlLLCONTAIHM!NT ~ ~2. DfatTUII ~ a. ITRIICIIt PLATI \Ï (IW""'IM odyJ 45t 0VEftF1U. PROTECTION eQUIPMENT: YeAR INSTAI.LS) 452 - ~ ALARM ~3. FILL TUBESHUTOFFVALV£_ o 2. 8AlJ.FLOAT 0 t. I!XDIPT a. ,..IGLASS RØI'OACI!D P\ASTIC o 4. -"'¡SII!O CURfI!NT o II. UNKNOWN 0.. OTHER ... ISTIMATID OATlI.AIT UIID ~Y) UPCF (7198) >.:..'..... :.~~~,~ :~':.:!4~' ..~:. y .:.:,:.~.,:::'.!1t~ . ~ WALL TANK 0" TANK WITH aAGOM (ChecIr _,.", ottIy1: 464 ; Ct. VIIUAL(IINOL!WALLINVAULTOM.Y) 2. CONTINUOUIINTeRSTITIAL MON/TOAING o 3. MANUAL MONITORING 411 C So MANUAL TAMe QAUQINO (MTQ) o .. VADOIe ZONe o 7. OftOUNDWATEA o .. TANK TUTINO 0.. OTHM V. TANK CLOIUU INI'ORIlA11ON' PlIUIANINT CLOIUU IN PLAce II1'IIMTID QUAHrrTV cw SUllTAHCI ~ ... TANK n.&.IO WITH INMT aMTIAIAL? 417 ...... o v. 0 No I S:\CUPAFOAMS\SWRC8-8,\WC CITY 0' BAKERSFIELD a OPPlCI OfIINVlRONMENTAL SERVICES W" ChHter Ave., "kerafteld, CA .3301 ("1) ;en un. TANK tAQf I PIle fII - '"" UNOeAOAOUND PIPING VI. ....... COItITltUCT1ON (ø.ct" flit"" o 3. GRAVITY SYSTEM TYPE Ò(, PRESSURe CJ 2, SUCTION 0 3. GRAVfTV 4SI 0, PRESSURE CONSTRUCTION/,a" 1, SINGt.! WALL CJ 3. UNIO TRENCH 0 II. OTHI!A 4eO 0 I, SiNGlE WALl. , MANUFACTUR~~o( 2. COUlL! WALL 0... uNKNOWN 0 2. COUeU: WALl. , r MAl«JFACTURER ItOS Ivl (¡-tf .., MANUFACTURER : 0 " IIAAe STEEL CJ L FftP COIoPATa.! \W 'OO'Uot!THANOL 0, BARE STEEl. . ' :MATERIALSANO'O 2. STAINU!SSSTEIL CJ 7. OALVAHIZEOSTm 02. STAlHLESSSTEEL : CORROSION ; 'PROTECTION :0 J. Pl.ASTlCCOWATI8U!WlTHCONTEHTS 0... UNICNO'NN 03, Pl..ASTlCCOMPATl8L.EWlTHCONTENTS ~4, FlIEftGLASS 0 L F1.ÐIIlE (HOPE) 0 II. OTHER 0 4. FIBERGLASS :05. STEELW/COATING CJ t. CATHOOICPROTECTION .... 05, STEEL WI COATING VI. PPING LOK DETECT10H (CItecIi" flit"" "..:. .;;.·::~~.tr ~~~)~\';;.~~Uì~:~~i 0I8Pl!HSERCOHTAINM!NT 0,. Fl.QATMeOWaMTHATStlUTSOfIJIHI!MVALVI! DATE INSTAU.!D _ 0 2. CONrNIOUI DIIÆNS!R IWt SINIOA. AUDIa! NÐ VISUAL AlARMS CJ 3. CONTJNUOUI DIIfI!NSER IWt SENSOR mD:t AUTO SHUT OFF FOR DISPENSER · AUDI8LE AND VISUAL AI.NWS DC. CMNIRIOPUATOR SIONA1VRI! I «*tify 1/181 !lie on/anIIaIIon fQ\fICed '*-In . INe Inf ___ 10 !lie l/1li, r¡ "" 1InCIwIede. SIONATURE OF DATE UNDERGROUND PIPING PRESSURIZED PIPING (ChecIr .. /IIat ¥PlY): o 1. ELECTRONIC LINE LEAK DETaCTOR 3.0 OPH TUT mDiAUTO PUMP SHUT' OFF FOR LEN<. SYSTEM FAIWRI!. NÐ SVSTEM DlSCCIIECT1OO· A&IIØJ! NÐ VISUAL ALARMS o 2. MONTHLY cu OPH TEST .. CJ 3. ANNUAL IN1'EGMV T!ST (0.1 OPH) CON\IEHTIONAL SUCTIOH SYSTÐoe: o 5. DAILY VISUAL MONITOftINO OF PUMPING SYSTEM · TftØNAL PI'INO INt'EOAßY I TEST (0.' GPH) Ii SAFE SUCTION SYSTEMS (NO VALVES .. øaow GROUND PIPING): o 7. SELF MONrTORING GRAVITY FLOW: o t. BIÐNAL IN1'EGMV T!ST (0.1 OPH) 1I!iCOfCIA-" Y' COffI'AINID PIlING PRE$SURIZEO PIPING (Check .. ",., I/PIII1: '0. CONT1NJOUS T\JA8INE SUMP seNSOR mD1 AUDIBLE ÞMJ VISUAL ALAAM8 /tHJ (ChecIc _) o .. AUTO PUMP SHUT OFF WHI!H A LENC OCCURS ~". ~OFF FOR LEAKS. SYSTEM FAlWREÞMJ SYSTEM o c:. NO AUTO PUMP SHUT OFF , 1. ~TIC LIfE LEAK DETaCTOR (3.0 OPH TEST) mD:1 FlOW SHUT OFF OR RESTRICTION o 12. ANNUALIN1'EGMVTUT(O.1 OPH) SUCTIO~VITY SYSTEM: o 13. CONI'NIOUS SUW SENIOR .AUDB.I!NGWlUALMAM8 DlDGINCY GI!N!M1OIII ONLY (Check" lilt IfJIJI1 o 14. CONT1NJOUS SUMP SENIOR wmtOUI' AUTO PIJMP SHUT OfF· AUDB.e NÐ \llSUAL ALARMS o '15. AUTOMATIC UHf LEN< DETaCTOR (3.0 OPH TEST) mDIBLI FlOW SHUT OFF OR RESTRICTION I 0 111. ANNUAL INTEGRITY TUT (0.1' GPH) o 17, OAIl Y VISUAL. CHECK . :'.,'1~if~;,~~~ ~,~~~~:~~. . ~.¡~p" 1~:' .'(oJ I I ' , _...._~._~ t, '10. _'. ~_~"'_I'IJ5.," ,- NAME OF 0 UPCF (7199) A80VEGftOUNO PIPING o 2, SUCTION o is. uNKNOWN 091. OTHER . I o I. FRPCOMPA~WI'~MEnWQ. [J 7. OALV.wzEo STEEL o e. Fl£XI8LE (HOPE) CJ., OntER o t. CATHOOICPROTECTION o is. uNKNOWN ."'i-''':' , 4, PRÉSSURIZED PIÌ'ING (ChecIr .. IN, ¥PlY): o t. ELECTAONC LINE LEN< DETaCTOR 3.0 OPH T!ST mD:1 AUTO PUMP SHUT OFF FOR lEAl< I SYSTEM FAILUftE. NÐ SYSTEM ~. AUDI8LE ÞMJYISUAL A&AAMS CJ 2. MON'M. Y cu OPH TEST [J 3. ANNUAl INTEGfIITY TEST (0.1 OPH) CJ 4. DALY VISUAL CHECK CON\IEHTIONAL SUCTION SYSTEMS (Cbet:Ir""" ¥PlY): CJ 5. OAII. Y VISUAL MONrTORING OF PPINO NÐ PUa.I'INO SYSTEM o I. TRJENNIALINÆGRtTY T!ST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES .. BELOW. GROUNO PIPING): CJ 7. SELF~ GRAVITY FLOW (CItec*"/Nt WIt): [J L DALY VISUAL MONITORING o t. IllEMMLIN1'EGMVTUT(O.t GPH) SI!CONDARlLY CONTAINÈD PIPING PRESSURIZED PIPING (Check" /IIat ~ I 10. CONTINUOUS TURBINE SUfoP SENSOR mD1 AUDfllLENÐ VISUAL ALARMS /tHJ (dIeI* one I o .. AUTO PU.... SHUT OFF WHeN A LENC OCCURS o II. AUTO PUW SHUT OFF FOR LEAKS. SYSTEM FAILURE ÞMJ SYSTEM 0IS00NNECt'10~ o c:. NO AIiro PUMP SHUT OFF CJ 11. AUTOMAnc LEAK DETECTOR o 12. ANNUAl NTEGR/TYT!ST(0.1 GPH) SUCT10NlGRAVITY SYSTEM: CJ 13. CONTNIOUS SI.N" SENSOR . AUOIILE NÐ VISUAL A&NIMS DlUGINCY GINIM10III OM.Y (Cttc*" /lilt W/)') o 14. CONTINUOUS SU.... SENSOR wmtOUI' AUTO PU.... SHUT OfF. AUDIBLE NID VISUM. ALARMS o 15. AlJT'QMATIC UHf LEAK DETECTOR (3.0 GPH TEST) o '1. ANNUÀL.INTEGRITYTEST (0.1 GPH) CJ 17. OAIlYVlSUALCHÈCK o 4. DALY VISUAL CHI!CK o S. TR!NCH LINER, MC)Nr1'ORINCJ ..~ tJlJ/<¡ 'OW - 670 412 'Ç". t 1M I S:\CUPAFORMS\SWRCB-I.wPCI I 'i, __ __ - ,/@t".. A.'. ---- .......... -. U .-. - LITt Ut UAJU;lCStlt.LU OIllCE OF ENVIRONMENTAWERVICES 1715 CftSter Ave., Bakersfield, CA 93J111 (661) 326-3979 UNDERGROUNDSTORAGETANKS·TANKPAGE1 (6. ,..,. fII CJ e, n!MPQfWt'" SITe CLOsu..e CJ 7, ~"'CLOSEDONSlTI! CJ S. TANI( ~D tyPE OF ACTION a " NIW SIT1 PPMIT CJ.. AMINDID PIA..,. CJ S. CHAHQI ~ IN'ORM\ noN) I Clttc' 0/11 .- oNtJ a 3. ~AL P!IUMT (~_'_IOcM_~J BUSINESS NMoe Is-.. 'ACIUT't' NAMe 01 08A. OIlIng "*- M) A-RCtJ .---.-.. , ~OCA TION WITHIN srTI ~ ANKI . L TANK DeSCRIPTION COWNmEHTAUZEO TANI( a "'. CJ No "..,.... earn,... _ pege I'or..,. CIIIIINW1nIenL c2 i OA J ;1r3 oj? I~ es ;0 000 (1'01'" - 0III1J .:' .. TANK CONI'INTI ~ IIETtD.IUM TYPE p-1L MGULNt IKI!ADED [] z. LEADED [J,... .......IKI!ADED 0 3. OIESB. [J,Co YDORADI! UNLEADED 0 4. GASOHOL c:ow.ION NMII! 1'-"""''''''''' ~ /»fIe) 0C(Ç,.ð/i"./E . ¡ vJ TANK use 411 ¡ !'!". MOTOR vtHlCLllIUIL I (If"""'~""'" ')pe} ! 0 Z. NOH4=UELÆTROLeUM I I 0 3. CHEMICAL PAOOUCT I 0 .. HAZAIIDOUS WAITe (tICIWN I 095. =:... I I TYPE Of TANK (CMdf _ ....... i I TANK aMT!RIAL . IIII/IIIy ... c,. IAN! ST!IL (CMc:*_....... [J Z. STAHaSSTI!EL TANK aMT!RIAL· -*y... 0 ,. IAN! ST!IL (CMc:* - AMI.... 0 Z. STAKDI STIEL 441 o S. ÆT FUEL [) .. AVIATION FUEL D.. one CAS" (ftom HuMttuI......... ~ /»fIe) ~CJb- 6/- 9 .. C 1. ....WALL ~ DCULlWALL .. TANK CCINInItUCTION [J So INJLI! WALL v.mt EXTMIOA ·v..ne LINER o .. INJLI!WALLINAVAULT , , C 1. ..... UNID C z. AIJM) LMICI Q4ì FI8EROLASS, PLASTIC o 4. STEEL CLAD WI'II!RŒASS AEJNFORœD PLASTIC FØ!RGlASS' PlASTIC [J .. STEELQAO~ AEINFOACED PLASTIC (FRP) o s. COHCAm! o So !POXYLMICI o .. "1I!l1OC IC LN'iIG [J So DG.I WALL v.mt INT!ANAL aADDER I'tStÐf 011. UNCNOWN [J.. OTHER o s. CONCAETI! 0... UNCNOWN 0.. FRPCCM>ATl8LEW100'JUtETHNG. 0.. OTHER 44: ... I a .. FRP CCM>ATa! W10K METHANOL a .. FRP~JACIŒT a 10. COATED STEEL [J... UNCNOWN' 0.. OTHER ~ I TANI( INTEItIOR LMICI OR COATINO a So GtAII UNNJ ~ UNCNOWN [] .. UN.ND 0.. OTHI!R ... Do\Te INSTAU.ED 447 (CMc:* - ..... 0lIl)1 SPIU. AM) OVEIV'LL ! (C/OICk" Nt WI1J I C t. MNUlACTUMD CATHODIC MC7TICnON C Z. SACIWICW. ANOOI V!ARINSTAUED 450 TYPE(Fortoal_.... 451 1. SPILL COHI'AINM!N1' (/t{Ið/œtJ/lJ Z. I)N)PTUII ± So NERaASS R!N'OACB» PLASTIC [J II. UNCNOWN o 4. ....sam CURA!NT 0.. OTHER .... 1OOeI_ Do\Te INSTAUm 4411 (FtN1oøI- 0IIIy) OVERFI.L PROTECTION EQUIPMENT: V!AA INSTALLED 4S2 ~ ALARM VI1~ FILL TUse SHUT OFF VALVE ~ a z. BALL FLOAT a 4. I!XEWT .:.:,:."._::....~1t~ ISTIMA rlo OATlI.AIT UIID ("tRIIDDo\Y) a.. MANUAL TANK QMJOINQ (Il1'O) o .. VAÐOIe ZOHI! [] 7. OftOUNDWATEA a L TANK TUTINO C. OTHM V. TANK CLOIUU "'ORMATION INIUIANINT CLOIUU IN PLACI 411 IITIaMTID QUNfmY CW SUlSTAHCI ~ 4Ø TANK n.LIO WITH INMT AMTUIAL' 417 .... a",. aNo UPCF (7198) S:\CUPAFORMS\SWRC8-8·WPC, CITY OF BAKERSFIELD ~ OfIFIC. OP INVIRONMENTAL SERVtCE__ .-15 C......, Ave., ..k.,.fleld. CA .3301 (111) ,,71 lIlT. TAMe PAQf ,.. - elf I . ao I UNOeAOROUND PlPlNO VI. ...... CONITItUCTION (C1/M*""" WIr1 A80VI!GROUNO PIPING I svSTEM TYPE , PAESSURI 0 2. SUCTION 0 3. ORA""" .sa 0 I, PAESStJRE CONSTRUCTIO_~' SJHGle WALL. 0 3. UNID TRENCH 0.. OTHI!A 480 0 I. SiNGLe WAU. MANUF4CTUR~. OOUIU! WALL. O. UNKNOWN 0 2. OOUk!! WAU. I MANUFACTURER 1:Ç'; rr 4el MANUFACTURER ,0 " IIARI! STEEL [J .. FRP COMPATJaÆ .... l001UeTHANOL 0 I. BARE STEEL : MATERIALS AHO '0 2. STAIt<U!SS STeEL 0 7. GALVANIZED STEEL 0 2. STAINLESS STEEL : CORROSION : 'PROTECTION :03. PLASTlCCOMPATllLEWlTHCONTEHTS a.. UNICNOWN 03. PLASTlCCOMPATl8L.EWlTHCONTENTS ~ FleeRaa.Ass 0 .. F\DIIIU! (HOPE) 0.. OTHER 0 4. FIBERGlASS :05. STEElWlCOATINO 0 t. CA'n4OOICPROT£CTION 4e4 0 S, STEELWlCOATlNG VI. PPING LÆM DeTECT10N (CMdlrl"" WIr1 '" -.. I·" .... " .."'~'i< DISPeNSER CONTAINMeNT 0 1. FLOAT M!OIANIIM THAT SHUTS OR IHI!M VALVE DATE INSTALLED _ 0 z. CONTINUOUS DIIPIN8eR PNt SINIOA . AUDIIU! NIlJ \II8UAL ALARMS d 3. CONTINUOUS DIIP!NSI!R PNt SINIOA m:D:S AUTO SHUT OFF FOR DISPENSER · AUDia./! ANa VISUAL ALARMS IX. OWNIRIOPIRATOR SIGNATURI I CIIIify ltIallN I/IIamIllOn IVWIcIed '**' IlINe nllCCI.IfIIe 10..II1II r "" 1IIICMIIcIgI. SIGNA TUR! OF OWN!M) UNDERGROUHD PIPING PRESSURIZED PIPING (Ch«:It II IItat IfPIIIrJ: o 1. ELECTRONIC LINE LEAK DETECTOR 3.0 OPH TEST mItt AUrO PUIoP SHUT OFF FOR LEAl(, S't'STEM FAII..UR&. NIlJ SVSTEM DlS(XIMCTtON · AUDØ.I! NIO VISUAL. ALARMS o Z. MONTK.Y 0.2 0fIH 'ÆST .. o 3. ANNUAL INTEGRITY TEST (0.1 OPH) CONVENTIONAL SUCTION SYSTEMS: o S. 0AIl v VISUAL MONITORING OF fItAPING SYSTEM . TRIÐNAL PIf'N) NT'EGAITY TEST (0. I GPH) I Ii SAFE SUCTION SYSTEMS (NO VALVES IN 8B.OW 0R0tJtC) PIPING): o 7. SELF MONITORING , GRAVITY FlOW: o t. BIEN'IAL INTEGRfTY TEST (0.1 OPH) seC:OfCMM.:r COffT~...... PRESSURIZED PFING (CIteå II /flat ¥IJ/11: 10. CONTINUOUS TURBINE SUW SENSOR m:D:S AUDØ..E NÐ VISUAL AtAMe NIlJ (O\edICIN) , o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS Q::}. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FALURE NÐ SYSTEM (,.., 0tSCX:INECTI0N ' o Co NO AUTO PUMP SHUT OFF , ' 1. AUTOMATIC lINE LEAK DETECTOR (3.0 OPH TEST) mItt FlOW SHUT OFF OR RESTRICTION o 12. ANNUAL INTEGRITY TEST (0.1 OPH) SUCTIONGRAVITY SYSTEM: o 13. CONTNJOUS SUY" SEN8OA. ~NIlJVl8UALALAM8 DlUGINCY GINIMTORI ONLY {Chect"...., o 14. CONTINUOUS sua.P SENSOR wrTHOUT' AUTO fIUYI SHUT OFF. AUDB.e NIlJ VISUAL ALARMS o ·IS. AUTOMATIC UN! LEAK £ÌETEÇTOR (3.0 OPH TEST) mItDlI FlOW SHUT OFF OR RESTRICTION I 0 HI. ANNUAL INTEGRITY TESt (0. I GPH) o 17. OAII. v VISUAL CHECK , t\"'o:i-,ß:rP ',~~ ~",~"..., ."" '. ~'~ ' . . :"~~Jr~~~~~ ·l'~r~~.. "t ~J~..IJ';!': I.'" , Penn.. NumIWtFot /oeM 11M 0IIIy) , 4731 UPCF (7199) o 2. SUCTION 015. UNKNOWN 0.. OTHER o 3. ORA"",, o I. FRI' COMPATIILE WI locn. MEnWQ. o 7. GALVANIZED STEEL o .. FWCIIII.E (HOPE) 0 tit. OTHER o t. CATHODIC PROTeCTION 015. UNKNOWN ~'-' 4 PRESSURIZED PIPING tCheclt II IN, IJIIPIY): o ,. a..e<:moMC LINE I.!AIC DETECTOR 3.0 OPH TEST Xt1D1 AUTO PUMP SHUT OFF FOR LEAl< SYSTEM FAI.URE. AND SVSTEM DISCONCCTIOH . AOOI8LE NÐ VISUAL AL.MMS o 2. MONTK.Y 0.2 GfIH TEST [J 3. NNJAL INÆGRITY TEST (0.1 OPH) o 4. DAILY VISUAL CHECK OONVEHTIONAI. SUCTION SYSTEIotS (caec.""" ¥t1I1): o 5. 0AIl Y VISUAL MOHITORING OF PI'I'G NIlJ PUWING S'tST'EM o I. TRIENNIAl. INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES .. BELOW GROUNO PIPING~ o 7. SElF MONrTORING GRAvnY FLOW (CItec« II /Nt W/y): o .. DAIL YVISUAL MONITORING o '.8IÐHALINTEGRtTYTEST(O.IGPH) aa::oNIMRlLY CONTAINED PIPING PRESSURIZED PFING (CIteå" /Nt ~ 10. CONTINUOUS TURBINE SUW SENSORmII:i AUDIIIl£ NÐ VISUAL ALARMS N«J (did_ o a. AUTO PUMP SHUT OFF WHEN A LEAK OCQJRS I o It. AUTO PUMP SHUT OFF FOR L.EAKS. SYSTEM FAILURE NÐ SYSTEM 0ISC0NNECT10"'1 o c. NO AUTO PUMP SHUT OFF I o 1 I. AUTOMATIC LEAK DETECTOR o 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTIONlGRAVITY SYSTEM: o 13. CONTINUOUS SUM" SENSOR . AIJOI8U! NIlJ VISUAL ALARMS IIIIRGINCY GINIMTOIII OM. Y {Ctect" IItIt wM o 14. CONTNJOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF. AUDI8LE N«JVISUM. ALARMS o IS. AUTOMATIC UNE LEAK DETECTOR (3.0 GPH TEST) o 11. ANNUAl. INTEGRITY TEST (0.1 GPH) o 17. OAIlYVlSUALCHECK ~~:~~\:;~~~~;~:~~. ':i<~~;.t;~~~~~;~~~~¡:~~ . o 4. DAILY VISUAL QtI!CK o So TReNCH LINER I MQNYOR!NIJ Ø"...... v'Jý,,0VolÙd - DATE 670 .5 - 3-00 471 Pennll!IIIrIIIOI\ 0lIl (1'01.... OII/f 47~ I I S:\CUPAFORMS\SVVRC8-8·wPC: I 472 ;,J/ç r .~'-- .......- / ".. A.'. .Ao...- .......... -. L- '-' Lll\' Ut ISA~K.Stlt.LU QliFICE OF ENVIRONMENT~ERVICES 171S lW'ester A \Ie., Bakersßeld, CA 93]Ð 1 (661) 326-3979 UNDERGROUND STORAGE TANKS-TANK PAGE 1 ...... !II CJ S. CHAHQI ~ IHFOAMA TIOH) CJ e, TtMPOAAAV SIT@ o.osu..e o 7. PEIUoWI!HT\. y o.oseo ON SIT! (SIIeotr-..·/II'''-OItI1 0 e. TAHKRIMOVaO 3 I plN:.a.ffY ID · I'YPf! OF ACTION CJ " HIW SITI PIIWIT CJ .. MII1CII!O PeRMIT I C1t«. .",. - 0IIIy CJ 3. "INeWAL PPMIT (SIIeotr...... . /11'.. UN OItI1J BUSINESS ,..,... Is... - plACLITY ~ 01 DBA· 0cIng II.-- "-!U . ~ ~-"- . pr 5~S- : ~OCA TICH WlTHIH SITI ~ Y r I \/10-" 61"7 E ~i L TANK DI!SCRIPT1ON L TANK c:oN1IJna coa.AlmENTAUZEO TANK CJ V_ 0 No tt-v.·. CIIIIIIIIe one øeoe far MdI CDmI/M'IIeIIL I I I 4: , TAM( UII at ~T\'N 4 ~, MOTOR V!HICU IIUB. [J ,.. MGUiM &N.IAŒD o 2. LfADEI) o S. JET FUEL I (II.--.......~ J)peJ [J,a. ...... &N.IAŒD CJ 3. DIESEL () .. AVIATION FUEL ! 0 2. ~PITRDLEUM þ;. YDGRADI! INEADED o 4. GASOHOL [J III. one I I 0 ], CHÐICAL PAOOUCT COIAION NMie.....,....,.......... *-*'Y 1»tII 41' CAS' {fIom HuMbuI........ ~ 1»tII} ... I 0 4, HAZNICOUS WASTe (NWN bCt $0 //lJb g-ÓOt-b/- / /bed 011 o 95. tJNIOIO\IWt .. TANK CCNI1ItUC11ON I TYPE OF TAM( I (C/tedI_ .... 0IIf)/} i , TANK AMTERIAL ....,...,... 0,. SARI! ST!I!L I (C/I«.t_..OIIf)/} 0 Z. STAN.ISSSTm. I TANK AMTERIAL· ~... 0 ,. SARI! ST!I!L (C/tedI_....OIIf)/} 0 Z. STAK.ISISTI!EL. TANK INTERIOR LNG OR COATINO I {C/tedI_ _IIIIM O'04ER COAAOSION PROTECTION. APfIUCAIU (C/tedI_ .... 0IIf)/} SPIlL AND OVEAFU. I (C/tedI" IN, WIYJ I ~ ....~ DOIa.I! WALL o 1. ...... LND C Z. AUC'tD LNG [J s. INJLI! WALL wmt 1!A1eR.oA ~eWWE LINER C.. INJLI!WALLIHAVAULT ~ FIIEROLASSI PlASTIC o 4. STEEl.. CI.AD WFII!RGI.ASS AOFORCEO PlASTIC (FRP) 'g:j) FIIERGI.ASS I PlASTIC tJ .. STEEL CI.AD WFIIERGLA8S AEN'OACEO PlASTIC (FRP) [J s. CiONCAETI! [J s. IJIOXY LNG [J 4. ... JC( IC ...-.0 [J So INJLI! WALL WITH IN1'!ANAL II.AÐœR SVS1Bf [J II. UNICNOWN [J III. OTHER [J s. CONCAE11! [J II. UNICNOWN o .. FRP CCM"AT18U! VW1~ ME111ANOL [J III. OTHER ... .... o .. FRP CCM"ATaI! VW1~ ME111ANOL o .. FRP NOH-CiORAODI8U!.IAQCET o 10. COATED STEEL [J II. UNICNOWN [Jill. OTHER ~ o So ØLAI8 LNNO ~.. UNCNOWN o .. UN.ND [J.. OTHI!R ... 041'8 ICSTALLEO 447 1FoI1oøI_ """'" DAT! INITAI.L!D 44S [J II. UNICNOWN [Jill. OTHER C t. MNU'ACTURID CA1HCIOIC ~ ~ MH'ORCIDPtASTIC O MDTICTICIH [J 4. ......ISI!D CUAA!NT Z. IAØWICIAL AHODI YEAR INSTALLED 450 TYPE (For 1OaI_ ody 45t )íJ. SPILL CONI'AINM!NT {)"¡I<IIo(,{)!U ~ z. DN)P 1\111 ITRIICM P\ATI o S. MANUAL TANK OAUGIHG (M1'OI 0.. VAØOte ZONe o 7. OftOUNDWATER o .. TANK TUTINO O. OTHeR Y. TANK CLOIUU INPORIlA11GN I PlIUIAHINT CLOIUU IN PLACI ... II1'IaMTID QUANt1TY (1' SUllTAHCI ~ .... TANe'LLIO WITH INMT AMTIRIAL' ISTIAM TIO QA TlLAIT UIID (YIWGDAY) UPCF (7198) ... (IW 1oøI_ ottIy} OIIENIU. PROTECTION EQUIPMENT: YEAR INSTALL£D 452 9n- ALARM (Jr.~~ FILL TUBUHUTOFF VALYe - [J Z. 8AU.FI.OAT 0 .. IXDPT :.~~: ~~.a:.~ ~~:~~~::~~'.:~::",. >::..'..... :.;~~~ :i:.:Je¡:" .,~:' y .:.:,:...._:··:'..t!t~ . DOWUI WALL TANK 0" TANK YtITH ILADOIIt (CMcIrotte'" ~ ... [J 1. VISUAL (SINOLI WALLIN VAU&.T Ot&.Y) CONTINUOUS INT!ASTITIAL MONfTOfUHO [J J. AWNAL MONITORING 411 ..... C]Y. OND S:\CUPAFORMS\SWRcø.a·WPC CITY 0' BAKERSFIELD _ OPPlCe ()II eNVIRONMENTAL SERVICES . ., Chlsle' Ave., "lIel'lfleld, CA '3301 (111) 32 -I UIT . TAMe "AGE ..... - cI J VI...... CCNI11tUCTlON cø-" lilt"" UNDERQfIOUtC) PIPING SYSTEM TYPE I, PRESSURI! 0 2. SUCTION 0 3. QAAVITV 458 0 I. PRESSURE CONSTRUCTIOHI'O I. SIHGU! WALL 0 3. uNID TRENCH 0 II. OTHeR 410 0 I. SINGLE WALL MANUF4CTUREAp. COull! WALL III. UNCHOWN 0 2. DOUBlE WALL : I MANUFACTURER 77 411 MANUFACTURER : 0 I. BARE STEEL 0 .. FRP coa.PAT1&!.... 10ft METHANOl. 0 1, BARE STEEL : MATERIALSAHO'O 2. STAINlESSSTEI!L 07. GALVAHlZ£DSTm 02. STAlHLESSSTEEL : CORROSION ; , PROTECTION :0 3. PI.AST1C COMPAT1IU! wmt CON'fENfS 0 III. UNKNOWN 0 3. PlASTIC COMPATIBLE WITH CONTENTS iQ:J:A:tIlERGtASS 0 .. FU!XJIILE (HOPE) 0 II. OTHER 0 4. FIBERGLASS ~O 5. STEEL Wf CQATINO 0 t. CATHOOIC PROTECTION 4t4 0 5, STEEL WI COATING VI. ..... LBAK DETECT10N (CIId II lilt"" IIIIItGI!NCY G!N!MTORI OfLV (CItect" lilt""" o 14. CONTIMJOUS SUW SENSOR mnIJlI AUTO PUW StIlT OFF· AUDIILI! NID VISUAL ALARMS o ·15. AUTOMATIC uNE LeAK OETEÇTOR(3.O GPH TEST) mDIIII RDN SHUT OFF OR RESTRICTION lOtI, ANNUAL INTEGRITY TEST (0.1 GPH) o 17, CAlLY VISUAL CHECK :~: ",.:)~'!1 DISPeNSER CONTAINMI!NT 0 ,. Ft.OAT M!ØWIISM THAT SHUTS 0FfI1tœM VALVE DATE INSTALLED _ 0 2. CONTNIOUI DIIfII!N8I!R MH S8I8OA · AUOIaI! NID VI8UAL AI.ARMS o 3. CONTJNUOUI DIIPINSI!R MH S8I8OA mns AUTO SHUT OFF FOR DISPENSER · AUDI8I.E AND VISUAL ALARMS DC. OWN!RIOP!RATOR SIGNATURe I -"'Y 1/111 1M 1111\1m18IIoII fOWICIed __ Ie 1Ne _ ICICUrIIe 10 lie ItIIt tJ my 1InCMIede. SIGNATURE OF OWNERlO UNDERGROUND PIPING PRESSURIZED PIPING (CMcIt .. IItet ¥PIYJ: o 1. ELECTRONIC LINE LeAK DETECTOR 3.0 GPH TEST mItt AUTO fIUYI SHUT OFF FOR LEAK. SYSTEM FAIWRI!. NID SVSTEM DISOOfMCTlOH · AUOØ..E NID Vt8UAL AI..o\RMS o 2. MONTHLy Q.2 OPH 'ÆST .. o 3. ANNUAL M'EGMY TEST (0.1 GPH) COHV£NTIONAL SUCTION SYSTEMS: o 5. CAlLy VISUAL MONITORING OF ~ SYSTEM. TAIÐHAL PFING INTEGRITY TEST (0.1 GPH) I Ii SAFE SUCTION SYSTEMS (NO VALVES" BELOW GROUND PIPING): o 1. SELF MONrTORJHG ~vrN FU)W: o t. BIENNIAL M'EGMY TEST (0.1 GPH) II!COIØIIaL.V CONI'AINID PI'IIIG PRESSURIZEO PFINO (Chec*""'" ~ 10. CONTJNJOUS 'NR8INE SUMP SENSOR mD1 AUDIBLE NÐ VISUAL ALARMS NID (QIecIr one) o a. AUTO P\M" SHUT OFF WHEN A LEAKOCOJRS ~AUTO P\M" SHUTOFF FOR LEAKS. SYSTEM FAlWRENÐ SYSTEM DISCQNNECTION eo NO AUTO PUMP SHUT OFF ~1, AUTOMATIC LIfE LeAK DETECTOR (3.0 GPH TEST) mIttRDNSHUT oFF OR '^-" RESTRICTION o 12. ANNUALM'EGMYTEST(0.1 GPH) SUCTIONGAAVItY SYSTEM: o 13. CONTINUOUS SUW 8EN8OR. AUDeLl!NlDWlUALALAM8 . ;. '1~if~~Þ~"~ ?~.':~:~~. . ~ '¡-_1~: 7· I ~....._~.J_~ h ~t_. ~_LL"_~9!-·"" f ,.",... Hum_ IF« /OeM UII only} 473 I PtmtI AtIrOwICI (F« ...UII only} UPCF (7199) AaOVI!GAOUNO PIPING CJ 2. SUCTION o is. uNICNOWN 0.. OTHER o 3. OAAYITV ,I , I CJ I. FRP COMPATIIU! WI 10ft ME'nWQ. o ,. GALVANIZED STE£L o .. FLEXI8LE (HOPE) 0 W. OTHER o t. CAn400IC PROTECTION o is. uNKNOWN ,;',:" I 1 .1 PRESSURIZED PIPING ICMcIt II 1M' ¥t1IY}: o 1. a..ECTAONIC LINE U!AK DETECTOR 3.0 GPH TEST mItt AUTO PUr.P SHUT OFF FOR LEAA SYSTEM FALURE. AND SYSTEM DISCC)NIECT1ON · AUDIBLE NÐ WIUAL ALARMS o 2. MONTHLy Q.2 0f'H TEST o 3. ANNUAl. INŒRTY TEST (0.1 GPH) o 4. DALY VISUAL CHECK CON\ÆNTIONAL SUCTION SYSTEMS (CI»cIr""" ¥t1IY}: o 5. CAlLy VISUAL MONITORIG OF ,......ø NID PUMPING SYSTEM o I. TRIEtNAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTÐoG (NO VALVES .. øa.ow GROUNO PIPING): o 1. SELF~ QAAvrN FLOW {CItedr II",., apply}: o .. DALY VISUAL MONITORING o t. BIENNIAL INŒRTY TEST (0.1 GPH) IKONDAIaL.V CONrAINI!D PIPING PRESSURIZED PIPING (Chec*" IItet ~ I 10. C()NT1NUOUS TURBINE SUMP SENSORmIt1 AUOI8L£ NÐ VISUAl. ALARMS NID (did- O a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FALURE AND SYSTEM 0ISCX)NNECn0" 1 o Co NO AUTO PUMP SHUT OFF o ". AUTOMATIC U!AK OE'ÆCTOR o 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCT1()tWRAVItY SYSTEM: o 13. CONTHJDUS SUM" SENSOR . AUOIILE NID VISUAL A&ARMS ÐlØGIINCY GINIItATORI ON&. Y (CItect" lilt IIP)) o 14. CONTINUOUS !MoP SENSOR wrTHOUT AUTO PUMP StIlT OFF · AUOI8LE NID VISUAL ALARMS o 15. AUTOMATIC UNE U!AK DETECTOR (3.0 GPH TEST) o II. ANNUAL INTEGRITY TEST (0.1 GPH) o 17. OAILYVlSUALCHECK :ì< ;'~.~~;¡'W'~~~;{~;;;¡:1".· '0 ... DALY VISUAl. CHeCK o S. TRI!NCH LINER, MONrYOM«J .. 'NOM! UN¡'¿ AJ),¡JÞÙ 488 ~~~:.).~\.;~~'.~~~:~~J .70 DATE 1J~ (Å,_t?21 474 I Pttmlll!llllrlllClll o.e (IWIDCII'" CWIIW .i~l. I S:\CUPAFORMS\SWRC8-8·wPC .~c.r ___ -.... - .' ".. A.'. ---- ......... -. -- .-" Lfa ~ UI' tsA~K.:St I~LU OIilCE OF ENVIRONMENT AIII1IIIiERVICES 1715 C_ter Ave., Bakersfield, CA 93_ (661) 326-3979 UNDERGROUNDSTORAGETANKS-TANKPAGE1 (! ,..,. fII Nile OF .-cr1ON CJ " ..-..w SITI PeMIT a t.' AMIHCID Pl!AMT a s. CHAHGI OIIHPOMM TION) a ., TEMf!ORAAY SlTI! CLOsu..e I Cltec. OM ,_ ~I a CJ 3. ~ PI!AMT " PEAMNEHTlY CLOSED ON SIT!! (~__._..,....~) (~t:/IMt(e._"'''''~) 0., TANK~D BUSINESSNAMl1s.N, .~ACILm'~OIOM..:..ØaI'I--Ae) .JJ 31. '.canv'" rTITTflTTTTl : ~ ~~ 7' 53t;j/.. LLLLl.UllJ.JJ , LOCATION WITHIN SITI fCIJ*tMO ./ L TANK DESCRIPT10N CQWAATMEHTAUZED TANI< 0 Y. a No /I..,.'. earnlllle _ pege far UdI ~ ~ /6 ODO I " .. TANK CCN1IIIII ¡ TANCUII! at ~'M'e 4- ~ MOTCRVÐCLIIIUIL a 1L MCUMUNL!AŒD o 2. L!ADED o S. ÆT FUEL (If IIYrlIed. ___ ~ J)IteJ ~""'UNL!AŒD o 3. DIESEL EJ .. A'MT1ON FUEL ! a z. NOH-IUEL PETRDU!UM a,C.~~ o 4. GASOHOL o SII. OTHER i a 3, CHEMICA&. PAOOUCT COI6IDN IWoI! jIIIMt,....,......... ~~ 441 CAS" (tom HIøId:IuI...... ~~ .. lOt, HAlNIDOUS WASt"! (rnc:IIUØN /D/OOO S:VcJ6 -£ /~ r I IJM OI a ts. UNCNOWN I a TANK c:aamtUC1IDN I TYÆOFTANC C 1. --.e WALL a So INJLI! WALL v.mt a s. DIOU! WALL v.mt INT!RNAL aADDI!R SVSTEM 44:: I (Ch«:* - ....." DCXaI! WALL EXr!AIOR ISØWII LINER a lIS. UNCNOWN C 4. INJLI!WALLINAVAULT ;en C 1. IUllRLND C 2. AIJM) LMICI ~ FIBERGLASS I RAST1C b 4. STEEl. CLAD WFIIII!RGLASS AEJNFORŒD P\AST1C FIIEAGUSS I RAST1C o 4. STEEL CLAD 'MFIIERGLASS REINFOACED PLASTIC (FRP) a s. CONCAEn! a s. I!JIOXY LItNI a 4. PHINOUC LINNI o III. OTHER a 5. CONCAETI! o .. FRP CX)YOATI8LE W'l0ft METHANOL TAN< INTEJUOR LINNJ OR CQATINO o So OLAII LNG o..UNJNED a II. UNCNOWN ...1 ell. cmtER a II. UNCNOWN 4451 ell. cmtER ... ~TI! INSTALLED 4471 1oøI_ ~TI! INSTALLED 4111 , ! TANK AMTERIAL'~ 11'* C 1. IIAÆ STIlL I (CMcIr _ .... odtI C Z. STAN.!SS STEEL I TANK AM TERIAL " -*'Y 11'* C 1. IIAÆ STIlL (CMcIr _ .... odtI C Z. ITAKISI STEEL o L FRP CX)YOATaI! W'l0ft METHANOL CJ .. FRP NDH-ODRAOOIIU! IN;KEr o 10. COATED STEEL (CMcIr _ .... odtI SPILL AND OVEAA.L I (CMcIr III INIII/tIIYJ I C 1. ....ACMB CATHOCIC ~ FI8ENJLASI fIØIIORCfD PUSTIC a lIS. UNCNOWN PAOTI!CTION é 4. M'AES8I!D CUM!H1' a III. OTHER C Z. SACIWICW. ANDDI! 'tINt INSTALLED 450 TYPf!(ForIoUlIModtI ." )ó 1. Sl'UCØlTMMHf()tJ¡¿l'IwJ ::.n:TI + ... (FfK"-~ QV£RF1lL PROTECTION eQUIPMENT: 'tINt INSTALLS) 452 ~ AI.ARM U~ FILL TUBE SHUT OFF VAL'Æ _ a z. BAL.l.FI.OAT a 4. eXBPT II1IAM TID OATlI.AIf UIID (YMDDAY) Os. MANUAL TANKOAUOINO(MTO) [J.. vAOOIe ZONI o ,. OIQMJWATER [J .. TANK TI!ST1NO [J.... ÓTHP V. TANK CLOIUU "'ORMATION I PlIUIANINT CLQIUU IN Pt.ACI ... unaMTID QUAHmY CW SUllTAHCI qMNNNI ... TANK JII.LID WITH INIftT aMTIRIAL? 41'1 ..... o v. 0 No UPCF (7190) S:\cUPAFORMS\SWRC8-8·wPC CrTY 0' BAKERSFIELD -. MIlICI OfIINVIRONMENTAL SERVICES .,15 Chnter Ave., ..k....fleld. CA 13301 (H1) .79 ~ UIT . TANIe PAOf ...... _ d VI. ..... CONI1'ItUC'11OH (C1tect""""" UNOt!AOROUfC) PlPlNO SYSTEM TYPE -\Qt?PRESSUR! CJ 2. SUCTION [J 3. ORA""" 4S8 0 I. PRESSURE CONSTRUCTIO~,à 1. SINGI.! WALL CJ 3. UNID TRENCH 0 II. OTHeR 480 0 I. SINGLE WALL MANUFACTURER~ l}4:J> OOUIU! WALL CJ II. UNCHOWN 0 2. OOU8l£ WALL : I MANUFACTURER 4t1 .,MANUFACTURER : 0 I. BARE ST!EL 0 .. FRP COMPATIIL!.... 1001U..'HANOI. 0 I. BARE STUL : MATERIALSANO'[J 2. STAINU!SSSTHL 07. GALVANIZEOSTEEL CJ 2. STAINLESS STEEL : CORROSION : , PROTECTION :0 3. I'tASTIC COfotPAT18U! WITH CONTENTS 0 II. UNICNO\NN 0 3, PlASTIC COMPATI8LE WITH CONTENTS ~. FlIlERGtASS CJ .. F1..!XIaE (HOPE) 0 II. OTHeR CJ 4, FIBERGLASS :05. STEELwtCOATINO 0 t. CAntOOICPROTECTION 464 05, STEEL WI COATING VI. PPING L8AK Dl!TECTtON (C/tet:t -"...,.", "'::'~'!:': ~~:~;\~~'¡~,:~:i DISPENSER CONTAINMENT 0 1. FLOAT M!OWII8M THAT SHUTS~ IH!M VALVE DATE IHSTAW!O 411 CJ Z. COHTNJOUI DIIPINS!R IWt SENIOR. AUDIaI! AHO WIUAL ALARMS o 3. CONTINUOUI DIIfI!NSI!R IWt SENIOR mD:S AUTO SHUT OFF FOR DISPENSER · AUOI8I.E AND VISUAl. A&.AAMS DC. OWNMIOPDATOR SIGNATURI! I c.tify "'., 1M on/amIlIIan /IOWICIId ,.., 18 INe ., ICIQItIN 10 1M II1II f Ifft 1rnøwIedge. SlaNA TURE OF OWNERlOP!RAT DATE UNDERGRCIUHD PIPING PRESSURIZED PIPINO (ChecIr """ WIt): o 1. ELECTRONIC LINE LEAK DETECTOR U OPH TEST mIlS AUTO PUW SHUTOFF FOR L.£AI<. SYSTEM FALURI!. AHO SVSTEM DISCONNECTtON · AUOØ.I! AHO VISUAL. ALARMS o Z. MOHTHL Y 0.2 OPH TEST .. o 3. ANNUAL INTEGRITY TEST (0.1 OPH) CQHVEHTJONAL SUCTION SYSTEMS: o 5. OAIL Y VISUAL MONITORING OF PUMPINØ SYSTEM . TRIENNIAL PIPING INT'EOArTY TEST (0.1 GPH) I ,i SAFE SUCTION SYSTEMS (NO VALVES IN BELOW OAOUNO PIPING): o 7. SELF MONITORING GRAVITY F1.OW: CJ I. BIÐHAL INTEGRITY TEST (0.1 OPH) SI!COICIA-"Y CGNTAMD ......, PReSSURIZEO PIPING (Chec* II"., ~ 10. CONTINUOUS TUR8INE SUMP SENSOR mItt AUDØ.E ANO VlSUALALAAMS NÐ (CMck _) o a. AUTO PUIoP SHUT OFF Vt'HEN A LEN( OCCURS jb' ~OFF FOR LEAKS. SYSTEMFAl.UREANO SYSTEM o c. NO AUTO PUMP SHUT OFF b:. AUTOMATIC LIE LEAK DETECTOR (3.0 OPH TEST) mIlS FlOW SHUT oFF OR RESTRICTION 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTIONGRAVYTY SYSTEfot CJ 13. CONTNJOUS sua. SENSOR . Ai..u! AHO VlSUALMNIIIe IIIIItGINCY GINIMTOM o&Y (Ctect II lilt wM o 14. CONTINUOUS SUW SENSOR mnao;AUTO fIUWI StIlT OFF .AUDB.e AHO VISUAl. ALNWS o ·'5, AUTOMATIC UNE LEAK DETECTOR (3.0 OPH TEST) mnø.a: FlOW SHUT OFF OR RESTRICTION IDle, ANNUAl. INTEGRITY TEST (0.1 GPH) o 17, DAlLYVlSUALCHECK . .""'t§r .~ <""'t''' . . -. 'J ~' ' . ~ . ""..... ., ~ .);\.. ~'," " " i' t J , I ~. .':"'_ .s~ t.... ~f ::.(, t "~":LL"":,~ .' UPCF (7199) AaCIVI!OAOUND PIPING o 3. ORAVITY - CJ 2. SUCTION 015. uNKNOWN o 911, OTHER ,I I o I. FRP COMPATIIILE WI I~ ME'nWQ. o 7. GALVANIZED STEEL o .. FLÐCI8Li (HOP£) 0 III. OTHER o t. CAntOOIC PROTECTION 095. UNKNOWN ."'io"-' . ~ PReSSURIZED PIPING (ChecIr II IN, WIt): o 1. ELECTADNIC LINE LEAK DETECTOR U GPH TEST mIlS AUTO pta,p SHUT OFF FOR LEAl< SYSTEM FALURE. AND SVSTEM 0ISC0NNECT10N . AUDI8lE AND VISUAL ALARMS o Z. MOHTHL Y 0.2 OPH TEST o 3. NHJAL NT'EGRITY TEST (0.1 OPH) o 4. DALY VISUAL CHECK CON\IENTIONAL SUCTION SYSTÐt8 (CI»ck""" WIt): o 5. CAlLY VISUAL MDNITQAItG OF PFIN(¡ AHO PUMPING SYSTEM o e. TRJENIAL INTmfUTY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES ..BELOW GROUND PIPING): o 7. SELF MOtCTOAINO GRAVITY FLOW (C1tect II... ¥PlY): o e. DAL YVISUAL MONITORING o I. BlENMLNT'EGRITYTEST(0.1 OPH) SECONDA-..V CONfAINED PII'INQ PRESSURIZED Pf'ING (Chec* II"., ~ 10. CONTINUOUS TURBINE SUMP SENSOR mItt AUDl8L£AND VISUAL ALARMS NÐ (did one o a. AUTO PUMP SHUT OFF WHEN A u:AK OCCURS o b. AUTO PUMP SHUT OFF FOR L.£AKS. SYSTEM FALUR£ AND SYSTEM DISCONNECTIO'" o c. NO AUTO PUMP SHUT OFF o 11. AUTQM4TIC LEAK DETECTOR o 12. NHJAL INTEGRITY TEST (0.1 GPH) SUCTIONlGRAVITY SYSTEM: o 13. CONTNJOUS SUMP SENSOR . AUDIBLE AHO VISUAL A&NUI IIIPGINCY GINIMTOM OM. Y {CIttc* II lilt"" o 14. CONTNJOUS SUMP SENSOR 'MTHOUT' AUTO PUMP SHUT OFF. AUDIBLE AHO VISUM. ALARMS 0,5. AUTOMATIC UNE LEAK DETECTOR (3.0GPH TEST) o Ie. ANNUAL INTEGRITY TEST (0.1 GPH) o 17. DAlLYVlSUALCHECK o 4, DALYVISUAL CHI!CK o So TRENCH LINER I MONß'ORINØ .. -H8NI! 0 N.~/Vo - 471 ... .70 472 S:\CUPAFORMS\SWRCØ-8·WPC CITY OF BAKERSFIELD OIIICE OF ENVIRONMENTALtfRVICES 17Ts Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS .INSTALLA TlON CERTIFICATE OF COMPLIANCE One form per tank P-oe _ 01 __._ _._.________._a 0._ __._ .__ __._. ..------- .--- ---..--..------.. ._._----- I. FACILITY IDENTIFICATION --------..... .----- - -. - ...... .. ... .. .--....-----...--- - BUSINESS ÑAME (S- .1 F¡ëiUTY NAME Of 08A . Doing 8UIInIIa AI) /-ð2tJ ~ Ì-t-¡ T2. ~. I ...-.------.--- ----..... tf 53Gr _0__'--"'-' .._ ... __0._._..______ : FAClUTYID'~~ II. INSTALLATION o o 'rp ~ ~ o . ChecIc all th.t IIpp/y The Installer has been certified by the tank and piping manufacturers. The installation has been inspec+Ad and certified by a registered professional engineer. The installation has been inspected and approved by the City of Bakersfield OffIce of Environmental Services. All work listed on the manufacturers installation checklist has been completed. The Installation contractor has been certified or licensed by the Contractors State License Board. Another method was used as allowed by the City of Bakersfield Office of Environmental Services. Identify method: III. TANK OWNERlAGE!NT SIGNATURE 1 c:efUfy that IN InfDnnaIlon IIO'IIded heNIn. true & __ " IN belt 01 my IrnøwIMIge $iGÑÃruRlïõF TANK'öWÑÈ ----, ---- ------ -----niÃTE ;- --.---- ---.- - -. - . . - , -'----:¡¡¡- I £"/) /00 '-~:~h: ~(JtMq-'J _*' _=-Œ~:;¡;~~-~_:~::!~~~~-~ '0IIII C CITY OF BAKERSFIELD ~ICE OF ENVIRONMENTA~RVICES 1",,5 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS .INSTALLA TlON CERTIFICATE OF COMPLIANCE ---... --..- -----.. -.---- _____6__ .___ One form per tank I P8e 01 --... _._.._-------_..._-_..~ ....------ - - . FAClUTYK)·1IIIII-1lU.[I I. FACILITY IDENTIFICAT~ON ___,__u..____·_ -, .-'-' .. -. ,..,. '..... _____,.__1 ~/fKu ~tA& it 53~~__ --- _.'_.________1' TANK 10 · :J.- --.------.--- -----....- I I II. INSTALLATION BUSINESS NAME IS- .. FAëi&.ïTY NAME tK DBA - Doing BUIiMaI Aa) I i . o Ch6ck all th.t ~ The Installer has been certified by the tank and piping manufacturers. . o The installation has been Inspec-tAd and certified by a registered professional engineer. 'f? The Installation has been Inspected and approved by the City of Bakersfield Office of Environmental Services. "¡ò All work listed on the manufacturer's Installation checklist has been completed. ~ The Installation contractor has been certified or licensed by the Contractors State License Board. o Another method was used as allowed by the City of Bakersfield Office of Environmental Services. Identify method: III. TANK OWNERlAGI;NT SIGNATURE I c;efUfy 1haI1N 1nfDnM/IaII provtded ... Ie true & __ 10 IN IteIt of trf'/ IInowtedge SIGNATUREÓ¡'TNiiaiViÑËÀlAGËÑT-' -- ------ - ---TóAfe ~}--. L --.--- - --..- ---- ~M I ç¡ 3/00 I-ÑÃMË-OFTÃÑKõWNEAiÃ~~~ 48S TlTU!OPi'ÃÑKõWNEÃiÃÕËÑf---'------' ,...-. ,-- ,.----~ I _._..._.!i?Jl1- S;/¥-rMJ __ ._- (h¥~ -~~¿ . . . - ' .,----:¡¡¡- lC/II'IIC I ~ CITY OF BAKERSFIELD ~ICE OF ENVIRONMENTAL.RVICES 17Ts Chester Ave., Bakersfleld~A 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS .INSTALLA TlON CERTIFICATE OF COMPLIANCE One form per tank P8ge _ Of I -I -.--.. --..- .-.--.. .-.------ ..----.-- ._-- --.- ....-.---...-----......--.- .----.-. I. FACILITY IDENTIFICATION ~~_- ~--~-5i&_~ .3 ... ..........---..--.. , BUSINESS ÑAME (S- .. FÃëi.iiY NAME II' D8A . DoIng 8uaNu Aa) ~ , FAClUTYID. ---rrI'IIILuill ' 'i.l... I ~. .. - .. -...-.... ---..-- ...-.--.---.--- --..--... II. INSTALLATION Check all th.t IIPPIY D The Installer has been certified by the tank and piping manufacturers. o The installation has been inspertAd and certified by a registered professional engineer. . '7 The Installation has been Inspected and approved by the City of Bakersfield Office of Environmental Services. r All work listed on the manufacturer's Installation checkfist has been completed. 19- The Installation contractor has been certified or licensed by the Contractors State License Board. D Another method was used as allowed by the City of Bakersfield Office of Environmental Services. Identify method: III. TANK OWNERlAGf;NT SIGNATURE , I c:efIIfy 111M IN InIoImaIlon provtded herwIn IlINe & __ tø IN IteIt 01 my IInowIIdge SIGNArURliõFfANiföWNëÃtA --, ------------ - ---TõATË -----.---- _.-.. --- - . . -, ------:¡¡¡- .;W¡¡¡-,,"ÀÑC~~ ...1"ñifïõ;T_~---------. -.- -.- - ------- ___Ji?[1L~uy~--- _~~~~ ~~_0'<{[_ 'omtC CITY OF BAKERSFIELD O_ICE OF ENVIRONMENTAL.RVICES 17Ts Chester Ave., Bakersfleld~A 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS ·INSTALLA TlON CERTIFICATE OF COMPLIANCE One form per tank i pege _ 01 __4_ .____________..____.._ .______'" ___.. __0-- _____.. .-..----- ..------- ._---- I. FACILITY IDENTIFICATION ~_,_.'AañV"'b_-__~1 ~ %~~--.P-7i3i£__-_ :__-:._~~_~ I . 'ACUTY"'IIIIIIJJlll] v~ ---4- -r ___.____ ____ II. INSTALLATION o o 'F ~ r;p o . Check all that apply The Installer has been certified by the tank and piping manufacturers. The installation has been insp&r+Ad and certified by a registered professional engineer. The Installation has been inspected and approved by the City of Bakersfield Office of Environmental Services. All work listed on the manufacturer's installation checklist has been completed. The Installation contractor has been certified or licensed by the Contractors State License Board. Another method was used as allowed by the City of Bakersfield Office of Environmental Services. Identify method: III. TANK OWNERlAGI):NT SIGNATURE I catUfy tNllN Inbmdon II'OVIded heNlnlllnte & __ D IN belt 01 my IInOwIedge SIGNAriJ~~GËÑT-'-- ----------TõATË :YJr-;g;--.---- 0-·._--0- . .-.-'----:¡¡¡- ;-NÑÃf.-òFTÑi<-J:.~~ 0 4851ïffi."iõiiTAM<ÕŸnIeRiÃÕiÑT--O-'-O----' ,--.-. '_0 '.-----¡¡¡:- ·._._kbT7l---.Y~.omL-- _eo.¥~ce.__~<J.~L'/ - ,_c ~ ¿7~' I' FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 oW Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 oW Street Bak8lSfiekl. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3979 FAX (805) 326-0578 TRAINING DMSION 5842 VIctor Ave. Bakersfield. CA 93308 VOICE (805) 399-4697 FAX (805) 399-5763 . e April 4, 2000 Arco Environmental Compliance Best Shaman POBox 6038 Artemia CA 90702 6038 Dear Compliance Coordinator: You have been identified as the compliance coordinator for the facility/facilities referenced in the attachment. The pennits to operate this facility/facilities will expire on June 30, 2000. However, in order for this office to renew your pennit, updated fonns A, B, & C must be filled out and returned prior to the issuance of a new pennit. Please make sure that you are sending the updated fonns which are indicated by the date 7/99 in the lower left hand comer. Please complete and return to this office by May 15,2000. Failure to comply, will result in a delay of issuance of your new pennit to operate. Should you have any questions, please feel ftee to call me at 661-326-3979. Sincerely, st~ Steve Underwood, Inspector Office of Environmental Services SU/dam attachment (,(,Y~de W~ ~ oAN'Ð y~ A W~" \; /' " .¿....". . - Facility Address AM/PM 2301 "F" Street, Bakersfield, Ca 93301 AM/PM 1129 Union Ave, Bakersfield, Ca 93307 AM/PM 3333 Union Ave, Bakersfield, Ca 93305 AM/PM 2698 Mt. Vernon Ave, Bakersfield, Ca 93306 AM/PM \4011rWi1i1~R~ersfield, Ca 93309 AM/PM 6450 White Lane, Bakersfield, Ca: 93309 AM/PM 4800 Fairfax Road, Bakersfield, Ca 93312 AM/PM 900 Monterey Street, Bakersfield, Ca 93305 AM/PM 4203 Ming Ave, Bakersfield, Ca 93309 AM/PM 2800 Panama Lane, Bakersfield, Ca 93313 AM/PM 1701 Brundage Lane, Bakersfield, Ca 93304 AM/PM 3125 California, Bakersfield Ca 93304 Arco Individual Contacts AM/PM 13001 Stockdale Hwy, Bakersfield, Ca 93312 AM/PM 4100 California Ave, Bakersfield, Ca 93309 AM/PM 2612 Buck Owens Blvd, Bakersfield, Ca 93308 AM/PM 7851 Rosedale Hwy, Bakersfield Ca 93308 'S ,. ., State Water Resources Control Board Winston H. Hickox Secrelmy for t:III'ironmenla/ Protection Division of Clean Water Programs 2014 T Street· Sacramento, Calitornia 95814· (916) 227-4411 Mailing Address: P,O, Box 944212 . Sacramento. California' 94244-2120 FAX (916) 227-4530' Internet Address:' http://www,swrçb,ca.gov/-cwphome/ustcf r' -. ", 1 4 ¡-tb n¡-.,--;r\ ÚYJU Chris Winsor Arco Products Company POBox 5077 Buena Park, CA 90622-5077 UNDERGROUND STORAGE TANK CLEANUP FUND PROGRAM, NOTICE OF ELIGIBILITY DETERMINATION: CLAIM NUMBER 015123; FOR SITE ADDRESS: 4010 WIBLE RD, BÄKÊRSFÎELD' -- --- -- -.-- - - Your claim has been accepted for placement on the Priority List in Priority Class "D" with a deductible of$10,000. We have completed our initial review. The next step in the claim review process is to conduct a compliance review. Gray Davis Governor I J Compliance Review: Staff reviews, verifies, and processes claims based on the priority and rank within a priority class. After the Board adopts the Priority List, your claim will remain on the Priority List until your Priority Class and rank are reached. At that time, staff will conduct an extensive Compliance Review at the local regulatory agency or Regional Water Quality Control Board. During this Compliance Review, 'staff may request additional infonnation needed to verify eligibility. Once the Compliance Review is completed, staff will detennine if the claim is valid or must be rejected. If the claim is valid, a Letter of Commitment will be issued obligating funds toward the cleanup. If staff detennine that you have not complied with regulations governing site cleanup, you have not supplied necessary infonnation or documentation, or your claim application contains a material error, the claim will be rejected. In such event, you will be issued a Notice of Interided Removal from the Priority List, infonned of the basis for the proposed removal of your claim, and provided an opportunity to correct the condition that is the basis for the proposed removal. Your claim will be barred from further participation in the Fund, if the claim application contains a material error resulting from fraud or intentional or negligent misrepresentation. - ~ - ~- - Record keeping: During your cleanup project you should keep complete and well organized records of all corrective action activity and payment transactions. If you are eventually issued a Letter of Commitment, you will be required to submit: (I) copies of detailed invoices for all corrective action activity performed (including subcontractor invoices), (2) copies of canceled checks used to pay for work shown on the invoices, (3) copies of technical documents (bids, narrative work description, reports), and (4) evidence that the claim~nt paid for the work performed (not paid by another party). These documents are necessary for reimbursement and failure to submit them could impact the amount ofreimbursement made by the Fund. It is not necessary to submit these documents at this time; however, they will definitely be required prior to reimbursemen.t. C~mDÍiànce" with Corrective Action Reauirements: . in order to be reimbursed for your eligible costs of cleanup incurred after December 2, 1991, you must have complied with corrective action requirements of Article 11, Chapter 16, Division 3, Title 23, California Code of Regulations. Article 11 categorized the corrective action process into phases. In addition, Article 11 requires the responsible party to submit an California Environmental Protection Agency #'ò:J. ~J Rec."cJed Paper . . \ ., \ Arco Products Company F E 8 1 4 2000 -2- investigative work plan/Corrective Action Plan (CAP) before performing any work. This phasing process and the workplan/CAP requirements were intended to: " , 1. help the responsible party undertake the necessary corrective action in a cost-effective, efficient and timely manner; 2. enable the regulatory agency to review and approve the proposed cost-effective corrective action alternative before any corrective action work was performed; and 3. ensure the Fund will only reimburse the most cost-effective corrective action alternative required by the regulatory agency to achieve the minimum cleanup necessary to protect human health, safety and the environment. In some limited situations interim cleanup will be necessary to mitigate a demonstrated immediate hazard to public health, or the environment. Program regulations allow the responsible party to undertake interim remedial action after: (I) notifying the regulatory agency of the proposed action, and; (2) complying with any requirements that the regulatory agency.1l1ay set. Interim remedial action should only be proposed when necessary to mitigate an immediate demonstrated hazard. Implementing interim remedial action does not eliminate the requirement for a CAP and an evaluation of the most cost- effective corrective action alternative. Three bids and Cost Preauuroval: Only corrective action costs required by the regulatory agency to protect human health, safety and the environment can be claimed for reimbursement. You must comply with all regulatory agency time schedules and requirements and you must obtain three bids for any required corrective action. Unless waived in writing, you are required to obtain pieapproval of costs for all future corrective action work. ¡fyou do not obtain three bids and cost preapproval, reimbursement is not assured and costs may be rejected as ineligible. If you have any questions, please contact me at (916) 227-4411. Sincerely, -~~-<~="~-.. ~~---- 'I Sandy Gill Claims Review Unit Underground Storage Tank Cleanup Fund ~-_.- "'-~~-"::' -~ cc: Mr. John Noonan R WQCB, Reg. 5 - Fresno 3614 E. Ashlan Ave. Fresno, CA 93726 Mr. Howard Wines City of Bakersfield Fire Dept. 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 '". CaDfornia Environmental Protection Agency ,.., ~c1 Recycled Paper 1 ./ -'\0·. ......--- ~ç~ ~.\>, .- ~~0J~\fA\ ~,,~c;." .- \'"\\S t"'es:1~ t:w<¿ STATE OF CALIFORNIA STATE WATER RESOURCES CONTROL BOARD ~~~\.~\ (c;.... UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM A 0. ~~ \ . COMPLETE THIS FORM FOR EACH FACILITY/SITE MARK ONLY ONE ITEM D 1 NEW PERMIT D 2 INTERIM PERMIT D 3 RENEWAL PERMIT o 4 AMENDED PERMIT ~ 5 CHANGE OF INFORMATION 0 7 PERMANENTLY CLOSED. SITE D- 6 TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS· (MUST BE COMPLETED) DBA OR FACILITY NAME Ì\: ~ ... S'bb S NAME OF OPE~TOR \N~. ~co Res. í\6e ~1"'~'1íClNl ADDRESS UJ \\0 \e \RoAà NEAREST CROSS STREET PARCEL' (OPTIONAL) 4C1\() UJ Y\ \~ \..~I'f II CITY NAME ~\\~~~ loci STATE I ZIP CODE S'( ~:~\ ;~¡A:q C~D; S CA : Ct 330'1 ... BOX ~ CORPORATION D INDIVIDUAL D PARlNERSHIP D lDCAl·AGENCY D COUNTY·AGENCY· D STATE·AGENCY· D FEDERAL·AGENCY· TO INDICATE DISTRICTS . U owner of UST is a public agency, complete the following: name of supervisor of division, section or oUlce which operates the US', .. TYPE OF BUSINESS ~ 1 GAS STATION 0 2 DISTRIBUTOR D v IF INDIAN~r OF TANKS AT SITE E. P. A- I. 0, # (optional) RESERVATION ~ D 3 FARM D 4 PROCESSOR D 5 OTHER OR TRUST LANDS EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY)· optional DAYS: NAM\t\~~F~: ~\S\--\ ( ~~~ é¡ï~ A~q ~~Dç DAYS: ÃME (LASffiRST) PHON~# WITH AREA CODE ~Cð -A\~ (9()O ~12.-1034q NIGHTS: NAME ~ST, FIRST) \ PHONE' WITH AREA CODE NIGHTS: NAME (LAST, FIRST) PHONE' WITH AREA CODE \ \' \\ \' \" \ \. ,'" I' II. PROPERTY OWNER INFORMATION· (MUST BE COMPLETED) NAME to \r¡o':;i CARE OF ADDRESS INFORMATION , E~tS " ooxloindjcate D INDIVIDUAL D lOCAl·AGENCY D STATE·AGENCY ~ORPORATION D PARlNERSHIP 0 COUNTY·AGENCY 0 FEDERAl·AGENCY STATE ZIP CODE PHONE' ~TH AREA COD~ \ '. I CA. q eno a-Ioo~ 9 (ì \4\ bîD - ~\lCJ~ MAILING OR STREET ADDFfSS r ,l) CITY NAME ·ßcN ,'eM '\eS;\C\' III. TANK OWNER INFORMATION· (MUST BE COMPLETED)' , ce ~ :It. A-bo ~ CARE OF ADDRESS INFORMATION NAME OF OWNER MAILING OR STREET ADDRESS v ooxtoindicate D INDIVIDUAL D CORPORATION D PARlNERSHIP STATE ZIP CODE o lOCAl·AGENCY D STATE·AGENCY o COUN1Y·AGENCY 0 FEDERAl·AGENCY PHONE' WITH AREA CODE CITY NAME IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER· Call (916) 322-9669 if questions arise. TY(TK) HQ @Ej-~ V. PETROLEUM UST FINANCIAL RESPONSIBILITY· (MUST BE COMPLETED) -IDENTIFY THE METHOD(S) USED 1 SElF·INSURED D 2 GUARANTEE D 3 INSURANCE D 4 SURETY BOND D 5 LETTER OF CREDIT D 6 exEMPTION D 7 STATE FUND D 8 STATE FUND & CHIEF FINANCIAL OFFICER lETTER D 9 STATE FUND & CERTIFICATE OF DEPOSIT D 10 lOCAL GOVT, MECHANISM D 99 OTHER VI. LEGAL NOTIFICATION AND BILLING ADDRESS Legal notification and billing will be sent to the tank owner unless box lor II is checked. CHECK ONE BOX INDICATING WHICH ABOVE ADDRESS SHOULD BE USED FOR LEGAL NOTIFICATIONS AND BilLING: I,D 1\,0 III, THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT TANK OWNER'S TITLE ~ \ 'e'N\I, C -m~. M~)W'J \ DATE M4\7\~qE,AR LOCAL AGENCY USE ONLY COUNTY II OJ FACILITY # ITIIIIJ LOCATION CODE· OPTIONAL CENSUS TRACT' . OPTIONAL SUPVISOR - DISTRICT CODE . OPTIONAL FORM A (6·95) THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE PERMIT APPLICATION· FORM B. UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY. OWNER MUST FILE THIS FORM WITH THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGULATIONS / '\C', ~ç,,~ t.\), ~Q-0,)~~ ~"'~ ~ \\\S t~~1'QA ~\1<¿ STATE OF CALIFORNIA Û..I I fþ STATE WATER RESOURCES CONTROL BOARD Q\\o\lsW.~,,~\ Uo\.' UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM A Cn~\ - . COMPLETE THIS FORM FOR EACH FACILITY/SITE MARK ONLY ONE ITEM D 1 NEW PERMIT D 2 INTERIM PERMIT o 3 RENEWAL PERMIT D 4 AMENDED PERMIT ~ 5 CHANGE OF INFORMATION 0 7 PERMANENTLY CLOSED, SITE o 6 TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS· (MUST BE COMPLETED) DBA OR FACIUTY NAME t\: ~""S'DbS NAME OF OPE~TOR )N ~. ~CQ Re> í\óe ~-(~-ií()Nl ADDRESS \.10 \~ \e. \RõAà NEAREST CROSS STREET PARCEL' (OPTIONAL) 4~\D UJ y\ ,\e. LC\ Ii ~ CITY NAME 1S~x.~~ "cl STATE I ZIP CODE SITE PHO~~' WITH AREA CODE CA : C¡ 33oC¡ (0\0\ g~ln..q(o ~ S of BOX ~ CORPORATION o INDIVIDUAL o PARTNERSHIP o LOCAL·AGENCY o CDUNTY·AGENCY· o STATE·AGENCY· o FEDERAL·AGENCY· TO INDICATE DISTRICTS . n owner of UST is e public agency, complete the following: name 01 supervisor of älVision. section or office whicll operates the US', -- TYPE OF BUSINESS ~ 1 GAS STATION D 2 DISTRIBUTOR o '" IF INDIA~,-r OF TANKS AT SITE E. p, A. I. D, . (optional) RESERVATION ~ D 3 FAR..M D 4 PROCE~SOR D 5 OTH!,R OR TRUST lANDS -- . DAYS: NAM\i\LAST. FIRST) ~ C PH~' WITH AREA CODE DAYS: ÃME (LASli\RST) PHON~' WITH AREA CODE IS>\\. O~ ~-J. Iø\ø\ ~'?>b ·G~~ ~ 'Q..CO (-hl"CIQ - (foo '2.12-1034'1 NIGHTS: NAME ~ST, FIRST) PHONE. WITH AREA CODE NIGHTS: NAME (LAST, FIRST) PHONE. WITH AREA CODE , " \' \' '" \ \, ," ,. EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY)· optional II. PROPERTY OWNER INFORMATION· (MUST BE COMPLETED) NAME to lç¡o3i CARE OF ADDRESS INFORMATION E~tS '" box to indicate 0 INDIVIDUAL 0 LOCAL·AGENCY 0 STATE·AGENCY ~ORPORATION 0 PARTNERSHIP 0 COUNTY·AGENCY 0 FEDERAL·AGENCY STATE ZIP CODE PHONE. 'lll.!TH AREA COD~ \ . I CA. qc:nOa-loo~9 (î\\\\ 61D-~I..Ú\, MAILING OR STREET ADDtlfSS r,D CITY NAME ·ßcN w. \es. \Ç\ III. TANK OWNER INFORMATION· (MUST BE COMPLETED) NAME OF OWNER Ä-bo vJ<. CARE OF ADDRESS INFORMATION ~~-e 'to "Ie. MAILING OR STREET ADDRESS '" box to indicate o INDMDUAL o LOCAL·AGENCY o STATE·AGENCY o CORPORATION o PARTNERSHIP o COUNTY·AGENCY o FEDERAL·AGENCY CITY NAME STATE I ZIP CODE I PHONE. WITH AREA CODE IV, BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER· Call (916) 322·9669 if questions arise. TY(TK) HQ @]j-~ V. PETROLEUM UST FINANCIAL RESPONSIBILITY· (MUST BE COMPLETED) -IDENTIFY THE METHOD(S) USED 1 SELF·INSURED 0 2 GUARANTEE 0 3 INSURANCE D. SURETY BONO 0 5 LETIEROFCREDIT 0 8 EXEMPTION 0 7 STATE FUND o 8 STATE FUND & CHIEF FINANCIAL OFFICER LETTER 0 9 STATE FUND & CERTIFICATE OF DEPOSIT 0 10 LOCAL GOVT, MECHANISM 0 99 O'IHER VI. LEGAL NOTIFICATION AND BILLING ADDRESS legal notification and billing will be sent to the tank owner unless box I or II is checked. CHECK ONE BOX INDICATING WHICH ABOVE ADDRESS SHOULD BE USED FOR LEGAL NOTIFICATIONS AND BILLING: 1.0 11.0 1II,l:jJ THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT TANK OWNER'S TITLE 1\ \ E'tVV, C ffi~. Mrn \N \ DATE M~\~qEAR LOCAL AGENCY USE ONLY COUNTY # rn FACILITY # = LOCATION CODE· OPTIONAL CENSUS TRACT. . OPTIONAL SUPVISOR . DISTRICT CODE . OPTIONAL FORM A (6'95) THIS FORM MUST BE ACCOMPANIED BY ATLEAST(1) OR MORE PERMIT APPLICATION· FORM B, UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY. OWNER MUST FILE THIS FORM WITH THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGULATIONS STATE OF CAUFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM B e . COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT D 3 RENEWAL PERMIT o 4 AMENDED PERMIT ~ 5 CHANGE OF INFORMATION D 6 TEMPORARY TANK CLOSURE D 7 PERMANENTLY CLOSED ON SITE o 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: I. TANK DESCRIPTION COMPLETE All ITEMS - SPECIFY IF UNKNOWN A. OWNER'S TANK I. D.' \ B. MANUFACTURED BY: '" e.'fl.. 'l.e s C. DATE INSTALLED (MOIDAYNEAR) ~\.W\I\~ D. TANK CAPACITY IN GAllONS: 1600 () II. TANK CONTENTS IF MIS MARKED, COMPLETE ITEM C. A. l:SSr 1 MOTOR VEHICLE FUEL D 4 OIL B. C. ~1a REGUlAR UNlEADED B 3 DIESEL 0 8 AVIATION GAS o 2 PETROLEUM o 80 EMPTY ~1 PRODUCT D 1b PREMIUM UNlEADED 4 GASAHOL D 7 METHANOL o 1C MIOGRADE UIUADED 0 5 JET FUEL 0 8 MaS o 3 CHEMiCAl PRODUCT o 95 UNKNOWN o 2 WASTE o 2 lEADED , ' 0 99 OTHER (DESCRI8E IN ITEM D, BELOW) D. IF (A.1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED C.A.S.': III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B, AND C, AND ALln-tAT APPUES IN BOX D AND E A. TYPE OF 1Ej 1 DOUBLE WALl 0 3 SINGLE WAll WIn-t EXTERIOR UNER o 5 INTERNAl BlADDER SYSTEM o 95 UNKNOWN SYSTEM 2 SINGLE WALl 0 4 SINGLE WALliN A VAULT o 99 On-tER B. TANK D 1 BARE STEEL D 2 STAINLESS STEEL ~3 RBERGLASS 0 4 STEEL CLAD WI RBERGlASS REINFORCED PlASTIC MATERIAL 0 5 CONCRETE D 6 POLYVINYL CHLORIDE o 7 ALUMINUM 0 8 100% METHANOL COMPATIBLE WIFRP (primary Tank) 0 9 BRONZE D 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 On-tER C.INTERIOR 0 1 RUBBER UNED o 2 AlKYD UNING 0 3 EPOXY UNING 0 4 PHENOUC UNING LINING OR 0 5 GLASS UNING 'g 8 UNUNED 0 95 UNKNOWN 0 99 On-tER COATING IS UNING MATERIAL COMPATIBLE WfTH 100% METHANOL? YES _ 00_ D. EXTERIOR o 1 POLYETHYLENE WRAP o 2 COATING o 3 VINYl WRAP ~ 4 RBERGLASS REINFORCED PLASTIC CORROSION o 5 CAn-tODICPROTECTlON 0 91 NONE o 95 UNKNOWN , o 99 On-tER PROTECTION E. SPILL AND OVERFILL, ate. ~~ ~~Aly~~ENT ~T~D (YEAR) ,"'\.' '" OVERAll ~ENTlON EQUIPMENT INSTALlED (YEAR) · -"...3 /' STRIKER PLATE YES NO DISPENSER CONTAINMENT YES V NO IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPUCABLE A. SYSTEM TYPE A U 1 SUCTION 2 PRESSURE A U 3 GRAVITY A U 4 FLEXIBLE PIPING A U 99 On-tER B. CONSTRUCTION A U 1 SINGLE WALl 2 DOUBLE WAll A U 3 UNED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL 2 STAINLESS STEEL A U 3 POlYVINYl CHLORIDE (PVC) A U 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM 8 CONCRETE A U 7 STEEl WI COATING A U 8 100% METHANOL COMPATIBLE WIFRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CAn-tODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION 1 IIEQIAHICAI. LINE LEAK D 2 ~ 11GKINESS 3 camNUCUS INTERSTI11AL 0 4 ELECTACNIC LINE 5 = PIJp D 99 OTHER IIEIKTOR IIOIITCAING LEAK IIEIKTOR V. TANK LEAK DETECTION O 1 VISUAL CHECK 0 2 MANUAL INVENTORY '0 3 VADOZE 04 AUTOMATIC TANK 05 GROUND WATER 08 ANNUAL TANK RECONClUATlON MONITORING GAUGING MONITORING TESTING 7 CONTINUOUS INTERSTITIAL 0 8 SIR 09 WEEKLY MANUAL 010 MONTHLY TANK 0 95 UNKNOWN 099 OTHER MONITORING TANK GAUGING TESTING VI. TANK CLOSURE INFORMATION (PERMANENT CLOSURE IN-PLACE) STATE I.D~# 2. ESTIMATED QUANTITY OF SUBSTANCE REMAINING 3. WÞSTANK RLlEDWfTH INERT MATERIAL ? YES 0 NOO 1. ESTIMATED DATE LAST USED (MOIDAYIYR) THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AN TANK OWNER'S NAME UJ ~~ ~ (pRINTED & SIGNATURE) \ I ' ~ \~~ . )\'-\.....- DATE 1\.\ '.\ C\ í LOCAL AGENCY USE ONLY COUNTY II CD JURISDICTION II ITIJ TANK II ITIIIJJ PERMIT NUMBER PERMIT APPROVED BYIDATE ltilS FORM MUST BE ACCOMPANIED BY A PERMIT APPUCATlON· FORM A, UNlESS A CURRENT FORM A HAS BEEN RLED. FORM C MUST BE COMPLETED FOR INSTALLATIONS. ltilS FORM SHOULD BE ACCOMPANIED BY A PLOT PLAN. FILE ltilS FORM WITH ltiE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGULATIONS FORM B (6-95) -e e STATE OF CAUFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAL PERMIT D 4 AMENDED PERMIT ~ 5 CHANGE OF INFORMATION D 6 TEMPORARY TANK CLOSURE o 7 PERMANENT\. Y CLOSED ON SITE o 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: I. TANK DESCRIPTION COMPLETE AU. ITEMS - SPECIFY IF UNKNOWN A. OWNER'S TANK I. D.' \ B. MANUFACTURED BY: 'f.. ~:R i.e ~ C. DATE INSTALLED (MOIDAYIYEAR) ~.\\.~ \C\ ~ D. TANK CAPACITY IN GALLONS: Ie> 00 () II. TANK CONTENTS IF A-1IS MARKED. COMPLETE ITEM C. A. N 1 MOTOR VEHICLE FUEL 0 ,4 OIL o 2 PETROLEUM D 80 EMPTY o 3 CHEMICAL PRODUCT 0 95 UNKNOWN D. IF (1..1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED B. [2{ 1 PRODUCT o 2 WASTE C. 1. REGULAR UNLEADED 8 3 DIESEL 0 6 AVIATION GAS 1b PREMlUU UNLEADED 4 GASAHOL 0 7 MEiHANOL o 1c UIDGRADE UtUADED 0 5 JET FUEL 0 8 M85 D2--t£ADEI) . D 99 OTHER(DESCRJ8EINITEMD.B8.0W) C.A.s..: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND AU. THAT APPUES IN BOX D AND E A. lYPE OF ~ 1 DOUBLE WAU. 0 3 SINGLE WAU. WITH EXTERIOR UNER o 5 INTERNAL BlADCER SYSTEM o 95 UNKNOWN SYSTEM 2 SINGLE WAU. 0 4 SINGLE WAU. IN A VAULT o 99 OTHER B. TANK o 1 BARE STEEL D 2 STAINLESS STEEL D4'"3 FIBERGLASS o 4 STEEL CLAD WI FIBERGlASS REINFORCED PlASTIC MATERIAL o 5 CONCRETE o 6 POLYVINYL CHLORIDE 0 7 ALUMINUM o 8 100% MEiHANOL COMPATIBLE WIFRP (primary fuk) o 9 BRONZE o 10 GALVANIZED STEEL o 95 UNKNOWN o 99 OTHER C.INTERIOR o 1 RUBBER UNED D 2 AlKYD UNING o 3 EPOXY UNlNG o 4 PHENOUC UNING UNING OR o 5 GLASS UNlNG g 6 UNUNED D 95 UNKNOWN o 99 OTHER COATING IS UNlNG MATERIAL COMPATIBLE WITH 100% METHANOL? YES _ 00_ D. EXTERIOR o 1 POLYEnM.ENE WRAP D 2 COATING o 3 VINYL WRAP ~ 4 FIBERGLASS REINFORCED PLASTIC CORROSION PROTECTION o 5 CA~IC PROTECTION D 91 NONE D 95 UNKNOWN o 99 OTHER E. SPILL AND OVERFILL, tic. ~~~Alv':~~ (YEAR) I"\:"I. ..... OVERFILL 7'":ENTION EQUIPMENT INSTALLED (YEAR) .......' ... '" STRIKER PLATE YES NO DISPENSER CONTAINMENT YES ~ NO IV. PIPING INFORMATION QRClE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPUCABLE A. SYSTEM TYPE B. CONSTRUCTION C. MATERIAL AND CORROSION PROTECTION D. LEAK DETECTION A U 1 SUCTION 2 PRESSURE A U 3 GRAVITY A U 4 FLEXIBLE PIPING A U 99 OTHER Ii U 1 SINGLE WAU. 2 DOUBLE WAU. A U 3 UNED TRENCH A U 95 UNKNOWN A U 99 OTHER Ii U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A U 4 FIBERGLASS PIPE Ii U 5 ALUMINUM Ii U 6 CONCRETE Ii U 7 STEEL WI COATING A U 8 100% MEiHANOL COMPATIBLE WIFRP Ii U 9 GALVANIZED STEEL Ii U 10 CATHODIC PROTECTION Ii U 95 UNKNOWN A U 99 OTHER 1 ~ LIE WIt D 2 ~ 1I1IITIESS 3 == IIfIERmIW. 0 4 ~ 5 = PUIIP 0 99 antER V. TANK LEAK DETECTION O 1 VISUAL CHECK 0 2 MANUAL INVENTORY '0 3 VAD02E D 4 AUTOMATIC TANK 0 5 GROUND WATER 0 6 ANNUAL TANK RECONClUATlON MONITORING GAUGING MONITORING TESTING 7 ~~~INTERSTITIAL D 8 SIR 0 9 =~ ~~AL D 10 =~Y TANK 0 95 UNKNOWN 099 OTHER VI. TANK CLOSURE INFORMATION (pERMANENT CLOSURE IN-PLACE) STATE 1.0;# 2. ESTIMATED QUANT11Y OF SUBSTANCE REMAINING 3. WAS TANK FILlED WITH INERT MATERIAL ? YES 0 NOD 1. ESTIMATED DATE LAST USED (MQ/DAYIYR) THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AN TANK OWNER'S NAME \JJ ~~ ~ (PRMED I SlGHA1\IREI " \ í\i't\. . ~6.- DATE 4-\I.\q í LOCAL AGENCY USE ONLY COUNTY, rn TANK # = PERMIT NUMBER PERMIT APPROVED BYIDATE THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPUCATlON· FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FORM C MUST BE COMPLETED FOR INSTALLATIONS. THIS FORM SHOULD BE ACCOMPANIED BY A PLOT PLAN. RLE THIS FORM wmt THE LOCAL AGENCY IIIPLEIIENTING THE UNDERGROUND STORAGE TANK REGULATIONS FORM B (6-95) e STATE OF CAUFORNIA - STATE WATER RESOURCES CONTROL BOARD ., UNDERGROUND STORAGE TANK PERMIT APPUCATlON - FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM D 1 NEW PERMIT D 2 INTERIM PERMIT D 3 RENEWAL PERMIT D 4 AMENDED PERMIT ~5 C~GEOF INFORMATION D S TEMPORARY TANK CLOSURE D 7 PERMANENTLY CLOSED ON SITE D 8 TANK REMOVED DBA OR FACILITY NAME WHERETANK IS INSTALLED: I. TANK DESCRIP110N COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN A. OWNER'S TANK I. D. . 2- 8. MANUFACTURED BY: '/.. '<.'fl.. i.e S c. DATE INSTALLED (MOIDAYIVEAR) ~.