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Home My WebLink AboutUNDERGROUND TANK-C-07/28/89 to 2002 -"----- Per it Operate to Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the fo~lowing: ':'tIª~ardous Materials Plan .. .. ..... . round Storage of Hazardol\.ls Materials agement Program Waste 10 UNION PERMIT ID# 015-02HI01528 CHEVRON STATION #91554 TAN HAZARDOUS SUBSTANCE PIPING PIPING TYPE METHOD ONITO ~... ." :¡ii,.···...· ',:. SUPREME UNLEADED GASO 1 O,OOÖ~PO 1¡ßAL LPT F PRESSURE ALD PLUS UNLEADED GASOLINE 10,OOQ,QPG(\L LPT F PRESSURE ALD UNLEADED GASOLINE 10,OOO.OÖ' ,GAl,. LPT F PRESSURE ALD WASTE OIL 1,000.00 OW F GRAVITY LOCATION Issued by: '-' y /, --./ 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: ---~ . - I CA Cert. No. OOS57 ] City of Bakersfield Office of Environmental Services 1715 Chester Ave., Suite 300 Bakersfield, California 93301 (805) 326-3979 An upgrade compliance certificate has been issued in connection with the operating permit for the facility indicated below. The certificate number on this facsimile matches the number on the certificate displayed at the facility. Instructions to the issuing agency: Use the space below to enter the following information in the format of your choice: name of owner; name of operator; name of facility; street address, city, and zip code of facility; facility identification number (from Form A); name of issuing agency; and date of issue. Other identifying infonnation may be added as deemed necessary by the local agency. This permit is issued on this 2nd day of November, 1998 to: CHEVRON STATION #91554 Permit #015-021-001528 10 Union Ave Bakersfield, California 93307 ·i' . 7607214209 Ol/~0/02 ·WED 08:59 FAX 76072i1j09 .- HIT ENGlNEERINGc - @OOl- ~ ENGINEERING & CONSTRUCTION. INC. Gener;;ï/ Engineering Contr;;ïctor ARIZONA- CALIFORNIA- NEV Fax To: MKt f¡'~Y , From: Fax Number:- Subjecti-J,B ( ~ Jr~(LSF Et.D o Urgent- Dt~orYour~lewl File· ~ Pag_ /2- Date (/je/02.- I ( (g] For your ~nee = CoIIuneIùa: fo(t.. Yov!L USe AN/::) P/20C.£S'S'rNl.. WiTH TJ..4E.F;tl..é 1)~PJ: .. , , .' ~ ..J"tSS ~ . :'t ... . }106 COPPERWOOD WAY. SUITE G .. 7&0.721-4120 OFFICE OCEANSlDE..CA 92054 FAX 760-721-4209 01/30/02 ~ED 09:00 FA-X 7607214209 MIT ENGINEERING 141002 -- e M.I. T. Engineering & Construction, Inc. 110 Copperwood Way, Suite F Oceansid~ California 92054 760-721-4J!20 Office 760-721-4209 Fax - - Contractor's License California 723396 A, C.;.l 0 and H~ Arizona 126949 Bl, Ll1 and Tank InstalJation INR0108 Nevada 0043206 B-4 and UST Handler UTH-tI22 Other Certifications: International Fire~Code Institute - Installation _ 1036149-25 . Decommissioriing 1036149-26 - I Site Specific Health and Safety Plan I Project: J~c.,., T..,£ Box #4576 - Address: :J() U¡rJlð,.J A"E,..,cJ¡;: &¡acsFfet..b1 (A t:l2.;r,,+ - ,! ! _~1/30/02 WED 09:00 FAX 7607214209 MIT ENGINEERING @003 e e 1 GENERAL INFORMATION 1. Site Information JAtlt.. tAl í"'l!~ /0 (IN,DN A VEJJVe- tQ. &w.,ðAt1.£ $AI£6ØFlél..ð . LA ~ l.",4 . Subiect M.l. T. Engineering 8/; Construction, Inc. bas been contracted by . I:>oÙo..s CotJS'TrwL., tCl.J toperfonn the foUowing: \ IIo1~TALL.AïtDN D~ FUEt- SYSTe:~. - l. Plan Purpose and Use This Health and Safety Plan is developed to assist M.I. T. site personnel in understanding and avoiding potential Health and Safety hazards that may present itself at the site. . In order to fulfilJ the requirements of the CAL-OSHA Hazard Communication Standard (8CCR 5194), if a subcontractor employed by M. I.T. win be present on $ite, the Proje:ct Manager is required to provide the subcontractor With a copy of this HeaIthand Safety Plan prior to the start of the project. The Health and Safety Plan will infonn the subcontractor of the potential hazards associated with hazardous substances in the area in which their employees will be working, and will provide information on suggested protective measureS. The subcontractor .is responsible for the preparàt1ion of a Site Safety Plan for the subcontracted tasks and communicating and enforcement of Site Health and Safety requirements .~ it pertains to the subcontractor's agents and/or employees. The potentiaJ exists for fueJSy solvents and metals to be present in the soil at the site. The Potential for a flammable atmosphere is possible and should be monitored in accordance with the City or Coûnty Fire Prevention Department requirements. - - 01/30;02 WED 09:00 FAX 7~07214209 - - MIl' ENGINEERING lØ 004 e -e Table 1 Emergency Assistance Information Fire Department I Paramedic I Ambulance Serviëe: 911 Poison Information - Poison Control Center: ~ I' Nearest Hospital with Emergency Room: Phone Number II"" {. .~ 32 - 5tJ5o 221~ TAUIlTtb.1 A"E-ftJu/E - Health :8nd Saf~ty Coorinator: ~Jesse Kirk Office 760-72]-4120 Office HourS: 8:00am to 5:00 pm Pager 800- t,B3-·22 ~4 Project I Site Manager f AI\IT"ON10 f<øb/L.t(¡..U~z Office 760-721-4120 Mobile 619- 9f7-7~'3 ... Recommended Routeftom Job Site to Hospital Emergency Room: 7Ã1<£ U"",DtJ AVENuE /VQfl.r,¡ (2.SM,#1.-£.S). Lf.FT -ðlJ T~UXT"Ä\. HO)P,TI4-f.. ~ AT 2215 -rLVJf'7UN A V£,.¡V~. ' 01/30/02 WED 09:00 FAX 7607214209 MIT ENGINEERING @005 e e ,... ..--...---------------------......-----..------------... -..... ...._----. ,-........----...-.. 3. flEA r SIRttt . THERE IS At~O \'POrENTIAL fOR HEAT STRESS FAi.'H THE' USE OF PHQTEcrfvE CI.OTH r l'IC ÞNO Cl I MA T€ CO~IH T ! OH«: . OnE O~ ~OR ~ OF T''''~ ~O' nWl NG PFlO- C£DURES HollY BE E~'-Oyta TO AL!.E.\iIAT€ POTENTIAL H€,H STRESS .PR08r.E'~S IN THE EVENT THAT SITE CONO(T1QNS WARqAN~ THE US~ OF P~RSONA( PROTECT- IvE EQUIPMENT (P~E), OR AMBIENT T£HPERATURES 85 DF.GPEES ~. PROVIDE pt.eNTY OF LIQUIDS. To REPt..Ace BODY FLUIDS (WATER AND ELECTRO- LYTES) LOSTSECAUSé 01' SWEATING, USE A 0.1% SALTWATER SOf..ÙT10N, MORE HEAVILY SALTeD FOODS, OR COMMERCIAL DRINK MIX!S. THE COMHfRCJAL HfXES MA1 BE PREFER~8Le FOR THOSE EMPLOYEES ON ^ LOWwSODIUH DIET. II. .lIQlg . THERE IS A POTENTIAL FOR NOISE lEVELS TO EXCEED 85 DBA DURING $ITE ACTIVITIES r~OLVING E~CAVATfOH·EQUIPMENT. ALL P~RSONNEl AaE~RegUIRED TO WEAR BEARING PROTECTION WHILE DRJlltNG eQUIPMENT IS IN OPERATION. r-" 5.. ~ .ID..IH...EfEEm : THERE: IS A POTENTIÃL FOR CHEHIC~L COMPOUNDS IN THE FORM OF SOlJDS, LIQulaS, GASES, MISTs.~nUSTS ,AND 'VAPORS TO CAUSE BOTH ACUTE AND - CHRONIC HEAL.TH PAOBLE'HSRESUL TING FROM INHALATION '(SREATH(NGhABSORP- -TION (THROUGK DIRECT CONTACT WITH SKIN). OR XNGESTION(EATING OR ~DRINKIHG). - . TtŒ ROUTES OF I!XPO$URE OF CHEMICALSPOTfiNTlALLY ENCOUNTERED AT THE SITE INCLUDE: * AØSORPTION THROUGH DIRECT CONTACT WITHTHEIMPACT~D SOlt AND GROUNDWAT£R AND BARE SKIN, OR POTENTIALLY.TtlqOUGH THE EYES AND M£MBRAN£S~ · INHALATrqN OF VAPORS OR DUSTS RELEASED FROM SITE AcnvITIES.· · IHGESTIOiTHROUGH 1>_ CO~TAMINATION OF HANDS AND HAND-TQ- MOUTH CONTACT, 2). COHTAHINATION OF FOOD OR L 10010 BROUGHT . OM-SIT£, - 3>' CONTAMINATION -OF SMOKING MATERIALS DR CHEWING GUM. - ,-..; III 01/30/02 WED 09:01 FAX 7607214209 MIT EN~INEERING @006 e e" ,.,..". -- -----~- ~------------------------ ....... 6. . (FOR TANK-REMOVAl) MoNtrORtNG EQUIPH!NT UTILIZED ON SITE DURING ALL ACTIVITIES SHALL BE ONE OF THE FO~LOWIHG TYPES AT A .MI~rMUM: · FLA"£ IONIZATION DerECTOR (~ID) · PHOTOIONllAflON DETECTOR (PIDJ IN CONJUNCTION WITH A COMSUSTIB1..E GAS I"DICATOR CCCI)/OXYGEH MoNITO" IN ADDITION, A DIRECT READING CALORIMETRIC TUBE INDICATOR rvST~~ MAY BE USED. ALL AI. MONI TOR JNG EQUIPMENT SHALL BE INSPECTED AND TESTED "UOIt TO TH! COMeNCeMENT OF S~TE ACTIVITIES. - ALlAHB'IEHT AIR MONITORING HEASUREHENTS HUSTlE RECO~DED AND HAIN- TAINEDAT THE SITE DUlING THE COURSE OF THIS PROJECT. "'"', ~.-SIIIWtI AtrrICIPATeD EXPOSURE TO CHEMICALS ON-SITE INCLUDE'GASOLtN£ø Dr£SEL. AND BENZENE, TOtUalE AND XYLEtÆ CITX). THESE CHEMICALS REPRESENT A HAZARD BECAUSE THEY ARE ffODERATE!.'f TO eXJ'R!MELV T'òXIC ANi!) MOST ARE HI Gfft.. Y FLAMHAlLE. THRE~HOlD LIMt~ VAlUES (TlV'S),SHORTTeRH EXPOSURE LIMITS eSTel's) AND TOXICITY UVELS CLD50, ORAL-RAT) I ALL tN "611C6 (PPH). ARE LtSTEtJ BELOW: - ~. ill .s:r.a.- . .IQX1lliï GASOLINE 200 300 - -.....- D.fESEL 50 75 · --........ SENlENI! 10 ZS 11894 TOLUENE 100 150 .5000 XYlEN£ 100 150 4300 , B'NZSN! IS COHSIOER£D AN EXTREME CANCER HAZARD. ApPLrCASt...EHSDS FOR"' AlE ATTACHED. ¡, IV , - -= 01/30/02 WED_09:01 FAX 7601214209 MIT EI'ýGINEERING e e @007 -... - ~ a-pq"l-r .......-... .. ---.q ....-.-........----__..At____- --..__.~_~.............~__-.. _ R~$PONS~S -.v ~.. p-r....... A_'" ....--..--------,.. -...~~ ...........---..........--- tIYDROCAJUJOI COICENTUT IONS RESPONSE .. - - A..... .. ~ ~-------~~--~-~. ~~-~ 30 PPMV TVH . LIMITED HAZARDÞ NO$PECIAL ACTION. . 30-100 PPMV TVH GENERAL WORK AREAS . ÐENZENE DETECTOR TUBE MEASURE- MENTS TAKEN EACH 30 MINUTES. 100-1400 Pf'ffV TVH 6B1ERAL WoRK AREAS' HALF-MASIC OV ResPIRATORS WORN BY ALL IN WORK AREA. BENZENE D!~ecrO* rUBE HeASUREMEHTS TAKEN EACH 30 MINUTES. 1400 PPMV TYH WELL HEAD EM.SSIONS FLUSH DOWNHOlE WITH NITROGEN (NEAR BORE HOt.£ OR AUGER FLIGHTS) GAS. -... WORK STOPS. PRoCEDuRas TAKEN - TO SU8DUEEXCeS$IVE V~POR LEVELS 1 PPKBBENZ£NE IN GENeRAL WORK AREAS HALF-HASK OV REPERATORS WOftN 1N° WORK AREA. ". BENZENE DETeCTOR TUBE AND MEASUREMINTS TAKEN EACH 1SHIN Urn'tL LEV£\.S ARE wel.l.. BELOW·' 1 PPM'I..· 1400 PPHV TVfl GENERAL WORK, AREAS 10 PPMV BDZENE IN GENERAL WORK AREAS WORK STOPS. PROCEDURES TAKEN TO SUBDUE EXCESSIve VAPOft LEVELS. - BENZENE DETEC1"OR TUBE "EASURE'fÆNTS TAKEN EACH 15 MINUTES UNTIL CON- .~ CENTRATIONSARE ,·BELOW 1 PPMV. .... - - PPI'IV =t PARTS PER MILLION VAPOR - TVH = TOTAL ~Tlt.E tfyDROCARBONS OV · ORGANIC VAPOR ....\ v .,.., ~ ". - . - , '. 01/30/~2 WED 09:01 FAX 7607214209 MIT ENGINEERING @OOB e - ~ -------- ~------~~~--~-~---- ..--..--.......-..- .....-----.-.................- . 7. fERSOPfAL P80~ HARD HATS. IF OVE~HEAD HAZARD rs PRESENT. HEARING PROTECTION WHILE DRILLING EQUIPMENT IS OPERATING. SAFETY GLASSES OR GOGGLES. iA'£TY SHQES: TEEL TOE AND SHAN~, CHEMICALLY RESISTANT·(PVC OR RUBBER) OR PVC OVElf800r AS IfIC!SSARY TO PREVeNT SKIN CONTACT OR LEATHER ABSORPTION OF CONTAMINANTS. . . - , . ~ Y~THYLENE !mi.: - , EU.OW OR WHITE COATIiD T'tYeK AS B£CeS$ARY TO PREVENT SKIN AND CL.OTHING CONTACT WITH COIITAHINATED SOIL. . NITRILE GLOVE' (NlOPR!N£ AS ALTERNATE) BE.sP.IRATORY f8øTECTnm: -". - ~;{:~EO:!~IC VAPOR/DUST bARTRIDGE -REsPtRATO~' REQUIRED IF WIND CONtUTIONS ARE CRU-'nHG AIRBORNE DUST -AND/OR AIRBORNe CONCENTRATIONS: EXCEED 2PPM ON THE PID/FID WHEN HEASUR£HENTS ARE, COLLECTED IN THE BREATHING ZONE. FULL-FAC£ API I ... : REQUIRED WHEN corfSISTENT lOPP" READINGS ARE TAKEN IN BREATHING ZONE: OF 81T£ PERSONNEl. 8. .mE-CDmJL. U ApPROPRIATED SAF~GUARDS WILL BE TAKEN TO P~EVE~TFtRE AND/o~ ex- PLOSION DURING THIS:PROJ£CT. NOr4-SPARKING TOOlS AND EQUIPMENT SHALL se UTILIZED AT THE SITE. SOURCI!S OF (GHlTtOH ANDuSPARK SHALL BE PRO- HISITeD WITHIN 100 FEET OF THE £XCAVATrON srT£. . . , DUST AND VAPOR SUPPRISSION CONTROLS SHALL BE IMPLETEDIF DUST AND/OR VOLATILE OR~JC COM'OUNDS EXCEED R~CØMH!NOrDLEVELS.THëSECONTROLS HAY 'INCLUDE COVERING OUST SOURCES. SPRAV(N~ WATER O~TO THE .SOURCE. (IFPRACTIC£ WIL~ NOT $PR!AD CONTAMINATED SOil TO ON-SITE OR OFF- SITe AREAS), ORTEMPORARILV STOPPING WORK. ACC£PTABLE METHODS FOR -.. VI . . I U 1 01/30/02 ~ /""'. .r·..·\, WEp 09:02 FAX 76072142Q9 MIT ENGINEERING "e e, @¡009 ----..---.-........ ....6 '17..__________~_........... a_ ....---.. .,..~...._- VAPOR SUPPRESSION INCLUDE COVERING AND/OR BAC(FILLING CONTAMINATED STOCKPI~ES, 8ACKF(~LrNG oa COVERING OFF-GASSING EXCAVATIONS, LOCAT- ING STOCKPILES AWAY FROM AND/OR DOWNWtND_ FROM NEAREST PUBLIC RE- CEPTOR AND STOP'fNG WORK. ACCE$S TO THE PROJECT SITE SHAl~ BE LIK[TED TO AU1HORKZ£D PERSONNEL WHO HAVE READ AND SIGNED THE SITE SPECIFIC H~ALTH AND SAFETY PLAN. A SIT! PERIMETE. F£NCE IS '.ESENTLY IN PLACE FOR S'Te CONTROL. exCAVA- TION AND/OR CONSTRUCrl0N ZONES WILL II ISTABLISHED WITH BARRICADES, CONES AND FLAGGING TAP! TO PIEVENT UNAUTHORIZED ACCESS DURING THE PROJECT. - VII 01lJOID2 WED 09:02 FAX 7607214209 e MIT ENGINEEIUNG e f4LOIO ,,-. 2 CODE Of SAFE PRACT~CES -~----.....--.-....-- --...- ,~----~~-~--~--------~------------~----~ GENERAL 1. ALL PERSONS SHALl. FOLLOW THESE $AFE p~ACTfCe RULES, RENDER EVERY POSSIBLE AID TO SAfE OPERATIONS, AND RepORT ALL UNSAP~ CONDItroNS OR PRACTICES TO SUPERfNTENDENT. 2. FOREMEN SHALL JNSIST ON EM~OY~ES OBSERVING AND OBEYING EVERY RULE, REGULATION AND ORDER AS NECESSARY TO THE SAFE CONDUCT OF THE WORK AND SHALL TAKE SUCH ACTION AS IT IS NECESSARY TO OBTAIN 08S£IVANCf. . 3. ALL EMPLOYEES SHALL BE·GJVEH FREQUENT ACCIDENT PREVENTION IHSTRUC~ TIONS. INSTRUCTIONS. SHAl..l BE GIVEN AT LEAST EVERY ClO)TEN WORKING . DAYS. 4. ANYONE KHOWH TO BE UNDER THE INFLUERCE OF DRUGS OR INTOXICATING SUBSTANCES WHtCH IMPAIR THS EMPLOYEES ABILtTY TO SAFELY PERFORM . THE ASSIGNED DUTIES SHALL HOT BE ALLOWED ON THE JOB WHILE IN :THAT CONDITrON. ~... ... . S.: HoRSEPLAY, SCUfFLING AND OTHER ACTS WHICH TEND TO HAVE AN ADVERSE INFLUENCE ON THE SAF!rv AND WELl. ~BEtHG OF THE; EMPLOVEES SHALL- BE PROHIBITED. 6.-WORK SHALL BE WELL PLANNED AND SUPERVISED TO PREVENT INJURIES. IN THE "HANDLING OF MATEIUALS AND IN WORKING TOGeTHER WfTH EQUI~MENT. 7. No 011£ SHAt.I._ KNOWINGI.Y.BE PERH1TTltO OR REQUlR£DTO WOR£( WHILE THE EMPLOYEE'S ABILITY OR ALERTNESS fS so IMPAIReD BY FATIGUE, ILL- NESS OR aTHP CAuses THAT IT MIGHT UNNECESSARILY EXPose THeeH- PLOYEE OR OTHERS TO '''JURY. 8. EMPLOYEES SHAJ..L IIOT ENTER MANHOlES, UNDERGROUND VAULTS, CHAHSERSI TANKS, SILOS _OR OTHER SIMILAR Pl.ACES THAT RECEIVE LITTLE VENTI~ LATION UNlES~tT HAS BEEN DETERMINED SAF~ TO ENTER. . 9. EHPLOYfES SHAlL Be INSTRUCTED TO ENSURE THAT ALL GUARDS AND otHER PROTECTIVE DEVICES ARE IN PROPER P~ACES AND ADJUSTEÐ. AND SHA~l REPORT OEFICIENCIES PROMPTLY TO:THE FOR91ANOR SUP£ftINTENDENT. 10. CROWDING OR PUSHING WHE" BOARDrNG OR_LEAVING ANY VEHICLE OR OTHER COHVEYANC£ SHALL BE P~OHIßtTêD. . ."" VIII .0 Ol/30/~2 WED 09:02 ~~ ï60ï214209 MIT.ENGINEERING 141011 ;: e e ;aa.. ~ -~. - ~-~~~~-----~-~-~~----~--~~------~~ 11. WORKERS SHALL NOT HANDLE OR TAMPER WITH ANY ELECTRr~AL EQUIPMENT, ~CH1NERY. OR AIR OR WATER LINES IN A HANN!R ~OT WEiHIN THE SCOPE OF THEtRDUTIES. ·UNLESS fHEY HAve RECEIVED INSTRUCTIONS FROM THE r R FOJt£f1AN. 12. Au. THE INJURIES SHALL Bê REPORTêD PROMPTLY TO THE FOREMAN OR SUPERINTENDENT SO THAT ARRANGEMENTS CAN BE MAD£ FOR MEDICAL OR ~rRST AID TREATMENT. 13. WHEN I.I'TtNG HEAVY OBJECTS, THE LARGE MUSCLES OF THe L£G, INSTEAD OF THE $MA1.L ""'SCLfS OF THE BACK, SHALL BE USED. 14. IUPPROPRIATE FOOTWEAR OR SHoes WITH THIN OR BADLY WORN SOLES SHALl lOT. BE VOIN. . 15. MATSHALS, TOOLS OR OTHER OBJECTS SHAlL HOT BE THROWN FROM Butt.D- . IN'S OR STRUCTUR£S UNTIL PROPER PRECAUTIONS ARE TAKEN TO PROTECT OTHERS FROMTH£ FALLING OBJECTS. - ,,-.... > ...-. IX - e e' SAFETY AND HEALTH PROTECTION '1J} fNj VU=fJ ~ JJ @ ~ ..-..... 01/30/02 WED 09:03 F.~\ ï60ï21420a .- . .....,.. . .,.., . ~ M11 b\G1Nt:J:::l<1J\G i4J012 ~~ . ø.1- - I.... III Cd o.Pðttmant of iIftCIUßtII Ref, The c,"'IHft" OcIIIUp.IIJDnei ~ ~ HNIItt Act Of t,r,l fiIfM.... ,.. Slfetp ~ "-I'" JIftI~ lor wOtlG--. no. oep.,t"""1 ø' /ntfuwià, 1W(j1fGn. fI,q """,.,, f"~Jhy let Mmlrn......... .... catIOSHA ptogrøn. Job ..,." 1M I!HIItI .blnd.,... ... pro"'...I,..... by .... ~"P"aan.t Sa'.c, ... .....UI Sfa\lDr¡f BHrd. .......,.,. M4f .ØIØIDVI-"""'" .1tHJI.... willi tilde JllllfWMtd.. ~-"' I, CIItfed out Of"" DI¥ft1an at Oceupatto.... S.fe.y *'d "-II" .M~ o.øn-nJ ., ............ A.......... - EMPLOYERS AND EMPLOYEES CI/ifoIrIJa law,.... .,..y ~ 10 ~~.", .ute! ¡a place of ItI\- tl1CI"""" ..if" ate &at. .wi ......bllor IN ~..1MnIirL ~,. and emøIo... ..1IGUWct 10 C!IIØIDIt'.. "'- ~ saftIy attd tJeaRn ~ c:onIaIIIØ In '"*. of.... CaIfotrQ eocs. rtI ""III ~ N........ 'tllJlllDons alMf ~ ~. ØIwItiorI S 01 the CaIiIønia Ubor C~ wildt are ~ 10 1II8Ir empIøInfeIIt ano aclÌDftJ '" .... 100· COMPUANCE wn'H JOB SAFETY AND HEALTH REQUIRE- MeNT$ Tit ......oa..~ """ SløejcMt.....,...... ~ Ifte OM.siøllol 0Kw:Ia1Jofllll'" and.....CIOØIIUCII"..~~, The jlt~ MeINllle ">' .....-d....... ......... IIIId ......... ~nIùI. n...... ~...._........ ~ II!I1DIUe OI......,....-t.,... ......GI....~tJ.,.. ........~.I ~~....,......, ~ ,,&~.III - 1Iff~"''''''''IIf''''''''~lef ".......... no audIariC_~...",.. ...1.,...... ... ....., ........... - 11If ~""AIØ"" .r_...._oI...,..~......-""_...... 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III Sf 1(Jþ __..., 1III..þCINd.......~ gIfIIWaI ~br"'ÅJI'ì'WII"" ...,,__.......~.II.. , II'¡ viDIaIn..,"'GØ' .. ........,... .....................,. ....r""'.d c:iVIf f*'IiItiØ IIf IlalIIIOIIt .. ti2Ø.GØO far,... kl" IIII\f $Ia.aøø..... gINfIIl ...... . ~ IItotaIicIft 1Ia,_ dNth_ ~.,. iII-Ä...oIftf eftM ~ 01_ .mpIøJM..... _CM~ _aliMor...... JI\IIn 'tG.OOO 01 iMprf8øno in_GIno! ~ 111M tblllOllllW. or ÒIIIIL A MCOØd .....,... .... .... tIIIfWiCo 11M. __ ....,44,_......... WtdIe~..... ___ cIItIcr.._.... tIIIIiIu oilier ~t.. .1M .1IitJI.......... CIItI....... .-...._ "'1.." An ~."""'.CIÞIdarI. 0rfIftf1lt Tillie'" AIItiøn III Søeci2t """,-",_N\IIf. .:..... . .,...._____#4___........-..- - - COMPLAINTS EmpIortIeI 01111." ,.",-...tMa who bØIW UfI,'" or UllltefllØlful CIIJIIGiIfoU ..Í8\ ... tNiI' ~ce Ira" the I'fIht 10 IiIe a aomøIaiftt with Mr aItIee ðllhtÞ Olvll;otl 0eeupaIíG1III S1IfftJ:y 1M H..,1tI ancr "",etty 10 RJqVett 8ft ~ 'ii'IIe OIwWan kHø. ~ tIItJ qmø oICICIIrIfII~tIrIInII ~~o...... All ønØoyH m.y lot flit .~ 01 ~ In an.- ¡qy'" filing . CIaDIJM/fIr tIIouf URØe OI~ wortlirl§ eondIcIoMør USÏJIf M1 ØIhw flDhtoø.n 10"""", IftIt CaÞOSHA 1aIf. AI' ~ at aprolato ~ whO"""" ...1......_ CMen /It.., 01 putIisNd tIIr ~ euà\ tighIJ may file . GIHIIIûInt..... _ . ~,,¡,taåoIt ... 1M ......... of 1M Depe/frN!..8f1ndul1lMl ReIdIofIa· Dhitk 01 LAIIItt SIPdI/'dI EntOIament (1tiI~ Ubor CoIMtiNIoMtJ 01 wiIft IN s.n ".,... 0IIicAI 0'_ u.s. DlllMIMdI 111 LMar.. ODauøaØOd8t Safely aIIII UNlIt ~d.IJ E.~~...ot...orrocø~...1t ~.II1IIYIiIe~~GI WIJIt 1M au. Ubot Q¡M'.. .~ CcIftIuI)'CUI' 1oeaI......... ~tCIt ea.aIIII ....... II'U. OTHER EMPLOYEE AIQHJS ,.", ~~""1hIÞ tIgJJt.... 10 ~ '"""..................,.~ O&HA AcI or.. 0""'1f..... __ ar... at\IIIdIrd OIOftftr-.. cuch...., wuuldCMlllta............... '-"........... ..~ . ~ wile..... ........,..IdId............ .....1JJt...... tA1IIJII801.... ~ CacJtfll ~"'...fO~ """'~0DnIm fIICIIfGd SIiIftIfIIrd (ill CF.RS "tCL12OØ"" pMIIfcfe ....,... ..,.WJimØoftoar conIIJfttId.................. (MSDS) or~rr<b,. I ·....ctw ~ ¥If\II:ft...... ......... 18.... !he"""" UfIIIr. ~sW.......... alllDdy_ ....an ....... ........... diltaslwloa udt........~... 'D-II -~ r.. ................fiI_.... cøIIeØYe___""'" ..orllft~~ - EI~,"*.... "'" righl1OSOIÞ8Pd cop, IIJ$ÏI' medrcIf ~~ ...... of.... '¡I' !_......II:I ~tø.maIeIìaIa 01_ ....._..... Ñtf .....IIø...""'" .......~____al_..... ...."....... OØ"F~ þU1IINnIlIt C\IK)SHA...... e.......Ie. ... ~ I§"....... ..., ...... ... ....,..", ØIDOIId . CIII'ICao-........ (If ........ ........1Iigber 1bM.........IøIIb......... by CdOSHA......... ---"**'--- ....... For i>1DmøIM.... auiIUIøee. CllflIact "" ....... oIØce of.. DiNiøn of 0Ðeuø0 IIonIt SØIIy .., HNIIIb. .. ......... beloW. "nIe law......... .,~ .. CaIifom/a fa ÞOtt 1fIÎIJ""" ~,.., '" ..~ . CONSULTATION SÈAVIC.E In .".,., CD ~ ~ «llllflliaMe. CIIIIOSHA prGWidft ..... up:wu ,equr. a. ..- . -.. .. -. .... . - - ..-...-,. - / 1/13/01 16:03 '5'661 326 0576 BFD HAZ MAT DIV @002 e a~;£_ O?J --, "?ermit No. A- CITY OF BAKERSFIELD C~ :tL.. -LOt-{ Bi3 OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 200'L SOIL TYPE EXPECTED AT SITE X YES YES x NO NO SECTION FOR MOTOR FUEL ~ VOLUME f~&fi 1 ÞO ~ ~ TAI~I( #'2. ~i'r.5 TwÒ (z..) COf'i\PAerM~NíS. . SECTION FOR NON MOTOR FUEL STORAGE TANKS UNLEADED X REGULAR PREMIUM DIESEL AVIATION x. x TANK NO. VOLUME CHEMICAL STORED (NO BRAND NAME) CAS NO. (IF KNOWN) CHEMICAL PREVIOUSLY STORED I APPUCATION DATE THE APPLICANT HAS RECEIVED, UNDERST ANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERM£T AND ANY OT HER STATE, LOCAL AND FEDERAL REGULATIONS. FOR OFFICIAL USE ONt Y F ACRlTY NO. NO. OF TANKS FEESS KA/2 t. J.l1If (% 1'~jl'll" EAJ"AJ8!R.¡~ APPLICANT NAME (PRINT) '" '\\.~. THIS APPLICATION BECOMES A PERMIT WHEN APPROVED I - _ BAKERSFIELD FIRE DEPART!fIIT _ EHVIROHIIIH'l'AL SERVICZ. 1715 Chester Ave., Bakersfield, CA 93301 (805) 326-3979 TANK REMOVAL INSPECTION PORM FACILITY Uß.åk+ hq+ ADDRESS 10 ')f1(ClI/\ .fl<tc.... OWNER ~1l"J. .:t.N ìhr ßt)~ I ""~I' PERMIT TO OPERATE' ßR -t),2 7f./ ~:~~_t:"~J~~~,c)S' #OFSAMPi~~A~PERSON Ulrqll TEST METHODOLOGY . PRELIMANARY ASSESSMEH'l' CO. }/, H'Y' \- ðZwO(t...CONTACT PERSOH~rIL ()..cac.- CO2 RECIEPT ~Ð ~ flfflJ/I(!O!J' LEL' 02' PLOT PLAN 11\10 \f\ l\ Ú' l, vJ 1\. ,-----. I 1- I ~ ~ S6.kfk~ L___6-~__ " II"''' g4\, w.:.~-\c ~ Il CONDITION OF TANKS (l11J-,,) I Ih.f.-tf".Ly ,Jil( 9(J{J/ CONDITION OF PIPING CONDITION OF,SOIL NONe.. ~ðU,^' COMMENTS 3'.JS,oQ( DATE '- ~-\¡ (1(_ ¡j ~r~ Qo"'c. INSPECTOR' HAIlE Jl, (á4al'¡(1 - 'IGM11III ........... ! ~. - e Pcnnit No. U ~O;) 71 CITY OF BAKERSFIELD ):>01.. { åL.Lo ~~ OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 PERMIT APPLICATION FOR REMOVAL OF AN UNDERGROVND STORAGE TANK SITE INFORMATION SITE ~AC.t:>.!/II""') ADDRESS /rO UNIO¡'/ A V. FACILITY NAME ,?f{oF"S~ clACK 110/ filE 8t!>)( CROSS STREET TANK OWNER/OPERATOR .JACk IN rilE ß>ox I INC. MAILING ADDRESS ?310 ;8AL~ oA A-v. . ZIP CODE APN 'ßK.UN!J A GT; L..Þt-NE PHONE NO. (15'> 8') ~ 7/- 2.~'81 CITY SAN J>IEG-od c.A ZIP 92/2.~ . CONTRACTOR INFORMATION COMPANY """,on-IE ðRt!>S. PHONE NO. 110 'i'3o-I?7~ LICENSE NO. '34?J.4~8 ADDRESS II It:) w. ANAl/ElM $7';. _ #4- CITY WlllVt/Na-rt!>N ZIP 9d 744- INSURANCE CARRIER G-oLþE,J éliG-LE I~$_ CORr.. WORKMENSCOMPNO. NWc6f:>7'S?/o/ PRELlMINARV ASSESSMENT INFOaMATION COMPANY PHONE NO. LICENSE NO. ADDRESS CITY ZIP INSURANCE CARRfER WORKMENS COMP NO. ". TANK CLEANING INFORMATION ADDRESS Ino w. AN4I1élN1 Sï; . #4 CITY WIL-A-1INCr--;o/\/, CA ZIP 9'07# WASTE TRANSPORTER IDENTIFICATION NuMBER C A 1>. <} ~ ~ 7 ? 7 00 ;' , NAME OF RINSATE DISPOSAL FACILITY ])éNtE"''''o /1<£1<1>0(>/11 ADDRESS 20lU' N. 1tt..ItME:D4 S'T.. . CITY CO/V(PTON ZIP ,9", 2..'2.."2- FACILITY rDENTfF[CATIONNUMBER CATOffoo/'3? 'S'2. .( .. TANK TRANSPORTER INFORMATION COMPANY I'Y1cu¡../é 'B¡t.oSo PHONE NO,(3/~)j¡'i¡¡;;'fZ¡7¿J LICENSE NO. '34 ¡~ib 'i ADDRESS 1110 W, /tt4AIIE//IIf S-¡; , =#4 CITY WI/- MI/I!Gr-'ToA!, CIf ZIP ?o7# TANK DESTINATION .hf (;) 11'1£ ðI'Þ$.. IWO 4/. .4N'/f/-Eut4 S'T...t/=.¥.. WIl-1t/( 11l/r;-~A/ , , , TANK INFORMATION CHEMICAL TANK NO. AGE VOLlJME STORED I UNk/'lowtl ~ II (JO~dG-. PUEl of( WS;' 0/1. , DATES STORED UNKNDWN CHEMICAL PREVIOU;; Y STORED FUEl A"~ o¡f, Ws-r. Olt... ---...,,-- For Ol'licial u~ Onl APPLICATION DÀ~ ,. :..: ,... ,.'.:.. ::~··:;;:::::-::?:·:~"::i~¿W~~~(};:::::·;::::::'::·::?··:!::::::·::::::;·::::,~p':::,Q~·.T~:' >~:.>:.:. .... :.:F.i.~~~.:: TI W APPLICANT r IAS RECP.rvED, UNDERSTANDS. AND WU,.L COMPLY wmllliE A'!TACHI-:D CONIJITIONS OF TIllS 't·:RMrr AND ANY ()T! IER STATE, LOCAL AND FEDERAL REGULATIONS. r: 1/ A fl.l éS /111 OIAl £ APPLICANT NAME (PRINT) Tt liS '( )RM liAS 111 ~EN COMPLETED (INnER PF.NAL TV OF PER.rrm. Y. AND TO TI IE nEST OF ANI) ('( )I{RI': ". THIS APPLfCA nON BECOME A PERMIT WHEN APPROVED .. 4 PERMIT STATEMENT -, , , ~ e Bakersfield WIle Dept. 1715 Chest~ve. Bakersfield, CA 93301 RECEIVED FROM rYìO~fì.-L-.~~. DATE roy-Lfi'Ýî ,14- dmr I AMOUNT AMOUNT UST/AST PERMIT 82 TENTS, LPG 84 STATE SURCHARGE 86 FIREWORKS, POWDER, 84 OTHER PERMITS TANK TESTING 83 OTHER COPIES/REPORTS 89 b~:lh- ~~ 4 TOTAL DUE 5at- FD1595 it .'1 . t· e ....~ . '....:r U\V~:l {V\()t~ ~ 3(0<7 ~30ço~11''l "" -I .'; \ l.Jilll " PHONE: (310) 830- -TO , FAX: (310) 836......,J2 MKiNlNll JM(}S., CONTRACTORS LlC. NO. 343468 VIRGIL CICORIA Project Manager 1110 W, ANAHEIM ST. #4 WILMING TON, CA 90744 __ ._ ~ ___ - .u._ _ - -- ----" ----- --- - ,-- - --~--------..,......--.--::> ~ I ! ~ . -- 7", Cit~ O~ i9hø~~!el~ ¡¡¡¡O CtlS'i'Ogmt R~Œ!P'i' {!¡¡{! OPER' n:1flUmn OC DRlì!ÆR~ 1 Dß'i'E: 3/15/$101 RíECEIM'~ f{{j)74700 j}~!tIM'IOtJ tm CillOUrJ'j' 'i'P 'rn rn UIJDlmGfu1 YßrJít 1 ~,~~ 032 œ mIDER DETf¡IL CK 6246 Df¡'Œ~ 3115/$1 'î'O'i'M. CH£Cß ~,$$ 'fltJE: 1~:~:52 ~9.$@ , --~-"~------ ~.~- ~- - MR430I07 Customer ID . . Last statement Last invoice Current balance Pending . . . Type options, 5=Display Opt Trans Date 8/01/99 6/30/99 6/01/99 5/18/99 5/01/99 4/30/99 4/01/99 3/01/99 2/01/99 ~ CITY OF BAKERSFIELD~ ·~iscellaneous Receivables wquiry 3945 8/01/99 0/00/00 .00 .00 Name: CHEVRON USA PRODUCTS 91554 Addr: PO BOX 2833 LA HABRA, CA 90632 A ACTIVE ENVIRONMENTAL SERVICES press Enter. Combined Detail F3=Exit Code stmrn stmrn stmrn stmrn 88001 stmrn stmrn stmrn F12=Cancel Description Statements Processed Statements Processed Statements Processed PAYMENT Statements Processed Charge adjustment Statements Processed Statements Processed Statements Processed Amount .00 .00 .00 466.00- .00 8.50- .00 .00 .00 Balance .00 .00 .00 .00 466.00 466.00 474.50 474.50 474.50 * = Pending 8/06/99 17:07:29 Chg Bnk G Typ Cd L 00 Y J + -~-----=-=-- FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 . VOICE (661) 326-3941 FAJ< (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3979 FAJ< (661) 326-0576 TRAINING DIVISION 5642 Victor Ave, Bakersfield, CA 93308 VOICE (661) 399-4697 FAJ< (661) 399-5763 -- ---¡ June 11, 2001 Mr, Paul Deneka Jack in the Box, Inc. 9330 Balboa Avenue San Diego, CA 92123 CLOSURE OF 1 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANK(S) LOCAmº-AT3~AYE~ BAKERSRIELD-GA -PERMI-'f-#BR-02141 , , -- Dear Mr, Deneka: This is to inform you that this department has reviewed the results for the preliminary assessment associated with the closure of the tanks located at the above stated address. Based upon laboratory data submitted, this office is satisfied with the assessment performed and requires no further action at this time. Accordingly, no unauthorized release reporting is necessary for this closure. If you have any questions regarding this matter, please contact me at (661) 326-3979, Sincerely, ~ / :d I J ~ loA ~t.=. Howard H, Wines, III Hazardous Materials Specialist Registered Geologist No. 7239 Office of Environmental Services HHW /db cc: 1. Whiting, RWQCB P. Roberts, Ninyo & Moore S:\JUNE lOOllPdenek1llQ Union Ave UST,LLwpd ~ (,(,.7~ de W~ ~/<' uØ60Pe .r~ ./6 WeAhu?" 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)32~576 ENVIRONMENTAL SERVICES 1715 Chester 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)3~5763 .It . July 28, 1999 Chevron USA P.O. Box 6004 San Ramon, CA 94583 RE: Chevron Station #91554, Located at 10 Union Avenue, Bakersfield, CA This is to infonn you that this department has reviewed the result of the preliminary assessment dated March 8, 1999 associated with the underground tank removal. Based upon the infonnation provided, this department has detennined 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 detennination 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 detennination 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 detennination 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 aJlY questions regarding this matter, please contact me at (661) 326-3979. Sincerely, ~... ~~y, Director Office of Environmental Services cc: Y. Pan, RWQCB Saad Najdawi S:\USTFORMS\I.IST.L8 ""SC~ de W~ S70P ~~.r~ A W~" .. . e - RECEIVED JUl 2 :3 1999 BY: Chevron Products Company, Inc. P,O. Box 6004 San Ramon, Ca 94583-0904 July 19, 1999 City of Bakersfield 1501 Truxtun Avenue Bakersfield, CA 93301 Attn: Hazardous Materials Division Cheryle Canfield Permit Desk Phone No, 925-842-9002 Fax No, 925-842-9585 RE: Account # CUSTOMER NO: 3945, 10 UNION AVENUE, BAKERSFIELD, CA 93307 - ~-------.. - -- -~ "--- --:-=--.-- .-- - --=- ~-.:.:;. .:--~--.-- --"--------=:-~-~------'"""""-~------:....-~. - -- - --~""""=~ --:- --- ---- Gentlemen: The above referenced facility was abandoned on Novermber 30, 1998 and all of the permitted equipment has been removed. Please cancel the above referenced permit. If you have any questions feel tree to give me a call at 925-842-9002, Sincerely, I] I 7 r L/fùf>~ir~¿Û.~ Cheryle œ¡, Canfield U Retail Compliance Permit Desk ¡;¿ ~~~e \f" W~~~ ~~ù~ '1 k~f\ % s -~- --..", ~- -" ------, - "'--"------..: ~----:"----=.-:::....::----~"'"'"-.,. ( jY- .;.:----- -=-=--. ~- -,~ e STATEMENT OF ACCOUii ...... V~ \ ~ Jc' ,.,- ~ __<of ~ø . 'r a lC:. tJP ~ # '"" \()o. \ 0 fI--< ... .¡-. 'Q;J"\ \ (:..,,/" e;( " ta4 't"~ " ;(.".,Þ TO: CHEVRON USA PRODUCTS PO BOX 2833 LA HABRA, CA 90632 ~~ CITY OF BAKERSFIELD ð"J 1501 TRUXTUN AVE ( BAKERSFIELD, CA 93301-5201 (805) 326-:-3979 DATE: 5/01/99 91554 CUSTOMER NO: 3945 CUSTOMER TYPE: ES/ 3945 ----------------------------------------------------------.------------------ CHARGE '. . DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT ------ -------- ------------------------- ---------- -------- -------------- SSOOl 4/01/99 BEGINNING BALANCE 4/30/99 Charge adjustment CA STATE SURCHARGE 5/31/99 474, 50 8. 50-- FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- -------------- -------------- 466.00 - --------- - -- - ---~ DUE DATE: 5/31/99 PAYMENT DUE: TOT AL DUE: 466.00 $466. 00 CUSTOMER NO: 3945 CUSTOMER TYPE: ESI TOT ALDUE: 3945 $466.00 1 ,I¡..,....~ \ .. c: ~,~ ;,'<: ;--;) ) I?'" d;;i;CNS:" d <, rr..== ~<:$'C~ ""7;7(-"0' ;" .. \'10\& VA, .~ ,¡5. p SPOSIAGE '1,~1 ,oj -~.- ¿1~ Y. ç Q ,b':. ~ ~ (Ô¡ .... ¡:;1 J'W'99, - ¿, d ~ ~ I % ~Ë ... , ...... ,v..! nl2J 0:; I . « " . P!U"ETE~. _'= I ..:+7~;:¡·~~,-~__.._ H:. _-.... . ¡ 1 I ,1 ,I 'tll.:.:, '\ , coo ="", ~~ g= ""'- """'''''' [S~ ~ i/ij~, ~ ~:::? t-iA r'L~L: 11'... . '. - :i~~~ ..:. e Š Chevron Chevron Products Company PO, Box 6004 San Ramon, CA 94583-0904 \ \ I ¿i1¡ 7 ~ / SZJ I J.Lv--µ-:~ í'l/J'U..- ~&~ ~ :3~OI_ Ût;u¡ ð l7?-u,; ~-~ ';.":":-. :.- .:. .:.: :: -. .......-. - I ,I ï I) ~ e e [limon ~ Chevron February 6, 1999 Chevron Products Company. PO Box 6004 San Ramon, CA 94583-0904 City of Bakersfield PO Box 2057 Bakersfield, CA 93303-2057 Sharan Beller Permit Desk Phone No. 925-842-9002 Fax No. 925-842-9585 Re: Chevron Station #9-1554 10 Union Avenue Bakersfield Customer No: 3945 This letter is to inform you that Chevron is not responsible for the above referenced facility, This property was sold 12/01/98, The facility should be billed directly for these fees, as the operator owns all equipment at this facility, If there are any questions, please call Sharan Beller at (925) 842-9002. Sincerely, /~ ' __~-v/¡)llt¿(:JbßJJ./~J tD ~ 0---.. À.v ~ ---- Sharan Beller Permit Desk .-----,- - --- - - - -- - --- - ~ - --' --- -- -- -- ~ - -- --.-..,..-- --- -- ~~"'" ~ rW e STATEMENT OF ACCOUN~ CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD. CA 93301-5201 (805) 326-3979 DATE: 1/15/99 TO: CHEVRON USA PRODUCTS 91554 PO BOX 2833 LA HABRA, CA 90632 CUSTOMER TYPE: ES/ 3945 , .. ,-~--_._~--",-"t"""-""""'~~ ._-_.~ -~- -.----'"'<-~___ CHARGE . - -----£USIOMEILND.:- -~~9JCi~~ -., REF-NUMBER DUE DATE TOTAL AMOUNT ---------------------------------------------------------------------------- DATE DESCRIPTION ------ -------- ------------------------- ---------- -------- -------------- HM005 HM017 SS001 SS002 UT001 ~ - ---=-.._~---:: 1/01/99 BEGINNING BALANCE 1/15/99 HAZ MAT HANDLING FEE E 1/15/99 HAZ MAT ANNUAL INSPECTION 1/15/99 CA STATE SURCHARGE 1/15/99 UST STATE SURCHARGE THIS FEE IS A STATE SURCHARGE OF $8.00 FOR EACH UNDERGROUND STORAGE TANK. 1/15/99 UNDERGROUND TANK ANNUAL OPERATING PERMIT FEE OPERATING PERMIT FEE OF $66.00 FOR EACH TANK. THIS UNIFIED BILL REPLACES SEPERATE BILLS RECEIVED IN THE PAST FOR THESE PROGRAMS. .00 110.00 50.00 18. 50 32.00 264.00 CONTINUED ON NEXT PAGE. . . _=:..- ------>--=-:=--- - .- :.--"'"".---...........---=-- -,.-=---=---, -'-'- -~- DATE: 1/15/99 REMIT AND MAKE CHECK CITY OF BAKERSFIELD PO BOX 2057 BAKERSFIELD CA 93303-2057 CUSTOMER NO: 3945 CUSTOMER TYPE: Eel 3945 ;""'-"t ~ e STATEMENT OF ACCOUN~ CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA 93301-5201 (805) 326-3979 DATE: 1/15/99 TO: CHEVRON USA PRODUCTS 91554 PO BOX 2833 LA HABRA. CA 90632 -..~ __c.USIOMEILhIO· 394_5 CUSTOMER TYPE: ES/ _3.9i2-___ . ---------------------------------------------------------------------------- CHARGE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT ------ -------- ------------------------- -------~-- -------- -------------- FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- -------------- -------------- 474. 50 DUE DATE: 2/15/99 PAYMENT DUE: TOTAL DUE: 474. 50 $474. 50 DATE: 1/15/99. REMIT AND MAKE CHECKÞAYABLÉ tQ:' CITY OF BAKERSFIELD PO BOX 2057 BAKERSFIELD CA CUSTOMER NO: 3945 CUSTOMER TYPE: ESI TOTAL DUE: 3945 $474. 50 ~.~ ~ lAST rÚÌQ - /O~ ~ California Reional Water Quality 4þntrol Board Central Valley Region Steven Butler, Acting Chair a Winston H. Hickox Secretary for Environmental Protection Fresno Branch Office Internet Address: http://www.swrcb.ca.gov/-rwqcb5 3614 East Ashlan Avenue, Fresno, California 93726 Phone (559) 445-5116 . FAX (559) 445-5910 . Gray Davis Governor 15 July 1999 Mr. Ralph E. Huey, Director Office of Environmental Services Bakersfield Fire Department 1715 Chester Ave. Bakersfield, CA 93301 r ' ., C). . " I . ~, ., , ,. REQUEST FOR CONCURRENCE, PROPOSED CLOSURE, CHEVRON 9-1554, 10 UNION STREET, BAKERSFIELD, CALIFORNIA You submitted preliminary site assessment results for the referenced site contained in a March 8, 1999 report "Underground Storage Tanks Removal Report" (Report) prepared by Telluris, Inc. of Huntington Beach, California. You requested our concurrence with your proposed closure of this site in your March 29,1999 cover letter. Our review of the Report and comments follow. Based on our review of the referenced Report we understand the following: · Three 1O,000-gallon gasoline and one 1,000-gallon waste oil USTs were removed from the site on February 2, 1999. · Approximately 1,000 cubic yards of soil were excavated from the UST pits, dispenser islands, and from an access ramp constructed to gain access to the bottom of the gasoline UST pit. This soil was segregated, stockpiled and covered on site. · Soil samples were collected from approximately two and six feet below the base of each end of the gasoline USTs. Soil samples were also collected from approximately two and six feet below the base of each dispenser (six dispensers total) except at the central dispenser of the western island. Only one sample from a depth of eight feet was collected at this location. Eight soil samples were collected from the stockpiled soil. · Samples from stockpiles and from below the gasoline USTs and dispensers were analyzed for BTEX, MTBE and TPH-gasoline by EPA Methods 8021M and 8015M. · Waste oil UST samples were analyzed for Total Recoverable Petroleum Hydrocarbons by EPA Method 418.1. Table 1 from the referenced report represents the waste oil UST samples as being analyzed for gasoline constituents. However, the lack of any analytical reporting for these constituents in our report copy and lack of a request for these analyses on the associated Chain of Custody form suggests the waste oil UST samples were not analyzed for gasoline constituents. · The highest concentrations of BTEX and MTBE noted in confirmatory soil samples were 0.007, 0.04,0.01,0.07 and 0.7 mg/kg, respectively. TPH-gasoline was not detected in confirmatory California Environmental Protection Agency o Recycled Paper .,j -,.,-... Chevron 9-1544 10 Union Avenue, Bakersfield e - 2- - 15 July 1999 samples. One stockpile sample (SPIT-8) contained concentrations of TPH-gasoline (14 mg/kg) and xylenes (0.02); stockpile sample SPIII-6 contained a MTBE concentration of 0.3 mg/kg. . The deeper samples at all locations returned non-detected results for all constituents except at the location of dispenser island sample DI6-6. The sample from six feet below grade at this location contained 0.7 mg/kg MTBE. . Approximately 18 cubic yards of contaminated soil was removed from the site and transported to a soil recycling facility. The remainder of excavated soil was used as backfill. From the information provided to us it appears that gasoline constituents were falsely reported for waste oil UST samples WO-12 and WO-16. Since all of the supporting documentation for the sampling was provided we conclude that this was a clerical error and not an attempt to submit false data. We also understand that depth to groundwater in the site vicinity is on the order of 200 feet below grade. ' This distance to water should provide sufficient protection of groundwater resources from migration of any of the detected petroleum hydrocarbons remaining in site soils. Based on the information provided we conclude that the release was small, that the majority of the impacted soil was removed, and that the small amount of petroleum hydrocarbons remaining in the soil will naturally attenuate with time and does not pose a threat to health, safety, or the environment. We concur with your proposed closure of this site. Thank you for providing us the opportunity to comment on the proposed closure. Should you have any questions regarding this matter, please contact Mr. Bruce Myers of this office at (559) 445-5504. .fX7£J. ~ 7IÞ Þ< /~~ BERT E. VAN VORIS Supervising Engineer BEM:bem U:\UGlìChev 9-1554 close concur.doc ,..';?: .d' .:;)' :r 1!. ", ....;.I :"~ff .,';iÿ _:~i~"· - ~ 10 ~_~~t: ¡j(/S=r~-fJi0 .-. :,ple Letter (3) Notice of Proposed Action Submitted to Local Agency RE: Notice of Proposed Action Submitted to Local Agency for (J 0- 1/ I/O k..- f) ( r Site name J?r'Ÿ keß r /' ~ Dc (7+ City of Bakersfield Fire Department Office of Environmental Services c/o Ralph E. Huey, Director 1715 Chester Avenue, Suite 300 Bakersfield, CA 9330 I 10 ()0Ll'Ok- Hu e \ Site address Date: 1//;(/11 ;~::..:~>. ~-,":L,-: ,~,~ .¡ /)" ~()C0 , 'L,., J . i¡l, . ~I".~ ':>{:>:L ::.?~~,~~\;~r::~-·:~:_ ~~' q~/~òL¡ 9'3'$07 In accordance with section 25297.15(a) ofCh. 6.7 of the Health & Safety Code, I, . C úeu~ prz;¿{){(t!:-f-ç ~ , certify that I have notified al1 Name of primary responsible party responsible landowners of the enclosed proposed action. Check space for applicable action(s): _ cleanup proposal (corrective action plan) / site closure proposal local agency intention to make a determination that no further action is required. local agency intention to issue a closure letter. CC: (Names and addresses ofal! record fee tit!e owners) ;II! r: 5t'1 ð'/ AI CéJ'o/O t{/ / Sincerely, Me ~ ß/¿¿~ ~ 41 'l æ / /Z; e Iv( {! 4f (YtØ?A-- -¡; ¡/?) tfÎ/ e-Is c:6 Signature of primary responsible party Name of primary responsible party ...' "". .. e e Chevron == Chevron June 30, 1999 Mr. Saad Najdawi 7553 Trellis Circle Fresno, CA 93720 Chevron Products Company Marketing Operations Services 1300 South Beach Boulevard Building 4516 La Habra, California P.O. Box 2833 La Habra, CA 90632-2833 Phone 562 694 7300 RE: Land Owner Notification and Participation Requirements for Chevron 9-1554 Located at 10 Union Ave., Bakersfield, CA 93307 Dear Sir, This letter is to inform you that our records indicate that you are the fee propeJ1y owner for the above property. Per new legislative requirements the Bakersfield Fire Department requires Chevron to notify you that it has submitted to the agency an Underground Storage Tanks Removal Report and request for site closure (copy enclosed). Should you have any questions please feel free to contact me at (562) 694-7868. Sincerely, ,-' . /7 Ú~1 /;;~ / C-¿d-/,/-t,/ Eric R. Roehl Environmental Project Manager ee. Central Files / / /;. . /J/' ¡;7)?:7/,¿ ~) ¡;:---' .:Z (~¿ó /. /,<--J/v />'1 >.:; // /(;, 1'£:'.