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HomeMy WebLinkAboutUNDERGROUND TANK Per it Operil.te PERMIT ID # 015-021-001386 QUICK SHOP LOCATION 349 , ,. 015-000-001386-0001 \:\ 015-000-001386-0002 to Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF·PERMIT ON REVERSE SIDE '- .. " This permit is issued for the following: It! ~rdous Materials Plan œ'Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment - .' '(¡\.:'<"J ., . .{'. !, . ..-4...1". l\ 17 . J..\ ..;' ,,<.,J' l<-<-~'¡· . :/ ¡..\,:..~. ~;1-/ t,\, ~ ?i'N ít'.,'~...." .Jf ....~ ~T 1Ì\tT . ". '!I."1' !j ~'~"~~ 1~ 1. ~ f' ···.1 f ¡ ·l·'~,l "Ú H ''.'~ '",", TANK HAZARDOUS~U~STA~~E .. '-',-~\ ,..,\ ::'} >::~307 ···,l . ¡ r ~<~ r ~ f . ···,:.~:l HòîspiN~ER PAN MONITORING J' " ;~. . "\;ot ù t·.;·, ' ,/'l t."':·1 . . ~'~TFLD . , 'ì"¥~ ; : : :'j-~ J ; l "1:, /..)~ - 015-000-001386-0003 Super Gasoline Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor Approved by: Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: -11-00 .... . June 30, 2003 "'-'i e CA Cart. No. 008'&5 l City of Bakersfield Office of Environmental Services 1715 Chester Ave., Suite 300 Bakersfield, California 93301 (661) 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 infonnation 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 information may be added as deemed necessary by the local agency. This permit is issued on this 11th day of December, 2000 to: QUICK SHOP Permit #015-021-001386 349 Union Ave. Bakersfield, California 93307 e e CA Cert. No. I 00845 City of Bakersfield Office of Environmental Services 1715 Chester Ave., Suite 300 Bakersfield, California 93301 (805) 326-3979 An upgrade compliance certificate has been issued in connection with the operating permit for the facility indicated below. The certificate number on this facsimile matches the number on the certificate displayed at the facility. Instructions to the issuing agency: Use the space below to enter the following information inthe format of your choice: name of owner; name of operator; name of facility; street address, city, and zip code of facility; facility identification number (from Form A); name of issuing agency; and date of issue. Other identifying information may be added as deemed necessary by the local agency. This permit is issued on this 2nd day of November, 1998 to: JOHNNY QUICK #141 Permit #015-021-001386 349 Union Ave Bakersfield, California 93307 J ~ II Per... it to Operil.te II II I' Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: ':'~~~ardous Materials Plan , ,'" round Storage of Hazardous Materials agement Program , Waste 349 PERMIT ID# 015-021.001386 JOHNNY QUICK #141 TAN HAZARDOUS SUBSTANCE PIPING PIPING "i TYPE METHOD ONITOR ';¡¡"'- 0001 lEADED GASOLINE 1 O,OOO'lPO'IÇ3Al DW F PRESSURE ClM 0002 UNLEADED GASOLINE 10,OOO.OQG,f.\l OW F PRESSURE ClM 0003 SUPER GASOLINE 10,000.00 ;p,ð;L, DW F PRESSURE ClM lOCATION Issued by: UNION 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: ~ . Permits # 2D~ð ~3 ß Facility Name .......t../A uu tlí~_ , , -' Inspector ~ ~ Date '22/[($ / ~ -"2 FINAL INSPECTION CHECKLIST I I I I I I I I I I I C4,~ of( I Q~wJWS I I I oK' {~. 2.-1 a~~Iil$ I I I I 0 K' {~ a."d'j Â'ØK ð1I2:;¡¡' m< Sv~up AIe.v..., O'K çG1U(1 tJiilYII-f Plot plan notes T" 3 ~Ll T"Z ~fI 1'",,1<", Fe> LI ~J 41 Li\ Plot Diagram 1. All new and existing tanks located on plot plan? 2. Does tank product correspond to product labels on plot plan? Weve 3. ~ there no modifications identified which were ~ depicted on the plot plans? If '''jè.!' described ...; e:s ØJ<fjultiV t);O;~4 +Yf'II1.C~ YVM OrA ovfs-;de. ~+- ~~iúVtJ f I --' '. Œ !J/bVIM rCJIÆP-l V'''+ sfAcr.,uv. OIA óv]j;1Ad1 pkr 4. Are monitoring wells secure and free of water and product in sump? 5. Is piping system pressure, suction or gravity? I I I I I I I I . I J~ pl I I I I I I I I too~ .d Yes No þ] - I_I ß LI ~I ~ Þš I_I py-ess ..~---- . 0. . e· ,..- ..#. . I . - '1\" , , . i I : I : I , I ¡I ;1 . ~ .-. .-" .- ""'-'-----~----........._-----~_... <6-'9-'88 IJ ~1k~-á;¡.Ji~-¿J.I.·,,!~Þ ~~--_.-~ I' 1~~U/M~-Ik bW~ ~~.--- ....'..'..'..----.'-' ,W p~ //tt k4 ~~~..~*¿µ~L .. d. . -.-J1&Ø/~..~.Ø¡-M~arð~/ð&-ðt~~~- . .. .,._"i~ -1Yd~fkf~ 7f¿3~~r _~4Æ~4=_. - U____" '..øl ~~---6s·-Lfj~~.;~u£~fr-~ -"'I1.~ Ut i ~ ~ .. -. ._¡ff___~~__ _.J>-_ . '_;__~h"d .===r--=--==~~------="";' . .------ I J; .~ ---~- ........-. --- -. - . . -- --.. -_._--~... I ~ .-- -._.-.. .. '.- - - .... --- -.. ...- -~_.....'- ,---...-.~ - - . ....--~-...----- . --,,_..- i I i i Ii ,I Ii I' i: Ii I' -------.. .--- e ~ ¡ r i ¡ .._-~._-- ----.- 7- 2/- grg ~r~~~ -~et3ð~M. > ......- ~._-..,-- ., II~~ " . .. -.._--.. - ¡¡ ...-....-..-.-.-., . .--.. ----..--. .,........ ...----.....--.,.... 7-Z2-~8 !i,[ ~~--- ---- .. H -H-~=~-= ----~---·~~I------=-~- ------~~-~~~----.---. I -, ._---. -- -~~....~ -...---....__.-~ ----...--- .. __.. _ .'~"'_ __ '_'_"W__"'_ Ii ï ·---------t¡ !i - - ---,.- -4_ >-- fi ....., -"~ -- -.---.- -... "'.~:;:,-_.. ---- -.. ~---...- --.-------..-: _.---_._---~--~- -..--"'--..-...-------- ........__.._....._--~--_.- .. ¡I :1 !i! .._-...~,_. -< -.. - .- _.-..~ ...-......-_. . .'''. __ ~. _.. u·..· . ._ .'~ ___ _ _____.. ._..-..__ .. I I. Ii "II Ii ! I, ,II I, ·11 Ii I' I I 'I i .11 ,1' .¡ ¡i' Ii II II \1 ;1 :t .-------- e . .' ... , " " I' 1. II .' I: . '". __ _. . .._.._ __.._......... _,.....___~_....-:-._ '3 -N-~ Ii ~h;!.td'4/,4t~,V~ 'Z' --z;r,.e e,..~r:----.. I.i ~/lj ~ ~r ¡%.. /ft:-¡/~/ 4.4~ /' ,6-ß...ú~.--. . ·Ii t4 ß~~~ UM4éiç:: /k,l~~-~ II ~o/-/:- øtd ~,fIUe~. ~ ¿[ ~~..: J ø.~¡.uß/-~~ ~~r:ÆQ-d-~~ I . .....-- 11···~·~/4hØ/£{iUu_~~./h~~-~.~ ;. æ~~.#4 ~7c~/~-¡- . -. -.--:..~--- , I, - '/ . , _._ ,.._......_____11' ._.__....... __ _____.. ___.______.____ ____ . _~. ":;.' '.'.~~_,:.~_. . ..".._1 ........... ,.." ...,______, '. __"_.,.0.' ___'".. ______________:____.___... , .) II :1 :1 :/ il .iI .il Ii il 'i .~-.- .-..-.- ...--- ...._~..- u~ "~ q _ c _~ ".. _ _ .~_ ~- ._. ~ --- - _.-'~. ....~.' - - - ,---.~-_..~--~- )1 :1 II 'II I! .!: !/ ¡ji 1/: Ii II Ii I' II Iii. II! II - e FACILITY NAME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES lJNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave.. 3rd Floor. Bakersfield. CA 93301 INSPECTION DATE c¡ /ZZ/ 0+- Section 2: Underground Storage Tank~ Program o Routine J!1 Combined 0 Joint Agency Type of Tank 'fA,u F c.-S Type of Monitoring Ql.... W' o Multi-Agency 0 Complaint Number of Tanks 3 Type of Piping DvV Ft E-.,( ORe-inspection OPERA TION C V COMMENTS Proper tank data on tile X Proper owner/operator data on tile X Pennit fees current ¡ Certification of Financial Responsibility X Monitoring record adequate and current >( Maintenance records adequate and current X fhlM\> +t +- ~,~~ ae?",",'(~ Failure to correct prior UST violations X Has there been an unauthorized release? Yes No )( Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERA TION Y N COMMENTS SPCC available SPCC on tile with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: Office of 326-3979 ~ u -- Business Site Responsible Party White, Fnv. Sves. Pink - Business Cory SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME. IINS~CTlï DATE INSPECTION TIME ;::,;:co~~~{)~~ --~-=---~.--=~---~=-===~;¡_~~~- UNIFIED PROGRAM INJecTIoN CHECKLIST Section 1: Business Plan and Inventory Program I:] Routine ~ Combined CJ Joint Agency CJ Multi-Agency CJ Complaint I:] Re-inspection c V ( C=Compliance ) V=Violation OPERATION COMMENTS ~m~~_.AP~~O~~~~E~~~~~~~~~______ ________'_..______'____ _~_~___ BUSINESS PLAN ~~~~~~__I_~~?~~~~~_~~~~~_~:_=__ "S( I:] VISIBLE ADDRESS ---- --.-.------.--.. .-----..,--------..- -...--.....,-.- --- )J.,. I:] CORRECT OCCUPANCY --.- ..-.--.------------.-----.--.--.,--.----,---.- ~._~__ VERI~~~~ON OF ~VENT~~~_~ATE_~~~:___ ________ _,__ .. ..0...·- __.__.____ . .--.-----"-----..--.----- -. ...----_.. ~--_. .._'. ....---- ---.. -...------- -,- . _ _u._..,__.__.___. .._~._.... ._._____.~.. ..---..... . -... ... ._._.n_.__~.._.._.,_.__.~ m ,_______.____ _ .__.. .____..._.__._ .._ ... ..---.-.. - -- _.,___.__....________.. _...___...._ _ __...________.__.._.. _'__.4__·'__ .__._.__.~_..___ __.___.___ ..._.__ .. ......_ 4. __..'" ._ .. _.______._ _ .__ __. ____> __. _ ________ __ __ _. ..__ ___ .'._4 ._ _. u__~_....._. .__.__ _>. ._ _. __.___ __ ._.. )( I:] VERIFICATION OF QUANTITIES __·__~__.._·_.__·__u·_______._____..________.____ ...._.._________....___ ';J... CJ VERIFICATION OF LOCATION -----------------_._--~-~--_._--------------.--~--------_._-~---_..-._--- ----.----.--.-.--".----. --.-. - -..-.-....-----.---..---.....- -- - ~ CJ PROPER SEGREGATION OF MATERIAL ~-'-I:] ~ER;FICA~;ON ~;--MSDS A~~;:~~I~~·---'------'---m----- .__..'___nm._.·......__m__ ... ,..------.--..-....---.....--- ---- )(--- C] --V~RIFI~~TION OF -ti~~~-~~~~~~-·--·...-·---m.---_-n -- .-..----------.-.-- -- .....__m______'_'" ____·u. .----- ----.-_.______._.__.___.___.,._._._____. _____.. .. __ _.,_. _.______n__. __ ____..__..,_..... . _ __________.,. . .._.._ r8 I:] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES _ ___·_·________n_ _______.._.____ '__._.__._.___m_.._ ._..___ _.__.,...___.__ .__..____.....___._ . ..__. _... ._. .._n __,,___.__ _.. ._____._..____.__ _.. )1 I:] EMERGENCY PROCEDURES ADEQUATE ------------..___._.__._.__.. .._.___.___....._.._.._____..______..._. ___._.....__.__~-....-.,..-.-..-- _._ ..._ .._u_._..... __ ._._____ _ ..._ _ ~ I:] CONTAINERS PROPERLY LABELED I n_._._ _ _________ _.___ _ __ .___ __ __ __ ___ _ __ _. ____ _. _~. ____ _ _____ ___ _. ..._____ . _ _ . _ _ _ _ ._, .___ ø..... I:] HOUSEKEEPING ~ i! _D=-FI~~!-"-~~~~ON ~-- = ~~=- -=-= =--t-=~~---~=- --=:== -=-.. .---= .--=--. . ~ I:] SITE DIAGRAM ADEQUATE & ON HAND I I -.---.-.----.-----< --. --.---.-. .__._.__.___nn._...._____..__.__...__ _h' ._. .....>.._._ .__ .... -.--.. -......--.-- .u__._._._ _. . ANY HAZARDOUS WASTE ON SITE?: I:] YES CJ No EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 &~ ..~N, ~ White . Environmental Services Yellow, Station Copy Pink . Business Copy . Complete itemS 1, d 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the rever so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. I 1. Article Addressed to: I I I I I I I '-._ I I I 2. Article Number I (Transfer from service label) r-pS Form 3811, August 2001 . Quick Shop Market 349 Union Avenue Bakersfield, CA 93307 3. Service Type ~ Certified Mail a Registered a Insured Mail a Express Mail a Return Receipt for Merchandise aC.a.D. 7003 2260 0004 7652 3256 \ 4. Restricted Delivery? (Extra Fee) a Yes ----- ------ ~mestic Return Receipt 102595.02,M'1540' I UN/TED STATES PD. SERvICE IIIU I "rst-C/ass Mail stage & Fees Paid SPS Permit No. G-1Q · Sender: Please Print YOUr narne, address, and Z/P<4 in this box. Bakersffeld Fire Departrnen¡ . Prevention SerVices 1715 Chester Avenue, SUite 300 BakerSfield, CA 93301 (l~V ll.. '\ 7 l t . d -- ---- M~MRrR ~PEI~ qEUM [QlJlfMf:Jrcllr.~' ',:; .; ,';!' : ';~:i." . WES.i'STAR t-" ..... .....". __...;';~,,'i',;' . ~... ._" ", . '.. - .. ENVliIlON:M,ENTAL··INC. SALES - ~Ør:¡S,.RUCTION - SERVICE ,"h.:.:q~ ..". '. -. ,,' \ ·4688 W. JENN~~R/!ttE 101, FRESNO, CA. 93722 (559) 27~~9378!~~:<S59J ~77-0106 ;m;:::UC..#A-HAX~~t~ . " ,'..;:>. ''';~', ,J" FAX COVER LETTER MEMurR ~PEI§ '?(IIto! fQU""f~f r~~'" DATE: /'7 - "2 - 0:5- TO: A r ~tA. _µYt"c-.lðr COMPANY: ðð I) FAX NO: /ó'/.-.s '?£ -" C1S"76 FROM: /M£ëIfEd¿. NUMBER OF PAGES (INCLUDES COVER SHEET): S- REFERENCE: þsf- ,.-e&.Ji~$,. {;r I¡)ÙI'Ctc- S.HOP al- 3'-/&( UN £() 'V 4<JG. , I,., j!:.~Ic4?<Sa.{/elcJ.. ê# . , TIME SENT: SENDER: 90 t 0-l.l.2 (SSS) ~~~S~S3M~~~LS"~ dS€=€O €O GO oaa I e e lVIONITO:R.IN'G SYSTE1Vl CERTIFICATION . Fer Use By .1[[ JurisdiC!iolU Within the State oj Califó17lia AtltlJOri1y Cite.d: Chaptu 6.ï. Health and Sajëry CDde; Chapter 16, Dfvi.siDn 3. Title 23, C:rlifornia Code of Regrda1:io1lS This· fann ~ 1;e uscå to dCC:-.J!DC1t testing and se::vid.ng of .:nonltoring equipment. A seTJarnte c=rnñcat1on or report II:ILISt be ü~are¿ fer c:lch mcnjrc;rinl! s·.¡stem c::>nq:01 mind by the te::b1ician who peri"arms the work. A CDpy af chis form nmst òe provided to r.h.c:!ank system owner/operator. The ownedopc=ator must submit a copy of this form to the loc;ú a~cy reg')!:¡ting UST syste::ns within 30 . àays of (cst date. A. General Information Faci1ity Næ:m:: ~ ,,-de. S Ifcþ tvtJ:./U I M /4-te- r Sitc Address: J,c 'i OJ'lZa"l AVE Fa.cility Contact Pe:tsQ:tC. rs 1 ", \~ MakeIModel ofMonitcring S~ /Iv 1-0 :? t,' Ie.... ::s: or . B. Inventory of Equipment Tested/Certified Ch."!c tho! :II fO riare boxes to indic::¡te :medfie . ntCllt iø ededJsuvieed: 0.0:,: f' 'ì. ,:., Bldg. No.: city: 13.:¡ Ic.~t·>ç,~<. reÁ u'¡' _ Zip: , Contact P.hODC No.: ( ) Date afTesting/Servicing: LL-i /7 I~ T 1D: $j-") T km: ')/ . -in.- Tank Ganging Probe. Model: g.L~ In- TmIc: Gaug:..ng P:obe. Model: ; )?!\m:mÙlr.Spac: or VauJt Sensor, Model; I , Annular Spa!:c or Vau.lt Se::sor. Mo&!: . . jping SW7Ip I Trenclt S~or(s). Mod¿: I ' Piping Sump! Trenc:h Scn.sot(s). Modd: q Fi11 Sump Sensor(s). Model: 0 Fill Sump Scnsor(s). Mode!: o Mec.1aniC::Ù Line Leak Detector. Mode!; 0 Mc:c.ianjc;ù Line Leak DetectOr, Model: a E!eCll'onic Line:: Le:1lc Detr;ctor. Moàe!: a EleQ"onic Line L=k DICtc1;:or. Model: ank Overti111 liigh-Levcl S.;:nsoT. Model; rlll(¥p f"L a T¡¡nk Ovc:rli1ll High~Level Sensor. Mode!: F I~' ø/l o Otht.!":mccr c¡uimn:nt e anri mcdd in Section E on i'a e 2). 0 Other spev' e ui em and tr'.ode1 ÍD Section E ÒI1 P e 2). TaDk 1»: T:l.Dk ID: o In- TIIIlk: Gauging Probe. Modd: 0 In- Tank G3uging Probe. Model: o Annular Space or Vault Sensor, Model: 0 Annular Space or Vault Sc:nsor. Model: a Piping Sump ! Trench Se."Isor(s).· Modei: 0 Piping Sump I Trench Sc:nsar(s). Model: 0, pm Sump Sensor(.s). Mode!: ' 0 Fill Sump Scnsor(s). Model: o Mechanic:al Line Le:lk Detector. McåeJ: 0 Mecbanic;:::ù LÎDe Lctk Detector. Mcdel: . a Electronic Line Lcùc. Detector. Mode!: 0 E1ec:ronic Line L= Deœr:tor. Mode]; a Tank Ovedi111 High-Level Sensor. Model: à Tank Overtül ! Higb-LeveI Sensor. Modl;!: ! 0 Other eO e uiomcnt e and mode! in SectiCJ:!1 E on ?~e2). ! 0 Other (s ecify eo\lÌ t ~ã madel in Section E on Fa I; 2 . . J?~:¡er IiI: ~ -L ~~eDse:' ID: --h...I L-¡ ¿::J DispC!1ser Con' . t Sensox(s). Mode!: " ~~cnser Coniíùñment Sensor(s). Model: 'h=r Valve(s). ! ,.er-Sh=r Valve(s). o Dis~ COlltainment F!oai s) an~ Chain s). a Di c:nser CODbinment F!oat(s and Chain s). Dispe1$u ID; Dispezaser ID: o Dispc.'1Ser Contninmcm SenscJ(s). Model; 0 Dispen$eT Containment Sc::JSI:lr(s). Mode!: Q She:u- Valve(s). CJ Sh=r Valve(.s). o Di Se:" CantnimDe::1t F!oa:t('s and Chai.'1(s). CJ Disucnset COJ1C1ÎDmC!nt F s ami Chain(s). Dispenser D); Dispenser ID: o Dispenser Conta:inrne.'1t SC1Sor(S). Model: 0 Dispc:nser CJntaú1mertt Sensor($). Madej: , a ShearValve(s). . ~ Sh:::J.T Valve(s). ODisceoscr Co~t F10a s) and Cbaitús). a Dispenser Containment F1oat(s)- and Ccain s). "If the faclity cnnwDS mgtl: tanks or dÎ5pC]sc.-s., C:Jpy this form. Ine-Jude information for .every tank and ~ ¡It ~c 'iàQ)jty. C. Certification - I I:m:Ify that tile equipment Identified ÌJ1 this dol:Ument was inspes:tedlserviced ÍJJ accDrd:mce With the umauf:u:turers' guide.lines. Att:u:hed to this Ce.."1fficatlon is in(onnation (e.g. manubc,!!u'e:'s' c!les:!dlsrs) ]J.~ to verify that ·tIIls iDfor:m::Wøn is cnl:TCct and :I..P1at :Plan showing the Iayrnn: of monitnriDg equipment. For ~y ~quipmeut cp:ah1e of ges.ernti:4g suèJ. 1'Cports, I have :ùsD :I.'t~ched :I. eøpy ofthe report; (chl!t:ic ail tIuzt·"pply): a Sysœm set-Up Q A!:9:;m .bistoryJepø¢ __.~. Teclmidan Name (print): 1'1 t\C~c.\ oR.. r SignatUre: r ~ ~ .r:;;:::.r . , $¡jv ",. ¡ . Cert:ìfiatic,m. No.: Testing Company Name W e7sl- ~ r . Sire Address: 3~1 t.:IiIlJON A..:>ri!..,.·. ,... Lic~.se. N<3.: &~'5{.,r4,;' . (/1. / Pbane Nc.{ 5{:>" Ÿ ) ~ 7., . <¡~ 7 J' Date ofTestinglServ:icing,: -!...!J ....!..!./ --E. 3 iV!onitoring System Certification P:ge 1 of3 !ElM 2'd 90TO-U.2 (SSS) ~~~S~S3M~~~~S~~~ dS£:£O £0 20 oaa -~( . .~b. e e ~u1ts of Testing/Se.rlicing SQfuvnre Version Installed: Com ìete ~'foJ1o,vi:a~ cheddîst: .0 No" Is the auchèle !Ùarm CJ No'" Is the VisnaJ. alann 0 c:rational? No" Were ail Se::J.SatS visuaU. mmected, :func:troœ!lv rested, and contÏx;r:t1ed er.1tionai? o No '" Were un sensors installed at lowest point of s~onriaxy :;annümne::rt and positioned so that alber equipment will not ínte::fere w.itñ thc:'.r 1JroPcr òpe:ation? If alarms are relayed to a renete mo:aitor...ng station, is all communications equipmcm (e.g.. modc::n) , operutio:aa1? For pressurized. piping systems, does the turlrine auiomatic:1ny shut down iÏ the piping secooriary conminment IDODÌtoring system detec+.s a leak, :firi1s to oP~5 or is electrically disconnecæå? If yes: which Sc::1Sors initia.te positive shut-down? (Checlc all thaJ apply) .IZ'SumplTIench Se:::J.SOt3; J;3'Í)ispenser Co;am-i..""et1t Sensors. Diå u confirm ositive sbut-down åue to lcûs anå sensor failure/disconnection? ~; Q Nc. . I D 1'10* For ta:nk: sysrems that utilize the rnoIlÌtOring systé:n as the primary tmk ove:fill waming œvt~ (i...:. no a NJA m.."Cbawc" 1 overñ1I oreve.nrion valve is iD.staUcd), is the overffil war.1ing alam1 visible and azu:iib1e at the tank , fill poi:nt(s) anå ot)e~tin edv? Ifso, atw'hat Dc:cení :)ftank cntmci åees the alarm tri er1 70 %' o Yes" ,fYNo j Was any:momtDP..1Jg eqtcip1:nent repla.c¿? If yes, identify specific sen.s0I'3, proOes, or other equipment replaced I aIId list the roanu1àc1urcr name anà moåel for all replacement in Section E, below. . Was liquid found :inside any secondary contaimnent systems des)gnc:d AS cb:y systems? (Check all that applyj 0 PrÐåuc:; 0 Water. If , describe CAUSC:! in Section below. No" Was monitorin'" svstem. set-\1'C reviewed to eDSIlI'C er settin s1 Attach set UTJ orts, if applicable Yes No· Is all monitoriD i mc:nr or:>c::ational DeI ma:nu:fàcturer's . catiOIlS? * In Section E below, desc:n'be how and when these deficiencies were or w:i1I be colTeded. o No'" o NJA o No'" D N/A E. CommeDts: .Pag!: Z 00 031111 ~) £'d 9010-¿¿Z{SSSJ ~~~S~S3~~~~~S"~ dS£:£O £0 ZO oaa ·r- e e .,. '. ; ; . 'F.' Íù-Tmxk Gauging / SIR Eql1ipment: o Cbedc: this box ÌÎ tank g:n:gmg is used only for inventory co!lt:roL ' o Checlc this box if IlQ mnk gaug;..ng or SIR ::quipmcnt is in..~cd. This section 'must be completed if Ïn-ta:::lk gauging equipment is used to pe..rform leak dete:::ticn monitoring: Complete the followinG checJdist.: 'k1 "Jd Q No" Has an input wiring been inspcc::ed fOJ; proper entry and temJÏII:1tion. including testing for groUI1å :ãtults? )l1... Yes i Q No* Were all t:mk ga.ug±ng probes visually i:nsp~ted for damage anci ~dl1C bui1åup? ~ Yes 0 No'" Wag accuracy of syste:n product level readings tested? "Q yes 0 No'" Was acCtImCy ofsyste:n waterlcvc:lreadings tested? ß(Ves a No" Wac all probes reinstalled properly? II,,2f Yes' Q No'" I We:re all itc:I:JS on the equipmcm m:uwfuct:u:rer' g maintenan~ c.he::3dist completeJ:i? 1< In the Sedion H, below, describe hew and when these defiåeJ1cies we:-t! oX" will be 1:'Orncted. /" G. Lin~ Leak Detectors (LLD): ~ck. this òox ifLLDs are DOt insml1c:d. .. . c th f. n h ampJ ete e 0 oWiJl2: c. ecklist: DYes o No'" For equipme:lt start-up or am::ual equipment c~tion, was a leak simnlaterl to vdfy u.D perfoz:c:u-nœ? o N/A (Che¡;/, ail that apply) Simulated le3k rate: 0 3 g.p.h.; a O. I g..p.11; 00.2 g.p.h. ì DYes o No'" , We:te ail UJ)s confirmed Clperational and accurate wifuin regulatory require:m:nm? I DYes o No· I Was the testing appnraros properly calibrated? " . ! q. Yes a No" ! For mechanical LLDs. does the u..D r:strict product flow if it detet:ts a leak'? a N/A I . a Yes Q No" For =lectronic LLDs, does 'the turbine automat2ca11y shut cff'if"the LLD detects a.lCJ11c? Q N/A o Yes a No" For ele!.:tronic LLDs, docs the tuIbine automatically shut off if any poxtion aÎ the monitoring system is disabled. i o N/A or disco1UleCted? , i DYes Q No: t For electronic LLDs, docs the turbine auro1D<ltÌcally shut o{fiÏa.ny porâcn offue monitoring system ca1functiOWi CJ N/A or 1àiIs a rest'! DYes a No'iO For electronic LLDs, have all acc::ssible wiring connectians bc!:D. visually inspected? o N/A . a Yes Q No" Wer.e all items on the equipœ=t manufacturer's mamœmmc~ checldist completed? .. .. In the S~tion B:, below, descnDe :bow IIDd when these deficiencies were or wID be eorTeàed. B. Comments: P:1gC 3 of3 113/01 þ·d 90tO-U..2 (SSSJ ~~~S~S3M~~~~S"~ dS£:£O £0 20 oaa . e e ¡-.- \ ~ .'. Monitor::ng System Certification ,. UST Monitoring Site Plan h~ _ i3a,Ler~ f,. (...¡.:À r ¿:,4 '. . Site Address: . 511 d^Z'o~ ~ .. .. . . . · . . .. . : !Qt1"(J~~ . : þ~,: . . 1M1i.. . . . · . . . . V' " . <:2?' . . . · . . . ~. . . ·O~·(( . " ' , . . . · ,:-;,; I! U. .., .r,· . .g' F·t.(J. . · . . . .~. .. OVal.1 ' . j iJo'(' 'IJtl~( V ' ..., ., . L:.e{ :' . . . . : . .,d<'( ~~. . . . (t.'oA 1"', ...'... . . . . ~, /d.f""':\ . fl,-·J···· . :~ '.~ í f:.t.. .",. 'f . . ~{Ø/. . . l"iÞ'~' ::~:~:: ..~.~.. :,:Ç1; :: :j~¿f: · .1ß1l-, . . . J,C-l , . · . . . - . .. . .' Date map was drawn: / { / /7 / ò 3. Instructions· If you already have 'a <üagram that shows all r-..quircd information., you may inciude it.. rather than this page, with your ~ioniwring System .Certific:ttion. On your site plan. show the gi!;ne..--al layout of tanks and piping. Clear~ iden.ti:fY locations of the following equipInent, if mstalled: momtoring system control panels; sens~ moDitoring ~ank amWar spac~. sumps, dispenser pans, spill containers. or other secondary cnnta;i:nment areas; mechanical or electronic line leak dete~!.m'..s; and in-tank liquid level probes (if ~ed for leak detection). In the space proviåed, note the date this Site Plan was pr-epared. OSIOO hge _of_ S·d 90tO-1.1.G(6SS) ~~iSiS3M/~~iS"~ dOÞ:£O £0 GO oaa Dee 30 03 08:18p ALLJltR/WESTSTAR (559_7-0106 p.2 " ~%"'. . V'' ., :. . . . . ',-" ,: ':', " ..'," ".. ...... Secondary Containment Testing Report Form This form is for use by contractors perforinlng periodic testing of l.IST secondary containment .rystems. The completedform, written test procedures, and printouts from tests (if applicable), should he provided to the . facility oWmßr/operator for mbmittaJ. to the focal regulOlory agency. 1. FACß..lTY INFORMATION :. ....,; " " .' .,.' Facility Name: Facility Address: Faci1ity Contact: Date Local Agency as I otifiedofTesting: (1. _ Name of Local Agency Inspector (if present ølri'¡g testing): ." . .. t.ß. z. TESTING CONTRACTOR INFORMATION Company Name: Technician Conducdng Credentials: CSLB Lianse License Type: SWRCB Licensed Tank Tester. License Number: Manufacturer Trainiu2; Component(s) Date Training Expires Manufacturer J 3. SUMMARY OF TEST RESULTS --. .. Component P:¡ss Fldl Not Repairs Component Pass Fail NQt Repairs :~ Tested Made T estCId Made 9. ì C:hlr r~\\' h If'1~+ X I , q.t r"'AIv'. ~~\ ,h.A")t:.pj- )C. I . . ; I I I I I I ! I - If hydrostatic t~s[ilTg was p~rformed. describe what was done with the water after completion oftests: ~"Þ'f+~td~:~~~ C1T1d, IClbad G¡£, ~?ijl'dðL{.S "vq·W CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To the best of my knowledge, the facts stated in this document are a£F.iuate and in fuD comp/ÜUlCt! wltl, legal requirements T~chnician's Signature: Date: " Dee 30 03 OB:1Bp ALLS.R,..WESTSTAR (5591_7-0106 p.3 Test Method Developed By: 4. ,TAJ."lK ANNULAR TE Tank Manufacturer Industry Standard Other (Specijj') Professional Engineer' Test Method Used: Pressure Other (Specifÿ) Vacuum Hydrostatic Is Tank Exempt From Testing?' Tank Capacity: Tank Material: Tank Manufacturer: Product Stored: Walt time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (R1): Test End Time: Final Reading (RF): Test Duration: Change in Reading (R¡.-R ): Pass/Fail Threshold or Criteria: ;' Test Result: ! Was sensor removed for testing? Was sensor properly replaced and verified functional after testing? Equipment Resolution: Jill .,;. ·W~ 6-1 Tank # -. . . Yes No Yes No Yes No Yes No Pass Fail Yes No NA P·ass Fail Yes No NA Pass Fail Yes No NA Pass Fail Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA Comments - (include information on repair,s made prior to testing. and recommended follow-up for failed te;<;ls) I Secondary containment systems where the continuous monÍloring automatically monitors both the primary and secondary containment. :>uch as systems that are hydrostatically mOl\itored or under constant vacuum, are exempt from periodic containment testing, {California Codc of Regulations, Title 23. Section 2637(a)(6)} -' Dee 30 03 OB:1Bp ALL_R.lWESTSTAR (559)_7-0106 p.4 Test Method Developed By: 5. SECONDARY PIPE TESTING , . Piping Manufacturer Industry Standard Other (Spec{jÿ) Pressure Vacuum Other (Specify) Professional E~gin~ Hydrostatic ---------¡I Equipment Resolution: Test Method Used: Test Equipment Used: Piping Material: Piping Manufacturer: I, Piping Diameter: l.,ength of Piping Run: Product Stored: Method and location of piping-run isolation: Wait time between applying pressure/vacuum/water and starting test: Test Start Time: )nitial Reading (Rl): Test End Time: Final Reading (Rp): Test DUIUtion: Change in Reading (Rf-R ): Pass/Fail Threshold or Criteria: Te$t Result: t,; ,~.. . '"i. ,.:....-" Piping Run # Piping Run 1# Piping Run # Piping Run # Pass Fail Pass Fail Pass Fail Pass Fail Comments - (inc.·Jude information on repairs made prior to testing, and recommendl!d follow-up for foiled testsj Dee 30 03 OB:18p Test Method Developed By: Test Method 'used: Tt:St Equipment Used: Sump Diameter: Sump Depth: Sump Material: Height fiom Tank Top to Top of Highest Piping Penetration: Height from Tank Top to Lowest Electrical Penetration: Condition of sump prior to testing: Portion of Sump Tested' Walt time etween applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (R¡): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF""R,): Pass/Fail Threshold or Criteria: Tèst Result: Was sensor removed for testing? Was sensor properly replaced and verified fun~tional after testing? RLL.R/WESTSTRR (558_7-0106 p.5 6. PIPING SUMP TESTING Sump Manufacturer Industry Standard . Other (Sper.:tfv) Pressure Vacuum Other (Specijy) ProFessional Engineer Hydrostatic Equipment Resolution: f:~ ..~ '.'I"Z 'n-!A-~'; J. '~.:O: ',.....,. t.;:";:';' .. ; Sump # Sump # Sump # Sump # '. Pass F,.U Yes No NA - Pass Fail Yes' No NA Yes No NA Yes No NA Pass Yes No NA Pass Fail Yes No NA Yes No NA Yes No NA Comments - {include information on repairs madp. prior to te.~/ing. and recommendedfollow-up for failed tests} I If the entire depth of the slimp is not tested. specify how much was tested. If the answer to !!!y of the questions indicated with an asterisk (..) is "~O" or "NA ". the entire sump must be tested. (Se~ SWRCB LG-160) UD , anu acturer: UDC Material: UDC Depth: Height from UDC Bottom [0 Top of Highest Piping Penetration: Height frol11 UDC Bortom to Lowest Electrical PenetrMion: Condition ofUDC prior to testimz: Porti;n orUDC Tested' Wait time between applying pressure/vacuum/water and starting test Test Stal1 Time: Initial Reading (R1): Test End Time: i. Final Reading (RF): Test Duration: Change In Reading (RF-R ): PasslFail Threshold or Criteria: 1!est.R.esu.Jt: Was sensor removed for testing'? Was sensor properly repJaced and verified function~1 after testin~~ Comments - (include in.!orl11alion an r(tpairs IT/cfdf:: prior 10 le.l"/ing, and recammendr:tdjollow>-up jorfailed /eSI.I;) Dee 30 03 OB:19p 7. Test Method Developed By: Test Method Used: Test Equipment Used: ALL.R.....WESTSTAR (559_7-0106 UNDER-D~ER CONT ~.!:~MENT (UDC) TESTING UDC Manufacturer Industry Standard Professional Engineel' Other (Specify) Pressure Vacuum Hydrostatic Other (Specify) Equipment Resolution: ~"~-: . UDC# UDC# Pass Yes No Fail NA Pass Yes No Pass Yes No Fail NA Pass Yes No Fail NA Yes No NA Yes No Yes No NA Yes No NA p.6 ~l ...~.: ..~. ,'J·!·.:..-t..~ ~ ==¡ Foil NA NA ----..------- I If the entire depth of the UDC is not tested, specify how much was tested. If the answer to ~~ of the questions indicated with an asterisk ('") is "NO" or "NAn, the entire UDC must be tesred. (See SWRCB LG-160) Dee 30 03 OB:20p RLLS&....WESTSTRR (559)~-0106 p.? 8. FILL R.ISER CONTAINMENT SUl';IP TESTING rF~lity is Not Equipped With Fill Riser Containment· Sumps Fiil Riser Containment Sumps are Present, but were Not Tested Test Method Deve!oped By: Sump Manufacturer Industry Standard Professional Engineer Other (Specijý) , Test Method Used: Pressure Vacuum Hydrostatic Other (.SpeciJÿj Test Equipment Used: Sump Diameter: \ Sump Depth: Height trom Tank Top to Top of Highest Piping Penetration: I Height from Tank Top to Lowest Electrical Penetration: Condition of sump priorto testing: Portion of Sump Tested Sump Material: Wait time between applying pressure/vacu um/water and starting test: Test Start Time: Initial Reading (R ): Test End Time: , Final Reading (Rr): Test Duration: Change in Reading (R~-R ): Pass/Fall Threshold or Criteria: i Test Result: Is there a sensor in the sump? Was sensor removed for testing? Was sensor properly replaced and verified Functional after testing? j , Equipment Resolution: ., ... '" -- .":......,, 1.;,: ~!.!',.. .' "ill Sump # . 2i11Sump # Fill Sump # Fill Sump # . .. Pass Fail Yes Nl> Yes No NA Yes No NA Pass Fail Pass Fail Yes No Yes No Yes No NA Yes No NA Yes No NA Yes No NA Pass Fail Yes No Yes No NA Yes No NA Comments - (include information on repairs made prior 10 Jesting, and recommendedfollow-up forfai/ed tests) .-- --.---.... Dee 30 03 08:21p ALL_R/WESTSTAR (558_7-0106 p.8 9. SPILUOVERFILL CONTAINMENT BOXES r Faëility is Not Equipp~ With SpilΡÒverfill COl1tainme~t Boxe~ .~ Sp¡¡¡¡Overfill Containment Boxes are Present. but were Not Tested Test Method 'DeveJoped By: Spill Bucket Manufacturer Indust~ Standard.. ¡ . Other (SpeciJY.) Test Method Used: Pressure Vacuwn Prof",,;o",' Eogio,,, ====I Equipment Resolution: ~ ~ Spill Box if. Spill Box # Bucket Diameter: Bucket Depth: Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (RI): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RrRI): Pass/Fail Threshold or Criteria: . '[est Result: F .. Fail Pass Fail Pass Fail Comments - (include information on repair.f made prior to testing. and recommended follow-up for jailed tests) -r1TeßC\ OV~'1\\ \AJ£i.6~V10U6}Y ~~W C1f)I/~fb6~.~ For any comments please contact: .' Napa County Department of Environmental Management I ! 95 Third St. Napa, Ca 94559 Phone: (707) 253·4471. Fax: (707) 253..4545 ",.--. -- T"- o o o o I:CJ ..J1 ,., f'T} o t::J T"- ..J1 T"- ,., 0"" I:CJ I.r) ..J1 .::r- 401¡? PostmEl/k DRIVE Here A 9.'-13DfJ . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. I . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits, I 1. Article Addressed to: I Î . I MR MOHAMAD RAFIQ \ LUCKY 7 1726 SOUTH UNION AVENUE ¡BAKERSFIELD CA 93307 I '-.. ~________ ____.J I I I 2. Article Number \ (rransfer from service fabeQ I PS Form 3811. August 2001 I o Agent I o Addressee \ C. D te 0 \ I I I I ~ I '1 3. Service Type ¡ )g Certified Mail 0 Express Mail ¡ o Registered 0 Return Receipt for Merchandise o Insured Mail 0 C.O.D, I 4. Restricted Delivery? (Extra Fee) 0 Yes I \ \ I 102595-o2-M-1540 I I Domestic Return Receipt 7003 1680 ODD? 4658 9176 UNITED STATES POSTAL S~~I~ /þ.RITJ:1;:;-"\ "(;'-' l...