\\~ \1\ ~ D. TANK CAPACITY IN GALLONS: 16 00 () II. TANK CONTENTS IFA-1ISMARKED,COMPLETEI1ëMC. A. "!:Sa' 1 MOTOR VEHICLE FUEL D 4 OIL 8., C. .. ~ ,. REGUlAR UNLEADED B 3 DIESEL D 8 AVIATION GAS D 2 PETROLalM D 80 EMPTY æ:1 PRODUCT = i'1b PREMIUM UNLEADED 4 GASAHOL D 7 METHANOL = 1e MIDGRADE UtUADED B 5 JET FUEL D 8 M85 D 3 CHEMICAL PRODUCT D 95 UNKNOWN D 2 WASTE D 2 LEADED 99 O1HER (DESCRIBE IN ITEM D. BaOW) D. IF (A.1) IS NOT MARKED. ENTER NAME OF. SUBSTANCE STORED -- - - -C.A.s..: m. TANK CONSTRUC110N MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND AlL 'ßiAT APPUES IN BOX D AND E A. TYPE OF ~ 1 DOUBLE WALL o 3 SINGLE WAlL WITH EXTERIOR UNER D 5 INTERNAL BLADDER SYSTEM D 95 UNKNOWN SYSTEM 2 SINGLE WAlL o 4 SINGLE WALL IN A VAULT o 99 O'ßiER B. TANK D 1 BARE STEEl. D 2 STAINLESS STEEL ~3 FIBERGLASS D 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC MATERIAL D 5 CONCRETE o 8 POLYVINYL CHLORIDE 0 7 ALUMINUM D 8 100% METHANOL COMPATIBLE WIFRP (Primary Tillie) o 9 BRONZE D 10 GALVANIZED STEEL D 95 UNKNOWN D 99 OTHER C.INTERIOR D 1 RUBBER UNED D 2 AlKYD UNtNG D 3 EPOXY UNlNG o 4 PHENOUC UNING UNING OR o 5 GLASS UNING 't8fSUNUNED D 95 UNKNOWN D 99 O'ßiER COATING IS UNlNG MATERIAL COMPATIBLE WITH 100% METHANOL? YES _ NO_ D. EXTERIOR o 1 POLYETHYlENE WRAP D 2, COATING D 3 VINYL WRAP ~ 4 FIBERGLASS REINFORCED PLASTIC CORROSION PROTECTION D 5 CA~C PROTECTION D 91 NONE D 95 UNKNOWN D 99 O'ßiER E. SPILL AND OVEAFILL,eIC. =~AlV:~~ (YEAR) ...." ~ ~ OVERFILL ~ENTION EQUIPMENT INSTALLED (YEAR) ~"-l / STRIKER PlATE YES NO DISPENSER CONTAINMENT YES Y. NO ,I IV. PIPING INFORMA110N QRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BCmt IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION 2 PRESSURE AU 3 GRAVITY AU 4 FLEXIBLE PIPING A U 99 OTHER B. CONSTRUCTION AU 1 SINGLE WALL 2 DOUBLE WALL AU 3 UNED n:æNCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND AU 1 BARE STEEl. AU 2 STAINLESS STEEL AU 3 POLYVINYL CHLORIDE (PVC)A U 4 FIBERGLASS PIPE CORROSION AU 5 ALUMINUM AU 8 CONCRETE AU 7 STEB.W/COATlNG A U 8 100% METHANOL COMPATlBLEWIFRP PROTECTION A U 9 GALVANIZED STEEL AU 10 CATHODICPROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION 1 _ LINE WI( D 2 LINE 1IIIIIINESS 3 COIIØUXIS INŒRSIIIIAL 0 4 B.ECIACIIC lINE 5 =: PUll' 0 99 ontER DETECICII 1ESTINII ~ WK DEÆCroA ' V. TANK LEAK DETECTION D 1 VISUAL CHECK D 2 ~~~RYD 3 ~ING D 4 =':J'C TANK D 5 ~~~~~~TER D 8 =~ TANK 7 CONTtNUOUSINTERSTITIAI. D 8 SIR D 9 WEEKLY MANUAL D 10 MONTHLY TANK D 95 UNKNOWN D 99 OTHER MONITORING ANK I TES11NG VI. TANK CLOSURE INFORMA110N (PERMANENT CLOSURE 1N-PlACE) 'I 1. ESTIMATED DATE LAST USED (MOIDAYIVR) 2. ESTIMATED 0UAN1TIY OF SUBSTANCE REMAINING 3. WAS TANK FILLED WITH INERT MATERIAL ? YES D NOD THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO ~~=:E 11\\\ .N\ w..\\\~~ \\\ ~ ~G.--- LOCAL AGENCY USE ONLY THE STATE LD.NUIIBERIS COIlPOSEDOFTHEFOUR NU COUNTY, JURISDICTION' FAC STATE I.D:# rn [II] DATE ~\~\q í TANK # = PERMIT NUMBER PERMIT APPROVED BYIDATE THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPUCATlON· FORM A, UNLESS A CURRENT FORM A HAS BEEN RLED. FORM C MUST BE COMPLETED FOR INSTALLATIONS. 'ßiIS FORM SHOULD BE ACCOMPANIED BY A PLOT PLAN. FILE 'ßi1S FORM WITH THE LOCAL AGENCY IIIPLEIIENTING mE UNDERGROUND STORAGE TANK REGULATIONS FORM B (6-95) STATEOFCAUFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPUCATlON - FORM B e - COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT D 3 RENEWAL PERMIT D 4 AMENDED PERMIT ~ 5 CHANGE, OF INFORMATION LJ 6 TEMPOAAAV TANK CLOSURE o 7 PERMANENTlY ClOSED ON SITE o 8 TANK REMOVED DBA OR FACIU1Y NAME WHERETANK IS INSTALLED: I. TANK DESCRIP110N COMPLETEAU.ITEMS- SPECIFY IF UNKNOWN A. OWNER'S TANK I. D. , 2... B. MANUFACTURED BY: '" 'è.'R 'i.e S c. DATE INSTALLED(MOIOAYIYEAR) ~\\.~\I\~ D. TANK CAPACrrY IN GAUONS: 10 CO () --.- II. TANK CONTENTS IFA-1ISMAAIŒD,COMPI.ETEITEMC. A. l:S!r 1 MOTOR VEHICLE FUa D 4 OIL D 2 PETROLEUM D 80 EMPTY D 3 CHEMlCALPAODUCT D 85 UNKNOWN D. IF(A.1)ISNOTMAAKED. ENTER NAME OF SUBSTANCE STORED B. ~ 1 PRODUCT o 2 WASTE c. 1. REGIA.AR UNLEADED 3 DIESEL 0 6 AVIATION GAS 1b PREURJU UNLEADED 4 GASAHOL 8 7 METHANOL 1c MlXWDE UN.EADED 0 5 JETFUa 8 M85 D 2 LEADED D 89 O1HER (DESCRIBE IN ITEM D.8B.OW) c.A.s.,: III. TANK CONSTRUCTION MAAKONE ITEM ONLY IN BOXES A. B. ANOe. ANOAU.1HAT APPUES IN BOX DAND E A. TYPE OF ~ 1 DOUBLE WAU. o 3 SINGLE WAU. WITH EXTERIOR UNER o 5 INTERNAL BLADCEA SYSTEM 0 95 UNKNOWN SYSTEM 2 SINGLE WAU. D 4 SINGLE WAU. IN A VAULT o 89 OTHER B. TANK D 1 BARE STæ.. D 2 STAINLESS STæ.. rs;:y3 FIBERGlASS o 4 STæ.. CLAD WI FIBERGLASS REINFORCED PlASTIC MATERIAL o 5 CONCRETE D 6 POLYVINYL CHLORIDE 0 7 ALUMINUM o 8 100% METHANOL COMPATIBLE WIFAP (PrImIry TIIIII) o 8 BRONZE D 10 GALVANIZED STæ.. o 95 UNKNOWN o 89 OTHER C.INTERIOR o 1 RUBBER UNED D 2 ALKYD UN1NO D 3 EPOXY UNlNG o 4 PHENOUC UNING UNING OR o 5 GLASS UNING "L8f 6 UNUNED o 95 UNKNOWN o 89 OTHER COATING IS UNING MATERIAL COMPATIBLE WITH 100% METHANOL? YES_ NO_ D. EXTERIOR o 1 POLYETHYLENE WRAP D 2 COATING o 3 VINYL WRAP ~ 4 FIBERGLASS REINFORCED PLASTIC CORROSION PROTECT10N D 5 CA~C PROTECTION D 111 NONE o 95 UNKNOWN o 89 OTHER E. SPILL AND OVERFILL, ell:. ==AlV:~~(YEAR) 1"""" .... OVERFILL ~ON EQUIPMENT INSTAU.ED (YEAR) · -,,- /" STlUKEAPlATE YES NO DISPENSER CONTAINMENT YES .~ NO IV. PIPING INFORMA110N CIRCLE A IFABOVEGAOUNDOA U IFUNDERGROUND.B01HIFAPPUCABLE A. SYSTEM TYPE A U 1 SUCTION 2 PRESSURE A U 3 GAAvrTY A U 4 Fl.EXlBLE PIPING A U 89 OTHER B. CONSTRUCT10N A U 1 SINGLE WAU. 2 DOUBLE WAU. A U 3 UNED TRENCH A U 95 UNKNOWN A U 89 OTHER C. IlATERlALAND A U 1 BARESTæ.. 2 STAINLESS STæ.. A U 3 POLYVINYL CHLOAIDE(PVC)A U 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM 6 CONCRETE A U 7 STEEL WI COATING A U 8 100% METHANOL COMPATlBLEWIFAP PROTECT10NA U II GALVÁ.'IZED sræL Ä U 10 CATHODIC PAOTEC1!~ A U 95 UN~'CWN A U 119 OTHER D. LEAK DETECTION 1 ~.... WI 0 2 =,,1IIIIIIEIS 3 == IIIIBISIIIW. 04 === 5 ==..... 0 89 OTHER V. TANK LEAK DETECTION O 1 VISUAl. CHECK 0 2 MANUAL INVENTORY '0 3 VADOZE D 4 AUTOMATIC TANK 0 5 GROUND WATER 0 6 ANNUAL TANK AECONCIUATlON MONITCAING GAUGING MONITORING TESTING 7 ~1NTERS1ITtAL 0 8 SIR 0 8:O-Y ~ D 10 MONTHLY TANK 0 95 UNKNOWN D 89 OTHER VI. TANK CLOSURE INFORMAT10N (PERMANENT CLOSURE IN-NCE) 1. ESTIMATED DATE LAST USED (MCWAYIYA) 2. ESTIMATED QUANT1TY OF SUBSTANCE REMAINING 3. WAS TANK FILLED WITH INERT MATERIAL ? YES D NOD THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO TANK OWNER'S NAME ' \JJ ~~ (PRI'fTED 11IGNA1UAEI .. \.~~ DATE 4-\ ..\ 1\ í LOCAL AGENCY USE'ONLY 1HESTATELD.NUMBERISCOIlPOSEDOF1HEFOURNU COUNTY. JURISDICTION' FAC STATE I.D~# CD LCD TANK' CIIIJ[[] PERMIT NUMBEfI PERMIT APPROVED BYJDATE THIS FORllIIUST BE ACCOIIPANIED BY A PERIIIT APPUCATlON· FORM A. UNLESS A CURRENT FORM A HAS BEEN FILED. FORII C MUST BE COIIPLETED FOR INSTALLATIONS. THIS FORM SHOULD BE ACCOMPANIED BY A PLOT PLAN. FILE THIS FORM wnH THE LOCAL AGENCY IIIJILEIIEHTING THE UNDERGROUND STORAGE TANK REGULATIONS FORM B ,(6-95) COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. __ STATEOFCAUFORNIA a STATE WATER RESOURCES CONTROL BOARD . UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM 8 MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAL PERMIT D 4 AMENDED PERMIT ~ 5 C~E,OF INFORMATION o 6 TEMPORARY TANK ClOSURE o 7 PERMANENTlY CLOSED ON SITE D 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN A. OWNER'S TANK I. D. . 3 B. MANUFACTURED BY: 'f.. r;¿,R 'f.e S c. DATE INSTAU.ED (MOIDAY/YEAR) ~\.\.~ \1\ ~ D. TANK CAPÞaTY IN GALLONS: l6 00 () II. TANK CONTENTS IFA-1ISMARIŒD.COMPLETEITEMc. A. ~ 1 MOTOR VEHICLE FUEL 04 OIL B. C. 0== 1. REGUI.AR UNLEADED B 3 DIESEL 0 6 AVlATlDN GAS D 2 PETROLEUM o eo EMPTY ~ 1 PRODUCT __ ~¡"""1b PREMWII UNlEADED 4 GASAHOL 8 7 METHANOL = 1c MIDGRADE UN..EADED B 5 JET FUEL 8 M85 D 3 CHEMICAL PRODUCT o 95 UNKNOWN o 2 WASTE o 2 LEADED 99 O1HER (DESCRIBE IN ITëM D. BELOW) D. IF (A.1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED , >- - ' >-- - .-, .- -- c.A.s..: 1-· I III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B, AND C. AND ALL 1MAT APPUES IN BOX D AND E A. TYPE OF ~ 1 DOUBLE WALL 0 3 SINGLE WAlL WITH EXTERIOR UNER o 5 INTERNAL BlADOERSYSTEM 0 95 UNKNOWN SYSTEM 2 SINGLE WALL 0 4 SINGLE WAlL IN A VAULT o 99 OTHER B. TANK o 1 BARE STEa. o 2 STAINLESS STEEL ~3 RBERGlASS o 4 STEEL ClAD WI RBERGLASS RBNFORCED PlASTIC MATERIAL o 5 CONCRETE o 6 POLYVINYL CHLORIDE 0 7 ALUMINUM o 8 100% METHANOL COMPATIBLE W/FRP (PrImIry T8nIc) o 9 BRONZE o 10 GALVANIZED STEEL o 95 UNKNOWN o 99 01MER C.INTERIOR o 1 RUBBER UNED o 2 ALKYD UNING o 3 EPOXY UNING o 4 PHENOUC UNlNG UNING OR o 5 GLASS UNlNG 18[ 8 UNUNED o 95 UNKNOWN o 99 01MER COA11NG IS UNlNG MATERIAL COMPATIBLE WITH 100% METHANOI.? YES_ NO_ D. EXTERIOR o 1 POLYETHYLENE WRAP o 2 COATING o 3 VINYL WRAP ÈS:( 4 RBERGLASS REINFORCED PlASTIC CORROSION o 5 CA~IC PROTECTION 0 91 NONE o 95 UNKNOWN o 99 01MER PROTECT10N E. SPill AND OVERFILL. eIC. :O~=AlV:~~ (YEAR) 1"'-"'\ ... OVERALL ~ENT10N EQUIPMENT INSTALLED (YEAR) .. "l:\ '" STRIKER PlATE YES NO DISPENSER CONTAINMENT YES Y NO IV. PIPING INFORMATION CIRClE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPUCABLE A. SYSTEM TYPE AU 1 SUCTION 2 PRESSURE AU 3 GRAVITY A U 4 FLEXIBLE PIPING A U 99 01MER B. CONSTRUCT10N AU 1 SINGLE WALL 2 DOUBLE WALL AU 3 UNED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND AU 1 BARE STEa. 2 STAINLESS STEa. AU 3 POLYVINYL CHLORIDE (PVC)A U 4 RBERGLASS PIPE CORROSION AU 5 ALUMINUM 8 CONCRETE AU 7 STEa. W/COATlNG A U 8 100% METHANOL COMPATlBLEW/FRP PROTECT10N AU 9 GALVANIZED STEEL 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 01MER D. LEAK DETECT10N 1 tIEI:IWIIC:AL LIIi LEAK 0 2 lINE 1DITNESS 3 CCHIIIUOUS IN1ERSTInAI. 0 4 EI.ECIIICNIC UIIE 5=:,PIJII' 099 OTHER ŒIECICA 'IES11NII IIOII'ICAING \EM DEI'ECIDA V. TANK LEAK DETECTION o 1 VISUAL CHECK 0 2 ~~D 3 ~ING 04 =C TANK 0 5 ~w:,oRl=TER 0 8 =~TANK 7 ~~INTERSTITIAL 0 8 SIR 0 9 ~~ ~ 0 10 ~Y TANK 0 95 UNKNOWN 099 OTHER VI. TANK CLOSURE INFORMATION (PERMANENT ClOSURE 1N-PlACE) STATE I.D~# 2. ESTIMATED QUANTITY OF SUBSTANCE REMAINING YES 0 NOD DGE, IS TRUE AND CORRECT DATE ~\I.\q í 1. ESTIMATED DATE LAST USED (MCWAYIYR) THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND ~~=:E \ 1\ \\ J\r\ W,,\\\~tt-. \\\. ~6.- LOCAL AGENCY USE ONLY JURISDICTION' ITTI TANK' = PERMIT NUMBER PERMIT APPROVED BYIDATE THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPUCATlON - FORM A, UNLESS A CURRENT FORM A HAS BEaI FILED. FORM C MUST BE COMPLETED FOR INSTAUATlONS. THIS FORM SHOULD BE ACCOMPANIED BY A PLOT PLAN. FILE THIS FORM WITH THE LOCAL AGENCY IIIPLEIIENTING THE UNDERGROUND STORAGE TANK REGULATIONS FORM B (6-95) COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. 'I .~: _ STATE OF CAUFORNIA a STATE WATER RESOURCES CONTROL BOARD . UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B MARK ONLY ONE ITEM o 1 NEW PERMIT D 2 INTERIM PERMIT o 3 RENEWAL PERMIT D 4 AMENDED PERMIT ~ 5 ~EOF INFORMATION Lj 8 TEMPORARY TANK ClOSURE o D 7 PERMANENTlY ClOSED ON SITE 8 TANK REMOVED , DBA OR FACIUrY NAIIE WHERETANK IS INSTALLED: I. TANK DESCRIPTION COMPLETë ALL ITEMS - SPECIFY IF UNKNOWN A. OWNERS TANK L D. . 3 B. MANUFACTURED BY: '" e.'t>... 'i.e s c. DATE INSTALLED (MO/DAYIYEAR) ~\\~ \1\ ~ D. TANK CAPN::fTY IN GALLONS: 10 00 0 II. TANK CONTENTS 1FA-1ISMARKED.COMPLETëITEMC. A. ~ 1 MOTOR VÐtICLE FUa. D401L B. C. _ 1. REGULAR UN.EADED B 3 DIESEL D 8 AVIATION GAS 02PETROLEUM 080 EMPTY ~ 1 PRODUCT _~i--';b PAEtWU UNWDED 4 GASAHOL 8 7 METHANOL =1'-1C MÐGRADE UN.EADED 8 5 JETFUEL 8 M85 D 3 CHEMICAL PRODUCT D 95 UNI<NOWN D 2 WASTE D 2 LEADED 99 01HER (DESCRIBE IN rœ.t o. 8BDWI D. IF (A.1) IS NOf MARKED. ENTER NAME OF SUBSTANCE SiORED --~ - ~- - - --- ~-- _ _J;A.-s..: III. TANK CONSTRUCTION MARKONEITEMONLYINBOXESA.B.ANDC.ANDALL THATAPPUESINBOXDANDE A. TYPE OF ~ 1 coua.E WALL D 3 SINGLE WALL WITH EXTERIOR UNER o 5 INTERNAL BtADŒR SYSTEM 0 95 UNKNOWN SYSTEM 2 SINGLE WALL D 4 SINGLE WALLIN A VAULT o 99 OTHER B. TANK D 1 BARE STEEl. D 2 STAINLESS STEEl. ~3 FIBERGLASS o 4 STEEl. CtAD WI FIBERGLASS REINFORCED PL.AST1C IlATERIAL o 5 CONCRETE D 8 POLYVINYL CHLORIDE D 7 ALUMINUM o 8 10D'J10 METHANOL COMPATlBLEWIFRP (PrImIry TIIIII) D II BRONZE D 10 GALVANIZED STEEl. o 95 UNKNOWN o 99 OTHER C.INTERIOR D 1 RUBBER UNEO D 2 AJ.IM) UNING o 3 EPOXY UNlNG o 4 PHENOUC UNlNG LINING OR D 5 GLASS UNlNG 18f 8 UNUNED o 95 UNKNOWN o 99 OTHER COATING IS UNING MATERIAL COMPATIBLE WI1H 100% METHANOL? YES _ NO_ D. EXTERIOR D 1 POLYETHYLENE WRAP D 2 COATING o 3 VINYL WRAP ÈS[ 4 FIBERGLASS REINFORCED PLASTIC CORROSION PROTECT10N o 5 CA~C PROTECTION D 111 NONE o 115 UNKNOWN o 99 OTHER E. SPD.LAND OVERFD.L,III:. ==~~~(YEAR) . "1..""\ '" OVERALL ~ENTION EQUIPMENT INSTALLED (YEAR) ~"":1 /' smtKER PlATE YES NO DISPENSER CONTAINMENT YES ~ NO IV. PIPING INFORMATION CIRCLE A IFABOVEGROUNDOR U IFUNDERGROUNO.BOTHIFAPPUCASLE A. SYSTEM TYPE A U 1 StJCnON 2 PRESSURE A U 3 GRAVITY A U 4 FUOOBLE PIPING A U 99 OTHER B. CONstRUcnON A U 1 SINGLE WALL 2 DOUBlE WALL A U 3 UNED TRENCH A U 115 UNKNOWN A U 811 OTHER C. IlATERlALAND A U 1 BARESTEEl. 2 STAINLESS STEEl. A U 3 POLYVINYL CHLORJDE(PVC)A U 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM II CONCRETE A U 7 STEEl. WI COATING A U 8 1C1O'Xo METHANOL COMPATlBLEWiFRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CA1HODIC PROTECTION A U 95 UNKNOWN A U l1li OTHER O. LEAK DEI'ECTlON 1:::':' LIII WK 0 2 ~ 3 == IIŒIIS'IIIIM. 0 ( ~ 5 =PIIII' 0 811 01HER V. TANK LEAK DETECTION D 1 VISUAL CHECK 0 2 MANUAL INVENTORY '0 3 VADOZE D 4 AUTOMATIC TANK 0 5 GROUND WATER 0 8 ANNUAL TANK RECONCIUATION MONITQRING GAUGING MONITORING TESTING 7 ~1N1ERSTITIAL 0 8 SIR 0 8 ~Y ~ D 10 ~Y TANK 0 115 UNKNOWN 0 l1li OTHER VI. TANK CLOSURE INFORMATION (PERMANENT CLOSURE IN.PUCE) STATE I.D~# 2. ESTIMA1ED 0UANt1TY OF SUBSTANCE REMAINING YES 0 NOD 'DGE. IS TRUE AND CORRECT DATE ~\~\'\ 1 1. ESTIMA1ED DATE LAST USED (MQIDAYIVR) THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY. AND ~~n::œ \ \\ \\ M W..\\\.~~ "\ ~ ~4-- LOCAL AGENCY USE ONLY COUNTY . CD JURISDICTION. IT[] TANK' ITIJJ[D .1 PERMIT NUMBER PERMIT APPROVED BYIDATE THIS FORIIUUSTBEACCOIIPANIED BY A PERMIT APPUCATlDN-FORMA. UNLESS A CURRENT FORII A HAS BEEN FD.ED. FORMCUUSTBECOIIPLETED FOR INSTALLATIONS. THIS FORM SHOULD BE ACCOMPANIED BY A PLOT PLAN. ALE THIS FORII WITH THE LOCAL AGENCY JIIPLEIIENTING THE UNDf,!lGROUND STORAGE TANK REGULATIONS FORM B (6-85) COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. ò:' __ STATE OF CAUFORNIA _ STATE WATER RESOURCES CONTROL BOARD ., UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM B MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAl PERMIT o 4 AMENDED PERMIT ~ 5 C~E OF INFORMATION D 6 TEMPORARY TANK ClOSURE o 7 PERMANENT\. Y CLOSED ON SITE o 6 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: I. TANK DESCRIPTION COMPLETEAlLITEMS- SPECIFY IF UNKNOWN A. OWNER'S TANK I. D. . ~ B. MANUFACTURED BY: 'f...e.~ ieS c. DATE INSTAU.ED (MOIDAY/YEAR) ~ \~\I\~ D. TANK CJII>ÞCITY IN GALLONS: l6 000 II. TANK CONTENTS IFA-1ISMARKED.COMPLETEI1ëMC. A. ~1 MOTOR VEHICLE FUel D ,4 OIL B. C. .8 1. R83U\.AR UNl£ADED 8 3 DIESel D 6 AVlATlONGAS o 2 PEmOLEUM 060 EMPTY ~ 1 PRODUCT 1b PREMIUU UNlEADED 4 GASAHOL D 7 METHANOL ~ 1c MIDGRADE UtUADED 8 5 JET FUel 0 6 M85 o 3 CHEMICAl PRODUCT D 115 UNKNOWN o 2 WASTE 2 lEADED 99 O1HER (DESCRIBE IN ITEM D. BB.DWI D. IF (A.1) IS NOT MARKED. -ENTER tw,4EOF,SUBSTANCE STORED - ~-- - -~- -- ~- __~____~~c.A.,s.. : III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND AlL ntAT APPUES IN BOX D AND E A. TYPE OF ~ 1 DOUBLE WAlL o 3 SINGLE WAlL WI1H EXTERIOR UNER o 5 INTERNAl BLADDER SYSTEM 0 95 UNKNOWN SYSTEM 2 SINGLE WAlL o 4 SINGLE WAlL IN A VAULT o 99 OntER B. TANK o 1 BARE STEEl o 2 STAINLESS STEEl ~3 FIBERGlASS o 4 STEel ClAD WI FIBERGlASS RBNFORCED PlASTIC MATERIAL D 5 CONCRETE D 6 POLYVINYL CHLORIDE 0 7 AlUMINUM o 6 100% METHANOL COMPATlBLEWIFRP (PrImary Janie) o 9 BRONZE o 10 GAlVANIZED STEEL, o 95 UNKNOWN o 99 OTHER C.INTERIOR o 1 RUBBER UNED D 2 AlKYD UNlNG o 3 EPOXY UNING o 4 PHENOUC UNING UNING OR o 5 GLASS UNING N 6 UNUNED o 115 UNKNOWN o 99 OntER COATING IS UNING MATERIAl COMPATIBLE W\1H 100% ME'ßfANOL 1 YES _ NO_ D. EXTERIOR o 1 POLYETHYLENE WRAP D 2 COATING o 3 VINYl WRAP ~ 4 FIBERGLASS REINFORCED PlASTIC CORROSION PROTECTION o 5 CA~C PROTECTION 0 91 NONE o 115 UNKNOWN o 99 OTHER E. SPILL AND OVERALL, etc. :O~=AI'::~~ (YEAR) . "'l "\ .... OVERALL ~ENTION EOUIPMENT INSTAU.ED (YEAR) · "..:1 /' STRIKER PlATE YES NO DISPENSER CONTAINMENT YES V NO IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPUCABLE A. SYSTEM TYPE B. CONSTRUCTION C. MATERIAL AND CORROSION PROTECTION D. LEAK DETECTION A U 1 SUCTION A 2 PRESSURE A U 3 GRAVITY A U 4 R.EXlBLE PIPING A U 99 OTHER A U 1 SINGLE WAlL 2 DOUBLE WAlL A U 3 UNED 1RENCH A U 115 UNKNOWN A U 99 OTHER A U 1 BARE STEEl 2 STAINLESS STEEl A U 3 POLYVINYL CHLORIDE (PVC)A U 4 FIBERGlASS PIPE A U 5 AlUMINUM 6 CONCRETE A U 7 STEElWlCOATlNG A U 6 100% METHANOL COMPATlBLEWIFRP A U 9 GAlVANIZED STEEL A U 10 CATHODICPROTECTION A U 115 UNKNOWN A U 99 OTHER 1 :::::- LIE WIt 0 2 ~ 3 == IIIÐIS1II1AI. 0 4 ~ 5 == I'IM' 0 99 OTMER V. TANK LEAK DETECTION o 1 VISUAL CHECK 0 2 =~~RYD 3 ~ING 0 4 ~TIC TANK 0 5 =wg>RI~:TER 0 6 =~TANK 7 CONTINUOUS INTERSTITIAl D 6 SIR 08 WEEKLY MANUAl D 10 MONTHLY TANK D 115 UNKNOWN D 99 OTHER MONITORING TANK GA I TES11NG VI. TANK CLOSURE INFORMATION (PERMANENT ClOSURE 1N-PlACE) STATE I.D~# 2. ESnMATED QUANTITY OF SUBSTANCE REMAINING 3. WAS TANK FILLED W\1H GAlLONS INERT MATERIAL 1 YES D NOD 1. ESnMATED DATE LAST USED (MOIDAYIVR) THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO TH ~~=:e \ \\ \\ J\'\ W ~\\\.~ft-. \\\ ~ ~~ GE. IS TRUE AND CORRECT DATE 1\-\ 1.\ C\ í LOCAL AGENCY USE ONLY TANK" = PERMIT NUMBER PERMIT APPROVED BYIDATE THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN RLED. FORM C MUST BE COMPLETED FOR INSfALLATlONS. THIS FORM SHOULD BE ACCOMPANIED BY A PLOT PLAN. FILE THIS FORM WITH THE LOCAL AGENCY IIIPLEIIENTING THE UNDERGROUND STORAGE TANK REGULATIONS FORM B (6-95) , ' ~, .'. ,. __ STATE OF CAUFORNIA . ' STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM o ' NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAL PERMIT o " AMENDED PERMIT ~ 5 ~E OF INFORMATION o S TEMPORARY TANK CLOSURE o 7 PERMANENTlY CLOSED ON SITE o 8 TANK REMOVED DBA OR FACILITY NAME WHEAETANK IS INSTALLED: I. TANK DESCRIPTION COMPLETEALLITEMS- SPEClFYIFUNKNOWN A. OWNER'S TANK L D. . ~ B. MANUFACTURED BY: "'r¿~ ie s C. DATE INSTALLED (MQIDAYIYEAR) ~\\.~\C\~ D. TANK CAPACfTY IN GALLONS: 10 OD () . II. TANK CONTENTS 1FA-1ISMARKED.COMPLETEITEMC. A. ~ 1 MOTOR VEHICI.S FUB. D " OIL o 2 PETROLEUM 0 80 EMPTY D 3 CHEMICAL PRODUCT D 95 UNKNOWN o D. IF(A.1)ISNoT-MAAKED; âm:R NAMEoFSUmANCE 'STORED- B. ~, PRODUCT o 2 WASTE c. ,. AEGUI.AA UtUADED 3 DIESEl.. S AVIATION GAS 1b PRBWU UII.EADED " GASAHOL 8 7 MEnIANOL 1c uœAADE UN..EADED E3 5 JET FUB. 8 M85 2 LEADED S9 OtHER (DESCRI8E IN I1EM O. 8B.OW) - ~---=-~~c.-A.'s..: ----- -.- ~-- ilL TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND AU.. THAT APPLIES IN BOX D AND E A. TYPE OF ~ 1 DOUBLE WALL o 3 SINGLE WAU.. WITH EXTERIOR UNER D 5 INTERNAL BI.ACŒR SYS'TëM 0 95 UNKNOWN SYSTEM 2 SINGLE WAU.. o "SINGLE WAU.. IN A VAULT o S9 OTHER B. TANK o 1 BARE STEa D 2 STAINLESS STEEL ~3 FIBERGLASS D " STEa CLAD WI FIBERGLASS RBNFORCED PLASTIC MATERIAL D 5 CONCRETE D S POLYVINYl CHLDRIDE D 7 ALUMINUM D 8 100% METHANOL COMPATIBLE WIFRP (PrInwy TIIII4 o 9 BRONZE o 10 GALVANIZED STEa o 95 UNKNOWN D S9 OTHER C.INTERIOR o 1 RUBBER UNED o 2 ALKYD UNlNG o 3 EPOXY UNlNG o " PHENOLIC UNlNG LINING OR o 5 GLASS UNlNG ~ S UNUNED o 95 UNKNOWN o S9 OTHER COATING IS UNING MATERIAL COMPATIBLE WITH 100% METHANOl. ? YES_ NO_ D. EXTERIOR o 1 POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRAP ~" FIBERGLASS REINFORCED PlASTIC CORROSION PROTEcnON o 5 CA~C PROTECTION 0 91 NONE o 95 UNKNOWN o S9 OTHER Eo SPILL AND OVERFILL, ell:. ==AI~~ (YEAR) 1"""" -, OVERALL ~ENTtON EQUIPMENT INSTALLED (YEAR) ~'.... J /' STRIKERPLATE YES NO DISPENSER CONTAINMENT YES .~ NO IV. PIPING INFORMATION CIRCLE A IF ABOVEGROUND OR U IF UNDERGROUND. 80TH IF APPUCABLE A. SYSTEM TYPE AU 1 SUC'nON 2 PRESSURE AU 3 GRAVITY AU " FLEXIBLE PIPING A U 119 OTHER B. CONSTRUcnON AU 1 SINGLE WALL 2 DOUBLE WALL AU 3 UNED TRENCH AU 95 UNKNOWN AU S9 OTHER C. MATERIAL AND AU 1 ,BARE STEa 2 STAINLESS STEa AU 3 POLYVINYl CHLORIDE (PVC1A U " FIBERGLASS PIPE CORROSION AU 5 Al.lJUlNUM S CONCFIE1'E AU 7 STEELW/COATING A U 8 100% METHANOL COMPATIBLE WIFRP PROTEcnON A U 9 GALVANIZED STEEL. A U 10 CATHOrJIC PROÆCTION A U 95 UNKNOWN A U 99 OTHER D. WK DEIECI10N 1 IIII:IWICM. l1li WIt 0 2 11111IIIIIINEIS 3 CCIIIIIUCIUS IßEIISII1W. 0 4 ELECIIDIC LINE 5 == PUll' 0 99 cmIER œm:n:III 1ESTINII IIIIImRD tEAK Œ1ECRIR v. TANK LEAK DETECTION o 1 VISUAL CHECK 0 2 MANUAL. INVENTORY '0 3 VADOZE 0 " AUTOMATIC TANK D 5 GROUND WATER OS ANNUAL TANK RECONCIUATlON MONITORING GAUGING MONITORING 1EST1NG 7 ~JNTERSmtAI.. 0 8 SIR 0 8 ~Y ~ 0'0 MONTHLY TANK D 95 UNKNOWN D 99 OTHER VI. TANK CLOSURE INFORMATION (PERMANENT CLOSURE IN-PUCE) STATE I.D~# 2. ESTIMATED 0UNmTY OF SUBSTANCE REMAINING 3. WAS TANK FILLED WITH GALLDNS INERT MATERIAL ? YES D NOD 1. ESTIMATED DATE LAST USED (MQIDAYIYR) THIS FORM HAS BEEN COMPLETED UNDER PENAL7Y OF PERJURY, AND TO TH ~~.,,,\\ .N\ W..\\\.~i't\. "\ ~ ~L- LOCAL AGENCY USE ONLY GE. IS TRUE AND CORRECT DATE ~\~\~ í JURISDICTION' lID TANK' = PERMIT NUMBER PERMIT APPROVED BYIDATE THIS FORM MUST BE ACCOIIPANIED BY A PERMIT APPLICATION· FORM A, UNLESS A CURRBfT FORM A HASBEBf RLED. FORM C IIUST BE COMPLETED FOR INSTALLATIONS. THIS FORM SHOULD BE ACCOIIPANlED BY A PLOT PLAN. FILE THIS FORM WITH THE LOCAL AGENCY IIIPLEIIENT1NG tHE UNDERGROUND STORAGE TANK REGULATIONS FORM B (6085) .~ - b~ 't(,\~ ,~-- e ARCO Products Company Division of AUantic Richfield Company ~~ ~". e Facility Number: 5365 Customer Account Number: 0616805 >t~ ,_ ¡ i: AMENDMENT TO LESSEE PMPA FRANCHISE AGREEMENT/DEALERlPREMISES LEASE OPERATION OF UNDERGROUND STORAGE TANKS CAUFORNIA This Amendment, dated -L1L1~ rcf¡ /5; /'1 c¡ q ,is attached to, incorporated in and made a part of the Lessee PMPA franchise AgreementlDealer/Premises Lease ("PMPA Agreementj, in effect as of the date of this Amendment or, If applicable, to become effective concurrently with this Amendment, between Atlantic Richfield Company, a Delaware Corporation, through its division ARCO Product Company, ("ARCOj, and Prestiae Stations Inc. #5164 ("Franchiseej, covering premises located at 4010 Wible Rd.. Bakersfield. CA 93309. In retum for good and valuable consideration, each party's receipt of which is hereby acknowledged, the parties agree as follows: 1. The parties have entered into this Amendment in accordance with legal requirements imposed on ARCO and Franchisee concerning operation of the underground storage tanks at the above- referenced location. 2. ARCO has provided Franchisee a copy of: (a) California Health and Safety Code Section 25299 or an approved summary concerning civil and criminal penalties for violating tenns of any pennit to operate these underground storage tanks and relevant statutory and regulatory requirements; (b) the following listed documents, a copy of which is attached and initiated by Franchisee: Monitorina and Resoonse Plan - X 3. Where ARCO has provided Franchisee with a copy of the pennit to operate the underground. storage tanks, Franchisee has read and understood its responsibilities as operator under the pennit and agrees to comply with each of the provisions of the pennit. Irrespective of whether Franchisee has received and reviewed a copy of the underground storage tank operating pennit, Franchisee hereby expressly agrees to do the following: (a) monitor the underground tanks as required by law; (b) maintain all required records and make such records available to the federal, state, and local government agencies and to ARCO at all reasonable times; (c) follow all reporting procedures as required by law; (d) mail, when submitted to, ARCO, at the address specified in paragraph 1 of the PMPA Franchise AgreementlDealerlPremises Lease, a copy of all reports submitted to ovemment agencies; ~ e e (e) follow all operating procedures specified by ARCO; (f) immediately report to ARCO all suspeded or confinned releases from the tanks and connected piping system, unusual operating conditions, release detection signals and environmental conditions suggesting a release may have occurred, and any spills and overfills that are not contained and cleaned up; (g) property close the underground tanks as required by law; and, (h) comply with all federal, state, and local legal requirements relevant to the operations of the underground tanks and all amendments to any pennit to operate. 4. With respect to the operation of the underground storage tank system and monitoring equipment, Franchisee hereby acknowledges and agrees: that ARCO has provided Franchisee with training on each of the items described in the attached Monitoring and Response Plan, that Franchisee understood the content of the training, and asked any questions necessary to facilitate his understanding, that Franchisee indicated to ARCO at the time of training any subjeds addressed by the training which Franchisee did not fully understand, and, that Franchisee received complete training and infonnation necessary for Franchisee to fully understand the subjed of operating underground storage tanks. 5. ARCO has provided Franchisee a copy of and Franchisee agrees to maintain on the Premises the Certificate of Financial Responsibility (as required by the United States Environmental Protection Agency in Subpart H, 40 CFR, Part 280 and California Health a~ Safety Code, Chapter 6.7, Sadion 25292.2). 6. Except to the extent that conflid with, or are less rigorous than the tenns of this Amendment, all of the tenns and conditions of the PMPA Agreement, as previously or hereafter amended or supplemented, remain in full force. IN WITNESS WHEREOF, ARCO and Franchisee have executed this Amendment. ARCO Products Company, a dMaion of AtlantlcRlchfieldCompllny Franchisee ~~" ~ 3~5/97 ate Date /JAlMi t¡o5i!:J Witness 3( {~~ Date ~¥c.Z;¡ ~/f1r Witness Date ·. e - MW:I MONITORING AND RESPONSE PLAN - X DATE ARCO P:JRODUcrS COMPANY FACILITY WITH SECONDARY CONTAINMENT OF UNDERGROUND STORAGE TANKS & PRODUcr LINES WITH SUBMERSffiLE PUMP SHUTDOWN . ARCO Facility: 5365 Address: 4010 Wible Rd.. Bakerjield, CA 93309 This plan is designed to meet the monitoring and response requirements of Section 2632, Article 3, Title 23, CCR 1. MONITORING EOuœMENT Secondarily contained storage tanks and lines at this facility are monitored by a continuous electronic leak detection system which consistS of an alarm panel, sensors and associated electronics. Liquid sensors are installed in the annular space of each double wall tank and product line piping sump. Whenever a sensor detects the presence of a liquid there is both a visual and audible alarm at the control panel. In addition, the continuous monitor on the product piping system will shut down the pump and activate the alarm system when a release is detected or if the continuous product piping monitoring system fails or is disconnected, the pumping system will shut down. Automatic line leak detectors are installed on the secondarily contained pressurized product piping. The line leak detector will detect a loss of pressure in the product lines and restrict the flow of product. 2. MAINTENANCE SCHEDULE OF MONITORING EOuœMENT The continuous electronic leak detection system including line leak detectors will be inspected according to the manufacturer's instructions by an outside contractor once during each calendar year. 3. ROUTINE MONITORING PROCEDURE On a daily basis the facility operator shall: A. Inspect the control panel for visual and audible alarm signals to confirm that the unit is operating. ' B. Inspect island and tank fill areas for signs of spillage or petroleum sheen. C. Record the inspection observations on the Daily Visual Monitoring Log (Fonn APPC-765: attached.) ,- e - 4. RESPONSE PLAN OPERA TOR RESPONSmILITIES A LEAK RECORDING AND REPORTING PROCEDURE Whenever an alarm is activated, station personnel are to immediately: a. Contact ARCO Maintenance or its designated agent by using the telephone number previously provided. b. If any visible indications of petroleum products or vapors are noticed call 911. c. Make an entry in the Recordable Discharge Log (Form APPC-765-1: attached) indicating the action taken d. Complete the Recordable DiscI,1arge Log when and as the source of the alarm is known. ARCO RESPONSmILITIES B. METHOD OF REMOVING AN UNAUTHORIZED RELEASE FROM THE SECONDARY CONTAINMENT a. Any unauthorized release into the secondary containment system of a product tank will be removed by pumping. Uncontaminated product may be returned to the tank. Contaminated product may be returned to the refinery to be recycled or may be disposed of following procedures in accordance with California Health Safety Code requirements. b. ARCO Maintenance will be responsible for authorizing and selecting contractors for the work to be performed. 5. TRAINING In addition to the training covering subjects mentioned in Sections 3 and 4 above, training needed for the operation of the tank system and monitoring equipment includes: How to: Take tank level measurements Read dispenser meters Inspect equipment Recognize warning signs: dispenser hesitations, meter spins and odors Manually close dispenser impact valve Replace dispenser filters Shut down the system with and location of: ARCOmatic switch, electrical panel breakers, and emergency shut off switch Test the electronic monitor e - 6. RECORDS RETENTION Written records of all monitoring, testing, and maintenance performed shall be maintained on- site or off-site at a readily available location for a period of at least 5 years. These records must be made available, upon request within 36 hours, to the local agency or the Board. e e MIAL8 CALIFORNIA HEALTH AND SAFE1YCODE DMSION 20 CHAPTER 6.7 DATE SECTION 25299 (a) Any operator of an underground tank system shall be liable for a civil penalty of not less than five hundred dollars ($500) or more than five thousand dollars ($5,000) for each underground storage tank for each day of violation for any of he following violations: (1) Operating an underground tank system which has not been issued a permit, in violation of this chapter. (2) Violation of any of the applicable requirements of the permit issued for the operation of the underground tank system. (3) Failure to maintain records, as required by this chapter. (4) Failure to report an unauthorized rel~, as required by Sections 25294 and 25295. (5) Failure to properly close an underground tank system, as required by Section 25298. (6) Violation of any applicable requirement of this chapter or any requirement of this chapter or any regulation adopted by the board pursuant to Section 25299.3. (7) Failure to pennit inspection or to perfonn any monitoring, testing, or reporting required pursuant to Section 25288 or 25289. (8) Making any false statement, representation, or certification in any application, record, or other document submitted or required to be maintained pursuant to this chapter. (b) Any owner of an un~erground tank system shall be liable for a civil penalty of not less than five hundred dollars ($500) or more than five thousand dollars ($5,000) per day for each underground storage tank, for each day of violation, for any of the following violations: (1) Failure to obtain a pennit as specified by this chapter. (2) Failure to repair or upgrade an underground tank system in accordance with this chapter. (3) Abandonment or improper closure of any underground tank system subject to this chapter. . (4) Knowing failure to take reasonable and necessary steps to assure compliance with this chapter by the operator of an underground tank system. (5) Violation of any applicable requirement of the pennit issued for operation of the underground tank system. e e (6) Violation of any applicable requirement of this chapter of any regulation adopted by the board pursuant to Section 25299.3. (7) Failure to permit inspection or to perform any monitoring, testing, or reporting required pursuant to Section 25288 or 25289. (8) Making any false statement, representation, or certification in any application, record, or other document submitted or required to be maintained pursuant to this chapter. ( c) Any person who intentionally fails to notify the board or the local agency when required to do so by this chapter or who submits false information in a permit application, amendment, or renewal, pursuant to Section 25286, is liable for a civil penalty or not more than five thousand dollars ($5,000) for each underground storage tank for which notification is not given or false information is submitted. (d) Any person who falsifies any monitoring records required by this chapter, or knowingly fails to report an unauthorized release, shall, upon conviction, be punished by a fine of not less than five thousand dollars ($5,000) or more than ten thousand dollars ($10,000) by imprisonment in the county jail for not to exceed one year, or by both that fine and imprisonment. ( e) In determining both the civil and criminal penalties imposed pursuant to this section, the court shall consider all relevant circumstances, including, but not limited to, the extent of harm or potential harm caused by the violation, the nature of the violation and the period of time over which it occurred, the ftequency of past violations, and the corrective action, ifany, taken by the person who holds the permit. (I) Each civil penalty or criminal fine imposed pursuant to this section for any separate violation shall be separate, and in addition to, any other civil penalty or criminal fine imposed pursuant to this section or any other provision oflaw, and shall be paid to the treasury of the local agency or state, whichever is represented by the office of the city attorney, district attorney, or Attorney General bringing the action. All penalties or fines collected on behalf of the board or a regional board by the Attorney General shall be deposited in the State Water Pollution Cleanup and Abatement Account in the State Water Quality Control Fund, and are available for expenditure by the board, upon appropriation, pursuant to Section 13441 of the Water Code. (g) This section shall become operative on January 1, 1991. (Added by Stats. 1988, c. 296, Section 3, operative Jan. 1, 1991. Amended by Stats. 1989, c. 11397, Section 19, operative Jan.l, 1991.) . ARCO Products Company e Underground Diviaion of Adaø&ic Richfield Company iiiMLI . Dailly VkuaI Storage Tank Monitoring Log ARCO fadUty DO. DealerlFrancl1isee Month/Year System condition Impector Dav Oaeratioaal Alarm· Initials Comments 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 DØ ;' *NOTE: IF ALARM CONDmotAasTs, IMMEDIATELY NOTIFY ARCO ~NANCE OR ITS AGENT DESIGÑMD AND MAKE ENTRY ON ALARM AcftIIP'ATIONIDISCHARGE LOG APPC-76S (1/24/97) ~~ .. INITIALS RECORDABLE DISCHARGE LOG DOUBLE CONTAINMENT UNDERGROUND STORAGE TANK SYSTEM 'i· " I: ARCO Products Company Division of Atlantic Richfield Company DATE ARCO Facility Dealer I Franchisee No. Date I Time Reported To ' Date I Description of Conditions Corrective Adion Taken of Discoverv Time . APC-765-1 (1/1419'7) ... - -- - ngle En vironmental, Inc. December 15, 1998 Inspector Howard Wines Bakersfield Fire Department Hazardous Materials Division 2130 "G" Street Bakersfield, CA 93301 Dear Inspector Wines: Travis with Kern Construction asked that I fax the attached information to you this morning: passing product line and leak detector test results for the ARGO facility located at 4010 Wible Road, Bakersfield, Application to Perform a Tightness Test, and fee check in the amount of $55. The originals will be sent FedEx today for delivery tomorrow to your attention. Thank you for working with ARGO, Kern Construction and us to get this facility up and running. Sincerely, fJ~J/J.~ Pë:lmela D. Yerkes Attachments cc: Kern Construction - wlo attachments Linda S. Andrews, ARCO - attachments will be sent under separate cover i ' 2525 W. BURBANK BLVD., BURBANK, CA 91505·2302. TEL:(818) 840..7020. FAX;(818) 840..6929 e s,f.p < e BA~ERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION' 2130 G street, Bakersfield, CA 93301 (805) 326~3979 , I .i ! APPLICATION TO PERFORM A TIGHTNESS TEST FACILITY AReo #- 5ðWS PERMIT TO OPERATE * ADDRESS LlO'D I(J I BLË RD. OPERATORS NAME AR~ð OWNERS NAME AReo NUMBER OF TANKS TO BE TESTED /'l/f/ IS PIPING GOING TO' BE TESTED Ye5 TANK # VOLUME CONTENTS íRtÄ;Jf>tE 2-52.5 W. Bú¡¿¡JA,..œ_ Bl-v'b. TANK TESTING COMPANY f3:¡..J,V/2.c:>"JH6JT1+(....INC., ADDRESS BU2..t3A,J¿. t1,A.L,IF. , TEST METHOD 11; I J...í:3 NAME OF TESTER ~LA YTV~ RUIJAlELS CERTIFlèATION * STATE REGISTRATION -it t! A - I ~ I t> DATE Ii: TIME TEST IS TO BE CONDUCTED 1'2-IIf-Qe- t 2. ~ DO p, H .. ~,~ IZ..17-9r. DATE SIGNATURE OF APPLICANT \. e e Triangle Environmental, Inc. 2525 West Burbank Boulevard, Burbank, California 91505 (818) 840-7020 FAX (818) 840-6929 T.E.L UST TESTING SYSTEMS SUMMARY SHEET Precision Underground Storage Tank System Leak Test Client: ARCOPRODUCTSCOMPANY P.O. BOX 6038 ARTESIA, CA 90702 Work #: 730007 Test Date: 12/14/98 Facility: ARCO #05365 40 lO WIBLE RD BAKERSFIELD, CA 93309 County: KERN Cross Street: WHITE LANE/WIBLE RD Tank Line Tank# Product Capacity Test System Type Rate/Results Ullage Result Rate/Result LID Result 1 Unleaded Regular N/A N/A 0.010 PASS PASS 2 Unleaded Premium N/A N/A 0.010 PASS PASS 3 Unleaded Plus N/A N/A O.OlO PASS PASS Certified By: ~ Technician: Clayton Runnels Mfgr's #: State Lie. #s: CA-16lO Comments: Lines and leak detectors This precision tank testing system exceeds the criteria required by Local, State and Federal NFP A #329 and EP A UST Technical Standards Part 280 for precision testing systems. I e e Triangle Environmental, Inc. T.E.I. SYSTEMS TANK, LINE AND LEAK DETECTOR TEST REPORT Facility: ARCa #05365' Tank #: 1 Product: Unleaded Regular Work #: 730007 Test Date: 12/14/98 Test Method: Test Method: R.J. FTA Capacity: Manufacturer: FE Petro Diameter (in): LID Model: FE Product Level (in): LID Serial #: GE 163 Liquid Volume (Gals): Line Drain Back (m!): 110 Liquid Percent (%): LID Trip Time (see): 4 Specific Gravity: Holding Pressure (psi): 28 Coef.ofExpansion: Metering Pressure (psi): 17 Water On Tank (in): LID Test Rate (gph): 1.4 Water In Tank (in): LID Result: PASS Product Temp. (F): Head Pressure (psi): Test Start Time: Test Method: TEl LT-3 Test End Time: Pump Brand: FE Petro Test Rate (gph): System Type: Pressure Test Result: N/A Line Pressure (psi): 50 Line Start Time: 12:30 PM Test Method: ULLAGE Line End Time: 12:45 PM Ullage Volume (gals.): Line Start Level: 280 Ullage Test Time: Line End Level: 270 Ullage Vacuum (psi): Line Test Rate (gph): 0.010 Ullage Result: N/A Line Test Result: PASS 2 e e Triangle Environmental, Inc. T.E.I. SYSTEMS TANK, LINE AND LEAK DETECTOR TEST REPORT Facility: ARCa #05365 Tank #: 2 Product: Unleaded Premium Work #: 730007 Test Date: 12/14/98 Test Method: Test Method: R.I. FTA Capacity: Manufacturer: FE Petro Diameter (iri): LID Model: FE Product Level (in): LID Serial #: GE104 Liquid Volume (Gals): Line Drain Back (ml): 100 Liquid Percent (%): LID Trip Time (see): 4 Specific Gravity: Holding Pressure (psi): 27 Coef. of Expansion: Metering Pressure (psi): 17 Water On Tank (in): LID Test Rate (gph): 1.6 Water In Tank (in): LID Result: PASS Product Temp. (F): Head Pressure (psi): Test Start Time: Test Method: TEl LT-3 Test End Time: Pump Brand: FE Petro Test Rate (gph): System Type: ' Pressure Test Result: N/A Line Pressure (psi): 50 Line Start Time: 12:30 PM Test Method: ULLAGE Line End Time: 12:45 PM UllageVolume (gals.): Line Start Level: 240 Ullage Test Time: Line End Level: 230 Ullage Vacuum (psi): Line Test Rate (gph): 0.010 Ullage Result: N/A Line Test Result: PASS 3 e e Triangle Environmental, Inc. T.E.I. SYSTEMS TANK, LINE AND LEAK DETECTOR TEST REPORT Facility: ARCa #05365 Tank #: 3 Product: Unleaded Plus Work #: 730007 Test Date: 12/14/98 Test Method: Test Method: R.J. FTA Capacity: Manufacturer: FE Petro Diameter (in): LID Model: FE Product Level (in): LID Serial #: GE165 Liquid Volume (Gals): Line Drain Back (ml): 115 Liquid Percent (%): LID Trip Time (see): 4 Specific Gravity: Holding Pressure (psi): 27 Coef. of Expansion: Metering Pressure (psi): 18 Water On Tank (in): LID Test Rate (gph): 1.4 Water In Tank (in): LID Result: PASS Product Temp. (F): Head Pressure (psi): Test Start Time: Test Method: TEl LT-3 Test End Time: Pump Brand: FE Petro Test Rate (gph): System Type: Pressure Test Result: N/A Line Pressure (psi): 50 Line Start Time: 1 :00 PM Test Method: ULLAGE Line End Time: 1: 15 PM UllageVolume (gals.): Line Start Level: 210 Ullage Test Time: Line End Level: 200 Ullage Vacuum (psi): Line Test Rate (gph): 0.010 Ullage Result: N/A Line Test Result: PASS 4 e e . INVOICE Trianqle Environmental, Inc. 2525 West Burbank Blvd., Burbank, CA Phone:(818) 840-7020 Fax: (818) 840-6929 Date: 12/15/98 Client ARCO PRODUCTS COMPANY P.O. BOX 6038 ARTESIA, CA 90702 Linda Andrews Facility ARCO #05365 4010 WIBLE RD BAKERSFIELD, CA 93309 Authorization Number: Payment Method: Credit Invoice Total: 13727 ..... ...-........... ":Zît~f,!iW~~ª ~1i1i~;1. '''N' 'fm' 'NNN, ...V....... ....."t) "~",^,,".r fj';-f -f' f;-.;:;::;:;::xx/ v...... v _.,.v~r' '..".,r ~"''Vf. 'r~~ mWiliX~'N~'_'" I.....v-.....,..............,..,-.~~." . '~m:~;~z~(·_vN"n~ 1:~.4% ~~m;1t~ ,.",..,."......................................-.-............. '1):;-.;:.:-,;;:'Ç-r.!~f.;'xx;:;;::::;'.:-.(,,(;:. E_ f,~x~~~~k5~ ê>.gjf :;¡f=75; [@g, ~ (.',"';;;;;i)X;X=;<;;;;;i :;'):":'';':''-.!f''-'¡!";!"...~./"j'..:''.-7:.-:'' ~Æ~EFÆ~2 ¡~g~¿%7.c::.;;:ß;;g;7; R [g?;$l;~~; '-···'''.-'..V.''''''''''-''_~_"_~......_.^.· ;'::;'::':~~';';f';..--::::..-::-"";'::=;,,:':< (:?;;£::;~:!/.f¡;Xx7h:&((; iib~~. lif.~& gJ.%t.~W~;0 liwl , ~ INVOICE NO, REFERENCE AMOUNT DISCOUNT NET AMOUNT 52117 0_00 0.00 55_00 .. DATE 12/14/98 CHECK NUMBER 00013727 CHECK AMOUNT $ 55.00 o TRIANGLE ENVIROMENTAL, INC. (818) 840-7020 2525 W, BURBANK BLVD BURBANK, CA 91505-2302 BANK OF AMERICA GLENDALE. CA 91206 16-66/1220 2131 13727 CHECK NO. 00013727 ** FIFTY FIVE DOLLARS AND 00 CENTS ** PAY TO THE ORDER OF DATE AMOUNT -á...;.;;':",;,,:"4.·:t_:""~¿";"'-.;';'¿~..~£,.<;:1!?!"!--"1:' ,., 12/14/98 *******55.00 -- BAKERSFIELD FIRE DEPARTMENT 2130 G STREET BAKERSFIELD CA 93301 ~..~. M' , , MEMO:ARCO#5365 4010 WIBLE RD 1110 I. ~? 2 ?III I: I. 2 2000 b b¡'l: AUTHORIZED SIGNATURE 2 I. ~ I. ~ III 0 2 ~ B b III ,i i: FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-3951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chesler Ave. Bakersfield. CA 93301 VOICE (805) 326-3979 FAX (805) 32~576 TRAINING DMSION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (805) 399-4697 FAX (805) 399-5763 . . February 9, 1999 AM PM Mini Market #5365 4010 Wible Road Bakersfield, CA 93309 RE: Compliance Inspection Dear Underground Storage Tank Owner: The city will start compliance inspections on all fueling stations within the city limits. This inspection will include business plans, underground storage tanks and monitoring systems, and hazardous materials inspection. To assist you in preparing for this inspection, this office is enclosing a checklist for your convenience. Please take time to read this list, and verify that your facility has met all the necessary requirements to be in compliance. Should you have any questions, please feel free to contact me at 805-326-3979. Si1'~ Steve Underwood Underground Storage Tank Inspector Office of Environmental Services SBU/dm enclosure ~~y~ de W~ ~ vØtoPe 7~ A W~?" " ~_ .~~ 'i" ARca Products Company e 4 Centerpointe Drive La Palma, California 90623-1066 - Mailing Address: Box 5077 Buena Park, California 90622-5077 January 22, 1999 CERTIFIED MAIL #: Z-239-888-763 Attn: RALPH HUEY, COORD. BAKERSFIELD FIRE DEPARTMENT P.O.B0X2057/1715 CHESTER A VE.,3RD FL. BAKERSFIELD, CA 93301 RE: LEAK DETECTOR AND PRODUCT LINE TEST RESULTS ARca Facility No,: 5365 Facility Address: , , ; \. '. 4010 Wible Rd, Bakersfield, CA : . ~.,.. ~ q~ í, ..", ... " .~ ~ ,-. - ~ This letter is to notify you that at the above facility's Leak Detector and Product Line Test passed the systems test as noted in the attached test results. ARCO is committed to the compliance of all environmental laws that govern the safe operations of our facilities. Feel free to call me at (714)-670-5423, Sincerely, 1II!!6~~ in S, Andr s, P Senior Engineer Environmental Compliance ARCO Products Company is a Division of AtlanticRichfieldCompany APC-7076 (3-94) ( ,¡ ~~ ~,. ARCO Products Company F~ . e ¡// \ ~"' ,/~> ,~' , Mechanical L. Detector" Test Data Sheet_ ,~ , .. , , Station # " rco Address e; !J- ~ t ~ 40/0 Date 1:1 /('1 I 19 çt I \A./; blL jš 0.. 1<. ~ r ~ + : ~ L cl LA RJ O¡53Df it. 6¿::/L:1 tJ tf 10 1../ ~'"- . Ell~ - 1 2 3 4 5 Product C6 7 v/uL 9l. prt:1'/ ~'T V'1,t) Manufacturer ' .f ~ PcT1ò .ç é P ~t/ð r f.. Pe TftJ , .. ~- ....,..... Model '"5rf-f'1IJJ j (i'J - IVI LlJ 5íP- ('1 L (), Full Operating Pressure (psi) d-.( .:21 .1~ Line Bleed Back (ml) /Ið t't>() J I ç Trip Time (sec) 'i 'I '-/ Metering Pressure (psi) /1 /1 /f FÆ Holding Pressure (psi) ;t~ .2.1 J~ Test Leak Rate (~min) (gph) '76 I" D ~O .;--. f4SS PASS or FAll.. -, P¿..5 S ?~ç> Test Information ¡; Replaced All Failed Leak Detectors Yes. If No, Replacement To Be Completed By (Date) No N/A X "' .. / / 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 /, S i J. · Technician ~~ r"-,,""le /J ~'2 -- Lic# ¡tJ-I'/iJ 11 ! /i ') 'I I, I' I I Signature A!'C-3325 (8196) . ,- ~''-~- / . ,¡ e e Triangle Environmental, Inc. 2525 West Burbank Boulevard, Burbank, California 91505 (818) 840-7020 FAX (818) 840-6929 T.E.L UST TESTING SYSTEMS SUMMARY SHEET Precision Underground Storage Tank System Leak Test Client: ARCOPRODUCTSCOMPANY P.O. BOX 6038 ARTESIA, CA 90702 Work #: 730007 Test Date: 12/14/98 .- -~""...~=---- - ~ - ~ Facility: ARCO #05365 4010 WIBLE RD BAKERSFIELD, CA 93309 County: KERN Cross Street: WHITE LANEIWIBLE RD Tank Line Tank# Product Capacity Test System Type Rate/Results Ullage Result Rate/Result LID Result I Unleaded Regular N/A N/A 0.010 PASS PASS 2 Unleaded Premium N/A N/A 0.010 PASS PASS 3 Unleaded Plus N/A N/A 0.010 PASS PASS Certified By: ~ Technician: Clayton Runnels Mfgr's #: State Lie. #s: CA-1610 Comments: Lines and leak detectors This precision tank testing system exceeds the criteria required by Local, State and Federal NFPA #329 and EPA UST Technical Standards Part 280 for precision testing systems. 1 /. - ..; -- e Triangle Environmental, Inc. T.E.I. SYSTEMS TANK, LINE AND LEAK DETECTOR TEST REPORT Facility: ARCa #05365 Tank #: 1 Product: Unleaded Regular Work #: 730007 Test Date: 12/14/98 Test Method: Test Method: R.J. FTA Capacity: Manufacturer: FE Petro -- ~- ~--~:.-~-~-~ .---. ----..;;;.. ~-,.... Diâmeter (in): LID Model: FE Product Level (in): LID Serial #: GE 163 Liquid Volume (Gals): Line Drain Back (m1): 110 Liquid Percent (%): LID Trip rime (see): 4 Specific. Gravity: Holding Pressure (psi): 28 Coef. of Expansion: Metering Pressure (psi): 17 Water On Tank (in): LID Test Rate (gph): 1.4 Water In Tank (in): LID Result: PASS Product Temp. (F): Head Pressure (psi): Test Start Time: Test Method: TEl LT-3 Test End Time: Pump Brand: FE Petro Test Rate (gph): System Type: Pressure Test Result: N/A Line Pressure (psi): 50 Line Start Time: 12:30 PM Test Method: ULLAGE Line End Time: 12:45 PM UllageVolume (gals.): Line Start Level: 280 Ullage Test Time: Line End Level: 270 UlIage Vacuum (psi): Line Test Rate (gph): 0.010 Ullage Result: N/A Line Test Result: PASS 2 , .. ._ -0 ", -. 0--",-' , . ,". ;...- :~:j;}t '. ,r,--!' ~ e e Triangle Environmental, Inc. T.E.I. SYSTEMS TANK, LINE AND LEAK DETECTOR TEST REPORT Facility: ARCa #05365 Tank #: 2 Product: Unleaded Premium Work #: 730007 Test Date: 12/14/98 Test Method: ,CIlP.!lcity.: . -. -----6i~~ter (in): Product Level (in): Liquid Volume (Gals): Liquid Percent (%): Specific Gravity: Coef. of Expansion: Water On Tank (in): Water In Tank (in): Product Temp. (F): Head Pressure (psi): Test Start Time: Test End Time: Test Rate (gph): Test Result: NtA Test Method: R.J. FT A ----~,-Manufacturer:~-FE'Pêtro__-· -- LID Model: FE LID Serial #: GEI04 Line Drain Back (ml): 100 LID Trip Time (sec): 4 Holding Pressure (psi): 27 Metering Pressure (psi): 17 LID Test Rate (gph): 1.6 LID Result: PASS Test Method: Pump Brand: System Type: Line Pressure (psi): Line Start Time: Line End Time: Line Start Level: Line End Level: Line Test Rate (gph): Line Test Result: Test Method: ULLAGE UllageVolume (gals.): Ullage Test Time: Ullage Vacuum (psi): Ullage Result: Nt A TEl L T-3 FE Petro Pressure 50 12:30 PM 12:45 PM 240 230 0.010 PASS l 3 '.'0" . .... .' "G e . Triangle Environmental, Inc. T.E.I. SYSTEMS TANK, LINE AND LEAK DETECTOR TEST REPORT Facility: ARCa #05365 Tank #: 3 Product: Unleaded Plus Work #: 730007 Test Date: 12/14/98 Test Method: Capacity: _~~-=-D,iameter{in):c--~-"""-' ' Product Level (in): Liquid Volume (Gals): Liquid Percent (%): Specific,(J!.avity: Coef. of Expansion: Water On Tank (in): Water In Tank (in): Product Temp. (F): Head Pressure (psi): Test Start Time: Test End Time: Test Rate (gph): Test Result: Nt A Test Method: R.J. FTA '.- -~---..._'.._=-~---;~ Manufacturer: FE Petro _~~--"7- -~ --'* LID Model: LID Serial #: Line Drain Back (ml): LID Trip Time (see): Holding Pressure (psi): Metering Pressure (psi): LID Test Rate (gph): LID Result: ~~ FE GEl65 115 4 27 18 1.4 PASS Test Method: Pump Brand: System Type: Line Pressure (psi): Line Start Time: Line End Time: Line Start Level: Line End Level: Line Test Rate (gph): Line Test Result: Test Method: ULLAGE UllageVolume (gals.): Ullage Test Time: Ullage Vacuum (psi): Ullage Result: Nt A TEl LT-3 FE Petro Pressure 50 1 :00 PM 1: 15 PM 210 200 0.010 PASS ". ~..... . - - 4 ..,...-. I ._- ._-~~- -------.--- ----.- ..----- '. , Per It to Operate I' I Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: ª~ardous Materials Plan round Storage of Hazardous Materials agement Program . Waste 4010 WIBLE PERMIT ID# 015-021.Q00564 AM PM MINI MARKET #5365 LOCATION TAN HAZARDOUS SUBSTANCE CAP .,./!..,; K PIPING PIPING PIPING PIPING ¡;ONITOR TYPE TYPE METHOD ONITO ,r', "', 'n' 0001 GASOLINE MIDGRADE UNLE OW FRP PRESSURE LTT 0002 GASOLINE ARCO UNLEADE OW FRP PRESSURE LTT 0003 GASOLINE ARCO UNLEADE OW FRP PRESSURE LTT 0005 GASOLINE ARCO EC-PREMI OW FRP PRESSURE LTT Issued by: I ¡ - Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 *~ ph Huey. ffice of ental Servi es June 30, 2000 Approved by: Expiration Date: FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 °Ho Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 oW Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 TRAINING DMSION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (805) 399-4697 FAX(805)3~5763 1- - December 21, 1998 Mr. William M. Zapka Environmental Compliance Administrator Arco Products 4 Centerpointe Drive La Palma, CA 90623-1066 RE: Contaminated Soil Found at ARCO #5365, 4010 Wible Road in Bakersfield. Dear Mr. Zapka: I have reviewed the soil sample stockpile analytical results report, dated November 17, 1998, prepared by SECOR International Incorporated. This office concurs with the findings of the above referenced report that the contamination detected beneath the former canopy footing was associated with a previous release which was investigated, remediated, and received closure in 1994. Accordingly, no further action is required and no unauthorized release reporting is necessary in this instance. Sincerely, ~ F«-J-:= OV'\. - Howard H. Wines, III Hazardous Materials Specialist Office of Environmental Services ""SC~ úfe W~ ~ V#;0P6 .r~ A W~?" ~ ,. CITY OF BA.JIsFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 FICility AM PM tt 5"3kS- 0wDIr Iv? r f"j ~OUCí~ Cd .~ 40(0 WIßt.é (2..f) AddraI 4 c.c-v-.c""'ê.A::>, -v-r-e DIL City. Zip city. Zip ~A ?A.(J.--l,4 I'hono No. PenllÎllI ß.r - OI'S ~ INSPECTION RECORD POST CARD AT J08 SITE I:'I/STR UCfIONS: PI_ caü far AD impecrcr oa1y whca -z group of impocUoø wid1 tbI UlDlIIUIZIb« II'I..-dy. They wiU IUD ia COIIIICUIiw ardIr~1 wiIb JUDbcr . 1, 00 NOT cover work far any IIIIDIÒCI'ed IfOUP uøiI aU ÏIaDI ÍII rbI& group are àpod oØ'by the ~~ AuIbari&y. FoDowiaø d.-. "'1JØåcø will ~ die........ of required inlpecåoa vWta aDd thenCon I'I\WI 'If r -- of .~I fiDeL T A."lXS AND BACKlILL INSPEcnON DATE INSPECTOR &dc1iU ofTank(I) Sparic Test CcrU.6catioa ar Ma...I'....... McdIod Piping A RAceway w/CoUecIÎOD Sump ;'3<:> PIPING SYSTEM r(t.i""~1/ I AJ<;P () I:: Comxåoa Procec:boa of Pipiq. Joiata. FiU Pipe ElcctticaJ bolalÍon ofPipiDc From Tank(I) Calhodic Protection Systm1-ñping rJl\. '2... Dispenser Pan S('µr-f)f>.4..Y p,p,,.JG.- '¡..Js~ YL! 4 48' SECONDARY CONTAI~~E:\". OVERFILL PROTEC110N. LEAK DETEcnON IJ'A- Liner Installation . Tank( s) tJ/A Liner Installation - Piping N(A. Vau!l With Product Compaùble Scaler 3 u:vcl Gaugca or Scmors. float Vent Valva µ/A- Product Compatible Fill BoX(cs) 3> Product Line Lc.ak I)efcc:torfs) lnIc. Detcc:tor(s) for Annw.I Space-û. W, Tank(s) Morùlorin~ Wcll(s)lSumpl.s), H20 Test Leak Detection Dcvicc(s) for VadoIeiOroundwa1cr Spill Prcvcruion Boxes Monilonng Wells. C..t. {.oclcs Fill Box Lock .3 MonitOMg Rcquircmcnu Typo (tt>,JtvJ )(7bS 1:J..1 l4 r- FINAL CONTRACTOR CONTACT lf2..Ml~ oNS"( s (N1/110N'5. UCENSE II A <þ 1 () S-3 PHONE II 634 J 4'qs-o ,-, fr cir~ !!fÇ r::~~ 10/21'911 14::\11 ß !¡/J002 .itNo.( ~O\~'6 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakenfleld, CA (805) 326-3979 'BII05 :\26 0576 ßFD 11,\7. ~.\T DIV '. PERMIT APPLICATION TO CONSTRVCTIMODlFY UNDERGROUND STORAGE TANK TYPE OF APPLICA nON (CHECK) [ ]NEW FACILITY ..Þ<!'tODIFICA nON OF FACILITY [}NEW TANK INSTALLATION AT EXISTING FACILITY STARTINGDATE /O'2(P ·18 PROPOSEDCOMPLETIONDATE /f z.~ .?8' F ACn.ITY NAME EXISTINQ FACILITY PERMIT NO, FACn.rrY ADDRESS CITY 8/1~fFP5I="1t;=l.D ZlPeODE If TYPE OF BUSJNESS - $ ;,fC/¿.1 TV APN II =~~ e~ P,.W1A- ,~~~t~~;~ CONrRACTOR 'N CA ueENSE NO. -_¿- -- ADDRESS p'O- CITY G ZIP CODE PHONE NO. BAKERSFIELD CllY BU S ueENSE NO. WORKMAN COMP NO. INSURER BRIEFLY DESCRIBE THE WORK TO BE DONE '{Ç S M fit WATER TO FACILITY PROVIDED BY C/T7 ðJiC ~~£l.O DEPTH TO GROUND WATER SOIt TYPE EXPECTED AT SITE NO. OF TANKS TO BE INSTALLED I{IA-- ARE lHEY FOR MOTOR FUEL SPn.,L PREVENTION CONI'ROL AND cOUNIER MEASURES PLAN ON FILE YES YES NO -.NO SECTION FOR MOTOR FUlL TANK NO. VOLUME UNLEADED REGULAR PREMIUM DIESEL A VlATION SECTION FOR NON MOTOR FUEL STORAGE TANKS TANK NO, VOLUME CHEMICAL STORED (NO BRAND NAME) CAS NO. CHEMICAL PREVIOUSLY STORED (IF KNOWN) lAPPUCAll?NDATE FOR OFFICIAL USE ON~Y "'"''''''',;;,''''',;;;;,;;''' ;;"';;""";;";;;;';;';;";;"';;;;"';;""";;;;""";;( fA~T:Y~O; .", ,",·..,....N;?,Ä~:I~.,.:,:;".:,',.,,:,.:,".:;;.,~:m,:;"[;i;·m:t:¡;m,::,;¡::·¡m¡¡¡\, .... . .. .. .. ". THE APPLICANT HAS RECEIVED. UNDERSTANDS, AND WILL COMPLY WTIH TIlE ATTACHED CONDmONS OF TInS PERMIT AND ANY OTIlER STATE, LOCAL AND FEDERAL REGULATIONS. TIllS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY. AND TO THE BEST OF MY KNOWLEDGE, IS ~UE c~ 1fØ/( 't1iro møÞllcrs ø.) ~ ~ ~ ~~~ F~ t9RP&/Æ- ~ p Y: APPLICANT NAME (PRINT) J\P SIG TURE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED --- ,T" fCo '. CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME A~o Af\\ f9¡", . INSPECTION DATE 1.'3/9/18 Section 2: Underground Storage Tanks Program ~ Routine 0 Combined 0 Joint Agency Type of Tank DwF- Type of Monitoring <!UV\ o Multi-Agency 0 Complaint Number of Tanks If Type of Piping fXl! F ORe-inspection OPERA nON c v COMMENTS Proper tank data on tile 1/ Proper owner/operator data on tile .,/ Permit fees current ~ Certification of Financial Responsibility .¡ Monitoring record adequate and current vi' Maintenance records adequate and current V Failure to correct prior UST violations l/ Has there been an unauthorized release? Yes No fIK) Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: ¡¡! t{¿tLtl-ikJ Oftìce of Environmental Services (805) 326-3979 White - Fnv. Sves, /~~ /' Business Site Responsible Party Pink - Business Copy '--. ' f:; . CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ADDRESS l.fOlO FACILITY CONTACT INSPECTION TIME A{'(o ~t\\ ~M (.(1\ "I c.. /2.cf. INSPECTIO~~~kq:g> PHONE NO. ' C - qc ¡.s BUSINESS ID N . 15-210- NUMBER OF EMPLOYEES q Section 1: Business Plan and Inventory Program ~/ Routine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA TION C V COMMENTS Appropriate permit on hand J Business plan contact infomlation accurate t/ " 1I Visible address Correct occupancy V Veritication of inventory materials II Veritication of quantities vi Veritication of location IJ Proper segregation, of material 1\1 Veritication of MSDS availability V Verification ofHaz Mat training !V Veritication of abatement supplies and procedures ./ Emergency procedures adequate V Containers properly labeled vi Housekeeping vi Fire Protection V Site Diagram Adequate & On Hand V C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes ONo ~~~~ Whill: - En\', Svcs, Yellow· Station Copy Pink· Businl:ss Copy Inspector: Questions regarding this inspection? Please call us at (805) 326-3979 ~~\ "',., \ì J I~ ¡' 1 ~ "~ ARCO Products company'. Environmental Health & Safety 4 Centerpointe Drive la Palma. California 90623-1066 e .