(>( /( ý-/þ/'-' '---, " L/L-j , 7' . ,/~ '- . '- y t:?-- -[ { /' ¡?" - ---. .-' c.: ( {~/-(-' . .¡,- ., ¡; ---_..~ ,..~.,._~~. .. -~----'-'--___"'____"""""""-'~"""_'w' -_._------.. .._-~-~------_.-._.. ~ DER: 'C -Complete items 1 and/or 2 for additional services, '¡j -Complete items 3, 4a, and 4b. GI -Print your name and address on the 18_ of this form so thai we can retum this f card to you. ~ - Attach this form to the front of the mallpieoe, or on the back if space does not I!! permit. GI -Write"Return Receipt Requested' on the malfpieoe below the article number. £; -The Retum Receipt will show to whom the arIiåe was delivered and the date c delivered. o 'C .!! C) ë. E o () ,.,- 3. Article Addressed r: jAr. 5àa¡/ I ;Vf{JdåLL)¿~ 75-S3 Tre!//> C/rG(~ ~Á 9 3 7;:¿ 0 I also wish to receive the following services (for an extra fee): 1. 0 Addressee's Address 2. 0 Restricted Delivery Consult postmaster for fee. 4a. Article umber ð -~ O~ 'Q7 7 g 4b. Service Type o RegiStered o Express Mail o Return Receipt for Merchandise 7. Date of Delive~ --/- :l- 8. Addressee's Address (Only if requested and fee is paid) ~rtified o Insured o COO ~ç ~ '. .-'" -.....,...- ~.. .~~-. ~-~~~"'~~"""''''''''''''''''------.....-...--._-. -.--" . -," '-'~.;~,,-~ ....~~~..-~..~~~.,' ,,,,,.. ....- .~-,,~..~.. ~--'--' ----. - ... 102595-97-8-0179 Domestic Return Receipt Fr¿7 SUt) ./ 5. Received By: (Print Name) ~ 6. Signature: (Addressee or ~ X .!! ai, () ~ C) en .. 0.' 8: C) a:' e; ::s: 1;~ a:, g'£ '¡ji' ::I' ... .2 ::s, o >0' ~" c: III: s::.: 1-: ~¢:~~~~~::~:~. ~ '-··.=~~~~:.~~~;~~'~~~,~:Jß~~~"¡~';::i ~~~~,)'~1~}jì~1i~lI~~. i~~ij~;;.i;~~l~fff)!~; ~:"1Ç~~i7j,:êt~'{~~ -, "'".~..,- . .'. , ' . -~" . -,. -".- .. ~ _~ r......._ .. -., - .. ,.' ,.".- ..' - . ' FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, GA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 "W 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 DIVISION 5642 Victor Ave, Bakersfield, CA 93308 VOICE (805) 3994697 FAX (805) 399-5763 - - June 29, 1999 Saad Najdawi 7553 Trellis Circle Fresno, CA 93720 Dear Saad Najdawi: As the property owner for the former Chevron Service Station 9- 1554, located at 10 Union A venue, Bakersfield California, I am informing you of our intent to close this site, with no further action required. The underground storage tanks at this site were removed on February 2, 1999. Soil samples do indicate that some hydrocarbon impacted soil does remain on site. The levels found are below any level that would trigger further action by this office. It is our intent therefore to issue a closure letter to Chevron requiring "no further action." The preliminary site assessment results are available for your review, in our office, located at 1715 Chester Avenue; Suite 300, Bakersfield, CA 93301. Ifwe do not hear from you by July 28, 1999, we will issue a closure letter. Sincerely, REH/dm cc: Eric Roehl, Chevron ""..7~ de W~ ~OP ~~ .9'"'~ ..A W~?" i. - ~ . ,~.... e . Chevron è3 Chevron June 21, 1999 ICDDœil/voon IPvllJldliwctts ICllJlmßJIlllonlf Marketing Operations Services 1300 South Beach Boulevard Building 4516 La Habra, California P.O. Box 2833 La Habra, CA 90632-2833 Phone 562 6947300 RECEIVED JUN 2 4 1999 City of Bakersfield Fire Department Office of Environmental Services c/o Ralph E. Huey, Director ""1715 Chester Ave. Bakersfield, CA 93301 BY: Re: Landowner Notification Chevron Station No. 9-1554 10 Union Ave. Bakersfield, CA 93307 Dear Ralph Huey: Chevron was requested to provide a complete mailing list of all current record owners of fee title for the above site. A copy of the grant deed is attached for your use. Please let me know if you have any questions or comments. I can be reached at (562) 694-7868. very. truly yours, ~ / l. ~;2~ Eric Roehl SAR Project Manager cc: D. Noel 9-1554.doc e . . ,pie Letter (2): List of Landowners Form " Date: II b( c< I II é~/; City of Bakersfield Fire Department Office of Environmental Services c/o Ralph E. Huey, Director 1715 Chester Avenue, Suite 300 Bakersfield, CA 9330 I CL&v~ ?-IS-;;Y /0 ()l{t.'Ou. Ji.u~ \. RE: Certified List of Record Fee Title Owners for lSá.l~ß.p(dQ ~Jt- C¡:5 507 Sité address / Site name Fill out item I if there are multiple site landowners. If you are the sole site landowner, skip item 1 and fill out item 2. 1. In accordance with section 25297.15(a) of Chapter 6.7 of the Health & Safety Code, 1, t:.. ÍU2 /J' f7;) A pj7.J/i Lf L ¡...¡. ~ . Name of primary responsible party certify that the following is a complete list of current record fee title owners and their mailing addresses for the above site: 5e<e pHæ6!æ£0-tr~{- ff)~ec(J fur SCta£ /Úa/dáW¿' _. - 2. In accordance with section 25297.15(a) ofCh N nmary responsible party am the sole landowner for the above site. Sincerely, ~~;2Ì2~ Signature of primary responsible party C~U~ rrV7ÞftLc-ts ç ~ Name of primary responsible party """'<; 1~ .. r;. .-- .e e 9-24-1998 2:59PM FROM P.2 " " . DOCUMENT #:0198134278 SOFIR Pages: 4 9/313/1998 14:1313:1313 RECORDING REQUESTED BY: Fidelity National Title James Maples,Assessor-Reoorder Kern County Offioial Records Saad Najdawi 7553 Trellis Circle Fresno, CA. 93720 Fees, , ., Taxes. . . Other, , , TOTAL PAID, . 16,00 When Recorded Mall Document To: 16,00 98025l-JS Stat, Types: 1 APN: 139-370-06 & 139-370-05 INTERSPOUSAL TRANSFER DEED (Excluded from reappraisal under California Constitution Article 13 A Section 1 at seq.) Documentary transfer tax is $ N/A City Tax is $ A creation, transfer, or termination, solely between spouses, of any co-owner's interest. This is an Interspousal Transfer and not a change in ownership under Section 63 of the Revenue and Taxation Code and Grantor(s) has (have) checked the applicable exclusion from reappraisal: FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Hourieh S. Najdawi hereby GRANT(S) to Saad Najdawi the real property in the Q4~~~X un; ncorporated area County of ,Kern , State of California: See Attached Exhibit "A~ DATED: September 24, 1998 ~. øW't '4' 'U; ¿lrieh '5~aJd'~ STATE OF CALIFORNIA COUNTY OF br.m Fresno ON September 28, 1998 before me, Susan Thompson-Notary personally appeared Hourîeh S. Najdawi-------------------- )~.~.A-~~~;~II~ -^-f a: CCMl .1111461. .., NOTARY I'U8LJCoCALIFOANIA IX! ! PRWCIPAL OFFICE IH :D ... \ FRESNO COUNTY .... , ~ -v- ~ ~ ~~e:~~~ personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s whose name(s) is/are subscribed to the within instrument and acknQwledged to me that he/she/the.y executed the same in his/her/their authorized capacity(iesJ. and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness my hand and official seal. SI9nature~~ Susan Thompson MAIL TAX STATEMENT AS DIRECTED ABOVE UD-13C (Rev 12/95) INTERSPOUSAL TRANSFER DEED r-... :"t' e e . . . '. . -Fi Ie Number Page Number 980251 2 EXHIBIT "ONE" The land referred to in this Report is situated in the County of Kern, State of California, and is described as follows: Parcell: That ~ortion of Section 32, Township 29 South, Range 28 East, Mount Diablo Merid~an, in the unincorporated area of the County of Kern, State of California, according to the official plat thereof on file in the Office of the Surveyor General, described as follows: (I Beginning at the southwest corner of said Section 32 and running thence easterly along the southerly boundary line of Section 32, a distance of 262.4 feet; thence northerly and parallel to the westerly boundary of Section 32, a distance of 337.2 feet; thence westerly and parallel to the southerly boundary of Section 32, a distance of 262.4 feet more or less, to the westerly boundar¥ of said Section 32; thence southerly along the westerly boundary of sa~d Section 32, a distance of 337.2 feet more or less, to the point of beginning. ~ Excepting therefrom the West 57.75 feet of said land. Also excepting therefrom the following described property: That portion of the Southwest quarter of Section 32, Township 29 South, Range 28 East, Mount Diablo Meridian, described as follows: Beginning at the southeast corner of the West 57.75 feet of said section; thence (1) along the east line of the West 57.75 feet of said section, North 0°46'20" East, J.17.55 feet to a point of cusp with a curve concave northeasterly, with a radius of 50 feet; thence (2) southeasterly along last said curve, through an angle of 90°38'00", an arc distance of 70.09 feet; thence (3) along the north line of the South 67 feet of said section, South 89°51'4011 East, 160.28 feet to the west boundary of Tract 1139, Golden State Tract, as per map recorded May 29, 1940, in Book 4, Page 193, of Maps; thence (4) along said west boundary, South 0°45'40" West, 67 feet to the south line of said section; thence (5) alon$ said south line North 89°51'40" West, 210.85 feet to the point of beg~nning. Also excepting therefrom the following three parcels of land, described as follows: Parcel A: That portion of the Southwest quarter of Section 32, Township 29 South, Range 28 East, Mount Diablo Meridian, in the unincorporated area of the County of Kern, State of California, according to the official plat thereof on file in the Office of the Surveyor General, described as follows: ·... ;,) e e r '...File Number Page Number 980251 3 "\ , . , EXHIBIT "ONE" (continued) Commencing at the southeast corner of the West 57.75 feet of said Section 32; thence along the east line of the West 57.75 feet of said section North 0°46120" East, 117.55 feet to a point of cusp with a curve concave northeasterly, with a radius of 50 feet and the true point of beginning; thence southeasterly, along last said curve through an angle of 90°38'00" an arc distance of 79.09 feet; thence along the north line of the South 67 feet of said section, South 89°51140" East, 99.44 feet; thence North 0°46'20" East, parallel to the west line of said section, 135.30 feet; thence parallel to the south line of said section, North 89°51'40" West, 150 feet to the east line of the West 57.75 feet of said section; thence along said east line South 0°46'20" West, 84.74 feet to the true point of beginning. . Parcel B: Beginning at the northwest corner of Parcel "A" herein described; thence North 00°46120" East, along the east line of the West 57.75 feet of said Section 32, a distance of 40 feet; thence southeasterly on a straight line to the northeast corner of said Parcel "A"; thence North 89°51140" West, along the north line of said Parcel "A", a distahce of 150 f~et to the point of beginning. Parcel c: Beginning at the southeast corner of Parcel "A" herein described; thence South 89°51140" East, along the north line of the South 67 feet of said. Section 32, a distance of 25 feet; thence northwesterly on a straight line, to the northeast corner of said Parcel "A"; thence South 00°46'20" West along the east line of said Parcel "A", a distance of 135.30 feet to the point of beginning. Parcel 2: Parcel A; That portion of the southwest quarter of Section 32, Township 29 South, Range 28 East, Mount Diablo Meridian, in the unincorporated area of the County of Kern, State of California, according to the official plat thereof on file in the Office of the Surveyor General, as follows: Commencing at the southeast corner of the West 57.75 feet of said Section 32, thence along the east line of the West 57.75 feet of said section, North 0°46'20" East, 117.55 feet to a point of cusp with a curve concave northeasterly with a radius of 50 feet and the true point of beginning; thence southeasterly, along last said curve through an angle of 90°38100" an arc distance of 79.09 feet; thence along the north line of the South 67 feet of said section, South 89°51'40" East, 99.44 feet; thence North 0°46120" East, parallel to the west line of said section, 135.30 feet; thence parallel to the south line of said section, North 89°51'40" West, 150 feet to the east line of the West 57.75 feet of said section; thence along said east line South 0°46'20" West, 84.74 feet to the true point of beginning. i, -. " ~. -------- e 00 , i " . File Number . ~o Page Number 980251 4 EXHIBIT "ONE" (continued) Parcel B: Beginning at the northwest corner of Parcel "A" herein described; thence North 00°46'20" East, along the east line of the West 57.75 feet of said Section 32, a distance of 40 feet; thence southeasterly on a straight line to the northeast corner of said Parcel "A", thence North 89°51140" West, along the north line of said Parcel "A", a distance of 150 feet to the point of beginning. Parcel c: Beginning at the southeast corner of Parcel "A" herein described; thence South 89°51140" East, along the north line of the South 67 feet of said Section 32, a distance of 25 feet; thence northwesterly on a straight line, to the northeast corner of said Parcel "AII; thence South 00°46'20" West along the east line of said Parcel "A", a distance of 1315.30 feet to the point of beginning. " , .~ --e 1 "t .~ ~ - RECORDING REQUESTED BY: Rdelity National Title Company Escrow No. 980251·JS Title Order No. 00980251 When Recorded Mail Document and Tax Statement To: Mr. Sa ad Hafiz Najdawi 7553 Trellis Circle Fresno, CA 93720 e James Maples.Assessor-Recorder Kern County Official Records SOFIR Pages: 4 9/30/1998 14:00:00 DOCUMENT #:0198134277 11111111111111 U ~ .0199134277. Fees, . . Taxes. , . Other" , TOTAL PAID, , 51 Jøø 16.00 495,00 GRANT DEED SPACE ABOVE n Stat, Types: 1 The undersigned grantor(s) declare(s) Documentary transfer tax is $ 495.00 [X ] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale, [X 1 Unincorporated Area City of unincorporated area FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Richard S. Huth, Trustee of the Huth Family Trust A, Richard S. Huth, Trustee of Huth Family Trust B, Richard S. Huth and Ernest L. Mack, Trustees of the Huth Family Trust C hereby GRANT(S) to Saad Najdawi, A Married Man as his Sole and Separate Property the following described real property in the City of unincorporated area County of Kern, State of California: SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF By: ~ '" I .J- Jf7r, tLr'1. Ernest L. Mack, Trustee y~~------------~~~- M& D. DODD 1\ l1J COMM. #1178205 e Øi NOTARY I'U8UC. CALIFORNIA IN ÞI . TUlARE COUNTY UJ JL, My Comm, Ðcp, Apr. 10.2002'" ------~- ----__..A MAil TAX STATEMENTS AS DIRECTED ABOVE DATED: June 11, 1998 STATE OF C~RN COUNTY OF (, o before me, personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Wrtness my rt;rtjcia' sealç Signature /-1) ¿V ~ By: Ri :::h~~ Rich rd S. Huth, Trustee Huth Family Trust C BY:~~ Rich rd S. Huth, rustee ~ FD-213 (Rev 7/961 GRANT DEED " " e-- n_n__.___._ m___ ----_..." 'ÇJ , . I 'File Number Page Number 980251 2 EXHIBIT "ONE" The land referred to in this Report is situated in the County of Kern, State of California, and is described as follows: Parcel 1: That ~ortion of Section 32, Township 29 South, Range 28 East, Mount Diablo Merid1an, in the unincorporated area of the County of Kern, State of California, according to the official plat thereof on file in the Office of the Surveyor General, described as follows: Beginning at the southwest corner of said Section 32 and running thence easterly along the southerly boundary line of Section 32, a distance of 262.4 feet; thence northerly and parallel to the westerly boundary of Section 32, a distance of 337.2 feet; thence westerly and parallel to the southerly boundary of Section 32, a distance of 262.4 feet more or less, to the westerly boundarr of said Section 32; thence southerly along the westerly boundary of sa1d Section 32, a distance of 337.2 feet more or less, to the point of beginning. Excepting therefrom the West 57.75 feet of said land. Also excepting therefrom the following described property: That portion of the Southwest quarter of Section 32, Township 29 South, Range 28 East, Mount Diablo Meridian, described as follows: Beginning at the southeast corner of the West 57.75 feet of said section; thence (1) along the east line of the West 57.75 feet of said section, North 0°46'20" East, 117.55 feet to a point of cusp with a curve concave northeasterly, with a radius of 50 feet; thence (2) southeasterly along last said curve, through an angle of 90°38'00", an arc distance of 70.09 feet; thence (3) along the north line of the South 67 feet. of said section, South 89°51'40" East, 160.28 feet to the west boundary of Tract 1139, Golden State Tract, as per map recorded May 29, 1940, in Book 4, Page 193, of Maps; thence (4) along said west boundary, South 0°45'40" West, 67 feet to the south line of said section; thence (5) alon~ said south line North 89°51'40" West, 210.85 feet to the point of beg1nning. Also excepting therefrom the following three parcels of land, described as follows: Parcel A: That portion of the Southwest quarter of Section 32, Township 29 South, Range 28 Bast, Mount Diablo Meridian, in the unincorporated area of the County of Kern, State of California, according to the official plat thereof on file in the Office of the Surveyor General, described as follows: ," <' e e ~ . . 'File. Nu\\\ber Page Number 980251 3 EXHIBIT "ONE" (continued) Commencing at the southeast corner of the West 57.75 feet of said Section 32; thence along the east line of the West 57.75 feet of said section North 0°46'20" East, 117.55 feet to a point of cusp with a curve concave northeasterly, with a radius of 50 feet and the true point of beginning; thence southeasterly, along last said curve through an angle of 90°38'00" an arc distance of 79.09 feet; thence along the north line of the South 67 feet of said section, South 89°51'40" East, 99.44 feet; thence North 0°46'20" East, parallel to the west line of said section, 135.30 feet; thence parallel to the south line of said section, North 89°51'40" West, 150 feet to the east line of the West 57.75 feet of said section; thence along said east line South 0°46'20" West, 84.74 feet to the true point of beginning. Parcel B: Beginning at the northwest corner of Parcel "A" herein described; thence North 00°46'20" East, along the east line of the West 57.75 feet of said Section 32, a distance of 40 feet; thence southeasterly on a 'straight line to the northeast corner of said Parcel "A"; thence North 89°51140" West, along the north line of said Parcel "A", a distance of 150 feet to the point of beginning. Parcel c: Beginning at the southeast corner of Parcel IIA" herein described; thence South 89°51'40" East, along the north line of the South 67 feet of said Section 32, a distance of 25 feet; thence northwesterly on a straight line, to the northeast corner of said Parcel "A"i thence South 00°46'20" west along the east line of said Parcel IIA", a distance of 135.30 feet to the point of beginning. Parcel 2: Parcel A: That portion of the Southwest quarter of Section 32, Township 29 South, Range 28 East, Mount Diablo Meridian, in the unincorporated area of the County of Kern, State of California, according to the official plat thereof on file in the Office of the Surveyor General, ,as follows: Commencing at the southeast corner of the west 57.75 feet of said Section 32, thence along the east line of the West 57.75 feet of said section, North 0°4612011 East, 117.55 feet to a point of cusp with a curve concave northeasterly with a radius of 50 feet and the true point of beginning; thence southeasterly, along last said curve through an angle of 90°38'00" an arc distance of 79.09 feet; thence along the north line of the South 67 feet of said section, South 89°51'40" East, 99.44 feet; thence North 0°46'20" East, parallel to the west line of said section, 135.30 feet; thence parallel to the south line of said section, North 89°51'40" West, 150 feet to the east line of the West 57.75 feet of said section; thence along said east line South 0°46'20" West, 84.74 feet to the true point of beginning. .~. Î 'i _IJ.._ .- ..---.-....----- ... e-------- ---- ,- · . b'iie Number Page Number 980251 4 EmIBIT HONER (continued) Parcel B: Beginning at the northwest corner of Parcel "A" herein described; thence North 00°46'20" East, along the east line of the West 57.75 feet of said Section 32, a distance of 40 feet; thence southeasterly on a straight line to the northeast corner of said Parcel "A", thence North 89°51'40" West, along the north line of said Parcel "A", a distance of 150 feet to the point of beginning. Parcel c: Beginning at the southeast corner of Parcel "A" herein described; thence South 89°51'40" East, along the north line of the South 67 feet of said Section 32, a distance of 25 feet; thence northwesterly on a straight line, to the northeast corner of said Parcel "A"; thence South 00°46'20" West along the east line of said Parcel "A", a distance of 135.30 feet to the point of beginning. FIRE CHIEF RON FRAZE ADMINISTRAllVE SERVICES , 2101 MHM Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 'HM 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) 399-5763 It - June 14, 1999 Chevron USA P.O. Box 6004 San Ramon, CA 94583 RE: Second Notice, Landowner Notification of Pending Environmental Action for Chevron Station #91554, Located at 10 Union Avenue, Bakersfield, CA. Dear Sir: On May 20, 1999, you were requested to identify the current record owners of fee title to the Chevron Station #91554 located at 10 Union A venue, Bakersfield, CA. This is a recent State requirement that obligates our agency to notify all property owners before any closure of sites where an unauthorized release has occurred. You have elected not to respond to our May 20th request, and leave me no alternative but to place this file in the pending environmental action, inactive file area, until the site can be closed. We will expect a quarterly report from you on the status of this environmental mitigation project, and be informed that our continued oversight of this project will be billed at a rate of$75.00 per hour. If at any time in the future, you care to have the project re- activated for possible closure, please feel free to contact me at 661-326- 3979. Sincerely, <lJÞJ¿¡ Ralph E. Huey, Director Office of Environmental Services REH/dm --7~ de W~ ~ vØ60P6 §'kz, .A W~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 'W 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)32~576 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) 399-5763 - - May 20, 1999 Chevron USA P.O. Box 6004 San Ramon, CA 94583 RE: New Landowner Notification and Participation Requirements for Chevron Station #91554 Located at 10 Union Avenue, Bakersfield, California, 93307 Dear Sir: This letter is to inform you of new legislative requirements pertaining to cleanup and closure of sites, where an unauthorized release of hazardous substance, including petroleum, has occurred from an underground storage tank (UST). Section 25297.15(a) ofCh. 6.7 of the Health & Safety Code requires the primary or active responsible party to notify all current record owners of fee title to the site of: 1) a site cleanup proposal; 2) a site closure proposal, 3) a local agency intention to make a determination that no further action is required, and 4) a local agency intention to issue a closure letter. Section 25297 .15(b) requires the local agency to take all responsible steps to accommodate responsible landowners' participation in the cleanup or site closure process and to consider their input and recommendations. For purposes of implementing these sections, you have been identified as the primary or active responsible party. Please provide to this agency, within twenty (20) calendar days of receipt of this notice, a complete mailing list of all current record owners of fee title to the site. You may use the enclosed list oflandowners form (sample letter 2) to comply with this requirement. If the list of current record owners of fee title to the site changes, you must notify the local agency of the change within twenty (20) calendar days from when you are notified of the change. If you are the sole landowner, please indicate that on the landowner list form. The following notice requirements do not apply to responsible parties who are the sole landowner for the site. "9~de W~ ~ ~~ §"~ A W~'I'I fr" . --. e e ~¡ In accordance with Section 25297.15(a) ofCh 6.7 of the Health & Safety Code, you must certify to the local agency that all current record owners of fee title to the site have been informed of the proposed action before the local agency may do any of the following: I) consider a cleanup proposal (corrective action plan) 2) consider a site closure proposal 3) make a determination that no further action is required 4) issue a closure letter You may use the enclosed notice of proposed action form (sample letter 3) to comply with this requirement. Before approving a cleanup proposal or site closure proposal, determining that no further action is required, or issuing a closure letter, the local agency will take all reasonable steps necessary to accommodate responsible landowner participation in the cleanup and site closure process and will consider all input and recommendations from any responsible landowner. Sincerely, 4~~ Ralph E. Huey, Director Office of Environmental Services REH/dm enclosures S:IUSTFORMSIUST.L4 ,~'?"' .' " e e Sample Letter (2): List of Landowners Fonn Date: City of Bakersfield Fire Department Office of Environmental Services c/o Ralph E. Huey, Director 1715 Chester Avenue, Suite 300 Bakersfield, CA 9330 I RE: Certified List of Record Fee Title Owners for Site name Site address Fill out item 1 ifthere are multiple site landowners. If you are the sole site landowner, skip item 1 and fill out item 2. 1. In accordance with section 25297.15(a) of Chapter 6.7 of the Health & Safety Code, I, '. Name of primary responsible party certify that the following is a complete list of current record fee title owners and their . mailing addresses for the above site: 2. In accordance with section 25297.15(a) ofCh. 6.7 of the Health & Safety Code, I, Name of primary responsible party certify that I am the sole landowner for the above site. Sincerely, Signature of primary responsible party Name of primary responsible party .. ...t~. , e ,e Sample Letter (3) Notice of Proposed Action Submitted to Local Agency Date: City of Bakersfield Fire Department Office of Environmental Services c/o Ralph E. Huey, Director 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 RE: Notice of Proposed Action Submitted to Local Agency for Site name Site address In accordance with section 25297. 15(a) ofCh. 6.7 of the Health & Safety/Code, I, , certify that I have notified all Name of primary responsible party responsible landowners of the enclosed proposed action. Check space for applicable action(s): _ cleanup proposal (corrective action plan) _ site closure proposal _ local agency intention to make a detennination that no further action is required. local agency intention to issue a closure letter. Sincerely, Signature of primary responsible party Name of primary responsible party cc: (Names and addresses of all record fee title owners) UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK) I CONTAMINATION SITE REPORT >- co o I!! a: ~ UI a: Pu ey o ·-:'F'dR·töë·At';ÄGENêY:·üse:·ONLv·:·:·;·;········'; .'.....'.'....,.....,....'..........'... \\bli:Gfg@roWt~~vs~~ITil~Î~~~~~k1äìWg~~~òF~~i ·····/····>H~:·· . EMERGENCY ~ c=J YES ~ NO HAS STATE OFFICE OF EMERGENCY SERVICES REPORT BEEN FILED? II ~ LJ YES I!:::::J NO CASE ,. UI ..J co ëñ~ Zex: 0< ¡¡¡a. UI ex: e -kR Jit€· Ai ~oJ{).c-is do ADDRESS I<. _ Ai ~ 0 ,~)t @rQ::;) r - T . STREET 'l33C>f STATE ZIP o UNKNOWN PHONE ffZY ) 8'.l/Z -rOO2... (!/i- Qt:¡S8:3 CITY STATE IP PHONE &IPs )322-2/14,)""7 /.r1 e PNTY~ AI ? l.J:f $.3. r~ ZIP Z o ~ ADDRESS o 9 I!! ëñ FACILITY NAME (IF APPLICABLE) C he. v Rc çJ S7ët:tlC?N Æ. Q /.jJtt.j /6 UN/ON J];Xe OPERATOR No IC¿N tv -Sere-$-I:- --:fA.Jœ/U fie f,J CITY CROSS STREET SeèV PHONE ~ )326-3P7~, PHONE '" (1) Wo ~~ ¡5..J g¡ g (2) ;:)~ fI NAME Q.$O It N '€. QUANTITY LOST (GALLONS) o UNKNOWN ....", æ~ ~¡5 G'" ~OWN o UNKNOWN o INVENTORY CONTROL D SUBSURFACE MONITORING D NUISANCE CONDITIONS ~K REMOVAL D OTHER METHOD USED TO STOP DISCHARGE (CHECK ALL THAT APPLY) o REMOVE CONTENTS ~SE TANK & REMOVE 0 REPAIR PIPING o REPAIR TANK D CLOSE TANK & FILL IN PLACE D CHANGE PROCEDURE o REPLACE TANK D OTHER .... DATE DISCOVERED Z w ::=;; ~ co < >: ex: w > 8 '" õ HOW DISCOVERED D TANK TEST Ùlw 0", ex:;:) ;:)< ~o o UNKNOWN o OTHER o OVERFILL o CORROSION o RUPTURElFAILURE o UNKNOWN o SPILL c=J OTHER ww "'a. t3~ ~LONLY 0 GROUNDWATER 0 DRINKING WATER -(CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) o PRELIMINARY SITE ASSESSMENT WORKPLAN SUBMmED o PRELIMINARY SITE ASSESSMENT UNDERWAY ~SE CLOSED (CLEANUP COMPLETED OR UNNECESSARY) D POLLUTION CHARACTERIZATION D POST CLEANUP MONITORING IN PROGRESS D CLEANUP UNDERWAY ..J <z õo ~i3 w< ex: CHECK APPROPRIATE ACTION(S) (SEE """" Fa! DETAI.S o CAP SITE (CD) o CONTAINMENT BARRIER (CB) o VACUUM EXTRACT (VE) o EXCAVATE & DISPOSE (ED) o EXCAVATE&TREAT(ET) ~NO ACTION REQUIRED (NA) o OTHER (OT) o REMOVE FREE PRODUCT (FP) 0 ENHANCED BIO DEGRADATION (IT) o PUMP & TREAT GROUNDWATER (GT) D REPLACE SUPPLY (RS) o TREATMENT AT HOOKUP (HU) D VENT SOIL (VS) f!! z w ::=;; ::=;; 8 HSC 05 (8190) FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 "W 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)32~576 TRAINING DMSION 5642 Victor Ave, Bakersfield, CA 93308 VOICE (805) 399-4697 FAX (805) 399-5763 -" It e April 27, 1999 Chevron Products Company, Inc. Chery Ie Canfield, Pennit Desk P. O. Box 6004 San Ramon, CA 94583-0904 RE: Account #3945, 10 Union Ave., Bakersfield, CA 93307 Dear Ms. Canfield: Thank you for your recent letter dated March 24, 1999. Per your request we have canceled your Pennit to Operate at the above location. However, in reviewing this file we find that the current bill is still due and pªyable. Please note that the billing period for this site is from July 1, 1998 through June 30, 1999. Also, our records show that the Underground Storage Tanks at 10 Union Avenue were not removed until February 2, 1999. Therefore, account #3945 is still due in the amount of $466.00. The annual charges are as follows: $264 for the four Underground Storage Tanks as this site ($66/per tank); $32 for the State Surcharge for four UST's ($8/per tank); $110 for the hazardous materials in the tanks; $10 California State Surcharge for having hazardous material; and $50 for the annual hazardous materials inspection done by the fire department. If you have any questions please feel free to give me a call at (661) 326-3979. --.,-.- ··9~de W~ ~.AOPe.7~.A W~" ?' e e rm·· lD ~ç' 01T.7' p' lI.~I.J.< ,-,~~JV .£::.!D DII!vron S Chevron MAR 2 ~ 1999 .r ". March 24, 1999 BY: Chevron Products Company, Inc. P,O, Box 6004 San Ramon. Ca 94583-0904 City of Bakersfield 1501 Truxtun Avenue Bakersfield, CA 93301 Attn: Hazardous Materials Division Cheryle Canfield Permit Desk Phone No. 925-842-9002 Fax No. 925-842-9585 RE: Account # CUSTOMER NO: 3945, 10 UNION AVENUE, BAKERSFIELD, CA 93307 Gentlemen: ; The above referenced facility was abandoned on Novermber 30, 1998 and all of the permitted equipment has been removed. Please cancel the above referenced permit, If you have any questions feel free to give me a call at 925-842-9002, Sincerely, ChlAd:!;(J ~ Cheryle R. Canfi~ Retail Complia~~t:~t) Permit Desk - _It' '" " ~~. ~~} ff\~~ "",~ \if"'- ., \..J?, \' (\ f":~ ~\IL\ . ø \. \¡j;'l ., _, cI~" e STATEMENT OF ACCOUNT 4IÞ ;~ECE¡VED FSC-!>JP CITY OF BAKERSFIELD 1501 TRUXTUN AVE '99 P1RR 15 APlll ~ERSFIELD, CA 93301-5201 qqq '·1AR I J P 2: 4lt ','(805 )',~3¿q";397{fi, ' , ~¿ ;. /' .;- '>":':-':.--~:-- -' ,'/ :'j-' ~./ /<{{. ) ~ /{ t ~,r0!,/"" ',', ' TO: CHEVRON USA PROP~CT~ 915~4';,~: PO BOX 2833 <>,:\}/¡" .... >'i:"'>:')-' LA HABRA, CA':90632 , : i'; {',': ,"~--~" \', /.^ 0.. ;,---,yø / ~ '¡'> .~~\- \, :'--</ ,.. ~ , \",.\'~!':/ - ,<,oj ~,-\..". \_;; \ / ,I ~ ,.-'~ ______:USTOM:~_~~: ;';'\'~~)~~~'i':~_____:~~~OME~' .TYPE~_:~~_____~~~:_ ,'.~.''<},','', _......,,~~ -,,,::,, -'. ,,, ,-, -,-;' -. '''',,-,-,¡.~.: DATE DÈS,èR1P1;I ON;'REF..;..NUMBER DUE': DATE TOT AL AMOUNT ------ -------- ~S&:-..:..--t--...,,,,..~..;...;.:...........;.:...-.;.-....;;...;.... ..,.....:...,-....,....;.;....-- -----......:..- -------------- , ',,- ',->:: ~ ". > < . ~ < DATE: 3/01/99 ,,, ~'rl \1 ,- .1,,8 - I) (' ,... .. LJ.,) , CHARGE 2/01/99 BEGINNING BALANCË '~ \;, 474. 50 , \ '> , ~ Sv~ c;/v.¡V) £¡\~ o {\ ·0 VV' ð \)\I[\~) \~~ ~\¿\\ FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT, PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- -------------- -------------- ,_~_L4____5,Q -. ------ DUE DATE: 3/31/99 PAYMENT DUE: TOTAL DUE: 474. 50 $474, 50 'CÙŠiÓMitfJVPE;! TOTAL PUE: ~ FIRE CHIEF RON FRAZE ADMINISTRAT1VE SERVICES 2101 'H' Street BakefSfIeId. CA 93301 VOICE (805) 3~941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 'H' Street Bakersfleld. CA 93301 VOICE (805) 3~941 FAX (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfleld. CA 93301 VOICE (805) 3~951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave, Bakersfleld. CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 TRAINING DMSION 5642 Victor Ave. Bakersflefd. CA 93308 VOICE (805) 399-4697 FAX (805) 399-5763 . e (Ã, 0<. C; '%> í C; y/O '? I/\~ March 29, 1999 Yi Pan Regional Water Quality Control Board 3614 East Ashlan Avenue Fresno, CA 93726 RE: MTBE Dear Ms. Pan: Preliminary site assessment results trom the Chevron Station 9-1554 site located at 10 Union Avenue, K:lkersfield California, yield MTBE concentrations of 0.7 mglkg and below. The remainder of the test results are below levels that we would normally require a full site assessment. I have enclosed the closure report, including this preliminary assessment for your review. Per LG letter 153, any closure involving MTBE must be reported to the Regional Water Quality Control Board prior to closure. I am requesting concurrence that this site can be closed with no further action required. Please notify me at your earliest convenience, on your concurrence, or reasons to require further action. Sincerely, REH/dm enclosure cc: S. Underwood S:IUSTFORMSIlIST.L6 ~~7~æ W~ ~ ~~ §"'kz, A W~?" -,---~-- 'c 'c: .( {f§Þ . ~~eJ ® Telluris March 8, 1999 ~ e Telluris, Inc. 1511 Lakeside Lane Huntington Beach, CA 92648 Phone 714 960-5187 Fax 714 960-2387 Inspector Steve Underwood Bakersfield Fire Department Environmental Services 1715 Chester Avenue Bakersfield, California 93301 Subject: Underground Storage Tanks Removal Report Chevron 9-1554 10 Union Street Bakersfield, California 93307 Dear Inspector Underwood: Chevron Products Company (Chevron) contracted Telluris Inc. (Telluris) to conduct air monitoring and reporting, collect soil samples according to City of Bakersfield Fire Department guidelines, and to prepare this report. This report presents the results and findings associated with Underground Storage Tank (UST) removal activities atthe subject site. Background Prior to February 1999, Chevron Station No. 9-1554 was an operating service station located on the northeast corner of Union Avenue and Brundage Lane. The service station had a retail food store and three service bays. The station utilized three gasoline underground storage tanks (USTs) (Joor 10,000 gallon double-walled fiberglass tanks), one used oil UST (Joor 1,000 gallon double-walled fiberglass tank), two pump islands and six dispensers with double- walled product and vapor recovery piping. During January and February 1999, DST Builders (DST) located in Westminister, California demolished the station building and food store building. Demolition activities included: · Removal of three petroleum USTs. · Removal of product piping and vapor recovery lines. · Removal of one used oil UST. · Demolition and removal of existing building and associated service bays. Geology Soil at the site from grade to approximately 18 feet below ground surface (bgs) is a brown silty sand soil with cobbles in the upper five feet. Air Monitoring/Excavation On February 1, and 2, 1999, Telluris conducted air monitoring and oversaw soil stockpile segregation during the excavation and removal of the USTs. Air monitoring was conducted using a photoionization detector calibrated to a 50 parts per million hexane standard. The maximum reading of 328 parts per million was recorded on February 1, 1999. J:. .Æ1 ;c e e Underground Storage Tank Removal Report Chevron 9-1554 10 Union Street Bakersfield, California Soil Management Soil, from the tank fields, was excavated, stockpiled on site and sampled for characterization and disposal purposes. The stockpiles, except for the immediate working area, were securely covered with plastic sheeting at the end of each working day. A copy of the air monitoring records is attached. Soil generated during the removal of the USTs and by the sampling process was segregated and stockpiled on site. An estimated 1000 cubic yards of soil were excavated. Based on the analytical results, approximately 18 cubic yards of soil was impacted by petroleum hydrocarbons, the remainder of soil was used as backfill material at the site. This soil, classified as impacted, was transported to American Remedial Technologies, Inc., a soil recycling facility located in Lynwood, California. The non-hazardous waste disposal manifests were not available when this report was finalized. Upon receipt, the non-hazardous waste disposal manifests will be submitted under separate cover to all interested parties. UST Removal On February 2, 1999, Telluris was on site to witness the removal of three 10,000- and one 1,000-gallon double-walled fiberglass USTs. DST was the general contractor on site. Ecology Control Industries (ECI) of Fontana was subcontracted to rinse, transport and dispose of the four USTs. Prior to removal, a permit to remove the USTs was obtained. A copy of this permit is included as an attachment. After the tanks were exposed, ECI triple-rinsed the tank interior with high-pressure water. Following rinsing, the tanks were inerted by ECI through the introduction of dry ice. Inspector Steve Underwood of the Bakersfield Fire Department, Environmental Services was on site to verify that the concentration of organic vapors inside each tank was below 5% of the lower explosive limit and witness the removal of the four USTs. Soil Sampling/Analytical Results On February 2, 1999, Telluris, under the direction of Inspector Underwood, collected 25 soil samples. Soil samples were collected beneath the removed USTs and beneath the dispenser islands. An additional eight soil samples were collected from the stockpiled soil. All soil samples were collected as grab samples from the teeth of the backhoe bucket. Samples were collected in laboratory-supplied 4-ounce glass jars. Each sample jar was sealed with plastic caps and silicon tape, labeled, and placed in a cooled ice chest for delivery under chain-of-custody procedures to Associated Laboratories, a state certified laboratory. Soil samples associated with the petroleum USTs and dispenser islands were analyzed for total petroleum hydrocarbons as gasoline (TPHg) by Environmental Protection Agency (EPA) Modified Method 8015, and benzene, toluene, ethylbenzene, xylenes (BTEX) and for methyl tert-butyl ether (MTBE) according to EPA Method 8021. Soil samples associated with the waste oil tank were analyzed for total recoverable petroleum hydrocarbons (TRPH) by EPA Method 418.1. c:\my documents\chevron 9-1554\comp_rpt_che\l9-1554,doc Page 2 of3 March, 99 t!