ÿ,\ ¡." PM ~:: 11181%2 First-Class Mail Postage & Fees "Paid . . ~) · Sender: Please ~¡nt'\908fCnàri¡~. address.' a~d-Z/P+4 in this box. \" <'OO~)' --.. ,.;-. '. G-10 ~ Bakersfield Fire Department Prevention Services 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 \ 'I¡ f'".." "..,".", ,.,..".",., .,.".. "", ,., """"""'1' I I . Complete itemS 1, 2. and 3. Also complete I' item 4 if Restricted Delivery is desired. I '. Print your name and address on the reverse I _ so that we can return the card to yoU, I . Attach this card to the back of the mallpiece, I or on the front if space permits. I 1. Article Addressed to: ~ l l I l l I ,~ l I I 1 I BALDWINDOR SHERGIL QUICK SHOP 349 UNION AVENUE BAKERSFIELD CA 93307 2. Article Number (fransfer from service label) PS Form 3811 , August 2001 3. Service Type A Certified Mail D Registered o Insured Mail D Express Mail 'I D Return Receipt for Merchandise 1 DC.a.D. 4. Restricted Delivery? (Extra Fee) DYes 7002 3150 0004 9985 4681 ~ 102595-02-M,1540 1 Domestic Return Receipt \ \\ \\ \ First-Class Mail postage & Fees Paid USPS Permit No. G-10 UNITED STATES POSTAL SERVICE . Sender: Please print your name, addresS, and ZIP+4 in this bOx· Bakersfield Fire Department Prevention Services 1715 Chester Avenue, suite 300 Bakersfield, CA 93301 ..JJ , Lr) ru , ITJ Postage $ ru I Lr) , ..JJ ,I"- :r CertJtled Fee 'Q I Q Retum Raelept Fee i Q (Endorsement Required) Q Restricted Delivery Fee ,'..JJ (Endorsement Required) 'ru ru Total Postag, POStmark Here ~ Sent To 'R Šfieëf.Ai;{"Ñ'ë Or PO Box No. ëitÿ,-šiãtë:Z/i Quick Shop Market 349 Union A venue Bakersfield, CA 93307 . II :" 1_ If ..... : - . - . FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395,1349 PREVENTION SERVICES FIRE SAFETY SERVICES' ENVIRONMENTAl. SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326'3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399,4697 FAX (661) 399-5763 e - December 12, 2003 CERTIFIED MAIL Quick Shop Market 349 Union A venue Bakersfield, CA 93307 RE: Propane Exchange Program Dear Owner/Operator: The purpose of this letter is to advise you of current code requirements for propane exchange systems, such as "Blue Rhino" or "Amerigas." This does not apply to large propane tanks, only propane exchange systems. Over the past two years this office has noted a dramatic increase in the propane exchange system in the city of Bakersfield. It has also been noted, with great concern, that many of these installations are a clear violation of the UFC (Uniform Fire Code) and represent a danger to public health and safety. Accordingly, procedures for storage of propane cylinders awaiting use, resale or exchange, have been adopted through BMC (Bakersfield Municipal Code) and adoption of the 2001 UFC. The procedures are as follows: Storage outside of building for propane cylinders (1,000 pounds or less) awaiting use, re-sale, or part of a cylinder exchange point shall be located at least 10 feet from any doorways or openings in a building frequented by the public, or property line that can be built upon, and 20 feet from any automotive service station fuel dispenser. (Note distance from doorways increases when cylinders are over 1,000 pounds cumulatively.) Cylinders in storage shall be located in a manner which minimizes exposure to excessive temperature rise, physical damage or tampering (Section 8212, California Fire Code, 2001 Edition). When exposed to probable vehicular damage due to proximity to alleys, driveways or parking areas, protective crash posts will be required as follows (Section 8001.11.3 and 8210, California Fire Code, 2001 Edition): 1) Constructed of steel, not less than 4 inches in diameter, and concrete filled. 2) Spaced not more than 4 feet between posts, on center. "".V;;'rtÚl.? ~ t5onl//U//I/?? ,·./N( '. ·r6rY(r' .Ç/%;//I. .,,~6 r;~;h/~r ~~ . .. Letter .0: Owner/Operators of Propane Exchange syAs Re: Propane Exchange Program Dated: December 12. 2003 Page 20f2 3) Set not less than 3 feet deep in a concrete footing of not less than a 15 inch diameter. 4) Set with the top of the posts not less than 3 feet aboveground. 5) Located not less than 5 feet from the cylinder storage area. Exceptions: Cylinders storage areas located on a sidewalk which is elevated not less than 6 inches above the alley, driveway or parking area, with not less than 10 feet of separation between the curb and the cylinder storage area. "No Smoking" signs shall be posted and clearly visible (Section 8208, California Fire Code, 2001 Edition). Resale and exchange facilities must be under pennit to verify compliance. All existing facilities will be checked and when compliance is confinned, a pennit will be issued. All new propane exchange systems must be pennitted prior to installation. You will have 90 days (March 4,2004) to comply with the procedures outlined. Once compliance has been con finned, each exchange system will be issued a pennit, which will be placed on the exchange system. Sites not confonning to current code, will be "red tagged" and must be taken out of service immediately. You should contact your Blue Rhino representative, Mr. Taylor Noland, or your local Amerigas representative. They are aware of current code requirements. If you do not have a propane exchange system, please disregard this letter. Should you have any questions, please feel free to contact me at (661) 326-3190. Sincerely, . Ii pi / /\ ~~ Steve Underwood Fire InspectorlPetroleuml Environmental Code Enforcement Officer --- - . .' . . . ., . . \ OFFIC\AL USE \ í* PostaI!9 $ ~rtIfled Fee postmam RetUrn Reclept Fee Here (Endorsement RequIred) Restricted Del\VeIY Fee (Endorsement Required) Total Po ,0 tr ,-:¡ U1 U1 ¡:Q tr tr ;r o o o t::I U1 ,-:¡ rn ru ,0 ! ø t::I r'- . ~ãrÃÏ or pO Sa õñÿ.-šiãi QUICK SHOP 349 UNION AVENUE BAKERSFIELD. CA 93307 j--_... .......-- . 1& II I . complete itemS ~, 2, and 3. Also complete item 4 it Restricted Delivery is desired. . print 'lour name and address on the reverse . so that we can return the card to 'Iou, . A\tach this card to the bacK ot the mailpiece. or on the tront it space permits. 1. ¡>.rticle Mdressed to: 2. ¡>.rticle Number (fransfer from service label) pS Form 3811 , AUgust 200~ 700C 3150 0004 qq&5 51QO - ::: ",,_'" R""'" _ot ,_.... "" 3. Service iype I ""certified Mail 0 E1lpress Mail o _"'''' 0 """" _ot io< -""""" ' o ,...... MOl 0 C.O.o. 4. Restricted Delivery,? (Extra Fee) 0 '{es QUICK SHOP 349 UNION AVENUE BAKERSFIELD, CA 93307 UNITED STATES POSTAL SERVICE First-Class Mail Postage & Fees Paid USPS ,Permit No, G-10 · Sender: Please print your name, address, and ZIP+4 in this box · \ Bakersfield Fire Department Prevention Services 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 FIRE CHIEF "ON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAfETY SERVICES' EHVIROHUEHTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661~26-0576 PUB!r~DUCATlON 1715 C1,ester Ave, Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661)326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX(661)326-D576 TRAINING DIVISION 5642 Victor Ave: Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 . . November 4, 2003 CERTIFIED MAIL Quick Shop 349 Union A venue Bakersfield, CA 93307 NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE Dear Sir or Madam, Our records indicate that your annual maintenance certification on your leak detection system was past due 10-14-03.. You are currently in 'violation of Section 2641(J) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have fifteen (15) days, November 19, 2003, to either perform or submit your annual certification to this office. Failure to comply will result in revocation of your permit to operate your underground storage system. --"I Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely yours, Ralph E. Huey Director of Prevention Services By: ;L~ Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SBU/db -- y~ de ?5~ ~e vØ60Pe .r~ A ?5~" r . UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 ~:::~~~~l~\lØ~._________.___~~_____~___~_____________~__._.__ ___~ _.____~~_~___-._.___ _~___~ ~_~~___ ¡!¡_~~ ~Õ~3 ~~:s~:;:::~y~~~E_ _____3Y1----.ll'lll)tt___AifJ,~:___u~_______n___~______~__________~________ 3J~ ~ ~ 101.._ __ 3~ ~~ __ FACILlTYCONTACT Business ID Number 15-021- Section 1: Business Plan and Inventory Program LJ Routine 'S!J Combined LJ Joint Agency LJ Multi-Agency LJ Complaint LJ Re-inspection c V miL] ( C=Compliance ) V=Violation OPERATION COMMENTS ApPROPRIATE PERMIT ON HAND _~_______~_.__._+__~_________________~__~___~_. ____________._______.__.._______ _n._ ___._ ________.. _______,__.____..____..._ __ ____ _.__. ,,_.. _.____. _....._..__. -~---- ~ LJ BUSINESS PLAN CONTACT INFORMATION ACCURATE --·--T---~---------~~--- ---~~---~---~- -- ---- -~- - --~-- ~--- ~ 0 VISIBLE ADDRESS ._._----------_..__.------_._--_..----_._._-------~-~-- ..----....--- --- r:t/'EJ- CORRECT OCCUPANCY ~~~-- VE~~ICATIO~~F-I~~~~~~RY :~~-IAL~---~------'- .._..._._.__..___.__..____ . '_._..'"_'"_.._.H. . ..____...._..__ ....._n.. _.._._... __. . _. ._... .__. ______. .._ _n. _ _,._, ..___ _ .____ _. __._,__.. ..._..____._ ___._..____ ...__.. n.. ._~ ._-~ -- - -~.- _ _. ~ ___ ___~_,_,____~._~___. ~ -.0_____ ~_________~_ .~._~___~____~ .__ __ ~_~_ ____ _________.__ ____. .n __ __......__ ___n______...__~____.._______.__.._._.______n.__.__.._. _~_____ _____ "._______._.. . .._ __..__.___., __. ______._.n n _. ________.___.. ___ ______...._..___.. ___.__ _.__._._ _..._ II],/' 0 VERIFICATION OF QUANTITIES r---~._-/----- -~--_.--------------- --..---.-------- -..~ ----- ----- -- ---.- ---~- _n_______~~__~_ ~ __ _. ,__ __,___ _____,__ ___~_____~.__n_.___~..__~ -~-. --.-~.- __ .-_ . .~_ ~ 0 VERIFICATION OF LOCATION -r91~~-~--;~~~~ SEGREG~~IO~-~~-~¡~;I~~----------------·· ------------~,------- . -,-~--~--,------- n --....~ --~~.- ;D7D --~ERI~FICA~;ON ~;M--S~S ~~;:~~~I~-~-~-n-------'-----n-~ -----,---~~--. ---------~~- ~ .. ._n__~_____~___~___n___~__~ ----- -e} 0 -~--V~~;I~~TION OF-H~~-MAT ~~~~;~~--~--~~n~------.__----h -~---~-~----~~--~-~------ ~_'__~~__nm_________ -~----- .---~-~- r----~-----------.--.---~---n---- ____._ ~.__ ____ __~__n, ~_ __~__. _._________~ _ _. n.______~_. ,___.___. _ _ ~___.,______ . _~. ____n.~ cg/ 0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ '----~------------~--_ _____~_______ ___., ___~~__,______ ._______ __~___,_______~____~__~..______._~____ ___~ ___ _~_~_ _.____,__ ~_ ~ ___~~_,~____ ~_ m_ __ ~~~~:~~~-;:~~~~=·-~~=---t~=--~-~~. . -.-...--.. -n_.__ '~~-..-~;:~~S~:;~:~~~~-~---~-~-:---.,..,~--- .... -..~ --.--..--- ---1-----.----- ------.-,~ -870-' S,~~D_;¡~~-AM A~~~~~~~-&-O~-H~~~~-- ----- ___un --,~--- --------- --- ---., -----------~-- ~ --. ~~_u~~_ -- ~__.hh - - . I .... --.--."- _ . ..._____n____ ..--·---.--__"_-0"_____-- _. __ ______ _....._.. ANY HAZARDOUS WASTE ON SITE?: DYES ~O EXPLAIN: QUE2EGARDIN, ~I Inspector NSPECTION? PLEASE CALL US AT (661) 326-3979 \ . _~~~.-,1__~_____~___. Badge No._ '---=_~/'--ÁJ -_._'-----------_.~---;;-¿::-~-'--~----------_._~-- Busi.~esponsible Party White - Environmental Services Yellow - Station Copy Pink· Business Copy e e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave.~ 3rd Floor~ Bakersfield~ CA 93301 FACILITY NAME QÙltJL ,gkop INSPECTION DATE_tO .~J: a 3 Section 2: Underground Storage Tanks Program o Routine ~ Combined 0 Joint Agency Type ofTankpuJH': ~ Type of Monitoring t'Lt/A o Multi-Agency 0 Complaint Number of Tanks '3 Type of Piping Ðllt f/ ~'/.. ORe-inspection OPERA nON c v COMMENTS Proper tank data on tile '- / Proper owner/operator data on tile l.,/ Pennit fees current L/ Certitication of Financial Responsibility v / Monitoring record adequate and current l/ Maintenance records adequate and current ./ Failure to correct prior UST violations /.... Has thcre been an unauthorized rclcase? Yes No \ ./ - Section 3: Aboveground Storage Tanks Program AGGREGATE CAPACITY Number of Tanks TANK SIZE(S) Type of Tank OPERA TION Y N COMMENTS spec available spec on tile with OES Adequatc secondary protection Propcr tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overtill/overspill protection? c~comPI;,"~. ~. V=Violation Y=Yes i ddd1 Inspector: _' .. Office of Environmental Services (661) 326-3979 N=NO ~-- ---) "- BUs=sible Party White, Fnv. Svcs. Pillk - Business Cnpy I. . · os a erVlceTM CERTIFIED MAIL", RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) 1M : I:() ...D l=r 1\.0 II:() [ "" I[ "" l=r ! CJ CJ , CJ I ICJ 1Lt') . M I IT1 lru I I:J CJ II"- I Retum Reclept Fee (Endorsement Required) Restñcted Delivery Fee (Endorsement Required) "otaJ P Sent To "SàièlAP£1V or PO Box Me ëñÿ.-šiãiè;Z¡ . , ;t.. USE '.. Postage $ Certifled Fee BALDWINDOR SHERGIL QUICK SHOP 349 UNION A VENUE BAKERSFIELD CA 93307 Postmark Here ~ j! - ~- October 6, 2003 CERTIFIED MAIL Baldwindor Shergill Quick Shop 349 Union A venue Bakersfield, CA 93307 Re: Failure To Perform Or Submit Documentation Showing Repairs On SB 989 Testing FIRE CHIEF RON r:RA.ZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE Dear Mr. Shergill: SUPPRESSION SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 jI PREVENTION SERVICES FIRE SAFETY SE,{lYlCES' ENVIRONMENTAl SERVICES 11}15 Chester Ave. , Bakersfield, CA 93301 I VOICE (661) 326-3979 FAX (661) 326'()576 Our records indicate that All Star Petroleum performed the necessary secondary containment testing on 12-18-02. However, your 87 Spill Bucket and 91 Spill Bucket indicated a failed test. This office has received no documentation of repairs or certification of passing on the failed components. Be advised, these repairs must be completed by 12-31-03 in order to stay operational. PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326·3696 FAX (661) 326-0576 If these repairs and re-certification have been made you must forward them to this office immediately. Otherwise, you must complete repairs within the time allowed 12-31-03. FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 Should you have any questions, please feel free to contact me at 661-326-3190. TRAINING DIVISION 5642 VIctor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Sincerely yours, Ralph E. Huey Director of Prevention Services By: /Î C~ Steveifn~ood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SBU/db ~~ ýO~ de WOHlnU~ .970P ~0Pe ykt, A W~" CD o .... o I ['- ['- C\J . Ln Q! a:: l- f/) l- f/) UJ :3 " Q! a:: I- ~ a:: Underground Storage Tank System Secondary Containment Certification Form Tanks. Piping. & Spill Bucl{ets "-II -I . 1:1.. Page_ of_ C\J .- Facility #: City: --fr:\'\(.Q~r::--).:&\;e\r\ Facility ArJrJ,"ess: -gtFi l ÅV)\¡'(!}V'\. ('~ 1..1 ~ Testing Contractor: \1\\ \ ~ti\. ~ D-fAV(')\e.\b~__ Test Date: J~_.~-C'>_l. Contractor Address: ~Æ?6- Lu ,'~~r~~r7 ~-.e 1<>1__1 6' ~ech. Name: ~ Olt\:-t:.._ ~ ~ Product Capacity Manufacturer Test Start Time Initial I)resSllre Test End Time Final Pressure -.-...--. ._--_. Test Results -.. .....~ _.~--- ----- Signature S if[ Buckets .....---.-- })I'oduct Manufacturer ..' ,- '-, .,~.. ..~ - 1\1 C\J o CX) o (I') o Start Time (to) Watcr Levcl Time (tl) Water Level Time (tz) Water Level ._--+---.,_._~..... Time (tJ} Water I..evel Time (t4) Water Level ~ Test Resu\ls .t ..c Signature ell IJ... Rev. ] I/Ol Overfill #1 Overfill #2 @89 91 D 87<@}91 D Overfill #3 87 &9Q} D ~.~,-------_._.- - ¿)ý~ - ~[r- Pass Tank #4 87 89 91 D Pass Fail Overfill #4 87 89 91 D Pass Fail Product Piping Type Manufacturer Test Start Time Initial1)ressurc Test End Time FInal Pressure Test Results Signature Line #3 Une #4 87 ® 9î--ï) :e Siphon -<- ,Çecollllar ' Pi illt:___.__ Line #5 Product 87 8~ D Piping Type Mllllufacturer Test End Time Final Pressure Test Results Signature ~ Siphon Primal)' Siphon Primary Siphon Line #7 Line #8 D 87 89@)D 87 89 91 D Pas~ Fail Fail Pass White -- Original Yellow - Area Environmental Compliance Pink - Contractur Underground Storage Talll. System Seeqndary Containment Certification Form Turbine Sum pSt Fill SIl~pS and Under Dispenser Containment Page _ of __ :~ Facility #: ,__ _ City: BJr.Lz:!~.l¿ Ie-I Facility Address: _3f'Q tl/-1/ð';1.. 4/;--(,. Testing Contractor: JJtt __ r.::tI/.R f'e.f.n:¡ f.~"f~;I __.__ Test Date: «."':" lB- 0<= _ Contractor Address: q~'f?-?-¡'IJ,:r~1'111' ~'-cY___ Tech. Name: fi'l/h,.'7t..'.ç- ( co o ... o I t"- t"- (IJ . II) Q! a: I- IS) I- IS) lLI ::3 '\. Q! a: I- ~ a: Turbine Sumps 87 89 9\ D 87 @J 91 D 87 89 @ D 87' 89 91 D ID (north, slave, etc.) Manufacturer Stut Time (to) Watcr Level Time (tl) Watet· Level --.-. Time (tl) Water Lenl Time (t3) Water Level ...-..... Time ((4) Water Level Test Results Signature UDC ID (112,3/4, etc.) Manufacturer IQ (T) o Start Time (to) Water Level Time (tl) Water Level Time (12) Watcr Level Time (t3) Water Level TIme (t.) Water Level Test Results .. m o (T) o II) o t. .D Q l.L. S1ghature Il..v 11101 \'-"L 3-L.{ n..: (j 0 "'X .:j'J It~Ü·3 aD) IL~O~ .lDð.ð ) t ~ (>1 CCX!) J z.. IZ ~¡ I., _ ~ Fail /2-:.]¿ 00(')· ~ Fail Pass Fail ~~ -~---ø ,~~ Pass Fail I Pass Fail ----' Fill Sumps 87 89 91 D 87 89 91 D 87 89 91 D 87 89 91 0 II) (north slave. etcJ Manufacturer ~tart Time (to) Water Level Time (tl) Water Level Time (h) Water Level - Time (ts) Water Level .. >_. '.n~ - Time (t.) Water Level Tcst Results Pass Fail Pass Fail Pass Fail Pass Fail Signature - UDC !D (112, 3/4, etc.) Manufacturer --- Start Time (tv) Water Level - Time (t1) Water Level Time (t1) Water Level Time (t3~ Watcr Level - - Time (t4) Water Level - - Test Results Pass Fail Pass Fail Pass Fail Pass Fail . Signature L-, -- U!h;fp _ {)r;oi,,::al VpHn\&/_ Arl'"f"I Jtl11Ji..nn"ullnt~l rl\mnlÎ!:ant">iP Pink __ rnnh":\....tnr FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H· Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFm SERVICES' ENWIOHIlEHTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester AvÈl. Bakersfield. CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakerslleld. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 -- -- January 22,2003 Quick Shop Market 349 Union Ave Bakersfield CA 93307 RE: Upgrade Certificate & Fill Tags Dear Owner/Operator: Effective January 1,2003 Assembly Bill 2481 went into effect. This Bill deletes the requirement for an upgrade certificate of compliance (the blue sticker in your window) and the blue fill tag on your fill. You may, if you wish, have them posted or remove them. Fuel vendors have been notified of this change and will not deny fuel delivery for missing tags or certificates. . Should you have any questions, please feel free to call me at 661- 326-3190. SBU/dc ""9~de W~ ~.A~.r~ A ~~" D.~c ~ 02 08:54a . ,. . - e :3<¡;l- ¿¡11m Illk: 5592770106 p. 1 4óBS w. (BOO) 666-54101 ENT 'I CAI.JRJRNrA 93722 I FAX (;559) 277~1C6 ME:WD¡¡R ~PEJ~ _!ÐI,IPuI!lrl'6'~ ò\I~M!JEII ~PEI~ ~lII!JIPllf)jrr6" FAX COVER LETTER DATE: \ l--) tZkJ¿, TO: \)tr~.~llttrj COMPANY: l3t1Ya6-fteld :¡:]'(u F~~NO: Úl~.I- GZ4rQ5lfp FROM: 81 )ý NO. OF PAG_ES (INCLUDING COVER LE'ITER)i0) ~~ ~!all r:1 ~~è/ VY}V ~ YfJc{ fief- i1-: ,.. SENDER: J2iUy REFERENCE~ TIME SENT: F:/COMMON/ AU.STAR/FORMS/FAX-covR.OOC -. . ÐAKERSfI!:LD . BAY AREA . FIŒ5NO . LOS ANGELES . MODESTO . SACRAMENTO -_. -- --- " e e 5592770106 p.2 Dee 1;8 02 08: 54a " {i))Œ © Œ 0 I!J !Em ~J l~ .t,:c:: ()t O~ 7Gu~ CITY OF BAKERSFIELD By ---. OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 -- APPLICATION TO PERFORM A TANK TIGHTNESS TESTI SECONDARY CONTAINMENT TESTING PERMIT TO OPERATE # OPERAT. ORS NAME~~Y OWNERS NAME ' NUMBER OF TANKS TO B TESTED TANK # VOLUME -L i\/r7 '2, ryA l3 n lA- " IS PIPJNG GOING TO BE TESTED CONTENTS \pj~Lj 'iil \ '1 . ~.J [;( 1'11\ TANK TESTING COMPANY MAILING ADDRESS t .V, 0 NAME & PHONE NUMBER OF CONTACf PERSON ,? \ ' , TEST METHOD~ NAME OF TESTER OR SPECIAL INSPECfOR t-'\cl('\u~i .. 'vir. kl..~ :tt'7.- CERTIFICATION # lçDSILJz-, DA~TESTISTOBECONDUCTED--.11J1. ·~jo~.. Z~l}::¡.b ~; id.JJtr[) t 2 "¡'h:J ? ~ LL Y ßtk~(L APPROVED BY DATE SIGNATURE OF APPliCANT -- --"- ..-- --...- . . . "".: '. ,'...': '~'.." .;.,:; .....:: ;'.: ...,.... ,"," .....,. ,-......:..........:. ..... .......:....; i-' " :. '~'.' :, ' . ,.,', . . .....' ."} :':;:..;,.~:;. '. ';' ", .... .. t:I ID o .'.~" . : ", ,'. : . ' -~. ~ ..... .. -, .J . . :'. .~.. ~ . '. ;,1.·' : ..~.;,.:.~. ,:~ .,~.:~. ::..... .', ,,', . . .. : . ~"......: ::'~'.. ...'....... &; . ~..::: ,..::' . '. '."" ~. . 111'20102 16618· o CXI '. . ~~~.:..~~~.....":......:.-;:..,._'".......,....~...'"".,.......... ·~·.·_·.f~...'·_~·...~. .;..........:.. ,. ..... .-' '..,.,.:. . .'. . . ...... . . . ~ .... ~. ALLSTAR PETROLEUM EQUIPMENT Payee: CtTY or BAKE 56989 test for Quiet'SÎ1Qp Mini _t Fresno, California 93722-6418 0016619 0 ....11_. (I'" ~^, ,. "';11£._.. .' '. '-" \\l "'.:Q:.~ 5 (j\J\::ß ~l~~. ,:::.::¿;..~::"....:::.':.~: ::'3':::"'::":":"1J'" ..', .,.:', . \ l ......., ......,..", . . . ~6619 ',~~ ......~~ ,..,'..,....\.'.,..."....... ,. ..žVNe . '. ..-..,I:.:~'" '. :."::,:,/. :,.-. (II (II DI e ',.. ~.1 :11C1ll..._.nnul...I!I~..~:lIft:ll:::....JI.~:I:tM["J' ..¡;I:::r~etlntl_:.I·:'I:I::n..-.'JII:.l'IIltI;:[tr.J:III!..¡ I.:I.I:I.J~:...."1;;f¡_::la'fJ::I:t......:a:tI.J=-:IIJ:....tJI.~~.::I.:a.~ j('IiIII::I..·.::I:r:·:1..IJ:.:¡.,.~ f ALLSTAR PETROLEUM EQUIPMENT 4688 WEST JENNIFER. SUITE 101 FRESNO, CALIFORNIA 93722-8418 , (559) 276-5410 nn UNITED SËCURITY BANK NA U!J 2151 West Shaw Avønue Fresno, CaWomia 93711 90-414911211 16619':.. PAY: . AU"""""".. C:'IC H:.:ndrod ~Jmct'¡ Two!. 00/100 Dollars .- o m DATE 11120102 AMOUNT 1110 u;¡; .quI I:' 2"'~ U,q 51: '.......~:<. t'::.:·;:;.',,:/. ;':, TO THE ORDER OF ~ of Bakcrafitld 'BaiœrSfiekf FU'e fJept. .1715 tl'istëi Ave. ei!~fle!Ij,- CA 9'3&'1 " .;.. . .' w ~ ' . .. e e 5592770106 p.2 1,"- \ I II \. ~D:e c K ¡f~'l ,,~ 1\ 17 02 OB:21a MONITORING SYSTEM CERTIFICATION " F 0,. (hoe By All Jurisdictions W"zJhin tire S/a1e of California Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, rule 23, California Code a/Regulations . r '- TIùs (onn mus~,be used to dOcmne:1t testing and servicing of moIÙtoring equipn:u:nt. A separate certification or report must,be prepared for e<!.ch monitoring; swtcm control DaIlel by the technician who pexfOImS the work. A copy oftlris fonn must be provided to the~tmùc . system owner/operator. The owner/ope-orator must submit a copy of this form to the localigency regu1ating UST systems within 30 days of test date. Á. General In{Q.rmation Facility Name: úì. lA. t <- k: s~ of V'YÎ ; '" .. vn c" - + Sjte Address: ,'1,4 q C J ,."\.1'.:, V""I rh-r Facility Contact Person.: '1'\ ;'ll0 . {; . _ Makl:JMode1 ofMODÎtoring System: ~d-ú ,~ck B. Inventory of Equipment T estedlCertified Cbe~k tile a 1"1) "ate boxes to indicate edOe t in eetedI.ervlœd: Bldg. No.: City: Î)c1 ~f~' Zip: q 33D7 CoutactPhonc No.: (~r., ( ) .3 ~.;l -~, D 'J... Date ofTestingIServicing; (,:;. 1l::L! ~ T:mk ID: B ì T:mk ID: ?)Cl -Tank Gaugiug Probe.. Model: e ~ w -Tank GtwgiDg Probe.. Model: ~ular,Space or Vault Sensor. Model: e;~......: war Space or Vault Seœor. Model: G-P-i-ping Sump / Trench Sensor(s). Model: ~ ~""" ~ing Sump I Trench SC1SO.1"(s).. Mock): Q .Fill Sump ScasÒr(s). . Mode!: a Fill Sump SCZlSor(s). Mode!: a Meœmic:a1 Line LesJc Dl:tector. Model: 0 Mcchanic:ù Line Leak Dc:tcclor, Model: a Electronic Line Leak Detector. Model: a mCdrOøic Line Leak Dch:ctor. Model: Q Tank Ovcr1illl High-Leve! Scnsor. Model: 0 Tank Overlûl/ High-1.evel Sensor. Mock): o Other ( 'I:Q' ent e and mode! in Section E on P 2). 0 Other so' ui IU1d model in Section E on P 2). Taø..km: . "J , TaøkID: ·t::rIn- Tank Gauging Probe. Model: e 6 --..i a m- TaDk Gauging Probe. Model: à-Annular Space or Vault Sensor. Modd: e~'-' 0 Annular Space or Vault Se:llSDr. Model: e-1>Ïping Sump' Trench Scnsor(s). Model: f- ~ J . a Piping Sump I Trench Sensor(s). Model: Q Fill Sump Scnsor(s). Mode!: ' 0 Fill Sump Sensor(s). Model: , CJ Mec:banicaI Line Leak Detector. Model: a Mechanica.l Lina Leak Detcctcr. ModeJ: : 0 Electronic ünc Leak Detector. Model: CJ Electrob.ic Line Leak DetcctDr. Model: Q Tank Ovc:rfiJlI High-Level Sensor. Model: a Tank 0vem111 High-Level Seasor. Model: o Other (eci ui mcnt and model in Section E on P 2 . CJ Other s ec' ui t and mod~1 in Sectiou E on PI1 2 Dispœ.ser ID: ;::;.. Disposer ID: 3 -J- '-I . . ¡spenser ConlBinment Scnsor(s). Medel: e: 0 I.V 's:bispCDSer COJIwnment ScDsor(s). Model: 12 ,.ç .....,. f,¡t-Shear Va1ve{s). 'C!Mhear Valve(s). . . Q Dis c:nser Containment Flo s) and Çbain s). Q' Containment Fl s) and Cbsin s . DÌ$pCDSer ID: Dlspeaser ID: o Dispenser Containment Scnsm(s). . Model: CJ Dispenser Containment Scnsor(s). MOOd: Q Shear Valve(s). Q Shear Valvc{s). o Oi scr Ccintninnlent F!oat s aadCha.in(s). 0 D" er Containment F! Dispenser ID: Dispezaser ID: o Di¡¡pcnser Con~t SeI1SOr(S). Model: a Dispenser Containment Seœar(s). Model: Q Shear Valvc(s). a Shear Va1ve(s). I:IDi ense:r Containment" Flo 5 and Chain S). 0 Dispcøser Containment Flo s SlId s . ·If tile facility contains more tanIcs or dispc:Jsers, copy chis form. 1Dcludc infonnaâcn fer ev~ tank and di.spc:n.se:r iIt ~CI :mcuity. C. CertificatiOQ - J œrtüY that the equipnu=t Identified in. tills docmneut was iDspectedl.serviced Iø :u:cønlaDœ with tile øwa'llCaaDrers> . guideUnes. Attached tea this Ceri1fic:J.tion .is iqfOnaatfOD (e.g. lDIUIufa~rl!r3' chcck&ts) DecesSary to verif)' dlat IhØ ilÚOI'JIIatiøø is com:ct IUJd a P!ot Plan showing the layout of DJIUIitoring equipmeø.t. For ~y cquipmeøt capabJe of gau:ntiDg sud¡ reports, I bave also T"=~~";.~'-.u~~ a_~ ~~:. . . Certification NQ.: 41 Z 7 .. - ..' ...~". Uc:~. No.: "--f-.¡ . - (JCFCI"7 '-( ? . T~g Company Name;  Ll ~tC..' PL~~',,) tl............__ - . Phøœ No.:(~ ) d I lð - --:PIt ;) Site~css: 4l4~~ (.....,..-. ~""'~f ~{Ð DatcofT~Servicing,: I~ 1..1X/..!!...2 ~ao.-l e- ~ .....; ê-¢.....J ~ ~ ~.. hie 1 of3 I)3/GI Mouitoriøg System Certification -- . I e e 5592770106 p.3 D~c 17 02 OB:21a D. Results of Testing/Servicing '~ s.:~ftwure Version Installed: Co letetlie ~fo1lowin checldist: Yes 0 No· Is the audible alaxm ational? ~es Q ·No· Is tIæ Visual alarm 0 crational? a Nö" Were all sensors vìsua1l' ete ftmctional1 tested, and confú:mcd t:ional'l !J No'" Were all sensoxs in.stalli:d at lowest point of secondary cODtninm~t md positioned so that other cquipmcm will not inn::fere with their tOÒcr' ration? If a.Iam:Js are relayed to a remote DJCDimring station, is All com:rmmications equjpment (e.g. modeI.t1) operationa1? For pressurized pipin.[ systemS. does the tuJbine automatically shut down if the piping secocdary coJ1laÍX1Iaœt mo.nitoring systexn. detects a leak. fails to operate, at is electrically disconncctt:d? If yes: which SC%ISors initiate positive shut~wn? (Check all that apply) ~rench SensoIS; ~ ContaÏtuDl:nt Scnsots. Did u confirm ositive shut-down due to leaks and .sem01' failurc/diséonncction1 ~cs; 0 No. . o No· For tank systems that utilize the monitoring system as the prinmry taD1c overñll wammg device (i.e. no o NIA œeç],,,nical overfill prevention valve: is iDstilled). is the <WCrñ1l wamiDg alarm visible IUld audible at the tank fill oin s and 0 0 ed ., If so, at what cent of tank aci does the alarm . % W!is any wonitoring equipment replaced? If yes. identifY specüic sensors. probes, or other equipmcut replaced and list the ~ufacturer IJ3J2Je and model fot all replacement in Section E, below. Was liquid found wide any secondary co:srcaiwIu:mt systems designœ as dry systems? (Check all that apply) Q Product; a Wata. If s. descnèe causes in Section E below. es 0 No· Was monitorin set reviewed to c:nsurc cr settin ? Attach set es a No" Is an monitorin e . tiona! cr manufacturer's dficaJ:ions? ... In SectiOD E below, describe how and when these deficiencies were or will be corrected. a No· a N/A o No· Q N/A o Yes" Qyes'" E. COlWDents: . , hgeZoC3 O3IDI '--" e e 5592770106 p.4 Dee 17 02 OB:21a . ; 0(. F. In-Ta.ok Gauging / SIR Equipment: ':d--Cbeck this box if tank gauging is used only fur invemory comroL o Check this box if no tank gauging or SIR. equipment is ÎDstal1éd. Tais section 'niust be completed if in-tank gauging equipment is used to perform leak detection monitoiing: . c It th Ii n checldist: omple e e 0 OWUlf! . . CJ Yes Q No· Has all input wÏring been inspected. fur proper entry and temúnaticm, including testing for ground muIts? a Yes o No" Were all tank gauging probe:! visually ~ted for damage and residue buildup? E1 Yes o No· Was accuracy of system product level readings tested? DYes a No· Was accuracy of system waœr level zeadings tested? DYes {J No· Were all probes reinstallcdprope:rly? DYes a No· Wr:re all items on the equipmcntmanu:fuctuter's mainteDaDce chccldist completed? * In tbe Section H, below, describe how aDd when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): .~ this box ifILDs are DOt inscaIled. c It thefiU ch cklist: ompJe e o OWm2 e CI Yes CJ No· For equipment start-up or aIJl1WÙ equipIDC:Dt certification, was a leak sinmIated to veri1ÿ UD pc:r:formance?· o N/A (Check all that apply) Simulated leak: rate: 0 3 g.p.h.; Q 0.1 g.p.h; Q 0.2 g.p.h. o Yes o No· Were all LLDs confiImcd opcœtiona1 and accuraœ within regulamry requirements? DYes o No· Was the testing apparatus properly cahòrated? o Yes {J No· For mecbanícal UDs. does the UD restrict product flow i:f it detects a leak? o N/A DYes {J No· For electronic LLDs. does the tUrbine automaticany shut off if the u.D detects a 1eaJc? o N/A DYes {J No· For electronic LLDs, does the turbine automatically shut off if any portiOJ;l of 1¥ monitoring system.is disabled CI N/A or discom1ected? o Yes Q No· For electronic LLDs, does the turbine automaticany shut off if any portion of the monitDring systeD1 maJ.fuDctiam o N/A or fåils a test? o Yes Q No· Far elcctIomc LLDs. have aD acceSS1òIe w.iring comu:ctioas been visually inspected? CJ N/A ~ a Yes a No· Wr:re an items on the equipmcDt manufacturer's maintenance checklist completed? . · In the Sectioø H, below, descnlJe how and wheu these deficiencies were or will be corrected. H. CODlllleDts: ", '\ -' p~ 3 of 3 03101 .~-_._.~.. Dee 17 02 08:22a M~nitoriDg System Certification Site Address: :3l.tt¡: ......,~.... " .. " .. " .. .~. ':".... " .. .. .. .. .. .. .. .. .. .. .. ~ .. .. .. .. .. - V. '. ..-"",, e e 5592770106 p.5 . . . . .. . y' " If you already have a diagram that shows all required informati~ you may include it, rather than this page; with your Monitoring Systcn ,Certification. On your site p1ëm, show the gtne:ral layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spac---s, sumps, dispenser pans. spill containers, or other secondary containment areas; mecbaIrica1 or electronic line leak detcc1œs; and in-tank liquid level probes (if .used for leak detection). In the space provided, note the date this Site Plan was Prepared. UST Monitorin,..g Site ~lan ( AA 1"0-... ..~ ~f1.~--1L~ r... q3"){)J .. .. .. .. .. ", .. .. .. .. .. .. " .. .. .. .~"II'" . ....J{....-4 .. .. .. .. .. .. .. .. .~...,..<::........ ...........~.. . '\..... O· . . . O· .' .. .." .. .. .." ........ .. .. .. .. .. .. .. .. .. .. .. .. .. .".. .. .. .. ··ti···~O···· . .." .'.......... ' ....... .. : : : : . : E~\: ~ : : . : : : : ./'?(.....~~.... . . \....!,-". . . . . M . 01"",. . ....~.~p... ... 0~: ð:' : .@)' . 7)' . . . ~;'{ . .. .. .. .. .. .. . . . :~::,:0: .v:::.v...~ . .. .. .. .. .. .. .. '.rl'" ~ '-' . . ~ _'--- '(Jot; . .J..~..-.~-.. :\.:u'· :~ .. .. .." .." .. .. .. .. ~D' ~: . . . Dam map was draWn: ID / ~'i2.2L, Instru.ctÏon8-, Page ~ of!1L -"-... OSIGO .....--- ...- ----._- e e p1010198.jpg (1280)(960)(24b jpeg) e e p1010197.jpg (1280x960x24b jpeg) ~- ? ~ \~ d~/" \} , - e 5592770106 p.2 Dee 09 02 11:5Ba 'f '.. ,~ ¡ '\, lVI0N:r~ORlNG SYSTEM CERTIFICATION { . 