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Home My WebLink AboutUNDERGROUND TANK (2) Per it Operate to Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF ~PERMIT ON REVERSE SIDE , . , . . ' This permit Is Issued for the following: It! Hazardous MaterIals Plan . 0 Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Slte Treatment ". . , ~ '.' . I . Issue Date 'J. Permit ID #:: 015-000-001529 "J ¡ ( ¡ ; K C SUPT OF SCHOOLS SE~\" ;,. lOCATION; 705 S UNION AVE tj~' ff.......\ . TANK HAZARDOU$.~S >~ ,.f\J'Œ 015-000-001529-0001 GASOLlNE~" ~,' Y tJ 015-000-001529-0002 DIESEL h:·.:l·;: 'l.~.>:.:~~{ ~.'~.J~ '>.... ,·r..~n· è~__\~~\ Issued by: , , Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES' 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX(661) 326-0576 , Approved by: , " Expiration Date: 'June 30, 2003 ; -. ~',J::, "þ:..". ./~ ... , ' . " ~ - "-. . "'.~- - ----- ---~---=-- f,' I \ ~,.' - PerDlit töOperil.te Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE LOCATION 705 S This permit is issued for the following: zardous Materials Plan .(ground Storage of Hazardous Materials -'"m""'q,~gement Program m_'" Waste PERMIT ill # 015-021-001529 K C SUPT OF SCHOOL TANK HAZARDOUS SUBSTANCE PIPING PIPING PIPING TYPE METHOD MONITOR Gasoline DWF PRESSURE ALD 0002 Diesel DWF PRESSURE ALD Issued by; '..' Expiration Date; ~. ph Huey, ffice of ental Servi es June 30, 2000 Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 Approved by: HAZ_ìfDOUS ïvlAIEJ:ZlAU) ft y l::ilUN TIME CHARGED BUSINESS/DEAPRThŒNT NAlv!E: 1< C $Jp <;cj"odl ç, ADDRESS: 7D~ ~. u^'___. PROJECT DESCRIPTION: Q( 5 pflA5-if (s. Ic...-..) I "t.~~ L.St:.<l~ PROJECT NUMBER: ¡5:2q r;;O'f/n) (~ . TI11E . CHGD: COMMENTS: 3 l...- DATE: NAME: ..If Ò/'-I (c,Î ~~ L (Ò f C, f"-1¿if:.i:f3 'S7J~ at+w- ÎWL~~ f4pðV+-; ðJJzcl 3 & fi) Jf6d ~ $1 gh ¿of ~ J hr ~'ü-J ~Gð<-E , eli)S~l..~ . &è¿J j ¡¿.(fJjj 6.d~ $(;;J- éd j- 7~92 J 5 1t'L Ie,~ f , 6- 13--qf) p-onn::rT rnM"PT FTTON: DATE: ',' 'd'~~, , ',' , .' '.' . ' " " ' OwNER. " ,(' ',..' . ' . ~DRBSS. '.' , , :':,. :'::', '#qaÍ"s,S7^~~\.~,/JnJrJO.4)p, j ~~i~:~f<19r;~' \'1Wr:~;~~~oh72i.. .... ....,....... ,.·..:~œ g~ ..' ',', '., ,,¡,e, ,,' :',' , ,'" :" " ' '" 'J,'. ,', ,'; " ',,' ';, .', ,':' , ' ,',' :'.':, ',': "", .: ': ,', CHROHOLOGICAL'< RBCORl) "Or. IHVBSTIGATJOB" ,;;, . " " ' , ;, ',> , , " ',,:' , , ,.;; :'.., .~. ""~~~~~~--~_-:.....- ,.-~¡ ; f ¡ f , ~ ~ ," J . . J j , > . ~ ì '" ~ l' . .' ~ '.' "'. - ,L , . , ~ "., .' , . , ' '. " , . " \ r- _ " .., , ." . .. ,c_, , . DATE' , ~ , ',' ", ¿- bJ-q~ ØOPLL~ .Ov fit? 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ItlJ."'I'\ ,,- v:. o¡ Jff1'/f;;p. j/I;~' £1';""- ;' 0,0;,"'" ðr/: ill£J IJuP--tji /0 Vir Ð.p / Ji6nq¿:¡ Vghl {:.;' II 'lDf)II:tB-:'(jp~ Í\,., "'-V ~ t bp~ J\~clrhfJ£i EIIIZ1¡¡-- JJ¿~rJ./(l V)é1d"..rri'tnl/.J .JllJi,-I.(iJ~'A~~1RJ ',,,,I' l......., ",...A,'\,r~Jt LV,; /_,II.~,...,.II .....,'"......1,. J...rJ_,J,.., fI:z.\c..lr.OfO"ll~Clr,n/l^I/~ ¡' ! ','. " , - '.:, :;-.i. ;.,'. . -, '. " , . - ,.¡. ---........ ...........-- ........ .~............. & C"a"-l............., & ---. .' RANDALL L ABBOTT DIRECTOR DAVID PRICE m ASSJSTANT DIRECTOR . J"~ ~,., , ~I'I: \ ì. '1/ - _ ,', ~ .," 'Í'. '" ..:: ' ':"·""r // "-:. ~I ;,; ~ '1-' rí'~ .~( .. :.!'-- ... ... . ,~ ~~".~ :,,, ¡ ~~'.I~' -: -., '~~;;i~~~-': ,~~;/ ~/_.( \\ \\,i" -..-,,;;~,;.III' e en..;'(Io,.._.r..I HIIIdt s.- ~" STEVE McCAU£Y. RÐlS.DIRECTOR Aå PoIkItioft ConmII 0iMrict ~ J. RODDY. APCO PIaMing .. De..cIoø.IMlI s.mc- ~ 1m JAMES. AlCP. DIRECTOR ENVIRONMENTAL HEALlli SERVICES DEPARTMENT PERMIT TO OPERATE UNDERGROUND HAZARDOUS STORAGE FACILITY Permit No.: 260007C State ID No.: 2331,9 No. of Tanks: 3 Issued to: SCHOOLS SERVICE CENTER Location: 705 SO. UNION AVENUE BAKERSFIELD. CA Owner: KC SUPERINTENDENT. OF SCHOOLS 5801 SUNDALE AVENUE BAKERSAELD.CA ~3œ KC SUPERINTENDENT OF SCHOOLS ,5801 SUNDALE AVENUE BAKERSFIELD. CA 93309 Operator: Facility Profile: Substance Tank Tank Year Is piping Tank No. Code Contents Capacítv Installed Pressurized? MVF3 PREM-UNLEADED 12.000 1982 YES :2 MVF3 REGULAR 12.000 1982 YES 3 MVF3 DIESEL 12.000 1982 YES This permit is granted subject to the conditioDS anc1 prohibitions Ustec1 on the attached summary of conditfonslprohibitions Issue Date: November 4. 1991 Title: Expiration Date: November 4. 1996 .. POST ON PREMISES- NONTRANSFERABLE 2700 "M" STREET, SUITE 300 BAKERSF1EI.D, CALIFORNIA 93301 (805) 861-3636 FAX: (805) 861-3429 - -v.. --c"' . e HAZARDOUS UNDERGROUND STORAGE FACILI'IY PERMIT SUMMARY OF CONDmONSIPROHIBmONS CONDmONSIPROHIBmONS: 1. The facility owner and operator must be familiar with all conditions specified within this permit and must meet any additional requirements to monitor, upgrade, or close the tanks and associated piping imposed by the permitting authority. 2. If the operator of the underground storage tank is not the owner, then the owner shall enter into a written contract with the operator, requiring the operator to monitor the underground storage tank; maintain appropriate records; and implement reporting procedures as required by the DepanmenL 3. The facility owner and operator shall ensure that the facility has adequate financial responsibility insurance coverage, as mandated for all underground storage tanks containing petroleum, and supply proof of such coverage when requested by the permitting authority. 4. . The facility owner must ensure that the annual permit fee is paid within 30 days of the invoice date. 5. The facility will be considered in violation and operating without a permit if annual permit fees are not received within 60 days of the invoice date. 6. The facility owner and/or operator shall review the . leak detection requirements provided within this permit. The monitoring alternative shall be implemented within 60 days of the permit issue date. 7. The facility underground storage tanks must be monitored, utilizing the option approved by the permitting authority, until the tank is closed under a valid, unexpired permit for closure. 8. Any inactive underground storage tank which is not being monitored, as approved by the permitting authority, is considered improperly closed. Proper closure is required and must be completed under a permit issued by the permitting authority. 9. The facility owner/operator must obtain a modification permit before: a. Uncovering any underground storage tank after failure of a tank integrity test. b. Replacement of piping. c. Lining the interior of the underground storage tank. 10. The tank owner must advise the Environmental Health Services Department within 10 days of transfer of ownership. 11. Any change in state law or local ordinance may necessitate a change in permit conditions. The owner/operator will be required to meet new conditions within 60 days of notification. 12. The owner and/or operator shall keep a copy of all monitoring records at the facility for a minimum of three years, or as specified by the permitting authority. They may be kept off site if they can be obtained within 24 hours of a request made by the local authority. 13. The owner/operator must report any unauthorized release which escapes from the secondary containment, or from the primary containment if no secondary containment exists, which increases the hazard of fire or explosion or causes any deterioration of the secondary containment within 24 hours of discovery. AEG:jrw (green\permit.p2) 2 :9 ~---=::----=;--~ - -t' . MONITORING REOUIREMENTS:(MVF3Spr) e- 1. All underground storage tanks designated as MVF 3 within Page 1 of this permit shall be monitored utilizing the following method: a. Standard Inventory Control Monitoring (tank gauging five to seven days per week). Kern County Environmental Health Services Depanment fonns shall be utilized unless a facility form can provide the same information and has been reviewed and approved by the Emironmental Health Services Department. (Monitoring shall be completed in accordance with requirements summarized in Handbook UT-lO.) AND b. All tanks shall be tested annually utilizing a tank integrity test which has been certified as being capable of detecting a leak of 0.1 gallon per hour with a probability of detection of 95 percent and a probability of false alarm of 5 percent. The first test shall be completed before December 31, 1991, and subsequent tests completed each calendar year thereafter. All tank integrity tests completed after September 16, 1991, shall be completed under a valid, unexpired Permit to Test issued by. the Environmental Health Services Depanment. c. All pressurized piping systems shall install pressurized piping leak detection systems and ensure that they are capable of functioning as specified by the manufacturer. The mechanical leak detection systems must be capable of alerting the ownerl operator of a leak by restricting or shutting off the flow of hazardous substances through the piping, or by triggering an audible or visual alarm, detecting three gallons or more per hour per square inch line pressure within one hour. d. All pressurized piping systems shall be tested annu:: 'v unless the facility has installed the following: 1. A continuous monitoring system within secondarv containment. 2. The continuous monitor is connected to an audibk and visual alarm system and the pumping system. 3. The continuous monitor shuts down the pump and activates the alarm system when a release is detected. 4. The pumping system shuts down automatically if the continuous monitor fails or is disconnected. The first test shall be completed before December 31, 1991, and subsequent tests completed each calendar year thereafter, 2. All underground storage tanks shall be retrofitted with overspill containers which have a minimum capacity of 5 gallons; be protected from galvanic corrosion, if made of metal; and be equipped with a drain valve to allow the drainage of liquid back into the tank by December 1998, or as specified by the Environmental Health Services Department. 3. All equipment installed for leak detection shall be operated ar. J maintained in accordance with manufacturer's instructions, including routine maintenance and service checks (at least once per year) for operability or running condition. 