- ih ~, e e ¡C Underground storage Tank Removal Report Chevron 9-1554 10 Union Street Bakersfield, California Concentrations of TPHg were not detected at or above the respective detection limits in any of the soil samples collected. Concentrations of benzene and MTBE ranged from not detected at or above their respective detection limits to 0,007 and 0,7 milligrams per kilogram (mg/kg), respectively, Of the eight stockpile samples collected, only one soil sample (SPII-8) had detectable TPHg concentrations (14 mg/kg). The analytical results are summarized in Table 1, Sample locations and analytical results are shown on the attached Site Plan. A copy of the laboratory reports and chain-of-custody documents are attached for your files, Conclusions · Analytical results indicate the soil beneath the removed petroleum USTs, waste oil UST and dispenser islands has not been impacted. · Approximately 1000 cubic yards of soil were excavated of which approximately 18 cubic yards of soils were removed from the site, The remainder of the soil was used as backfill material at the site. · Based on the information presented in this report, Telluris believes that no additional assessment or remediation is warranted. If you have any question regarding this report, please contact either Allen Just at (949) 388- 4037 or me at (310) 652-2181, Sincerely, ¡}µ-af-*"" Allen C. Just, P,E, Principal Engineer Attachments: Table 1 - Soil Sample Analytical Data Site Location Map Site Plan Air Monitoring Records Laboratory Report and Chain of Custody Documents cc: Mario Bautista - Chevron Products Company Lisa Thompson - Chevron Products Company c:\windows\temp\comp _rpt_ chev9-1554.doc Page 3 of 3 March,99 ~ Chevrolll Products Company TeDuris Project No. CHEV 91554 Chevron Station No. 9-1554 SoD Sample Analytical Data 10 Union Street Table 1 Bakersfield, California Mar-99 as t y- 0 Gasoline benzene Xylen~ (mgIkg) (mgIkg) (mgIkg) (mgIkg) (mgIkg) inJg1kg)'" DIl-2 2-Feb-99 2 ND<10 ND<0.005 ND<0.005 ND<0.005 ND<0.015 ND<O.035 Dispenser Island Sample DIl-6 2-Feb-99 6 ND<10 ND<0.005 ND<0.005 ND<0.005 ND<0.015 ND<0.035 Dispenser Island Sample e DI2-8 2-Feb-99 8 ND<10 ND<0.005 ND<0.005 ND<0.005 ND<0.015 ND<0.035 Dispenser Island Sample DI3-2 2-Feb-99 2 ND<10 ND<0.005 ND<0.005 ND<0.005 ND<0.015 ND<0.035 Dispenser Island Sample DI3-6 2-Feb-99 6 ND<10 ND<0.005 ND<0.005 ND<0.005 ND<0.015 ND<0.035 Dispenser Island Sample DI4-2 2-Feb-99 2 ND<10 0.007 0.04 0.01 0.07 0.3 Dispenser Island Sample DI4-6 2-Feb-99 6 ND<10 ND<0.005 ND<0.005 ND<0.005 ND<0.015 ND<0.035 Dispenser Island Sample DI5-2 2-Feb-99 2 ND<10 ND<0.005 ND<0.005 ND<0.005 ND<0.015 ND<0.035 Dispenser Island Sample DI5-6 2-Feb-99 6 ND<10 ND<0.005 ND<0.005 ND<0.005 ND<0.015 ND<0.035 Dispenser Island Sample DI6-2 2-Feb-99 2 ND<10 ND<0.005 ND<0.005 ND<0.005 ND<0.015 ND<0.035 Dispenser Island Sample DI6-6 2-Feb-99 6 ND<10 ND<0.005 ND<0.005 ND<0.005 ND<0.015 0.7 Dispenser Island Sample TlA-17 2-Feb-99 17 ND<lO ND<0.005 ND<0.005 ND<0.005 ND<0.015 ND<0.035 Tank Field Sample TlA-21 2-Feb-99 21 ND<10 ND<0.005 ND<0.005 ND<0.005 ND<0.015 ND<0.035 Tank Field Sample TlB-17 2-Feb-99 17 ND<10 ND<0.005 ND<0.005 ND<0.005 ND<0.015 ND<0.035 Tank Field Sample TlB-21 2-Feb-99 21 ND<10 ND<0.005 ND<0.005 ND<0.005 ND<0.015 ND<0.035 Tank Field Sample T2A-17 2-Feb-99 17 ND<10 ND<0.005 ND<0.005 ND<0.005 ND<0.015 ND<0.035 Tank Field Sample e T2A-21 2-Feb-99 21 ND<10 ND<0.005 ND<0.005 ND<0.005 ND<0.015 ND<0.035 Tank Field Sample T2B-17 2-Feb-99 17 ND<10 ND<0.005 ND<0.005 ND<0.005 ND<0.015 ND<0.035 Tank Field Sample T2B-21 2-Feb-99 21 ND<10 ND<0.005 ND<0.005 ND<0.005 ND<0.015 ND<0.035 Tank Field Sample T3A-17 2-Feb-99 17 ND<lO ND<0.005 ND<0.005 ND<0.005 ND<0.015 ND<0.035 Tank Field Sample T3A-21 2-Feb-99 21 ND<10 ND<0.005 ND<0.005 ND<0.005 ND<0.015 ND<0.035 Tank Field Sample T3B-17 2-Feb-99 17 ND<10 ND<0.005 ND<0.005 ND<0.005 ND<0.015 0.7 Tank Field Sample T3B-21 2-Feb-99 21 ND<lO ND<0.005 ND<0.005 ND<0.005 ND<0.015 ND<0.035 Tank Field Sample WO-12 2-Feb-99 12 ND<1O ND<O.OO5 ND<O.OO5 ND<O.OO5 ND<O.OI5 ND<O.035 BPA Method 418.1, TRPH = ND<lO mg/kg WO-16 2-Feb-99 16 ND<1O ND<0.005 ND<0.OO5 ND<O.OO5 ND<0.OI5 ND<O.035 BPA Method 418.1, TRPH= ND<10 mg/kg SPI-l 2-Feb-99 NA ND<10 ND<O.OO5 ND<O.OO5 ND<0.OO5 ND<O.OI5 ND<O.035 Stockpile Sample (c:\my documents\CHEV _9-1554,Soil) 1of2 Chevron Products Company Chevron Station No. 9-1554 10 Union Street Bakersfield, California TeDuris Project No. CHEV 91554 Soil Sample Analytical Data Table 1 Mar-99 . " - as y- o Gasoline benzene Xylenes (mgIkg) (mgIkg) (mgIkg) (mgIkg) (mgIkg) (mgIkg) SPI-2 2-Feb-99 NA ND<10 ND<0.005 ND<0.005 ND<0.005 ND<0.015 ND<0.035 Stockpile Sample SPI-3 2-Feb-99 NA ND<10 ND<0.005 ND<0.005 ND<0.005 ND<0.015 ND<0.035 Stockpile Sample SPN-4 2-Feb-99 NA ND<10 ND<0.005 ND<0.005 ND<0.005 ND<0.015 ND<0.035 Stockpile Sample e SPill-5 2-Feb-99 NA ND<10 ND<0.005 ND<0.005 ND<0.005 ND<0.015 ND<0.035 Stockpile Sample SPill-6 2-Feb-99 NA ND<10 ND<0.005 ND<0.005 ND<0.005 ND<0.015 0.3 Stockpile Sample SPV-7 2-Feb-99 NA ND<10 ND<0.005 ND<0.005 ND<0.005 ND<0.015 ND<0.035 Stockpile Sample SPII-8 2-Feb-99 NA 14 ND<0.01 ND<0.01 ND<0.01 0.2 ND<0.07 Stockpile Sample LEGEND: EPA = Environmental Protection Agency TPH = Total petroleum hydrocarbons mglkg = Milligrams per kilogram ND< = Not detected at or above the limit shown M1BE = Methyl tert -butyl ether TRPH = Total recoverable petroleum hydrocarbons NA = Not available/applicable (c:\my documents\CHEV _9-1554,Soil) e 2of2 ·' :. e . c Site Location Map Chevron Service Station No, 9-1554 10 Union Street Bakersfield, California Figure 1 March 7. 1999 TeUuris, Inc. * VICINITY MAP ¡ I ,I :1 e e e I 20 o 5 10 GRAPHIC SCAlE ,) N " . = $OIL SAWP\.£ LOCATION PI-3 = SAIIPL£ IWIE-SAIIPI.£ DEP1II(FT.) TPHv = TOTAL PETROl£UII IIYDIIOCARBONS ItS GItSOUNE B = BENZENE T = TOLUENE ED = ETHYL-BENZENE TX = TOTAL XYl.£NES IITBE = IIETHYL TERT-BUnl ETH£R TRPH = TOTAL RECOVERABLE PETROI.IUII HYDROCARBONS NO = NOT DETECTED/ BElOW DETECTION UIIIT NOTE: UNITS SHOWN ARE IIII.l.IGRAIIS PER KlLOGIW/ - ~ REVISIONS SITE PLAN .... """ ... - t 03/C12199 GAIt RESUJS DIWIINØ I SERVICE STATION 19-1554 I 10 UNION AVE. &: BRUNDAGE LN. BAKERSfiELD, CA 93307 I Ii Cbevron_ I ~ - , ~1E: 07/28/70 I ORAWN B'Y: VAN 2 SCAI.£: 1'=10'-0' II..-- FIl£NAII£: 91554 'L LEGEND ¡ I j ·1 I I \ ----- 014-2 2/2/99 TPHg NO B .007 - - T .04 - - EB .01 TX .07 t.4TBE :3 015-2 2/2/~ TPHg NO B NO - - T NO - - EB NO TX ND MTBE NO ....!.35,3O· NO' 46·20·E -- '1-- I I I I I I I I I I I I I I )1 __-+î ------ (I ---- f.- ------ ..' __--- a¡ -- '" '" __ __ -- -- UNPAVED £ASEUENT] , T ~ Z j ~ c.; ~ ~ Z ~ ~ I::Q I t I I I I I I I t I 016-2 2/2/99 TPHg NO B NO - - T NO - - EB NO TX NO MTBE NO 016-6 2/2/99, TPHg NO B NO - - T NO - - EB NO TX NO MTBE :t --- ~ ----1 ~ .,; co ... ~ :ñ '" co .. 2/2/99 ND NO NO NO NO NO 2/2/99 ND i NDI ND r 'J ND ) ND ~ ND J T3A-172/2/99 T3A-212/2/99 t TPHg NO TPHg ND .'1 B NO B ND . T NO T ND l EB ND EB ND If) TX NO TX ND ,: MTBE NO t.4TBE ND 2/2/99 T2A-212/2/99 NO TPHg NO NO B ND NO T NO ND EB NO NO TX NO NO MTBE NO ~ 014-6 TPHg B T EB TX MTBE T3B-21 TPHg B T EB TX MTBE D15-6 2/2/99 TPHg NO B NO - - T NO - - EB NO 1'X NO MTBE NO T2B-17 2/2/99 TPHg NO B NO - - T NO - - EB NO TX NO MTBE NO T3B-172/2/99 TPHg NO B NO - - T NO ---œ- NO TX NO t.4TBE :t " " " " " " " " " " " "> 1;, -<1// . T1 B-17 2/2/99 TPHg ND B ND - - T ND - - EB NO TX NO MTBE ND 2/2/99 NO NO ND ND ND NO T2A-21 TPHg B T EB TX MTBE r1=ørþ U DB U U 0 IB 0 I n I I I 101101 lL~lL~ "'" T2B-21 TPHg B T EB TX MTBE r----ì I I IW ~O__W -1=1= ~+ /L ~J\ " 2/2/99 NO ND NO NO ND NO / /. /. /. / / /. /. / /. / Ii ., I ß I 0 ß I I Ion ~dI 1 " " " " " " " " " " " ND ND ND NO TX ND MTBE NO I I I L -1\.- _40.00:"'" - -- /' / / / / / / . / / / / / / / / / ~ ~ 5O'46'20"w / / / / / / / / / / / / / / / / / / / / « " ' " ~ ò o g' ~ ~ :ñ '" co z I I I I I I I I I I I I I I I I I I I I I I I EASEIÆNT I I I I I I I I FEB99 NC. I TELLURIS, ¡ ~ --_-..:\----- D11-6 2/2/99' TPHg NO B NO - - T NO - - EB NO 1'X NO MTBE NO OJ 1- 2 2/2/99. TPHg NO B NO - - T NO - - EB NO TX NO MTBE NO OJ2-8 2/2/99! TPHg NO -š- NO - - T NO - - EB ND TX NO MTBE ND A VENUE UNION D13-6 2/2/99 TPHg NO B NO - - T NO - - EB NO TX NO t.4TBE NO D13-2 2/2/99, TPHg NO --š- ND --:¡:- NO EB NO 1'X ND MTBE NO '" e e ." ..' ...,.. . " South Coast Air Qualicy Managemenc District VOC Contaminated Soil Mitigation Plan COlD: 88674 Rule 1166 Soil Monitorin Records Facili ¡Site Information Expires July I, 1999 R-257191 CHEVRON U.SA PRODUCTS CO PO BOX 2833 LA HABRA, CA. 90632 Reference No(s). ð'f" Time VaG Concentration (PPMV) @ Comment Time VaG Concentration (PPMV)@ Comment Excavated load Excavated Load Every ReaáUJg . Hexane MUSted &ety Reaáfl1! Hexane '.' Adjusted 1 S- min. Fader Reading 15 min. Factor Reading Per ) (J¡() Tf\-N~~~fL ~ \the: O-ö - 'm\\J~fl~) ,-. - \\ / /1-(1';' .-. <¿Pr~~f~ . ël,r- OlD ~" fuJ::1 I 01_"-] --. - ~..... II\D æz - - , <b?fJ ~ ,b'A ~~ / 1Tl5 D·U - - W 3'tb - - r~ ~ /~\1 iß c§;= h~l\)é r::> Ll- ~ res ~SS ---- - ~Çit~"i t ) ('I ' (\ ¡LtG 0.(') -.. -- ~t-\-7vo1= . \ ~\D 0·(') -- - \ (J,{) (' , \.cO _. - 1'ZS 0,0 _. - \ \ \ s 35,~1 '-, \ ~ - \ . \ ~~() 0,,0 - - \m D ,r() - - Ass. O.t) - - 'zaC '0.0 _. - J - 10(0 f\Ç' ì()l(,) Ð·O - ·L7() ~\ l~~ \ ".---' --- / ~1f:; ()(ù '1 A'N\-C~ ~ 00 \.AI¡::=: I~O (J.G ( , -" -- Monitor Infonnation Calibration Data Monitoring Personnel V Model: '202<=> Type, P \D Excavati~n Summary (Upon OJmplelioo of each page) · TotII Cubic Yds (This page) Total Cubic Yds {To date) Removed from Site (To date) I\ìt S\' < I certify that ~he information contained in the above document is troe and rorreet. I further certify that the above fISted hydrocarbon monitor was operated in a manner consistent with the manufacturer's specifICations and the conditions specified within this plan. In addition, I œrtify that the abovereadUIgs ,.",....t';"'aduaJ ~and~during!he ~ process. ~. SIGNATURE: (rri{l/v /] DATE: 1--- \-- ~~ i.. ..' ~f.~.. (I - e South Coast Air Quality Management District VOC Contaminated Soil Mitigation Plan Expires July I, 1999 R-257191 COlD: 88674 R,¡;¡I!:J Iliffl Soil Monitorin Records Facili ¡Site Infonnation CHEVRON U.SA PRODUCTS CO PO BOX 2833 LA HABRA, CA, 90632 Reference No(s). -. \JO \ æ - Name: CH(£'" -t. 0\ - )Ss; t} ~TO UN \oVìJ Æ\J J %' Zip: Monitor Infonnation Calibration Data Monitoring Personnel Excavation Summary (Upon completion of each page) T alai Cubic Yds (This page) Total Cubic Y ds (To date) Removed from Site (To date) -Ùb 1000 Type. Time vac Concentration (PPMV) @ Comment Time vac Concentration (pPMV)@ Comment Excavated Load Excavated load Evely ReaãU1! . Hexane M¡usted EwIy Rea<ftng Hexane '.' Adjusted 15-min. Factor Reading 15 min. Factor Reading --=-- IllS ({)Û -. - Sfí(YWUNQ lyS 0.0 _. fð!"j.F I U 1 r^ ~---ò' - . ifSI fA ¡iff IVV' ..71~4 it...- ff~ I - - l'\(\/fJ UXJ - -- í' r?IYc...'~1"- 11"'5 - - lbLAJ'P> -z-¡ s ---- '- . 1:!JO -' ..---. ,.z 00 - - (LIS \ îLfS - ---- - - -,LX> \ 1CJo - -' - I ----- 17H5 / J Gfn NPt -v. b -,11 rv~ F -L-JJ -. - 1eJ. J - ( ;- . } 1-'-17 - -¡ - - . 0Y. eA' (~ - iOG no - l{ft1Y1f'"' u -' ¡ ¡s,TfrN(L ItS (),O -- p:'1 eL D -- Þ,;frrbtY\ rw 0.,0 ) , - ---- I certify that Jhe information contained in the above document is true and correct. I further certify that the above fISted hydrocarbon monitor was operated in a manner consistent with the rer's specifICations and the conditions specified within this plan. In addition, I certify that the above readings represent ~ actual I obsefved and recorded during the excavation process. DATE: i /"Z 4 Î SIGNATURE: · e ASSOCIATED LABORATORIES 806 North Batavia - Orange, California 92868 - 714/771-6900 FAX 714/538-1209 CLIENT Chevron - Telluris A TTN: Michelle Thompson 1511 Lakeside Lane Huntington Beach, CA 92648 (8021) LAB REQUEST 33002 REPORTED RECEIVED 2/ 4/99 2/3/99 PROJECT Chevron Station #9-1554 SUBMITTER Client COMMENTS This laboratory request covers the following listed samples which were analyzed for the parameters indicated on the attached Analytical Result Report. All analyses were conducted using the appropriate methods as ind¡:::lt~d an the report. This cover letter is an integral part ofthe final report, !)rder No. 104884 104885 104886 104887 104888 104889 104890 104891 104892 104893 !04894 104895 104896 104897 104898 104899 104900 Client Sample Identification WO-12 WO-16 011-2 011-6 012-8 013-2 013-6 014-2 014-6 015-2 015-6 016-2 016-6 TIA-17 TIA-21 T 1 B-17 T1 B-21 Thank you for the opportunity to be of service to your company. Please feel tree to call ifthere are any questions regarding this report or if we can be offurther service. AS:r;:;bIES y, Edward S. Behare, Ph.D. Vice President NOTE: Unless notijìed in writing, all samples will be discarded by appropriate disposal protocol 30 days from date reported. The reports of the Associated Laboratories are conlìdential property of our dients may not be reproduced or used for publication in part or in full without our written permission. This is for the mutual protection of the public. our clients, and ourselves. TESTING & CONSULTING Chemical ,\1icrobiological Environmental Lab request 33002 cover, page I of2 CLIENT Chevron - Telluris e A TTN: Michelle Thompson 1511 Lakeside Lane Huntington Beach, CA 92648 (8021 ) PROJECT Chevron Station #9-1554 SUBMITTER Client COMMENTS . LAB REQUEST 33002 REPORTED 2/4/99 REcEIVED 2/3/99 This laboratory request covers the following listed samples which were analyzed for the parameters indicated on the attached Analytical Result Report, All analyses were conducted using the appropriate methods as indicated on the report, This cover letter is an integral part of the final report. Order No. 104901 104902 104903 104904 104905 104906 104907 104908 104909 104910 104911 104912 104913 104914 104915 104916 Client Sample Identification T2A-17 T2A-21 T2B-17 T2B-21 T3A-17 T3A-21 T3 B-17 T3B-21 SPI-l SPI-2 SPI-3 SPIV-4 SPIIl-5 SPIlI-6 SPV-7 SPlI-8 Thank you for the opportunity to be of service to your company. Please feel fi-ee to call ifthere are any questions regarding this report or if we can be offurther service. ASp~~r::- Edward S. Behare, Ph.D, Vice President NOTE: Unless notified in writing, all samples will be discarded by appropriate disposal protocol 30 days from date reported The reports of the Associated laboratories are confidential property of our clients may not be reproduced or used for publication in part or in full without our written nermission. This is for the mutual protection of the public. our clients. and ourselves. Lab request 33002 cover, page 2 of2 TESTING & CONSULT/¡VG Chemical Microbiological Environmental ,Orderß: I 104884\ Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 11 :31 Sampled By: Client:Mevron - Telluris Client S.le ID: WO-I2 Sample Description: Waste oil tank field e Analyte Result OF DLR Units Date/Analyst 418.1 Total Recoverable Petroleum Hvdrocarbons ._ _~___~____~_.__ ___'..__ ____._._ ____ _ ..__ ..._ u ___..___ _____._______n ___ ________ --.-.... --.---------- --.. ----------- .--------- ------~- -- Total Recoverable Petroleum Hydrocarbons .. .._u__u..L...._ un _ ~DI 10 mg/Kg 2/ 3/99 THU -------~~-------- -.... --,._- ------.-- ..-._--'- ..--. - - __, ______ - __~__ __._._. - n_ _ .. -- - --------- DLR = Detection limit for reporting purposes, NO = Not Detected below indicated detection limit, DF = Dilution Factor 8 ASSOCIA TED LABORA TORIES Analytical Results Report lab Request 33002 results, page 1 of33 , Orde~ #: I 1048851 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 11:40 Sampled By: Client.hevron - Telluris Client~le ID: WO-16 Sample Description: Waste oil tank field Analyte Result 418.1 Total Recoverable Petroleum Hydrocarbons __ ________.._._____0._. _._ _ ___. __. __ _ _ ______ _ ___ ~_..___ ._______~_..____ _ ____.______~____________ Total Recoverable Petroleum Hydrocarbons ND .. -- .--- ~-"--'------- -.--- -. ----- ... .. -------_._--._----._---~----.,--------- --------.-.-... ~-----_.- ..- - e DF DLR Units Date/Analyst 10 mg/Kg 2/ 3/99 THU -- -._- ---. - ". __ n__._____ _u_ ..____ ._n.___ ____ _ _ ..,____.u __._ DLR = Detection limit for reporting purposes, ND = Not Detected below indicated detection limit, DF = Dilution Factor ASSOCIATED LABORATORIES Analytical Results Report Lab Request 33002 results, page 2 of33 ß- u Order #: I 1048861 'Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 12:00 Sampled By: Client.hevron - Tel1uris Client "Ie ID: DII-2 Sample Description: West dispenser islands e Analyte Result DF DLR Units Date/Analyst 8021 BTEX + MTBE __ ____~_ _,______~'m_______.___ . ."'..--- -.-- -' - ______ - ______ ___~ _. - _____ ____~_._.______.__ - _____.__u _ _,_ ___. ____ __.. ._ uI~enz~n:________ _ .__ __ ___ u.__ __ _~__J___ u ___ 1\II~L ____L_ __?~?~?n __ __I11~~g 2/_ 3/9?_ DC _ u_Eth~~~:nz~~e_________________m__________n______ _____'-- _n___ _n__~~L____~___ O.O~__ __~~~~___~/ 3~~~_ _ DC _ _ __~:~h!:I!-=~_~tyl _~~~__ ______________ ___________ _L__m_ _ ____1"I~L___ __Im_ ___~~~~_nm__~g~~~___!/3/?9__ I)~___ Tol~~~:_________ __ __ __ __ __m_________________-' mu_ u_ ____~_~L________~_____~:~0?_______~g!~~__u__2!~/?~_____DC__ Xylene (to~~~~________ _ u___nu_._n_______u_ __________-'_ _____~I.)I___u _m~_____ 0.013__ __~}!_~~____~!..3/99 ___DC 8015 - Total Petroleum Hvdrocarbons Gasoline . -------....- I N[)L__ __ 10 mg/Kg 2/3/99 DC --- -.- ---. DLR = Detection limit for reporting purposes, ND = Not Detected below indicated detection limit, DF = Dilution Factor 8~ ASSOCIATED LABORATORIES Analytical Results Report Lab Request 33002 results, page 3 of33 ,Örder.#: I 1048871 Ma tri x: SOLID Date Sampled: 2/2/99 Time Sampled: 12:05 Sampled By: Client:"evron - Telluris ClientS~le ID: DII-6 Sample Description: West dispenser islands e Analyte Result DF DLR Units Date/Analyst 8021 BTEX + MTBE _.__.__..~------~-~~---------------_... - _.~---_.~-------- --- --.---.---.------.--.. _ .._,___ __._.___..n _._.,____~.n.___ _. __.___ __~____.__~__._____ _ _Be~~ene_______________ __ ____________________________ L_ __ u __~~L____1_y·~~?_____~~~~_~__~~!~~nD_~__ _ __~~~yL be~:ene__________________________________L___ u____ ~~L___.___~_u___ 0 .O~~ ___ ~gI~~ _~~ ~l9_~_ _I?E_ _ ____ _~et~x_l~=_~~~l!.~~er _ _____ __. ______________ _ _ __ ___'--__ _ ___~?L _ _ _ _ _ _ ~_______0~~3 5___ _~~~~ __ ~~_~/9?__~~____ !ol~e~:_______u_ u ___I. _ _ ]\1])1_1__ _ __~:_~~~_____~~K§__ ~ 3/99 I?~_ Xylene (total) __ __ ___ __ _ I _ _ _ ND I u_ ___~:..O_~~__~~~_n_2/ 3/99 DC 8015 - Total Petroleum Hydrocarbons .-- -- -.--..--------.-.. Gasoline _ __I ND 10 mg/Kg 2/3/99 DC - - "--------._----- DLR = Detection limit for reporting purposes, ND = Not Detected below indicated detection limit, DF = Dilution Factor ß-- ASSOCIA TED LABORA TORIES Analytical Results Report Lab Request 33002 results, page 4 of33 ,Order.#: I 1048881 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 12:24 Sampled By: Client:Mevron - Telluris Client S.le 10: 012-8 Sample Description: West dispenser islands Analyte Result 8021 BTEX + MTBE . _ __~_.______ __~_ __ _. '~n_ ,. ___ .__..___~____,_______ _ ~..__. _ _ . ..__ Benzene___________ _ _______________________L __~DI__ ~th~1 ben::?e__________ ______ __ _ _____________________J___ _ _ _~DL_ _ _ _ ~ethy-' ~~_ ~~ty-'~ther _ _____ ____________________L___ ______1'>Ji)L_ Toluene _ _n _ __ d________a__ J___ ___ __~[)L _ Xylene (tota2_ _ _ ______ u__ J__ __ u_ _N~I 8015 - Total Petroleum Hydrocarbons Gasoline I ND e DF DLR Units Date/Analyst ----- -- -----~---_.- --~,----------- -- --- "__h_·_.____ 0.005 mg/Kg 2/3/99 DC _. __U' ___ _______ _.____ ___ ___..___.,.__.___ ___ ___ _ 0.005 mg/Kg 2/3/99 DC "..- -~-_.- -------~---------------_. --------- ---..--.- 0.035 mg/Kg 2/ 3/99 DC "_. _____._______.__.. _______u___.___.______n__ __ _. _ __..'... 0.005 mg/Kg 2/3/99 DC - - -- - -'-- -~_._..- - ------ --~_.~--------_._- -_.- -.. -.- -"-- 0,015 mg/Kg 2/3/99 DC -- -----.-_.,,--- .- --- --- ~_._---- ---~---.- ~ -- -- --.-------- _' ° mg/Kg 2/ 3/99 DC _m_. _ ________._ DLR = Detection limit for reporting purposes, ND = Not Detected below indicated detection limit, DF = Dilution Factor ASSOCIA TED LABORA TORIES Analytical Results Report Lab Request 33002 results, page 5 of33 d!\- , Ordel7 #:1 1048891 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 12:26 Sampled By: Client~.hevron - Telluris Client .ple ID: 013-2 Sample Description: West dispenser islands e Analyte Result DF DLR Units Date/Analyst 8021 BTEX + MTBE _. __.___~__.__'..n__. _ _________ _ --.-------. - -.- - .--------------------- ----~._._------------_. --~-- -----~----~----- -----. - u_ __.__ _______ .__ _ _~_=~z~~~___ _ I___un _ ~~L _ ..Iu n__~~O~_ _ _mg!~g_ __?/3/~9__E~n _~t~~~enz~~~____~u_________ __u _____ _______u L__n_ __~_~L__I___u__~~_0_0_5 m____~g!K.g____~/_3!99__ ~~_ _ __!"1--=thr~!_~~~~:t?~~_ ___un_ ___ _ _________________J..__.. ___~~1_____~__~:03~ ___~~~~m~~~!9_~___ _~~___ Tol~=~~__._u____u___ _ ________ _ _ _ ___m______________1 ________~I?L ________~ _ m_~~~~__~glK.~ __~(3/~~ __?C X~I~~e~t~~~I)_____ _________ .___n ________ L___ _ _n__~_I?L_______I____ _~~02?______~~~~___~/_~!~~ _ DC 8015 - Total Petroleum Hvdrocarbons Gasoline I NDL. 10 mglKg 2/3/99 DC DLR = Detection limit for reporting purposes, NO = Not Detected below indicated detection limit, OF = Dilution Factor ß ASSOCIATED LABORATORIES Analytical Results Report Lab Request 33002 results, page 6 of33 ~Ordero#: I 10489°1 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 12:29 Sampled By: ClienW:hevron - Telluris Client .ple ID: DI3-6 , Sample Description: West dispenser islands e Analyte Result DF DLR Units Date/Analyst 8021 BTEX + MTBE _.~_.__.__.._.~-------- - ____________________~_______n_u__ ____ __.____.__.. __. ___..__.________ ..__ _________________.___." ..___ _________~______. ...------ ----- - ... ~----,._- _ n________________ J ___~[)I_ u____ _________ ___ ____J_ ___t./[)L __________________ '--_m___ __N[)L_ _ I 0.005 mg/Kg _ .______~______ _..____u _._u,_ ____... 1 0.005 mg/Kg _________ __ __.. ._ _.....__ __..n__'n 1 0,035 mg/Kg ____ ____._H______·_ ______ _ _ _ __ _______________.1__ __m___t./~L_ ~__ _?~~~~_ _ _ In.?ll~t _ __________ un _ ____.1__ __n__~~1 ___1 0,015 mg/Kg 2/3/99 DC __________ _.__on_n__ _ 2/ 3/99 DC _ "_'__ _ _. n__ _______u__ H__ 2/3/99 DC - -----~_._-_._----_... 2/ 3/99 DC u__ __ ______.__ 2/3/99 DC Benzene Ethyl benzene . '__~_'_d_ ______ _"__.. .._._____ Methyl t - butyl ether ..- ---- ------._- Toluene _ _ ___ ___ _ _n..n __ H_ _.n__ __..._ Xylene (total) 8015 - Total Petroleum Hydrocarbons Gasoline n__ .. I - .. - - --.. --- --- 2/3/99 DC __ j\JDL _ u~ 10 mg/Kg DLR = Detection limit for reporting purposes, ND = Not Detected below indicated detection limit, DF = Dilution Factor 8 ASSOCIA TED LABORA TORIES Analytical Results Report Lab Request 33002 results, page 7 of33 . Order. #: I 1048911 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 12:33 Sampled By: Client-'hevron - Telluris Client .ple ID: 014-2 Sample Description: South dispenser islands e Analyte Result DF DLR Units Date/Analyst 8021 BTEX + MTBE _______ __.._ __ ~, ________ _____________________n__ .__00___ - - -- -~--- ----------- ------ --~--------_._._- .---..----. ------- ------ _ . .. -.----------- . ___ ___.·_____.___n__ n ___ _____ _____.__.,__ _ __.___ _L. t.. L I I m~,O~?L.. _I.__...~~?05_n~g!K.~. .~/3/??_. ._~c: __ _..O.(~Il__ . . _._I_....?~.??~_ _ ~~~~__ .~~.~.~~.__J:)_~__ ..._._~31_..._. ...L._......<!:03~.._._~.~I<~_ .2/3/~9__ DC. .._ 0.?4L.. ._1..... _...9~?05__ ~~~~. _ _~/_ 3/~9__ ~c:_ . .__ .°.071_ 1.. _.___O.O.!? mg/Kg 2/3/99 DC Benzene Ethyl benzene -. ._-----~-----_. -----,.--------..------- ------- -------..-... ------ Methyl t - butyl ether ...u ._u__.____.______._ _.__ ___~___._,_~__.____. _._________. ._____.. __ Toluene ._u___ _____.____. __. ...__._.,_____ _ Xylene (total) . ..- - - ---. - .- -.-- -. ---- --- 8015 - Total Petroleum Hvdrocarbons Gasoline - ___ ._._un ..___ N_[)J 10 mg/Kg 2/ 3/99 DC DLR = Detection limit for reporting purposes, NO = Not Detected below indicated detection limit, DF = Dilution Factor 8 ASSOCIA TED LABORA TORIES Analytical Results Report Lab Request 33002 results, page. 8 of33 , Order #: I 1048921 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 12:37 Sampled By: ClienW:hevron - T elluris Client .ple ID: DI4-6 Sample Description: South dispenser islands - Analyte Result DF DLR Units Date/Analyst 8021 BTEX + MTBE -- ~-_.- -------------,~ --- --- -----_.~- --- ...- '- '--- -..-- ... ---- .- --.-- ---~-- .-----.-----------..------ - .. Benzene ~.... ___~J:)L ___L_u____~,9_~?__~~~!~~ ._ ~J:)I ~_.__I_n__O.O_~~__~.~Kg_ ___~~L____~_____O~~~?__. _m~Kg . ____.___.._u.____ u..___ .__.___. . --_.~ -------._- .. - I I .1 I NDI I 0.005 mglKg --- _.~- ----"--------.....--- .._--~-_._-------------- -.- I NDI I 0.015 mglKg _ ... _~__ _____ _ __ _.__..______.____n___ n_________._____. ..__ Ethyl benzene __.. __ .___·_____n_______·_______.. Methyl t - butyl ether ___..._.._.____ _ _.u___.._____. Toluene Xylene (total) - ----------- ._-----~----- --- .. --- --. 8015 - Total Petroleum Hvdrocarbons Gasoline NDI 10 mg/Kg n. .____._ u,_ n____._.____ ___ DLR = Detection limit for reporting purposes, ND = Not Detected below indicated detection limit, DF = Dilution Factor ASSOCIA TED LABORA TORIES Analytical Results Report Lab Request 33002 results, page 9 of33 2/ 3/99 DC .__ _ _ ____uo_.______ _ . 2/3/99 DC ___ou_ .___ _ 2/ 3/99 DC ___ __ ___n'_. 2/ 3/99 DC ...-- -.-- 2/ 3/99 DC -- - ----- .. ~ - 2/ 3/99 DC ß L Order. if: I 1048931 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 12:39 Sampled By: Client~hevron - Telluris Client .ple ID: 015-2 Sample Description: South dispenser islands Analyte Result 8021 BTEX + MTBE --- --- -- Benzene ------ ----- - ---- ~ ---.. --. ----------~..- ------------~. .-.-----....-- --- - ND ~£?J ___ND! N~L ND I n~t~yl_~-=~z-=!l~____ _______ _~_n___________n_____n I ____~e_~~~I! - b_~~~~_~~~r_nn ____________ _ ____________ __ _ J Toluen~ __ nn______ _____ ________1 _1__- _ _n ______~_____._.._ ______ __.__ ____________.______... _n. Xylene (total) n._____ ____.. 8015 - Total Petroleum Hydrocarbons Gasoline NDI e DF DLR Units Date/Analyst __________._. ______ __ ____ ________.____.. _n__ _. _________~___. 1 0,005 mg/Kg 2/3/99 DC ---------- 1 0.005 mg/Kg 2/3/99 DC ____.___0_____. __ _.n______~_ ______._.. _ _._..__________.__ 1 0,035 mg/Kg 2/3/99 DC __.__._____._____.____ ____________ __ _.________ __________ - o. I 0.005 mg/Kg 2/3/99 DC .. _____u_ __nO _______.__________________.__________ 1 0.015 mg/Kg 2/3/99 DC Un. _ __._ __._ _ -- ..---------- --- ~---- ----.- .- 10 mg/Kg 2/ 3/99 DC _ "~u. _ _.__ ..____ ~. .__ __ __._ DLR == Detection limit for reporting purposes, NO == Not Detected below indicated detection limit, OF == Dilution Factor ASSOCIA TED LABORA TORIES Analytical Results Report Lab Request 33002 resu Its, page lOon 3 8 . Ordet; i¥: I 1048941 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 12:41 Sampled By: Client-'hevron - Telluris Client.ple ID: DI5-6 Sample Description: South dispenser islands Analyte Result Units Date/Analyst 802 t BTEX + MTBE - DF DLR -- ------..-.....---------.------- _ .. __ _ . _.u _ .. _. _ __ __.n._.__ _ __ Benzene ___ ____________u ____u__ ________ ___ _J N¡:)I I Eth~]_~_en~~~~_______u_____u_____ _ UU_ _ ___~_n_________ _ __ .1____ _~~Ln 1 Methyl t - b~~y~ e_~h~r__ ____uu .. _._ _u____um___ J________N[)L__ 1 Toluene __ _n -'-_ __ 1>JI?L 1 Xylene (total) I ND 1 8015 - Total Petroleum Hvdrocarbons Gasoline L NI)L. 0,005 - - --- .- 0,005 --------------- -- ..-- 0.035 --- -~_. -- --. 0,005 0,015 . _________ - __ __________.___ - n_.__.___.______ mg/Kg 2/3/99 DC .....____ _..___ _."__________ ___._n__...__._ mg/Kg 2/ 3/99 DC .. _.___ _n___.__.___.____ ___.____ mg/Kg 2/ 3/99 DC - ". ----- ---------- ---.-----. mg/Kg 2/ 3/99 DC _<__m__.._.____ mg/Kg 2/3/99 DC ~. n_ _ _on __un. ~__ _.__ 10 mg/Kg 2/ 3/99 DC DLR = Detection limit for reporting purposes, ND = Not Detected below indicated detection limit, OF = Dilution Factor ASSOCIATED LABORATORIES Analytical Results Report Lab Request 33002 results, page 11 of33 !& , Order #: I 1048951 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 12:44 Sampled By: ClienW:hevron - T elluris Client .ple ID: 016-2 Sample Description: South dispenser islands e Analyte Result DF DLR Units Date/Analyst 8021 BTEX + MTBE - _____ ......________________..___...u_____ __ ___ _______~___ ___ ___n __ ___ .__~_.__ ___ __.___. _u______" ...---------- Benzene L_______~~L______m~ 0,005 '-______ __~~L___n_ _I 0.005 I NDI I 0,035 - ---' .--...---- ------------ ----------_.._-,------.-~-- --- ---- _1________n~?I_____ I _~,005 L_____m~_NDL __ I 0.015 ------ ------- ..-- . --- - - ---- ....-.--. - .- - --- -- -- -- --- Ethyl benzene - _..___._.___n______. _..._____ ____ _ ___ _ ___~_____ Methyl t - butyl ether --- -- -----------.----- .-.---.-"----------.----- ------.--- -_._- Toluene - ----------~ - ..__ .____n.' ________ ___.__ Xylene (total) 8015 - Total Petroleum Hvdrocarbons Gasoline m I L ND _ - - _______ m"'" _.. _un___ __~______._________ mglKg 2/ 3/99 DC --------- -~ --------- mglKg 2/ 3/99 DC . ____________._________ ______m mglKg 2/3/99 DC .. ...___. ______ ..__ _u ____________._ mg/Kg 2/ 3/99 DC ----.._-_.._-~----- - mg/Kg 2/ 3/99 DC "- - ~ -_..- ------ - _.._ _____m__ ____._.._ _ 10 mg/Kg 2/ 3/99 DC _ .__ __. __ _ ___.. _... ... _ _ _no ___u DLR = Detection limit for reporting purposes, NO = Not Detected below indicated detection limit, OF = Dilution Factor ASSOCIA TED LABORA TORIES Analytical Results Report Lab Request 33002 results, page 12 of33 ß , Orde:a;: #: I 1048961 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 12:47 Sampled By: Client~hevron - T elluris Client .ple ID: DI6-6 Sample Description: South dispenser islands e Analyte Result DF DLR Units Date/Analyst 8021 BTEX + MTBE _~_____________.__..__.____~.. .._n_o__.._ _~m____n___ .___ --"--- ---.---------------. - .-...- ------ ---.-." -- __ _ ____nn____.~.___._ .... ------------ __ L_ .. .m_~?L__.. 1 O.O~? _. _ ._Il1~/Kg.. __2L~(~?___?~_ . ______J.__u__~EL___l___.__ ~~~~_. ___~~I<~_u2L3~??____~~._ . ________ L______.__~7L____n_!______~~_35 __ _Il1g1I<~___2/3/99 _~~_ ___ ...._... _ L_u______~~L____I____O,~~?____ _!l1g/~~__2L~!?~___J:)~_ 1.___ NI?I__ 1 0,015 mg/Kg _ ~/Y?~___~~_ .. Benzene . _.._~------_._--_.- ---. -.------... Ethyl benzene __ _ ______~~___n______ _ _______ _ __ _ Methyl t - butyl ether ---. ~-----~-_._----_. -~-----_._-------_.- Toluene ... - - -- - -------------.-- -- - --" -- --..--.- -~- Xylene (total) 8015 - Total Petroleum Hvdrocarbons Gasoline .._ _ ___n~_J:)1 10 mg/Kg 2/ 3/99 DC . _ _ _u_ DLR = Detection limit for reporting purposes, NO = Not Detected below indicated detection limit, OF = Dilution Factor ß ASSOCIA TED LABORA TORIES Analytical Results Report Lab Request 33002 results, page 13 of33 , Order #: I 1048971 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 15:12 Sampled By: Clien~hevron - Telluris Client.plelD: TlA-17 Sample Description: Tank field e Analyte Result DF DLR Units Date/Analyst 8021 BTEX + MTBE ...______ ______________u__ ___ _ ._____ ____. ____ .____.. _ ________________ - -- -----.--------- ---- --.--.-.----- -._---_._.._._~--------~-- - --.... -- ---------- - . ___~_~I1:~:__..___n____.u __. .__ ___.__u....u___n__n_ . _._ L_~_. ___~mL___ nu~_.__O___?~~__ mglK~u_ _ _}!}~~~___.?~m___ _ __~!hX~be~::~_~_____n_. _ ~nuu. _ ____ _ _ u. ____ ___nn_._ _ __L _ __ _.1'J.~L__.. _In__.___?___??5._._mE~g_.3!3l_~?__ E~nn__ _mMe~~yl~=-~utyl e~her_____ __um__.____m nn_ _ _ _ Im___n___~~I_nn_..!_?:.~3n~___~_g.l~~___~!_3!?.?___!?_C_n _ n~~l~_e~_~__.___. _n_ ___ __ ._. _ u._ __ ._J _ __ ____.1'J.I?L______l__ __ ..£>.~?~ ____.~~~g___. ~~} !~?_ _..E~_ ~yl~I1~~~t~I~_ _ __ __.___ n_ un In ______~~Lnu__I__~___?~~__. f{1~I<.g __u~!~!??____.~~__ 8015 - Total Petroleum Hydrocarbons --.. --. P----._---,- _.__,___ Gasoline ...--.- -.-., ..-- _.- 1__ ____1'J~L_ 10 mg/Kg 2/ 3/99 DC DLR =, Detection limit for reporting purposes, NO = Not Detected below indicated detection limit, OF = Dilution Factor 8 ASSOCIATED LABORATORIES Analytical Results Report Lab Request 33002 results, page 14 of33 c 'Order '#: I 1048981 Matrix: SOLID Date Sampled: 2/2/99 TimeSampled: 15:14 Sampled By: ClienW=hevron - Telluris Client .ple lD: T1 A-21 Sample Description: Tank field e Analyte Result OF DLR Units Date/Analyst 8021 BTEX + MTBE ____ ___... ___.__<_._..___.___ ___~__________~_____.n____.____ ____ _ .__ __ ~_ ___ _____ __ ____________ - _.__ ___ u_ __"_____.____ __.__.______ __ ___..______~ ___ . u_~~~.~~~~u ___.u ____ n______n___________u___ .. J __.~~hyj_~~.'1_=:_~~_._____ _ _.__.. ..___nmn_._ __L . _ J~1e~~~I.tn~n~~~~~~~~__ _un. __ . _ _ __un__uL n _!ol_u~e.______nu_ ___... ....n__n_ . .1_ )(.!'I~~~ (t~tal) _________ ____.___ mn ._ un.. .J. .n~~L_ __n1____.o~_~.o5_ __.I11~~g____2I_~~?.?__._~~.___ ___!'l_~L~u_._1____.n~:9~? .____I11~~~_. .._ 2/ ]!.?9_._..~C ___ m_n_ ._~~L_____~_n_.._O.:?35_ ___mg/~~_.._~~~/99 _~~_~ ND 1 .0,.0.05 mg/Kg 2/ 3/99 DC m-~?c---.~·-¡~---·Ö~Õ-(5 - ·-mg/K-i-· ·-.~/3~?9_~~~~_C-n.- 8015 - Total Petroleum Hvdrocarbons __ ___. u_ _._ ~__ _. _ ____ n_n I ~DI._ 1.0 mg/Kg 2/ 3/99 DC Gasoline . -- --..--_.- DLR = Detection limit for reporting purposes, ND = Not Detected below indicated detection limit, DF = Dilution Factor 8- ASSOCIA TED LABORA TORIES Analytical Results Report Lab Request 33002 results, page 15 of33 ¡ Order #: I 1048991 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 15:20 Sampled By: Client~hevron - Telluris Client .ple ID: TI B-1 7 Sample Description: Tank field e Analyte Result DF DLR Unõts Date/Analyst 8021 BTEX + MTBE ... . -. .~- -"- ~------~---_._- .--.-- Benzene __ n_.__. ____ ._____ ___ .---------------~------_.- ----- --- --.----.-- .. --_.--.-.-.----- . ------------------ --------- ____._.__.________ ______ n"_______' --- ----,.-.- nm__~____ _____ __ L ________~DL I _ ____~~O_~?_ _m~~_~~_~L~~~___E_~___ __ ___~___ n________L___ _un _~Elm _1_ __nO___?~5 _ n_~_~Ii~___2!}!9~~__~~_n __n___________L_________~_J?'____ I ___?,g35___IIlf:!_~_~__ ~/2I~_~___J?_~___ m _____________1___ ___n!.J~L _In _?,O??_ m~!~~__n~L~~~~___~~___ ____ ___________-' _ _ __ur-JIJ _!m___?~~!_?_ _111~~_~__~~~/~~__n?~____ Ethyl benzene __.___,__,___ ___.___..on.______ Methyl t - butyl ether __ __.n ..__..._.______.____._____ _ _. __ __._ __. ___.___. ... Toluene _ .___.__ __ . _ ... on __~_ Xylene (total) .- ----------------., ..--_. -.. 8015 - Total Petroleum Hvdrocarbons ---- - ~---- --..- Gasoline I _ u!'lDI _._ ~._ _____ _.___.m_.__ _.. ___ 10 mg/Kg 2/ 3/99 DC _ _ __ ._~ n _ _._ _ _ DLR = Detection limit for reporting purposes, ND = Not Detected below indicated detection limit, OF = Dilution Factor 8 ASSOCIATED LABORATORIES Analytical Results Report Lab Request 33002 results, page 16 of33 < 'order #: I 10490°1 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 15:22 Sampled By: Clien~hevron - Telluns Client .ple ID: TI B-2} Sample Description: Tank field e Analyte Result DF DLR Units Date/Analyst 8021 BTEX + MTBE .. .___.______..__ __.__~____ . a_____ ___ _ _ _ _ __ "__..m___ .__~_____~___~_____~_ _ ._ _ __~___________._.________ ____ n__'__ ___.__._____.___,. _ _u_ _~_ __ _...__ ______.._._ _ _~e_nze~~=--_________~n______ ____ _____________ _ __--'__ __ ____~~L_n __ _?..:~~~_ __~~~~_____~~/~9 _DC~___ __Et~x~~e~ze_n_e____ ___ _. ___ u__ __ ______ _____~______u_L_____~J:)I___ _ ______O..:.~~5 mg/Kg?/3!.??__ _ ?E__ _ ~~~~y~~=-~~!x!...~~_e! ____ ______________'-_____ _ ___~J:)I_ _ 1 _ ____O_,~3~~______~~~~~_ _~/ 3~~?_ _J:)_~___ !oluene___ ___u_____ __ _ L ___!'J~L____~______~:O~~~_m_~g!..K.~ 2!3!?9 _____D~__ Xylene (totaJ)u__________l _ ~[)I 1 _ O._O~5 __ _ m~_~g___~/ ~~9?_ ___DC 8015 - Total Petroleum Hvdrocarbons .a ... _ ____. _ Gasoline I. ND 10 mg/Kg 2/3/99 DC '- DLR = Detection limit for reporting purposes, NO = Not Detected below indicated detection limit, OF = Dilution Factor 8 ASSOCIA TED LABORA TORIES Analytical Results Report Lab Request 33002 results, page 17 Qf33 ,Order#: I 1049011 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 15:08 Sampled By: Analyte Client.evron - Telluris Client S~le ID: T2A-17 Sample Description: Tank field e Units Date/Analyst 8921 BTEX + MTBE . u_.___m ___~ Benzene ------- ----~ Ethyl benzene ----~------ .------- - ------. ------ Methyl t - butyl ether -- .----.-.-------- ------ ..----..------. Toluene . ____~_.___,_____._u ___ _.___._ Xylene (total) 8015 - Total Petroleum Hydrocarbons Gasoline Result DF DLR -- --,------- --------.-.... mg/Kg 2/3/99 DC '. --.'.'... --- --- - ---------- -._-- ....------..- mg/Kg 2/ 3/99 DC ----.----.- ----.------ ---~_.__._--_._-- mg/Kg 2/ 3/99 DC ________ ____~___________ .. '_____n__ _. mg/Kg 2/3/99 DC __n ____ __.___~_._~._______.___ mg/Kg 2/ 3/99 DC -------- ---_._~--- . ]0 .. -. --- ----- .- mg/Kg 2/ 3/99 DC __ n__ __ _ __. ____.___ ,___ ___________ __________~_n..~__ ... -- -'.. ------- - - ..---- -.----- DLR = Detection limit for reporting purposes, ND = Not Detected below indicated detection limit, DF = DiJution Factor I ND 1 0.005 _ _, ____ ___~______~~____. ._____..___~______ _. ._____ ____...n__ _ __ __ I ND I 0.005 -"-. ------_._~-----~- --_.----------- -----..-- .~._- -., -----.,.. I ND I 0.035 u_ ____..___.____.________________________~___.~ ______ ._ _ _ _ ____~__ _ .. _ _ ___n__ ________L___n___n__~~I_ __n _1_ _u O~??~ __ I ND 1 0,015 _ .__ __On' ___ __________~____u..__ ....__.____u_.. _______.____ __.___ - ..- . "--.------.-------. -- -- __L_ _~D'-_ ASSOCIA TED LABORA TORIES Analvtical Results Report Lab Request 33002 results, page 18 of33 8 , Order #: I 1049021 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 15:10 Sampled By: Client,¡6hevron - Telluris Client .ple ID: T2A-21 Sample Description: Tank field e Analyte Result DF DLR Units Date/Analyst 8021 BTEX + MTBE ~--- -_.-~----------_._- .. .--- -. --- --.-.--- - _u_ _ _______________ - --.-..----.-----------. -.--------. - ------- --------.-- .~- _~~n:=_~e _u_~________m ______ ___~ __u____u_ ________1____ _ _n_~!?L__ __ u~__ _ _~.