'Use By 411 Jurisdictions WJtilin the State of ~ /ornia Authority Cued: Chapter 6.7. Health and Sajèty Code; Chapter 16, Division 3, Title 23; California Code ðfR.egulatio1U :, T!1is fOml must be used to document testing and servic'.ng of monitoring equipment. A seyarnte certification or reyort IDW!t be Pre:Jareå fer eacb monitòrina svstem control Dancl by the technician who performs the worlc. A copy of~ form. must bc; provided to the tank system owner/operator. The owner/operator must submit a copy of this form. to the local agency regulating UST systems within 30 days oitcst date. A. General Information , FacilityName: ~~it.JK 6'f\,1' M 'n ; Site Address: ~r'\,ð~ A'foCl Facility Contact Person: 'ß l' \ l'tj þ. Mak:elModeI ofMoDitoriDg System: ~ ~ LIç B. Inventory of Equipment Tested/Certified Cha:k tile.. ,.., rI:ate boxes to lnclicah: edfte i ment ins ectedlscrviced: mqr +- Bldg. No.: City:P>q~ Zip: 'tað07 CoutactPho:WNo.: C(ø¡,¡ ) ¿5~..l. ~D~ Date of Te:rt:iug/Servicing: LfJj 1#-!...t2J". Taøk ID: Tank ID: . In,- Tank Gauging be. Mode!: .g.-In~ Tank Gauging Probe. Model: .ø-AnoDlar.Space or Vault Sensor. Model: '-QAnnu!ar Space or Vault Scc.sor. Model: Q..Piping Swnp I Th:nch Sensor(s). Model: '-o'-Pìping SUØlP I Trench SensoJ(s). Model: CJ .Fill Sump Sensor(s). 'Model: 0 Fm Sump Sensor(s). Mode!: a McclIanicaf Line Lcalc Detector. Model: 0 Mechanic:a.l Line Leak Detector, Model: CJ E]ectronic Line Leak Detector. Modc1: 0 E!ectroaic: Line Le3k Detector. Model: a Tank Overfill I High-Level Sem;or. Model: 0 Tank OvediU I HiP;r.evel Sensor. Model: û Other sceci cnt e and model in Section E on Pa e 2). a Other ui t and model in SectiOll E on 2). TaDkID: . q r TaAkID: . 'd-In- Tanle Gauging PrObe. Model: S ~W Q In-Tank Gauging Probe. Model: 'S!-AnDular- Space or Vault Sensor. Model: ~ 0 AnDular Space or Vault Sensor. Model: ~ipìng Sump I Tn:nc:h $ensor(s). Model: ~ Q Piping Sump I Trench Se:1SOr(s). Mode]; Q. Fill SI11J1P Sensor(s). Model: . 0 Fill Sump Scnsor(s). Model: o Mechanica1 Line Leak Detector. Model: 0 Mec:hanicaI Line Le:üc Detector. Model: Q E1cctronic Line l.c::ik Detector. Model: 0 E1ectrobic Une Leak Detector. Model: o Tank Ovc:rfi]J I High-Level Sensor. ModeJ: CJ TanIc Overlilll High-Level Sensa!'. Model: o Other ($pcci ui D'lcnt e and model in Section E on P 2 . Q Otbcr (II . CQui ent e :md mode] in Section E on Pa 2. Dispenser ID: Dispenser ID: . !spenser Conla:Üu1Jent Sensor(s). Model: 'e~ispcnser Containment S ·a-Sbear Yalve(s). ~Shear Valve(s). o Dis1JCnSer Containment F10 s1 and Chain s . t:J Dj cr Containment FI Dispenser ID: Dispe:aser ID: o Dispenser Containment Sensor(s). ModeJ: 0 Dispenser Containment Sensor(s). Model: Cl Shear Valve(s). a Sbear Valve(s). Q Di scr Containment Floa1(s and CbaiJ1(s . 0 D' Containment FIœ: $ and Cham s . Dispeuser ID: Dispeuser m: I 0 Dispense:' Containment SCDSOr(S). Model: Q Dispc:m¡er Containm&mt Seusor(s). Model: ¡ 0 Shear Yalve(s). . a Shear Yalve(s). ODi CDatainmcnt Floa s and 5 . a D' eDSct Containment Flœ s) aud am' s. -If the tåci1it)' contains more tanJa¡ or dispc:n$CtS. copy this farm. Include infonnation for every tank and dispenser /lot ~a 'facility. C. Certificaöon. I certifY that the eqpipØICAt ideuti;fied ill this døcuJDeDt was iDspectedlscrriced hi aa:ardaacc with tJae IIUIIlaW:turCrs' guideUnc:s. Attac:hed to this Certification is i:øførmati1J1l (e.g. DJ8Dota~s' chcddists) :øec:aŠary to verify tbat th1s InI'ormaÜDD is comet and a Plat Piau ðhDWÛlC the layout of monitoring equipment. For ~y equÍ)JJDeDt caPable of ga.enûDg such reports, I have aJso a~~cd a capy o!th~ r~ (d~ eUl t/ud'qply); ." Q System ~t-àp -C-~~:Y-1~~R9..rt. ? Technica.I1 Name (print). ~ &-c;, Y'L..p'" , S¡guatùre: ~ ¿< _-..\ ...., '. CertificationNO.;~-" .:" ...~..: , ,Lic~.No.: skð¿~lì, T.....Comp_N-=~~'~ PhoaoN"'~ )~~'<5'!!i O Site ~dn:ss: 'j (pf'K· . , :~O I,' Date ofTe:dinglServicmg.: &/...ßtI ~ Page 1 ot3 03/01 MoDitoring System Certification '. " -- e -- e Dee 09 02 11:59a 5592770106 p.3 . "i", . . "Results ofTestiD.g/Servicin~,., I ' '.' ( . 7f:, '- . , ,.,,' Sftwar~ Version Installed: o No" D N/A a No'" D N/A 9~* VNJA a y cs'" ....g:,No o Yes'" l3..N:o ,S:Yes 0 No" E. Comments: Page 2 af3 O3JU1 e e e e Dee OS 02 11:5Sa 55S2770106 p.4 ;-"'. In-Tank Gauging I SIR E,}, .¡Jment: .þ-". ~ .~ Check this box if iL , gauging js used only for inventory control o Cbc::k this box if no tank gauging or SIR. equipment is iDstallcd. Tills sectiO:D 'niust be completed if in-tank gauging equipment is used to perform leak detection monitoring: COØ1plete the foJlo1VÎn!! checklist: E1 ")l es 0 No'" Has all .input wiriDg been inspected for proper entry and tennínatioø. including testing for ground &uIts? ~ ~es 0 No· Wen: all tank gauging probes vi3uaIly insp~ted for àaroage and residue buildup? Ó 11 es Q No. Was accuracy of system prodtICt level readings tested? eI fie:¡ Q No· Was acçuracy of system waœr level readings tested? I (j Yes CJ No· Were all probes remstalledproperIy? I ta'Yes Q No· Were all items on the equipxncntmanufactmer"s ma1ntP.nanr.e cbecklist completed? * In the Section H., below, describe how and when these deW:iencies were or wID be cOJTected. G. Line L~ Detectors (LLD): ch cldist: . j.2f-eheck this box if ILDs are not installed. CompJete the folloWÏD2 e . DYes o No'" For equipment start-up or annual equipment c:tificatiou. was a. leak ~imnbteò to verify u.D performance?· o N/A (Check aJ1 that apply) Simulated leak rate: a 3 g.p.b.: Q 0.1 g.p.h; 00.2 g.p.h. o Yes o No" W t:IC all ILDs confumed opezatioœl and a.ccurate within regulatory requirements? DYes o No'" Was the testing appara.tus properly cali'br.rted? . ". q Yes Q No'" For mechanical LLDs. does the U.D restrict product flow ifit detects a leak? o N/A Q Yes Q No· For electronic LLDs, does the tuIbinc automatically shut off if the u.D detects a leak? Q N/A o Yes Q No· For eleczromc LLDs, does the turbine automatically shut off if any porti01;1 of the moIJitoring system is disabled o N/A or di.scouncct:ed? Q Yes [J No· For electronic LLDs, does the turbine autœnatically shut off if any portion of the moDÍtlJIÎng sysfCm malfimctiom Q N/A or fåils a test? DYes o No· For electronic LLDs, have all accessible wiring connections bccn visually mspecred? Q N/A . a Yes o No· Wac an ~ms on the equipment manuW:turer's maintenance checklist completed? . '" In the Sectioø H, below, describe how aDd when these deficiencies were or will be corrected. H. Comments: ..... Page 3 of 3 G3IOl e e Dee 09 02 11:59a J Nioøitoring System Certification Site Address: ')~l1 e e 5592770106 p.5 -- .* -: " i UST Monitoring Site Plan .. _I i5 t: /. / r- q ,3') c' '- ( .f 1\ a..., n-..-.- " <i . '\.-1. - C <v ~ - " " - .. . .. . .. . , .. " ": 1 · I" · . · r : ~: . . J'. . . . :::::j': .. .. I . .. . ~ · . I . . .. ~ ~.~..,~,.. .. --.-- .--_.-::-'.. .. .. .. . ~. .~. . . , . '..,;r'" · . . . .--~t'~-:. · .?:C. .--:", . . --:' . .' ........ ..,.. . .. .. .. .. .. .. ...~: ..' .' . .. .. .. .. . . .. . , . . .f:. . . .....~....""':"-:\...;-'? .. :-~:;...~. -.-...... .~ . '. :6': c . .. .. .. .. :c·:··· :c,.: ~'("j: ...-." t ' .. · . \. " . ~. ," ~ Z:., ,. ..,... ,.- . . . >._......---:-~: . . . . . . . .f?r.....,....,......{"7. : ':~':--:.: : : .;.t~~ll o~- /~ · e . :,"-;-:--. C- :---:-. . L":: . · '-f," f). _.~ i' ;.' . / . .,,- . ~..~: . ~.~:~: .:~: : · [" · .--... o~. .. {~.~ 1 ._. .. . ~,,:t / . '''-;---'. · .. .. .. .. ·GJ·····~· · . . o¡ . '.' ~ "' ,:; . · ,.ßt.£ ... '~'. . .. .. .. .. .. . .~o "d" ~:)~. . ~ y.-~~. .'.' 1 . , ..~,. . \: .!: . r~ .. . . c....:.J . 0 ·0" :31:... ~: . r' .' Da1e map was drawn: Ii; / J '-¡' Iii~.. - -+--' ~ InstructionS. If yol1 already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System .Certification. On your site p~ show the:: general layout of tanks and piping. Clearly identify locations of the followi:ng equipment, if installed: monitoring ~c:m control panels; SCDSOIS monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary conta1nment areas; mechanical or electronic line leak detectors; and m-tank liquid level probes (if used for leak detection). In the space provided, note tlte date this Site Plan wu P1'q)ared.. Page '~I \. of ~ ( OSIOO e e Complete items 1,2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. I . Attach this card to the back of the mail piece, or on the front if space permits. I 1. Article Addressed to: I I, I i JOHN SOHAL I QUICK SHOP MARKET I 349 UNION AVE BAKERSFIELD CA 93306 2. Article Number (Transfer from service label) PS Form 3811, August 2001 ----., 3. Service Type o Certified Mail 0 Express Mail . 0 Registered 0 Return Receipt for Merchandise o Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes Domestic Return Receipt I 102595,02,M.0835I 1BJ~~AŒEllJD APJ!E C:¿f"Af17ì}~i~Nr 1j;'Ì'iC/E OF Er {V::;;:;1\',; :::'0,":; \6 ¿¡[¡¡Vi :;i7i~ 'û7~e; Ch®$~®f A~(J;¡U~ì, ~U¿Wi! æV (gJgjD¡~~:&~~ ~ ~~!», r.¡::::~:::::-] t ..¡..;:::~~ i :] 1/,/'llIlIflllldlll!l!!lf,/¡,fl/,¡ j) ; t ¡I 1/10 '1 ¡, ) 'I ; .:I!lII!! il" III 1:¡J '''!:'llll1dIIJlld II CI ("- ¡m ¡U1 1M ::r .J] M I CI ¡CI CI I CI Postage $ Certified Fee CI .J] I cO 'CI Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Total Postmar1l Here ru . CI JOHN SOHAL I ::2 Sent1 QUICK SHOP MARKET ši;ëëi; 349 UNION AVE arPO, ........ BAKERSFIELD CA 93306 City, $1 =l ·········..·i ~!'~.,~...."1~~I'iB'i71'Ti:Ii~ FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 oW Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 oW Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES' ENVIRONIŒHTAL SERVICES 1715 Chesler Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX(661)326H0576 PUBLIC EDUCATION 1715 Chesler Avè, Bakersfield. CA 93301 VOICE (661) 326-3696 FAX (661) 326H0576 FIRE INVESTIGATION 1715 Chesler Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697- FAX (661) 399-5763 -, ~ ........... - e .",1\ ,.... -\ December 2, 2002 John Sohal Quick Shop Market 349 Union Ave Bakersfield, CA 93306 CERTIFIED MAIL NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE RE: Failure to Submit/Perform Annual Maintenance on Leak Detection System Dear Underground Storage Tank Owner: Our records indicate that your annual maintenance certification on your leak detection system was past due on October 29, 2002. You are currently in violation of Section 2641 (J) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have thirty (30) days, January 3, 2003 to either perform or submit your annual certification to this office. Failure to comply will result in revocation of your permit to operate your underground storage system. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Ralph Huey Director of Prevention Services bY~~ Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services cc: Walter H. Porr Jr., Assistant City Attorney ""Y~ ~ ~~ ß70p.At?Pe §"'bz, A W~'I'I ~~1 I Nov 20 02 12:11p . ~At 55...¿770106 p. 1 MEM D En ~~!~ 1I£1I8ER aPEI~ ~IPI tQllrlWlf III'>" SECONDARY TESTING CONFIRMATION Today'. Date:-ll!U 1(/2.- Dìt W ~ Attn: ( . \.t./ L·' . .' -"-,Céu ~'£J ~l ~'\ Company: ~.. \~ -e./ ; +1 fC' FaxNumber:~-07/&-C'~SI ~ From: b\H'f ßtJL\den This Notice is to confirm your appointment: With: ~\t~)~/.{rrl Site Name: ~lÌC.K ,~\\{~ (\'\\ V\\ ff'a(t Site Number: SiteAddress:~ ~'t:k;l eft c~ Q3(J7 (City, Stat~ & Zip Code) Site Phone Number: \-lP(p 1- 02.-7; 2-1 OÎ-/ ON: 0 @ Z.\3ë) Please call our 0 lei tli ere are an cI,an es in the in ormation above i delayed. or ¡{vou cannot make your appointment 6~I~i Ct \1(} ~M ect to be Thank you, Allstar Petroleum Equipment 1 BAKERSFIELD. BAY AREA . F~ESNO . LOS ANGELES . MODESTO . SACRAMENTO èì . r9 ./ ~ I ~-ðltlfq 7~ ~q{4? APPLICATION TO PERFORM A TANK TIGHTNESS TESTI , SECONDARY CONTAINMENT TESTING. ~ fÃsfBtcRAI<- ADDRESS 'ifbo tJ"k LrJ PERMIT TO OPERATE # OPERATORS NAME 510~ f0~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1.715 Chester Ave., Bakersfield, CA (661) 326-3979 OWNERS NAME NUMBER OF TANKS TO BE TESTED VOLUME (d'- fO( '- /DI,,- lòl<- (l LI IS PIPING GOING TO BE TESTED CONTENTS Clvl. f1,fio f~ Dsl 4t 3 <¡:; TANK TESTING COMPANY 75SSfL ÍÑc... MAlllNG ADDRESS .f£'?o f.2æeolJlt IJ~ :Ii ß NAME & PHONE NUMBER OF CONTACf PERSON '"'&Rft ~f- ¿" 777 TEST METHOD -:IÑt4t/ NAME OF TESTER OR SPECIAL INSPECfOR Mike li\¡, u'si CERTIFICATION # W ("Ï/7 0 ~ DATE & TESTIS TO BE CONDUCTED tI-lt-ò2..- qAM ( APPROVED BY DATE \~ SIGNATURE OF APPUCANT ((- c.? ÒV · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the mail piece, or on the front if space permits. I I I , I \ 1. Article Addressed to: I ! QUICK. SHOP MARKET 349 UNION AVE IBAKERSFIELD CA 93307 I ... ... ,". ... B. Received by ( Printed Name) M.ÌI<~ ~DI-t t-\ D. Is delivery address different from item 1? If YES, enter delivery address below: 3. Service Type XJ Certified Mail D Registered D Insured Mail \ D Express Mail \ D Return Receipt for Merchandise I DC.O.D. 7002 0860 0000 1641 6988 4. Restricted Delivery? (Extra Fee) DYes PS Form 3811, August 2001 Domestic Return Receipt I 102595-02-M-0835: UNITED STATES POSTAL SERVICE e ;. First-Class Mail Postage & Fees Paid USPS Permit No. G-10 · Sender: Please print your name, address, and ZIP+4 in this box · i3P,~~~§fU:l!D F¡iR~ D;:~A~1W:'iNT cc-:~r'i'¡ç n:c; þ"~,,un<ëòQ""^ C'PIVì7l\.! ....f\':·fi"J:V /~ .. ~~-';.',.-~ ~t "=>é\ VG~ì.uú\;¡'v~if';L\.: ~In¿... ~l!"-:L'-:! ~CES ~-~ 'l~ 5 (~J1'~Ú)æ~ l\V(j>T~f¡!~ ç~~ ':~';..,; t;'t;"1;t ~ .n....... ? ..."..,................. \},,,v ~(~~t{~;(~1l3~~~ CA f:~~~î-:t~~ Ie[) Ie[) ¡Q"" ..D lñ ::r ¡...J] ñ I c::J 1c::J 1c::J 1c::J I c::J ,..D I~ I , ru c::J c::J Sent To I"- QUICK SHOP MKT :;~~::~~:r······34·9··ÜÑÏÕÑ··ÄVË"·"······"··"···"·"·····......... ëj~sìå;~·žip;4····BillRšFÏËLD···ëi····93·3Ö·7···..·..·····..···· Postage $ Certified Fee Return Receipt Fee Postmark (Endorsement Required) H818 Restricted Delivery Fee (Endorsement Required) Total Postage & Fees $ ........1:..1. .!. ...."".......c!I See Reverse for I .. FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H· Slreet Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESStON SERVICES 2101 "W Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIlE SAFElY SERVICES. ENYIROHIIEIITAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBUC EDUCATION 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfletd. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e e i:c ,!. . "" - . October 31, 2002 Quick Shop Market 349 Union Ave Bakersfield CA 93307 CERTIFIED MAIL REMINDER NOTICE RE: Necessary secondary containment testing requirements by December 31, 2002 of underground storage tank (s) located at the above stated address. Dear Tank Owner / Operator, If you are receiving this letter, you have not yet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). Senate Bill 989 became effective January 1,2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to insure that the systems are capable of containing releases from the primary containment until they are detected and removed. Of great concern is the current failure rate of these systems that have been tested to date. Currently the average failure rate is 84%. These have been due to the penetration boots leaking in the turbine sump area. For the last six months, this office has continued to send you monthly reminders of this necessary testing. This is a very specialized test and very few contractors are licensed to perform this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. The purpose of this letter is to advise you that under code, failure to perform this test. bv the necessarv deadline. December 31. 2002. will result in the revocation of your permit to operate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Si:t~ Steve Underwood Fire Inspector/ Environmental Code Enforcement Officer Office of Environmental Services "9~ ~ ~~ ~.A0Pe 9'"'~ A W~" e e CITY OF BAKERSFIEl-D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd I<'loor, Bakersfield, CA 93301 FACILITY NAME Q¡ A (Ý- !1)fL-;w:-. ADDRESS '3 c¡q (ill L FACILITY CONTACT INSPECTION TIME INSPECTION DATE '0 ·31 - () l- PHONE NO, 3:)J... C:>I() C. BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES 3 Section I: Business Plan and Inventory Program o Routine Jî) Combined D Joint Agency o Multi-Agency o Complaint D Re-inspection OPERA nON C v COMMENTS Appropriate pennit on hand / Business plan contact infonnation accurate c.. V v Visible address .. V Correct occupancy v V Verification of inventory materials V "'" Verification of quantities .... V Verification of location \. / Proper segregation of material ,/ Verification of MSDS availability ¡ V Verification of Haz Mat training V ./ Verification of abatement supplies and procedures ... / Emergency procedures adequate /" Containers properly labeled / ~ Housekeeping '-' Fire Protection /v /' v /" Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes ~o Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME Q<lICJ( Slwf INSPECTION DATE ;0 ',~" () "( Section 2: Underground Storage Tanks Program o Routine œ Combined 0 Joint Agency Type of Tank DW{=(: ~ Type of Monitoring tiL.t4'\.. o Multi-Agency 0 Complaint Number of Tanks 3 Type of PipingfM Ff( 'I ORe-inspection OPERA TlON C V COMMENTS Proper tank data on tile V V V Proper owner/operator data on file Iv II PelTllit fees current 1../ Certification of Financial Responsibility /V Monitoring record adequate and current V v Maintenance records adequate and current / Failure to correct prior UST violations / Has there been an unauthorized release? Yes No \/ Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MYF? If yes, Does tank have overfill/overspill protection? :~~~~:]¡,"'e¡~v¡~~Ye' - { to Office of Environmental Services (805) 326-3979 Whitc, Fnv. Svcs. N=NO Pink - Busincss Copy (\.v/ . I ~/. Oct 11 02 10:17a . OCT 07 2002 15:21 BKSFLD FIRE PREVENT1UM . \OUJ.I~"""c... _..._ p.2 , CITY OF BAKERSFIELD OFFICE OF ENVŒONMENTAL SERVICES 1715 Chester Ave., Bakersfteld, CA (661) 32(å.3979 APPLICATION TO PERFORM FUEL MONITORING CERTIFICATION PACJLlTY_~ \J \ (,\L .$ b Of> yY\ I Y\ I ffia.Y't ADDlŒSS~l¥\ I\)Y\ fu~ . OPBRATORSN~ ~\;1erlð.ij \ OWNERSN~heY~\ NAME OF MONITOR MANUFACTURER £ðW DOES FACD..1TY HAVBDISPBNSER PANS? n:si NO_ ( TANIC # I 2. 3 VOLUME tJ IA . : :/~ NJ\MB OFTBSTJNG COMPANY A IIStzl.V ~tYD \-e Lµy\ ~ Lu A(Y) errt-· CONrRACfORSUCf.N'SEft (005 e:} 2- - A· ~'Z- . NAME &. PHONE NUMBER. OF CONTACT PERSON~ fA meVldJrIY\ õPJ·ld-J-'l. 5~5 3 DATE & ~ 11!ST IS TO BE CONDUCI'ED--1Qj '4- J 02- @ l1: 00 o...n'\ ~k !Murff) ( APPR.OVED BY DATE /i,~j{Jµ¡d~/ SIGNA' OF APPUCANT 10· ( { . 0 ~ FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H· Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFm SERVICES. EIMRONIlEHTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326H3576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326·3696 FAX (661) 326H3576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-{)576 TRAINING DIVISION 5642 VIctor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 - e September 30. 2002 Quick Shop Market 349 Union Ave Bakersfield CA 93307 REMINDER NOTICE RE: Necessary secondary containment testing requirements by December 31,2002 of underground storage tank (s) located at the above stated address. Dear Tank Owner / Operator, If you are receiving this letter, you have !!2! yet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). Senate Bill 989 became effective January 1,2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to insure that the systems are capable of containing releases from the primary containment until they are detected and removed. Of great concern is the current failure rate of these systems that have been tested to date. Currently the average failure rate is 84%. These have been due to the penetration boots leaking in the turbine sump area. For the last five months, this office has continued to send you monthly reminders of this necessary testing. This is a very specialized test and very few contractors are licensed to perform this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. The purpose of this letter is to advise you that under code, failure to perform this test, by the necessary deadline, December 31, 2002, will result in the revocation of your permit to operate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Sin~~ Steve Underwood Fire Inspector/ Environmental Code Enforcement Officer Office of Environmental Services "..9'~ de W~.¥eve ~0Pe y~ A W~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 21 01 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H· Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e - D August 30, 2002 Quick Shop market 349 Union Avenue Bakersfield, CA 93307 REMINDER NOTICE RE: Necessary secondary containment testing requirements by December 31,2002 of underground storage tank (s) located at the above stated address. Dear Tank Owner / Operator, If you are receiving this letter, you have not yet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). Senate Bill 989 became effective January 1,2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to insure that the systems are capable of containing releases from the primary containment until they are detected and removed. Of great concern is the current failure rate of these systems that have been tested to date. Currently the average failure rate is 84%. These have been due to the penetration boots leaking in the turbine sump area. For the last four months, this office has continued to send you monthly reminders of this necessary testing. This is a very specialized test and very few contractors are licensed to perform this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. The purpose of this letter is to advise you that under code, failure to perform this test, by the necessary deadline, December 31, 2002, will result in the revocation of your permit to operate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. sincere} d4£J St~rwoOd Fire Inspector/ Environmental Code Enforcement Officer Office of Environmental Services "" 9t?/V~ de Y5~n.mu~ ~ .~0P6 .r~ .A Y5~y" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakerslield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SEIIVICES . EHWIOIIIÆHTN. SEIIVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 32e.o576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 32e.o576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 - e July 30, 2002 Quick Shop Market 349 Union Ave Bakersfield CA 93307 REMINDER NOTICE RE: Necessary Secondary Containment Testing Requirements by December 31,2002 of Underground Storage Tank (s) Located at the Above Stated Address. Dear Tank Owner I Operator: If you are receiving this letter, you have not vet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to insure that the systems are capable of containing releases from the primary containment until they are detected and removed. Of great concern is the current failure rate of these systems that have been tested to date. Currently the average failure rate is 84%. These have been due to the penetration boots leaking in the turbine sump area. For the last four months, this office has continued to send you monthly reminders of this necessary testing. This is a very specialized test and very few contractors are licensed to perform this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. The purpose of this letter is to advise you that under code, failure to perform this test, by the necessary deadline, December 31, 2002, will result in the revocation of your permit to operate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Si7i~ Steve Underwood Fire Inspector Environmental Code Enforcement Officer ""Y~ de ~~ STop ~OPe.o/~ A W~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 °H'Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395·1349 SUPPRESSION SERVICES 2101 °H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395·1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 -- e June 30, 2002 Quick-Shop Market 349 Union A venue Bakersfield, CA 93307 REMINDER NOTICE RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 349 Union A venue. Dear Tank Owner / Operator: The purpose of this letter is to inform you about the new provisions in California Law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1,2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are detected and removed. Secondary containment systems installed on or after January 1,2001 will be tested upon installation, six months after installation, and every 36 months thereafter. Secondary containment systems installed prior to January 1,2001 wiIl be tested by January 1,2003 and every 36 months thereafter. REME:MBER! Any component that is "double-wall" in your tank system must be tested. Secondary containment testing shall require a permit issued thru this office and shall be performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at (661)326-3190. Si;t ~ Steve UndelWood Fire Inspector/ Environmental Code Enforcement Officer Environmental Services SU/kr ~~y~ ~ W~ 370P ~0Pe.r~ .Æ W~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H· Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chesler Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399,4697 FAX (661) 399-5763 - e Quick-Shop Market 349 Union Avenue Bakersfield, CA,93307 RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 349 Union Avenue REMINDER NOTICE Dear Tank Owner/ Operator: The purpose of this letter is to infonn you about the new provisions in California Law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1, 2002. section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary contairunent until they are· detected and removed. Secondary containment systems installed on or after January 1, 2001 shall be tested upon installation, six months after installation, and every 36 months thereafter. Secondary containment systems installed prior to January 1, 2001 shall be tested by January 1,2003 and every 36 months thereafter. REMEMBER!! Any component that is "double-wall" in your tank system must be tested. Secondary containment testing shall require a permit issued thru this office, and shall be perfonned by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize and have the proper certifications to perfonn this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at (661) 326-3190. Sft~ Steve Underwood Fire Inspector/ Environmental Code Enforcement Officer SBU/kr enclosures --7~ de W~ ~ .A0P6 .9'"'bt- A ~~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 21 01 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 326-Q576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e e April 17, 2002 Quick Shop Market 349 Union Ave Bakersfield CA 93307 RE: Necessary Secondary Containment Testing Required by December 31. 2002 REMINDER NOTICE Dear Tank Owner/Operator: The purpose of this letter is to inform you about the new provisions in California law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1,2002, Section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter. to ensure that the systems are capable of containing releases from the primary containment until they are detected and removed. Secondary containment systems installed on or after January 1. 2001 shall be tested upon installation. six months after installation. and every 36 months thereafter, Secondary containment systems installed prior to January 1. 2001 shall be tested by January 1.2003 and every 36 months thereafter. Secondary containment testing shall require a permit issued thru this office, and shall be performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize ånd have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again. all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at 661-326-3190. Si1v ~ Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer SBU/dm enclosures "Y~ de ~~ YOP vØtOPe ff~ A ~~.,., I , 1\-19-2001 11 :14AM FROM WEST STAR/ALLSTAR 5592770106 I //' '~¡~o/U 1"'~:'¿~-""1t::IIo:I1 II :.:I.ItI"'I"1 ..~.V,C..:.I ~1 .41'<.1""'L..L...oSI""'" -'u....~ ,............ .' <y ~..~ . ãt P.2 d»LÞ leak detection system described - Naìne: ~~~~D\ci \'\~ Add ' ) City: Zip code: , Phone:'(Wx3z:Lw1JO"ù Leak [)åed:ion System: £Æ2 ì Manufa'cturer: " ' ~l Model;~~ location: Monitorl,ng Frequency: ./' 6 " ContInuous Intermitted pos~utwOff: ' Yes No Sensor' location Sensor Shut-Oft' Alarm ~t 1. J- , \"",W 2. 1 .:..<J 11..~ tJAKERSfJ£LD . P*ESNO ., MODESTO . WALNUT CREEK \ : 1~-1 9-2001 11: 15AM ) ~ . Ha-29-20Ø t 1 1 :.4 1 AM FROM WEST STAR/ALLSTAR 5592770106 FR~EST siARlAlLSTAR bb8~11~1~b . P,3 J..','¿ ,I ... """..... /"- ~ œ-Ïb ENT cøaNA,Vl122 ,. zn.œos æíb ~ Emergency Shut-Off Switch ~ lQcation: piping sump, dispenser pan, and entire area and monitoring well. $e:osor ·TYRes: liquid level sensor (contact float), disaiminðti.ng single float s~nsor, and monitOting we~I sensor, duel float Uquid sensor dlscrimìnating duel fl~t sensor, dispenser shut-down device (stand--alone). t;yaluation: 1. Inspected sensor to verify floats move freely. 2. Turn sensor upside down to verify alarm 'Is activated., 3. Inspected sensor cables for cracking or swelling and replaced senSQr as, , . necessary. 4.' Verify sensor Is secure in an upright position on the bottom of the pan. , Çert{ficatiQnof R.eSlltm: The leak detectiOn system described above detect IfquJd$ In contact with the ·sensor. I, . . 1 '\ ~ certIfy that' the leak detection system was opera ng proPerly and the evaluation was performed· by myself or in presence. I also certify that the results presented' in this document are those obtained during the· evaluation. ' 1Q-~CÇQJ Date .' , icfJ-7/tÞ¡ 2 .... ~ :. BAKERSFIELD, . FRESNO . MOÞØTO . WALN&n' CREEK , · CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME Q(J\c.JC d,o,¡() INSPECTION DATE 1(( f!j (J I Section 2: Underground Storage Tanks Program o Routine ~ombined 0 Joint Agency Type of Tank DWK~ Type of Monitoring GLCN\.. o Multi-Agency 0 Complaint Number of Tanks ~ Type of Piping (- c'-l ORe-inspection OPERA TION C V COMMENTS Proper tank data on tìle r / Proper owner/operator data on tile / Permit tees current '- / Certification of Financial Responsibility t / Monitoring record adequate and current l. / Maintenance records adequate and current \..... / Failure to correct prior UST violations ( / / Has there been an unauthorized release? Yes No ( ./ Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERA TION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? [f yes, Does tank have overfill/overspill protection? C=Compliance Y=Yes N=NO Inspector: Office of Environmental Services (805) 326-3979 White - Env. Sves. Pink - Business Copy e - CITY OF BAKERSFIEI..D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 INSPECTION DATE ( ({LSJ () ( PHONE NO. .3dd..· ~ (0 ? BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Lf FACILITY NAME Q\h<:Jt ~hø (1 ADDRESS 3L{C{ 0(1\(0'" A\I'L FACILITY CONTACT INSPECTION TIME Section 1: Business Plan and Inventory Program o Routine ~Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA TION C V COMMENTS Appropriate permit on hand I" V 1\ ..- Business plan contact information accurate L V l ,/ ~ Visible address Correct occupancy ( / Veri fication of inventory materials \.. / Verification of quantities t / Veri fication of location l / Proper segregation of material l / Verification of MSDS availability / \...