- Mailing Address: Box 6038 Artesia, California 90702-6038 ~:ìG~-ì-~--:--_ ~{/i -¡ ,__, '/_' " ¡\ / ¡-_ __ I': _ - ,/ > /i :',:' Ii::: r::')': r '-'C r ,,< /'-7,)--.,,:,/' ,r ~ ;..J . / liq~, ,(//, ;....."" ~.'f -,..:,..:::::::::-:::-:-:-:::--':::::::~-:--- - / r...~ _p..,.,..........} September 30, 1997 Mr. Ralph Bakers Fire Department 171 hester Ave., 3rd Floor ersfield, CA 93301 Dear Mr. Huey: RE: MONITOR AND LEAK DETECTOR TESTS RESULTS ARCa #5365 - 4110 Wible Rd., Bakersfield ARCO #6115 - 1501 California Ave., Bakersfield Enclosed is the documentation to notity you that the monitors and leak detectors at the above facilities passed the system test, as noted in the attached test results. ARca is committed to the compliance of all environmental laws that govern the safe operations of our facilities. Feel ftee to call me at (714)-670-5423. Sincerely, ¿f~~.JchfcM Senior Engineer Environmental Compliance LAds Ends: ARGQ ProlÍuct.. CornpallY IS a Dlvl~lon () AtlanhcHìchlifJldCompanv APC-7116 (10/96) -- j ':1. ,-- " \ } 'I ~1 I ~.. , ...... r' ., . ".~6"~" ...·*A~:~.:·- ...." /; , . . \ - . , .....- . ~" ARCO Products Company . Mona Certification Inspection f " This Jetter certifies that the monitor(s) is/are in place, the probes are in correct position and the system is;>peratin~ pr~erly. Station # L£\ \~ Date ß· ~ \ 19qì Address \':){)\ Q)\ \ ~Ö(~\'A ~"LQ....-. ~}.<t2(~.ç \â.n CA Type Inspec~ Annual Recheck Type & Model of Monitor ~AM. )C1t!? S System Function Tanks Permit Leak " :':':';:~:.< )tss ~- ::.:.:':~ ~ Annular Space Fail N/A Pass In Tank Fail Regularu-'\l..\ Midiãae' g, ." <, Suprem'8" Waste Oil OthewL2-- Product Lines ~ E .- . ~ '.. x. - Regularl)...L , Midgrade Supreme Waste Oil Othe~ ~ #- When monitor is turned off or in alarm, is there positive shutdown of turbines? If No, were precision product line tests performed? Yes _ No~ Monitor Panel Is the monitor panel mounted and labeled correctly? Does monitor alarm horn function properly? Is panel accessible and visible to station personnel? Turbine Sump )(s Fail NI A ~ X- Pass In-Line Fail I Fill Sump Fail N/A ~s 9- ~ Yesk- No_ ~ Replaced all failed probes? Yes --:- No ---:-- N/A j If No, probes to be replaced/repaired by (Date) / / " Inspected By: APC-3324 (8/96) , , ~ r .J\;¡ . . ,. .'!I' ~,""'-. .. 1'''''- .~~ .~~ ARCO Products Company " . - Mechanical Leäk Detector Test Data Sheet ., " f i / Station # ( P \ \'5 Date ce - l \ Address \~D \ Co\ 1-ta-"'-1\'A D.l.d. !~\<t~.ç.¡~LP CA 19 C'ì I Test Information 1 2 3 4 5 Product WL "'"" \0 SW' Manufacturer ~E: \ ~trD ~,t:Jk,~ ç,t." \i1'fb Model PLD PLD PlO Full Operating Pressure (psi) ')ð- '0\ ,~2- Line Bleed Back (ml) \ìOM,1.... \i'5~ IÎOMt- Trip Time (sec) :, ~ ~ Metering Pressure (psi) \0 lD tD FÆ Holding Pressure (psi) ~C() 7P\ , ~ Test Leak Rate (m1/min) (gph) IqDM"-I~ O,O~~ " \o.D~ t-'\ PASS or FAIL OJ.~~ RÞ~ ÇQ~~ --' No N/AL . -,:..< , " Replaced All Failed Leak Detectors Yes If No, Replacement To Be Completed By (Date) I I , , This letter certifies that the annuaì 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 '::x:Di+ Co \ ~ t" , . Technician Lic# O\ð-- \ \ ~~ Signature APC-3325 (8196) u Permit to Operate Underground Hazardous Materials Storage Facility ,',qq S ¿, t..-/ S ta tel D No 000 ~b4,<::</:/>?)),:::::::::::,::::',:;;:::;;::::::::::;;::,:;:::::::::;:::::>::>:\:::::::, P e rmi t No. ~ oooS-G4 · ~O~DITIO~~;\J~:;f~M~t'j~~l~ERSE SIDE ci~~~~~¿/ ~;I¡~fìt;;;~)~~~ ~~R~~~I~â,~\ ~~~i :~~n~d 16;d&<{/'::!'~::~:~:¡':¡!:,!::::'::;[)w(:\:q: , C c::hrl " ::,D-0 (-- PAê~~.JI'C, · þ:;'Þ'~?: to, {"qll~:,:~ i::::,";':!!!:<::":yj:::::::\::(;:::(/::::::::'::';: ¿~:::, q ................, ....:..:.:...:.:..:.;.;............... .......k .,--..._ t '. Tank Number ( : 'Z- 3 4 Issued By: ~, Approved by: Hazardous Substance Piping Monitoring ~I éC\c(,~j U'" ( ü: (j C' ,J AcD M ,c(,,,:/a.,,J c ,/ ( ( ( .. .................'............,.. '. ..... .. ) :>:;.:;:::::::;::;::;;;/::/:::' .//' ) '/ I (' ( q;::¿þd r ð;':::Ø:~ ..'§~;;;:" .:::::!{:::i:::;m:::~::::,,:' " ¡ :it ' :::(::::::,:::~::::7:::;qJ;:: ::': f " prc,^" ,~.., q q, , , q ...... . . "..-. ... ..... ...... . . ...... ..... .. -.... . . .. .............. . '.:.. -'. .' .... ..::;:;::........ .\.:;:..::~: '::\:i .::f:···· :;:;:;:::::;:::·(t·:·· .::. .:....:. '.' .;:::..~::;.\. ::.:::::::.....:..;.. '.'::;". .:.:...,.., . . . :':::\:::: ::...: '::::::':<\::..:::!~¡~::'..:. :.::~~r .:f:~~:::::;:::·:;:~~:;;:~;;;~;;;;:: ..:...:........... . :.... ::. ... :::::.:;-··:::f-T j :~. Ll:::'" , "d ',:,:: ,}{" :::;:: ,::::: 'd d' , ':": : '::,':: Issued To: ..........;..:..:..:.:.:: ::.::-:::::-. q:", "...::.::.:.:,.: q ,'q' . r;- ..-~) I jC- S-t-) (eN'.s Avvt/pYè-1 I'V¡ r""\ 1 IV? "Î ~ ~ + "* Sf r:;,4 40 ( () W I S I ~ «c:>( ~OOR_"l , " Bakersfield Fire Dept. ." HAZARDOUS MATERIALS DIVISION 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 (805) 326-3979 Ralph E. Huey, Hazardous Materials Coordinator . '~ " _7./ / ,:) Valid from:'! /''2() /':::ì.:::. to: .! 2::)/' (1() \ t,. ,~ Permit to. Operate Underground Hazardous Materials Storage Facility 000564 ..",:,:::::::::;::::::::::::?;:::'::?':::::':::::::'::::::::::::::::::::'::::':"'" 564 S ta tel D No ,,:,::::::::{:r::}:):::;:::,/:;:::::::::::::::::;::::;::::;;{;::::;:;,::;:;;:;:;:;::;:::::::::::::'::::<::::::::::;::::::::::::::::::::::,' Permit No · ~O~DITIO,í~;~~_~VER~E SIDE Hazardous GäUotf..·' "',' ... Year'::"""'" :' r nk '. T~l'hk . ',",',' p' I Piping Substance CI~~~.$Y "~~~\~:pe M~~~j¡¡;\ ~~;i Method UNLEADED ,::,,':QiHQP:::::,::::r :;::" 1~:r,::";:,,, ,....::c:?:' :~F,:",. ¿~:::::::::::¡::"}:¡: DWF PRf;:SSURE UNLEADED ':::10:000 ::: ,,' ,1993;, ":' DWF ::",:,:, CLM:,,:,:::'::, ,,',:::: DWF PRESSURE ~~~7t~E t~'i \1; ~11~~t¡ g~" k%1 g: ~~~~~~~~ ~~~~~~~;:angel::~ì~:;Ï/j "\:'.:.: .·.·_·..:::~\·.::~:~::::::;::::::;~(:jt::· :···:~;;:~~?::i::.~~~·:.~~:.;:·;::~:\ ).:;:: ":~(' \. j~: :: ....:. :......... ":':':':':'. ..:::(\ "", \):(" ...\:;::;...".. ~..:.:::;;~...: ::¡¡t· ..j? .}::- :;;~:;;;:;:;:::.. ::'.:;::::~:.:::...:;:::;::/::~:'~\~;;;;:::'::~¡¡~~;'"'\j~~::.. :~¡¡j~;~~~fj~::.::/·f ¡ ::. ~:..t:::· Bakersfield Fire Dep~,ç'·;¿~!ll~g::jj~1::19L>ifssued To: HAZARDOUS MA TERIALS DIVISION'::::::"::::'::::'''::''-:'',:;:,,::::,::,::::::,:',' 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 (805) 326-3979 Tank Number I, 01 02 03 04 , II , - .. Issued By: ., , Approved by: . .~ Piping Monitoring ALD ALD ALD ALD PRESTIGE STATIONS AM/PM MINI MARKET #5164 4010 WIBLEROAD BAKERSFIELD, CA 93309 -4R~*-- Ralph . Huey, Hazar ous Ma ¡als Coordinator 07 -20-93 to: 07-20;.98 Valid from: SUMMARY -{)F CONDITION/PROHIBITIONS CONDITIONSIPROHIBlTIONS: MONITORING REQUIREMENTS: 1. The faålity oWner... opentor must be familiar with all conditions lpeCified within this permit and must meet MY additional requirements to monitor, upgrade, or close the tanks and assoCiated piping imposed by the permitting authority. 2. Uthe operator of the underground storage tank is not the owner. then the owner shall enter into a wriacn conaracit with the operator, requiring the operator to monitor the underground storage tank; maÜbinappropriale records; ... implement reporting procedures as required by the Department. 3. The facility owner and operator shall ensure that the facility has adequate financial responsibility insurance coverage, as mandated for all underground storage tanks containing petroleum, and supply proof of such coverage when requested by the pennitting authority. 4, The facility owner must ensure that the annual permit fee is paid within 30 days of the invoice date, Anle facility will be considered in violation and operating without a pennit if ammal pennit fees are ~ received within 60 days of the invoice date. 6. The facility owner and/or operator shall review the leak detection requirements provided within this pennit. The monitoring alternative shall be implemented within 60 days of the pennit issue date, 7. The facility underground storagè tanks must be monitored, utilizing the option approved by the permitting authority until the tank is cl!JSed under a valid. unexpired pennit for closure. 8. Any inactive underground storage tank which is not being monitored. as approved by the pennitting authority, is considered improperly closed, proper closure is required and must be completed under a pennit issued by the pennitting authority. 9. The facility owner/operator must obtain a modification pennit before: a. Uncovering any underground storage tank after failure of a tank integrity test, b. Replacement of piping. c. Uning the interior of the underground storage tank. d. Any other work which alters the tank or piping. 10. The tank owner must advise the Bakersfield fire Department within 10 days of transfer of ownership. II. Any change in state law or local ordinance may necessitate a change in pennit conditions. The owner/operator will be required to meet new conditions within 60 days of notification. 12, The owner and/or operator shall keep a copy of all monitoring records at the facility for a minimum ~fthree years. or as specified by the pennitting authority. They may be kept off site if they can be ~..btained within 24 hours of a request made by the local authority, 13. The owner/operator must report any unauthorized release which escapes &om the secondary containment. or &om the primary contaimnent if no secondary contaimnent exists, which increases the hazard offtre or explosion or causes any deterioration of the secondary contaimnent within 24 hours of discovery. ' I. Any underground storage tank not utilizing interstitial monitoring or a State approved automated tank gauging method shall be monitored utilizing the following method: a. Standard Inventory Control Monitoring (tank gauging five to seven days per week). If needed forms can be obtained &om the Bakersfield fire Department. Inventory reconciliation and/or tankgauging shall not be used on any tank for leak detection after December 1998. 2. All tanks shall be tested annually utilizing a tank integrity test which has been certified as being capable of detecting a leak of 0.1 gallon per hour with a probability of detection of9S percent and a probability offalse alann of S percent. The first test shall be completed before December 31, 1992, and subsequent tests completed each calendar year thereafter. All tank integrity tests completed after September 16. 1991. shall be completed under a valid. unex'Pired Penn it to Test issued by the Bakersfield Fire Department. 3. Manual tank gauging and/or inventory reconciliation for pulpOSeS ofleak detection shaUnot be allowed after 1993 for tanks located in areas where the highest historical ground water is with in twenty feet of the bottom of the tank. 4, All suction piping shall be monitored for the presence of air in the pipeline. by observing the suction pumping system for the following indicators: a, 1be costIquantity display wheels on the metered suction pump skip or jump during operation; b, The suction pump is operating. but no motor vehicle fuel is being pumped; c, TIle suction pump seems to over.;peed when first turned on and then slows down as it begins to pump liquid; and d, A rattling sound in the suction pump and erratic flow, indicating an air and liquid mixture, S. All underground storage tanks containing motor vehicle fuel shall be retrofitted with over.;pill containers, over fill protection, automated tank gauging/inventory control and/or interstitial monitoring devices and corrosion protection by December 1998, or shan be removed and replaced with a system that meets new construction standards specified by the State regulations, All tanks containing a hazardous substance other than motor vehicle fuel shall have secondary contairunent and meet all other State standards by December of 1998. 6. All equipment installed for leak detection shall be operated and maintained in accordance with manufacturer's instructions. including routine maintenance and service checks (at least once per year) for operability or rulU1ing condition. 7. An annual report shall be submitted to the Hazardous Material Division of the Bakersfield Fire Department each year after monitoring has been initiated. Code ExplanatiOlll: ANY QUESTIONS, RELEASE REPORTS. ETC. SHOULD BE SUBMITTED TO THE: HAZARDOUS MATERIAL DIVISION BAKERSFIELD FIRE DEPARTMENT 1715 CHESTER AVE., BAKERSFIELD, CA 93301 (805) 326 3979 T_ ofTanb and PiDin, DWF= FCS= LPT = SWF= SWL= SWS= Double Wall Fiberglass Fiberglaa Clad Steel Lined Piping Trench Single Wall Fibergla.. Single Wall w/Liner Single Wall Steel Monitorinll Methods I I' I I ALD =, ATG= CLM= LIT =, ~= MfG= SIR = TIT = Automatic Leak Detector Automated rank Gauging Continuous Leak Monitor Line Tightness Testing Manual Inventory Reconciliation Manual Tank Gauging Statisticallnvcntory Reconciliation Tank Tightness Testing 9 ARCO Products com~' 4 Centerpointe Drive La Palma, California 90623-1066 Telephone 714 670 5300 Mailing Address: Box 5077 Buena Park, California 90622-5077 P I" q ~(Ç;~¡ifrW~"" . S£P 16 1996 Mi~'" BY~~ Certified P 839 192 640 August 15, 1996 Bakersfield Fire Department Hazardous Materials 2130 G Street Bakersfield, CA 93301 Re: Annual Test Results ARca F AC # 5365 4010 Wible Rd. Bakersfield, CA ARca FAC # 5751 2800 Panama Lane Bakersfield, CA Dear Inspector: This letter is to notify you that these ARCa retail gasoline facilities passed their annual tank monitoring and product piping leak detector certifications. ARca is committed to the compliance of all environmental laws that govern the safe operation of underground storage tanks. Feel free to call me at 714-670-5423. Sincerely, ARca Products Company a division of Atlantic Richfield Company ~~I!;:w~ Senior Engineer Environmental Compliance AReo Products Company is a Division of At1anticRichfieldCompany APC-7076-D (3-94) ---.;.. - * ........'T¢ W"J T 'íJi7J.1Ä___~ :~~~~~-,"::-",.~~:~.;,.=;-. I .-;~ a ~~ , ~" ARCa Products Company e l\'lonitor Certification Inspection This letter certifies that the monitor(s) is/are in place, the probes are in correct position and the system is operating properly. Station # I~~~ Address 4~)l'-.) \\<..J ¡\:¡l£, 2d ' 1'""\ \ '"-- C', \ \, ?')\Kl ( 0:::,; ~, il...('-:' ('~ Datél- \\.0 19C)Lv Type Inspectiop : / Annual I/Pennit Recheck Leak Type & Moqel of Monitor ~:::h¡ :Ä-,\.., \ "..l-ìlc;o)z:... System Function Tanks Annular Space Pass Fail N/A Pass In-Tank Fail N/A X I ¡- += Regularv.J~ , ?v1idgrade Supreme \Vaste Oil Other u\Jl2. 'I' >< y- L' y -r-- - Comments: '<, ! POOItORIGINAL-~Þ , Product Lines Turbine Sump In-Line Fill Sump Pass Fail ?\: I ~ P2SS Fail NIA Pass Fail N/A 1 ¡.-. , I X ~ '>< Regular~NL . ?v1idgrade X l X Supreme ,X- l )..< \Vaste Oil X l X- OtherL,~~L-2._ :><-- \ /<" ¡- P2ge 1 oÎ2 R~vision 12195 ~:.--:'-:":"'.._.. _.:.:/ r::-::':~ ~ _.~__...;..:._-.......--,-__......_....._...;;,-....r..........-=:..-=:..-~'¡~ '~,> ~';.;6~~~j:$~:56~~~.I;:~~:if"..J.~'-·-k""';~>1;·f.~~;i,.;;.'~·'!.~;.IcÜ:fi:.·~~,~>....';:.f.:;;:<;-;'..;:_;<.;.;:;~;:..:.:~.;. _.'.:...;;;, F" e . Monitor Certification Inspection (continued) When monitor is turned off or in alarm, is there positive shutdown of turbines? Yes XNO_ If No, were precision product line tests performed? Yes No')( Comments: " Sensors / Probes Are sUmp sensors suspended within one inch oÎ sump bottom? Are double walled FRP sensors installed properly in tank?, _r ~.,:> (&S Monitor Panel Is the monitor panel mounted and ·labeled correctly? Does monitor alann horn function properly? Is panel accessible and visible to station personnel? \.j2.') I \ jf/c.., '- ~~, ..J llc~ ~) / Comments: Inspected By: (r--.., ,: /' Contractor '7)( (~T ((~ ,,~, Technician \.;:',·C\~j q"1-.;~~}0) " ,/ \ ! ( / " \ ,.." \ // Signature .~~ /'""'- ~_\7---" ~ T' \ r~lOORORIGINAL¡ , SCOTT CO. OF CALIFORNIA 1717 DOOLITTLE DRIVE SAN LEANDRO, CA 94577 510/895-2333, EXTENSION 385 \ '-'----)P~Qe :2 of:2 R:vi.ion 12/95 ___-...;.....H_..~_...__...__~~_~..........A.....' ~~ .......~._~.....,$:'~~..... »J___,._<___...._...;..;,,_ ..:~:'~~._'-,~_ ""..._..... _ __ .~. ~_.. e e ..~ ì\:lechanical Leak Detector Test Data Sheet Station #- Flc0--S Date \-\0 19 q/_ - Address 4D\() ~t \-'\0 1(~. \~~V\ c; ç\'C \A O~ Test Information I 1 i 2 ,., 4 : 5 I .J I ! Product I REG. , I I DIESEL ! I UNLEADI ~II DGRADE I ,SUPRENE ! OïHER 1\.:fan ufac turer I r,[, ?e\-Co I - ), \ / Fr, \t:t-Î0 I I ;"""1::.- kHo '''' -I .: ! Mode] I iRò I PLD I -\> b I I \_- ! Full Operating Pressure (psi) I ~ I '2 PSI/' ~~U PSI I i I PSI PSI PSI Lin~ B]eed Back (ml) . I \~ 1'':) "~ I --- I I ( '~) '-:) . I r·iL ,. '.... ~~r ~11 M~ r--fI Trip "lÏme (see) I ~~ 3> ; I --? -... - c c - c ~ --' s~c. s,-c1 lc) I S. c.1 tD I 'r-r. s' c. I I fvfeterin9: Pressure (psi) - PSI PSI PSI PST PSI , FlE Holding Pressure (psi) IdC~ I PSI I - I I PSI ò'ò () ':) PSI PSI , PSI Test Leak Rate (ml/min) (gph) !\qD l·iL /1·11 N ! \ql) ML/NI1 \ý.l> /'1L/PlINI ~IL/I·mi ¡ HL/MIN I (.:::Jµ ! - r-D~ r.:DW GPH ¡ ¡::DH P ASS or FA~ I -) .~ c I ' " I I ¡ ¡ LS,(" ! ¡ uS.::. L.iy:::. <; : I I ','~- \ L.. ~~-:J lL Co~-ne:lI5: -,. - . - . , - . .. - . - 'J' 1 f'.lS Jener ce:ï:lDes H12.t the ê.r;,,~IJ2.! le::k èe~~:¡.:~ t:5¡5 "'e:-e pe:-rOíìTIec ê.t ine aGave rc:e;-e:;:e: IZCLlty accorGing to ¡he equipme:-n më.iìl!Íê.ClU~e¡S pícc~::~:-e5 ë.;:¿ limitations ê.ï:d the resu!ts ê.S liste::: ~e to my 1_. I· . , -. .. I I . . /- .J" '.. , ç, ¡(JîO\..... eC9:e t~e ê.na correct. 1 fie mec¡¡ê.':":c~ ::::,,:.: ce:e:,o¡- test PasSJ:i2.! IS ceterJT'..mec USJ:12 2. Ie,',;,' lJO\.... - - thresho!ò trip rate of:3 gph ê.t 10 PSI. Inspec::ed By: COmrê.CLür !727 DOOLITTLE DR. SAN LEANDRO. CA 94577 (SID) 895-2333 lic~ C\d- - \ \'S~ TechI'~cj2n Signê.ture -------- ~OOR ORIGINAL ), ï:::"·~1:':-'~ 12/95 . ,; e ~~ . ~" ARCa Products Company . lYlonitor Certification Inspection This letter certifies that the monitor(s) is/are in place, the probes are in correct position and the system is operating properly. Station # 5lS \ Datel-Il.o 19C\6 Addres~ '\=t\w~,-^,c....\J.-\... ïJy,,\-,-c(s-+K.ì.d C~ Type Inspection: Annual 'Aermit Recheck Leak Type & Moqel ofMonito2()~ü\...J .>l"l.::.~ System Function Tanks Annular Space Pass Fail' N/A Pass In-Tank Fail N/A ReguI arL.kIL \ ?vfidgrade Supreme \Vaste Oil Other\..;~~L- x X >< y- x )( I -r =F ... Comments: Product Lines Turbine Sump b-Line Fill Sump Pass Fail N/A Pass Fail N/A Pass Faii N/A Regularv~ \ X y. '~ ?viidgrade ~ f X Supreme X + -.- x= \Vaste Oil 2S.- Other L"WL2-- X X Pê.ge I of 2 , ~OOR ORIGIN~r. Revisicn 11195 , . ~1.tor èerrification Inspection (CAi1Üèd) When monitor is turned off or in alann, is there positive shutdown of turbines? Yes \( No_ If No, were precision product line tests performed? Yes _ No X Comments: Sensors / Probes Are sump sensors suspended \1.Iithin one inch of sump bottom? Are double walled FRP sensors installed properly in tank? yr2'J ~S I \, Monitor Panel Is the monitor panel mounted and 'labeled correctly? Does monitor alarm horn function properly? Is panel accessible and visible to station personnel? lpS lJR~ L;G~ Comments: Inspected By: Contractor _ 'i^ Technician J-Lk~ ~i':j____~ ' ~l ! 1/ . ~ \ / SIgnature " -~::;;-X~ - --- ,r--' ',,- Pê.ge 2 of 2 SCOTT CO. OF CALIFORNIA 1717 DOOLITTLE DRIVE SAN LEANDRO, CA 94577 510/895-2333, EXTENSION 385 W'ijO~ ORIGINAL R:vÜiC:l 12195 . . . ." !Vlechanical Leak Detector Test Data Sheet Station #- V)ìS \ Date ì· \l- loG! -' \~ Address ;?rt')QJ \-)Ot....i ';;.. '" 'r:- lJo..,¡ " þ . ç', \-2\ \,~ 'Å ~" '(. b I.-ê. 'C'\ , CA." Test Information 1 I 2 I ^ I 4 : 5 I I .J I ¡ Product REG. I I I 01 ESEL ! I UNLEADI NIDGRADE I .SUPRHIE ! OïHER }':fêJ1 ufacturer I V µ\1. I \f~ú... I~ I I I ! Model I Lí)ð.-m IL~, IL.~ I i I I ! Full Operating Pressure (psi) I I PSI I PSI I I I "'J.::) PSI '~ ÒO\ PSI ! PSI , Lin~ Bleed Back (ml) I i I ~ I I \'"3,) ¡ ~~ rSb . I 1·1L ! ~H /-.11 ~.!: />II 1 rip '-j-ime (see) I , I :::... ¡ - S , ~ t:' :- : t:' ...) S,-C. I :) SEC) \~ S,-C .1 IÒ I ç;. r, . <;, C. I I Ì\'f~terin£ Pïessure (csi) - PSI v PSI PSI PÇ;¡ P -.Sl , F/E Holding Pressure (psi) I> "õð, ¡ N PSI oS PS I I PSI U\C PSI . PSI T est Leak Rate (ml/min) (gph) I 'Rù ~1L/~'IIN! \0.0 ML/MI~ \ <:t3 D N~~~INI NL/~'iW i ~IL/'rjIN I r-:Jµ ! r-DI-/ hPH r,PH PASS or FAIL I ~~ I rt.\,<...., I .Q,tÓS- I I ¡ ! : I .....-- I !t> Co~-ne:1l5: -,. . . - '. . - . " - . - "," 1 f'.!S JetLer certlIJes tnat tne é.f:IìlJa! lezK ce:e::,-:,; t~s<s "-e:-e pe=-rorrnec é.! tne aooye rc:e,e::::e:: I2.CLl:Y acco¡-¿il1£ to ¡he em.!iDme:it ffiafìl!f2C¡Ure,s ríoc~::~~es 2;:è Ew.it2.t:ons 2J;C the results êS lisi.e¿ a:e to Tn\' - .. ".. ... kno\-";Iedge true ênò correct. The mec:narrlcëJ le2.k ¿e:e::<o¡- t;;st pass/f2-!1 is determined USil1g 2. 10',:; fio\"; threshold trip fate of::3 gph 2t 10 PSI. lnspec::ed By: COntï2.CLOr SCOTT CO. ~n,7, DOOLITTLE DR. SÞ.N LEJ.1.NDRO. CA 945ì7 (310) 895-2333 / / Signatme ( 'J) I .J~ ,:......,,"-, \-(-~,! ~IT' _~ . ! \,) -\:'---.., ,/\ " "8 ,,-- Loo ..r.> I'~..t. !:;:::.....ç - ,'..J....) Technician _..- 'OOR OR!GINP ~ ¡;: :V'~S~C'::1 1 '219 5 ;? -'~ ARca Products co.y /' '\ !ij~(Ç~~~~ij.i <> lrl SEP 13 1995 ~; BY.."....__J David S. Cho ARCO Products Company/3rd floor 4 Centerpointe Drive La Palma. CA 90623-1066 September 7, 1995 Bakersfield Fire Department Haz. Material Div. 2130 "G" Street Bakersfield, CA 93301 P 000 944 075 Attn: Ralph E. Huey Re: Annual Monitor Certification ARCO#5365 4010 Wible Road Bakersfield, CA This is to notify you that the leak detectors and continuous monitor at the site referenced above passed the annual certification tests as indicated in the attached. ARCO is committed to the compliance of all environmental laws that govern the safe operation of underground storage tanks. Please feel free to call me at (714)670-5406. Sincerely, Ùa--J tct David S. Cho Environmental Compliance Engineer r ARCO Products Company is a Division of AtlanticRichfieldCompany APPC-7116 (6-92) ~ rîf~®jjDOO@ . . LEAK· DETECTORS TEST CHART e .M'1 .... ~~ Location '1'0/0 w,t/oL' fJoe¿d ß Q keÞ"(" .ç,~/ri '5~ JtS3{,S ' Service Company Date C; .e.. Hk ¡,-' 'æ oj 6... ¿.., ('" v '&--Ý-'$ Teclmician Performing 'lest G a.. I" .., IJ S' -f-Q. i't J,,,s' L v \ TECH fI S 2-, 2- Type of Leak: Detectors Tested Check Appropriate Manufacturer(s) O 0 TOlœED! 0 VAPORLESS 1ŒD JAClŒ!' . _ F E Pe.. +-Y^ 0 .TEST-INFORMATIO~ Test . Fn'""'"~"l P... Serial ~eDcy ~ Leak Rate R1~Øl'Ut M~ or Number Time MLIMin . Bft1di-.,1' PSI , PSI . FaD .::. u¡ð G e-, 1-/ .- /Zb.~S ' 1 2-3 "2. f /g-V :3D /~ /& 2J G e.. /(p:J 2-~h ' Y ~ù /tr ~ I (;-0 ~ MI 3 6£/f-5 2-ýV Lf ~O /y' ~ cJ/lJL.- ItD 'û" _._~ DEAR SIlt, nus Is TO ClUm. TBA:r IIŒ AmnIAL I.EAX DEnC'l'OR TESTS IIEIŒ PElU'ORMED AT THE ABOVE 1Œ1'EREN= :!'ACIUn:. IIŒ HEmOD WED TO TEST IIŒ I.EAX DETECTORS ,IS APPIWVED !!:t, A1iD EXCEEDs IIŒ EXISTING SPECIPJ:CAnOR. ACCORDING TO 1'IŒ HAlrnFACTIIIŒR. snz /J d-:lJ ~ ~ ....,.,. ~ , e Monitor Certification InspeCtion ' This letter certifies that the monitor is in place,' the probes are in the correct position and the operation of the system. DATE ~-~-7S FACILITY # 5.3'..5 DEALER ADDRESS ~% lV, 6/~ !ZeJrt j ,g t( k.4-Y~ h~/j TYPE AND MODEL OF MONITOR /20 H4I14 'x' '7 , .s SYSTEM FUNTION TANKS PASS ,/ FAIL N/A USED OIL PASS FAIL N/A ./ IN LINE PASS FAIL N/A ,/ SUMPS MONITOR PASS /' FAIL N/A PRODUCT LINES FILL SUMPS PASS [/' FAIL N/A WHEN MONITOR IS TURNED OFF OR IN ALARM DOES THE TURBINE SHUT DOWN? /' YES II' NO IS THE CONSOLE LABELED CORRECTLY? YES /" NO_ COMMENTS: INSPECTED BY: CONTRACTOR G~.¡...fk,,- IZ J IL '" r: IA d.. TECHNICIAN G 4-". .., fJ ~ +-a. ", ¡,¿ L SIGNATURE 4..7 I} --&=;1-1 ~- ~S*ÞË~~i, Date of La. ;§~w*~~~lyÞ:> Review I Update vJ&-J S.t..>ítMI"\·'t~" SITE IDENTIFICATION Name ' ARc.o· FAC-ll-' TY Address 40 (0 ~ ~ ~ --94 ::tt:- ,5"'3 b S- WI TSLE Case No. QO'At) ~o tÂS SIr"! Number Slreel ßA..~~£~(EI...D I/,f;::.r;:. \ City County ~ ¡,;;,;..-, "-~ Local Agency ßA\~t:S~ ç::, EL..D ~\ e.E'- Ðc::-P'í. Regional Board . c:::::.:-oJMAt- VALLEY LEAD STAFF PERSON +(o'^'~ W, 1'J'fi..s CASE TYPE 9'530'1 /I ZIP Code Substance C5)A$c.)~1 ~ Undetermined K Soil Only Groundwater Drinking Water STATUS (Date indicates when case moved into status) No Action Taken X Leak Being Confirmed ~ Prelim. Site Assessment Workplan Submitted X. Preliminary Site Assessment Underway Pollution Characterization Remediation Plan Remedial Action Underway Post Remedial Action Monitoring Case Referred to Regional Board Case Referred to Dept. of Health Services K Case Closed Date Date Date Date Date Date Date Date Date Date cg - (6- ~ S I-?-~d. S-IO,-t:;'4- ~ -4-C)4 REMEDIAL ACTIONS NO A c.. <'ne> ,J 12--G'Qù l (2...6C> COMMENTS CA s.E c.<"Q'5.tJ~E. C4ec.t<(..t~\f Ä"T'TACi4Sù RESPONSIBLE PARTY IDENTIFICATION (Only if newly discovered or changed) Name K'~trERt Å- /.,J.l) ~A Contact Aec..o ~DIJc..\~ COMPArJt! Phone (7/4) G 7ö -~3l4 Street Number Â-f'2...':fES I A. 1>0 &:>x ~ö~7 Streel e!A qð 70"2. - 6e 17 Address City State ZIP Code '~TY of BAKERSFIEL~ "WE CARE" August 10, 1994 FIRE DEPARTMENT M. R. KELLY FIRE CHIEF 1715 CHESTER AVENUE BAKERSFIELD. 93301 326·3911 Ms. Kateri A. Luka ARCO Products Company P. O. Box 6037 Artesia, CA 90702-6037 RE: ARCO Facility No. 5365 at 4010 Wible Rd., in Bakersfield, CA Dear Ms. Luka: This is to inform you that this department has reviewed the results of the site assessment report dated June 16, 1994 associated with the former tanks and dispensers. Based upon the information provided, this department has determined that appropriate response actions have been completed, that acceptable remediation practices were implemented, and that, at this time, no further investigation, remedial or removal action or monitoring is required at the above stated address. Nothing in this determination shall constitute or be construed as a satisfaction or release from liability for any conditions or claims arising as a result of past, current, or future operations at this location. Nothing in this determination is intended or shall be construed to limit the rights of any parties with respect to claims arising out of or relating to deposit or disposal at any other location of substances removed from the site. Nothing in this determination is intended or shall be construed to limit or preclude the Regional Water Quality Control Board or any other agency from taking any further enforcement actions. This letter does not relieve the tank owner of any responsibilities mandated under the California Health and Safety Code and California Water Code if existing, additional, or previously unidentified contamination at the site causes or threatens to cause pollution or nuisance or is found to pose a threat to public health or water quality. Changes in land use may require further assessment and mitigation. If you have any questions regarding this matter, please contact me at (805)-326-3979. Sincerely, ~d¿j~ ~_ Howard H. Wines, III Hazardous Materials Technician HHW/ed cc: Kevin Hamilton, Groundwater Technology , - --- AM PM M E M 5 E .5 M ~ o È -i I? H o N E M E M s E S M ~ o E . AM . (5D PM 8 ';;1 PHONED ... , - M-r :. ARCO Products Company Environmental Health & Safety 17315 Studebaker Road Cerritos, California 90701-1488 Telephone 310 404 5300 . Mailing Address: Box 6038 Artesia, California 90702-6038 November 17, 1993, Bakersfield Fire Dept. Haz.Mat. Division 2130 "G" street Bakersfield, Ca. 93301 ~:~:~::~ <> By r Re: Owner/Operator Agreement for operation of UG Tanks with Monitoring Procedure Used Gentlemen: Enclosed, for your records, is a current copy of the new subject Agreement which is currently in effect for the following facilities: Fac.Num. Address Arco Plan(s) 5365 6115 4010 Wible Rd, Bakersfield 93309 X 1501 California Ave, Bakersfield 93304 X Very truly will ia'(JAj1. . Environme Administra rs, ~L------ a -", ompliance encl rW-k/ Veu-I (!Ù/'}bj/Wd7'>~ /' \:) ARCO Products Company is a Division of AtlanticRichfieldCompany \ APPC-7116 (6-92) · . CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT S, D, JOHNSON FIRE CHIEF December 7, 1993 2101 H STREET BAKERSFIELD, 93301 326-3911 Ms. Kateri Luka ARCO Products Co. P. O. Box 6037 Artesia, CA' 90702-6037 RE: Laboratory results from preliminary site assessment conducted at the ARCO Facility No. 5365 located at White Lane and Wible Road in Bakersfield, California Dear Ms. Luka: Upon review of the recently submitted laboratory results from your facility, this office has determined that the extent of the contamination plume, associated with the tanks previously located 9n your property, have not been adequately defined. This office requires (in accordance with Chapter 6.7 of the California Health and Safety Code and Chapter 16, Title 23 of the California Code of Regulations) that further' assessment be done to define the vertical and horizontal extent of the contamination plume. Please submit a work plan for further assessment, to this office, with in 30 days from receipt of this letter. The guidelines found in: Appendix A - Reports, Tri Recommendations for Preliminary Evaluation Underqround Tank Sites; January 22, 1991. work plan should follow - Reqional Board Staff and Investiqation of Additionally, be advised that oversight cost for this project will be billed to you at a rate of $62.00 per hour. If you have any questions, please call me at (805) 326-3979. Sincerely, ~~.~ Ralph E ~- Huey Hazardous Materials Coordinator cc: Stephan A. Bork, Groundwater Technology ,~ b~D. e ARCa Products Company ~-.: Division of Atlantic Richfield Company ~r Ag~ent Number Agre.nt Sequence Facility Number Customer Number AR Number Agreement Type 0001761 002 05365 0616805 0616805 PMAMPM -/ AMENDMENT TO LESSEE PMPA FRANCHISE AGREEMENT/DEALER/PREMISES LEASE j<;"'-" OPERATION OF UNDERGROUND STORAGE TANKS CALIFORNIA This Amendment, dated )JJ\Jf.MgEC/<.-- ~ , Ht~, is attached to, incorporated in and made a part of the Lessee PMPA Franchise Agreement/Dealer/Premises Lease ("PMPA Agreement"), in effect as of the date of this Amendment or, if applicable, to become effective concurrently with this Amendment, between Atlantic Richfield Company, a Delaware Corporation, through its division ARCO Product Company, ("ARCO"), and PRESTIGE STATIONS INC 5164 ("Franchisee"), covering premises located at 4010 WIBLE RD BAKERSFIELD CALIFORNIA 93309 In return for good and valuable consideration, each party's receipt of which is hereby acknowledged, the parties agree as follows: 1. The parties have entered into this Amendment in accordance with legal requirements imposed on ARCO and Franchisee concerning operation of the underground storage tanks at the above-referenced location. 2. ARCO has provided Franchisee a copy of: (a) California Health and Safety Code Section 25299 or an approved summary concerning civil and criminal penalties for violating terms of any permit to operate these underground storage tanks and relevant statutory and regulatory requirements; (b) the following listed documents, a copy of which is attached and initialed by Franchisee: ¡fVÚJr(il¿¡~(þ'f å{if1o/5£ TV/v ,y. wi ~tJ~J/ 3. Where ARCO has provided Franchisee with a copy of the permit to operate the underground storage tanks, Francl)isee has read and understood its responsibilities as operator under the permit and agrees to comply with each of the provisions of the permit. Irrespective of whether Franchisee has received and reviewed a copy of the underground storage tank operating permit, Franchisee hereby expressly agrees to do the following: (a) monitor the underground tanks as required by law; (b) maintain all required records and make such records available to the federal, state and local government agencies and to ARCO at all reasonable times; (c) follow all reporting procedures as required by law; (d) mail, when submitted, to ARCO, at the address specified in paragraph 1 of the PMPA Franchise Agreement/Dealer/Premises Lease, a copy of all reports submitted to government agencies; CA ,1/92) "ARS8V 1 of 2 e e l ,I 1 I y (e) follow all operating procedures specified by ARCO; (f) immediately report to ARCO all suspected or confirmed releases from the tanks and connected piping system, unusual operating conditions, release detection signals and environmental conditions suggesting a release may have occurred, and any spills and overfills that are not contained and cleaned up; (g) properly close the underground tanks as required by law; and, (h) comply with all federal, state and local legal requirements relevant to the operations of the underground tanks and all amendments to any permit to operate. 4. With respect to the operation of the underground storage tank system and monitoring equipment, Franchisee hereby acknowledges and agrees: that ARCO has provided Franchisee with training on each of the items described in the attached Monitoring and Response Plan, that Franchisee understood the content of the training, and asked any questions necessary to facilitate his understanding, that Franchisee indicated to ARCO at the time of training any subjects addressed by the training which Franchsee did not fully understand, and that Franchisee received complete training and information necessary for Franchisee to fully understand the subject of operating underground storage tanks. 5. ARCO has provided Franchisee a copy of and Franchisee agrees to maintain on the Premises the Certificate of Financial Responsibility (as required by the United States Environmental Protection Agency in Subpart H, 40 CFR, Part 280 and California Health and Safety Code, Chapter 6.7, Section 25292.2). 6. Except to the extent they conflict with, or are less rigorous than the terms of this Amendment, all of the terms and conditions of the PMPA Agreement, as previously or hereafter amended or supplemented, remain in full force. IN WITNESS WHEREOF, ARCO and Franchisee have executed this Amendment. ARCO Products Company a division of Atlantic Richfield Company ARCO WITNESS: .iJ¡ It) By: If ~a-::'.J ~ f A .(!{v I PRESTIGE STATIONS INC 5164 ~r is~s N~e .-~ / ~~ . -/'C-:-,¡_ ~ .. ~~ WITNESS By: PRESTIGE STATIONS INC 5164 DATE: n¿:mLfA lq / (117 CA (1192) PARS8W 2 of 2 .. e e ~' ~ITORING AND RESPONSE PLAN - X ARCO PBODUCTS COMPANY FACILITY WITH SECONDARY CONTAINMENT OF UNDERGROUND STORAGE TANKS & PRODUCT LINES ARCO Facility 51' ..; Address "iDIO W 115L£. ~v ~A(~~f'~L..f). r A Cf'3? ô7 This plan is designed to meet the monitoring and response requirements of Section 2634, Article 3, Title 23, CCR. 1 . MONITORING EQUIPMENT Secondarily contained storage tanks and lines at this facility are monitored by a continuous electronic leak detection system which consists of an alarm panel, sensors and associated electronics. Liquid sensors are installed in the annular space of each double wall tank and product line piping sump. Whenever a sensor detects the presence of a liquid there is both a visual and audible alarm at the control panel. In addition, the continuous monitor on the product piping system will shut down the pump and activate the alarm system when a release is detected or if the continuous product piping monitoring system fails or is disconnected, the pumping system will shut down. Automatic line leak detectors are installed on the secondarily contained pressurized product piping. The line leak detector will detect a loss of pressure in the product lines and restrict the flow of product. 2 . MAINTENANCE SCHEDULE OF MONITORING EQUIPMENT The continuous electronic leak detection system including line leak detectors will be inspected according to the manufacturer's instructions by an outside contractor once during each calendar year. 3 . ROUTINE MONITORING· PROCEDURE On a daily basis the facility operator shall: A Inspect the control par].el for visual and audible alarm signals to confirm that the unit is operating. B. Inspect island and tank fill areas for signs of spillage or petroleum sheen. C. Record the inspection observations on the Daily Visual Monitoring Log (Form APPC- 765: attached.) .~ e e '1 4 . RESPONSE PLAN OPERATOR RESPONSIBILITIES A. lEAK RECORDING AND REPORTING PROCEDURE Whenever "àn alarm is activated, station personnel are to immediately: a Contact ARCO Maintenance or its designated agent by using the telephone number previously provided. b. If any visible indications of petroleum products or vapors are noticed call 911. c. Make an entry in the Recordable Discharge Log (Form APPC-765-1: attached) indicating the action taken. d Complete the Recordable Discharge Log when and as the source of the alarm is known. ARCO RESPONSIBILITIES B. METHOD OF REMOVING AN UNAUTHORIZED RELEASE FRav1 THE SECONDARY CONTAINMENT a Any unauthorized release into the secondary containment system of a product tank will be removed by pumping. Uncontaminated product may be returned to the tank. Contaminated product may be returned to the refinery to be recycled or may be disposed of following procedures in accordance with California Health and Safety Code requirements. In the event of an emergency, a pumping contractor or truck will be available immediately. In all other cases, equipment availability will be within 12 hours. b. Any unauthorized release in the secondary containment system of a used oil tank will be pumped and disposed of following procedures in accordance with California Health and Safety Code requirements for used oil disposal. c. ARCO Maintenance" will be responsible for authorizing and selecting contractors for the work to be performed. 5 . TRAINING In addition to the training covering subjects mentioned in Sections 3 and 4 above, training needed for the operation of the tank system and monitoring equipment includes: How to: Take tank level measurements Read dispenser meters Inspect equipment Recognize warning signs: dispenser hesitations, meter spins and odors Manually close dispenser impact valve Replace dispenser filters · e e ~¡ TRAINING CONTINUED Shut down the system with and location of: ARCOmatic switch, electrical panel breakers, and emergency shut off switch Test the electronic monitor 6 . RECORDS RETENTION Written records of all monitoring, testing, and maintenance performed shall be maintained on-site or off-site at a readily available location for a period of at least 5 years. These records must be made available, upon request within 36 hours, to the local agency or the Board. 7 . PARTY RESPONSIBLE FOR PERFORMING THE MONITORING !JiUl1~fL--- Name __JJJ 0 t 553 - b 2-4-& Title 8. PARTY RESPONSIBLE FOR MAINTAINING EQUIPMENT __~Rto_____ Name \-~-t\Ato f\'I. ~w~ ARCO Products Company <> e DIVISIon 01 AllanlicR,cnheldCompany aaily Visual Underground Storage Tank Monitoring Log ,) ! ARCO facility no. Dealer/Franchisee MonthlYear System condition Inspector Comments Day Operational Alarm - initials 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 I -NOTE: IF ALARM CONDITION EXISTS IMMEDIATELY NOTIFY ARCO MAINTENANCE OR ITS AGENT DESIGNATED AND . MAKE ENTRY ON ALARM ACTIVATION/DISCHARGE LOG APPC-765 (5-89) ..¡:~ 'L ARCO 1ucts Company <> 01 AllantlcRlchfleldCompany RECORDABLE Dlsr . qOE LOG DOUBLE CONTAINMENT Ut\ GROUND STORAGE TA...r< SYSTEM ! ARCO Facility no. Dealer/Franchisee DatefTIme Reported to DatefTIme Description of conditions Corrective action taken of Discovery . - ii ,I , I: I, APPC-765-1 (5-89) '. e -- "\ ! CALIFORNIA HEALTH AND SAFETY CODE DIVISION 20, CHAPTER 6.1 SECTION 25299 ( a) Any operator of an underground tank system shan be liable for a civil penalty of not less than fIVe hundred dollars ($600) or more than fjye thousand dollars ($5,000) for each underground storage tank for each day of violation for any of the foUowing violationS: ( 1 ) Operating an underground tank system whICh has not Þeen Issued a permit, In violation of this chapter. ( 2 ) Violation of any of the applicable requirements of the permit issued for the operation of the underground tank system. ' (3) Failure to maintain records, as required by this chapter. (4) Failure to report an unauthorized release, as required by Sections 25294 and 25295. ( 5 ) Failure to property close an underground tank system, as required by Section 25298. ( 6 ) Violation of any applicable requirement of this chapter or any requirement of this chapter or any regulation adopted by the board pursuant to Section 25299.3 (1) Failure to permit inspection or to perform any monitoring, testing, or reporting required pursuant to Section 25288 or 25289. (8) Making any false statement, representation, or cer1lfloatlon In any application, record, report, or other document submitted or required to be maintained pursuant to this chapter. ( b ) Any owner of an underground tank system shall be liable for a civil penalty of not less than five hundred dollars ($500) or more than five thousand dollars ($5,000) per day for each underground storage tank, for each day of violation, for any of the following violations: ( 1 ) Failure to obtain a permit as specified by this chapter. ( 2 ) FaUure to repair or upgrade an underground tAnk system In accordance with this chapter. ( 3 ) Abandonment or improper ctosure of any underground tank system subject to this chBp~ør. ( 4 ) Knowing failure to take reasonabte and necessary steps to assure compliance with this ohapter bv the operator of an underground tank system.- ( 5 ) Violation of any applicable requirement of the permit Issued for operation of tM underground tank system. ( 6 ) Violation of any applicable requirement of this Chapter of any regulation adopted by the board pursuant 10 Sedlon 25299.3. ~. , '\ .,! (g) e -- (c) ( 7 ) Failure to permit inspection or to perform any monitoring, testing, or reporting required pursuant to Section 25288 or 25289. ( 8 ) Making aný false statement, representation, or certification in any application, record, report . or other document submmed or required to be maintained pursuant to this chapter, Any person who IntentiOnally falls to notify the board or the local agency when required to do so by this chapter or who submits false Information In 8 permit application, amendment, or renewal. pursuant to Section 25286, Is liable for a civil penalty or not more than five thousand dollars ($5,000) for each underground storage 1ank for which notification Is not given or false Information Is submitted. Any person who falsifies any monitoring records required by this chapter, or knowingly falls to report an unauthorized release. shall. upon conviction, be punished by 8 fine Of not less than five thousand dollars ($5,000) or more, than ten thousand dollars ($10,0000, by Imprisonment in the county Jail for not to exceld one year, or by both 1hat fine and Imprisonment. In determining both the civil and criminal penalties imposed pursuant to this section, the court shall consider all relevant circumstances, Including, but not limited to, the extent of harm or potential harm caused by tne violation, the nature of the violation and the period of time over whIch It occurred, the frequency of past violations, and the corrective action, if any, taken by the person who holds the pennlt. Each civil penalty or criminal flne Imposed pursuant to this section for any separate violation shall be separate, and in addition to. any other civil penalty or criminal fine Imposed pursuant to this section or any other provision of law, and Shall be paid to the treasury of the Iocai agency or state, whichever is represented by the office of the city attorney, district attorney, or Attorney General bringing the action. All penalties or fines collected on behalf of 1he board or a regional board by the Attomey General shall be deposited in the State Water Pollution Cleanup and Abatement Account In the State Water Quality Control Fund, and 818 available for expenditure by the board, upon appropriation, pursuant to Section 13441 of the Water Code. ThIs section shall become operative on January 1, 1991. (Added by Stats. 1988, c. 296 Section 3, operative Jan. 1. 1991. Amended by Stats. 1989, c. 11397, Section 19, operative Jan. 1, 1991.) (d) (e) ( f) ;~ Ij ARca Products Company Division of Atlantic Richfield Company ~~fI ~,.. Ag.ent Number Agre nt Sequence Facility Number Customer Number AR Number Agreement Type 0001780 002 06115 0412841 0412841 PMAMPM AMENDMENT TO LESSEE PMPA FRANCHISEAGREEMENT/DEALER/PREMISES LEASE OPERATION OF UNDERGROUND STORAGE TANKS CALIFORNIA This Amendment, dated ~fUi/'¡¡1I/{¡'fjl¿.3 ' 19R, is attached to, incorporated in and made a part of the Lessee PMPA Franchise Agreement/Dealer/Premises Lease ("PMPA Agreement"), in effect as of the date of this Amendment or, if applicable, to become effective concurrently with this Amendment, between Atlantic Richfield Company, a Delaware Corporation, through its division ARCO Product Company, (" ARCO"), and PRESTIGE STATIONS INC 0589 ("Franchisee"), covering premises located at 1501 CALIFORNIA AVE BAKERSFIELD CALIFORNIA 93304 In return for good and valuable consideration, each party's receipt of which is hereby acknowledged, the parties agree as follows: 1, The parties have entered into this Amendment in accordance with legal requirements imposed on ARCO and Franchisee concerning operation of the underground storage tanks at the above-referenced location. 2. ARCO has provided Franchisee a copy of: (a) California Health and Safety Code Section 25299 or an approved summary concerning civil and criminal penalties for violating terms of any permit to operate these underground storage tanks and relevant statutory and regulatory requirements; (b) the following listed documents, a copy of which is attached and initialed by Franchisee: Mó!v,folUli!n IWD ?eS(JDA.i)£ fuN 'f ~ A.71ArlJþ'fJS 3. Where ARCO has provided Franchisee with a copy of the permit to operate the underground storage tanks, FranctJisee has read and understood its responsibilities as operator under the permit and agrees to comply with each of the provisions of the permit. Irrespective of whether Franchisee has received and reviewed a copy of the underground storage tank operating permit, Franchisee hereby expressly agrees to do the following: ' (a) monitor the underground tanks as required by law; (b) maintain all required records and make such records available to the federal, state and local government agencies and to ARCO at all reasonable times; (c) follow all reporting procedures as required by law; (d) mail, when submitted, to ARCO, at the address specified in paragraph 1 of the PMPA Franchise AgreemenUDealer/Premises Lease, a copy of all reports submitted to government agencies; CA (1/92) PARS8V 1 of 2 · e ~ \- (e) follow all operating procedures specified by ARCO; (f) immediately report to ARCO all suspected or confirmed releases from the tanks and connected piping system, unusual operating conditions, release detection signals and environmental conditions suggesting a release may have occurred, and any spills and overfills that are not contained and cleaned up; (g) properly close the underground tanks as required by law; and, (h) comply with all federal, state and local legal requirements relevant to the operations of the underground tanks and all amendments to any permit to operate. 4. With respect to the operation of the underground storage tank system and monitoring equipment, Franchisee hereby acknowledges and agrees: that ARCO has provided Franchisee with training on each of the items described in the attached Monitoring and Response Plan, that Franchisee understood the content of the training, and asked any questions necessary to facilitate his understanding, that Franchisee indicated to ARCO at the time of training any subjects addressed by the training which Franchsee did not fully understand, and that Franchisee received complete training and information necessary for Franchisee to fully understand the subject of operating underground storage tanks. 5. ARCO has provided Franchisee a copy of and Franchisee agrees to maintain on the Premises the Certificate of Financial Responsibility (as required by the United States Environmental Protection Agency in Subpart H, 40 CFR, Part 280 and California Health and Safety Code, Chapter 6.7, Section 25292.2). 6. Except to the extent they connict with, or are less rigorous than the terms of this Amendment, all of the terms and conditions of the PM PA Agreement, as previously or hereafter amended or supplemented, remain in full force. IN WITNESS WHEREOF, ARCO and 'Franchisee have executed this Amendment. ARCO Products Company a division of Atlantic Richfield Company ARCO WITNESS: k ;.. ".. - f(~~J-~ By: Manager f~ f0 J PRESTIGE STATIONS INC 0589 ~nr)1f~~e'~'Name ~'- ~.. -- ' ,--, By: PRESTIGE STATIONS INC 0589 WITNESS DATE: nd11~/1 J q 1113 I CA (1192) PARS8W 2 of 2 · - e -1; MONJrORING AND RESPONSE PLAN - X ARCO 'PRODUCTS COMPANY FACILITY WITH SECONDARY CONTAINMENT OF UNDERGROUND STORAGE TANKS & PRODUCT LINES ARCO Facility - ,") Address /501 fA.i.JfoMIÃ ~~fC~ftj H&Li> , (4 c¡ IJrf This plan is designed to meet the monitoring and response requirements of Section 2634, Article 3. Title 23, CCR. 1 . MONITORING EQUIPMENT Secondarily contained storage tanks and lines at this facility are monitored by a continuous electronic leak detection system which consists of an alarm panel, sensors and associated electronics. Liquid sensors are installed in the annular space of each double wall tank and product line piping sump. Whenever a sensor detects the presence of a liquid there is both a visual and audible alarm at the control panel. In addition, the continuous monitor on the product piping system will shut down the pump and activate the alarm system when a release is detected or if the continuous product piping monitoring system fails or is disconnected, the pumping system will shut down. Automatic line leak detectors are installed on the secondarily contained pressurized product piping. The line leak detector will detect a loss of pressure in the product lines and restrict the flow of product. 2 . MAINTENANCE SCHEDULE OF MONITORING EQUIPMENT The continuous electronic leak detection system including line leak detectors will be inspected according to the manufacturer's instructions by an outside contractor once during each calendar year. 3 . ROUTINE MONITORING PROCEDURE On a daily basis the facility operator shall: A. Inspect the control panel for visual and audible alarm signals to confirm that the unit is operating. B. Inspect island and tank fill areas for signs of spillage or petroleum sheen. C. Record the inspection observations on the Daily Visual Monitoring Log (Form APPC- 765: attached.) .. It e ,4 4 . RESPONSE PLAN OPERATOR RESPONSIBILITIES A. LEAK RECORDING AND REPORTING PROCEDURE Whenever an alarm is activated, station personnel are to immediately: a. Contact ARCa Maintenance or its designated agent by using the telephone number previously provided. b. If any visible indications of petroleum products or vapors are noticed call 911. c. Make an entry in the Recordable Discharge Log (Form APPC-765-1: attached) indicating the action taken. d Complete the Recordable Discharge Log when and as the source of the alarm is known. ARCO RESPONSIBILITIES B. METHOD OF REMOVING AN UNAUTHORIZED REf..EAC)E FROM THE SECONDARY CONTAINMENT a. Any unauthorized release into the secondary containment system of a product tank will be removed by pumping. Uncontaminated product may be returned to the tank. Contaminated product may be returned to the refinery to be recycled or may be disposed of following procedures in accordance with California Health and Safety Code requirements. In the event of an emergency, a pumping contractor or truck will be available immediately. In all other cases, equipment availability will be within 12 hours. b. Any unauthorized release in the secondary containment system of a used oil tank will be pumped and disposed of following procedures in accordance with California Health and Safety Code requirements for used oil disposal. c. ARCO Maintenance - will be responsible for authorizing and selecting contractors for the work to be performed. 5 . TRAINING In addition to the training covering subjects mentioned in Sections 3 and 4 above, training needed for the operation of the tank system and monitoring equipment includes: How to: Take tank level measurements Read dispenser meters Inspect equipment Recognize warning signs: dispenser hesitations, meter spins and odors Manually close dispenser impact valve Replace dispenser filters -. e e '1 \'J TRAINING CONTINUED Shut down the system with and location of: ARCOmatic switch, electrical panel breakers, and emergency shut off switch Test the electronic monitor 6 . RECORDS RETENTION Written records of all monitoring, testing, and maintenance performed shall be maintained on-site or off-site at a readily available location for a period of at least 5 years. These records must be made available, upon request within 36 hours, to the local agency or the Board. 7 . PARTY RESPONSIBLE FOR PERFORMING THE MONITORING -JiLf)l~rvL--- Name _9DD.!55i -0l~ Title 8. PARTY RESPONSIBLE FOR MAINTAINING EQUIPMENT __.-ARC 0_____ Name \-ßOO-~4tto ç\'f.. ----Pw>t.S~ ---- , -I '. ARca Products Company <> e DIvIsIon 01 AllanllcR,c"".ldCompany .aily Visual Underground Storage Tank Monitoring Log í\ ARCO facility no. Dealer/Franchisee MonthlYear System condition Inspector Comments Day Operational Alarm· initials 1 2 3 4 I 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 , 28 29 30 31 I -NOTE: IF ALARM CONDITION EXISTS IMMEDIATELY NOTIFY ARCO MAINTENANCE OR ITS AGENT DESIGNATED AND MAKE ENTRY ON ALARM ACTIVATION/DISCHARGE LOG APPC.765 (5-89) ARca Facility no. DealerfFranchisee DatefTIme Reported to DatefTIme Description of conditions Corrective action taken of Discovery -. ARCO 1ucts Company <> 01 AllantlcAlchlleldCompany I I Ii APPC-765-1 (5-89) J::., ~ RECORDABLE Dlsr . ~GE L.OG DOUBLE CONTAINMENT U~ GROUND STORAGE TAl" I( SYSTEM, " e e , '\ .. CALIFORNIA HEALTH AND SAFETY CODE DIVISION 20. CHAPTER 6.1 SECTION 25299 ( a) A.ny operator of an underground tank system shan be liable for a civil penalty of not less than fIVe hundred dollars ($600) or more than five thousand dollars ($5,000) for each underground storage tank for each day Of violation for any of the following viol8lions: ( 1 ) Operating an underground tank system whICh has not Þeen Issued a permit, In violation of this chapter. ( 2 ) Violation of any of the applicable requirements of the permit issued for the operation af the underground tank system. ' ( 3 ) Failure to maintain records, as required by this chapter. (4) Failure to report an unauthorized release, as required by Sections 25294 and 25295. ( 5 ) Failure to propeny close an underground tank system, as required by Section 25298. ( 6 ) Violation of any appUcable røquirement of this chapter or any requirement of thIs chapter or any regulation adopted by the board pursuant to Section 25299.3 (1) Failure to permit inspection or to perform any monitoring, testing, or reporting required pursuant ta SectIon 26288 or 25289. ( 8) Making any false statement, representation, or certification in any application, record, report, or other document submitted or required to be maintained pursuant to this chapter. ( b ) Any owner of an underground tank system shall be liable far a civil penalty of not less than five hundred dollars ($500) or more than five thousand dollars ($5,000) per day for each underground storage tank, for each day of violation, for any of the following violations: ( 1 ) Failure to obtain a permit as specified by this chapter. ( 2 ) FaDure to repair or upgrade an underground tank system In accordance with this chapter. ( 3 ) Abandonment or improper closure of any underground tank system subject to this chap~8r. ( 4 ) Knowing failure to take reasonable and necessary steps to assure compliance with this chapter bv the operator of an underground tank system. ( 5 ) Violation of any applicable requirement of the permit IHued for operation of the underground tank system. ( 6 ) Violation of any applicable requirement of this Chapter of any regulation adopted by the board pursuant to Section 25299.3. I " e . . " -' ( 7 ) Failure to permit inspection or to perform any monitoring, testing, or reporting required pursuant to Section 25288 or 25289. ( 8 ) Making any false statement. representation. or certification in any application, record. report . or other document submitted or required to be maintained pursuant to this chapter. ( c) Any person who Intentionally falls to notify the board or the local agency when required to do so by this chapter or who submits false Infonnation In 8 permit application, amendment. or renewal, pursuant to Section 25286, Is liable for a civU penalty or not more than five thousand do/lars ($5,000) for each underground storage tank for which notlflc8t/onls not given or false Information Is lubmi11ed. (d) Any person who fSlsmes any monitoring records required by this chapter, or knowingly faUs to report an unauthorized release, shall, upon conviction, be punished by 8 fine of not less than five thousand dollars ($5.000) or more, than ten thousand dollars ($10,0000, by imprisonment in the county Jail for not to exceed one year, or by both that fine and Imprisonment. ( e ) In determining both the civil and criminal penalties imposed pursuant to this sBdlon, the court shall consider all relevant circumstances, Including. but not limited to, the extent of harm or potential harm caused by the violation, the nature of the violation and the period of time over which It occurred, the frequency of past violations, and the corrective action, if any, taken by the person who holds the permit. ( f ) Each civil penalty or criminal fine Imposed pursuant to this section for any separate violation shall be separate, and in addition to. any other civil penalty or criminal fine imposed pursuant to this section or any other provision of law. and shall be paid to the treasury of the local agency or state, whichever is represented by the office of the city attorney, district anorney, or Attorney General bringing the action. All penalties or fines collected on behalf of the board or a regional board by the Attorney General shall be deposited In the State Water Pollution Cleanup and Abatement Account In the State Water Quality Control Fund, and are available for expenditure by the board. upon appropriation, pursuant to Section 13441 of the Water Code. ( g ) This section shall become operative on January 11 1991. (Added by Stats. 