~O~~~~~_ ___~/_~/f}? __ _ DC _____~~hy~~_=~_~~~~_ n_____Uu____ _________________ _--'-_ u}'lEI__u__~____~~~~ _ _~~_IS~__~!~9__u~~u u__u_~_=!hyl t ~_~_~t!'L~~~.:~____ n ____ _______ __ __ __ ___ J_ ____ _ _~~L__ _ _!u____~·~~~_ _~~~~____~L~~~?____~C___ !~l~_e~:_______ u_ u____ _ __ __ __L______ uu_ ~I)I____ 1_____u~,905_ _____~~/~.?___~L~,,~9 __ _ ~~_ _ __ __~!'~:~_~~?~~l~__ _u__________ ___ __J___ u _!'IEI_ I u~·OI~_____~g!.!<~______2~~/?9 mJ)~_ _ 8015 - Total Petroleum Hydrocarbons u. .._.. _.... _.__ Gasoline - I __ NDI_ 10 mg/Kg 2/ 3/99 DC ....- .-.--.. - .----- ..--..--...--- .-.. DLR = Detection limit for reporting purposes, ND = Not Detected below indicated detection limit, DF = Dilution Factor ß ASSOCIATED LABORATORIES Analytical Results Report Lab Request 33.002 results, page 19 of33 'Order '#: I 1049031 Matrix: SOLID Date Sampled: 2/2/99 TimeSampled: 15:16 Sampled By: ClienW:hevron - Telluris Client.ple ID: T2B-17 Sample Description: Tank field e Analyte Result IDF DLR Units Date/Analyst 802 t BTEX + MTBE ___ ______._ __________________ __ un__ ---- __ .__ __ .. ________.___.____. ___'..u. _n___.._____...______. _ __~__n_____~_____.,___ ________n_____~..________~_______._._ .. - - --...-- -- - --- _ ___ ..___ _ __~_______________ _m _ L _ n __ _ ___~_~____________ _.. ___1_ ___ _________________n______ J_ J I - .u ~______ _ ______N_DL ..N~L__ _ "t-JI?L__ N[)L N[)L _n 0.005 mglKg 2/3/99 DC - - ----..- ---.--- ---.----------,-----.- -....--- --. - 0,005 mglKg 2/ 3/99 DC ------------------ - -- --- ----._- ---------.----------., - 0,035 mglKg 2/3/99 DC --. ... _.._------~---_._-----~---------_._- ---- 0.005 mg/Kg 2/3/99 DC -------- ------- -.--- -.----"--.- --------. --- ----- 0.0 IS mglKg 2/ 3/99 DC Benzene __ _____... __.___u_______._ n...______ ___u___. _ ___.. _ Ethyl benzene ---------- ..._------~- --"---- Methyl t - butyl ether ________. .__._.___._.___nn __ ___ ._._ Toluene .--.-- ----- --....---- ------- Xylene (total) ____~____...n ___ _..___ __ .___.___ __ _n_. ____ 8015 - Total Petroleum Hvdrocarbons - --.- --.--- --- Gasoline .--- -.----. .__ L __ N'?I_ 10 mglKg 2/ 3/99 DC DLR = Detection limit for reporting purposes, ND = Not Detected below indicated detection limit, DF = Dilution Factor ß ASSOCIATED LABORATORIES Analytical Results Report Lab Request 33002 results, page 20 of33 'Order #: I 1049041 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 15: 18 Sampled By: Clientâhevron - Telluris Client '-ple ID: TIB-21 Sample Description: Tank field e Analyte Result DF DLR Units Date/Analyst 8021 BTEX + MTBE ----------~---- . __. n___ ..__ _.._ _ n._.. _ ...._ _~____ .___._._____..__n___._..____~__________ _ __ ..~_.._ _.__. --. .. .--.---- .- -------------.. --~..- ------------------- --- Benzene _ __u_ _u__ _ _____ __ ____________________L_ _ _ _ __~DL _ ____________ __~.OO~___I11~~L__~i']~~u__~~____ _ _________________u J________ND n_______~,O~~___u_ul11..~~_~~!~__~_~___ __ _________u__u__ __ ____L_________ _N'?L ___O_~~3?____~~/K~___~~~~~~uuu_I?~uu __u_________________ _u__ __1_____ ____NDI_u __ L _ __ ~~~~?___ __I11_~/~g__~( ~!!!~______~c=____ ____ _ _ _______u_________u_u_______n____ _1___!'IDL_____~____u~~~~5 _ mg/Kg2l_3!_~?____J:)~___u ----~----- Ethyl benzene _______.__n____._______________ _ Methyl t - butyl ether ----.....--.---------.-- ---. .- ------- Toluene Xylene (total) ____.. ._____ ___ ..._ u.__ ..ou 8015 - Total Petroleum Hvdrocarbons Gasoline -- I _.u. . .__. u_ NO! 10 mg/Kg 2/ 3/99 DC DLR = Detection limit for reporting purposes, ND = Not Detected below indicated detection limit, DF = Dilution Factor 8 ASSOCIA TED LARO RA TORIES Analytical Results Report Lab Request 33002 results, page 21 of33 > 'order #: I 1049051 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 14:55 Sampled By: Clien~hevron - Telluris Client.ple ID: T3A-17 Sample Description: Tank field Analyte Result e DF Units Date/Analyst DLR 8021 BTEX + MTBE _0 ____ __ Benzene Ethyl benzene . . --. "---_.._.._,------~_..- - -- - --- - ,- --". Methyl t - butyl ether __.._ _u________ ,_____. ___" Toluene Xylene (total) . _. _________._u___ . ....."- _on' __... _____~_n___H__________n___l___ _ _n ~DL__ ... ______~__.__.____._n _ ......_______1..._. _... __ _. _.....___._____________ ____.....__1__________ _u___ ___ __n____ _____...._..L . _ ... ______..__ __ 1- 8015 - Total Petroleum Hvdrocarbons Gasoline __~~L....._ n~~L... . ND NDI ..L _ _ ND . ___ . .___ _ ,.._._.~_u_.____..__._ . ._m_____________._ _ J 0.005 mgIKg 2/3/99 DC - -- -----------.------------ --.---.--. ----.------ I 0,005 mg/Kg 2/3/99 DC _.,_____ - n________,_.___._u____._______ __..__.__.___ _ .______ _.._. J 0.035 mg/Kg 2/3/99 DC . -------------------------------.--.----------- --- J 0.005 mg/Kg 2/3/99 DC _.______.. _n_______ _u___ __.___ I 0.015 mg/Kg 2/ 3/99 DC "'-"- --- - .----- 10 mg/Kg 2/3/99 DC DLR = Detection limit for reporting purposes, ND = Not Detected below indicated detection limit, DF = Dilution Factor 8 ASSOCIA TED LAB ORA TORIES Analytical Results Report Lab Request 33002 results, page 22 of33 , Order #: I 1049061 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 15:00 Sampled By: Clien~hevron - Telluris Client .Ple ID: T3A-21 Sample Description: Tank field e Analyte Result DF DLR Units Date/Analyst 8021 BTEX + MTBE --" .._..~- -- - -- ~..,--_.__._--- u_ _ ____.___ . . _ __ _____...u.n ----.- ------------ - ..- --, -- ---- ... ----------- ----... --- .. ___nO. u____ _._ ____~., ___ __ ___un ________________ J________n~_I?L____l__ 0.005 _ _ __ ~g~~~__2!~/?9 DC ___________________J_ u______~~L____ L __ ~~?_?5___~~~~___~/~!9~__D~___ _________ _ _J ___ ~____ ~~J____ _.2_u_~·?~?_ _ _~~~~~___ _~/}!?9 DC ____ J_ _______~~L____n~u __~~~~~___ _ ~~~~ _ 2/3/99 DC uu__ ________1_ _ __u_~~L_____I ___~.~1~___ ~_g/Kg__ _~/3!9? DC Benzene __'n ______.,______u_ ...__~____.____________ Ethyl benzene ____ _.~u___~___________.______._____..______ Methyl t - butyl ether __~u__m ____.~,.__._ .______~_______.__ __ _,____ ___ ._. Toluene ..... .........-.-,_.._--_.- -- ---. . Xylene (total) 8015 - Total Petroleum Hydrocarbons - _._~-- ---.--.- Gasoline J _~DI_ um 10 mglKg 2/3/99 DC _..__,._.._____~.. ._.______.__ _._ u. DLR = Detection limit for reporting purposes, NO = Not Detected below indicated detection limit, OF = Dilution Factor Æ~ ASSOCIA TED LABORA TORIES Analytical Results Report Lab Request 33002 results, page 23 of33 Clien~hevron - Telluris Client.ple ID: T3B-17 Sample Description: Tank field e ~ 'orde.r #: I 1049071 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 15:02 Sampled By: Analyte Result DF DLR Units Date/Analyst 8021 BTEX + MTBE -- ._--------~_..._---- -- ------- - ------------------------------ - - - - __ __________ ___~___ ___...__.__.__n__..__ ___._ __________________ ______..___n_________________ _ -----. --.. .----. - __0 . .~___________.______ _ __n__.___.._ _____ _ ~.____.._ .._ ND I 0,005 mglKg 2/3/99 DC· ___ ______.~____.__"__.. __..______n___..____________________.._._ __________________.___.__ I ND I 0,005 mg/Kg 2/3/99 DC ___.. _0'.. ._..._._. _. _____ _. ._._~__n___ __.__ _~ ___. _______ ____'___ "._".__.___________ .____ _ __ _ m L_________ __O_.!L__ _ ____I____~~?_~~_ __I11__gl~___~~_~~?____I)~ Ju. _ _____1'JEI__ ____1__ n_O:OO~ _nm_gl!<-g____~! ~?2__u__I)C __ I ND 1 0,015 mglKg 2/3/99 DC .. ..___ .._.... __ __ __________ ______~__~_____m___ ______~______~__ _ ______..__." ________,____._~________ Benzene --- ------ ------ . ___ - - __ n___ _________ ____________ Ethyl benzene . _______ ____________._________~__,_________ u____.______. _u_._____ Methyl t - butyl ether u__~_______ _ _.____ __ _____~.__~________.~~__ ______.~ __ Toluene ._ _~_______ __ ___ - n____ ___ _..______________ _ _.~ __.__ ______ Xylene (total) 8015 - Total Petroleum Hydrocarbons Gasoline NDI 10 mglKg 2/ 3/99 DC DLR = Detection limit for reporting purposes, ND = Not Detected below indicated detection limit, DF = Dilution Factor 8 ASSOCIA TED LARO RA TORIES Analytical Results Report Lab Request 33002 results, page 24 of33 cOrder #: I 1049081 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 15:05 Sampled By: Clien~hevron - Telluns Client ~ple ID: T3B-21 Sample Description: Tank field e Analyte Result DF DLR Units Date/Analyst 8021 BTEX + MTBE -- - -~. --. --- - ---~-.._-_. -..-........ .-- _________________________.______~n _.. _______ .___~_____ .--_.--._---~----- -- _. _ .... __ _ _ . _. L.. .. _n .._.... __n_.__ __._nu_ .... __._ L_ .. __.___. ... nun._ ... J. J L .... - - -- ~ -- _N~I . _~[)L _l'J_I)I. n~DI... ~_J)L 0.005 mg/Kg 2/3/99 DC - - __ ____________ ____ ____nO ___________ _____._____....___u_____ _ ____ 0,005 mg/Kg 2/3/99 DC --- -" .---.-.------.--.-------.---.-- ---.. ..---- ------._---- ..- 0.035 mg/Kg 2/3/99 DC . on __ _ _un u______. ___________ "__.. _.__ ,____.._ __~___________ ___ 0.005 mg/Kg 2/3/99 DC _________._m___n_. __.".____ ______ _ __U_ _ _n.. ,._. ____ 0,015 mg/Kg 2/ 3/99 DC Benzene ---- --------.---.-----.------ Ethyl benzene -- -----------,---- ------------- ---- ----- Methyl t - butyl ether -_._----------------.-"-- .._--- Toluene Xylene (total) __.__ _____.._.._... ._.__ .u.u ____ __ ._. ___.. ___ .u___ .__..._....._. 8015 -.Total Petroleum Hvdrocarbons Gasoline NDI .. . -- ...--. - -.-- -- --.-.. 10 mg/Kg 2/3/99 DC . _. - __.u._.__ DLR = Detection limit for reporting purposes, ND = Not Detected below indicated detection limit, DF = Dilution Factor ß ASSOCIA TED LARD RA TORIES Analytical Results Report Lab Reque~t 33002 results, page 25 of33 , Ordet #: I 1049091 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 15:30 Sampled By: Clien_hevron - Telluris Client Sample ID: SPI-1 Sample Description: Stock pile e Analyte Result DF DLR Units Date/Analyst 8021 BTEX + MTBE ---.-,-----.. --.. ...-..-----.--.-- ------ -- --...-.-'- _. -_..-- _no. __ _u u_____.. __.____ ~~._ ... _ ...,_ _.________________.____ .._. ~I~L _ __ _ __1 u __u!!__~~~__ mg/Kg _ __2!_3~~____~~___ N~L ___1 _ nO__OO~ __mglKg 2/ 3/99 n~~ ___ .. _NDL_ __1 __ ___?O?~~__ mgl!<_~____~/_3!~~___I:>_~__m N'?L___ _ J 0,005 mglKg_2./.._3/?9 DC }J_D __ 1 0,015 mglKg 2/ 3/99___J)~ _ Benzene .~-_._----~_. - _. - ___u_ _____ .. -- - >-- ---'- - ---- _______L________ _ _______u ..____ --'__ ___ ________L _u_ __ ______ J _ - ___ __ _______ L__ Ethyl benzene .----------- - ----- -~--'--- Methyl t - butyl ether __ __u_,_ ___________.._____ n __ u_._ Toluene ________.__ uu...__.._. Xylene (total) 8015- Total Petroleum Hvdrocarbons ----~--- - --- ___________ In _ u_ N~L __ _ -. ---.'----- - Gasoline 10 mg/Kg 2/ 3/99 DC -------'- ..---- ----..- ----. ----- _.. -- --. ..-.. ---...---. .' DLR = Detection limit for reporting purposes, NO = Not Detected below indicated detection limit, OF = Dilution Factor ð ASSOCIA TED LABORA TORIES Analytical Results Report Lab Request 33002 results, page 26 of33 - · . Ordet #: I 1049101 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 15:32 Sampled By: ClienWhevron - Telluris Client Sample ID: SPI-2 Sample Description: Stock pile e Analyte Result DF DLR Units Date/Analyst 8021 BTEX + MTBE ~---------- -~--- .- . - -- ----.--.- -- -- - --- -- _ . _u____ _u_____~____. _________ n_._____ . _.~...___._ __. --------- - I ND I 0.005 mg/Kg 2/ 3/99 DC ~___ _ __ ___.__~_ .____ ____ _____.__________u__________.__~___._ _____._____ ___.._.___ I ND I 0.005 mg/Kg 2/ 3/99 DC - _____ __ __ ___. _.__ _____~ . __.. ___ - ______ - __ ____~________, _______.~__~______. _.._ n______ ____ ______ _______.___ I ND I 0.035 mg/Kg 2/3/99 DC __ ___u_ ...___ __ ______m__ ______0._ _ __ _______ _.___.______.__~________~___~_________ __ "____ I ND I 0.005 mg/Kg 2/3/99 DC _ ----- ----.- --- ----- -. _ .----.--'- --...- ------.------------ -..-- --..-.--.. ND 1 0.015 mg/Kg 2/3/99 DC ..... - .. .- Benzene --.--------.-------- -_.---~~----.- Ethyl benzene _. ___,_________ _.__" u________._.___ ___. Methyl t - butyl ether ------~------------- ,-.-- _.--_.~~- -_._-----~._.- - Toluene - --'--- .------ Xylene (total) --------..- ----. - 8015 - Total Petroleum Hvdrocarbons Gasoline NDI 10 mg/Kg 2/3/99 DC DLR = Detection limit for reporting purposes, ND = Not Detected below indicated detection limit, DF = Dilution Factor ß ASSOCIA TED LABORA TORIES Analytical Results Report Lab Request 33002 results, page 27 of33 . ' , Order #: I 1049111 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 15:34 Sampled By: Clienahevron - Telluris Client ~ple ID: SPI-3 Sample Description: Stock pile Analyte e Result DLR Units Date/Analyst DF 8021 BTEX + MTBE ..--.----------_.- - .- Benzene ___J __ _1___ _______J - -'-- _ 1____ -- -~----- ~.. --_.~-- --.. --. -- - ~-- -- -- Ethyl benzene ________. __.___ ___________u..___._,_____ __ __.__ Methylt - butyl ether __ _. ______._.. _________...___. __ _____ ___ ____ __.._n _.. __ Toluene . .... -- --..- ---------.-------- Xylene (total) --- -- ~-- --- - ----- ".- - ---.-- .. ---- 8015 - Total Petroleum Hvdrocarbons Gasoline ___ - I _. - .n_ _..___ _____.. ..______ _ __~~L__!_ ___~__~~~_I11~_K_~_ ~Y?~ DC ____t-_~L__ __ _L___~___O_?? __~glI~~___ 2/_ 3_/~9 _DC __ _~E'-_n __~____~.~~~ mglKg_2L~/?9 D_C _ _ ~~L__ __ I 0.005 mg/Kg 2/3/99 DC ___~_~L______~__ 0.015mgiK_g___2/3/99 DC __..___.u__ ___. _ NDL _______1__ mglKg 2/ 3/99 DC 10 DLR = Detection limit for reporting purposes, NO = Not Detected below indicated detection limit, OF = Dilution Factor 8 ASSOCIATED LABORATORIES Analytical Results Report Lab Request 33002 results, page 28 of33 , .. , Order #: I 1049121 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 15 :36 Sampled By: Clien_hevron - Telluris Client Sample ID: SPIV-4 Sample Description: Stock pile e Analyte Result DF DLR Units Date/Analyst 8021 BTEX + MTBE _~ - __ __ .._m___ .... n_. .__ ~ ..._ Benzene u. _ ____.... _ . ~__ --~._~-- - .- __ _~___________.__.. ._....n..~._ Xylene (total) _ '-__ ______m~~l___ _ __u__ __~._~~5 u__m~~_~_____~_3!?~____e~ J___ _n____~J)Ln _ __~____?_,~05____m~~~___2/_~!~?____P.<::_ ___ __L______~_I?L____!____ .__~._035 ___~~~ª____~0~~~.<:: ~__t_ ___ __~~Lul_ _ _O:OO~_ n:_~KgH_~~_~/~?__n__[)_5= n ___L__________~D L ____1_____ _ ~,~ ~~._____~_~/!<~__~/~~~__u_[)_~_ __ ___________n__"__ n._ .__n____ ___,.._ _ ____ _ __ _ ____ Ethyl benzene _ _ ~____________________._..__._~____. ___~____ .__n. _____...______~_. _..__._ Methyl t - butyl ether - -- -. --- ------,---.------------..------- --- . -.-.. ----_._-----_.- Toluene _ _'._n__.__._______ n_____ _ .__ ___ _______ __._. __________n_________.__ _m___________ 8015 - Total Petroleum Hvdrocarbons Gasoline I _ ND .-- I 10 mg/Kg 2/ 3/99 - DC DLR = Detection limit for reporting purposes, ND = Not Detected below indicated detection limit, DF = Dilution Factor ß ASSDCIA TED LARD RA TD RIES Analytical Results Report Lab Request 33002 results, page 29 of33 ,. . , Order #: I 104913\ Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 15:38 Sampled By: Analyte Clien~hevron - TelIuris Client Sample ID: SPIlI-5 Sample Description: Stock pile Result DF e DLR Units Date/Analyst 8021 BTEX + MTBE .- - ----.. .--.- --- Benzene ---- --.-_._----------- .-.. ----~-_._-- Ethyl benzene -~ ------.--~- --------- .----- ..-- -----~ --- Methyl t - butyl ether .--.- - ---,-- .----- .-- -------- Toluene . -- -- -.- - Xylene (total) . - ___m_, ___._. _.... _·_.__________~_____________n___ . --- ---- ------- --- -- --~-------------- '- ___ un_ ________________~__________ _L__ ___ __________________________ L___n ___ __ __ _______ - _____~__ - ___t _ __ _ _________ _________ - - ___ - ____ I Gasoline 8015 - Total Petroleum Hvdrocarbons _N~L_____I _ _ NDL_______~____ ___ !'I~L____ _ _ L N[) 1 NDI I I __~I_-- ..1 --..- ---.--- --------------- -.. ----- 0,005 mg/Kg 2/3/99 DC .-- ------..-.-.--- ----_._~-----_. ---. 0.005 mg/Kg 2/3/99 DC ---- ------------..---.-.----.-- -.--.---------.------ 0.035 mg/Kg 2/3/99 DC __~ ___.__. .______.__~_____ __.____._._____.____ m__._ 0.005 mg/Kg 2/3/99 DC ___ _u___._. _._____. ___._n___..____ ____.n_ 0.015 mg/Kg 2/3/99 DC . - ------.-- - ._-~- -,------- ----~_.-- --- 10 mg/Kg 2/3/99 DC DLR 0= Detection limit for reporting purposes, NO 0= Not Detected below indicated detection limit, OF 0= Dilution Factor ASSOCIA TED LAHORA TORIES Analytical Results Report Lab Request 33002 results, page 30 of33 8 Client~evron - Telluris Client Sample ID: SPIII-6 Sample Description: Stock pile e , Order #: I 1049141 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 15:40 Sampled By: Analyte Result DF DLR Units Date/Analyst 8021 BTEX + MTBE ___...___.___________n _".. . __ n_' _._.__ _____._____._______.__ ... ___ __.._ ___ .__._____...._ - __...__ ___,..._____ - .n.__ __._.__.___. __._ "_._____________ Benzene _ _ _____ __________L_______~DL_____~ _ O:_~05__~g/~~__ ~/ 3~~___I?C ___ .. _____ _ ______L___ _n _~~I____ __L_ _ _____O:~_~__ _~~!<g_ __ ~L~~_?____I?£__ _ __ ______________L_____ _ ____O·~Ln __ __1__ ____~,~?_u__~~/~~_ __ _2L3!~~____~~~_ ____________J__ ___ __~~L_ I ___~.~~~_____~_~~~ _. _?!_3/9~___J)~____ ___un _______'--__ _~I)I______~_____~~~___~~~g_ 2/ 3/99_u~~____ ----~-----_._--- ---.~---"'_._- Ethyl benzene ~--------_._.--------- - Methyl t - butyl ether .__~~n__....____..____.n_______ _ Toluene - --~--_..._----_.._.,---- .-. Xylene (total) u___________.._______,.__ __... _ ___'. __ __ __ _.___ 8015 - Total Petroleum Hydrocarbons Gasoline --' ND 10 mg/Kg 2/ 3/99 DC - ____nO ~ - ~ "_ DLR = Detection limit for reporting purposes, NO = Not Detected below indicated detection limit, OF = Dilution Factor ß ASSOCIA TED LARO RA TORIES Analytical Results Report Lab Request 33002 results, page 31 of33 ,'Ord6r#: I 1049151 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 15:42 Sampled By: Analyte Clien~hevron - Telluris Client~ple ID: SPY-7 Sample Description: Stock pile Result e DF DLR Units Date/Analyst 8021 BTEX + MTBE - - --.--".- - --..- . Benzene ----_..._--~--_.._----_._~ .- Ethyl benzene -. .--- ---.--- --..- _.-------- --- ,- --...- -- -. .--- Methyl t - butyl ether . __ ___ _·_'n__ __~~_._ __._.._.__ Toluene Xylene (total) --_.. --. -- --- . ___un ___ _ _ __ __ __..._ _ --- --- -.. __1 _nn _ _ _ _N_I)I____ ____ J~_n _1'J_DL. .___ _ ___ _ J___ n_ ___~DL__ L__ NDI_ _________ ____ _ _ __ __ J _ __ ~DLn Gasoline 8015 - Total Petroleum Hydrocarbons ND I -- I I 1 I 1 0.005 .____n ..__ _ __ 0.005 __.._n.__··._ 0.035 .-.- ---- ---- 0,005 0.015 mglKg 2/ 3/99 DC __n______u___,. -- ------------ ---.. ------ mglKg 2/ 3/99 DC -- -----.---- -~._- ---------------- ----- mglKg 2/3/99 DC ._,-- --- ----.-.------ .----------.- -_._-----~ mglKg 2/ 3/99 DC ... _. _ ___n_p._ _. ________.._ _____ mglKg 2/ 3/99 DC ---.. - --.. --- -- - - -- 10 mg/Kg 2/3/99 DC DLR = Detection limit for reporting purposes, ND = Not Detected beJow indicated detection limit, DF = Dilution Factor ASSOCIA TED LABORA TORIES Analytical Results Report Lab Request 33002 results, page 32 of33 - 8 , . L Orde'r #: I 1049161 Matrix: SOLID Date Sampled: 2/2/99 Time Sampled: 15:44 Sampled By: Clien_hevron - Telluris Client Sample ID: SPII-8 Sample Description: Stock pile e Analyte Result DF DLR Units Date/Analyst 8021 BTEX + MTBE .on__ ._~_ _________ ____.. ___ __,__,_._. ------- - - - - _.__..__" _____._ __ - __.. ~ - __,__ ___ _____._ ___ _. _._____.___._.._...__.n________ ______'-_______ _Ì'-I~L ___ __~____?~1_____~~~~___~~~~9_._ _~~__ _ ____1____ __ __ ___~'JDI_____ n 2______?'-?1_____~~_~~__~~~~~ __~~ ___ _ _ ____ _ _ .__L___m_Nf)L______?_____~~~_~___~g/I<.~__~! 3/~9_~~_ _0 J N~I. n~_ __O,?! .__~g/Kg ~/n~~99 D~ J.__ _ _0,21 2 0,03 mg/Kg 2/3/99 DC Benzene Ethyl benzene .._-------~--- . ._--. Methyl t - butyl ether n.. ____________.__._.._ __ __. __ __.__ Toluene -- --.---- - -.. Xylene (total) . ---- .- ---. .. ___ __·_.n ___.._ .___ _ 8015 - Total Petroleum Hydrocarbons Gasoline _I.. 141 un 2 10.0 - mg/Kg 2/ 3/99 DC _....... -- ---_... - . ... _,_. .n_ DLR = Detection limit for reporting purposes, ND = Not Detected below indicated detection limit, DF = Dilution Factor )11. Q ASSOCIATED LABORATORIES Analytical Results Report Lab Request 33002 results, page 33 of33 Ai¡¡0CIA TED LAHORA TO~S ~A REPORT FORM - ORGANICP" QC Sample: LFB020399 - 1 __n____ ___.____ __ _ Matrix: SOLID Prep. Date: 02/03/99 ----------. --..------- Analysis Date: 02/03/99 ---.- .--- -----------.- LAB ID#'s in Batch: LR 33002 MATRIX SPIKE 1 MATRIX SPIKE DUPLICATE RESULT REPORTING UNITS = ug/Kg -- - -,.- --. ..-- -.. . - .-.. - -----_._._~-- "------ - -.. __. ___._._ . __.____.________~_._______ - _.... __ - __ - __'_n .___.. _. __.ou. Sample Method Result 8021 ND 8021 ND ..-.. 8021 ND . - n' ----.- 8021 ND ND Spike Matrix Matrix Added _~pike_ _, ?pk~_ º~p - ___.u -- -I .... 1.0 1.087 I 1.146 %Rec %Rec Benzene U MS MSD RPD --- ,- -. - ..- T'c--c-cc. ",_--.c_ ,-..-.- 108.7 . 114.6 5,3 Test __._____..___..._... _ m U 1.0 1.043 1.088 104,3 108.8 4.2 -. - u_ -- .-.__.. -- .".- ...- __on --- -........-.--...--. .-------- .-.--- _n___ U 1.0 1,034 1.080 103.4 108,0 4.4 ...u - u._ ------- ---- ___no __ __ .----,.- .-----.- -- U 3.0 3.035 3,093 101.2 103.1 1,9 -I -.. ...------..------.- - - ---- -. --..---. - Toluene· EthylþenzE!l1e Xylene~ - - -..- --. -' .---.. ___on NO = "U" - Not Detected RPD = Relative Percent Difference of Matrix Spike and Matrix Spike Dup %REC-MS.& MSD = Percent Recovery of Matrix Spike & Matrix Spike Duplicate .__. - _. ....u.. ___... _. _. __ __ _._. _ _. _ _._.u _....__ %REC LIMITS = 70 -130 I~E~þ:~I_~!.TS. = -30· ~um_ PREPARATION BLANK 1 LAB CONTROL SAMPLE RESULTS _ _ __ . _ ._ ____ _ __ _ .___________ ___ ___________ _________ _____________________u.__ _.______________. .. ____.__________________.________ Test Method PREP. BLANK LCS - ·-V~I~;___.J_ .-~_Q~_ ~~;~~~~[i¡~;:_-_I_~--~~R;~_-_nl L:.~i~iJIH..Li~~i~- - .____ ._. - - __ ____________._ ____u._.___________.___.____ _ _ _ ._n__ __.. ___ ____ ____ __.u_ . _..____ __ _.____ .___.. __ _ _._.__ __ . _ _ _ Benzene 8021 ND U 0.502 0.500 100.4 80% 120% ._u__ ____.__._____u ______ ______u____ ------------ -~-- - .__._._---_.--~------- - ----- ---.- - ..-. --------,,""- ND U 0.464 0.500 92.8 80% 120% ____._________ _____._. __u__. Toluene 8021 ____.____~~___..__ __ ____.______ _____ ____nuU_ --. .--- __m___n____________ ___________ ._______________ _____.___.__ _______________ _.__ _ __.__________ ____________. __ .___ _ ~!~-'il_~en~~_n_~u____u_ ____ __ _..8021 ND U 0.454 0.500 90.8 80% 120% .._._-~._----- ----- ---.------------- ---~-------- -- ---------------.. -- --- ----.-- ------.-- ----..- ~~~~n=~.C=.c_.7=--=C.....==..C=,OOC=..-_. __= _êQ?)_._ ___ _.t;Jg,,-=~=_.__-_-_lL,,=_.ooct1:3ª---__1. 500_=--'-'==~~~=_=. u..ª=º!~,.oo..__=1?O%_ VALUE = Preparation Blank Value; NO = ''U'' for Not-Detected LCS = Lab Control Sample Result TRUE = True Value of LCS LLlMIT / H.LIMIT = LCS Control Limits 02106/99 bt0203S.WK4 '. AS~CIATED LABORATORIA QA REPORT FORM - ORGANICS QC Sample: LFB020399 - 2 . --'~-------" ---~._--- Matrix: SOLID Prep. Date: 02/03/99 ~._-- ---------- Analysis Date: 02/03/99 --- -- - ---- .'.- ID#'s in Batch: LR 33002 MATRIX SPIKE ¡MATRIX SPIKE DUPLICATE RESULT Reporting Units = ug/Kg - -- ---- - ~- --------~._- - - -----. Method - ..,.. --- -- ,...- - 8º1-§_M-~ _l Sample Result ND [::~::~=;i:: U ¡---;;1-u-?1.8 ._ _u 'n _ __ ___. .. --- ---~ TPH NO Matrix Spike Dup, 19.-91 %Rec %Rec Test MS MSD RPD __ _.______'_n.. 87.2 79.6 9 ._ ________.__ 0- ________.,...__ NO = "U" - Not Detected ~:~~I~~~S = !q - ~ ~q = 30 I RPD = Relatíve Percent Difference of Matrix Spike and Matrix Spike Duplicate %REC-MS & MSD = Percent Recovery of Matrix Spike & Matrix Spike Duplicate PREPARATION BLANK / LAB CONTROL SAMPLE RESULTS - - ---_._-----_._----_._._--~-------_._--------_. . .. - . - ..--- _____ U_" ____ . _ '."'n ___ n' ,. ____._._____..__U__". _ __ ..____ .__.__ n' _ .____0".. .- ."'--"'-' PREP BLANK LCS y-ª!~~_ __:I~~~~ :~;;~;=_-~!i;~;:~~:=_ 'IoÏ~Re~_--- ----T~~~i~-i!_:u -1 ~~~i~;-- -- - --"'-'~~ '."-[~-~_~-I----~~_._ 22.;_~_l,-~-.~-~_-_~¡;.·r·-·_~_·.-.~8;._~'-[~·~Q~-._...-.1_ .-_1_;~~o~~~' _ ___ .___. _____________...___.__.__ _..n__~______.__.__ ._. .__ ____.__ _____ _ ___ _ __,. _.n__.....__ _. __..___.___._____ .__ Value = Preparation Blank Value; NO = "U" for Not-Detected LCS Result = Lab Control Sample Result True = True Value of LCS L.Limit / HLimit = LCS Control Limits 02/06/99 g0203S.WK4 IÞ ASSOCI_ED LABORATORIES e QA REPORT FORt'\1 - INORGANICS '.- QC Sample: LR 32961 - 104740 ----------~._-- ----~---_. ---- Matrix: SOLID Prep. Date: 02/03/99 -_._------~._--- Analysis Date: 02/03/99 .n __._________. __~ ID#'s in Batch: LR 32961, 32926, 33002 MATRIX SPIKE / MATRIX SPIKE DUPLICATE RESULT Reporting Units = mg/Kg m_ . ___ ___. u __ . __ _ _<_ n . . __' _ - ____.n_ ,."_' 10 ND I U I Spike Added 38.15'- Matrix Spike Matrix %Rec %Rec I Test Method 418.1 .1 Sample Result TRPH 42 Spk. Dup MS MSD RPD î 44 I 110,1 I 115.3 -I 4,7 i __ .'. ___. .. '__ ..___ __ n__. __'n -- .I NO = "U" - Not Detected RPD = Relative Percent Difference of Matrix Spike and Matrix Spike Duplicate %REC-MS & MSD = Percent Recovery of Matrix Spike & Matrix Spike Duplicate %REC LIMITS = 70 - 130 RPD LIMITS = 30 .n._. ,__...._ _ PREPARATION BLANK / LAB CONTROL SAMPLE RESULTS u. __.. .___.__..________ __ _..___ ____._..______ - -- -- --- -----------.---------. - --. ---.----...--.----- -- . ....-.--.---------- -._-----._-- - .-- .-----.-' . --- -- -~- ...--- _ .. _.,·_______._·___.__m...____...______.___._ PREP BLANK LCS :_:- :y~/u;.-.__r~[L :·:--R;~~ltT___:i;~~-_:~·r·-:-:.~.B;~-..::_-I_~~hi~Jl~:.·[tl.ii~Jl-:- ..-.--- .;~.-~._-.¡-~~~I.__---;~=[~-_ª~1-_--~~._.[.-___-;~ª-;~.I_-~~~;__].-_-~;_;.;~-_... ..-- "------------- ~_.. ------, --"--_.---,----_.._------- --------.-.----.--.--.------------..--, -_. ---~------~--- .------- Value = Preparation Blank Value; NO = "U" for Not-Detected LCS Result = Lab Control Sample Result True = True Value of LCS LLimit / H.Limit = LCS Control Limits 02/06/99 t0203S.WK4 d~ASSOCIATED LABORATORIES 806 N. Batavia. Orange, CA 92868 (714) 771-6900. FAX: (714) 538-1209 j30o<- ~ CHAI N OF CUSTODY RECORD .. Date 2..-2..._c'Ì- pagel of ~ : \ ^ ll;t~::"'l"")_ì \.......... ,~-=-ì-e ....., \ / ."- r " loO~3 CLlENTL--A I ~ ",uN '( \'1..)\ )\A..C \~ (( ': ~'I ~rT\\ J V FÇ\-,( ~ ( 3 10) 1£:; SZ - ~ \ 3co S ð ,.-. ^ -.ù. ß L "D J PROJECT MANAGER / ADDRESS. \ f"\.'. . .11 X'A . \) , \'\'ùc+\-ELLt==-'Tillmp,c;ot\...\ Samples Intact Yes_ No_ L-Pt- 'T\-n-~ C jÁ: ,pI 0 . ~ County Seals Intact Yes - )110_ , 11 ¿~~~E~\ Q'l / ~,6) ~-:.-) '2... - 7-l ~} Sample Ambient _ Cooled ~ Fro~_ PROJECT NAME ~A~11.ERS: (Signaturø\'" - -- Same Day 24 Hr. V (\\1E\J00N S\'R\ \6\'\1 t\ lC'ì, 9'- \SSl) f iUry /}"nr ~ Regular 48 Hr, -, - SA-"¡Pl1 TYPE DATE TIME II/NO OF SUsp, WATER I V'AIR SOLID CNTNRS CONTAM SAMPLE NUMBER LOCATION DESCRIPTION TESTS REQUIRED \" ~~,~2 )TFrt'J ~ Ç'l6l 1) (p&,\ 1'7·2 <1130::' X- ) -/ ( \. ~Ç:J: -\ ~ t)cJL- r?\ 1.1=7 ~',?:0 ~- S<?T --2- / \. ''7' ··-\Z -I- \ -:;6 ~-I- --3 I 'A. 3:3'-\ \ 5f'TI:-L\ \ '3.?1c ~I \ I \ SP 'm-~" \ \ --?'..~ ~ \ ':'>, S(J\Tf·-tQ \ '\ :.;: lft ~ \ svr: -I / j ~¡~.¿ ~- , -SOTCY61 / ( :;.~ 7'- \ -- f I I t:p-n \ S I '3CJ¿ ) I /' I / / \ \ \ , \ \ \ \ ì \ \ / '/ .--.... .' RelinqUiSI\.Q.d¡bY: (Sign~-èJ') 4,"ð:J Re~~~re) (0)1 r 11 / ¡/jJ ~ 1.- 3 ''7 7 Ý7 /';;?' kl'!r- \A.v \541 Relinquished by: (Sighãfúre) / j'Re'ëé¡vedWLaboratOry for analysis: l/ (Signature) Date(p~e 0'L.(2 2-:?-....'\..1 Date/Time I hereby authorize the performance of the above indicated work. Special Instructions: frv¡;1JA ~A/\ DISTRIBQf',ON: White wi't'h;'epo~. Y.j1l6w to AL. Pink to Courier - CLlEN.[1U.r-\lnr-'¡\-/ Q<2l\O\A.C~\'S> (T'-'·ÇÇ>WyrD..·.,l ~ (::7:>iO~) <ç"S2. - 0o~'~ ....-.¡ t""I_ ^ .r i \ r'\ I '. --.' PROJECT MANAGER --' \ ADDRESS" ,";(--r~ S, ~Hc...ji- p... j/I) N'\ \('\\:e=D í r~ \ \1LS'('ý)~ ('"') , é ^ \ \ ' J''T \. LA- 'H A- \-")8 A- i ¡~ I 17( ~~~~.~f~, ~'-J r~ i7\ ")eo 5 ') 2-1 <2 J ~~~Tº-~ çv~ltru N~ <1- \ cE;Slf' sf n;~jt:ßtïrl~ I ... ...." \ SAM Plf/TYPE 7 NO OF SUSp, DATE TIME (/ CNTNRS CONTAM. WATER ~R SOLID !:\ASSOCIATED LABORATORIES 806 N, Batavia. Orange, CA 92868 (714) 771-6900. FAX: (714) 538-1209 '3 7MO <- SAMPLE LOCATION NUMBER DESCRIPTION - Ij\~\:(\-\"\ O\~.!::Ç.<&'~ 2 2 c)c ,"'L\......, DLb-to \ S LA~ \. '") .' ¡ ,V\ ~1-A \ì'T~t\'1¿ ç:\EL-N~ET) ( 3,'\,1- T~A 2\ / \ '3'.14- Uß -\1 ( ) '~~~ T j. ~ --2\ \ I 3-¿;V T'2-(:\ \'l \\ ~:Cî T2..~ -2\ ) \ 3\0 TL.ß [1: / ) 3\VJ I 7 "\t""I 'T2ß- 2) J ~ \"h \'~A-rll \ " ~ T3~ '-2, \ ) 30-0 'T~ b - ,-- ) I '3:O~ ~i"B~;She~/~~~ture) 4;3~C~ Rre,.,ti)leOl~ignaturt \..tv (5(.":'1 Y IJ MF'" I J Ú Jjy UJ/A"-vVÎ/1/1 2, . I I R...;/7 ~f\ , '-":" ' ~S' Lf) , R~ived l6y{aboratory for analysIs: RelinqUIshed J1' \. Igna e (Signature) I 'i \ f..- , 'i- \ " \ 'i ¡ \ .~ \ ~\ ~ \ -¡( \ 7Z \ .x. \ I'~ \ Date/Time C'Y¡¡p !J ~-3~~1 Date/Time I Special Instructions: -.. CHAIN OF CUSTODY RECORD'! ;; Date L.:--Z~9page L of3~ .. Samples Intact Yes-L No_ County Seals Intact Yes_ No_ Sample Ambient _ Cooled!....- Frozln_ Same Day 24 Hr. V Regular 48 Hr, TESTS REQUIRED ~olS I~Ø2..1 ( ~ ) 7 ( " ~ ) 7 " ') I I hereby authorize the performance of the above indicated work. ~r11ß::;-)(lIl DISTRISUTbN:White wit~ rep~rt.l,ý'ellow to AL, Pink to Courier ! / CHAI N OF CUSTODY RECORE? '\ Date 2. - 2. - c\ \ Page l of ~"3 .. . E f() AIL 'ì HoN\{i.{S li(D~cr, A\,Î, tv¡¿\" ,-i . ¡('"\.~- _. ....-.c.- ,-~ ,rf\, I Ý _.,,~ ~"310..... / 5 2. - /_~o ~ ~ CLIENt' i...1r"':..¡(j("\N'\Aßln\ $.. \~ l ('ÍÏ\'H-1N L- A..-x.-.-rl·' ))0 'Ç r...... PROJECT MANAGER AODRESS \ ~X1") 5 ' ~AC~ ß:Lv' \ \ m l CHGl L F="\tin{)'\~vd I ^ ; \ ^ .... t"\ ^ /'Ä . _ . f-.Jr. r\n¡''Wv' '- ~?ðf{tt.)~RSlg'71!3Io)b5G-2{~) PROJECT NAME SAM~ERS: (Signatur~ ~ r-,\-\:t:::\! e[ ,t\! SlAT \(1'\(\ \ CY ð.. 9 - \g:-:1-\ m~ r~ t,/ ¡) 0 II ( . ') ~/"I ß MPLE TYÆ NO OF SUSP. V CNTNRS CONTAM WATER AIR SOLID 8ASSOCIATED LABORATORIES 806 N, Batavia. Orange, CA 92868 (714) 771-6900. FAX: (714) 538-1209 -')';:)00 <- SAMPLE NUMBER LOCATION DESCRIPTION DATE TIME \k 1 1'\ \ '2-. \¡~ t\.~TF <0\ L \MJ 'L çR..\' 2"LI~c \\'~\ ~ "\ [J.- \ (.p \ I 11 \1 ), / \\ Ýf: .~\ ^._-'? V-J~~T $\S?~NSeK 1\ ¡--wt LJ \ l' L- --. ~- ¡ ð. I'\. \ ~ I -\-. .~ \ ~ '~ \.r'" ÐI.. 1 lç / rlO'? \Y\~A ~ )rv~ D1:. ~ 2- \ I \-n{¡ o"\~· . fa) 1¡12/~ iI 2. ~\3f D \'S¥~(\JSt\L- ¡~,,~~ D'!:, ""\ - '--r-~ \-f-\. f\. \ \. '" ~ I f -'~. \'JI l.\- ~ (' \ \'2-31 ~\~~1' '" \ n,:~9 :\)I5,- b \ 1,;~\ 'iì\1,., -'1." / _. /, \1}1~ Relinqui.§he? bY: ("n~l; .' ~1:D Rec~natu 1/ ,.e) , '(ð¿~r.i //1 Y,/l,/Jr-""Â/'\ 2·3·'1C:D ~ ,'I / t:Ct\~\JrS~ -:! . _t' . I~ifl ) I J' r , Received b~boratory for analysIs, Relinquished by. (.....,>:1"a ure V (Signature) /'- \ )(.\ >< \ X \ ...¡ I \ ..,- '''1 , '/..' , ^ \ ^ \ K\ ^ \ ^ \ Date/.Ii~e. CJó:SO 2-~-'i~ Date/Time Special Instructions: 4' ./ Samples Intact Yes_ No_ County Seals Intact Yes_~o_NA Sample Ambient _ Cooled L ~zen_ Same Day 24 Hr. Regular 48 Hr. TESTS REQUIRED Y\'9>1 :L\ \ "8, , 8oIS/<6û·7. \ ('~ ~ -:;; / \ ~ ~ ( ) I hereby authorize th; performance of the above indicated work. o mÕ~tl £/fl;/: ~/t~ 7ì'Vì DISTRIBUTION: Wh~ report/ý--;J£w to AL, Pink to Courier ~I 1" \1 tel (ð ¡1ç" J i4 ~ @~ 2--1 '~ h1 I." 1/ ~ II J.- --t~>--J-· V¡r-r ~t,0;1 ./' . , - e STATE OF CALIFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM A 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 o 5 CHANGE OF INFORMATION ~ 7 PERMANENTLY CLOSED. SITE o 6 TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS· (MUST BE COMPLETED) DB ~~r~E.skJ-J ~7J 1f 9/5 NA~í~~ATORI^" ADDRESS . NEAREST CROSS STREET o Un/~ m-enUL CITY (j~/(-tJLÅ 11 J~ ~s,,+ PARCEL # (OPTIONAL) STATE CA I D COUNTY·AGENCY· SITE PHONE # WITH AREA CODE 8D5- II' BOX D CORPORATION D INDIVIDUAL D PARTNERSHIP D LOCAL·AGENCY TO INDICATE DISTRICTS . n owner of UST is a public age , complete the following: name of supervisor of division, section or office which operates the UST D STATE·AGENCY· D FEDERAl·AGENCY· TYPE OF BUSINESS 1 GAS STATION D 2 DISTRIBUTOR o 3 FARM D 4 PROCESSOR D 5 OTHER o II' IF INDIAN # OF TANKS AT SITE E. P. A. I. D. # (optional) RESERVATION 0 OR TRUST LANDS EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY) - optional DAYS: NAME (LAST, FIRST) PHONE # WITH AREA CODE DAYS: NAME (LAST, FIRST) PHONE # WITH AREA CODE NIGHTS: NAME (LAST, FIRST) PHONE # WITH AREA CODE NIGHTS: NAME (LAST, FIRST) PHONE # WITH AREA CODE II. PROPERTY OWNER INFORMA TJON - (MUST BE COMPLETED) NA1J J J-, Hu-/h CARE OF ADDRESS INFORMATION fen MAILJ~8 Së:ET ADl!h~ lei fh¡~nl/f.t.. II' bex 10 Lo<fca:e D INDIVIDUAL D LOCAL·AGENCY D STATE·AGENCY D CORPORATION D PARTNERSHIP D COUNTY·AGENCY D FEDERAL·AGENCY CITYð¡K~~s helèL STATE I ZIq3æ ¡ I PHONE # WITH AREA CODE fA ~. III. TANK OWNER INFORMATION· (MUST BE COMPLETED) NAM.E¡ OF OWNER n - ..J (J 'J t7n l-'rOuucZð O~ 'at? MAlLIN tô~TRE ~EStDó4 ~~ ~ 0ttn imnc Lll1 94·5B.3 ' 5- IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER - Call (916) 322-9669 if questions arise, TY(TK) HQ [I[]-~ D STATE·AGENCY V. PETROLEUM UST FINANCIAL RESPONSIBILITY - (MUST BE COMPLETED) -IDENTIFY THE METHOD(S) USED ." boxloindicale D 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 o 8 STATE FUND & CHIEF FINANCiAl OFFICER LETTER D 9 STATE FUND & CERTIFICATE OF DEPOSIT D 10 LOCAL GOV'T. MECHANISM 0 99 OTHER 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 II·OIIl·D THIS FORM HAS BEEN COMPLETED UNDER PENAL TV OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE. IS TRUE AND CORRECT TA(lé~i~hJ;:ED& r!l(!l LOCAL AGENCY USE ONLY COUNTY # IT] JURISDICTION # UTI 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 , .,. ~ . . -' STATE OF CALIFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMI;T APPLlCATION-· FORM A , ~ . : . } COMPLETE THIS FORM FOR EACH FACILlTY/SITÉ . , ~ MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAL PERMIT o 4 AMENDED PERMIT o 5, CHANGE OF INFORq¡~JIQN J;'t.,~' i PERMANENTLY CLOSED. SITE o ¿ TEMPORARY SITE CLOSURE' I. FACILITY/SITE INFORMATION & ADDRESS - (MUST BE COMPLETED) DB JR F;;;I~MES-kt J., ~ "'* ~/5 NAi\{~1~~ATORW ADDRESS . NEAREST CROSS STREET o UnlfIC fhJmUJL. C/TY¡j~^V\.Â -RJ~ PARCEL # (OPTIONAL) STATE CA SITE PHONE # WITH AREA CODE &.5 .. t/ BOX TO INDICATE . II owner of UST is a public age o CORPORATION 0 INDIVIDUAL 0 PARTNERSHIP. 0 LOCAL-AGENCY . DISTRICTS , complete the following: name of supervisor of division,' section or bfflce which operates the UST o COUNlY·AGENCY' 0 STATE·AGENCY· 0 FEDERAL·AGENCY· TYPE OF BUSINESS 1,;.... .' 1 GAS STATION 0 2 DISTRIBUTOR /1, D 3 FARM D 4 PROCESSOR \q)5 OTHER EMERGENCY CONTACT PERSON (PRIMARY)/ D t/ IF INDIAN # OF TANKS AT SITE E. P. A. L D. # (optional) RESERVATION 0 OR TRUST LANDS EMERGENCY CONTACT PERSON (SECONDARY)· optional DAYS: NAME (LAST, FIRST) PHONE,# WI:rH AREA CODE" , DAYS: NAME (LAST, FIRST) PHONE # WITH AREA CODE -",. NIGHTS: NAME (LAST, FIRST) PHONÈ # WITIj AREA CODE NIGHTS: NAME (LAST, FIRST) PHONE # WITH AREA CODE (,i. f II. PROPERTY OWNER INF9~MA TION . (MUST BE COMPLETED) NAH ~ 1:. !fu+J1.. \ " .GARE OF ADDRESS INFORMATION fet) ..'.-"- -. MAILING OR STREET ADEESS /t;r'!11A ' t/ bex to Inctcs:e o INDIVIDUAL o LOCAL·AGENCY o STATE-AGENCY fl;}8 C; he.J "'tYlUL o CORPORATION o PARTNERSHIP o COUNlY·AGENCY o FEDERAL-AGENCY CITY ð,ME ~ . STf: I Zlq3~ # I PHONE # WITH AREA CODE ~ ICeirs e IlL lJ /~. III. -TANK OWNER INFORMATION· (MUST BÉ COMPLETED) NA OF OWNER n_ J n / ø I P'n 0"" fO aM c.;(¿ ~?JYrl MAlLIN R STRE ADDRES» - Q 4 '.4 . CIÏÍ «II (? CITYN~tf n cJ! m~/Iv STAð14 946~ s- IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER· Call (916) 322-9669 if questions arise. TY(TK) HQ [I[]-~ V. PETROLEUM UST FINANCIAL RESPONSIBILITY· (MUST BE COMPLETED) -IDENTIFY THE METHOD(S) USED t/ box to indicate 0 1 SELF·INSURED 02 GUARANTEE 03 INSURANCE 04 SURElY BOND 05 LETTER OF CREDIT 06 EXEMPTION 07 STATE FUND o 8 STATE FUND & CHIEF FINANCIAL OFFICER LETTER 0 9 STATE FUND & CERTIFICATE oF DEPOSIT 0 10 LOCAL GOV'T. MECHANISM 0 99 OTHER o STATE·AGENCY 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 II·OIlI.D THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT TAè £P~;;;;iJrED & TIrD: LOCAL AGENCY USE ONLY COUNTY # CD JURISDICTION # ITD FACILl1Y # DIIJTI 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 ~ -~---- . . STATE OF CALIFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM A ,. COMPLETE THIS FORM FOR EACH FACILITY/SITE MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAL PERMIT o 4 AMENDED PERMIT o 5 CHANGE OF INFORMA];IÖN ,.)¡g( i PERMANENT~Y CLOSED. SITE o 6 TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS· (MUST BE COMPLETED) DB OR FACILITY NAME <C' 1_ . ,j.. NAME-OF OPERATOR hWftJY1 'Ù~hnv f"J <:JJ5 i\(O ~tJ Y1 ~'\1 ADDRESS . DUn /(f'¡l, ttve nfA..JL. CITY (j~ l( JVJj h ¿¡ rL f5ors+ NEAREST CROSS STREET PARCEL # (OPTIONAL) STATE CA t/ BOX 0 CORPORATION 0 INDIVIDUAL 0 PARTNERSHIP 0 LOCAL·AGENCY TO INDICATE DISTRICTS . 11 owner of UST is a public agen ,complete the following: name 01 supelVisor of division, section or office which operates the UST TYPE OF BUSINESS if 1 GAS STATION D 2 DISTRIBUTOR D t/ IF INDIAN # OF TANKS AT SITE E. P. A. I. D. # (optional) RESERVATION () D 3 FARM 0 4 PROCESSOR 0 5 OTHER OR TRUST LANDS o COUNTY·AGENCY· SITE PHONE # WITH AREA CODE 30.;...5.., ".? ::;; - . ,'1 ....:¡¡ <:.. oq o STATE·AGENCY· 0 FEDERAL-AGENCY' EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY) - optional DAYS: NAME (LAST, FIRST) PHONE # WITH AREA CODE DAYS: NAME (LAST, FIRST) PHONE # WITH AREA CODE NIGHTS: NAME (LAST, FIRST) PHONE # WITH AREA CODE NIGHTS: NAME (LAST, FIRST) PHONE # WITH AREA CODE II. PROPERTY OWNER INFORMATION - (MUST BE COMPLETED) NAH Z. ~k1·~h CARE OF ADDRESS INFORMATION 11 . p~(J¡t) MAILING OR STRE'ET ADC:ESS Æ f})ÁP f1{~ '" bex to ,odes:. o INDIVIDUAL o LOCAL·AGENCY o STATE·AGENCY ?Ja /( û) e !Íùe.svff o CORPORATION o PARTNERSHIP o COUN1Y·AGENCY o FEDERAL·AGENCY CITY l~ME ['. 1 STATE I ZIP CODE I PHONE # WITH AREA CODE * ¡p jÇ fì ¡oS rU' /í''l_ flJ q33ðd III. TANK OWNER INFORMATION· (MUST BE COMPLETED) NA~ OF OWNER íi J n CAREðO ADDRESS !NFORM'f.T.ION", I/O f U! C) 61'1 t~'/()Ú.U C~ l '()yVJ u -:e f t!A Æ Ul,),,~ IÁ= MAILlNboR STRE J ADDRES7 .' A '" l"x to indicate 0 INDIVIDUAL 0 LOCAL-AGENCY 0 STATE·AGENCY (. (). :j èlÏÍ it1 DO - u ~ CORPORATION 0 PARTNERSHIP 0 COUN1Y-AGENCY 0 FEDERAL·AGENCY CITY NAt;1E STA~ ZIP CODE PHONE # WITH AREA CODE ~df1 tI¡rlf/ilv vN 91:iÐ.3 ~ 5-r'yr JÎW~·; IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER - Call (916) 322-9669 if questions arise. TY(TK) HQ @K].~ V. PETROLEUM UST FINANCIAL RESPONSIBILITY - (MUST BE COMPLETED) -IDENTIFY THE METHOD(S) USED '" boxloindicale 0 1 SELF·INSURED 02 GUARANTEE 03 INSURANCE 04 SURETY BOND D 5 LETTER OF CREDIT 06 EXEMPTION 07 STATEFUND o 8 STATE FUND & CHIEF FINANCIAL OFFICER LETTER 0 9 STATE FUND & CERTIFICATE OF DEPOSIT D 10 LOCAL GOV'T. MECHANISM 0 99 OTHER 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 11,0 111.0 THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT TANK O":'ñ,R'S N~ME,(P~INTED & snN~TUR.E) C1t:,i(.frhf!,{, II rf:1J{ i( LOCAL AGENCY USE ONLY / ) J.' tf,-- TANK OWNER'S TITLE " , ¡L ...l / J. '. f'/ ¡{ I!, If'..l.l ·t- '1t¿ \ if I! J,fl..it1..., /" \,: COUNTY # rn JURISDICTION # ITIJ FACILITY # ITIIITI LOCATION CODE . OPTIONAL ¡CENSUS TRACT # - OPTIONAL I SUPVISOR . DISTRICT CODE . OPTIONAL THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE PERMIT APPLICATION· FORM B, UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY. OWNER MUST FILE THIS FORM WITH THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGULATIONS FORM A (6-95) ,.