- Verification of Haz Mat training Il V'" Verification of abatement supplies and procedures L- V Emergency procedures adequate It V Containers properly labeled L V Housekeeping II IJ Fire Protection "' V Site Diagram Adequate & On Hand ( ~ C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes ~o Pink - Business Copy Questions regarding this inspection? Please call us at (661) 326-3979 While - Env. Svcs. Yellow - Station Copy Inspector: ..D o o o o T~,po~ge&F~ $ ,rn \J1 sent To ··¡:'~E~~~~~=~ , ~ ,r'\ ¡:r o ,rn ..D \J1 :r 'rn postage $ certified fee Retum Receipt fee <.Endorsement Required) Restricted De\\ver¡ fee (Endorsement Required) ~ ., \:. ' , , .34 2.10 1.50 postmark Here 3.94 .... :... .. . . . SErv- -~: COMPLETE THIS SECTION . .- , C. Signature I . . Complete Items 1, 2, and 3. Also complete r item 4 if Restricted Delivery is desired. , . Print your name and address on the reverse so that we can return the card to you. . Attach this card tó the back of the mailpiece, I or on the front if space permits. I "' :J-.q I o Agent \ o Addressee DYes ONo 1. Article Addressed to: D. ifferent from item 1? If YES, enter delivery address below: Baldwindor Shergill Qui~) Shop \ 349 ~Union Ave \ Bakersfield CA 93307 3. Service Type ~ Certified Mail o Registered o Insured Mail o Express Mail o Return Receipt for Merchandise o C.O.D. 4. Restricted Delivery? (Extra Fee) DYes 2. A,ANumber (Copy from service labeQ ~ ~O 1530 0006 3456 3041 (:'p PS Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952 .....;--- UNITED STATES POSTAL SERVICE First-Class M::A Postage & Fe~id USPS Permit No. G-10 · Sender: Please print your name, address, and ZIP+4 in this box · BAKERSFiELD FiRE DEPARTMENT OFFICE OF ENViRONMENTAL SERVICES 1715 Chester Avenue, Suite 300 B~~em~¡e~d, CA 9æOi "~ <1 -- K.... FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 ·W Street. Bakersfield. CA 93301 VOICE (661) 326-3941 FAC(661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 ~ FAC(661)326-0576 j:NVIRONMENTAL SERVICES ~ 1715 Chester Ave. ) Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326-G576 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAC( (661) 399-5763 . f" . --i" 'f ¡_. ~ October 19, 2001 Baldwindor Shergill Quick Shop 349 Union Ave Bakersfield Ca 93307 CERTIFIED MAIL NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE RE: Failure to SubmitlPerform Annual Maintenance on Leak Detection System Dear Mr. Shergill: Our records indicate that your annual maintenance certification on your leak detection system is past due. October 18, 2001. You are currently in violation of Section 2641(J) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have thirty (30) days, November 19,2001, to either perform or submit your annual certification to this office. Failure to comply will result in revocation of your permit to operate your underground storage system. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Ralph Huey Director of Prevention Services bY~~ Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services cc: Walt Porr, Assistant City Attorney ~~~~ de ~~ ~p uØ6~.r~ A ~~'I'I FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H· Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAJ< (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 FAJ< (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 -It e August 3, 2001 Quick-Shop Market 349 Union Ave Bakresfield Ca 93307 RE: Deadline for Dispenser Pan Requirement December 31, 2003 REMINDER NOTICE Dear Underground Storage Tank Owner: You will be receiving updates &om this office with regard to Senate Bill 989 which went into effect January I, 2000. This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003, which is the deadline for compliance, this office will be forced to revoke your Pennit to Operate, for failure to comply with the regulations. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel &ee to contact me at 661-326- 3190. Si¡~ Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dm ¡,¡, CY? . 1/1 (/.~ . ()"L' /~] (In.I /.1 QCJ ~~ ...7~~?- Úœ· Vtv/VnL'AU?- ..7"'op ./t'(:JoPc .!7/í~Ub ~(;) 0Mú,~?- " e e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 INSPECTION DATE~ Section 2: Underground Storage Tanks Program o Routine ~ Combined 0 Joint Agency Type of Tank ,D(.ù~ Type of Monitoring CLM o Multi-Agency 0 Complaint Number of Tanks .3 Type of Piping pI C~ ORe-inspection OPERA TION C V COMMENTS Proper tank data on tile Iv Proper owner/operator data on tile V Permit fees current ¡/ r Certification of Financial Responsibility V / Monitoring record adequate and current V / Maintenance records adequate and current V / ./ Failure to correct prior UST violations l/ ./ Has there been an unauthorized release? Yes No /! ------ - Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERA TION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfiIl/overspill protection? C=Compliance V=Violation Y=Yes N=NO I"peolo", _J¡, d&:1t!€) Office of Environmental Services (805) 326-3979 White - Env. Svcs. ~ ~-J--Z ~~ ~ Responsible Party Pink - Business Copy e e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 ~~~~~~N~~~~~~ ~çhcf2- F ACILITY CONTACT INSPECTION TIME INSPECTION DATE It (rfo 100 PHONE NO. ,~';J I ()L BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES '-/ Section 1: Business Plan and Inventory Program ~bined 0 Joint Agency 0 Multi-Agency o Complaint ORe-inspection o Routine OPERATION C V COMMENTS Appropriate pennit on hand v V Business plan contact infonnation accurate Iv '/ Visible address £..... ./ Correct occupancy ¡V /" Verification of inventory materials IV /' "'. ¡V /' Verification of quantities Verification of location IV" /' I Proper segregation of material v Verification of MSDS availability V ,/ Verification of Haz Mat training /..; ./ Verification of abatement supplies and procedures ¡V / Emergency procedures adequate ¡V / IV / Containers properly labeled / Housekeeping V Fire Protection V ' £!Lrlt~YM j P1J.JÁ,;'" 11)# Ie Site Diagram Adequate & On Hand L V C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes ONo Questions regarding this inspection? Please call us at (661) 326-3979 Busines White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: ~ I \.-.. ìii0-1 9-2000 1 0: 1 4AM ~~~ , J. "''£111 BER , .' tP~b FROM WEST STAR/ALLSTAR 5592770106 P.2 ,"\ AL e TAFt. MEMBfll \PL!J - MIA~ leak detection system described . . Location: Name: ~ ~\IС>- -:So~y &~cJ. Address: 3"(9 ,,~.~ City: ~QJJ. ,State: ~ Zip code: 4.~30'" . Leak Detection System: Manufacturer: 8ßa-O Model: ~ s4-;cJ... -=rtc... Phone: ~"I )c322 - (,11'::" Monitoring Frequency: --- Continuous . . Intermitted '~I,'; Positive Shut-Off: ---- Yes No Sensor Location Sensor e Shut-Off Alarm Yes No Yes No Pass Fail /' I 1. ~ ,- /' I 2. 8, Die ,,- /' I 3. ,~ $fC r ". ¡- I ; 4. r r I . 5. ; 6. r r I ,. 7. , r { :' 8. '¡';. / / / ,..... 1 BAKERSFIELD . FRESNO . MODESl'O . WALNUT CREEK , ,., ~j0-19-2000 10:15AM ~ ~ ~ . . t' ~ f' "Ç , '. FROM WEST STAR/ALLSTAR 5592770106 P.3 ~,,,'~ ælt - TAR .,(MUER \P£b e ., , Emergency Shut-Off Switch Ý ~, Location: piping sump, dispenser pan, and entire area and monitoring well. " j ,f ; , ~ Sensor Types: liquid level sensor (contact float), discriminating single float . sensor¡ and monitoring well sensor, duel float liquid sensor discriminating duel float sensor, dispenser shut-down device (stand-alone). i ..-..: EvallJªtion: . . 1. Inspected sensor to verify floats move freely. 2. Tum sensor upside down to verify alarm is activated. . . . 3. Inspected sensor cables for cracking or swelling and replaced sensor as necessary . 4. Verify sensor is secure in an upright position on the bottom of the pan. Certification of Results: . The leak detection system described above v~ested (9r its ability to .' detect liquids in contact with the ·sensor. I, ~' Úo liðv . certify that· the leak detection system was operating properly and the evaluation was performed by myself or in presE~n.ce. I also certify that the results presented in this document are those obtained during the evaluation. Sign~ vJ¡.., I~·AI- 00 Date . . ~": 2 BAKERSFIELD . FRESNO . MOOES1'O . WALNUT CREEK . i I FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX,L.661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e e October 12, 2000 Baldwindor Shergill Johnny Quick 349 Union Ave Bakersfield, CA 93307 /' Dear Mr. Shergill: Your facility has been identified by our department as dispensing motor vehicle fuel after normal store hours without an attendant on site. Current Uniform Fire Code and guidelines, set forth by the Bakersfield Fire Department, Office of Environmental Services does allow for unsupervised dispensing under the following conditions. These conditions are as follows: Unsupervised dispensing is allowed when the owner or operator provides, and is accountable for daily site visits, regular equipment inspection and maintenance, including any unauthorized release or spills, posted instructions for the safe operation of dispensing equipment, and posted telephone numbers for the owner or operator. Signs prohibiting smoking, prohibiting dispensing into unapproved containers and requiring vehicles engines to be stopped during fueling shall be conspicuously posted within site of each dispenser. In addition, a sign shall be posted in a conspicuous location reading: In case of spill or release: 1. Use Emergency Pump Shut-off 2. Report the accident 3. Fire Department telephone number 4. Facility address During the hours of operation, stations having unsupervised dispensing shall be provided with a fire alarm transmitting device. A telephone not requiring a coin to operate is acceptable. The fuel leak detection system must have a remote or phone modem to insure off site monitoring during hours of unsupervised dispensing. During hours of darkness, sufficient 1o(,.7~ ~ r?~ j70p JF"60P6 ybt, A W~~" i e e lighting must be maintained so that all signs associated with fueling operation are conspicuous and readable. A 5 gallon container of an absorbent material used for spills must be made available to the public during hours of unsupervised dispensing. A fire extinguisher with a minimum 2 A 20 BC rating, must be located on dispenser island during hours of unsupervised dispensing. In addition to the above requirements, the following information is required: /' 1. Emergency Response Procedures 2. Employee ~rocedures 3. Sample forms, (see attachment) shows all the necessary information which must be provided to the City of Bakersfield, Office of Environmental Services. You may use any format you wish, provided that all the information requested is supplied. OPERATOR GUIDELINES EMERGENCY RESPONSE PROCEDURES CARDLOCK OR UNSUPERVISED DISPENSING Daily Inspection: L .. 2, 3. 4. 5. 6. 7. Spill: L 2. 3. 4, 5. 6. 7. 8. Check for small spills Place absorbent on the spill immediately Clean up absorbent within one hour Check for hoses lying on the ground Look for other tripping hazards and remove Ensure fire extinguishers are in place and inspect daily . Check quantity of absorbent material daily Detennine the source of spill or release Stop the flow of product Hit emergency shut-off valve Stabilize the area . Extinguish any smoking material Locate nearest fire extinguisher Use absorbent or spill pack to keep any product out of water source or sewers Isolate the hazard area-deny entry to non-emergency personnel. e e ... Containment: I. Contain the spill totally with a spill pack and/or absorbent 2. Never use water 3. If larger than can be immediately contained, go to step #4 4. Contact the local fire department, 9-1- L 5. Notify company management personnel Fire: /' 1. Gasoline fire extinguIshers located on dispenser islands 2. Remove Pin 3. Point to the bottom of the flame and squeeze handle 4. Call fire department even if fire is put out. (9-1-1) 5. Isolate and deny entry, except for emergency personnel 6. Notify company management personnel Earthquake Response: 1. Make sure gasoline inventories are secure 2. If there are any signs of structural damage to the control room or island canopy, keep everyone away from the danger area. If danger is imminent, shut down facility operations until it has been deemed safe to continue. CARDLOCKlUNSUPERVISED DISPENSING . EMPLOYEE TRAINING GUIDELINES Employee Training: .. 3. General The Maintenance Supervisor/Health & Safety Director or designated person will train all new employees on the safe handling of hazardous materials, proper emergency response coordination, and the use of emergency response equipment and supplies. Additionally, the manager will coordinate refresher training programs for all employees on an annual basis. 4. Procedures for Safe Handling of Hazardous Materials a. Employees will be informed of the health and safety hazards involved with the handling of gasoline and diesel. b. Employees will be careful not to spill gasoline or diesel onto themselves or on the ground. c. Employees will not smoke, light matches, cause sparks, or take action which could ignite flammable liquids or vapors. 5. Procedures for Emergency Response Coordinator a. Employees will be familiar with the emergency response procedure outlined in company emergency response plan. e e .. b. Employees will know the location and operation of electrical shut-off switches dispenser shut-off valves. c. Employees will know the location of how and when to use dry chemical fire extinguishers that are located on the premises. d. Employees will know the location ofthe nearest storm drain( s) and the location of absorbent materials to be used to prevent spills reaching the storm drain(s). e. Employees will be familiar with the kinds of emergency situations, which will warrant immediate evacuation of the premIses. . 1. Any gasoline, diesel or other type of fire. 2. Any spill, leak or vapor leak that has the potential for igniting or exploding, 3. Any spill or leak when employees or customers notice gasoline vapors or spills. Employee Training Records: The manager or Health and Safety Supervisor will be responsible for documenting and retaining the types and dates of the "training"for at least - 5 years. .. By this letter, you are hereby notified that you have thirty (30) days, November 11, 2000, to conform to the guidelines set forth. Failure to comply may necessitate further enforcement action up to, and including, citation and injunctive relief Should you have any questions, please feel free to call me at 661-326- 3979. Sincerely, Ralph E. Huey, Director Office of Environmental Services by: j¡~ Steve Underwood, Inspector Office of Environmental Services attachments S:locr lOOOIFUEL DISPENSING LETIER.wPD e e "1 WRITTEN ROUTINE MONITORING PROCEDURE FOR CARDLOCK/UNSUPERVISED DISPENSING SAMPLE FORM Facility Name: /" Facility Address: Facility Telephone No.: Tank Owner Name: Tank Owner Address: Tank Owner Phone No.: IA) Identify all equipment used to monitor the underground storage tanks on site, Include make and model of leak detection system. ,. ill) Identify all equipment used to monitor the underground spill containment on site. Include leak detection system, type and placement of liquid sensors, type of leak detectors and, does system have dispenser containment. 2) Identify the name(s) and title(s) of the person(s) responsible for performing the monitoring and/or maintenance of equipment. ... e e q 3) Identify the location of the monitoring equipment Include where remote monitoring will be conducted and name of company assigned to monitor and report name of company and phone number if other than operator. Identify how frequently the monitoring equipment is tested/checked for operational status. Indicate each piece of equipment separately. /' 4) Identify how often the tank(s) are monitored on site (i.e. daily, continuously). Describe the training needed to provide to the operator(s) of the underground storage tank for the proper operation of both the tank system and the monitoring equipment ,. 5) All equipment used in implementing the monitoring program shall be installed, calibrated, operated and maintained in accordance with manufacturers instructions, including routine maintenance and service checks, 8) You must develop a reporting formatllog that incorporates the following information: f) Verification of Equipment Testing g) Reporting/Recording when Alarm is Indicated h) Maintenance Performed These reports/logs must be submitted to the Bakersfield Fire Department on a annual basis. Written records of equipment calibration/maintenance shall be kept on site for at least 3 years. 9) In the event of a release, emergency equipment is limited to fire extinguishers and absorbent material maintained on site. Please discuss contingency plans for additional cleanup personnel and or contractor/clean up consultants. S:IPROCEDURE MANUA1.IGUIDELINES FOR CARDLOCK CITY OF BAKERSFIELD &-ICE OF ENVIRONMENTA.ERVICES 1715 Chester Ave., Bakersfield, CA 93Jól (661) 326-3979 (9 UNDERGROUND STORAGE TANKS - UST FACILITY TYPE OF ACTION ICllec/r one ,/Wm only} o ,. NEW SITE PERMIT 1'l J. RENEWAL PERMIT o 4. AMENDED PERMIT o 5. CHANGE OF INFORMA TlON (~eift eM. . Iocø UN only) o S. TEMPORARY SITE CLOSURE PIIge_oI_ o 7. PERMANENTLY CLOSED SITE o 8. TANK REMOVED 400 BUSINESS NAME (5Im.. FACILITY NAME Of DBA· 0ain9 ~ As) I. FACILITY I SITE INFORMATION J FAClUTY ID . :To HMO NEAREST CROSS STRE u c'le.. h.e \::> S'1ð(lB- JÇ Ilr , 401. FACILITY OWNER TYPE 0,. CORPORATION o 2. INDIVIDUAL . J. PARTNERSHIP o 4. LOCAL AGENCYIOISTRICT" o 5. COUNTY AGENCY" o 8. STATE AGENCY" 07. FEDERALAGENCr 402. : BUSINESS TYPE '-t fH S11?f1:f .,. GAS STATION o 2. DISTRIBUTOR TOTAL NUMBER OF TANKS REMAINING AT SITE -3 o 3. FARM 0 5. COMMERCIAL o 4. PROCeSSOR 0 S. OTHER 403. Is feciIIy on IndIen ReMMIIcn Of " own« 01 UST a public agency: name 01 supeMIor 01 ~ cIvIIIon. MCIIon Of oIIIc:e wIIk:II operat. !he UST. (This ÌI!he cantec:t peI'IOtI tor !he tank reootdI.) 404. Ov. 405. 406. ---- -- - IL PROPERTY OWNER INFORMATION PROPERTY OWNER NAME 407. ;¿~ ( ,.. " 1 '2- 406. ßEIn-- MAlUNG OR STREET ACORESS fll(P E .... t---«E$ /Ù 0 PROPERTY OWNER TYPE ~ ,. CORPORATION ?-S 409. SIn?::--1O 412. o 2. INDIVIDUAL o 3. PARTNERSHIP o 4. LOCAL AGENCY I DISTRICT o 5. COUNTY AGENCY O¡ ~ "7 :J-'7 - o s. STATE AGENCY o 7. FEDERAL AGENCY 413. ¡...." . ßL TANK OWNER INFORMATION ~..~~:. 0' TANK OWNER NAME 414. PHONE GG - "!. 2-1- - J.-' 0 )..- 415. .f#éf{·/u MAlUNG OR STREET ADORESS .3 ~ ;::; /Vi Þ>V CITY I f\.AI.c..efÖP;: ... I TANK OWNER TYPE 418. t:\1Æ' o 2. INDMOUAl p::ã. PARTNERSHIP 417. s~ o 4. LOCAL AGENCY I DISTRICT o 5. COUNTY AGENCY 419. o 1. CORPORATION 418./ ZIPCOoe 'lJ3~,? OS. STATE AGENCY o 7. FEDERALAGENCY 420. IV. BOARD OF EQUALIZATION U8T 8TORAGE FEE ACCOUNT NUMBER CaD (918) 322-9889 If questions arise 421. I I VI. LEGAL NOTIFICATION AND MAILING ADDRESS I C/leck one boll to IndIc:8Ie w!IIcII **,,-1IIauId be UNCI tor IegII /lOlllallonllncl mlllllng. Ii?t. 1. FACILITY 0 2. PROPERTY OWNER Legat I'ICIIIIIc:aIIo IIIcI meillngl will be ""'10 lie ... __ unIeII boll 1 Of 2 II c:IIeckecI. r- o 1. SElF-INSURED o 2. GUARANTEE . o 3. INSURANCE V. PETROLEUM U8T FINANCIAL RESPONSIBILITY o 4. SURETY BOND Ø'r. STATE FUND 05. LEmROFCREDIT 08. STATE FUND & CFO LETTER o S. EXEMPTION 0 9. STATE FUND ã CO o 10. LOCAL GOVT MECHANISM o 99. OTHER: 422. o 3. TANKOWNER 423. VII. APPLICANT 81GNATURE Cenlflc811on: I CIItIIY _!he Inlonn.aon IIOYIcIecI ".,.." Ie IrUe IIIcI 8CIQnIII to !lie belt 01 my 1cncIwIecIge. SIGNA TURI! OF APPUCANT , DATE 424. PHONE CoGs, ) 12- 2- - )."";)- 425. C-__.___..,.. NAME OF APPLICANT (pl/flt} - s Ht1l (')," u.- Ç-3 - G'D 4211. TITLE OF APPLICANT ð1/~ 4ZT. , Sf A Te UST FACIUTY NUMBER (For 104»1l1li only) 421. 1_ UPGRADe CERTIFICATe NUMIBR (For louIuø only) -I UPCF (1199) S:\CUPAFORMS\awrcb-a.wpd r-rPE OF ~CT ()N 0 I NIW SlTI! PeRMIT 0 4. AMeNOl!D PeAMlT (C¡'ec. oj'" ,,.,,. 0""') ~. AI!NEWA4.PeAMlT (~_..tvIOUlII"On/'f) au SINESS I'U\MI! (s.m. a "4Cn.fN NAMI! at D8A ' Door>Q III*- A8) 4ft Lac... TiON WITHIN SIT!! (QøøoMIJ tr .. ~~ -- oJ LL ". ~.,~ . -- -- .-. CITY OF BAKERSFIELD 0WCE OF ENVIRONMENT ALMRVICES 1715 Chester Ave., Bakersfield, CA 933""(661) 326-3979 UNDERGROUND STORAGE TANKS· TANK PAGE 1 <e o 5. CHANOI! OF INFOA~ TJON) ". 01 o S. TEMPORAAV SIT!! CLOSIJAI! o 7. PEAMANENTl v CLOSED ON SITE o a. TAM< R£MOVED (Spedy c/IMIf e , .tv IOUI.... 0""') J FAClUTY 10 . ~NK I . I, TANK DESCRIPT10N 1-2--3 ) 11 8' 8 I ~_~NAL DESCRPOOH ~Fw~:~~ ~¡ 0 COMPARTMENTALIZED TANK 0 Va No If -Va', complllCe one pege lor ucn compartment. Nt) . 3 G ~. - - ---- -- - -- - -.- -- - .- -' -- - -- J .. TAMe CONI'ENTI TAN< use 43t , ~ 1. MOTOR VI!HICU I1ÆI, : (It mat1led, ~,......" T)Pe) I ~ 0 2. NON-FUEl PETROI..EUM . 0 3. O1EMICAL PfIOOUCT : 0 4. HAZARDOUS WASTE (1nt::MIw . U_ 01) ¡ 0 95. UNl<NO't'lN ! TYPE OF TAN< I (CII«k OM iàm only) i T ANI( ~ TERIAL . pM\II'y ... , (CMcJI 0". .", only) PeT'AOC.!UM 'M't! f1lI1& ReGULAR UNU!AOEO 0 2. LEADED ~II. PRDIUMUNLEAOEO 0 J. 0E.Sa .~ 1e:. YOGRAOE UN.EADED 0 4. GASOHOl. COMoION HAM! (ttom HuM'*- All,.,.,. /JwwIIoIy ¡»ge) 4- o 5. JET FUEl. EJ II. AVIATION FUel. 098. OTHER CAS' (t1om HaDIfIous AII__1nwnDy ¡»ge) 441 44 o 1. IINOU! WAU. f4 2. DOCaI! WAU. .. TANK CON8TRUCTIOH o 3. SINGlE WALL v.mt EXTÐUOA MBtBfWE LINER 04. SINGlEWAlLNAVAUlT 443 o 5. SINGlE WAlL v.mt INTEAHAL 8tADOER SYSTEM 0.. UNKNOWN 088. OTHER o 5. CONCÆTE 0.. UNI<NOWN o II. FRPCOMPATlBlEWI100%~ 098, OTHER o 1. BAAE STæ. o 2. STAINLESS STEEL ~ 3. FIØERGlASS I P\.ASTIC o 4. STEEl CW> WIFIBERGlASS RBNFORŒD P\.ASTIC (FRP) ~3, FIBERGlASS I PlASTIC o 4. STæ. CW> VtfFIBERGtASS AeINFOACfO PlASTIC (FRP) o 5. CONCAETE o 3. EPOXY &....0 0 S. 0I.AS8 LINING 0.. UH<NOWN o 4. PHENOLIC.....o jilJt. UtUED 0.. OTHER o J. ~R::~~f'i..~ O~. lJNI?IOWN .we o 4. JNIAESSeD CURRENT 0.. OTHER 444 i TANKW.TEAIAL·--*'f'" 0 1. BAAESTEa (C/I«k _ 11M! only) 0 2. STA1NLU8 STEEL TAM< INTERIOR lM'O OR COATING I (C/I«k OM ,.", 0II/II) OTHER COMOSION PROTECTION If' APf'UCAIU! (CIt«It _ /tMI Ody) SPILL AND OVERFill i i (C¡,.,;1t ~. INt aøp/y) I I To I 0.. UN<NOWN 0.. OTHER o II. FRP COMPATIBlE W/100% ~ o II. FRP NOH<:ORROOIBU! JACKET o 10. COATED STEEL 4-45 448 Di'T! IHSTAU.£O 447 o 1. IUIIIR LMO o 2. AIJM) I..IMØ (Fwtocel_ ody) Di'TE INSTAU.£O 449 [J 1. ~ACTUÆD CATHOOIC PAOT!CTIOH o 2. SAOWICIAL ANOOf! YEAR INSTALLED 'fl11. SPIll COHTAINMEHT /111 ~ 2. OAOPTtJee I? 11 3. STRICIR PlATI 19 71 4$0 TYPe (F« /oQ/ 11M only) (F« toceIlIM only) 451 0VEAF1ll PROTECTION EQUIPI.EHT: YEAR INSTAlLEO 452 o 1. ALAAM P J, Fill TUBE SHUTOFF VALVE 1111- o 2. &AU. F1.0AT 0 4. EXEMPT .:.~:T~KLBAIC :.~~' ;:~~',,:~¡,,;:-~~i:::>' . .:-."', :;'~f":f·:::·.;:..~j:··:- .:·<··..:·'.:}t¿Æ·. ., DOUBLI WALL TANK 0" TANK V'ttTH IlADOIR (CMdr OMIIMI ødy): 464 o 1. VISUAL (SINOU! WALl IN VAUI. T ONLY) tJ 2. CONTINUOUS INTERSTITIAL MONITORING b J. MANUAL MONITORING 453 10,. 102. , 10 J. 104. 'I' "NOLI WALL TAMe (CItMJII.. "., ¥PIYJ; VISUAL (!XPOI!O POfmOH ONLY) AUTO~TIC TAN< OAUOINO (ATO) CONTINUOUS A TO STATiSTICAL IMI!NTOAY Rt!CONCIUATIOH (SIR) · SleNNIAI. TAN< T8STIHQ í i : esTIw.TeD OATI L.UT USIO IYI'/MOIDAY) .... o 5. MANUAL TANK GAUGING (Mfa) o e. VADOSE ZONE o 7. QROUNDWATER o .. TANK TESTING o 88. OTMI!R V. TANK CLOSURe IN'ORIlATION I 'IJUlAHINT CLOSURIIN PlAce UTlMATlO QUNmTV 01' SUI8TANCI AIMAINNJ 45ð TANI( FIUl!D WITH IHMT aMTl!RW,,1 4/,7 ØIIIoIIe OVa 0 No UPCF (7199) S;\cUPAFORMS\SWRC8-8.wPO CITY OIl IAKIRS'IELD .. OIIPlCIOII IHVIRONMINTAL SlRVICIS .. Wi CMatw Ave., laken".'d, CA 13301 ("1) ~ ~ UIr·'_~I. ..... - " -- w. ..... CGNI"IIWCTIOH /CIIØt" lilt." '. ~PlPlNO , SYSTEM rYPI! 't¡a:>" PReSSOR! CJ Z. SUCTION 0 ). OAAVITV 6SI a ,. PRl!SSURE CONSTRUCTIOW' a I. SINGLe WALL 0 3. UNI!O TRI!NCH a.. OTHIR 4110 0 I. SINGle WALL : MANUFACTUReR~ qzD Z. OOUIU! WALL a II. UNKNOWN 0 2. COUIIL! WALL I I MANU'ACTUAIR '" MANUFACTURER ¡ ;O"IWII!STEI!L CJ.. FRPCOAiPATIIU!....,00..~ 0 I. 8ARESTUL lMATeAlALSAND10 2. STAINIJ!saSTUI. CJ 7. cw.VANIZ!OSTHL CJ 2. STAlNU!SSSTEEL I ~:~~NN !a 3. IItASTIC COMPATIILI WITH COH'ÆHTS 0 II. ~ 0 3. PLASTIC COMPAn8lE WITH CONTEHTS 10 4. FI8EAQL4SS ijiP.. FlÐœL!(HDÆ) 0.. OTHER 04, Ff8ERGLASS !c 5. STEEL'MCOATWO Ò t, CATHOOICPROTeCTION .... 05. STEELW/COATINO VI.,.,.. LUK DØECT10N (CIWct" lilt." UNDERGROUND PIPING i PRESSURIZED PIPING (CItet:Ic .. ".., 1/IIIII1J: . o ,. ELECTRONIC UN! LeAK œm:TOR U OPH T!ST mDtAUrO PUIoP SHUTOFF FOR LEAl<. SYSTEM'AILUN!. AND SVSTEM DIIOONNECTION + AUOB.I! AND VI8UAL. ALNWS o 2. MOHTHL VU GIPH TOT o 3, ANNUAL INÆONTY TEST (0.1 GIPH) CON\I£N1'1OHAL SUCTION S't'ST'EMI: ,0 5, OAII. Y VISUAL UONITORINO 0# PUWING SYSTEM + TAØNAL PIlING INTEGfUTY TEST (0.1 OPH) I SAFE SUCTION SVSTÐe (NO VALVES IN II!LOW OAOUNO PI'INO): o 7. SELF MONrTOAINO GRAVITY FLOW: o t. 8IÐNAL INmRN TEST (0.1 GPH) ,IICONDMILY CONrAINID PIIIIG PR£SSURIZEO PFINO (CIIe/:*""" fAIt : .. . ~ 10. COHTNJOUS TUMINE SUM" SENIOR mIIf AUOIIIl£ AND VlSUALA1.ARM8 AND (CMca _) 1) L AIITO PUY» SHUT OFF WHEN A LeAK OCCURS éJ D. AIITO P\M" SHUT OFF FOR U!AKS, SYSTEM FAILURE AND SV8TEM DISCOHNECTION o c. NO AIITO PUY» SHUT OFF o 1 1. ~TIC lINE LeAK DETECTOR (3.0 OPH TIlT) mIlS RDWSHUToFF OR RE~ ' , 12. ANNUAL INTEGRITY TEST (0.1 OPH) Suc'noNIoRAVITY SVITÐt o 13. 00M'NI0US"'1I!N8OR + AUDa8AND VlSUALIUIWa ., IMIMINCYO-.TOMOILY (CItà"......, 0',4. CONnNuoù8sWP8EHsoR!tdDDà:AUTÓPUi.PIIHU't'OF'F+ìiUoaUAfoÐ' VISUAL ALNUo8 o 1$. ~T1C UNI! LeAK DET'eCTOR(3.o OPH TUTJrdDalIRDWSHUTOFF OR ReSTRJCTIOH o Ie. ANNUAL INTEGRITY TEST (0.1 OPH) o 17. OA/LYVlSUA&.CHeCK AIOVI!CIAOUNO PIPING o Z. SUCTION o 15. \JNICNCI\'m 0., OTHER o 3. QAAIIITV' - 4' 41; 4i o e. FRP COAiPATIILI W/IC1ft M&THAHot. o 7. cw.VANIZID STHL o e. FI.ex&! (HOfIE) 0 It. OTHER o t, CATHOOICfIAOTECTION o 95. UNKNOWN 4E ··:{.~=jt A80VEGROUNO PlPINO 4E PRESSURIZED PIPING (C/IecII" !lilt WI): o I. ELECTRONIC LN! U!AK ÓETEcToR 3.0 QPH T!ST mItSAIITO PUIoP SHUT OFF FOR LEAK. SYSTEM FAILURE. AND SYSTeM DISCONNECTION . AUDØ.I! AND VISUAL ALARMS o 2. MOtmILY Q.2 GfIH TEST o 3. AHNUAL INTEGAn'V TI!ST (0.1 GPH) o 4. DALY VISUAL CHECK COMIEHTIOHAL SUCTION SYSTEMS (CIIec*""" IfPI1/YJ: o $. OAIL Y VISUAL MONn'ORINO OF PPING AND PUMPINO S\'STEM o e. TR/ÐHAL INTEGRITY T!ST (0.1 GPH) SAFe SUCTION SYST'EMS (NO VAlVES IN BELOW GROUND PIPING): o 7, SELF MONITORINO GRAVITY FtDW (CIIedt" Iwt IfPI1/YJ: o .. twL Y VISUAL MONf1'ORINO o .. 8lENNW.MEGRlTYTESf(o.1 GPHJ II!!CONDAIIIL.Y coMrADiB...... PRESSUAIZEO PIPING {ChecIt" fllatfPP/n:D 10. CONTINUOUS TUA8INE SUW SENSORmIlfAUOllLE AND VISUAL ALARMS AND (c:NCt one) o L AUTO PUMP SHUT OFF WHEN A L£AK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTeM FAILURE AND SYSTeM DISCONNECTION o C. NO AIITO PUMP SHUT OFF o 11. AUTOMATIC LEAK DETECTOR o 12. ANNUAL INTEGRITYT!ST (0.1 GPHJ SUCTJC)K'GRAVITY SYSTEIot o 11 COHTlNUOUlSUW SENSOR + AUDalNÐVl8UALA&NUI _IHCY Oe.MTORI OILY /CIIØt"""wM 0,4. éóHtNJoûâ sùwPSENioRmwœLJ:NrrO I'tIWSMUTóFF + AUOIIILeAND VÌSUAL ALARMS o 1$. NrrOMAT1C UN! LEAK DETECTOR (3.0 GfIH TEST) o 18. ANNUAL /HTEGMY TEST (0. 1 GPH) o 17. OA/LYVlSUALQlECK ~""" ~·.L ~"i¡. .~....~;.: >~:.~';. ,~.~'/*~'.f .1.~~~Œ;'~ ~~~~~ ~.~. ~~.. . . .~.: .t"~·J~-:~i..··..,.· __.~ ,", ~... _C'.6.-.. . ~ . _ '="_'t.~~ [J 1. IILOAT MICHANIIM THAT 1HU1'I0fIP IH!AR VALVI [J 2. COHTNIOUI OIIPINIM PAN IØIOR + AUOaI AND VIIUAL ALARMS 3. CONTINUOUI OIIPINIIR PAN II!NIOR IIIDi AUTO IHIT OFF FOR DISPENSER . AUOI8U! AND VISUAL ALARMS DC. OWNUIOPIIltATOR ilONA TURI! I CIIIIfy I/lelIhe inlomIIIIon ØIOIIIdId twIIn Ie 1M IllllIOCIUtIIIIO IIIIIIIIIIl "" 1IncMIecIgt. SIONA TUR! OF OWNI!NOPeAATOR /' DISPeNSeR COHrAlNMl!Nr DATe INSTALLID _ t'1 q 'I I Ptnmt flUnlMr (FoIIOcIIIIM 0IIIy) 473 I ....... A I IIOVId ('" ......U, )I) UPCF (7199) C 4. DALY VISUAL CHECK C L.TRINCH LINER I MONITORING a .. NONI .. DATE 470 471 5-3- TITU! OF OWNlRlOfIt!RATOR 472 414 PtImIt IIJ IIrIIIOn 0lIl ("'.... 1M.." 47' 1 S:\CUPAFORMS\SWRcs.ø·WPD CITY OF BAKERSFIELD OFaE OF ENVIRONMENTAL SeVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS . INSTALLATION CERTIFICATE OF COMPLIANCE One form per tank PIge _ fII --.-..--..-..----., ._.~--_.. ..----.-- ._-- - --... ...-----..------.. .--....- ----_._- I. FACILITY IDENTIFICATION 'BUSINESS ÑAMe (S- ài"Ãë,ì.iTŸ NAMI! at DBA . DoinO BuIInIu At') -.-----.....---- - _. .- .-.... .. -... ... --.........--.---- ¡ FAClUTYID' 1llI~ ~ H-_~ù Y Cj) IA ;k. :tÞ- 1l1f r'"' , - ~ -_3._ ..--.---.-. -. - .. -...---- ----- --. --.-.-.--.-.- ----.--.-- - ---,- -- ~ -- - - -- --~---~- -- ---- .. - _.-._-- -- --- ----.-, - - -- ---.-------. . --" - '. ---- -- - II. INSTALLA T10N ChecIc ell that apply fjJ' The Installer has been certified by the tank and piping manufacturers. o The installation has been insper+Ad and certified by a registered professional engineer. . Q!P The Installation has been Inspected and approved by the City of Bakersfield Office of Environmental Services. prD All work listed on the manufacturer's Installation checklist has been completed. r;aJ The Installation contractor has been certified or licensed by the Contractors State Ucense Board. o Another method was used as allowed by the City of Bakersfield Office of Environmental Services. Identify method: I I I i III. TANK OWNERlAGI):NT SIGNATURE c:eIIIfy 1haI!he InbmaIIon NOVIded '*WI Ie InIe & .cante 10 !he belt 01 my IrI-*Ige šÏGNATÜÃe'õ¡'iANi<ëiWÑÈÂiAGOO-' ---,-------- ---- ~ ¡-ÑÃMëõFfÅÑÏ<~ÑTi¡¡;¡¡;¡):.~- ÕÃTÉ ..------.-...-.-....-..-..... .. . , . - . ..----;:¡¡¡¡-- s: - 3.... trD 4ß TlTLEOFTNiKë5wNEÑÃÕËÑf--·------· .-. ,.. .-. . . - - .----;¡¡¡¡:- ! ! _. ,.__...___._ ..._.12 ì.Jl.1-~f>1 'LL:-::_____. . __C!..W~._.____ _._._.___ .__. .... '.. ___ '0IIII C ARCO "'-.... . ~,. .5'" ARCO ProducA>mpany Environmental H'Z'h & Safety 4 Centerpointe Drive La Palma, California 90623,1066 e Mailing Address: Box 6038 Artesia, California 90702-6038 May 5, 2000 Bakersfield Fire Department Steve Underwood 1715 Chester Ave. Suite 300 Bakersfield, CA 93301 Dear Steve, Enclosed are the NB and C fonus for the following sites: Site # 6356 3054 3090 371 5365 5420 5496 5526 6218 5751 1960 6353 Address 2301 "F" St. 1129 Union Ave. 3333 Union Ave 2698 Mt. Vernon Ave. 4010 Wible Rd 6450 White Lane 4800 Fairfax Rd. 900 Monterey St. 4203 Ming Ave. 2800 Panama Lane 1701 Brundage Lane 3125 California If you have any questions please feel free to call me at 714-670-5407. Please note all the attached documents were also faxed to you per your request. Thank you, J:t.~ Compliance Specialist Environmental Compliance ARGO Products Company is a Division of AtlanticRichfieldCompany APC,7116 (10-96) CITY OF BAKERSFIELD .FICE OF ENVIRONMENT.eSERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979' UNDERGROUND STORAGE TANKS - UST FACILITY e TYPE OF ACTION (Check one It.m only) a 1. NEW SITE PERMIT a J. RENeWAl PERMIT a 4. AMENDED PERMIT a 5. CHANGE OF INFORfMTION ($pecIy eMnge. bee, use only) a 8. TaoFORARY SITë CLOSURe P8ge _ cI _ a 7. PERMANENTlY ClOst:D SITE a 8. TANK REMOVED 400. i BUSINESS NAME (Sam. .. FACilITY NAME 01 DBA . DoInQ BuIll-. Aa) '1Ä1lL f I ~ f1"\ 401- ttA()V~ 'y~ r. FACrUTY I SITE INFORMATION FACIlITY 10 " J o a J. FARM S. COWoERCIAl a 4, PROCESSOR 0 8. OTHER 403. ,. f.al!ly on Inchn R8IeMIIIon 01 "If _ cI UST a puÞØc agency: ".". cI supeMsor cI Irusdands? cIvIaIon. I4IdIOn 01 oIIIce wIIictI operaIeIlhe UST. (ThIs is Ihe contlld peISCII1 for Ihe lank records.) FACilITY OWNER 1YPE a 1. CORPORATION a 2. INDIVIDUAl a J. PARTNERSHIP 1. GAS STAT10N o 2. DISTRIBUTOR TOTAL NUMBER OF TANKS REMAINING AT SITE a 4. LOCAl AGENCYICISTRICT" o 5. COUNTY AGENCY" a 8. STATE AGENCY" a 7. FEDERAl AGENCY" 402. 404. Ov. aNa 405. 406. PHONE¿:f 7 d-.- ý-7 {L2-4œ. 409. CITY 410. 