1988, c. 296 Section 3. operative Jan. 1. 1991. Amended by Stats. 1989. o. 11397. Section 19, operative Jan. 1, 1991.) _I , . . CITY of BAKERSFIELD "WE CARE" October 15, 1993 FIRE DEPARTMENT S, 0, JOHNSON FIRE CHIEF 2101 H STREET BAKERSFIELD, 93301 326·3911 Gemma S. Cortes Prestige Stations Inc. 17215 Studebaker Road Cerritos, CA 90701 P. Q. Box 6225 Artesia, CA 90702 Dear Ms. Cortes: Thank you for the revised inventory and business plan for the ARCO #5365 station located at 4010 Wible Road, Bakersfield. Unfortunately this plan, attached, is being rejected. It will be necessary to list each underground storage tank separately. Please . also identify the tank number (ie. 01-04 associated with your state 10 #.) I have enclosed blank inventory reporting forms for your convenience. If you have any questions please call me at (805) 326-3979. Sincerely yours, ~¡oi R~ph E. H Hazardous Materials Coordinator REH/ed Ene!. . . CITY of BAKERSFIELD "WE CARE" October 15,1993 FIRE DEPARTMENT S. D, JOHNSON FIRE CHIEF Gemma S. Cortes Prestige Stations Inc. 17215 Studebaker Road Cerritos, CA 90701 P. O. Box 6225 Artesia, CA 90702 Dear Ms. Cortes: 2101 H STREET BAKERSFIELD, 93301 326·3911 Thank you for the revised inventory and business plan for the ARCO #5365 station located at 4010 Wible Road, Bakersfield. Unfortunately this plan, attached, is being rejected. It will be necessary to list e~ch underground storage tank separately. Please . also identify the tank number (ie. 01-04 associated with your state 10 #.) I have enclosed blank inventory reporting forms for yow convenience. If you have any questions please call me at (805) 326-3979. Sincerely yours, /~J;J R~ph E. H Hazardous Materials Coordinator REH/ed Ene!. - , ,/ :'Þ 'f" ARCO Products company. Environmental Healt ;o¡ Safety 17315 Studebaker Road Cerritos, California 90701-1488 Telephone 310 404 5300 . RECEIVED Mailing Address: Box 6038 Artesia, California 90702-6038 OCT 0 5 1993 HAZ. MAT. DIV. September 30, 1993 CERTIFIED MAIL P 046 870 889 Mr. Ralph E. Huey Bakersfield Fire Department Hazardous Matèrials Division 2130 G Street Bakersfield, CA 93301 Dear Mr. Huey: RE: TANK AND LINE TEST RESULTS ARCO FAC.#5365 - 4010 Wible Road, Bakersfield, CA 93309 This letter is to notify you that the tanks and piping at the above ARca facility passed the tank and line integrity system test, as noted in the attached test results for the underground storage tank and line system. .!:.~~.:~'-,(¡) .'," ~. ARca is committed to the compliance of all environmental laws that govern the safe operation of underground storage tanks. Feel free to call me at (310)407-2610, Sincerely, ARca Products Company A Division of Atlantic Richfield Company C. A Holman Environmental Compliance Engineer CAH:dds Enc1s: ' " , ..': ' '. ' .... , .',;' ,-,'.':.1 '. . . cc: ARCa Dealer , . , File- ' ARCO'Products Company is a Division 01 AtlanticRichlieldCompany ~~ ~r ,/' APPC-7116 (6-92) ~:' " ARca Products ComparA Environmental He" Safety 17315 Studebaker Road Cerritos, California 90701-1488 Telephone 310 404 5300 . Mailing Address: Box 6038 Artesia, California 90702-6038 September 30, 1993 CERTU'JED MAIL P'046 870 889 Mr. Ralph E. Huey Bakersfield Fire Department Hazardous Materials Division 2130 G Street Bakersfield, CA 93301 Dear Mr. Huey: RE: TANK AND LINE TEST RESULTS ARCO FAC.#5365 - 4010 Wible Road, Bakersfield, CA 93309 This letter is to notify you that the tanks and piping at the above ARCa facility passed the tank and line integrity system test, as noted in the attached test results for the underground storage tank and line system. ARca is committed to the compliance of all environmental laws that govern the safe operation of underground storage tanks. Feel fÌ'ee to call me at (310)407-2610. Sincerely, ARca Products Company A Division of Atlantic Richfield Company C. A. Holman Environmental Compliance Engineer CAH:dds Ends: cc: ARCO Dealer . File ARca Products Company is a Division ot AtlanticRichtieldCompany ~~ ~,. APPC-7116 (6-92) ';.,!~"~ <~: ~::'. ';"i¡i-~ ,". .:1;'., ",'.:.>!j L Ij .~ .', , ~ \:~, '~: r! ,:;' ':;..>< ; ;~' ;; ;, 1 .:, ":. ¡ ; ~~. \i,~ ",;i'>:',,¡( ,:i:;!,':j¡ ,:1 : ! 'L?:"~¡ . ¡,,, ,I '<, J:(,}¡ ,)::.;. \ ':'" 11 , 'f "~ ì TANKNOLOGY CORPORATION INTERNATIONAL 5225 Hollister, Houston, Texas 77040-6294 Phone (800) 888-8563 FAX (713) 690-2255 Certificate of Tightness Underground storage tank system(s) tested and found tight for: TANK OWNER: AM/PM 4010 WIBLE ROAD BAKERSFIELD, CA [ 3] LlNE(S) ONLY, [] LEAK DETECTOR(S) ONLY. :\. ..-i~~J~~F:~;·.··' ';'~ ">?~,\\;:',:. :'" ' '\Þ,~á{\:Y'; : 'J .#: ,!'-..: .. , ,¡, "'_."_.. '-_._._ n , .. "' --, ~--~,,' ··r __.___ .__.__ ..~___ Service Order # 094252 TEST SITE ADDRESS: ARCO PRODUCTS COMPANY 5365 ARCO [ 4] TANK(S) ONLY, TANK SIZES & PRODUCTS TESTED 1 10000 3 10000 REG UNL SUPR UNL 2 4 10000 REG 10000 NO UNL LEAD LINES TESTED lA, 3A, 4A LEAK DETECTORS TESTED Unit Mgr. Certificate Number & Name 170 BRANDON MILLIGAN 06/95 U,S, Palent #4462249, Canadian Patent # 1185693, European Patent Appl. # 169283 TANKNOlOGY & VacuTect are trademarks of TANKNOlOGY CORPORATION INTERNATIONAL TAK-04 , ' - '/ .:~~. \. ....;. ,!..{',,,: ". ' ..,·····r·· :7" .;:. " .'( / // / Test Date 09/03/93 Valid only with Corporate Seal :~"' . ¡:,~ ,,' ," " '~ 'i i l,· I", , 'l' " f·:, I" I ¡ , f I .' " S.O.# VacuTectTM TEST REPORT .' 094252 09/03/93 Date PhOnE) 5365 Site # ARCO PRODUCTS COMPANY Owne( 407-2610 COURTLAND HOLMAN <310> AUn: 90702 CA BOX 6038 ARTESIA BAKERSFIELDl CA P.O 4010 WIBLE ROAD TANKS , ARCO PRODUCTS COMPANY AM/PM ARCO Invoice Namel Address Site Namel Address YeslNo Leak Det ITANKS and LINES Tested to CFR-40 Parts 280-281 & NFPA 329 Spec·s. NEW LO(s) Tested & PASS [xist LINE ILD(S) . Passl Tight Faill or or Fail NONE Final Leak Rate . GPH LINE TEST . END TIME LINES LINE TEST . START TIME Line Delivery Syst. Type . PS/SS/GS Line Material . ST/ FRP TANK . Tight or Fail - T Ullage Air Ingress Detected . YesINo - N Bubble Ingress Detected . YeslNo Water Ingress Detected . Probe Water Level . START END Dipped Product Level . START END Dipped Water Level . START END Tank Dia. & Material STI FRPI' Lined See Diag, For Lac, Tank # - 1 . Other Exist LO SN/MOUMFG: Now/2nd LO SN/MOL/MFG: 50.00 Y LINE TEST PSI Dispenser Shear Valves Operate (ves/no) Exist LO SN/MOUMFG: LINE TEST PSI Dispenser Shear Valves Operate (ves/no) Exist LO SN/MOUMFG: N - N N A;,ºirº~~ºJYIij'~t,· - 1- ·,··<t·,,·, "''''/' ,":" ;È;tQ;.~QØQ), 'J~,; " ., \,.",:' i l'ìii :Vs'j;Š' ~,-- ~-«'''''''^-~~''~' !-2.]"2.): ":~¡)8 " ,~,' J _'~_ "'I I' -'. ;,",~", , "R,~ Line # ,:J.A ,. ./A . T .fa. T PETRO Inclinometer Dear.: N liiCIIñomefer DealaL N Tank Capacity - 10000 10000 10000 Tank Product - REG UN'" SUPR UNL REG UNL 2 3 50.00 V LINE TEST PSI Dispenser Shear Valves Oøerate (yes/no) exist LO SN/MOLJMFG: - 11/1. T Inclinometer Deara¡¡" N ~ 50.00 V LINE TEST PSI Dispenser Shear Valves Operate (yes/no) N iC{s f"';"-\:Wi'\';'j' :~:c>~ ~;'',1 O;~OOO" <""'''\''''''Ii'?''''';~''''''''''','; t06~,3,:i,3 6",; [3' d' .1,' ';P8" T4AlpRP~ - II-a. _D.. Inclinometer nAnr~Q.· "PUmp ~ "TT.T. . & . ~oooo NO LEAD PLUS 4 "'f/"'" ~£~~~'! I f -Material SlartTlme: ~_""T1.. Dispenser Shear Valves Operate (ves/no: " Inclinometer DAðrAAR.~ l'Uri1p Mlg,: I~~~ "er¢enTõfF'llfãf Time ofTeSt: -, Tank Test PSI: )~:,_<-" }:!;Sr\~->!f~~-'~('-}~;'\:l'!: ~."'" , ",',' ,:I.>c~',,_ ."". . ~;,;;,,,~ ',,,: ' . ", , f Pump ¥'g,: Diameter ~e Start Time: End TimA' , Dispenser Shear Valves Operate yes/no Tanknology Corporation International 5225 Hollister St.. Houston, TX 77040 (800) 888-8563 FAX (713) 690-2255 . CA State: I InclInometer Dearees: State Lic. # file. I~~~ 042 Control Department and maintained on # Unit TANKNOLOGY Region: WESTERN REG~ON Original VacuTect Data recordings are reviewed' by Tanknology's Audit TAK-Q1 NOTE: I . I:" '. !, , FILE NUMBER 1 ',. ..-- ~ê) : " L' ! r~~~·~t 10 vw:;.._... : Certification Num~r:-; ~ "0 i, ': :r~ ! p ~ t I:,.~" :' ~~!,. o:~' f ...~ ì<, ! ~ .~":~ t .' ~.._, ~ ......-. . ",. f "~ ~~---f .,}e..., ¡ J!:'.1' 50#, ow.' . 5ite# , , ,MONITOR WELLS ; ":Well Number '1 .2 3 4 5 ,6 7 8 ':Well Depth Depth'to Water " . Product Detected " 'AMOUNT in inch.. , 'Standard Symbols for diagram below:®Fi.1I r :@;:y.~.:w I Ba~IFloat ® ~~~~o~n~~~ Area) ¡ '®~Ba,I,IFloat ;@TankGauge ( ,,~':Manway ( [!] Iron Cross ,~ ;L9C?~~~onP,i~gran'1-:-ln~IUçle the. Vapo~ RE?coyery Syst~m~ i '-'. ,,".:~ .. ¡ .. ,,¡ 9 10 11 . " . . . . . . ì j " . ... ", . . ! . . ; , æ Vapor Recovery A)· Observation Well ! o (Inside Tank Bed A~) Vent ¡, : [!] Turbine ; : / QOd · , -' " - \ - ï . , .. I , i'-'.. i : I . '--"-~'-""'-._-". ':~- . · ! . . · i ....._-.-_. ."----'. ....... " ., . . .__.~ i!!O ,"-, '-- ..-- '. . '- . .. . . . . "'..,. L: ìJ .'1" LJ . ,.......,. L·: ð . . . .. " . O' .' C' , n . i.- : " i .. '. , .. : . '- r. , ',' - '0, ..' . .. -- , ~ . . . ~ " '. " . ~~ ;.:1 i!..,':"¡ r~~~~~ ,-_ .... _._ " e, : . . , : . I i : .. .. : , j I . n '-' -- .. r ! , ; .. \..... I ¡ ""., ) .,,"',.,.,: . 'Parts and,~Labor,used¡ ì ¡ ! I ~ ,Vapor Rec~~ery System & Vents were tested with which tank? ., "-'. .: ',- ('- I,: ~ ì , f....' , , -" : .. :General ¡ Comments ". l' I - .. '. ",- " .. : ., ~ . ;", ,::' -¡~.:, .. " - .- - --.---- '-. ..!" ì .' "'."J, " ,__ '. , , /. ',~~~n O~"1:E~ or löcal ,regulations require Jmmediate reports of system fa"ure~Complete the following: DATE ':'(};Ft:E:PO~T":~D NAME...., -..'. >." :., ~ TO: .; ,. ,:,; '" ~i~:¡-~j ;~hgne# ¡,'-- ".,~,,¡ ... "OWNER or Regulatory Agency h;~t:r ,.2 ~ . ','" '<g',", -- ,':,:[j;JPr,mtCerti~ed Tester~ Name :"" ~+i'~~ . ¡·-----·-t--'-·" . ',.', ;:Certified Testers Signature .~: ;'.;:~ ,...._--' ...~..- " ... TIME. .--- ... Qate Testing Completed .. -..- ~"¡ ~.~ .. , .,...... .. -. ~. .~ '. "," .-. faI-' '. " :12 It. · . · ~~"'r · '1'10. .. ( · "':""~ .' · ..~x H ....... ...."; .. · """'<' ,I · · -"1: .. ~ " , '.... j · I 1!.." · ,"I .~\: ~. · · .....,. ;:~,,' "" · 1,,,,. tI. :li.~ n .. " ,,- ,.),,:,>- ii' ARCO Products compan. Environmental Health & Safety 17315 Studebaker Road Cerritos, California 90701-1488 Telephone 310 404 5300 . Mailing Address: Box 6038 Artesia, California 90702-6038 October 5, 1993 RECEIVED OCT 0 8 \993 HAZ. MAT. DIV. City of Bakersfield F.D. Haz. Mat. Division 2130 "G" street Bakersfield, Ca. 93301 Attn: Ms. Esther Duran Re: Arco SS# 5365, 4010 Wible Rd, Bakersfield state Surcharge for New Tanks installed 9/16/93 Dear Esther: In accordance with your letter of September 23, 1993 enclosed find our check No. 0973739 in the amount of $224.00 for payment of the subject surcharge. I have previously provided the F.D. with the Form "C's". Attached is another copy of my letter forwarding them to you on 9/22/93. Please issue the new operating permit. If you have any questions or need additional information please call me at (310) 407-2604. yours, encl. cc: L. Boemia " , ,; ~ ,~. "! ' '. : ARC a Products Company is a Division 01 AtlantlcRlchlieldCompany ~~ ~~ ,"i, APPC-7116 (6-92) ,¿J~ "'\)Ç7 . ~ 956000672 CITY OF BAKERSFIELD Invoice Date Invoice Number 092393 ARC05365 A~ PRODUCTS COMPttV ~. OF ATLANTIC RICHFIELD COMPANY POBOX 2570 LOS ANGELES CA 90051 \ ATTN.: ACCOUNTS PAYABLE DEPT. (213) 486-3383 Description -Y- Net Paid ELLICH-CR343-FAC5365-ST.SURCHRGE - . - -:- ;~~~ -<, --- ...""".--- .....- - - - - .' APPC-6048-C (6-90) , Detach From Check Before Depositing , Check No, --=- - - - 973739 $224.00 '----:-- - ~ ,.~....:.-.,,-~,:-=--,.......-- --~---~""="'":< -.- , , Check Date 100593 Check Sequence No, 000222 o N o M Ii"- ~ - -I ~' ",-"'r.,a .'" ARCO Products Com Environmental Haith & Safety 17315 Studebaker Road Cerritos. California 90701-1488 Telephone 310 404 5300 .' Mailing Address: Box 6038 Artesia, California 90702-6038 September 22, 1993 City of Bakersfield F.D. Haz. Mat. Division 2130 "G" Street Bakersfield, Ca. 93301 Re: Completion of Underground Tank Replacement Arco SS# 5365, 4010 Wible Rd, Bakersfield State Water Board, Form CiS Submittal GentleL1en: The subject project was completed 9/16/93. You are currently in possession of the State A&B Forms. Enclosed are the Form CiS for this project. Please issue our new and/or amended Permit to Operate. encl. '~ ARca Products Company is a Division of AtlanticAiChfieldCompsny ~~ ~~ APPC-7116 (6·92¡ E ~:.- . . STATE OF CALIFORNIA STATE WATER RESOURCES CONTROL BOARD ..." _- CERTIFICATION OF COMPLIANCE FOR UNDERGROUND STORAGE TANK INSTALLATION FORM C COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM ARCO s:t"SSbS I. SITE LOCATION STREET ðrC\OW\~~ ~~ CITY ~n..'\e..\~ COUNTY ~~~ tv - --. ~ ~~'" --- II. INSTALLATION (mark all that apply): ~ The installer has been certified by the tank and piping manufacturers. o The installation has been inspected and certified by a registered professional engineer. o The installation has been inspected and approved by the implementing agency. ~ All work listed on the manufacturer's installation checklist has been completed. lX The installation Contractor has been certified or licensed by the Contractors State License Board. o Another method was used as allowed by the implementing agency. (Please specify.) III. OATH I certify that the information provided is true to the best of my belief and knowledge. M(~ 0 Date q \d.~' c.¡ '3 Phone (310 )40Î-'l.'~o4 Û>.. q b1ð~-lø(J 3 \ ~ LOCAL AGENCY USE ONLY 1..100ðO vlL s:v~ STATE TANK I.D, # COUNTY # IT] JURISDICTION # [IT] FACilITY # ITIIIIJ TANK # ITIIIIJ FORM C (7/91) THIS FORM MUST BE ACCOMPANIED BY PERMIT APPLICATION FORMS A & B UNLESS THEY HAVE BEEN FILED PREVIOUSLY FOROO35C7 , :_í ,~. .' .'- STATE OF CALIFORNIA ST ATE WATER RESOURCES CONTROL BOARD CERTIFICATION OF COMPLIANCE FOR UNDERGROUND STORAGE TANK INSTALLATION FORM C COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM . ARCO ~~- 53bS I. SITE LOCATION CITY 40\C tù,b\e.. R~ ~'l.~ç\~\Ò COUNTY \\e..R ~ STREET ~ 7· ....~-.- II. INSTALLATION (mark all that apply): ø The installer has been certified by the tank and piping manufacturers. o The installation has been inspected and certified by a registered professional engineer. o The installation has been inspected and approved by the implementing agency. ~ All work listed on the manufacturer's installation checklist has been completed. ~ The installation Contractor has been certified or licensed by the Contractors State License Board. o Another method was used as allowed by the implementing agency. (Please specify.) Tank Owner/Agent Print Name \~ ,< Address 1>,O:~01i. (øo3'ß . ded is true to the best of my belief and knowledge. - AR~O Date C\\'l.2.\.~ ~ Phone (310 ) 4o¡..'2.bo 4 . (4.. DtOÌð~ -\øo ~ 'i LOCAL AGENCY USE ONLY ,- \ 0.00 0 uh_ f'4\\Ò~fflÒe... STATE TANK I.D, # COUNTY # [[] JURISDICTION # UTI FACILITY # ITIIIIJ TANK # = FORM C (7191) THIS FORM MUST BE ACCOMPANIED BY PERMIT APPLICATION FORMS A & B UNLESS THEY HAVE BEEN FILED PREVIOUSLY FOR0035C7 -. ,;., ~. ." STATEOFCAlIFORNJA. STATE WATER RESOURCES CONTROL BOARD CERTIFICATION OF COMPLIANCE FOR UNDERGROUND STORAGE TANK INSTALLATION FORM C COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM ARCO SS 1: SS bS'" I. SITE LOCATION CITY 4- () \0 u) \b \e. ~ ~~~sr\e\~ COUNTY ~~R.. 'N STREET ~-_. -"'--- II. INSTALLATION (mark all that apply): ~ The installer has been certified by the tank and piping manufacturers. o The installation has been inspected and certified by a registered professional engineer. o The installation has been inspected and approved by the implementing agency. 3r All work listed on the manufacturer's installation checklist has been completed. ~ The installation Contractor has been certified or licensed by the Contractors State License Board. o Another method was used as allowed by the implementing agency. (Please specify.) III. OATH I certify that the information provided is true to the best of my belief and knowledge. AR~O Date q\~\e,~ Print Name Phone ( j/ð )4-0; -;Hoo ~ ~ 1- ~ ð1ðd.-/Qð 3<6 Address LOCAL AGENCY USE ONLY \-\0 000 u lL , STATE TANK I.D, # COUNTY # CD JURISDICTION # ITIJ FACilITY # ITIIID TANK # = FORM C (7/91) THIS FORM MUST BE ACCOMPANIED BY PERMIT APPLICATION FORMS A & B UNLESS THEY HAVE BEEN FILED PREVIOUSLY FOR0035C7 ~{4 ~, ) .-....... .' STATE OF CALIFORNIA . STATE WATER RESOURCES CONTROL BOARD CERTIFICATION OF COMPLIANCE FOR UNDERGROUND STORAGE TANK INSTALLATION FORM C COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM ~D !>~. S ~ b.s"' I. SITE LOCATION STREET c\-O\() lth'b\e..- ~ð ~ \1R...û.ç\~\ó COUNTY ~N CITY -- - ~--- - ~--- ~._- ------ -- _..=--...-."... II. INSTALLATION (mark all that apply): ~ The installer has been certified by the tank and piping manufacturers. o The installation has been inspected and certified by a registered professional engineer. o The installation has been inspected and approved by the implementing agency. ~ All work listed on the manufacturer's installation checklist has been completed. ~ The installation Contractor has been certified or licensed by the Contractors State License Board. o Another method was used as allowed by the implementing agency. (Please specify.) III. OATH I certify that the information provided is true to the best of my belief and knowledge. Tank Owner/Agent ~ - - /rú:o Date q )~)C;3 Print Name ¥v- Phone (3'a)40Î-~b04 Address A ~~J v.. ÎOd--~O~ LOCAL AGENCY USE ONLY ¡-LO 000 IJ}L STATE TANK to. # COUNTY # OJ JURISDICTION # ITIJ FACILITY # ITIIIIJ TANK # = FORM C (7/91) THIS FORM MUST BE ACCOMPANIED BY PERMIT APPLICATION FORMS A & B UNLESS THEY HAVE BEEN FILED PREVIOUSLY FOR0035C7 r-- -----,- ------ " 1 L , :I" ~ ARCa Products Compa ' Environmental Hea & Safety 17315 Studebaker Road Cerritos, California 90701-1488 Telephone 310 404 5300 e: JJe ~~ ~". Mailing Address: Box 6038 Artesia, California 90702-6038 September 22, 1993 RECEIVED SEP 2 4 1993 City of Bakersfield F.D. Haz. Mat. Division 2130 "G" street Bakersfield, Ca. 93301 HAZ. MAT. DIV. Re: completion of Underground Tank Replacement Arco SS# 5365, 4010 Wible Rd, Bakersfield State Water Board, Form CIS Submittal Gentlemen: The subject project was completed 9/16/93. You are currently in possession of the state A&B Forms. Enclosed are the Form CIS for this project. Please issue our new and/or amended Permit to Operate. Very encl. viJ07""-J ~g¡ sJJ:¡:~~Y ARC a Pn?ducts Company is a Division of AtlanticRichfieldCompany APPC-7116 (6-92) ~tJ-' ¿Ið '';j~ 1::>: 031 l>!lNIN" L,HB::::" BFlLD P. 2/7 7A'f '""7. .. -P~ 0 d-J 'd-~~. '0 12f:c.,... Geotechnical and Environmental Engineering. Construction Inspection. Materidls Testing· Ana!ytical Chemistry ~. '1 September 20, 1993 TL 993-095-01 Far: B&T Service Station Contractors Poat Office Box 1351 Arroyo Grande, California 93421 Attn: Mr. Tom Tulledge Subject: Soil Density Testing IroJ~CG~aw~~ If SEP 24 1993 ~ By_ '. -.-,. -- projectJ ,A.M/p~ ARCO_ S'l'ATIGtL_, _ WHITE LANE & WIBLE ROAD BAKERSFIELD, CALIFORNIA Dear Mr. Tulledge. ThlfS report. prebentti L.he L:efiult..ts of .Ln-place density testti conducted on the backfill soils placed in the trenches located at t11~ d.buv~ ref~renc~d projE:tct ::tit~. The scope of our services were authorized by Mr. Tommy Tull~dge d.ud directed by M:r. Frank Nikolaus, representatives of B&T Service Station Contractors. PURPOSE AND SCOPE OF SERVICES The purpose of our services was to deter.æ.ine the relative compaction of the backfill soils placea in the trench. The tasks undertaken to achieve the purpose consisted of: 1) obtaining the prOject specitications from M:r. Nikolaus of B&T Service Station Contractors, the contractor for this project; 2) obtaining a representative sample of the fill soils I returning the sample to the laboratory and determining the soil maximum density and optimum moisture; 3) determining the in-place density, moisture content and relative compaction of the soils placed; and 4) preparing this report. o 2527 Ffe$no Strèèt . P.O. Box 1472 Fresno, California 93716 (209) 288-7021 . Fax (2OQ) ~712$ Q 4230 Kiernan Avenue, $vìte 105 Modeito, California 95356 (209) 545-1050· Fax (209) 545-1147 _11& [] 2521 East VaileI" Oaks Drive Visalia. California 93291 (m) 625-1712' Fax (W\ii 625-171~ iiI 3701 Pegasus Drive, Suite 124 S..kor:;fjold. Colitomia D330S (805) 393-5088. Fax (805) 393-4643 :.i -1 . ......... _'-' __-..J .......,- '-'_ . ......,...... ,"..... ~,-_"..,." . - ¡, B&T Sarvice Station ~ontractors September 20, 1993 TL 993-095-01 Page 2 Twining was not requested to verify material compliance or to observe the fill placement operations. PØOOEC'l' DBSCRIP'rION The project consisted of the installation and compaction of the product line trenches for the AM/PM Areo Station located at the intersection of White Lane and Wible Road in Bakersfield, California. PROJECT SPECIFICATIONS In accordance with the project specifications presented to The Twining Laboratories, Inc. by Mr. Nikolaus; backfill materia.le shall be moisture conditioned as necessary and compacted to a minimum of 90 percent of the maximum d~f density as determined in accordance with ASTM Test Method D1557-78. TEST PROCEDURES These testõ we~e conduç~ed by ~'. Joa S¡ngle~à~y o! The Twining Laboratories, Inc. on August 30 and September 1, 1993. Initially t the soils were sampled and visually classified in accordance w~th the unifor.m Soil Class1t~cation System. The soil was tested in the laboratory per American Standard Test Method (AS'l'M)· D1557 t Methods A, to determine the maximum dens1.ty and optimum moisture. The depth and frequency of the testing was determined by the engineering technicians, based on the depth of fill as reported by the contractor and the square footage of the areas. The in-place density tests and moisture determinations were conducted with a Nuclear Moisture Density Gauge. The locations and depths were determined by pacing and use at survey grade stakes, and should be considered accurate to within 5.0 feet and 0.5 feet, respectively. dlud~~·dnt;· Fr63~ ModØ$lo Visalia 3ak.er:>lio/d' B&T Service 5tat1on4lÞntractors September 20, 1993 - TL 993-095-01 Page 3 f Results of Maxbnum Density{Optirnum Moisture Determinations (ASTM ~est Method lJJ.557, Method AJ Mat.erial Sample Location No. Composite of 1 Import Sand Material Sampled On-site Maximum Dry Dens ity , Ibs/cu.ft. 111. 2 Optimwn Moisture, % .. - Results of In-Place Densit~ Tests (ASTM Test Method D2922/Nuclear Gauge with 12-inch Probe) Test No. Test ~ Test Location 08/30 Product Trench 20'N. & lO'W. S.E. Corner of Pump Island lA. 08/30 Retest of Test No. 1 1. 08/30 Product Trench 2'E. & 25'N. S.E. Corner of Pump Island 2A. 06/30 Retest of Test~ No. :2 2. 3. OS/30 Produot Trench 50'N. & 17'W. S.E. COJ:ner of Pump Island 3A. 08/30 Retest of Test No. 3 -- - Mate- rial No. Depth Below Assumed Final Grade, Inches Mois- ture, ,..,.~" 5.4 In- Place Dry Density, lbsL~M ,! :ft . 1 6-18 94.6 104.3 11.1 1 24-36 94.' 7.0 106.6 12.7 1 12-24 99.6 4.9 101. 2 9.7 11.2 Rela -tive Camp. __L._ 85.1 Re- quired Compo ._...1__._. 90 93.8 90 9.5.? 90 95.9 90 eS.7 90 91.0 90 d~dwinU7~·dN. Fresno M<;<;ì8S1O Vi:;aJia Bakers(jcI 13&T Sorvi.cc Station .ntracto:r'~ . ~L 993-095-01 September 20, 1993 Page 4 õ, '1 Depth BelQW In- Assumed Place Rela Re- Mdte- Fillal D.cy 1<1018- -Live quh:ed Test Test rial Grade, Density, ture I Compo Compo No. ~ Te1::SL LO(;d.tlun Nu. Inc.;:h~~ lb~Lcu. ft. , \ % 4. 08/30 PrQ<luct Trt:m;h 1 12-24 107.1 3.3 96.3 90 60'N. & 2'E. S.E. Corner of Pump Island -..,.. -",",,- -'- - ,- 5. 08/30 Product Trench 1 0-12 107.5 14.0 96.7 90 75'N. & 21'W. S.E. Corner of Pump Island 6. 09/0J. l'roduct 'J.'rench 1 U-l2 lO8.0 7.1 9ï.l 90 10'S. & 30'W. S.E. corner at Bldg. 7 . 09/01 product. Trench 1 0-12 107.6 7.6 96.8 90 IO'S. /;; e 'W. S.E. Corner of Bldg. B. 09/01 Product Trench 1 0-12 106.5 9.2 95.8 90 10'S. & SIE. S.E. Corner of Bldg. ~Ç];.USIOHS The relative compaction of the soils, at the locations and depths tested, in the product line trench, meet or exceed the minimum requirements of 90 percent relative compaction. LIM1~M-IONS The test procedures used complied with generally accepted methods pra.cticed in the industry. The data presented in this report are provided for informational purposes only. The scope of our services did not provide for continuous observations by our personnel at the site; thus, we cannot express an opinion as to the adequacy of the site preparation and fill compaction. We do not underta.ke the g'uarantee of construction nor do we relieve the contractor of his primary responsibility to produce a completed project in accordance with the plans and specification. We claim dltdwtnin¡~~·d~· FfesRO Mod9$to Vwlia e¡skals1ið1d '; , .. B&T Service Statio.ntrectors September 20, 1993 . TL 993-09!i-Ol pa.ge 5 ó no responllibility or liAbility for ddmag€:s o.rlg1,t'1dL..illg IL'OlU the improper use of these results presented in accordance with genera.1.1y accepLedt:;.e$t..Lnq principles and practice6 exercised in the City of Bakersfield, Kern County, California, as of August 1993. 'Xhl.ti w~rê1nty is in lieu ot' all o'ther warranties either expressed or implied. w~ appreciate the opportun1ty t.o be of service to you on this project. Should you have any questions concerning the information provided, please contact our Office. Sincerely, - ~- '-~ - ,,-;-_ ------- .,.-~ -~-----:- ~ --=-- - ~~ "":>0 -__ ~.,._ -----"----.,,.----=-- m& J=- ~~B5' Scott A. GOehrin~___ J Materials Supervisor , SAG/kIn ::Sc: herewith IMC. dluc7wt~~.dnt. f'rùSno Mode~o Visali¡¡ Bakersfield :~' 112 -" , ., 111 ..... ~ 110 ... ~ ., .... ~ -8 -- -- - :11 109 .!i 1es' 107 . . PROCTOR TEST REPORT '\. \ \.. .... ~ ..- -- ~ , ..... ~ --- \. ~ , ~ ~ \ ~ .J , I\. , , / \ . -~- - - " - - -- -- - , - ., ,. \ '" e 19 13 9 11 12 NModi~i~dN P~octor, ASTM D 1557, M&thod A Wate~ cont9nt, ~ Elev/ n.pth 0-12N Cla.ssiTi~..tion uses AASHTO Nat. oi:st. ZFlV for $P. G.- 2.30 14 PI r.) r. < No.4 Ho.20ß $p . e. LL 2..30 TEST RESULTS MAT~RIAL D~SCRIPTION Optimum mo1stu~e - 11.2 ~ Maximum d~~ d~ity = 111.2 pCT IMPORT SAND MATERIAL Rema....ks: P~oject No.: 993-095 Pro~.ct: ARCa ST~TIOH BACKFILL LOC4t1on: WHITE LRNE& WI~~E ROAD BAEKRSFIELD, C~LJFðRNIA Date: 08/24....93 PROCTOR TEST REPORT THE TWINING LABORATORIES, INC. SAMPLED BV: M.ßOEHRINa LOCATION: ON-SITE SAMPLE DATE: 08/24/93 Figu~e No. 1 . CITY of BAKERSFIELD . ~'-- ~ "WE CARE" FIRE DEPARTMENT S, 0, JOHNSON FIRE CHIEF September 23, 1993 2101 H STREET BAKERSFIELD, 93301 326-3911 v Bill Zapka Arco Products Co. P. O. Box 6038 Artesia, CA 90202 Dear Bill: Per our phone conversation yesterda,» regarding the completed installation of new underground storage tanks at 4010 Wible Road, a state surcharge of $56.00 per tank ($224.00 total) will be required before we c~n issue you an new operating permit. Forms A and B have been completed for each tank at this facility) however Form C was omitted. (Form included) Please return Form C along with the state surcharge to 2130 "G" Street, Bakersfield, Ca. 93301. If you have any questions or if we can be of any further assistance please don't hesitate to call 326-3979. Sincerely Yours, ,1 ~I-Â l\ (~ fü();fll~-./ \, Esther Duran Hazardous Materials Division led a,.-L' ',' '~ . . WHEN TO COLLECT A STATE SURCHARGE 1. WHEN A NEW FACILITY IS INSTALLED A SURCHARGE IS COLLECTED PER TANK 2. WHEN AN EXISTING FACILITY ADDS OR REPLACES A TANK A SURCHARGE IS COLLECTED PER TANK. 3. WHEN THERE IS A TRANSFER OF OWNERSHIP THAT REQUIRES A NEW PERMIT A STATE SURCHARGE IS COLLECTED PER TANK. 4. WHEN A NEW PERMIT IS REQUESTED A STATE' SURCHARGE IS COLLECTED PER TANK. 5. WHEN THERE IS A CHANGE IN THE SUBSTANCE STORED IN THE TANK THERE IS A STATE SURCHARGE COLLECTED PER TANK. A CHANGE FROM (ONE TYPE OF MOTOR FUEL TO ANOTHER DOES NOT REQUIRE A SURCHARGE. 6. A STATE SURCHARGE IS COLLECTED EVERY 5 YEARS, PER TANK, FOR ALL FACILITIES. ¿i I . . CENTRAL VALLEY REGIONAL WATER QUALITY CONTROL BOARD CASE CLOSURE CHECKLIST Leaking Underground Storage Tank Program -- ..._...._--~.'. This checklist, CASE CLOSURE letter, and the Unauthorized Release Report Form (URF) is to be retained by the Regional Board and Local Implementing Agency as documentation of release and subsequent closure action. All files and reports will be placed on microfiche for review. I. Case Information LUSTIS Case no. URF filing date '2 -(6"''13 Closure date ~.... ¿¡... ~4 Site name/county Ar<.w t=Ãc...'(..ITT'::t:t' ~~6.s- I t-<~! ßA¡¿~é(...~ C\'íV Site address 4010 t.J181.~ n.o City"eAt(;ft~ç:,et.D Zip '1~JOí Phone ~oS"/ ~3b- í'62S"" Table I - Responsible Party Information Responsible party Name Address, City ,~ip Phone Property owner ÁCê!o prøO()C.'t'5;. 'Po ßð~ 6037 MT-e~fAJ CA (Î (4 )670... $:'~; 4 Operator I 7~At'Y\5 \ ~010 'Z - 6017 ( ) Operator 2 ( ) Operator 3 ( ) n. Release and Site Characterization Information Tank: size(s) (0, O(X) GAt.... Fuel type(s) G.A~N£ Chemical type(s) and quantity(ies) released U r0 K~o,~ Table ß - Lateral and Vertical Extent of Cootlllmination Environment Lateral"( ft) Vertical (ft) Contaminant Concentration Range Soil -< '2.0 cgl -rP-H 6-- o~ '"f() 1400 mg/kg Groundwater N(A mg/l Soil type at the site fV'tffi ~ COAR.-~e; $A\jQ / $ I C-,¡'; ~AiV0 Source of drinking water under SWRCB POLICY 88-63 Were nearby wells (Domestic, Municipal, Ag, etc.) monitored? Yes No X- Wells affected (Domestic, Municipal, Ag, etc.) Nf,)Ñ'E Highest and lowest depths to groundwater ~ I "ß 5: r: 'Ï Seasonal groundwater gradient(s) and direction(s) Name of Regional Water Quality Control Plan (Basin Plan) aquifer affected (see attached) Surface water impacted? Yes Name of surface water body affected No K tJ/A. m. Soil ,Remediation Information Soil remediation ,method(S. Volume treated and/or removed Contaminated soil disposal site If contamination is remaining, describe concentration range and volume (cubic yards or meters) <:.- (eò Y'O~ µ! ut'þ '1Ò l4ðO ..pPW\. "T'Me;. NDNE. tV ÒN"Ë Ñ!A . Table III - Maximum documented contaminant concentrations in soil before and 'after cleanup Contaminant Method Before After Depth Contaminant Method Before After Depth used (mg/kg) (mg/kg) (ft) used (mg/kg) (mg/kg) (ft) TPH (Gas) ~O f$' '" (400 1> Benzene ~'ê..ó ,0. /4 <=6 TPH (Diesel) Toluene Other fuel Ethylbenzene Heavy metals Xylene Other Other IV. Groundwater Remediation Information / Groundwater remediation method(s) tJ I A Volume treated and/or removed If contamination is remaining, describe concentration range and volume (gallons or liters) Table IV - Maximum documented contaminant concentrations in groundwater before and after cleanup Contaminant Method Before After Depth Contaminant Method Before After Depth used (mg/l) (mg/l) (ft) used (mg/l) (mg/l) (ft) TPH (Gas) Benzene TPH (Diesel) Toluene Other fuel Ethylbenzene Heavy metals Xylene Other Other V. Closure Does Regional Board concur with closure? Yes Rationale for closure No Location of repons on file (Agency/Room) County µé<ffJ / ßA~~Ç'EØ G,y Regional Board' office ffté~rJo &¡.(t::f¿SFd~1.À F'rq; 0&7 / I-!A'2..-MA.í 'þIV. Staff person-Â~~ W'~ES Phone Cjþr!-:t.2k'-Jlì-'::¡ Staff person jü\+,..J N(j)t1N'ArJ Phone ~c:r/44s- - S-S~ê) SBR Cheklist.wp 10 Sepœmber 1993 I' I I -~ ".... '.~ UNDERGROUND STORAGE TANK AUTHORIZED RELEASE (LEAK) I CON 'A INA TION SITE REPORT loo\ ~~ 'SIGHED::>/:""'" ' ¡:ÖRl()ÇA~AGENCYlJSEON4'fi> .'..b~s~~~6~&~W6WNA~.~®VE~ffi~~~~Ds~~~~~~l~k~¡~cr~oF~E.',:.· ,,',",",',',",'/////,',',',',"',','///,',',','.'//"",'.',',',',"'."""',',','""""""'"',,,',,"',"""""""/'"""""/""""""""""'""""""""'/"/"""'/"//~ EMERGENCY DYES ¡gj NO REPORT DATE HAS STATE OFFICE OF EMERGENCY SERVICES REPORT BEEN FILED? D D YES NO >- m o w I- a: !? w a: \ """).:, \ ~ w -' m ¡¡;~ za: 0< g¡"- w a: NAME ~ ~{"Ö~ (l) D UNKNOWN ADDRESS FACILITY NAME {IF APPLlC;EJ ~~ ~~ ~~~S ADDRESS Z o ¡:: < o 9 ð,.O\~ w ~ CROSS STREET W\\~~ ~N'( ~~,\~~ REGIONAL BOARD ~Cø\O C\J .6 ~D..Ðo \\ ~ (.'J ~en I-w ffi~ :::;w ':':J(.'J "-< ;;¡ LOCAL AGENCY D D D ~ ~, ~~~ '001''( GTOUÑ~~~ 1"'Qt'ð)')ð\o~'" (t¿o~\~2ðt,~'oo\ \ ~ ~O~\I\t~ ~'rrf\e.~ ~ ~ ~W\~ h p{l.,~\\\ ~ ~~ ~~ ~~~ I~d\~ ~ ~ f\"~~ 8 "',-\~'f'O~~~ ,~ ~ ~\ . :S:1't~~ t~Nv-t.o (1) en ~@ ~:; t; g (2) ~~ en I- Z W :::; ~ < CD < ):: a: w > o o en Õ DATE DISCOVERED 0MI ðMI \ DI 2 i9 y 3 DATE DISCHARGE BEGAN DYES D NO IF YES, DATE SOURCE OF DISCHARGE WW °en D ~ ~ TANK LEAK gOD PIPING LEAK w w CHECK ONE ONLY en,,- ;'!t>- D ~ f-- UNDETERMINED CHECK ONE ONLY ~ SOIL ONLY I-en æ~ ~~ aen D NO ACTION TAKEN D LEAK BEING CONFIRMED D REMEDIATION PLAN CHECK APPROPRIATE ACTION(S) (SEE BACK FOR OETAl.SJ -' ~z 00 ~~ w< a: D CAP SITE (CD) D CONTAINMENT BARRIER (CB) D VACUUM EXTRACT (VE) ~t:. '3'."\\J\\,\ ERATOR D COMPili:ENC~;:E~ STREET ~~~ R~ qö10 t CITY CONTACTPE~ ZIP PHONE (~IO) 4t)Î-~\qo~ STREET ~ ZIP CITY OPERATOR ~ 'P(~::r. ¡ S do '" CITY ~~ t,elð STATE PHONE (&$) 8Bb -9h 5 Cf33a-O, COUNTY ""~ 1\r STREET W, ~~ ~ð ZIP AGENCY NAME t~ (8C1C%) .¡.q S -S'II lø QUANTITY LOST (GALLONS) UNKNOWN PHONE (8oS)3'J, PHONE NAME D UNKNOWN D INVENTORY CONTROL D SUBSURFACE MONITORING NUISANCE CONDITIONS D TANK REMOVAL !Sa OTHER ~ \. s. '6,r ~"'\\. ~ METHOD USED TO STOP DISCHARGE (CHECK ALL 11-IAT APPLY) D REMOVE CONTENTS D CLOSE TANK & REMOVE D REPAIR PIPING D REPAIR TANK D CLOSE TANK & FILL IN PLACE D CHANGE PROCEDURE ~REPLACETANK D OTHER HOW DISCOVERED D TANKTEST iXf UNKNOWN M ~ D D OVERFILL D CORROSION D RUPTURElFAILURE ~ UNKNOWN D SPILL D OTHER UNKNOWN OTHER D GROUNDWATER D DRINKING WATER - (CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTI:D)" ~ D ~ D D D D PRELIMINARY SITE ASSESSMENTWORKPLAN SUBMITIED PRELIMINARY SITE ASSESSMENT UNDERWAY CASE CLOSED (CLEANUP COMPLETED OR UNNECESSARY) POLLUTION CHARACTERIZATION POST CLEANUP MONITORING IN PROGRESS CLEANUP UNDERWAY EXCAVATE & DISPOSE (ED) D REMOVE FREE PRODUCT (FP) D EXGAVATE& TREAT(E1) D PUMP& TREAT GROUNDWATER (G1) D NO ACTION REQUIRED (NA) D TR~TMENT AT HOOKUP (HU) D OTHER (01) \'b ~ ~e..~~'M\Ñ~ ENHANGED BIO DEGRADATION (11) REPLAGE SUPPLY (RS) VENT SOIL (VS) of HSC 05 (1V90) ~s' .Bakersfield Fire Dept. . HAZARD,OUS MATERIALS DIVISION UNDERGROUND STORAGE TANK PROGRAM PERMIT rfJL ~ (1)/ ~ "..,... ~ -:2A tl> "'." .'-~"':' - '. .... '.~. I I I ' I PERMIT APPLICATION TO CONSTRUCT/~ODIFY UNDERGROUND STORAGE TANK TYPE OF APPLICATION (CHECK) . 0 NEW FACILITY 0 MODIFICATION OF FACILITY W'JEW TANK INSTALLATION AT EXISTING FACILITY . STARTING DATE ßrlf PROPOSED COMPLETION DATE 9-µ, /'7~ FACILITY NAME EXISTIN FACI ITY PERMIT No. FACILITY ADDRESS '.ßÍt. ZIP CODE 9 S ~ ð Y TYPE OF BUSINESS ìIt .//. V- APN Ýd>$'"'-S$'Ø'--;i, -:;'¿;-9 TANKOWNERAA(.ð ~¡¡j ce. ' PHONE N~~/~~ '. ADDRESS r1 'J fS' 4JÞl,y.4. , CITY CJ?J" /', -k~ ZIP CODE 90 7 <)1 CONTRACTOR 7& 1k- .Dtfí!~"An~ CA LICENSE No. ADDRESS CITY ZIP CODE PHONE No. BAKERSFIELD CITY BUSINESS LICENSE No. WORKMAN COMPo No. INSURER B~~¡Rlr~~RKtO ~~ ~L~'6' ,.(µpL)- ~~ 1- WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER ~~ 9,41' S IL PE EXPECTED AT SITE 'No. OF TANKS TO BE INSTALLED '7' ' ARE THEY FOR MOTOR FUEL ~ES 0 NO SECTION FOR MOTOR FUEL DIESEL AVIATION f1}4- Y'J/<t " " II " I' . TANK No. VOLUME UNLEADED REGULAR PREMIUM I '6) ,1Þ\rO 2- " ~ " ., SECTION FOR NON MOTOR FUElSTORAGE TANKS TANK No. VOLUME CHEMICAL STORED (no brand name) CAS No. (if known) CHEMICAL PREVIOUSLY STORED ^'E/r1- I THE APPLICANT HAS RECEIVED. UNDERSTANDS. AÑD WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE. LOCAL AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY. AND TO THE BEST OF MY KNOWLEDGE. IS TRUE AND CORRECT. µct.n w,Jk.J~So.-t 9-~~ APPLICANT NAME (PRINT) APPLICANT SIGNATURE '" THIS APPLICATION BECOMES A PERMIT WHEN APPROVED ,./ ~5' \ . 'Bakersfield Fire Dept. . HAZARD,OUS MATERIALS DIVISION UNDERGROUND STORAGE TANK PROGRAM !2:J _/~(\/ ~ PERMIT N-03L C^-/_., '-"- J.- ~f'Ð PERMIT APPLICATION TO CONSTRUCT/~ODIFY UNDERGROUND STORAGE TANK .........'.:,.;... TYPE OF APPLICATION (CHECK) . 0 NEW FACILITY 0 MODIFICATION OF FACILITY W'JEW TANK INSTALLATION AT EXISTING FACILITY . STARTING DATE 15,-4f PROPOSED COMPLETION DATE 9-~ /?~ FACILITY NAME, ' EXISTIN FACI ITY PERMIT No. FACILITY ADDRESS '.ßÍt. ZIP CODE '9 S 3 <"'I 'f' TYPE OF, BUSINESS ¿f .liI'. II' ,APN Ý&Jf"-<9~-- Ii. ~-¿; ~ TANK OWNERAf'.(G:'Þ ~~ C6. ' PHONE N~P.?~~ " ADDRESS ""':Jtç ~ CITY CJ?./""~~ ZIP CODE 9'o7~1 CONTRACTOR""T& tU. .b'l/;~/~~ C'Ä LICENSE No. ADDRESS CITY ZIP CODE PHONE No. BAKERSFIELD CITY BUSINESS LICENSE No. WORKMAN COMP: No. INSURER BREIF}¡YDE~KRIBETI;IEWORKTOB.E,~~.J.~ øo~ t/.ç;, ,~¿ ìt--~ 1- f'adf!~ 1"'-"""/ ' ~~ ~..41 , WATER TO FACILITY PROVIDED BY CU7"~~~.sr DEPTH TO GROUND WATER' ~~ ~ðl' SdiL'tYPE EXPECTED AT SITE 'No. OF TANKS TO BE INSTALLED ~ ARE THEY FOR MOTOR FUEL Qr'YES 0 NO SECTION FOR MOTOR FUEL TANK No. VOLUME UNLEADED REGULAR PREMIUM DIESEL A VIA TION f1Jd.... Y'J/<l " " II '! ,I " I 2- q 1~/·l¥e " II Of SECTION FOR NON MOTOR FUELSTORAGE TANKS TANK No.· VOLUME CHEMICAL STORED (no brand name) CAS No. (if known) CHEMICAL PREVIOUSLY STORED 'A~ I THE APPLICANT HAS RECEIVED. UNDERSTANDS. AÑD WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER ST ATE. LQCAL AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY. AND TO THE BEST OF MY KNOWLEDGE. IS TRUE AND CORRECT. Uct.n w,Ji:JI'I-So.t 9-~~ " APPLICANT NAME (PRINT) , APPLICANT SIGNATURE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED -r/lApl. IHSP (!oPt BAKE41ELD CITY FIRE DEPARTl\ãT HAZARDOUS MATERIALS DIVISIO"'R INSPECTION RECORD POST CARD AT JOBSITE '-...,'.... '--.', FACILITY ARCO #5365 OWNER ARCO PRODUCTS CO. ADDRESS 4010 WIBLE RD. ADDRESS 17315 STUDEBAKER RD. CITY, ZIP RAKH~SI- II- LD r.A Q3309 CITY, ZIP CERRITOS. CA 90701 PHONE NO. (805) 836-9685 PERMIT# (310) 404-5350 ' INSTRUCTIONS: Please call for an inspector only when each group of inspections with the same number are ready. They will run in consecutive order beginning with number 1. DO NOT cover work for any numbered group until all items in that group are signed off by the Permitting Authority. Following these instructions will reduce the number of required inspection ,visits and therefore prevent assessment of additional fees. TANKS AND BACKFILL INSPECTION DATE INSPECTOR Ý Backfill of Tank(s) - V Spark Test Certification or Manufactures Method Cathodic Protection of Tank(s) PIPING SYSTEM Electrical Isolation of Piping From Tank(s) rl'G Piping & Raceway w/Collection Sump tI' Corrosion Protection of Piping, Joints, Fill Pipe Cathodic Protection System-Piping 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 Fill Box(es) Þ' Product Line Leak Detector(s) rI' Leak Detector(s) for Annular Space-D.W. Tank(s) v' MonitoringYllell(s)ìSump(s) - H20 Test Leak Detection Device(s) for Vadose/Groundwater FINAL fII' Monitoring Wells, Caps & Locks v' Fill Box Lock II' Monitoring Requirements CONTRACTOR LICENSE #, CONTACT PHONE # ¢ . . CITY of BAKERSFIELD "WE CAI<.E" FIRE DEPARTMENT S, D, JOHNSON FIRE CHIEF BAKERSFIELD FIRE DEPARTMENT , , HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 . (805) 326-3979 2101 H STREET BAKERSFIELD, 93301 326-3911 CERTIFICATION STATEMENT OF TANK DECONTAMINATION - - ~-~.-.-.-- ---., -. I, ~;Jt ÁIÍ¿z.&fUS name an authorized agent of " ..< ßij S"œ¿ÿ{ (!:' Sí'1;:/JeyV t$m-/l:,ÞKF Contracting Co. perjury that the tank(s) located at here by attest under penalty of , Ny\ ~n\ -1 () J () Ii )!hl~ ,f,,} and I Address '-1~ R /C)(.) 8(-) has been being removed under permit# cleaned/decontaminated properly and a LEL (lower explosive limit) reading of no greater than 5% was measured immediately following the cleaning/decontamination process. <6-' /"-- _J 9':·3 {t'1 k-- I! /, / ,J - tJ4IJ / /\./ll¿:~I//'1 ()~ Name (print) /' , / J ,-' I, /' /1 ç¿:7 ~., ,-: /-~~/ ..: /"1 '//,'" ' / I,;) /",v'ú' / I,LL" l/,'(:.-~J~ c/& Signature Date Conformation by: ~7111/ ~~ ¡)' \ ,,- /~',~;_C:' ( / " -_/ pJjty of Bakers,field ( ,j g"OR ""II!'.'"'' '~ ! ) .....J, .." I( , -7;i("'Y", ! c" c_,' _ c ,- ) , -- / l ,- ,S' /;:U' /{I;! )',y --..-- ~ .' - ".""!:*' --- [','~O, :::B'&,~., ,':' , 0 0 " " , '.- 0' 0·:- ". . " _ '7. ¡: . ',,' '. ¡ Sen¡jç~ Stati,on Contractors, I " Maintenance ahd Construction I, ,'License No,!)23923: Ai B,C.61/D~40, H¡¡Zmát,Cértification' , ,JJ(¡ji1J ~~~a'b~~I, ~ "ffll!,\1f rlE~ ' ' , - ~, ~. -.' . .., '" " , -, " ~ ~N.'lIr.¡<._!~...r~I'\'" , ,-",- . U/ '\ oX'220 ".,' ,Mrdyo Gr~ ~ 93421 '(80S) 4.9102552 FAX'(805) 481-0412' .. ·r " : Tomrily Ttilledge ,^ ! :' Projeçt Coordinator i I?siimator L -_' '"_~_ _' , - - P.O, IWx 24294 , Ventura, CA 93002 :, " (805)641-9316 FAX 805) 641-1423" , ' ,: '. P.O. ~x4493 'Santa Barba~a, CA 9314(}:4493, . , (8()5) 962-5716 ".. - . ., - .... " Groundwater Technology, Inc. 4101Al~en Street;Suite B-1, Bakersfield, CA93308 Tel: (805) 589-8601 Fax: (80\ )8605 Jonathan D.Parker Registered Geologist #4728 Project Manager I ::JO~ GROUNDWATER ODD TECHNOLOGY -_. -- ----~~ -"- - -- . GOLDEN ST A .\/IET ALS, INC. P. 0, Box 70158 . 2000.E. Brundage lane Bakersfield, California 93387 Phone (805) 327-3~9 . Fax (805) 327-5749 Scrap Metals, Processing & Recycling lio ,10520 DISPOSA['FORM Date ,19 Contractor's License No. Contractor's Phone No. D¡ ADDRESS: ADDRES.S: , JOB SITE: DESTlNA 110N: G. S. M. . 2000 E. BRUNDAGE LANE . BAKERSFIELD, CA 93387 HAULER: LICENSE NO: TANKS RECEIVED QTY GALLONS SERIAL NO. NET TONS ,TOT At DISPOSAL FEE 250 .14 ::::::~~::()))if::~:~~)~:::::::::~::::::::::::::~:::::::Ii::~::II::::::::::::::::~::::::::::::::~:::))))~:~:~::~)):~~::::~:::::::::::::::::::::]~1::::::~:::~::::::::::::::::: 550 .24 ....... ...... .. .. .. .... ....... :::t{:::::::(:))i(ii(:m:{{::{t:::M~iØb:1.Ûi:)i\:::~:~:)~::(((((((rt:t:::::::tt:l~~r "..,...., 1000 - 6 ft .61 ::\:::::,::::,:::,::::~'(:::::.::,:::::t::::,::::~:::~:::::::H~W'::~::::::::C,:', ',':":"'" ': " : , ,',:::::::::Jît:,: , " 2000 ,97 ::::::::~):~):~~::~)~:~~):~:(:~::::~:::::::::::::~::~:~:i@:::::::::::::::::::::~:::::::::::::::::~:~(:" .,::::4;14: ..,.. 3000 1.32 ::ti)::=t\t\}:::}::::::::::::::::::::::::::::::::.:::::.j::::::::::::t:::::::::::.::\""""",,;::;.:::::::))n;M:)))':: 5000 2.42 ::::::=:/~:r:::::::'rr:~~~~:~:::::::::::::::·::::::·~@:@§j.W:::::·~:::::~::::::::::::::::::::::::::.::::}:({{::::{\:::::::::::::::::::::::::'~;M::::::')::: 7500 3,28 :::::::::::~~::(H(\:t~::(.~.:::::~:~::~:::~:~:~:::::::::::::WAA:::::::~:::::::::n:::::~::::::::::::~::\):~::r:~:::::t{::::t::.::::::~:?m~;M::\::: 9000 3,82 ::~::::::t~:::/::@S:::::~:::~:~:::::::::::::::::::::::.::::,,~~::::::::::~:::::::~:::::::::::::: ..,.,. "::::::)~~;33): 12000 4.93 ~~:::~P\?:)))mt::::/::::::?:!iiiifi?::)':::::·:p·::~~:F:..::::::(:::;:::;< TAN SPECTION CLEAN & DRY (ACCEPT), OR o RESIDUALS PRESENT (REJECT) '_ ß LEL READING ðD" OXYGEN CONTENT SCRAP VALUE OTHER ~ - ---~ ,. í , " : ',' TOTAL CHARGES: $' TOTAL , ' All fees incurred are per load unless specified. Terms are net 30 days from receipt of tank. Contractor's signature represents acceptance oHerms for payment, and confirms that tank removal complies with State laws. CONTRACTOR'S SIGNATURE CERTIFICATE OF TANK DISPOSAL / DESTRUCTION TIFV THE RECEIPT A D ACCEPTANCE OF THE TANK(S) AS SPECIFIED ABOVE. ALL MATERIAL SPECIFIED WILL BE COMPLETELY RECVC -, G PURPOSES ONL V. 81D~ t-' DATE .. ,-,~ "-,. ~-..-_._.~---_._-~-- --_...._-~ -...----.- ~-- ~ .-. - . -. ~--'~"---- -'--"-"~~~~--'------'- ~ "'---"'-"-'---","""-"'-- -- --'-.--~----.-......_--._. Stat,,~f eomomia-Heolth and Wenare AQency ;:L rOOn AwO\l'8d OMB No 2050-0039 (Expires 9-30-91) .... '~'p<",rortype, FormOOsignedforuseonelffe(12--pit' II ~ \() " N \() CD Ò ~ -' -' « _~G X>~ ~ TI5 E :'\J :J R :'\J () ~ -~O -I~ R Jì~ ~ d. CD CD ~ N <;¡ Ò ~ c: UJ I- Z UJ o UJ en Z o a. en UJ c: -' « z o ¡:: « z w I I- -' -' « ü ...; -' 0: en T o R >- A ü N z S ø P c: 0 W R ~ T u.. E o R W V'J « F ü ~ A C I l I T y DHS 8022A (12190) EPA 8700-22 See Instructions on bock of page 6. Deportmenf of Health Servic· Toxic Substances Control Progrcr- Socromento. Califorrw' Information in the shaded areas is not I9QUÎ19d by FedeIoIIow. UNIFORM HAZARDOUS nerator's US EPA 10 No, WASTE MANIFEST CIAIL 101010101 3. Generato(s Nome and MaiIiw Address Arc,C1 p....oJ...v<-;:~'~ c...o .¥\P"~Y PO ßo~ 6411 ' A r 1-e.'5 ¡A 4. Generatofs Phone (BoS') ').. c¡" - 0 1.' í 5, Transporter 1 Company Nome S (.~cl { 0 ',TQOl $~~V':""~ 7, Transporter 2 Company Nome C-II '/0702.. -6<111 C A-r I 0c.h,.. SOl'\. 6, US EPA 10 Number ~<-; CI ^, 0 I I I 8. US EPA 10 Number 9, ~nated Fac~ Narpe and Site ~ (;,., b':.c..t'\ e~VI r-ol'lM.~ t".... c.. 0 W'- "'" ~ V'<.\ '" t t:)... \ II" '( 14K(O~\ d~ C 11 llJOb I , , I 1 10, US EPA 10 Number C.IA,~, lð,O,ðlgI311 , 1, US ooT ~tion (oncluding Proper Shipping Nome, Hazard Closs, and 10 Number) 0. Nor'! RCR..A HA2-A rJ.t;VJ w,,~ 1<. Li ..,I1'l b, 010,1 .=--- ~---.-- -. ---'"- - - - ~ - --------':'""".- c, 15, Speciof HondI'rng Instructions and Additional Information G-Io>,,<.j , ~~3')'-t j. ( fl..c.spi,,..J....- , I II I 16, GENERATOR'S CERTIFICATION: I hereby declare that the conlents of this consignment ore fully and accurately described above by proper shipping nome and are clossKied. pocked, morIced. and labeled, cnd ore in 01 respect. In proper condition for transport by highway occolding to applicable intemationof and national government regulations. It I om 0 large Quon1ity generdior. I certify that I hCllle 0 program in place to reduce the volume and toxic:ity of waste generated to the degree' hole determineod to be economicol!y procticable and that I hove selected the PlOCticoble method of t",atmenf. storage. or disposal currently available to me which minimizes the pmsent and future ttveat to human health and the ,&nvironment; OR. I I om 0 small Quantity generator.' hove mode 0 good faith effort to minimize my waste generation and select the best waste management melhod that is CM)iIobIe to me and that I con offord. Pnnted/Typed Nome 1'-"' ~~~ 913 b-· ~ 1 <¡ç I CI </ I Y80l Jl?FF l-/¡tJLL Month Day Year 10 I <II 7 ,3 SignatU'e Month Day Year '9, Discrepancy hdicotion Spoœ 20, Facility ONner or Operator CertifICation of receipt of hazardous materials covered by this manifest except as noted in nem 19, Printed/Typed Nome Signature Month Day Year DO NOT White: To: TSDF SENDS lHlS Copy TO DHS WITHIN 30 DA VS. P.O. Box 3CXXJ.Socramento,CA 95812 INSI'ECTION RECOeD ß~4 ~-?ol~ CIT'Y BUILDING DEPARTMENT BAKERSFIELD, CALIFORNIA 8D-641207 ~ POST In a Consp¡icuous Place at the Job Site for Duration of Work. DO NOT remove Ithis Card until Final Building Inspection has Been Signed. DO NOT cover up any work until inspected and signed by Inspector Phone 326-3728 3?ZD , I INSPECTION I , Inspector & Date INSPECTION Inspector & Date STRUCTURAL PLUMBING RECEIVED ... , ~~ '"..- I _ I (j)vJ VCLí. ~ ~ -{¡Me ~ ¡..J.) ~ 8 , I 'ì I ~3 MECHANICAL , I tIt, l' ¿~/Io.)ì · /JI .,. <::'1"1::7,; ALL IMPROVEMENTS SHALL BE INSTALLED, COMPLETED AND ACCEPTED BY THE PUBLIC WORKS DEPARTMENT PRIOR TO OCCUPANCY OF ANY STRUCTURE. ELECTRICAL /, I I I I I , Olb,- I Tract Block Lot . ::t::c~IluJA·~~t"kooP . ;, FINAL PLUMBING 1/ Building Address FINAL MECHANICAL FINAL ELECTRIC Bldg. Permit No. ' , ,.... (1::E1eCI. Permit NO.tj5--0Mlt Plumb. Permit No. Mech. Permit No. . . , KERN BUSINESS FORMS M....G.-7r.: '·'"1 BAKER~ELD CITY FIRE DEPARTI\IMaIT HAZAJIf)OUS MATERIALS DIVISI"" INSPECTION RECORD POST CARD AT JOBSITE FACILITY ARCO #5365 ADDRESS 4010 WI BLE RD. CITY. ZIP A 836-9685 OWNER ARCO PR~DUCTS CO. ADDRESS 17315 STUDEBAKER RD. CITY, ZIP CERRITOS CA 90701 PERMIT # 310 404-5350 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 Nith number 1. ~ cover work for any numbered group until all items in that group are signed off by the Permitting Authority. Following these instructions will :educe the number of required inspection visits and therefore prevent assessment of additional fees. :! IN~PECTION I ~ Backfill of Tank(s) I V Spark Test Certification or Manufactures Method Cathodic Protection of Tank(s) Ij I ~ Piping & Raceway w/Collection Sump V Corrosion Protection of Piping. Joints. Fill Pipe Electrical Isolation of Piping From Tank(s) Cathodic Protection System-Piping TANKS AND BACKFILL DATE-- INSPECTOR PIPING SYSTEM Uner Installation - Tank(s) SECONDARY CONTAINMENT, OVERFILL PROTECTION, LEAK DETECTION Uner Installation - Piping Vault With Product Compatible Sealer Level Gauges or Sensors. Float Vent Valves I V' Product Compatible Fill Box(es) V Product Une leak Detector(s) tI' Leak Detector(s) for Annular Space-D,W, Tank(s) V Monitoring Well(s)/Sump(s) - H20 Test Leak Detection Device(s) for Vadose/Groundwater IV Ý Ý Monitoring Wells. Caps & Locks Fill Box Lock Monitoring Requirements CONTRACTOR FINAL PHONE (I CONTACT UCENSE (I SENT BY: 3- 2-S3 '. 11:22 AReo RETAIL SALES~B&T SERVo STATIO~ CO;* 2/ 2 . , AtlanticRiçhfieldCompany Bill of Sale , ' Know all men by these presents, that Atlantic Richfield Company, A Delaware Corporation, having offices at 17315 Studebaker Road. Ct:rritus, California 90:?!)1 (hereinafter), for and in consideraLion of the SUIII uf ·One dollar which has þeen waived U1 .001 Dollars. to it in hand paid by B&T CONTRACTORS of 1141-D EI Camino Real. ArrovQ.,Grande. CA 93420. hereinafter referred to as "Buyer"), the receipt whereof is hereby acknowledged, docs hereby bargain, assign and sell unto Buyer, all right, title and interest of Seller in and to the following property: -Underground Storage Tanks (3) 10,000 Gallon Single Wall Steel ·Provide Arco with the serial number & size of each tank. ____-BIJ_YJ!CAcKQQYl.Ledges_Cautio/u:!rint,edJ>elow,~ '-h____ _~-~-'_~, __~, _ _ _ _ _____, _~ _,________~ __ -Buyer will properly arid legally dispose of tanks and prior to final rotention payment supply seller with 8 rineate certificate and disposal manifest. -Buyer shall indemnify and hold seller harmless from any and ali liability, claims or damages which may ari3c 03 a re31.lIt of buyor!) u~o or dicpoc;:J1 of tho <lbovo property. said proporty being located at .use 4010 Wible Rd.. Bokcr3ficid, CA 93309, Facility # 05365 Seller warrants that it has good title to he equipment listed above. Seller makes no other warranty of any kind vvllalc;vl:l, !;AIJI t:::>[, or impiied; till implied worrontic:I of merchentðbility or fítneM for Ii particular purpose ore hereby disclaimed. Seller sells the property herein described on an ~a5 is, Wher8 is· basis. If any tank or container is conveyed by this Bill of Sale, Buyer agrees and warrants that it shall either use said equipment SOlely Tor storage of petroleum products or pruperly di:>µu:>~ ur sut.:11 e4uipm~!il ä:> scräµ. Buyer hereby aCknowledges thElt Seller has relied on such warranty in executing this Bill of Sale. Buyer assumes all risk and expense of removal of said property from its location or dismantling or modification thereof. Buyer assumes full responsibility for said equipment and hereby agrees to indemnify and hold harmless Seller from any and all damage or 10$$. to person or propeny, directly or indirectiy caused by s8id equipment or the use, condition; position, dismantling or movemem thereof. In witnes:; wh~rt(¡r. SeHer has caused this Bill CJf Sale to be executed this ~d8Y of 5f1>tember 1993, Witnessed or attested by: Atlantic Richfield Company 'IHOMAS TUUEI:x:;E PRESIDENT Caution If any tank or container 1$ convoyeø ~y thts 1:$111 at Sfliø: It m;¡V ~Vg cont~inc,d lead~d (Js!Jolinl? ~n.:I it "1,,,.,ld lInt hn. tJ:.~rl for $:tnrina wlltp.r (if othp.r lilllliti~ or foodstuff prnrlur.ts, or for s1orha. praparina or pI'()C6S$inÚ ;lny pmcur:t" who"" ultimate u¡;& n,ighl Invoice ir.tcmal consumDtion by or external apçlication tQ humans or animals It may contain gases or products tr,at are toxic to humans end animal!) It may contain flammeble gsaas. 1L should not be enter&d ar nave allY heat or flame applied to it until it hils been entirely lraad at tOyjc and lIammabla gases and materials. Kéê) flamas. fire, hellt. enti ~r"rks IiBfslv away. ~ f~>.:.,~·~· .. "~ . ~,,'. {I',wi-¡( O":(,~AI'''''('WH'''.. "',: :. :~O£P¡"iTMi"T '01" fOOD,'i\NÓ,AGIUCtlLTUHE" ___ ;;DLVISION OF MEASUREMEN"l'ST~J;)ARDS ~PtACEDJH SERVlCE';':REPORJ::: c- rEM~. '" ( _751 ',,:-?::'(;7q: "1 /1->~~ -' ·~:-/t~<~: . . -{ . ',h' . 'X' ,"'~ ; , , , . ./} , . . ,',--. . " ~=~~~:(~;OC~;;:;~;:~N~:;i?··:.·"'--.-"'_, ; IIUV." Tn ,,^i.v.!'/NlmVIc,'v, c.~c·~. Mn' , ' ..'''.' ~:,..,: DATE _I. HRIoI~,RECISTRATlO~ ::C. '/-S'/9'.3 -- , Óo/tPG ,,- NAME-OF SALESlSE,RVICE COMPANY /P., ,:' '. "ß - -),(1' ADDR~ - ,,' / "~...¡ ':ß5-r~~j/iÈ 57?t1/ðN'~~. >r¿Æ, ~~l(~( ~ý"G~dé:~' ~2ð &l~UST~·~ÿd(¡;.,0/~Ø>4¿hÌ/,~*~.· ~U'. .... .., ' . '~. ':' '.. "'\ _ ,,,->....,, ".' . . '" "WEIG1UNG O~ MEASURINd\'EVICES' PLACED IN SE~VICFf ~R R8!f~::"'>:':,~:i . ":- ......... ''!:..-.'- ~ .' ....;~ --:-..", -' .-' "/:.. ,-' (,P . -. ,.-¥ø df,-? '=It- 1 .1tt rl'1' -:#1 , " , " MODEL SERIAL " , NUMBER';'" ,_~~ l?ú... . /P"7<f> '1"7 lð,,'7~Y _ lð7l>71J . " - '·;"TYPE OF 'DEVICE" / è~ACITY '" ,,_ _ '.~4¡~; RED TAG , ,NUMBER <TF ,APPLICAnLE), -NUMBER :o.F DEVICES ¡'-,., '.'..': BRAÑÓ NAME .' - ('ð' (~- , , , , , 'Z-..~'~ -. ~:-- - ':~-- , ' ,~ .' '"'"I;T- -' ......... ", ~ . ¡,. ".. ~ ~ {} -(p ,~5 ~ -G' ),. ., ." \, ,'I " ' ~ 6 , , " ~"- REMA.RKS: .' '" I I '., ,- ' . , , ,- )GHRt6INAL' "... " .. . .. " ,0.. , REO TACiS E."ICLOSI!:O IF APJ"LtCABL£ , , ..' O'1ES >.; Œ]- KO ' (ÌF '~O' '1!:X~¿AlN ri! REMA;~s1 : P¡¡;:;~ 0:ø;¡;;;;'oy'r'~ (' 51 DAT& 0' WORK COMPLETED cr~/7- 93";'< "" I?ATE :rHIS REPOR:r WAS~~f.£~ , ",' -/1':- 3 :.]~,~¥:~~".:~ ' . . ~ ~.' ~ :,·,',:',:,'",',i,'.':":';,',~~'.-. .,;"', ,:,'~:;'..;.',::-_',,",,;,' :...~:,;;,:',;,;,"".' ~~.:.:~¿~·_~':~<~~~<k!;· .:- - --.-. _. . " :",.' ,:~..:'~:;c._~~~~~~ii~···a:~;" " .. ~ ~. ! ..~.'"ii~._ .0.: H:'1~¡W ~ . ".!;...... ~';" ,¿','''' ~ /7' _ ~f'5 W~ eD. ~ANIEL B. WILKINSON . . 1 ATTORNEY AT LAW 1217 Saratoga Avenue, Ventura, CA 93003 (805)650-3622 Fax(805)650-3623 July 15, 1993 Ó '-r~ Bakersfield Fire Dept. 2130 "8" St. Bakersfield, CA 93301 ATTN: RALPH HUEY Dear Mr. Huey: Enclosed please find applications for ARCO Fac #3090, 6115 and 5365. Each application includes: 1. One full set of drawings; 2. Two additional plot plans; 3. three 8~xll removal drawings; 4. applications; 5. State A&B forms, and; 6. Fees. As we discussed, you will retain the full set of drawings. I will receive back at least one stamped plot plan for the permit set. I will attach the same standards to the plot plan I receive back from you that you retained for your file. This will save submittal of the extra set of standards which will be returned to me anyway. In addition, we previously discussed the effect of discovering contamination during construction and the effect said discovery will have on the sites where the tanks are going back in the same hole. It is my understanding from our conversation that if contamination is discovered, setting the new tanks will not be delayed, but that ARCO must understand they will still be responsible for any required remediation. It is important to ARCa that construction at the affected facility is not delayed due to discovered contamination and you indicated that it would not be. If my understanding is in error, please advise me accordingly. If you need additional information, please contact me at (805)650- 3622. I may also be contacted at the above number when the plans are approved. Your assistance is greatly appreciated. Sincerely, , ~~~ Dan Wilkinson Attorney at Law - .