4. An annual repon shall be submitted to the Kern County ED\;ronmental Health Services Depanment each year after monitoring has been initiated. The owner/operator shall use the form provided within the Handbook UT-lO. 3 ~- a.- .,- CONTINUED (See 2nd File) " 12-10-1999 4:05PM FROM . P.2 -r - TANK MONITOR INSPECTION CAL-VALLEY EQUIPMENT P.O. BOX 81685. BAKERSFIELD, CA 93380 (80S) 127-9341 FAX (80S) 32$-2529 Cont. Lie. # 750103 K8~n County Supt. of Schools 702 So. Union Bakersfield, CA 93307 MAKE: INCON MODEL:_J'f-1 000 /2-P SN 42951 CONDrnON OFUN1TUPON ARJUVAL: Communication statué".Q.1<. - 1\[1"\ It..l;õ1."trn:\ TANK PR.OBES: QTY. 2 TYPE Mag -. 4 Liquid sensor N.C. SENSORS QTY. TYPE QTY. TYPE PROGRAMMING ACCURACY & COMPLIANCE: (1) READS ACCURATE TO TANK CHART? YES X NO (2) POSITIVE SSVTDOWN WORK PROPERLY? YES )( NO CO~~ Tested positive shut down by actiuªting each ~en~nr ;n Tn alaTm. (3) TANK TEST PROGRAMMING MEET COMPLIANCE? YES x NO RECOMMENDATIONS: Tank testinq not required with active monitoring ~ ~""''''''''::!:It.r: ~r~""'Þ nf t';:)nk Î .. INSPECTED BY: ~7------//~ DATE: 11-22-99 GO"HII"~ . A division of Fleet Card Fuels' . Pumps . Meters . Reels . Oayco HO$e . Alélniœ lvbe Equipment· Emco- Wheaton Produ~ts . Red Jadcec Pllmps . e - CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME \(c, SJp+. ~+ ~rlDo(~ ~rJ·~,,~r INSPECTION DATE I;) ~ 9- ~ 9 Section 2: Underground Storage Tanks Program o Routine 0 Combined at10int Agency Type of Tank ~HJF Type of Monitoring c{,.W\ o Multi-Agency 0 Complaint Number of Tanks .;t Type of Piping OOJF ORe-inspection OPERA TION C V COMMENTS Proper tank data on tile Proper owner/operator data on tile Pennit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No V Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERA TlON Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes In'p"lo" ~, ¡'~~~ N=NO ~~ ú~ " S" ~ "bI Busmess Ite esponsl e Party Office of Environmental Services (805) 326-3979 White - Env. Svcs. Pink - Business Copy e e TANK MONITOR INSPECTION .-- MAKE: l-n c,nVL MODEL: T ~-/ooo/i-p SN 1/~q~-1 CONDITION OF UNIT UPON ARRIVAL: r-/(J J11 m (fi ÝI / Cv...--I-¡ bv1 51-0.. {tA S ðK, - no (1)CL¡/VVtS . TANK PROBES: QTY. :J- TYPE fna~ SENSORS QTY. ~ TYPE J.. /g ufJ St;)lls"DT N·(,.· QTY. TYPE ( PROGRAMMING ACCURACY & COMPLIANCE: (1) READS ACCURATE TO TANK CHART? YES ß NO (2) POSITIVE SHUTDOWN WORK PROPERLY? YES X NO . COMMENTS: æs/-e,( nOs ;IIÌ/~ si¿.,tf down , 10 1/ fl (~ + . iJ/~ .¡. ) 1/1:::; eacJ.... ~ P j/J SO;r ; J1 f D Q) CUi I/V1. I (3) TANK TEST PROGRAMMING MEET COMPLIANCE? YES X NO RECOMMENDATIONS: /OVJ fÇ 7J;d'''-I nt) f n' ßÜ¡'~d. (L.n' -1-'" (lA. Lj-, 've WI oj/) /1 () '1'/ Yl J (") f1. 1/1. j/! LA- I ~ V" S 1/a C,J (')-t I hJt VJ /( . . .. INSPECTED BY: ß~ø~ DATE: / / -' J-).. - <1'1 - ~ .:,""':"---' . .: - . ... _." ,-"~""",::,,,_~:·.;'·':;"ifcilZd;;¡~£..L~Li.~~:;~1i~¡~1"::'d~~:?~:~~~~,,;",.~~~~-.~~j~~i-¡;;':l"E{~~.:~~~;k~~;~~~~.~L~,,;;::,;.,_,_~.~.___. ITY OF BAKERSFIELD FIRE DEPARTMENT F ENVIRONMENTAL SERVICES 1715 CHESTER AVENUE AKERSFIELD. CALIFORNIA 93301 KERN COUNTY SUPERINTENDENT OF SCHOOLS 1300 17TH STREET BAKERSFIELD CA 93301 ~"._....' ""''\~ '~'~'"''''''''''''~'''>''~'''-:I<'"''' -.....~;_.._~'-, -'-':1'~"".1";-"'·~r."':"·~:~"·--·~~"~~~ .-.~.t~~~""~-::-':''':';J?: ~ "".,:~ 'J;ò"!I;''''~'''''"' ~''''.: "'-~"''''-''~::';''''''':'''''''''/'':: .;..........,.~,...,~~-.r.~."',~~-~,-.:..., ('''' '....'" .....v· '·""'.;·"->',~"f "~\:~~:;:'~""~'r"'\~':'v "'''{ . . '10'"'' "'-~"'~r "... ",'. '.' ;.' FIRE CHIEF "ON 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 Chesler Ave. Bakersfield, CA 93301 VOICE (805) 326-3951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chesler Ave. Bakersfield. CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 TRAINING DMSION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (805) 3994697 FAX(805)3~5763 e . February 9, 1999 KC Supt of Schools Srv Center 705 S. Union Ave 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. si1cere.I' . .. AI! // _ , (jMiwð{) Steve Underwood Underground Storage Tank Inspector Office of Environmental Services SBU/dm enclosure ""7~ de W~ ~p vØ60Pe .9""~ A W~.?'I'I It e CA Cert. No. 00858 I 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 infonnation in the fonnat 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: K C SUPT OF SCHHOLS - SERVICE CENTER Permit #015-021-001529 705 S Union Ave Bakersfield, California 93307 ARE CHIEF MICHAEL R. KEllY ADMINlSTRAnvE SERVICES 2101 'W Street Bakersfield. CA 93301 (805) 32b-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 . W street Bakersfield. CA 93301 (805) 32b-3941 FAX (805) 395-1349 PRMNTlON SERVICES 1715 Chester Ave. Bakersfield. CA 93301 (805) 32b-3951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 (805) 32b-3979 FAX (805) 326-0576 TRAINING DIVISION 5642 Victor street Bakersfield. CA 93308 (805) 3~-4697 FAX (805) 3~-5763 ~ . . ~ BAKERSFIELD FIRE DEPARTMENT March 13, 1998 Mr. Ron Shearer Kern County Superintendent of Schools 1300 17th Street Bakersfield, CA 93301 RE: i1IT.5:::S.outlï::I1iiìQIl A y~ Dear Mr. Shearer: This is to infonn you that this department has reviewed the result of the Phase II Environmental Site assessment dated November 1997(received by this office on February 9, 1998)associated with the underground tank replacement. Based upon the infonnation provided, this department has detennined that appropriate response actions have been completed, that acceptable remediation practices were implemented, and that, at this time, no further investigation, remedial or removal action or monitoring is required at the above stated address. Nothing in this detennination shall constitute or be construed as a satisfaction or release from liability for any conditions or claims arising as a result of past, current, or future operations at this location. Nothing in this detennination is intended or shall be construed to limit the rights of any parties with respect to claims arising out of or relating to deposit or disposal at any other location of substances removed from the site. Nothing in this detennination is intended or shall be construed to limit or preclude the Regional Water Quality Control Board or any other agency from taking any further enforcement actions. This letter does not relieve the tank owner of any responsibilities mandated under the California Health and Safety Code and California Water Code if existing, additional, or previously unidentified contamination at the site causes or threatens to cause pollution or nuisance or is found to pose a threat to public health or water quality. Changes in land use many require further assessment and mitigation. If you have any questions regarding this matter, please contact me at (805) 326- 3979. Sincerely, dLJcrls~~ Howard H. Wines, III Hazardous Materials Specialist cc: Ralph Huey Y. Pan, RWQCB 'Y'~de W~~vØ6~ ~ A W~" RRE CHIEf MICHAEL R. KEllY ADMINISTRATIVE SERVICES 2101 . W Street . Bakersfield, CA 93301 (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 oW Street BakelSfleld. CA 93301 (805) 326-3941 FAX (805) 395-1349 PRMNTION SERVICES 1715 Chester Ave. Bak8lSfleld. CA 9330 1 (805) 326-3951 FAX (805) 326-<J576 ENVIRONMENTAL SEIMCES 1715 Chester Ave. Bakersfield. CA 93301 (805) 326-3979 FAX (805) 326-<J576 TRAINING DIVISION 5642 VIctor Street Bakersfield, CA 93308 (805) 399~7 FAX (805) 399-5763 .- ~ BAKERSFIELD FIRE DEPARTMENT . - ~ February 13, 1998 Kern County Superintendent of Schools Service Center 705 South Union Avenue Bakersfield, Ca 93307 RE: "Hold Open Devices" on Fuel Dispensers Dear Underground Storage Tank Owner: The Bakersfield City Fire Department will commence with our annual Underground Storage Tank Inspection Program within the next 2 weeks. The Bakersfield City Fire Department recently changed its City Ordinance concerning "hold open devices" on fuel dispensers. The Bakersfield City Fire Department now requires that "hold open devices" be installed on all fuel dispensers. The new ordinance conforms to the State of California guidelines. The Bakersfield Fire Department apologies for any inconvenience this may cause you. Should you have any questions, please feel free to contact me at 326-3979. Sincerely, ~tik£J Steve Underwood Underground Storage Tank Inspector cc: Ralph Huey 'YC~~ W~.¥~ ~0Pe ~ A W~ " FIRE CHIEF MICHAEL R. KELLY ADMINISTRAnVE SERVICES 2101 'W 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 PRMNOON 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 December 18, 1997 Ron Shearer, Assistant Superintendent Kern County School District 1350 17th Street Bakersfield, CA 93301-4505 RE: 705 South Union A venue Dear Mr. Shearer: You will be receiving this letter on or about December 22, 1997. One year from today, December 22, 1998, your current underground storage tanks will become illegal to operate. Current law would require that your permit be revoked and, would make it illegal for any fuel distributer to deliver to any non upgraded tanks. However, in reviewing your file I see that you do plan to replace your tanks by July 1998. We congratulate you on your decision to replace your tanks and simply want to offer any assistance we can in meeting your target date. Please remember to contact this office for penn its well in advance of your anticipated start date. As we get closer to the December 22, 1998 date, I would expect construction lead times to become extended, as well as costs for tank replacements. -J~ Ralph E. Huey Hazardous Materials Coordinator REH/dm cc: Kirk Blair, Assistant Chief 'Y~de~~~~~~A~~" FIRE CHIEF MICHAEL R. KELLY ADMINISTRAnVE 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 PRMNTlON 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 June 3, 1997 Mr. David J. De Vries Eneco Tech 373 Van Ness Avenue, Suite 110 Torrance, CA 90501 RE: Work Plan for Soil Assessment at 705 South Union Avenue in Bakersfield Dear Mr. De Vries: . This is to notify you that the work plan for the above stated address is satisfactory. Please give this office 5 working days notice prior to the commencement of work. Please document in the Assessment Report how the soil cuttings and any other wastes were properly disposed of