41J._ ,_ZIP CODE 9 _. 3> ~() a 8. STATE AGENCY a 7. FEDERAlAGéHC:f 412. PROPER1Y OWNER TYPE a 1. CORPORAT1ON a 2. INDMOUAL ~. PARTNERSHIP a 4. LOCAl AGENCY' DISTRICT o 5. COUNTY AGENCY 413. 51tMc¿. MAILING OR STREET ADDRESS 414. 418. .,'i~~~+:"7ij·:i~;;..;~~: ;:~.:;.;;;::~-,;''-':J::,~·¡;U~:'~;:i~~'i.&¡~~!!~!QîûìAì1Ò~~'1~l;\,þ,:~. :\;s;g!~:E';,;t"· '.:;,"" . CITY 417'1 STATE 418. I ZIP CODE a 8. STATE AGENCY a 7. FEDERAl AGENCY 419. TANK OWNER TYPE a ,. CORPORATION a 2. INOMDUAl ~ PARTNERSHIP a 4. LOCAl AGENCY' DISTRICT a S. COUNTY AGENCY 420. .... ,:;';¡j;,;'·',:;.:;;~\~';~ri~';;¡;;" ïY.'BOÅRQO~ EQ,!~~'~~~~~ p~TsTORAGE FEEACÇ~Ù~J~~;')I~~ .,' Call (916) 322-9669 If questions arise 421. . . .. V. PETROLEUM UST FINANCIAL RESPONSIBIUTY .' .. .. a 1. SElF-INSURED a 2. GUARANTEE ~. INSURANCE o 4. SURETY BOND a s. LETTER OF CREOIT o 8. EXEWTION o 7. STATE FUND a 8. STATE FUND & CFO LETTER 09. STATEFUND&CD o 10. LOCAl GOVT ~CHANISM o 99. OTHER: 422. VI. LEGAL NOTIFrCATION AND MAfUNG ADDRESS Chedl on. box to indIaIle wntdIlIddr-. IhouId be used fOlIegal notItIaIUona and m.øJng. Legal noIIfIaIUona end melllngl will be Mft1 to the t8nk _ unleea box , 01 2 is c:hec:ked, o 1. FACIlITY 2. PROPERTY OWNER a 3. TANK OWNER 423. ,', , '. ,'; ~.. ' .' .,d'·', '" _ . . Vir. APPUCANT SIGNATURE ."~' . .: . ~'. .. ..: .-,~ CertlflcatJon: I CIIfIIfy IhelIhe Inform8llon pnMIed '*-In " true end ecc:urate to the beM cI my knOwledge. -SiGNATURE OF APPliCANT DATE 424. PHONE 425. ( - NAME~!~LIc:-wr (pdnj. ~(y)uÓV Sh(!V· f I 428. TITtE OF APPLICANT 4ZT. I STA TE UST FACILITY NUMBER (For local UH only) UPCF (7/99) 428./ 1808 UPGRADE CER11FlCA TE NUMBER (For IOC.' U.. only) 428./ S:\CUPAFORMS\swrcb-a,wpd · , - . t Rf AUS A 6 1991 osíl. .... -. ...... ~" e Bakersfield Fire Dept.- HAZARDOUS MATERIALS DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326·3970 ~ UNDERGROUND TANK QU.E5FlONNilRE T;i !?1S(o . " -- '\ 1\ J ~¿P33 ~ TYPE OF BUSINESS o INDIVIDUAL 0 PARTNERSHIP (J LOCAL AGENCY DISTRICTS (J COUN1V AGENCY (J STATE AGENCY (J FEDERAL AGENCY (J 1 GAS STATION 03FARM 02 DISTRIBUTOR KERN COUNTY PERMIT 04 PROCESSOR 0 S OTHER TO OPERATE No. Ó?O(X!Jf36 Qooo/3 EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARy) oollonal DAYS: NAME (LAST. FIRST) PHONE No. WITH AREA CODE DAYS: NAME (LAST, FIRST) PHONE No. WITH AREA CODE NIGHTS: NAME (LAST. FIRST) PHONE No. WITH AREA CODE NIGHTS: NAME (LAST. FIRST) PHONE No. WITH AREA CODE II. PROPERTY OWNER INFORMA nON (MUST BE COMPLETED) NAME CARE OF ADDRESS INFORMATION MAILING OR STREET ADDRESS ./ BOX (J INDIVIDUAL (J lOCAL AGENCY (JSTATE AGENCY TO INDICATE (J PARTNERSHIP (J COUNTY AGENCY (JFEDERAl AGENCY I CITY NAME STATE I ZIP CODE I PHONE No. WITH AREA CODE I III. TANKOWNER INFORMATION (MUST BE COMPLETED) NAME CARE OF ADDRESS INFORMATION MAILING OR STI1EET ADDRESS - - --:--- ---- --- ./BOX_ ' (J INOIVIDUAl ,- 0 lOCAl. AGENCY o STATE AGENCY TO INDICATE (J PA RTNERSHIP (J COUNTY AGENCY (JFEDERAl AGENCY CITY NAME STA TE ZIP CODE PHONE No. WITH AREA CODE OWNER'S JANK No. & J 3 PRODUCT STORED R f- &v. LA-iZ.- &AS ú1 Ai L-t'A Û (.,4S ?e~"^-t'I>L,^- ~ VOLUME DATE INSTALLED ~/13Iig ro/13/it:¿ 0//3/ <¿~ /0,000 .I 0. 000 10,000 DO YOUHAVE FINANCIAL RESPONSIBILITY? Y/N TYPE IN SERVICE ð)N tûN ®N Y/N Y/N Y/N ~ ':Fill one segment <4t for each tank, unless all&nks and piping are constructed of the same materials, style and ~pe, then only fill one segment out. please identify tanks by owner ID I. I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN " A. OWNER'S TANK I. 0.11 t e, MANUFACTIJRED BY: ( n 0 Df ¡zrJ Wft.-YhJ& CD c. DATE INSTALLED (MOIDAYIYEAR) fo- 13-<6'<6- D. TANK CAPACITY IN GALLONS: ¡01000 III, TANK CONSTRUCTION MARK ÇJNE ITEM ONLY IN BOXES A. B, AND C, AND ALL THAT APPLIES IN BOX 0 A. TYPE OF 00 1 DOUBLE WAll 0 3 SINGLE WALL WITH EXTERIOR LINER .. 0 95 UNKNOWN SYSTEM 0 2 SINGLE WALL 0 4 SECO",DARY CONTAINMENT (VAULTED TANK) 0 99 OTHER 0 1 BARE STEEL 0 2 STAINLESS STEEL 0 3 FIBERGLASS ŒJ 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 D 95 UNKNOWN D 99 OTHER 01 RUBBER LINED 0 2 ALKYD lINING 0 3 EPOXY LINING D 4 PHENOLIC LINING C. INTERIOR 0 5 GlASS LINING !KJ 8 UNLINED 0 95 UNKNOWN 0 99 OTHER UNING IS LINING MATERIAL COMPATiBlE WITH 100% METHANOL? YES_ 00_ D. CORROSION D 1 POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRAP lID 4 FIBERGLASS REINFORCED PlASTIC PROTECTION D 5 CATHODIC PROTECTION D 91 NONE D 95 UNKNOWN 0 99 OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE A, SYSTEM TYPE A U 1 SUCTION A ® 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A ([>2 DOUBLE WAll A U 3 liNED TRENCH A U 95 UNKNOWN A U 99 OTHER C, MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A&:>4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 8 CONCRETE A U 7 STEEL WI COATING A U 8 100¥. METHANOL COMPATIBlEWIFRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D, LEAK DETECTION D 1 AUTOMATIC LINE LEAK DETECTOR o 2 LINE TIGHTNESS TESTING IKI 3 INTI:RsmlAl o 99 OTHER MONITORING V. TANK LEAK DETECTION o 1 VISUAL CHECK 0 o 6 TANK TESTING 00 2 INVENTORY RECONCILIATION 03 VAPOR MONITORINO0 4 AUTOMATIC TANK GAUGING 0 5 GROUNDWATER MONITORING 7 INTERSTITIÁL MONITORING 0 91 NONE D 95 UNKNOWN 0 99 OTHER I. TANK DESCRIPTION COMPLETE ALL ITEMS·· SPECIFY IF UNKNOWN B. MANUFACTIJRED BY: (Y\ÖDée¡J Lv~ lD)^, (,- G,) D. TANK CAPACITY IN GALLONS: 0000 A. OWNER'S TANK I. D, , C, DATE INSTALLED (MOIDAYIYEAR) III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND ALL THAT APPLIES IN BOX 0 A, TYPE OF ~ 1 DOUBLE WALL 0 3 SINGLE WALL WITH EXTERIOR LINER 0 95 UNKNOWN SYSTEM 0 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER - 0 1 BARE STEEL - --- -[3-2- STA!NlESSSTEEl--- -0 :) FIBERGLASS -00 4 STEEL CLAD WI FIBERC.LASS REINFORCED PU\STIC B, TANK 0 o 6 POLYviNYL CHLORIDE 0 7 ALUMINUM 0 8 100% METHANOL COMPATIBLEW/FRP MATERIAL 5 CONCRETE (Primary Tank) 0 9 8RONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER D 1 RUB8ER LINED 0 2 ALKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C. INTERIOR 0 5 GlASS LINING ŒJ 8 UNLINED 0 95 UNKNOWN 0 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 1000/. METHANOL 1 YES _ NO_ D. CORROSION 0 ' POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRAP 00 4 FIBERGLASS REINFORCED PLASTIC PROTECTION 0 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN 0 99 OTHER IV, PIPING INFORMATION CIRCLE A IFA80VEGROUNDOR U IF UNDERGROUND,BOTH IF APPLlCA8LE A. SYSTEM TYPE A U 1 SUCTION A fj) 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A<:!) 2 . DOUBLE WAll A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A€)4 FIBERGLASS PIPE . CORROSION A U 5 AlUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 6 100¥. METHANOL COMPATI8lE WIFRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION o 1 AUTOMATIC LINE LEAK DETECTOR o 2 LINE TIGHTNESS TESTING 00 3 INTERSTITIAL D 99 OTHER MONITORING V. TANK LEAK DETECTION : l 1 VISUAL CHECK [J G TANK TESTING I:KJ 2 INVENTORY RECONCILIATION 0 3 VAPOR MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING 7 INTERSTITIAL MONITORING 0 91 NONE 0 95 UNKNOWN 0 99 OTHER ., . . . I. TANK DESCRIPTION e COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN e A. OWNER'S TANK I. D.' B, MANUFAC1URED BY: .. ~---~--. ., C. DATE INSTALLED (MOIOAYIYEAR) III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND ALL THAT APPliES IN BOX 0 A. TYPE OF 00 1 DOUBLE WALL 0 3 SINGLE WALL WI1H EXTERIOR LINER 0 95 UNKNOWN SYSTEM D 2 SINGLE WALL D 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 01HER 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 0 9 100% ME1HANOL COMPATIBLE WIFRP (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEl 0 95 UNKNOWN 0 99 01HER 0 1 RUBBER LINED 0 2 ALKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C, INTERIOR 0 5 GlASS LINING ¡sa 8 UNLINED 0 86 UNKNOWN 0 99 01HER LINING IS LINING MATERIAL COMPATiBlE WITH 100% METHANOL? YES _ NO_ D. CORROSION 0 1 POLYETHYLENE WRAP 0 2 COATING o 3 VINYl WRAP 00 4 FIBERGLASS REINFORCED PlASTIC PROTECTION· 0 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN 0 99 01HER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IFUNDERGROUND.B01HIFAPPLICABLE A. SYSTEM TYPE A U 1 SUCTION A 2 PRESSURE A U 3 GRAVIl'Y A U 99 01HER B. CONSTRUCTION A U 1 SINGLE WALL A 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 èHlOR',DE (PVc)A(f)4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEELWICOATING A U 8 100% METHANOL COMPATIBlEWIFRP PROTECTION A U 9 GALVANIZED SreEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION D 1 AUTOMATIC LINE LEAK DETECTOR D 2 LINE TIGHTNESS TESTING 3 ~NIT~RI:G D 99 01HER V. TANK LEAK DETECTION o 1 VISUAL CHECK 0 o 6 TANK TESTING IÆJ 2 INVENTORY RECONCILIATION 0 3 VAPOR MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING 7 INTERSTmAL MONITORING 0 91 NONE 0 95 UNKNOWN 0 99 OTHER I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN A. OWNER'S TANK I. D.' JJlA-- B. MANUFAC1URED BY: C. DATE INSTALLED (MO/DAYIYEAR) D. TANK CAPACIl'Y IN GALLONS: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND ALL THAT APPLIES IN BOX D A. TYPE OF 0 1 DOUBLE WALL 0 3 SINGLE WALL WI1H EXTERIOR LINER 0 95 UNKNOWN SYSTEM 0 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER 0 1 BARE STEEL 0 2 STAINLESS STEEL o 3 FIBERGLASS 0 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL 0 5 CONCRETE o 6 POLYVINYL CHLORIDE 0 7 ALUMINUM 0 8 1000/0 ME1HANOL COMPATlBLEW/FRP (Primary Tank - D 9 -BRONZE- --C/-,O-GAlVANIZED -STEEl-EJ--gs UNKNOWN 0 9; OT'''':ER~ - - -- - 0 1 RUBBER LINED o 2 ALKYD LINING o 3 EPOXY LINING 0 4 PHENOLIC LINING C. INTERIOR D 5 GLASS LINING o 8 UNLINED o 95 UNKNOWN 0 99 01HER LINING IS LINING MATERIAL COMPATIBLE WITH 100'1'. ME1HANOL? YES_ NO_ D, CORROSION 0 1 POL YE1HYLENE WRAP 0 2 COATING o 3 VINYL WRAP 0 4 FIBERGLASS REINFORCED PLASTIC PROTECTION 0 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN 0 99 01HER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND, B01H IF APPLICABLE A, SYSTEM TYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRA VIl'Y A U 99 01HER B, CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A U 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100% METHANOL COMPATIBLEW/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION D 1 AUTOMATIC LINE LEAK DETECTOR o 2 LINE TIGHTNESS TESTING o 3 INTERSTITIAL D 99 01HER MONITORING V. TANK LEAK DETECTION n , VISUAL CHECK 0 2 INVENTORY RECONCILIATION 0 3 VAPOR MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING o 6 TANK TESTING 0 7 INTERSTITIAL MONITORING 0 91 NONE 0 95 UNKNOWN 0 99 01HER . . - .~ ~Q)~þ March 29, 2000 Johnny Quick 349 Union Ave Bakersfield, CA 93307 Dear Underground Tank Owner: Your permit to operate the above mentioned fueling facility will expire on June 30, 2000. However, in order for this office to renew your permit, updated forms A, B & C must be filled out and returned prior to the issuance of a new permit. Please make arrangements to have the new forms A, B & C completed and returned to this office by May 15, 2000. For your convenience, I am enclosing all three forms which you may make copies of. Remember, forms B & C need to be filled out for each tank at your facility. Should you have any questions, please feel free to contact me at (661) 326-3979. Sincerely, Steve Underwood, Inspector Office of Environmental Services SU/dlm Enclosure ~ ~"}',- ~ .;.:>~"" ,,~1:(~ I ._,_____---- _ ~__ ____-........-...._- _____4__.-.......... wm;:¡L ìJHTER HI HI RLRRt1: HIGH 1~LH~:N: LOh! RLPRH: HI 1.,.iRTER ALAR!') THEFT HLAH1: LEHf< ALRRN: P~:o[)IJCT : 13.ØØØ in Ø.000 in 0,000 qal ø.øøø ';.31 ß1Ø00 :i31 0.000 111 '~'¡7 i1C'ft qa 1 ø:ï~ãl.;·hr - inRA BETWEEN PROBE & FILL; FUEL LElJEL @ FF.'fJ8E: FUEL LEVEL @ ?ILL: PF:OBE ::;/ri: PROB~ SPEEv-O-~rRE:9.117 ~;EC/in U:=PT í r:A! ~:;f:p,; ~: ø .0€i0 q·3 ì/ i n VÊRTiëRL HÈiG~T: 0.000 in IHITI~L PRODUCT LEVEL LEiJEL ø ø 13 .~ ij .0013 1ØØØ .000 .-~....~. :t~1~j~ in ;:-.} ..II in iÏI STEEL TOTHL TILTEf;¡?: E:ETlJEEH BETtEr; FILL PROBE r. I~": CEHTE~~ ; CEtiTER 000 in 000 :~a 1 -Hû ~iO UOLUr1E rANK IS WPE íJF TAHK ~;TEEL INSWE ~- - - - - - - 96 10ØØØ [J r m1ETER - TANK riORHAL :::íEEL - REPORT --------- .' 9=09:38 At'1 STP.T% THU t'1A'ï' 13 ,.39 HATION NRt'1E: JOHHWI OU!CK 349 UNION HUE BRKERSFIEW CPo 93397 UHLER!) I I I , 3580.543 gal 3539 .181 q.;il 37.ZØ59 in ø.øøøø in 77.77DF 6419.445 Qa 95%=5919.445 ga - - - REG PRODUCT TANK ClJRRHIT STATUS ¡em: : BROSS: NET: FUEL LEIJEL: wHTER LEVEL TEMP: GROSS GROSS 1,¡Tf: ULLRGE - PREMIUt·j - , . - PRODUCT I I 1862.883 gal 1840.851 gal 23.1933 in ø.øøøø in 79.19 IãF 3137.105 qal 95%=7637.105 gal --- -- :~TR¡:¡ .. .. CURRENT snHt!S :CNT: ; GROSS: HET: FUEL LEVEL: ¡~ATER L£lJEL TEMP: 6F.:OSS GROSS TRNK tfTF: llLLRBE - - 3 PRODUCT THNK , . I ¡ 559.774 q.31 553.465 gal 10.eBB9 if¡ ø.øøøø in ..,., 77 DC' ¡' i c,.i.) f 9440.214 9a 95~;=894Ø.214 ga .....:.íùi...........ã..III..oi. -- a.16. ...............-. ~.i~ ~.~.J...... CIJRRENT STIH!J3 :Ctm BROSS: HET: ~U£L L ~ATER TENP: GROSS GROSS E'-ÆL LEVEL I.,ITF : ULU"iBE '-- ******** CONTACT ALARM ********* THU MAV 13,99 8:57:38 AM IjNLEAD,RHH: ON ******** CONTACT ktARM ********* THU ¡·1AV 13,99 B:57 :41 Aili UNLEAD ,ANN: ON ******** C~NTHCi ALARM ********* iHU NP.'/ 13 ,39 9:08:03 AM PREÞ1,RNN ,: ON ----,-_.. ~~- --- ...,--- , . , , ******** CONTACT ALAP-M ********* THU Ì'1fj''¡ 13,99 8=54:ß¡ Ht'1 PRÐ1 ,S!Jt'1P , : OFF ******** CONTACT HtARM ********* THU NAV 13,99 8:55:0B Ai'1 IJt-!LEADSUr1P : Ot-! == ~utoStik III SYSTEM RESET === THU MAY 13,99 8:57=00 AM ~. ....... . ".- -- ~ "d,':í"~ ~,,(.,. '~'., . .'/ . .' :.~::/':;;;+*:f::¡:!;*:f; COWHCr HLRR!'1 ********* THU t1A\' 13, '39 8:.38:38 A~1 [%P,1:2 56: ON ******** CONTACT ALARM ********* THU MAV 13~99 B:40;55 AM OISP,34 78: ON ******** CONTRCT ALARM ********* THU HAl,-' 13,'39 8:44:14 AN XTF.:A ,SUNf' , : ON - F --._-....:..-.-..,-~_..............~..~ ¡~fi'~:~~~~¡f~~~G~~~3¥~fJRJH JOHHin @.iICK .349 UNION HVE E@::ER::FIELD GR ! UNLEHWU~P ~) N.L. ' POSSHUTDN NORNAL .. I 93307 CONTACT NAN£ ~ ~,ENSE : TIED TO ~~ELRÿ CONTP.CT IS: UNLERD,RNN N.C. POSSHUTC:N NORNRL CONTACT 2 fjÇ¡f'îi= : SENSE: TIED TO ~~ELHV CONTRCT IS: PREr:1 ;: SUr~1P N.C PO:;SHUT[jN NORNRL 3 CONTHCT ~H¡:¡'r' r~: NP.t1E: SENSE: TI ED TO GONTHGT PREJ>j,ANN , H.C. POSSHUTNi NOFt1¡::¡L CONTACT 4 REUW r,-· . ..~I NRi1E: SENSE: rr ED TO CONTHCT :'JRA,:;üNP N.r PO:;;SHUTN· NORNRL CONTACT 5 RELA'i 1'::- . ....J. MANE: SENSE: TIEet TO CONTRCT ¡m:A ,RNN '.G POSSHUWN NORfl1AL (:ÜNTRCT 6 REUW IS: fiHt1E: ŒNSE: TIED TO CONTHCi DISP,12 56 N.C. PO%HUTDN NO~J¡HL cœ.¡¡¡:¡cr {' ~:EUW IS: MANE: SENSE; TIED TO CONTHCT OIBP,34 78 [·~.C PO~;;SHlITNj NORi1¡:¡L ....-......- 8 CONTACT ~EUW I'~' ,-" --............00--- NRNE: SENSE; TI ED TO Cm-JT¡:¡CT -----.. - -, ST~TUS REPORT --------- MAY 13,99 8:33:09 AM NRNE: JûHNN'-1 G!UICK 349 UNIOH RUE 8HKERSFIELC) CA THU STRTI ON 93307 UHLERD REi, PRODUCT TRr1K I I 3500.701 gal 3539.337 gal 37.2071 in 0.0000 in 77.77I!!F 6419.287 gal 95%=5919.287 gal - - --- PREÎ'Î I Uti CURRENT STRTUS : f I 1 ¡ ! - -- PROWCT: I.JTF: ULLRGE GROSS NET: FUEL LEUEL: !¡IRTER LEVEL TEì1P: G~~OSS GROS::; TfiNK 2 I ! I I 1862.969 gal 18413.933 gal 23.1941 in Ø.ØOO0 in 7$.19 liiF 8137.019 gal 95%=7637.019 gal - - - - ~m:R STRTUS I , I J !')TF: ULLAGE CURRE J 8F.:OSS NET: FüEL LEI)EL: WRTER LEvEL miP: I3ROSS GROSS '-H - PROC¡UCT : ~ ,) TANK J I j ~ 559.867 ga 553.554 ga 10.0897 in ø.øøøø in 77 .34 !iF M40.121 gal '35~·~=Š94Ø .121 gal ~TRTÜ:3 LEUEL: LEvEL I')TF: ULLRGE CIJRRENT GROSS NET: FUEL I~HTER TEN?: GROSS GRcr3S At1 REPORT 8:33:57 TUP 313 .r~; ~~~~~00 PN RS3E10C NORi'1AL STEEL THHK THNK IS: IliPE OF TÇMK STEEL INS mE \ in gal HO t·~) [., I AMEiER: 96.000 100013,000 STEEL ¡GTRL VOLUnE TILTED?: BETWEEN FiLL ~ CENTER: BETWEEN PROBE & CENTER in in m in 0.tí0fi 0.ØØØ 13.000 0.000 ,.., nl~'" ."..·.'..·1:.. , .00 ¡ U·~ï:.¡Ji 11! 0.1300 gal/in a.øea in BETWEEN PROBE & FILL FUEL LEVEL ¡ï¡ FROBE: FUEL LEVEL @ ?ILL: PROBE ~;/N: ¡jill-IiIi"' '-'¡-,í'r"r\ ;" i; ì r:.- Í~UO: ~rt~v-v-W!~C :ÆRTICAL SCALE: i)tRTICRl HEIGHT HI IT! AL PRODUCT II 37.5130 in 0.000 in 13.01313 gal 0.ØßØ qal 0.000 '~~l 0.Gøe in 20.000 qal 0.1 qal.ihr REG CREAD lEIÆL LEVEL - ~ THNK mITIRL WRTER HIHI P.L¡:¡RN: HIGH AL¡:¡RN: LOI!) P.LRR~1: HI ldATER ALARì'1 THEFT RLRRìf1: LEAK RLARt'1: PRODUCT: NO~~MAL STEEL ~ TRNK IS TVPE OF TRNK :,TEEL IH$IC>E in BET\tJEEH PROBE @.: FILL in FUEL LEVEL 8 PROBE: in FUEL LEVEL @ êILL: in PROBE :;/r1: PR08~ :::PEED-(l-!rj I RE : '3 .1 93 uSEU it, vERT:CAL SCH~E: ø,øøø gaiiin VERT¡CRL HEIGHT: O,000 in INITjHL PRC©UCT LEVEL: 21.500 iFI 0.Ø00 in 0.1300 q·;¡l a.eee qal a.0øO gal ø.øøø if! 20.000 9Òil Ø.1 qal/hr pF.:a1IUt1 [) i ArlETER 96.000 in 113000,000 g.al HO HO ------ TAHK SE THU NH\I 13; STHTION N}1i'iE: JÜHr·~N'r' C!UW( ·349 UHWN RVE aHKEF.~::;FIEl[; CfT TUE Jl~L 14:: 138 I.ìOUJME CEHlER: CENTER: .;;TEEl TOTAL TiLTED?: EHM£EN FILL BEHÆEN PROBE 0.000 0,Ø00 0,000 0.000 .. ~~ INITIAL WATER LEUEL HIHI HLHRN: HIGH ALARt1: LOì.t! ALARM: HI ¡¡lATER ALAR?'1 THEFT íURI'1: LEAK ALHRN; P~:OD1JGT: ..........- , ~,,~ '-- ~---~-'~1IIIIiI......___ -I-.t........... IJNLEAt'SIJi'\P ******** C(Ù~1HCT HLP.P.~ ********* WED MAY 12,99 1:26:27 PM ON DlSP,34 78 ******** CONTHGi ALARM ********* ,¡m !'1P.\-' 12;39 12:1Ø:13 PI1 ON rJISP ,~A 78 ******** CC~i~CT ALAf.11 ********* ~£D MAÿ 12,99 12:09:09 PM r~-""""'- 01-1 -~ :~- ;::.-~-=-:':...-=---.:-::. /..-..r'1'" r ~,--;-,-~~~ ._.....~,-'~r:--:-J == AutQStik III SYSTEM RESET === THU MAV 13,99 9:11:12 AM ******** CONTACT AURm1 ********* THU MAY 13,99 9:11:50 AM XTI\'A,RNN ,: ON ******** CONTACT ALARM ********* THU MAY 13,99 9:11:52 Ht'f ;~TRP., ANN ,: ON ~- ......,'---&...ÌII.....:&.~......L'--......._~..:. "--r-- .......---.,..- / RLRRN REPORT _________ THU NFW 13,99 9:15:56 RN STRTlON NRNE: .JDHNN'r' (JU!CK 349 UNION RUE ÐAkER&CIELD CR 933&7 THUK 1 PRODUCT: REG UNLEP,f.1 PROBE: FRI r[qy 07,99 7:51:16 PH ------ ------~--- TRt¿~· 2 PÆ'O[)UCT: PREY, !UN Pf.DBE: FR¡ f1~~; 87,99 7:51:16 FN - - - - - - - - - - - - - - - - TRUK J PROWa: KTRfI PROBE: FR¡ Mf:!V 87,99 7:51:16 FN UNLERDSUI1P: THU NR\' 1.),99 8:-55:&7 HN UNLE¡:¡D ,FiNU : THU Nf!\1jJ,99 8:-57:41 Rf1 PRfN,SUf1P,: THU NRÿ 13,99 8:50:31 fiN PÆ'fN..RNN ,: iHU Ni~~' 13,99 9:08:0& Rf1 XTRR, stlNP , : THU NfW 1J,99 8:49:51 Rþt ~TRR,RNN ,: THU NflŸ 1.J, 99 9:11:52 HI1 DISP.'12.56: THU N¡:¡\-' 1J,99 8:38:.38 fif1 VISP,J4 78: THU Î1Rÿ 13,99 8:4&:55 AN '. f!,_ ·-í''"....~''-''H_..j.... ~..."..._ "~...~ -- CITY OF BAKEaslELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 FaQlity .~ rNsncnoN RECORD POST CARD AT J08 SITE <>wa. Adcha City, Zip Phone No. ì I:"lSTRUCTIONS: PI_ caB fer ID impec:Iar 0Dly whIa eIdI pup of:øF I cå IIDf with !be IIIIIIIIIIIDb« IN rady. Tbay will nm ill OCØICIIIÍW en. .......... willa..... (. DO NOT cover work for any aumbcnd pap uø:iI all__ ill Iba& pap ..aped oŒby till ~...iaiøa AuIbari&y. FoUowiDs'" ~.... will reduoe die.... of required ÏDIpOCÚOG YiIiIIIDII cbanfcn prIWII& .. - - of ~I feeL TANKS AND BACKPILL INSPEcnON DATE INSPECTOR BadcfiU oCTUIk(I) Spark Tc:sa CcrtificGioo or M__·f'.o_qa McdIod Ca1bodåc Procec:åoa oCTUIk(I) PIPING SYSTEM . I Piping ok lùœway wlCoUec:Uoa Sump I 4 /1..'7 /C¡~ qfL )Á- Æ. \ CorT'OIÌoa Procec:åoa of Pipiøs. JoÎIIIL FiU Pipe I Electrical lsoIalion of PipiDs From TUIk(I) Cathodic Protection S~ñpinl i Dispenser Pan 4 /1.., A.q ~ IAi:s ~~ SECONDARY CONTAlN~E~ï. OVERFILL PR0TECI10N. LEAK DETECI'ION I Liner Inullation . Tank(s) '?:!L-t'" ~4 \'lv~ 'i<' «é' '!1'~ Liner lnsWla1ion . Piping Vault With Product CompaIible Scaler Level Gauga or ScnIon. ROIl Vem Valva Product CompaIible Fill BoX(ea) Product Line Leak De1cctor1s) LuIt Dclector(s) for Annual Spaœ-D, W. Tank(s) Monitoring Wcll(sYSump(s)· H2O Tc:sa Leak Detection Devicc(I) for VadoaeiGroundwata' Spill Prevention Boxes ~ ) / FINAL ./ Monitonnl Weill. Capa ok l.DcIcJ ~ ðt:- I Fill Box L.oclt Monitonnl Roquircmcnu Type' ~BCJJ ÂJW ~IJ< JíZ-4 C{' /13 /qc, ch:L(,J~ I I l}l( S -I'lL ,.. 1j)~.J_j It/A UCENSE' flJ(!) Cj ,C/L ~ONTRACTOR ,1 :ONTACT--1haJL PHONE' "9 ,.. ~o~ b ·03/29/99 L6: L4 .. _.1> .,_q.,__.. --- . / /' // .-' ( '5'805 ,,,¿6 OáV6 -- BFD HAZ MAT DrV e Penait No. CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakenfield, CA (805) 326-3979 PERMIT APPLICATION TO CONSTRUCTIMODIFY UNDERGROUND STORAGE TANK TYPE OF APPLICA~(CHECK) ()NEWFACJL1TY ( DlFICAl1ONOFFACIUIY ()NEW TANK INSTALLATION AT EXISTING FACILITY olf -19- 21 mCODE Q030q. APN 1# PHONBNO. ,fn~ - ,,'2,G¿, - '1-1/(¿, lJP CODE CAIJ.CHNSBNO. (,,()f')/4f).. ZIP CODE q,,~? ~::J ss IJCENSE NO. ( YES YES NO NO TANK NO. ;.... \ : ~CTlON FOR MOTOR F'D1tL ~G\Î nC; VOLUME ED REGULAR PREMIUM AVIATION 0.1-i§:\1 ~~ TANK NO, VO~ DIESEL SECTION FOR NON MOTOR FUEL STORAGE TANICS CHEMICAL STORED CAS NO, CHEMICAL PREVIOUSLY STORED (NO BRAND NAME) (IF KNOWN) FOR omcw. USE ONLY ·:~~mm¡~~.::·::.!;!:!~:::·¡;:¡;~¡¡·!!¡¡¡~II~!!I¡¡jil;¡;~;¡¡!;¡:I¡!¡¡;::¡¡!:I~~fi);@¡¡:¡J!m:'I~J,¡~I¡¡¡¡I¡¡.~j;:;~¡;;I;!¡¡¡i~:~¡ijlr~: THE APPLICANT HAS RECEIVED. UNDERSTANDS. AND \W.L COMPLY WITH THE ATIACHBD CONDITIONS OF nus PERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO mE BEST OF MY KNOWI.EOOE.IS TR CT., ~ "";¡:)J::f)M1þ¡ht~)AJ¡JI2'[) (boa!- lYó /VInI! l Mt!:.r-J/v APPLICANT N (PRINT) U APPUCANT SIGNATURE! TIDS APPLICATION BECOMES A PERMIT WHEN APPROVED l 4- /17P (i.s ) , i :4b ~~¡ :hl . ~¡ I ,,>;.¡ \Jj: ! i . 1: I' : i , , ,2 0: ~ ."".,.., : 'Z.: ':j I ¡ I e ~ I l t I 1:..__ ! i I ! I: . j.. I~ I :,,¡ ; I I I I ' ¡ ! ¡'bj I I , I i I I I , I , ¡ I I I ,,~': ! \ , I i ! I I ; II :~ I : i I ! '~ ' :^'¡ 'r/' I ~ vO i i I I ¡ , I I k\b\! : ~} 1 I I I I ¡ i i 12..', I : I II I 11 I I ' ' ~ r1 P&srþ ¡ I : I i ! I I I ! þ,,~~ ! i I I I f ~ GNilD~ , )) , I ' I : kl/ I "'\' ,. i I I : ~'i !C! i i I I I i [~l Q~J' ig,,$, - I ì ! ~ ¡ I w~j ,0< dLo~ t:n..- , i I I I I ~ª~ 4' c>~' ! i I I i I 'I~¡ ¡,, I i ¡ : I I I ¡ tfE~11 ,¡jq ~U4L'I4LAND) \f I ! I Ii! . I ! . I bokN~ì'I,QIU\l,,{.1 : I ! IITMQ \:, ": ¡ , , t J, " , i ¡~~9 ,U~'CN 'AY£ ¡ I I &~ ,U{ cA- 9~o7 I ,I I *..k.1.... - P..\(ÞÂ.! ! \ ¡ I I I II ci\L~)' \~\ O~NkR I \ ' ,J, \ I \ \ ì I . ~~ ~~ .. rf~~l~ ~>JLy! ) o1/,J,b,c4)t~7í- & 'IELfukJ(~ çO\l~~ I I I I I " I ;' I I ! -. 1 ',f' I I I I , i I i I I r'" 1 z o - z , ::J I r I :. I@., t ,i . t ,"it ì ¡ I ~9~¡ 5. 0\0 \ 1£'[ ~ II I , I I L__,- .l_ I ! I I' I I I I I I I I I I f- 1° I I ¡ I I, I I !' I ~ ! I]' i \ I : 'I ' . * RE!~~ I M~ F6A j~iNe~ : JIo'1lL-T1 .. PIil:t" ð.I~~ ï ,I I ¡.,.iþ ¥-1WJ FUruitl? ' , , ßI5Pc..~~~. i , ! i V~ {FO~.. ".~~.! ð~.\)~~~I:R. p~~ [,~/ I i WI:U, ߣ :1"'~'T1\ll€Q I . :,,,:" Iii : ! i ': ¡" J ~ (' R~e ~IX p ~TI~~ : . j ! : : [)~é~~ I¡\r-¡ß ~TA)'" 1'WEL-~5I IIf ~\LI.5AMÞ~~~ TWO , V : ! U~~ él\f./i ~)('I~-rl"'" D~. : i AT ,,~ i'lNð AT I:. I' , J ; ¡ ¡ .' ¡ *1' i W~LL ~,L2.E €~. I~n~f,: '): , Eû:CìoD u!.u I " I I yV'"r'~ C~\15, { I I· !! I I I . Î I,' : ! ! ':; \ . j i I ~ q~ uJ ~..o c!: 0..... a.. -t ! I Q §J, ..J <' , \,!) Z :-... . :J Q. , I . , I" ! ¡ i , J' Pt.ÙMß ONLy' - ~ ; i FU+ûp,f Q~"'.s€~ 0 -f t '! ! I if") AT cm\t~ ~VIN~ I I ,: , I ; ': I I 0 I i I I I i I ¡ ; ¡ I OJ !J:N6TN..L ¡New , ¡ Î ' II'f\Uµ-I~:p~r : ¡ . )I~r~ ¡ : ¡ '.~6" lit ~~ J,:)V\N() i I , I \ i ¡ I! I ¡ I: I: * : ' I I 'I ( p"cPa~ : PLÄv¥.I\I"~\ : , ~'f',~l1PN I :): i 'I' , . ,I. i' j : o 0 0 ~ ~ ¡ f ¡ , qcHN~yQJt('~ iTEXf\cd I I . , I I ' . -31.{ 9' Lt~·n~ AvE. I 0' , \ ß)<.SFLb): q.. 9~o! ,1tJ~~ _~\q^, i ! : ;1 &,u-y '1 dWNð\l : , I I ' ' I ~ t¡:¡ --t/ Çþ t ,ÇL 4-01-1999 3:09PM ,- '. - ~.. . - FROM ALLSTAR/WESTSTAR 2092770106 e e P.l ¡. ~ '. .<m "II !> ~., . ¡:-N' R NMENTAL INC. ~~V 4688 W. Jennifer, Suite 101, Fres~g, CA 93722 (559) 277-9378/ Fax (559) ~:'7-0106 lic:ense No. 605142 A-Ii az I:: FAX COVER LET1i~:R DATE: j,l- ( - gel ":.,~+Ol>e t JMi~))uJn(Y'J ê i~t OF ~,,-<J.i11.d.:- f /)1/".17 [ra ()') cnt11 ~ :'1v1WTWJ 0~') ...1~(~ - ()¿,'J fo ¡ . ..~; ~') ~.Qrß, ~:?C{)~, TO: COMPANY: FAX NO: FROM: NUMBER OF PAGES (INCLUDES COVER SHEET):~ / :) REFERENCE: 11\ I fJ ,j)ß.fjJ2JI)ud TIME SENT: n'I~):J c:;~ ' t· Kl . ---) -L.J .-+~ ' , r Ii SENDER: BAKERSFIELD . FRESNO . MOPESTO . WALNUT CREEK 4-01-1999 3:09PM .. ;:'. - .. ,-. :. " ~ f,' ¡ ',. l it, I: I I' :. I" i~ i I ~: ¡ l Ii I ¡i Ii ;~~. ; :;1 Ii ", I ,;. I': l ï Ii' ¡. , ¡ '." ~. ~ i ~ i ~ ~ " , I:' I, I:· t [II I' f, :¡: I: !w t ¡: I; ~ I: .' i: ; i: ¡~ f¡ Ii ¡1. Ii I! Ii If [: f: { /! " FROM ALLSTAR/WESTSTAR 2092770106 P.2 e e '..,..... --.............-.,.-., " .'". . OM__.._.____..__..._., . 9\:'=:- ~ stole of Colifornia ·e· ~ ~ CONTRACTORS STATE LICENSE BOArlP " ACnVE LICENSE : \/ç/n..H.605142 bllll COkP 8uamo 'III..1f2S~ STAR ENVIRONMKNTÀJ:. I!IIe: ttI!5Iflt~""þ'" HAZ hÞlrlll.. DoIll 0/31/2000 ~ .. " ,,,.... ..... . ' Copy of ÞoCKetLicense: West Star Enviroomental Inc_ 468,8 W. Jennifer, Suite 101 Fie.soo,CA 93722 2Ô9/277:..-9378 209/277-0106 Fax Expiration 10/31/2000 #605142 Class: A-Haz , . .'.... , ,', I.···..· .'1" .~ . , 1 ... ..' '" ", ... , .. .:.-.:;:-. :~::'.I" .' .' ~ . "" . ," . . .' ,. ."', .. . '. , I , 4-01-19993:10PM FROM ALLSTAR/WESTSTAR 2092770106 P.3 1~!~Jii~;,.~:~;~,_";:r:~:¡r~:':Yrr'!""'··"'········'M-7';~~~7:~' PRO~ER 'f THIS ERTIFICATE IS ISSUED AS A MATT OF INfORMATION ONLY AND I: ¡:: CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CEFrTlFICATE ~J, J<)' CENT L LI DOES NOT AMEND, eXrEND OR ALTER THE COVERAGE AFFORDED BY THE nn,,;O.f ,RA CA F POLICIES BELOW. 6st ;W~~T BULLARD #101 CONIPANJ~SAFFORDJNG COVERAGE RE'$N~ CA 93704 ' i 't., COMPANY A GOLDE!':- EAGLE INS CORP - SAN DIEGO I lETTER I: INSU~ED l E5W ~AR ENVIRONMENTAL Nc:tl::A~ STAR PETROLEUM 6â:~ ~ JENNIFER ,STE 101 R~,Nq, CA 93722 , I ' r COMPANY B LErrER COMPANY C LZTTI:A COMPANY D LETTeR COMPANY E LETTeR ~.,,:, " '''r~I.s TO CERTI~THAT 'tHE PCL/C: fS Of' INSl.lAANC~I.'STED BElOW HAVE BEEN ISSUED TO TI IE INSUREO N I.~D ABOVE FO~ THE POLICY PEAIOO :4~' I TED NOTWI ~STA \ DING ANY ¡U;OUIREMENT ï RM OR CONOmON OF 'ANY CONTRACT o~, OTHER DOÇUM NT WITH REspeCT TO WHIOH'tHIS :, t:O' ICAfe MAV E ISSUED Of! MAY PERTAIN...!. THi:'I/II uRANce AFFORDED BVTHE POLICIES OeSCRtBED HERel IS SUBJeC:T YO ALL THE TERMS, ~ CL ,SJONS AND CONDITIONS of SUCH pouow es. lIMITS SHOWN MAV HAVE BeeN REDUCED ey PAID CLAIMS. POUCY MUIII8EM LI~ EI'I'E~TlvE Pótlc:y t:lCPIRA 'l"JoN ATE lMMlöO/m D""'f l'MMIOo;n¡ U"ITS ßENE~LAGGREaATÉ PROOUCTS-COMP¡OP AGG. S ERSONAL & AJ)V, IHJURY $ ~ ocèUAAENce: $ !'IRE DAMAGe (Anyon.. fira) $ !,IEO.EXP. (Anyon. pl>ßÓI'I) $ COMBINED SING\.E LIMrr aOOIL Y INJURY (Pllr pI>~l\) aoOIL Y INJURY s (/>or ..çcld..nQ s PAè!PEFm'DAAlACf r . "fUAØIIJT'f ,:,' OMfFlEtU. FORM ;, ;' an/4eRTliANlJM8ÆLLAFORM '" ¡: i :, WTlŒk'8 COMPENSATION ,-' ,; ..i AliI) :::., ~,' PL01'£A$' UABIUTY r " fERr' ; $ EACH OC:X;I,JF!RENOe. $ ~~ S ;ii;:~:ii¡~~!~~¡t~!~iiii~œ~~~¡~~~¡~!~!~~!i~~f¡illii~~~~€il!~H~~::; ~}ii~1:~1~~~~W~~1~~~11~. NWC41729302 10/01/98 10/01/99 S~~O~UM~ EACH ACl::IC>ENT CISWE-POUC'I' UMIT DISEASE-EACH ¡¡: O PLoYEE S ,I"~ , { I, ÞE$C~f'. Of oPE'RAnOH$JLO(:ATJO I $N¡¡HICLE$lSPliCIJI.L InM5 '~, 'f ~. . : " I ~ f:· :,' . ,.... !:/i¡ SHOULD ANV OF THE ~ BoVe DESC RIBEO POLICIES BE CANCELLED BEFORE THE " J ¡ii!:; EXPIRATION DATE rHe =lEOF. THE ISSUING COMPANY WILL ENDEAVoR TO \1 CITY OF BAKERSF I ELD ~:¡;\ t.tA1L..3..0....- DAYS WIIITTEN NO'J'ICE TO THE CeRTIFICATE HOLDeR NAMED TO THE I; OFF I CE· OF ENVIRONMENTAL iiiifi LEFT. BUT FAILURE TO. MAIl sUCH NoTIce SHAlL IMPOSE NO OBLIGATION OR 'f 1715 CHESTER A VE ¡;¡!¡~ llABtUiY Of ANY ¡(INO UPON THE COMPANY, IrS ÁGENTS OR REPReSENTATIVES, ,;. ), BAKERSFIELD CA 93307 i!¡¡:~ AUTHOAI%!!DA£PRq~I{t41!/E f,f~':;~~~'1i1'ß¡m¡¥i!1fu.¡;¡%,"};¡:¡¡¡t¡¡~ït!t_!!ï1L...,,__ .~ r, t' 4--~1.-1999 3: 11 p~. FROM ALLSTAR/WESTSTAR 2092770106 P.4- ~*~~!~_'.~;x~iiLè~-··;h~!!~!!![~~~ff~~' 1.' ~ CONFERS NO RIGHTS U ~ON THE CERTIFICATE HOLDER. THIS CERTIFicATE RH ~: I: DOES NOT AMEND, EXT !:ND OR ALTER THE COVERAGE AFFORDED BY THE i pF II CENTRAL CALI F POUCIES BELOW. 65L ~E$T BULLARD 1101 COMI'ANIES AFFORDING COVERAGE REi'~olcA 93704 . :: i ~ COMPANY A GENERAl. STAR INDEMNITY (WORLDWIDE) : .11 : i i! I"SUR~· . ESt: StAR ENVIRONMENTAL Ncl ÀLt STAR PETROL·EUM 68 if; W II' JENNI FER STE 10 1 RE~NO~ CA 93722 !' ! LETTER COMPANY L£TTEfI BGENERA:¡" ACCIDENT - WALNUT CREEK COMPANY C LE'liif'! COMPANY D ~mER COMPANY E ~ : LETTE~ ;ç.9:~,. .. .,::.q, ",J:mn¡::::¡:¡i~¡¡~œ!::::i:!:¡¡:;#':U::¡:W:::::f::¡:6:¡';¡~::~::i::::(:::j:;~¡i;;¡:m!1::::;¡t¡t:¡::tA:¡:~::œ::::;::m¡\¡i:;ij¡i!i:j:¡jji:::¡:¡::¡;m1:::'j::nj~l,¡:~;::M%f:¡:f¡m¡t¡i:··::i¡;!¡!:¡iw!:w~:m:i¡:!;:j:M:!:::!¡n:!:ii:~¡:~::¡¡@:!j¡M::i::¡¡:::i:n:¡:l:¡:~:::¡:!:~~¡!:i:m!):;:!MM~:~1¡%M~\mjmll~ ,. $ .'0 C¡:Fl'!'lFYTH.AT TH!': POLICIES of INSUAANCE lISTEO BELOW HAVE BEEN I$$~EP TO TH ~ INSuFlI;O NAMED .A.60VE FOR THE POL.ICY PERIOD I EO NOTWIT STAIIIOING ANY RS l/IREMENT TERM OJ! CONDmON Or ANY ON AACT OR :>THER DOCUMENT WITH RESPECT TO wHIOH THIS \_ f (:AtE MAY e.~ ISSUED OR MAY P~RTA N.. THË'INSI,iAANC¡: AFFOROED BY TH~ Po ICIES· D!:~;(;RISEO HEREIN IS SUßJECT TO ALL .HE TERMS. . L 'IONS AND CONornONS OF SUCH'POLI<.iIES. LIMITS SHOWN MAY KAVE BEEN REI UCEO BY.F'AIO éI.AIMS. . . . . E OF II:!IUAAIICE pouc't' fIIUII8ER POUCY EfFECi,Ve POUr:" £XI'IRAT10N An¡ ¡I,!WCO/'N ÐAT~¡ (MM¡COI\"Y) 01/25/99 1/25/00 BA017·614701 1/25/99 1/25/00 U..IT5 GENERAL. AGGFlEClA TE S 1 000 p~cuèTS-COr,cP/OP AGG. S 1 000 0 PE~A!. & AOV. INJURY S 1 000 00 EACH OC::C:URReNCe $ 1 000 00 FII'!E DÀ.MÀGE .(A,ny 0"0 Ii"') $ 50 00 M~C.~P. (Any 0"" po-n¡ s COMBINEe SING!.E I.IMIT s 1 000 00 aoon. Y INJURY' (P'Irpo"""" S BOOILY INJURY (POI' B<;cldont S PAOPI!.RT"/' O,oI.MAGE $ e,4Ci-t OCCURRENCe $ AGGRI!.QA'rE $ ;i¡m;~~~~~@~~~¡~¡¡~~~~¡~¡~1-;~W;¡~¡;@~~j~~¡i~~:;~~¡~~¡j~~~~;m¡¡~'~~~¡¡~f~~~~~¡~~(i1~~~1~~~t~~~ gr A M"OFrr UMrTS ~~~~~!~!~~~~~t1~1~~'i~t.i~t.~~~~1~t§: IYG339455C CPPl15026401 1/25/99 1,/25/00 EACH "",ccIDENT $ OISEASE-POUCY UMIT $ OISEASE-EAç:H EMPI.OY£E $ $50,000 LIMIT $150,000 LIMIT ;011 f Oi'eAATlOIiIS/LOCAT10N5NEHIC:LES¡SPECI¡oL ITews :iÇ~.w..; .:..,ç,~, .~¡:~PHR.,ª!f!t(i:{¡~r:¡?J?:i:~:::::::~!.:t(t::}¡i:~¡~::::!?:;]';¡¡:::::;)i¡¡:::j~¡#~¡:!:j::1:::¡iij¡t!:!j:l¡:~%¡:~@Ç.~.Ç.ê~D9~/:i:::@~:¡;}:: @~::;'t;;~:~:lj:¡j::;:;;¡¡::il::::\::~::¡::¡::::¡~¡¡:¡?j::~¡:~:ë~::@!i;::¡::::':H:¡:¡:~:i:¡;nm%M¡¡;\M~ti¡¡\~~~~:Mg~;~ :' ~ "{ij¡ $~OULO ANY OF THE AI; OVE DESCR.ISEO POLIOles BE CANCELLED BEFORE THE > II :');',' . ,. Ii ~:::i:i EXPIRATION DATETHcR~OF. THE ISsUING COMP¡\NYWILL ENOEAVORTO ,: CITY OF BAKERSF í ELD ;:i¡:¡ MA1L..3.0..- DAYS WRITTEN NoTICE TO THE CERTIFICATE HOLDER IoIAMeD 10 THE . OFF I CE OF ENVI RONMENT AL 1m LEFT, 6UT FAILURE TÔ ~,IAIL $I,ICH NOTiCE sHALL IMPosE 1110 OBUGATION OR .t¡ 1715 CHE STER AVE :i~!i:: LIABILITY OF ANY NO"t!PðR" HE COMPANY, rrs AGENTS oR REPRESENTATf'lES. ~ BAKERSFIELD CA 93307 ::'::.:¡ ÀUTHORIl£OFl~P ·"'-';'-"/7 I;· " "' ~" ;: /.,..-;.- k ,;,,;,., '-~ .I~,.....-- 1" ,¡"')"-'" i !,'Çtí¡f~fiÆOj];¡¡;J@'ï'lt'¡~j*:gg¡¡gg0i::,,%¡:§¡x¡¡þ¡g¡11,Wt¡¡!!i!lìjj¡I:j~'1,;p;::2~i~\~(:S'¡~~ÄD:ëi;i¡¡~ 4-01-19993:12PM t· of' , , f :. !! : :. " ;;: r ~~. I ': .:~'. i' . ;! .\: ¡. . t: ~ ( l ~: .I , , i' , !: ¡, ,: ~ '~. ". :. : I; ., 1: r \ ~ '. I· ; ',' < t' , ;: : ,. ,. " f I, I /. I: :1 " '.' ',. r ~, I; ¡. : r ;: l . , ¡ i: ,. : ': Ii i ¡. ¡: '. ( . !. , : ;'. . p~IIR , !þ ~\II,\~~~~ I: FROM ALL STAR/WESTS TAR 2092770106 e e P.5 #'kJhen Qua/;,/,,¡ e~' DMA SEIRIES DISPENSER MOUNTING, ASSEMBLY Te Dispenser Mounting Assembly (DMA), inc::orporcltes the U.l. Listed safely valve mount . anchor, U.l. Listed dispenser base anchor system and containment into one complete unit. DM/Ú are available shallow or deep, single or dC!