---"'-·--DBW/dw cc:file /' :;;:-~ ~~~/ - ~ER~~IELD FIRE DE~ARTMENT4IÞ HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 TANK REMOVAL INSPECTION FORM FACILITY A R co ' ADDRESS 4ð / CJ WI h¿e f( J, OWNER ~ ' 'PERMIT TO OPERATE=#: CONTRACTOR (34 - .~, (f..;,¿;f, (1õI'(7üIf~)cONTACT PERSON DaN W; J k INSO IV ' LABORATORY =#: OF s' PLE~0)0/ 1m' -TeÞ/- TEST METHODOLOGY PRELIMANARY ASSESSMENT CO. r; IT CONTACT PERSON :Jõ4 Iv' -r&.R !;jR.' CO2 RECIEPT ' LEL% ~ ,[) ¡ % O2% ø '_ , D ~ %" PLOT PLAN ,,\, v:) 0 ~:~, I ~. CONDITION OF. TANKS ~' ~ ~ .,.,ç -+Av\V ,"" ~rf.\ t1~d') v\.QA-\l.. ) ~ \ ,j ..- Lu~è +r fA,).Açll~:S ? /? . ßo""" ~""4¡'" 0 "- 1o, ~ of; ,¡; \ '{ ...,J CONDITION OF PIPING oK CONDITION OF SOIL ,q~ }c.,; Lf- ,COMMENTS l~~G. _ -,)~~C>-+~/Á- ~::;j ~A<. 1('\("2- Julv 30, 1993 DATE Ralph E. Huev INSPECTORS NAME · Bakersfield~Fire Det ' ,'. HAZARDOUS MATERIALS 01 ~,ION ;' .' , UNOERGROUNO STORAGE TANK PROGRAM "')¡J t':ìj; " ' , PERMìfN~. {[)SO "," , >~è:;'f<;'lr::" t~;~L' .;~...!'~~.;~:.~ .t.'-A....~::'·, t~· n:);··.:. .- .... ~4f p~/~þ PHONE No. LICENSE No. CITY ZIP CODE WORKMENS COMP No. N $~ONE NOçr~~~C<mE No. '/ CITY I ~II ZIP CODE ?-?~ WORKMENS OMP No. ~ TANK CLEANING INFORMATION COMPANY ADDRESS WASTE TRANSPORTER IDENTIFICA nON NUMBER, NAME OF RINSTATE DISPOSAL FACILITY ADDRESS FACILITY INDENTIFICATION NUMBER rJ¿TANK TRANSPORTER INFORMATION COMPANY PHONE No. ADDRESS CITY TANK DESTINATION ;J' '~ . ~( ""~L":'t 14-1../'" ,..,.. Þ 41~ , ;J. r.Þ. "1"/'1 ~, TANK INFORMATION CITY PHONE No. ZIP CODE CITY ZIP CODE LICENSE No. ZIP CODE TANK No. AGE VOLUME CHEMICAL DATES CHEMICAL , 7 tQ,··'C G S}.ORED STOR~ PREVIOUSLY STORED ~~/¥ tt-Pl"f'I JI'J-~'. <2. " "I ~I II ' . . , ~ ' ' , If I( If' THE APPLICANT HAS RECEIVED. UNDERSTANDS. AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER ST ATE. LOCAL AND FEDERAL REGULATIONS. 4?HAS'EENCOMPlmDUNDERPENA;~;,;;;:STŒ9::3===-- PPlICANT NAME (PRINT) APPLICANT SIGNATURE THIS APPLlCATIOJtBEC.OMES A PERMIT WHEN, APPROVED.. .,' .'., i-MAKE ,ê~HECKS PAYABLE TO THE IICITY-ÓFBAK.ERSFIELDII . I . . < - ........... '.. . _ . .. . .... t-; . ~j {i' .' ----;;-;------ - ~ ARCO Products compan. ,. Environmental Health & Safety 17315 Studebaker Road Cerritos, California 90701-1488 Telephone 310 404 5300 Mailing Address: Box 6038 Artesia, California 90702-6038 May 27, 1993 City of Bakersfield Fire Department 2130 G Street Bakersfield, CA 93301 Dear SirIMadam: TANK TEST RESULTS {}Wl fff1 ARCO FACILITY #5365 4010 Wible Road, Bakersfield, CA 93309 RE: l-ir- RECEIVED ¡JUN 2 1993, HAZ. MAT. DIV. CERTIFIED MAIL P 056 871 952 Enclosed is the documentation to notify you that the tanks at the above ARca facility passed the tank integrity system test, as noted in the attached test results for the underground storage tank system. ARca is committed to the compliance of all environmental laws that govern the safe operation of underground storage tanks. Feel free to call me at (310)407-2610, Sincerely, ARca Products Company A Division of Atlantic Richfield Company UJI/,~ c. A. Holman Environmental Compliance Engineer CAH:dds Encl(s): cc: ARCa Dealer File AReo Products Company is a Division of AtJanticRichfieldCompany ~~ ~~ APPC-7116 (6-92) ~ ~I' , , . ' Q " ' ':f!;; \ ': ..... . . ·f lit U ' : IH ¡Ç:~ . 1=2 '8 ... '¡' ,., :¡ J ~~ ~ Ii 15 ~ m .,: 'I 'i!!:2 ¡¡; 5 ! ,; ,:; tI;1 t5 - ~ 3õ 6 11 ~ ª ~ i! 11- ~ ~ ¡¡;¡ fa cc a, ,'I' ~ !! ¡ ! 53 @ ~ t I :í I!I ID -' fã I ...15 :i ~ ~~" '111.. ~ I i. i~1 ii ~ ;1 ¡~ U n ~~U ~¡¡~ ~,r;; ~¡¡ I ¡ \; " '~.,.: ... «I ..,. ..,¡, '. d ,'."n r-:.. 'oØ. :. ,(II ',.: .$õ!~," : :::.. . $:!!..;,;.,~",I.'. : . '0- ,....(. _....:;. ,_ ..i..._._."...._. -,.--...'t...... ..........~ I.~, ...:.:~~~ 1".:'..._, .'.::..::1.::....: '::-_". ,., r....,. , ~;.. ~ . ' "j''':':;' ..:.:;;" ::£;2:.",..',.. ':,.. " .': . ,':>~.._~..._.. ,_....:;..,._~;.:-.;:..,;,;...:.-:.....:.o.."¡.. - 'on ":. -' .,. ',', . '., ... ,.~~'¡:'.:; ~ ' '" ¡lr~~- ¡' ..----,. '-:'2f;{)\iLW\hE..~ ..~...._-~-~ ;~,I ~e:L-t\........:..(Jt-.:--~~._;.: ':..~5,.2-+~~~.~.·t.:. ,..,.·.....:;."',¡,·':·:_oI_..;Q:...,,_, '_'''''...._,ÞI ." AI' '..,......., ,.0""'1.." ,I" .~: ;;',·~~:::;:::~¡~1t5.,TÅÑKTÒ'ÏIST:~:;.r;~'7:~'.'::'~: ,.,.':. 15a,~ eF'DIAGR~ FTANKFIE ~ "'16.cm.CITY:·~: I;':,:' ...':~1.:<:;, i;~ """" . :~.,.::',:, ¡:'~ ¡~';.~\::.":L··' -. ,~:,~':-\cf-3 :., '.;.:;....<,' ,:" ,i~~W"·,..,:~rfl¡;#' :..~. "\, i :~~~~..:·,'·:::'\tl~ ''-: .::.~: '~::':::"""'CIII>I' ';..; ~~. "." ,J,., '.., '",...,,~_.... ,..-:: O· 0 :,~.I"-',\fg ..:.:--....."'..', ¡.',~".; .,.. 'Oe..,..,...,....""'e"" "..~ ",'" ..,....- .. 'f "I\_.;..,.:.^ "':';' , 0 ,') : '~', . '.',' , UN~ , ,.: 'c:::;::).~, ~':, .. .,..."......,. '" ,.., 'i:<'I~I''': ....--.._,...,_ '. :." .' ".. . .,.'.... ...", . 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'4-3 ..11.........._.... ....- "..: + I _ .......III!"&O..................,.................... ~ it ,lit,,," .,1."" III... ..... ".. III hI~ . t-IJ. 565 002 oj ) rl . If' a I i J I o¡.¡ .-4 1'tUI 00_ ... ~..·Iot . t '. .....".,l1li".. . '\0. ~'c ~ . , 'Wt",_ . ,.. , ~ . ·.:t·~· ·f "þ'.- , ' '. .' tDC)' ..,....0._' 10','::1,'10 ... 21.,VAPORA.ECOVEIIYSVSTEM 0...... 0"'"11, ~b. COEFFICIENT OF EXPANSION ' ..RECIPROCAL METHOD '~: i' . ~~ iii'""", "UIIUUU".'UUUunu~."""'"f I AI i: ..,.,..,...., ~ ,,;~~..:~tI';'''''H,,''UU'~''~I--'''--'-k: ,........... ,...' ' ¡d-. ~ . AfterCCINItVIt........'u.t................."....,...._,. ... . .,(~ ,~~, : t......,...".~'" .............................,... _ .' I , 'Td.. ' CU_foJot..M·.......·..........................M -'~:I ~.S<'., "H , ~, ~ Oh:-~_,L~.................;.~.-=...... . .: ; "'\1 Iloo.....1 ,...,~, ' ',_..1_"__' .. - ~...... 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' r¡:;-':7"":'..I_- . ,....1 (e) , N.I~ "..... .,.... till .,. &Mil ,.,.., , .lXIJ ''OJ'' ~'\ \10"- , '".... ....... t-,' :. "'".. .... ":. .001\ " " ,t ':110" ØS/26/93 17:32 . . NJ. 565 003 .., ..--... -:" . t..,.,.... 1Ii.,.1o..11,"'__.1 _ -- .J, If'IM\t:'IIlil' JI. J~. 3B.1I\1 YOLUY 39. 'I1m./II ,OLLI'/I UII4\111,..CNIIIYI UwtllAlu", CO..I'I.&.\IIIIII CIWIOIiIG ACCIIYIliII. Ice Of nu rAoe.GUIIU CIIklhIIL Mœn!I'OIll'~, use fAC'''' 1'1 1~IIAOo1rI CIWtIIt 28. 'AIcaI' .,.... .1I'1ioO "' ' 29. '1'_"",,' ~2. "_10.' :13,r."I<I, 35. 3&. 37. ..."'..... . 11411' ... '....iIO ,,/I Nil 1111 IItIldlotl in....., ,....... A..lKtI- Clot... C.........., A4vt,..... _....1I1iOt I M"'~ ... "0_ lI'". 1."".1 '....... fQ'CII' . , hIIooo NIowI At I.. 1...1,.,..... " -,¡¡¡¡- PRODUOT \Ze~, u~iElt.OEoÎ\ II ""'" -. All" "'- ...... L.... , I......· 1"''''''''1'''' ,-,,,,It... 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", \SOU; S'rAR~ LOW LEVEL 'rES'l' f,"'" 5'10 " \S'!O 1ST" L'OW'~ .LEVEL'··UADING 1 12 12' ','1450', .,. 03'S' 5~ /., t-r';; +.o~ -~<6 \'5'3'S CON~tD LOW LEVEL R!ADING 2 12 . ' ,('tD ~o&) (",nl ....S +031" -I;)Nft -t;:)\~ \ ':) tto ' " .. .. , 12' " .2'''' -I-h¥Õ l;ol.Þ 45, .¡.o~ ~. O!'JI ~.;\s ,',' .. ..' \5~ .. ", L¡. 'la '. .255 <t oWJ fJ/'Z- I't, +t)'l-3 -~ ' , --c.I& . ' 11~~ .. " 5 2.'\5 ...1110 IJ/~ ~ -:oo~ .. '12 1-(, -c:¡'2. I' \'5 'SS II .. 6 1#2.3 ~5 ~~ - Tf¿7 12 325 . ¡.ðro ~.~t.,: IVe " . ., .õ'5ð f,-¿7 ..4- -t'02.e 12 t.02S -~b~ -C)~ ltð~ II " 8 12 .MD lP3'L ~~ ';" olf!:.t.. ; ~,/7.30 -Ml~ '7'cO~ \Ii) .... .., II 9 12 ,un,' .. otò ~5' ~3 . .fOU '7'òo \ ~~7 HI)~ II, .~. '-; : ... .' " , ... .. 10 12', ", 4t.o t o~ lA39 J.~ ""'22" "'õbt>~ : -< - 0'\6 ' " " 11.Þ II ,- '.' II .' 11 . 12, .. , .4$5 +..Ó~ '~~ ~f: tò~ -ti/J¡ -.o~~ ' ... " ''r,o'" ..... " \W-S . .'..1,· '.l~ ,,". " " It 12 ':12.' .':~'/ .:: ~~. t ^-~^ " lA-I.. ~3 ; "02.1 ~-, ,:...o~ ,', " . ' ,..' , ¡ I "/ i ! " ¡ ¡; ,', ',''\ .',:.' j. ,:j.:,. ; , .1,:. .;. ,,!,' ,lJ~'''''' ..._~,:.:.,.,..'"'''-;~ ..... .' ..., '~'. \ \ln~ "'i,~,~::: ,,~¡, ~'I·t~~~~ l ~ ... \~c:o " \~~ " nCõ " - no:; " tìlQ It nl'} 1l'Z:í.) " 1i'Z.S " ' ,..... .... ... ~~- . .t~· II " . , "1"'---" .¡- STOP TEST " T004- ~o\ I' " fO/;'" 100 (p +0"2.2.. : ' tt ~ ". Dlo 1-3 "'0 '2.J -:-0\)\ " C:12..\ .. .. 0215 "".3 -+021 too~ +O~ j ,; (+. ÐZS : 2:0 (fp/3 OPH I f' '. , I ','.. :', 'I , f .' I' .. ' ".~ . " '. - -----.- -- ~-- ----- ~ -- ...-..........-- -,.....- --- ",---.-- - --- .- -----. - .;;:-, -~---.; -}~- ; ,.~ ,~". . , \. Ntl VOI.M, C~lng..1 Slgnl'ut. 01 Till.,: 0...; ~81.lam.nt: ' Tlnk and p,o~~ct ...."dInD "v.ta... ftl, bon IlIlod IIDhl aeaordlng 101M. P"'Mk¡,ft To.1 Orlta,11 .1 "11~I"d ~y 'lgUIIIOf)' loaney. ThIIII"Olln'"ndlø 10 Inollao'" øll/llIJla. )GPH o'al", k. OR C TonIC 11\4 .'O.UO' haOdlno t,.,.... ~III,lIad Ihll"'~ 11~h\MII 101lICC.'dl"Q 10 IftI PllclllOD Tltl CIII'rI~ II ..II.llIhtd 111 ,0gul,10'y.gJt/\cy. OR o Toi'I~.~IICI ClII'IO .owIroIImIlII,1 or rtlHlllnlQJIIIO!o,nlyond COIIIt,OI 01 U1a IUllng ac¡uiØall\~ " II '" Ihl ,"poAllbllll1 ., ,lie own., '~dlgr ...."'IOf 01 thll -VOII... 'allllmldl..0110ø.tu 11111 _1Iá ¡..lloulhollllo, of ".y ''''plod hl,"rololWllh, po,"'MIlIy olO.y .oporllblt "l1\liI0Il10 Ifto l,"",on...~1 " I ,ltUg 01 ..... IIU:llcotlð 'tnur. ., "". "VOlolL Tho n'lt~~I"""...ol L~I.I.I""lhad 4.._ noll..uml tny ..Ipontlbllly 01 '''!IIlIIy lar ..., IOU 01 ptOdltClIO 1111 elWltOftmt"" " ~ T';'k o.,'".../Op..I'Df A~ P·T Tonk Teal Dota Chari Addfllonal tnf 0 0"0 5·~·tß --., .----.-. ....- 'I .t .-___..___.::..i_ . ¡. .' - eI) cu ~ I- eI) ~ CI) Q,) c ¡¡, ... .c en IZJ .- t- ~ is ¡::¡ Q,) - eI) :=-. ~ .:.:: c ~ t- "" Q -.- ... "'" ca .c Co) ca - ca -= 1\ Ø5/26/93 . 17:33 I I - .. R {I . ~ ;! J I j " . I t r '. J... I ~- " . I I .,~- ! , i a'" 5 " ~" I. . .... . ", i '-, i& ~ .. " J I ¡ I t ! .. ./ .' " J ~ ¡ f ,.... l I I ¡ ~ 5 ~ 00 ~ I f u: ~ - ::: f g . ~~! ,~ mi ~ Dc ~__" ~~ - 1m ~ .'.,f' '101 ~ = æ W .. ~ ~~".~.~~~ .~ cz: e <: ~ '7, ". ,J . 1'-'''.'' ~( I I ¡t~ ! I ! I--¡- ! .; , j I ~ .J \ 14. ~-' Nt_"--"._,,_ 15. TÀNK TO nST ':k8 -111'.,_- S~~~ I'.... Or'" 17. fIlL·UP FOR m1 IIkt w..., IoIIOIR ...... """", A- to.' .. 'Q 0..... 18. SPECIAL CONOITIONS AND PROCEOURES TO teST THIS TANK Iff .......'M_'~............ ...._, ".._. "'IO 11'_ VI. nII.WaIlln ......bIt It..".....,. lor lit ...... .... ØOII'Ið.1IIt _ ..\.,..,.. ..._106...... ~I'.MI""'."'..: , II '''' _. ~ _:on ...~ Nt 0 ~- 4-. \~ðr.,L, t·~~ ___,--,...-_P.8.L, ~" ~\Q ~, J, .."....,2'...........1'... I. t""'~I.""",OII''' IIÑ .. ~".IIf.II"'''\ItI.. . DlIII" 01 OWl" r..l ~ d __II. NØ"., , rhO iQ I)".:) -r~"""" "', ,.... .....I.U... ... 10 .. """ 10. .., MIll "'011..'1. h....JØ.¡IOtIUv.PfNfUJ......LQ..et.,.,. ,,,,,,,1M ItMIt lI.umll Nit "fI1I11P''''.'' IfIt It.. ".."," iQI' .........laH we.., In IN 1.,.11 "".. la tl,':',A. _ S.OION 2-J.Z,4 _"" ..", "'.. ~ I.,,~ tftllWtu'''', "94'11"0 ",k¡,wabl. 1,.(1m ,~.IIN"""'." . f\IJ. 565 004 H . I I J Ii i § ~ .. &3 i t 5 ~ I [J t'j 1 . , 5 i 10 c;J " ! I . 24b. COEfFICIENT OF EXPANSION RECIPROCAL METHOD ~ 1'f"" Pl'1ifVd ....................."...,,, .......,... _ .................,... ........................,......,..--.k..-H ==~1~~...................,.................~., T_.......~It............,....................~., -,---- ---'- -~-t'3--< .. -............................................ COM"" ...,', "'.... ....,.........,.................. '5 'ó. ~ ., AoII;..... ~_ ,..,., 1il::.. 10, 3~o t4PR . fp, ~ 7ag~ "...-.. ....~ .........-.. a.a.....elf) ttlr.......·' ',t"'" lilt Un..... I Ii .,[ a' , . H H .] ! c¡ 11 Ai '~ ~ ~fil . !5~ ~i: ~! BiiJ ~-·~·~r· :.:'...~.. ~ z Jiª :s ~< 10')1-' ..¡¡¡0!3 ~ ~ ~ lOe: ~~ zG: ;:;>;r .,..,.......,.'- '.~ ~ .. . . . . '4{)\9 lùt~!.£ ~ _lit ....,., ......hl ' ~~p.~~ , Cilt" . 15a. BRIEF DIAGRAM 01= TANK FIELD ,. S~( !~' . t 5. CAPACITY _..~~ lO, eOO , .... . ., M6Ø I~'IM' ,..."., INri ...aDM'. C\LP III ...04II1'II'- OW......,~. LJ ......,......,_....L~I1.' o HItII...1« 11111..1.._ .......... 18. TANK MEASUREMENTS FOR TSTT ASSEMBLY \4-\ II. ao... 111 10, ........ WI'" III ....··....'..11.. ..... .11....'.... Af41O""'"T" ,...,""... ,...... ..... ....,~...'.. T....lwlllrlg.. ........._.".,Þ...... ....."...... 20. EX1ENSION HOSE SETTING 46 "MII", It ....' . "... .,.,.,...,... ...... ......... I,dend M.. 9ft .WlII" 11.1. ... ..._ + (¡, IIe\owttnlll..u........,.................,...'''..__ 1ft. " .... ,.,. ..I.flch .....~.... WI. Ieø.f IlL ·USE WITH THERMAL SENSOR PN5039 (Blue Box) 22. Tblmlll·S_ "HI.. I'. thcvttØOr1 13.\10\- .....' -- -, 11.1....,. 23, 0I0ft) PI'" 4ft ,."'. OI.~" ch..... 1 f\ðfoo.. "'., 24D, IF USING THERMAL SENSOR DTS'2000 OR OC-2000 WHICH READ 1000 DIGITS PER of TRANSfER 1000 TO LINE 26, DIGITS PER OF IN TEST RANGE. ~~. I~! ~\1:It- ".t.I.~0I."iI1 1ft . (bj t--.\.I~- CUlflÔ.,.. .. ....,,~ let r-t It C i= <C I u ~ J IAJ i y t a: . '1.1 ~ j I- U i= J ~ j i l- . tu 2 t j J ~ 8 0 i ..; ~ ... .. .. 3 II> 0 !:i :z !~ c::> = 5 I ë ... w h ~~ a: :2 I- ~~ . f5:S11! Ii; ~ ã §~!i I!:! ~e ì ~ .£1 ~ .. .-.. - - t.A- ..., ~.2.4.C\~ ae.1t,rfM' ~Oi~\Ù 0_ ..... ~"'CIIoII D t~.. '-1.......,... 0... o c.,,,,,,IJIOI-"'O 0011 o OWU~"'1Û1..1" o or"" ' ,.'110._'" ..,....,.., ...-.,111"... IO'~IO w_ ...... ,;0 ~ \O~ . .,'Þ:_ ....1. ~.: 1" ,."........ 1.1010._ 21. VAPOR RECOVERY SYSTEM 0_. 0...... p. Z~C. FOR TESTING WITH WATER N' h,l. C. ø W.I. ,."",...ttllf.""'C~11OrI TIioLt C II.,.TM''''.....~.u.. ......... ...'.......... __., c............".... N (~- , 1....0.......01".....1"."........................., .....T ..ed ~ffKt...' 0 'ft. tJ NIl T'Aft,',' cot to ....)Ib, . (c) t..!/Àr- ..,,,,,, '~Ch~"" I":,. toltlll ...--....,.........--... Ø5/26/93 17:34 . .' . 1'0. :65 005 27, k"'cw~'ÞrIII!X)_/~_ 30. H'OIW'AI!C 31 34, :\3, "II VQ\\lM1 39. "'IlIUM ' Y1II.UfoI¥ II!A$UQ[MIMISlII! '_"'\101 to"'Uü'j _MO At1;UIM...to toG Of' Irsf PNaDIIIIIS Wj'1IOl ~CÐIII 'I OO'G/ol, UII 'AçrOl\ '" I~ÇIIIIAIIIIG ~ 2ð .ttOtCCltW110l.eUial lIP 29, S\mjfilll.ml 32, rrllllu&'''' 33,"1ohd!1 35, 3a, 31. fl""".'" om' ..."" II\lrNttd ;t,...... -",."IH """', ~IIIU,,,, _...I't ..., _'" ...1 CUS, IUI' IIIIOIn ~iot ôI....tCI I NL k_ Le..... ""..1 IiIIN' (4tllll -.- "~~OIIU"'&:I"'_ -¡tkf'" ,I ..... Itftl. AfI" ,,-, ""',' L..., . 10........· 1",""111 N" ChMf. ,. - PMDUCT I ,t'J~ II.."., - """'I 1111_" "'m"...'.·, ".... IU r.e..'....M' _'....~I l..t,.."iI,lIal ll''', /X'I- 111111 'Ó"o ARRIVED AT .\SITE I REMOVED ! ROP 'lUBE APO~ RECQVE RY LIN S ,:BLEI ) JìEl\10 E. 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I ~l 'l - r-.o?_ 4 12 .\~~ 4-~ +~ \ O'LI "7 Otoll \~~() II " -+ 004- 5 12 .'Z.~ ~ 020 ~2..1 ~'2. ~ i;){'i.. tßo l,p 1"3~~ " " "Jot + - , 6 12, z.2.;¡ 4-,ð'.... ~; "'0'2.( ~oo(o - ~01.. I\~ n " ? lZ ~ ,'Z-ì ~~ ~QQI - oc:ð ~ ro..o ~o,-l 3~ " " 8 12 "1;,"2..'1 'tt9c/ 7,.C;;<; I 4. 01115 +2- +. 014- - ()þ~ \'iOO .. " 12 .2L£ ~~\ \.'.) \'T- --:-00 Ir 9 +'010 ~~ -'Q~ . j4t:F; " " 10 12 .2t.D ~3t- ....3 ~oiJ -ooL - ~~rz. + 0\"5 \4.10 .. .. 11 12 .~o ...·0'0 \';l., ,~ ":0 I+-- -:-004- . ....þJ/~ I4IS " If 12 l2 '='.o~ ..OI'S ,~'ì t-> ~o.'1..1 , ,. . C)o ,c,,- ,~ C'~~11..· .. ... '., ,~'?~ - \ðr-ë..-ç .. ~" 14~'5' ' " A " ~....; 14415 " f4"50 ~' ¡¿¡-':IS " \Sou .. lS~ -'" II " . 'a,.~c:.;_ ....,{) 4.2.-;> '-'11) 440 II .. ~vu . '".I1e:5 ~ 10 .¡.. 10 .¡. 1'5 " 12 12 12 12 J.L LZ 12 12 ~"':5 .. nIl " 1<) It ~..;; 11 " STOP TEST ~- ---- -- - -,- ----."-;¡,,---- --~_.. , -_. P-T Tank Tesl Call Chart AddJllo¡¡81 Info ~Sllll",ont: ' , Tlnk .nd p'OdV~1 h.ndltno ,,,'.m hll b..~ "1t1Cl Ilghl I<'CDfdioa 10 Iho Prlei.lOn T..I CrIl.,I, I' ,lllblt.hla ~ toulllO"l ""..cy. T~I,I, 001 IntlnolO 10 lnèl.". þ"mlSltan )0 PH 01 , If,". ' OR 1:1 T on~ ana produOlIla~aIlno 1,,1'.. nil 1.lhl'd .... ,.,,1 IÎllhln.N lell .~toldlno 10 \I>t Prltl,lon roll Ç,II..1I It 1I,.l>Iltn.o ~, "1111&101'( ""oney. ' $i;II'''''1 01 T..1er. D'I': OR o T,s.t it'y~1id d,'r 10 ("ft',.t'ntllt'ftl=,' o'rPlechlt\h:ßI'oetorl bl)'ond .. . y f t ~ þ r ~ ~ '3¥r- š~ *, ;~ \-;. ~~\ ·5'5":1, ~'5~ -ot,..o :~'":1 ' teO:!> J::0~. : 2-{-.'t)t )GPH --:- -- II II 1110 '"f'Onllbil\lt Illh. 0""'" '~ØJO' 01111110' 01 Ihl' 1)'01,",10 Im_,,'tly .lIvi., .,... .nd _'"u'ho,III., ot ony Imp"d h.llld .net \h. pOlllbltlly olony lu..."b'O f'OllullOOl 10 ,... ,.vIrDflml.1 It . tatult .1 'h. Indläl'd !111u.1 01 Inl, .,...... 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SPECIAL CONDITiONS AND PROCEDURES TO T¡¡ST THis TANK ...,,--__,__.........d_III~C2!. fJI, .....,..,.., .......... ... ''''P¥IW I". lilt lat.. ,..., .....'''', Iou ......., .. ....1I..~1of ""... ~tI. IK4IDfI tM.... 1. tt W fWlllI ''''' ~'d1 y"tJ ",,0 .&. ......................... ~.., I..{IDß~~: a. ItNuw4I .1 ..... ~ 11"" 4. "'111""1.1." !I". I bL~',&L 4~ .. __tJL.., è-~~ o.,'''''Þu"tI '."11.... 11O"IIe: Wtl1~t .~1o(.W T'f'I)Jk.. ftt IN'" CtlW....'O".. In hII '" Ia.... 'ot ~ Mil ""U.fU It NI.IIIH,.. ì __"d.,. p,...V', .......... .,wIIe. IIJfftO ~,'"'pouno <. "'It to ...."I'd.te,., .", IN'..tftC'171 .._urIan ...1.,.", "'. 'IIIn¡ ..... I ",If! _ u.;,'.A. 00. a'GIf"" ~.~J.4 eMf .,.. Jnd tn. t,f\k \ M.".'ac'II,.r rlo..~n9 1I1.....bI. ml,,,. lu\ ,,...,,.... l'INIIIMCUfIl' It) I.J I ;.. ~_ ....nt..ll1all ,:. ~~ G\k, ,... cMMHlI'I .. CJ,..,.... ~ 0 1JMþ Mfot _.... L~LT 0..........., .... .,..... ....,,*, 19. 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BAKE~SFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 -' APPLICATION TO PERFORM A TIGHTNESS TEST FACILITY ~,u~ ,oþ S;3.C:,S PERMI~ TO OPERATE * OPERATORS NAME 'PS I NUMBER OF TANKS TO BE TESTED ¿s ADDRESS "¡OlD W.'J,-(' ¿\ <2 tl)h\~~ l·~. OWNERS NAME tWcc, IS PIPING GOING TO BE TESTED~ v TANK # I '2 S VOLUME \ (:) Cb(~) c~ I f\C'_:/"'jD i ('\ (', (v:::.J S,PNTENTS " ( TAN!( TESTING COMJ? ANY <;""-\\ (o..,\,*,ùâ ADDRESS \1-1 '+ þ,o \, \\ Ie 1:\ r TEST METHOD V¿~D - T\\r ~ NAME OF TESTER -:(""i "ta.(y\;r!>'\J\<^ CERTIFICATION #: 414 -qs-~ :J S-~ STATE REGISTRATION t \\ 5' ,'3--- q ð- DATE & TIME TEST IS TO BE CONDUCTED , , cO~.:f) d-~'~ I ~. '-. " D BY: --- ..--' ---' , ;, s~ i1--L~3, DATE APPLICANT ---,- c(t') .J- I t{ '11 '. .... PERMIT APPLICATION FOR REMOVAL OF AN UNDERGROUND STORAGE TANK . 'f) 10 w).. 6tR¡ A"",' sITe INFORMATION /::J;'K~ ~/ C. ¿ .. "tf=- e$'O-1 SITE ,AD RESS / A- . ZIP j:ODE ?~lAPN y FACILITY NAME (., b CROSS STREET t~ TANK OWNER/OPERAT R n CO _ !?,H0t-JE No. IA MAILING ADDRESS .t:? CITY /f ,.r:e'!">ð7 ZIP CODE , .' Bakersfield· Fire De. HAZARDOUS MATERIALS C_ION " , , ' UNDERGROUND STORAGE TANK PROGRAM PERMU N~(;[)ß¿ : '~~9;:~":¿·H..r::" t~.'"~L· ;,..p::;<~ l·....~::-· \.:- n:·)'".' ~CONTRACTOR INFORMATION (Þ COMPANY ADDRESS INSURANCE CARRIER lÞ~ þ~/~" PHONE No. LICENSE No. CITY ZIP CODE WORKMENS COMP No. N " r.&~ONE NO(ÞsJ~irlCW$E No. I· CITY I rø&" ZIP CODE ? -?~ WORKMENS OMP No. ~ TANK CLEANING INFORMATION COMP ANY ADDRESS ' WASTE TRANSPORTER IDENTIFICATION NUMBER NAME OF RlNSTATE DISPOSAL FACILITY ADDRESS FACILITY INDENTIFICATlON NUMBER zkTANK TRANSPORTER INFORMATION COMP ANY PHONE No. ADDRESS CITY TANK DESTINATION ' ~ ~~~(~~~1' /¢-Is('- f""k- pl!~ ~ f,þ. '1/I./f? TANK INFORMATION PHONE No. ZIP CODE CITY CITY ZIP CODE LICENSE No. ZIP CODE TANK No. AGE VOLUME CHEMICAL DATES . CHEMICAL '7 6 S}ORED STORE~ PREVIOUSLY STORED , r"/e.t:> Cr.;('(Ø ð~ . ~~/¥ "2- " I, II If . ~ I' If II If ~ 1'liti,0~~ì.*,;ì~~tYI1}:1t, ~AþgtiCA1tÖM'ØÆJ6>'!?i'~"'r,.q"~'*~t?",-~~"''''''~~A.'-çlt~t.'t-NØ'"V''''',,,,ww.'1i!'t~)~'W"'~'''''¡¡;;,.,1.iJowQ&{IANKS';''''';x«,,,;,,';''''''''-'r£Ev,w).""""..,··,' THE APPLICANT HAS RECEIVED. UNDERST ANDS. AND Will COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER ST ATE. LOCAL AND FEDERAL REGULA TlONS.' . 20;¡ HAS "EN COMPlElEO UNO" PENALlY OF "RJURY, AND TO tHE BESt OF MY KNOWlEDGE 15 !RUE AND CORREC r. 'V£/ WA v,(h/fMI.- Q~ ~~ APPLICANT NAME (PRINT) APPLICANT SIGNATURE . THIS APPUCATIO~t BEC.OMES A PERMIT WHEN APPROVED .,' ",~;:A:~:~-;;-;:'ut:("v~ DàVA~1 J= Tn TH'F "CITY -OF BAKERSFIELD" =- '(, L l2 ~ u)b)~rJ,; 4010 . . {)G'/ p-e < ~---- ¡, ~../ . . COMPLETE A SEPARATE FORM FOR EACH TAN~ SYSTEM. ;. ,r; . STATE OF CALIFORNIA . STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK,PERMIT APPLICATION· FO~M 8 MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAl PERMIT o 4 AMENDED PERMIT o 5 CHANGE OF'INFORMATION o 6 TEMPORARY TANK CLOSURE ~ 7 PERMANENTLY CLOSED ON SITE 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: A. Rto tt'iC-. \\' S~1o s I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN A. OWNER'S TANK I. 0, # \ C. DATE INSTALLED (MO/DAYIVEAR) B. MANUFACTURED BY: \J\Ö 0, TANK CAPACITY IN GALLONS: \. 0 \'Ñ c.:, II. TANK CONTENTS IF A·1IS MARKED, COMPLETE ITEM C, ~ 1 MOTOR VEHICLE FUEL 0 4 OIL B, IC. ßj 1a REGULAR 0 3 DIESEL o 6 AVIATION GAS A. UNLEADED 0 02 0 ~1 0 4 GASAHOL o 7 METHANOL PETROLEUM 80 EMPTY PRODUCT I 1b PREMIUM UNLEADED 0 5 JET FUEL 0 3 CHEMICAL PRODUCT D 95 UNKNOWN 02 WASTE D 2 LEADED 0 99 OTHER (DESCRIBE IN ITEM D. BELOW) 0, IF (A.1) I~ NOT MARKED, ENTER NAME OF SUBSTANCE STORED C, A, S,#: <&Cú~\tl\q III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, AND C, AND ALL THAT APPLIES IN BOX 0 AND E A. TYPE OF 0 1 DOUBLE WALL 0 3 SINGLE WALL WITH EXTERIOR LINER 0 95 UNKNOWN SYSTEM ~ - 0 4 SECONDARY CONTAINMENT (VAULTED TANK) Ò 99 OTHER 2 SINGLE WALL [ZJ 1 BARE STEEL 0 2 STAINLESS STEEL 0 3 FIBERGLASS 0 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL 0 5 CONCRETE 0 6 POLYVINYL CHLORIDE D 7 ALUMINUM 0 8 100"1. METHANOL COMPATIBLE W/FRP (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER 01 RUBBER LINED 0 2 ALKYD LlN ING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C, INTERIOR 0 5 GLASS LINING ŒJ6 UNLINED 0 95 UNKNOWN 0 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100"1. METHANOL? YES_ NO_ D. CORROSION 01 POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRAP 0 4 FIBERGLASS REINFORCED PlASTIC PROTECTION 05 CATHODIC PROTECTION [Z] 91 NONE o 95 UNKNOWN 0 99 OTHER E. SPILL AND OVERFILL SPILL CONTAINMENT INSTALLED (YEAR) - OVERFILL PREVENTION EQUIPMENT INSTALLED (YEAR) - IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A (0 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A@1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PvC) A ® 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100% METHANOL COMPATIBLE W/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION l&J 1 AUTOMATIC LINE LEAK DETECTOR iXJ 2 LINE TIGHTNESS TESTING o 3 IN!Ef!.S.T!IIAL o 99 OTHER MONITORING V. TANK LEAK DETECTION o 1 VISUAL'CHECK ~ 2 I&J 6 TANK TESTING 0 7 INVENTORY RECONCILIATION 0 3 VADOZE MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING INTERSTITIAL MONITORING 0 91 NONE 0 95 UNKNOWN 0 99 OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE LAST USED (MO/DAYIVR) 2. ESTIMATED OUANTITY OF SUBSTANCE REMAINING 3, WAS TANK FILLED WITH GALLONS INERT MATERIAL? YES' 0 NO 0 LOCAL AGENCY USE ONLY APPLlCANrs NAME I \ \ \ (PRINTED&SIGNATURE) W\ \\\~~ ~ . STATE I.D.# TANK # []I[f2[J FORM B (7·91) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FO M A, UNLESS A CURRENT FORM A HAS BEEN FILED. FOR0034B-,qs ¡, ¡¡ . STATE OF CALIFORNIA . STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION. FORM B MARK ONLY ONE ITEM D 1 NEW PERMIT D 2 INTERIM PERMIT D 3 RENEWAL PERMIT D 4 AMENDED PERMIT o 5 CHANGE OF INFORMATION o 6 TEMPORARY TANK CLOSURE COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. DBA OR FACILITY NAME WHERE TANK IS INSTALLED: o 7 PERMANENTLY CLOSED ON SITE ~ 8 TANK REMOVED I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN B, MANUFACTURED BY: \1\t G ðdO A, OWNER'S TANK I. D, # .;3 C, DATE INSTALLED (MO/DAYIYEAR) 0, T'NK CAPACITY IN GALLONS: II. TANK CONTENTS r'P1 1 MOTOR VEHICLE FUEL A. ~ D 2 PETROLEUM o 3 CHEMICAL PRODUCT IFA·1ISMARKED.COMPLETEITEMC, o 4 OIL D 80 EMPTY D 95 UNKNOWN B. .èrJ 1 PRODUCT o 2 WASTE O la REGULAR C. UNLEADED [8 1b PREMIUM UNLEADED o 2 LEADED o 3 DIESEL 0 6 AVIATION GAS O 4 GASAHOL O 0 7 METHANOL 5 JET FUEL D 99 OTHER (DESCRIBE IN ITEM D. BELOW) C,A, S,#: D, IF (A,1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C, AND ALL THAT APPLIES IN BOX 0 AND E A. TYPE OF D 1 DOUBLE WALL 0 3 SINGLE WALL WITH EXTERIOR LINER 0 95 UNKNOWN SYSTEM ~ 2 SINGLE WALL - 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER ~1 BARE STEEL 0 2 STAINLESS STEEL 0 3 FIBERGLASS 0 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL 0 5 CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 ALUMINUM 0 8 100"10 METHANOL COMPATIBLE W/FRP (Primary Tank) D 9 BRONZE D 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER 01 0 0 0 - RUBBER LINED 2 ALKYD LINING 3 EPOXY LINING 4 PHENOLIC LINING C. INTERIOR D 5 GLASS LINING QÇ] 6 UNLINED 0 95 UNKNOWN 0 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100"10 METHANOL? YES_ NO_ D, CORROSION D 1 POLYETHYLENE WRAP D 2 COATING o 3 VINYL WRAP 0 4 FIBERGLASS REINFORCED PLASTIC PROTECTION D 5 CATHODIC PROTECTION ~ 91 NONE o 95 UNKNOWN D 99 OTHER E. SPILL AND OVERFILL SPILL CONTAINMENT INSTALLED (YEAR) ,- OVERFILL PREVENTION EQUIPMENT INSTALLED (YEAR) - IV. PIPING INFORMATION CIRCLEeA IFABOVEGROUNDOR U IFUNDERGROUND,BOTHIFAPPLlCABLE A. SYSTEM TYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A U 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100"10 METHANOL COMPATIBLE W/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION 1 AUTOMATIC LINE LEAK DETECTOR 2 LINE TIGHTNESS TESTING o 31N I L o 99 OTHER MONfTORING V. TANK LEAK DETECTION D 1 VISUAL CHECK I2ÇJ 2 INVENTORY RECONCILIATION 0 3 VADOZE MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING Œa 6 TANK TESTING 0 7 INTERSTITIAL MONITORING 0 91 NONE 0 95 UNKNOWN 0 99 OTHER VI. TANK CLOSURE INFORMATION 1, ESTIMATED DATE LAST USED (MO/DAYIYR) 2. ESTIMATED QUANTITY OF SUBSTANCE REMAINING 3, WAS TANK FILLED WITH GALLONS INERT MATERIAL? YES D NO D THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE. IS TRUE AND CORRECT APPLICANT'S NAME \ \ \ DATE -¡ ""'I Cl3 (PRINTED & SIGNATURE) W t ~ LOCAL AGENCY USE ONLY STATE 1.0.# TANK # [III]QID FORM B (7-91) At UNLESS A CURRENT FORM A HAS BEEN FILED. FOR00348-~, ), J'; . . STATE OF CALIFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT D 3 RENEWAL PERMIT o 4 AMENDED PERMIT , o 5 CHANGE OF INFORMATION o 6 TEMPORARY TANK CLOSURE ~ 7 PERMANENTLY CLOSED ON SITE 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: I. TANK DESCRIPTION A. OWNER'S TANK 1.0, # 2. ~~to t~. ~$~'o s C, DATE INSTALLED (MO/DAYIYEAR) e B, MANUFACTURED BY: D, T'NK CAPACITY IN GALLONS: II. TANK CONTENTS IFA-1ISMARKED,COMPLETEITEMC, A.~ 1 MOTOR VEHICLE FUEL 0 4 OIL o 2 PETROLEUM 0 80 EMPTY o 3 CHEMICAL PRODUCT 0 95 UNKNOWN D, IF (A.1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED 1 a REGULAR, UNLEADED 1b PREMIUM UNLEADED 2 LEADED D o o ~ 99 OTHER (DESCRIBE IN ITEM D. BELOW) C,A,S,#: ~OÚ lø~ \ 3 DIESEL 4 GASAHOL 5 JET FUEL D 6 AVIATION GAS o 7 METHANOL III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B, AND C, AND ALL THAT APPLIES IN BOX D AND E A. TYPE OF 0 1 DOUBLE WALL 0 3 SINGLE WALL WITH EXTERIOR LINER 0 95 UNKNOWN SYSTEM !ZJ 2 SINGLE WALL ' ~ 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER ~1 BARE STEEL 0 2 STAINLESS STEEL 0 3 FIBERGLASS 0 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK '0 " 0 0 MATERIAL 5 CONCRETE 6 POLYVINYL CHLORIDE 7 ALUMINUM 0 8 100% METHANOL COMPATIBLE W/FRP (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER 0 0 , 0 0 1 RUBBER LINED 2 ALKYD LINING 3 EPOXY LINING 4 PHENOLIC LINING C. INTERIOR 0 5 GLASS LINING ~ 6 UNLINED 0 95 UNKNOWN D 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES_ NO_ D. CORROSION 01 POLYETHYLENE WRAP D 2 COATING o 3 VINYL WRAP D 4 FIBERGLASS REINFORCED PLASTIC PROTECTION 05 CATHODic PROTECTION ŒJ 91 NONE o 95 UNKNOWN 0 99 OTHER E, SPILL AND OVERFILL SPilL CONTAINMENT INSTALLED (YEAR) ---' OVERFILL PREVENTION EQUIPMENT INSTALLED (YEAR) - :j IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A ® 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A@1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A (ÿ) 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEËL WI COATING A U 8 100% METHANOL COMPATIBLE W/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION [2SJ 1 AUTOMATIC LINE LEAK DETECTOR [KJ 2 LINE TIGHTNESS TESTING D 3 INJERSTlrIAL D 99 OTHER MONrrORING V. TANK LEAK DETECTION o 1 VISUAL CHECK ~ 2 INVENTORY RECONCILIATION 0 3 VAOOZE MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING ~ 6 TANK TESTING 0 7 INTERSTITIAL MONITORING D 91 NONE D 95 UNKNOWN D 99 OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED ~E LA'ST USED (MO/DAYIYR) 2, ESTIMATED QUANTITY OF SUBSTANCE REMAINING 3, WAS TANK FILLED WITH GALLONS INERT MATERIAL? YES D NO D THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT APPLICANT'S NAME \\ DATE (PRINTED & SIGNATURE) 'W, \ \\~ '«\ LOCAL AGENCY USE ONLY STATE 1.0.# TANK # ITIIJIQ3J FORM B (7·91) , UNLESS A CURRENT FORM A HAS BEEN FILED. FOR0034 B-RS 51 ATE OF CALIFORNIA STATE WATER RESOURCES CONTROL BOARD, UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM A . . .fl ;. - COMPLETE THIS FORM FOR EACH FACilITY/SITE MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAl PERMIT D 4 AMENDED PERMIT ¡zr 5 CHANGE OF INFORMATION 0 7 PERMANENTLY CLOSED SITE o 6 TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS· (MUST BE COMPLETED) DBA OR FACILITY NAMV $ S NAME OF OPERATOR JØ .; À9...C..O Ps C. - S ~ '0 '"? ~.-:L, 5 \ ~ AD4Ö~ lJ -" NEARE~ROSS STREET PARCEL. (OPTIONAL) W\\o\e-, Ró \)J \ ~ \..Q.. N «- CITY ~~€-R~'t\~). STATE ì ZIPCO~~~ð<1 S?~HO~ # WITH AREA CODE CA OS &~tc·qlo'ß s ,/ BOX ~ CORPORATION o INDIVIDUAL o PARTNERSHIP , 0 LOCAL·AGENCY o COUNTY-AGENCY o STATE-AGENCY o FEDERAL·AGENCY TO INDICATE DISTRICTS TYPE OF BUSINESS ~ 1 GAS STATION 0 2 DISTRIBUTOR D ,/ IF INDIAN 1# OF TANKS AT SITE E, P,A, I. D. # (optiOflaJ) RESERVATION 3 0 3 FARM ' 0 4 PROCESSOR 0 5 OTHER OR TRUST LANDS EMERGENCY CONTACT PERSON (PRIMARY) DAYS: NAME (LAST, FI~T) \ \ PHONE # WFH AREA CODE N~ \\\ \~ ~ \ .ð\Ö.. LTc> - NIGHTS: NAME ( AST, FIRST) PHONE # WITH AREA CODE V~'" \l\(\\~o...NO..tI\.~ ~ðÒ - SS ;.,Vð., ~ \, EMERGENCY CONTACT PERSON (SECONDARY)· optional DAYS: NAME(LAST,..KiRST).,~ 800-aì~-b1'lq Ap-..~ ")~\'\\J\~ NIGHTS: NAME (LA1J\FIRST)L '&x> ~d.Î-¡ ~ b?:. '-\9 Þ\ ~Lö- "'avM"~ II. PROPERTY OWNER INFORMATION· MUST BE COMPLETED 'NAME Äp.~O ~('C~\tt~ CO. MAILING ~ STREET ~DRESS Y , . 'ØÖ 'L. loo 2> CITY NAME/\ I~)~~~ 0.- III. TANK OWNER INFORMATION· (MUST BE COMPLETED) NAME OF OWNER ÎI \ L CARE OF ADDRESS INFORMATION (1 ~'-D Yro<:w-t,\:~ to. &.N. \\C<ßY¥f\ ð ~ßT~~ MAILING OR STREET ADDRESS ,/ box ID indicale 0 INDIVIDUAL 0 LOC L·AGENCY 0 STATE.AGENCY ç. O"f,¡ \.9.0~.q C'1J CORPORATION 0 PARTNERSHIP 0 COUNTY·AGENCY 0 FEDERAL·AGENCY CITY NAME 1\ ST~E_ ZIP CODE PHONE # WITH AREA CODE .1 \'jR~~\~ ~ q6'ìoa-loo3~ <>1 ð -~ o'1..9.lcö1 IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER· Call (916) 323-9555 if questions arise. TY(TK)HQ @E]-~ I CARE o¿.ADDRESS INFORMATION r.; N'I. \\<t~\+n y ,/ box ID indicate 0 INDIVIDUAL o PARTNERSHIP $.Ate,'t" D LOCAL· GENCY 0 STATE·AGENCY o COUNTY·AGENCY D FEDERAL·AGENCY ZIP p,ODE PHONE # WITH AREA CODE "\0 lOø - bð3~ 3 \D ..40 '1.. a~é)4 V. PETROLEUM UST FINANCIAL RESPONSIBILITY· (MUST BE COMPLETED) -IDENTIFY THE METHOD(S) USED ,/ box 10 indicale 1 SELF,INSURED 5 LElTER OF CREDIT o 2 GUARANTEE D 6 EXEMPTION D 3 INSURANCE D 99 OTHER o 4 SURETY BOND VI. LEGAL NOTIFICATION AND BILLING ADDRESS, Legal notification and billing will be sent to the tank owner unless box I or 1\ is checked, CHECK ONE BOX INDICATING WHICH ABOVE ADDRESS SHOULD BE USED FOR LEGAL NOTIFICATIONS AND BILLING: 1·0 . 11,0 1I1.l@'" THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT APPLICANT'S TITLE DATE &\1. ~ff\ ~,~ '~'ff\\f't . ;\;\qY~AR COUNTY # []5f JURISDICTION # ~ FACILITY # ~ LOCATION CODE - OPTIONAL I CENSUS TRACT /I . OPTIONAL I SUPVISOR . DISTRICT CODE . OPTIONAL THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE PERMIT APPLICATION· FORM B, UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY. FO RM A (5·91) FOROO3JA.5 !. r,; t .-.... . STATEDFCALlFORNIA . ' STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY . ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAL PERMIT , D 4 AMENDED PERMIT [2Ç' 5 CHANGE OF INFORMATION o 6 TEMPORARY TANK CLOSURE o 7 PERMANENTLY CLOSED ON SITE o 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN B, MANUFACTURED BY: y.. 'ê t2 > D, TANK CAPACITY IN GALLONS: \ Ð ðO Ú A, OWNER'S TANK I. D, # \ C, DATE INSTALLED (MOIDAYNEAR) II. TANK CONTENTS IFA-1ISMARKED,COMPLETEITEMC, I&J 1 MOTOR VEHICLE FUEL 0 4 OIL B. I c, ~ 1 a REGULAR 0 3 DIESEL o 6 AVIATION GAS A. UNLEADED 0 0 ~1 0 4 GASAHOL o 7 METHANOL o 2 PETROLEUM 80 EMPTY PRODUCT I 1b PREMIUM UNLEADED 0 5 JET FUEL o 3 CHEMICAL PRODUCT 0 95 UNKNOWN 02 WASTE 0 2 LEADED 0 99 OTHER (DESCRIBE IN ITEM D, BELOW) 0, IF (A,1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED C, A, S,#: 'MolAD\ 9 III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, AND C, AND ALL THAT APPLIES IN BOX D AND E A. TYPE OF [ZJ 1 DOUBLE WALL 0 3 SINGLE WALL WITH EXTERIOR LINER 0 95 UNKNOWN SYSTEM 0 2 SINGLE WALL - 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER 01 BARE STEEL 0 2 STAINLESS STEEL ® 3 FIBERGLASS 0 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL 0 5 CONCRETE 0 6 POLYVINYL CHLORIDE o 7 ALUMINUM 0 8 100"t. METHANOL COMPATIBLE WIFRP (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER 01 RUBBER LINED 0 2 ALKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C. INTERIOR 0 5 GLASS LINING ~ 6 UNLINED o 95 UNKNOWN 0 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES VNO_ D. CORROSION 01 POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRAP ~ 4 FIBERGLASS REINFORCED PLASTIC PROTECTION 05 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN 0 99 OTHER E. SPILL AND OVERFILL SPILL CONTAINMENT INSTALLED (YEAR) OVERFILL PREVENTION EOUIPMENT INSTALLED (YEAR) IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IFUNDERGROUND,BOTHIFAPPLlCABLE A. SYSTEM TYPE B. CONSTRUCTION C. MATERIAL AND CORROSION PROTECTION D. LEAK DETECTION A U 1 SUCTION A U 1 SINGLE WALL A U 1 BARE STEEL A U A U 5 ALUMINUM A U A U 9 GALVANIZED STEEL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A® 4 FIBERGLASS PIPE 6 CONCRETE A U 7 STEEL WI COATING A U 8 100% METHANOL COMPATIBLE W/FRP 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER O 31N SIIA 0 1 AUTOMATIC LINE LEAK DETECTOR 2 LINE TIGHTNESS TESTING MONITORING 99 OTHER 2 PRESSURE A U 3 GRAVITY A U 99 OTHER V. TANK LEAK DETECTION o 1 VISUAL CHECK 0 2 INVENTORY RECONCILIATION 0 3 VADOZE MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING o 6 TANK TESTING ~ 7 INTERSTITIAL MONITORING 0 91 NONE 0 95 UNKNOWN 0 99 OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE LAST USED (MO/DAYNR) 2, ESTIMATED QUANTITY OF SUBSTANCE REMAINING 3, WAS TANK FILLED WITH INERT MATERIAL? YES D 'NO D APPLICANT'S NAME I ,\ \ \ (PRINTED & SIGNATURE) \AJ \ \ ~ '('(\. LOCAL AGENCY USE ONLY STATE 1.0.# TANK # ITIIJmJ PERMIT NUMBER PERMIT APPROVED BYIDATE FORM B (7-91) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FOROOO4B-R5 " COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. " r. . STATE OF CALIFORNIA . STATE WATER RESOURCES CONTROL BOARD - UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAL PERMIT o 4 AMENDED PERMIT ~ 5 CHANGE OF INFORMATION o 6 TEMPORARY TANK CLOSURE o 7 PERMANENTLY CLOSED ON SITE o 8 TANK REMOVED A. OWNER'S TANK I. D, # ~ C. DATE INSTALLED (MO/DAYIVEAR) S~'oç DBA OR FACILITY NAME WHERE TANK IS INST ALLED: I. TANK DESCRIPTION B, MANUFACTURED BY: ~'i.e~ \6 00 Ú 0, T'NK CAPACITY IN GAlLONS: II. TANK CONTENTS IF A·1IS MARKED, COMPLETE ITEM C. ~1 MOTOR VEHICLE FUEL 0 4 OIL B, C, ~ 1a REGULAR 0 3 DIESEL o 6 AVIATION GAS A, UNLEADED 0 o 2 PETROLEUM 080 ~ 1 PRODUCT o 1b PREMIUM 4 GASAHOL o 7 METHANOL EMPTY UNLEADED 0 5 JET FUEL o 3 CHEMICAL PROOUCT o 95 UNKNOWN 0 2 WASTE o 2 LEADED 0 99 OTHER (DESCRIBE IN ITEM D. BELOW) 0, IF (A.1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED C,A, S,#: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, AND C, AND ALL THAT APPLIES IN BOX 0 AND E A. TYPE OF ~ 1 DOUBLE WALL 0 3 SINGLE WALL WITH EXTERIOR LINER 0 95 UNKNOWN SYSTEM 0 - 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER 2 SINGLE WALL 01 BARE STEEL 0 2 STAINLESS STEEL LRJ 3 FIBERGLASS 0 4 STEEL CLAD W/ FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL 0 5 CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 ALUMINUM o 8 100"10 METHANOL COMPATIBLE W/FRP (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN o 99 OTHER 01 RUBBER LINED 0 2 ALKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C. INTERIOR 0 5 GLASS LINING LðJ 6 UNLINED o ~KNOWN 0 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100"10 METHANOL? YES_ NO_ D. CORROSION 01 POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRAP ' [2Çf 4 FIBERGLASS REINFORCED PLASTIC PROTECTION 05 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN o 99 OTHER , E. SPILL AND OVERFILL SPILL CONTAINMENT INSTALLED (YEAR) OVERFILL PREVENTION EQUIPMENT INSTALLED (YEAR) IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 95 UNKNOWN C. MATERIAL AND CORROSION PROTECTION D. LEAK DETECTION A U 1 SINGLE WALL 2 DOUBLE WALL A U 3 LINED TRENCH A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 A U 5 ALUMINUM A U 6 CONCRETE A U 7 A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 A U 99 OTHER 1 AUTOMATIC LINE LEAK DETECTOR 0 2 LINE TIGHTNESS TESTING 4 FIBERGLASS PIPE 8 100"1. METHANOL COMPATIBLE WfFRP 99 OTHER o 99 OTHER V. TANK LEAK DETECTION o 1 VISUAL CHECK 0 2 INVENTORY RECONCILIATION 03 VADOZEMONITORING 04 AUTOMATIC TANK GAUGING 0 5 GROUNDWATER MONITORING o 6 TANK TESTING IRI 7 INTERSTITIAL MONITORING 0 91 NONE 0 95 UNKNOWN 0 99 OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE LAST USED (MO/DAYIVR) 2. ESTIMATED QUANTITY OF SUBSTANCE REMAINING 3, WAS TANK FILLED WITH GALLONS INERT MATERIAL? YES 0 NO 0 THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT APPLICANTS NAME DATE \ (PRINTED & SIGNATURE) Î Î <; ~ LOCAL AGENCY USE ONLY THE STATE 1.0. NUMBER IS COMPOSED OFTHE FOUR NUMB RS BELO COUNTY # JURISDICTION # FACIL STATE 1.0.# [IE [QIaIJ ~ TANK # ~ PERMIT NUMBER PERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE FORM B (7-91) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FOROCD4B:R5 -. . STATEOFCAUFORNIA . STATE WATER RESOURCES CONTROL BOARD ". UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAL PERMIT o 4 AMENDED PERMIT 5 CHANGE OF INFORMATION o 6 TEMPORARY TANK CLOSURE o 7 PERMANENTLY CLOSED ON SITE o 8 TANK REMOVED DBAOR FACILITY NAME WHERE TANK IS INSTALLED: ~{Q F~. ok $~ '" S I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN A. OWNER'S TANK I. D, # \1J\ . ?Re.:m . B, MANUFACTURED BY: 'X Q ~ 'f. e~ 9, T'NK CAPACITY IN GALLONS: \ D 000 ~ C, DATE INSTALLED (MOiDAYIYEAR) II. TANK CONTENTS IFA·1ISMARKED,COMPLETEITEMC, A, ŒI 1 MOTOR VEHICLE FUEL 0 4 OIL o 2 PETROLEUM 0 80 EMPTY o 3 CHEMICAL PRODUCT 0 95 UNKNOWN D, IF (A,1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED B. O 1a REGULAR C, UNLEADED ~ 1bPREMIUM UNLEADED o 2 LEADED o o o o 3 DIESEL 4 GASAHOL 5 JET FUEL 99 OTHER (DESCRIBE IN ITEM D. BELOW) o 6 AVIATION GAS o 7 METHANOL ~ D 1 PRODUCT 2 WASTE C.A.S.#: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, AND C, AND ALL THAT APPLIES IN BOX 0 AND E A. TYPE OF ~ 1 DOUBLE WALL 0 3 SINGLE WAll WITH EXTERIOR LINER 0 95 UNKNOWN SYSTEM 0 2 SINGLE WALL - 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER 01 BARE STEEL 0 2 STAINLESS STEEL ~ 3 FIBERGLASS 0 4 STEEL CLAD W/ FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL 0 5 CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 ALUMINUM D 8 , 100"10 METHANOL COMPATIBLE W/FRP (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL D 95 UNKNOWN 0 99 OTHER 01 RUBBER LINED 0 2 ALKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C. INTERIOR 0 5 GLASS LINING [}?6 UNLINED o 95 UNKNOWN 0 99 ,OTHER LINING YES ~ NO IS LINING MATERIAL COMPATIBLE WITH 100"10 METHANOL? - 'D. CORROSION 01 POLYETHYLENE WRAP D 2 COATING o 3 VINYL WRAP ~ 4 FIBERGLASS REINFORCED PLASTIC PROTECTION 05 CATHODIC PROTECTION D 91 NONE D 95 UNKNOWN D 99 OTHER E. SPILL AND OVERFILL SPILL CONTAINMENT INSTALLED (YEAR) OVERFILL PREVENTION EQUIPMENT INSTALLED (YEAR) IV. PIPING INFORMATION CIRCLE A IFABOVEGROUNDOR U IF UNDERGROUND,BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A ø 2 PRESSURE A U 3 GRAVITY' A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN I I I A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A U 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/COATING A U 8 100"10 METHANOL COMPATIBLE W/FRP PROTECTION A U 9 ,GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION 1 AUTOMATIC LINE LEAK DETECTOR D 2 LINE TIGHTNESS TESTING ~31N IIA D 99 OTHER MONfTORING V. TANK LEAK DETECTION D 1 VISUAL CHECK 0 2 INVENTORY RECONCILIATION 0 3 VAOOZE MONITORING D 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING o 6 TANK TESTING ~ 7 INTERSTITIAL MONITORING D 91 NONE 0 95 UNKNOWN 0 99 OTHER VI. TANK CLOSURE INFORMATION 1, ESTIMATED DATE LAST USED (MO/DAYIYR) 2. ESTIMATED QUANTITY OF SUBSTANCE REMAINING 3. WAS TANK FILLED WITH GALLONS INERT MATERIAL? I. I YES D NO D THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT APPLICANTS NAME I J \ \ \ DATEì (PRINTED & SIGNATURE) VlJ " \ \ \ LOCAL AGENCY USE ONLY STATE I.D.# COUNTY # ~ JURISDICTION # lrn[]] TANK # ~ PERMIT NUMBER PERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FORM At UNLESS A CURRENT FORM A HAS BEEN FILED. FOR0034 8-¡¡S FORM B (7·91) ~. .~, ~~ ~. .' STATE OF CALIFORNIA . STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAl PERMIT o 4 AMENDED PERMIT ~ 5 CHANGE OF INFORMATION o 6 TEMPORARY TANK CLOSURE D 7 PERMANENTLY CLOSED ON SITE o 8 TANK REMOVED I DBA OR FACILITY NAME WHERE TANK IS INSTAllED: I. TANK DESCRIPTION . COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN A, OWNER'S TANK I, 0, # 4 C, DATE INSTALLED (MO/DAYNEAR) \)f\) \... \'\\ \, ~ - ~~ B, MANUFACTURED BY: 0, T'NK CAPACITY IN GAlLONS: II. TANK CONTENTS , A. ~ 1 MOTOR VEHICLE FUEL o 2 PETROLEUM o 3 CHEMICAL PRODUCT IF A-I ISMARKED,COMPLETE ITEM C. o 4 OIL o 80 EMPTY o 95 UNKNOWN B. èsJ 1 PRODUCT 2 WASTE la REGULAR' UNLEADED Ib PREMIUM UNLEADED 2 LEADED o o @ 3 DIESEL 4 GASAHOL 5 JET FUEL 99 OTHER (DESCRIBE IN ITEM D. BELOW) ~oðlo\a\ o 6 AVIATION GAS o 7 METHANOL D. IF (A,I) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED C,A, S.#: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, AND C, AND ALL THAT APPLIES IN BOX 0 AND E A. TYPE OF [1r1 DOUBLE WALL 0 3 SINGLE WALL WITH EXTERIOR LINER 0 95 UNKNOWN SYSTEM 0 2 SINGLE WALL - 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER 01 BARE STEEL 0 2 STAINLESS STEEL ~ 3 FIBERGLASS 0 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL 0 5 CONCRETE 0 6 POLYVINYL CHLORIDE o 7 AlUMINUM 0 8 100"10 METHANOL COMPATIBLE W/FRP (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER 01 RUBBER LINED 0 2 ALKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C. INTERIOR 0 5 GLASS LINING ~ 6 UNLINED o 95 UNKNOWN 0 99 OTHER LINING ./ IS LINING MATERIAL COMPATIBLE WITH 100"10 METHANOL? YES_ NO_ D. CORROSION 01 POLYETHYLENE WRAP o 2 COATING o 3 VINYL WRAP ~ 4 FIBERGLASS REINFORCED PLASTIC PROTECTION 05 CATHODIC PROTECTION D 91 NONE o 95 UNKNOWN o 99 OTHER E. SPill AND OVERFill SPILL CONTAINMENT INSTALLED (YEAR) OVERFILL PREVENTION EQUIPMENT INSTALLED (YEAR) IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND,BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE(PVC)A@)4 FIBERGLASS PIPE CORROSION ,6 CONCRETE A U 7 STEEL WI COATING A U 8 100"1. METHANOL COMPATIBLE W/FRP PROTECTION 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER N 0 3 IN I IAL 0 D. lEAK DETECTIO 1 AUTOMATIC LINE LEAK DETECTOR 2 LINE TIGHTNESS TESTING MONfTOAING 99 OTHER A U 1 SINGLE WALL A A U 1 BARE STEEL A U A U 5 ALUMINUM A U A U 9 GALVANIZED STEEL A U V. TANK LEAK DETECTION o 1 VISUAL CHECK D 2 INVENTORY RECONCILIATION 0 3 VADOZE MONITORING D 4 AUTOMATIC TANK GAUGING D 5 GROUND WATER MONITORING o 6 TANK TESTING .~, 7 INTERSTITIAL MONITORING 0 91 NONE D 95 UNKNOWN 0 99 OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE LAST USED (MO/DAYNR) 2, ESTIMATED OUANTITY OF SUBSTANCE REMAINING 3. WAS TANK FILLED WITH GALLONS INERT MATERIAL? YES 0 NoD THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT APPLICANT'S NAM E I \ \ \ \ DATE. _ (PRINTED & SIGNATURE) W \ \ \ \)\ ~ \f\ . ï 'ì STATE I.D.# LOCAL AGENCY USE ONLY COUNTY # [lliJ PERMIT NUMBER PERMIT APPROVED BY/DATE ~ PERMIT EXPIRATION DATE FORM B (7-91) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FOR0034ß.R5 . Bakersfield; Fire De& . ,,' HAZARDOUS MATERIALS C.ION ':'.'. UNDERGROUND STORAGE TANK PROGRAM- 1'"; -Î L>r· 1'\Xi~\ PERMIT No. ,_tu\....J ," ~g;; r .;:; t,r:: ". t:--:"~ L' ',:' ~ -i r ~:; ~;" ~ . ( '-. ...~ =:-'. t~· :"\:i'". \ .-_.., ~CONTRACTOR INFORMATION (Þ COMPANY . ADDRESS INSURANCE CARRIER Jþ'f p~/~~ PHONE No. LICENSE No. CITY ZIP CODE WORKMENS COMP No. N . , ~~ONE NO~~~~CW$E 'No. V ' . CITY Z ~JI ZIP CODe ?-?~ WORKMENS OMP No. ~ TANK CLEANING INFORMATION COMP ANY ADDRESS WASTE TRANSPORTER IDENTIFICATION NUMBER NAME OF RINSTATE DISPOSAL FACILITY ADDRESS FACILITY INDENTlFICATlON NUMBER 7:f¿TANK TRANSPORTER INFORMATION COMPANY PHONE No. ADDRESS CITY TANK DESTINATION ~ ~.~I ~~~1' 14~'" f8Ik- Þ4l~ " ;.J- f.¡J. ..,/¿,/f ~ TANK INFORMATION TANK No. AGE VOLUME CHEMICAL 1 ~ S¡.TORED ,. tQIO.-C ~~ I¥ "2. " "1 .~, 5 ~ " If If PHONE No. ZIP CODe CITY CITY ZIP CODE LICENSE No. ZIP CODE DATES CHEMICAL . STOR~ PREVIOUSLY STORED CtJ~t YJ-~' , tf H' " \ THE APPLICANT HAS RECEIVED. UNDERSTANDS. AND WilL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE. LOCAL AND FEDERAL REGULATIONS. ' THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY. AND TO THE BEST OF MY KNOWLEDGE. IS TRUé AND CORRECT. Ii- ~ ttJ,lb~ PPLlCANT NAME (PRINT) o-~~ APPLICANT SIGNATURE THIS APPlICATIO~_ BEC.OMES A PERMIT WHEN APPROVED . .,' .'" ¡-MAKE ê"HECKS PAYABLE TO TH~ITV-ÒFBAK.ERSFIELD" .' . . < - ............. ... . ,.." ~ Report Period: 1/1 to 12/31/92 1992 Inve (f y Reconciliation Annual Summary Report Form COUNTY: KERN Facility Name: Facility Address: AM/PM MINI MARKET #5164 4010 Wible Road ~b 1 Bakersfield, CA 93309 TANK #1 TANK #2 TANK #3 UNLEADED-1 Gasoline UNLEADED-2Gasoline PREMIUM Gasoline 10,000 gallon 10,000 gallon 10,000 gallon single wall tanks single wall tanks single wall tanks sinale wall lines sinale wall lines sinale wall lines D I hereby certify under penalty of perjury that all inventory variations for the above mentioned facility w~ allowable lim~s for this reporting period. Signature: ~ ,l?:AAJ t , TRia: Manager-Environmental, HeaRh Nancy B. Waltl and Safety DatatfiÐ~ ~ Inventory variations exceeded the allowable limits for this reporting period. I hereby certify under penalty of perjury that the source for the variation was not due to an unauthorized (leak) release. MAXIMUM MONTHLY VARIATIONS: 130 GALLONS + (MONTHLY DELIVERY X 10/0) UNLEADED-1 UNLEADED-2 PREMIUM Allowed Actual Comments Allowed Actual Comments Allowed Actual Comments JAN 917 224 1623 1016 576 378 FEB 932 2713 2/6 +2568 1469 5158 2/6 +4748 542 1630 2/6 +1598 delivery delivery no delivery no no invoice Invoice Invoice MAR 1088 159 1663 415 633 268 APR 986 349 1624 163 587 187 MAY 988 46 1430 1285 583 323 JUN 859 238 1310 857 495 212 JUL 897 -1557 7/27 ·1186 cross 1371 2190 7/27 + 1251 cross 515 178 dumD wlUNL2 dumDwlUNL1 AUG 926 390 1345 175 506 83 SEP 798 406 1187 594 451 305 OCT 690 3152 10/11 +3211 1315 -2452 10/11 ·3031 cross 460 305 cross dump wI , dump wlUNL 1 UNL2 NOV 803 70 1280 658 455 286 DEC 955 121 1380 236 459 60 ~ '\ --..~ """ . 'RESTIGE STATIONS, INC. EnVironlntal, Health and Safety Department P. O. BOX 6225 ARTESIA, CA 90702 [310] 402-1278 OUARTERLY INVENTORY REPORTING Quarter Ending: 9/30/92 COUNTY: KERN FACILITY NAME: AM/PM MINI MARKET #5164 ARCO #5365 FACILITY ADDRESS: 4010 Wible Road Bakersfield, CA 93309 [805] 836·9685 BUSINESS PHONE: All inventory variations are subject to Section 2646, CCR, Title 23, Division 3, Chapter 16 which states: "... variations shall be summed for a period of one month. Monthly variations exceeding a variation of 1.0 percent of the monthly tank delivery plus 130 gallons must be investigated in accordance with this section. " I hereby certify under penalty of perjury that all product level variations for the above mentioned facility were within allowable limits for this quarter. v' Inventory variations exceeded the allowable limits for this quarter. I hereby certify under penalty of perjury that the variation was investigated for possible unauthorized (leak) release. SEE ATTACHED REPORT PAGES Tank Facilijy =i ð ßj t4r- Operator Signature: " ' 't Nancy B. Walti Manager-Environmental, Health & Safety Date: 10/22/92 ~ ÂPRESTIGE STATIONS, INC..' Enviror!F.ental, Health and Safety De' rtment P. O. BOX 6225 ARTESIA, CA 90702 [310] 402·1278 Quarter Ending: 6/30/92 COUNTY: KERN ". ~;:;~ ~i ';'¡,'".' , . ;"! ""':.... \ AM/PM MI.M MAR.!ŒT #5~()4 .'.' -,¡ ~ ~ ~....J ~ ",:; '\ :;.:;. ~~ ¡;;-~..:. '.'i -; - ARCO #5365 FACILITY NAME: FACILITY ADDRESS: 4010 Wible Road Bakersfield, CA 9339'3 [805] 83~·9()~S BUSINESS PHONE: All inventory variations are subject to Section 2646, CCR, Title 23, Division 3, Chapter 16 which states: "... variations shall be summed for a period of one month. Monthly variations exceeding a variation of 1.0 percent of the monthly tank delivery plus 130 gallons must be investigated in accordance with this section. " " ',: .' V I hereby certify under penalty of perjury that all product level variations for the above mentioned facility were within allowable limits for this quarter. Inventory variations exceeded the allowable limits for this quarter. I hereby certify under penalty of perjury that the variation was investigated for possible unauthorized (leak) release. SEE ATTACHED REPOR,T PAGES > . ... . Tank Facility Operator Signature: Nancy B. Walti Manager-Environmental, Health & Safety c1JøLJ~ Date: 7/17/92 --------- - - - ------ --- ---- --------- -- -- 10/02/92 U.G.S.T. VARIANCE REPORT FOR ALL REGULAR TANKS IN THE SYSTEM PAGE 182 PPDCB019 OPENING CLOSING PHYSICAL ALLOWED ACTUAL TANK FACIL ITY DATE INVENT. DELIVERY SALES INVENT. INVENT. VAR. VAR. OVER ST SIZE 05164 07/01/92 5,495 2,650 2,480 5,665 5,596 69- CA 10,000 07/02/92 5,596 2,500 2,278 5,818 5,847 29 CA 10,000 07/03/92 5,847 2,600 2,841 5,606 5,606 0 CA 10,000 07/04/92 5,606 0 2,097 3,509 3,509 0 CA 10,000 07/05/92 3,509 2,650 3,157 3,002 3,040 38 CA 10,000 07/06/92 3,040 1,600 2,384 2,256 2,041 215- CA 10,000 07/07/92 2,041 7,750 2,183 7,608 7,479 129- CA 1 0 , 0 0,0 07/08/92 7,479 0 2,418 5,061 5,004 57- CA 10,000 07/09/92 5,004 2,500 2,418 5,086 5,156 70 CA 10,000 07/10/92 5,156 3,200 2,867 5,489 5,512 23 CA 10,000 07/11/92 5,512 2,600 2,284 5,828 5,828 0 CA 10,000 07/12/92 5,828 2,700 2,591 5,937 5,998 61 CA 10,000 07/13/92 5,998 2,650 2,139 6,509 6,475 34- CA 10,000 07/14/92 6,475 0 2,106 4,369 4,357 12- CA 10. 07/15/92 4,357 2,000 2,470 3,887 3,817 70- CA 10 07/16/92 3,817 4,150 2,274 5,693 5,763 70 CA 10, 07/17/92 5,763 2,600 2,913 5,450 5,529 79 CA 10,000 07/18/92 5,529 0 2,640 2,889 2,889 0 CA 10,000 07/19/92 2,889 2,150 3,252 1,787 1, 6 22 165- CA 10,000 07/20/92 1,622 7,350 2,149 6,823 6,861 38 CA 10,000 07/21/92 6,861 0 2,328 4,533 4,527 6- CA 10,000 07/22/92 4,527 2,600 1,957 5,170 5,241 71 CA 10,000 07/23/92 5,241 2,600 1,653 6,188 6,214 26 CA 10,000 07/24/92 6,214 2,000 2,413 5,801 5,763 38- CA 10,000 07/25/92 5,763 0 2,866 2,897 2,897 0 CA 10,000 07/26/92 2,897 2,650 3,114 2,433 2,297 C'/\DM ~ ~ù/~ 136- CA 10,000 07/27/92 2,297 4,201 2,720 3,778 2,592 1,186- CA 10,000 07/28/92 2,592 3,000 2,162 3,430, 3,633 203 CA 10,000 07/29/92 3,633 2,800 2,480 3,953 3,817 136- CA 10,000 07/30/92 3,817 2,899 2,678 4,038 4,037 1- CA 10,000 07/31/92 4,037 2,300 2,991 3,346 3,335 11- CA 10,000 MONTH TOTALS: 144,442 76,700 77 , 303 143,839 142,282 897 1557- YES 08/01/92 3,335 2,899 3,033 3,201 3,201 0 CA 10,000 08/02/92 3,201 3,900 3,204 3,897 3,952 55 CA 10,. 08/03/92 3,952 2,500 2,654 3,798 3,800 2 CA 10, 08/04/92 3,800 2,600 2,695 3,705 3,767 62 CA 10, 08/05/92 3,767 2,892 2,433 4,226 4,442 216 CA 10,000 08/06/92 4,442 2,600 2,442 4,600 4,544 56- CA 10,000 08/07/92 4,544 3,200 2,853 4,891 4,936 45 CA 10,000 08/08/92 4,936 0 2,708 2,228 2,228 0 CA 10,000 08/09/92 2,228 5,749 3,264 4,713 4,765 52 CA 10,000 08/10/92 4,765 3,200 2,616 5,349 5,394 45 CA 10,000 08111/92 5,394 0 2,464 2,930 2,911 19- CA 10,000 ----- -- 10/02/92 U.G.S.T. VARIANCE REPORT FOR ALL REGULAR TANKS IN THE SYSTEM PAGE 183 PPDCB019 .. OPENING CLOSING PHYSICAL AllOWED ACTUAL TANI< II FACIl ITY DATE INVENT. DEl IVERY SALES INVENT. INVENT. VAR. VAR. OVER ST SIZE I 05164 08/12/92 2,911 I, 2,600 2,250 3,261 3,137 124- CA 10,000 , 08/13/92 3,137 4,650 2,279 5,508 5,529 21 CA 10,000 08/14/92 5,529 1,650 3,235 3,944 3,969 25 CA 10,000 08/15/92 3,969 2,899 2,664 4,204 4,204 0 CA 10,000 08/16/92 4,204 3,200 3,335 4,069 4,070 1 CA 10,000 08/17/92 4,070 2,600 2,363 4,307 4,357 50 CA 10,000 08/18/92 4,357 0 2,208 2,149 2,056 93- CA 10,000 08/19/92 2,056 6,650 2,249 6,457 6,557 100 CA 10,000 08/20/92 6,557 0 2,366 4,191 4,104 87- CA 10,000 08/21/92 4,104 2,500 3,040 3,564 3,550 14- CA 10,000 08/22/92 3,550 2,200 2,830 2,920 2,920 0 CA 10,000 08/23/92 2,920 3,200 2,466 3,654 3,567 87- CA 10,000 08/24/92 3,567 3,100 2,633 4,034 4,205 171 CA 10,000 08/25/92 4,205 0 2,475 1, 7 30 1,693 37- CA 10_ 08/26/92 1,693 4,200 2,447 3,446 3,467 21 CA 10 08/27/92 3,467 2,550 2,334 3,683 3,584 99- CA 10, 0 08/28/92 3,584 2,500 2,991 3,093 3,203 110 CA 10,000 08/29/92 3,203 3,000 2,715 3,488 3,488 0 CA 10,000 08/30/92 3,488 2,600 3,078 3,010 3,040 30 CA 10,000 08/31/92 3,040 0 2,222 818 818 0 CA 10,000 MONTH TOTALS: 117,975 79,639 82,546 115,068 115,458 926 390 NO i 09/01/92 818 6,650 1,986 5,482 5,461 21- CA 10,000 II 09/02/92 5,461 0 2,307 3,154 3,154 0 CA 10,000 'I I' 09/03/92 3,154 2,906 2,339 3,721 3,767 46 CA 10,000 !: 09/04j92 3,767 2,701 3,049 3,419 2,975 444- CA 10,000 I' 09/05/92 2,975 0 1,884 1, 091 1,091 0 CA 10,000 'I 09/06/92 1,091 5,200 1,665 4,626 4,626 0 CA 10,000 09/07/92 4,626 2,650 2,625 4,651 4,577 74- CA 10,000 09/08/92 4,577 0 2,352 2,225 2,252 27 CA 10,000 09/09/92 2,252 2,900 2,143 3,009 3,056 47 CA 10,000 09/10/92 3,056 3,200 2,149 4,107 4,155 48 CA 10,000 09/11/92 4,155 3,200 2,538 4,817 5,055 238 CA 10,000 09/12/92 5,055 0 2,389 2,666 2,666 0 CA 10,000 09/13/92 2,666 2,900 2,884 2,682 2,608 74- CA 10,. 09/14/92 2,608 3,200 1,760 4,048 4,138 90 CA 10,' 09/15/92 4,138 2,600 2,075 4,663 4,662 1- CA 10, 09/16/92 4,662 0 1,913 2,749 2,702 47- CA 10,000 09/17/92 2,702 3,150 1, 712 4,140 4,645 505 CA 10,000 09/18/92 4,645 1,895 2,302 4,238 4,273 35 CA 10,000 09/19/92 4,273 2,600 2,282 4,591 4,591 0 CA 10,000 09/20/92 4,591 2,600 2,907 4,284 4,340 5,6 CA 10,000 09/21/92 4,340 3,,200 1, 938 5,602 ' 5,630 28 CA 10,000 09/22/92 5,630 0 1,825 3,805 3,750 55- CA 10,000 10/02/92 U.G.S,T. VARIANCE REPORT FOR ALL REGULAR TANKS IN THE SYSTEM PAGE,184 PPDCB019 OPENING, CLOSING PHYSICAL ALLOWED ACTUAL TANK FACIl ITY DATE INVENL DELIVERY SALES INVENT. INVENT. VAR. VAR. OVER ST SIZE 05164 09/23/92 3,750 2,575 1,810 4,515 4,510 5- CA 10,000 09/24/92 4,510 3,000 2,104 5,406 5,394 12- CA 10,000 09/25/92 5,394 0 2,692 2,702 2,687 15- CA 10,000 09/26/92 2,687 3,900 2,242 4,345 4,345 0 CA 10,000 09/27/92 4,345 2,600 2,769 4,176 4,239 63 CA 10,000 09/28/92 4,239 0 2,049 2,190 2,176 14- CA 10,000 09/29/92 2,176 3,200 1,789 3,587 3,633 46 CA 10,000 09/30/92 3,633 0 2,128 1, 505 1,444 61- CA 10,000 MONTH TOTALS: 111,976 66,827 66,607 112,196 112,602 79,8 406 NO FACILITY TOTALS: 374,393 223,166 226,456 371,103 370,342 2362 761- NO . I, . I. 10/02/92 U.G.S.T. VARIANCE REPORT FOR ALL UNLEADED TANKS IN THE SYSTEM PAGE 182 PPDCB019 OPENING CLOSING PHYSICAL ALLOWED ACTUAL TANK FACILITY DATE INVENT. DELIVERY SALES INVENT. INVENT. VAR. VAR. OVER ST SIZE 05164 07101192 4,645 6,350 4,230 6,765 6,909 144 CA 10,000 07102/92 6,909 4,750 4,504 7,155 7,159 4 CA 10,000 07103/92 7,159 4,300 4,827 6,632 6,632 0 CA lÒ,OOO 07104/92 6,632 0 3,190 3,442 3,442 0 CA 10,000 07105/92 3,442 4,850 5,001 3,291 3,302 11 CA 10,000 07106/92 3,302 5,900 ,3,879 5,323 5,394 71 CA 10,000 07107192 5,394 7,000 3,385 9,009 9,158 149 CA 10,000 07108/92 9,158 0 3,688 5,470 5,529 59 CA 10,000 07/09/92 5,529 4 , 7 50 3,388 6,891 6,988 97 CA 10,000 07110/92 6,988 3,900 4,365 6,523 6,508 15-: CA 10,000 07111192 6,508 4,650 4,105 7,053 7,053 0 CA 10,000 07112/92 7,053 4,200 4,605 6,648 6,750 . 