after being generated during the assessment activities. Please be advised that any work done that is not performed under direct oversight by this office will not be accepted, unless previously approved. If you have any questions, please call me at (805) 326-3979. Sincerely, ~~~ Howard H. Wines, III Hazardous Materials Technician HHW /dlm cc: Ron Shearer, Assistant Superintendent 'Y~de W~~eye~~ ~ A W~" .. , ..; FIRE CHIEF MICHAEL R. KELLY ADMINISTRAnVE SERVICES 2101 'w street Bakersfield. CA 93301 (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 -W Street Bakersfield. CA 93301 (805) 326-3941 FAX (805) 395-1349 PREVENnON 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 October 23, 1997 Mr. Ron Shearer, Assistant Superintendent Kern County School District 1350 17th Street Bakersfield, CA 93301-4505 RE: Laboratory results from preliminary site assessment conducted at the Service Center located at 705 South Union A venue. Permit #BR -0185 Dear Mr. Shearer: Upon review of the recently submitted laboratory results from your facility, this office has determined that the extent of the contamination plume, associated with the fuel dispenser islands located on your property, has not been adequately defined. This office requires (in accordance with Chapter 6.7 of the California Health and Safety Code and Chapter 16, Title 23 of the California Code of Regulations) that further assessment be done to define the vertical and horizontal extent of the contamination plume. Please submit a work plan for further assessment, to this office, within 30 days from receipt of this letter. The workplan should follow guidelines found in: Appendix A -Reports, Tri - Regional Board Staff Recommendations for Preliminary evaluation and Investigation of Underground Tank Sites; July 6, 1990. Additionally, be advised that oversight cost for this project will be billed to you at a rate of $62.00 per hour. If you have any questions, please call me at (805) 326-3979. Sincerely, q{~~~b- Howard H. Wines, III Hazardous Materials Technician HHW ¡dim 'Y~¿(;g, W~ ~ ~0Pe ~.A W~ " - S)µA vE Sï7<<.. r:>'^^- IT ~E A- 6úç- PLArJ CSIN F'LE C;¡ fZ.. A.-.rV'rn<.k.. t -0 ~ E ~c>'^"-fU"1L~ ~ 'fl-1' 'S; S' , 'ï'E !?U::-A-ç£"" SE.......¡r:. A ,'$05,. RA.J ""i"?... 0_,_ r Î ~ .. I ( A, \ L./ f'-V"'-' -' ~7'v r -r/..J,J-Å-.'í w-G tVC-EO T\{LlT HLLEo!J OV\. l>.tiVL- (Ul J.-} \ '11 . ~(~<iLL<;0 7 fa-It mec;k~ctv: :?m ~ CrJR) {o( d~1 qq ~ '. :~ UNDERGROUND STORAGE ANK UNAUTHORIZED RELEASE (LEAK) I CONTAMINATION SITE REPORT EMERGENCY DYES HAS STATE OFFICE OF EMERGENCY SERVICES REPORT BEEN FILED? DYES D NO , NO CASE. >- '" a w I- a: f2 w a: OWNER/OPERATOR 0 OTHER C:l+f3S,n;tt. AJ STREET w -' '" ¡¡;~ Za:: 0< g;"- w a:: NAME t<~1\J CO, ADDRESS /300 .sup... DE" SC~OO¿S 0 UNKNOWN I 7 "'1H STREET FACILl1Y NAME (IF APPLICABLE) Z SC#ooL o ~ ADDRESS 9 7b S- w I- ¡¡; ç G!l.YI c£ CC-NTE!l- S. U^'(()~ Aý, STREET C) ~'" I-w z- wo :::¡¡z Ww -,C) "-< ~ CROSS STREET ~'L Q:; <""fB2~ LOCAL AGENCY AGENCY NAME ~~Fi~ R~e DGPT- WAc.¡ REGIONAL BOARD ~L VAL~6 'r' (1) '" ~fi] ~~ t; g (2) g¡~ '" c;A5£J1-1¡Vé þtes'C-<- NAME f~Ë~~~Ct~~~~A~~~¡~~~+~1~8~btA¡§I~~6k~1+I@Ácð6kDI~Gfð+~k) .,DISTRIBÚTIOO.SHöWNQN.THEINSTRUCTioN.sHEErON,.1J1E.áAcK,PAGEQFTHiS FORM;.................· :iH' ·.:SIGNED:...:':::····.············ '.' '.' '. ......... ..... '. \:.......\....\DATE· ~PANY OR AGENCY NAME r.::AKCUê.~ç;~ h rz.e: ~Sr-t~ CITY CONTACT PERSON gON SH~&L ß,A~F\ is..D Oz:;pr, c..Æ- <73'5ð , STATE ZIP PHONE (66t)3'Zl -4&41 ~ ~.g3{)1 CITY STATE ,P OPERATOR PHONE tf3l..N (1), SOP, (YSC¡þot.s. (W6():SZf-484-¡ ;,,( GrvJ <; '3307 8A~S¡Ct at:> CITY COUNTY ZIP CONTACT PERSON RAif~ HvC-Y ~1-f-tJ NcxWAN' PHONE (V5I) ~z6 -?77j PHONE (~44s-~ QUANTI1Y LOST (GALLONS) ,Jfi!!!'j' UNKNOWN I- Z W :::¡¡ ~ ~ DATE DISCHARGE BEGAN < >: a:: w > o o '" is ~KNOWN o INVENTORY CONTROl 0 SUBSURFACE MONITORING 0 NUISANCE CONDITIONS ~TANK REMOVAL D OTHER METHOD USED TO STOP DISCHARGE (CHECK ALL TI-lA T APPLY) o REMOVE CONTENTS W CLOSE TANK & REMOVE 0 REPAIR PIPING D REPAIR TANK D CLOSE TANK & FILL IN PLACE 0 CHANGE PROCEDURE ~EPLACE TANK D OTHER HOW DISCOVERED D TANK TEST ùJw 0", a::::> ::>< go M MOD Y HAS DISCHARGE BEEN STOPPED? ø YES D NO IF YES, DATE CJ M SOURCE OF DISCHARGE o TANK LEAK o PIPING LEAK o UNKNOWN o ~ o RUPTURElFAILURE o UNKNOWN D SPILL .æ OTHER P/Sf'evsi7L UNKNOWN D OVERFILL D CORROSION OTHER Ww "'''- t3~ CHECK ONE ONLY o GROUNDWATER 0 DRINKING WATER - (CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) o UNDETERMINED ~ SOIL ONLY CHECK ONE ONLY o NO ACTION TAKEN o LEAK BEING CONFIRMED o REMEDIATION PLAN 1-", æ~ ~~ 5'" o o PRELIMINARY SITE ASSESSMENTWORKPLAN SUBMITIED PRELIMINARY SITE ASSESSMENT UNDERWAY CASE CLOSED (CLEANUP COMPLETED OR UNNECESSARY) -' :$z co ~~ w< a: CHECK APPROPRIATE ACTION(S) (SEE BACK FOR DETAlBJ o CAP SITE (CD) o CONTAINMENT BARRIER (CB) D VACUUM EXTRACT (VE) o EXCAVATE & DISPOSE (ED) 0 REMOVE FREE PRODUCT (FP) D ENHANCED BIO DEGRADATION (IT) D EXCAVATE & TREAT (ET) 0 PUMP & TREAT GROUNDWATER (GT) D REPLACE SUPPLY (RS) C8f NO ACTION REQUIRED (NA) 0 TREATMENT AT HOOKUP (HU) 0 VENT SOIL (VS) ~ OTHER(OT) ~(rG Å~'T f!? z w :::¡¡ :::¡¡ o o ~""-'NÅTI()f\J V\M:c; '¡::HS fetlsc:n.s ð' -Lf. '. - ¿",M' TEÞ "'TÒ ð)NI...$/ 1~/lA.6()/4Ï'-8( Vt\f0fh.. D D D POLLUTION CHARACTERIZATION POST CLEANUP MONITORING IN PROGRESS CLEANUP UNDERWAY HSC 05 (8190) Leak E8~ ng ConfirmEd. - Lea...1c suspected at sit but. ha;:.; net DC(m. co rillet: ~~.~~~¡~~~~r:f~~~~m~~:~5~;n~e:~;~i~~e S;;~~ ~ t ~ e~~~:~¡];:n~}~~~b~~. á ~ round water bas been; or wi 11 be ~ impacted as a re t of the releas8, P.re.Limínarv Site .Assêssment Underwav - implEmentat.ion of wo::~kplan. .Pol_J_ut.iün Characterization - responsible part.y is in the process of ful.ly def:i.niEg the 6À'tent of contamination in zoi Land groand wats:r and ass8s~;ing. impacts on surface aIld/or ground ;.¡ater. Rem.ediation Pla.n - remediation plan submitted evaluat.ing long term remediation options. Propûsal and implementation schedule for appropriate remediation options also submìtted. Clean11D Underway - ìmplementation of remedi atìon pl.an. ~:~~~t~;1~~U~t ~~~~~~r~~~n~~e~~~~;~s~c - v~~~~~d~~d;~~U~~a~~~~~ ~~f~·~~~·~en8$S of remedial activities, , Case Closed - regional board and local agency iri concur.ranee that. no further work is necessary at the site. IMPORTANT; BE INFORI-I.!\.TION PROVIDED ON IHIS FORH IS INTENDED 'FbI''' GENERAL STATISTICAL PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REPRESEUTlNG lEE OFFICIAL POSITION OF ANY GOVERNMENTAl. AGENCY REHEDIAL ¡~CTICN Indicatø whích action have been used to cleanup or remedíatz t.be .l.ea:k. Descriptions of options folLow: CaD Site - install horizontal irrroermeable laver to reduce rainfall j.nfil.fration. .- Cont.ainment Barrìer - install vertical dike to block horizontal movement of CQDt~..aminant . Excavate and Dispose - remova contaminated soíl and dispose ín approved s ì tú ~ J Excavate and Treat;-..... remove contaminateà soil and treat (includes spreading or land farming). RemQve Free Product - rE!!";ove floating product from water table. Pump and Treat Groundwate.r: - genera~ly employed to remOVe dissolvBd cont.3.:."TIinants. :r:nhance¿ Biode~radatìDn - use of any available technology to promote bacterial decomposition of contaminants. ~La~e Supply - provide alternative water supply to affected Treatment at Hookup - install water t.reatment devices at each or other place/of use. Vacuum-ExtrÌ;ct - use pumps or bl.owers to draw air through soil. Vent Soil - bore hol.es in soil. to al.l.ow vol.ati Lization of contarrrInants. No A~tìon Requireà - incident is minor? req\1irìng no remÐdial action. CQ~~1ENIS - Use this space to elaborate on any aspects of the incident. SIGNATURE - Sign the form in the space provided. DISTRIBUTION If the form is completed by the! t~nk owner or hie agent; retain the last copy and forward the remaining copies· intact to your local tank per.mitt.ing agency for dist!~ih1.1tìon_ C:--1.fi."0,~1 - Local TB-nk Permit.t.ing Agency Z Regional Water Quality Control Board 3 Local. Health Officer and County Board of Sup&cdsors or their dnsig;nee Co l.'SCf3ive Proposition 65 notifications C;»]nf~r ¡responsible party CTIGNS per~.;c)nnel and eCf-.lipm:snt were involved Hat.81:ial I-nci.d.,:nt Report. ;:;hould he filed y 3ervicf;s fCES) at 2300 t...jeado;.r.;lBw Road the DE form may be obtained at. any: per agency. Indicate whether of the t.his report. r l!'i;:; " ~ of -pursuant to Health and Safety code Sect.ìoI should sign ô:nd dat~2 t.he form in this b1.ock t.hr: :Lee~l.ç has. been determined to pose- a or safety, only that notificaticD qDired. date ¡~ S ig! rn~ccE¿ur2;;:> YO'!· act, pe1:S0n, and address of the party pOE0i.b.le part-y ~¡(mld normally be the Indicate which party hnd address agøn~y ·nan¡e " 8X~J:gBJED 5X ø· ·tc,,· ,,,),,y. ~"'" - y '. ~~ .'. r;r'.:-:~{~T:t tank must you ÞJ~ a mi:a imu:m tank facility full {;h'ldxess Weter QuaLity Control Board Room thaI egory for thís leak. Check one bex only. Case SEES i ·LivE' resourCE affected. For example if have be,sn affected. case type will be "Ground "Y-1ater" only if one or more IT;.1..!,olicipal or y be-en affected. A "Ground Water!! he affected water cannot be~ or is not trHlt water: wells have not yet been Ca5& type may change upon further subst.ance involved ar:n::ropriate. If more CDT..cern £or cl.eanup of t.he leak cause of leak , . £iDat,ement. icating of th.,?- naz2.-n:'lDus ~wc substancES if twü {.'If. mDst and ìnd 1':(e:Sl(:;nal scüve1~Y ez bOX ant:1 Check he , SOUECEíCAUSE ~~~;_::::ESO\; Indicate the t.V'"¡:)8 ís based Doth :3D 1. Land y.]atE-r'· dom2stic wate designation d used for dr:in:!. affected, It. i:n~.¡est,igåtion Ch best describes the curr~~t status of the case rBspon.sE! should be relative to the case type. For r¡YJ.nd ~"h.t.0r·· t,h.&n "Current Status" should r!':~fer or clean~p~ as cpposBd to c.at,8g(n~y '8 Check one box only. T"'.1 example if CE~)e t.ype to the st,at.:..lS that of soil. beyond en by responsible party t.a.k bem ..~, aG tJ..or No .-. ....'--~ -..... -.- Ill"". . ~ ;ø;~. ~'<L ~L. lè~; O~/13-/97 -09:40 'B80532-a-0-576 BFD HAZ MAT DJV I4J 001 ~ · ÔT a-I-OiS: l¡;Jt CITY OF BAKERSFIELD OFrlCE OF ENVIRONMENTAL SERVICES UNDERGROUND STORAGE TANK PROGRAM 1715 Chester Ave., Bakersfield, CA (805) 326-3979 ~."