~, ';' ~\''''.. '". 'II, r{ ',/'¡ .' ..~! :i.f,:~' ;¡. . .'..... ·,..·STATEO'CAlIFORNIA,.. .' (~ ' " / SrÄTeWATE~ReSOUROES CONTROL BOARD . ¡ }.. ,;.i .",) I UNDERGROUNDSTÖRAGE TANKPERMITAPPLICATION-FORMB· 'bÖMÞLE+i::ÅSEÞA~Ä'r~j:6~:MFÒR;~Â6HrÄNÍ<~;išrE~: ...,.... , Ô'1NEW PERMl,t, ' o 2 INTERIM'Wfn~I;r., . 03" R~NÈWÁLPERMI;r. 04 ''AMENDED PERMIT Ø:5;,èHAN~E 'OÞINFORMATIÒN .' '. ".07, ;PiÚiM. ÁN~N;rLY pLOSED ON SITE p,8T~MP9~RYTANK CLOSURE ,fZJ ". 8 TANK:REMOVED '$7;4"';ovC.) "ì(:/5..t:;¥ DBA OR FACILITY NAME WHERE TANK IS INSTALLED: Cf/e:.·¿/ .'-'t:J I. TANKDESC~IPTIONcOMPLETE ALL ITEMS n SPECIFY IF UNKNOWN A. OWNER'S TANK I, D, # '7"-' è, DATE INSTALLED (MO/DAYIYEAR) B,MANUFACl'URED BY: . . -7::. ¿;;¡ ,Vþç;,-" D,TANK CAPAPI1Y IN GALLONS: ?laD II. TANK CONTENTS IF A-1IS MARKED. CqMPLETEIT.EM C, .0 1 MbTÒR~~HICLE FUEL r;-;¡.4 OIL .. Be" D···1aRE13!JLAR A. ~" '. '.. UNLEADED o 2 PEtROLEUM " ' 0 80 EMP""'\'.· 0 1PRODUCif01bPREMIl.!M' .., , \'., . ,.UNLEAOEÇ> . ..··p.,3,:~f:!EMIC~~,~,~99~gI,',,;{,::~\:. ., ¡ '. ,...'" ,~~.'J:~~~~~,~¡N,,:. i,',J,~:,.!f~~~J.~,,,,;¡ ):,.",,;,¡,Q,.~.,~E~~~D·· (.. D. 'IF(A:1)IS NOT MARi<ED. ENTER NAME OF SUBSTANCE STORED . " ,.' tlSé:'Döl t..-.:.. III., r ANKCÖNSl-R:oêTION' MARK ONEdTEM ONLY IN'B0XESA. S. AND C; Í,lND ALL THATAPPLlES IN BOXDAND E r.:-:;.¡..·.·.'·.1 DOÚBL.E"WALL ,1'1' 0 3 SINGLE WALL WITH EXTERIOR LINER 0 95 UNKNOWN A. TYPE OF I,.IoGJ , SYSi'EM ',' ¡¡E!J~\SINGLE ~ALL 0 4 SECONDARY CONT~INMENT (VAULTED TANK) . D 99 OTHER ,. ~lJ.,~AF¡~~IEEL 0 2I1TAINLES~STEj:L D 3FIBERGLASSG' 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC D"';{::'b'6r<iê'RETE 0 8 POL YVINYLCHLORIDE 0 7 ALUMINÙM 0 8 100% METHANOL COMPATIBLE W/FRP o 9.BRONZE . 0 1Q' GALVÄNIZ~DSTEËL 095 UNKNÔWN 0 99 OTHER o D, ." . 02 ALK,YD~INING :" ",,~,t~,¡~ .}:~~"t'P 4 PHENOLIC LINING ,c. I~;~~~R 0 ,5. GLASS. L ,'" ·~~;t'r!5}}é'U~C'tN~dHH"!n"I~:~"tJ':é~~';!': ..>/.. N ", rtJ 99 OTHER ..' ') ;'jIS LIN'NGM~~¡¡RIÞ.LCÔMPÞ,.TIBLE WITH 1000/0 METHANOL? '.' ,YE!\i.Ä~9A*.\ . ·Ii .P.CORRQŠION C:J1,,~9,~~J~'r'~~~Ë:YY~f\Pi[3J"2ii.~9ATi~G ¡!', . . :PROTEþ'rION ..·O:~{CÚ~ODIÇ:í>~ÞTECTI6N'E]j1 NÓNE ....' , "'.":' '.'- n.... . . ,.', ".J - {SPILL ANÐ6i¡~R¡::ILL .~~i4~CONtAINMENiNSTALLE6(ÿEAR) , :".1/,'.. ". ,;".,-. . B. TANK 'MATERIAL' (PllmaryTank) 8'·' 3 DIESEL. 0 .6 AVIATION GAS . 4 GAS.AHOL 0 7 METHANOL o 5 JET FUEL ,.,I~,,~~'9Tf-!EflJP~~S!1I~~ ..I,N iT¡;~, q;. BEL,PW) C.A.S,#: ¡' " , : --'''",.', ":":,",' ',"'''''''. ",. "." "'::.6,:~~,;~~~~~~t "/fÆr:~/:~~:~A~;S'·ÀEINF6~PEb..PLAST!C...,'.. . .,' '". 1,'-," , l·,'-·· "f. ',:' _ _ '.' ,: -.': ':..' PVERFILLPREYfNTIONÈaUIPMENTiNSTALLED. (YeAR) . JV.,PIPINGINFORMA TION CIRCLE A IF ABOVE GRÓUND OR U iF UNDERGROUND: BqTH IF APPLICABLE A. SYSTEM TYPE AU .1 SUCTION A U 2 PRESSURE . GRAVI'y A U 99 OTHER! B. CONSTRUCTION A U 1 SINGLE WALL DOUBLE.WALL AU 3 LINED TRENCH A U 95 UNKNOWN A U 99,OT,HER C, MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A ~UJ FIBERGLASS PipE: CORROSION A U 5 ALUMINUM A U 8 CONCRETE A U 7 STEEL WI COAtiNG AU 8 100% METHANOL COMPATIBLE W/FRP PROTECTION A U 9 GALVANIZED STEEL AU 10 .CATHODIC PROTECTION A U95 UNKNOWN A U 99 OTHER D. LEAK DBEÇtION· [a1Alj.TOMATIC l;INE~E~~ DETECWR,. 21~IN~TIGHTN~SØT~, tl,~~~:;~h',::::J=J,~MOn:o ~ , ' '-<,"., <'V~~T'~NK;:d~Ä~iO~!6+fÕ'~J';;tW)I'¡'I';:i"':':;:;"~;;'::";;;:;,;"",, ,.,...., o 1 VISUAL CHECK 0 2 INVENTORY RECONCILIATION 0 3 VADOZE MONITORING 0 4 AUTÓMATIC TANK GAUGING 0 5 GROUND WATER MONITORING o 6 TANK TESTING .8" 7 INTERSTlTIALMONITÓRING 09.1 NQ~E 0.95 UNKNOWN 0 99. OTHER 2,ESriMATEoaUi\NTITY OF ..' '~UBSTANCER~M,AINING ......... VI. TANK'CLOSUAE,INFOAMATION .1'·s5rriMATEDDATE LAST USED (MOIDAYIYR) . YES 0 . NO 0 THIS FORM HAS BEEN COMPLETED UNDE8ÞÈNA~ TYqF P RJURY. ANþrQTHE BÊSTOF MY KNÔWLEDGE, IS TRUEAfoJD CORRECT APPLICANT'S NAME ., . DATE (Þ~INTEOð SIGNATURE)IJ.0T . LOCAL.ÀGENçYOSEONLY PERMIT NUMBER FORM ß (12·91) ~.' ......TAN.K# ..'. . ~ PERMIT EXPIRATION DATE FOR0IXI4B-R6 " .t~8~~~WAr:t~~=:~T~¿~OÀRD~'~~ (/ ,··..uNDERGROUNDSTORAGETANK,þERMIi'·'APPLIØ,~TION -FORM:8 1"',_/ : 'II'>,,\.. ' ',j!ï...... ~'. '¡.j>. 4. ":II,";~'''''''''' : ,: -'::-'<.::~ :.,-,;",/~':' :r::_::';,:'. .. ,,_.. ;, ", . .:-:. ;. ;~:~-:';: >.~:: :<:-~: :_; ij';::-' _.::i,'i)" ,,:.:_, .. , .'_.,',,:~;:, '~; :, "';':.:',::_: ::',:". :""",' :',", ',' ~ .. ·,CO~pLËrE;A~EPÂRA1E;fÓ~M:FOÀ,EÀbffT~NKøv,$rE,~.;! '\. . "" : '. .' . '. Q..................... ."7. <~gþ.·.,~A.... 'N..'~~fL.y.···. CLOSED ON SI1'E .' {X!l TANI(FJEMOVED . . . . M~~~'I~~~V;"" ···:"'·.8'..,,~. '~~~:~;~~M"i... . . ':'·'B·r'~·.:~~~î~:~:~~~~'~ ··~·\.·..~..~....)¿;,v~jj~d;~V!I~:~K~~~Ò~~RE ~td¡1;¡'/. I. TANK DESCRIPTION A,OWNER'S ,TANK. \. D, /I ',¡ .3, ' ~~¡~ t::? ¿) Uo C. .DÅTEINSTALLEI?(~O/DAYNEAÀ) I.'t,_ . .... . II. TANKCONTI:NTS IFA-1IS¥ARKED,CqMPLETEITEMP, À. [21' 1 MÖÌ'OR V~HICLE FUEL ,04 OIL:' , d 2PETROLE~M 0 80. EMPTY~, ,., D3.?~E~'CA~p,R.()R~,ÇT., i,}~¿'~~,~~?~~ D, IF (A,1) IS NOT MARKED~ ENTER NAME OF SUBSTANCE STOREO III..T ANKct:f~s'fRcièrlòNMARK ONE,I,TEM OI'1LYINBOXESA,BiANt> q,AND ALL THAT APPLleSJNBOX D AND E !XI 1,. PÅÖOl,JC~ ' ". .ÇJ. ~;\~f~T~~"" rJ:1-.1ii REGUl.AR ~ '. UNLEADED "'0 1bPREMIÛM ' . UNLEADED .' ·0 2 LEADED,\ . I "'II,:~': 1_'.' , . -,' '::. ", ," , o 6 AVIATION GAS 0/7 METHANOL ~' B. TANK MATERIAL (Primary Tank) [}â':'~1DoùéL!:WALL . .Í' O~3SIN~LEWALLWrrHEXTERIOR LINER 09S UNKNOWN ·,;\tt:!J.~SIN~LEvJALL 0 4 SECo~,DA':IY CQtoTAI~MENT(VAÛLTEDTANK}_" 0 99 OTHER CJ 1, BARE STÉELD 2. S1ÄINL~SS ,STEEL" . D 3 FIBERGLASS Ga 4 STEEL CLAD WI F.IBERGLASSREINFORCED PLASTIC ,-,,:r'- o s'60NCRETEO 6 POLVVINVLCHLORIDED 7 ALÛMINUM 0 8100% METHANOLCOMPATIBLEWIFRP 09 Bf¡ONZE 010 GALVANIZED STEEL iO 0 99 . OTHER . ',.,§].: :~:::\~~~9~", . ,;~W gJ ~'~~i;:~r'NG'i':':' '·"'~:':.~t,."J~'~i;:'H'[J5. 4 PHENOLIC LINING · is LINiNG. MATERIAl; 'COMPATIBLE WITH..100%METHÀNÖL? . .' ~ESt,jB~~. ....... .' '" , . SPILLêoNTÁINMÊ~f INSTAÙLE6(Y;AR)/(P¡/¡ ':,'" .' "6vÉ~~,L0pÀ Y~N!iOfo~~UIPMENT 1~~TAL~E6~~A~(ÿ';'r7 '., .'. f' I,;' ;~ .<: A; TYP~QF SYSTEM ~. .' IY..PIPINGINFOFíMA TIO~ A. SYSTEM TYPE A U B.CONSTRUCTION AU C. MATERIAL AND CORROSION PROTECTION ¡ D.,LEA~ :D$:T~êtlþ~ , .. ',-,.,:: '. ,;~; :>"" '. :' ,','; ::.; ,;;. :.: ,:",;;:.r, "\1~:N:.::'¡. -;:' :,\\>~:"';:~W':)". ·':.î·. . ;', :¡/ ¡ ~;:' :1:;'.' . V. TANK LËAK'DE'TeCTlþN o 1 VISUALC~ËCK" 0 . 2 INVENTORY RECONCILIATION: 0 3VADOZE MONITORING, 0 4 ¡\UTOMATlòrÀNK GAUGING OS GROUND WATER MONITORING o 6TANKTESTINGEIa 7 INTERSTITIAL MONITOF,1ING 091 NÇ)NE . '095..UNKNOWN 0 99, OTHER .~ .', . ,'.. . . ., , . ,~':.'~ CIRCLE A II; ABOVE GROUND OR U.IFUNDERGROUND.BOTH I~APPLlCÂBL~ 1 SUCTION. U')!PR~SSÛRÉA, U 3 GRAVITY 1 SINGLE WALL ,U"" . DOUBLE WALLA U3L1NED:rRENCH~/U!l5.UNKNOWNAU 99 0TtjER 1 .BARESTEEL ·A U 2 STAINLESS STEEL AU 3,POLYVINYLCHLORIDE(PVÇ)A([.:"~IBERGLASSPIPE SALUMINUM A U 6' CONCRETE .A U7, STEEL WrçOATING A U !I iOook METHANOL COMPATIBLE W/FRP 9 GALVANIZED STI;EL AU 10 CATHODIC PROTECTIONAU~~ UNKNOWN '. AU 99 OTHER 2~INETIGH!NÈSSl'~$;~i&c3';;d::i'<," IN t " .:.;;...._.i.'; :" "" >,..t:··t:'::'á:f:'>"':·~;\\\«:'''':'· ":'-YY"/":':i~,..':"\:{':"··" .' PERMIT NUMBER 3, WÂs TANK FILLED .WITH . YE. S .. 0 NO. .0 ' ·':INERTMATE:~IAi.;? VI. TANKCLOSUREINFORI\ÌIATION' ~.;.,.;. ".1d:ïSTIMATED DATE LAST USE!? (MO/DAVNR) . THIS FORMHASEll£6N,'QOMPLETt=DIjNDERPENALTYÔFPE J' . ,'. . ,).. .''',>, ,r ..\l,"·':' .. ',."', .',,' " . APPLICANts NAME. .' ¡~RINTED·&~.I';;NATURE) " STATELD,# , ..r ANK# ,'~ FORM B (12-91) FOR0D348-R6 ',' , " ,) .' . 'I ~"";'''''''!'''.''¥þ' <t, ,..,;¡;"i;},·;,J .('111..'....... '.' ", .~. .' \...J .'. ....... .8TATEOFCALIF()RNIA ..' '.' . ,..... 1·.';:' <:':' í J '. ..' ..... ..STAT~WAtERRESÒURCESCONTROLSQARD:\,;'.../':;>7 ··UNDERGROUND··ST:()RAGETANkpERMIT.APP~ICATION ·FORMB .' .' '. ',..' '. " " .' ". ,·····:có~~~~,.é~SEPAMTÊ¡Fq~~FOR:~ÄåHTA~k:sv$tEM, l' NEW PERMIT'; '.'.' .' . 2 INTERIM\e§:~I't,:;: " . <_·J.'$ff#::X~~f,p;:" ,~'\.: '. . . DBA OR FACILITY NAME WHÉRE TANK IS INSTALLED: I. T ANKDESCRIPTION' ,3~EN~WÀL';PERMIÌ';' '. 4ÀMENDEDPERMIT 'tk1ÌiqHANC¥Oì:I~FO;RMAtION . . . CJ:JT~MP~~"I'ÌY "ANK¢~OSURE " _ ;:'..'-'_" ~C".-.,¡'.:- .,..1:- . ,'.':"'->,,, _.' ' '$~1;7i0;J" A, OWNER'S TANK I.D. # a,- C. DATE INSTAL~ED(MÖiDAYNEAR) u II. TANKCONTi:NT$ IfA,IISMARKED,qOMPLETEITEMC, A. ŒJ'· IMOTOR~~~lèLE FUEL 04 OiL [j2PETROLEYM,. . ' ; ·..D80i EMPlYl,. ': ,....', ,D;3;CI:1EMICAtP~()9U,9r;....;,,:,:q:¡ 9!¡i;\~~~~~~~",·.. D, IF (A.1)IS NOT MARKED, ENTËRNAMÈ OF SUBSTÀNCESTORED B, ß' l' PRODUC~ ,Q 2< W~ST~i ' è ·0'" 1aREGULAR . ". UNLEADED [l2flbpREMIUM , . . \,INLEAD~D ,0 2 LEADED; .',........ ......,. \. .. 03 DIESI:L 0 6 AVIATION GAS o 4 GASAHOL 0 7 METHANOL B 5 JETFUEL " ·~9()THE)~..(qEStR.I~E IN·ITEI.IO:, BELOW) C,A.S,';": (j(36¿/~' lit T ANKC6NSfRWéi!ÖN. MAAi< ONE!irEM ÖN~V INBClXESÄ, B; ANDC,AND ALL THAT APPLIES IN BOX D ANDE . ..,1 DOUBLE. '<VALL . O· 3 SINGLE WALL WITH EXTERIOR LINER 0 . 95 UNKNOWN 't:!J'2 SINGLEV<I~LL 0 4 SECOt:¡¡)ARY CONTr,\NMENT (VAULTED TANK) D 99 OTHER. [] o o A. TYPE OF SV$TEM o 1 BARE\,:1'I~EL o 5 CÒNèRETE o 9 BRONZE C. .INLi~~§,R '".B ...:.... :~:;:R~;~':':,·,..··:~(~\!1!~:';;ç~¿fff~1~~'~6'!!Ì'J,'!:i'¡i', ··.·.'.,';,;IS~IN!N~'.MAT~R!AL:,cqMI'ATIBL¡;· WITH .1000/0:'M~THÌ\N()Lt . 2 STAINLESSSTèÉL . 0 3 FIBERGLASS 6 POLYvINYL' CHLORIDE 0 7' ALUMINUM 10 GALVANIZED STEEL 0 95 UNKNOWN Œj~' 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC D 6 100% METHANOL COMPATIBLE W/FRP o 99 OTHER B. TANK MATERIAL (PrmaryT~k) ~'!!~~1i,.O'!!J~:::~ L~~O .D;·.CqÎ1RqsîoN.· 'EJI:#qpY~r~Y!-~NE;WR~P!'CiJ ';~9d~tJNÒ';" PROTECTION i 0 5C,~THÓbIC PRÒ!SCTfdN. 091 N?NE .·,.....c1 """,.,,,',' :Œ]·~!.yl~y¡~!'y.¡~"p ..,'[Ø4..FIB\Õ~GLA\,¥R~INFqR6ED"PLA~TIC . ·tJ9~!ÜNK~OWN . '.'; 09~;Y6THER, ÖVEAFUÚRI.:., NTION EQUIPMENTINSTALLED Cf,EÂR) 1"1.' E, SPILL AND OVËRFILL SPILL CO NT AINMENTINSt ALLËD(Y~ÁR) .' ',.,' ';··'IV.,PIPING INFORMArIO~ CIRCLE A IFABOVEGROUNDORU IFUNDERG¡:¡OUND,BOTHiFAPPLlOl~LE A. SYSTEM TYPE A U 1 S'uCTIONl! PRESSURE A U 3 GRAvriY A U 99 OTHER B. CONSTRUCTION A.U 1 SINGLE WALL U DOUB.LEWALL A U 3 LlN6() TRENCH A,,"O 96 UNKNOWN C. MATERIAL AND A U 1 BARE STEEL A U 2' STAINLÈSS STEEL A U CORROSION A U5 ALUMINUM A U 6 CÓNqRETE AU .7 STEEL WI COATING PROTECTION' A U 9 GALVÀNIZED STEEL A U . D: ~EAKP~J~,ÇJ!P~'/' 'k:),:t~JPN~TI.9¡H~,~,~~~~~~,!~Çt?R:!,. V. TANK LEAK DETÊCTION' . D 1 VISUAL CHECK 02. o 6 TANK TESTING '. Gd¡'..7 .'<. APPLICANtS NAME' ". ',} , (PRI~~ED & SI~NATURE) A'::Tllfi) tf.::;1;..;.;' " tOÖA~A~~NGY USEO~LY' BrA TEI.D,# INVENTORY RECONCILIATION C]3VAOOZEMONITORING D 4 AUTOMATIC TANK GAUGING 0 5 . GROUND WATER MONITORING D 91 NPNE 095 UNKNOWN .0 99 OTHER ., .;. .J-~.. . " "1",,-" '.... VI. TANK CLOSURE: INFORMATION ..' (\1,<'" "r.ÊŠTIMATEDDATE LAST USED (MOIDAY¡Y'R) ; .. 3; WAS TANK r=iLLEDWITH INERT MA TE.RIAL ? YES Ò N0D PERMIT NUMBER c:2./000:3>· THIS FORM MUST BE ACCOMPANlED BVA PERMITAPPLlCATION·FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FILE THIS FORM WITH THE LocAL AGENgVIMPl::EMENTING THE UNDERGROUND STORAGE TANK REGULATIONS ..,. ....... .:fÂ9ILltx,¡, .' .....,.'. ~ PERMIT EXPIRATION DATE TANK # ~- FORM B (12·91) FOR0034B·R6 ,\, ~"..~.."."",;~ =,;¡t.;;'.Ail ~..,~- MARK ONL V ONE ITEM "\.... . ~, . . Ii) .--- --..-f......~'-··": .-- ,'... e V·,',·.' .8TATIO';CALIFOANIA. '. (~ ~ C:¿J . '. '. stATe WATER RESOURÇES CONTRqLBOAAD "jr,:J ,,.;) r UNDEAGROUND,STORAGE TANKPERMITAPPLICATION-FORM B .... CdMpLèfE' Ä 'SèpÂ'~ATI!FÔAM¥OÁ' EACH:+¡Nj('åV~tEM;"iii; .. ;;.';' , :'-'':'';'':',''1':',";--':':.'..· [J '3RENEWALPÊRMIT. . f¡;.r1¡öH~N~~ÞFINi:ORMATION ... [J4 . AMENDED PERMIT ,0 6TEM~~~A,RVTANKCLOSURè o 1NE~r PERMiT' .' . . 0 2INTERIM)r,~~~I~.. ;' 7;Þ¡;RMAN~N'Ti'(CLO~EDbN$ITE . 8' TANK ,REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: a ¡..(íííii..//::J.tf)tV -1$$"""': I. TANK DESCRIPTION A, OWNER'S TANK I..D. # C. DATE INSTALLED(MO/DAYiYEAR) COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN I.. B, MANUFÁC1ÜRED BY: ð. DOD II. TANK CONTENTS IF A-1IS MARKED: COMPLETE ITEMC, A, Œ(; M. OT.ORVERICLE FUEL 0 4 . OIL d; 2 PETROLEUM '0 8OEMPW, . ..:. .. .,iN.· " '0;;1; ~HEMI,~ALPRODY?T.4],~~.+UNKNOW~ " D, IF(A,1) ISNOl\IAA~éd, ENTER NAME OF SUBSTÀNCÊSTORED III. T ANK'è'óNSl'RliJtrION 'MARK ONE ItEM ONLy IN BOXES A, B, ANDC; ANP ALL THAT APPLIES IN BOX DAN; E A. TYPE OF~1 DOUBLEWALL . 0 3 SINGLE WALL WITH EXTERIOR LINER 0 95 UNKNOWN SYSTEM CJ 2 SINGLE WALL ,0 4 SECONDARY CONTAINMENT (VAULTED TANK) D 99 OTHER o [j o B~ TANK MATERIAL (Primary Tank) C. INTERIOR LINING· o 1.aREGULAR C. '., UNLEADED 01b PREMIUM . , UNLEADED .'ß 2LEAp8D· B 3 DIESEL ·4 GASAHOL D 5 JETFUEL :'!9j)THE~ . (~SCRIBE' IN. ITEM: D. ,sELOW) C. Å. s,l:;'~'p 6b I. B, 101 o 6 AVIATION GAS o 7 METHANOL . 0 1 BARi;sTEEL "0 5 CONCRETE o o 1 FiU~..BE [] ,2 ,ALKYD LII'.\ING, , . .: . .:. ¡ 'fl, ~ , . "I ÇJ. '5GLA~S. L ' . '[¡Y'6 , UNLINED is' LINING MATERIAL COMPATIBLE WITH 100% METHANPL? 2 STAINLESS STEEL 0:1 FIBERGLASS 6POLvÍlINYL CHLORIDE 0 7 ALUMINUM 10 GALVANIZED STEEL :0 95 UNKNOWN 99 .OTHER 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC o o 8 100"10 METHANOL COMPATIBLE W/FRP ?;;'B':Z~J~~~~~~' .', , YES-'.,- NP¿ "p;a '., VINYV;WRAP D95uNi<~ow~ . '4J ,4 PHENOLIC LINING (]99 OTHER ~4:, FIBERGL~SS: REI~FORCËb PLAS!'C ..' 'D~9 OTHER b.CORROSION 0 1P9L YETHYLBN~>WflAP[J' ··.~.·.qOATING. PROTECTION 0 5 CATHODIC PROTÈCTlowD ~1 NONE E. SPILL AND OVERFILL. SPILL CONTAINMENT INSTALLED (XEAR) , . ' . . 'IV.PIPING INFORMATION' CIRCLEAIFABO\iEGROUNDORUIF UNbERGFlOUND.BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION PRESSURE. A U :I GRAVi'IY A U 99 OTHER B. CONSTRUCTION' A U 1 SINGLE WALL DOUBLE WALL AU:I LINED TRENCH A U9S UNKNOWN A U99 OTHER C. MATERIAL AND A U 1 BARESTEEL A U 2 STAINLESS STEEL A U ,3 POLYVINYL CHLORIDE (PVC)~ FIBERGLASS PIP!: CORROSION ,A U 5 ALUMINUM AU 6 CONCRETE. A U 7 STEEL WrCOATING AU 8100% METHANOL COMPATIBLE W/FRP' PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER ·D., .';~4K .1;I~T~SìIPH .,:'. ,; .i);:~~,T9M~!S+!N,5,\¡':A~9!=TE::Çt8~.; ..·G:J2, "LlN,!:: TIG~TNêS~,J,J;l!J:mT~~i::;~~,;iMONrtORINJ: V. TANKLEAKDET~CTION D 1 VISUAL CHECK 0 2 INVENTORY RECONCILIATION' 0 3 VADOZE MONITORING 0 4. AUTOMATIC TANK GAUGING 0 S GROUND WATER MONITORING D 6 TANK TESTING ~ 7 INTERSTITIAL MONITORING 091 NONE 0 95 UNKNOWN 099 OTHER . , NTIOIIi EQUIPMENT INStALLED ('(EAFI) .. VI. TANK CLOSURE INFORNlAl10N . " . '1:'ESTIMATED DATE lAST USED (MOIDAYiYR) 2,ESTIMATED QUANTITY OF .' SUBSTANCE REMAINING. 3. WAS TANK FILLED WITH INERTMATE~IAL ? YE~.,q THIS FORM HAS BEEN COMPLETED UNDERPENÂLTYOFPERJU . APPLICANT'S NAME' (PRINTED $ SIGNATURE) . . . . . . . nIE~T A TEl.þ.NUr.:tßERISCÒfI1POSE . .... ..C.oLJNTV# . JURISÒICTION.#·; . ;;,,;iCZf5r' .......~............ . . . PERMIT NUMBER ""d./CJCJ 0 ~ PERMlrAPPROVEDBY/DATE THIS FORM MUST BE ACCOMPANIED BY IrPERMIT APPLICATION-FORMA, UNLESS A CURRENT FORMA HAS BEEN FILED. FILE THIS FORM WIT¡. THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGULATIONS FORM B (12-91) STA"tE: 1.0.# TÀNK Ii ~ FOR00348-R6 '\ - ~~_ ~~'r . - --- ..........- '" - ,.... .-:., ...... '. ,:I .~_/' Q. Ic,' .-/ . ^~. ." -.._~ "~.' ..r...~.~;~~'k~.:~:~t... '~:~...~.~~~ ~~;~,.~ _ I _ t":-' ~",,:>::~.,,:_" ..." .""'..7 .=-._~'>..,..~~,>- ._<=~~~~~-'-:>~- .-""" "~~~~ .-.~ ~~- -,~ ~ ~ -- -- .-~~-- .;;--~ "-~,., ;.- -. .. / ì.'i_Ã ~. ~~-~- ~~.... - ~~;'- .,~-~~-- ........-::-;- - .....:....~-.-:;;;;:-- ~--- - - """ - ~~~. -- .~~ - . /r_~. .~ . !- Lo.""~':....;: , ( .... ¡ ..--= ...- - -~ ., ." ,~ u ~ ·r þ ~._~ --- - ./'~ - '- 411.- ...-;. '~~:~.¡¡¿-~' OJ 4/!iè:-- Jo/"~'--=«:~~ ~(2'-- '~.~ /' - '-\ið~"-.... ~.-. .. í. -~~"'E,- ._ -' 7-'" ;~ I.. ~ .' . " -:-- . .'. ... - ~ ~ .: . ~- ~ ~- ....'';> Li~l iÛ,,,.:.I:.~ ,. -', -' . '~.J - ). .ÞJ'1r -oj¡. . ::r> .{'}-; , :':.:(' ~':'l{Y}~~:'7' ,..I.....:. ,,1..=/ '.~"þ; K.; /' -i.. J_' r~·- 11(, + " ~. ..~'~~-~~- - ~---~-~- ---..r . ~ , ..'" f ~ . J:~,.... ~- . ;.~-:-:' . . - ~ ..~~ ~~.- , > ¡/' (j) ~~~."C.____ / -yo / ~ ;. '{'~;-' . / :...ÞJ:,.Ij , ~¿r?' .,....:. ...- " ~ ~_,c -'_ '-----. JIþ~RSFIELD FIRE DEPARTMENT" ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (805) 326-3979 TANK REMOVAL INSPECTION FORM FACILITY ADDRESS If) t1ll\Lc~ A-Oi - tß~hL C.A OWNER PERMIT TO OPERATE' ßt:2. - O;J.c;-¡ CONTRACTOR CONTACT YERSON flA..J.,-/ LABORATORY # OF SAMPLES c9~ TEST METHODOLOGY d" 'l1 ß- PRELIMANARY ASSESSMENT CO.:¡:dILl'iI"'" íw. CONTACT PERSON I 1) CO2 RECIEPT 70e 16:, ONJIA,(rf{} LEL% '7 ;l O2% 7 PLOT PLAN \At. J)'''P,Mdlí' , f '1- 'f. r - - - - -¡ I ..,. 'i I ,-----_..! ( '2 - 1- 't ~ ~ I I I I ( CONDITION OF TANKS ((¿cor! /JaJ r Wi y. ~ '" ì< é ï - - - - -'I I Y. 'f I 1- _ _ _ _ __. r----'-¡ I '(. 'I : I . - - to.- _ _. y.: ~M4tDle.5 A , , ". . .. ~ .. ..... \ ., ..' t¡,~ \ ..\ 1rPr. ~ 0\ ~!) CONDITION OF PIPING ~tOørf J1aJ¡::; ~1JJ¡,Jy t( a Ý 'f'lL ql"dv-c- ( MA..urlt ~ø. ft CONDITION OF SOIL r COMMENTS -f1tt H/tÑ At U(wrf, ~ (1 ttI f.D Ill; f' \ðdfo U\. ~~ rMlLI-k-L 0 SIGNATURE stCUL ()hlcrt.lJtJttJt! INSPECTORS NAME :J·J.~f9 DATE ~ -----.-------- _ . pcrmitNo.~~61 ., CITY OF BAKER~IELD -PJ..~L{1¿? OFFICE OF ENVIRONMENTAL SERVICES t 7 t 5 Chester Ave., Bakersfield, CA (805) 326-3979 PERMIT APPLICATION FOR REMOVAL OF AN UNDERGROUND STORAGE TANK SITE INFORMATION r SITE C~'\\e.V 100 ADDRESS \0 U--nlO(Ì ~Z(PCODE APN FACILITY NAME <.2.x\eu í (') (ì CROSS STREET '§nÁ_rYÌ~ TANKOWNER/OP~RATOR C-.-n_.Q...")~~~ LÀSA PHONE NO, ?-.-~-lOOO MAILING ADDRESS 'Çb PJO)( a.: . CITY L-O.. \-\CL.hrG- ZIP Q.p~ d- CONTRACTOR INFORMATION COMPANY ""'DSì l:~\.)i\de.cs PHONE NO, IILI '~L\S,::nLfLlCENSE NO.3' O~~Î ADDRESS l QlII' '('(ì~ ~ CITY _P.5?trvH f\ ç+c (' ZIP ct ~tQ~ INSURANCE CARRIER - roup WORKMENSCOMPNO. \A)TÑ ¡5"5ììO¡ -to PRELIMINARY ASSESSMENT INFORMATION COMPANY PHONE NO. LICENSE NO. ADDRESS CITY ZIP INSURANCE CARRIER WORKMENS COMP NO. TANK CLEANING INFORMATION 9CJ9 !:1C¿::O J:'"/_(){ COMPANY é:~-r PHONE NO. ..:;>:;.J~ -wt.&) ADDRESS .I3Î~~ 3\o'l-e.-v '" __ CITY R:>nto..AQ... ZIP WASTE TRANSPORTER IDENI1F1CAT\ON~ ~ü~a~ ~ NAME OF RINSATE DISPOSAL ~ACILITY r24 ~l4. 5 dV'~~ ADDRESS \,OLf UJ. F\~ 5fre~ CITY IP Dd.. FACILITY IDENTIFICATION NUMBER ~A "0'1 ~~LI¡ß4'1 ~ ~ v-e..VL PHONE Nóf~ßÇf~~C;N~E ~O, ZIP A-c;.. ~ P?I'1.Ie- TANK INFORMATION TANK NO, AGE VOLUME CHEMlCAL STORED DATES STORED CHEMICAL PREVTOUSL Y STORED For Official u.o Onl APPLlCATIO,N, DÂr~i.\::(\:·::::· ':;:'::::;::,r?::t~i;~~i~A :~~_(itt.1kt;;:!}YJf?0<~i~W;i~g~Ó.~:T¡~a.(~;f{){:r::,:;:, ;::::~;:::;::F...::~?mfjTi: 11 I¡ APPI.ICANT liAS RECEIVE!>, {JNDP.RSTANDS, AND WILl. COMPI.Y wrm llŒ A1TACIŒO CONI)/TrONS OF 1'1 lis I'EI~Mrr ANI.> ANYOn IER STATE, UX:N. AND FEDERAL REGULATIONS. '1'1 liS HmM liAS BEEN COMPLETED (JNDER PENALTY OF PERJURY, AND TO THE OEST OF MY KNOWLEDOE IS TRUE ANI> C()I~RIT' '. . 0ù\ ~ \~\ \ \€-I( . APl'l.(CANT NAME (PRINT) ~~~E THIS APPLICATION BECOME A PERMIT WHEN APPROVED ':I < ~ 1 00 G~ "\ \~,.-. . ' [.:/0 , i . . ·~.Siv\?-~ , (J~ : I. ~ ~ '+- ~ \>'-<' ~~¡;':'" /' ~ ~ ~ ,0 1\' ' . 0J: ~. . ., , ,\ · 1'..1--\ / :, , ¡¡ /\\:1 \~/ '\ ' ,\ , .':'.----¡-,,\ \. C\' .:, . ¡ \./ ~ -, :,' r;\,-\- '.'.. ! ,\/ '\ \ ' __\. f- , .,':"7 ' '-, \-' :'1 ;.x~, ¡, ~;; N-", 0 \\J ~ '. . ¡ Ut:::: 'v> ' ,', I ,,\ \ ; , I q d q \ éANO~=_ 'L It 10 I . , :v _.. _.---._---.-~-- e W' - 1 " 10 I, I ï 1, ! I ¡ ¡ ¡ ~, ,j,..! ¡ ~":;;>r ¡ ~ ''. \. I '<--... 36----." , , m~o. rl01 ';.~ IQxlq,\ ¡ _~:__ ~4:N()PY .1 '::: _ _"'~__1,_ ~', , . ~ 3D ~.~' t~ ~ r: . ~ ~~ ::? '~&. sT1>fl.tJ&r? Î TANKS To I Rl2NAI N 08 \ .'Y.. ..- \)~ (O~ AUb. r:~,,:" ¡~ , " . .. UNIOf'\ Av~ NOT To S~t(L,t? l .11 . April 30, 1998 RE: CERTIFICATE OF FINANCIAL RESPONSmILITY FOR UNDERGROUND TANKS To Whom It May Concern: Chevron Corporation hereby certifies that it is in compliance with the requirements of Underground Storage Tank financial responsibility regulations. All tanks in the States of California, Alaska, Arizona, Idaho, Nevada, New Mexico, Oregon, Texas, Utah and Washington owned by Chevron Corporation are covered by this certificate. The financial assurance mechanism used to demonstrate financial responsibility required under State and Federal regulations is as follows: Corporate guarantee of Chevron is the amount of $1 million per occurrence, $2 million annual aggregate. Said guarantee covers taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases and non sudden accidental releases or accidental releases. This guarantee is renewed annually (within the first 120 days of the year). Copies of the renewed certificate and a complete list of the facilities are sent to the governing agencies yearly. Sincerely, By: ..J. £. ¡ß ¿J .I -I LA J S. L. BeUer, Envi~liance. Pennit Notarized by: qf\ ~ Susan R. Weber, Notary ",!: RRE CHIEF MICHAEL R, KELLY ADMlNISTRAJIVE SERVICES 2101 'W street Bak8fS1leld. CA 93301 (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SEJMCES 2101 'W street Bakersfield. CA 93301 (805) 326-3941 FAX (805) 395-1349 PREVENOON SERVICES 1715 Chester Ave, Bakersfield. CA 93301 (805) 326-3951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 (805) 326-3979 FAX (805) 326-0576 TRAINING DIVISION 5642 Victor Street Bakersfield. CA 93308 (805) 399-4697 FAX (805) 399-5763 It ~ BAKERSFIELD FIRE DEPARTMENT . - -- February 13, 1998 Chevron Station 10 Union Avenue Bakersfield, CA 93307 RE: "Hold Open Devices" on Fuel Dispensers Dear Underground Storage Tank Owner: The Bakersfield City Fire Department will commence with our annual Underground Storage Tank Inspection Program within the next 2 weeks. The Bakersfield City Fire Department recently changed its City Ordinance concerning "hold open devices" on fuel dispensers. The Bakersfield City Fire Department now requires that "hold open devices" be installed on all fuel dispensers. The new ordinance conforms to the State of California guidelines. The Bakersfield Fire Department apologies for any inconvenience this may cause you. Should you have any questions, please feel tree to contact me at 326-3979. Sincerely, ~at¡¡) Steve Underwood Underground Storage Tank Inspector cc: Ralph Huey 'Y~de W~ S7~.A0Pe ~ A W~ " FROM : INNOVATIVE COMPLI~._ SERVICE PHONE NO. : 909 674 400~ Oí/~~/\Jì 1:5:1.0 'eRO,.!ß 0576 ~flJ H\ZIIt\'I' 1>11' AU9. 01 1997 11:43AM P1 ~002 6/- D~ 50 -j ~ i ....., n l' [1 ~.~ I 0' t LP CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES UNDERGROUND STORAGE TANK PROGRAM 1715 Chester Ave., Bakersfield, CA (80S) 316...3979 APPLICATION TO PERFORM A TANK TIGHTNESS TEST FACILITY *'~I.ßI- ~/V ADDRESS }.ð ilA!Pp /lYRl/Þ¿Ç I1¡;Jtí!:As£--~~A PERMIT TO OPERATE #--F- ::lfý - )- :2. OPERATORS NAME #~ w 8µí'I O'WNERS NA..~ &/1 fl//eW t!,P'.j-, ., NUMBER OF TANKS TO BE TESTED' ~ . IS PIPING GOING TO BE TESTED~ TANK # VOLUME CONTENTS J, //)I( RH Jw' :l __.--L!lct $'I;U _-2_ 14( ¡JLg$ 1 J~ wi/) JI ,slh ~ -'- TANK TESTING COMPANY ~p~ ~At'.L-~'~ ~~¿:$' MAß..ING ADDRESS 6rJ;;;J, ~$RW' ¿-Ao~ /~J? ~77JJ /b;~e ¿:;,I. NAME&PHONENV"MBEROFCONTACTPERSON ~~l A ~.e.e¿4-Y ~4-'i1~ TEST METHOD ßI..JI!NE~ -# /1Jr./.tð l'.J-FP NAME OF TESTER -P¿'fI ~I2ôV CER TIFICA nON ;; ~ j~ 1T$ DATE &. TIME TEST IS TO BE CONDUCTED J//3oJ4tJ Ji -9/ 3/ '?;?=" ;;3)11 4~ APPRO~ DATE ~ )-/ïv~ SIGNA11JlŒ ,OF APPLICANT ~-/-'f 7 e :-~-~..., ¡(5 'E: CJi! ..~ íg~ r;:; ¡. ,...~ ,·:r~. .;!:~ 1'1 'ilfA'( \' 7 'n ': I,' /II'!v1 ':t !-:)97 ! /}, i" " :..,../. ~ ~' ¡ By ~_..--...,..__. -- April 30, 1997 -.. ...._-~..-. Bakersfield Fire Department UST Division 1715 Chester Ave. Bakersfield, CA 93301 RE: FINANCIAL RESPONSffiILITY FOR UNDERGROUND TANKS Dear Sirs: Please find enclosed the following documents: 1) Proof of Financial Responsibility 2) "Certificate of Financial Responsibility" e Chevron Chevron Products Company, Inc. P,Q. Box 6004 San Ramon. Ca 94583-0904 Cheryfe Canfield Permit Desk Phone No. 510-842-9002 Fax No. 510-842-9591 These documents meet the financial responsibility requirements for all USTs owned by Chevron and have previously been submitted directly to the State. If you have any questions feel free to contact me. Chevron is responsible for the following facilities in your jurisdiction: CHEVRON SS# 90705 91536 91554 93978 94025 94416 95325 98109 99615 99702 201238 201527 201921 203576 STREET ADDRESS 9700 Rosedale Hwy. . 2700 Oswell Street 10 Union Avenue 3100 Niles St. 800 34th St. 3699 Wilson Road 2525 White Lane 1131 Oak Street 3624 California Ave. 5201 Olive Dr. 8100 E. Brundage Lane 6601 Ming Avenue 6601 Ming Avenue 1125 Coffee Road CITY Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield ~ e e Sincerely, r~L.£~ci~ -- ~r~anfield Marketing Assistant Environmental Compliance Enclosure e e Chevron === Chevron Chevron Corporation 575 Market Street San Francisco. CA 94105-2856 Martin R. Klitten Vice President. Finance April 28, 1997 UST FINANCIAL ASSURANCE To Whom It May Concern: I am the chief fmancial officer of Chevron Corporation, 575 Market Street, San Francisco, CA. This letter is in support of the use of the fmancial test of self-insurance and guarantee to demonstrate fmancial responsibility for taking corrective action and compensating third parties for bodily injury and property damage caused by sudden accidental releases and/or nonsudden accidental releases in the amount of at least $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate arising from operating Underground storage· tanks. Underground storage tanks at the following facilities are assured by this fmancial test or a financial test under an authorized State program by this guarantor - all underground. storage tanks owned by Chevron U.S.A. Inc. in the United States are assured by this fmancial test. A fmancial test and guarantee are also used by this guarantor to demonstrate evidence of fmancial 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 (§§264.143 and 265.143) Post-Closure Care (§§264.145 and 265.145) Liability Coverage (§§264.147 and 265.147) Corrective Action (§264.101(b)) Plugging and Abandonment (§144.63) $ $ $ $ $ 182.211.758.00 52.567,819.00 8.000.000.00 -0- 2.430.000.00 e e California State Program Closure $ 196.731.00 Post-Closure Care $ 694.620.00 Liability Coverage $ 66. ()()(). ()()(). 00 Corrective Action $ -0- Plugging and Abandonment $ -0- Louisiana State Program Closure $ 4.504.037.00 Post -Closure Care $ 774,158.00 Liability Coverage $ 1. ()()(). 000.00 Corrective Action $ -0- Plugging and Abandonment $ -0- Total $ 318.379.123.00 This guarantor has not received an adverse opinion, a disclaimer of opinion, or a II going concern II qualification from an independent auditor on his financial statements for the latest completed fiscal year. Page 2 of 4 e ALTERNATIVE IT 1. Amount of annual UST aggregate coverage being assured by a test and guarantee 2. Amount of corrective action, closure and post-closure care costs, liability coverage, and plugging and abandonment costs covered by a financial test and guarantee 3. Sum of lines 1 and 2 4. Total tangible assets 5. Total liabilities 6. Tangible net worth 7. Total assets in the U.S. 8. Is line 6 at least $10 million? 9. Is line 6 at least 6 times line 3? 10. Are least 90% of assets located in the U.S.? (If "No", complete line 11.) 11. Is line 7 at least 6 times line 3? 12. Current assets 13. Current liabilities 14. Net working capital (subtract line 13 from line 12). 15. Is line 14 at least 6 times line 3? 16. Current bond rating of most recent bond issue 17. Name of rating service 18. Date of maturity of bond e $ 2.000.000.00 $ 318.379.123.00 . $ 320.379.123.00 $ 34,785.000.000.00 $ 19.231.000.000.00 $ 15.554.000.000.00 $ 18.855.000.000.00 ~ NQ X X X X $ N/A $ N/A $ N/A $ N/A AA Standard & Poors August 15. 2004 Page 3 of 4 e e fu No 19. Have fmancial statements for the latest fiscal year been 'x filed with the SEC, the Energy Information Administration, or the Rural Electrification Administration? I hereby certify that the wording of this letter is identical to the wording specified in 40 CPR part 280.95(d) as such regulations were constituted on the date shown immediately below, except that information concerning California and Louisiana were added to make disclosure more complete. ?J?A'~~ M. R. Klitten Vice President, Finance April 28, 1997 Page 4 of 4 e e GUARANTEE Guarantee made this April 28, 1997, by CHEVRON CORPORATION, a business entity organized under the laws of the State of Delaware, herein referred to as guarantor, to EP A Regional Administrators and/or state agencies implementing underground storage tank regulation for the states listed in Paragraph 2 (hereinafter collectively referred to as the "implementing agencies"), and to any and all third parties, and obligees, on behalf of CHE~ON U.S.A. INC. (lfCUSA "), of 575 Market Street, San Francisco, CA. RECITALS 1. Guarantor meets or exceeds the fInancial test criteria of 40 CFR 280.95(b) or (c) and (d) and agrees to comply with the requirements for guarantors as specifIed in 40 CPR 280.96(b). 2. CUSA owns or operates the following underground storage tanks covered by this guarantee - underground storage tanks at various facìlìties in the states of: Alaska Arizona California Florida Georgia Hawaii Idaho Louisiana Mississippi Nevada New Mexico Oregon Texas Utah Virginia Washingt,on This guarantee satisfIes 40 CPR part 280, subpart H requirements for assuring funding for taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases arising from operating the above-identifIed underground storage tanks in the amount of $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate. 3. On behalf of our subsidiary, CUSA, guarantor guarantees to implementing agencies and to any and all third parties that: In the event that CUSA fails to provide alternative coverage within 60 days after receipt of a notice of cancellation of this guarantee and the Director of the implementing agency has detennined or suspects that a release has occurred at an underground storage tank covered by this guarantee, the guarantor, upon instructions from the Director, shall fund a standby trust fund in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. ~ e e In the event that the Director determines that CUSA has failed to perfonn corrective action for releases arising out of the operation of the above-identified tanks in accordance with 40 CFR 280, subpart F, the guarantor upon written instructions from the Director shall fund a standby trust in accordance with the provisions of 40 CPR 280.108,· in an amount not to exceed the coverage limits specified above. If CUSA fails to satisfy a judgement or award based on a determination of liability for bodily injury or property damage to third parties caused by sudden and/or nonsudden accidental releases arising from the operation of the above-identified tanks, or fails to pay an amount agreed to in settlement of a claim arising from or alleged to arise from such injury or damage, the guarantor, upon written instructions from the Director, shall fund a standby trust in accordance with the provisions of 40 CPR 280.108 to satisfy such judgement(s), award(s), or settlement agreement(s) up to the limits of coverage specified above. 4. Guarantor agrees that if, at the end of any fiscal year before cancellation of this guarantee, the guarantor fails to meet the financial test criteria of 40 CPR 280.95(b) or (c) and (d), guarantor shall send within 120 days of such failure, by certified mail, notice to CUSA. The guarantee will terminate 120 days from the date of receipt of the notice by CUSA, as evidenced by the return receipt. 5. Guarantor agrees to notify CUSA by certified mail of a voluntary or involuntary proceeding under Title 11 (Bankruptcy), U.S. Code naming guarantor as debtor, within 10 days after commencement of the proceeding. 6. Guarantor agrees to remain bound under this guarantee notwithstanding any modification or alteration of any obligation of CUSA pursuant to 40 CFR part 280. 7. Guarantor agrees to remain bound under this guarantee for so long as CUSA must comply with the applicable financial responsibility requirements of 40 CPR part 280, subpart H for the above-identified tanks, except that guarantor may cancel this guarantee by sending notice by certified mail to CUSA, such cancellation to become effective no earlier than 120 days after receipt of such notice by CUSA, as evidenced by the return receipt. 8. The guarantor's obligation does not apply to any of the following: (a) Any obligation of CUSA under workers' compensation, disability benefits, or unemployment compensation law or other similar law; (b) Bodily injury to an employee of CUSA arising from, and m the course of, employment by CUSA; (c) Bodily injury or property damage arising from the ownership, maintenance, use, or entrustment to others of any aircraft, motor vehicle, or watercraft; Page 2 of 3 e e (d) Property damage to any property owned, rented, loaned to, in the care, custody, or control of, or occupied by CUSA that is not the direct result of a release from a petroleum underground storage tank; (e) Bodily damage or property damage for which CUSA is obligated to pay damages by reason of the assumption of liability in a contract or agreement other than a contract or agreement entered into to meet the requirements of 40 CFR 280.93. . 9. Guarantor expressly waives notice of acceptance of this guarantee by the implementing agency, by any or all third parties, or by CUSA. I hereby certify that the wording of this guarantee is identical to the wording specified in 40 CFR 280.96(c) as such regulations were constituted on the effective date shown immediately below. Effective date: April 28, 1997 CHEVRON CORPORATION By ?u~~ M. R. Klitten Vice President, Finance /efU~-J By Assistant Secretary Page 3 of 3 e e CERTIFICATION OF FINANCIAL RESPONSmILITY CHEVRON U.S.A. INC. hereby certifies that it is in compliance with the'requirements of subpart H of 40 CPR part 280. The financial assurance mechanism used to demonstrate fmancial responsibility under subpart H of 40 CPR part 280 is as follows: Corporate guarantee of Chevron Corporation in the amount of $1 million per occurrence, $2 million annual aggregate, for the period commencing April 22, 1997, and which is anticipated to be renewed annually, with the next renewal scheduled to occur during the first 120 days of 1998. Said guarantee covers taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases. April 28, 1997 CHEVRON U.S.A. INC. By '/j~ ¿(.~ C Judith L. Martin Legal Analyst e e CUSA UST FINANCIAL ASSURANCE April 28, 1997 bee: D. V. Barksdale L. T. Brown C. R. Canfield J. P. Casey E. V. Cottrell H. P. Davis Jr. W. H. Ford A. G. Fredeluces E. Gonzalez M. Leong P.T. Liang D. E. Ludlam R. W. McCranie S. E. Merritt R. B. Miller, Honolulu A. R. Mora D. A. Newell I. O. Ng K. L. Norris B. C. Randle D. T. Sherman R. J. Shewchuk S. C. Stoner S. W. Strader G. L. Sweinhart E. A. Thompson C. P. Woodland 72413 y UNDER-GROUND STORAGE TAN~SPECTiON FACILITY NAME Ch('Urð VI ~tJIC:L 5-ftx.-Hc1\ FACILITY ADDRESS 10 (Jlllui'n /fiX- Bakersfield Fire Dept. Office of Environmental Services Bakersfield, CA 93301 I!iJ~ 93.10 ") BUSINESS I.D. No. 215-000 CITY ß t:~ ZIP CODE FACILITY PHONE No. 3J.J. ':JC('(S 101 101 101 ,~ '!;(1(1'1 '''':2 ~ « INSPECTION DATE Product p~uct Product TIME IN TIME OUT uN ~¡;;.. UN 111I~.I·, ðìt Inst Dale Insl Dale Inst Date INSPECTION TYPE: Itfl1 /9r1 /99 l' ROUTINE V FOLLOW-UP Size Size Size I~Co & "i ()¡CIf)O /ð, l/CO REQUIREMENTS yes no n/a yes no nIa yes no nIa 1a, Forms A & B Submitted V 1b. Form C Submitted V 1c. Operating Fees Paid v' 1d, State Surcharge Paid V 1e. Statement of Financial Responsibility Submitted V H, Written Contract Exists between Owner & Operator to Operate UST V 2a, Valid Operating Permit V 2b. Approved Written Routine Monitoring Procedure ¡/ 2c, Unauthorized Release Response Plan ./ 3a. Tank Integrity Test in Last 12 Months v' 3b. Pressurized Piping Integrity Test in Last 12 Months V 3c, Suction Piping Tightness Test in Last 3 Years 'V 3d, Gravity Flow Piping Tightness Test in Last 2 Years V 3e. Test Results Submitted Within 30 Days V 3f. Daily Visual Monitoring of Suction Product Piping ¡/ 4a. Manual Inventory Reconciliation Each Month ../ 4b. Annual Inventory Reconciliation Statement Submitted V 4c. Meters Calibrated Annually 5, Weekly Manual Tank Gauging Records for Small Tanks -./ 6, Monthly Statistical Inventory Reconciliation Results V 7, Monthly Automatic Tank Gauging Results 8, Ground Water Monitoring 9. Vapor Monitoring 10. Continuous Interstitial Monitoring for Double-Walled Tanks -if 11, Mechanical Line Leak Detectors ../ 12, Electronic Line Leak Detectors V 13. Continuous Piping Monitoring in Sumps ../ 14. Automatic Pump Shut-off Capability 15. Annual Maintenance/Calibration of Leak Detection Equipment 16. Leak Detection Equipment and Test Methods Listed in LG-113 Series V 17. Written Records Maintained on Site V 18, Reported Changes in Usage/Conditions to Operating/Monitoring -/ Procedures of UST System Within 30 Days 19. Reported Unauthorized Release Within 24 Hours V 20. Approved UST System Repairs and Upgrades ./ 21. Records Showing Cathodic Protection Inspection V 22, Secured Monitoring Wells II 23, Drop Tube .¡ RE-INSI?ECTION D TE RECEIVED BY' ~ A~ ~ uJ/ ~.I~/J/_ . v I ~. ~ INSPECTOR. l'ú (tí (¡Y1lF1r{) OFFICE TELEPHONE No. q) lc-3/77 FD 1669 (rev, 9/95) T HAZARDOUS MATERIALS INSPE~N akersfield Fire Dept. OFFI""!!l' OF ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 Date Completed ~ '{"/,/f7 Business Name: ~k{tJiJ'fJ"" , ÝrJIl'c... 5 ta.{to i'ì Location: 10 (}h,cì\ .,q"'L Business Identification No. 215-000 /5.:18 (Top of Business Plan) Inspector 's-\cvc.. d~ctu~vl'I Station No. Shift Arrival Time: Departure Time: Inspection Time: Adequate Inadequate Adewte Inadequate Address Visable d D Emergency Procedures Posted (J Correct Occupancy CV" 0 Containers Properly Labled 4V 0 Verification of Inventory Materials ÜÝ D Comments: Verification of Quantities (]I D ~ Verification of Location ~ 0 Verification of Facility Diagram CJ Proper Segregation of Material D Housekeeping 0 Fire Protection eiÝ 0 Comments: Electrical ~ 0 Comments: Verification of MSDS Availablity ~ D Number of Employees: '1 UST Monitoring Program a/ 0 rn'" Comments: Verification of Haz Mat Training D Permits c:V' 0 Comments: Spill Control CÝ 0 Hold Open Device eÝ 0 Verification of Q/ Hazardous Waste EPA No. Abbatement Supplies and Procedures D ~ Proper Waste Disposal 0 Comments: Secondary Containment D Security ~ 0 Special Hazards Associated with this Facility: Violations: ~Ø"ll Itf ¡jrti61Vål ~('at ckkdr;"" ( (i{)1AA I V/1 -Crolilt\. (!Ohf . l::.>Sl LJ ~.I UI,Ì2þ.n¡ SIGNATURE iñ ~ ..... All Items O.K Correction Needed fJÝ D l f?j <0 ..... White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy c u. --~.. ---=::::c' 11 . CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT N~ 0510 Location ~f2.!)V\ ,gtAt,bvtS Sub Div.