102 C'A 10,000 07113/92 6,750 4,850 3,447 8,153 8,067 86- CA 10,000 07114/92 8,067 0 3,180 4,887 4,885 2- CA 10. 07115/92 4,885 4,900 3,782 6,003 6,031 28 CA 10 07/16/92 6,031 4,850 3,527 7,354 7,343 11- CA, 10, I 07117192 7,343 4,287 4,355 7 , 275 7,464 189 CA 10,000 11 07/18/92 7,464 { 3,828 3,636 3,636 0 CA 10,000 I, 07119/92 3,636 5,100 4,541 4,195 4,155 40- CA 10,000 I 07120/92 4,155 7,400 3,550 8,005 8,012 7 CA 10~000 I 07/21/92 8,012 0 3,439 4,573 4,510 63- CA 10,000 07122/92 4,510 4,800 3,549 5,761 5,864 103 CA 10,000 07/23/92 5,864 4,900 4,063 6,701 6,734 33 CA 10,000 I 07124/92 6,734 4,900 4,791 6,843 6,846 3 CA 10,000 , 07125/92 6,846 0 5,021 1,825 1,825 0 CA 10,000 07126/92 1,825 4,650 4,674 1,801 1,721 ~ ~~/~ 80- CA 10,000 07127/92 1, 721 3,000 3,811 910 2,161 1, 251 CA 10,000 07/28/92 2,161 5,671 3,893 3,939 4,138 199 CA 10,000 07129/92 4,138 4,300 3,987 4,451 4,459 8 CA 10,000 Ii 07130/92 4,459 4,100 3,503 5,056 5,072 16 CA 10,000 07/31192 5,072 4,700 4,815 4,957 4,970 13 CA 10,000 MONTH TOTALS: 1 72 , 392 123" 0.58 124,923 170,527 172,717 1361 2190 YES 08/01192 4,970 4,100 4,427 4,643 4,643 0 CA 10,000 I: 08/02/92 4,643 3,000 4,607 3,036 2,975 61- CA 10,. 08/03/92 2,975 6,300 4,097 5,178 5,326 148 CA 10,' '08/04/92 5,326 4,850 3,885 6,291 6,296 5 CA 10, 08/05/92 6,296 4,000 3,830 6,466 6,557 91 CA 10,000 08/06/92 6,557 4,650 3,996 7,211 7,113 98- CA 10,000 08/07/92 7,113 4,,30,0 4,441 6,972 7,004 32 CA 10,000 08/08/92 7,004 0 4,145 2,859 2,859 0 CA 10,000 08/09/92 2,859 8,600 4,950 6,509 6,540 31 CA 10,000 08/10/92 6,540 5,800 3,655 8,685 8,558 127- CA 10,000 08111192 8,558 0 3,294 5,264 5,326 62 CA 10,000 10/02/92 U.G.S.T. VARIANCE REPORT FOR ALL UNLEADED TANKS IN THE SYSTEM PAGE 183 PPDCB019 OPENING CLOSING PHYSICAL ALLOWED ACTUAL TANK FACILITY DATE INVENT. DELIVERY SALES INVENT. INVENT. VAR. VAR. OVER ST SIZE 05164 08/12/92 5,326 3,700 3,236 5,790 5,847 57 CA 10,000 08/13/92 5,847 2,600 3,291 5,156 5,038 118- CA 10,000 08/14/92 5,038 5,850 4,680 6,208 6,312 104 CA 10,000 08/ 15/92 6,312 4,100 4,297 6,115 6,115 0 CA 10,000 08/16/92 6,115 4,300 5,438 4,977 4,970 7- CA 10,000 08/17/92, 4,970 6,200 3,747 7,423 7,449 26 CA 10,000 08/18/92 7,449 0 3,279 4,170 4,121 49- CA 10,000 08/19/92 4,121 ,8,000 3,646 8,475 8,484 9 CA 10,000 08/20/92 8,484 0 3,382 5,102 5,173 71 CA 10,000 08/21/92 5,173 4,750 4,127 5,796 5,763 33- CA 10,000 08/22/92 5,763 5 , 100 4,326 6,537 6,537 0 CA 10,000 08/23/92 6,537 4,300 5,385 5,452 5,562 110 CA 10,000 08/24/92 5, 562 3,800 3,436 5,926 5,881 45- CA 10. 08/25/92 5,881 0 3,390 2,491 2,405 86- CA 10 08/26/92 2,405 4;800 3,557 3,648 3,700 52 CA 10, , 08/27/92 3,700 4,750 3,312 5,138 5,156 18 ,CA 10,000 I, 08/28/92 5,156 4,750 4,279 5,627 5,512 115- CA 10,000 08/29/92 5,512 4,000 3,684 5,828 5,828 0 CA 10,000 08/30/92 5,828 4,900 4,931 5,797 5,981 184 CA 10,000 08/31/92 5,981 0 3,674 2,307 2,221 86- CA 10,000 MONTH TOTALS: 174,001 121,500 124, 424 . 171, 077 171,252 1345 175 NO 09/01/92' 2,221 8,116 2,987 7,350 7,509 159 CA 10,000 09/02/92 7,509 0 3,757 3,752 3,700 52- CA 10,000 09/03/92 3,700 4,000 3,580 4,120 4,037 83- CA 10,000 09/04/92 4,037 6,161 4,536 5,662 6,296 634 CA 10,000 09/05/92 6,296 0 4,799 1,497 1, 497 0 CA 10,000 09/06/92 1, 497 10,600 4,104 7,993 7,993 0 CA 10,000 09/07/92 ' 7,993 4,850 4,206 8,637 8,701 64 CA 10,000 09/08/92 8,701 0 3,492 5,209 5,207 2- ,CA 10,000 09/09/92 5,207 3,300 3,137 5,370 5,461 91 CA 10,000 09/10/92 5,461 4,300 3,445 6 , 316, 6,279 37- CA 10,000 09/11/92 6,279 5,600 3, 874 8,005 7,801 204- CA 10,000 09/12/92 7,801 0 3,704 4,097 4,097 0 CA 10,000 09/13/92 4,097 4,100 4 , 48 0 3,717 3,667 50- CA 10" 09/14/92 3,667 4,300 3,147 ' 4,820 4,868 48 CA 10, 09/15/92 4,868 4,350 3,226 5,992 6,131 139 CA 10, 09/16/92 6,131 0 3,321 2,810 2,655 155- CA 10,000 09/17/92 2,655 5,850 3,257 5,248 4,730 518- CA 10,000 09/18/92 4,730 4,125 ,4,024 4,831 5,055 224 CA 10,000 09/19/92 5,055 4,900 3,674 6,281 6,281 0 CA 10,000 , 09/20/92 6,281 6,400 4,036 8,645 8,736 91 CA 10,000 09/21/92 8,736 3,150 3,215 8,671 8,654 17- CA 10,000 09/22/92 8,654 0 2,859 5,795 5,830 35 CA 10,000 10/02/92 U.G.S.T. VARIANCE REPORT FOR ALL UNLEADED TANKS IN THE SYSTEM PAGE 184 PPDCB019 OPENING CLOSING PHYSICAL AllOWED ACTUAL TANK FACILITY DATE INVENT. DEl IVERY SA L ES INVENT. INVENT. VAR. VAR. OVER ST SIZE 05164 09/23/92 5,830 4,825 3,002 7,653 7,627 26- CA 10,000 09/24/92 7,627 3, 80'4 3,083 8,348 8,484 136 CA 10,000 09/25/92 8,484 0 3,863 4,621 4,594 27- CA 10,000 I 09/26/92 4,594 4,891 3,549 ' 5,936 5,936 0 CA 10,000 I: 09/27/92 5,936 4,900 3,501 7,335 7,524 189 CA 10,000 09/28/92 7,524 0 3,446 4,078 4,037 41- CA 10,000 09/29/92 4,037 3,150 2,740 4,447 4,442 5- CA 10,000 09/30/92 4,442 - 0 3,211 1, 231 1,232 1 CA 10,000 I I: I MONTH TOTALS: 170,050 105,672 107,255 168,467 169,061 1187 594 NÓ FACILITY TOTALS: 516,443 350,230 356,602 510,071 513,030 3632 2959 NO . ,r. I iO/02/92 U.G.S.T. VARIANCE REPORT FOR ALL PREMIUM TANKS IN THE SYSTEM PAGE 182 PPDCB019 I OPENING CLOSING PHYSICAL AllOWED ACTUAL TANK I II FACIl ITY DATE INVENT. DELIVERY SALES INVENT. INVENT. VAR. VAR. OVER ST SIZE II I 05164 07/01/92 5,122 0 1,154 3,968 3,901 67- CA 10,000 II 07/02/92 3,901 1,550 1,507 3,944 3,901 43- CA 10,000 I 07/03/92 3,901 1,900 1,658 4,143 4,143 0 CA 10,000 07/04/92 4,143 0 1,335 2,808 2,808 0 CA 10,000 07/05/92 2,808 1,500 1,779 2,529 2,655 126 CA 10,000 07/06/92 2,655 1,500 1,539 2,616 2,530 86- CA 10,000 07/07/92 2,530 3,050 1,117 4,463 4,577 114 CA 10,000 07/08/92 4,577 0 870 3,707 3,700 7- CA 10,000 07/09/92 3,700 1,550 1,276 3,974 4,003 29 CA 10,000 07/10/92 4,003 1,600 1,436 4,167 4,121 46- CA 10,000 07/11/92 4,121 1,550 1,495 4,176 4,176 0 CA 10,000 07/12/92 4,176 1,700 1,278 4,598 4,645 47 CA 10,000 07/13/92 4,645 1,500 1,005 5,140 5,173 33 CA 10. 07/14/92 -5,173 0 1,204 3,969 3,969 0 CA 10 07/15/92 3,969 1,801 987 4,783 4,816 33 CA 10, 07/16/92 4,816 ° 1,191 3,625 3,600 25- CA 10,000 07/17/92 3,600 1,774 1,662 3,712 3,767 55 CA 10,000 07/18/92 3,767 0 1,270 2,497 2,497 0 CA 10,000 I 07/19/92 2,497 1,550 1,498 2,549 2,452 97- CA 10,000 ii 07/20/92 2,452 3,050 1,150 4,352 4,577 225 CA 10,000 I: 07/21/92 4,577 0 1,081 3,496 3,335 161- CA 10,000 07/22/92 3,335 1,600 1,069 3,866 3,969 103 CA 10,000 07/23/92 3,969 1,500 1,108 4, 361 4,340 21- CA 10,000 07/24/92 4,340 1,801- 1,531 4,610 4,611 1 CA .10,000 07/25/92 4,611 0 1,512 3,099 3,099 0 CA 10,000 07/26/92 3,099 1,550 1,246 3,403 3,368 35- CA 10,000 07/27/92 3,368 1,551 1,282 3,637 3,667 30 CA 10,000 07/28/92 3,667 0 1,222 2,445 2,405 40- CA 10,000 07/29/92 2,405 1,500 972 2,933 2,943 10 CA 10,000 07/30/92 2,943 1,800 1,347 3,396 3,434 38, CA 10,000 07/31/92 3,434 1,600 1,677 3,357 3,319 38- CA 10,000 MONTH TOTALS: 116,304 38 477 40,458 114,323 114,501 515 178 NO 08/01/92 3,319 1,801 1,552 3,568 3,568 0 CA 10,000 08/02/92 3,568 1,801 1,477 3,892 3,952 60 CA 10,(). 08/03/92 3,952 0 1,331 2,621 2,577 44- CA 10,0 08/04/92 2,577 1,550 1, 166 2,961 3,008 47 CA 10,0 08/05/92 3,008 1,775 1,309 3,474 3,633 159 CA 10,000 08/06/92 3,633 1,550 1, 151 4,032 3,969 63- CA 10,000 08/07/92 3,969 1,500 1,555 3,914 3,901 13- CA 10,000 08/08/92 3,901 ° 1,436 2,465 2,465 0 CA 10,000 08/09/92 2,465 3,150 1,363 4,252 4,172 80- CA 10,000 08/10/92 4,172 0 1,206 2,966 2,975 9 CA 10,000 08/11/92 2,975 ° 1,294 1,681 1,580 101- CA 10,000 10/02/92 U.G.S.T. VARIANCE REPORT FOR ALL PREMIUM TANKS IN THE SYSTEM PAGE 183 PPDCB019 OPENING CLOSING PHYSICAL AllOWED ACTUAL TANK FACILITY DATE INVENT. DELIVERY SALES INVENT. INVENT. VAR. VAR. OVER ST SIZE 05164 08/12/92 1,580 2,600 925 3,255 3,302 47 CA 10,000 08/13/92 3,302 1,550 1,256 3,596 3,600 4 CA 10,000 08/14/92 3,600 1,500 1,280 3,820 3,834 14 CA 10,000 08/15/92 . 3,834 1,800 1,292 4,342 4,342 o . CA 10,000 08/16/92 4,342 1,500 1,288 4,554 4,561 7 CA 10,000 08/17/92 4,561 0 1,101 3,460 3,434 ' 26- CA 10,000 08/18/92 3,434 0 1~066 2,368 2,374 6 CA 10,000 08/19/92 2,374 3,150 , 941 4,583 4,577 6- CA 10,000 08/20/92 4,577 0 1,085 3,492 3,517 25 CA 10,000 08/21/92 3,517 1,550 1,271 3,796 3,817 21 CA 10,000 08/22/92 3,817 1,500 1,404 3,913 3,913 0 CA 10,000 08/23/92 3,913 1,500 1,357 4,056 4,205 149 CA 10,000 08/24/92 4,205 1,700 853 5,052 5,004 48- CA 10,. 08/25/92 5,004 0 948 4,056 4,037 19- CA 10, 08/26/92 4,037 0 1,063 2,974 2,975 1 CA '10, 08/27/92 2,975 1,500 1,234 3,241 3,170 71- CA 10,000 08/28/92 3 ,1 70 1,550 1,316 3,404 3,467 63 CA 10,000 08/29/92 3,467 1,600 1, 469 3,598 3,598 0 CA 10,000 , I 08/30/92 ' 3,598 1,500 1, 347 3,751 3,817 66 CA 10,000 i 08/31/92 3,817 0 1,132 2,685 2,561 124- CA 10,000 MONTH TOTALS: 110,663 37,627 38,468 109,822 109,905 506 83 NO 09/01/92 2,561 3,102 1, 116 4,547 4,577 30 CA 10,000 09/02192 4,577 0 999 3,578 3,567 11- CA 10,000 09/03/92 3,567 1,773 928 4 ,412 4,510 98 CA 10,000 I 09/04/92 4,510 0 1,272 3,238 3,170 68- CA 10,000 09/05/92 3,170 0 1,272 1,898 1,898 0 CA 10,000 09/06/92 1, 898 1, 900 1,202 2,596 2,596 0 CA 10,000 09/07/92 2,596 1,500 1, 177 2,919 2,911 8- CA 10,000 09/08/92 2,911 0 930 1,981 1,997 16 CA 10,000 09/09/92 1, 997 2,600 846 3,751 3,834 83 CA 10,000 09/10/92 3,834 1, 500 886 4,448 4,476 28 CA 10,000 09/11/92 4,476 0 1,250 3,226 3, 17,0 56- CA 10,000 09/12/92 3,170 0 1,117 2,053 2,053 0 CA 10,000 09/13/92 2,053 1,800 1,234 2,619 2,608 11- CA 10,Q. 09/14/92 2,608 1, 500 943 3,165 3,154 11- CA 10,0 09/15/92 3,154 1,902 896 4,160 4,239 79 CA 10,0 09/16/92 4,239 0 1,000 3,239 3,219 20- CA 10,000 09/17/92 3,219 0 1,086 2,133 2 , 1 01 32- CA 10,000 09/18/92 2,101 2,885 1,122 3,864 3,969 105 CA 10,000 09/19/92 3,969 1,500 1,134 4,335 4,335 0 CA 10,000 09/20/92 4,335 0 1,151 3,184 3,154 30- CA 10,000 09/21/92 3,154 2,650 912 4 ,8 92 4,902 10 CA 10,000 09/22/92 4,902 0 811 4,091 4,121 30 CA 10,000 í 10/02/92 I: PPDCB019 OPENING II I FACILITY DATE INVENT. Ii 05164 09/23/92 4,121 09/24/92 5,004 i 09/25/92 6,065 il 09/26/92 4,816 I. 09/27/92 3,767 I 09/28/92 4,155 09/29/92 3,121 09/30/92 4,885 MONTH TOTALS: 108,935 FACIl ITY TOTALS: 335,902 I: I I' I I U.G.S.T. VARIANCE REPORT FOR ALL PREMIUM TANKS IN THE SYSTEM CLOSING PHYSICAL DEUVERY SALES INVENT. INVENT. 1,600 722 4,999 5,004 1,780 830 5,954 6,065 0 1,243 4,822 4,816 0 1,049 3,767 3,767 1,500 1,164 4,103 4,155 0 948 3,207 3,121 2,650 906 4,865 4,885 0 893 3,992 3,969 32,142 31, 039 110,038 110,343 108,246 109,965 334,183 334,749 AllOWED VAR. 451 1212 ,~ I PAGE 184 i, ACTUAL TANK VAR. OVER ST SIZE 5 CA 10,000 III CA 10,000 6- CA 10,000 0 CA 1 0 , 000 ~- 52 CA 10,000 86- CA 10,000 20 CA 10,000 23- CA 10,000 305 NO 566 NO . .1 , ~\lo~f' t ~\) tllJÞ . 0, -1\RCO P1~~cts Company ~ // Division Of(Ä~'RìChfield Company ~".. ·V'r ~V ~~.¿ \}J \ ~Ol CA (1192) PARS8V &.reement Number 0001761 '~ement Sequence 002 Facility Number 05365 Customer Number 0616805 AR Number 0616805 Agreement Type PMAMPM February 93 Renewal AMENDMENT TO LESSEE PMPA FRANCHISE AGREEMENT/DEALER/PREMISES LEASE OPERATION OF UNDERGROUND STORAGE TANKS CALIFORNIA This Amendment, dated QU<tttà! / Î , 19 97......, is attached to, incorporated in and made a part of the Lessee PMPA Franchislf AgreemenUDealeriPremises Lease ("PMPA Agreement"), in effect as of the date of this Amendment or, if applicable, to become effective concurrently with this Amendment, between Atlantic Richfield Company, a Delaware Corporation, through its division ARCO Product Company, ("ARCO"), and PRESTIGE STATIONSINC 5164 ("Franchisee"), covering premises located at 4010 WIBLE RD BAKERSFIELD CALIFORNIA 93309 In return for good and valuable consideration, each party's receipt of which is hereby acknowledged, the parties agree as follows: 1, The parties have entered into this Amendment in accordance with legal requirements imposed on ARCO and Franchisee concerning operation of the underground storage tanks at the above-referenced location, 2. ARCO has provided Franchisee a copy of: (a) California Health and Safety Code Section 25299 or an approved summary concerning civil and criminal penalties for violating terms of any permit to operate these underground storage tanks and relevant statutory and regulatory requirements; (b) the following listed documents, a copy of which is attached and initialed by Franchisee: Monitoring and Response Plan - IlIA with Attachments - 3, Where ARCO has provided Franchisee with a copy of the permit to operate the underground storage tanks, Franchisee has read and understood its responsibilities as operator under the permit and agrees to comply with each of the provisions of the permit. Irrespective of whether Franchisee has received and reviewed a copy of the underground storage tank operating permit, Franchisee hereby exp.~,~ agre~,~to <:1~the f.c;?~~.wing: """~_n_ (~},---ri)t)[lh9,r thè underground tanks as required by law; J. J.L.___. ..«.._..,......:.. ""~. __".....__, (b) maintain all required records and make such records available to the federal, state and local government agencies and to ARCO at all reasonable times; (c) follow all reporting procedures as required by law; (d) mail. when submitted, to ARCO, at the address specified in paragraph 1 of the PMPA Franchise AgreemenUDealer/Premises Lease, a copy of all reports submitted to government agencies; 1 of 2 . . ~, (e) follow all operating procedures specified by ARCO; (f) immediately report to ARCO all suspected or confirmed releases from the tanks and connected piping system, unusual operating conditions, release detection signals and environmental conditions suggesting a release may have occurred, and any spills and overfills that are not contained and cleaned up; (g) properly close the underground tanks as required by law; and, (h) comply with all federal, state and local legal requirements relevant to the operations of the underground tanks and all amendments to any permit to operate, 4. With respect to the operation of the underground storage tank system and monitoring equipment, Franchisee hereby acknowledges and agrees: that ARCO has provided Franchisee with training on each of the items described in the attached Monitoring and Response Plan, that Franchisee understood the content of the training, and asked any questions necessary to facilitate his understanding, that Franchisee indicated to ARCO at the time of training any subjects addressed by the training which Franchsee did not fully understand, and that Franchisee received complete training and information necessary for Franchisee to fully understand the subject of operating underground storage tanks. 5. ARCO has provided Franchisee a copy of and Franchisee agrees to maintain on the Premises the Certificate of Financial Responsibility (as required by the United States Environmental Protection Agency in Subpart H, 40 CFR, Part 280 and California Health and Safety Code, Chapter 6.7, Section 25292.2), 6, Except to the extent they conflict with, or are less rigorous than the terms of this Amendment, all of the terms and conditions of the PMPA Agreement, as previously or hereafter amended or supplemented, remain in full force. IN WITNESS WHEREOF, ARCO and Franchisee have executed this Amendment. ARCO Products Company a division of Atlantic Richfield Company ARCO WITNESS: fj" ~,f~ ~: L I If ¡¡ I / / /] /'CJ ,,: .. /y! ¡< !/,~. 0\/, '7\1 _ )....()..."'! tJ---r: / I?~»-J~ By: Manager ~~\ ~~ PRESTIGE STATIONS INC 5164 Franchisee's Name By~4 '# PRESTIGE STATIONS INC 5164 WITNESS DATE: 3/0/11- CA (1/92) PARS8W 2 of 2 · a MONITORING & RvESPONSE PLAN - iliA ARCO PRODUCTS COMPANY FACILITY WITH SINGLE WALL TANKS AND DOUBLE WALL LINES ARCO Facility 05365 Address 4010 Wible Rd Bakersfield, CA 93309 1 . DETECTION METHOD Tanks - Monthly Inventory Reconciliation and Annual Tank Integrity Testing in accordance with Sections 2646 and 2643(c)(2)(A) and (B), Article 4, Title 23, CCR. Unes - Automatic Pressure Une Leak Detectors and Annual Une Tightness Testing in accordance with Section 2643 (d)(1) and (3), Article 4, Title 23, CCR. 2 . MONITORING EQUIPMENT The Automatic line leak detectors will be maintained and inspected according to the manufacturer's instructions by an outside contractor once during each calendar year. 3 . MONITORING PROCEDURE - Inventory Reconciliation Inventory reconciliation will be performed in compliance with the details of Section 2646, Article 4, Title 23, CCR (copy attached and hereby incorporated). A The daily variation in inventory reconciliation shall be the difference between physically measured inventory in storage and the calculated inventory in storage. B. The physically measured inventory shall be determined at approximately the same time each day by taking liquid level measurement (stick reading) and converting it to gallons using a calibration chart. C. The calculated inventory shall be determined at approximately the same time of day for each business day by adding the inputs and subtracting the withdrawals from the physically measured inventory determined the day before. D. These variations shall be summed for a period of one month. Monthly variations exceeding a variation of 1.0 percent of the monthly tank delivery plus 130 gallons must be investigated in accordance with instructions attached. See Exhibit A for reconciliation form. . . 4 . RESPONSE PLAN OPERATOR RESPONSIBILITIES If the monthly inventory reconciliation exceeds the allowable variation. the OPERATOR shall: A Verbally notify ARCa Maintenance IMMEDIATELY of a suspected unauthorized release upon completion of ANY inventory reconciliation which exceeds the allowable variation. Notification to ARCa must be in sufficient time to allow ARCa to report the suspected unauthorized release to the local implementing agency within 24 hours of the inventory reconciliation which indicated the allowable variation was exceeded. B. Within 24 hours of discovering a variation which exceeds the allowable variation, review the inventory records for the preceding 30 days and determine if a calculation error exists that caused the apparent excessive variation. C. Continue to conduct inventory reconciJiation. If a second 30-day period of data confirms the initial results, notify ARCa Maintenance IMMEDIATELY and record in the monitoring' record the action taken. NOTE: If prior to month-end dally inventory reconciliations indicate a suspected release. report It immediatelv to ARCO Maintenance. Do not walt until the end of the month to report. ARCO RESPONSIBILITIES A Upon notification by the Operator of a suspected unauthorized release, verbally notify the local implementing agency within 24 hours of discovery by the operator of any inventory reconciliation which exceeds the allowable variation. B. Within 24 hours of the notification by the Operator of a suspected unauthorized release, have all readily accessible facilities carefully inspected for leakage by appropriately trained persons and by following procedures in ARCO Products Company Procedure G.01. C. Have all dispenser meters associated with hazardous substance withdrawal checked for calibration within 24 hours of the inspection in item B. If a second 30-day period of data confirms the initial results: The requirements of Article 5, Title 23, CCR will be performed. 5. ANNUAL VARIATION STATEMENT The operator shall, on an annual basis, submit a statement to the local agency which states that all inventory reconciliation data are within allowable variations or which includes a list of the period of times and the corresponding variations which exceed the allowable variations. Said statement shall be executed under penalty of perjury. See Exhibit B for Annual Inventory Rèconciliation Summary Report form. . . 6. TRAINING In addition to the training covering subjects mentioned in Sections 3 and 4 above, training needed for the operation of the tank system and monitoring equipment includes: How to: Take tank level measurements Read dispenser meters Inspect equipment Recognize warning signs: dispenser hesitations, meter spins and odors Manually close dispenser impact valve Replace dispenser filters Shut down the system with and location of: ARCOmatic switch, electrical panel breakers, and emergency shut off switch Test the electronic monitor 7 . RECORDS RETENTION Written records of all monitoring, testing, and maintenance performed shall be maintained on-site or off-site at a readily available location for a period of at least 3 years. These records must be made available, upon request within 36 hours, to the local agency or the Board. · ARCO Products Company Division of AtlanticRichfieldCompany Facility: 05365 Tank #: Size EXHIBIT A ~ffiO, ! Inventory Re neiliation Sheet California Product: Month/Year: 1 2 3 4 5 6 Previous Deliveries Metered Calculated Current Day's Actual Variation Day's Sales Inventory Dipstick Column 4 & 5 Dipstick Reading Subtract Reading Column Smaller II (Physically 1+2-3 from Larger ,I. Measured\ Dav Gallons Gallons Gallons Gallons Gallons +/.- Gallons 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 1 7 18 19 20 21 22 23 24 25 26 27 28 29 30 31 TOTAL ·Subtract Smaller II from Larger'. If Column 4 is less than 5 (+). If Column 5 is less than 4 (_). MONTHLY ALLOWABLE VARIATION: Total of Column 2 ACTUAL VARIATION: Total in Column 6 x .01 a gallons. aallons. + 130 = If actual variation Is areafter than allowable variation. call ARCa Maintenance and follow the monltorlna and response plan. 7 . ~~0 EXHIBIT -B ~IL. ~.. A reo. K ~) ~!rd ct/ ANNUAL INVENTORY RECONCILIATION SUMMARyl ~EPORT ARCO Facility #: 0')165 Address: 40]0 Wihlp Rd City: Bakersfield Zip: 93309 A _____ All inventory rariations for the above mentioned facility were within allowable limits of Section 2646, CCR, Title 23, Division 3, Chapter 16, for the 12 month period from to ,19 to 19 B. _______ Inventory variations in excess of the allowable limits of Section 2646, occured on the following months, in the listed amounts, for the noted underground storage tanks. From Inventory Reconciliation Sheet. If actual is greater than allowable, subtract actual from II bl d d'ff . r b I a owa e an reDOrt I erence as vana Ion eow. Month Product or Product or Product or Product or Tank # Tank # Tank # Tank # Submit report within 15 days following the end of the last month of the12-month time period covered by the report. Report to be submitted to your local implementing agency by Certified Mail if possible:. A copy of this report is to be submitted to: ARCO Products Company Environmental Compliance Administrator 17315 Studebaker Road Cerritos, CA 90701-1488 I certify under penalty of perjury, that all variations (if any) exceeding allowable limits are indicated above: Facility Tank Operator ------ Date · -- ~.t~·I: ~ ./ "/ /' -VIr. , ~ CALIFORNIA CODE OF REGULATIONS Arc;jèHj !'1~~ TITLE 23 WATERS I ! DIVISION 3 STATE WATER RESOURCES CONTROL BOARD CHAPTER 16 UNDERGROUND TANK REGULATIONS ARTICLE 4, SECTION 2646. INVENTORY RECONCIUATION (a) Inventory reconciliation shall only be used as part of non-visual monitoring for existing underground storage tanks which contain motor vehicle fuels. ( b ) After January 1, 1993, inventory reconciliation, and any other leak detection method that utilizeds manual stick readings, shall not be used as part of non-visual monitoring for existing underground storage tanks containing a hazardous substance including motor vehicle fuel, where the existing ground water level or the highest anticipated ground water level is less than 20 feet below the bottom of the tank. These ground water levels shall be determined according to the requirements of section 2649 (c) of this article. ( c) Inventory reconciliation that utilizes manual stick readings shall not be used after December 22, 1998. ( d ) Owners or operators of existing underground storage tanks who utilize inventory reconciliation as part of non-visual monitoring shall comply with the requirements of this section. ( e ) Each underground storage tank shall be individually monitored utilizing an inventory reconciliation system that takes into account: ( 1) Separate daily underground storage tank quantity measurements for both the stored hazardous substance and any water layer; ( 2) Daily readings for underground storage tank input and withdrawals; and ( 3 ) Checking of product inputs indicated by delivery receipt by measurement of the tank inventory volume before and after delivery. Underground storage tanks that are connected by a manifold may require time for the level to stabilize before a measurement is taken. ( f ) Meters used for determining inputs and withdrawals shall comply with California Code of Regulations, Title 4, Chapter 9, Subchapter 1, wTolerances and specifications for commercial weighing and measuring devices. W Meters shall be inspected by the County Department of Weights and Measures or a device repairman as defined in the California Business and professions Code, Division 5, Chapter 5.5. ( g ) For the purpose of this section, wdailyw means at least 5 days per week. The number of days involved may be reduced by the number of public holidays that occur during any such week. Local agencies may reduce the frequency of monitoring to no less than once every 3 days at facilities that are not staffed on a regular basis, provided that the monitoring is performed on every day the facility is staffed or when inputs or withdrawals are made from the underground storage tank. ' . . 7 ( h ) Underground storage tank quantity measurements shall be based ,on liquid level measurements which are: ( 1 ) Performed during periods when no additions or withdrawals are being made to the underground storage tank; ( 2 ) Performed by the underground storage tank owner, operator, or other designated persons who have had appropriate training; ( 3 ) Based on the average of two readings if stick or tape measurements are used: ( 4 ) Determined by equipment capable of measuring the level of the product over the full range of the tank's height to the nearest one-eighth of a inch; ( 5) Determined by equipment capable of measuring, to the nearest one-eighth of an inch, water present in the bottom of the underground storage tank. If the underground storage tank is not level, and the measurements are taken manually, then the measurement should occur at the lowest end of the underground storage tank; ( 6 ) Measured at the center of the longitudinal axis of the underground storage tank if access is available or measured at the lowest end of the underground storage tank with a calibration measurement at both ends, if possible, to determine if any underground storage tank tilt exists and, if so, its magnitude; and ( 7 ) Converted to volume measurements based on a calibration chart for the underground storage tank. This chart shall, where feasible, take into account the actual tilt of the underground storage tank. ( i ) The daily variation in inventory reconciliation shall be the difference between physically measured inventory in storage and the calculated inventory in storage. The physically measured inventory shall be determined at approximately the same time each day by taking liquid level measurement and converting it to gallons using the calibration chart. The calculated inventory shall be determined at approximately the same time of day for each business day by adding the inputs and subtracting the withdrawals from the physically measured inventory determined the day before. These variations shall be summed for a period of one month. Monthly variations exceeding a variation of 1.0 percent of the monthly tank delivery plus 130 gallons must be investigated in accordance with this section. ( j ) The owner or operator shall, on an annual basis, submit a statement to the local agency which states that all inventory reconciliation data are within allowable variations or which includes a list of the period of times and the corresponding variations which exceed the allowable variations. Said statement shall be executed under penalty of perjury. ( k ) If the monthly inventory reconciliation, conducted under subsection (i) of this section, exceeds the allowable variation, the owner or operator as appropriate shall: ( 1) Notify the local agency of a suspected unauthorized release within 24 hours of completing any inventory reconciliation which exceeds the allowable variation; ( 2 ) Within 24 hours of discovering a variation which exceeds the allowable variation, review the inventory records for the preceding 30 days and determine if a calculation error exists that caused the apparent excessive variation. ' ) · -- -- ( 3 ) Within 24 hours of discovering a variation which exceeds the allowable variation, have all readily accessible facilities carefully inspected for leakage by appropriately trained persons; ( 4 ) Have all dispenser meters associated with hazardous substance withdrawal checked for calibration within 24 hours of completing the procedure required in subsection (3) immediately above. ( 5 ) Continue to conduct inventory reconciliation according to the requirements of this section., If a second 30-day period of data confirms the initial results, the owner or operator shall comply with the requirements of Article 5 of this chapter, and ( 6 ) Conduct such additional tests or investigations as may be required by the local agency. ( I ) Whenever any of the steps in subsection (k) of this section are performed, the results shall be documented in the monitoring record required under section 2712 of Article 10 of this chapter. If completion of anyone of these steps indicates an inventory reconciliation error that, when corrected, indicates that allowable variations have not been exceeded, then the remainder of the steps need not be completed. If completion of any of these steps indicates that the apparent excessive variation is not due to a release or tank failure, then the remainder of the steps need not be completed. ( m ) The transfer of hazardous substances into and out of the underground storage tank may continue while the steps indicated in subsection (k) are being implemented provided the steps indicated are completed within the specified periods. Daily inventory readings and monthly reconciliation shall continue while the steps are being implemented. Authority: Reference: Health and Safety Code 25299.3, 25299.7 Health and Safety Code 25291, 25292 40 CFR 280.43 · - CALIFORNIA HEALTH AND SAFETY CODe DIVISION 20, CHAPTER 6.1 Æ:',/7~ ./';~~ AICO:1M+Jih ¡; / )' SECTION 25299 ( a) Any operator of an underground tank system shan be liable for a civil penalty of not less than fIVe hundred dollars ($600) or more than five thousand dollars ($5,000) for each underground storage tank for each day of violation for any of the following violations: ( 1 ) Operating an underground tank system WhICh has not been Issued a permit, In vlo'-tion of this chapter. ( 2 ) Violation of any of the applicable r8(ulrements of the permit issued for the operation of the underground tank system. ' ( 3 ) Failure to maintain records. as required by this chapter. (4) Failure to report an unauthorized release. as required by Sections 25294 and 25295. ( 5 ) Failure to property close an underground tank system, as required by Section 25298. ( 6 ) Violation of any appUcable requirement of this chapter or any requirement of this chapter or any regulation adopted by the board pursuant to Section 25299.3 (7) Failure to permit inspection or to perform any monitoring, testing, or reporting required pursuant to Section 25288 or 26289. ( 8) Making any false statement, representation. or certification In any application., record, report. or other document submitted or required to be maintained pursuant to this chapter. ( b ) Any owner of an underground tank system shall be liable for a civil penalty of not less than five hundred dollars ($500) or more than five thousand dollars ($5.000) per day for each underground storage tank, for each day of violation, for any of the following violations: ( 1 ) Failure to obtain a permit as specified by this chapter. ( 2 ) Failure to repair or upgrade an underground tank system in accordance with this chapter. ( 3 ) Abandonment or Improper closure of any underground tank system subject to this ohapter. ( 4 ) Knowing fanure to take reesonable and necessary steps to assure compliance with this chapter by the operator of an underground tank system. ( 5 ) Violation of any applicable requirement of the permit Issued for opøratlon of the underground tank system. ( 6 ) Violation of any a~licable requirement of this Chapter of any regulation adopted by the board pursuant to Sedlon 25299.3. .. , -;}' ( 7 ) Failure to permit inspection or to perform any monitoring, testing, or reporting required pursuant to Section 25288 or 25289. ( 8 ) Making any false statement, representation, or certtflcation in any application, record, report , or other document submItted or requIred 10 be maintaIned pursuant to this chapter. ( c ) Any person who IntentIOnally falls to notify the board or the local agency when required to do so by thIs chapter or who submits false Information In a permIt application, amendment. or renewal, pursuant to Section 25286, Is liable for a ciYU penalty or not more than five thousand dollars ($5,000) for each underground storage tank for which notIfication Is not given or false Information Is lubmlUed. ( d ) Any person who falsifies any monitoring recordS required by this chapter, or knowingly faUs to report an unauthorized release, shall, upon conviction, be punished by 8 fine of not less than five thousand dollars ($5,000) or more, than ten thousand dollars ($10,00001 by Imprisonment In the county jail for not to .xc.ed one year, or by both Utat fin. and ImprIsonment. ( e ) In determining both the civil and criminal penalties imposed pursuant to thIs section, the court shall consIder all relevant circumstances, Including, but not limIted to, the extent of harm or potential harm caused by the violation, the nature of the violatiOn and the period of time over which It occurred, the frequency of past violations, and the corrective action, if any, taken by the person who holds the permit. ( f ) Each civil penalty or crimInal fine Imposed pursuant to this section for any separate violation shall be separate, and in addition to, any other civil penalty or criminal fine Imposed pursuant to this section or any other provision of law. and Shall be paid to the treasury of the local agency or state, whichever is represented by the office of the city attorney, district attorney, or Attorney General bringing the action. All penanles or fines collected on behalf of the board or a regional board by the Attomey Glneral shall be deposhed In the State Water PoIluUon Cleanup and Abatement Account In the State Water Quality Control Fund, and are available for expenditure by the bOard, upon appropriation, pursuant to Section 13441 of the Water Code. (g) This section shall become operative on January 1, 1991. (Added by Stats. 1988, c. 296 Section 3, operative Jan. ',1991. Amended by Stats. 1989, o. 11397, Section 19, operative Jan. 1, 1991.) -.:\~ 1 :;~~RCO Products Company~ .....Division of Atlantic Richfield Company ~,... _ ~,l f'V < ~ \n,L~ ll\V ~ -6 {,z\ AMENDMENT TO LESSEE PMPA FRANCHISE AGREEMENT/DEALER/PREMISES LEASE ." reement Number , ement Sequence ; Facility Number Customer Number AR Number Agreement Type 0001761 001 05365 0616805 0616805 PMAMPM .,.,/ , " ~ OPERATION OF UNDERGROUND STORAGE TANKS CALIFORNIA This Amendment, dated t , 19~s attached to, incorporated in and made a part of the Lessee PMPA Franchise Agreem t/Dealer/Premises Lease ("PMPA Agreemenn, in effect as of the date of this Amendment or, if applicable, to become effective concurrently with this Amendment, between Atlantic Richfield Company, a Delaware Corporation, through its division ARCO Product Company, ("ARCO"), and PRESTIGE STATIONS INC 5164 ("Franchisee"), covering premises located.,at 4010 WIBLE RD BAKERSFIELD CALIFORNIA 93309 In return for good and valuable consideration, each party's receipt of which is hereby acknowledged, the parties agree as follows: 1, The parties have entered into this Amendment in accordance with legal requirements imposed on ARCO and Franchisee concerning operation of the underground storage tanks at the above-referenced location. 2, ARCO has provided Franchisee a copy of: (a) California Health and Safety Code Section 25299 or an approved summary concerning civil and criminal penalties for violating terms of any permit to operate these underground storage tanks and relevant statutory and regulatory requirements; (b) the following listed documents, a copy of which is attached and initialed by Franchisee: Monitor & Response Plan - IlIA w/Attachments 3, Where ARCO has provided Franchisee with a copy of the permit to operate the underground storage tanks, Franchisee has read and understood its responsibilities as operator under the permit and agrees to comply with each of the provisions of the permit. Irrespective of whether Franchisee has received and reviewed a copy of the underground storage tank operating permit, Franchisee hereby expre~ ag, rees t~the following: " "'", r, .~'" ~ /-" (a) ~nijpr the utl'derground tánks as required by law; l~. ~_ J"-,""-':::~~"''''''''''''',,-,,,._ (b) maintain all required records and make such records available to the federal, state and local government agencies and to ARCO at all reasonable times; (c) follow all reporting procedures as required by law; (d) mail, when submitted, to ARCO, at the address specified in paragraph 1 of the PMPA Franchise Agreement/Dealer/Premises Lease, a copy of all reports submitted to government agencies; CA (1/92) r, r, O~~\/ 1 of 2 . . {~~. " f (e) follow all operating procedures specified by ARCO; (f) immediately report to ARCO all suspected or confirmed releases from the tanks and connected piping system, unusual operating conditions, release detection signals and environmental conditions suggesting a release may have occurred, and any spills and overfills that are not contained and cleaned up; (g) properly close the underground tanks as required by law; and, (h) comply with all federal, state and local legal requirements relevant to the operations of the underground tanks and all amendments to any permit to operate. 4. With respect to the operation of the underground storage tank system and monitoring equipment, Franchisee hereby acknowledges and agrees: that ARCO has provided Franchisee with training on each of the items described in the attached Monitoring and Response Plan, that Franchisee understood the content of the training, and asked any questions necessary to facilitate his understanding, that Franchisee indicated to ARCO at the time of training any subjects addressed by the training which Franchsee did not fully understand, and that Franchisee received complete training and information necessary for Franchisee to fully understand the subject of operating underground storage tanks, 5,ARCO has provided Franchisee a copy of and Franchisee agrees to maintain on the Premises the Certificate of Financial Responsibility (as required by the United States Environmental Protection Agency in Subpart H, 40 CFR, Part 280 and California Health and Safety Code, Chapter 6.7, Section 25292.2), 6, Except to the extent they conflict with, or are less rigorous than the terms of this Amendment, all of the terms and conditions of the PMPA Agreement, as previously or hereafter amended or supplemented, remain in full force, IN WITNESS WHEREOF, ARCO and Franchisee have executed this Amendment. ARCO Products Company a division of Atlantic Richfield Company ARCO WITNESS: ijr.J{¿) J. ~~ -}~ - - Manager . By: . £~ ~\\\, \ . ' PRESTIGE STATIONS INC 5164 Franchisee's Name By Ç);Oc:;::. # --PRESTIGE STÃTlcrNS INC 5164 WITNESS DATE,~(/f(r~ CA (1/92) PARS8W . 2 of 2 ~ . . "7 T I SINGLE WALL TANKS A~Q DOUBLE WALL LiNeS ARCO Facility Address 1 . DETECTION METHOD Tanks - Monthly Inventory Reconciliation and Annual Tank Integrity Testing in accordance with Sections 2646 and 2643(c)(2)(A) and (B), Article 4, Title 23, CCR. Unes - Automatic Pressure Une Leak Detectors and Annual Une Tightness Testing in accordance with Section 2643 (d)(1) and (3), Article 4, Title 23, CCR. 2 . MONITORING EQUIPMENT The Automatic line leak detectors will be maintained and inspected according to the manufacturer's instructions by an outside contractor once during each calendar year. 3 . MONITORING PROCEDURE - Inventory Reconciliation Inven'tory reconciliation will be performed in compliance with the details of Section 2646, Article 4, Title 23, CCR (copy attached and hereby incorporated). A The daily variation in inventory reconciliation shall be the difference between physically measured inventory in storage and the calculated inventory in storage. B. The physically measured inventory shall be determined at approximately the same time each day by taking liquid level measurement (stick reading) and converting it to gallons using a calibration chart. C. The calculated inventory shall be determined at approximately the same time of day for each business day by adding the inputs and subtracting the withdrawals from the physically measured inventory determined the day before. D. These variations shall be summed for a period of one month. Monthly variations exceeding a variation of 1.0 percent of the monthly tank delivery plus 130 gallons must be investigated in accordance with instructions attached. See Exhibit A for reconciliation form. ~ 1....~ "'¡ . . ,<,::~~; ,_."~...I.- 4 . RESPONSE PLAN OPERATOR RESPONSIBILITIES If the month Iv Inventory reconciliation exceeds the allowable variation. the OPERATOR shall: A. Verbally notify ARCO Maintenance IMMEDIATELY of a suspected unauthorized release upon completion of Am: inventory reconciliation which exceeds the allowable variation. Notification to ARCO must be in sufficient time to allow ARCO to report the suspected unauthorized release to the local implementing agency within 24 hours of the inventory reconciliation which indicated the allowable variation was exceeded. B. Within 24 hours of discovering a variation which exceeds the allowable variation, review the inventory records for the preceding 30 days and determine if a calculation error exists that caused the apparent excessive variation. C. Continue to conduct inventory reconciliation. If a second 30-day period of data confirms the initial results, notify ARCO Maintenance IMMEDIATELY and record in the monitoring record the action taken. NOTE: If Drior to month-end dallv Inventory reconciliations Indicate a suspected release. reDort It Immediately to AReO Maintenance. Do not walt until the end of the month to reDort. AReo RESPONSIBILITIES A. Upon notification by the Operator of a suspected unauthorized release, verbally notify the local implementing agency within 24 hours of discovery by the operator of any inventory reconciliation which exceeds the allowable variation. B. Within 24 hours of the notification by the Operator of a suspected unauthorized release, have all readily accessible facilities carefully inspected for leakage by appropriately trained persons and by following procedures in ARCO Products Company Procedure G.01. C. Have all dispenser meters associated with hazardous substance withdrawal checked for calibration within 24 hours of the inspection in item B. If a second 30-day period of data confirms the Initial results: The requirements of Article 5, Title 23, CCR will be performed. 5. ANNUAL VARIATION STATEMENT The operator shall, on an annual basis, submit a statement to the local agency which states that all inventory reconciliation data are within allowable variations or which includes a list of the period of times and the corresponding variations which exceed the allowable variations. Said statement shall be executed under penalty of perjury. See Exhibit B for Annual Inventory Reconciliation Summary Report form. . q . . 6. TRAINING In addition to the training covering subjects mentioned in Sections 3 and 4 above, training needed for the operation of the tank system and monitoring equipment includes: How to: Take tank level measurements Read dispenser meters Inspect equipment Recognize warning signs: dispenser hesitations, meter spins and odors Manually close dispenser impact valve Replace dispenser filters Shut down the system with and location of: ARCOmatic switch, electrical panel breakers, and emergency shut off switch Test the electronic monitor 7. RECORDS RETENTION Written records of all monitoring, testing, and maintenance performed shall be maintained on-site or off-site at a readily available location for a period of at least 3 years. These records must be made available, upon request within 36 hours, to the local agency or the Board. .. "1 . EXHIBIT A . ARCO Products Company Division of AtlanticRichfieldCompany Inventory Reconciliation Sheet California Facility: Tank #: Size Product: Month/Year: 1 2 3 4 5 6 Previous Deliveries Metered Calculated Current Day's Actual Variation Day's Sales Inventory Dipstick Column 4 & 5 Dipstick Reading Subtract Reading Column Smaller , (Physically 1+2-3 from Larger , Measured) Dav Gallons Gallons Gallons Gallons Gallons +/.. Gallons 1 2 3 4 5 6 7 8 9 10 1 1 12 13 14 15 1 6 17 18 1 9 20 21 22 23 24 25 26 27 28 29 30 31 TOTAL ·Subtract Smaller' from Larger t. If Column 4 is less than 5 (+). If Column 5 is less than 4 (-). MONTHL Y ALLOWABLE VARIATION: Total of Column 2 ACTUAL VARIATION: Total in Column 6 x .01 . aallons. + 130 . aallons. If actual variation Is area'er than allowable variation. call ARCa Maintenance and follow the monltorino and response plan. . EXHIBIT B . ~ ANNUAL INVENTORY RECONCILIATION SUMMARY REPORT ARCO Facility #: Address: City: Zip: A. All inventory rariations for the above mentioned facility were within allowable limits of Section 2646, CCR, Title 23. Division 3. Chapter 16. for the 12 month period from to . 19 to 19 B. Inventory variations in excess of the allowable limits of Section 2646. occured on the following months, in the listed amounts. for the noted underground storage tanks. From Inventory Reconciliation Sheet. If actual is greater than allowable, subtract actual from d'ff b I allowable and reoort I erence as vanatlon eow. Month Product or Product or Product or Product or Tank # Tank # Tank # Tank # Submit report within 15 days following the end of the last month of the12-month time period covered by the report. Report to, be submitted to your local implementing agency by Certified Mail if possible:. A copy of this report is to be submitted to: ARCO Products Company Environmental Compliance Administrator 17315 Studebaker Road Cerritos, CA 90701-1488 I certify under penalty of perjury. that all variations (if any) exceeding allowable limits are indicated above: /ìPt>§:' # Á/I;/f~ Facility Tank Operator Date ¡; . . '1 CALIFORNIA CODE OF REGULATIONS TITLE 23 WATERS DIVISION 3 STATE WATER RESOURCES CONTROL BOARD CHAPTER 16 UNDERGROUND TANK REGULATIONS ARTICLE 4, SECTION 2646. INVENTORY RECONCIUATION (a) Inventory reconciliation shall only be used as part of non-visual monitoring for existing underground storage tanks which contain motor vehicle fuels. ( b ) After January 1. 1993. inventory reconciliation, and any other leak detection method that utilizeds manual stick readings. shall not be used as part of non-visual monitoring for existing underground storage tanks containing a hazardous substance including motor vehicle fuel, where the existing ground water level or the highest anticipated ground water level is less than 20 feet below the bottom of the tank. These ground water levels shall be determined according to the requirements of section 2649 (c) of this article. (c) Inventory reconciliation that utilizes manual stick readings shall not be used after December 22. 1998. ( d ) Owners or operators of existing underground storage tanks who utilize inventory reconciliation as part of non-visual monitoring shall comply with the requirements of this section. ( e ) Each underground storage tank shall be individually monitored utilizing an inventory reconciliation system that takes into account: ( 1) Separate daily underground storage tank quantity measurements for both the stored hazardous substance and any water layer; ( 2 ) Daily readings for underground storage tank input and withdrawals; and ( 3 ) Checking of product inputs indicated by delivery receipt by measurement of the tank inventory volume before and after delivery. Underground storage tanks that are connected by a manifold may require time for the level to stabilize before a measurement is taken. ( f ) Meters used for determining inputs and withdrawals shall comply with California Code of Regulations, Title 4. Chapter 9, Subchapter 1. "Tolerances and specifications for commercial weighing and measuring devices.· Meters shall be inspected by the County Department of Weights and Measures or a device repairman as defined in the California Business and professions Code, Division 5. Chapter 5.5. ( g ) For the purpose of this section. -daily· means at least 5 days per week. The number of days involved may be reduced by the number of public holidays that occur during any such week. local agencies may reduce the frequency of monitoring to no less than once every 3 days at facilities that are not staffed on a regular basis. provided that the monitoring is performed on every day the facility is staffed or when inputs or withdrawals are made from the underground storage tank. 'W . . ',<, 0; ( h ) Underground storage tank quantity measurements shall be based on liquid level measurements which are: ( 1) Performed during periods when no additions or withdrawals are being made to the underground storage tank; ( 2) Performed by the underground storage tank owner, operator, or other designated persons who have had appropriate training; ( 3 ) Based on the average of two readings if stick or tape measurements are used: ( 4 ) Determined by equipment capable of measuring the level of the product over the full range of the tank's height to the nearest one-eighth of a inch; ( 5 ) Determined by equipment capable of measuring, to the nearest one-eighth of an inch, water present in the bottom of the underground storage tank. If the underground storage tank is not level, and the measurements are taken manually, then the measurement should occur at the lowest end of the underground storage tank; ( 6 ) Measured at the center of the longitudinal axis of the underground storage tank if access is available or measured at the lowest end of the underground storage tank with a calibration measurement at both ends, if possible, to determine if any underground storage tank tilt exists and, if so, its magnitude; and ( 7 ) Converted to volume measurements based on a calibration chart for the underground storage tank. This chart shall, where feasible, take into account the actual tilt of the underground storage tank. ( i ) The daily variation in inventory reconciliation shall be the difference between physically measured inventory in storage and the calculated inventory in storage. The physically measured inventory shall be determined at approximately the same time each day by taking liquid level measurement and converting it to gallons using the calibration chart. The calculated inventory shall be determined at approximately the same time of day for each business day by adding the inputs and subtracting the withdrawals from the physically measured inventory determined the day before. These variations shall be summed for a period of one month. Monthly variations exceeding a variation of 1.0 percent of the monthly tank delivery plus 130 gallons must be investigated in accordance with this section. ( j ) The owner or operator shall, on an annual basis, submit a statement to the local agency which states that all inventory reconciliation data are within allowable variations or which includes a list of the period of times and the corresponding variations which exceed the allowable variations. Said statement shall be executed under penalty of pe~ury. ( k ) If the monthly inventory reconciliation, conducted under subsection (i) of this section, exceeds the allowable variation, the owner or operator as appropriate shall: ( 1) Notify the local agency of a suspected unauthorized release within 24 hours of completing any inventory reconciliation which exceeds the allowable variation; ( 2 ) Within 24 hours of discovering a variation which exceeds the allowable variation, review the inventory records for the preceding 30 days and determine if a calculation error exists that caused the apparent excessive variation. , '. ì'1 ~ . . ( 3 ) Within 24 hours of discovering a variation which exceeds the allowable variation, have all readily accessible facilities carefully inspected for leakage by appropriately trained persons; ( 4 ) Have all dispenser meters associated with hazardous substance withdrawal checked for calibration within 24 hours of completing the procedure required in subsection (3) Immediately above. ( 5 ) Continue to conduct inventory reconciliation according to the requirements of this section., If a second 3O-day period of data confirms the initial results, the owner or operator shall comply with the requirements of Article 5 of this chapter, and ( 6 ) Conduct such additional tests or investigations as may be required by the local agency. ( I ) Whenever any of the steps in subsection (k) of this section are performed, the results shall be documented in the monitoring record required under section 2712 of Article 10 of this chapter. If completion of anyone of these steps indicates an inventory reconciliation error that, when corrected, indicates that allowable variations have not been exceeded, then the remainder of the steps need not be completed. If completion of any of these steps indicates that the apparent excessive variation is not due to a release or tank failure, then the remainder of the steps need not be completed. ( m ) The transfer of hazardous substances into and out of the underground storage tank may continue while the steps indicated in subsection (k) are being implemented provided the steps indicated are completed within the specified periods. Daily inventory readings and monthly reconciliation shall continue while the steps are being implemented. Authority: Reference: Health and Safety Code 25299.3. 25299.7 Health and Safety Code 25291, 25292 40 CFR 280.43 ,it í . . CAUFORNIA HEALTH AND SAFETY CODE DIVISION 20. CHAPTER 6.7 SECTION 25298 ( 8 ) Any operator of an underground tank system shall be liable for 8 civil penahy Of not less than five hundred dollars ($500) or mare than five thousand dollars ($5.000) for each underground storage tank for each day of vlola1Jon for any of the following violations: ( 1 ) Operating an underground tank system which has not been Issued . permit, In violation of this chaptBr. ( 2 ) VIolation of any of the 8þpßcabJe requirements of the permit Issued for the operation of the underground tank system. (3) Failure to maintain recards. as required by this chapter. (4) Failure to report an unauthorized release. IS required by Sections 25294 and 25295. (5) Fanure to property close an underground tank system, as required by Section 25298. ( 6 ) VIolation of any appUcable requirement of this chapter or any requirement of this chapter or any regulation adopted by !he board pursuant to Section 25299.3 ( 7 ) Failure to permit Inspection or to perform any monitoring, testing, or reporting required pursuant to Section 25288 or 25289. ( 8 ) Making any false statement, representation, or certification In any application, record, repon. or other document submitted or required to be maintained pursuant to this chapter. ( b ) Any owner of an underground tank system shan be DabJe for a civil penahy of not less than five hundred dolars ($500) or more than five thousand dollars ($5.000) per day for each underground storage tank, for each day of violation, for any of the following violations: ( 1 ) Failure to Obtain a permit as specified by this chapter. ( 2 ) Failure 10 repair or upgrade 8n underground tank system In accordance with this chapter. ( 3 ) Abandonment or improper closure of any unclerground tank system subject to this chapter. ( 4 ) Knowing failure 10 take reasonable and necessary steps to assure CX)mpliance with this chapter by the operalDr of an underground tank system. ( 5 ) Violation of any applicable requirement of the permit Issued for operation of 1he underground tank system. ( 6 ) VIolation of any applicable requirement of this chapter of any regulation adopted by the board pursuant to Section 25299.3. "~ (. ( f) (g) .' . (c) ( 7 ) Failure to permit inspection or to perform any monitoring, testing, or reporting required pursuant to Seellon 25288 or 25289. ( 8 ) Making any false statement. representation, or certification In any application, record, report , or other document submitted or required to be maintained pursuant to this chapter. Any person who IntenlionaDy taBs to notify the board or the local agency when required to do 10 by this chapter or who submits false Information in a permit application, amendment, or renewal, pursuant to Section 25286, Is Dable for a eMl penalty or not more than five thousand dollars ($5,000) for each underground storage tank for which notification is not given or false information Is submitted. Any person who falsifies any monitoring records required by this chapter, or knowingly fails to report an unauthort%ed release, shaft, upon conviction, be punished by a fine of not less than fIVe thousand dollars ($5.000) or more, than ten thousand doBars CS10,0000, by imprisonment in the c:ounty jail for not to exceed one year, or by both that fine and Imprisonment. (d) (e) In determining both the civn and criminal penalties imposed pursuant to this S8CU0n, the court shall consider all relevant circumstances, including, but not limited to, the extent of harm or potential harm caused by the violation. the nature of the violation and the period of time over which It occurred, the frequency of past violations, and the corrective action. if any. taken by the person who holds the pemllt. - ..... . . .... ..