? ,. ~~'fFjf[~~ ~f\\ APPLICATION TO PERFORM A TANK TI~TN'iS~,~S~ - ~Ir\\ t\\}G ~ -FACILITY K~ COUNTY SUPERINTENDENT-.-O.E---5-::\' \~ ADDRESS 705 South Union Avenue, PERMIT TO OPERATE #_ OPERATORS NAME Darrell Simons OWNERS NAME Kern CO!lIl.t.y.__SJlp.er i n t end..ent.......o_L..s.chDJll_~ NUMBER OF TANKS TO BE TESTED 3 IS PIPING GOING TO BE TESTED Yes TANK # VOLUME CONTENTS 1 2 12K 12K DSL DSL 3 12K UL TANK TESTING COMPANY CONFIDENCE UST,. SERVICES, __IN_C. Iv1AILn"¡GADDRESS 417 Hontclair Street, BakersÍield, CA 933û9 NAME & PHONE NUMBER OF CONTACT PERSON CheEy!_~oung; (805) 634-9501 TEST METHOD Alert 1000/1050 µnderf i 11 NAME OF TESTER James Rich CERTIFICATION # 99-1072 DATE&TIMETESTISTOBECONDUCTED May 7, 1997 at 8:30 a.m. ~~(I SIGNA .. OF APPb <llf};; APPRO~ 418~Î DATE , e . CONFIDENCE UST SERVICES,INC. 417 Montclair Street Bakersfield, CA 93309 800-339-9930 \ 805-631-3870 ALERT 1000 UNDERFILL AND ALERT 10S0x ULLAGE SYSTEM Precision Underground Storage Tank System Leak Test TEST RESULTS Test Date: 05/07/97 BILLING:CONFIDENCE UST SER. SITE:KERN Co. SCHOOL DIST. 417 MONTCLAIR ST. 705 S. UNION AVE. BAKERSFIELD, CA.93309 BAKERSFIELD, CA PRODUCT VOLUME %FULL WETTED LEAK WATER IN UNLEADED 12000 89\ -0.026 PASS 0" . #l-DIESEL 12000 96\ +0.021 PASS 0" #2-DIESEL 12000 93\ +0.015 PASS 0" Measurements showed that water in the backfill area at the time of testing was below tank bottom, and therefore not a factor in test determination. A well point was driven in the backfill area to determine that there is no water in backfill at tank bottom. A precision test was performed on tanks at the above location using the Alert 1000 underfil~ system and the Alert 1050 ullage system. I have reviewed the data produced in conjunction with this test for purpose of verifying the results and certifying the tank systems. The testing was performed in acorrdance with Alert protocol, and therefore satisfies all requirements for such testing as set forth by NFPA 329-92 and USEPA 40 CFR part 280. The results of testing are shown on the following page, and indicate whether the wetted and non-wetted portion passed or failed. Included with the report are reproduction of data compiled during the test which formed the basis for these conclusion. This information is stored in a permanent file if future verification of test results is needed. AL\NC 040 Test cert~~ 12:: Rich State cert#99-1072 . ..... . .... .. .. . . ... .. ... . .... . . ..... ... ..... · . .... ... · . ... . .. . .... . ... .. . ...... . ... ... .. .. .. .. . .. . . . " " " ...... .. . .. .. ..... """8"1 " - ..... . ...... · . .. . ... ... .. ... ... . . .. " "" .... .. . .. . . .. .. .. " " " " "" "" 82 " " .. . . .~ . .. ." , , i , I I ALERT TECHNOLOGIES PLOT OF ULLAGE TEST DA TA KERN Co. SCHOOL DIST 705 S. UNION AVE. BAKERSF I ELD. CA e 12000 GALLON UNLEADED TANK 12KHz AMPLITUDE RATIO 1.5 750+ 0.75 25KHz AMPLITUDE RATIO 1.5 750+ M I N U ~ 3 S M I N U ~ 3 S 5 5 e 12KHz DETECTION RATIO .999 25KHz DETECTION RATIO .963 TEST RESULT = PASS DATE AND TIME OF TEST: 5/07/97 10: 32AM BEGINNING BOTTLE PRESSURE = 100 ENDING BOTTLE PRESSURE = 100 BEGINNING TANK PRESSURE = 1.5 PSIG ENDING TANK PRESSURE = 1.5 PSIG . .. ... ... 81 ... . .... .... .. . ~ . B21 _... 1..5 . .....,. ~ ' . ..... . . ...... :)¡::::::: ::::::'.. e 0.75 M I N U ~ 3 S 5 e . . ALERT TECHNOLOGIES PLOT OF ULLAGE TEST DA TA KERN Co. SCHOOL DIST 705 S. UNION AVE. BAKERSF I ELD, CA 12000 GALLON #1-DIESEL TANK 12KHZ AMPLITUDE RATIO 1.5 25KHz AMPLITUDE RATIO 1 .5 750+ 750+ 0.75 I . ,1 ,. M I N U ~ 3 S I 5 l 12KHz DETECTION RATIO = 1.00 25KHz DETECTION RATIO = 1.00 TEST RESULT = PASS DA TE AND TIME OF TEST: 5/07/97 12: 32PM BEGINNING BOTTLE PRESSURE = 100 ENDING BOTTLE PRESSURE = 100 BEGINNING TANK PRESSURE = 1.5 PSIG ENDING TANK PRESSURE = 1.5 PSIG .. .. . .. .. ..... . 81 ... ... ... .;f. . ... ... .. .. ... . . .. . . .. . .. e..... - e 0.75 M I N U T 3 E S 5 e ALERT TECHNOLOGIES PLOT OF ULLAGE TEST DA TA KERN Co. SCHOOL DIST 705 S. UNION AVE. BAKERSFIELD. CA 12000 GALLON #2-DIESEL TANK 12KHz AMPLITUDE RATIO 1.5 25KHZ AMPLITUDE RATIO 1.5 750+ 750+ 0.75 M I N U T 3 E S 5 12KHz DETECTION RATIO 25KHz DETECTION RATIO .997 .999 TEST RESULT = PASS DATE AND T I ME OF TEST: 5/07/97 11: 01AM BEGINNING BOTTLE PRESSURE = 100 ENDING BOTTLE PRESSURE = 100 BEGINNING TANK PRESSURE = 1.5 PSIG ENDING TANK PRESSURE = 1.5 PSIG .. e e DA TE: -t::;-7;r--1 "tJ W/O #: RICH ENVIRONMENTAL (805) 392-8687 5643 BROOKS cr. BAKERSFIElD, CA. 93308 LEAK DETECTOR TEST DA TA SHEET SITE: kf~V Co a <::;u¡Jf£IN'7FYDA'iJT of 5c!løoc C' ' r¡~ _ Ja U)JI ðA) ÂA.l:1- ß~ts-FÆ<-O J c#- . PRODUCT LEAK DETECTOR TYPE TEST TRIP FUNCTONAL DRAIN PASS TYPE SERIAL NUMBER BELOW PSI ELEMENT BACK OR 3GPH PSI ML FAIL P ~ /(¡ L/ !::J~ FAIL LID TYPE ~() \)"il tUq 'y/...IP ~ SERIAL # Ç1>yC¡/- ~!;5' NO L¡ '-f ð LID TYPE ~(J ~ Vt..P ~ ~ SERIAL # .t::;Dqq I-:<S ~~ NO 6SV LID TYPE YES PASS SERIAL # NO FAIL LID TYPE YES PASS SERIAL # NO FAIL LID TYPE YES PASS SERIAL # NO FAIL I certify the above tests were conducted on this date according to Red Jacket Pumps field test apparatus testing procedure and /imitations. The Mechanical Leak Detector Test pass I fail is determined by using a low flow threshold trip rate of 3 gallon per hour or less at 10 PSI. I acknowledge that all data collected is true and correct to the best of my knowledge. TECHICIAN: ;:T-/JmES .J. RiCH COMMENTS: OTTL # CJO-/07c:L ------------- ." e e ''''10' eM TE: :?;:-?-~ MtO I: RICH ENVIRONMENI'M (805) 392-8687 5643 8a()()1(S CT. MlCDSJIU!ID. CA. 93308 AR~ Model PLT-l00R Uydrostatic Product Line Test ResUlt Sheet .XT&a K -krV..J (Ou.)jf\¡ n'Þ 5'C¡.}()O( ")0 --ç- S, U A) I ù V ArS:- ß/jKFtZJ~/ELI?, ~ PRODUCT START TIlE END TIlE IR£ADIMG IREADIIØ TEST PRESSURE VOLUItE RATE ..;"'"1. ..,.,"'- <...1) <GPK) RESULT PASSI F ~1L. ,~ ,.-- "Où3 PAtJS --, 60 -:Cl.~( ¡:¡ J5'C --- 1 O~1~y th.~ ~he .bove 11.. t~ were conduated OD ~ date accordinG ~o the equ1,WDt. .aDufaat.urtn"'. prooed...... ....a 11a1~at.:t.on. and t.he zw.,.lt.. .. 11.-t.ecI are t.o -7 knowledge t.rue ..... aorreat.. .~",.".. a~ /- I/J(J ørru 'J'T-/d?z 'l'eah. . ~AMES 4: RlCTH , .....~r....:C4t~.~. 88133 KaTEs The t._t. ,a_lfa11 1. cl.et.er-i._ \l8iAg a 't.bntåold d 1M III pttr hour (e. es GPH» rat. at 1511 working preaa\lr. or se p.1 wbiab riel" 1. 1__. The GPH rate 1. calculat.ed _. all e. "1e&. --~~~~~~-~~-~~-~~~-~~--~--~~~~T~ ·,KERN COUNTY SCHOOL '. 7ØS S.UtHm1 ~KERSFIELD, CA 933Ø7 SITE # 8ØS-321-4812 8/22/1997 Ø2:ØØ PM ALARt1 REPORT 8/22.....19137 Ø2: ØØ Pt'1 Ut1L SUt'1P KERN COUNTY SCHOOL 7ØS S.UtHot~ BAKERSFIELD, CA 933Ø7 SITE # 8ØS-321-4812 -, ')/' qq7 _......1....1 Ø2: Ø2 Pt'1 ALARr1 REPORT 8/22/19'37 U~1L ANNUAL Ø2:Ø2 PM ,~-~- -·1 KERN COUNTY SCHOOL a 7ØS S. UtHO~1 ~~ERSFIELD, CA 933Ø7 SITE # 8ØS-321-4812 8/22/1997 Ø2:Ø2 PM ALARt'1 F.:EPORT 8/22/1997 DIESEL SUMP Ø2:Ø2 PM KERN COUNTY SCHOOL 7ØS ~3.UtHot~ BAKERSFIELD, CA 933Ø7 SITE # 80S-321-4812 8~/1~CÄRM REPO:~:Ø2 PM 8/22...··1997 C'I ESEL ANt·WL Ø2:Ø2 F't'1 · --. Bakersfield Fire Dept . OFFICPOF ENVIRONMENTAL SE.ICES UNDERGROUND STORAGE TANK PROGRAM PERMJr NO. I DI- -éJOé8J 7) { J g4ò, PERMIT APPUCATtON TO CONSTRUCT/~ODIFY UNDERGROUND STORAGE TANK TYPE OF APPlICATtON (CHECK) o NEW FACILITY lSJ MODIFrcATlON OF FACILITY 0 NEW TANK INSTALLATION AT EXISTING FACILITY STARTING DATE 7-28-97 PROPOSED COMPLETION DATE 7-15-97 FACILITY NAME K. C. Super in t enden t 0 f ScEXISTlNG FACILITY PERMIT No. FACILITY ADDRESS 705 South Union Ave. ZIP CODE 93307 TYPE OF BUSINESS Bus Barn & Warehouse APN TANK OWNER K. C. Superintendent of SC'hnnl ~ PHONE No. 321-4841 "0 ADDRESS 705 South Union Ave, CITY Bakersfield ZIP CODE 93307 CONTRACTOR Lut re 1 S erv ice s. Inc. CA LICENSE NO.6 7 5 587 ADDRESS 6315 Snow Road CITY Bakprsfi pl c1 ZIP CODE 9110R PHONE No. 399 - 0 246 BAKERSFIELD CITY BUSINESS LICENSE No. WORKMAN COMP: No. GWN 101397-97 INSURER GTe a t State s Tn sllran ~ p C~mp;¡ ny BREIFLYDESCRIBETHEWORKTOBEDONE Installation of two (2) new DOllhlp-W;¡llec1 Underground Storage Tanks with new Double-Walled pi1)in~ and four (4) new Dispensers with new hoses and nozzles. WATER TO FACILITY PROVIDED BY" CalifoTnia Water Service DEPTH TO GROUND WATER 300' SOIL TYPE EXPECTED;~rSITE Sandy Clay No. OF TANKS TO BE INSTALLED 2 ARE THEY FOR MOTOR FUEL ·il YES 0 NO SECTtON FOR MOiOR FUEL TANK No. VOLUME UNLEADED REGULAR PREMIUM DIESel AVIATION 1 2 12.000 12.000 x :x: SECTtON FOR NON MOTOR FUELSTORAGE TANKS TANK No. VOLUME CHEMICAL STORED (no brand name) CAS No. (if known) CHEMICAL PREVIOUSLY STORED :gt~ª~r~'~tI~I~~!R·~~~~~Iì~~_~~''\' rH E APPlICA NT HAS RECEIVED. UNDERSTANDS. AND Will C:J MPL Y WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STArE. LOCAL AND FEDERAL REGULATIONS. THIS~ORM H S BEEN COMPLETED UNDER PENALTY CF ?Eí?JURY. AND TO THE 3EST OF. KNO c~. Brvan McNabb / A-p . : APPLICANT NAME (PRINT) THIS APPLICATION BECOMES A PERMIT WHEN APPROVED BAKERSFIELD CITY FIRE DEPARTMENT OFFICe>F ENVIRONMENTAL SEteCES INSPECTION RECORD POST CARD AT JOBSITE FACILITY .... Kern Count erintendent of Sc ~~ ADDRESS 7 0 5 Sou t h Un ion A v e ADDRESS CITY. ZIP PHONE NO. 321-4841 CITY. ZIP PERMIT # Bakersfield 93307 INSTRUCTIONS: PIe... call for an Inspec/Dr only when each group of inspections with the same number are ready. They will run in consecutive order beglnnins with number 1. CO NOT cover work for any numbered group until all it8ms In that group are signed off by the Permitting Authority. Following these instructionll wi!: reduce the number of required inllpec:tlon visits and therefore prevent ......ment of additional fees. TANKS AND BACKFILL INSPECTION DATE INSPECTOR Backfill of Tank(s) PIPING SYSTEM Piping & Raceway w/Collection Sump Corrosion Protection of Piping, Joints, Fill Pipe Electrical Isolation of Piping From Tank(s) Cathodic Protection Sya18rn-Piping .~ ~ 47 ~ECONDARY CONTAINMENT, OVERFILL PROTECTION, LEAK DETECTION Uner Installation - Tank(s) Uner Installation - Piping Vault With Proc:/uct Compatible Sealer Proc:/uct Compatible FiD Box(es) Proc:/uct Une Leak Det8ctDr(s) leak Det8ctDr(s) for Annular Space-C.W. Tank(lI) MonllDrlng Well(s)¡Sump(s) - ~O Test leak De18ctlon Devlce(s) for Vadose/GroundWa18r ~ 'll ~7 '8 1 '2.J ~7 fJ/!]Z q 7 Q!z1-97 II J ¿ ~ II /) ~\ I'/} V1 ;' \ I ,øUJ6ð"¿) M r;; tllJ1 n Level Gauges or Sensons, Float Vent Valves FINAL Monitoring Wells, Caps & Locks Fill Box Lock Monitoring Requlremen1s CONTRACTOR 1. 