>~lble sided and ore suitable for multiple piping configurations. Flexible, continuous piping systems in d~lJble or single wall format, composite or metal piping designs all work equally well with any of the versa,ile Dispenser Mounting Assembly series. Deep, single or double sided units contoin all piping terminotioflS including flex-hoses and secondary containment reductions. Shallow DMA's are ideal for retro·fitting as they are straight walled with piping entríes normally from the bottom. Minimal space is required to install the shallow DMAseries. Dispenser mounting containment . assemblies accommodote most leak sensing methods. ;'\:~;:¡5~1'~~#if~f I ~J~;f)H~~1 '..."..",~,.,~ . ;¿t&~!.~. '·\·,'a'..MO 4-01-19993:12PM ~ . : ¡,. r f i " r I:, L ' " 1" ,i, " : ,. , " i'- " i ¡ " f, ¡' I: ; I r I. ~:. r 1 .. j', " t " I,: I, , I ,. " " t , ¡ I:: f >' t: 1~' " ~' ~' I: r , I' ¡; l J I " .,' I /: I [, I: } I J' r .\. , . r 1': i, t ¡ ¡ !. i f FROM ALLSTAR/WESTSTAR 2092770106 e e WESTERN FIBERGLASS, INC. DISPENSER M,OUNTING ASSEMBLY {DMA™) 1-800..688-3375 . SUDunary The Dispenser Mounting Assewbly Containment System is installed ,n conjunction with the product dispenser and in accordance with the manufacturer's installation inSt'uctions. The Dispenser Mounting/Containment System shall contain environmentally bawd ous fluids that might leak from any piping terminations, fittings, and f1~·hoses ¢Ontained within the Dis)enser Mounting/Contaimnent Assembly, shall insure, using V.L. Listed mounting ~tems for both:lispenser base and safety valves, tbat safety valve poppet activation occurs in the event of dispenser knock·,jown without damagE: to either mount frame system and shall be manufactured by Western Fi~S';, Inc. . [ I I' System Specification '1.01 System Suitability The Dispenser Mounting Containment Systexn shall: A Provide secure, independent, U.L.Listed mOW'lûn~ assemblies for both the dispenser base and shear V'alve that shall be anchored in concrete for uansfer of stress and loading. Such that shearing action occurs at the s:\eat valve upon dispenser impact without damage to, the mounting frameworks. B. Ptovide a means to prevent swfac:e, ground, ru.n..cff or wash-down water from entering the contairunent system. C. Contain any release of environmental contaminan ts from the dis~nser andlor fitungs contained within the Dispenser MounüngfContaiiment System. D. Provide full access to all piping terminations, fitii:)gs and hoses contained within the Dispenser Mounting/Containment System. E. Accommodate an e.xplosionlfJame suppressant b¡u tier to prevent flash fire. F. B~ available with U. L. Listed, fiberglass, contain:nent sump. 1.02 Construction S~cificaLÎons: A. Meet or exceed United States National Bureau of ¡;tandards PS~ 15-69 for Custom Contact-Molded ~inforœd·Poiyester Chemical~F..esistant Process Equipment or U.L. Listing if applicable. B. Be constructed of materials that are not harmfutto the environmenl. C. Be suitable for petroleum products and blends including méthanol and ethyl alcohol mixtures. E, Ha\"c a lhiny(30) )'car warTi1ßty aga.inst corrosion 1.03 Release Monitoring shall: A. Allow full visual inspection of all piping recluctioas, fittings. and hoses. 1.04 Piping Penetrations shall: A. Provide locations for the insl.allation offluid tight :,ipe and conduit penetration seals to , be installed according to manufac:turet's instructJdtls. A;INANC~INOMSTF.~MA,.SPEC.DOC\ 1A1'191 ' P.6 37 4-01-19993:13PM ··1!· . ¡ I: 1 I: 1. l I: ,1: t.. Ii :" ··Ii" ~' :¡ t ' ~ ~!' r; I;' :[ 'i If I: I' t r ,. ·II:~'. :! ' ,I' ¡i "i J ~. I) , ; ;,' !' ( !: ., ., { f .11 t r .¡i. " :) ~ i :: ..ii Ii' ;. Ii ¡; !i !. .~ t r.. I:. ¡I ~ ¡¡ I; 5.. t ' :,¡ t .~ ! f' ,: :(- II' I' ¡ ¡; Ii .·I' · ~~ ' ~>', I, f 'f: FROM ALLSTAR/WESTSTAR 2092770106 e P. 7 e A ~" L ..1 \' ,/,...,--..-.:;:. .': ''l' '. :."" I" " ....'. <:2,·.:;;i' /§'''':! ¡"')¡'" E _I ONMENTAL f~C. 4688 W. Jennifer, Suite 101, Fres ~), CA 93722 (209) 277-9378/ fax (209) ~:i'7-0106 License No. 605142 A-"~'z SITE HEAL TH AND SAFETY PLAN t I. GE~~~LINFORMATION CLIENT: PROJECT NUMBER: POJECf MANAGER: HEALTH AND SAFETY OFFICER: SITE SAFElY OFFICER: HEALTH AND SAFETY PLAN PREPARED BY: ISSUE DATE: EFFECTIVE PERIOD: II. . SCOPE AND APPLICATION The provisions of this Health and Safety Plan! (HSP) are based upon an evaJ~atìon of known and/or suspected site contamibation only, and are designed to minimize health and safety hazards of site activities as described in the Scope of Work. If durîng the coarse of site work n~w chemical contamination is discovered, or additional site activities not desåibed in the Scope of Work become necessary, all work shall stop pendin~ an evaluation of the new information and apprpriate modification of this ~Iéln. The Health and Safety Officer shall dírect this evaluation. III. HEALTH AND SAFETY ORGANIWlON ¡ Minimum qualifications/ duties, and responsibilities þF all site personnel: ~) P~OJECT MANAGER i) Hazardous Waste Field. Investigation Experience ií) Knowledge of Work Plan Procedures and !E:quipment iii) Knowledge of Standard Site Safety Proce~IJres and fquipment iv) Training (40 Hour, 3 Day Site Specific) ¡ v) Respirator Fit Tested and Trained 4-01-19993:13PM or· Ii- I Ii r I Ii FROM ALLSTAR/WESTSTAR 2092770106 e P.8 e I B) HEALTH AND SAFETY OFFIÇ~B i) Trained Health and Safety Professional or Equivalent ii) Site Safety Experience In Hazardous Wastll~ Field Investigations iii) Knowledge of Work Plan Procedures and Equipment iv) Knowledge of Standard Site Safety proced Jres and Equipment v) Training (40 Hour, 3 Day Site Specific) . vi) Respirator Fit Tested and Trained ./: Ii .I C1SITE SAFETY OFFIÇER i) Site Safety Experience in Hazardous Waste Field Investígatíons ii) Knowledge of Work Plan Procedures and Equipment iii) Knowledge of Standard Site Safety Proced .Ires and Equipment iv) Air Monitoring Instrument Calibration and Use v) Respiratory Protective Equipment Maintenance and Use vi) Training (40 Hour, 3 Day Site Specific) vii) Respirator Fit Tested and Trained ; .11 !: D) PROJECT PERSONNEL i) Training (40 Hour, 3 Day Site Specific 8 Hour Refresher) ii) Respirator Fit Tested and Trained . iii) Aîr Monitoring Instrument Calibration I I' ~. , IV. . SITE DESCRIPTION AND CHARACTERISrICS SITE DESCRIPTION:. Topographic Map Attached: _yes ~:no Attached to Work Plan Location Map Attached: _yes _no Àt:tached to Work Plan .¡ ¡: ·1 Ii /: ,I v. WORK PLA~ il QSJEÇTIVES: i) Proposed excavation and removal of ( ) .lInderground storage tank. (Quantity snd sizes will be identified) ¡ ! ii). TASKS: i) . Preparation .of Work and Health and Safe~i Plan· ii) UST Removal ~. Ii Ii 2 4-01-19993:14PM ,. I! .~ !I " 'I: ':I Ii . r~ ii: ¡i' i' if n .,' i: .II ¡: !l '..~ I:. I, :1;' I: J ¡j :~ II it f· .i! Ii. I; I' if 'r¡' ii ~ ¡: :i! t Ii " i! ;f, ':1 1 I. ii ¡: :! .1: ii :i; :1;. I: !~ ~. Ii ,. i; !; " ii ~ it, I. I' ii I, , 'I I. ,f' Ii t II 'I' :I¡ I: ¡í :j¡ !: r. I ~ !' ~ l 'Ii . r~ I' ,I: . .. FROM ALLSTAR/WESTSTAR 2092770106 e e P.9 'i'- . ~ Ii il ¡; ,. .~ VI. HAZARD EVALUATION Kn9wn and/or SusDecte~~emical Contaminantspn the site: , Name ÇAS # . PEL _lDLH I Health Effects Diesel 8006619 300ppm S,OOOppm ¡ Central Nervous System Benzene 71432 Ippm 5,OOOppm ¡ Central Nervous System~ Cancer S,OOOppm. Central Nervous System S,OOOppm! Central Nervous System Toluene Xylenes 108883 1330207 100ppm 100ppm CHEMICAL HAZARDS: Toxic Ignitable . Medical or Biological Waste Reactive Corrosive ~, F~8M$ QF CHEMICAL HAZARQ~:' Solid __ Dust· Fiber Fume ------¡-:_ Liquid Vapor Gas SPECIAL CHARACTERISTICS: i.e. shoçk sensitive or explosives: Explain: yes ~~no PHYSICAL AGENTS: Radiation Describe: Heat Stress ! . Noise SAFETY HAZA~$ Heavy equipment operations. Trenching cave-ins . AnticiDated Hazards by Job Task: Chemical Task Hazards Hazards Physical Agents : ' Safety 1. Work Plan Prep. None 2. UST Soil Diesel Excavating None Soil, Vapor Noise None. Heavy Equip.¡ Trenchjng~cave ins 3 4-01-19993:14PM ,; . Yf' - - ,; ¡ i i 1· ! (, : I,· I ,. r i;· Ii . . . .~,. ¡ i; r i~' .: I· l: r . I'. i' . r f · f . I: r : I: . , . L . I. [ !. : !' . i: I; '; ¡' . I· I. ,. . r r. f ¡ . r: ;' . ¡. ~ ':~ [-: ,. . ¡. " j; ~: :. \~. . ¡, . I: ; I: t '. r· i, ' i o ,. i: . I . ¡, .' ~ , . ~. ;; i.. I ~ ,: ,. . ~;: . j ¡;':. ·1 I I . i: .. !' . 1 . I; . o. j' t I' .' i.' I . !' l:: .¡I!i, i, FROM ALLSTAR/WESTSTAR 2092770106 e P.10 - VII. $~TE STANDARD OPERATION PROCm.u.J:lES A) PERSONAL PROJECTIVJ; EQUIPMENT (P~~ . i) The contractor and consultant personnel will follow the standard U.S. Environmental Protection Agency (EPA) personal protective equipment convention for all hazardous waste field work described as follows: (1) LEVEL A PPE (a) Full Encapsulation chemical protective suite, positive pressure demand self-contaminated breathing apparatus; disposable Tyvek coveralls as the undergarment. (2) LEVEL B PPE (a) Positive Pressure-demand self"contained breathing apparatus or supplied-air respirator in positive pr~ssure mode, 5 minute escape bottle worn at hip, chemical~ protective suit (permeable Tyvek or impereable coated Tyvek or Saranex coveralls for spash hazards), chemical protective gloves, inner surgical gloves, chemical protective boots eith steel toe and steel shank, hard hat. (3) LEVEL C PPE (a) Full face or half face air purifying rEspirator, chemical protective suit (permeable or impermeable coi.tted Tyvek or Saranex coveralls for splach hazrard),chemical protective gloves/ inner surgical gloves, chemical protective, boots with steel toe and steel shank, hard hat, safety glasse:;if half respirator is worn. (4) LEVEL D PPE (a) Tyvek coveralls, hard hat, steel toed/steel shank work boots, safety glassses, work gloves. ii) PPE required for each job task depends on the chemical and physical hazrds expected of that task, as decribed above. The follòwing PPE ensenbles are assined to project tasks. Tasks Assìgned BPE£nsemble 1. Work plan preperation N/ A . 2. Exploratory Excavating Level D 4 4-01-19993:15PM , ... 4i" j;:. ~ ' \}, ~ \.. Ii [1 I: '1 I; ): I; " !\. ;, ti " I: :1 l~' j! " ~ . ~\ \ " . ;: /i ¡. i: (" ¡, ;!l ¡ ·I::~ ~ '. :¡ !: ~: :. !i r, i~ , Ii ¡¡ Ii [i ~. II:. [' ¡. " !.; 'I; ~' .; ~ . ¡ f. .: I:· ;' i' [ ~"\ ',:'. ·i:' " il l i~.: ¡ [ ¡:, Ii ¡'. t ¡ If ~. ~i: 1.' : ¡. ¡. I! ,) " ; C ' l· ~" f:: . ,1" II ~ : ~ ': \: Ir ::" !i Ii ~" I: ¡.jl I:. ~ f HI;.; ~, r I¡' t' ... ï.: I. ~ . .\ ·1 ~. \. í', I";' !: ' ~:. .j¡ ~ FROM ALL STAR/WESTS TAR 2092770106 e e Po 12 2. If portable direct~readÎng ait monitoring instruments read background throughout the !~iite the exclusion zone shall be defined around the area(s) of known or suspected chemical contamination, or ~here drìllin9 excavation/ soil sampling, or other inva~Î1/e activity is to be performed. (b) Decontamination zones (i) The SSO shall establish a deco~~:aminatjon corridor adjacent to and upwind from identified ~)::cIusion zones. The sse shall set up both equipment anp personnel de~ontaminatíon areas outlines under "Decontant nation Procedures" below. I (c) Support Zone . (i) The sse shall establish suppor1:zones upwind from the decontamination corridor where all portable direct-reading air monitoring instruments rea4 background, at a distance of at least 20 meters from the exctllJsion zone. (ii) The support zone shall be esta~nshed such that support personnel may observe all perspnnel in the exclusion zone at . all times. ~ . (¡¡¡)It personnel must enter trench~~> or other excavations, a "buddy'/ shall remain near the ~xcavation to maintain visual contact C'line of sight") with th~'personnel inside the excavation at all times. . (iv)The SSO shall develop and tead:1'I all site personnel a system of hand signals that will enablei the "buddy" to indicate to support zone personnel that an emergency exists inside the excavation. : . 6 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 ·H· Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 'H' Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3951 FAX (805) 326-0576 ENVlRONMENTALSE~CES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3979 FAX (80S) 326-0576 TRAINING DMSION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (80S) 399-4697 FAX(805}3~5763 e e, February 9, 1999 Johnny Quick 349 Union A venue Bakersfield, CA 93307 RE: Compliance Inspection Dear Underground Storage Tank Owner: The city will start compliance inspections on all fueling stations within the city limits. This inspection will include business plans, underground storage tanks and monitoring systems, and hazardous materials inspection. To assist you in preparing for this inspection, this office is enclosing a checklist for your convenience. Please take time to read this list, and verify that your facility has met all the necessary requirements to be in compliance. Should you have any questions, please feel free to contact me at 805-326-3979. Si1'~ Steve Underwood Underground Storage Tank Inspector Office of Environmental Services SBU/dm enclosure ~~y~ ~ ~~ ~ ~rH'e .r~ A ~~~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (805) 399-4697 FAX (805) 399-5763 - - September 30, 1998 Billy Shergill Johnny Quick 349 Union Avenue Bakersfield, CA 93307 UNDERGROUND STORAGE TANK UPDATE Dear Underground Storage Tank Owner: One month from today, this office will start issuing compliance stickers to those owners who have upgraded or replaced their underground storage tanks. We regret you will not be receiving one. On December 23, 1998, your current underground storage tank(s) will become illegal to operate. Current law would require that your permit be revoked and, without a compliance sticker it will be illegal for you to receive fuel deliveries after January 1, 1999. After 90 days of closure, your tank will be considered illegally abandoned and we will take action to properly close these tanks. If you do not comply with our tank closure requirements, we will find it necessary . to take legal action, including, but not limited to citation and/or injunctive relief. Time is running out, you have 83 days before the deadline arrives. If this office can be of assistance, please do not hesitate to call me at 326- 3979. Sincerely, ¡ÍdWJ Steve Underwood Underground Storage Tank Inspector Office of Environmental Services cc: Ralph E. Huey, Director ""Y~ de WomAl~ ~ ~~ !7~ .Æ We.nbb'y" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (805) 399-4697 FAX (805) 399-5763 . e August 31, 1998 Billy Shergill Johnny Quick 349 Union A venue Bakersfield, CA 93307 UNDERGROUND STORAGE TANK UPDATE Dear Underground Storage Tank Owner: The City of Bakersfield wishes to congratulate those tank owners who have upgraded, removed or replaced their tanks in the second quarter . of 1998. This office is expecting an even bigger third quarter result. This commitment, has helped this office achieve an 84% compliance average for the underground storage tanks within the City. For those who have still not upgraded, time is running out. December 22, 1998 is just three months away!! If this office can be of any assistance, please do not hesitate to call me at 326-3979. Sincerely, iJL AiJ r ~. jl1i~ ClMtuttItJ Steve Underwood Underground Storage Tank Inspector SBU/dm cc: Ralph Huey, Director, Office of Environmental Services ~~y~ de Wonl/~ ~ v#t;0P6 y~ A W~'I'I FIRE CHIEF MICHAEL R. KELlY ADMINISTRATIVE SERVICES 2101 ow Street Bakersfield. CA 93301 (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 ow Street Bakersfield, CA 93301 (805) 326-3941 FAX (805) 395-1349 PREVENTION 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 ~ . - ~ BAKERSFIELD FIRE DEPARTMENT Billy Shergill Johnny Quick 349 Union Avenue Bakersfield, CA 93307 July 29, 1998 UNDERGROUND STORAGE TANK UPDATE Dear Underground Storage Tank Owner: You have been receiving monthly updates from this office, regarding the underground storage tank compliance deadline, since December of 1997. I feel we must inform you of how serious an impact non-compliance will be to your business. On December 23, 1998 (December 22, 1998 deadline) this office will be forced to revoke your permit to operate, effectively shutting down your fueling operation. On January 1, 1999, Senate Bill 1491 takes effect, banning fuel deliveries for those who have not met the compliance upgrade. f I . After 90 days of closure, your tanks will be considered illegally abandoned and we will take action to properly close these tanks. If you do not comply with our tank closure requirement, we will find it necessary to take legal action, including, but not limited to citation and/or injunctive relief. It is this offices sincere hope, that we do not have to pursue such action, which is why we continue to update you. Time is running out, contractors are booking 6-8 weeks in advance, and costs are climbing at an alarming rate. 3979, If this office can be of assistance, please do not hesitate to call me at 326- SBU/dm Sincerely, 1l £L¿) Steve Underwood Underground Storage Tank Inspector Office of Environmental Services ! I ¡ I 'Y'~bfe W~ ~ ~0Pe ~.A W~ " e r, Ie., ùqJ/-lf'¡ q-.3-1fJ tbt)~~~Hb,n= NRfe(fi¡ 1(9 6f~\(¡'{ ðf:e ~~ (i) { A~MWØ f cè~~: ~ t"A, © ~"" ~ffl, tf f'f(ì ~'f"(?4iø^, ¡", ¡'I )L - FIRE CHIEF MICHAEL R. KELLY ADMINISTRAnvE SERVICES 2101 oW street Bakersfleld, CA 93301 (605) 326-3941 FAX (605) 395-1349 SUPPRESSION SERVICES 2101 oW street Bakersfield. CA 93301 (605) 326-3941 FAX (605) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 (605) 326-3951 FAX (605) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 (605) 326-3979 FAX (605) 326-0576 TRAINING DIVISION 5642 Victor Street Bakersfield. CA 93308 (605) 399-4697 FAX (605) 399-5763 :. ~ . e - BAKERSFIELD FIRE DEPARTMENT Billy Shergill Johnny Quick 349 Union Avenue Bakersfield, CA 93307 June 30, 1998 UNDERGROUND STORAGE TANK UPDATE Dear Underground Storage Tank Owner: The City of Bakersfield and Kern County Environmental Health will hold a Underground Storage Tank Workshop. This will be the final opportunity, before the December 22, 1998 deadline, to ask questions regarding upgrade, removals, financing, and other related requirements. The workshop will be held on Friday, July 17, 1998, from 8 :00 a.m. - 12:00 Noon. The location will be the Kern County Environmental Health Services Department, 2700 "M" Street, First Floor Conference Room. Enclosed is a registration form. Please fill out and mail or fax before the registration deadline, July 17, 1998. I look forward to seeing you there. SBU/dm enclosure dLv Steve Underwood Underground Storage Tank Inspector Office of Environmental Services cc: Ralph Huey, Director, Office of Environmental Services 'Y~õfeW~~~O/'e~~ W~ n FIRE CHIEF MICHAEL R. KELLY ADMINISTRAßVE SERVICES 2101 ·w Street Bakersfield. CA 93301 (805) 32~941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 'W Street Bakersfield. CA 93301 (805) 326-3941 FAX (805) 395-1349 PREVEtmON 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 ~ . e - BAKERSFIELD FIRE DEPARTMENT May 31, 1998 Billy Shergill Johnny Quick 349 Union Ave Bakersfield, CA 93307 UNDERGROUND STORAGE TANK" UPDATE Dear Underground Storage Tank Owner: The City of Bakersfield wishes to congratulate those tank owners who have upgraded, removed or replaced their tanks in the first quarter of 1998. This office is expecting an even bigger second quarter result. This commitment, has helped this office achieve a 75% compliance average for the underground storage tanks within the City. This is a very "good start". For the benefit of those who have not yet upgraded, the City of Bakersfield and Kern County Environmental Health, will conduct a Underground Storage Tank Workshop scheduled for Friday, July 17, 1998, from 8:00 a.m. - 12 noon. Look for our June letter for more details. Should you have any questions, please feel free to contact me at 326-3979. Sincerely, ~dkLJ Steve Underwood Underground Storage Tank Inspector SBU/dm cc: Ralph Huey, Director '7~6£g, W~~~~~ A W~" .....;,-- e It CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME :::rt)~I\t1 'l ADDRESS .1l q llVlroV\ FACILITY CONTACT INSPECTION TIME ~lll c L AlL- INSPECTION DATE 8fi~h8 PHONE NO. BUSINESS 10 NO. 15-210- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [('Routine D Combined D Joint Agency D Multi-Agency D Complaint ORe-inspection OPERA TION C V COMMENTS Appropriate permit on hand ¡j Business plan contact information accurate IJ Visible address V Correct occupancy V Veritication of inventory materials if Verification of quantities rJ Veritication of location V Proper segregation of material V Veritication of MSDS availability J Verification ofHaz Mat training V Veritìcation of abatement supplies and procedures V Emergency procedures adequate oj Containers properly labeled if Housekeeping ~ Fire Protection V Site Diagram Adequate & On Hand rJ C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes DNo ~ ~~ Busmess SIte esponsible Party Questions regarding this inspection? Please call us at (805) 326-3979 White - Eny. Svcs. Yellow, Station Copy Pink - Business Copy Inspector: ..... - - CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave.. 3rd Floor, Bakersfield, CA 93301 FACILITY NAME C\lÝ'\l111'f (}vIde., INSPECTION DATE 3/rrolf~ Section 2: Underground Storage Tanks Program !Y'Routine 0 Combined 0 Joint Agency Type of Tank F¿5 Type of Monitoring ~ .'7f( o Multi-Agency 0 Complaint Number of Tanks 3 Type of Piping au)!:: ORe-inspection OPERA TION C V COMMENTS Proper tank data on tile \I Proper owner/operator data on file V Pellllit fees current IJ Certification of Financial Responsibility 1/ Monitoring record adequate and current 1I Maintenance records adequate and current V Failure to correct prior UST violations V Has there been an unauthorized release? Yes No /'/0 Section 3: Aboveground Storage Tanks Program AGGREGATE CAPACITY· Number of Tanks TANK SIZE(S) Type of Tank OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfiJl/overspiJl protection? C=CompJiance V=Violation Y=Yes N=NO In'p"to, J-fl dab£) Oftice of Environmental Services (805) 326-3979 White - Env. Svcs. '- Pink - Business Copy RRE CHIEF MICHAEL R. KEllY ADMINISTRAJIVE SERVICES 2101 ow Street Bakersftek:l. CA 93301 (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 ow Street Bakemleld. CA 93301 (805) 326-3941 FAX (805) 395-1349 PRMNTION SERVICES 1715 Chester Ave. Bakersftek:l. CA 93301 (805) 326-3951 FAX (805) 326-0576 ENVIRONMENTAl. SEIMCES 1715 Chester Ave. Bakersfield. CA 93301 (805) 326-3979 FAX (805) 326-0576 TRAINING DIVISION 5642 Victor Street Bakemleld, CA 93308 (805) 399-41fi7 FAX (805) 399-5763 ~ BAKERSFIELD FIRE DEPARTMENT Johnny Quick 349 Union A venue Bakersfield, CA 93307 . - -- February 13, 1998 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 ftee to contact me at 326-3979. cc: Ralph Huey Sincerely, t1-~ ,. Steve Underwood Underground Storage Tank Inspector 'Y~¿(jg, W~ ~ ~~ ~.Æ W~ " --t_---- ',,, ~fiNKS£r~ co. PETROLEum EQUiPmENT ' , .. ..- h ----., Œ;@a.JillPfJJŒf\JJ1f'· ~MŒ~· llJKIJ~1f&n..[['&'IT'll(Q)~· ~ŒœWllCCH' 2403 ERST 8ElmOl-lT, FRESNO, ffiJFORAA Q3701- (2()Ç) 485-3456 - LICENSE NO. 383550 ....¡. FAX (209) 485-316~ , ' I', ~ '.' LOCATION 'S ÇJ oJ .,# / Lj / , ADDRESS .5'-7/9 V,;u//J/!/ , CITY J ZIP: 5ø R:E/t.-5 //É¿d? c' . . , , "- -.' ,. , i~~' ';:,.,.: ,:} '" . l~.,~,~E;:'ß·..TYP~".9.F, SYSTEM .: ,/1/1 S ø ~~\.r:r:'(¡. ~ ",:,;. _, .~ !/11'~"~:"-·r·'~,\. ,~.l \. " .'-. . 1~1~:;t·'~·;~~:~·:;:1':\~1\t}¿;(.;·sênsòrNumber /Locat ion t~~}}(:~~~i~ft~)$;:'c: c'¿ ~ .:, .,., ,:, ' ' #t> "..' 2 ,;,J;";~.\, Sensor Number /Locat ion .~>:'~. ,~-.'.:": '.,': \~.¥~<~~:\\'-~, :~~ >', .;.',.. .. '.' ..... ·3?'\.7i',:;'"SensorNumber/Location ¡;I ~ ~{L"" ,..:·::;:f{\<, ."...., , ~1;;¡~,'i:.,:~/.~ «';i:¡Sensor Numbe r /Locat 1 on 'f::;rf't/ 1~~~~;j&,;~::,:"r'~':<~:~;:'iY;::'>':::' :., .:',' , " , " . ,:~~, ".:'~:" : 5 :i~¡,~". 'Sensor', Number /Locat ion -I:tf ,-) ¡;~~·~;t:,{:)i:f:~f;i;}:"::;: ";;: ' ' . iti' ·:\:',;:6~,Y\:i·Se.n~~r: Numbèr/Location ·11 0 ~~\~:i~;~::~;'~~':~ ,¡::.' !~;~;:<;';/~~i,:'~:~;' ~::.}~.>;:".:,~' :.:':~. ~>,,:~ ..... J~:.. ::' '.' ... ",' ~. .:: ~~. ·~ii.1~'\ ,7 ¡ii,~,S~n~o:r;~f:(ú!11Qè'r::¡'Lò'c~tJon .:' .,. ~1"j::~}~t~'~ ,ft>t ,~~~~ ~>j:~f/;-:. ~ .:': . . :'; . '" :: ,..:> '.;, ;\: ".: ~~;~r" /:...'". 8.~'?:;·:::-:· Sei1so't:;NúmbËìr/Locãt·ion ;':~: .- ~;:~:;'::·<:.::'~·>:/:f-!tW!:~~:: ... : :.' ;'~f~ ?~: :;.:, ' " . . DATE: '~-,(¿J,,"?;7 . - ~ ß- / TECHNICIAN: t-? A/ðßØA~ / - - .-.-- HOt;nOR EQUrPKENT TEST Ø/ /l<?J.J/¿ f?7 Æ=7 ~9 :P9 ~tf d.. 9-1 U',:L 0)..//lØ S VJ??P / ~ai: ~as9Fai ì ~~Fai1 ~aii ~sitFa i 1 ~s~aii IA Iv J1.) l/ L Jo It/ 5 L/ }?-? l? / ø /'I ,/1/{/ L ß 1t/ 5 // /??~ ,/1 ,It)JV v L u I1.-./' pass/F å i 1 Pass/Fa i 1 HETERCALIBRATION . ' ~r~I\':"::'~::' :Y"·:\~l~~;~~~}I~~'~,.:~.~:<:(,:-.~· ',;;. ..' "-: . . >?'}:"" Nu.mber· of Mèters Checked ~~~{~. < .>~~.:';;:,~-:'..-:. .: .'. . '. ) " . Number of Metë~sReca 1 i brated .~~~ .".' ~_.'. "'~..'. ..... ::r" ~:.~:f/t;~~~;·4l::{,i;~.'~:' , ,; ,1. . Make REd fø¿¡¿/?/ ~¿?'d JJ¢¿/¿t f ~E¿/ Jhlr-Rr-I' LINE LEAK DETECTOR TEST Product J? ;7 Product ;P9 Product -9 .2- ~Fail ~ail ~ail " , 2. ,Make , . " 3., Make .'.:.." .' '.. ~.'. 4. Make Product ">', :~~~'.':';~::.~~;~\~<:'''' .. ~Pas~ or Fail ~s Per Manufacturers Specifications .j;' , ~PEli \a""'~'I~ ~ass/Fa i 1 ---- ---A- _ ____ _ ~_ -- - C~RECTION NOTI. BAKERSFIELD FIRE DEPARTMENT N~ 577 ' Location ~()hn'1 QVtJ¿ Sub Div. ~ 'It¡ U~IC". AV'-L . Blk, . Lot You are hereby required to make the following corrections at the above location: Cor. No ¡) Ð) 'I " Completion Date fO!' COITectio'.J2i ~ Date 'III!?! ~ _ _ Inspector 32&·3979 HAZARDOUS MATERIALS INSPE<Ia>N .kersfield Fire Dept. OFF1"l!'!r OF ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 9330 I Date Completed .3/11/97 Business Name: ~()hnVl 'I fitJ,tl Ùt1~ AVt.- Location: 3i19 Business Identification No. 215-000 ,3gb (Top of Business Plan) Inspector ~uc.. Uv/£Í:rwooJ Station No. Shift Arrival Time: Departure Time: Inspection Time: Ad~te Inadduate Adequate Inadequate Address Visable Emergency Procedures Posted ~ g Correct Occupancy ~ g Containers Properly Labled Verification of Inventory Materials Comments: Verification of Quantities ~ (] Verification of Location ~ g Verification of Facility Diagram ~ CJ Proper Segregation of Material Housekeeping (] Fire Protection ~ (] Comments: Electrical (] uI Comments: Verification of MSDS Availablity (] Number of Employees: UST Monitoring Program ~ (] rI Comments: Verification of Haz Mat Training (] Pennits ~ D Comments: Spill Control CJ Hold Open Device (] ri Verification of Hazardous Waste EPA No. Abbatement Supplies and Procedures oÝ (] rsI Proper Waste Disposal CJ Comments: Secondary Containment ~ (] Security (] Special Hazards Associated with this Facility: ". . Violations: tldel CP2f\11r thJrrco Hf.C'15 fo be. tcUrtd-kJ -4rc~f'\ pv~r';" I P(ru!o£- .;c)b61\rt. \ ~p pllCl1~O '" .... ()tc9cJtJ L. E!cJ Idace.. ct- ïã t\t îk¡ufk.5S k ~+. ... 1("4.1::.. d ~ f\ C'?h pM.,/\. + \ .&/l.Ly ..5'lrélêC!7/L¿ I ~rV>~ AllltemsO.K \\, Business O~er/Manager PRINT NAME SIGNATURE Correction Needed White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy íÕ ~ g/ .... ~ es ('oj In CD .... 0 u. UNDERGROUND STORAGE TAN_SPECTION FACILITY NAME -:\Chllln'( FACILITY ADDRESS 9 (/9 f}th c ~ tIL1/tJl\ AtfG, Bakersfield Fire Dept. Hazardous Materials Division Bakersfield, CA 93301 BUSINESS I.D. No. 215-000 /3 sf., CITY Rr-#. ZIP CODE tJ33ð) FACILITY PHONE No. IDI IDI IDI , 2.. 3 INSPECTION DATE ."~11f1'J7 Product p:uct ~J~uct al,,< . IcJN R'1h. tJ H TIME IN TIME OUT Inat Dale Inat Dale Insl Dale INSPECTION TYPE: ¡1~g I'i g<¡ ¡1st ,/ Size Size Size ROUTINE FOLLOW-UP It'" 'ðO /ðldðt'. '" ...... REQUIREMENTS yes no nIa yes no nIa yes no nIa 1a. Forms A & B Submitted ¡/ 1b. Form C Submitted v' 1c. Operating Fees Paid V 1d. State Surcharge Paid V 1e. Statement of Financial Responsibility Submitted J 1f. Written Contract Exists between OWner & Operator to Operate UST .,/ 2a. Valid Operating Permit J 2b. Approved Written Routine Monitoring Procedure ,/ 2c. Unauthorized Release Response Plan J 38. Tank Integrity Test in Last 12 Months I!QS V 3b. Pressurized Piping Integrity Test in last 12 Months /JIÍJK ../ 3c. Suction Piping Tightness Test in last 3 Years .J 3d. Gravity Flow Piping Tightness Test in last 2 Years V 3e. Test Results Submitted Within 30 Days II 3f. Daily Visual Monitoring of Suction Product Piping ..¡ 48. Manual Inventory Reconciliation Each Month \J 4b. Annual Inventory Reconciliation Statement Submitted if 4c. Meters Calibrated Annually ..¡ 5. Weekly Manual Tank Gauging Records for Small Tanks rI 6. Monthly Statistical Inventory Reconciliation Results if 7. Monthly Automatic Tank Gauging Results V 8. Ground Water Monitoring V 9. Vapor Monitoring ..¡ 10. Continuous Interstitial Monitoring for Double-Walled Tanks V 11- Mechanical line leak Detectors V 12. Electronic line leak Detectors ../ 13. Continuous Piping Monitoring in Sumps 'Ii 14. Automatic Pump Shut-off Capability 'V 15. Annual Maintenance/Calibration of leak Detection Equipment V 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 OperatingIMonitoring Procedures of UST System Within 30 Days j 19. Reported Unauthorized Release Within 24 Hours Ý 20. Approved UST System Repairs and Upgrades .¡ 21- Records Showing Cathodic Protection Inspection \/ 22. Secured Monitoring Wells V 23. Drop Tube v RE-INSPECTION D~ 1/(11/17 RECEIVED BÝ;-- ~ ....... ---L---\ INSPECTOR: . 1/1 /l. J OFFICE TELEPHONE No. f)J'~??19 ~ \ \ FD 1669 ~_~"V~CC,~c~cc__~C~~_.._-----r--_:~;;:._- ._ _______ .________~_.~_ _u._c~~c_. -- _ ,_~,_.c~_c_~~__~'"~_------ c',_. ~v~ \ I jU~¡-27-1 9gs 12: 22PI"1 FRO~H~NY?U I K FOOD STORES TO" _ 1805322~~~7 . ,P ',,04 ~.' UNDBRGRO=~~~=~t;G Pir;J;rt·: .:.. .' .,; , , U1\NVl Tb1é .... pro.- IIIUI& be _ It till VSf 1ocdoR It aIJ ~ 'Tbe iaforIrIItioa Oft tbiI ~ ~ are' , .....ottho ~ pehaiL The perd how. &MIt ROCIIt ~ b.I .~, ··...to day. ot ,'. . MJ'" to tho InOÙ01'iIII ~... ~'IO *liD appmn1 betbni ~ 1M....... ~ ttr ..... 2Ø2(d)" 2M'0f) CCk. ' . .. '-" '. h~ ' J} '- Fõ.~j) 5m2-I.. I.A ~J I t)/J fh;~ - . ,ac111\y icier... ~/I"£.." oJ¡ " l.,,- D . , }.¡/j<. ,. - . IfJg.j .% It aft unautbor1zH release gçCQr" hoW will th., h..."0\11 ì: D1v .- .w.tano. be ol..ned up? ..'.a:' ..1..... aa.U'4~ . ~Ü".II..' ¡te&G)& t_. .a'il'...n~,:· ..a..... the f1:e OJ:Þ ..,l..toe h...z;d, U. DO' Ol..a~., ~p t~o. the ..øoB4U7 .ODùa¡...., vi_hi. . 'o~., .~ t.t.~£o~.\. ~h. ..ooa~ . . - ø..tatu.l1t, t'era .J.'J1f! ~þéJal' "'-11"3') au.' It. h.tit1*4 withift 14 bOUZ8. Paø.tlit.y HaM I' . 1. I ,. ! -:ì - " ~~ '" -1_ - .....--..~- -.cq"..... ~~-r;¡J 1- , j ~.. ':; .' , . '. .. . " . . ." ..-.' 2. D..cribe tha. proposed method. an~..quip..nt to be used for ruovin; and properly ·àj.ilp08ini.··ot·:any hazardous' subltanc... SPf1.~ ~;u. ßL- 'Cl'A"kD v. ~~~ïn. A //AZ,Ae.Dø~ ~ ~1'L s~ 511 A~~ ~~~" OF.:~, ~ J.;C#~s.o FItC1J.ì1'j. ~ J>.:, . ' 3. D..cri~. the location eftS av.11.b111~y of the r.quir.4 :claanup equipment 1n it.em 2 aÞo'v8. .~ /¡J ~ ~~a..o.ðl ~..., _ Oe ~J... tlwvt~;~,J~" ~~"b~~ :.~' I' _.~ - ! 4. I I I I 5. D..~rib. the maintenance &Ch.dale for the o18anup equip..nt. A-J:)Ñt..IIH 7 ~ ~~'. <- --. ~". '" ~ J '--....0..- ~~ ~ Liøt the nameCs) and.title(s} of the'persones) r..polUli~l. tot authorizing any work n.õ...·lry un4.r the r..pcn.. plan: ,/';>7' t'J 'í 5:H ei!./-7./£ ,., 'co, ~ '. , .~ ~r~ -- ~==-=.. :~.~>-- ....,-... I"'.Zoiõ i!i<1.::J"'.r~.:o.:".'C" ~ TOTRL P,[1<4 - -. -::-~:.