~.olcl C 4- ,Blk. I You are hereby required to make the following corrections at the above location: . Lot Cor. No rt ...sfA.t, ,\/L sfetl, Of) C'oR~1-L\Üv\-~ hl' '+k~ ~ / -z¡ k Completion Date for Corrections 6 J I '::l-/~ Date _5/9/7s ~Jdti~~4 Inspector 326·3979 --~---.- -- -----. --- .- .,-"., .- - --y~~ . ---'-'--- '. , - ';;¡.,} UNDERG'ROU¡ND STORAGE TANt<tþPECJION , ¡ I~ ,~ , .: Bakèrsfield Fire Dept. Hazardous Materials Division Bakersfield, CA 93301 J) /:i FACILITY NAME ~~v~ ~~, ~ f) cI\ FACILITY ADDRESS ,.f) 0t^ ~r'J> '^ ~ue ~'15 ç~ BUSINESS I.D. No. 215-000 CITY ~.4k~~..r,.o ~( /S~A ZIP CODE q~~B7 '. FACILITY PHONE No. ~~?- - d-~4 ç ID# ID# ID# '1 /' i 2.é~ INSPECTION DATE L.¡/?-y,le" <." Product Product Product ,.. lit V I- l)1.. 7 If. nL 'A.JIl ") TIME IN TIME OUT Inst'Date~o¡ Ins! Da~. Insl Dat~ ~c::¡ INSPECTION TYPE: ìv\-s ~~ t'f\Dc\f:t l R~l. #\Jo \'\ Lq:C (J¡e ¡¡..\\~~I-. t~ I ~O¡ l ~ V FOLLOW-UP Size Size s~~ W) ROUTINE / 0 rrf'\ f") ::'¡....., \ Ú,(;Q:'') REQUIREMENTS yes no nla yes no nla yes no nla 18, Forms A & B Submitted r/ V c./ 1b. Form C Submitted ~ v 1,,/ 1c. Operating Fees Paid V' V' ./ State Surcharge p'ald , t/ ./' r/ 1d. . 1e. Statement of Financial Responsibility Submitted V c/ IV' 1', Written Contract Exists between Owner & Operator to Operate UST r/ V tV' 28. Valid Operating Permit .. 2b. Approved Written Routine Monitoring Procedure ~ V t/' 2c. Unauthorized Release Response Plan ""\~.,.... r/' Ctl- /' t/ ....... .. _A'" .I'o~ 3a, Tank Integrity Test in Last 12 Months "rt>' "t/' ~ t/ (/ "'" 3b, Pressurized Piping Integrity Test in Last 12 Months ~ lOF" ...9-,:~\- Ð~~' . r:/ -- '" 3c, ~ Suction Piping Tightness Test in Last 3 Years ,.- 't Q../ v ^(>o~1 V v ,."...- 3d, Gravity Flow Piping Tightness Test in Last 2 Years 'No" ('9~\ ,...r-"J ,/ ""..... ,/ 3e, Test Results Submitted Within 30 Days '?<\ ,\~r¡;)..'V 1/ c/ c/ 3f. Dally Visual Monitoring of Suction Product Piping v V t7" ç/ 4a. Manual Inventory Reconciliation Each Month ¡/' t/"" I?"'" 4b. Annual Inventory Reconciliation Statement Submitted v"- v v 4c. Meters Calibrated Annually t/ ¥ c/' 5. Weekly Manual Tank Gauging Records for Small Tanks \ 6, Monthly Statistical Inventory Reconciliation Results v V v' 7. Monthly Automatic Tank Gauging Rèsults v w i/ 8, Ground Water Monitoring ~ c/ "'" 9. Vapor Monitoring t<' tY' t"r 10. Continuous Interstitial Monitoring for Double-Walled Tanks c/ cø" r:/ 11. Mechanical Line Leak Detectors ~' V t/ 12, Electronic Line Leak Detectors ¡ , ,/ rr V 13. Continuous Piping Monitoring In Sumps "1 \.t ;':óS'" tJ' \ '1. ~, c'11.~À ~d''''/1' r/ t/' t/' 14, Automatic Pump Shut-off Capability (';)'.~~, ,,-1 ...\\~.;. 1'....\ " i ~ ,c.f'< ¡/" V V' 15, Annual Maintenance/Calibration of Leak DetectïcSn Equipment V v' V 16. Leak Detection Equipment and Test Methods Listed in LG-113 Series t/ V- I/' 17, Written Records Maintained on Site t/' - v' ¡/ 18. Reported Changes in Usage/Conditions to OperatlngJMonitoring Procedures of UST System Within 30 Oays V r/' V 19, Reported Unauthorized Release Within 24 Hours -- If"" v'" V 20. Approved UST System Repairs and Upgrades v t/ V 21. Records Showing Cathodic Protection Inspection v /' V 22. Secured Monitoring Wells if' V - t/ 23, Drop Tube r/ V V 1\..'0 vG. rt?{¡17 -ft,e wA¢1e 0.1 . "fE<;.'Ie'« RE-INSPECTION DATE. INSPECTOR: ~d;.~{?z4¡,/'L ~_ Lv fI<;/e ell P<7"~ S ~ RECEIVED BY: vmM. f- /J~ Á AA- OFFICE TEL-EPHONE No. ~;?,6 ~ ~ 7 J FO 1669 . . ~ þ..'4/'7S- c.1.e.~ S~~t'o,^ 10 UV\ .'ok Ave- " Yii;_<bC s;1e.. wI -S~ Be)/1e.V&lV\.'tE../CA.e.."'~V\ /J?.q ,'y.'f~n"Trœ, :; l<1-l,J wtA~ ()~ .s ,'k- de.lP(fcc",,~ ~/ ~~.so~ /~ A/ ¡q~ ,l9' ~A}'\. w~. 0'1(7 I .sfA,"hft.~ A .5eVlSD¿/ ¡"¡"'ed ;>'¡o,~ : I -/Reva.d.... 1:S ..sI ~ f-c:;7 .n2c:>,,¡-/¡p,e./ ~ '-'U ot2.' ( ,. 1+1 -.'ftEJø(/ ~ie 'J ;: ~14C.e.t1t- ~ 'fh..'f 5'--"-/::::., .:1, B. 'sAle! ~ .s'f,q..1.~ ,I,..J ~~{...d f;/fC- Re~/..~~\ -IC~ )'t,q~ I.~ {; rvÝ (.¡ Jvd ~ I~'fpon-e.cl e.1.,h-'/-' I % . A /~d:.. . ,íV" msûs, '1 , . i I , ' j: J .f- ^~.~¡~:,\ ~ STATE OF CAUFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM A: .. . . ~ " '" .,.' ..rl''-- . -- .~'_. 'tt COMPLETE THIS FORM FOR EACH FACILITYISITE ..... " i . " MARK ONLY ONE ITEM D 1 NEW PERMIT . D 2 INTERIM PERMIT D 3 RENEWAL PERMIT o 4 AMENDED PERMIT 5 CHANGE OF INFORMATION D D 6 TEMPORARV SITE CLOSURE 7 Pe'R~ANENTLV CLOSED SITE ,~. . ." . I. FACILITY/SITE INFORMATION & ADDRESS· (MUST BE COMPLETED) ,". -J-. 1.' ..';/~.tt:;: NAMEOFOPjRA19,Rj ¿ A 1 J,J J, ~ £/lr, ¿JA1 / oJ-' I'/V~n /v t/V NEAREST CROSS STREET Yt'NOe ~ o COUNTY·AGENCY o STATE-AGENCV o FEDERAl-AGENCY STATE CA ,./ BOX TO INDICATE o INDIVIDUAL 0 PARTNERSHIP 1YPE OF BUSINESS 1 GAS STATION 0 2 DISTRIBUTOÁ o 3 FARM 0 4 PROCESSOR 0 5 OTHER ~ EMERGENCY CONTACT PERSON (PRIMARY) pAYS: NAME (LAST, FIRST) Ll. PHONE # WITH AREA CØ1. 2- 'lip VRrJ¡J frJA / /t/z:.: - 69'1- // ¿) G S: NAME (LAST, FIRS!!... PloIQNE # WITH AREA CODE 7 P -¿; f tleJ -)3. - II, PROPERTY OWNER INFORMATION· MUST BE COMPLETED EMERGENCY CaNT ACT PERSON (SECONDARY)· optional DAVS: NAME (LAST, FIRST) NIGHTS: NAME (LAST, FIRST) CARE OF ADDRESS INFORMATION o INDIVIDUAL D lOCAl·AGENCY . D STATE-AGENCY D COUNTV-AGENCY . 0 FEDERAl-AGENCY PHONE # WITH AREA CODE -7~52 o STATE-AGENCY ~ . ......., ;'~,...::.,Z,.~~::':""'",",,': V. PETROLEUM UST FINANCIAL RESPONSIBILITY· (MUST BE COMPLETED) - íDENTIFY THE METHOD(S) ÛSED-:-'-"':--""-'~--'- - -- . .... - ../ box to indicate _ SElF·INSURED o 5 LEDER OF CREDIT o 2 GUARANTEE o 6 EXEMPTION 3 INSURANCE o 99 OTHER D 4 SURETY BOND 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 INDICA TlNG WHICH ABOVE ADDRESS SHOULD BE USED FOR LEGAL NOTlFICA TIONS AND BILLING: I. cw- II. Dill, ¡e-- THIS FORM HAS BEE .CQMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT MONTHiDAVI'(EAR 7- 2.)..- Co COUNTY # :/5: JURISDICTION # r(jloT¿~:11 l_~_~~ FACILITY # ~ ~--~----- - ---_.._~.- !CENS~S T~ACT # - OPTIONAL I SUPVISOR - DISTRICT CODE - OPTIONAL ~."'.c / I THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE PERMIT APPLICATION· FORM B, UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY. FORIJ A (1291) FILE THIS FORM WITH THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGULATIONS LOCATION CODE· OPTIONAL FOROO33A·R6 -;-"Z .",,~' . . e ITATlO'CALI~RNlA . - e STATE WATER RESOURCES CONTROL BOARD '" . UNDERGROUND STORAGE TANK PERMIT APPLICATION D FORMS ',' , . 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 ~ à CHANGE OF INFORMATION D 8 TEMPO~RY TANI< CLOSURE D ,7 PERMANENTLY CLOSED ON SITE D 8 TANI< REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTAllED: C!-J..Ié-~,.c;t~,.J 5iA-riD,,) 9-1$5'-1 I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN A, OWNER'S TANK I, D,' / B, MANUFACTURED BY: C, DATE INSTALLED (MOIDAYIYEAR) II. TANK CONTENTS IFA·1ISMARKED,COMPLETEITEMC, A, Œr1 MOTOR VEHICLE FUEL 04 OIL B, C, o 1a REGULAR D 3 DIESEL 0 6 AVIATION GAS UNLEADED D 4 GASAHOL D 2 PETROLEUM 080 EMPTY '. [1a 1 PRODUCT o 1b PREMIUM D 7 METHANOL ). , UNLEADED D 5 JET FUEL o 3 CHEMICAL PRODUCT o 95 UNKNOWN 0 2 WASTE o 2 lEADEt1 œ';,gg ~ÖTHElf IDESCRIBE'INITEM, D. BELOW) D. IF (A,1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED /il, D (;.~ (7é;'? '62 C,A.S.": )D 6bl '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 GJ 1 DOUBLE WALL D 3 SINGLE WALL WITH EXTERIOR LINER D 95 UNKNOWN SYSTEM 0 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) D 99 OTHER D 1 BARE STEEL 0 2 STAINLESS STEEL D 3 FIBERGLASS D 5 CONCRETE D 6 POLYVINYL CHLORIDE D 7 ALUMINUM D 8 100% METHANOL COMPATIBLEW/FRP o 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER D 1 RUBBER LINED "}.',,O 2 ALKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING D 5 GLASS LINING [¡Y6 UNLINED D 95 UNKNOWN 0 99 OTHER IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL (Primary Tank) C.INTERIOR LINING YES _ NO_ C. MATERIAL AND CORROSION PROTECTION D. LEAK DETECTION A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVIN A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI, A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 U. J~ 1 AUTOMATIC LINE LEAK DETECTOR' 0 2 LINE TIGHTNES~ TE~TING . D 3 VINYL WRAP o 95 UNKNOWN FIP'" 1CED PLASTIC D. CORROSION 0 1 POLYETHYLENE WRAP D 2 COATING PROTECTION 0 5 CATHODIC PROTECTION 0 91 NONE E. SPILL AND OVERFILL SPILL CONTAINMENT INSTALLED (YEAR) . c.;' ":" OVERFII ' IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IFUNDERGROUND.BOTHh A. SYSTEM TYPE A U 1 SUCTION ~2 PRESSURE A U 3 GRA B. CONSTRUCTION A U 1 SINGLE WALL A,r U...2 DOUBLE WALL A U 3 LINED .. -' '~ OTHER "\TIBLE W/FRP 'L- V. TANK LEAK DETECTION o 1 VISUAL CHECK D 2 INVENTORY RECONCILIATION D 3 VADOZE MONITORING 0 4 AUTOMA o 6 TANK TESTING Ga 7 INTERSTITIAL MONITORING 0 91 NONE 0 95 UNKNOV't VI. TANK CLOSURE INFORMATION ~·~e·. se~\ \0 Q'ð.\e ·OR.O I 1. ESTIMATED DATE LAST USED (MO/DAYIYR) 2. ESTIMATED OUANTITY OF SUBSTANCE REMAINING 3. \'. GALLONS THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJU Y"AN APPLICANTS NAME . J j ¡PRINTED 8 SIGNATURE) f¡~. "':' i1j' ¡- ......'. I· t.¥.- L_ ....- LOCAL AGENCY USE ONLY STATE /.0.# JURISDICTION # FACILITY # TANK # ~~~ :'I -,,/ (" " --,'~ I PERMIT APPROVED BY/DATE I PERMIT EXPIRATION DATE THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FILE THIS FORM WITH THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGULATIONS COUNTY # [lEJ PERMIT NUMBER FORM B (12-91) FOR0G34ß.R6 ct· ....,..".,..\01' .. , '. . - -. :. STATEOFCAUFOANlA e - STATE WATER RESOURCES CONTROL BOARD . ". ' UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM.B':.":;·:,, - . '¡ .' ." , COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. ~ ,~~. . ". I·....,.· MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PER!o1IT o 3 RENEWAl PERMIT o 4 AMENDED PERMIT ø 5 CHANGE OF INFORMATION. o 6 TEMPORARY TANK CLOSURE D. ?·PERMANENTLY ClOSED ON SITE D . 8, TANK'REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTAllED: (ì I¡¿ L-« ~ rJ 57;.:./7;..:.:,0 .?- /55 ¥ , . I. TANK DESCRIPTION COMPLETE All ITEMS - SPECIFY IF UNKNOWN C, DATE INSTAllED (MOIDAYiYEAR) A, OWNER'S TANK I. 0, II ;J-- B, MANUFACTURED BY: 11. TANK CONTENTS IFA-1ISMARKED.COMPlETEITEMC, A, 01 MOTOR VEHICLE FUEL 04 Oil B, C, o 1a REGULAR B 3 DIESEL 0 6 AVIATION GAS UNLEADED D 2 PETROLEUM 080 EMPTY \ G 1 PRODUCT [Zr 1b PREMIUM 4 GASAHOl o 7 METHANOL . ' UNlEADe.D D 5 JETFUEL' o 3 CHEMICAL PRODUCT o 95 UNKNOWN D 2 WASTE D 2 i.EADED~' . D 99 eTHER (DESCRIBE IN ITEM D,BElOW) D. IF (A.1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED C,A,S,II: ðVV6b1 c; 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 ø 1 DOUBLE WAll 0 3 SINGLE WALL WITH EXTERIOR LINER D 95 UNKNOWN SYSTEM 0 2 SINGLE WAll 0 4 SECONDARY CONTAINMENT (VAULTED TANK) D 99 OTHER 0 1 BARE STEEL 0 2 STAINLESS STEEL 0 3 FIBERGLASS ~- 4 STEEL CLAD WI FIBERGlASS REINFORCED PLASTIC B. TANK MATERIAL 0 5 CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 AlUMINUM DB' 100% METHANOL COMPATIBLE WIFRP (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER 01 RUBBER LINED ....' 0 2 AlKYD LINING ·0 3 EPOXY LINING, ,D 4 PHENOLIC LINING C. INTERIOR ..." D LINING 0 5 GLASS LINING 'Ga 6 UNLINED 0 95 UNKNOWN 99 OTHER IS LINING MATERIAL COMPATIBLE WITH 1000/. METHANOL? YES _ NO_ D. CORROSION D 1 POLYETHYLENE WRAP D 2 COATING D 3 VINYL WRAP Q 4 FIBERGLASS REINFORCED PLASTIC PROTECTION o 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN o gg,'OTHER E. SPILL AND OVERFILL SPill CONTAINMENT INSTAllED (YEAR) / '¡ kf/!if OVERFilL PREVENTION EQUIPMENT INSTALLED (YEAR) I c¡ lr7' IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A, SYSTEM TYPE A U 1 SUCTION (U j PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WAll A"'Û"') 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) ú.J, FIBERGLASS PIPE CORROSION A U 5 AlUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U B 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 :I~ 1 AUTOMATIC LINE lEAK DETECTOR o 2 LINE TIGHTNESS TESTING g 3 MONITORING. · .0. 99è.C}1!'!§~¡'~' .. , . '. " -. . - .' ~ . 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 Cd 7 INTERSTITIAL MONITORING 0 91 NONE 0 95 UNKNOWN 0 99 OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE lAST USED (MO/DAYiYR) 3, WAS TANK FILLED WITH GAllONS INERT MATERIAL? YES 0 NoD PERMIT NUMBER LOCAL AGENCY USE ONLY THE STATE I.D, NUMBER IS CâMP~$.~D OFTHE FOUR NUMBERS BELOW COUNTY # JURISDICTION # FACILITY # TANK # I///-¡' ~ ~ ~( ,..:- ~~~~ :::,...7 /0(,) (j? I PERMIT APPROVED BY/DATE I PERMIT EXPIRATION DATE THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FILE THIS FORM WITH THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGULATIONS STA TE 1.0.# FORM B (12-91) FOR0034B-R6 ,., .'·).r·~' . ..,.- . , COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. . STATEOFCAUFOANJA e .. STATE WATER RESOURCES CONTROL BOARD·. ' '. . .~. UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B',.,: "'-, MARK ONLY ONE ITEM D ' NEW PERMIT o 2 INTERIM PERMIT D 3 RENEWAL PERMIT . " [EJ5 CHANGE O!';INFORMATION D . 4 AMENDED PERMIT. .. 0 6' TEMPORARV TANK CLOSURE D ·7i>ERMANENTlV CLOSED ON SITE o 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTAllED: ,C Nt::- ¡'/r.)(-~, 57/17, OA._ 9_ J t:ï.E L/ t. TANK DESCRIPTION COMPLETE All ITEMS - SPECIFY IF UNKNOWN A, OWNER'S TANK I. D, II :;? B. MANUFACTURED BY: ~CJ¡¿. - , -- C. DATE INSTAllED (MOIDAYNEAR) 7/I'1lt1 D. TANK CAPACIìY IN GALLONS: /¿: ¿)(....¿; II. TANK CONTENTS IF A·IIS MARKED. COMPLETE ITEM C. A. [a1 MOTOR VEHICLE FUEL D 4 Oil B. C. [J}.1a REGULAR EJ 3 DIESEL 0 6 AVIATION GAS UNLEADED 02 PETROLEUM D 80 EMPiV ;, ca 1 PRODUCT D 1b PREMIUM 4 GASAHO~ / 0 7 METHANOL 0 0 UNLEADED o 5 JETFUEl 03 CHEMICAL PRODUCT 95 UNKNOWN 2 WASTE o 2 lEADED o 99 OTHER (DESCRIBE IN ITEM D. BELOW) C.A.S.#·: ..... D. IF (A.1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED O(.k..'6?¡ 7 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 g 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 0 3 FiBERGLASS ~ 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL 0 5 CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 ALUMINUM 0 8 100% METHANOL COMPATIBLE WIFRP (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER 01 RUBBER LINED ~"~ 2 ALKYD LINING . O. .3 . Ep'()XY. ~I,N.lNG -·GJ 4 PHENOLIC LINING .,.... , ,".', C. INTERIOR 0 5 GLASS LINING 6 UNLINED o 95 UNKNOWN OJ 99 OTHER LINING .- .....- is LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES_ NO_ D. CORROSION 01 POLYETHYLENE WRAP 0 2 COATING o :I VINYL WRAP G3 4 FIBERGLASS REINFORCED PLASTIC PROTECTION 0 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN o 99 OTHER E. SPILL AND OVERFILL SPILL CONTAINMENT INSTALLED (YEAR) / C') :1' ",1 OVERFILL PREVENTION EQUIPMENT INSTALLED (YEAR) / <1 tf 7' IV. PIPING INFORMATION CIRCLE A IF ABOVEGROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A:~. 2 PRESSURE A U 3 GRAVliV A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL I(_~ 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(Q....4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100% METHANOL COMPATIBLE WIFRP PROTECTION ; A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION g 1 AUTOMATIC LINE LEAK DETECTOR o 2 LINE TIGHTNESS TESTING Cid 3 ~~~~~~~~ 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 W 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 QUANTliV OF SUBSTANCE REMAINING 3. WAS TANK FILLED WITH GALLONS INERT MATERIAL? YES 0 NOO THIS FORM HAS BEEN COMPLETED UNDER PENAL TV OF PE 'J/.!RY" NO TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT APPLICANTS NAME DATE r I. (PRINTED & SIGNATURE) I~) .... j / / .... , 1 "t-~ 0. 'i - ,. tlt-,·,,: i- , " I ' . LOCAL AGENCY USE ONLY THE STATE I.D. NUMBER IS COMPOS'è'o O~HE FOUR NUMBERS BELOW COUNTY # JURISDICTION # FACILITY # TANK # STATEI.D.# [ZEd' ~ ~ ~ PERMIT NUMBER ;:.i / /,: >¡.') ,3 PERMIT APPROVED BY/DATE I PERMIT EXPIRATION DATE THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FILE THIS FORM WITH THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGULATIONS "/ FORM B (12·91) FOR0034ß.R6 e ?,'?ì"':J "5 /vt !t~~~ slofes To IT /YWfl.I~~(U~ v.J e---l{ & (¿¿.. I~ It Is D J fr seV'50'~ (-\ -fA-€- 1f.-..t/¡j/~ .s.v-. rv.f (\£A-è-es+ f~e- cLtsf>€-IÆ$ e {25 . M.~~~~ e ","1 ~ ~''';''''"'. MARK ONL V ONE ITEM , . ~~-:~...._' -1 ~",' ì'~\' ~.~. ~·f:·:· '~~~~r'¡~ ;.~t.~.: . -'t¡ : .... '. STAT! OFCAUFOANIA . - . '" , . ~ . STATE WATER RESOURCES CONTROL BOARD'. . ..' ".', . ',,': '~ . UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORMS. ;'....f:~:::'¡~. .~;" ", . ''-. . o 1 NEW PERMIT D 2 INTERIM PERMIT COMPLETE A SEPARATE FORM FOR ÈACH'rÅNK SYSTEM:·,.. "".~ . :,' , 03 RENEWAL PERMIT D 4 AMENDED PERMIT ø II CHANGE"OF INFORMATION D . e TEMPORARY TANK CLOSURE S-7,./"P£)µ 1-/55 "'/ . D"~f: ~R~ANENTLYCLOSEO ON SITE 0: BTANK ~EMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: {j¡(;.. ¿,.',,-'., I. TANK DESCRIPTION COMPLETE All ITEMS - SPECIFY IF UNKNOWN B. MANUFACTURED BY: .....:7é ¿"? /'Ìi...... ¿lCO A, OWNER'S TANK I. D.' t.f C. DATE INSTAllED (MOIDAYIYEAR) D. TANK CAPACITY IN GALLONS: II. TANK CONTENTS IF A-1 IS MARKED, COMPLETE ITEM C. A. D 1 MOTOR VEHICLE FUEL [j;1 4 OIL B, C. o 1a REGULAR o 3 DIESEL 0 6 AVIATION GAS UNLEADED o 4 GASAHOL 0 2 PETROLEUM 080 EMPTY: 0 1 PRODUCT o 1b PREMIUM o 7 METHANOL UNLEADED o 5 JET FUEL 0 3 CHEMICAL PRODUCT o 95 UNKNOWN I:a 2 WASTE o 2 LEADED G 99 OTHER '(DESCRIBE IN ITEM D, BELOW) . ._-- - ,- .._ n" -'. '-"- .-., .. D, IF (A,1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED ¿1St: L= ¿.: I L..- C.A.S.#: 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 SYSTEM B. TANK -. MATERIAL (Primary Tank) C. INTERIOR LINING o o o o o o o . ~ 1 DOUBLE WAll o 2 S!NG,LE ~ALL EJ 1 BARE ~TEEL o 5 - CONéRETE o 9 BRONZE B : :::RLI~II::D "'wIg,: :::É~~~I~~..".... ,,8 :/~~:~~:~~'''B IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES _ ~~---;-. 4 PHENOLIC LINING 99 OTHER 3 SINGLE WALL WITH EXTERIOR LINER 95 UNKNOWN 99 OTHER 4 SECONDARY CONTAINMENT (VAULTED TANI<) o o o Œ:J o o 2 STAINLESS STEEL 3 FIBERGLASS 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC 8 100% METHANOL COMPATIBLE WIFRP 9!! OTHE R 6 POLYVINYL CHLORIDE 7 ALUMINUM -. 10 GALVANIZED STEEL 95 UNKNOWN POLYETHYLENE WRAP 0 2 COATING CATHODIC PROTECTION 0 91 NONE SPILL CONTAINMENT INSTALLED (YEAR) I q. ( 9 o 3 VINYL WRAP Cd 4 FIBERGLASS REINFORCED PLASTIC 095 UNKNOWN 0 99 OTHER OVERFILL PREVENTION ECUIPMENT INSTALLED f:(EAR¡/C¡ J c:y D. CORROSION 0 1 PROTECTION 0 5 E. SPILL AND OVERFILL IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A U 2 PRESSURE K.:[J GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WAll Ô:"'i! 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(J[.,~ FIBERGLAsS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100% METHANOL COMPATIBLE WIFRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION -!i2J 1 AUTOMATIC LlNE'lEAK DETEc,TOR o 2 LINE TIGHTNESS TESTING D 3 MONITORING o 99 OTHER . , _.,~ " \, "";~...?]~~J:~i'1~, . .. .' ",,",.,. o 1 VISUAL CHECK o 6 TANK TESTING '·V. TANK LEAKDETECTION'" o Cd 2 INVENTORY RECONCILIATION 0 3 VADOZE MONITORING D 4 AUTOMATIC TANK GAUGING 0 5 GROUNDWATER MONITORING 7 INTERSTITIAL MONITORING 0 91 NONE D 95 UNKNOWN 0 99 OTHER ., VI. TANK CLOSURE INFORMATION r.ESflMATED DATE lAST USED (MO/DAYIYR) 2. ESTIMATED QUANTITY OF SUBSTANCE REMAINING 3. WAS TANK FILLED WITH GAllONS INERT MATERIAL? YES 0 N0D THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF P RJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT APPLICANT'S NAME DATE (PRINTED 3 SIGNATURE) J,) -.:; II í '-. . ~_, v¿·r.· /-. LOCAL AGENCY USE ONLY THE STATE I.D. NUMBER IS COM~ PERMIT NUMBER FORM B (12-91) COUNTY # JURISDICTION # FACILITY # TANK # I STATE 1.0.# IZ8J CE[QJ ~ ~ 7A I C /', O· -') I PERMIT APPROVED BYIDATE I PERMIT EXPIRATION DATE .:. .I ./ (/ ~ THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FORM At UNLESS A CURRENT FORM A HAS BEEN FILED. FILE THIS FORM WITH THE LOCAL AGENCY IMPLEMENTING THE UNDERGROUND STORAGE TANK REGULATIONS . FOR00348-R6 ~ \ 0003 . 4Lun === Chevron .' ,: Chevron U.S.A. Products Company 2410 Camino Ramon San Ramon, CA 94583 PO. Box 5004 San Ramon, CA 94583-0804 June 8, 1994 Compliance Agencies: Marketing Department Phone 510 842 9500 Chevron Corporation has developed an exciting new Service Station Facility Compliance Program which I'd like to inform you about. We feel this program will enable us (and our dealers) to take a proactive approach to compliance issues relating to Retail Service Stations. As I'm. sure ~'ou're aware, it is far easier to prevent an incident involving petroleum products than to clean up and remediate one afterwards. The program components are as, foHows: 1. Dealer Training ~ The program includes a 4-hour compliance awareness training program for each Dealer or Station Manager at Chevron owned facilities. Topics covered in this training include Underground Storage Tanks, Waste Management, Air Quality, Water Quality, Safe Work Practices, Emergency Response and Training Requirements (Hazcom, Hazwoper Safety programs.) 2. Retail Facility Compliance Guide & Workbooks - As part of the Chevron Dealer Lease, each Dealer or Station Manager must comply with "all applicable laws or regulations". To assist the Dealer Chevron developed a Retail Facility Compliance Guide and Workbook. The guide is to make the Dealers aware of Environmental and Safety issues and to provide some practical guidelines for compliance. Federal laws and regulations are covered as well as state and local requirements . 3. Facility Compliance Specialists - Chevron realizes that merely giving a guide is not enough to assure proper safety and environmental management in today's environment. Accordingly we developed new positions in our staff: Field Compliance Specialists. The Specialists conduct semi annual inspections and help the dealers to develop action plans to achieve and maintain 100% facility compliance at our units. Our dealers and contract station operators have enthusiastically embraced the Retail Facility Compliance Program. They realize that environmental and safety issues are becoming an increasingly important part of doing business. They seem to genuinely appreciate the assistance Chevron is providing to enable them to comply with all applicable regulations. However, in order for us to be fully effective, we need your help. We need to establish lines of communication with your Department Heads and Field Personnel so that you can keep us informed about new or proposed regulations impacting Retail Service Stations and we can keep you informed on new procedures or technology we're employing at our Retail Facilities. 1 e e We have three Retail Facility Compliance Specialists located in Northern California. They are: Roger Henry, Jr. - Facility Compliance Coordinator Telephone Number (510) 842-9550 Gordon Johnson - Facility Compliance Specialist Telephone Number (510) 842-9060 Yolanda Byeman - Compliance Specialist (includes Utah) Telephone Number (510) 842-8922 Their mailing address are: Chevron Products Company P.O. Box 5004 San Ramon, CA 94583-0804 Fax: (510) 842-9591 Mr. R.J. Miller is our Retail Facility Compliance Specialist covering the states of Washington, Oregon and Alaska. Mr. Miller's mailing address is: Chevron Products Company 20500 Richmond Beach Drive NW Seattle, WA 98177 Telephone Number (206) 542-9762 Fax (206) 564-6580 Please include the above individuals on your mailing lists for future publications or regulations. We at Chevron look forward to establishing a mutually beneficial working relationship with you. ~~~gr Roger Henry, Jr. Retail Facility Compliance Coordinator e e OIImIn === 3 Joo7rb Chevron . ~~ :~~~~~ Chevron U.S.A. Products Company 2410 Camino Ramon San Ramon, CA 94583 PO. Box 5004 San Ramon, CA 94583-0804 June 8, 1994 Compliance Agencies: Marketing Dspartment Phone 510 842 9500 Chevron Corporation has developed an exciting new Service Station Facility Compliance Program which I'd like to inform you about. We feel this program will enable us (and our dealers) to take a proactive approach to compliance issues relating to Retail Service Stations. As I'm. sure ~'ou're aware, it is far easier to prevent an incident involving petroleum products than to clean up and remediate one afterwards. The program components are as· follows: 1. Dealer Training - The program includes a 4-hour compliance awareness training program for each Dealer or Station Manager at Chevron owned facilities. Topics covered in this training include Underground Storage Tanks, Waste Management, Air Quality, Water Quality, Safe Work Practices, Emergency Response and Training Requirements (Hazcom, Hazwoper Safety programs.) 2. Retail Facility Compliance Guide & Workbooks - As part of the Chevron Dealer Lease, each Dealer or Station Manager must comply with "all applicable laws or regulations". To assist the Dealer Chevron developed a Retail Facility Compliance Guide and Workbook. The guide is to make the Dealers aware of Environmental and Safety issues and to provide some practical guidelines for compliance. Federal laws and regulations are covered as well as state and local requirements. 3. Facility Compliance Specialists - Chevron realizes that merely giving a guide is not enough to assure proper safety and environmental management in today's environment. Accordingly we developed new positions in our staff: Field Compliance Specialists. The Specialists conduct semi annual inspections and help the dealers to develop action plans to achieve and maintain 100% facility compliance at our units. Our dealers and contract station operators have enthusiastically embraced the Retail Facility Compliance Program. They realize that environmental and safety issues are becoming an increasingly important part of doing business. They seem to genuinely appreciate the assistance Chevron is providing to enable them to comply with ail applicable regulations. However, in order for us to be fully effective, we need your help. We need to establish lines of communication with your Department Heads and Field Personnel so that you can keep us informed about new or proposed regulations impacting Retail Service Stations and we can keep you informed on new procedures or technology we're employing at our Retail Facilities. ~ e . We have three Retail Facility Compliance Specialists located in Northern California. They are: Roger Henry, Jr. - Facility Compliance Coordinator Telephone Number (510) 842-9550 Gordon Johnson - Facility Compliance Specialist Telephone Number (510) 842-9060 Yolanda Byeman - Compliance Specialist (includes Utah) Telephone Number (510) 842-8922 Their mailing address are: Chevron Products Company P.O. Box 5004 San Ramon, CA 94583~804 Fax: (510) 842-9591 Mr. R.J. Miller is our Retail Facility Compliance Specialist covering the states of Washington, Oregon and Alaska. Mr. Miller's mailing address is: Chevron Products Company 20500 Richmond Beach Drive NW Seattle, W A 98177 Telephone Number (206) 542-9762 Fax (206) 564-6580 Please include the above individuals on your mailing lists for future publications or regulations. We at Chevron look forward to establishing a mutually beneficial working relationship with you. ¡¿;~~9r Roger Henry, Jr. Retail Facility Compliance Coordinator ,.... - ...,¡; - O>f:¡ ßpð P ~1cJ 1i7 r- S/ ¡i ty ~~ April 30, 1996 ./ Bakersfield Fire Department UST Division 1715 Chester Ave. Bakersfield, CA 93301 Dear Sirs, n¡r:.r.ç~\fE.D "Co'.,}.....· }f.f~'~ ~j. :~, ~) ~rJ '" _0- n~\l , '" -r ,}!::..! ....'". nr,L-.· : ", . RE: Financial Responsibility For Underground Tanks Chevron SS# STREET 90705 ' 9700 Rosedale Hwy, 91536 ·2700 Oswell St. rî- ) 91554 LIÜ.UnionAve. .. 92718 ·5101 Stockdale Hwy. 93978 3100 Niles St. 94025 . 800 34th St. 94416 3699 Wilson Rd. 95325 ·2525 White Lane 98109 ·1131 Oak St. 99615 3624 California Ave. 99702 5201 Olive Dr. 60201238 8100 E. Brundage Lane 60201527 ·6601 Ming Ave. 60205673 SWC Rosedale Hwy. & 1) Proof of financial Responsibility 2) "Certificate of Financial Responsibility" CITY Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield Bakersfield - Chevron ~ Chevron Chevron Products Company 60D1 Bollinger Canyon Road Building L San Ramon, CA 94583 p, O. Box 5004 San Ramon, CA 94583-0804 Marketing - Northwest Region Phone 5108429500 These documents meet the financial responsibility requirements for all USTs owned by Chevron. These documents have previously been submitted directly to the State. If you have any questions feel free to contact Cheryle R. Canfield at (510) 842-9002. Sincerely, \ Cf c. R. Canfiel IYlthJúLh ~ .~~ · -. e e(Mvron === Chevron Chevron Corporation 575 Market Street San Francisco. CA 94105-2856 Martin R. Klitten Vice President. Finance April 30, 1996 UST FINANCIAL ASSURANCE To Whom It May Concern: I am the chief [mancial officer of Chevron Corporation, 575 Market Street, San Francisco, CA. This letter is in support of the use of the financial test of self-insurance and guarantee to demonstrate financial responsibility for taking corrective action and compensating third parties for bodily injury and property damage caused by sudden accidental releases and/or nonsudden accidental releases in the amount of at least $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate arising from operating underground storage tanks. Underground storage tanks at the following facilities are assured by this financial test or a [mancial test under an authorized State program by this guarantor - all underground storage tanks owned by Chevron U.S.A. Inc. in the United States are assured by this financial test. A financial test and guarantee are also used by this guarantor to demonstrate evidence of [mancial responsibility in the following amounts under other EP A regulations or state programs authorized by EPA under 40 CFR parts 271 and 145: EP A REGULATIONS AMOUNT Closure (§§264.143 and 265.143) Post-Closure Care (§§264.145 and 265.145) Liability Coverage (§§264.147 and 265.147) Corrective Action (§264.101(b» Plugging and Abandonment (§144.63) $ $ $ $ $ 151.180.720.00 46.894.203.00 8.000.000.00 -0- 3.379.327.00 e e California State Program Closure Post -Closure Care Liability Coverage Corrective Action Plugging and Abandonment $ $ $ $ $ 194.808.00 686.933.00 56.000.000.00 -0- -0- Louisiana State Program Closure Post-Closure Care Liability Coverage Corrective Action Plugging and Abandonment $ 4.455.472.00 $ 765.810.00 $ 1.000.000.00 $ -0- $ -0- Total $ 272.557.273.00 This guarantor has not received an adverse opinion, a disclaimer of opinion, or a "going concern" qualification from an independent auditor on his fmancial statements for the latest completed fiscal year. Page 2 of 4 e AL TERNA TIVE II 1. Amount of annual UST aggregate coverage being assured by a test and guarantee 2. Amount of corrective action, closure and post-closure care costs, liability coverage, and plugging and abandonment costs covered by a fInancial test and guarantee 3. Sum oflines 1 and 2 4. Total tangible assets 5. Total liabilities 6. Tangible net worth 7. Total assets in the U.S. 8. Is line 6 at least $10 million? 9. Is line 6 at least 6 times line 3? 10. Are least 90% of assets located in the U.S.? (If "No", complete line 11.) 11. Is line 7 at least 6 times line 3? 12. Current assets 13. Current liabilities 14. Net working capital (subtract line 13 from line 12). 15. Is line 14 at least 6 times line 3? 16. Current bond rating of most recent bond issue 17. Name of rating service 18. Date of maturity of bond - $ 2.000.000.00 $ 272.557.273.00 $ 274.557.273.00 $ 34.253.000.000.00 $ 19.975.000.000.00 $ 14.278.000.000.00 $ 19.183.000.000.00 ~ !:ill X X X X $ N/A $ N/A $ N/A $ N/A AA Standard & Poors August 15. 2004 Page 3 of 4 e e fu NQ 19. Have financial statements for the latest fiscal year been X filed with the SEC, the Energy Infonnation Administration, or the Rural Electrification Administration? I hereby certify that 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, except that information concerning California and Louisiana were added to make disclosure more complete. ~ M. R. Klitten Vice President, Finance April 30, 1996 Page 4 of 4 e e GUARANTEE Guarantee made this April 30, 1996, by CHEVRON CORPORATION, a business entity organized under the laws of the State of Delaware, herein referred to as guarantor, to EPA Regional Administrators and/or state agencies implementing underground storage tank regulation for the states listed in Paragraph 2 (hereinafter collectively referred to as the "implementing agencies"), and to any and all third parties, and obligees, on behalf of CHEVRON U.S.A. INC. ("CUSA"), of 575 Market Street, San Francisco, CA. RECITALS 1. Guarantor meets or exceeds the fInancial test criteria of 40 CFR 280.95(b) or (c) and (d) and agrees to comply with the requirements for guarantors as specifIed in 40 CFR 280.96(b). 2. CUSA owns or operates the following underground storage tanks covered by this guarantee - underground storage tanks at various facilities in the states of: Alabama Alaska Arizona California Florida Georgia Hawaii Idaho Kentucky Louisiana Mississippi Nevada New Mexico Ohio Oregon Tennessee Texas Utah Virginia Washington This guarantee satisfies 40 CFR part 280, subpart H requirements for assuring funding for taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases arising from operating the above-identified underground storage tanks in the amount of $1,000,000,00 per occurrence and $2,000,000.00 annual aggregate. 3. On behalf of our subsidiary, CUSA, guarantor guarantees to implementing agencies and to any and all third parties that: In the event that CUSA fails to provide alternative coverage within 60 days after receipt of a notice of cancellation of this guarantee and the Director of the implementing agency has detennined or suspects that a release has occurred at an underground storage tank covered by this guarantee, the guarantor, upon instructions from the Director, shall fund a standby trust fund in Page 1 of 3 e e accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. In the event that the Director determines that CUSA has failed to perfonn corrective action for releases arising out of the operation of the above-identified tanks in accordance with 40 CFR 280, subpart F, the guarantor upon written instructions from the Director shall fund a standby trust in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. If CUSA fails to satisfy a judgement or award based on a detennination of liability for bodily injury or property damage to third parties caused by sudden and/or nonsudden accidental releases arising from the operation of the above-identified tanks, or fails to pay an amount agreed to in settlement of a claim arising from or alleged to arise from such injury or damage, the guarantor, upon written instructions from the Director, shall fund a standby trust in accordance with the provisions of 40 CFR 280.108 to satisfy such judgement(s), award(s), or settlement agreement(s) up to the limits of coverage specified above. 4. Guarantor agrees that if, at the end of any fiscal year before cancellation of this guarantee, I the guarantor fails to meet the [mancial test criteria of 40 CFR 280. 95 (b) or (c) and (d), guarantor shall send within 120 days of such failure, by certified mail, notice to CUSA. The guarantee will terminate 120 days from the date of receipt of the notice by CUSA, as evidenced by the return receipt. 5. Guarantor agrees to notify CUSA by certified mail of a voluntary or involuntary proceeding under Title 11 (Bankruptcy), U.S. Code naming guarantor as debtor, within 10 days after commencement of the proceeding. 6. Guarantor agrees to remain bound under this guarantee notwithstanding any modification or alteration of any obligation of CUSA pursuant to 40 CPR part 280. 7. Guarantor agrees to remain bound under this guarantee for so long as CUSA must comply with the applicable [mancial responsibility requirements of 40 CFR part 280, subpart H for the above-identified tanks, except that guarantor may cancel this guarantee by sending notice by certified mail to CUSA, such cancellation to become effective no earlier than 120 days after receipt of such notice by CUSA, as evidenced by the return receipt. 8. The guarantor's obligation does not apply to any of the following: (a) Any obligation of CUSA under workers' compensation, disability benefits, or unemployment compensation law or other similar law; (b) Bodily injury to an employee of CUSA arising from, and In the course of, employment by CUSA; Page 2 of 3 e e (c) Bodily injury or property damage arising from the ownership, maintenance, use, or entrustment to others of any aircraft, motor vehicle, or watercraft; (d) Property damage to any property owned, rented, loaned to, in the care, custody, or control of, or occupied by CUSA that is not the direct result of a release from a petroleum underground storage tank; (e) Bodily damage or property damage for which CUSA is obligated to pay damages by reason of the assumption of liability in a contract or agreement other than a contract or agreement entered into to meet the requirements of 40 CPR 280.93. 9. Guarantor expressly waives notice of acceptance of this guarantee by the implementing agency, by any or all third parties, or by CUSA. I hereby certify that the wording of this guarantee is identical to the wording specified in 40 CPR 280.96(c) as such regulations were constituted on the effective date shown immediately below. Effective date: April 30, 1996 CHEVRON CORPORATION By ffl.£ ~.¿9'~ M. R. Klitten Vice President, Finance By /?/cJ~ Assistant Secretary Page 3 of 3 ;;¡ .' e e CERTIFICATION OF FINANCIAL RESPONSffiILITY CHEVRON U.S.A. INC. hereby certifies that it is in compliance with the requirements of subpart H of 40 CFR part 280. The fmancial assurance mechanism used to demonstrate fmancial responsibility under subpart H of 40 CFR part 280 is as follows: Corporate guarantee of Chevron Corporation in the amount of $1 million per occurrence, $2 million annual aggregate, for the period commencing April 30, 1996, and which is anticipated to be renewed annually, with the next renewal scheduled to occur during the first 120 days of 1997. Said guarantee covers taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases. CHEVRON U.S.A. INC. B April 30, 1996 By (~rL 27~k J dith L. Martin April 30, 1996 -¡ - 05/10/95 15:45 eS05 32.76 BFD HAZ MAT DIV ... , Bakersfield Fire Dept. -~- , HAZAí1COUS.MATERIALS DIVISION UNCERGROUNCSTOAAGETANKPROGRAM o , I'!RMU NO. të 002 - TY,e OF APPt1CATtO~HECx) a NEW FAC:L11l' MOOIFiC'AítON OF FACILliY Q NEW TANK INSTALLATION AT EXISTING FACILITY STARTING DATE PROPOSEO COMPLETION OATE FACILITY NAME Chevron Service Station EXISTING FACIUTY PERMIT No. FACILITY ADDRESS I U um.on Avenue 8& Brundage, Bakersfield TYPE OF BUSINESS Existing Service Stati~n TAN( OWNER . Chevron USA Prodùcts Company ADDRESS 1300 S.Beach Blvd. CONTRACTOR To be determined ADDRESS CITY PHONE No. òAKERSFIElO CITY BUSINESS LICENSE No. WORKMAN COMPo No. INSURER SREiFl y OESC~18E THf:. WO~K TO aE CONE Install new tank level monitoring system, new multi-grade dispensers wi contairuænt, upqrade to pipinq to DWF. ZIP cooe ~..:UUI APN PHONE No. (310) 694-719 CtTY La Habra ZIP CODE90632 CA LICENSE No. ZIP CODE install WATER TO FACrLt'N PROVIDED avo DEPTH TO Gí(OUND WATe~ No. O¡: iANKS TO BE INSTAlL:D ,if SOIL ¡YPE =XPECTED AT SITE ARE THEY FOR MOTOR FUeL' Q yes aNa seCTION FOR MOTOR FUeL . i ANK No. VOLUME lJNLEAO eD REGULAa PREMIUM DIESEl A VIA itON 1 2- 3 10,000 10,000 10,000 xx xx xx SECTION FOR NON MOTOR FUELSTORAGoë TANKS 1 , 000 CHEMICAL SiOREO (no brcna name) Waste Oil Tank CAS No. (If known) CHEMICAL ?REVIOUSL Y SiOREO TANK No. VOLUME THE APPlI<:J.NT HAS REceIVEO. UNOei1STANOS. ANO WilL COMPLY WrTH THEArTACHEOCONOITIONS OF THIS PERMit ANO ANY OI'HEi1 ST ME. ¡,CCAL ANO FEùeRAL !1EGULAnONS. 