- ". . . .. -. Each civD penalty or criminal fine imposed pursuant to this section for any separate violation shall be separate, and in addition ta, any ather civD penalty or criminal ftne inposed pursuant to this section or any other provision of law, and shaD be paid 10 the treasury of the local agency or stale, whichever is represented by the office of the ctty anomey, district attorney, or Attorney General bringing the action. All penalties or fines ODIIeCl8d on behalf of the board or a regional board by the Anomey General shall be deposited In the State Water Pollution Cleanup and Abatement Aa:ount In the State Water OuaDly Control Fund. and are available for expenditure by the board. upon appropriation, pursuant to Section 13441 of the Water Code. This section shall become operative on January 1, 1991. (Added by Stats. 1988, c. 296 Section 3, operative Jan. 1, 1991. Amended by Stats. 1989. Co 11397, Section 18, operative Jan. 1, 1991.) ./ ',~! ,. Î, : I. ..{', \:,," . '~ " c' ' UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK) / CONTAMINATION SITE REPORT EMERGENCY DYES [ð;J NO REPORT DATE ..0{ ·',1 HAS STATE OFFICE OF EMERGENCY SERVICES REPORT BEEN FILED? è§J YES D NO CASE,i' 1 ' 'j "', " . '; ç il -...of' .~.,. I- DATE DISCOVERED z ~ . I I I ,r .. I '1'-- w { "t, ;"t, _",' D D Y ~ DATE DISCHARGE BEGAN < ;;: a: w > o o en ¡s Ww °en a:::> ::>< go ",'. , ,,:/..-;; -C",' _, "'J': I'.!.. .' , >- m Q w I- a: o a. w a: .-~ , REPRESENTING ŒD. c=J LOCAL AGENCY c=J ADDRESS ". 1 ..... -.d' . , ¡.' " ..~ ¡ .,''\ rl .~, '>.,_-f OW'NERlOPERATOR ..., ,:'¡....;;:$.-~ OTHER D w -' m r¡¡~ za: 0< ¡);a. w a: NAME /' /' " /" ..-,'I , , ." "{. ./ ;' jf" I STREET "h<! ¿' '.~l.~,~~ ~::__~'1 -{ .~ /t' ,¡,,;'.I ZIP , . ADDRESS 0<:.- ~~ I,"~ , ".orl .¡,. ;. . L , ;- t- ~ 1 ¿"¡i'/;..../ ~ ~ .. . Il¡J~. z o ¡::: < o 9 w I- r¡¡ FA,t;ILI1Y NAME (IF A7l1éABLE) ': .' -I.<t,,I"./ ; /' t·, t ,,¡ i (...,¡f \., CITY ' CONTACT PERSON PHONE ADDRESS ..//'/, .r I , CROSS;ST~EET ./ .If: ,I,,' 1/ LOCAL AGENCY " l ".->",}, <)l, :'1.-< . REGIONAL BOARD ,r:./" ;':!·~·f~,'(· , (¡',- '/f " ~~ It _., ;'1' ) lf~ D UNKNOWN ~:': ~..-t. " ,~ j " ¡ . ..' .t' p,t (:.;/ I" . i,,-r STREET ' ~, ,;' J. .'j ,~:_1-', l;;¿t STATE PHONE "/', /, IP A" ,,' , .~ ~ _ .i CITY' >t:.<""..... i' .~_-;I ~', "'/'1: ¿~ , ;.- "": -) ;0"-' v"" .._~ OPERATOR STREET , , , . j' f Ai<L(c' ~ " ¡" /l "I !' ,: clTY",11.",,~(' :i';¡'~( "i~ f.,(,\' /1 / COUNTY b ': ,,..:;.,ç.,:¡ .~ ZIP " i: 'I (! ~en I-w z- wO ;:oZ Ww -,CJ a.< ~ ,'AGENCY NAME ,t './ /',' { , /~~;.' ""/'.-1... t f .~\I f_._~1~··. I' T ~ .f _,r , '-J "1, .... ,., ,,' Û-¡,,!,,1 ,¿, .~) Ç.. PHONE ((7 ...-:)'., ') J ró.:~) 'J'I" .."/5f~'" PHONE ~e//1 ),. &c,,~~,,':',.;../ ;- 1/ ,; ;t .... "" " ~QUANTITv LOST (GALLONS)' I (1) :1, 'c-( ;' } CONTACT PERSON . ./'''¡ t,/" !:"'~, , '~;&.:;'~J4.¿" \t-tfJic d~l" \ NAME ~ j 0/ en ~ß ~~ ~ g (2) ~?; en , , A , ()£4.-1 {> ""''''v- / . ;,f r···.·l,1~l¡~ c=J UNKNOWN .. 11./. c=J UNKNOWN HOW DISCOVERED D c=J TANK TEST c=J , INVENTORY CONTROL D SUBSURFACE MONITORING \ ' TANK REMOVAL lSJ OTHER \(, ,,¡ J ' k~ METHOD USED TO STOP DISCHARGE (CHECK ALL THAT APPLY) o REMOVE CONTENTS D CLOSE TANK & REMOVE D REPAIR PIPING o REPAIR TANK D CLOSE TANK & FILL IN PLACE D CHANGE PROCEDURE D REPLACE TANK ~ OTHER' ;;'1.:;.. J ./ <1,<':",' "',} 'I" I ,> 1'", c=J NUISANCE CONDITIONS o UNKNOWN D TANK LEAK c=J UNKNOWN , D PIPING LEAK .~ , OTHER CHECK ONE ONLY!, ;·-),.·Ù ðA.. 11<1'..[\"'( " c=J UNDETERMINED D SOIL ONLY CHECK ONE ONLY Ww en a. (3~ I-en 0 NO ACTION TAKEN a5~ a:< D LEAK BEING CONFIRMED a: I- 8en c=J REMEDIATION PLAN CHECK APPROPRIATE ACTION(S) -' (SEE BACK FOR DETALSJ <z c=J CAP SITE (CD) ¡So ~~ c=J CONTAINMENT BARRIER (CB) w< a: D VACUUM EXTRACT (VE) en " ( " I- .l ., ~ ~: " z , \-" , w ::;; \ ::õ j \, . 0 J '~"('/~f 0 " c=J D ~ D SPILL " (~^ 1:",'/ .. :'{ , ,! D OVERFILL D CORROSION , , ~.. ./~' ¡ f ....!,1A.?J(/l .'_~j "(~_~'i;i!I'~) "...: ....,.(~t:,¡;; t ""Ai... . .: ~ ,,' c=J GROUNDWATER c=J 'oRINKING WATER - (CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) RUPTURE/FAILURE OTHER~ '',.; ¿_,/ UNKNOWN :' ,,,: -."~ D o &J PRELIMINARY SITE ASSESSMENT WORKPLAN SUBMITTED PRELIMINARY SITE ASSESSMENT UNDERWAY CASE CLOSED (CLEANUP COMPLETED OR UNNECESSARY) . '~_~_4_""~",-,? D o D POLLUTION CHARACTERIZATION POST CLEANUP MONITORING IN PROGRESS CLEANUP UNDERWAY o EXCAVATE & DISPOSE (ED) c=J EXCAVATE&TREAT(ET) ~ NO ACTION REQUIRED (NA) d OTHER (OT) D REMOVE FREE PRODUCT (FP) D ENHANCED BIO DEGRADATION (IT) c=J PUMP & TREAT GROUNDWATER (GT) D REPLACE SUPPLY (RS) c=J TREATMENT AT HOOKUP (HU) D VENT SOIL (VS) ¿~:,;'".i/~,;:' l _,I ... <,,'¡i .~ <.. , .-:} " ¡, J.~ ! , . ( , ~;4 j: ..t"'/·;:J·i...,/~ " ~OOI_AL HSC 05 (8190) '" .. 4f~&~ J. FACILITY/SITE DBA OR FACIU1Y NAME Bakersfield Fire Dept. '- H.RDOUS MATERIALS DIVI& 2130 G Street, Bakersfield, CA 93301 (805) 326-3970 j UNDERGROUND TANK QUESTIONNAIRE ~ : ::~ No. OF TANKS 3 NAME OF OPERA TOR ~ +1 e. NEAREST CROSS STREET , I.t-' II\. ~ +e. V\ e- STATE ZIP CODE CA 9330~ ~c.. 5/ 4 PARCEL No.(OPTlONAL) A'fJ.. c..D 4clo w~b e.. Rcb. B 0.. k.e...r.s -(1; c:.. à ADDRESS CI1Y NAME .I BOX TO INDICATE ~ORPORA TlON Q INDIVIDUAL Q PARTNERSHIP Q LOCAL AGENCY DISTRICTS Q COUN1Y AGENCY Q STATE AGENCY Q FEDERAL AGENCY 1YPE OF BUSINESS i2'Í GAS STATION 03 FARM Q 2 DISTRIBUTOR 04 PROCESSOR PHONE No. WITH AREA CODE 3 \ DðO ~c. J418q EMERGENCY CONTACT PERSON SECONDAR 01!TS': NAME (LAST. FIRST) PHONE No. WITH AREA CODE ~ v.YI: . t'r"'€-'+ì s-+oc\-ì~ ~c::., C~o) -f.'3"3 - 6 NIGHTS: NAME (LAST. FIRST) PHONE No. WITH AREA CODE 6 KERN COUN1Y PERMIT TO OPERATE No. l.). V\ );(110,) y"-- 05 OTHER C ì,SV'exv.s Ale - ~Vo NIGHTS: NAME (LAST. FIRST) C ì oS t^evQ.,S. A \ e.. - ew-JV1::) fJ. \Q. U) ~w-.~V\C..e. (.:l13) 402--..3 \ 6 b NAME II. PROPERTY OWNER INFORMATION (MUST BE COMPLETED) CARE OF ADDRESS INFORMATION A r<. CO I"Ðcl lAG"" .s MAILING OR STREET ADDRESS 1/31$ S+1Ad CI1Y NAME C err ì -fo.s Co Rìû~O:Vd c.S r::<k .I BOX -ø' C-ð...¡oO INDIVIDUAL Q LOCAL AGENCY 0 STATE AGENCY TO INDICATE 0 PARTNERSHIP 0 COUN1Y ,AGENCY 0 FEDERAL AGENCY "",d STA TE ZIP CODE PHONE No. WITH AREA CODE CA '10,0 I (;L13) 404 -.s300 NAME III. TANKOWNER INFORMATION (MUST BE COMPLETED) CARE OF ADDRESS INFORMATION \::.e- Q LOCAL AGENCY 0 STA TE AGENCY Q COUN1Y AGENCY 0 FEDERAL AGENCY A Ac..o /731 CI1Y NAME PHONE No, WITH AREA CODE êel"Y~-+O..s OWNER'S TANK No. ~ 2- 3, STA TE ZIP CODE DATE INSTALLED /.2/ /9 /~6 p-/ rQ/8'b /2/ 19/ 1f6 CpC!.. TANK SIZE VOl-UME IN SERVICE C(010( (213 404--.5.300 PRODUCT STORED u.1"\1~ ~1Mc.- R<eß'" br 6z:tøl"'- Su.('feWle. Crt::'I&C\:^e. I 0 ¡ ('X:)ð Ao- \ /D¡oòD 30.\ 10,000 ßo..( C0/ N flJ/ N @/N Y/N Y/N Y/N . DO YOU HAVE FINANCIAL RESPONSIBILITY? G/N TYPE &1-0- ì.l\S.u.ved ~ see. o.~ '" ~-A-(po.+ ì 0-... .;,) Fill one segment out for each tank, unless all tanks and piping are constructed of the_me materials, style and ~, - e, then only fill one segment out., ,ase identify tanks by ow~ ID t. I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN ~ A, OWNER'S TANK I. D. . B. MANUFACTURED BY: C. DATE INSTALLED (MOIDAYIYEAR) D. TANK CAPACllY ,IN GALLONS: 0___'_ _____.. III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND ALL THAT APPliES IN BOX D A. TYPE OF 0 1 DOUBLE WAll 0 3 SINGLE WALL WITH EXTERIOR LINER 0 95 UNKNOWN SYSTEM ~ 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER 0 1 BARE STEEL 0 2 STAINLESS STEEL 0 3 FIBERGLASS 0 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL 0 5 CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 AlUMINUM 0 8 1000/. METHANOL COMPATIBLE WIFRP (Primary Tank) 0 9 BRONZE fgJ 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER 0 1 RUBBER LINED 0 2 AlKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C.INTERIOR 0 5 GLASS LINING [8J 8 UNLINED 0 95 UNKNOWN 0 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES_ NO_ D. CORROSION 0 1 POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRAP 0 4 FIBERGLASS REINFORCED PLASTIC PROTECTION D 5 CATHODIC PROTECTION D 91 NONE r81 95 UNKNOWN D 99 OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A (ij) 2 PRESSURE A U 3 GRAVllY A U 99 OTHER B. CONSTRUCTION A@, SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A <!Û 4 FIBERGLASS PIPE CORROSION A U 5 AlUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100% METHANOL COMPATIBLEWIFRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION D 1 AUTOMATIC LINE LEAK DETECTOR gJ 2 LINE TIGHTNESS TESTING D 3 ~~~~:~~ D 99 OTHER V. TANK LEAK DETECTION o 1 VISUAL CHECK 181 IZ! 6 TANK TESTING D 2 INVENTORY RECONCILIATION 0 3 VAPOR MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING 7 INTERSTITIAL MONITORING 0 91 NONE 0 95 UNKNOWN 0 99 OTHER I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN A, OWNER'S TANK I. D. # B, MANUFACTURED BY: C, DATE INSTALLED (MO/DAYIYEAR) D. TANK CAPACllY IN GALLONS: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND ALL THAT APPLIES IN BOX 0 A. TYPE OF 0 1 DOUBLE WALL 0 3 SINGLE WALL WITH EXTERIOR LINER 0 95 UNKNOWN SYSTEM ,--¡ 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) D 99 OTHER I [J 1 BARE STEEL 0 2 STAINLESS STEEL 0 3 FIBERGLASS 0 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL 0 5 CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 AlUMINUM 0 8 1000/0 METHANOL COMPATIBLEWIFRP (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER 0' RUBBER LINED 0 2 ALKYD LINING 0 3 EPOXY LINING D 4 PHENOLIC LINING C. INTERIOR [J5 GLASS LINING D 6 UNLINED 0 95 UNKNOWN D 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES _ NO_ D. CORROSION n 1 POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRAP 0 4 FIBERGLASS REINFORCED PLASTIC PROTECTION 0 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN 0 99 OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVEGROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVllY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A U 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 1000/0 METHANOL COMPATIBLEW/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION o 1 AUTOMATIC LINE LEAK DETECTOR D 2 LINE TIGHTNESS TESTING D 3 INTERSTITIAL D 99 OTHER MONrrORING V. TANK LEAK DETECTION '--, 1 VISUAL CHECK 0 2 INVENTORY RECONCILIATION i~ 3 VAPOR MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUNDWATER MONITORING ê TANK TSTING [J 7 INTERSTITIAL MONITORING :-: 91 NONE n 95 UNKNOWN [J 99 OTHER .; .' "'~IIUcM~", . . ~~ ~~ \';&Klll"ICATlON OF FlNANC~ RmPONSlBIUI'Y . The Atlantic Richfield Company (AReO) hereby cert:i.&el that it il in compliance with the requiremeJ;1ta of Subpart H of 40 en Part 280. The financial Ulurance mechaniam uaed to demonatrate Rnancial responsibility under Subpart H of 40 CFR Part 280 il u foUowl: Meehaniøm: Financial teIt of selt·iDIurance, Alt,17IlJtiv, 1- Coverap: -Efl'ective date: January 24,1989 -Amount: At leut 81.000.000 per occurrence aDd $2,000,000 umual q¡repte · Coven the COIta oftAiot"f COttdve actåOft aDd compenaatin¡ third parti.. for bodily iDjury aDd pro~rl..1 .I.",... cau.eed by auddeD accidental reI__ aDd DODSWIden .cådeDtal rel..- ~ s~ NGI'M Title Daü WitMa Si¡¡nIJtJuw WitMa NøIM I4JHw f' ~AI' DatI :J, ~ ~.~ 1'1, AReO Becorda Cuatodf.,,· Eupne !l )I.ftMni ABCO &1& S. Flower Street Loe ADplea, CA 90071 (213) 48&'1290 ' ARCO~ \5-121 , " ~ . . , . I !~¡ I~.· . . . I 2-1[-%7 ~/~f. 1.15, . , ;&lcdi' .f'ttir-£<¢(. (kA4 S~~. Z'.&I£wc. : h~ d~-'~ ~ #,,/J/}d ¿Ad/.JM ~ ',tvaØ~ 4jJ.£ k- &/(Øiz~f" ~#~ ·:.-dliÍ1tf~~if ~ ¿L/dlØ<Ra~ . . ¡Iliff! ~. t;;/tkf . . 2-1;-j7 ' ~- - flk,I<dl./ . . '5aµr &.. /l~ ¡æW ~¿u~ ~ 1/e~?!t£J{ ~ '.' ~a/t/4- . MtJ - sf¿¡ </;; ck¡¿ á/ ¡K /~ æ.. ð/¿ ~ l4<H! C~ 4 ~ iV~~/ ~ .j¿~ Þe- ~ ~~Æe~a:~ ~~d. . ¡~/ ¥~. Z-(J-;l1 /Î. . . . 1:Ij£/-j-1~;kW.~A· ~aJb . ILXtØJ k~A'¡--;1o- ~ ~ Itk:~~ff~~' ~W~~ ß7ðJl-W~. 2-/~-~Î fJ . . ¿¿) ~I fpt) L:..-/;4t¡~ <tdtl-,.J1.9ÁAL. . ... ~ Uudl- ~eh~~;:;; ..~~~~, ! _._~~ ., \1 , !: II II t:;t:"Y /i/;~" . . . J T~c--.fzJ ~-b. ,...,ç/ ~ .u.A 2 ~.H I'I f , - / - , ,. / I / / I ill' ~h vtA- ~ ~~ ~ g -'- ~¡}; AA A-u III ~ ~~+~ -rL J~o w4A ~D~ ~¡b;t II.~ 30'':'- ~J1. Uv />h.Lj to><-~ L-- 1114../ ~- ~--j WaR ~ .ðú ,.b M<» f''{>lJ' . ~/- aR.1 .' . ?~ (!dWJ" IIJz-fatP . - . Ii IL..J ~.)( ~ j 7.--bz ; /J-550<-/~ ili (!.~+~!- t,.- 4-<0; <i--L+ ~udÕ ~=./-~ Iii ¡,.iQ.<> ~ ~.¡L s,.,d/ S-<c-./-,'èMs ø ...e..vJ 111&1' /~ ~ +-.J ~ <I-td,~ wJ/ I¡¡:k ::...J~... ~ J-) L~s~ t...r ~ J¡i P;;'-Pa' ,.3 JJ i: d¡ ..- ø<Ll-".." ~ ¡ilL ~. ~f-~ T ~~~ ~!- J- I,¡!,j;)~, J _ike~ 4 ~~ ~ ~J ~ iil ' ~ i~ '" -, - ~/J_ . iii ~. . It y~ !:!~ j" ~! w-JI ~ ~ J wJjJ i.IJ ~ "- .ß-~..f¡ ~ddvt ~ if <)i. ~ .øI~f)n< " I! " 11 ¡; ;1 ii 'I !, I' " Ii I. il I' II II ¡' -' ~,'R~ COUNTY RESOUR~E MANAGEMENT ~~¡"'-'';:;!,-,,~,'/'" ENVIRONMEN.- HEALTH SERVICES DEPÃRTMeA '. ,,':,2700 "M" STRE, . SUITE 300. BAKERSFIELD. _.93301 (805)861-3536 ;oAGEN :C-, .;-~ -~ . ··':..··:f .._ ¥7:", YNÖERGROUND HAZARDOUS SUBSTANCE STORAGE FACILITY ,,j#' * INSPECTION REPORT * ·F TIM ErN ,¡.D.L-3D TIM E, QU T ......................... r.¡ U M 8 E R 0 F T ,~N KS :...........~"'-f..... yES.....::............... N c......../~.......... INS PEe T ION 0 ATE: ,...blLCJj91.............,... ". ROUT IN E,............¡L......... RE I NSPECT ION, .......................... CO~~PLA tNT' ~........'..................... v "":'. ?ERMIT PERMIT TYPE OF INSPECTION: . .......~:<,f .... ,__......._~~h......... .n~~"~'_""~~~~'''~ ..~_....._~..~.._...u~. ~~h~~..._..-__...h.~_~ FA C r LIT Y N AM E : .~..B.Ç.º.....§§J!.§,;?.§..§..............._...................................................................................................................................................................................... F ,Ä C r L r T Y ADO RES S : ,1J...9.J..9......~J..ª.b.g;.....B.Q~.º...................................................,..............................................................................................,........................... 8AKERSFIELD. CA , OWN E R S N ,A, ME: :~.!3.ç.º............._..............................................................................................................................._....................................................................................... OPE RAT 0 R S ~ AM E : .!?.!3.g;§..II.~~..._$..I~.I..LQ.t~L$...{......l.t·:LÇ..:..........._............_......................._....._......:...............__................._............._............., COMM EN TS : .:_~....._..._..........___.-'_.._.........._......_......_._......_,......._.............,....,_._.__........_......._...._.......___..._........__...__.._._' ¡ (- ! . ¡ .....__........_......._-_.._........--...._..,.._._-_...._._--_._...-~......_--_..._-_.._...--_........._....,-_.._~----_...._-_._--_....._...._---_..................------------_.__.._.....~ ·..·..-~-rr :;EM-:::....·..-···--..--·--~·-··----_..._~~·_..-····--.....·....-VÏ( LA TÏÕNSïoBS ERV"ÄT"ÏÕ~~-S , . \ 1.' PRIMARY, CONTAINMENT MONITORING: a. I~tercepting an 9irecting system b. Standard Inventory Control c. Modified Inventory Control ~ In-tank ~evel Sansing Device e. Groundwater Monitoring f. Vadose Zone Monitoring tJA,"¡ pp ,'t-JTOlAf IL- ~ - 2- SO {Aþ::r ~Þþ£R., - ¡¿ooT 'A UTe - S Hur ¡jo...J.J ) Xç~X£S fj, uj,! F",'ßG"¡2r;/AS, ~. . . v...),'TI+ "hqu,'¡j '5G/05.ðR 5 I/--J "'-7'/£ p,0t..dA.R '5 j:JAc..£ ' 2. SECONDARY CONTAINMENT MONITORING: a. Liner ,~ Double-Walled tank c. Vault ~ ... Gr3vity , .... I Flew ;¿£5.Wrcn/--Je:, /EAK JJ~fEC~j) S ¡ -;:::-~ç,TA!I¡;Ç¡J. f1CATD TI..iRÆ, 'Io.-JE ~H4TJ1o<..c.J/J ¡ r ¡:::- / I ' (] t-( ,~: ß G TF c.ìEl:J :¡;;::'",u '5 G4' rl'1,ð , ? J2 0 ~'-'( (/ Ti 6H¡ cu) F J? I::'> !I /.i cJ ;C~ 5 A 126... INS TA//£ /j 6 /¥7ot..JTH.s A ~ 0 3. P!PING MO~Jl2BJ~G: ([) Pre-ssJ'r-i'ziÓo"- o. Suction ~. OVERFILL ?RCiECTION: S. TIGHTNESS TESING 5. NEW CONSTRUCTION/MODIFICATIONS b LJ A - 1/ /jJ' ' /'I-1Df..-JTnS . &Ò ¡{JEw ¡f1Ajn,S/ I/JrAL 7. CLOSURE/ABANDONMENT ~, - , TA ¡..jf(ç i A ~<:.,^,... ,:ATi::-d ïì , ~, , " I /. ~;:"Ý1CL-iL- / /' - 3. UNAUTHORIZED RELEASE /.\ )("'!A );:::- 9. MAINTENANCE. GENERAL SAFETY, AND OPERATING CONDITION OF FACILITY &00,6 COM MEN T S / R E COM ME N'OA T ION S ...............................................:................................................................................................................................................................. ....... .~"'~............ ,... ... ............................ .~.........u......... ...... .............................. .........._.._......... ............................................................... .......u...~...u~........................................................ ..~.......n....... ................................ .... .. .. .. .'_'_'~"""" .. .......... ........ .............. ....... .... _.... ............... .... ... ..... ... .......... .......... ................" ....... ..... ............. .............. ............. .~. ..... ..... ...... ........................... ..... .~......... ....~..~~.. .......... .................... .... .....n.... .............. ..... __~~.~ _.~~u.. .~..~. "'~~n... ....~_..___........~...._......__..n...~.....".........~......u.nn~....".....~.h.~.~"'..._...__"........._....~........_~..~..._~_..nu......................................_...,~.............~.........~......~........_._.........u......~..........~...~...._..................,,~..~..........~.......~.. ..............._............~....................u........_......_...........~....._....._...__..._........._......._...~.._.............._....__........_........~.~~_........__.__......_..__.._.._..._.._.._........_._..__....h.....~_............................._~._._.............~~____.._........._........~.~....._........... 7 ~ ~ ~ ~~ ~~ ~ ~)C~~::.:1Aí.... yes ,.........._C1 0 ~ ~ ~~~~ I ~'~~ ~ I ~ ~; N ~ ~ ~~TI)~ ,J( T E. :......n.."......................... ",..,..........~.....""...........,..,~,..."..".......,'........................,.........,............ ..'.....y..'......'...........:"....'...."...'..'-.'-........'..'...'..... ~".~ ....;,::.. " ~ KERN ~UNTY AIR POLLUTION CONTROL.TRICT . 2700 "M" Street, Suite 275 Bakersfield, CA. 93301 (805) 861-3682 PHASE II VAPOR RECOVERY INSPECTION FORM Station Location ·4D/0 'A"/R/¡:: , f2ðA /0\ P/O # ¿yGo.36;::;-'-::;- -o::¡... 9' ' /"J ,'c MS Date 6/19/9/ . / City System Type: ¿t$J, RJ Notice Rec'd By Y1Ä'IÝ'\. Zip Company Address Contact Inspector 1,,0 , Phone HI HE GH HA NOZZLE # GAS GRADE NOZZLE TYPE ! ~ Yt;o , -- , , 1. CERT. NOZZLE 2. CHECK VALVE ;:. N , '",>- " 0 3. FACE SEAL __<,~'C, . . ~ " Z Z 4, RING, RIVET L E 5. BELLOWS 6. SWIVEL(S) 7. FLOW LIMITER (EW) ~ 1. HOSE CONDITION , V ; A 2, LENGTH , P 0 3. CONFIGURATION R 4, SWIVEL H ÙÀ: 0 5. OVERHEAD RETRACTOR S E 6, POWER/PILOT ON 7. SIGNS POSTED Key to system types: Key to deficiencies: NC= not certified, B= broken BA=Balance HE =Healey M= missing, TO= torn, F= flat, TN= tangled RJ =Red Jacket GH=Gulf Hasselmann AD= needs adjustment. L= long, LO= loose, HI =Hirt HA =Hasstech S= short MA= misaligned, K= kinked, FR= frayed. A COMMENTS: PiA 1¥"1f I , '^),c;" ( C. /-1 £ 0<: tÞ c:; ¡-I/lS /J ~ i;¿ ,(..,fj 1 ~ A /11 I A h012 -rrl~ L )A(Jo R I ** INSPECTION RESULTS ** VIOLATIONS: SYSTEMS MARKED WITH A "T OR U" CODE IN INSPECTION RESULTS, ARE IN VIOLATION OF KERN COUNTY AIR POLLUTION CONTROL DISTRICT RULE(S) 412 AND/O~ 412.1. THE CALIFORNIA HEALTH & SAFETY CODE SPECIFIES PENALTIES OF UP TO $1,000.00 PER DAY FOR EACH DAY OF VIOLATION. TELEPHONE (805) 861-3682 CONCERNING'FINAL RESOLUTION OF THE VIOLATION. . NOTE: CALIFORNIA HEALTH & SAFETY CODE SECTION 41960.2, REQUIRES THAT THE ABOVE LISTED 7-DAY DEFICIENCIES - BE CORRECTED WITHIN 7 DAYS. FAILURE TO COMPLY MAY RESULT IN lEGAL ACTION <JW"I01S ADcn FI! ,E ~. , !;'~. .' -. KERN COUNTY AIR POLLUTION CONTROLt>ISTRICT , \ ~~ 2700 "M" Street, Suite 275 Bakersfield, CA. 93301 (805) 861-3682 PHASE I VAPOR RECOVERY INSPECTION FORM Station Name¡1-\ Ç? /' r:: 17 ý1']/þ¡V¡ I I Location Lf (J I 0 Company Mailing Address w¡'ß./E- þoA/j tY "? if"'" -, , PIC 'f)OO ...,CO ..¡. ~ . City Date k / / q / cn ( . II Phone .. Inspector t. ) -- . 1\) t'é KS j - . 1. PRODUCT (UL, PUL, P, or R) . 2. TANK LOCATION REFERENCE 3. BROKEN OR MISSING VAPOR CAP 4. BROKEN OR MISSING FILL CAP 5. BROKEN CAM LOCK ON VAPOR CAP 6. ,FILL CAPS NOT PROPERLY SEATED 7. " VAPOR CAPS NOT PROPERLY SEATED 8. GASKET MISSING FROM FILL CAP 9,·--8ASKET MISSING FROM VAPOR CAP 10. FILL ADAPTOR NOT TIGHT 11. VAPOR ADAPTOR NOT TIGHT 12. GASKET BETWEEN ADAPTOR & FILL TUBE MISSING I IMPROPERLY SEATED 13. DRY BREAK GASKETS DETERIORATED 14. EXCESSIVE VERTICAL PLAY IN COAXIAL FILL TUBE 15. COAXIAL FILL TUBE SPRING MECHANISM DEFECTIVE ,16. TANK DEPTH MEASUREMENT 17,. TUBE LENGTH MEASUREMENT 18. DIFFERENCE (SHOULD BE 6" OR LESS) 19. OTHER 20. COMMENTS: . ,System TYP~P. ~coaXial .NotjCeReC'dBy~~ . , ' TANK #1 TANK #2 TANK #3 TANK #4 £tL 4/ fZ 011L £ A <;r ,',W¡;?'~ '. . . .-. / / 4 1!-3 í/""< , f ,- r -!:-- . , ~ , / c.!-.. J _c; / c:c¡ ! I- '" ! i-) / 'JI , I ! dJ , Ç;'Î L¡ II __ .r ~r II " /' I .;, . * WARNING: SYSTEMS MARKED WITH A CHECK ABOVE ARE IN VIOLATION OF KERN COUNTY AIR POLLUTION CONTROL DISTRICT RULE(S) 209,412 ANDIOR 412.1. THE CALIFORNIA HEALTH & SAFETY CODE SPECIFIES PENALTIES OF UP TO $1,000.00 PER DAY FOR EACH VIOLATION. TELEPHONE (805) 861-3682 CONCERNING FINAL RESOLU- ** * * TlON OF THE VIOLATION(S) ******************************************** * * *** * l\prn 1='11 i= PERMIT = ......nn.......···············..······ ",..."..",."...................,....... FACILITY --NAM. ,-J ,............... ............................. ....................................... ... ENV. SENSITIVITy....····· NUMBER OF TANKS AT THE SITE: ......................... ....................... EMERGENCY CONTACT PERSON(PRIMARY): NAME: ~~ ;> rOCoß . ....___..__....nn..............._......_._..__................._...nu...................................................................................nn.............................._....._u.............................. PHONE NUMBER: ._nn.............................·....·........·..···..·..·......···· .................................... ........... ............. ......................................................... .... EMERGENCY CONTACT PERSON(SECONDARY): NAME: .._ .....-......... ......._.... ...................... .... .nn.............................. .............. ..... ...................................un.............._............· ..........................................-.............. PHONE NUMBER: .........................................................................................................................-.........................-.................................... TANK OWNER INFORMATION: NAME: ..----.......................................-........-.--............................-........--........--..-.--........................-----..---.....---...-... ADDRESS: ...--..--.-..-.........................-.--......................-.........--.......-.........-.-..--..--...-................---........-..-.....-- PHONE NO.: TANK CONTENTS: .-...--.....-.....-..-..--.-.--.-.--.-.....---..................-.-.....--............-...--.-..---...-- TANK # MANUFACTURER YEAR INSTALLED CAPACITY CONTENTS r I TANK CONSTRUCTION: TANK = TYPE(dw, sw, sec. cent. ) MATERIAL INT. LINING CORROSION PROTo ) l:.EAK DETECTION: TANKS: ....__...,_. VISUAL GROUNÒWATER MONITORING WELLS VADOSE ZONE MONITORING WELLS U-TUBES WITH LINERS :::=_~=::==: U _ TU 8 ES WITH OU T L I N E RS .....__.........::·..·..·v·Ã·P·õ"R·QË-T EC TO R '_"_'" L I QU IDS EN SO RS ,______.......... CONDUCTIVITY SENSORS ....___,._.. PRESSURE SENSORS IN ANNULAR SPACE .._....._......._ LIQUID RETRIEVAL SYSTEMS IN U-TUBES, MONITORING WELLS. OR ANNULAR ...__,.......... NON E ....__..._Y N KN OWN '_m._...___....... OTH E R ,...,.._.._........................--.....................m....--.-..----....-...- PIPING INFORMATION: TANK = SYSTEM~PE Ií~ -.. (SUCC~' . GRAV. ) CONSTRUCTION (SW.DW,LINED TR) MATERIAL LEAK DETECTION: PIPING: ................. FLOW RESTRICTING LEAK DETECTORS FOR PRESSURIZED PIP I NG ....................._..'.....' MON I TOR I NG SUMP WITH RACEWAY SEALED CONCRETE' RACEWAY HALFCUT COMPATIBLE PIPE RACEWAY, ......................... .................... SYNTHETIC LINER RACEWAY NONE UNKNOWN .............. .. ()T~ ~C\ . . .. (f;;) ~ ~m(On ASSOCIATES Consultants In Wastes Management and Environmental Control January 15, 1991 Project 805-96.04 EnvironmentaJ Health Services Department : 2700 M Street, Suite 300 Bakersfield, California 93301 Attn: Amy E. Green Re: UST line Leak Detection Requirements I _ J Dear Ms. Green: In response to your letter dated December 27, 1990, EMCON Associates (EMCON) is preparing this letter on behalf of Mr. Fred Seguin át ARCO Products Company (ARCO). . Enclosed is the Kern County UST line Leak Detection Requirement - Installation sheets that you requested for the following ARCO Facilities: #0132,#0371,#1960,#2057,#3054,#3090,#5096, #5365,#5496,#5513, #5526,#5634,#5751,#6115, #6150,#6202,#6208,#6218 Also enclosed is a copy of ARCO's Certification of Financial Responsibility for each ARCO Facility. We have prepared these documents as completely as possible with the available information. If you have any questions; please contact me at (818) 841-1160. Sincerely, EMCON Associates JJJRlvU David R. White Senior Geologist cc: Fred Seguin - ARCO 3300 N, San Fernando Blvd.. Burbank. California 91504. (818) 841.1160 o . . ARCC ,Þãc. ;,10. S 3Óð ~~? PERMIT NUMBER .J I ðooc! C TYPE OF INSTALLATION ( ) 1. In-Tank Level Sensor (X) 2. Leak Detector (x) 3. Fill Box FACILITY NAME AI< C.ð !-¿?c¡J/..J.ý jVéY. $J6S I FACILITY ADDRESS 40(0 W,hle ~rl. , EcJ;er:5'+ìe-Id , CONTACT PERSON p~j,'qe S-fa.+:ÙAS .z;.,c. $/61- M.~er - 1. IN TANK LEVEL SENSORS Number of Tanks List By Tank ID Name of System Manufacturer & Model Number Contractor/Installer 2. LEAK DETECTORS 3 List By Tank ID. TI ~. r¿ 7.3 Number of Tanks Name of System A Pi - 120Y16..... L..e.zf= ~fc¡/'" Manufacturer & Model Number API (/,/ TRS Contractor/Installer ~h~~O~~ 3. FILL BOXES Number of Tanks -3 II 12- 73 List By Tank ID Name of System Ot/~r S,,/ If .ßo.< Manufacturer & Model Number (,A" éf'IÒv.... Contractor/Installer ,~"k~ðw~ Q~ ~.<:;~ -_. /11s-1?/ DATE OWNER/OPERATOR '~"~I.~~ '. e. . . .. \.~"""... .:.~; ..".~-~"!^~,:;....,,",t'!"'~.":P' .~_~ "4""",~:~~~~':";':"""'~,:~",->""",.~",;:,->"""".-.,,.-.:.,:,,';'"ô.',"'~~">.<:' h,'7":' ,":~-::~".~':"'::'~'" -..'- .' '". ::.::,- ::','-'><~'.. . ._. '4' .. .'.,~ )-." ~,f<"""'~ :-"7..,,~"':..._...\..~ ....,..,.... .~'..~'.",'l""-_ ;~""~_"."" ... '-""::.'.~;:J,, :-~,.¥". _ C'.-.~.~_:-:..~ '~"-:"'~__'.,-.......~_,____.._.-.,.\~~.....,,,--._.;,,,...""'_'~'-'''' ._··......_.·.t........._.,.."... '__ .._.... _ -:~_.~~;-._.._~..,...::.~_"""~..__... ........+~.. _-'C...'_ ..-:~. '_'0' r ._~...' _,......,..,...._.... .._ .. _~ . ~ _ _''''_.' ". . . :!:~~-:-- ., ... ..,". CaiK.1EICATlONOP I'INANcw, B:a1PON8IBILn'r ,,,--..,.' ".., ~,"" . ~~_. ..~ ~,., The Atlantic Richll.lc1 Company (ARCO) hereby certi4.. that it is in compliance with tberequiremel)ta of Subpart H of 40 CPR Part 280. The financial auunmce mechanillD uaecI to demonatraiØ Rn.Dcial Í'eepcmaibilityunder Subpart H of 40 CFR Part 280 u-u fonowI: M..,.h.mllD: P¡~ne\al teIt ol..lt·iDIuraDee, AlfmltJtiw 1- , Coverap: -Effective date: JaDU17 24, 1989 - Amount: At leut $1.000.000 per oceurrace aDd $2,000,000 lDDaal8û&....,,· · Covtil'tU COåI orh,".. OGu~.Idi_ ad (pftpaAtin,' tbird parti. tor hMl1, ~ aD4 ~b d.ftUI.. cauaedh, \ IUAWeD: acddeDtal rei.... aDd DOaI\1ddea ecå_tal rei.... s~ - N41M . ·Title , DOt. Witllal S~ Witllal Nan,. AMw~ ~., [)au 2.~ ~.~ If" AReO Recorda Cua~ßft· BupIW 1l V.ftMm ,ARCO 51& a Flower St&..t Loe ADpl-. CA 90071 (213) 488-7Ø ' ARCO~ (5~ J::,...~~.' , ARCa Products compae 1731 5 Studebaker Road Cerritos, California 90701-1488 Telephone 213 404 5300 Mailing Address: Box 6411 Artesia, California 90702-6411 County of Kern Environmental Health 1700 Flower Street. Bakersfield, Ca. 93305 . ,.-, \_-----.::;:..:.:._-...- A ... AUB 16 1990 \::\ \\~\ RtCt\~tÜ ,[/ \::~;\ <C~I \,{)~>, , ,¿ / ",,-v / ' I ("1) 'èq ::= SUBJECT Tank Interity test results ARCa Station 5365 4010 Wible Rd. Bakersfield, Ca. Dear Sir Date 08/13/90 ~~ ~~ The tanks and piping at the above station passed a Gasoline system test as noted in the attached test.result~. ARC a Petroleum Products Company is committed to compliance with the laws that govern the operation of underground storage tanks, If you have any question please .call. Sincerely ;:.o~-Þ 213 404-5353 ARCO Products Company is a DivisIOn at Att:tntlcAichtiefdComp¿wy ;"::::-='-7~'ì6 8 , . .411: Id . Rr.:('!.'~:. n ,~'., '.~ U : 'iB9Ò \L-\-'~ ~- As~~.ted Environmental Systems, Inc_ P.o. Box 80427 Bakersfield, CA q338( (805) 3q3-2212 PRECISION TANK & LINE TEST RESULTS Invoice Address: Tank Location: w. O. *": 12442 53~~ I.D. Number: 88# ~ Technician:BWH Tech.~:8S142 Van#:6105 ARCO PETROLEUM PROD. 17315 STUDEBAKER RD. CERRITOS, CA.Q0701-1488 ARCO 4010 WIBLE RD. BAKERSFIELD,' CR. Dat e :', 8-6-q0. Facility Phone#: Contact: MGR.' Time Start: 08:00 (805) 83ó-Qó85 End: 20:45 County: KE Groundwater Depth: 15'+ Blue Prints: N/A Date;Time system was filled: 8-6-q0 11:30 Tank Fill/Vent Product Type Of Vapor Inches of Pu.p Tank Tank Capac'1 t y Product Tank Vapor Linn Line Recovery Water/Tank Type Materia 1 10K REG. PASS PASS PASS II 0" TURB. DWF 2 10K R/UL PASS PASS PASS II 0" TURB. DWF 3 10K S/UL PASS PASS PASS II 0" TURB. DWF ~ Additional Information: SITE LOG TIME Set Up EqlJip: Bled Product Lines: Bled Vapôr Lines: Bled Vent lines: Bled Turbine: Bled Suction Pump: Risers Installed: 11:45 11:25 11:20 N/A 11:30 N/A N/A a) This system and method meets the criteria set forth in NFPA *,,32Q. b) Any failure listed above may require further ac~ion, check with all regulatory agencies. California O.T.T.L. Number: gl-10óg Certified Technician Signature : -~~~~ Då\t If I 8-6 '-7D · '. _c-~, -,~, TEST DELAY / CANCELLATION RECORD WORK ORDER fI /2-'1 '12- D ATE <:¡- C. - 70 TIME SCHEDULED Off: 00 TECHNICIAN-;t)ru.-e € /I/f7J'/efP CERT fI ~B'/ý'2 VAN fI Ç/ÓS' TANK LOCATION AVrlJ S.s-tt S'JEY '10'/0 w/h/f> I'd: 7f,ç> +PY.f£·-e~ C~ ........................................................ .............. DELAY REASON FOR DELAY: TOTAL HRS DELAY 2_ 75' /O.''-j,r¡ O.-¡:-¡: l'a../q.t- J:. LATE FUEL DELIVERy.............. TIME DELIVERED OTHER fJ,e-úZ~ Se COhtX t.()a...~ . ¡-o ,70 ¡::J . I ACKNOWLEDGE THE ABOVE TEST WAS DELAYED FOR REASONS BEYOND THE CONTROL OF AES OR THE AES FIELD TECHNICIAN. ACHNOWLEDGED By'~q an --. DATE:, e/b/'ìD J ( TITLE: ~r~___ ................................................................. ..... CANCELLATION REASON CANCELLATION AUTHORIZED BY THE ABOVE INFORMATION IS ONLY FOR THE PURPOSE OF AES TRACKING OF THE TECHNICIANS TIME. , AES/S'y st·e It ::r I PY"'ec:::- i' s ~ on __'ea.k P.o. 80M aø4~7 BAk.~~.~~.1d. CA ~33aø (aø~) 393-~~1~ Test ~, -,~ Invoice No.: 12442C Date: 08/06/90 Technician: BWH Tank: REG. Volu.e(gal): 10000 Grade Level(in): Water Level On Tank(in): 0 Specific Gravity: 121.75 Calibration Value(ml): 567 Level Segment From: 48 To 25121 134 T i ID e : 15 : 4'7 : 1lI9 Tank Diameter(in): 95 Product Level(in): 107 Coefficient Of Expansion: 121.1211210646121 Channe 1: 1 Temp Segment From: 1 To 30121 ,... I ""I,ll lUll III III....·'· ...1"1 .11 .... . '..."....1·..· "I. ::.. .::1 n n'I" ,1.:1 L E':'I'I U·:J, E L",,:, .1...1 .I , .' " TI:I E M P"II:' .1i.:I " 1...1 \1.\1:'1'1 . ..I. .\' .. T .:':. "'III ..:.1 .' .:1 I] ·..·'1...' I,::' III I~::; I ..," I I .11.1./1:::1.....'.1.1.11...'11'1' ':::1':::: II If. 1...1. III 1111 Change In Calibration Zone = 132 Starting Te.perature (F): 96.738 Surface Area(sq. in): 25.8 Calibration Unit<gal/unit) = 121.00112 Head Pressure(col/in (Bt.»: 80.2 Temp. Change (F Ih) : 0.01219 Level volume(gph): Temp. volume(gph): Net change{gph) : 121.1216 121.06 121.121121 Product Line(gph): -.121121121 ========== ResuJ.t --)-PASS P/L --)- PASS ** Notes ** ARca SS# 5164 412110 WIBLE RD. BAKERSFIELD, CA. THIS IS A MID ~EVEL TEST WITH A 3X-CAL. A E 13 / 13 Y ti> -t:: ... :I::I: P,... .. "" i· ti> i c> n eL .. ... k p.o. BOK aø4e7 Ð~k_~~.r~_~d~ CA ~3~aø (ð~~) 3~3-~~12 Test :t ,~ Invoice No.: 12442B Date: 08/06/90 Technician: BWH Tank: R/UL Volume(gal): 10000 Grade Level(ín): 133 Water Level On Tank(ín): 0 Specific Gravity: 0.74 Calibration Value(ml): 567 Level Segment From: 30 To 260 Time: 14:26:54 Tank Diameter(in): Product Level(ín): 95 103 Coefficient Of Expansion: 0.0006588 Channel: 2 Temp Segment From: 1 To 300 I..· I ""1'" ·..1(·'1....·1· I... UI ..I I.... . I::;~ ""'1...1 1.... "I,U ,1.:1 L E 1"1' U·:I'I E ,L"/I:' ...,:1 f ,.' " TI:I 'E M PI"I:' .1...1 , I I I I 1...1 11,.\ !51:1 ·1' .. '1" -::' lit I" ....1 ,1.:1 ."\ I... ::::;(J ..In I I :I. I't't ':::1 .....,'1'11 rill 1...1'1: 1:::1 :':::: { Change In Calibration Zone = 68 Starting Temperature (F): 95.748 Surface Area(sq. in): 50.8 Calibra'tíon Unit(gal/unít) == 0.00217 Head Pressure(col/ín (Bt.»: 76.2 Temp. Change (F/h) : 0.022 Level volume(gph): Te.p. volume(gph): Net change(gph) : 0.14 0. 14 0.00' Product Line(gph): -.002 ========== Res ....\ J. "t; -->PASS P/L --> PASS ** Notes ** ARCO SS# 5164 4010 WIBLE RD. BAKERSFIELD, CA. THIS IS A MID LEVEL TEST WITH A 3X-CAL. AES :: ~ "':.~ 1;&~" B!":___~~~ ~:i.~~;B C>~!- ~~.:. <e T - '" 1; 't ~ Invoice No.: 12442C Date: 08/06/90 Technicían: BWH Tank: S/UL Volu.e(gal): 10000 Grade Level(in): Water Level On Tank(in): 0 Specific Gravity: 0.74 Calibration Value(ml): 567 Level Segment From: 65 To 225 134 Tillie: 15:47:09 Tank Díameter(ín): Product Level(ín): 95 115 Coefficient Of Expansion: 0.0006582 Channel: 3 Temp Segment From: 1 To 300 ,... I 1.11 It, .111 ...... m I '...11". lUll.... '. .... III I... " I I.' .n. .11.... "'I" " .:1 L E 1"1] U .:1. ! E LI"':' !- ....:1 .' ..' TI:! E M 1'11" P·'··:· 1...1 II. 1:'11 I ..I. T .. '1" I::' "'I:' ....1 ,'.:1 .- --- --,., I-r-r-' --- - ...... , " : - - , C) :::::() ..,,,. I .11.1.'1:::1.....1.1.1.11..." 1'1' ':::1':::: I' '" II "" I" .... ,~:: Change In Calibration Zone = 100 Starting Temperature (F): 96.820 Surface Area(sq. in): 34.5 Calibration Unit(gal/unit) = 0.00147 Head Pressure(col/in (Bt.»: 85.1 Temp. Change(F/h) : 0.025 Level volume<gph): Te.p. volume(gph): Net change(gph) : 0. 16 0. 16 0.00 Product -Line(gph): -.006 ========== ResuJ.t -->PASS P/L --> PASS ** Notes ** ARca SS# 5164 4010 WIBLE RD. BAKERSFIELD, CA. THIS IS A MID LEVEL TEST WITH A 3X-CAL. ··...llæ~·TAÞ ~ 't' . ~ - ASS~ED ENVIRONMENTAL SYSTEMS, INC. P.o.Š~S0427 . BAKERSFIELD, CA 93380 . (80?) 393-2212 INVOICE NUMBER J '2 '-lI2- .';.~' :':".-:~;~.. ---' ". . ". LEAK DETECTOR TEST DATA AVCó ¡¡O/o w¡'b/~ Yd, ~ a...* e VJ d}' e/?J(, C t:t~ FACILITY iF: j'J # S/G 'i CON T ACT: rn ,9 v- PHONE IF: (¡OJ) 'ðJ£'-C¡þg' J TEST DATE: 7{- G- 9ó TEST LOCATION: DOES LEAK RESULTS , PRODUCT DET EXIST TEST 111 TES~T 112 RESULTS P/L TEST 'i (!:.t h .2.--:" yes t/ 'I7?z.. Pass ~ Pass REG no I Gal· "/ Gal Fail Fail - ( , ' t/' if I¿.d& V- ~ yes 7<77/ Pass Pass - / Gal "3 R/UL no Gal Fail' Fail - '-1/2.. sr7 ~ L-/ ,yes ~ . 1.f7 Pass , Pass S/UL no / Gal 3 Gal Fail, Fail - yes Pass Pass OSL ,- - Gal Gal Fail Fail no - NOTES: /)/C (Jr~/:/'6'V' p/¿¿ýeJ: TEST PROCEDURE Test #1: perform for 30 seconds with nozzle in full open position Test #2: perform for 30 seconds after nozzle closed for 10 seconds EXAMPLE OF POSSIBLE RESULTS Test 111 -'- Gal Test 112 ~ Gal Results Pass Test 111 .3 Gal Test #2 d- Gal Results Fail TECHNICIAN ~~ ~/ DATE .~-?- '10 u'," . . AI.E~TM . .~.. . ASSOCIATED ENVIRONMENTAL SYSTEMS, INC. P.O. BOX 80427 ' BAKERSFIELD, CA 9~ao (80S) 393·2212 INVOICE NUMBER ;2 ~rZ- . , . AES HYDROSTATIC PRODUCT LINE TEST WORK SHEET , I . TEST PRODUCT START END START END TEST VOL. NO. TIME TIME VOL. (ml) VOL. (ml) DIFF. (ml) I ~-eq, / ();/? I i' #~.JO ,I ";)." I -~ t) f ~ l) -r@(~ / S /. " , / ,"I ' I' /.) J "'¡ .. ,'" :'"' S-O tit.¡ -.006 /( /t-. ;>' J, t. <M~ f.1 .1 .:~..~ ...._~' ,=:.:' J ¡(/vL /7: '3 J 17~4.5"O 91> ç; 2, -' t7"/ g.., , ".- I f< /r,¡ ,,' - -_()()2 I .~,},(o\." /"] , "~'~O- 62. -60 ·/~/i.-~ /.,.' :/ .. Or: f' ~. I' .. .... , , ,- "1)} :;~ "'v ~1' Divide the volume differential by the test time (15 minutes) and multiple by 0.0158311, which will convert the volume differential from milliliters per minute to gallons per hour. The conversion constant is found by: ..... . -. ~. :;,·~F " (60 cin/hr)/(3790 ml/gal) = O.01583ll(min/hr) (gal/ml) The conversion constant causes the milliliters and minutes to cancel out. . , \ Ex. If the level dropped 3ml in 15 minutes then: 3j15 ml.jmin. X 0.01S8J11(minjhr) (gaijml) = 0.003 galj~r. RESULTS OF THIS WORK SHEET TO BE COMPLIED ON A. E. S . RESULTS ~11'1:''I:''T'I . (e T.> FILE CONT~ "Jr': 'r~J'J€fI¡:üRY ~. 'Date Date Dat.e 'Z , (i' ¡, .'. i -;' __=-fi ¡( ~Q ..____ ¥l De ~I ò, t.'-. ~ì Operate ~.-3.1 ono~ ' , o I) Iì :;:: (' IJ " ~ '- 0 n Permit # [] Pec-r\: t, abandonlt :J ~"1ended P€-~rmit Conditions fiaPer,;'\..t App~~cation Form, o APi-' , L::ati:!r1 to Abandon OAnn',J3} Report Forms -- No ')f 'T'anks :3 1'aC1K Sheets -''''f'lo+- ~þ\1..s:';"- <,:,\ ks ( 5 \ Date .~..,-"'._- .-'-',.- DCoPi of Written Contract Between Owner & Operator o Inspection Reports DCor" espondence - Rece i..¡ed Date Date Date DCorrespondence - Mailed Date Date Date DUnauthorized Release Reports o Aba "\donment/Closure RerJo rts o Sampl i ng/Lab Reports DMVF Compliance Check (New Construction DSTD Compliance Check (New Construction OMVF P!.an Check (New Construction) DSTD Plan Check (New Construction) DMVF plan Check (Existir"1.g Facility) DSTD Plan Check (Existi:1g Facility) O-Incomplete Application- Form DPermit Application Checklist DPermit Instructions DDiscarded o Tightness Test Resul ts Checklist) Checklist~ . Date Date Date -- OMonitoring Well ConstructIon Data/Per~its -------------------------------------,-----------------~---------- DEnvironmental Sensitivity Data: QGroundwater Drilling, Boring Logs OLocation of Water Wells ;:JSta tement of Under J round Condui ts 'XI?lot Plan Featurinq All Environmental '. -' Sensitive Latð (j , ',: ,)" ',) s Con 5 t r u ;- 1:, i on Draw i n 9 5 .,: r: at , Or) C 11,:"" sheet showing da"~ received and tally ,t inspectìcî..--..··.-~:"'· OM: s" "i' aneous .--' -- --'~. ---------- ~=-.. , (' \tJ~·~\,.\·!,,, '¡'y\"'\. ~ ¿,;~ \ 4:(::/~<-_<:Jr", ,)' :d't . [ \-:.. \:;;- j,.\,>-,:;, (} ¿ $.<> ,. '. - ---- ~~.._.,-- - ",___,00.,., --,-~_.. _-'--0" .---"'--. ._~_.... .... .~-."" e ç- \;.. s- 7~ ) ~:?Ç ., (i,l; ,-"",,- " '.:~.ç ~-\\ -\ '0" Kern County Health Department__ Division of Environmental He.. 1700 Flower Street. Bakersfie . CA , ~805 )361-3636 .-- -- ,- .'. ermit No. - ,'. '!\(,,¡:,.,~,'-,' APpl, ,tl,' on Date .0" \\ji¡À,P I) ._ -:'_ 93305 \11r'¡\ w 5/ r:.:VJO t3 G 3- Zo -fJJ , B. , . -". "-l'-;-\L.;, \-: :.:.!:::q~\ (:()\Jì""4; : APPLICATION FOR PERMIT TO OPERATE UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY Type Of Application (check): " ;' []New Facility []Modification Of Facility [JExisting Facility ßaTransfer Of Ownership Emergency 24-Hour Contact (name, area code. phone): Days l MêI?.T,'l ì~~{J,lh'..j (IJ,.n)4ðL/-·'iJS-,. . " Nights 4'.(\'111\l~ l / Facility Name /r1v~PM J'v"~!ì It)fr1~kt=r No.Of:r.anks ..~ . Type Of Business (c ' ck) : []Gasoline Station 00ther (describe) A-11/fA1 irlAfU~{;T Is Tank(s) Located On An Agricultural FaFm? []Yes ~No Is Tank(s) Used Primarily For Agricultural Purposes? []Yes GdNo Facility Address ~/O \.(}/3L..~ Nearest Cross St. ~/íG L-Rr1Jr::;- T " R .. _ , ~SEC ,. . , (Rural Locations Only)/ 1/.' AI Owner ~~C<'1 .; Contact Person I ... . 'lJ,v Address . J7.J¡~t¡PI@,/ff(~ii Zip 1q7CJI Telephone 2,13 i _ IL .- -~5!l, Operator _~~ _ CZJ-:A-rjð~~ I Contact Person ß~ Address 11V5 '7rlJðl5~W<! ~/í¿;.)~ CIf Zip cr()7CJ! Telephone .±:i..3 - "7":ð/fl:" 150 -FT SILT l: ,,_ Contractor CA Contractor's License No. ~/r~( . Address It. G Ili!; Zip q );JG(2.. TelePhone(Z,.¿"~} 2..'fQ- ~-IO.t;' Proposed Starting Date ./ - Proposed Completion Date _ - "'7 Worker's Compensation Certification No. :::;{f - eol O?; i?S'"'f? Insurer' , , 'J' . (F/1lEÞ t5 ru/J/O. CD j) If This Permit Is For Modification Of An Existing Facitity, Briefly Describe Modifications Proposed rvGIAJ O;SPqJ·St;llj, I2XlfT. u.E;. TIHJ;<'Ç¡ flí8V h\/P~ fttfr{L-T A. I _ C. D. E. Tank(s) Store (check all that apply): Tank # Waste Product Motor Vehicle Unleaded Regular Premium Diesel Waste I Fuel ~ Oil 0 d 0 EJ 0 0 IT "2.- 0 ~ 0 0 .1:( ~ 0 0 3 0 D 0 0 0 0 0 0 0 D, D 0 D 0 F. Chemical Composition Of Materials Stored (not necessary for motor vehicle fuels) Tank # Chemical Stored (non-commercial name) CAS # (if,known) Chemical Previously Stored (if different) G. Transfer Of Ownership . Date Of Transfer AÍf~. II If,ft Prev~ou~ Owner -r~f!APJi..,t ,ff131!AS( Previ~us Fa~ i Ii ty Name . I P1-f2-;! 13ft:! fI nl3')[ I. (,:[ FUI-kt::.FðV accept fully all obligations of Permit No. , issued t I understand that the Permitting Authority may review at', modify or terminate the transfer of the Permit to Operate t~ is underground storag facility upon receiving this completed form. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ------ - - - - This form has been compl~ted under and ,orre't. ~ 5;';":~f·.l'" ~~ . penalty of perjury and to the best of my knowledge is true !'itlp ~_ ~~ Dôt,;C: 3V~ý/ F~cility' Name -::, í OC(;1 E:/ C mV\/Î¡j" ¡' TANK # -- FOR EACH , Permi t No. (FILL OUT SEPARATE FORM PtIÞ¿ACH.IM:!K) SECTION. CHECK ALL APPROPRIATE BOXES . ~ H. .1. Tank k: 0 Vaulted 0 Non-Vaulted 0 Double-Wall (g-"Single-Wall 2. Ttink Material ~ Carbon Steel [J Stain]ess Steel 0 Polyvinyl Chloride 0 Fiberglass-Clad Steel o Fiberglass-Reinforced Plastic 0 Concrete 0 Aluminum 0 Bronze 0 Unknown o Other (describe): 3. Primary Containment Date Installed Thickness (Inches) UI<Né~ ~ UIVI<.. NI}!,1i N 4. Tank Secondary Containment o Double-Wall 0 Synthetic Liner [] Lined Vault 0, other (describe): Material 5. 'Tank 'Interior Lining , DRubber 0 Alkyd 0 Epoxy 0 Phenolic [J Glass [] Clay 0 Unlined 51 Unknown o Other (describe): 6. Tank Corrosion Protection o Galvanized [] Fif"; rglass-Clad [] Polyethylene Wrap 0 Vinyl Wrapping [J Tar or Asphalt Unknown 0 None 0 Other (describe): Cathodic Protection: None [J Impressed Current System [J Sacrificial Anode System o Uescribe System & Equipment: 7,. Leak Detection, Monitoring, and Interception a. Tank: 0 Visual (vaulted tanks only) 0 Groundwater Monitoring Well(s) [] Vadose Zone Monitoring Well(s) [J U-Tube Without Liner [] U-Tube with Compatible Liner Directing Flow To Monitoring Well(s)* [J Vapor Detector * [] Liquid Level Se~sor * [] Conducti vi ty Sensor * [J Pressure Sensor In Annular Space Of Double Wall Tank *- o Liquid Retrieval & Inspection From U-Tube, Monitoring Well Or Annula~ Space [] Daily Gauging & Inventory Reconciliation .0 Peri~dic Tightness Testing o None 0 Unlmown . [J Other À P ¡ AAVN i TtJJliIJ (') sy,-r T9\1 Piping: [] Flow-Restricting Leak Detector(s) For Pressurized Piping* [] Monitoring Sump With Raceway [] Sealed Concrete Raceway o Half-cut Compatible Pipe Raceway [] Synthetic Liner Raceway [] Non~ [] Unknown [] Other VISUM..! i'vVJiJI,OµWQ \',¡fU,S *Describe Make & Model:, 8. ~ Tightness Has This TanK Been Tightness Tested? Date Of Last Tightness Test ~~~ Test Name {JET p~ Ti rf- 9. Tank Repair' ' Tank Repaired? [] Yes ~ Date(s) Of Repair(s) Describe Repairs 10. Overfill Protection [] Operator Fills, Controls, & Visua]ly Monitors [] Tape Float Gauge [] Float Vent Valves 0 [] Capacitance Sensor 0 Sealed Fill Box 0 o Other: Thickness (Inches) Manufacturer µ iJ 1JEJ~.AI !j/1:;V;; J 1./ G . F fl.I?:>ll (j o None Q Unknown Manufacturer: Capaci ty (Gals.) Capacity (Gallons) / O. (jOt) .. f b. / III" 'Yes \, C; ~ 7 [] No 0 Unknown Results Of Test Testing Company .~ 14 +I~- '-i T Á¡ -4 A ÜJ1Á nÆ-µ vi &t+r~.p ¡di) I o Unknown GJOOR'ORlGlNlL Level Auto Shu~-~ff Controls None ~ Unknown List Make & Model For Above Devices 11. Piping ~ a. Underground Piping: 12' Yes 0 No , 0 Unknown Material f1f?q?.-E¿lXf Thickness (inches) , Diameter 'tl\. If.. Manufacturer o Pressure 0 Suction 0 Gravity Ápproximate Length Of Pipe Run /ð() ?f , Underground Piping C9rrosion Protection: o Galvanized Gr Fiberglass-Clad [] Impressed Current 0 Sacrificial Anode o Polyethylene Wrap 0 Electrical Isolation 0 Vinyl Wrap 0 Tar or Asphalt . ..._ :, t- ',;_ _ /",.. .. U to -. - .. [] Unknown [] None 0 Other (describe): _ ~ ~ - -r Underground Piping, Secondary Containment: o Double-Wall 0 Synthetic Liner ~ystem [J None [] Unknown ,(~' I f' 0 " o Other (describe): ,";;. ,1' J;::i¡."i=7?./' ~,ß-i f::':; ~nJ.í(.1)' Fil7{;7~fJ~':)-fç. N8v//OJ.;0 b. c. I. I I I l·é:iC.ll.l,Ly l~illlll~ ¡'SA I í /-'/n fVltiv, J'\iH<.i.:..ç ï \,I.J/{." ,vil~')(,¿ ¡")'j' 'Ll"'-,~ dU. ':;;j(.J(,/()c'c' / I "- .TANK!'2a (FILL UUT SEPARATE--FORM . EACH TANK) F~TIUN, CHECK ALL APPROPRIATE BOXES - --. -- - H,- 1. ~ank 1&: [) VauIted [) Non-Vaulted 0 Double-Wall q;v'SiÚgle.-wall 2. Tank Materiàl lEY'" Carbon Steel 0 Stain] ess Steel 0 Polyvinyl Chloride [) Fiberglass-Clad Steel .0 Fiberglass-Reinforced Plastic 0 Concrete 0 Aluminum 0 Bronze 0 Unknown o Other (describe): 3. Primar~ Containment Date Installed 'Thickness (Inches) UN kt.J'ð ¿IJ NUN Jl..N<11.l! µ 4. Tank Secondary Containment o Double-Wall 0 Synthetic Liner 0 Lined Vault o Other (describe): Material 5. 'Tank Interior Linill~ DRubber' 0 Alkyd 0 Epoxy 0 Phenolic 0 Glass 0 Clay 0 Unlined jJ/Únkn~wn D Other (describe): 6. Tank Corrosion Protection o Galvanized 0 Fi~rglass-Clad 0 Polyethylene Wrap [) Vinyl Wrapping o Tar or Asphalt 0... Unknown 0 None 0 Other (describe): Cathodic Protection: ø None [) Impressed Current System 0 Sacrificial Anode System [) Describe System & Equipment: 7. Leak Detection. Monitoring:, and Interception a. Tank: 0 Visual (vaulted tanks only) 0 Groundwater Monitoring Well(s) o Vadose Zone Moni taring: Itell (s) 0 U-Tube Without Liner o U-Tube with Compatible Liner Uirecting Flow To Monitoring Well(s)* o Vapor Detector * 0 Li4Uid Level Sensor * 0 Conductivity Sensor* o Pressure Sensor in Annular Space Of Double Wall Tank * o Liquid Retrieval & Inspection From, U-Tube. Monitoring Well Or Annular Space o Daily Gauging & Inventory Heconci~ia~ion 0 Periodi'c Tightness Testing [) None 0 Unknown [) Other &JI /'rLÓkfrroF!..Ifl.1~ J¡'STEM Piping: [) Flow-Restricting Leak Detéctor(s) For Pressurized Piping* _ 0 Moni taring Sump With Raceway 0 Sealed Concrete Raceway , o Half-Cut Compatible Pipe Raceway [) Synthetic Liner Ra2eway [) None , D· Unknown 0 Other ~Jt ~!A A-t. l1M.~tJ ïfOfL( N.f; WG¿L,S *Describe Make & Model:, ' 8. Tank Ti~htness Has This Tank Been Tightness Date Of Last Tðghtness Test Test Name I 'eTf..vó TíTb 9. Tank Repair Tank Repaired? 0 Yes Date(s) Of Hepair(s) Describe Repairs 10. Overfill Protection o Operator Fills. Controls, & Visually Monitors o Tape Float Gauge 0 Float Vent Valves 0 o Capacitance Sensor 0 Sealed Fill Box 0 o Uther: Capacity (Gallons) '/0. ()ÓO . , Thickness (Inches) Manufacturer , ~ ÒOh/W ~VeU)/NY: , F/4;Sjv'J [) None Œ Unknown Mij,nufacturer: Capacity (Gals.) b. Tested? ~Yes f=E0 JC¡x'7 o No 0 Unknown Results Of Test Tes,ting Company ()j(-7Î 6/1T' A'Æ A 0)1,1 t'1tN...{ . tøf..ç;7...5?ltw' / B No o Unknown ~OØlHHUGlNltL Level Auto Shut-Off Controls None ~Unknown List Make & Model For Above Devices 11. Pipin~ ' a. Underground Piping: 0' Yes 0 No 0 Unknown Material P/l7Gf{6iJ:tfJ Thickness (inches) Diameter -2.,\þ Manufacturer ' o Pressure 0 Suction 0 Gravity Approximate Length Of Pipe Run (ðtJ fí Under~round Piping ,Co/rosion Protection: o Galvanized Iil' Fiberglass-Clad 0 Impressed Current 0 Sacrificial Anode o Polyethylene Wrap 0 Electrical Isolation 0 Vinyl Wrap 0 Tar or Asphalt o Unknown 0 None 0 Other (describe): Underground Piping, Secondary Containment: o Double-Wall 0 Synth,et,ic Liner ~ystem 0 None ,0 Unkn0'W ,'~ '. ' o Other (describe): 7-)" 1"- P/8¡:t.6tp.:Si- O-/;i-ft Z't 1) F//:t.':(Zht"Jifj !,-/vl/lt' fi;II/V, b. c. , ^ I 0 Facility Name I~Tï~,;i'-¡i\ 1'II\,'¡';I'!v~':", ;-1-;;" ,'vI L.-l_- PernllL ;,u. ,/,-"",(,.- ,:~,_ ,/ ~AN~ # '38 I (l:ILL OUT SEP~RATE ~ORM ~ TANK) - -F~TIëJN:-CHECK ALL APPROPRIATE BOXES - -- -- - H." 1. ~nk is: [] Vault'ed [] Non-Vaulted [] Double-Wall ~ingle-Wall 2. Tank Material ~ Carbon Steel [] Stainless Steel [] Polyvinyl Chloride [] Fiberglass-Clad Steel o Fiberglass-Reinforced Plastic [] Concrete [] Aluminum 0 Bronze [] Unknown [] Other (describe): 3. Primary Containment Date Installed Thickness (Inches) U:i.1J^()JN " UN¡¿/VðUJ tJ 4. Tank Secondary Containment [] Double-Wall 0 Synthetic Liner [] Lined Vault [J, Other (describe): Material 5. 'Tank Interior Linin~ DRubber 0 Alkyd D Epoxy 0 Phenolic [] Glass 0 Clay 0 Unlined ,'Q'4Ír¡known (] Other (describe): 6. Tank Corrosion Protection o Galvanized [] Fiberglass-Clad [] Polyethylene Wrap [] Vinyl Wrapping o Tar or Asphalt ~Unknown [] None 0 Other (describe): Cathodic Protection: ~None [] Impressed Current System 0 Sacrificial Anode System [] Describe System & Equipment: 7. Leak Detection, Monitorin~. and Interception a. Tank: [] Visual (vaulted tanks only) [] Groundwater Monitoring Well(s) o Vadose Zone MonHoring \'iell (s)' 0 U-Tube Without Liner [] U-Tube with Compatible Liner Directing Flow To Monitoring Well(s)* o Vapor Detector * [] Liquid Level Sensor * 0 Conducti vi ty Sensor * o Pressure Sensor In Annular Space Of Double Wall Tank * [] Liquid Retrieval & Inspection From U-Tube, Monitoring Well Or Annular Space [] Oaily Gauging & Inventory Reconciliation [] PeriodIc Tightness Testing [] None [J Unknown [] Other lrf¡ JttötJl(O,f2-HJ6 0~7Bv) , Piping: [] Flow-Restricting Leak Detector(s) For Pressurized Piping* " [] Monitoring Sump With Raceway 0 Sealed Concrete Raceway [] Half-Cut Compatible Pipe Raceway [] Synthetic ~iner Raceway [] None [] Unknown '0 Other \j{ç,¡}¡ÞrL- tw)tJl T~fl..j+.J6 W-Ë'CL-ç *Oescribe Make & Model:, 8. Tank Ti~htness Has This Tank Been Tightness Date Of Last Ttghthess Test Test Name r't;;-rflo T/Tt' 9. Tank Repair /' Tank Repaired? [] Yes Q' No Date(s) Of Repair(s) Describe Repair!; 10. Overfill Protection [] Operator Fills, Controls, & Visually Monitors [] Tape Float Gauge [] Float Vent Valves [] o Capacitance Sensor (] Sealed PillBox [] [] Other: Capacity (Gallons) /Ô; ,1;(1(1 ~ I Manufacturer (1¡l{J f)EJW /)j 81-0 nJ6 ~S¡[() [] None l3¥"Ùnknown Manufacturer: Capacity (Gals.) Thickness (Inches) b. Tested? ~es ,Þf:;;0 ; q J7 [] No [] Unknown Results Of Test Testing Company tJl<-176H-r 4 " A- C6#1 PItN¥ /Yti47.d Pi li¿¡J [] Unknown Level Auto Shut-gff Controls None ~Unknown List Make & ,Model For Above Devices c. ~OOR-ORlGlNAL Pipin~ a. Underground Piping: ~es 0 No [] Unknown Material ,P¡øEP-Þ¿Þ-:f'C Thickness (inches) O<iameter 11-1 (p Manufacturer o Pressure 0 Suction 0 Gravity Approximate Length Of Pipe Run /f/l ;==1 Underr,round Piping C~rosioh Protection: [] Galvanized '(0' Fiberglass-Clad [] Impressed Current 0 Sacrificial Anode [] Polyethylene Wrap 0 Electrical Isolation 0 Vinyl Wrap 0 Tar or Asphalt o Unknown Q Ndne 0 Other (describe): I Underground Piping, Secondary Containment: o Double-Wall 0 Synthet,ic Liner System [] None 0 Unkno;.¡n f.) o Other (describe): "iI(t ó~.'ËR2-){/ 1=11~/?.6¿<p-fr I l)'éYv O¡PI¡/ry 11. b. ~ Kern County Health Depart~ell. Division of Environmental HeQ~th tÇOO ~~nwer Street: Bakersfield, CA 93305 (805) 861-3636 \ .erIRit No. ( ~ /O/J()gC Apþ-Lication Date - APPLICATION FOR PERMIT TO OPERATE UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY Type Of Application (check): []New Facility [JModification Of Facility µQExisting Facility [JTransfer Of Ownership A. Emergency 24-Hour Contact (name, area code, phone): Days ;2/3/ 'Ye> 2 - 80 z. b Nights In I Yo 2... - 8" Z-b Facility Name Aj.(c.o 55 # 53b5 No. Of Tanks -3 Type Of Business (check): p'ªGasoline Station [JOther (describe) Is Tank(s) Located On An Agricultural Farm? []YesQaNo Is Tank(s) Used Primarily For Agricultural Purposes? []Ves ]ŒNO Facili ty Address 'If) 10 \~,}¿,IcJ\e. ~J. í3c..k€r5-h~1d.. Nearest Cross St. 'IN h,/-e LIi. T R SEC (Rural Locations Only) Owner /-J R C--Õ Contact Person ~~L X ~~r'I <:,ôN Address 1731:> SílJCZ;BAt(£1L l',J. Cerr,.fo<¡ Zip '1D7o/-NI3t;¡ Telephone O~ 2 -0'2;(8 Operator PI'~s+''1.tZ >h.. '¡"'MvH :r,., c::. Contact Person 1'1 nAJ14f"'r Address 4010 '^,..I!,bl" R.J E~_~.ç'Ll~ Zip q-r? ()q Telephone 8or,/ 93(. - CJh!5,f B. Water To Facility 'Provided By Soil Characteristics At Facility Basis For Soil Type and Groundwater Depth Determinations Depth to Groundwater CA Contractor's Zip Proposed License No. Telephone Completion Date Insurer C. Contractor Address Proposed Starting Date Worker's Compensation Certification No. D. If This Permit Is For Modification Of An Existing Facility, Briefly Describ· Modifications Proposed E. Tank(s) Store (check all that apply): Tank # Waste Product Motor Vehicle Unleaded Regular Premium Diesel Waste Fuel Oil /0, (Joo r. 0 ~ ~ ŒJ 0 0 0 [] /0 , ðoo 0 0 ~ 0 0 0 10, 000, 0 œ 0 0 ~ 0 0 0 0 0 0 0 0 0 0 F. Chemical Composition Of Materials Stored (not necessary for motor vehicle fuels) Tank # Chemical Stored (non-commercial name) CAS # (if known) Chemical P~eviouslyStored (if different) G. Transfer Of Ownership Date Of Transfer Previous Facility Name I, POOR ORIGIN![, Previous Owner accept fully all obligations of Permit No. issued t I understand that the Permitting Authority may review an modify or terminàte the transfer of the Permit to Operate this underground storag facility upon receiving this completed form.- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~:~sc:;~~n _~:~~na~Y of perjory and to the best of my knowledge Is true A-?I;- .¡. 536<; . Facility Name l' ~ Permit No. .IMili. ! /()OOO t If (FILL OUT SEPARATE FORM FOR EACH TANK) FO{ EACH SECTION. ~ ß11 APPROPRIATE BOXES . H. 1. I.ä!lli.i§.: [] Vaul ted ,[] Non-Vaul ted 2. Tank Material 13--- Carbon Steel, [] Stain] ess Steel tJ Fiberglass-Reinforced Plastic [] [] Other (describe): 3. Primar~ Containment ,Date Installed Thickness (Inches) [] Double-Wall ~ Single-Wall [] Polyvinyl Chloride [] Fiberglass-Clad Steel Concrete [] Aluminum [] Bronze [] Unknown Capacity (Gallons) / n (){)() Manufacturer ! ! Secondary Containment Double-Wall [] Synthetic bther (describe): Material 5. .