-. -- ---_.- ~ --- .._~~ . --- - - ~--- ...- -- ~. - --- -- ~ ~-'~ - TO 180t:"<;22-:-'<=;57 P. 03 ~-'UN-27-1995 12'21PI1~Y=~==G PR~O- ~_.. $" UNDERGROUNI) STORAGB TANK MONITORING PltOQRAM C"\' I ~ =~~l-:-":"."'::::"::::~~fttZ.,1~,: _.=,:: ..,.........-naa ,--,-,.,.. .~ to.......... ....-.:-........ T ~ I . ....... by SdoM _.,....*__ CCR. hoil1ty 11- ~ ~~~ ~<>,. ~~t~ i;fJ Facility Addns. U~·IOI.J Atx, '31 1!~~$ I~ Lþ . j ___.. ~~. A, g"G:'1" the ft'etlUoney of pertoZ1Din, the lIoniiol'!n,. faM ~N~<tJ(P~ n10~;~lJèJut~ ..fQv,.PMltlr 77~7i:.y1:, PIPlniAA,)¡)(.IÁ., I'AmJ,@;¡~~ !i J'~~f7.,¡~ ~&n~(. ....lftIIIT' -- v '1' $. What methgds and equ1p~ont, idøn-t:£:f1ec1 by name an4 11..1 t will b. u..d to~ pe~tor=in tn, monitor q: Tank .-6.A· ))' "JS(A ...... .AÎ~ Piplnq./ffj"'·r' L;(;jJ~O. S~~~~~f?...:. UJ <::r~ 111" = - . I ... r ~C' /¿;@.cr1~. the location(s) .~he~a ~e .monitorin<¡ will Þe Fartorm.a (facility'l'lQtplan shOUld þe attached): ~'2001r-- ~,.. '-r1... ~k _ .. ...JJL - L.--._ I . I .-......-......: - ---At. ~~ D. t.1.t tho. ftame(s) .n4. t;tle(s) 0:: ·the ,people responaibla for p.rtcn¡~9 the monit'¢iin¡' ~inr1iot"';~intainin9 theQ..qu1penj /rJ/'tf .5~?i fd~W1.. . miïr£ ~¡IeIL O-W~ r--'w -- __ _ _ _ J """ . I.,... ./ ''', - . - .. T. . u E. Jtepo:-t1nq FCr1Rt for monitoring':' .. l'aftJc A,J),)vA1.... ~~<-.' ~ A ~r. ../~ tJ' "'ff~"" íl~ ~~ 1.."1 P1p1nc;·' . ... .. .". t'" I. - F. D..e~1b. th. preventive maint~nance .Cbedule for the l1on!torinq equipment..· Ifotêt xain"lIacc* 1&11.1: ~. iD .OUOJ:'due. with ~J1. 1I&QutactuzU's.I·,:..t.at...Þoe 8ab_ale I::tut a.. 1... tua every 12 mOAt-hi. ~1'~- JJ.. 7b ~\r"'" ~ ~ --bl. AAJ..Jul\t",.. ~~'q~. -, ~'~ _ == = ._11 _ -, ·u G. "..Czt.1J;. the tra1n1ni nece..ðry fòr:t'be operatiQn 0: UIT syatu\, inoluding pip~n9', a.n~ t:ha,mcl'(ltorin¡Q .qu.1.paen~1 Z~/)J!~ o~ Ç/~'l)ttw ~. u~t,r lcf- ~~;a'~ 116H/x:~S ~_ _~~~¿n,_~' :..1_ -o-~t. ~tllJ ¿1'I2"~__ __ ~ ~ ~.~ _. ~---- .-. .~~ -.----.- --~ --.-~~-_.---~--.--.- --------------------------------------~- JU~j-27-1995 12: 21Pf'! FROf'l JOHt-.Jt-.J,( QU I K FOOD STORES -- --~ .~--~- ,. TO 18053222557 P,02 "",,11- -.." ....-. --.....,.-- . ...--,... ...... '\ \ .. ., - " -, -., - --. ---.-.. - - -. ,--_. . ----.. .---- ~ ", - - - ~ . --1 ~ ~,~ ¡ ¡ ¡¡~I'~rnI¡lr~! ( 3~....!··jjl··)~J~·j4; , I ~ :1 I . ~, ~I;t'~ ~,..,. "-1' í ~ ".Lt ... . I .L.. ,a >\ b-=-~~ .'- ~ ~n '.~ I! ¡ -{,1\ ·¡I,·t.~_}~ ~~,_!;~~:,~~~jJl t.- ~~ .~ "þ .---.@. .--. .. ..... -.- -- '! -Co - ¡--@ (~ I (h' . ¡ i 11, ..í. "'1 ~ . ! ...-:- .. - - '.." ¡;.: \"" 0 \~ I,! j'" . .~!:) ~ J J ' "·S J : 1.' '.~ - - .- - --_ -- i\. 'L- '. ~. 110_..·· ------...\: """\ \ " -t. . " \ /' r·L......III-'..·\,:, ò I~ ~IAl rv1 A. f(K€.. r eU¡¡""DIN.~ (LJ,.JP~f!t. ~""rz,'.-r~ 1~D¡"'¡": !'--f. L. (., "'Pt>~. ~ I, J.,¡I:I-.. ,..~..... ~¡.. ,..r..~ ¡S, 1!- :-C,L.. -c= C) ~ "70 I(... t1í\JSo4.,.. L..o(.k11o,J ¡-fJJ 'I J::(> ¡,~ --L,,,, .~- ....., .........,..... ,...., ..- '. £ Is ·1 j I z····~ /..,....... ,../ . . ..' ""-- ~ OV1"~~::~' (·u,u.~c-~¡)"" ·=-íIO'''~(~I.) "I.J>.~ :.. "' II.\)~I" D, Dh¡I~IÒV.i' I 01, ~ Ft!-I<!.. IMir-\)~~M ~I¡¡,¡¡.. ~O.. \ tþ.~,r....e:-. 1-10, 7"., 1~ þ..." ¿,.µ\Ao'!> 1\:;' I ~t.:;¡ I ~ ~ ~~ :¿ 1.:;0;" ,,~, 0.... A(..\. ~!.-t,..(..··n''I¿, ",- 'to e.4'>- 11'4'>'r41,..u£"þ ¡ r~ 4....¡:..,h8,I:JQ'Y,. 1.-0(.....,-1.''-1 .,........,..;D,...~~ ( A.'~ ~!...):I:P.t:;.~7 I::: """'v"" ~ I Þ. J.j ISro.j p .w'U'?~. ........____J __.__ ....~,- I:.. --- E<-:~f"t:.I"-ÀI_ '-O.,¡;;\JI':"~ --'~- - }. ¡:Nf"~f-.'t W~"III1'o;, -- ,-< ~.- D!o 't'C:>µÎ'.:J; 1.4¡;.1!".1, ~'; t~ ,,) I- i .~ ~ ~-..-...~- .-. ~-_.- ..~ -- ,.,.._.-.-........-_~,..- r- . -'---,. _......... ~I' .·....r_...--'..____ .....- ---..- ._...,.._---,.._.~.- "-'-.., - ..-¡ -. '< . . ~:...... ----- - - ~- -:- -- ~=- -'~"" .. - - --- - ,,--~.. - - -.. .. - ~......~.... -~:~"-" -.. ........ ~ ~ - ---~_.. -- - ~ - - .- - - - - - - - - - - '- - - - - ---.....-.---- COPjECTION NOTIC. BAKERSFIELD FIRE DEPARTMENT . C"C.! .,. 'í~:":j Loca bOll ,- -( ',1" !. /ì I. , :, I A , '. -' ¡I ..~ f ~. I,' (" ,I I. ",' 'J . ( \,-? Sub Div. --f \ ~.\ ':" ' r; '" . ,-)' pBlk. . Lot You are hereby required to make the following corrections at the above location: Cor. No \) '.,-( I , ,".., \\ I . " t, ~)~ <?(" é~...,. , \:~ \ 'J ;, \'S',,"">. ;":'1 \i..."...... , " 'V r.,· ....;.>..·..···t-.-ð:;, . ~'-J,,~;.,"Iì "~, ~ , í\ . \ ,\, _...,S~",,,---····:"· '" " ¡ ."'I.~j\'\ ~ "1>,1; of I ;\'''',\~\'i'-::\~''íI'; - ¥:'f~·.) ....\1. \'>() ,.'r\'-: \ I\. ~I\ " _" " ",'. I ~..- .,. ,_ ~ _ t.. ... ~_ -- ,-- --) ---- ". \ -.:-- "'-,' " ¡ _-r--~-----: \l\~,-, f.t')\\5<"<~ ' ., \ ¡A í : 1--r,~' \~) :?" f.. \-> r.. ~I(\.·:--·~ t"'; <t'. ('\ (~,,""'tv.-J._ '- '¡ ..... 1. ~ :"')( , '\ ¡ , , J II',:,!, ;/!";>" : ~. '1';,~_~ '\i' "., 1 - : ;'> é :C¿> r",) ¡:: Z ,,-\( ~ :,.-:"' (~,." , \, ';,". tv!. eN , ¡ .- " - ~ ~ ,., ( /")1/3 Þ , ''lYdI ;;:0, .! ) l:-~,~" ,,>'1 '.·,f)...Y ri " ." 'f. ;' 2~ !", '^"~...(..')- : -, /1 / (' "': , f F') ,~ /-0;;- r:,~\ "., (1) ~c1{. f " ,~, ¡f) , '., ',.¡".ì If 'k> , .. ,v,.. ,!.) 4 __:.:, \.1 tf, ,I ~:) ,(t_:¡~t~i , ./\".R ,,---'!'.... ~. (¡"'ìl ", I,' it> ' ¡:. I .' I ,> .- - .. . .. ;p- - ,. .. '. '. " , . .. , -- - Date G / (, I'~; i.; C ~ -:.- It.' ..+' ':):1 (' _ " "? ..."...; ,) ,o',": 11,- ~/,> - , , , t f..:" -1': '\ ,/, Comple6on Date for Corrections " p çJ Inspector 326·3979 J '1;>,--- - , , f'" I ¡. -- _.~.--- -.--- .. ',' . ~, ,,~.- - - ......--.../'. """-'-~...J""" ~".,-' '. .,;x:. .- UNDERGROUND STORAGE TAN.SpeCTJON _,..Bakersfield Fire Dept. Hazardous Materials Division Bakersfield, CA 93301 " ¡ ¡ í ( \ - I , I I ¡ ¡ I ¡ ¡ \ ~, ...'V"' - ~ ~ ~~ FACILITY NAME ",,' ' IN. ' FACILITY ADDREssd ~ {). t~ {\\e " BUSINESS ,I.D. No. 215-000 ,5~b CITY ~p~ ZIP CODE q~7 FACILITY PHONE No. IOIJ" lOt ' :"':",1 'OIJ 6Ifc/'1> '" J ht '.?> '3 INSPECTION DATE Product h~uol J:~uct I ~ )¿. JLc. .IIA" .,... ( II TIME IN TIME OUT . 'nit ~ ~ 'n~R- 1n~~Í<~ INSPECTION TYPE: 1>AlAU.!JU~~ M?A Size Size Size ROUTINE FOLLOW-UP JÌ1 tr'InJ: I ^ VI A'\~ I /') A P>:;,) REQUIREMENTS yn /"'~ nla yea no nla yes no nla 1.. Forma A & B Submitted V t/ V 1b. Form C Submitted ,/ ./ /' 1c. Operating Fees P.1d t/ ,/ v 1d. State Surcharge Paid v v (/" 1e. Statement of Financial Responsibility Submitted v ,/" ,/' 1f. Written Contrlc! Exlata between owner & Opel'ltor to Opel'lt. UST J<: v t/ e/ 28, Valid Operating Permit V' ./ ",- V-- 2b, Approved Written Routine Monltortng Procedure /1/ Y" ,/" 2c. Unauthorized Relea.. Response Plan '~ v V 31, Tank Integrity Test In Last 12 Months Iv ¡/' V 3b. Pressurized Piping Integrity Test In Lalt 12 Months V V V V 30. Suction Piping Tightness Test In Last 3 Yea... t/ V ~ 3d. Grlvlty Flow Piping TIght"... Test In Last 2 Yea... v v ~ 38. Test R..ult. Submitted Within 30 Daya V 1....-- ,;/" 3f. DailY Visual Monitoring of Suction Product PIping t/ r/' V 41. Manual Inventory Reconciliation Each Month v t/ V 4b, Annual Inventory Reconciliation Statement Submitted V- v' V 40. Met.rs C.llbrlted Annually v' 1/ // 5. WeeklY Manual Tank Gauging Records for Small Tanka v V ,/ e. Monthly Statlstlcallnv.ntorv ReconcllletJon R..ult. V- V Ý 7. Monthly Automatic Tank Gauging Results V V /' 8, Ground Water Monltortng v ~ {/" 9. Vapor Monitoring v ,~ø v' 10. Continuous Int....tltl.' Monltortng for Double-Walled T.nka V" v V' 11. Mechanical Una Leak Detectors f ~ ,/ ~ 12. Electronic Lln. Leak Detectors , if ". ~ 13, Contlnuou. PIping Monitoring In Sumpe -,~ I ;/;oí.... { "" ~ ...-- V 14, Automatic Pump Shut-oft' Capability r !'^ ¡/ r/ .t/ 15, Annual Malnten.ncalCallbratlon of Leak Detection Equipment ~ /Iv .,,- t/ 1e. L.ak Detection EQulpm.nt .nd Tnt Method. U.1ed In LG·113 Sertes ,/1 / V ~ 17. Written Record. Maintained on Site * ,/ V V- v" 18. Reported Changes In Usage/Condition. to Opel'ltlnglMonltorlng I .I Procedures of UST System Within 30 Days .IV ~ V 19. R.ported Uneuthorlzed Relea.. Within 24 Houri ......... t/ v/ 20. Approved UST System R.palrs .nd Upgrld.. V v V 21, Record. Showing Csthodlc Protection Inspection V L/ t?' 22. secured Monitoring Well. V ....... \v 23, Drop Tube v' v t/ ; " RE-INSPECTION D1~ ~ INSPECTOR:?~~,NI-- ____ - RECEIVED BŸ:-~ ~- ' , OFFICE TELEP NE-' . '3~h -- ~ 9 '7 FD 1669 i· i \~___.,.-__--.".._ ____v_______._____________~__~.___.____.__~__._~__ ___._~~__. _____~_ __.__.___,~_ A._~_+~___.,,_._ _____ _,___ _~~;___. .iI'l ~ --=-- . .~ CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT M. R. KELLY FIRE CHIEF October 20, 1994 1715 CHESTER AVENUE BAKERSFIELD, 93301 326-3911 JOHNNY QUICK #141 349 UNION AV BAKERSFIELD, CA 93307 ({:(Q)fPy Dear Business Owner: This notice serves as a reminder that owners of underground storage tanks must be registered with the State of California Water Resources Control Board and renew that registration every five years. Our records indicate five years have passed since your last State registration pursuant to Section 25287 of the California Health and Safety Code. This means that for state registration renewal you must submit an Underground Storage Tank renewal application form, Forms A. Band C completed for each tank at this facility (forms included) and a state surcharge of $56.00 for each tank. Please make your check payable to the City of Bakersfield. You have 30 days from the date of this letter to complete and return these forms along with the state surcharge to 1715 Chester Ave., Bakersfield, Ca. 93301. If you have any questions or if we can be of any further assistance please don't hesitate to call 326-3979. . Sincerely Yours, Ralph E. Huey Hazardous Materials Coordinator REH/ed I..: Permit to Operate Underground Hazardous Materials Storage Facility , J ó{, . S ta tel D No Z 000 (s ..:.::::;::-:{;:/:t)::}::::;':::;:::::::::;:;:;::::;:;:::;·:;;:::;:;::';::::::;::'.::::::::;::::::::::::::::::::=:::::::::::::::::;:.. P e rmi t No - 2000 l :! ~ · ~O~DITION(~iJt;t4."'f~~~AEVER~E SIDE Gãì~~:íit{óiY Y::~ì%, ; ¡\:r a~~ I>j~'¢;;\~~(), Piping Piping Piping ~~Q~~? ~?l;d~~ M;~~\L~:; :::.:c. M~n:o~ng :¡::'::::{ " ii: ""':;::';';';::;\;::::::;,?::i;' . . : '. '::¡':(:::. '. ;::( :j ,::::: :¡:::::.:;r ::::; ;' :,'" ..i¿{;' L ':'. /))::'/>:';:'.J::.>:: :'(:'::":::'.::. ;:,' :::': ii, i.:.:;¡:: ::;..;: :. ." .\::...... .."......'.....'.X¡;... ,......... ..... ",' "h ',,'~~4\:/;;;);' '§~/ /t/ ..:........ :. . . /=.... ".:.,. :.:.:...... . .:~ .~. , .:.{:.....\? Tank Number , i "2 'S Issued By: I Ii Approved by: I' I Hazardous Substance Ú",,(et'd~) S\J'f'-.,r u Ie:. VVo. ,J,.. f,.A:. Ù/l... ~ . " '. "," " . . ... . ..........." . ..... ". ... ":::::::~:~.::",: :\=::.. \\.... .:¡::~ ,.;;¡;;;t?:;:::;·· ;;:.:~···¡¡·:l ".. ..:::.':.........:.: :':-:;" ....:::....;.,::.:::.::;:.::.:' :'.:'.:'.'-:"':.'.> .:....... t ~~: '. ..' "::'::::»\::~::::':" . . ...... .':' ..... :'.::'. .:. :..:.' .\:...........::..;:-:.:::....::::::::. ::::;:=-. .:.::::::..:::..;::.::.......::....,..:.........:...:;...:"'::.:...;"':.,:. ',:,::, ::::...;.:....... . '" ·\:::::::::...:.::·:::··.;:.~·:::::1.-)r .:¡1r .:~:~::::;:t;····.::::::::···:···\::::::::::::···::;:::::::.:\\ :t~:: ·~t;: ::.,::::(~ ~ ~: ~:):::' ;:::·::::::::':·::··:.;::;:::::::;:::;;·../:t:::: .:{::....j:::: ¡¡¡j:;;:;¡¡::::...;:jj:::'::::{¡;::.. t:::·:;;:;:;;{.U)) :'is sued To: .... . ..... ".::.:::.' :':':'. ..........:-:..;....'.:.:::.:::.: .:..:;:;;;-.., . ":'.:.;.::' ,..... ..... .... .... ::..::::.:....:....::.':...~~:.;.::.::.:.:.:.:... /' :: f :=: ..... :. .'. ...... . . Bakersfield Fire Dept. HAZARDOUS MATERIALS DIVISION 1715 Chester A ve. 3rd Floor Bakersfield, CA 93301 (805) 326-3979 . . . '. ..... . . ........... j c) ~ 1'1 '11 Qu 'c. k. ({)<1) 5-(0 Ie., t:/. 1C4 I 3L\1 Un/v--. At} ... ....................... ................,... Of ") "}.:) 7 Ralph E. Huey, Hazardous Materials Coordinator -- Valid from: j, ~ 'I ( (ì 4 J' ( r¡.Clr to: .;\'1 ATrACJlMDtr, A P.. "'" ^""" u.. o.IJ' State or California State Water Resources Conlrol Board CERTIFICATION OF FINANCIAL RESPONSIBiliTY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM A. I am required 10 demonltrate Financial Respoolibilily io Ihe required amouoU al lpecilied io Seclion 2807. Chapter 18. DiY. J. Title 23. CCR: . ~ .500.000 dolla,. per occurreøee !K:J 1 ..inion doll.,. .nnual.weS.le « ~D M I J I miDioo doll.,. per occurreoœ D 2 ..inion doll.,. .nnu.l.weS.le hereby certffies that it is in compliance with the requirements of Section 2807, wrage Amöunt Coverage Corrective Period Action Kern County Californi Griswold Insurance 063BQ002392882 Brian Edmonds - Agen 89 E. Mill Ave. Porterville~ CA 93 57 (800) 522-5/52 TWF ,000,000. ----~, -9-~-(Þ9 to 9-10-9. Yes Yes ,,~ .)J Note: If you are using the State Fund as any part o( your demonstration of financial responsibility, your execution and submission of this certification also certffies that u are In com isnce wfth al/ conditions for rtici tion In the Fund. . FodIIl)' N..... FodIIl)' Addr_ 349 Union Bakersfield CA 93307 Facility Addr... Johnn uik Food store #141 FodIiI)'N..... Facility N"",. FadJlty Addr_ FodIity Nam. FodIil)' Addreu FaciUtyN..... FaciJily Addr... Nam. ond l1d. olT.... Own.. or Opera"" 4 28 94 4-28-94 Geor e J Beal P e ' N.",. 01 Wi...... orNomry Equipment Traci A. Carver - Mgmt. eop.. - Podlltyr'Slfo(l) t \ ! I ! [ ! ! ¡ ¡ I I ! ¡ I t f . ..---.---------.---. ! I t ¡ t ! ~K:ER:N·rqO~TY RESOURCE rA.NAGEMENT .. .r· ;1. . /ENVI'RONI~~HAL HEALTH SERVICES DEPARWENT . . 2700 "M"STREET. SUITE 300. BAKERSFIELD. CA.93301 (805)861-3636 .,' ',. .-.'L".s.'J AGENC UNDERGROUND HAZARDOUS SUBSTANCE STORAGE FACILITY * INSPECTION REPORT * c/.",.'· PERMIT# ~013~ PERMIT PO I=U( ,TYPE OF INSPECTION: TIME IN L~~Ln~IME OUT :ç.~~R~_NUM8ER YES.____ No' __$..._. INSPECTION ROUTINE__~__ REINSPECTION . OF TANKS: 3 DA T E : JL~;Zii.=--··"7:;·.;/. COMPLA INT'·~".'~":" .;·;·,X~\~~ :-.,.::. - .;,", F AC I L I TY N AM E : .~QtI N.~y_Q.~..L~...J!.l4.L____.____.._.___..__.._.._....___...____:..__. . .._. FACILITY ADDRESS:349 UNION AVENUE' . " . _ '~, ., 8Ã"K-Ë:ï~sï=iËi'L'Õ':-'ëÃ"'--"--''''-'-''-'''-'-'-'''-''''..........-.-..-.-........-..-..--..---.-.----.......,........- OWN E RS N AM É : J OHN ~'y....QU·I.~.....EOO Q.....S TQ.R£.$_._~__.___.____.. " . " OPERATORS 'NAME :LOHNN.LQU I C~_F._OO.Q.....§.I.9..8.E~____ ' _ '" .;~.~,p; " .., COMMENTS: ,.".,.: .-;;"',:", ...-----..--.-----.....--- _.. " '.. ..-..--....-......-.--.--..---.....--....----..-....---..--..---.... .. .,. ......-...-.....-......--...-.-----..---....-......----......--....--....-........-..---..............-----....---..-..............----..--..--..----.... ", . ITEM :,,' VIOLATIONS/OBSERVATIONS, " (9 PRIMARY CONTAINMENT MONITORING: a. Intercepting an directing system b. Standard Inventory Control c. Modified Inventory Control d. In-tank Level Sensing Device e. Groundwater Monitoring f. Vadose Zone Monitoring ~~~'.. .,,¡ 'I ~ SECONDARY CONTAINMENT MONITORING: a. Liner b. Double-Walled tank c. Vault '¡~ ¿~ 3, PIPING MONITORING: tw Pressurized Y Suction c. Gravity (4~'OVERFILL PROTECTION: "-/ '.0-~c..K LL~e. L.e.c--k~f~~ '( ~i¿~':lf''''-'ð+ ~ ß._.. dlr~ . I J . "--. A '-----ð ro-r.~~ w-'5~ ~L- .:;u ," . , k ee.r 6Vey.Ç.¡ (I k:>.-;x.é:'5 (: r E'a..-r"' "á' J.X ~ ... t3 TIGHTNESS TESING (~ NEW CON~TRUCTION/MODIFICATIONS t1:> CLOSURE/ABANDONMENT ~ UNAUTHORIZED RELEASE 9. MAINTENANCE, GENERAL SAFETY, AND OPERATING CONDITION OF FACILITY ~~()~ ~\¿If'.o~ 1Gv-r-~~ ~~ COM MEN T S / R E COM MEN D A T ION S_..........__...._..._....................____............._................._...._........__...._..._..._........__....._.............__,..._...._....... ......--.........,.....-.........."...-....--..............-.-...-..--.-............--..........................-....-................-...........-..·..·········........-·......·....-..-··--..·-.;,-···-..7-·.......·-..-..·................. ....-.--..........................................................................................................................................-...................................··..···..·...·.....·.....·..·-·........···..···....·TJ-·......r···..··..··............................... ....--..........--............-.....-.....-....--........-...........-...-.........-.............................-..............--..-.................-....··..-···..·--..'y--l····..·-..··....--........···..···.. ·Rï~·ÏÑ·S·P'Eë::·T'i·õ·Ñ..··së::·H·ËÕÜLËÕ?~::::=~·~~;~..··,:::~::::::::r..;;·..·xp·p·R..6x·i'M·A·T·Ë....··R·Ë·iNs..p·ËETÏ"6ÑTvÃ"""Ë";:ßf~::::P:Oh INS P EC TO R '.......L...,...G...~.:......_.............. R E PO RT R EC E I V ED BY, ........r-,;,I.............................. II> KE' COUNTY AIBPOLLUTION CON-rA. DISTRICT i .' ;!I' \".-' (" 2700 "M'~Street, Suite 275 Bakersfield, CA. 93301 (805) 861-3682 .- ¡ I Ii ¡ ! PHASE I VAPOR RECOVERY INSPEC110N FORM i I I. I l i _ . . .¡ ,1· - . I :\' Station Nà~e~'~C ~LA QU:, ~ Location , r.· ·.:.Company Mailing Address '? <S:. ~. . ~ . 3¥' UP' (~ !fve.,¡ PLO #. 8?1 5'00 {·c . f> k. ~t :'iî."i City . Date 31/ t /1/ ,Phone .1~::;(L ~.IÞ~-.. '. - . -,. - "". "..~".~'.-- 1<¡.~·~ ~ .'" i __ .. . Notice Rec'd By .' -""·.TANK #1 :".,.~ ~ -"'i'. ", 322--Zfò¿ Coaxial . .-.' > . ";):.~~'. :~ - . ~ :.' . . ..::.~:~~:~.:. ';':'~\:'~~:~;:~;' '-- ., . TANK #2 d .'TANK#3·-};~TANK #4 ~ > "'ti':::J/~""; -,:,"::,:' :!'M Ie. ~:7~~{~,::è"';c:i,;d> . " . "d:;:\~'" ". ...... 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 ¡ ..,;.. ALL CAPS NOT PROPERLY SEATEif ! '6. t<..~ -.. .- , 7. VAPOR CAPS NOT PROPERLY SEATED , '.. i ~ 8. . GASKET MISSING FROM FILL CAP ~ 9. GASKET MISSING FROM VAPOR CAP 10. ALL 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 17. TUBE LENGTH MEASUREMENT 18. DIFFERENCE (SHOULD BE 6" OR LESS) .. .~. _~t::. :-.. .- ," .I c;/! /4 ~v -I£i-I / L¡L-í IÍ / '-I 2. II 14 II , .- t-. 1/ Î/J í II .... ~, 19. OTHER 20. COMMENTS: ^ ) f '-4 :J "" I~ ',..(I//~~ . '-Ii' '['":> If to, ....~ v.- :.:- t , "~T ~f'- 1\ <: ð. ~ ~ i ~ \ ()., $'.... \ ,-,",,- c.., <, AI' L -+V) ~~. . , I ',' I I ." \ ^_ i é "'" ...~. * 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 CODE SPECIFIES PENALTIES OF UP TO $1,000.00 PER DAY FOR EACH VIOLATION. TELEPHONE (805) 861-3682 CONCERNING FINAL RESOLU- **** TlON OF THE VIOLATlON(S) ************************************************** APCD FILE . " 9149-1010 "-~' ,KERN COUNTY AIR POLLUTION CONTROL DISTRICT e 2700 "M" Street, Suite 275 e Bakersfield, CA. 93301 (805) 861-3682 PHASE II VAPOR RECOVERY INSPECTION FORM «" .. f!!'...., :¡." t:' ¡:,';: . , Notice Rec'd By '34CJ iLh-(~AI.f~ Company Addr-ess :5 G.,. ~ Contact 'S ,?pÁ.(¿ H-{51...( $-fr.f)'flhone ,,' ..~~,c..lnspector .~" C~" .~-<$'"'"'-""'r" ""'"Date , ~- ,HE . ':~H , "HA "~',, ",,">è 1." .. ".. . , Station Location ..::.,:.'.~~Jfr-._.. :lt~ NOZZLE # GAS GRADE .Zip .-:'.....~ ., ,.NdZZLE TYPE " '" ~"1 ...,-, . , . . - ' ~. ":: ....' " ,,~'-.'- ç>.' .>;.: - ;, "¡ ,F , , , 1, CERT. NOZZLE ." ' ' . , ",,,2.- -CHECK VALVE " .- ," .' ':,,\" . ' : 1::, ~.>:: ",""'-' '.. -" . ,- , ' - ' '" ' ' ·N . ..".......'~_. ,..: ... , .. H >,.., '3. FACE SEAL ... <,' ," '. );~' .' 0 .. , , '" ; .- ;" .-,..';' " .',- ' .. ·z "" , " Z 4. RING, RIVET ' . .. L E 5, BELLOWS 6. SWIVEL(5.) " . , "- " 7. FLOW UMITER (EW) ,f"- ,," , 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 HA =Hasstech S= short MA= misaligned, K = kinked, FR= frayed. -, I· I, ", 1'-" ' I~" , ." ** INSPECTION 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 1HE VIOLATION. NOTE: CALIFORNIA HEALTH & SAFETY CODE SECTION 41960~2, REQUIRES THAT THE ABOVE USTED 7-DAY DEFICIENCIES - BE CORRECTED WITHIN 7 DAYS. FAILURE TO COMPLY MAY RESULT IN LEGAL ACTION 9149-1(,,15 APCD F!LE -.,. f' e -e PERMIT NUMBER -i7""""''''::;&~'- '·~.:I::'" ...1-1) .D,O:;~...., "..-J \"~ \',i' \:¿.:'! ~:~~~'2: " ~J11 /]q:';;. JI¡¡J¡J1 V ~66T oJ {¡ -l/ NYr ~ ...;-' TYPE OF INSTALLATION ( ) 1. In-Tank Level Sensor () 2. Leak Detector () 3. Fill Box FACILITY NAME ~~~~ ~l~\1< :O&~YØ~I FACILITY ADDRESS ~_ .L!.kJ (_ ¥t ' , _.¡¿J.--S __ CONTACT PERSON JÒOß g(N~r\ 1- IN TANK LEVEL SENSORS Number of Tanks ) List By Tank ID ~ I :t. ...3 Name of System Manufacturer & Model Number Contractor/Installer 2. LEAK DETECTORS Number of Tanks List By Tank ID Name of System Manufacturer & Model Number Contractor/Installer 3. FILL BOXES Number of Tanks .....:L_ List By Tank ID ~I .J.. fJ; 3 Name of system_fv1 .~. A TPN6-UI1~D lEt'tk D2:D.r 1Z;i:.1\..",- ~~t;:~ Manufacturer « Model Number ~:. 'tS 153'L ~ ,N . IS.-cf.: Contractor/Installer __{.or"- {^^ G Þoß ~ OWNER/OPERATOR I, 8· C}/ DATE I PERM I T ~ .............6 Ç'...þq. ..\.................................... NUMBER OF TANKS AT THE SITE:........."3 FACILITY N.,~~~;0:'AQµ;Ü<,±QcJ ENV. SENSI7IVITY......... >....................... EMERGENCY CONTA~T PARSON(PRtMARY): . N AM E : ............__...t:?,Ç?~........S...l~b_.............,..........,.....,........................:..............'............................................: PHONE NUMBER: ..n....................................... ........................_.........................u...._u.... ........ ................... n. ............ ................................ EMERGENCY CONTACT PERSON(SECONDARY): NAME: . ......_...................... ......._............ .u.............................. ......u..... ..... ... ...........n..._..._...............__......._........u.. .......u.............................................................. PHONE NUMBER: _.....................................................................................h.................._..._.......·..............··...........·.......·......·...··_............................................... TANK OWNER INFORMATION: !'I A ME: ...._.._......,_......._................._..............................................._._._.___......................_.__........_...................._.......... ADDRESS: ...-................-..--................-............................................."....-............................--.........-.-..----..-...........................--.......-.....-.....-................-.......--- PHONE NO.: TANK CONTENTS: TANK ~ MANUFACTURER .............---...............--........................................-...................................--..................---...................................................................--................................................ YEAR INSTALLED CAPACITY CONTENTS 3 TANK CONSTRUCTION: TANK ~ TYPE(dw, sw, sec. cent. ) MATERIAL INT. LINING CORROSION PROTo LEAK DETECTION: TANKS:,..__._. VISUAL .__._J3ROUNDWATER MONITORING WELLS VADOSE ZONE MONITORING WELLS U-TUBES WITH LINERS :::=:-...:::::::::::::::: U- TUB ES WITHOUT L I N ERS........._............::·..····vá;õï:~-..i5·Ë..T ECTOR .......0 L I QU I D SENSORS ......................... CONDUCTIVITY SENSORS ........._._................... PRESSURE SENSORS IN ANNULAR SPACE .._....._......._ LIQUID RETRIEVAL SYSTEMS IN U-TUBES, MONITORING WELLS, OR ANNULAR ........._.........,.. NON E ......_........_V N KNOWN ................._........... 0 TH E R ...................................'...................................................;........_._..........._ PIPING INFORMATION: TANK # SYSTEM TYPE (SUC,PRES. .GRAV.) CONSTRUCTION (SW.DW,LINED TR) MATERIAL LEAK DETECTION: PIPING: FLOW RESTRICTING LEAK DETECTORS FOR PRESSURIZED PIP I NG................................ MONITORING SUMP W lTH RACEWAY ....................... SEALED CONCRETE RACEWAy................... HALFCUT COMPATIBLE PIPE RACEWAY SYNTHETIC LINER RACEWAY NONE UNKNOWN .......-................. '. ................., ............".... OTHER ............--.......... I 1700 Flower Street Bakersfield, California 93305-4198' Telephone (805) 861-3621 e e KERN COUNTY HEALTH DEPARTMENT AIR POLLUTION CONTROL DISTRICT PERMIT TO CONSTRUCT UNDERGROUND STORAGE FACILITY LEON M HEBERTSON, M.D. Director of Public Health Air Pollution Control Officer PERMIT NUMBER #2000138 FACILITY NAME/ADDRESS: OWNER(S) NAME/ADDRESS: CONTRACTOR: Johnny Quik Food Store 349 Union Avenue Bakersfield, CA Johnny Quik Food Stores 1715 Minnewawa #104 Clovis, CA 93612 Banks & Company 2403 E. Belmont Fresno, CA 93701 License 383550 IXXI I_I March 17, 1989 NEW BUSINESS CHANGE OWNERSHIP RENEWAL MODIFICATION OTHER PERMIT EXPIRES I ' :_1 ! .- , APPROVED BY March 17. 1988 bitt 4¿<LiLe- Bill Scheide APPROVAL DATE . . . . . . . . . . . . . , . . , .POST ON PREMISES, . , . . . . . . . . . . . . . . . . CONDITIONS AS FOLLOWS: 1. All construction to be as per facility plans approved by this department and verified by inspection by Permitting Authority. 2. All equipment and materials in this construction must be installed in accordance with all manufacturers' specifications. 3. Permittee must. contact Permitting Authority for on-site inspection(s) with 48 hour advance notice. 4. Backfill material for piping and tanks to be as per manufacturers' specifications. 5. Float vent valves are required on vent/vapor lines of underground tanks to prevent overfillings. 6. Construction inspection record card is included with permit given to Permittee, This card must be posted at JOD site prior to initial inspection. Permittee must contact Permitting Authority and arrange for each group of required inspections numbered as per instructions on card. Generally, inspections will be made of: a. Tanks and backfill b. Piping system with secondary containment c. Overfill protection and leak detection/monitoring d. Any other inspection deemed necessary by Permitting Authority I e e PERMIT TO CONSTRUCT UNDERGROUND PERMIT NUMBER 200013B STORAGE FACILITY ADDENDUM 7. All underground metal connections (e.g. piping, fittings, fill pipes) to tank(s) must be electrically isolated, and wrapped to a minimum 20 mil thickne~s with cor~osion-preventive, gasoline-resistant tape or otherwise protected from corrosion. 8. Spark testing (35,000 volts) required at site prior to installation of tank(s). Test(s) must be certified by the manufacturer, and a copy of test certification supplied to the Permitting Authority. 9. No product shall be stored in tank(s) until approval is granted by the Permitting Authority. 10. Liner shall be installed by a trained experienced liner contractor and installation at the site approved by the Permitting Authority. 11. Monitoring requirements for this facility will be described on final "Permit to Operate." ACCEPTED BY t:?, L'-· l, \A-4 -t?~~-b ~ é(¿:\ DATE ·3lz?/\.~ _ 'V' ~ 1700 Flower Street Bakersfield. California 93305·4198 Telephone (805) 861·3621 e . KERN COUNTY HEALTH DEPARTMENT AIR POllUTION CONTROL DISTRICT PERMIT TO CONSTRUCT UNDERGROUND STORAGE FACILITY LEON M HEBERTSON, M.D. Director of Public Health Air Pollution Control Officer PERMIT NUMBER #200013B FACILITY NAME/ADDRESS: OWNER(S) N~~E/ADDRESS: CONTRACTOR: Johnny Quik Food Store 349 Union Avenue Bakersfield, CA Johnny Quik Food Stores 1715 Minnewawa #104 Clovis, CA 93612 Banks & Company 2403 JL Belmont Fresno. CA 93701 License 383550 IXXI I_I I I ,-, 1-1 / I NEW BUSINESS CHANGE OWNERSHIP RENEWAL MODIFICATION OTHER PER.~IT EXPIRES March 17. 1989 APPROVAL DATE March 17. 1988 gilt 4~/~ Bill Scheide APPROVED BY . .. . . . . . . . . . . .. . . . . . .POST ON PRE~ISES. . . .. . . . .. .. .. . .. . .. .. . CONDITIONS AS FOLLOWS: 1. All construction to be as per facility plans approved by this department and verified by inspection by Permitting Authority. 2. All equipment and materials in this construction must be installed in accordance with all manufacturers' specifications. 3. Permittee must contact Permitting Authority for on-site inspection(s) with 48 hour advance notice. 4. Backfill material for piping and tanks to be as per manufacturers' specifications.. 5. Float vent valves are required on vent/vapor lines of underground tanks to prevent overfillings. 6. Construction inspection record card is included with permit given to Permittee. This card must be posted at job site prior to initial inspection. Permittee must contact Permitting Authority and arrange for each group of required inspections numbered as per instructions on card. Generally, inspections will be made of: a. Tanks and backfill b, Piping system with secondary containment c. Overfill protection and leak detection/monito~ing d, Any other inspection deemed necessary by Pe:~it~ing Authority e e PERMIT TO CONSTRUCT UNDERGROUND PERMIT NUMBER 2000138 STORAGE FACILITY ADDE~DUM 7. All under-gr-ound metal connections (e.g, piping. fittings, fill pipes) "Co tank(s) must be ~lectrically isolated, and wrapped to a minimum 20 mil thickn~ss with corrosion-preventive. gasoline-resistant tape or otherwise protected from corrosion. 8. Spark testing (35,000 volts) required at site prior to installation of tank(s). Test(s) must be certified by the manufacturer, and a copy of test certification supplied to the Permitting Authority. 9. No product shall be stored in tank(s) until approval is gr·anteã by the Permitting Authority. 10. Liner shall be installed by a trained experienced liner contractor and installation at the site approved by the Permitting Authority, 11. Monitoring requirements for this facility ¡..ill be described on final "Permit to Operate." ACCEPTED BY OA-~ 0Àt\ll<"'b ~ CD ' DATE 2( z'~t. 9 \i-. - '... Facility: ., ,~.... e e S tan d a r d Com l? I i a I}_~ L C 11. e c I( -lo¡'JjJ1V' .' tJviK ¡:;;'c/ S~ye / . Appl'oyed V ~ / -~------- ------ / ---_.¿- --- --- ~_."--'--- ---- ---- CT 2& Equipment to be installed: 3 Tan k ( s ) . 3QQ Ft. 0 f DSuction ~eSSllrized Piping I ± 1 -,--.- -- .,--- ,-. -- ./ .--,- --- --- -~--'.'-- --...- DGrav i ty, Proof of Contractor's :3J35S¿J A Ínsurance License - License # Type of License Worker's Compensation Proof of Contractor's Primary Containment OFiberglass (FRP) bðFiberglass-clad steel tJUncoated steel DOther: Comment: Make & Make & Make & Make & Model Model Model Model IØd,,-1" ill I tY"¿ Additional: Inspection: Secondary Containment of Tank(s) ~nol1b]e'-wa]1ed tank(s) Make & Model /J1ocky¡,f ItJ~a) o S y n I II e tic 1 j n e r M a k e & M () del _________ ._.__________. o L .i TI<~ II (; 0 II ere leva II .1 t ( s ) S e u 1 t: L' II sed OOthet' Type ___ Make & Model COIIIJllcnt: ---- ---~-- A.,J J ¡ i .i !~ it;i.i : ._- ..-----. . "-.-..--...--- ..,.....-. ~- -. .-.. .... . . ......-----. -..---.. .' ---.-----.----- 0-'·' ".___ _...._ .._..__ . _____.___._______._~__.___._._ _._----_._..--_._~ '-..-""'---- .--. .---..-.-. ----.--....- Tnspectioll: ___ .-- ----_._---- --.-..---.-.---- _._-_.._- "'-'-'--"-'- .- .._..._--------_.._-.. .--. ... -_.-._- ..---.._--_._~.._.__._---.---- See lJ IIlLli' V en II t a .i 11 ßI e n t V 0 111 mea t Lea s t 100 % 0 f P rim i}l' y Tan k V 0.[11]11;; ( ,.;) C () III hi ,~ 1\ t : -.---.--.---...-.. _._~'------------ "---'-~--"---"---""- Aòditional: Ins I' e c t ion : ---.-.-- Secondary Containment Volume for Contains 150% of Volume of Largest 10% of Aggregate Primary Volume. C ( III III (~ n L : Additional More Than One Tank Primary Containment or Whichever is Greater ------------- Inspection: ---------.----.-..---- --------.---- ------.------------------.-------. ------ - 1 - ,~' (\ . \, . . . Req'd ..' ,Approved Secondary Containment Open to Rainfall Must Accommodate 24 Hour Rainfall Total Volume Comment: -L~ -~_.._- ---- ---.. ~ ~ ~ / v' -- ._~,-,_..__. ----- I -- ~ _.- -- . , 1 --~- _.~ ~ . .~ ------ --- ~ Additional: Inspection: ---.'-- Secondary Containment Pi' 0 d u c t __GíJ5ð¡Iki!.- Comment: Additioilal: '. In:; [J l! C L j ,'I J : is Product-Compatible Documentation oK. _. '__'__'~'-'-.