11 t reI S e r vie e s. I n c . UCENSE.., 6 7 5 5 8 7 _"_.'_" ':!OO_I)?/'h ,~ e e t North Gasoline Dispenser No Scale Canopy and Drive Slab o Diesel Dispensers Diesel .AAA. . . '" .. .. A A." " .. ,. .. ,. .. " .. ,. .. " '" ,. '" ,. '" " .. "" .. ,. .. " .. " .. " '" " .. " '" ,. '" " '" " '" ,. '" " '" " '" , '" " '" " '" ,. .. " .. .. .. A A A A .. .. .. .. .. .. .. .. .. .. A .. "'" .. "'" "'" .. .. .. .. .. "'" ~.~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ .. .. .. .. .. '" .. '" ... .. .. .. .. ~ ~ ~ ~ I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I ~ ~ ~ ~ ~ ~ . ^ .. A "'" A ^ ^ A .. "'" A . A . .. . . . ^ A . . A ^ ^ ^ ^ ^ .. ^ .. .. .. A .. .. A A .. ^ .. ^ ^ ^ A A . .. A .. .. .. .. .. "" .. .. "" "" .. .. .. "" .. .. .. .. .. .. "" A "" A A A A A A .. A .. .. . .. A A .. . . A A .. ^ ^ ^ . .. A ^ .. .. ^ .. A .. A .. "'" A A A ^ ^ "'" .. "" .. . A .. .. .. .. .. .. .. .. .. .. .. "'" .. .. .. .. .. .. .. A A A "'" A A A A A .. A A A .. .. A A A A ^ A A A ~~~~~~ AAAA. "", "'. "', ". "'. Piping Ditch V apor Line Product Line Vent Lines Gasoline Kern County Superintendent of Schools 70S South UlÙon Ave. Plot Plan -1: r t North No ScaJe Canopy and Drive Slab Vapor Line Vent Lines Gasoline Diesel e e Gasoline Dispenser .. ... ... .. .. .. ... ... .. .. .. ... ... .. ... .. ... .. ... .. ... .. ... .. ... .. .. .. ... .. ... .. ... .. ... ... ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. ... .. ... .. .. .. .. .. .. .. ... .. ... .. "'" . . "'" . . . "'" . . . . . . "'" . "'" . "'" . ". . "'" . "'" . "'" . . ~.~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ .. .. ... D Diesel Dispensers ~'~". A""'''' A . .... ... . . . I' , I' I' I' . I' I' I' I' I' I' I' I' I' I' I' I' I' I' . ". . "'" "'" "'" "'" "'" "'" "'" "'" "'" "'" "'" . "'" A""'''''' ^ "'" "'" "'" . "'" . . "'" "'" "'" "'" "'" . "'" "'" "'" "'" "'" "'" "'" "'" A . "'" "'" . . "'" "'" . "'" "'" "'" . "'" "'" "'" "'" "'" "'" "'" "'" "'" . "'" "'" "'" "'" . . "'" . . A""'. "'" . "'" "'" "'" "'" "'" "'" "'" "'" "'" "'" "'" A""'. "'" . "'" A""'''''' A A A""'''''' "'" "'" "'" "'" "'" . ". A A""'''''' "'" "'" "'" "'" . . "'" "'" "'" "'" "'" "'" "'" "'" "'" . "'" "'" "'" "'" "'" "'" "'" "'" "'" "'" "'" "'" . "'" "'" "'" "'" "'" "'" "'" "'" "'" . "'" "'" "'" "'" "'" "'" "'" "'" "'" . "'" A A A Piping Ditch Product Line Kern County Superintendent of Schools 705 South Union Ave. Plot Plan .~ ,;-- t North No Scale Canopy and Drive Slab Vapor line Vent Lines Gasoline Diesel e e Gasoline Dispenser , " " " " , " " .. .. .. ... ... ... ... " ... " ... " ... " ... " ... " ... " ... " ... " " " ... ". ... ... ... ... ... .. ... ... ... ... ... .. " .. ... ... .. .. ... ... ... " .. " ... .. " " .. " ... " " " . . . . A . A . . . . . . . . . . . . . . "'" . . . . . . . ~.~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ " " .. Diesel Dispensers o ~~4'... ^ A A AI A "" ... . ~ .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . "'" . . "'" . "'" . A . . A "'" . "'" "'" A""'. . . "'" . "'" A ^ A . "'" . "'" "., . . "., "'" "'" "., A "'" A . "'" A A""'''''' . "'" . . "'" . . . . "'" "'" . . "'" . "'" . "'" . "'" "'" . "'" "'" . . A . "'" A . . "'" . A""'. . . . . . . . "'" "'" "'" "'" A "'" ^ . "'" "'" "'" . A""'. "'" . "'" "'" "'" "'" A".,,,,,, . "'" . . . "'" "'" . . . . . A . . . "'" . . . . . . . "., "., A "'" ^ A "'" A . ^ "'" A "'" A . "'" ^ "'" "'" ^ ^ "'" ^ Piping Ditch Product line Kern County Superintendent of Schools 70S South Union Ave. Plot Plan ~- .. ~.'" 7ós s \ :... ',!~ <I'v( cJ.Ä.} .., ~~. ., I If- ,- t:: 1- ,_' I.J 111 .: J . , .. ~. ~ T I' .~ r~ i 1'. .~! 1-.., I ~ it···· , . ¡ ,- .\' ~ ...:,: ~ ~ .. .' .,""#.. " .... ,. .. ... ~ ':;': -. ~ " ~ \ ... . - ... ~ ". .......0:""": . -." ..... ..:- ~ ,; - .~; ., / \\ þ' ~......r ..~ " .' :,;': ~L:~t.:< :. ,.~.~C'i~ ~1'_ u ~- ~¡;~i~'~ ~ ~~.. .h - , ..,,~,#...... ~ ,. , '-~~"1f/ ¡ '" . ....~ ./'~.~'..~ ,,' ~ . . ,,;;.:,~~. '.~ ......'14~ ¡ ", .', " .;:..;Ii/JìJ"" ,',. . .:~ .<\2,": "!"", r. ~",',:i~':'_~lIIn..-J.,.~~; I .5 oJ F QcINW~ 8 ..- S"" 17 ~+=nls:'1' ~ U1J7i<i, '_I: h.\_~ H..12 ,,' It Bakersfield Fire Dept . OFFICE OF ENVIRONMENTAL SERtfCES UNDERGROUND STORAGE TANK PROGRAM PERMIT NO. .)~~~ PERMIT APPUCATlON TO CONSTRUCT/~ODIFY UNDERGROUND STORAGE TANK 6"L -()Ofß 7) ~ J ~4ò TYPE OF APPlICATtON (CHECK) o NEW FACILITY ~ MODIF£CATlON OFFACllITY a NEW TANK INSTALLATION AT EXISTING FACILITY STARTING DATE 7-28-97 PROPOSED COMPLETION DATE 7-15-97 FACILITY NAME K. C. Superintendent of seEXISTING FACILITY PERMIT No. FACILITY ADDRESS 705 South Union Ave. ZIP CODE 93307 TYPE OF BUSINESS Bus Barn & Warehouse APN TANK OWNER K. C. Superintendent of SC'nool ~ PHONE No. 321-4841 "_ ADDRESS 705 South Union Ave. CITY Bakersfiel d ZIP CODE 93307 CONTRACTOR Lu t re 1 Servi ce s. Inc. CA LICENSE NO.6 7 5 5 8 7 ADDRESS 6315 Snow Road CITY Baker~f; pl d ZIP CODE 9110R PHONE No. 399-0246 BAKERSFIELD CITY BUSINESS LICENSE No. WORKMAN COMP; No. GWN 101397-97 INSURER Great States TnsuranC'e Co'rnpany BREIFlY DESCRIBE THE WORK TO BE DONE Installation of two (2) new Double-Walled Underground Storage Tanks with new Double-Walled Dipin~ and four (4) new Dispensers with new hoses and nozzles. WATER TO FACILITY PROVIDED BY, CalifoTnia Water Service DEPTH TO GROUND WATER 300' SOIL TYPE EXPECTED,~rSITE Sandy Clay No. OF TANKS TO BE INSTALLED 2 ARE THEY FOR MOTOR FUEL 'f) YES 0 NO SECTION FOR MOiOR FUEL TANK No. VOLUME UNLEADED REGULAR PREMIUM DIESEL AVIATION 1 2 12.000 12.000 x x SECTION FOR NON MOTOR FUELSTORAGE TANKS TANK No. VOLUME CHEMICAL STORED (no brand name) CAS No. (if known) CHEMICAL PREVIOUSLY STORED !'~IE~~!fl"t'~~"'œ1&~~~'~~ft¡ THE APPliCANT HAS RECEIVED. UNDERSTANDS. AND Will COMPLY WITH THE ATTACHED CONDITIONS OFTHIS PERMIT AND ANY OTHER STA TE. LOCAL AND FEDERAL REG\JlATlONS. TH. IS ~lE1ED UNDER PENALTY CF "'JURY, AND TO THE 'EST OF en .. Brvan McNabb A-r . : APPLICANT NAME (PRINT) THIS APPLICATION BECOMES A PERMIT WHEN APPROVED BAKERiflELD CITY FIRE DEPART~NT OFFIC~F ENVIRONMENTAL SER~ES INSPECTION RECORD POST CARD AT JOBSITE .... i FACILITY Kern Countv Superintendent of Sc ~ @WiI~ i ! ADDRESS ADDRESS I 705 South Union Ave ¡ CITY, ZIP CITY, ZIP I Bakersfield. 93307 , PHONE NO. (805) 321-4841 PERMIT # , INSTRUCTIONS: Please call for an inspector only when each group of inspections with the same number are ready. They will run in consecutive order beginnin¡:; with number 1. 00 NOT cover work for any numbered group until all items In that group are signed off by the Permitting Authority. Following these instructions wili reduce the number of required inspection visits and therefore prevent asaesament of additional fees. TANKS AND BACKFILL INSPECTION DATE INSPECTOR Backfill of Tank(s) Spark Test Certification r Manufactures Method Cathodic Protection 01 Tank(s) '( PIPING SYSTEM .. Piping & Raceway w/Collection Sump d:JtJf11 ~ ill /1 --/] IY Corrosion Protection of Piping, Joints, Fill Pipe III...~ Electrical Isolation of Piping From Tank(s) Cathodic Protection SyatBm-Piping k(L~ , Uner Installation· Tank(l) Uner Installation . Piping Vault With Product Compatible Sealer Level Gauges or Sensors, Float Vent Valves Product Compatible Fill Box(es) Product Une Leak Det8ctDr(s) Leak Detector(.) for Annular Space-C.W. Tank(s) Monitoring Well(I)/Sump(s) . ~O Test Leak De18ction Devic8(I) for Vadose!Groundwa18r SECONDARY CONTAINMENT, OVERFILL PROTECTION, LEAK DETECTION FINAL Monitoring Wells, Caps & Locks , Fill Box Lock , , Monitoring Requiremen1s , ¡ ¡ , CONTRACTOR T.utrel Services tIne.· UCENSE" 6 7 5 5 8 7 __..._.. __T"II _. ._.._ .. ':¡ 0 0 _ Iì ? It F. or :> ,.... t North No Scale Canopy and Drive Slab Vapor Line Vent Lines Gasoline Diesel " " .. .. .. .. .. .. .. " .. " .. " .. " .. " .. " .. " .. " .. " .. ". .. " .. " .. " .. " .. " .. " .. " .. A" .. " .. " .4'10 AI' .. " .. ~ ~ ~ .. , I> I> .. , .. , .. .. .. ... .. .. , .. .. .. ... , ^ A A ^ A ^ ^ A A ^ A ^ ^ ^ ^ ^ A A A A A ^ ^ ^ A ^ ^ ^ ^ A ^ ^ A A . ^ ^ ^ ^ ^ ^ A A A A ^ A ~ A A A A A ^ A A A ^ . ^ ^ ^ ^ ^ A A A A . A. A ^ ^ ^ ^ A A ^ ^ ^ A A A A ^ A A ^ ^ ^ ^ ^ A A ~ ^ A ^ ^ A ^ ^ ^ A A ^ ^ A ^ ^ ^ ^ ^ ^ ^ ^ A #10 ^ A ^ ^ ^ ^ A ^ ^ A A ^ A A #10 A ^ A ^ A . A A #10 #10 ø ^ A A A ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ A A ^ ^ A A A A ^ ^ ^ ^ ^ ^ .. .. " ^ ^. #10 A ^ ^ ^ ^ ^ ^ ^ ^ A A ^ ^ A A A ^ ^ . ^ #10 ^ A #10 . ^ ~^~ ~.~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ .. .. .. .. A.A A. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. A .. .. .. .. A A .. .. .. .. .. A .. .. .. .. .. A .. .. .. .. .. .. A .. .. .. A A .. A .. .. .. e Gasoline Dispenser , .. .. .. .. , .. .. .. .. A Diesel Dispensers D .. .. ... ... ... ... '", ^ ^ .... A A Piping Ditch Product Line . .. . .. Kern County Superintendent of Schools 705 South Union Ave. Plot Plan . e :;r~ .....~.. t North Diesel Gasoline Dispenser No Scale .. A A A A .. A A A A A Canopy and Drive Slab o Diesel Dispensers Vapor Line ~ ,. ,. ". A A .. tt>.'" to.'" .. .. A A A A .. .. A A .. .. ."". ...... A A .. A A .. .. A .. A .. .. A .. A .. .. .. .. A .. A .. .. .. A A .. .. .. .. .. .. .. A .. .. .. A .. .... .. A .. .. .. .. .. A A A . ~ ~ ~ ~ # ~ ~ ~ # I # # # # # # ~ # # # # # ~ A ,. A ^ ,. ^ A ^ ,. A ^ A A A A A ^ ^ ^ ^ A A A A ^ ^ ^ ^ ^ A ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ..... ^ A ^ A A ^ A ^ A ^ ^ A A A ^ ^ ^ A . ^ ^ ^ A A ^ ^ ^ ^ A A A ^ A A ^ A ^ ^ ^ ^ A A ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ A ..... ^ ^ ^ ^ A ..... A ^ A A A A ^ ^ ^ A ^ ..... ^ ^ A ^ A ^ ^ ^ A ^ A A A A ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ Piping Ditch Product Line Vent Lines Gasoline Kern County Superintendent of Schools 705 South Union Ave. Plot Plan e e ".. . . ..... f .- North No Scal~ Gasoline Dispenser ". ~ ". ". ". , .^ ^ ". ^ ^ ^ .. .. .. A A A A .. A " A .. A .. A .. A .. A .. A .. ... .. A .. A ... A " A .. A .. A .. ... .. A .. ... " A " A .. A .. A .. ... .. A , A .. A " ... .. A .. A . . ^ ^ A ^ A ^ A A "" "" ^ A A ^ "" "" "" ^ "" "" "" "" "" ". "" ". ~.