~ Interior Linine; (] Rubber 0 Alkyd 0 Epoxy 0 Phenolic 0 Glass (] Clay ':¢ Unlined [] Unknown (J Other (describe): 6. Tank Corrosion Protection [] Galvanized [] Fiberglass-Clad [] Polyethylene Wrap 0 Vinyl Wrapping [] Tar or Asphalt lEÍ Unknown [] None 0 Other (describe): Cathodic Protection: ÌSi None [] Impressed Current System [] Sacrificial Anode System [] Uescribe System ¡'Equipment: 7. ~ Detection. Monitor ine;, and Interception a. Tank: [] Visual (vaulted tanks only) [] Groundwater Monitoring Well(s) [] Vadose Zone MonHoring Well (s) [] U-Tube Without Liner, [] U-Tube with Compatible Liner Directing Flow To Monitoring Well(s)* [] Vapor Detector * [] Liquid Level Sensor * 0 Conducti vfty Sensor * * [] Pressure Sensor In Annular Space Of Double Wall Tank, [] Liquid Retrieval & Inspection From U-Tube, Monitoring Well Or Annulac Space ~OailY Gauging & Inventory Reconciliation 1Zl Periodic Tightness' Testing [] None f [] Unknown [] Other . Piping: ~Flow-Restricting Leak Detector(s) For Pressurized Piping* , [] Monitoring Sump With Raceway [] Sealed Concrete Raceway [] Half-Cut Compatible Pipe Raceway [] Synthetic Liner Raceway [] Unknown [] Other *Describe Make & Model: 8. Tank Tightness Has This Tank Been Tightness Date Of Last Tightness Test Test Name Vçtr/)~+Q.. 9. Tank Repair Tank Repaired? [] Yes Dàte(s) Of Repair(s) Describe Repairs 10. Overfill Protection o Operator Fills, Controls. & Visually Monitors [] Tape Float Gauge ~ Float Vent Valves [] [] Capacitance Sensor 0 Sealed Fill Box [] [] Other: 4. 'rank o 0. Liner [] Lined Vaul t 'Ø- None [] Unknown Manufacturer: Capacity (Gals.) Thickness (Inches) b. o None PI-=- jJ, Tf'rêk J:' .., Tested? r2J Yes 1/~~!þ7 I . , , o ,No [] Unknown Results Of Test Testing Company j-OIO/C¡~ J4- of /1 ÍÅ,.J £.. -y; s I-ì '<J It.. No [] Unknown '~«)0R-ØRIGfNAL Level Auto Shut-Off Contrôls None [] Unknown List Make & Model For Above Dev}ces 11. b. PiDine;o a. Underground Piping: ~ Yes [] No Thick~ess (inches) , Diameter [] Pressure [] Suction [] Gravity Underr,round Piping Corrosion Protection: ø-. Galvanized [] Fiberglass-Clad [] Impressed ,Current [] [] PolyethYI~ne Wrap [] Electrical Isolation Qt--VinYl Wrap ,[] Unknown 0 None [] Other ( describe) : Underground Piping, Secondary Containment: n nnllhlp-\'J;l11 n ~'!nthpt-i~ r ;npl' ~\I",t-P'n 'n Nnnp o Unknown Material ST;':::'E L... .2 , Manufacturer Approximate Length Of Pipe Run Sacrificial Anode o Tar or Asphal t c. n tìnk-tln!.¡n ~ ~ /1,7;1,..., .if .5"''-'- P , N ^ L--( I , oJ n'J - ernu t ¡ o. TANK # (OO.SvP (FILL OUT SEPARATE FORM F.EACH TANK) - -FOl{ EACH SÉCTI~CHECK A11. APPROPRïA~BOXES - Facili ty Name H. 1. Tank li: 0 Vaul ted [] Non-Vaul ted 2. Tank Material ~ Carbon Steel [] Stainless Steel [] Fiberglass-~einforced Plastic [] [] Other (describe): 3. Primary Containment .Date Installed Thickness (Inches) o Double-Wall ro Single-Wall D Polyv~nyl Chloride [] Fiberglass-Clad Steel Concrete [] Aluminum '[] Bronze [] Unknown Capacity (Gallons) JO,DOÒ , Manufacturer 4. Tank Secondary Containment [] Double-Wall [] Synthetic Liner [] Lined Vault [] Other (describe): Material 5. 'Tank' Interior Linin~ (] Rubber 0 Alkyd 0 Epoxy 0 Phenolic 0 Glass 0 Clay ~ Unlined [] Unknown (] Other (describe): 6. Tank Corrosion Protection [] Galvanized [] Fiberglass-Clad [] Polyethylene Wrap [] Vinyl Wrapping [] Tar or Asphalt tunknown [] None [] Other (describe): Cathodic Protection: . None [] Impressed Current System [] Sacrificial Anode System [] Describe System & ,quipment: 7. Leak Detection. MOllitorin~, and Interception a. Tank: [] Visual (vaulted tanks only) [] Groundwater Monitoring Well(s) [] Vadose Zone Monitoring Well(s) [] U-Tube Without Liner [] U-Tube with Compatible Liner Directing Flow To Monitoring Well(s)* [] Vapor Detector * [] Liquid Level Sensor * 0 Conductivity Sensor* [] Pressure Sensor In Annular Space Of Double Wall Tank * ~ [] Liquid Retrieval & Inspection From U-Tube. Monitoring,Well Or Annulat· Space ~DailY Gauging & Inventory ~econciliation ~ Periodic Tightness Testing tJ None 0 Unknown [] Other ' Piping: ~Flow-Restricting Leak Detector(s) For Pressurized Piping* [] Monitoring Sump With Raceway 0 Sealed Concrete Raceway [] Half-Cut Compatible ~ipe Raceway 0 Synthetic Liner Raceway [] None [] Unknown [] Other *Describe Make & Model: 8. Tank Tightness Has This Tank Been Tightness Date Of Last Tightness Test Test Name ?f hðn f€ 9. Tank Repair Tank Repaired? [] Yes Date(s) Of ~epair(s) Describe Repairs 10. Overfill Protection [] Operator Fills. Controls. & Visually Monitors [] Tape Float Gauge ri- Float Vent Valves [] [] Capacitance Sensor I [] Sealed Fill Box 0 [] Other: Thickness (Inches) ~ None [j Unknown Manufacturer: Capacity (Gals.) b. R S D.rN2t<-;=' T Tested? ö4 Yes / /~p. /p) , I [] No [] Unknown Resul ts Of Test -Of 0 '10 ª,p/.. ./ Testing Company A..¡...A r1- No [] Unknown \~n tU!'~G'N¡U. Level Auto Shut-Off Controls None [] Unknown List Make & Model For Above Devices b. Piping a. Underground Piping: ~ Yes D No Thickness (inches) Diameter' , ~ Pressure [] Suction [] Gravity Und~rground Piping Corrosipn Protection: ijJ- Galvanized [] Fiberglass-Clad [] Impressed Current 0 Sacrificial Anode o Polyethylene Wrap 0 Electr ical Isolation iL1- Vinyl Wrap 0 Tar or Asphalt [] Unknown (] None 0 Other (describe): Underground Piping, Secondary Containment: o Double-Wall 0 Synthet i c Liner System ~one 0 Unknown [] Other (describe): _ o Unknown Material )JÞÞ-L ' ~J' Manufacturer Approximate Length Of Pipe Run 11. c. '!:~ ---<' .,;~, A¡?C() -t 530') _' Perßut No. TANK! /OO~O .€l IFILL OOT SEPARATE FORM FO.AC" TANK) FOH EACH S CTION. ~ ß11 APPROPRIATE BOXES Facility Name H. 1. Tank h: 0 'Vaul ted 0 Non-Vaul ted 2. ~ Material . ~ Carbon Steel [] Stainless Steel tJ Fiberglass-Reinforced Plastic [] o Other (describe): 3. Primary Containment ,Date Installed Thi~kness (Inches) [] Double-Wall ~ Single-Wall o Polyvinyl Chloride [] Fiberglass-Clad Steel Concrete 0 Aluminum 0 Bronze 0 Unknown Capacity (Gallons) ! OOOt) Manufacturer Secondary Containment Double-Wall 0 Synthetic Liner [] Lined Vault Other (describe):~ Material 5. 'Tank Interior Linin~ (] Rubber [] Alkyd 0 Epoxy [] Phenolic [] Glass (] Clay :iJ Unlined (] Unknown (] Othe'r (describe): 6. Tank Corrosion Protection g.. Galvanized 0 Fiberglass-Clad [] Polyethylene Wrap [] Vinyl Wrapping tJ Tar or Asphalt 0( Unknown [] None 0 Other, (describe): Cathodic Protection: 'Ø None [] Impressed Curr,ent System 0 Sacrificial Anode System [] Uescribe System~quipment: 7. Leak Detection. MOllitorin~, and Interception a. Tank: 0 Visual (vaulted tanks only) [] Groundwater Monitoring Well(s) [] Vadose Zone Monitoring Well(s) 0 U-Tube Without Liner [] U-Tube with Compatible Liner Directing Flow To Monitoring Well(s)* o Vapor Detector * [] Liquid Level Sensor * [] Conductivity Sensor* * [] Pressure Sensor In Annular Space Of Double Wall Tank ' [] Liquid Retrieval & Inspection From U-Tube, Monitoring Well Or Annular Space L2f-0ailY Gauging & Inventory Reconciliation lJ- Periodic Tightness Testing [] None 0 Unknown 0 Other Piping: 15-Flow-Restricting Leak Detector(s) For Pressurized Piping* - [] Moni toring Sump With Raceway [] Sealed Concrete Raceway [] Half-Cut Compatible Pipe Raceway 0 Synthetic Liner Raceway [] Unknown [] Other *Describe Make & Model:, 8. Tank Ti~htness Has This Tank Been Tightness Date Of Last Tightness Test Test Name p" t-(c) -h -I--€. 9. ,Tank Repair Tank Repaired? (J Yes Date(s) Of Repair(s) Describe Repairs 10. Overfill Protection [] Operator Fills. Con~Jls. & Visually Monitors [] Tape Float Gauge OK-Float Vent Valves 0 [] Capacitance Sensor 0 Sealed Fill Box 0 [] Other: 4. Tank o o Thickness (Inches) ~ None 0 Unknown Manufacturer: Capacity (Gals.) b. [] None P [;.Q TAr k Þ r Tested? ~ Yes //;)8/ 7 I " o No 0 Unknown Results Of Test 1-(), oar 9ßJA Testing Company A+- /J / ìLho [] Unknown ~o()ltORlGlNÂ~ Level Auto Shut-Off Controls None [] Unknown List Make & Model For Above Devices 11. PiDin~ a. Underground Piping: QÍ--..Yes [] No 0 Unknown Material Thickness, (inches) , Diameter :2 , Manufacturer ø- Pressure [] Suction [] Gravity Approximate Length Of Pipe Run b. Underground Piping Corrosion Protection: 'E¥--Galvanized [] Fiberglass-Clad [] Impressed Current 0 Sacrificial Anode éJ Polyethylene Wrap 0 Electrical Isolation tt Vinyl Wrap 0 Tar or Asphalt [] Unknown 0 None 0 Other (describe): c. Underground Piping. Secondary Containment: [] Double-Wall [] Synthet i c Liner System &None 0 Unknown [] Other (describe): _____ .i j I j l ! f' 1700,Flower Street Bakersfield, California 93305 Telephone (805) 861-3636 (.Ï! > - . ,~-~ '* COUNTY HEALTH DEPAR~ENT' ENVIRONMENTAL HEALTH DIVISION HEALTH OFFICER Leon M Hebertson, M.D. INTERIM PERMIT. TO OPERATE: DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Reichard PERMIT#3:J..oooac ISSUED: EXPIRES: JULY l, 1986 JULY 1, 1988 II UNDERGROUND HAZARDOUS SUBSTANCES , STORAGE FACILITY NUMBER OF TANKS= 3 - ---- --- --- - - - --- ------ - -- - ---- --- -- ---- - - - - ------------ - -- ---'-------- FACILITY: TERRIBLE HERBST, INC. #138 4010 WIBLE ROAD BAKERSFIELD, CA I I I I OWNER: TERRIBLE, HERBST, INC. P.O. BOX 14947 LAS VEGAS, NV 89114 ---------------------------------------------------------------------- ' - TANK # 1-3 AGE (IN YR:S) 4 SUBSTANCE CODE ,MVF 1 I PRESSURIZED PIPING? - YES ·NOTE: ALL INTERIM REQUIREMENTS ESTABLISHED BY THE PERMITTING AUTHORITY MUST BE MET DURING THE TERM OF THIS PERMIT NON-TRANSFERABLE *** POST ON#PREMJ:SES " DATE PERMIT MAILED: JUL 2 1 1986 DATE PERMIT CHECK LIST RETURNED: MARCUl\'~NTENANCE 1577 ~FITH RD. RAMONA, CA. 92065 PH. (619) 789-4337 ~ - "\L' ,'; Location Totalizer Readings Start (moneyl Distribution: Ortginal t hite) Region File Du pI ¡cate- (canary) District F de Triplicatp. (plnki Dealer Copy Station nurnbp.r Date Tagged ORed CalibratIon: Checked Adjusted To Totalizer Sealed Tagge dRed Calibration: Checked Adjusted To Totalizer Sealed Tagged ORed CalibratIon: Checked Adjusted To í< ! ' 1(-, ~?, Record of Computer or Meter Change I:] Green OSlue Totalizer Readings Start l money) Return to StoTgù9allOnS) ~ StHÎal Number 1 01 OS- I. Totalizer Readings Start {money) I Return to Storage (gallons) 1'0 Sefldl NumDer -1 9.- 010 FH11sh \gallonsl Totalizer ( Readings Start ¡ '!laney) R~turn ~ Totalizer Readings Start (money I <6 I Return to Storage ¡gallons) W Serial Number lO Pump Fmish (gallons) Totalizer I ,<0 Readings Start (money) Star, ~G;0\o 5 Return to Storage (gallons) o Meter Change o Computer Change CJ WiM Notified Fa: d- Fast as ONo OGreen OSlue Fast+-~ Fast Yes DNo [J Green OSlue Fast ~ F ãSt Total ler Seaied Yes 0 No Tagged ORed Calibration: , Checked Adjusted To OGree" OSlue Fast o Fast Total izer Sealed es 0 No Tagged ORed Calibration: Checked Adjusted To OGreen OSlue Fast+ ~ Fast Totalizer Sealed es 0 No Tagged ORed Calibration: Checked Adjusted To Totalizer Sealed OGreen Fast Fast Contractor Meter Sealed Yes ONo Tag ;F SI:t-~ Slow Meter Sealed Yes ONo Tag # Slow o Slow Meter Sealed Yes DNo Tag # Slow i- Slow Meter Sealed Yes LJ No I Tag SIO+( I I Slow Yes ONo I SI':~ Slow QNo MARCUl\ "MAINTENANCE 1577WuFFITH RD. ~ONA, CA. 92065 PH. (619) 789-4337 ~, \i '0- Location Totalizer Readings Start (money I q Totalizer Readings Start (money) j Pump Finish (money) Totalizer Readings Start (money) Distribution; Or19' (white) Reglo"; FIle DuPfJ ate (canan,/i District File fn Icare \plnk) Dealer Copy Tf _ ¡' t,', '=" Station InJfnh~:r O(ìH! CJ Metf~r Change o Computer Change 1:=1 \..v/M Not'¡f!ed £365 5t:f!.\ I :-';:, :~~ :J.:r '0 ì os- -%-~g T :Iggcd ORed :=J Green CalibratIon: Checked Adju5ted To TotaJiler Sealed es 0 No Tagged ORed OGreen Calibration: Fast Checked Adjusted To Totalizer Sealed Nee;¡ DNa T agg d CJ Red OGreen Calibration: Fast ,Checked Start IgdiIOI~SJ \ 4 &JOC1 ¡ R~tl¡r~1 ~o Stür<3oe \ .j1:ünSI I' lo Adjusted To Totalizer Sealed es -u No S.!(I<if '"\,¡l:fnher T aqge d ORed CJ Green i ClOIaO F!!\lsh '9~¡,I:Ült'>! "' ~ l I St;¡\?'~'0S{ Calibration: Clleckt!d Adjusted To TotalIzer Sealed ¡ Re",rn 'D s,,-,rrÔ!:JII0I151,, e5 ¡ St!r'CI! Nur111),..f I Tdgg~o DRed OGreen 'olOlS- F¡'ìJ-~LT~B ~ StÞ1ry~ ~g Calibration: Fast Checked Adjusted To . Return to Stor."j(jt' {9ülluf1S.1 TütafÎzer Sealed i?S ONo ~ i S""fÒl'ò'lS- ¡ FinIsh tg,:,¡!\c-JrlSI , I ;l-12,~-ZLll ISt39.i;1~~~ Rt:!turn to StorrtC)~! !G,:!lrlIlS) o T ayged ORed OGreen Calibration: Fast Checked Adjusted To Totalizer Sealed Fa~ Fast Fast Fast Fa~1 F dst I . No Fast F list CJ No - Record of Computer or Meter Change Contr<Jctor -I - '2 Meter Seaied Yes DNo Tag ~ SIOWV Slow Yes DNa SIOWO Slow I ¡ Meter Sealed I Yes ONo I OBlue o OSIUE ¡ Tag :: DBlue! Slow o J Slow i Merer Sea;ea '( ~s CJ. No I Tag _ - I UBlue! Slow :J.. Slow +2 ,- , ' I,' '~ 1 Meter Sealed ! ~e5 ! Tag ~ DBlu~ i I UNo Slow o Slow o I ~eter Sealed i Yes [J No " '1 MARcun 1NUUNTENANCE 1577~FITH RD. RAMð!fA. CA. 92065 PH. (619) 789-4337 . ;1 , ~ ,):J Record of Computer or Meter Change Totalizer Sealed Meter Sealed es DNa è5 No Tagged Tag '" ORed OG;een OSlue Cal ibration; Fas~ [ Slow Checked +- Adjusted Fast Slow To TotalIzer Scaled Meter Sealed Ves DNa ~s [J No Tagged Tag ORed OGreen oSlue Calibration; ,Fast Slow Checked 0 Adjusted Fast Slow To Total i zer Sealed Meter Sealed ßVes DNa AS :~N() Tagged Tag '" ORed oGreen oSlue Calibration: Fast SlaIN Checked Adjusted Fast Slow To Meter Sealed DNa ~es C~ No LocatÎon Station nurnbp-r Date o Meter Change o Computer Change o W/M Notified ~I' IS Pump ,t}- s- <6ß @ \1; þt¿ Make and Model ~/.ç??- 6 Togged DRed CJGr~~en [J Blue Calibration; F~;t Fast Finish {money) Checked Totalizer Readings Start (money) Adjusted To Total izer Sealed l\ð -~ es 0 No Tagged oRed oGreen oSlue Calibration: Fast Checked s) 01- Sta(ll~sg~ Totalizer Readings Fast Start (money) Adjusted To Totalizer Sealed Return to Storage (gallons) IV Serf'] 1\1 unlQer es 0 No ~ Calibration: Tag '" OSlue I FastO Fast Tagged ORed oGreen Checked Totalizer Readings Adjusted To Start (money) ,* Pump Finish I,money) Totalizer Readings Start Imoneyl Ret"'" to Sfôe ¡gallonsl t l Pump Sè"lð'~~YëcÇ Finish igailons¡ I)-?- Start (gaiionsj bfo3?-1 ~ Totalizer Readjngs Start (money) Totalizer Readings Start (money) Distribution; te) Region File Duplicate anarv) District File TrIplicate pink) Dealer COpy· Cùntractcr Tag '" SloD Slow Meter Sealed es DNa Tag 'f Slow 0 Slow Meter Sealed es DNa SIOWO Slaw ARca Petroleum Products Compa-A> .,- .Divlsion of Atlantic Richfield comp~ Retail Mjrketing , A L etector erification Annual Equipment Leak Inspection & \tJtd.dress \. (è) ~J\~ Inspector I Dr{ of Inspection Faci~~ï;~ l.-k' )1\," \ g L, NCULfIIIM ') -7-~-AA J Dispenser/Pump leak No leak Repaired III leak Detectors Test leak No leak Repaired Piping:ft 10 11J\'K)I ''1- ~ ARCO X. Check valve X ARCO Clear Unleaded I 'f... Hoses X ARCO Unleaded Supreme /- Nozzles X- IV Visual ch~ck of area Fittings X low spots around station X II Tanks :>t- landscaped area X Wellpoint )( Nearby ditches, creeks, etc. X Piping X V Dealer/Operator Fill boxes 'I.. Has experienced leaks X Vapor recovery fittings 'X Has experienced spills X' ~ Submerged Turbine ~ X ~ ~ ~ 0'Vf,yv - (explain in comments) , IIA leak Detectors Existing Missing Installed VI Other Install d ARCO, 'f... Filter Instructions X ARCO Clear Unleaded '0 , ARCO Unleaded Supreme 'f Leak Detectors Sealed / / n Dealers/Mga:~IIA on,\~/;, r ' ---- / /~ . ~ L Comm~nts ~, -)(3~ J1 ,~uv~ e~U'rIO^j-~ ~ I I ! r(s~t~~ature ~ .L.!.LI2/1 fl/ /J'w'- / APPC-248 (8-81 ) f- 1 I I ~ í r- 1- . . '1 _ '\'. May 9, 1988 3l CCt>8 C.D. Morton Arco Petroleum Products 17315 Studebaker Road Cerritos, CA. 90701 ...... RE: Arco #5365 4010 Wible Bakersfield, CA. Dear Mr. Morton, Enclosed are the results of the tank integrity tests performed at above location on May 4, 1988. The system used for the tests is Horner "Ezy,-Chek" Tank Testing System. This system meets requirements, and is able to detect a leak rate of .05 gallons hour. the the NFPA per This criteria of .05 gallons per hour is not to be construed as a permissable leak rate. Rather, it is an accuracy tolerance of the testing equipment, and allows for the many variables involved. We assume no responsibility for product leakage. Our responsibility extends only to testing of the tank as tight or not tight as of the date tested, within the accuracy tolerance of the Horner Test System. ---------------------------------------------------------------------- ---------------------------------------------------------------------- TANK DATA II TEST DATA ---------------------------------------------------------------------- ---------------------------------------------------------------------- TANK- TANK NO. CAP. PROD. MAT. PUMP I I TEST TYPE I I LEVEL TANK V/VR LINES PROD. LINE LEAK DET. LEAK RATE ---------------------------------------------------------------------- ---------------------------------------------------------------------- 1 10K Unl Stl R.J. I I 168 Tight Tight Tight Good -.0186 I 2 10K Sup Stl R.J. I 165 Tight Tight Tight Good -.0392 3 10K Reg Stl R.J. I 160 Tight Tight Tight Good -.0180 ---------------------------------------------------------------------- ---------------------------------------------------------------------- Thank you for the opportunity to work with you in meeting your tank testing needs. ver"(f)1tru, 1, Y,/~u;--s, __ / / / " / '/ yO -.,.." "." ,", Dou ~ l,r-nds ...... ! \ I I I ptt PRECISION TANK TESTING, INC. 3960 LAUREL CANYON ßLVD.. SUITE 422· STUDIO CITY CALIFORNIA 91604' 818-995-12.31 PTT Prec1s1on Tank.st1ng, In c . . -'" .,. "r EZY-CHEK WORKSHEET CUSTOMER: ARCO #5365 TEST LOCATION: 4010 Wible Bakersfield, CA. TEST DATE: 5/4/88 CONTACT: C.D. Morton PHONE: (213) 404-5353 TEST OPERATOR: C. Leyendecker TEST RESULTS TANK TEST: SYSTEM = TIGHT' TEST LEVEL = 168 Inches FINAL LEAK RATE = -.0186 LINE TEST: LINE = TIGHT LEAK DETECTOR = GOOD TEST DATA TANK INFORMATION: PRODUCT INFORMATION: TANK # = 1 PRODUCT = Unlead CAPACITY = 10,000 Gallons WATER = -O-Inches DIAMETER = 95 Inches GRAVITY = 57.0 CONSTRUCTION = Steel TEMPERATURE = 690 F RISER = 37 Inches COEFFICIENT TURBINE = Red Jacket OF EXPANSION = .00058 TEST CALCULATIONS ('" = Multlply) (/ = Dlvlde) , TEMP CALIBRATION (TC) = 5.8 , (Tank Cap. '" Coef. of Expanslon) LEVEL CALIBRATION (LC) = .0026 (0.011 Gallrns /19) TEMPERATURE RESULTS (Tem~. galn, loss- '" Te) LEVEL RESULTS (Level galn, loss- / LC) TIME TEMP. GAIN TEMP. LEVEL GAIN LEVEL FINAL HOURLY START LOSS- RESULT START LOSS- RESULT RESULT RAT~ r/ .736 32 .739 .003 .0174 36 4 .0104 -.0070 .740 .001 .0058 37 1 .0026 -.0032 .741 .001 .0058 38 1 .0026 -.0032 .742 .001 .0058 39 1 .0026 -.0032 -.0166 .743 .001 .0058 40 1 .0026 -.0032 -.0128 , .744 .001 .0058 39 -1 -.0026 -.0084 -.0180 .745 .001 .0058 41 2 .0052 -.0006· -.0154 .746 .001 .0058 38 -3 -.0078 -.0136 -.0258 .748 .002 .0116 44 6 '.0156 .0040 -.0186 Q 10:00 10:15 10:30 10:45 11:00 11:15 11:30 11:45 12:00 12:15 PTT Prec1s1oo T a 0 k' e s \ 1 '0 9 , . 1 II C . . .'" ,~ /;,., .... ~ZY-CHEK WORKSH~Eï CUSTOMER: ARCO #5365 TEST LOCATION: 4010 Wible Bakersfield, CA. TEST DATE: 5/4/88 CONTACT: C.D. Morton PHONE: (213) 404-5353 TEST OPERATOR: C. Leyendecker TEST RESULTS' TANK TEST: SYSTEM ='TIGHT TEST LEVEL = 165 Inches FINAL LEAK RATE = -.0392 LINE TEST: LINE = TIGHT LEAK DETECTOR = GOOD TEST DATA TANK INFORMATION: PRODUCT INFORMATION: TANK # = 2 P~ODUCT = Super Un lead I CAPACITY = 10,000 Gallons WATER = -O-Inches DIAMETER = 95 Inches GRAVITY = 54.5 CONSTRUCTION = Steel TEMPERATURE = 680 F ' RISER = 39 Inches COEFFICIENT TURBINE = Red Jacket OF EXPANSION. = .00056 TEST CALCULATIONS (* = Hu 1,\ 1 P 1 y) (/ = D 1 v 1 de) , TEMP CALIBRATION (TC) = 5.6 (Tank Cap, * Coef. of Expansion) LEVEL CALIBRATION (LC) = .0028 ( 0 . O!l Gal 1 ,ó D S / 1 8 ) TEMPERATURE RESULTS ( T e 1Dj). gal n, 1 0 8 S - * T C ) LEVEL RESULTS ( Level gal D, 1 0 S S - / L C ) TIME "' TEMP: GAIN TEMP. LEVEL GAIN LEVEL FINAL HOURLY START LOSS- RESULT START LOSS- RESULT RESULT RATE .732 37 .734 .002 .0112 40 3 .0084 -.0028 .737 .003 .0168 44 4 .0112 -.0056 .739 .002 .0112 41 -3 -.0084 -.0196 .741 .002 .0112 39 -2 -.0056 -.0168 -.0448 .744 .003 .0168 44 5 .0140 -.0028 -.0448 .747 .003 .0168 42 -2 -.0056 -.0224 -.0616 .750 .003 .0168 46 4 .0112 -.0056 -.0476 .752 .002 .0112 49 3 .0084 -.0028 -.0336 0 .756 .004 .0224 54 5 .0140 -.0084 -.0392 10 : 0 O' 10:15 10:30 10:45 11:00 11:15 11:30 11:45 12:00 12:15 PTT Prec1s1oa T a a k, e s \ 1 D g . IDe. . . f--cc ~ EZY-CHEK WORKSHEET CUSTOMER: ARCO #5365 TEST LOCATION: 4010 Wible Bakersfield, CA. TEST DATE: 5/4/88 CONTACT: C.D. Morton PHONE: (213) 404-5353 TEST OPERATOR: C. Leyendecker TEST RESULTS TANK TEST: SYSTEM = TIGHT TEST LEVEL = 160 Inches FINAL LEAK RATE = -.0180 LINE TEST: LINE = TIGHT LEAK DETECTOR = GOOD TEST DATA TANK INFORMATION: TANK # = 3 CAPACITY = 10,000 Gallons DIAMETER = 95 Inches CONSTRUCTION = Steel RISER = 39 Inches TURBINE = Red Jacket ..... PRODUCT INFORMATION: PRODUCT = Regular WATER = 1/16 Inches GRAVITY = 57.5 TEMPERATURE = 69°F COEFFICIENT OF EXPANSION = .00058 TEST CALCULATIONS ( * = Mu 1 t 1 ply) ( I = D 1 v 1 de) TEMP CALIBRATION (TC) = 5.8 LEVEL CALIBRATION (LC) = .0026 (Taak Cap. * Coo f . of Expansion) ( 0 . 0 !5 Gallo· n s I 19 ) TEMPERATURE RESULTS LEVEL RESULTS (Tomp. gal n , 1 0 s s - -I< T C ) ( L 0 vol g'a in, 1088- I L C ) 'TIME TEMP. GAIN TEMP. LEVEL GAIN LEVEL FINAL HOURLY START. LOSS- RESULT START LOSS- RESULT RESULT RATE 12 :15 .341 54 12:30 .342 .001 .0058 56 2 .0052 -.0006 12:45 .343 .001 .0058 56 0 .0000 -.0058 13:00 .344 .001 .0058 56 0 .0000 -.0058 13:15 .345 .001 .0058 55 -1 -.0026 -.0084 -.0206 13:30 .347 .002 .0116 60 5 .0130 .0014 -.0186 13:45 .348 .001 .0058 62 2 .0052 -.0006 -.0134 14:00 .349 .001 .0058 62 0 .0000 -.0058 -.0134 14:15 .350 .001 .0058 62 0 .0000 -.0058 -.0108 14:30 .351 .001 .0058 ·62 0 .0000 -.0058 -.0180 !l&A TANK G . 5630 District Blvd. #103 Bakersfield. CA 93313 805/391-6555 , .. .... to' . ..,:...... . : ", .1_....:. ..~.~. .. ....ò·.:-,·, '. " I;;~::.~~~~.."'. .:.:··~~#~t· ;.l~' .. . .~£:}~~),~r::i: .- February 6, 1987 ARCO' 17315 StuC:tebakel- Cel-r i tos, Ca. Road 9070 1-1l~I.+8 ATTN: Ray Vc,se RE: Arco Station, White Lane & Wible Road, Bakersfield, Ca. On January 27, 1987, a Petro Tite System Test was performed ~t the above-referencedIDcation. The t~st was performed by T. Slïe¡-man" A {>: A Technician, Ce¡-tific.at;ion *t.I..,1l+81181.+0. Tile 1"1FF'(, code 329.02 criteria for a tight system is a maxi~um gain or loss of .05 gallons per hour. Because of the almost infinite val-iables invcllved, this is intended to be a mathem¿:1.tic,="l tolerance and is not the permission of actual leakage. During the stand-pipe procedure, the internal liquid hydrostatic pre~sure applied to the underground tank system is generally tWD to three times greater than normal liquid storage pressures. This increase in hydrostatic pressure will amplify the indicated rate of leak accordingly. SYSTEI'1 TEST TANK NO. 1 - East SIZE - 10,000' gallon steel tank PRODUCí,- Unleaded Thè tes~ showed a leakage of +.019 Based on thè abov~criteria, we ,Tight. gallons per hour. find the system mathematically TANK NO. 2 - Center SIZE - 10,000 gallon steel tank PRODUCT - Super Unleaded The test showed a leakage of -.040 gallons per hDur~ Based on the above criteria, we find the system mathematically Tigt,t. ..., .'r- ~ ' -=' . , ,:". '[ TANK NO. 3 - w~st SIZE - 10,DOO gallon steel tank PRODUCT -' Regular The test showed a leakage of +.004 gallons per hour. Based on the above criteria. we find the system mathematically T~ght. Thi's cor;cludes ow- test ai:,d findings on J<"\)",UE'I1-y Ei.7, 1987. If \'f)'! have any qUBstions regarding the results, please contact me. It is your responsibility to notify your local County He21th Department, Environmental Health; ~ithin thirty (30) days of th~ results of this test. This notification is required by the California Administrative Code~ Title 23 Waters, Chapter 3 Water Resdur~es Control B~ard~ Sub-chapter 16 Underground Tank Regulations, Article 4.30. We have enjoyed working any further information, with you on this,project. please feel free to contact If you need our office. I, (), ncel-el y ~ 'i~:5: - P\-oject Manage\- Ene:; 10sL\1-e ,/ Data ~hart for Tank System Tirl-'tness Test .\._' ~~tro Ilt~ '.\ . TANK TESTER ~ [11.' "OWNER Property 0 ARCO, 17315 STUDEBAKER RD, CERRITOS, CA 90701-1488 0 ~1mE Add,e.. Rep..sentati.. ~ T .Iephone Tank(s) Neme Address R'lues.nll'i.. Teleøhone 2. OPERATOR ARCO WHITE LANE & WIBLE RUI-\U, !jI-\KtK~¡-ltLU, CI-\ Name Address T eleDhone 3. REASON FOR FULL SYSTEM TIGHTNESS TEST TEST (Explain Fully) , RAY VOSE, ARCO 4. WHO REOÜESTED TEST AND WHEN Nlm. ROAD, T''eERR IT OS, CA 9 ff,'tj"' ': ~"~~ D.t. 17315 ,STUDEBAKER - , Add'... Telephone 5. WHO IS. PAYING ARCO, RAY VOSE FOR THIS TEST? ~7'"t'·~oe'g1"UD'tI3'Å k E R ROAD, pee~~'IIlf"~S, CA 90701-14ß'1e Tel_phone , R'~ Ad-V~S E City State Ziø - - Anen1Îon of: Order No. Othe. Instructions - Identify by Oi,eclion Capacity Brand/Supplier Grade Approx. Age Sleel/Fiberglass 6. TANK(S) INVOLVED EAST 101,;000 UNLEADED STEEL CENTER 10,000 :SUPtK IINI Ll ItU ~II:.I:.L WEST . , 10',000 REGULAR STEEL -' - , Locetion Cover Fills Vents Siphonea Pumps 7. INSTALLATION CONCRETE 4" REMOTE DATA North Inside driveway. Cone,.... BlIck Toø. Size. Titefill mike, Droø ~ Suction. Remote. R.., of .,.Iion. "c. E."h. elC. lubes. Remol. Filla Size. Manifolded Which tlnks 1 Makl if known 8. UNDERGROUND Is Ihe water over the tank? WATER Depth to the Wile' tab'" .. o y. ONo I 9. c_ Tenks 10 be lilled _ hr. Dale Arranged by FILL-UP Nlm. Telephone ARRANGEMENTS Extra p,oducl to "top ofl" and run TSTT. How and who to p,ovide? Consider NO Lead. . Terminal or other contaC1 fo, notice or inquiry Company Nlme T1!'leøhone 10. CONTRACTOR. MECHANICS. any olher contractor . involved - 11. OTHER , INFORMATION . OR REMARKS "--. - . Additional informal ion on any ilems above. Ollicials or of hers to be advised when lesling is in progress or completed, Visilors or observers presen! du,ing test elC. - ,Tests were made on the above tank systems In accordance with test procedures prescribed lor ~Iro Tfp . 12. TEST RESULtS as detailed on attached test charts with results as follows: tAl« IISUI Tank Identificalion Tight Leakage Indicated Date Tested 10K UNLEADED YES +.019 GALLONS PER HOUR 1-27-87 10K SUPER UNL YES -.040 GALLONS PER HOUR 1-27-87 10K REGULAR YES +.004 GALLONS PER HOUR 1-27-87 I 13. CERTIFICATION Th'.'. to..rt'~ "" ...... "0' ""'m. -~ ...... M t... d..~.) ,"~o. Th...,odO..,.. .. ."''f¡ ""''''ori. ....bll..... b, - the National Fire Protection Asocielion Pamphlet 329. , , - ?:t?. ¿ . TOM SHERM~N A & A TANK TESTING '-~ Oa1. 5630 DISlRICT EtV\)~,~o'~~m~-yr' fðj~·"",,,,.Jt:..-IËflj:u'tA 414811840 93313 Serial No, of Thermal T echnicilns Addre.. Sensoi '~;~~!I'{¥f~!:~E~~k~~l~~,t!;·:~1eA~~~~~;i.;<· , "':"i,,:, ¡"J:,:'c;...",-" '-~iU ""'''(~.I5. TANK'T _ IL CAPACTY ." ·>:~,~~;:;:~\~:~~.~;:~;~~~~,:~~~::~t~;· ·;.....,c.....~'IUJ"() ............. . .'~ ...' ", t ",.,:>- ~~~ ¡¡; Ò ,~¡," _ _.,..- 1("..... C--'\I c............. ,', '''',;::::> t)i,f~:~".¡¡¡...f:.<'?'-fJllIll'" ',"N ..;.. ..-_....,-~, CJ >,"" :>~.-~,~{>: ,1;- -:~;' , ,..- -,' ..._'.........,.Q'..... CA.·cn-r ,',', ,::,,';, ,,:;'; _"I1.'FIU;.UPFORnST,C:·' " .:;, , :~::::~·:Cf:,,:ré¡;}:;;:{f":,:~ ..,,~ ...:....-.. :;::;:' : "~'~'.:::~\~~~~':'!~' . .'. ",i, :' gi~/".Qi (M' s_ . '.- . .;,'" I:-S''T~ ~7 ..... .' ";'."> " ~' . ~-"'-' 0'...."......;.....0.. o c-.-.I.......... 0_ D ......_- ~ronll" [J 0_ '...-- ~ 1l~5 ,- t._ ......... ....... Q- ,...,..0........ .. ,.·...Ri /oo~ '--' ~¡ II) /0 I) J.I- ;. ~}t~:~~~..~~j~~'~,~·~~{~:{;,~~~, O·~G.:~;:~··· O.~I~=:~ ,_ c__._ ~':SntIAI. CONOmO,N~ANO 'ROC£DURESTO nSTTlfIS TANK ,CBS JPI:Gravity 53 ·:L..TBIp. 11 ,~..t:;~i&~:.p;:2ß:'0Z.:~!~~'fij~L~~ ?}~?:);:~~c~:; :'~~~ "coi'''' """, " , . "'" , ,\, U. TEMPERATURE/vOlUME fACTORI'M TO TEST THIS TANK , tm..NK_~.S_U:&~,E_.~.,;.,~.~.,f_..~.;:.~_~;i_'~~¡}.~~.{..i:,~,',j~~;~/';; I ",;,..,~:--:-,:,. c:-' -., -""..-., -:-"'--" ,--"""". -. · ';:;;>';;! ;'........r~::~;:.:;::l::;¡tlf1::-' -- - ";~':~'._._-' IÞ-o.!:...J ";~ çj.. \ ;: _ . _ë_.:t"_~~:~"¡."r."_\~,~·~.",,,,"".'·,.:f.~,'.~"~~"?:'~"~:,~,·,...',',~~,::,,:,:.~_~~::,:~::',:~,'.~ ·1 -, -.. . it r¿J-.' ';::::",,;," '&.~itosE:5Ei.WoNGr ,~,j '\/'f~;t: ·¡r~~~:~ii~;"·7Ø~~~~".. ~·.~..1l/Þ:P"- )~,',",_:.,:'_'~,"~,',:.,',:,:,.;.~ ...-- -, ....~ (,.øt, . ". . " .... .. ~ " :~'>.~~~~;:J~ ."'~;,i~,} ~~~~.._. .:: :~:;~~.~~~"6il~'~" --'~ ¥- :.¡?:"',. 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SPfCIAL CONDITIONS AIIO PROaDURES TO nn TIllS TANK CBS WI Gravity .7' -, Tmp. f?L/ VAPOR RECOVERY SYSTEM ...;. - :':~ ..-~ ~i":" .'~. "df '........___~~.........~~_....JJ.." I, . 57;tf., CS'*tet ·:,b~~~~i;;"~b~;:':';:;'-":':"··_· b ~:.... ~-~~¥ 1:;iÍ...... "-' ,,"'.·,~,:-,¡[~~ii~,t;~.:,.,!,~',,~,.,¡._Jf;; '~,·ASSIM,~rm:~£,"."".,.T,:~ fOIl,,7~.'/ " '. ,:, , : 3;,:~I;"':E=:~R:':~UM~:'CT=::":~.:~:"'.. ,_ _., 1_ 0... _. _ I :.' In ...= ..___.;,,;...'}/·/4;c.:':;:J2.:r::..:..._..__.-,;..// ¿;6 7- ~5' 'os-"- :;','/::;:\',; _~.~;rt~f:~~. ;,,;,:, ···n...... ........_....-_ ~ð 'f;Ji ,~>!~~!!~C;~~~~;~;~ i~~~:;¡~~~~~~ ~~~~:~ . ·~~11f~lli~~~.i~-;'~;:~~~ ~! : _ ;:;~~. ~ .~:.-_.~~.;: ",.,,~ .~L,-,..,,,,,,,,,,.,.-,I. - - - - ...... ··;~~f~~ì:~·' '~i~; ;:~, ,.'c ~'., '.·:è ;, ;:;:"":",~J~t'-:;'~ ;::.¿- ..,..-..;. . ..'- X£;;' ' ". . ~'I" '"Pr\ 1 n-:T'þC;,r .':..: ' .,:},~ ~.'i. C í:-n ,...;... ..... of':' '.../~r+ ',; \;)::f,;·'i ~: ;<.::'~·~:3,,·. 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" " ',£ l7. 1< ,:1.4' ,":. ~~. ~ , " , ,',,",'C;" ,:y:,: T _" '''~ R 91 ¿-" -:t '"I, Tech' -r.J: ~,,/ i rJ:'QJI .1./11 It! II ~ J/ 1> .. f~·: - 7 I,~.. '7;-:. AA f.~~'j I /.:; ¡ IA ,7, - --' " " . .'~': ,'C' , . ',,':' , .~ " r- '. 4?J¿.)/1 ç. ~ ," '/ ¡ ~..,¡ A..oL l'hí I-.a' r.. .Ai - .. I. ;.¿ I", f,~ .... -'" ..(]', t. -.;- -; 'J ...: ...; ,~-. <~':'-::'~_:: <\;.' " .~.~, : ~:. " \ , ...;....- .'.. -_.-~. ....~~..-....""".~...._. ~ '. ..... , ....".. ···..··_··,'·,.·....'a.._· " .. " " j :r .~ ! I I ;'·t . .::) ",: , i 1 - ~ - - ,', .- f 'ò i ; j ~j ¡ i' 1,1"> "t. 7L "''' . ð U J/ '" "".J...." ... /3,f PERMIT CHECKL I ST "7'<.;1/0 W,¡fj¿¿ Æ"D110 /3 Ax E.'l.,j r 16 L.o t! A . Facili ty Permit ;; ;.3) éJ 0 0 .f c This checklist is provided to ensure that all necessary packet enclosures were received and that thePermi ttee has obtained all necessary equipment t'J implement the first phase of monitoring requirements. 0 Please complete this form and ret:urn to KCHD in the self-addressed envelope, provided within 30 days of recei~t. Check: Yes No K >< A. The packet I received contained: 1) Cover Letter, Permit Checklist, Interim ,Permit. Phase I Interim Permit Monitoring Requirements" Information Sheet (Agreement Between Owner and Operator) , Chapter 15 (KCOC #G-3941), _ Explanation of Substance Codes, Equipment Lists and Return Envelope. 2) Standard Inventory Control Monitoring Handbook #UT-I0. 3) The Followin~ Forms: a) Inventory Recording Shee~ b) Inventory Recording Sheet with summary on reverse c) Trend Analysis Worksheet 4) An Action Chart (to post at facility) K K- )( B. I have examined the information on my Interim Permit, Phase I Monitoring Requirements. and Information Sheet (Agreement between Owner and Operator). and find owner's name and address, facili.ty name and address, operator's name and address, substance codes; and number of tanks to be accurately listed (if "no" is checked, note appropriate corrections on the back side of this sheet). C. I have the following required equipment (as described on page 6 of Handbook): ~ 1) Acceptable gauging instrument )( 2) "Striker plate(s)" in tank(s) >é 3) Water-finding paste 1::::::' D. I have read the information on the enclosed "Information Sheet" pertaining to Agreements between Owner and Operator and hereby state that the owner of this facility is the operator (if "no" is checked, attach a copy of agreement between owner and operator). X' E. I have enclosed a copy of Calibration Charts for all tanks at this facility (if tanks are identical, one chart will suffice; label chart(s) with porresponding tank numbers listed on permit). ~ F. As required on page 6 of Handbook #UT-IO, all meters at this facility have haà calibration checks within the last 30 days and were calibrated by a registered device repairman if out of tolerance (all meter calibrations must be recorded on "Meter Calibration Check Form" found in the Appendix of Handbook). )( G. Standard Inventory Control Monitoring was started at this facility in accordance with procedures described in Handbook #UT-I0. Da'te Started L ~A- Sé 7: / /9 Signature of Person 4'1 Date: J. £). t EMI it CO. ~r:n.;c. S· ,. r . c: '01\ quIp:....", " '50C' S I o sJLT 0:; DR. l,CIlNDÁ l-h~GHTS, CAli,.. 91745 . Ar~o f1J3} 698.7620 . W·O- TEüüillID G.JJJ..o}~U)JERGROiJ}. ~ STORAGE T ANr . Tnnk Dip.. 95ft x 28'-0.. 19. Tank HUB t ,:Be Lcvel , '. -' .. ..., / . I I' ) . GALLONS INCHES GALLONS INCHES GALLo.NS INCHES GALlO' . 18 25 210.2 . 49 5211 73 8284 . 51 26 . 2220 . . SO S349 74· B399 . . . . . . '. . 94- 27' 2J40 , 51 .5482 . 7S B511 . . . 145 2463 " .' .LJ 28 ,52 5617· '7G 8622 . .- -. - 20.2 29 2585 53 5752 17 8730 '"> " 265 )0 270.7 . ,54, 5884 78 8838 . , , 7 333 31 2836 55 . 60.18. . 79 8939 . . . . . 'b Qo5 32 2957 ,56 . 6155. ' 80 -90.42 ~'1 4<30 33 )0.92 57 6286 81 . 9143 , J4 . JO 561 )210 58 6415 82 9238 . 644 . II 35 3344 59 654Æ3 83 9331 , ì )6 J471 60. 668,3 84 9424' ) 730. I""'; 13 823 ,- 37 360.6. . .' 61 6810. 85 950.9 . . , . I ~ 916 " 38 ' 3739/ 62 69:16- 86 9593 . Î( . 10.11 39 " 3868 6,3 7q62 87 9673 , (b 1112 40 3998 64 7197 88 9749 . 1'7 1215 41 41J6 ,~ 7J18 89 9821 D:J 19, 1J16 42 4270. 66 7447 90. ,9888 r " jq 142J 43 4401 67 7569 91 9952 , . . . ~O 1532 44- 4537 68 7691 92 10. ,·00.9 - ;1) 1643 : 45 4672 69 . 7814 . 93 10.,0.59 ; I : , 'd-). 1755 46 480.5 70. \ ?9J4 94 10.,10.2 ~3 1870. . 47 4-943 71 8052 95 10.,lJ6 . " .' 10,15~ . 48 72 8169 96 f"-/ 1985 5071 . . . . . I ' ! , 2 ! .3 i . ~, '¡ . . I /", ~ Permit Questionna.ire Norma 11 y , permits are sent to fa c i lit Y Owners but sin c e many Owners live outside Kern County, they may choose to have the permits sent to the Operators of the facility where they are to be posted. Please fill in Permit # and check one 01; the following before returning this form with payment: For PERMIT # ...~ \ 000 ßQ. / 1. Send all information to Owner at the address listed on invoice (if Owner is different than Operator, it will be Owner's responsibility to provide Operator with pertinent information) . 2. Send all information to Owner at the following corrected address~ 3. Send all information to Operator: Name: Address: (Operator can make copy of permit for Owner) . ( : -JJ', "J:.' '. -1J-J... ~, I J ~ 'r , .' "'¡-J j. I ' .J :.......J...L~J IL - - \. \ 'j ...J ......J I_...í'_ :_...r.J "the best bad guy in the west" ( . July 28, 1986 Health Officer, County of Kern Environmental Health Division 17c)0 Flower Street Bakersfield, CA 93305 Attn: Underground Tank Program Re: Terrible Herbst, Inc. 1138 4010 Wible Road Bakersfield, CA Permit No. 310008C Gen t I emen :. Enclos_ec.l please find the completed Permit checklist... for the above referenced facility. Please be advised that we are already maintaining records for. this facility that are quite similar to those required. ~~ will begin maintaining the forms as per the'Kern County requirements on September 1, ,1986. Since this station is one of many oper~ted by Terrible Herbst, Inc.~ and since all records for all stations are maintained in the Company's main office in Las Vegas, Nevada, we request permission to keep those records required by Kern County in our main office rather than at the facility itself. Permission to do this will help our record keeping as well as insure the safekeeping of the records. Your uermission on this will be greatly aupreciated. Also, enclosed is a copy of our Calibration'Chart as uer item E of the Permit Checklist. Thank you. Yours Truly, / ~~ John Kerl~~ 0-- Vice-President Enclosure n9' Las Vegas Blvd., South Las Vegas, Nevada 89119 (702) 79~ -1 ") . -;:<:0'7' . : ,,', ," . ._·:~i}~:} , . , .. _~_:.:.¿)£i~~~iJ.~';i'. ,:,:: 'i:", . .' '.~ ,'.' . .':,\ "S'OOK 5901 p~G~i 7D9 . .... -.. ~ - . ~.. ~ORDiNG REQUESTED BY 1ft. , ~. SNTURY TIT:..~ &. GUI.P.ANTY CO. 015211 ',~Ji. , Iqgb AUG - 5 PI: 3 0':' ':',,~::;j.'.:.,::, ' KRE~CNO~~D~ll ct~~~}qr~~~~;t: :f¡J:),:\" ' , . .: ".' ,..... ;,r(~::¡¡?/~<;,: , ...::.....,;:.:..; . " AND WHEN "ECO"DED WAIL TO LANTIC RICHFIELD COMPANY 5 South Flower Street s Angeles, CA 90071 tn: Property Manager AP-1839 -, ;'. ~.: f:' : '.. I , ", ., :::;':;';:'dl~f. ;, .., œs 21.88 ;,-".", . -" I1'T'IC'D' ;',"!:.' . ',' _ ur:.r : .:, _ ~ !~:~(:~,; : ' ¡:[C.Fc" 1.00,;;:}(i' '~':' C£ CHRGE ''2j"OO'~':~:':t\'':'' 'Ja~hm6~OOl:f!~{,'~~~~:~6 : rT.~xJ '456:~ð::~\¡::;):': Cf DIf?G£ " 456:SIJ }!,"::,\,' ',' .', ' ff~7òlO 1:001 {(01T1J~46 , " , :'- .;: :.:: -' !'lie as above '.. ,; '1 ' ,\" , FOR RECORDER'S USE '.":,~~ ~~: \:.':-- , I I THIS FOR'" FURNISHED BY TICDR TITLE INSURERS ; , . ¡ : ~ , ~ . ., ',I:"", .: ';':'1 ..¡. i};:.;.:~~.::··. ,':: (Ui·i:~;:,' ';.' . .. ~ . I : ; . , 'A,~,N, The undf'rsiKnt'd ¡vanlor(!J) declare(s): Documentary trnnsfer lax is S 456.50 ( )t computed on full value of properly conv~yed, ~r' ': ( ) computed on full'value less value of liens and encumbrances remaining at time or sale. : ( ) Unincorpo~ated area: ( ) City of _Ml(ë~SF'''!i..~ , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, " TERRIBLE HERBST, INC., a Nevada corporation, 5195 Las Las Vegas, Nevada 89101 a corporation organi zed under the laws of the State of Nevada ATLANTIC RICHFIELD COMPANY, a Delaware corporation, Flower Street, Los Angeles, California 90071 " .. ., ", .' L:);: '. '." ï . , . , ;.::': ~;:, ; ~: -L'~ :~,.' . . ~ ., : ~.:": .... ,i~' i',,!:/,f.,.:r,.-- , : .-:~ :".; ;,,\~, ,,:~i.; ., 1 . ' '. .~ ' I';~", .~'i I Vegas South,::,:};;'" ::;(:' ",' ,', : ',; ·:.'::"n'~ ;;,':::.::. hereby GRANTS to ~i;,! ;~:./:, :,::1 515 South '. :'i,..':~'é ':, ~:,',':~,.;:,..'.!:""::,,,:,',',,',:, ""'::' '"',,,'.',"'-"':"""""~,., 'I ·'''iL;':~{'' - ,; :L . --·\.,\I} -' __..J / _-'"'_ -_..N "the best bad guy in the west" August 6, 1986 Health Officer, County of Kern Environmental Health Division 1700, Flower St'. Bakersfield, CA 93305 Attn:, Underground Tank Program Re: Terrible Herbst, Inc. #138 4010 Wible Rd. Bakersfield, CA Permit No. 310008C Gentlemen: , Please be advised that the above referenced facility is no longer owned or operated by Terrible Herbst'; Inc. The subject location was sold on August 5, 1986,to: I - Atlantic Richfield Company 515 South Flower St. Los Angeles, CA 90071 :~~urs 7t;Jy>/, r/~ / /f 6tJ Mic a~l~OOP Co-troller M.TR : dm 5195 Las Vegas Blvd., South Las Vegas, Nevada 89119 (702) 798-6400 ". ". ! ~ , .' ',;' . ". "- -". . ,. ~ .' - - , ,0 . i:' ,10 ARCO Petroleum p~.,ts Company 17315 Stude.' Road Mailing Addres~: Box 6411 Cerritas, California 90701 , Telephone 213 404 5300 November 29, 1986 Mr. Joe Canas' Di vision of Environmental Health Kern County,Health Dept. 1700 Flower street . Bakersfield, California 93305 Re: Arco am/pm Facility # 5365 4010 Wible t Whit€ Lane Bakersfield, California Dear t1r. Canas: . ~~ ~~ Per your requirements on the above named facility, we vdll be installing secondary pipe containment on the portions of lines being modified using 3" fiberglass pipes Over 2" fiberglass piping with visual monitoring wells ,for piping annular space. We will also be installing an API line pressure monitor. If anything further is required, please do not hesitate to call me at (818) 913-8700. ~~~ Wi:~r Construction and Maintenance, 'cc: C.T. Fulkerson, ARCO ''"RCO D,-'U.").C:U/T\ J-';":!:'::":' ". m~,H~-¡ I': '1 ¡)";'¡';:on ~:H ¡j.¡I<1IFH;H¡c""fiP'jdC':i!l~O,f)V -Q .::',;:·PC,707F) /2 0=)~ K~rf.1 çounty DlV lS10n of 1700 Flower lie.:d th Dt::par tmellt Pe (In i t No. .:S l 0 (;; ç;- Ó ....;..m Environmental Heal~·'· ,Application Dj"-~ Street" BakerSfie1lL.A 93305 I . APPLICATION FOR PERMIT TO OPERATE UNDERGROUND , HAZARDOUS SUBSTANCES S'roRAGE FACILITY ~ of Application (check): o New Facility Or-bdification of Facility IDJExistio:J Facility DTransfer of <>.mership ~- : - .~ :L" ~ ~ (J,. A. E. Tank(s) ~! Ðnergency 24-Hour Contact (name, area code, phone): Days Andrew Hernandez 805-831-942= Nights Same I Facility Name TERRIBLE No. of Tanks Thrèe 3 Type of Business (check): Gaso lOe StatlOn Other (describe) I Is Tank(s) Located on an Agricultural Farm? Dyes ŒJNo Is Tank(s) Used primarily for Þtgricultural Pur'fX>ses? DYes Œ No Facility Address 4010, Wible Ln Bakersfield. CA Nearest Cross St. White Ln T R SEC (Rural Locations O1ly) Owner TERRIBLE 'HERBST. INC. Contact Person John Kerley Address P'.O. Box 1494 7.LAJ v'~~AJ' ,¡ /I Zip 89114 Telephone 702- 798-6400 Operator Same ,. Contact Person Same Address Zip Telephone I I ' Depth to GroUndwater I Depth Detenninations I CA Contractor's License No. I Zip Telephone I Pro'fX>sed Canpletion IBte I Insurer I , I ' If This Permit Is For Modification Of An Existing Facility, Briefly Dèscribe Modifications Proposed ' I , I, Unleaded Regular Premi~ Diesel ...., B. Water to Facility Provided by Soil Characteristics at Facility Basis for Soil Type and Groundwater C. Contractor Address Proposed Starting Date Worker's Canpensati~ Certification I I _ D. 1 2 1 Store (check all that apply): Waste Product Motor Vehicle Fuel [J m IX] o D o o o ŒI rn ]I o a o B o m B o o IX) [J o o B Waste . Oil '- o o B F. Chanical Canp:>si tion of Materials Stored (not necessary for IOOtor vehicle fuels) I Tank t Chemical Stored (non-coamercial name) CAS t (if known) Chemic"l Previously Stored (if different) I I I I G. Transfer of Owr1ership Date of Transfer Previous Facility Name I, , Previous Owner This form has been canpleted under penal ty of t~ue and cor~ ~ Slgnatur~ rJÞhn Kerley I accept fully all obligations of Permit No~ issued to I understaoo that the Pe,rmittiB;J AuthÓrity may review and modify or tenninate the transfer of the Penuit to Operate thiS underground storage facility upon receiving this ~ompleted form. I ' " I perjury and to the best of my knowledge is. Title Vice-preSid~nt Date J. f -j-f 1 -.~- Facilit.y NdH1è TERR.IBLE HERBST 11138 H. I - 10. pennit No·3¡OOO ð-G ",' 'c~, ! í TANK! _À_-. (FILL OUT SEPARATE FORM Fa' FOR, ~ SECTION, CHECK ALL APPROPRIA Tank is: Dvault'èd ~Non-Vau1ted OCouble-Wall DSil1<Jle-Wall Tank Material ---¡X¡Carbon Steel 0 Stainless Steel 0 Polyvinyl Ctiloride 0 Fiberglass~lad Steel o Fiberglass-Reinforced Plastic 0 Concrete 0 AlLminum D Bronze DUnknown D Other (describe) Primary Containment Date Installed Thickness (Inches) 1981 3/16 4. Tank Secondary Containment o Double-Wall U Synthetic Liner DOther (describe): OMaterial Tank Interior Lining DRubber 0 Alkyd DE(x>xy DPhenolic DGlass DClay 1291l1lined Dll1known DOther (describe): Tank Corrosion Protection --rTGalvanized []Fiberglass-Clad [JPolyethylenewrap [JVinyl wrapping IXITar or Asphalt DUnknown DNone DOther (describe): ' Cathodic Protection: RJNone [JDnpressed CUrrent System LJSacrificial Anode System Describ! System & Equipnent: 7. Leak Detection, Moni toring, ~ Interception . a. Tank: [JVisual (vaulted tanks only) DGrourowater Monitoril'J3 Well (5) o Vadose Zone Moni toring Well (s) D U-Tube Wi thout Liner D U-Tube with Canpatible Liner Directi~ Flow to Me,nitoril'J3 Well (5) * D Vapor Detector* [J Liquid Level Sensor [J Condoctivit~ Sensor* [J Pressure Sensor in Annular Space of Double Wall "ank ' [J Liquid Retrieval & Inspection Fran U-Tube, Moni te,rin:J Well or Annular Space E.'!Daily Gau:¡in:J & Inventory Reconciliation 0 Periedic Tightness Testing o None 0 Unknown D other b. Piping: Flow-Restrictil'J3 Leak Detector (s) for pressuri zed Piping- _ 0 Moni torin:J SlIDp wi th Raceway D Sealed Concrete F:aceway D Half-cut Canpatible Pipe Raceway D Synthetic Lir¡er Raceway ~one DUnknown Dother . *Describe Make & Model: 8. :nk4igh~~S~ s IS en Tightness Tested? Date of Last Tightness Test Test Name Tank Repair Tank Repaired? DYes 2<lX)No DUnknown Date(s) of Repair(s) Describe Repairs Overfill Protection DOperator Fills, Controls, & Visually Monitors Level DTape Float Gau:¡e DFloat Vent Valves D Auto Shut- Off Controls DCapacitance Sensor DSealed Fill Box XlKlNone Dunkno\rWl1 OOther: List Ma~.e & Model For Above Devices 1- 2. 3. Capacity (Gallons) 10,000 Manufacturer Modern Welding 5. DLined Vault ~None DUnknown Manufacturer: Capaci ty (Gals.) -- Thickness (Inches) 6. DYes 1{]No Dunkr.oW1 Resul ts of Te st ~sting Canpany 9. 11. Piping . a. Underground Piping: fiYes DNa DUnknown Material 2inch galvanized Thickness (inches) 1 4incIDiameter 2incheManufacturer Keenan Pi~e DlPressl;1re OSuctlon Gravity Approximate Length of Pipe RLn 5 feet b. Underground Piping Corrosion Protection : DGalvanized OFiberglass-Clad OIrnpressed CUrrent DSacrific1al Anode X:[]Polyethylene Wrap DElectrical Isolation DVin)-l Wrap DTar or Asphalt DUnknown DNone DOther (describe): c. Undergrouro Pipil13, Secondary Contairment: ODouble-Wall DSynthetic Liner System :.KJNone OUnkno\rWl1 DOther (describe): .__ _A_~___.. .. ......~....... .... .i.. ~ i "... .11,,-- .J.LJ\..j_\.....I....l.....,I L..¡.l....o ~J...............J.J"-'...... It ..... -" '-J -- -- --- leLI¡iÅL. l'^-.J.:', ~~~C~ H. TANK ! ~. . (FIL~ OUT SEPARATE FORM FOi.- TANK) FOR, ~?ECTION, CHECK ALL APPROPRIAT XES ~~1A· ~ . 1. Tank is: 0 Vaul ted ØNon-Vaul ted DIbuble-Wall DSinqle-Wall 2. Tank Material' .. ' ----grCarbon Steel 0 Stainless Steel 0 Polyvinyl Chloridt! 0 Fiberglass-<::lad Steel I:l Fiberglass-Reinforced Plastic 0 Concrete' 0 All.lT\inulìI D Bronze DUnknown o Other (describe) Primary Containment Date Installed Thickness (Inches) 1981 3/16 4. Tank Secondary Containment D Double-Wall U Synthetic Liner DOther (describe): Tank Interior Lining DRubber D Alkyd DEpoxy DPhenolic DGlass DClay ~tkllined DtklknoW'1 DOther (describe): Tank Corrosion Protection -aGalvanizedDFiberglass-Clad DPolyethylene Wrap OVinyl Wrapping IKlTar or Asphalt DUnknown DNone DOther (describe): Cathodic Protection: ~None DImpressed CUrrent System DSacrificial Anode System Descriœ System &: Equipnent: 7. Leak Detection, Monitoring, and Interception . a. Tank: DVisual (vaulted tanks only) DGrouoowater ft\onitori~ We11(5) o Vadose Zone Moni toriD;) Well (s) 0 U-Tube Wi thout Liner D U-Tube with Canpatible Liner Directi~ Flow to Mcnitori~ Wel1(s) * D Vapor Detector* 0 Liquid Level Sensor 0 Conductivit;( Sensor* D Pressure Sensor in Annular Space of Double Wall 'lank D Liquid Retrieval &: Inspection Fran U-Tube, Moni tc riD;) Well or Annular Space IQCDaily GalX)iD;) &: Inventory Reconciliation 0 pericdic Tightness Testil'¥J o None 0 Unknown 0 Other b. Pipin::J: Flow-Restrictirr;J Leak Detector (s) for Pre~.suri zed Pipil'¥J- D Moni toriD;) SlDp wi th Raceway 0 Sealed Concrete Face'MlY -0 Half-Cut Canpatible Pipe Raceway 0 Synthetic Lir,er Raceway m:J None o UnknoW'1 0 Other *Describe Make &: Model: Tank Tightness Has Tins Tank Been Tightness Tested? DYes Date of Last Tightness Test Test Name Tank Repair Tank Repai red? DYes, f5aNo DUnknown Date (s) of Repair (s) De~ribe Repairs OVerfill Protection DOperator Fills, Controls, &: Visually Monitors Level DTape Float Gauge DFloat Vent Valves D Auto Shut- (Iff Controls Deapacitance Sensor DSealed Fill Box iJNone DUnkr.oWn DOther: List Make &: Model For Above Devices 3. Capacity (Gallons) 10,000 Manufacturer Modern Welding DLined Vault 18 None , OUnknOW'1 Manufacturer: Capacity Thickness· (Inches) -- 5. 6. 8. rnNo Dunkr.own Results of Test Testing Canpany 9. 10. 11. Piping a. Underground PipiD;): [3 Yes DNa DUnknown Material 2inch i$a1 vanized Thickness (inches) 1 / 4inch Diameter 2inchMdnufacturer Keenan Pl.pe :QPressure DSuction OGravity 'Approximate Leß3th of Pipe Rœ 35 teet b. Underground Piping Corrosion Protection : DGalvanized DFiberglass-Clad DImpressed CUrrent DSacrificial Anode ßpolyethylene Wrap DElectrical Isolation DVinyl Wrap DTar or Asphalt DUnknown DNone DOther (describe): c. Underground Piping, Secondary Containment: DDouble-Wall DSynthetic Liner System :aNone DUnknown DOther (describe): FàCuity Ndmt~ TERRIBLE HERBST itlj~ H. Permlt, No. ;:)/ CCG ~c:. . ..~_. !' ,;,,, TANK J ___ (FILL OUT St:PARA1'E FORM F()I*-CH TANK) FOR, ~ §.ECTION, CHECK ALL APPROPR~ES 1. Tank is: DVau1t:éd :DNon-Vaulted OIbuble-Wall OSinqle-wall 2. Tank Materiâl mCarbon Steel 0 Stainless Steel '0 Polyvinyl Chloridt~ 0 Fiberglass-<:lad Steel o Fiberglass-Reinforced Plastic 0 Concrete 0 AlLminun 0 Bronze DUnkoown o Other (describe) primary Containment Date Installed Thickness (Inches) 1981 3/16 4. ~ Secondary Containment o Double-Wall U Synthetic Liner DOther (describe): DMaterial Thickness (Inches) Tank Interior Lini~ 'DRubber 0 Alkyd DEp;)xy o Phenolic DGlass DClay I29Lhlined DLhkno\1il1 OOther (describe): Tank Corrosion Protection -crGalvanized DFiberglass-Clad DPolyethylene Wrap []Vinyl Wrappl~ IX)Tar or Asphalt DUnknown DNone DOther (describe): Cathodic Protection: ~None Drmpressed CUrrent System DSacrificlal Anode System Describe System' Equipment: 7. Leak Detection, Monitoring, and Interception . a. Tank: DVisual (vaulted tanks only) DGrourrlwater l'onitori~ Well (s) o Vadose Zone Moni tor iD3 Well( s) D U-Tube Wi thout Liner DU-Tube with Canpatible Liner Directi~ Flow to Mcnitori~ Well(s) * D Vapor Detector* D Liquid Level Sensor D Conducti vi t;t Sensor· D Pressure Sensor in Annular Space of Double Wall 'lank ' D Liquid Retrieval , Inspection Fran U-Tube, Moni tc riD;) Well or Annular Space I8J Daily GaugiD;) , Inventory Reconciliation 0 Pericdic Tightness Testi~ o None 0 Unknown 0 Other b. PipiD;): Flow-Restrictirg Leak Detector (s) for Pre~.surized Plpl~· _ D Moni tor iD;) SlIDp wi th Raceway 0 Sealed Concrete Face'MiY D Half-Cut Canpatible Pipe Raceway D Synthetic Lir,er Raceway ŒI None o Unknown D Other' *Describe Make , Model: Tank Tightness Has ThIS Tank Been TIghtness Tested? Date of Last Tightness Test Test Name Tank Repair Tank Repaired? DYes ŒlNo DUnkno\oll1 Date(s) of Repair(s) Describe Repairs OVerfill Protection DOperator Fills, Controls, ',Visually Monitors Level OTape Float Gauge DFloat Vent Valves D Auto Shut- Cff Controls· DCapacitance Sensor DSealed Fill Box ~None DUnknown OOther: List Make , Model For Above Devices 3. Capacity (Gallons) 10,000 Manufacturer Modern Welding 5. o Lined Vaul t S NonE: 0 Unknown Manufacturer: Capacity (Gals.) -- 6. 8. DYes t2JNo DUnkno\oll1 Resul ts of Test ~sting Canpany 9. 10. 11. Piping a. Underground PipiD;): aYes DNo DUnknown Material 2inch galvanized Thickness (inches) 1 4inch Diameter 2incheManufacturer Keenan Pipe :Jarressure OSuctlon Gravi ty . Approximate (ßD;)th of Pipe RLI'1 35 feet b. Underground Piping CorrosIon Protection : DGalvanized DFiberglass-Clad DImpressed CUrrentOSacrific1al Anode [JPolyethylene Wrap DElectrical Isolation, OVinJl Wrap DTar or Asphalt DUnknown DNone DOther (describe): c. Underground Piping, Secondary Containment: ODouble-wall DSynthetic Liner System ~ne DUnknown [JOther (describe): rf). '';" ~; dfJ"'. ARC a <> 515 South Flowe.eet ~os Angeles Callfo(nla 90071 ïelephone 213 4861794 Jam.s S. Morrison E"ecutlve Vice President and Chief Financial Officer -. -)7 ~. ~ ./ 0 ~y..,(O 0.10\ ~ USEPA Regional omcesl State Impl~enting Agencies Subject: ARCa Financial Responsibility Documentation Petroleum Containing USTs . 40 CFR Part 280 1992 Dear Sir or Madam: I am the chief financial officer of the Atlantic Richfield Company (ARCa), 515 S. Flower Street, Los Angeles, California 90071. This letter is in support of the use of the financial test of self-insurance to demonstrate financial responsibility for taking corrective action and compensating third parties for bodily injury and property damage caused by sudden accidental releases and nonsudden accidental releases in the amount of at least $1,000,000 per occurrence and $2,000,000 annual aggregate arising from operating underground storage tanks. Underground storage tanks at the following facilities are assured by this financial test or a financial test under an authorized State program by this owner or operator1: . (see attached list of facilities) [all tanks maintained at each of these facilities are assured by this financial test] A financial test is also used by this owner or operator to demonstrate evidence of financial responsibility in the following amounts under other EP A regulations or state programs authorized by EP A under 40 CFR Parts 271 and 145: EPA Regulations Amount Closure (Sections 264.143 and 265.143)...................... $4.041.000 Post-Closure Care (Sections 264.145 , and 265.145)....................................ò.........~,........... $1.344.000 1 ARCa is only an owner of the USTs at these listed facilities. Allan!1C RlCntoetcl Comoanv '0: ~ ~ ~.- "" . . - \ Liability Coverage (Sections 264.147 and 265.147)........ $I 0.000.000 Corrective Action (Sections 264.101(b»...................... S Q Plugging and Abandonment (Section 144.63)............. S 250.0OQ Closure....... ..... ...................................... ......... ...... S 0 Post-Closure Care.................................................. $ 0 Liability Coverage.................................................. $ Q Corrective Action................................................~.. $ 0 Plugging and Abandonment................................... S 0 Total..... ........ ............................. ....................... $15.635.00Q This owner or operator has not received an adverse opinion, a disclaimer of opinion, or a "going concern" qualification from an " independent auditor on his financial statements for the latest completed fiscal year. Alternative 1 1. Amount of annual UST aggregate coverage being assured by a financial test, and/or _ gu.aran 'tee........ ....................... ... .... ... ...... .... ... 2. Amount of corrective action, closure and post-closure care costs, liability coverage, and plugging and abandonment costs covered by a financial test, and/or guarantee...... $15.635.000 3. Sum oflines 1 and 2.......................................... $17.6.15.0OQ 4. Total tangible assets..........................................$24.492.000.00Q 5. Totalliabilities..................................................$l 7.660.000.000 6. Tangible net worth [subtract line 5 &om line 4].................................. ..... ...... ................... ...$6.832.000 .000 7. Is line 6 at least $10 million?............................... 8. Is line 6 at least 10 times line 3?.......................... 9. Have financial statements for the latest fiscal year been filed with the Securities and Exchange Commission?........................... 1 O. Have financial statements for the latest fiscal year been filed with the Energy Infì . Admi' .? ormatIon mstration. ........................... 11. Have financial statements for the latest fiscal year been filed with the Rural Electrification Administration?....................... $2.000,000 Yes No ..L - -À- - ..L --X2 _ X :¿ Financial statements for 1991 will not be provided to the EIAuntil June 30, 1992. \. \ ' '\ '," _ø .-- ~ . . ~ 12. Has financial information been provided to Dun and Bradstreet, and has Dun and Bradstreet provided a financial strength rating of 4A or 5A? ....................................... X I hereby certify that subject to footnotes 1 and 2, the wording of this letter is identical to the wording specified in 40 CFR Part 280.95(d) as such regulations were constituted on the date shown immediately below. Signature y ---., .25i.~..... ........:... James S. Morrison ,~ Title Executive Vice President and Chief Financial Officer Date ..3 -..:z¿ - P.2. .. __a.~________ _.__~__ ~.._---- -~ --'~'-'------r---~- ----. - ---- -.---~----- ,- .- _._._~-~~--- ------------ -- , '..""-", '" , '" I +' { (~ ' i, :~,\,,)' '..: ".,',d*c,;;.,,:;,,';;t', d,' ,,',', ""'.".""'~..",. ......'.....at~ ;~ ;;...,'<\~::.~X:~~t:~~-<;,:i·,~~::~,'Ä~~4~~~ --~,<:~.~:-:,'~~\-';:~~4\:-~-· " -.. :,:.-, :" ':.':~,,;1_)i-_c:';'35,}"'· -~::iitf;' -: '- - '-~·~~,i:-. " '." ",'.. ,'d"'''' JUllAU;OFFlD rIfa'Y~"~" i",' ""')"',~',{~~:,,~:-'.., ..,..>,'.",,;!'.r:~.J~~y!..,.i~\t,"",:Pè~.." -,.', --·fUl'..!.. ·_::t.," '.ü"" "'- . "'i,:,,;~~}{";"}'$;i:~'" :')0 d~;~,instciU;' Û5e,opetoteì'seU'ol'honcUemoteriol. ~r, ptoceS5e$'i invõtvi.rif~, .:dittons. deemed hozQrdous.,to life·or:prope;w OS follows: " , ' "',' . . ", ,'. ^ '-'" '. - , , ".," . ~, ,i :t:¡.~\'" -'1.1~.{ ,O~. _~~, ...d~~ lAm!l :I.. 10.000 gal ........D4...U.....W·;..J]'¡'j;;;r:·· . , _ _ -, " -';-':_""'- ..,:,]~;-~":".'/::it !':,;i~ (Lóeatloø 1. . 'Tentb1. JleIht' Station) ......1. !oJj;~",~:';'; .' permlt~ _.1{¿¿_~_2ðL_ ø",þ/(J. 8y.....èi~_Cp__.k_~._._._.__.__~__ Fire Manhot (rJ. GJ' tJ~ .. - - --. -.- ---.-- _ _ _ _. :;-- _ _ u_ _. _._------ -_._,------~- -- ----- ,- -. ---- --.- ------ --- .-- .------ - .--- - - ~-