7HIS FOItM HAS ae:N CO!'(PlEi~iJ UNOeR PENALTY'OF ;rEKJURY. ANO TO !'HE aeSi OF MY (NO ~~. - i"' .:;;- '-'. e Chevron -= Chevron May 24, 1995 Chevron U.S.A. Products Company Marketing Department 1300 South Beach Boulevard Building 4516 La Habra, California PO, Box 2833 La Habra, CA 90632-2833 Phone 310 694 7300 Bakersfield Fire Department UST Division 1715 Chester Avenue Bakersfield, CA 93301 IY~C,c- '-/1/; . .'1::-.",- '{.; Re: Underground Storage Tank Financial Responsibility .. ~. Â/A " '- -'I> /,-.,'(;' __ - 174"'] '1)' . D1t-: Attention: Ralph Hwey Dear Ralph Hwey: The enclosed letter is provided to comply with the requirement to demonstrate financial responsibility for underground storage tanks owned by Chevron U.S.A. Products Company. Financial responsibility applies to the enclosed list of service stations located in the City of Bakersfield. If you have any questions, please contact Jean Chavira-Flores at 310-694-7452. Very truly yours, ~~"1.lJ~~~ K. F. Wiseman Manager-Environmental, Safety and Health Enclosure 057.jac PAGE 5 CHEVRON U,S.A. PRODUCTS CO. . SOUTHWEST REGION SW REGION STATION LIST - APSI & 3 PTY OUTLETS OS/22/95 T9SWPGR -SW_OULET FACILITY STREET CITY COUNTY ST/ZN ZIP CROSS ST DEALER NAME/PHONE --..--.-- --------~--------------- -------------------- --------------.----- --------------- ------------------------- 91835 lOll IMPERIAL STREET CALEXICO IMPERIAL CA 92231 4TH STREET ARTURO U ANTUNEZ 8E 619-357-2336 90130 905 N MAIN ST BISHOP INYO CA 93514 MAINE RICK CASSEL, II DBA 61 619-873-4430 90086 460 S MAIN ST LONE PINE INYO CA 93545 DARRELL C CATHERMAN v{0705 61 619-876-5971 9700 ROSEDALE HWY BAKERSFIELD KERN CA 93308 CALLOWAY RAY SUTTON INC 61 805-589-9011 ~1536 2700 OSWELL STREET BAKERSFIELD KERN CA 93306 AUBURN STEVE R THORNE, INC. e 61 805-871-1200 ~1554 10 UNION AVENUE BAKERSFIELD KERN CA 93307 NOLAN W BERST DBA ~2718 5101 STOCKDALE HWY 61 805-322-2445 BAKERSFIELD KERN CA 93309 VILLAGE LANE PHILIP A WELCH DBA 61 805-832-1818 ~() 93978 3100 NILES ST BAKERSF I ELD KERN CA 93306 OSWELL KENNETH MC COY j 94025 61 805-871-1865 800 34TH ST BAKERSFIELD KERN CA 93301 Q ST MOHAMED MANSOUR 61 805-323-9694 /94416 3699 WILSON ROAD BAKERSFIELD KERN CA 93309 REAL RD SONNY SWAFF AR 61 805-831-6075 ¡ 95325 2525 WHITE LANE BAKERSFIELD KERN CA 93304 EL PORTERO BOB HALEY SERVICE, INC 61 805-832-9781 198109 11 31 OAK STREET BAKERSFIELD KERN CA 93304 CALIF ST PHILIP A WELCH DBA ~9615 61 805-324-7621 e 3624 CALIFORNIA AVE BAKERSFIELD KERN CA 93309 REAL RD CHARLES SUTTON INC 61 805-325-1642 ~ 99702 5201 OLIVE DR BAKERSF I ELD KERN CA 93308 HWY 99 KEESTER INC 61 805-399-9056 \LY 201238 8100 E. BRUNDAGE LANE BAKERSFIELD KERN CA 93307 WEEDPATCH HWY THOMAS W SCOTT 61 805-366-5542 /201527 6601 MING AVENUE BAKERSF I ELD KERN CA 93307 A.P.S.I. # 1830 61 805-831-1270 ~ 93249 26056 TRACY AVENUE BUTTONWILLOW KERN CA 93206 PERRY C SCOTT DBA 61 805-764-5419 e - Chevron Corporation 225 Bush Street, San Francisco, California 94104-4289 M. R. Klitten Vice President, Finance April 28, 1995 UST FINANCIAL ASSURANCE To Whom It May Concern: I am the chief fmancial officer of Chevron Corporation, 225 Bush Street, San Francisco, CA. This letter is in support of the use of the financial test of self-insurance and guarantee to demonstrate financial responsibility for taking corrective action and compensating third parties for bodily injury and property damage caused by sudden accidental releases and/or non sudden accidental releases in the amount of at least $1,000,000.00 per occurrence and $2,000,000.00 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 guarantor: all underground storage tanks owned by Chevron U.S.A. Inc. in the United States are assured by this financial test. A financial test and guarantee are also used by this guarantor to demonstrate evidence of financial responsibility in the following amounts under other EP A regulations or state programs authorized by EPA under 40 CFR parts 271 and 145: EPA REGULATIONS AMOUNT Closure (§§264.143 and 265.143) Post-Closure Care (§§264.145 and 265.145) Liability Coverage (§§264.147 and 265.147) Corrective Action (§264.101(b» Plugging and Abandonment (§144.63) $ 158.409.500.00 $ 59.726.500.00 $ 8.000.000.00 $ -0- $ 3.096.000.00 e ALTERNATIVE II 1. Amount of annual UST aggregate coverage being assured by a test, and/or guarantee 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 3. Sum of lines 1 and 2 4. Total tangible assets 5. Total liabilities 6. Tangible net worth 7. Total assets in the U.S. 8. Is line 6 at least $10 million? 9. Is line 6 at least 6 times line 31 10. Are least 90% of assets located in the U.S.1 (If "No", complete line 11.) 11. Is line 7 at least 6 times line 3? 12. Current assets 13. Current liabilities 14. Net working capital (subtract line 13 from line 12). 15. Is line 14 at least 6 times line 3? 16. Current bond rating of most recent bond issues. 17. Name of rating service 18. Dates of maturity of bond e $ 2.000.000.00 $ 292.320.000.00 $ 294.320.000.00 $ 34.315.000.000.00 $ 19.811.000.000.00 $ 14.504.000.000.00 in excess of $ 20.175.000.000.00 Yes No X X X X $ N/A $ N/A $ N/A $ N/A AA Standard & Poors August 15. 2004 Page 3 of 4 .- e e GUARANTEE Guarantee made this April 28, 1995, by CHEVRON CORPORATION, a business entity organized under the laws of the State of Delaware, herein referred to as guarantor, to EP A Regional Administrators and/or state agencies implementing underground storage tank regulation for the states listed in Paragraph 2 (hereinafter collectively referred to as the "implementing agencies"), and to any and all third parties, and obligees, on behalf of CHEVRON U.S.A. INC. ("CUSA "), of 575 Market Street, San Francisco, CA. RECITALS 1. Guarantor meets or exceeds the financial test criteria of 40 CFR 280.95(b) or (c) and (d) and agrees to comply with the requirements for guarantors as specified in 40 CFR 280.96(b). 2. CUSA owns or operates the following underground storage tanks covered by this guarantee - underground storage tanks at various facilities in the states of: Alabama Alaska Arizona California Florida Georgia Hawaii Idaho Kentucky Louisiana Mississippi Nevada New Mexico Ohio Oregon Tennessee Texas Utah Virginia Washington This guarantee satisfies 40 CFR part 280, subpart H requirements for assuring funding for taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or non sudden accidental releases or accidental releases arising from operating the above-identified underground storage tanks in the amount of $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate. 3. On behalf of our subsidiary, CUSA, guarantor guarantees to implementing agencies and to any and all third parties that: In the event that CUSA fails to provide alternative coverage within 60 days after receipt of a notice of cancellation of this guarantee and the Director of the implementing agency Page 1 of 3 e e (c) Bodily injury or property damage arising from the ownership, maintenance, use, or entrustment to others of any aircraft, motor vehicle, or watercraft; (d) Property damage to any property owned, rented, loaned to, in the care, custody,or control of, or occupied by CUSA that is not the direct result of a release from a petroleum underground storage tank; (e) Bodily damage or property damage for which CUSA is obligated to pay damages by reason of the assumption of liability in a contract or agreement other than a contract or agreement entered into to meet the requirements of 40 CFR 280.93. 9. Guarantor expressly waives notice of acceptance of this guarantee by the implementing agency, by any or all third parties, or by CUSA. . I hereby certify that the wording of this guarantee is identical to the wording specified in 40 CFR 280.96(c) as such regulations were constituted on the effective date shown immediately below. Effective date: April 28, 1995 CHEVRON CORPORA nON By 7nf /~ M. R. Klitten Vice President, Finance By /Þ/J~_ Assistant Secretary Page 3 of 3 e e CERTIFICATION OF FINANCIAL RESPONSmn..ITY CHEVRON U.S.A. INC. hereby certifies that it is in compliance with the requirements of subpart H of 40 CFR part 280. The fmancial assurance mechanism used to demonstrate financial responsibility under subpart H of 40 CFR part 280 is as follows: Corporate guarantee of Chevron Corporation in the amount of $1 million per occurrence, $2 million annual aggregate, for the period commencing April 28, 1995, and which is anticipated to be renewed annually, with the next renewal scheduled to occur during the first 120 days of 1996. Said guarantee covers taking corrective action and compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases. CHEVRON U.S.A. INC. Date: /'1 . ri qv:-> J,A)) .;, '/" /' 1../5 ' I. , ~ I '() I I I ~) '-- 'ì---\/}, - /, ~--+-l By: '--1._1-_' "'''' ,~ J. JêffreyMojcher, S nior Counsel ~ ~ v ENV8114 Permit to Operate Underground Hazardous Materials Storage Facility S tat e I D No 062081 . ....::::,,:::,,:)::::,::;;/;?}::::;~:,:.::~;;:::;~:.::;~':;'~:::.:;',..:.,~::::,::;:::;:::?::;:.:;:):::::,,::::,:::::::::..... Per mi t No C~'P~Ç!!:y;t:'<::>" :':". .....:.. ......:.:.;.:.:.:.;....: :¡:r1··~~·ð.Qå:l~¡;:'· :::"1"Ò 000(:: ~111¡:':ìè: qgp !:JI: ::¡:J.Q,ooo ::.\ ::~: ", .: .:.....::: " " .:::..........:::: ...... .::::.........::::. .f:,:" :'..:::: ',:.' :', ,.;':;'" ':::;:' ::\¡;;.:.:.:.:.:."::\::.. /t::::::::~~¡r'::C;;:;:"::"" ,.;' " ': ':.,.::.' '.::.:. . .. ... :~::. :::::. ".::.; : :'" :":', . . . . . .... .. . ... ...... ,-. .....:..;...;:..;.. ,'::';: '; :;.;:.' . . ·"'i~~{!f:o~~i~~;SU:d To: Bakersfield Fue Dept .....,. .' .' . .' ....,.,...................., ,.... ".,',',. HAZARDOUS MA TERIALS DIVISIO~ "';':;'::;;::::::;:;;::;,;;::.:.:;:::,:::.::;::;:;:;::,,::,:,::;;:.::::::,::::;::::::;::::.:(.:/;./:;::;:.::=::.:::.::.... 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 (805) 326-3979 Tank Number Hazardous . Substance ',', .............. .... In~tall:~m "~yp~ M:~;':.::.:.~,.::::.:,::k,::r.::.':.,.;.,i.·.:.':n,:.i.:.~t.:::::·.::...:.:.:.:,:.!:.:::.~::.::~....::,:::::::~~~i ':;:¡'~r'" C~M3\:~ DWF ..··..1-989·.., ...' ,.. PCS' ...... CLM····,·.. .. .. DWF .~:::::::::::::.::::::::i:;~ê,~::::;:::::::::':;¡.¡.¡:¡:!~~;;::;,;;:;:¡:::S~~..;~::;:::¡,{::!::!:::!!::;:::,·:·,:::, C~.~·:·:::::,:···· ,:Ii ",..:::,:::·¡II, DWF ..·....··1989..··........ ,....SSS .......,... CLM· ,. ,.. DWF ....:.::::::::::::::: : ::::::::::;::::::::::;:::~:::::::::::::::;:: '.:,' ." ::.::.:.:...:.::::::.;::~~;;;\/t /.:Y ·:;·ft·· :~~t~:<::::~¡f ....:::;::;:;::::::::::.;.... " :;:.............:;:. 01 02 03 04 GASOLINE GASOLINE GASOLINE WASTE OIL .' ' Issued By: Valid from: Approved by: 1528 Piping Method Piping Monitoring PRESSURE PRESSURE PRESSURE PRESSURE ALD ALD ALD ALD ¡ I I CHEVRON USA PRODUCTS CO CHEVRON STATION #91554 10 UNION AVE. BAKERSFIELD, CA 93307 11-10-94 to: 11-1 0-99 :1 Permit to Operate Underground Hazardous Materials Storage Facility S tat e I D No ð b 2 ð g f .::}}:/):::::::.;;;:::::::::::::,:.::::;::.',,::;:::::....;:::.::.,':'.;.?:;::?::::::::::.:::::::.\:::::::... P e rmi t No ( 5~' 2- 8 · ~O~DITIONg~~~.J'itG~{~§¡~EVER~E SIDE cï:~;~i,: :::~nt~!!J\J~~~'~~ JÔ'~~~¡~}¡\:~~~ J~~~d IÖ,q>ðei" ...... 1'1%i!Ï,......··.., ..·F'c,§:. CL~....,puJr- fre~vI'~ h:'~·\~\'/\z~;/(;;~ \.~sJ n\~ ; . ". ~\rTI ç .. .. ",'..:'" ..' :.......:: ,'...... :. ". ..... .:. <- '. ... . .:.,' . .'. ......... .... ....: ':'. .: .:: l~~:~~·(:::::i.\.:'::..::':;. t 1 ::<::''':~:I' .: R\ ì ì j j I ; J ~1 ~ ¡t " i .., . : J 1 C , ~ ~ ¡ :1 ti ~ j .,r. " 'j J :~ ! " I I;, " i;· , ,~: ~ :1 Tank Number 2- :s 4 Issued By: ;~ 1';. .;;- " ~: I: Approved by: j': I" .. Hazardous Substance Piping Monitoring GC;~O(,~ Â'-D ) î \ ~ W ~~J..<- 0 I I , ·~.ÔÄ I·:"~ 11 11 . .. .. '::. ",:: .:.;.: ','.. ....., ..;::........-..:::.. 7::::: .. ........-: ':':', " ..','.': ":.::'. :. : '.',' Bakersfield Fire De:::~~¡::~~r,l1~W~~Îr~~:fll[DJJ~:U.d To: HAZARDOUS MATERIALS DIVISION .,... .' ..::<,:.,.::..:::0: ,...... GJi f:.V rc.N"\ USA Pr()J.tAG-~ ~ pe:tf?\ )I 1715 Chester A ve. 3rd Floor C. ~ ~v roA.. ~ +c.. -h CI,\ ±t 'í' I ~ S"4 Bakersfield, CA 93301 (805) 326-3979 (0 0""0..... Åv ::.. ::::.. .. .. Ralph E. Huey, Hazardous Materials Coordinator 4"11<.:)7 U¡;C /94- to: If /10/99 Valid from: ... \,. S,O,# t. :'. ~3¿:·38 Date 07/0G/,:).::!, Phone <::'~i 0> 6'34-7349 Attn: TA~K T~STING DESK REC/EUVEfD VacuTectTM TEST REPORT -, & 1k \"\' 'r·ïS 1_.1..:" P;::;:Ou'\., _, 9 l~4 HAZ. MA T. D TV. 9 JUt 55~:· ¡ '3 Site # USA Owner 9063::;:: LA HABR~p CA BAKERSFIELDp I a PeDo BO:' 2832 10 UNIOK AVE. co :;'RODUCTS USA C:HE V:::;: 0 !\I Invoice Name/Address Leak Det TANKS and LINES Tested to CFR-40 Parts Exist 280-281 & NFPA 329 Spec's, LINE LD(s) NEW a Pass/ LD(s) Tight Fail/ Tested Oth or or & er Fail NONE PASS P -- ..., Final Leak Rate a LINE TEST . END TIME I LINES LINE TEST . START TIME '33307 r Lin~ Delivery Syst. Type a CA Line Materia a ST/ FRP TANK . Tight or Fai I I Ullage Bubble Air Ingress Ingress Detected Detected . . Water Ingress Detected . o co Probe Water Level . START END USA ?F::DDUCTS TANKS Dipped Product Level . START END Dipped Water Level . START END CHEVRON r Tank Dia. & Materia ST/ FRP/ Lined Site Name/Address r-- -TT See Diag. For i '" GPH PS/SS/GS Line # Yes/No Yes/No Yes/No - --1 PLD Exist LD SNIMDL/MFG: Newl2nd LD SN/MDL/MFG: 500 Y 78~3--23'31 xu:;· 089:::':13891 y 20289-15C9 00 LINE TEST PSI Dispenser Shear Valves Operate (yes/no) Exist LO SN/MDL/MFG: F' , ;;. ,; ~){)() ::j J , -.';' .. ì\; ¡ >~ !:~ ......, ~ f I InCllnomete' Dearees: ~ DiameTer Start Time: End Time lameter Tank Capacity Tank Product 5000C " Now/2nd LD SN/MDL/MFG: Exist LD SN/MDL/MFG: LINE TEST PSI Dispenser Shear Valves Operate (yes/no I ,-",< t I': -- ~ ., I ".'lL; I ,~ ('.'-: I , ~ I I ~linomete ;nrees; ro e Entry...,. I at ..-'Lu::i UNL srrf'¡:"~ U(\!L I I '¡:'¡:fJ3 U~,L .~: - I I 1 Pt....D 20 Now/2nd LD SN/MDL/MFG: 50,00 V - Now/2nd LD SN/MDL/MFG: LINE TEST PSt Dispenser Shear Valves Operate (yes/no) Exist LD SN/MDL/MFG: r I I j 1ñC!ínometer- DegreeJ>;, I ---iPümp TI5i'õhe I Mfg:, I Entry: LINE TEST PSI Dispenser Shear Valves Operate (yes/no) Exist LD SN/MDL/MFG: ;;:. (' .' . ; :'JE~ '~ ~ t ..., Now/2nd LD SN/MDL/MFG: LINE TEST PSI: Dispenser Shear Valves Operate (yes/no) Exist LD SN/MDL/MFG: r - --1 I [ I Inclinometer Dearees: I T ~ ~ IPro"6ë" - E11Ioc --., - Now/2nd LD SN/MDL/MFG: LINE TEST PSI: Dispenser Shear Valves Operate Ives/no I 1 F - =i T InClinometer ~ I r,,~~p IPro~': Entrv: - aferia Start Time: End Tim : t atena Start Time: End Time: I nd Time: lametel - ::: - II - f 'areent of Fill ai Time of Test: H~~~PSt: L- ---J n International I I I I I - I ~ Tanknology Cor po ratio 5225 Hollister St. (800) 888-8563 · TX 77040 FAX (713)690-2255 at rcent 0 I at Time of Test: Tãñk - TI5i'õhe Test P8' I Entry: r Houston, ::~~ State: ~'~"'1 ...J- c·...:- ·1 ,I, State Lic. =#= and maintained on file. (Y5¡ Control Department # Unit Data recordings are reviewed by Tanknology's Audit F::I:::G I 'J;\1 W::::Sï;;::!~:i\! TANKNOLOGY Region: Original VacuTect NOTE: TAK-Q1 .. .J :.ì. r¡ "~" ..' R E C E I P T PAGE -----.-.--.--.-....---..-----.------.----.---....--.---....--.---.....--------...--...--.---..---...------...--.--,.------."., 03/02/94 Invoice Nbr. 1 115671 2:49 pm KERN CO RESOURCE MANAGEMENT AGENCY 2700 't>1' Street 8akersfield, CA 93301 Type of Order W I 1_...._.----.-.-.-.--....-.-..---..--...-----.....---- I ...--.--.-.-.-..-.--.---.....-...----..-.---.-.-.-.........-------------..-------....-... C,ASH REGISTER THE CHEVRON COMPANIES ¡Customer ?O.# I !793î-IN ~ "--.--.-----.--....-.--. Wtn By IOrder Date SrO/K I 03/02/94 i ! I ______________________________________ _.1 ! T e t' rns -"-'.'."-'.'-."-"--"--"'-'-"-'."-"-".".'---.....---.--.-.-.-.-....-..-..- ",. '0_ .... .... h" _. .... ._. ! . ._ ... _. "0- ._ ._ .... ._. ._. ._. Ship Date I Via 03/02/94 ¡20-CHEVR11 ¡ ----______1______---______1 Quantity Price Unit Disc EH 4 150.00 E NT Line 1 Des c r' -¡ pc; on 3398 UNDERGROUNDTANKð- ; UAL FEE ---ÛSTOO 1 REF: 210003C-S4 .... ._ ._ _ ._. .w. _ _. u_ ......_ ¡ Totd"] 600.00 ~ .:. Or'der' Tota 1 600.00 Amount Due 600.00 Payment Made 8y Check 600.00 THANK YOU! '-"~,V ~ ."-. fiI.' :;=:.~_... --- - ;fi~">' /._-\ i ¡ Lj~-:~~-""- .""; ; i I ¡IUli MAR 3 - 1994 j~ Ii! I (1!r ~ ,~o -c flEV ¡¿j! :;Jþ;;J- /c¡y (\ ?J~ . ~) .Ii . ~( .1' ,. - '~-ft ~t R E C E I P T PAGE __'~_'_'_'______________'____'__'___'_'_'_'_M"_'_'_'___._.___..._______________________________._ 03/02/94 2:47 pm Invoice Nbr. 1 115670 KERN CO RESOURCE MANAGEMENT AGENCY 2700 'M' Street Bakersfield. CA 93301 Type of Order w I i_____________________________________________________------------------------1 . I J ! C,A.SH REG I STER THE CHEVRON COMPANIES 1______------------------------------ ¡Customer P.O.; i Wtn 8y ¡Order Date 7759-IN ! SMK I 03/02/94 ....-..--.-......--....-.-----[..--..-.-....____1._....___.____.._....... Line-Description 1 5730 UNDERGROUNDT~~~TATESURCH EH ~ZZZ001 2 REF: 210003C-94 '--- 1 ......-.--.-.-...--....---------..--.------.......--------.--.--...¡ 3hi p Da te ¡ Vi a I Terms 03/02/94 i 20-CHEVR11 I NT I ---------_!.---------______I..__________I Quantity Price Unit Disc Total 4 56.00 E 224.00 " Ol"der Total 224.00 Amount Due 224.00 Payment Made By Check 224.00 "~'t THANK YOU! ,.-- V C"::S;L. I "- ¡,'-rl:::'::"~~\-' "-,> -~~--' .,' ;.-. : J ~,\ . J'-~~\.~ ,; ~ ;.. ",..' il i ..- \, ... ... _H ; I " i Il'Ll I lu1 MAR3-~ I i ~~ (J - (') f-I LV ¡¿£ i ;2);X+/9/ ;:2 ~~ I · \ / , ,{ .-. .~-~ - - R E C E I P T PAGE ----.--------------.----------------------.---.--------.--------------.------------.. I 08/31/93 Invoice Nbr. 1 103939 I 2:21 pm KERN CO RESOURCE MANAGEMENT AGENCY 2700 'M' Street I Bakel'sfield, CA 93301 Type of Order W ,¡ ¡ (805) 861-3502 I ¡ I ,_____________________________________________________------------------______1 I ! I CASH REGISTER THE CHEVRON COMPANIES \ I I ¡ ! .__.__._.____...___..._.__._.____.__..._.__.________...._..___..__.__..____._._.____.__._...._______._.____._...____.__._._1 ¡Customer P.p.# I Wtn By IOrder Date ¡ Ship Date I Via I Terms 2'io'bo3~è":94 - ¡ GLR ! 08/31/93 ¡ 08/31/93 Î I NT I 1______---______1________1___________1___________1___-____________1___________1 L-íne Description_._. Quant-¡-r:y Price Unit Disc Total 3398 UNDERGROUNDTANKS ANNUAL FEE EH 250.00 E 250.00 UST001 o t' del' Tot a ì 250.00 Amount Due 250.00 Payment Made By Check 250.00 THANK YOU! . e.- ~', ,~:'H_ .-'" - ..~, ~," .-- ~. . /1 <:...... : /' \...:.:: .. -. - -- '. \ . . i, . .-::) F{f - ~ -'- "_-"I~"- _. - .-,......- -- " ! ,_...___,....."...-------...... . ~. ____,. ....__.,......".........-~.f FACILITY PROFILE SHEET 210003C HOOVER CHEVRON STATION #9-l554 10 UNION AVENUE BAKERSFIELD, CA 't?~o1 PERMIT # 210003C Substance Tank Tank Year Is piping Tank # Code Contents Capacity Installed Pressurized? 1 MVF6 PREMIUM 10,000 1989 YES 2 MVF6 t\~D·úttAØ~ ~ 10,000 1989 YES 3 MVF6 IA" Lt A oft UNLEADED 10,000 1989 YES 4 W06 WASTE OIL 1,000 1989 NO-GRAVITY AUG 23 '91 S.I.O, e e ENCLOSURE CHECKLIST Facility -1:1DWY S-\1....~·o~~ q - , 55 ~ Permit # 2. I DO 0 ~~ c... This checklist is provided to ensure that all necessary packet enclosures were received. Please complete this form and return it to the Kern County Environmental Health Services Department, along with the Monitoring Alternatives Questionnaire, within 30 days of receipt. CHECK YES NO ./,/ C/' The packet I received contained: 1. Cover letter. 2. Facility Profile Sheet (provides Facility Permit Number and information on the underground storage tanks and piping, as provided on the application). The substance code in Column #2 should be referenced when reviewing the Monitoring Alternatives Fact Sheets and Ouestionnaires. // 3. A Monitoring Alternatives and Upgrade Requirements Fact Sheet for each substance code referenced on the Facility Profile Sheet. J 4. A Monitoring Alternatives Questionnaire for each substance code referenced on the Facility Profile Fact Sheet. ( Signature of Person \/ - h 1\ Completing the Checklist ~ I \ Title ~ IÞ ~ O~ ~~\ ~. ('v\.A. Date (green\chklst.l) AIJG 23 '91 S./.O. · e MONITORING AL-TERNATIVES QUESTIONNAIRE FOR MVF 6 FACILITY TANKS Facility Name: C ht v PocuJ .:;; ~ ~! .- 0.... <=) , '7 ~ ..., Facility Address: \ 0 LA t'\ , 0 ..... A ..¡ (.. . B~ \(e Q.~ (¡ c. \ J I , C~ 'i1;o1 Owner's Name: C. he." Ro tJ U.. ~ . A . Owner's Address: P.O. 60 ~ Z. 9? 1,' L a \·..t~b Q,Â CA Operator's Name: (, \ f r-I rJ i-\ 0 0 ~ e. " Permit Number (obtained from the facility profùe sheet): 'Z. \ 000 ~ C. Number of Tanks which have been assigned the MVF6 Code: '3 ~ 0& ~ ?,. All information has been received and reviewed and the following summarizes the monitoring alternative which 1 have picked for the MVF 6 tanks at this facility. 1 realize that the monitoring alternative must be approved by the local agency before implementation. (Place an X next to the alternative picked). 1. VISUAL MONITORING will be utilized. (I can inspect the exterior of all tanks, without using extraordinary personnel protective equipment). 2. CONTINUOUS MONITORING WITHIN THE INTERSTITIAL SPACE of each tank. It will be connected to an audible and visual alarm system. V" 3. CONTINUOUS MONITORING WITH I N" THE INTERSTITIAL SPACE. The facility has already installed a continuous monitoring device within the annular space, of each tank, which are connected to an audible and visual alarm. Provide information on the continuous monitorini device: System Manufacturer: U r.) k {\ () uJ ,J System Model No.: '" --.. k Ñ 0 w,.., Date Installed: I '2 ß, O . I Name of person completing this form: In I..~ , Title: E ,.,vi Q. . C otv\p \. A ~.;~ . Cr Date: '-\. C;. ~ ~ AEG:ch greem\question e e - MONITORING AI4ERNATIVES QUESTIONNAIRE FOW--: W.O. 6 FACILITY TANKS .. . Facility Name: C h ~ ~ Q. C,J ..,. ¿; ~ ... .\- ; D'" C) 1'; C; "" Facility Address: , 0 U n ~ 0 rJ A "f... . B"~~A.4þÇ,c.\ci I C R . ~ -:¡~o'1 Owner's Name: C he." A.o rJ U· 4. A . Owner's Address: P.O. ßoj. 2 ß ~ ~ Operator's Name: G \ c ,.., tJ 1--\ 0 0 "eo It. Permit Number (obtained from the facility profile sheet): 2. I 0 0 0 3 C. Number of Tanks which have been assigned the W.O.6 Code: 1 All information has been received and reviewed and the following summarizes the monitoring alternative which 1 have picked for the W.O. 6 tanks at this facility. 1 realize that the monitoring alternative must be approved by the local agency before implementation. (Place an X next to the alternative picked). 1. VISUAL MONITORING will be utilized. (I can inspect the exterior of all tanks, without using extraordinary personnel protective equipment). 2. CONTINUOUS MONITORING WITHIN THE INTERSTITIAL SPACE of each tank. It will be connected to an audible and visual alarm system. v' 3. CONTINUOUS MONITORING WITHIN THE INTERSTITIAL SPACE. The facility has already installed a continuous monitoring device within the annular space, of each tank, which are connected to an audible and visual alarm. Provide information on the continuous monitorin~ device: System Manufacturer: UNkNOWN System Model No.: lA ,.& k r4 0 vJ rJ Date Installed: \ 0) 'ò ~ Name of person completing this form: D€4 ( R ~ ~ C i o')~ Title: e: N v i ~. C 0 rt'\ PL.. 3 .:; ~ -l . Date: ... . t; . 'J 3 AEG:ch green\question ^ e e . -------_. 9-/~~ TANK FACILITY ANNUAL REPORT SECONDARILY CONTAINED TANKS :; 1\" ..... - . , Î ..-. .-. . .- :: ~</ . r! ~:-:.~ . ,; . -JUt. l 0 j....~,-' ; 1\' ¡ ., \; ,¡ ¡ UL------.,..-.. u . L_ ..-..... -.---- . Permit #: . .:<::..-".' 'r:~ n.-. &..' ,1:'\.' 1"\.1'S,'.:::2. .-,¡" c,.~(~,~.vj.V·v'*~7 MonitoringPeriod-From:-1-/~/ q2 To : ~/ -ªl/ ..3.J- Facility: '* 9-IC)S'1 \0 uN IOrJ ~\Jt... ßP-Kt.P-.SF'IEl.O . Cþ.. 9'~101 . - 1. I have not done any major modificat' during the last 12 months. Signature: B. I have done major modifications for"which I obtained a Modification Permit from the permitting authority. Signature: Modification Permit#: Date: facility A. 2. Repair and Maintenance Summary Attach a summary of all of the following services: Routine and required maintenance done to this facility's tank, piping and monitoring equipment. Repair of submerged pumps or suction pumps. Replacement of line leak detectors with the same. Replacement of dispensers or meters. Repair of electronic leak detection components or replacement with the same. NOTE: All repairs or replacements in response to a leak require a Modification Permit from the permitting authority, as do all other modifi- cations to tanks, piping or monitoring equip- ment not listed here. 3. Fuel Changes - Allowed for Motor Vehicle Fuel tanks QNLX. List all fuel storage changes in tanks. Date Tank Number New Fuel Stored _/_/- _/_/- _/_/- 4. Operator Information Operator's Name l.--rl<cNN HOO\JéR. HM57 -~- -~ uAT~,~DIUj/~j ~~M~ ~~:LU:L~ P0UIPMENT DETAIL FACILITY < 91554 > . LOCATION W/IN FACILITY . TYPE < ASM > ANNULAR SPACE MONITOR ID < 001 > ***TANKS ONLY: PROD< > UNKNOWN PRODUCT SIZE< > DESCRIPTION < MODEL/REGISTRATION # < ATTRIBUTES < SERIAL/UL NUM < MFR < WARRANTY EXP < CANCEL DATE < TOTAL MAINTENANCE COST: INSPECTION INTERVAL < LAST INSPECTION DATE < NEXT INSPECTION DATE < REMARKS < ENTER - DISPLAY L.UNVi ~ U~ t'Al.:It.. .L l LA~ 'l.' ) l\löM e DELETE < ARCHIVE < MCP EQUIPMENT?< > > > TANK SEARCH/UPDATE?< > > > > < > < > < > > < > QUANTITY < 1 > INS I > IN-SITU 08/13/90 > INST DATE < 08/14/89 > > INSTALLER < CALPW >< CALIFORNIA PETRO. > 270.00 TOTAL CALLS: SEAL MATERIAL EMISSION SOURCE? < 4 > < > 04/02/'92 > > > > PFl - NEXT PF2 - ADD PF3 - HISTORY PF4 - ARCHVD EQUIP PF6 - UPDATE PF7 - RETURN PFll- MENU PF14- TANK user authorized for display only e - California State Water Resources Control Board (February 6, 1992) In-Situ, Inc. Leak Detection systems, Ver. KW-140/KW-240 Monitors with Type 2 Sensor LIQUID PHASE OUT-OF-TANK PRODUCT DETECTOR Detector: Output type: Sampling frequency: Operating Principle: qualitative continuous product soluble Test Results: Accuracy (%) Detection Time (min) Fall Time (min) Lower Detection Limit (cm) Commercial Gasoline 100 15 N/A 0.01 Synthetic Gasoline 100 9 N/A 0.01 Specificity Results: Activated: commercial gasoline, n-Hexane, synthetic gasoline, toluene, diesel fuel, xylene(s), Jet-A jet fuel Manufacturer's Specifications: Type 2 sensor primarily detects diesel and most fuel oils in wet monitor well. In-situ, Inc. 210 South Third street Laramie, WY 82070 Tel: (307) 742-8213 Evaluator: carnegie Mellon State Review Completed: 08-29-9 29 e e California state Water Resources Control Board (February 6, 1992) In-situ, Inc. Leak Detection systems, Ver. KW-140/KW-240 Monitors with Type 1 Sensor LIQUID-PHASE OUT-OF-TANK PRODUCT DETECTOR Detector: Output type: Sampling frequency: Operating principle: qualitative continuous product soluble Test Results: Accuracy (%) Detection Time (min) Fall Time (min) Lower Detection Limit (em) commercial Gasoline 100 1 N/A 0.01 Synthetic Gasoline 100 1 N/A 0.01 specificity Results: Activated: commercial gasoline, n-Hexane, synthetic gasoline, toluene, diesel fuel, xylene(s), Jet-A jet fuel Manufacturer's specification: Type 1 sensor primarily detects gasoline, and alcohol blend fuels, in wet or dry monitor wells. In-situ, Inc. 210 South Third Street Laramie, Wy 82070 Tel: (307) 742-8213 Evaluator: Carnegie Mellon state Review Completed: 08-29-91 28 CHIRON U.S.A. PRODUCTS C£ANY UNDERGROUND STORAGE TANK SYSTEM MONITORING PROGRAM FACILITY INFORMATION SHEET Facility: Chevron U.S.A. Products Company Service Station #91554 10 Union Avenue Bakersfield, CA 93307 ~~":;,,-'"\"~:~~·:r?~'::~'4::~.E3. ~,.,.. . /i(f7j·lJJ~;:(.'.:l¡;''t,."",<->. ::~ ~;',;,i ~,~¡o.;:'L.:·,,~,.;~:t:~:j-:;ðs--trr:w "'-"'~ ~ .:. .. , ' !, I· j ; i\ \, I ¡ \ '; :....f \..;.___...____ . _~ ~,_... . , .) .., ~ ____J UST Owner: Chevron U.S.A. Products Company 1300 South Beach Boulevard P.O. Box 2833 La Habra, CA 90632-2833 (310) 694-7300 UST Equipment: Tanks Tank # Type Storage Tank Tank Monitoring Capacity Type Classification 10,000 DW /Plasteel New 10,000 OW /Plasteel New 10,000 OW /Plasteel New 1,000 OW /Plasteel New 1 2 3 4 Gasoline Gasoline Gasoline Used Oil Piping For Piping Piping Monitoring Tank # Operation Type Classification 1 Pressure OW /Fiberglass New 2 Pressure OW/Fiberglass New 3 Pressure OW/Fiberglass New 4 Gravity OW /Fiberglass New Note: "Existing" -- Installed prior to January 1, 1984 "New" -- Installed after January 1, 1984 91554 10 Union Avenue Bakersfield, CA 93307 EX-Q102 e e CHEVRON U.S.A. PRODUCTS COMPANY MONITORING PROGRAM FOR "NEW' UNDERGROUND STORAGE TANKS Monitoring of underground tanks constructed pursuant to: California Code of Regulations Title 23 -- Waters Division 3 - State Water Resources Control Board Chapter 16 -- Underground Storage Tank Regulations Section 2631 Shall be implemented pursuant to: California Code of Regulations Title 23 -- Waters Division 3 -- State Water Resources Control Board Chapter 16 -- Underground Storage Tank Regulations Section 2632 (C) (2) (A) and Section 2632 (C) (2) (B) Monitoring Frequency: Continuous Methods and equipment to be used: Condition of secondary system: Type of substance stores: Method of monitoring: Dry Volatile Continuously operated electronic liquid level indicator Monitoring equipment Control Unit Make: In-Situ, Inc. Model:KW-140 / KW-240 Liquid level probe Make:Ronan Model:LS-3 Location monitoring to be performed: At Facility Person responsible for performing the monitoring: Glenn Hoover, Facility Operator Persons responsible for maintaining the monitoring equipment: Chevron U.S.A. Products Company Marketing Operations -- Maintenance Department 91554 10 Union Avenue Bakersfield. CA 93307 NW-Q101 CHIRON U.S.A. PRODUCTS CcttJlANY MONITORING PROGRAM FOR "NEW" UNDERGROUND PIPING Monitoring of underground piping constructed pursuant to: California Code of Regulations Title 23 - Waters Division 3 -- State Water Resources Control Board Chapter 16 -- Underground Storage Tank Regulations Section 2631 Shall be implemented pursuant to: California Code of Regulations Title 23 -- Waters Division 3 -- State Water Resources Control Board Chapter 16 -- Underground Storage Tank Regulations Section 2632 (d) (1) and Section 2632 (d) (2) Monitoring Frequency: Continuous Methods and equipment to be used: Condition of secondary system: Type of substance stores: Method of monitoring: Dry Volatile Continuously operated electronic liquid level indicator Monitoring equipment Control Unit Make:ln-Situ, Inc. Model:KW-140 / KW-240 Automatic line leak detector Make:Red Jacket Model:DLD 116-017 / PLD 116-030 Liquid level probe Make:Ronan Model:LS-3 Location monitoring to be performed: At Facility Person responsible for performing the monitoring: Glenn Hoover, Facility Operator Persons responsible for maintaining the monitoring equipment: Chevron U.S.A. Products Company Marketing Operations -- Maintenance Department 91554 10 Union Avenue Bakersfield, CA 93307 NW-Q102 e e UNDERGROUND STORAGE TANK MONITORING EQUIPMENT PREVENTATIVE MAINTENANCE SCHEDULE RED JACKET DLD 116-017 AND PLD 116-030 PRESSURIZED PIPING MONITORING SYSTEM PREVENTATIVE MAINTENANCE FREQUENCY: Annually PERFORMED BY: Red Jacket Certified Representative ANNUAL MAINTENANCE CHECKLIST: Verify and test operation Verify and test that mechanical leak detectors are installed and operating properly. Test procedure will conform to Red Jacket Engineering Bulletin of May 1991. Certification Certify the mechanical leak detector has been checked according to manufacturer's instructions. Certify the equipment is operating properly. Verify that certification has been completed with appropriate agency. 91554 10 Union Avenue Bakersfield, CA 93307 NW-Q108 " e e CHEVRON U.S.A. PRODUCTS COMPANY UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE RESPONSE PLAN If the unauthorized release detection system Is activated: 1. Determine the source: UST and/or pipeline 2. Discontinue operation of the system (if necessary) 3. Telephone Chevron U.S.A. Products Company IMMEDIATELY Day: Chevron U.S.A. Products Company Maintenance: (310) 694-7102 Night: RLW Equipment: (805) 834-1100 Chevron U.S.A. Products Company will be responsible for: 4. Initiating unauthorized release determination IMMEDIATEL'l 5. Initiating cleanup procedures IMMEDIATELY (if necessary). 6. Contacting agencies within 24 hours. Person responsible for work authorization: Roger W. Cleworth, Maintenance Supervisor, or a designated representative Hazardous substance will be removed according to all laws and regulations regarding hazardous substance handling, transportation, storage and disposal. Equipment used to remove hazardous substance will be owned and operated by a state licensed contract hauler. Chevron will use the hauler with the best response time. At a minimum, Chevron reserves the right to dispatch proprietary transport vehicle from the Bakersfield, CA, California bulk storage facility. All unauthorized releases will be removed from the secondary containment within 30 days. I Date: (fJ. ¡/ f /7) Kim F. Wiseman Environmental, Fire, Safety and Health Supervisor 91554 10 Union Avenue Bakersfield, CA 93307 NW-0104 e e CHEVRON U.S.A. PRODUCTS COMPANY UNDERGROUND STORAGE TANK SYSTEM OWNER/OPERATORAGREEMENT Owner Certification Chevron U.S.A. Products Company, as the owner of the underground storage tank system located at 10 Union Avenue, Bakersfield, CA 93307. I hereby certifies that: Owner: 1. We have entered in to a written agreement with the operator of the UST system at the referenced location. This agreement is contained in our contract with the operator. 2. The operator of the UST system at the referenced facility is responsible for and will perform all monitoring, record keeping, and reporting requirements for the UST system as outlined in the documents listed below.. 3. The operator has been provided a copy of the Permit to Operate the UST system at the facility. 4. The operator has been provided a copy of the provisions of Health and Safety Code Section 25299. 5. The operator has been provided a copy of the California Code of Regulations Title 23 - Waters Division 3 - State Water Resources Control Board Chapter 16 - Underground Storage Tank Regulations, August 1991. 6. We understand that we are required to notify the UST Program of the Kern Co. Environmental Health Services Dept., in writing, of any change of operator within thirty days of any such change. CHEVRON U.S.A. PRODUCTS CO. We hereby certify that the preceding monitoring plan for underground storage tank systems will be implemented at our service station located at 10 Union Avenue, Bakersfield, CA 93307. To the best of our knowledge, all information contained herein is true and correct. Signature: 1:.7- tJ,'~e: &/ {g/9.2:> K m F. Wiseman Safety, Fire, Health and Environment, Supervisor 91554 10 Union Avenue Bakersfield. CA 93307 EX-0107 , e . CHEVRON U.S.A. PRODUCTS COMPANY UNDERGROUND STORAGE TANK SYSTEM OWNER/OPERATORAGRIEEMENT Operator Certification As the operator of the Underground Storage Tank system installed at 10 Union Avenue, Bakersfield, CA 93307, I hereby certify that: 1. I am, or represent the individual, firm, trust, partnership, association, or corporation that is in control of and has the daily responsibility for the operation of the UST system .at the referenced facility. 2. I have entered into a written contract with Chevron U.S.A. Products Co., the owners of the UST system I am operating. I understand that this obligates me to perform monitoring, record keeping, and reporting requirements as outlined in the documents listed below. 3. I have received a copy of the Permit to Operate the UST system at the facility . 4. I have received a copy of the provisions of Health and Safety Code Section 25299. 5. I have received a copy of the California Code of Regulations Title 23 -Waters Division 3 - State Water Resources Control Board Chapter 16 -Underground Storage Tank Regulations, August 1991 Signature: <!j£~) C).JcI1!I~A Date:'c /~ i¡(/ '73 Glenn Hoover, Facility Operator 91554 10 Union Avenue Bakersfield, CA 93307 EX~108 Chevron ... e Chevron U.S.A. Products Company 1300 South Besch Boulevard, Building 4516, La Habra, California· Phone 1310) 694-7300 Mail Addres . _ ~8J¡~2833, La Habra. CA 90632-2833 ".~"~f' " _ ", ,., '-"':'" /~~ ,/~ /\\$'. Marketing De~ar'" ~.... @ ~'.!~... ø '. /') \",/)\ þ, /::\- &'':'')'' --"~ \ e e::L I () OQ .s MéI Y 19, 1993 Underground Storage Tank Financial Responsibilit2 Kern County Environmental Health Department 2700 "M" Street, Suite 300 Bakersfield, CA 93301 To Whom It May Concern: The attached letter is being provided in order to comply the requirement to .demonstrate financial responsibility underground storage tanks owned by Chevron U.S.A. \oJi th for Financial responsibility applies to the attached list of service stations located in Kern County. IE you have any questions, please contact Desiree Cless at (310) 694-7452. Very truly yours, ~1J~~}~~ Safety, Fire, Health and Environment Supervisor DDC Enclosure :';1")11 I I e Chevron Corporation 225 Bush Street, San Francisco, California 94104-4289 . M. R. Kliucn Vice President, Finance April 30, 1993 UST FINANCIAL RESPONSIBILITY To Whom It May Concern: I am the chief financial officer of Chevron Corporation, 225 Bush Street, San Francisco, CA. This letter is in support of the use of the financial test of self-insurance and guarantee to demonstrate financial responsibility for taking corrective action and compensating third parties for bodily injury and property damage caused by sudden accidental releases and/or nonsudden accidental releases in the amount of at least $1,000,000.00 per occurrence and $2,000,000.00 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 guarantor: all underground storage tanks owned by Chevron U.S.A. Inc. in the united States are assured by this financial test. A financial test and guarantee are also used by this guarantor to demonstrate evidence of financial responsibility in the. following amounts under other EPA regulations or state programs authorized by EPA under 40 CFR parts 271 and 145: EPA REGULATIONS AMOUNT Closure (§§264.143 and 265.143) Post-Closure Care (§§264.145 and 265.145) Liability Coverage (§§264.147 and 265.147) Corrective Action (§264.101(b» Plugging and Abandonment (§144.63) $ 149,095,286.00 $ 53,084,226.00 $ 8,000,000.00 $ -0- $ 3,101.720.00 California state Proqram Closure Post-Closure Care Liability Coverage Corrective Action Plugging and Abandonment $ 798,556.00 $ 1. 