~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ , .. .. A , A A .. .. , A A A A .. A .. .. A A .. A .. A A A .. A D Diesel Dispensers Canopy and Drive Slab Diesel A . ". , ". ". ". ". ". , , , , , ". , ". , , , , ". ". , . ^ A ^ ^ ^ ^ A ^ ^ ^ A ^ A ^ ^ ^ ^ ^ ^ ^ ^ ^ A ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ A ^ A ^ ^ A "" ^ "" ^ ^ "" "" A A,."" "" ^ "" "" "" "" "" "" ^ ^ A "" "" "" ^ ^ ^ ^ A ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ". ^ ^ ^ ^ ^ ^ ^ A ^ ^ ^ A ^ ^ ^ ^ A ^ ". ^ A A ^ ^ ^ A ^ ^ ^ ^ ^ ". "" ". "" "" "" "" "" "" ". "" ". "" "" "" "" "" "" "" "" "" ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ A .. Piping Ditch Vapor Line Product line Vent Lines Gasoline Kern County Superintendent of Schools 705 South Union Ave. Plot Plan BJ.tlRSFIELD FIRE DEPARTMENT e ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (805) 326-3979 TANK REMOVAL INSPECTION FORM FACILITY teU\ ~l'GI\+-J Sdt~c I D\6t ADDRESS 7oe;- dV1(c~ fW(... OWNER ~(¡V\ '1hMN.... PERMIT TO OPERATE' ßIL- OfCjÇ" CONTRACTOR .4l'TL"" LIi\C CONTACT PERSON {JQÚI:- LABORATORY aa t'¿¡;¡~ ATL J..ubS it OF SAMPLES JS TEST METHODOLOGY Oen. ,PH· !C, JC' ~-,5" -M1'ß€'"' PRELIMANARY ASSESSMENT CO. Ikt-J: J:~ CONTACT PERSON CO2 RECIEPT lJrQ.Jto ¡;Çð lit; LEL% O2% 7,~ f- ~ .. -- - - - - - -.. -. , 'î I I I I :" ~ "I~ ......... '~0~_. I ... 1.- ____ ____ '-----' .--.-. ._---------- " ,.. '--1 r---, r--, I ... I I .... I I '" : , ,I I I , I I \ ,I I I I: I: I I '" I ¡ I )II I,; I '" I , '. , I; I I ~ I 10 I la, ,j I " I I I" I 10, 0 I : II, ,8, I. I ..... 1";1 .. '51 '" ~ L__J-I--ul lu.J 4-7 - \.('\ J~:. -' \I . -- Ii ~ .11 ... , ¡! '------.--- - --. CONDITION OF TANKS f,h«lw.H CONDITION OF PIPING Bcs..'.f eiJ Id~ iUL ~f ica.~1( (If l"(IAn,~ Nc-rf ..¡" dt~(/}t' CONDITION OF SOIL f JI\ I'Litt 11 (' it ,- , L COMMENTS l'\ ùC'l ~ 1 U'r.\M "II. ( Nt) tk <'If luk r' I Joh.~ s~q¡l ~I' pit, c'EI ftc rtt -1'0 t\' g" 5'~17 DATE - ( 'Jtcv'c l.\ fide- r¡;..'l'~r INSPECTORS NAME J?¡ cM~l1r£ ~ SIGNATURE ~ ~ CITY OF ßAKERS.~~mil No. ~ r~ 'ó~ . OFFICE OF ENVIRONI\'IENTAL SERVICES ~??83 17 t 5 Chester Ave., Bakersfield, CA (805) 326-3979 PERI\HT APPLICATION FOR REMOVAL OF AN UNDERGROUND STORAGE TANK SITE INFORMATION SITEKE,¿til..<.;U/uTySC.HOOLj)/sT ADDRESS 70S L)/ijION ST2Et:./ ZIP CODE C¡330{ APN F ACILlTY NA~1E¡¿bl2.lU CL, SÔl'~D¡ Ù 1'51 (RvS ¡)t=.wr} CROSS STREET TANK OWNER/OPERATOR 7Z.Dù 5UêA/2.6""l?.. (su{Jí J PHONE N0é8D)J C,Sb-'-If)(JO I'vlAILlNG ADDRESS i ~so n +11 ST~ CITY '8AK.C::ìe;)~\6LD ZIP q33D/ CONTRACTOR INFORMATION . COMPANY A.'ì>VA..#J<'£'Ú c.U:A.I'-JUP ï£Ct-I,..ckIC. PHONE Nc(8'ðS) :311- -'7f...S LICENSE NO.6€iJ ÐJ:1 A bb'ðb3(., ADDRESS.4S4~w~L£'t' L~u¿ CITYBA.~"'t'S~\b'l....O CA ZIP C¡3'SDÑ INSURANCE CARRIER 2.UR,IC . LNSiJ(¿MJŒ. co· WORKMENS COMP NO. we.. 3£') '+740 PRELIMINARY ASSESSMENT INFORMATION COMPANY Aùv{>...tV(£D CLJ:=.~A.JùP TËCHJ.P'\K.-PHONE NO. (<6(1;) 3'ìZ-ì7b's LICENSE No.GaJEVG.A (Pb~3fo ADDRESS 45 4-f5 W£c;L~'y LA IIU~ CITY ~,,~Ç'\I£LO Cp... ZIP '1 '3 'fOx INSURANCE CARRIER 2v 12...1(. 4 :r:-N suQ...AI\JC€ Cc . WORKMENS COMP NO. \Ale. 3enS 4-Î'l--C TANK CLEANING INFORMATION COMPANY A 1)VA.N<:"'€O Gí..£AJJUP TEDWOUiil:ilcSS ~,j PHONE NO. ('il>5) 39Z-7ÎG5 ADDRESS 4S 4~ WE$L¿...... L~NI¡¡; CITY BA..~F'OS Flt::'LÛ CA ZIP q~308 WASTE TRANSPORTER IDENTIFICATION NUMBER 3058 NAME OF RINSATE DISPOSAL FACILITY DEHMEJ./o /1:(£12..1>00"-1 ADDRESS "Z.ðöO t-.l - A. L ~M 'ED Po... CITY CO¡.4 ~.() CA ZIP 't D ""¿1.--7-- FACILITY IDENTIFICATION NUMBER c.A.1)o8()o 13352- TANK TRANSPORTER INFORMATION COMPANYADVANC6I> CLt)\lJuP "TEr.!-4.L:NL. PHONE No(80S) 3'iZ-ì 16S LICENSE N06eNEIl6. A '~"3f- ADDRESS 4$4~ Vv'ESLEV LA.I\JE: . ClTY'BAk:EQ..<;~t£U) LA ZIP q33D8 TANK DESTINATION (jOL.-Ot."-t "ST,o...í~ KETAL. Co. TANK INFORMAT!ON TANK NO. AGE I 'z.. --3-- ---- VOLUME \ 0,00 b ID,OOO ¡O,coo CHEMICAL STORED UN L¿:Aû ¡;:: ö D \ E. '56"1- () \ E. ~;¿ L- DATES J' STORED Ie¡ 83 I G¡ &~ \ <1 5<"'3, CHEMICAL PREVIOUSLY STORED -S N-'\e: s"P\ME :-0;_1'-16 Fur t )t1iciall ;~O: (¡n'" APPLICATION DATE FACILITY NO;· NO. OF TANKS . FEE 5.:..-- Till: ;\1'1'1 IC\NT II^S RFCEIVFD. I fNDERSTANDS. AND \VlLI. COMPI.Y wm I TI IE AIT^CIIFD CONDITIONS (>F TI TIS 'I'lUvIlT . \NI) :\NY () 11 IrR Sri\ II:. I.OCAI. AND IFDFRAl. REGUL^TIONS. OWI.E)(iE IS TRW': , S I-\t.Vl vV\ A 'V ' .\PPI.IC\Nr N}\,\¡[E (PRINT) ^PPI.ICANT SIGNATURE THIS APPLICATION BECOME A PERMIT WHEN APPROVED - . -. \ .,-. ~ "-; r_ ALL MID-STATE PETROLEUM EQUIP P.O. Box 81383· Bakersfield, CA 93380· 805-392-1135 / Fax 805-392-1649 0977 ! .~ ; Service Order OISí. ,".i..,"-! '.1' ,#'. . ':'-.-1"--·... -"'I:~:;'---" NT CO. COMPANY p, ó. 9'SZ>ð?3 (Cs, ~~L A< Afi.M $. , ~ . ITEM S_ERIAL NO. MAKC MODEL I I i I __-+___n._=--=._+.=-~~~_=_~_. i .~-- DATE COMPLETED SERVICE REP --I DESCRIPTION OF WORK PERFORMED -----------------------~------.,---- ~-2cS1bJ- __t?r(;(. _ ft tr:.,_ ~HS-9~5 _ ___þr!:J_ t.L~F~t{:O -fr-~--Rr:~TlvA2é---A~(--~¡ç ,..nAc~-~~ --~S6LI2--~.-.-~d~[2<5-~-~5.--~e~~-..n .. - ----~.- -- ....------- - - - ___ ___ ___._ ___. .__ - _____. _.__._._u __ _ . _._ _ _. __________.__ ----------- . - ----- +- ------ -- - ---~------_._---_. ._---~-- --.---- P ART~~ªEINº_USED __. ___ ____ ___L 9~~.l_._.__.l'~~~ I ! Ii. -.... =.=-=~:==-..-n:~_=:=~_=_=~.-~=_=t=-~-~------.~:.- -- ---.----. --.--------.-~.----L.--- - ------ I I ...- -----.--.--------.-,--. I ___________._ n ---------- PUMP TEST PRODUCT _ --.f __..F'RICE PER GAL. i TOTAL GALLONS - I ! i . i u ._____J___________._-=---~_ I I ; ---ì'- --- - --~--------¡----------~--~------- ! i ----·------t-·-- -.~.-- -_.--~ -- ---~ -----¡---- ---~--- ---- ---- ! WARRANTY: COMPANY: ITEM: SER.# MODEL #: WARRANTY EXPIRATION: WARRANTY SERVICE # DATE SENT IN DATE CREDIT RCD_ --- ----._-- -- -'-.--.---- W & MEASURES CALLED ~BOR _.l~RS_LRATE AMOUt::~ TRA~EL TI~4_fzJ~fpð . MILEAGE i/.rb~L.2:~~...s::: LABOR ipiil1~ I ?~ - IJë) WELDER I l ____ MISC. I r, ---, ~l~:_. ~~...~ __ TOTAL LABO~ -7.îl¿Ç TOTAL MATERIALS TAX -~-------- TOTAL POSTED BY DATE I TOTAL MONEy_l__ ACCURACY + - 0 I ! +----~- :n_ __COMPUTER CHANGE--:=~ _I~-OLDGALS t_OLD ~ONE,,---L NEW GALS .1 NEW MO~~~ PRODUCT PUMP II: I -.- -- .------ -.-.. ----------. -- -- - -- -- r-----------·~ ----------- PRODUCT PUMP t¡ ~ _ _ . __ I I PRODUCT PU~IP II n ---~~ ~_____. I -- _u_n.___ _~. -j=_=~--_~--~-__~~~_~J--_~-===~~~=-~.~" I.' :'.' "t:,',>- '_~~~:.";\ ~":,~':/ :", '-:, -.;" .'. '.,----------;--.' ..~. .;"":.¡,~-.".,.: "':,·-t··.('/";.'-; .r,,':,.-·· "."~/' ;.... --:-:J:";";',:.;,;"- ...f"..... . ..,-:.... ,.,.!.;.,. ,'.' '.: .,;.:.~.i,>,'- .', ALL MlD-STATE PETROLE EQUIPMENT CO. .~ .,\ P.O. Box 81383 · Bakersfield, CA 93380· 805-392-1135 · Fax 805-392-1649 . BILLING INVOICE DATE /c9-0-t7f ACCT# PO# C¡5boq~ ZIP q¿~¿!,? ACCT# . . . . qSo . TRAVEL TIME: / ~. /.1¡-; \.':3~, (X') MilEAGE: 0 ~(,L£. A~r I,,~)-- lABOR: /~/~ »,r (~,O() ACCOUNTS DUE AND PAYABLE IN FUll WITHIN 30 DAYS OF BilLING. A FINANCE CHARGE OF 1 1/2% PER MONTH (18% PER YEAR) MAY BE CHARGED ON All ACCOUNTS 30 DAYS PAST DUE PARTS SALES TAX TRAVEL TIME MILEAGE LABOR MISC BALANCE ,.. ':"¡--- . -- -~--------.- ......',' .~ .' I' , -" ,.Y .~~...'>:.' ',,' -r. ,,-r.,';' ~'" .""-><,,.' -:.,. Service Order ALL MID-STATE PETROLEUM EQUIPM TCO. P.O. Box 81383. Bakersfield, CA 93380· 805-392-1-135 / Fax 805-392-1649 1027 s:-q~L COM,3. 1=1 9s:?J293 tA+Jt<'" Nt oN ((OIL.. - "-'of-'( ç/fou; !<-6 fY)/~ú- 5 ¡:;,~ /'r+Nk -# I. ITEM MAKL MODEL SERIAL NO. WARRANTY: -- COMPANY: ITEM: SER. # MODEL #: . WARRANTY EXPIRATION: WARRANTY SERVICE # DATE SENT IN -F---- DATE CREDIT RCD. ._-_.- -_. ------ -.---.----. DATE COMPLETED SERVICE REP, WORK RECEIVED BY W & MEASURES CALLED 12/ q jqC, " M/fltC I< LABOR HRS RATE AMOUNT -- ----- --... DESCRIPTION OF WORK PERFORMED TRAVEL TIME I I~ 5~()O ---- bo. ~ ~_C_º.wE~!1.9A!..____A.__& o~_r_:IE~., ð{<:. -__ MILEAGE ~1-~.Ç(:L -- .LCLfI <-(J~_ _~i"l0-'?rJ.J::.:~71Ç.fc..__~L<-_LEYC.:::' LABOR ¡Vz 15~ .~ -;0 _ , f " WELDER --ð) 0 t~---L'GIAl'=A.ß((,-t'__72.....___, ___K-_CAf?___.lð:~L~-.---_-._n-_.__ ; MISC. -- _.,-----,-- -----,-- .. _.__ ____ ____ __~_ _._ _. ._________.___._ _____,______.._m________ ---- ------ --.-'-'-' --....----- ----.-------- ------------.---- --- ----- . 'On _ _. ~ .. ....u___.. _____....n_ liS _0'0- PARTS BEING USED ------- QTY. PRICE TOTAL LABOR .---- -- TOTAL MATERIALS ________.__n___________,_____ _.____ ------ .-- ~ I TAX ._--'------ søn1 ----- --.--. --- ---- ,------_. ~ --'- f À-) ~OO ,__-,-.a TOTAL /'&.tt? ------- --_. - A~~_u ---- - ... ... . POSTED BY DATE PUMP TEST PRODUCT i P~'CE PER GAL. +~~-=-~-=-= I I ~~ODUCT <:.OMPUTER c;~~;; -:=1 OLD GALS. OLD MONEY NEW GALS. NEW MONEY __H____ - -- ---- ------t----- - ----- ----------- ::~~~~----.- :~~:;--u t-n------ -_.- ----- J -- ---_____________ _ __ __________1.__ __ __ _____~____ ____ ____.__ _________. ___ _____.__ TOTAL GALLONS TOTAL MONEY ACCURACY + - 0 += UNDERGROUND STORAGE TANAsPECTION FACILITY NAME rNi"I Hifh 1ctðð l Ol~J 'T711I19, FACILITY ADDRESS '3(0 ( E. Rr¡(e.. Tt't'l't'c'- Bakersfield Fire Dept. Office of Environmental Services Bakersfield, CA 93301 BUSINESS I.D. No. 215-000 /038 CITY ß:t "-rç,-fit>V ZIP CODE ~l?3f) 7 FACILITY PHONE No. 031 - .~111 10# 10# 10# INSPECTION DATE 7/31 /1'1 DJ 2- 3 Product P~':J~~~ ' prÕ~~&ri TIME IN TIME OUT (j£., . II, I I Ie Ins~ ~~~ Inst ~qe~ Inst ~~e INSPECTION TYPE: I ' I 9 '89 ROUTINE V FOLLOW-UP Size Size Size JJ ,000 IJ.,O(!D ¡J. Ccf) REQUIREMENTS yes no n/a yes no nIa yes no nIa 1a. Forms A & B Submitted ;/ 1b. Form C Submitted II' 1c. Operating Fees Paid V 1d. State Surcharge Paid v 1e. Statement of Financial Responsibility Submitted V 1f. Written Contract Exists between Owner & Operator to Operate UST V 2a. Valid Operating Permit ./ 2b. Approved Written Routine Monitoring Procedure if 2c. Unauthorized Release Response Plan V 3a. Tank Integrity Test in Last 12 Months .¡ 3b. Pressurized Piping Integrity Test in Last 12 Months if - -:- 3c. Suction Piping Tightness Test in Last 3 Years / ~ t1- 3d. Gravity Flow Piping Tightness Test in Last 2 Years V '.J) <: Test Results Submitted Within 30 Days V <r; 3e. 3f. Daily Visual Monitoring of Suction Product Piping ¡/ J ~ 4å. Manual Inventory Reconciliation Each Month ,/ ..