--- ----.---.---..--.....-.... ---- -_._~--"~-,---_.- --------- Annular Space Liquid is Compatible with Product Product Annular liquid Commellt: Additional: -............-..-....-..,-.. Inspection: Primary Containment of Piping ~Fiberglass piping (Jcoated steel piping DUncoated steel pip.ing DOtlleI' Comment: Additional: A 211. . 'Júb'¡ ,n., _ . Size & Make Size & Make Size -- ------ -..-.---- Inspection: --- S e COli d a j' y Con t ét i n m e TI t 0 f Pip i n g 181 DOli LJ 1 e - wa lIe d p í peS i z e & M a k e ..t1~~____ OSYl1lhetic liner in trench Size & Make DOtller ~ p. . . COin f~ e ~ t: _1jtJé ,/~"::é~ '"7 ~f¿¡/ t!M fcuÿi l4ie Hr.S'~t¡}j¡( ~j,( .d.1!!..1 _____. Addl tlO~~l: ~~ H; 'Æ~~~{'1~~ {r!, !J.æ,¡;:;&, -.-fJLújý2 f .,±=ß. ~ Inspecti : ---- Corrosion Prutection OT.ok(s) ~ '._' .___ fig Pip i n g & fit tin g s 7J1;l-IL'''~ ÆÆ/~ ~~~ ij'.¿2j -'-_ OElectrical isolation. ' COllllllen t: ttrtto.f ltI/ ~. Add i t ion a]: ___'-______,__.___,______.__,___.__,__.,_._ .. Inspect1on: ---- ----_._~------- . - Man u,~~~~ 1I.l' e r -~!;~Jved~~Ck :(~f:I~C ~ ~ ~ Tank~~_:p i_l~~,___._...__.__,______,_. ... 2 1œJ~ -- /" .1 -_¿ / AQ.LU~~tl -- ; -- / / -~ ,v/ e e Additional: _._-- _.,~._--- I 11 :.> iJ':~ (: I ion: _.~--_.__._,~_. ---. ----. ..._----~ Tan k ( s) L 0 cat e d n 0 C 1 0 s e r t Ii a II lOr (~ e t t 0 B u i 1 din g ( s ) AI . Comment: ,I/LlJ1Lði ~-6òr. AJùi tional: Tr-' Inspection: , Complete Monitoring System Monitoring device within secondary containment: OLiquid level indicator(s) OLiquid used ~The rßla 1 conduc ti vi t y s en s 0 l' (s) 1J15f1- ßú!!J~,d' ~413"2.15 ~Pressure sensor(s) OVacuum gauge DSump(s) BGas or vapor detector(s) Manual inspection & sampling []Visual inspection Dathet' . ~ / c;.:~~ ~~d~<i!:r%JCf::lþ7 -"¿~ Additional: Inspection: Othür Monitoring OPef'iodic tightness testing Method -------.----- ~~es-sllre ~~~duc ing 1 i ne leak de lector (s )~..J7t-;%'f-:___ Dather ~~ Comment: Adùit.ional: Inspection: --- .---- ----.----.---- . ., Overfill Protection . ~Tape f.loat gauge (s) 51iitC,~~ V'~e.- '. ~~_ 2'¡Float vent valve(s) __ iT -- ';.pt-c-: '->/ £,itiædid~ OCapaci tance sensor (s) . ___ OHigh level alarm(s) ~Automatic shut-off control (s) __ Fill box(es) with 1 ft. 3 volume E'th(,,[t~~t!Ø.-/tld3__"_____ Operator controls with visual level monitoring Other Comment: .---.-------- - 3 - B~..:A -- -L c A12.~2..Y. e d , ., e e Additional: Inspection: ~ þ ¿t:Pz /10 <' __.æ~.v1 Monitoring Requirements Additional Comments Inspection: Inspector ___~__~_________ Date ~:~~~_ - 4- i Date: Purpos~: Comment: Date: Purpose: Comment: Date: Purpose: Comment: Date: Purpos.e: Comment: Invoice Date: Inspector - - Extra Inspections/Reinspections/Consultations . .. -- -~~ -------------,--- -...---.- .-----......- - 5 - Time Utilized Time Utilized Time Utilized Time Utilized Total Time: Date: --.-----.----- :_~~;...;~¡,.¡..-"'",.~ .11~æt~.:~ -;-. '. ,~~.. .' I . ~ . Straight Bin of' Lading-Short Form ! ORI&INAL,..;.;.NO! .NEGOTlABLE Modern Welding Company I Hame of Carrier) RECEIVED. sublect to ... deulftcatlollS elld "riffs Ie effect 011. the ..... 01 the ...... of tills 1111 .. udl.... at FRESNO. CALIFORNIA 93711.' May 24 19 88: from MODERN WELDING COMPANY. INC. Shipp.,·¡ No.. 13081 Carrl.,·, N.... tbc!o Jll'opft't,. ttnni1w4 ...ow. .. oppenni .oed order. _XCC'P& .. notd (cunu.te an4 C'Of!dttt.. eI C'QAW"'" ø( p...k.,.... unkftcrW.,. m:arll.,",. ~~I.""""" and ...."...... .. .Adk.t.... be....... wfatt-" Sale ....."t.,.. (t.b. word .:af'TI... ""'. UIIIWnc.ood ttu'04ill'tIOUI uu. !C'OflCrwc .. .....nl... ..,. ............ or nwpolWU.. lit ...~.III.,oe ., Uw I"'"OÞC'rf7 unclrpr 'IM C'WlU'W'tt ~. .. hn'7 to Us ~ þlare ot ... ~".::)"~:: ::.~-::u:::w II- .::..~t:.naiio'f: .c:.--::-: ':b d=:: :: .~~~ ~=t:: 1~~Ir:.".~; ;....~:..t;=~; ':..:: ~:;..~"~. = ':"::.::.4~t ~i:t -:.~~ ,,:,,:r~ i~..:: ..n4 condttlota. flit the Va"","" Dome..Uc 8h'.I._ Bill e6 ....dt.,. Mt fOl1.~ «u t. ortlc-tat. !!Iou......... W..c.rn GAIl 1111.... .....,.... ct...UleaU.... ,a ..rfecs _ u.. date ...-..r. If till. Þ . ran .. . r.n. ...wr flhlpl"nent. or «2Þ In .._ .ppllt.b'. motor carrter cl...lft«,.Uoo or 'at'ff If '''I. ,. . motor ....1'T'hr .htpm..-t. ...Ippeor 1Mr..... c.rtU... ..... ... 'e ....... _1111 .11 th. ....... .... ...,tI.... .. III. I.¡" Itlll ., ....dh.. "w'_I.. ...... _ the ..... .......... Nt ... Sa .. .....fIaItI.. _ lMiø ...... ........ .... 11'_........... .. ...e ........,. .... ... .... ....... .... ....'U... .... ......., ..~ .. .. ... ............ ........ .... II'..... .... .... ........ Consigned to Destination !r:ring No. 'ec:~ege. Banks & Co. Bakersfield Johnny Quick #141 State CA (Men or slreel addreSs of cOlUígn_For J!ur~ of notifícali... only.) County Delivery ^ddress * 4 th & Union (* To be lilled In only whe. shipper de.ires and g.......nilllJ tarif" IfO'ti'" r.... dallvery thereat.) Corrier Car or Vehicle Initiol~ 7b¿ c/o 2 2 Kind of 'ac\a9" Descriplion of Articles. Special Mer". and &ceplions (~::t:.w:. Class CorNdIOftI or ltal. Ched Column 10000 19,100# ea Gallon 96R Dia. GLASTEEL Tank(s) GLASTEEL Finishin 35 000 Volt Holiday Test Witnessed ehlpnM1d ....... betw... two pcwta ... . caI'I't.- bl' ...-r. u. ... ....1.... ~ '1M> bin eI tadl... .ha .. ..e-....&. ~~w:;:..;":r =.-s.:. -::;e.:':r': .::.~ ~I-:::" -:....":C~ .:..:;: ~=~1'.. ~ w:.:1:..=....... ..a. .. tM - ~. '~~AO=t"d "~I:: ~:.I~~::::' eent.. .. tM QlKUlcaU-. ... ,.. .. tile ttd ....k...·. "rt.~,t.cat. ........ ... all ..... ............... MODEßN WEL,DING COMPANY, IHC, Shipper. Pet FRESNO, CALIFORNIA 93711 Permanent post-offlOl addr_ of shIppet. .. ~"': . ·..~r ~. '. No ~9 ""b_ .. __ 'I 01 CGNIn...... 01 appI&c.... tIìIn ., '*II..... . &hI. ..Ipm.... I. W be ........... .. \be ~ wit" aaa ..-.-- .. .... c.......... ... coe- ...... sIIdI .... ... tou...... ........na TN __ .... _ _ _-.. 01 tit.. .,UpMIIIt _.u.øuc ..."..... III ,...... _01.__._._ MODWELCO (Stan...... of ec..'anor) u ~,....... ... to he ,,"peN. W'f't&e _ ..... ...... .-- ... ~.. -.-, to ..,,1, I. .......)'IDf1It III ... ~ _ -...--- ~-(- - (The .I....ta... Iwre 8du:IIow....... _'F tale .-- ........) a...- A.oh_ . tAl....·. t.prta& Ie 11... .. .......: not . part ~ JIIII ~ ....,tllll' lIJIIW'OW'ed lip u.e I~ ~ Cotaa:Il..loa. Agent. p~ TI \ \ ",! e e Yes No 6. Are Red Jacket subpumps and all line leak detector ~I I_I accessible? Type of line leak detector if any IllsA -r~;7vd 1~1/.JiJ proloes plo5 ReJ-::rllC~-t 7. Overfill containment box as specified on application? ~! I_I If "No", what type and model number: a} Is fill box tightly sealed around fill tube? f'?1 I_I ~ b) Is access over water tight? PSi I_I c} Is product present in fill box? I_I )ll 8. Identify type of monitoring: a) Are manual monitoring instruments, product and water finding paste on premises? I_I I_I b) Is the fluid level in Owens-Corning liquid level monitoring reservoir and alarm panel in proper operating condition? I_I '-I 9. c) Does thè annular space or secondary containment liner leak detection system have self diagnostic capabil i ties? If "Yes", is it functional If "No". how is it tested for proper operating condition? C.hec{¿·eA €æÎ1 pVðbp_ fòr ~ ;- Óð& ~/.¡- /VUM~ j?!.?ZvM In ~ ihl! &t 4~ elt.t,~ Notes on any abnormal conditions: ¡}ðtð ¡1ff- M ~. -<ýJtUt" iJfar~ o/~ -r-'I'~ 10+ t::~4~~:¡¡;;~ ~' tAd¿4 ~~~ Þ?t '-I - I_I I_I KERN COUNTY HEALTH DEPAR~NT ENVIRONMENTAL HEALTH DIV"ION HAZARDOUS SUBSTANCES SECTION >\'~ .e 1700 FLOWER STREET BAKERSFIELD, CA 93305 PHONE (805) 861-3636 INSPECTION RECORD '" ,~. " POST CARD A~\JOBSITE ";;~1r'i! ....; :':;.,:~r~::~ . FACILITY ADDRESS - . CITY PHONE NO. )'B PERMIT INSTRUCTIONS: Please call for an inspector only when each group of 1nspection~ with the 's ame number are ready. They w 111 run in cons ecut 1 vè order beginnin, with number 1. DO NOT cover work for any numbered group unt11 all 1 tems 1: that group are signed off ,by the';,Perm1ttingAuthor1ty. 'Follow1ngthes' instrutions will reduce the number of, required 1nspectioQ .:visltsand,therefor p r eLy ~ n t ass e s s ~n ~ ,o,f add 1 t ion a ~ I ~: ~~=i~;;1 ;;~." '. h;~~M,:;.; );"~;;(¥:'f:~~}; '\,t #'jk,~:;j;" "'~i~t,:.-;·:,; ,0 <.~>¡f:;;';J ':.;;' MÐ l~ee:.c..LL ~ o..e=-.,~ tL~ ~\---.' r,,";::,Ú'¿:;D\~;':j/ti:': i+¡'f;:t'1j,!j: '::)" , . TANKS & BACKFILL"-,·A ,','.', 'p" ..:" "!";~""'. . . ." '. :...·>\·""';.\......".~"DATE ..",C..,.·, ",.-..'-"<T"'"'' ,', '. ¡. ,-"..:", .- ·-'·.~~¡·i;i~'&' .,' .' -:'~~'.f ~ "~""~~~''";; . ,'1'':0:- . ",',' .,..1.... ,.' J ~. .... I ;~ I - ~<. .;~H:.;i£r~:~;j;~.:~/~·:~; "'~,,·\~',;$¥;'t;~#.~i.'~tm.~i:~~.¡;,)j; .; ~"l,ë,·"..~~æ.f".Ii;;m',·?~=.'!ji:,- ...~. ," ..~I.~.f;fT~...~.þ~'-~~' :?c~~1~~:-.,). ':. " ':,,<; "". ....,~. .;.;·.....·c· " - -"~.., -, .' '-".~":' . ..:........,.. ~.:.-... . .~·~.·:..¡,...,.~,...-¡..~....."'f,,.I·.-".. ''','¡!'''f' . . ',. ~ '1"-:' . .I·~ ~,'.' .'~;-~· t '..', ~")' . ".,..... . ""..~,~j,.,. <,'..' .,¡;., ,'......-.. . .r···l~·:O:··'·,,~,,·,:;·'IfI":· :.' ,......~", Vadose FI~Á~~~~~,ft:{;;'~i~~1~~1!~?;~;~'~~~Y;;"f~~?~:~;~Lf«i~};i.+' .,\te\::-':~''t"- .~-..,.',.,.'. '. _.,.... .;-i' ".'J'. ¿ ~,"-;~,,:,":r Locks ",:':~.~\'~: ".;..,' . ,_,..",'1Y¡'" '3 CONTRACTOR -{f; nJ!s ..¡(;,. . .. CONTACT ¡;;. ø"ove. . !-O)'Y7 Ctlvf1tVlký , ,': .,~".." '. . "'~' Æ:·.t.\JY::';::.·:'· / .. . ··':··:·3~3~i' '~o .. --.. -'T.',"- .~.~._, ',:.: ' ," .\ LICENSE "" . . . " PH ..~ ." ""2tJ1- g - 45 ~,. ,....~::. .' 'J"'.~;;f¡;r·' .".,' .'.- ·.,ì:": e· e Permit Application Facil i ty Name ",1-,)11~1 !1oil:! hod S-i,y"'-. Facility Address 31/-9 !/niðv /!vr¿. Applicatio~Category: VStandard Design -- (Secondary Containment) Checklist Motor Vehicle Fuel Exemption Design (Non-Secondary Containment) Approved Permit Application Form Properly Completed Deficiencies: / / 3 Copies of Plot Plan Depicting: - -r-- - Property llnes Area encompassed by minimum 100 foot radius around tank(s) and pip i ng ,/ All tank(s) rlqeJ1tJ,.<~eq by a number and product , c..# _' Ide;' ,r v 4F Adequate scale (minimu~¡l"=~fi'O" in detail) North arrow Æ/a-l- li1rÞ'cmd ' All structures within 50 foot radius of tank(s) to ./ / and pi pi ng ,/ . Location and labeling of all product piping and dispenser islands Environmental sensitivity data including: *Depth to first groundwater at site *Any domestic or agricultural water well within 100 feet of tank(s) and piping *Any surface water in unlined conveyance within 100 feet of tank(s) and piping *All utility lines within 25 feet of tank(s) and piping (telephone, electrical, water, s&wage, gas, leach lines, seepage pits, drainage systems) *Asterisked items: appropriate documentation if permittee seeks a motor vehicle fuel exemptlon from secondary containment Comments: ,~ . . Approved 3 Cbpies of Construction Drawings Depicting: Side View of Tank Installation with Backfill, Raceway(s), Secondary Containment and/or Leak Monitoring System in Place Top View of Tank Installation with Raceway(s), Secondary Containment and/or Leak Monitoring System in Place A Materials List (indicating those used in the construction): Backfill Tank (s) Product Piping Raceway (s) Sealer ( s) Secondary Containment Leak Detector ( s) Overfill Protection Gas or Vapor Detector(s) Sump(s) Monitoring Well(s) Additional: Documentation of Product Performance Additional Comments Reviewed By Date SITE INSPECTION: --COmments: _ Approved ____ Disapproved Inspector Date SENT BY:MOD~RN wEL..DING :';0, e'. ¿- ~-J~ ;; ~ G. /.2,::.r~ ' ì=': 'o.' .:;.. .¡~ -.' - I, .11 ..\..",I.dq"".' '~.' , bill ~! lodlll'i h~, b... I".od ..d i. 1101 ,~. O,,,,,!.., .II( of L. .0' . ~o,., 0' IIUllliu'., u..,I.q tþ. ¡¡rop.,ty ftAn':.d þ".i. iOIl II Int'"o,ò .01.ly ..., Ii!,nt ,n ,. d. '.. ,:, .()<~ Th.s MemOfendum ShIpper'. No. Cal'1'l.,', No 082 ,~,' Moder'" Welding Company , ¡N."", " . ,,} "~ëIVE ). ,yòí", t¡ the ~llIaltrc.tlon' and t.,iftt 1ft ¡tile' on Iii. ;-'·.;',;~;,¡;:,;··"y. of Iltl. ,/I, of t..dl'Il, , .r: '. ;t at. ~FRESNO, CAliFORNIA 93711 ~""~:,,"" tho prope~1i !\o.....\;CHI Mj,¡:W'. to CIIP5*-",",' .6Od ð.t1e.. 911....,.~ .. ftftttld (C'H~.~N~\T'"'~'<\"rll\l9n lilt cnnl.'n'lllot. of p"..w..... Uftknuwn,. rt'Ift..Ir..... eoftJt!.,u,r4. .1\4 de_",," &II Inll....'.... o.~9"', Wfl,1f:ft I.~. ,,';' ''f..::: ......h,... \\6.. woNi earPl., oeÜl. ...ntMf4t4oM1d tt\t'I!I'U..thHI( nu. Q"qptT.~, .. 1n6/1", ,,. ...; _' ',;" ::'f~>'on fI' ""rponlUon ,n lIn,.«...lon 4( u.. prop.ny Uft'" ea. tvft&~. ....e. c.o "PPJ' 'ø It. w.~ P,.c. ðJ .e· " U~.,.y... u1d ð..tlfta.uen. 11 on I'. nN\.. 9CMI"WI" '0 deH\lu '0 . ,u;lI1.þ.' ....:-¡)Oi' ":'t. .'''. royte '0 .tel. órMifNIUQn. 1t I_ ¡ft\lt.40144U,. n......... 011 to .lMeh ea...'_ of Ali ... up Ø1I Mid "....rt)f OW1IIIt'.U ':¡. :tJ·~~~~~~ :: ~~4 ú:::;:..': .,d:':l;~~IG:;I':,~~\~t~r :ttt.~.:: ð·.', ~:f.~I~:i --" ~~/!,;j~:\ ¡,~. !'~~,~~,.~1.1:;WC:ø~'-: :'1~\~~~,~M~~=~ ~:f::::aWÐft~ .':~~~:=Uh':~: =~~".~~:e~ ~ ~'l \= .'~~~ (.~4t wa.., A;~:,:.r:.'·"~:"~:~.~~i~r.~ ~::~\~::'r. ~:::~tf:;'":::" ~~~r·~~;:·tt~~:'.ð~,.(;,.~t~n.,. ,.' ~g::r.~':~fl~f~~ :,~:~t· tI"'~"dfAO ."0" Oft .". ..... ........f. 1M ..... t. .. .....,ftM~f9" ... ~t'lft wft'-_ , ~; ..~.. ... .,.......rtaU.... "" I'HI ."I..",."t, "'ft. aM .... It"... Aft. 'lft.¡UGß~ 1 "!I'" 'Clt..d r. If, 'he Iftl"...r.!MI Mlft.," t., ~I"". f "". hlt ....0." tt: .... ~. '}:Çonsigned to BaM8 & CO_. C/O ; ::F08stint!lt¡On_Jto.k~rs f ie ld . : ,Route , I,' l>:r -' :.~t08/iv.ring Carrier Þ- '~'.1'. No. } :~1k~'lCk.".. .l5'!~:~':::~'~·1 May 2,! \? 88 From MODERN WELOING COMPANY. INC. ,:1~ :., .~ Johnny ç;1;:.1::::k '1 U <~' . (M.II or ",.., .dd'.$¡ of CQNiGft0:-iih;oçUtpONlt of ftotlllçetlqø O.nly.) ;;-.'. St r" C ty D ¡" Add * "Unio"':~ .' ';\r ate~"_,~___,.._ oun e Ivery ren _ ____to . .' í 011' To 'u lillld J" ollly wh.~ .¡'ipPI, d..i,., and Goy.,ft;n9 1.,lIf. prOYlà. 10' dlli",o,., lilt,..,.)", . .......,".'- .... __.__.,_....._Cðr or Vehide Initials No . .' . ..".::; ~ '"." ·f >-- _.~.........--- -..., -_.........,,-..~- Kind of 'IC..,,_, O.'"íøtiðft 01 AMict.., Sp_ci,;;-'~-""" Moru, O"Ò Þcoplion. .WBlOItT (....1_ .. ON,,"'I",' Cia.. ", R.I. .",''':' .- i·~ . ~2"~~~:lt ~ ~ 1 . '~.':'.:~.'~ ." .,~ ,. ~.:-;.. të -~ \_ i 35.0.00 Volt Holiday ~tWitnøsBed Ey. l~':¡-'''!'~~r/ ,.n !.It. "'11><".... ..9... "'"'-_ ._ ...... ., . ....... ... ...__~.. I.... _u.......f~...·\II. bill 01 ,........ .n.i>-:!:, we..o.., " 10 .,.....,.. tit ..~l;UU....r.. ".lJftL ..r -,' . ~'N-""''-'' tile ,.,. I. "M~." ~ ....'u%, PI",*" .N ~""e4 te .~t., ...... rl~'Uy tit .'IUft& ,¡}e ....... . ....aMWt .... ., ..... ~~Ir---~~_. TII...,... a. ......,. ..,..,. ." "'....... i.,..,...... .....d'....I ~ 6c....'~ Ole ,.,LpNr"'..... .......,.. J~ . -"- . 1'1'A6 1Irw. GO.'. U&H IGf 11tl' "HP'UI" 80nttll"l" WI UI. '~lnraUD'" ..t f';lr\&l U~ u__ be, fit.....,'. 0'..""1... ........ ... .,. ........ ~... '.~~'!'_1!~!.!'~ ,·'....tff~..".on. lQOOO Gallon GLASTE:£L GLASTEEL 96- D1a. Double W~ll-~~ Tank IJ.L..i.ì39't'51'~3~·'- Finishing Kit T -'-~-19 100~ -..,,.:..,..-.-. Ch.c:. M*' ~.._ . " C<ln4l1lt11_ .. eo!w,"" ~.:.":- Mil"::" ~"'t. ~~P:'!: . .' ~"=-..:. t:: ,=.::...=...= .- ~,,~ l1li. old;:::'" :;:-.::....~'="=,âf ... 1111 - Ia_ -..- ..~ ,. . ;;"If' MODWELCO ·¡;~;::·;~i~ pv! .' - ~-~ - - - .:- ¡- ".~...~,... .. , " . ( , , I. /J - j , " .' 1,1 " f /' .·:....;i I I : I II __ _ .. ... ,...... -'" .. .\'f' ~cT\~~:~~~~Þ;;:; ~._, _I.... . ... _, Ia _. vi 11M ...... .. - ,.--. -,- - - tn. J~'OH "................ .1)' ,.. ._ _14.) . . '. .M" ., (~<".:.t~f;':~'} ,~ - 0t.tIÞe AClY&lWlMI . 'AJ~." 1mp1~" u.oo ., ""'~ 1111 f":.~ ~ ...t~~¡;,.~ u. 'I MOOI~i'< W¡¡LCI~~ COM peA NY, INC. ShiDD.r, Per , 'FRESNO CALI"'O~Nj ~ 9J!1\ ÁC)ent, Pep G)' ~ .\ \ ~rmane.~1 ~ff¡1» oddr... of sIIIç.o... ~t . t;}', .----""~-- '-4 FORMI88-0ESIGNEOFORUSE'w/THCOMPANIO OU-o-VUEENVELOPe ....... ....... rgSl;,l~"nf41 .L~~-~."""'_~'~-.'~ - -:_UH~________ DATEc----/b7i7ii---- O=~ BANkS & CO. ..,.:' 0 SOON AS POSSIBLE '2403 E. Belmont ..,. FILE NO. . <' .. ,¡ ·:,c·"·;·!~·,,,Ö NO REPLY NEEDED '~'. ':::,,,'~":;·FRESNO. CALIFORNIA 93701 . ,¢ .....,,:~~.·;-ï;2-,:~~~ ~~ ' . .. .. . . H:,~ ",.. ~., ':. ';':'~ ~ . ~.' ".:1 ';,"., ~ ..~.ç;¡~:~~ ~M'.' if:R A TTENTION·'-:·tt{) I /7}i7:~}~':~:¡~D:;~1~~'~~}>~r:""·; '., ,·;_'.:t'. ,,",,' ·i(:f:~:·:~;~;~~:~X:0L .: , :''''"' <::.:'tJ A..;;.;,........Ji.'.~:: f:;)~kl·j(} Å...·.... .c.·...".:..:.!.... 330:S-:'~' :~.<'~,'-:.;~" ..'-;~ -1> pÐ- cc:.. ~ ... ~ ." ~:r..:?<>~, ~" '~;." ....'I;"-:"...'~..;.<.~_... ~ "-....··r·A. .... (~ :.:y... '. ::,'~ÞMESSA'GE '''''~',' ;.... 'Y--~: '.' '."" '.'<'~'~f. ·~~~{!~î~~~1i~·; . f~...·:·'o;,..;·<>· .:>:}:!'~~;;,- :::::~ :''- "'. :~',:. ;;j~~~i~;iI~,~}.~~:;(;{,;,~,· ::~.:>~"..~; ·,'.:··~..~~:~~:~:..,~k~~/;::.. : " :~.::. :-.._~~~:;..'-:~~;{;.~,,,.~ ,~~:-./,':/¡/~~ ~.~:,~~\~~~~~:~·~(~_~f, ~~~~J~ø·~~~}tt~:~ '~-, Vo. ':~¡ ~ ~}!.,*~:'7.c <'i: .. "r-;t:~":!;!~. ',' , . ':-. - REPLY ., DATE OF REPLY SIGNED ... it~:¡i;'IS<,,~:<:j::~'R CIPIENf:~WRITE" REPLY, 'RETt;lRN·WHITE"r.Q':SENDER.-;K£EP~ rHfs '!?INK'COPY,"i;, ;~~i-~::~~;;~!'(1~:~;~~~1i-~)~i~t:t:;~~~f~il:~i~~tt:~,~:~~i[~~~?~~~r~t~Ir~~~;~~~~t~~~~~~ ~Ji\~~1~~~3ti~ .l ---. ,or" FILe CONTENTS INVeNTORY O' . Fac II i ty ~'D\--\. ~ OPermit to Operata t ~onstruction Permit o Permit to abandon' ~~ended Permit Conditions ~Permit Application Form, OApplication to Abandon . ÇJAnnual Report Farms Q \. \ ~\.L ~oc:ò I~OOC)L~ ..R No. of Tanks -S\a\~ Da te Da te o:L - JO - ,gtf Date ...3 Tank Sheets tanks(s) Date , 'j'! ~ OCopy of Written Contract Between Owner & Operator [] Inspection Reports OCorrespondence - Received Date Date Date , .:-. ;,".". ~ ':' . -' . '.~ . ";'..;.. ". · []Correspondence - Mailed Date Date Date . . [] Unau thor! z.ed Release Reports []Abandonment/Closure Reports o Sampl lng/Lab Repor ts DMVF Compliance Check (New Construction o STD Compl iance Check (New Construction OMVF Plan Check (New Construction) []STD Plan Check (New Construction) []MVF plan Check (existing Facility) DSTD Plan Check (Existing Facility) D· Incomplete Appl icat ion" Form OPermit Application Checklist · o Permit Instructions []Discarded OTightness Test Results Ch e c k lis t ) Checklist) Date Date Date []Monltoring Well Construction Data/Permits ----------.------------------------------------------------------- OEnvironmental Sensitivity Data: []Groundwater Drilling, Boring Logs []Location of Water Wells []Statement of Underground Conduits . Dplot Plan Peaturing All Environmentally Sensitive Data []Photos Construction Drawings location · 0 Hal f sheet showing date received and tally of inspection time, etc · DMiscellaneous ,..: '. . . Kern County Heal th DepartAY', Di visi on of Environmental~, _h 1700 Flower Street, Bakersfield, CA 93305 (805) 861-3636 .-- po;mit No~¿¿.B . .;atlon Date 'J APPLICATION FOR PERMIT TO OPERATE UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY T A lication check: Facility OModification Of Facility OExisting Facility OTransfer Of Ownership A. Emergency 24-Hour Contact (name, area code. phone): Days _......~ ., Nights Facility Name '-Jl ùl"- ~ ~E.~:- . . . No. Of Type Of Business (check): []GasoJine Station ~ther (desc~~) Is Tank( s) Located On An Agricultural Far-m? . . DYes L-1N.o Is Tank( s) Used Primarily For Ag1JiëltUral Purposes? []Vcs ~o --Â-1'j Facility Address ~ \,)~I C»i ,~A~Atftp Near-est Cross St. T 'R SEC (Rur.l Locations Only) ~ Owner 1,.." Contact Person ~~ ~ Address . V:J Telephone · Operator Cuntact Per-son ~t!!. ..- Address ~~Þt'Z- Telephone . -O~ , -..... ... ". -."¡ B. Water To Facility Provi.ded By L..~ or ~t:' Depth to Groundwatet' Soil Characteristics At Facility ~~~ Basis For Soil Type and Groundwater Depth Determj nations ~ ~..ll\i~ ~ti!:::r" Contractor ~ CA Cnntractor's License No. ~::l.f: Address ~_\ ~Ckip .9~1()( TClePhone~ ..~_-; Proposed Starting Date ~'t IC\QI& ~ Proposed Complet lon Date ß Worker I s Compensation Certification No. ~QCõ .~ Insurer -==.Ac~J.J~. I~". ~ c. D. If This Permit Is For Modification Of An Existing Fad 1 ity , Briefly De~Grib· Modifications Proposed E. Tank(s) Store (check all that apply): Tank # Waste Product Motor Vehicle Unleaded Regular Premium Diesel ~~as te -- \ æ/ Fuel ~ Oil 0 0 0 0 0 0 ± 0 0 0 0 ~ ~ .0 CI 0 0 0 0 0 0 rr 0 0 0 0 0 0 0 0 F. Chemical Composition Of Materials Stured (not necessary for motor vehic](! fuels) Tank # Chemical Stored (non-commercial name) C^S # (if known) Chemical Pre..~iol~,1.Y_l3~.Q!-~ed (if different) ~ G. 1'r<!.llsfer Of 9wnershiJl/À- Date Of Transfer Previous Facility Name' I. Previous Owner accep t fully all obliga Uons of Permit No, issued t( I understand that the Permitting Authori ty may revie\'/ anI modify or terminate the transfer of the Permit to Operate this underground storagl' facility upon receiving this compl~~ed form. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - This form has been completed under p~n;;:ty of perjury and to the best of my knowle~Re is true and correct. Signature ïG>~ ~ 1õ\~ ~ Date ~~ Title ~~ 6- aJ .. T0.~~J~ ! ~. L__ (.1~!~ \.JV~ ~,)~I_:~~~, ~~.n~!/!....~ !C;:~::..~ ~I 1 ~ f3 I~,/ '1 §J';~TluN. D!!:;Q( ßk1 l~ "."·"fi UUXES c:;7- 00013 1. 1. TUlIls is: 0 Vaulted 0 Non-VallI I:ee! ~Hlble-Wall 0 Single-~~all 2. Tank Ni.ü~l.jQl ./ o [;;11'11011 Sl(!cl 0 Stainless SteeJ 0 Polyvinyl Chlol'itle [!("Fihel'p;lass-Clad Stel o Flhel'gl;:lss-Helnl.'(Jl'ced PlasUe CJ ConCl'ct:e 0 Alumillum [.J IJl'ullze 0 Ullknown [J Ot!lel'( (If!scd he) : :3. r.t' ima!'y (:;~!I!.~_~~~nml~,!I~. Uute illsLiI.lh!d Thicl<llcss (lfH:ll!!s) C¡llHlc.ity (Gallons) ~Iallllractul'el' ~~~~ \/4 -\.C),CCO .uo:>~ ~nL 4. J~) §!!,!~_~'l~~h!.U!. ~;Q!LLél.u!!!!~~!!~ ~ lIouhle--\'lnJJ 0 SYIILlwtic L.inel· 0 Lilll!d VUlII!: 0 N( IH~ 0 IJnk11O\\I11 [J othe,' (descl'lbe): t>IUlIlIfuctlll'cl': ~IBl:l!I'Jal Thlt:lOless (lllclws) Capac-ily (Güls.) 5. .:ranis J !!~!!.!:i or l.!ld.!w. _/ [J Huhilcl' I.J AJk~ld I.] Epoxy CJ Phellolil: [] (;Jass 0 C.lay M Un] llled 0 Unl<lIu [J Uthel' (descdhe): ~. Tank Corrosioll Pl'~ liun o Galvallized Fiberglass-Glad 0 Polyethylene ~~l'ap 0 Vinyl Wrapping 1:1 Tal' 01' Asphn L t 0 )Jnkllown 0 None 0 Uthel' (describe): Ci.~thOt~!.º. protect.iol!: ~NolI(! 0 Impl'essed CU1'l'ellt Systcm 0 Sacrificial Alloùe SysL LI L>HsGl'lhe System & gt Ul JIIIHllt: 7. .1u u I< l.J t! lu c 11 (J II, M ()! ¡j l j l.:!!lli, ü JII J ,111 L C !:.Ç.QI!.!-.i illl a. Tallk: r:J Visual (vuu1l:f!d tUllks only) 0 GI'O\llldwnteL' \ oll1tol'illg IVell (s) [::J \'nclmH! 7.0111' MOil; I:or' I III: Itn 1.1 (s) [J I)-Tulle ~vl thout 1.1m!!' [1 IJ-Tuhe \~il:h Compatible L11 (~I' Uin:t:I:lII!: Fin\~ Tu f>I( lIiLol'Ìlll~ \Vell(s)* 1;J.rVH I()I' lJet ~t:L( l' *CI Liquid I.(!vel SCI1S0L' * 0 COlllhwUviLy Sellsol'* I?I Pr'cssul'e SCIISUl' 111 Annular' Space Of Double \Vull Talll< -I< o l..lquiù Hetl'leval & lllspectloll 1'1'0111 IJ-'l'uue, MOlliloril1l~ We] 1 0\' Allnulal' Space o Dally Gauging & Invenllu'Y HeconciliaUon 0 Pel'ioùlc Tightness Testing o NOlie 0 lJllkllo¡.,¡n 0 Other b. Pipl11f!: 0 FIIH~-Besl1'icl:il1g Leak DeLeclo1'(S) For Pressurized Pipillg* LJ MOil i to 1'1 II!'. S lIlIIp \V j LII Hace\\Iay 0 S () ilL eu COliC l'C te Hnce\'Hl Y [J lIalf-Cul: GOIIILJ()tihle Pipe Racet\lüY 0 ~Yllllletlc LIner f{aceNay 0 NOlle I Î tJlIl<l101m '''J OI:!IP.L' . . * 1J !~~cl'llJe ~lülH~ &- ModeL: .M,,).... ,.~~"D .. 4Qle3'%ø COMt(X.E:. t.t.Vdlo ~Z.1~ 8. Iallk·t!g~!_!~!!~.?s '\Q\J\.Q ~ T IIns 'I'h i s Tallie 1I(~I~1I T j r{1I llless TI!S Lcd'? [] Yes if No [J IJIli<nowlI ~ ,'~lIt~ ",. 'last 'ril!hUmss Tes#: ~ Ul!sl/lts {)f rest -S,(A .J. lest Naill!! 1J/A TnsLlIIH (~OJ IJílIlY JlJ. 9 '[' I [J . . , . _aIL~_ _~~~pn u: ./ Tallk H!![lé! i L'ed? (] Yes Iff Nu [J IJII¡UIOI~11 lJate(s) or Hepaíl'(s) /}P.SGI' i l)r! HI! [I¡¡ j ,'f; 10, Q~er fj P.!J!:.~!..t(!f._Ut!!! çy ( \lI~l'at.(),. Fills. (;\JIIII'(lI~;. ,'(¡ Visllillly ~1111¡j1.(lI·s I.I~vfd ~ Tope Fluat: Gauge 0 Fl(1ot V(!1I1. V¡¡[VI!~; (] ^II!:O 0hut-urr (;( lItl'uls CI CU lnci tUllce Sellso!' 0 Sealed I'll.! Dux [j NOlie LJ UllkllOlVlI o Utllel': List Make & Nodel For Above Devl{ c. 1) 1 J L IIg a, IJllde\'[~rolllld I'l Jjl1f~: Øves 0 No 0 IJlllwO\m ~I ]terial ~ Th.;lc)<lwss (lllchc~)~~O_ I~_iéllllet(!r' _ 2-" T>lulIlIl'actUl'el'-ÅM . I~ 1'I'f!SSU1'!! l:] Huet ion IJ Of'a\' i ty J\Pl'l'uxlllluLe ¡.ellf{!:1t or Pipe HUll ~ UlldeL'f':l'( llIld Pi Jilll~ COl'l'lISioll (' 'ol:t!ct.ìOIl: LJ IJIlJvalllz£!tI 0 Fj ¡cl'glilss-CJm [J l/IIllI'essed GtllTl!llt 0 S¡wrJflt:.laJ An{ [J I'u i ye lhy 1 eJle Iyrap [J I: I en tri c;¡1l 1 so 1 a t1 Oil [J V lilY 1 Wrélµ 0 Tül' ur Asp\! [.1 UllkllOWII ~NlJIIO 0 (I till! l' (dnscdhe): ~\.t'~~\,~ 'ftæ.. U II (! e yß l' 0 ll/1 d P j p 1 /I g, See 0 11 d if r' V C (I II t: iI i 11111 e /I t : [}(' Dauh 1 e-\Vu J 1 0 SYII the' i c Lj lie l' Sys Lem 0 NOlie 0 UJllwowlI [1 other (descrilJe): 0. 11, I -'.;, ;'";. 1;: '.': ~ . ¡ '.. ,.... J. T"'-~E !j"./';-'!i!;91¡~ 1,'\¡f~t~;'~t1~;~ '''1k;Çu~~t~ ~= ¿¡ooo )311 1. 'l'all!s is: 0 Valll Led 0 Nun-Valll Led ¡:y0'ollhle-\~all 0 Single-Wall 2. Tallk r.lulel'.Íul ./ 0-- ë;;;;,i;~~~"-Št{Jol 0 Sl:a.illlnss Sl:r:?eJ 0 l'olyv111yl Chlodde [3' P1hel'[~1'ass-Claù Ste o Fibel'g.lass-l{e.Lnl'ol'!;ed PlasUe [] COIICl'ete 0 ^lUlldllulU 0 Ul'UIl7.~ 0 Unknown [J OtlHH'( descl'.i be) : 3. e~:illlun'. (:;~'..!.1..\;.~d!!!!!.~!!~. VaLe lllstalled Thicloless (1IIclJ(!s) ~ L/4 4. l' [.!!!~ § ~ _~:.9...!.~~1!!!: ~ !;Q!..U: u U!!!! ~~!! !:. [~ ollhln'-\~flll CJ SynllwLie 1,llWl' [J J..ilwd Valllt [J Uther' (dHscl'1be): MaLnl'lal 5. I.!lll!£ 1 !!.t~!) or 1.i.nJ.!w. ._/ [] HIIlJlml' C]^-Ikyd OEp(Jxy [Jl'helloJ.i¡: [] ( Jass 0 Clay MUlllilled 0 UllklH CI \JLhel' (descl'ihe : 6, Tallie (;ol'l'osioll Pl'~;tiun -0 G~'ivanl~';;d l¡ib~ï~glHss-cIad 0 I'ulyethylelle \~l'ap 0 Vinyl Wrapping o Tar or Asphnlt 0 )Jnl<JIuwn 0 None 0 Uthel' (descdbe): (;[!.thueLLQ Pruteet:jQ!!: ~ NOIIH 0 llllpl'essed Glll'rent Sys tCIII 0 Sacrificial AlIuùe Sys [] lIescl'ihe System & gqUj lf II~IIL: 7. .1(!ul< lJo lee LlolI , MO/lJ lol'1llli, a/ld .!ll Ler.~ill!.P!.!.!) a. Tallk: [J Visual (vaulted tUIII<s only) 0 Gro\llleh'mtel' MUllitoring Well(s) [] Vadmw ZOIIt! r.1ol1 i t:1I1'ln ~ \~(! 1.1 (s) [J II-Tulle \~j lholll I.illel' [) II-Tulle NiL ¡ COIII laliule L.LIWI' Uil'(~c:l:.ill'! Flm'l To t>lolIJlul'illg WeU(s)* I;J/vn\lol' IJele\:lol' *CI (,¡quid I.(~vel SeIlSU!' * 0 COI (.l~~GtjvllY Sensul'* {~ I'I"eSHlU'e SenSU1' III ^lInuln ' Space of Douhle \\1all lanl< [J l.iquid Hetl'ieval & Inspectloll FI'OIll II-Tube. MUllil:ol'iu(~ Wed 1 O!' AIIIIUléll' Spaci o Dally OUllging & Invent()l'Y HeconcU latioll 0 Pedudic Tightlless Testinl! o NOlie 0 UHlmoNn 0 uther Pip ill f! : 0 F 1 (JIoI- H est l'I c I:l n g Lea k /J e lee I: u r ( s) Fur Pre s s 1/ d z e ù Pip i II g * IJ Monlturlll[~ Sump Wi lh HacC\'iuy 0 Seeded COIIC1'ete HaceNuy [J \lalf-Cut GUl1IpaUble Pipe UncaNüY 0 ~ynthetic Liner Hace\..¡ay 0 None "} \/nlçnmm ['J OLl1el' * De-;'cl'lhe Nal<e &- Model: Å\~. ,.Jc~ÀI'Q'" ~1e¡-z.. t.oMtCt.E:. Ltvdt.~Z.1~ 8. Inuit .'£!I~l!!:!le~ '\Q"u::? ~E.- T Ilns 'I'h i S Tallk IJP.(~II T il!h llless Tos ted? CJ Ye~ ø No [] IJnlmuwn 'Jute (If llost Ti[~htf ess Test ~ Ul!SlIlts Of Test Te s t NaJII(! ~ fA 'l'I!H LlIIH C01n JUIIY g. 1~~1!.!~_ l~.QpQ.L!." ./ Tallk H(!IHI i l'cd? 0 Yes Ø" Nu [J !JllklllJl"ll lJate(s or I{epai!'(s) IJP.SCI' i IJI! I{opai I'S 1U. Y~er[jJl.!~"!:~)_~.Q~~,IJ\!!! 9/ () JI!ral:oJ' Fj lIs, (;(JIII.I·ul!;, 1'(; Visllílll)' MI) ¡j t.O,.s Lf~\I,d 1!!1 'J'¡¡pe Flout: ü;IIJ¡:(~ 0 Floal Vellt Valv(~s /] o GalJilci:tallce Sellsul' 0 Sealnd FIll Uux [,1 o Uthel': CUlJllc.ity (Oa110118) L<), cx:o Munnfacturer MCD~ ~ nt¡ [] NOlie 0 IJllkllO\m Ml1llufuc tlll'(Jl': Cnpnclly (Ouls.) - Thi t:lwess (t III:IIt!S) ù. ~ ^"lo Shut-orr {;olJl:l'uls NUlle [J UllkllUlm List Make & Model Fur Above Devl lL Pi[Jlng a. IJIHlel'(~rl)lIl (1 I'lldnl~: øy!!S 0 No '1'111 C)<III!SS (i /I eI Ie':: )~~O_ '.'_i illllel.n,' _ I~ I'l'r~sslll'e 0 SlIet it/II LI (J/'ílvi ty Ulldeq~l't)\lIId /'ipílll~ COlTosíOIl Prul:ecLioll: o BaJvtll1i7.ed 0 Fihel'f~Jass-Clad [J l/lltJl'essed CIIl'l'enl 0 Sucl'JfÍl:la1 All' [] Pulyethylene 1~l'n J [.I Flectrical It-wIaLlolI [J Vinyl Wrap 0 'I'al' or Asph [] [JllkllOioJlI ~ NOlin 0 (I "WI' (dnS(;l'.l he): Þ\eeQr.I..(\"~ fl~ Undey¡.tt'olllld Pi ping, Second" I'V COII!:i' i IlInellt: ~ DOllh I (!-\'/a J 1 0 SYII LlIP lie L.i lie l' Sy s Lelll ["1 NOlie . 0 UlIlOIown [] uther (ùesc!'Ìue): _ o 1J1I1Çl m~1I Material. ~ 2-11 Þlallllr()Gtlll'el'-A~ ^I'P1'uxlmate LCllf{th Uf I'i¡¡e ({UII~ ù. c. . . T¡}.NJ~ # ~3 (t'lLI> LJUI ~jl·.I'i\h, I'., LlIl\ 1,1"," ''''''') ~ r '-yg": .! ~~';Ò'lïÏÑ-:-ci-Ü~Ù~--L~~1-!~ 'IÚJ~~::':1i UUXES - e1fOOO/ -3 ð I. 1. l'all!s. l.t!.: 0 Vaulted 0 NUI1-Vnultn(\ I~Jllble-Wall '0 Single-Wall 2. T Q Ilk ~L!!.~ ~L1_j.!!l ./ o Cill'boll Sl:(!td 0 Stainlr!ss Steed [] Polyvinyl GIIlodde [3""FJhel'[~luss-Claù Stee o Fihel'glnss-Helnl'oL'cetl PlasUe CJ ConCI'ete 0 ^lul\lilltllll 0 Ul'llllze 0 Unknuwn [J OtlwI'(dnscI'jIJe): 3. e.~~iI\lUry'I::~,-!_!..t~~!!!!!..'::!I,~_ V ute 1 II S I. ill .L (! d T hie k II e s s (III cI)(! S ) C a II 11 t: i I: Y (Gä 11 OilS) t>1 u nil r act U l' e l' ~ \/JJr t~ C<:O Mr:JJ~ ~~ I'1t~ 4. 1'lli!ß. -ª(!C;l!.!~~!!U~. l;Qnlu:tl!!!!~!!~ ~ )(}l1hle'-\~nIJ 0 SYIILheUc L.lIII!l' [] I.il\(!t\ Valllt 0 NOlie 0 UnJoW\1I11 [J 0 tile I' (d e s c I' 1 be) : M U 1\ U f l\ C t \I t' e r : Hahn'lnl Thickness (111(:llt!s) Capacity (Oals.) 5, JUII!s J !!,~~!:.i ur Lil!l.!!/j. ,_/ [J Hllh!lp.t· [] ^Jkyd 0 Epoxy [J PhelloJ it: L] IìJass 0 C.lu~1 l\d' UIIJ il1ed 1:1 UIII<Jlu\ [J ULhet· (desc1'Ílle): .6, 'l'ulllt Cun'os i 011 pr~: t i UII o GUlvéllllzeù Fiberglass-Clad 0 l'ulyethylE!JU? l~ra J 0 Vinyl Wrapplil(~ o Tal' 01' ^sphnll 0 )Jnl<nowII 0 NOlie 0 uthet" (descdbe): t.;ul:hu(U_º- Pru lee t.i{J ~: ~ NonC! 0 IIllIH'essed Gut"rellt Sys tclU 0 SacI' if iclal Allude Sys l' U lIescI'ihe System 81 l~q\lil'nll~lIt: 7. .1.uuk lJelecl1ulI. MU/lHm'I,u:, (JIIIIllllcl:.£!wJ-liw a. Talll<: 0 V!slInl (vuultp.d talll<s ollly) 0 Gt'OIlIl(!\lIfltCt" fllullitol'ing I~cll(s) [] V¡lIlns!! 7.ono MOil i LOI'III!: \'l(~ 1.11 s) [J IJ-TulH-! W.i Lhou L l.iIlCl· C11J-Tuhe \'lith COfllpulilJlt: l.illlJl· Uil'l:(:l:illl~ Floh' To MOIIJLoI'ille WeU(s)* 1;J/vnpoI' I>eleelol' *CJ (,tquid l.eveJ SeIlSI [' * 0 ComluctlvlLy Sellsur* [~ Pt"essl\t'e SCIISUt' In ^lIlllIlal' Space of Double ~~all Tanl< * o Llquitl HeLrieval & IlIspectloll FI'lIm I1-Tnbe. MUlliLorilll~ We] 1 01' Anllulal' Space o Dail y Uaugi II/,{ & I nvel1 tory HccollGÍ 11u UOII 0 Pel"Ìoùl c T l!~hLness 'I'es tlng o NOlie 0 Unkno\llll 0 Uthe1' b. Piping: 0 Fl!H~-Restl'tcl:ing Lenk IJelectods) Fur Press\l1'ized Pipillg* LJ MOlli t01' llll~ SlIlII[I \'Jj th Hace\'lay 0 Sealed COI1Cl'C te I{acellluy [J \lülf-l:ut l:oll1pf1t:Jble Pipe Hacewny 0 Synthetic Liner RaceNay 0 Nune lî {fllklHJNII [-J OthCl' * \}(~-scl'l he Mul<e &- Mode 1: ..M~. ,.Jt~ .. 4Qte¡~ ~Mt£X.E:. t.\1/4t. ~Z.1'6 8. IUllk .I!J~t~!:~!~.?s ~Q\3\.O ~E.- T \Ins 'I'h i s Talll< Been '1'i IT,htlless 'l'1~S leù'? 0 Yes ~ No CJ unknown. ~. ,'~lI~~ o.r Clast 'l'il~ht"p.ss Test ~ JiIJSII}tS Of 'fes! ~_"A ... I est Nillll(~ JJ /A Tus Linl: l:ollllJilny '7I. 9. .:r,unl~, H.ê.pa U,' ./ TRllk Hn[HI ired? [J Yes [Ø'" Nu [J IJlllu\(lIm Ua te (s) Uf l~e Jait· (s) JP.SGI' i Iw Hcpall'R __ 10. g~er fj JJ.!'!:~)_~£~,~JI!I~ hY ( p[~ral:(}r Fj lIs. ClllIll'{¡J~;, I'\; Visll¡¡ J~' MI)IIÏ I:o/"S I.I~VI~.I ~ Tape Flout: tìnlJ[:e 0 Flool Veil!: Va.lvl:s [J ^nt.o Shut-Uff Conl.l·uis o GU Jncitance Sellsul' 0 Sealp.d FlU Bux [J NOlie [J Ullknol'Jll o U thet': L 1 s t Make & l>loc1e 1 FoC' Above Dev 1 c 11. b. Piping a. 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