167,038.00 $ 56,000,000.00 $ -0- $ -0- e -- ..,', Yes No 19. Have financial statements for the latest fiscal year been filed with the SEC, the Energy Information Administration, or the Rural Electrification Administration? X I hereby certify that 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. Date: April 3D, 1993 /??¿~~-, M. R. KLITTEN VICE PRESIDENT, FINANCE , .¡ e e this guarantee and the Director of the implementing agency has determined or suspects that a release has occurred at an underground storage tank covered by this guarantee, the guar~ntor, upon instructions from the Director, shall fund a standby trust fund in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. In the event that the Director determines that CUSA has failed to perform corrective action for releases arising out of the operation of the above-identified tanks in accordance with 40 CFR 280, subpart F, the guarantor upon written instructions from the Director shall fund a standby trust in accordance with the provisions of 40 CFR 280.108, in an amount not to exceed the coverage limits specified above. If CUSA fails to satisfy a judgement or award based on a determination of liability for bodily injury or property damage to third parties caused by sudden and/or nonsudden accidental releases arising from the operation of the above- identified tanks, or fails to pay an amount agreed to in settlement of a claim arising from or alleged to raise from such injury or damage, the guarantor, upon written instructions from the Director, shall fund a standby trust in accordance with the provisions of 40 CFR 280.108 to satisfy such judgement(s), award(s), or settlement agreement(s) up to the limits. of coverage specified above. (4) Guarantor agrees that if, at the end of any fiscal year before cancellation of this guarantee, the guarantor fails to meet the financial test criteria of 40 CFR 280.95(b) or (c) and (d), guarantor shall send within 120 days of such failure, by certified mail, notice to CUSA. The .guarantee will terminate 120 days from the date of receipt of the notice by CUSA, as evidenced by the return receipt. (5) Guarantor agrees to notify CUSA by certified mail of a voluntary or involuntary proceeding under Title 11 (Bankruptcy), u.s. Code naming guarantor as debtor, within 10 days after commencement of the proceeding. (6) Guarantor agrees to remain bound under this guarantee notwithstanding any modification or alteration of any obligation of CUSA pursuant to 40 CFR part 280. (7) Guarantor agrees to remain bound under this guarantee for so long as CUSA must comply with the applicable financial responsibility requirements of 40 CFR part 280, subpart H for the above-identified tanks, except that guarantor may cancel this guarantee by sending notice by certified mail to CUSA, such cancellation to become effective no earlier than 120 days after receipt of such notice by CUSA, as evidenced by the return receipt. (8) The guarantor's obligation does not apply to any of the following: . e . . . State of 7a .Á - . county0f< -.¿I~ . . n~~ . On ~ ..3/ q 3 , before me,~~ ~. ¿, /Jt. ~J (11ere inse~ name I and title of the officer), personally appeared g. ~ ~ personally known to me (er plUveJ lu me un the basis gf satisfactory evi· dœCG) to be person~ whose name~ subscribed to the within insttu- ment and acknowledged to me tha~~t1j(y executed the same ~/ ~ authorized capacity(j'ø(), and that b~~ signatureç$:i on the instrument the personM, or the entity upon behalf of which the person~ acted, executed the instrument WITNESS my hand and official seaL Signature ~~ Ih. ~iþ(Sea1) . ~~~"''':''I::r;''l~r.:-x·~'':-~·'-:::::E':."'7t ;.!~'!:..~. (>Fr:~;.;.~ ~.;~.~i,: ___ ~ ,,-'; "'~"J':'^ rH"'-'" ! n :V ,..~/ ;'.', .....'.. :.' ~..,! ...:,J,..o..\.~.;i~ ·''''...I.''l~~..·: .:'::~ -....::.~..f.,,~.~ 1 ..; :~-::>!,,·~t.;.~~~:~ r·;ct¡~;'· :'I.I~'~¡':'(!:':";". I:'.l ~ . ~~'~~:~~~~~¿:~:f} . t:Y:::3Y?:,.~:¡,,~~::,;:~}~'~," R '<·:,,·'·:;.v f;.'i....··~··,.·:,.·;;f.\:~a.¡¡w..'].&.,: ....~.) ,., ~;~~::.._..._.~:;;¡.~~.;~~_:.~~::~~.~;~ STEVE McCALLEY, R.E.H.S. DIRECTOR ENVIRON~TAL HEALTH SERVI~S DEPARTMENT /~ <~ t;¡\ i~. ,~ ,§ "~~ .. \';:. í7.d ~. '¡aW ~~};;JJJl1JP 2700 "M" Street, Suite 300 Bakersfield, CA 93301 (805) 861-3636 (805) 861-3429 FAX Chevron USA, Inc. P. O. Box 5004 San Ramon, CA 94583 March 17, 1993 ~ «) r---. c·, . ", "- ,-;- .,...... \'. I ( ))'S;' \0. \ I) U ,¡ \ ''-"'' I I ............ U SUBJECT: PTO #210003 / #9-1554, 10 Union Avenue, Bakersfield, CA Dear Tank Owner: Kern County Environmental Health SeIVices Department has changed its inspection frequency to once every other year for all underground storage tank facilities. To ensure that the program has received all information required within your permit to operate, the staff has reviewed your facility file and found the following information to be missing: a._ a copy of tank calibration charts for the underground storage tanks for which manual gauging is being utilized. b.l a copy of an owner/operator agreement (in cases where the owner does not operate the underground storage tank(s)). c._ a notification providing information on which in-tank level monitor or statistical inventory reconciliation firm is being utilized to monitor the underground storage tanks, as required within the permit for operation. d.l the following report( s), required to be submitted to the Department on an annual basis: 1._ Tank integrity test results for _ underground storage tank( s), for 19_. 2._ Integrity test results for pressurized piping that is part of the underground storage tank system. 3.l A tank facility annual report for 19 92 . e.l information on the continuous monitoring device installed within the interstitial space of the underground storage tank(s) (manufacturer and model installed). f.-Ã.... a monitoring response plan for electronic or continuous monitoring devices. e e ~ UST FACILITY FILE REVIEW CHECKLIST Date: 3 -I" -1 3 Permi t Number: 21 éJ6 6 ~ Facili ty Name: _l-\ () 0 V er IYt-... ev (' ~ S- -I-ü.-~ ii: 9- I ~Lf Facility Address: J () I}ve4'ì.t.-Le- Facility City: ~~<: Specialist Completing the The file was reviewed and the following obtained: yes ~o/ 1.____~ The facility file contained a copy of the owner/operator agreement. Date of the agreement Owner's name: Operator's name: Does the agreement meet min. State guidelines for an owner/operator agreement. (As: the operator is required to monitor the tank system as set forth in the permit; a copy of the permit has to be provided to the operator; and the operator is to receive a copy of section 25299-penalties for noncompliance that apply to the operator.) / Ll- Yes_ No____ comments: 2.~1.C! calibration charts were present for all tanks being monitored utilizing manuel guaging. comments (if no) 3. --!l-0 the permit required installation of in tank moni tors, or statisti cal inventory reconciliation, and the facility has submitted information on the type of monitor that they installed within their tanks, or the SIR company/contractor that they are utilizing. TLM being utilized: 4._-' SIR co. being utilized: Annual Submittals were present within the file as: a. tank integrity tests for all tank systems. date: b. c. / pressurized piping integrity tests. date: annual facility monitoring reports for all tanks. ~ date~~ast report: ~ CA-f3 Y">'\-1- 7 /11V rv(,I/.....J&t-c Iê (?p 6 ¡{ r 1'99 2- comments: 5._Jthe monitoring response plans which were required within the facility permit for operation, were present within the file. ~date submitted: 6.~ ~ the facility submitted information on the continuous monitoring device within the secondary containment , , I ~\ ( e- ' '~OURCE MANAGEMENT ('AGENCY .. ---------- . RANDALL L ABBOTT DIRECTOR DAVID PRICE m ASSISTANT DIR£CTOR Envir~ HeaIIh SeMc:a 0epanmenI STEVE McCAU.EY. REHS. DIRECTC Air PoIIuIíon ContnII DiIuict WlLL.JAM J. RODDY. APCO Planning 1& ~ SaviœJ ~. TED JAMES. AlCP. DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT UNDERGROUND STORAGE TANK PERMIT UPDATE QUESTIONNAIRE THIS QUESTIONNAIRE MUST BE COMPLETED AND REiURNED WITH YOUR INVOICE PAYMENT. , \ I \ \ 1 ,0 PERMIT' a I DOt) 3 (!, - q 3 NUMBER OF TANKS L.j FACILITY ~j~;!~~-~ ~~~~~ATE ª~J~Q~¿e(J~èA C1.7;307 ~A~K-O~N;R- ~~~-rWSÄ-P~ëf~ -¿)- -P~~E-#-é-iJO)0qJ--7-¢ð~ ADDRESS .J ,() .~) 'K dRc3S CITY ¡STATE I a /,-\-Clbrú) (Pr ZIP C)r.-kJ,?þL -~3-3 ~:~~~R- - -~~~v~- - - - - - - - - -~~E-#~&~--"c3i~ CITY/STATE __-L1d---!1ß: ZIP -ª-30 7 )Q I '00 ; :00 iF A TRANSFER OF OWNERSSU' HAS TAKEN PLACE' \\'1THIN TflE LAST "lEAR, ëï:.EASE COMPLETE THE FOLLOWING: DATE Of TRANSfER: MONTH PREVIOUS OWNER: PREVIOUS fACILITY NAME (If CHANGED): DAY YEAR - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY AND TO THE BEST OF MY KNO EDGE ]S TRUE AN~ CORRECT. SIGNA TITLE ff)áth-l-,', 1Jsd-. DATE o/ó25/9.:2 ANY QUESTIONS PLEASE CALL JANE WARREN AT (80S) 861-3636 EXT.554. h '~4 ':~:: ;¡~~ - 'í:~~:,*/;:Ytiif1 'f!:·,,;e.-,o.¡¡;.i"i" , ····,~\"¡~.tI1'.·.',. '~~<"- ~ . - ..... :i' -'k';, . ~4" !';}\",'--' :;",ÊSOURCE MiiAGlEMENT ÂLTHéSEQ~'cÉS DEP-ART " !!;rE··~:OÔ~~.....,~ÄKERSFI ELD, Á~9330 1 . ._.j,~"~(805) 8 61- a63 6" . _, _ .~)..~.':t~.,~ " <;' h ._~. . ::'",: ,..' ';'," ·~,U~D~~~.a9l!ND;;;;,HÞ.Z~~DOUS $UBSTANCE STORAGE FACILITY . 'ìi": 'i4c INSP,ECTION REPORT ~ :IE.....,. ."-~.!"' . AGENq, '~'::.f'...,-,....\,) ..~_~.3J¡ ", :.... .¡; :t i r PERMIT# 210003Ci..., TI~E IN ......_..,_..... TIME Qut NUMBER OF TANKS:....__._...!....._...., PERMIT POSTED? . .... -. YES __......._._._. :N O..~..._.~:::.:... ......-..·..'....-ÚJ 5 P E C T ION DA T E : -....4:"'¿4¡~~-.~, TYPE OF INSPECTION:. " ROUT I NE_.......,j,S,__....... REINSPECTION ..........._............ COMPLAIN"r .._..:....:__........... F ,~ÇI I...IjŸ..·Ñ·ÃME··~·¡.:¡·õ·õ,iË..R....·Cf~!ivR·õ'~J S TAT r 0 N :ii 9 - 1 554 PAC I ·l,.t'f.Y~~;A'D D R E·s·s-;·if.::Œ~Iºi:L:::ð~Ÿ.I~:~!:f::=::::::'::~~:::::=:::::::::::::~..-=:::~::::::~==:~==~~:~:====~:::::=~::::::::::~-=:::::=:~~.:~:===~ 8AKË~SFIELO, CA , , OWN E R S N Ar.., E : Ç.tLs.Y.KQkLJL:..§..:.,ð..:...c....J..~,Ç..:....._..,....................................._..................._.................._......................._,.._..._........_......_..._............. 'Î PER A. TOR S ,\ AM E : .ª-hÉ.l~.t-!....J..,:.....l:!.Q.Q.Y.,ËB......_...................................,............::........,............................................................_.._.._.....,.._............._... I: (¡ M fit E :\1 T S ~. "..______........__n_._"............~...............Uh. .n~.nu.........................._....................._..."'_..."'.,.............~............u..._...h......_.........~.................u_..............._...........................n..___.....__.____....._......................._......__..._....... .. .... ....,..u.__..............................uu...........n..__........"....................... .................... ....... ..·,...._........u...~. ._............................_...__........__................. ...._. .............._ ..................' .._....-......................................................................_.............................................-........... .... .....~..... ...._"'............~.....h.......... ............_.._.......................... ......,_........ ..... ........._~.......................... ................~. .................·.............................................hh_ ..~........_........._.....................___._..............__..............._............__._........._..._....... [iEM VIOLA~IONS/08SERVATIONS !,,- i J A ¡ ;;V~--.:)~(5 C...~ .-{Wt... ~ , ~ ¡;J~!.. r ~ Y j I ..'..... 1. )?RIMARY CONTAINMENT MONITORING: a. r~tercepting an dirgctir.g system r,. Standard Inventory Control ~. Modified Inve~tory Contre1 u, In-tank Level Sensing Device ~. Groundw~ter Monitcri~g f, Vadose Zone M~itcring Post.lt'"routlng request pad 7664 ...,,, ·'·2'~:3EG.CNDARY CONTAINMENT MONITORING: 3, i_iner ': b~ì Coob le-Wa ]led tank \,.c..--/ Vault Please DREAD o HANDLE o APPROVE and o FORWARD o RETURN o KEEP OR DISCARD o REVIEW WITH ME - Date g ...?:;-9~ ld 0 ,,,\ U . (~,~ t/" ,--" '3~¡ PIPING MONITORING: . ./ (j) PressurÍled " Suction c. Gravity , 4) OVfRFILL PROTECTION: ',.,"- 5, TIGHTNESS TE5TI~G :l~ NEW CONSTRUCTION/MODIFICATIONS ..j .,"- , 7, .:- CLOSURE/ABANDONMENT '- ... -' ... B,) UNAUTHORIZED RELEASE 9< \1AINTENANCE, GENERAL SAFETY 1 AND OPERATING CONDITION OF FACILITY ~OMMENTS/RECOMMENDATIONS . .... .,,~.~ .................~......................'..........n.... ....n... .............................................. ............... ................_............................................._..............._.............__......................__..................._............ .......... ......~..................._.......n.._.....·_'" ......._........h......_U.._.....~n......._......................._.......___................ ............................ ....................................................................._......................._......................_........................_....._n..__.._____..._.........._.._............. ,.. '" _............··....·_........uu_...................................~.............._"..................................................._......._............................................._................................._......................................-..............._...._.........................................................___...........................__......__.............._ .............._............................_. ......................_.........,.............................._..................__................................ ..........................._..............................._........................._........................................................................................._.................._......................._....n...._..._.........._............_. ./ . ..... .~..~...._.__.~~..u_..~.~........~.........................._..~.................................,_.._........... ............-.....".......................é"......... ..................... ...~...._................................................_...___................ ........................._.............,.......-.............__................................ ;:;>¡::TN~"'~,~"lìN '~r'U~DU ~n? ..::,- \ ./.,..., ApDRlîXT'NIA'T'~ R.-r:o.ISPECJJ-OIt.' D,....,..tj:· , '. ~, .. , .;:, r- t:. '" ¡ ~ '. ,.~ :-:, v ~ ..' "_.. . ......._...... Y L S ..I......c_.0.~ ,,,", , . " .L I ,....: ,_ . c: ! 'I '. .. 4 1'4 /f\, Ii :¡. . ......._..._.....__..... T NSPECTOR; ......::-.....:.......;.....,..=.~.~....:......................_.......................... REPORT RECF I VEO By:..... :.:iÂ;.!Á~4:..._......._-_.._..._...... I I . . ';".":' { ----~~ e RESPONSE . CHECKLIST Specialist reviewing the. information returned: {30 r r;' ~ Gr:ð v;:] ì Date questionnaire was returned: <;( / d tJ /91 'i' / Facility Permit Number: c:< ) ð ()O 3 Tanks located at the facility: Was a reply received for each substance code assigned to the facility? Yes No Does the facility need to provide additional information in order for the monitoring alternative to be acceptable? Yes No Describe what information is required: The monitoring alternative picked by the facility representative is acceptable for the facility tanks. Yes No (The monitoring alternative will be viewed as unacceptable if the alternative was not appropriate for the type of tank described on the facility profile or within the facility file. Example: The facility may wish to use the visual alternative for a tank that is not vaulted, or the tank size is not appropriate for the type of inventory monitoring chosen. ) Additional Comments: Information has been reviewed and placed within the database: Date entered within the database: Entered by (name): AEG:cas \response.lis e - FACILITY PROFILE SHEET 210003C HOOVER CHEVRON STATION #9-1554 10 UNION AVENUE BAKERSFIELD, CA PERMIT # 210003C Substance Tank Tank Year Is piping Tank # Code Contents Capacity Installed Pressurized? 1 MVF6 PREMIUM 10,000 1989 YES 2 MVF6 REGUlAR 10,000 1989 YES 3 MVF6 UNLEADED 10,000 1989 YES 4 W06 WASTE OIL 1,000 1989 NO-GRAVITY · e ENCLOSURE CHECKLIST Facility -1fD~\lU- S~~·o..... ~ q - 155 ~ Permit # 2. I DO 0 "-~ c... TIris checklist is provided to ensure that all necessary packet enclosures were received. Please complete this form and return it to the Kern County Environmental Health Services Department, along with the Monitoring Alternatives Questionnaire, within 30 days of receipt. CHECK YES NO /- c./ The packet I received contained: 1. Cover letter. 2. Facility Profile Sheet (provides Facility Permit Number and information on the underground storage tanks and piping, as provided on the application). The substance code in Column #2 should be referenced when reviewing the Monitoring Alternatives Fact Sheets and Ouestionnaires. /' 3. A Monitoring Alternatives and Upgrade Requirements Fact Sheet for each substance code referenced on the Facility Profile Sheet. J 4. A Monitoring Alternatives Questionnaire for each substance code referenced on the Facility Profile Fact Sheet. Signature of Person . V - h 1\ Completing the Checklist ~' \ Title ~# ~ OR ~\'\\ ~/ ('v\.A. Date (green\chklst.l ) Specialist reviewing the tightness test report: 4ItGHTNESS TESTING REPb EVALUATION FORM ~r/~ C, Ð ---r~ Date tightness test repons were subriritted: 11-/7--~' Date tightness tests were completed: Facility Permit Number: Number of Tanks Tested at the site: numbers if provided) '-1 (list the tanks by their tank Was the method a test of the e~tire tanJ;: system, piping alone, or just the facility tanks? (describe) ~~ ~.5LJ~ Did the facility pass all tests: ~- Yes No (if no, provide the leak rate and a description of the tank(s) that failed the test) (failure is > 0.1 gal per hour) The facility will do the following to investigate the failed test: The test method certification that is submitted to the state specifies that each test method -_ be completed in a certain manner. Is there anything within the results which wouJcrsuggest -. that the tank test was improperly completed? Yes L/' No . _ (describe) Information has been reviewed and placed within the database: /YES NO Date entered within the database: P-:tJ - AùURCE MANAGEMENTLENCY RANDALL L. ABBOTT DIRECTOR DAVID PRICE DI ASSISTANT DIRECTOR Environmental Health Services Department STEVE McCALLEY, RÐfS, DIRECTOR Air Pollution Control Diatric:t WIWAM J. RODDY. APeO Planning &: Dewiopment Services Department TED JAMES. AlCP. DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT PERMIT TO OPERATE UNDERGROUND HAZARDOUS STORAGE FACILI'IY Permit No.: 210003C State m No.: 62081 Issued to: HOOVER CHEVRON STATION #9-1554 No. of Tanks: 4 Location: 10 UNION AVENUE BAKERSFIELD, CA CHEVRON U.S.A., INC. P.O. BOX 5004 SAN RAMON, CA 94583 Owner: Operator: GLENN I. HOOVER 10 UNION AVENUE BAKERSFIELD, CA 93307 Facility Profile: Substance Tank Tank Year Is piping Tank No. Code Contents Capacity Installed Pressurized? 1 MVF6 PREMIUM 10,000 1989 YES 2 MVF6 REGULAR 10,000 1989 YES 3 MVF6 UNLEADED 10,000 1989 YES 4 W06 WASTE OIL 1,000 1989 NO-GRAVITY This permit is granted subject to the conditions and prohibitions listed on the attached summary of conditionslprohibitions ~ ) ~ By: Issue Date: September 23, 1991 Title: Director. Environmental Healtlì Expiration Date: September 23, 1996 -- POST ON PREMISES -- NONTRANSFERABLE 2700 "M" STREET, SUITE 300 BAKERSFIELD, CAUFORNIA 93301 (805) 861-3636 FAX: (805) 861-3429 e e HAZARDOUS UNDERGROUND STORAGE FACllJ'IY PERMIT SUMMARY OF CONDmONSIPROHIBmONS CONDmONSIPROHIBmONS: 1. The facility owner and operator must be familiar with all conditions specified within this permit and must meet any additional requirements to monitor, upgrade, or close the tanks and associated piping imposed by tbe permitting autbority. 2. If the operator of tbe underground storage tank is not the owner, tben the owner shall enter into a written contract with the operator, requiring the operator to monitor the underground storage tank; maintain appropriate records; and implement reporting procedures as required by the DeparunenL 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 permitting authority. 4. The facility owner must ensure that the annual permit fee is paid within 30 days of the invoice date. 5. The facility will be considered in violation and operating without a permit if annual permit fees are not received within 60 days of the invoice date. 6. The facility owner and/or operator shall review the leak detection requirements provided within this permit. The monitoring alternative shall be implemented within 60 days of the permit issue date. 7. The facility underground storage tanks must be monitored, utilizing the option approved by the permitting authority, until the tank is closed under a valid, unexpired permit for closure. 8. Any inactive underground storage tank which is not being monitored, as approved by the permitting authority, is considered improperly closed. Proper closure is required and must be completed under a permit issued by the permitting authority. 9. The facility owner/operator must obtain a modification permit before: a. Uncovering any underground storage tank after failure of a tank integrity test. b. Replacement of piping. c. Lining the interior of the underground storage tank. 10. The tank owner must advise the Environmental Health Services Department within 10 days of transfer . of ownership. 11. Any change in state law or local ordinance may necessitate a change in permit 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 of three years, or as specified by the permitting authority. They may be kept off site if they can be obtained within 24 hours of a request made by the local authority. 13. The owner/operator must report any unauthorized release which escapes from the secondary containment, or from the primary containment if no secondary containment exists, which increases the hazard of fire or explosion or causes any deterioration of the secondary containment within 24 hours of discovery. AEG:jrw (green\permit.p2) 2 - e e MONITORING REOUIREMENTS:(MVF6 AND WQ6ørIpr) 1. All underground storage tanks designated as MVF 6 AND WO 6 within the first page of this permit shall be monitored utilizing the following method: a. Each tank shall be equipped with a continuous monitoring device within the intersút1a1 space, which must be connected to an audible and visual alarm system, within 60 days of the permit issue date. b. All piping sumps shall be monitored manually or by utilizing an electrOnic monitoring device. c. All pressurized piping systems shall install pressurized piping leak detecúon systems and ensure that they are capable of functioning as specified by the manufacturer. The mechanical leak detecúon systems must be capable of alerting the owner/operator of a leak by restricting or shutting off the flow of hazardous substances through the piping, or by triggering an audible or visual alarm, detecting three gallons or more per hour per square inch line pressure within one hour. d. All pressurized piping systems shall be tested annually unless the facility has installed the following: 1. A continuous monitoring system within secondary containmenL 2. The continuous monitor is connected to an audible and visual alarm system and the pumping system. 3. The continuous monitor shuts down the pump and activates the alarm system when a release is detected. 4. The pumping system shuts down automatically if the continuous monitor fails or is disconnected. The first test shall be completed before December 31, 1991, and subsequent tests completed each calendar year thereafter. " 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 running condition. 3. A monitoring response plan shall be developed and submitted to the depanment for review and approval within 90 days of the issuance date of this permit. ~. An annual repon shall be submitted to the Kern County Environmental Health Services Depanment. each year after monitoring has been initiated. The owner or operator shall use the form provided along with the permit, unless another has received prior approval. 3 ·e e R E C E ! P i PAGE 1 ------------------------------------------~~----------------~---------------- 09/04/91 Invoice Nbr. 1 58679 4:29 pm KERN COUNTY PLANNING & DEVELOPMENT 2700 'M' Street Bakersfield. CA 93301 Type of Order W (805) B61-2615 ') !_______________~____________________________________________~____~___________l i i C,A.SH REGISTER GLENN HOOVER CHEVRON SERV I ' !_----------------------------------------------------------------~-----------¡ ¡Cu$tomer P.O.~ ¡ Wtn 8y ¡Order Date I Ship Oate! Via ¡ Terms i ::: Î OOG3C-92 i YKN ¡ 09/04/91 ¡ 09,/04/91 ¡ NT _I i_______________I________l___________I.___________I________________1____~____~_! Line Description Quantity Price Unit Disc Total 339B UNDERGROUND TANKS ANNUAL FEE 4 50.00 E 200.00 LiSTOQ1 ONiÐI" Tota 1 200.00 Amount Due 200.00 Pðyment Made By Check 2 OO/~O 0 ìH.A.NK YOU ,A,ND HAVE .r... N teE DAY! RFj JRCE MANAGEMENT. 1NCY &Mronrnerull HAIth Stl'llk:a Dtpanmmt STEVE MeCAU.EY, REHS. DIRECTOR RANDALL L. ABBOTT DIRECTOR DA VID PRICE OJ ASSISTANT DIRECTOR Ai, PoIhoItiorl Connol Diltrict WJWAM J. RODDY, APCO Planning" Dewtoomcnt Serwn ~nl TED JAMES, AlC" DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT UNDERGROUND STORAGE TANK PERMIT UPDATE QUESTIONNAIRE THIS QUESTIONNAIRE MUST BE COMPLETED AND RETURNED WITH YOUR INVOICE PAYMENT. PERMIT I FACILITY ADDRESS CITY/STATE ~ f ðc;C '3 c: - 7' L· /--1 (] 0 1/ Æ æ. c 1/ ß ¿V /z'c-'f7' I /'Y G- I (Í U /7 / C /7 /}-// Æ ß Å- A £ ¡Z-) ¡: I £" ¿, // C /J- '5 NUMBER OF TANKS j/ 7 9 }' 3ç; '/ --LJ /J.J ;7 . - - - - . - - - - . - - - - - - - - - - - - - - - . - - . - - . - . - - - - - - TANK OWNER ADDRESS CITY/STATE 7. H.~1~/'!' C IfJi-t/I<V~ C/ S)f. /p- c.pHONE I l/'¡ r ,... ?~2- 9 j'-'Ç¿:'/ ¿).. J I ¿;7 C A M / frv "' tf<. ß)- /Y\ v 1-/ S'IJ-IY 1<J}-/YttP/'r I CIA ZIP 9Jo/r'/ / - - . - - - - - - - . - - - - - - - - - - - - - - - - - - - . - - - . . - . . . . IF A TRANSFER OF OWNERSHIP HAS TAKEN PLACE WITHIN THE LAST YEAR, PLEASE COMPLETE THE FOLLOWING: DATE OF TRANSFER: MONTH DAY YEAR PREVIOUS OWNER: PREVIOUS FACILITY NAME (IF CHANGED): OPERATOR ADDRESS CITY/STATE PHONE I ~o )' - J)..:J ..t ý~ J- C-J..£r//'T Çl-ot7y/5~ / r/ (, ~'Ÿ / (:.H A-t/ j£. IJ A-Ií ß vtZ-r r/ é Þ7 C j;)- ZIP 9' 7..7¿? '7 --- - - - - - - - - . - - - - - . - - - - - - - - - . - - - - - - - . - - - - - - . - THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY AND TO THE BEST OF MY KNOWLEDGE IS TRUf ~ ,ORRECT. SIGNATURE ~L ~ ~ TITLE r?~ DATE t:'¡,. J.-<7/ [F YOU HAVE ANY QUESTIONS PLEASE CALL JANE WARREN AT (805) 861-3636 EXT. 554. ch HM4 2700 "M" STREET, SUITE 300 BAKERSFIELD, CAUFORNIA 93301 (80S) 861.3636 FAX, (WI.'" ~1.')AI)n .A,'Ý\ --z., , (0\ uW-.-e. ( '}-, (g\ \ \ -- ( l \ \ ~ tJ .. CoI ! ~--- ~j) ~\ \ / \ ~ ~, O\Q\'Q. I , I I '-I I ~\f\:e, \.ù~ \ ' 1- ? ~ -?.. \ ~\) ~,,--\ ð. Do... D. \ \ ~.\) ~o ~Q i ¡ I I : , I N-O ! , . '~.'f) , ~O; ~ ~.~ ~CÇ) lo.~ \. ~ D.9>í] cp.3~ NO NO I i , , I I , I ' ;D,:D~ ~þ , ~¡þí)c; ~~ \,0 ~,Ce ~Ð ~ r} to. \ Ó~~~ ÖA~1 D " ì.h ~'0 NO I I ''0 J D'£- I~O ~() 1-,t:? ~/l 2.0> ~() L 6.DC\ ~\(J ; "'"""( ~t\' ,--I ; 4Ö?W i ~O I ,k'J! r¡ T\?Jð , ¡..; ~ Ou I ~ j ; ~i it(:) , ¡ ~D. iAi ! ' fW ~ I ! I ¡ : ~NO ~'D I I ,e i I ,t 4: ~ I ~t \ O,OL iJa 3.VJ % ""',þ' ~ ~ ,JOØO '. \ \ ¡"J. ; Ke'RN CQ.~1:Q¡:·Y RESOURC-E M~--'AGEMENT .~~GENC . :. ENVIRON~AL HEALTH SERVICES DEPAR NT , .",<¡ 2700 "~" ST~EET, SUITE 300, BAKERSFIELD, CA.93301 : (805)861-3636 , UNDERGROUND HAZARDOUS SUBSTANCE STORAGE FACILITY * INSPECTION REPORT * ~" .' .------- ~. PERM I T~~/) T I ME IN ..1.!..':I...£.. T 1rUT .Ú2:~.~R:·... NUM8 ER OF TAN KS : ,................4.............. ~~:~ I ~F' I NSPECT I ON: YES""'R'i)Ü';:'Ì N ~.~........!Z::::::::::::..'RË: INSPECT i ~~p~.~..~.~..~~.. g~~~~Ä-Ï~(~~===:~::::::::::: '. .,.~ ...., ...~, """ . ,. ... .-. -~_.....-......~, ..~. .~.~-~..,~,~ ..~........., -~............... F ,A. C I LIT Y N AM E ; .t:!9..º.Y..~.B.....Ç.t:!J;.Y..B.9.t':!.....§TAIJ..ºN.....~.2.=.1.f??..~...............................................,........................................................................_.... FA C I L ! T Y ADD RES S : J..º.....~.t':!J..º.~.....~~,y.~.t':!.~.~..............................................................................................,.................._............_....................................... BAKERSFIELD, CA OWN E R S N AM E : .ç.ti~,Y..B.Q.t':!.....ÿ...:..§..:..A..:...:......IN.Ç..:...,..,.....,...............................................................................,............,....................._..................................,.... OPE RAT 0 R S N AM E : .§.!::.g.~l;!....J...:.....l':!.º.º.Y..g.B...... ........................................................................................................................................................_................. COMMENTS: _ ,~........ ,~." ,~~.,,~..~...~..... ,..' .... .". ~..~ ,....."~....,, ,...~........ ................ ......~, ...~~,......n ..~.._ ,.....' ....'.....,.~, .~......,. "....... ..~ ..~...~ ,~~~....~~.n.... ...... n....... ...~........ .....,...... ,~.....~...............................~_.......... _~............ ..................... ", .......... .. . ., ...,~... .~~.._,...,., , , '. .~.~.,~................ .... ..._..... ..~~~........ ...... ....... ...... .......~.~.~.~..~. ..~'" ..~..... ,. . .... ..,.. ...... ..~.~,~,.., ..~... .,,~... .~~,~...... .~.~.,... .... 'h~.., ........ ............~~...~.... ,...........,~.............,~........_ ..~,...._....................................................~n.. .... .~........'~_.h......... . . , ...... _~_ ....~..... . ...., ,...., .. .~...... ....... .... ..~~..........h.. .".~,. .~..........., ,~. ..., ,~..~..., ~..~.........,.. _ .....~. ....._, ,..~ ,...~ .~...~, _..~.~.....~. ..~..... __ _~... h _ ...~.~..,,~ ..... ............ .....~.... .......~...n....~~~................... u..._....._.._........_.._.n.....~.. ....~ .~. ......._.....~...............-.. ,.. ITEM VIOLATIONS/OBSERVATIONS ¡ !<<2'f~ ~~~ I~'~~~ ! I.-i"'--~~ ~~~ .~~ .'~ 1. PRIMARY CONTAINMENT MONITORING: ,3, 'Intercepting an directing system ~ Standard Inventory Control c. Modified Inventory Control ~ In-tank Level Sensing Device e. Groundwater Monitoring ~ Vadose Zone Monitoring ! I ! ¡/~ {\jtJ Y~:5 f)w I I I 1 I , i ~~~ck ~~ Leo.-k ).e-~~r !~!~ . V~~ ¡¿~,j~~ IID(~· v--. f~~ I Y'é'S ! I I }.~ ~) SECONDARY CONTAINMENT MONITORING: a . Liner b. Cauble-Walled tank c. 'I au 1 t (~ PIPING MONITORING: '- Q Pressurizeo b, Suction c. Gravi ty :"'f) OVERFILL PROTECTION: '.,../ 'N TIGHTNESS TESING L/ \<Ý NEW CONSTRUCTION/MODIFICATIONS \iÇ,) CLOSURE/ABANDONMENT --./ <~) UNAUTHORIZED RELEASE 9, MAINTENANCE, GENERAL SAFETY, AND OPERATING CONDITION OF FACILITY ~-¡) r¡.JD ¡ Yé'~ !f\JD i I I :OMMENTS/RECOMMENOATIONS ", .~,. .. h~ ..~" _"'h" _... ,.. n" _..... .~.. __ ......... _." _.......... .~, . __. _, '~'~~"h' _~ ..~. .,. .,~... ~.~......~~.. .. "'h~." ..~~.~, .......... n.. ~"~~'h"~'~~"""'" ....~~~.~h......~.. .~..~..._ ...~................,. .hh.... . . ~..... ._~_~__.... .., . . ".... .......... . .... ..~.....~..... .~_ ..~.... ..~.... ..... .._. .~........ .., ~~.~~~.~.. .... h .~.. _~,~. _ .~....,.,. .~, . ,_..., .~.. _, ,~... ..~, ....."..,. .,~. ... .... .~.,. ,-..._ .'~' ..... .~~... ,"" .~.~. '~'~~"'~'"'''''' ..,~. .~'..~....~....~~.....................~n~~...~h....~~......... ....~..._.............~....... "~n......... .... . . , .~~... ~..~..~. h.. ....,'. _...... ,.~..~,..... .~~. ... . ..~..~ ..~..~....~.........,..... ..........,......" _". ."..._.. . ''''h~'~'' .... .~~,~.. .. ,,~_""" ..... ."" _ ........ "..' h _~,.....' "'"'''''''''' "~'n"h''''~' .n...~........ ...~h.....~.... ....~..... ............. ........~..........~.........~~n~........_...........--_..............................., ,..~.. . .,..... ._~~'.""'" ,.....~. ..~ " _ _ ..........' ..... ......~.~.............. .~..... .~....." ~.... 'h'~'"'''''''' ...,.....' ....... ..~........ ...~n."" ~..., .~. . ,...n ... ".~.. ..,..,. ,.. _ ..~~. .~_ ....~...... .......~_~..~ ..........~ ....~.......... ...h. .......~..~ ....._ h.........~h..._....~..h._.........~....._~_..~........~...................... ..........,.....................................................................................····-..·....······-······..·\..7....····..'··...··........................................................................~........-.............,........................................................... :;:EINSPECTICJN .sCHEDULED? yes /'-- no APPROXIMATE REINSPEf' ~~ATE: (\.............. ,........... .. ............... ..... ........... INSPECTOR :...>.~q_..~..~.j:.1.~........................................................ RE!=>ORT RECEIVED BY r ...lfL.. ... ....~~ ....... Q" -.,. 0-- ~ . _ KER~UNTY AIR POLLUTION CONTRe.JlsrRICT 2700 "M" Street, Suite 275 Bakersfield, CA. 93301 (805) 861-3682 ;........ ,.-"1- -- l' PHASE I VAPOR RECOVERY INSPECTlON FORM Station Name L h f! II.....~ \.A...S A I Location I 0 ~J ~ A ~ Company Mailing Address City .---~. --- -~ ~ '. ......~ ......:. <'':<, .,;-:. , . i ¡ P/O# ~CJ3lD77(B) - o71(J3) ß KPf) Date t;"" /2/4 ¡ Phone C . c,~r<7lA- r "3 22.- 2~Lf? Inspector Notice Rec'd By TANK # 1 TANK #2 R U( S'~ m;r1J.k 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. GASKET MISSING FROM VAPOR CAP 10. FILL ADAPTOR NOT TIGHT 11. VAPOR ADAPTOR NOT TIGHT 12. GASKET BETWEEN ADAPTOR & FILL TUBE MISSING / 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 ( ') 8 II I Þ / d (J.f I; I ;; 1) If :/' -.:; II 17. TUBE LENGTH MEASUREMENT 18, DIFFERENCE (SHOULD BE 6" OR LESS) 19. OTHER 20, COMMENTS: TANK #3 TANK #4 Sup qv~ ! £0 It 15{;" '-(II * WARNING: SYSTEMS MARKED WITH A CHECK ABOVE ARE IN VIOLATION OF KERN COUNTY AIR POLLUTION CONTROL DISTRICT RULE(S) 209,412 AND/OR 412.1. THE CALIFORNIA. HEALTH & SAFETY CODIE SPECIFIES PENALTIES OF UP TO $1,000.00 PER DAY FOR EACH VIOLATION. TELEPHONE (805) 861-3682 CONCERNING FINAL RESOLU- **** TION OF THE VIOLATlON(S) ************************************************** . ___ _"I _ :I. f'.~, ( t',; , 7~:" i ,=~,·~~.;r~ . KERtiJUNTY AIR POLLUTlO~ CONTRaCJtSTRICT>·. ~;. 2700 "M" Street, SUite 275 ~. ,. . '~,J~~,::,: . ¡. ). ì. . J " ,,' " .", '"' r'- i" - - - ----.... Bakersfield, CA. 93301 '" ~05) 861-3682 . PHASE II VAPOR'REC9VERY INSPECTION FORM .-r.-"( .,'("", ';' ',~ _.-,- I D U~c:r... A ~ P/a. # t¡ô 3/0 7 7Œ'J-;7c¡{ß) . ßKFÐ ',.~ Station Location Company Address Contact \-\ ~ ~ é!A.,¡- & Inspector r I C'fJ ~ 1"': NOZZLE # GAS GRADE NOZZLE TYPE Date City "'3"2.. -z... - Z't "t S- System Type: 5/2/'11 Lf HA Phone I $c a. 1, CERr. NOZZLE 2, CHECK VALVE N 0 3, FACE SEAL 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 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 '. H"; =Hasstech S= short MA= misaligned, K= kinked, FR= frayed. \ ** INSPECTIÖN RESULTS ** Key to inspection results: Blank= OK, 7= Repair within seven days, T= Tagged (nozzle tagged out-of-order until repaired) U= Taggable violation but left in use. COMMENTS: 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/OR 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 '), :\ An,......n CII C ì' ,.. e e PERMIT NUMBER ').1 00 ~.? TYPE OF INSTALLATION ( ) 1. In~Tank Level Sensor 9<f 2. Leak Detector ( ) 3. F ill Box FACILITY NAME '1- /S'5Ý FACILITY ADDRESS 10 ~ ~. CONTACT PERSON ~ t6vu~ - 7J,4l¿~lð HEZ-J:J 1. IN TANK LEVEL SENSORS Number of Tanks List By Tank ID Name of System Manufacturer & Model Number Contractor/Installer ..~...... . 2. LEAK DETECTORS Number of Tanks --i-- List By Tank ID Name of System Manufacturer & Model Contractor/Ins~aller ~... n' 'Íe;;"ft;; Në~~ 7t!ß/} 3. FILL BOXES Number of Tanks List By Tank ID Name of System Manufacturer & Model Number Contractor/Installer OWNER/OPERATOR DATE :::::: :F-TA?:\~;Or:4ìT:' if- F AC I L I TY NAME: ....._._.'1.::.. Lª.?....~.. ~.i:Z~ 41 ENV. SENSITIVITy......... .__..__....._u. ...n EMERGENCY N¡~~~ ACT PE~J~~M~h'l_veß_...__..._._..._..._.___._..___.____.___._ PHONE NUM8ER: -.-----.......-.....-.-.---...--.-..-..---.......-...----.............------...-. EMERGENCY CONTACT PERSON(SECONDARY): NAME: ...---.--....-......-..........-..-................-...................................-.....................-........---......-......-........-.............-.... PHONE NUM8ER: ..-....--.......-------.......-..........--...............-................-...............--......-.....----.--...-..-..-....- TANK OWNER INFORMATION: NAME: ..-----....-..------..-..---....................-..-....-..-.. ---...............------ ADDRESS: .-----.......--.--..........................-...--..-.-.........--..--.-. .-..---- PHONE NO.: TANK CONTENTS: TANK # MANUFACTURER .------..-..-.-.--..--........--..----...................-----...................-----------... YEAR INSTALLED CAPACITY CONTENTS 1\ ,Lé71fJ P , L I~. I &Ls~ t).,¿[ e. ~ tell (( -:\ Ò() ~ TANK CONSTRUCTION: TANK # TYPE(dw, sw, sec. cent. ) MATERIAL INT. LINING CORROSION PROTo LEAK DETECTION: TANKS: .. VISUAL ._GROUNDWATER MONITORING WELL.S VADOSE ZONE MONITORING WELLS U-TU8ES WITH LINERS :._-= U-TUBES WITHOUT LINERS .___~ VAPOR DETECTOR _ LIQUID SENSORS CONDUCTIVITY SENSORS _ PRESSURE SENSORS IN ANNULAR SPACE LIQUID RETRIEVAL SYSTEMS IN U-TU8ES, MONITORING WELLS, OR ANNULAR NONE UNKNOWN OTHER PIPING INFORMATION: TANK # SYSTEM TYPE (SUC,PRES. .GRAV.) CONSTRUCTION (SW,DW,LINED TR) MATERIAL I I LEAK DEïECTION: PIPING: ........2~~.. FLOW RESTRICTING LEAK Q.ETE:TORS fOR"PRESSURIZED PIPING ......................_......... MONITORING SUMP WITH RACEWAY Ke..cA. T~. SEALED CONCRETE RACEWAY HALFCUT COMPATIBLE PIPE RACEWAY .................... .,""'''1''- II'" V "'fìt,,"\' INSPECTION RECORD - ,- --.-- .".;:~;:S~~~;~}~V;~::5c . ENVTRONMERTAL HEALTH HAZARDOUS SUBSTANCES DItt' ,~ON SE' , , . , . POST CARD AT JOBSITE HOOVER . CHEVRON STATION FACILITY ADDRESS 10 union CITY PHONE NO. #210003B PERMIT # 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 wit h n u m b e r .,1 . DO NOT cove r w 0 r k for any n u m b ere d g r 0 up un t 11 all 1 t ems i n that group are signed off by the Permitting Authority. Following these instrutions will reduce the number of required inspection visits and therefore prevent assessment of additional fees. 307 OWNER ADDRESS CITY Chevron USA P. O. Box 5404 San Ramon CA 9 ~( - TANKS & INSPECTION Backfill of Tank s S ark Test Certification Cathodic Protection of Tank s U.L. Number from Tank Pressure Test on Ta - PIPING , m ~I ~ç~~~ ..-:."~~ ~. LICENSE # 432613 PH # (209) 276-18Ð1 CONTRACTOR CONTACT_ California Petroleum E~lipment or Jlm ,~