~ :? 4b. Annual Inventory Reconciliation Statement Submitted r/ ~ 4c. Meters Calibrated Annually V 5. Weekly Manual Tank Gauging Records for Small Tanks V 6. Monthly Statistical Inventory Reconciliation Results i/ 7. Monthly Automatic Tank Gauging Results V 8. Ground Water Monitoring ~ 9. Vapor Monitoring V 10. Continuous Interstitial Monitoring for Double-Walled Tanks /' 11. Mechanical Line Leak Detectors d 12. Electronic Line Leak Detectors -/ --1 13. Continuous Piping Monitoring in Sumps ,/ 14. Automatic Pump Shut-off Capability ~ 15. Annual Maintenance/Calibration of Leak Detection Equipment v 16. Leak Detection Equipment and Test Methods Listed in LG-113 Series \/ 17. Written Records Maintained on Site ~/ 18. Reported Changes in Usage/Conditions to Operating/Monitoring Procedures of UST System Within 30 Days V 19. Reported Unauthorized Release Within 24 Hours ./ 20. Approved UST System Repairs and Upgrades ,I 21. Records Showing Cathodic Protection Inspection J 22. Secured Monitoring Wells lí 23. Drop Tube d"· 1 RECEIVED BY: / ~/ ~ RE-INSPECTION D I rtiœ .' ) OFFICE TELEPHO~O. INSPECTOR: \ vt: tL L FD 1669 (rev. 9/95) Ur.- _ ~l BAK~ _FIELD CITY FIRE DEPAf eENT HAZARDOUS MATERIALS DIVISION INSPECTION RECORD POST CARD AT JOBSITE F~ FACILITY (J.(S D I\i1 A(lJ-n;JiWQ. ~Þoúi... I'T t.J OWNER ADDRESS ìD.r- .> ÚN1or-J ADDRESS CITY, ZIP CITY, ZIP PHONE NO. PERMIT # INSTRUCTIONS: Please call for an inspector only when each group of inspections with the same number are ready. They will run in consecutive order beginning with number 1. DO NOT cover work for any numbered group until all items in that group are signed off by the Permitting Authority. Following these instructions will reduce the number of required inspection visits and therefore prevent assessment of additional fees. ~Oaz.N &LI\.>-tÇ;éL. 1T N. ~~ I ~ . 'fA'" Ie. M. IìÎ J.. sS" f4'~ M [112.% 2...l (0 (i)((~ TANKS AND BACKFILL INSPECTION DATE INSPECTOR Backfill of Tank(s) Spark Test Certification or Manufactures Method Cathodic Protection of Tank(s) PIPING SYSTEM Piping & Raceway w/Collection Sump Corrosion Protection of Piping, Joints, Fill Pipe Electrical Isolation of Piping From Tank(s) Cathodic Protection System-Piping SECONDARY CONTAINMENT, OVERFILL PROTECTION, LEAK DETECTION . Uner Installation - Tank(s) Uner Installation . Piping Vault With Product Compatible Sealer Level Gauges or Sensors, Float Vent Valves Product Compatible Fill Box(es) Product Une Leak Detector(s) Leak Detector(s) for Annular Space-D.W. Tank(s) Monitoring Well(s)/Sump(s) . H20 Test Leak Detection Device(s) for Vadose/Groundwater FINAL 1/ , Monitoring Wells, Caps & Locks Fill Box Lock Monitoring Requirements CONTRACTOR LICENSE II UST_ <;:2. J \R.. PERMU NO. __ Bakersfield Fire Dept OFFIWE OF ENVIRONMENTAL .VICES UNDERGROUND STORAGE TANK PROGRAM DI -rDCé8. 7J {J .9fò! PERMIT APPUCATlON TO CONSTRUCT/MODIFY UNDERGROUND STORAGE TANK TYPE OF APPlICA TtON (CHECK) o NEW FACILITY ttl MODIF£CATlON OF FACILITY 0 NEW TANK INSTALLATION AT EXISTING FACILITY STARTING DATE 7 - 2 8 - 97 PROPOSED COMPLETION DATE 7 -15 - 9 7 FACILITY NAME K.C. Superintendent of ScEXISTINGFACILlTYPERMITNo. FACILITY ADDRESS 705 South Union Ave. ZIP CODE 93307 TYPE OF BUSINESS Bus Barn & Warehouse APN TANK OWNER K. C. SUDerintendent of SC'hool c; PHONE No. 321-4841 .. ADDRESS 705 South Union Ave. CITY Bakersfield ZIP CODE 93307 CONTRACTOR Lutrel Services. Tnc. CA LICENSE No. 675587 ADDRESS 6315 Snow Road CITY Bakersfiplo ZIP CODE 9110R PHONE No. 399 - 0246 BAKERSFIELD CITY BUSINESS LICENSE No. WORKMAN COMPo No. GWN 101397-97 INSURER Gre at St ate s Tn suran c p r.~mp;:¡ ny BREIFLY DESCRIBE THE WORK TO BE DONE Tnsta lla t ion of two (2) new Douh 1 p-W;:¡ 11 PO Underground Storage Tanks with new Double-Walled pipinE and four (4) new Dispensers with new hoses and nozzles. WATER TO FACILITY PROVIDED BY· CalifoTnia Water Service DEPTH TO GROUND WATER 300' SOIL TYPE EXPECTED;~TSITE Sandy Clay No. OF TANKS TO BE INSTALLED 2 ARE THEY FOR MOTOR FUEL ·iI YES 0 NO SECTION FOR MOiOR FUEL TANK No. VOLUME UNLEADED REGULAR PREMIUM DIESEL AVIATION 1 2 12.000 12.000 x x SECTtON FOR NON MOTOR FUELSTORAGE TANKS TANK No. VOLUME CHEMICAL STORED (no brand name) CAS No. (it known) CHEMICAL PREVIOUSLY STORED ~§,f~~J¡~B~iI"!)~~~~rf~lÏ~~~~~~~~j THE APPLICANT HAS RECEIVED. UNDERSTANDS. AND Will C::::MPl Y WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER ST ATE. LOCAL AND Fi:DERAL REGULATIONS. íHIS~ORM H 5 BEEN COMPLETED UNDER PENALlY CF ?Er?JU('/Y. AND TO THE 3EST OF KNO c/p/ Brvan McNabb / Af . : APPLICANT NAME (PRINT) THIS APPLICATION BECOMES A PERMIT WHEN APPROVED e e ~ubeet v s~, ~~. Fueling Systems Installation Removal and Remediation Bryan McNabb 6315 Snow Road Bakersfield, CA 93308 Lie. # 675587 Phone (805) 399-0246 Fax (805) 399-0311 Pager (805) 321-5453 " -----~ BAKERSFIELD CITY FIRE DEPARTMENT OFFle OF ENVIRONMENTAL S-.,ICES INSPECTION RECORD POST CARD AT JOBSITE FACILITY .... Kern Count erintendent of Sc ~~ ADDRESS 7 0 5 Sou t h Un ion A v e ADDRESS CITY. ZIP PHONE NO. 321-4841 CITY, ZIP PERMIT II Bakersfield 93307 INSTRUCTIONS: Please call for an Inspector only when each group of inspections wiIt1 the same number are ready. They will run in consecutive order beginninç with number 1. DO NOT cover work for any numbered group until all itrtms In that group are signed off by the Permitting Au1hority. Following thel8lnstructions wil: reduce the number of required inspection visits and therefore prevent ......ment of additional fees. TANKS AND BACKFILL INSPECTION DATE INSPECTOR ¡ BackfIll of Tank(s) Spark Test Certification or Manufactures Method Cathodic Pro1BctIon of Tank(s) PIPING SYSTEM Piping & Raceway w/Col/ection Sump Corrosion Protedion of Piping, Joims, Fill Pipe Electrical Isolation of PIping From Tank(.) Cathodic Protection Sys18m-Piping Uner Installation - Tank(s) Uner Inl1allation . Piping Vault With Product Compatible Sealer Level Gauges or Sen8Ol'l, Float Vent Valves Product Compatible Fin Box(es) Product Une Leak De18ctDr(s) Leak DetBctor(s) for Annular Space-C.W. Tank(s) Monitoring Well(s)/Sump(s) - ~O Test Leak Detection Devlce(s) for VadoselGroundwater SECONDARY CONTAINMENT, OVERFILL PROTECTION, LEAK DETECTION FINAL Monitoring Wella, Caps & Locks Fill Box Lock Monitoring Requirements CONTRACTOR L II t r e 1 S e r vie e s, I n c . UCENSE" 6 7 5 5 8 7 _.._.._.. ~QQ_()?/'h t· North No Scale Canopy and Drive Slab Vapor Line Vent Unes Gasoline Diesel e e Gasoline Dispenser ~ A A A A ... .. .. .. .. ~ A A A A .. .. ~ A ~ .. .. A .. .. ~ A .. A .. A .. A .. A ... A .. .. .. A .. A .. A .. A .. A .. A .. .. ~ A .. .. .. .. .. A .. .. .. .. .. A ~ A .. . "'" . "'" "'" "'" "'" "'" "'" . "'" "'" . . .. .. . . "'" "'" . "'" . . "'" .. "'" .. ^ ~.~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ þ þ ~ þ , A A A Diesel Dispensers o I~~~## A A A A .. 'A . A . I I # I I # # # # # # # # # # # # # # # # # ~ "'" . . A . .olio . . "'" . A . . . "'" . .. "'" . "'" "'" "" . . . . "'" "'" "'" "" "'" "'" "'" "'" . . . . . "'" . . . . . . . .. . "'" "'" "'" .. . "'" "'" "'" . . . . "'" . . . . . . "'" "'" . . . A A""'''''' . . . A A A A "'" "'" A A . A A . A "'" .. ^ . A .olio "'" "'" . A ^ . A "'" "'" . A A A""'. .. . A "'" . .. . "'" . .. "'" .. "'" .. . . . "'" "'" "'" . "'" "'" .. . ^ ^ A A A A A A . .. "'" .olio A . . ^ A . A . . A .. . "" A "'" A A Piping Ditch Product Line Kern County Superintendent of Schools 70S South Union Ave. Plot Plan t" North No Scale Canopy and Drive Slab Vapor Line Vent Lines Gasoline Diesel e .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. :: 0 .. .. .. .. .. .. .. .. e Gasoline Dispenser Diesel Dispensers .... A A A A .. . . i ~ .-. ~ ~ ~ ~ ~ ~ i ø i .-. ~ .-. i # .-. # .-. # .-. . .... .... A A .... .... .... ^ .... A A .... A ^ .... A .... A A ^ .... A .... .... A A A ^ A A ~ A A A A A A A A ^ .... A A A A A .... "'" A .... A .... A .... A .... A A .... "'" .... .... A A .... .... .... .... "'" .... A .... .... A A A .... .... A "'" .... A A .... A .... "'" .... .... A A A A A .... .... A .... A "'" .... .... .... .... A A A A A A A .... "'" .... .... .... .... "'" .... .... A A .... .... .... .... .... "'" .... .... .... "'" "'" .... .... A .... "'" .... .... A A .... ^ A .... .... .... .... .... A .... A A A ^ .... ^ A .... ^ A ^ # .-. .-. .. .. .. .^ A ^ A .... AI Product Une Piping Ditch Kern County Superintendent of Schools 70S South Union Ave. Plot Plan t· North No Seal" Canopy and Drive Slab Vapor Line Vent Lines Gasoline Diesel e , .. .. ,. ,. , .. ,. .. ,. .. o . Gasoline Dispenser Diesel Dispensers ~ .. .. .. .. .. '"",A ^ 4 A A .. . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . A ^ A ^ A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A ~ A A A A A A A A A A A A A A . A .. . A .. .. A A .. . .. .. ". . .. .. .. A .. A A A A A A A .. A A A .. A A . A .. A A .. A ". ". A A A A . A A A A .. .. A A A A A A .. A .. .. A A .. A A .. A ". . .. .. A . . .. .. .. .. .. .. .. . .. . ". .. A A A A A A A A A A A A A A A A A A A A A A A A Product line Piping Ditch Kern County Superintendent of Schools 705 South UlÙon Ave. Plot Plan ,;;- -:;=-:;-, e Permit Nil. ~ -0/ b Cj CITY OF BAKER.ELD PJ {* " , .OFFICE OF ENVIRON!\tIENTAL SERVICES ~738 1715 Chester Ave., Bakersfield, CA (805) 326-3979 PERl\HT APPLICATION FOR REMOVAL OF AN UNDERGROUND STORAGE TANK SITE INFORMATION SITE Kt:¡2.~C.:t>tUTY SLHOOLDiST: ADDRESS 70S lJlVIOIÙ 'S:T2.e::.i ZIP CODE C(3 30 ( FACILITY NAt-.1E¡¿G"I2.¡IJ Ct.' $rhMI Ù 1'>1 {ßvS í}Eo.-ød CROSS STREET TANK OWNER/OPERA TOR ROo. S" U e Á t2.~e... (5u PT ) PHONE NOC8OSJ l\.'IAILlNG ADDRESS i ~SO n foil ST2.é~ CITY 13A.Kt::ì25~\ELD APN ~3b-WY)O ZIP Cf33D/ CONTRACTOR INFORMATION COMP ANY Ä.'i:>'I/ A..A.)(£(j C.leA.\)(}p ·T£(t-IJ.rA.J(. ADDRESS 454q W ËSLg 't' L A.ù¿: INSURANCE CARRIER 2.U/Z.IC ~ LN5¡)(¿A~uz. GO· PHONE No(3OS) ÓQ2.-'7fø5 LlCENSENO.6€U&~ A bb~h3" CITY BA.I¿.t')'2..$'Ç.\b"Lð CA ZIP ct3 sD~ WORKMENS COMP NO. we.. 3£') '+740 PRELIMINARY ASSESSMENT INFORMATION COMPANY A.Ù\J/>...IVÚ::.I:> CU=.~A.JoJ¡' TEC.HJP\lC-PHONE NO. (~a;) 3'ìZ-l7h.s LICENSE NO.GalfU(,i.A (Pb~3fe, ADDRESS 4S~ W€SLtõ<;~ LA"-I~ CITY ~~~¡::'Ic:LO cþ.... ZIP£1-3?o8 INSURANCE CARRIER 2V\2..K.4 TN SuQ..þ.I\H.:E c..c . WORKMENS COMP NO. we. 3(..,54-í'+-C TANK CLEANING INFORMATION CO~IPANY A t>v'A.Ñ<.:..EO Gl£1WUP TEOWVUJItÓI~ I~¡J PHONE NO. (<JDS) 39Z-ìÎGS' ADDRESS 4S 4g w~Su::'( Lp...A.J~ CITY BA..~F'OS FI~ C-A. ZIP q~308 WASTE TRANSPORTER IDENTIFICATION NUMBER 3058 NAME OF RINSATE DISPOSAL FACILITY 'DEHMENo /1(£/2..1)Oo¡.J ADDRESS -z.oöO f'-.l- A..'-~M6.DA.. CITY (OM~,() CA. ZIP C¡02-1--'l.,; FACILITY IDENTIFICATION NUMBER CÀ'D08(\o 1'3352.- TANK TRANSPORTER INFORMATION COMPANYADVA/\JŒDCLEJ\Alu¡:>rea~I.I:NC.. PHONE No(&>S) 3CfZ-ìì6S LlCENSENO~NECl6.A '/;8'31- ADDRESS 454~ vJESl.E~ Lt\¡\J€ . CITYEAICEQ..<::,,::'t::.-U> CA ZIP '13308' TANK DESTINATION (jo¿..Ot-"-l 'STAí~ METAL. Co. TANK INFORMATION TANK NO. AGE I Z. --3-- -- VOLlJr-.1E \ 0100 b ID,OOO 10,COO CHEMICAL STORED UN LE:.Að ¡;: lJ DIe. ~êl- D\E.~¿L- DATES ;;I STORED ¡q 83 i q g-:s \ '1 5'<3 CHEMICAL PREVIOUSLY STORED -S ÄJ"\E: S'f\MI¿ :'S~M6' Fur ()Jiciall i~c ()nl\· APPLICATION DATE FACILITY NO. NO. OF TANKS . FEE $_ TIIF ;\I'I'IIC.\NT liAS RFCElVFD. t JND·:RSTANDS. AND \'lILL COMPI.Y Wfm TilE AITACIIF) CONDITIONS OF TITIS 'IOIUvIlT .\NI> :\NY (HIII·:R ST;\ II:. U >CAL AND Il:DFRAL REGULATIONS. OWJ.I])liE IS TRUI·: . _' S 1-\t..\1 vV\ A 'V. .\I'I'I.!C\NT NAME ¡PRINT) APPI.lCANT SI<iNAnJRE THIS APPLICATION BECOME A PERMIT WHEN APPROVED e e ~.~ ~ <~'7 ADVANCED CLEANUP TECHNOLOGIES, INC. Hazardous Waste Ma(l~"ement I Specialists'" '0 : IWÆ~®15 . .... . _ . 'v' --:,IJ '$.0- __: -'~, ,,,__' ~; ~_ ~~,~:~·:·,~~>:',_::.,S;'~; Fax: 805 392-7762 4548 Wesley Lane Bakersfield, CA 93308 Charlie Sherman Hazardous Materials Specialist Environmental Consultant u tit s ~~:~ ..- -... . -, - ,- EPA 10 No: CAD983620402 CA Waste Hauler No: 3049 CAL T No: 174875 CHP No: 89445 A-Gene~al:Eng. License No: 668636 .~ ~ " I ,.. -~------~ e - 6T OLfdS: CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES UNDERGROUND STORAGE TANK PROGRAM 1715 Chester Ave., Bakersfield, CA (805) 326-3979 . APPLICA TION TO PERFORM A TANK TIGHTNESS TEST FACILITY KERN COUNTY SUPERINTENDENT OF SCHOOLS ADDRESS 705 South Union Avenue, Bakersfield, CA PERMIT TO OPERA IE # OPERATORS NAME Darrell Simons OWNERS NA\1E Kern County Superi ntendent of School s NUMBER OF TANKS TO BE TESTED 3 IS PIPING GOING TO BE TESTED Yes TANK # VOLUME CONTENTS 1 2 12K 12K DSL DSL 3 12K UL T A.~'K TESTING COMPANY CONFIDENCE UST SERVICES, _}NC. MAlLDIG ADDRESS. 417 Montclair Street, Bakersfield, CA 93309 NAME & PHONE }.l.JMBER OF CONTACT PERSON Cheryl Young; (805) 634-9501 TEST METHOD Alert 1000/1050 Underfill NAME OF TESTER James Rich CERTIFICATION # 99-1072 DATE&TIMETESTISTOBECONDUCTED May 7, 1997 at 8:30 a.m. <l¡¡j; APPRO~ 4/ì3þ¡ ¡ ¡ i '-- DATE RRE OIIEF MICHAEl R. KEllY ADMlNISlIA1M SEIMCES 2101 ·W Street Bak8fSfletd. CA 93301 (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SEIMCES 2101 ·W Street BokelSfield. CA 9330 1 (805) 32~3941 FAX (805) 395-1349 PREVENOON SEIMCES 1715 Chester Ave. Bakersfield. CA 93301 (805) 32~3951 FAX (805) 326-0576 ENVIRONMENTAl SERVICES 1715 Chester Ave. Bakersfield. CA 9330 1 (805) 32ó-3979 FAX (805) 326-0576 TRAINING DIVISION 5642 Victor StreeT Bakersfield. CA 93J08 (805) 399-4697 FAX (805) 399-5763 . ~ . - - BAKERSFIELD FIRE DEPARTMENT February 3, 1997 Kern County Superintendent of Schools 1300 1 Jh Street Bakersfield, CA 93301-4504 "'" RE: Underground Storage Tanks located at Kern County Superintendent of Schools Service Center, 705 South Union Avenue. Dear Kern County Superintendent of Schools: As I am sure you are aware, all existing single walled steel tanks that do not meet the current code requirements must be removed, replaced or upgraded to meet the code by December 22, 1998. Your tanks do not currently meet the new code requirements and therefore fall into the remove, replace or upgrade category. Your current operating permit expires on or before that date and of course will not be renewed until appropriate upgrade of your tank system is accomplished. In order to assist you and this office in meeting this fast approaching deadline, I have attached a brief questionnaire addressing your plans to upgrade these tanks. Please complete this questionnaire and return it to this office by Tuesday, February 18, 1997. If you have any questions concerning your tanks or if we can be of any assistance, please do not hesitate to contact this office. Sincerely, -d~~ Ralph E. Huey Hazardous Materials Coordinator Office of Environmental Services REH/dlm attachment IY~de W~ ~~Oh!-~ A W~" e FIRE CHIEF e MICHAEL R. KElLY ADMINISTRATIVE SERVICES 2101 'W Street Bakersfield, CA 93301 (805) 326-3941 FAX (80s) 395-1349 SUPPRESSION SERVICES 2101 'W Street Aakersfield, 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-D576 TRAINING DIVISION 5642 Victor Street Bakersfield, CA 93308 (80s) 399-4697 eFAX (805) 399-5763 e - ~ . ~ BAKERSFIELD FIRE DEPARTMENT December 10, 1996 Kern County Superintendent of Schools Service Center 705 South Union Avenue Bakersfield, CA 93307 RE: Underground Storage Tanks located at Kern County Superintendent of Schools Service Center, 705 South Union Avenue. Dear Kern County Superintendent of Schools: / As I am sure you are aware, all existing single walled steel tanks that do not meet the current code requirements must be ¡;(moved, replaced or upgraded to meet the code by December 22, 1998. Your táhks do not currently meet the new code requirements and therefore fall into ~þ.6emove, replace or upgrade category. Your current operating permit expires ,on' or before that date and of course will not be renewed until appropriate upgrade 'of your tank system is accomplished. .' In order to assist you arid this office in meeting this fast approaching deadline, I have attached a brief questionnaire addressing your plans to upgrade these tanks. Please complete this questionnaire and return it to this office by Friday, December 27(1996. .' If you háve any questions concerning your tanks or if we can be of any assistance, ?l~se do not hesitate to contact this office. / / / ¡/ Sincerely, ~~. Ralph E. Huey Hazardous Materials Coordinator Office of Environmental Services REH/dlm attachment ·Y~~.~~ ~ vØ60Pe ~ A ~~ " FIRE CHIEF MICHAEL R. KELLY AOMINISTRAnVE SERVICES 2101 ow Street Bakersfield, CA 93301 (805) 32ó-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 oW Street Bakersfield, CA 93301 (805) 32ó-3941 FAX (805) 395-1349 PREVENnON SERVICES 1715 Chester Ave. Bakersfield, CA 93301 (805) 32ó-3951 FAX (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 (805) 326-3979 FAX (BOS) 326-0576 TRAINING DIVISION 5642 Victor Street Bakersfield, CA 93308 (805) 399-4697 FAX (805) 399-5763 ~ . ey ~ BAKERSFIELD FIRE DEPARTMENT December 10, 1996 Kern County Superintendent of Schools Service Center 705 South Union Avenue Bakersfield, CA 93307 RE: Underground Storage Tanks located at Kern County Superintendent of Schools Service Center, 705 South Union Avenue, Dear Kern County Superintendent of Schools: As I am sure you are aware, all existing single walled steel tanks that do not meet the current code requirements must be removed, replaced or upgraded to meet the code by December 22, 1998, Your tanks do not currently meet the new code requirements and therefore fall into the remove, replace or upgrade category. Your current operating permit expires on or before that date and of course will not be renewed until appropriate upgrade of your tank system is accomplished. In order to assist you and this office in meeting this fast approaching deadline, I have attached a brief questionnaire addressing your plans to upgrade these tanks. Please complete this questionnaire and return it to this office by Friday, December 27, 1996. If you have any questions concerning your tanks or if we can be of any assistance, please do not hesitate to contact this office. Sincerely, ~?!Þcr . Ralph E. Huey Hazardous Materials Coordinator Office of Environmental Services REH/dlm attachment ÓY~~W~~~~~AW~" CONFIDENCE~UST~ 8056313872 P.01 i -- ..i" ~,~ e -- 5643 BROOKS CT BAKERSFIELDCA.93308 (805)392-8687 ALERT 1000 UNDERFILL AND ALERT 1050 ULLAGE SYSTEM precision Underground Storage Tank System Leak Test 'TEST RESULTS Test Date: OS/28/96 BILLING:CONFIDmNCE UST SER. 417 MONTCLAIR ST. BAKERSFIELD, CA.93309 SITS:K.C.SUPERINT. OF SCHOOL 750 So. UN¡ON AVE. BAKERSFIELD, CA.93301 PRODUCT VOLQME (GAL) %FULL WETTED P~TION NON-WETTED PORTION PRODUCT LINE LEAK D!TECTOR WATER I~ TANK UNLEADED 12000 96%' -0.029 PASS -0.004 PASS 0" #l-DIE$EL 12000 87% -0.041 PASS -0.001 PASS 0" #2-DIESEL 12000 65t +0.041 PASS ~O.OO6 PASS 0" WATER B1I.T·I..1\YCR Measurements showed that water in the backfill area at the time of testing was below tank bottom, and therefore not a factor in test determination. A precision test was performed on tanks at the above location using the Alert 1000 underfill system and the Alert 1050 ullage system. I have reviewed the data produced in conjunction with this test for purpose of verifying the results and certifying the tank systems. The testing was performed in acorrdance with Alert protocol, and therefore satisfies all requirements for such testing as set forth by NFPA 329-92 and USEPA 40 CFR part 2BO. The results of testing are shown on the following page, and indicate whether the wetted and non-wetted portion passed or failed. Included with the report are reproduction of data compiled during the test which formed the basis for these conclusion. This information is stored in a permanent file if future verification of test results is needed. AL\NC 04.0 Tã::;if4 k ¡f{m~s J. æ;~J State cert#90-¡072 N ~ Q. N t- oo t<') " ~- iii ~ 00 ~: I- (I). :J ~ UJ W Z UJ ¡::¡ ... ~ o_ W t I CHENtJ I. d 11 'I ... ~ , CI.. N I"- OJ t4) ... t4) II! iii ~ 0.75 OJ .- .' ., M .. .. r 0- , N ~.: U ...¡ T .:l; 3 ... ". E I- };!- 00 '., S :J I.~# ... W U z 5 w ~ .... u. z 0 u . ALERT TECHNOLOGIES PLOT OF ULLAGE TEST DA TA KERN COUNTY OF SCHOOL 705 So. UNION AVE. BAKERSFIELD. CA.93301 12000 GALLON UNLEADED TANK 12KHZ AMPLITUDE RATIO 1.5 25KHZ AMPLITUDE RATIO 1.5 750+ 750+ 0.75 M I N U ~ 3 S 5 12KHZ DETECTION RATIO = 1.01 25KHZ DETECTION RATIO = 1.02 TEST RESULT = PASS DATE AND TIME OF TEST: 5/28/96 5: 53 PM BEGINNING BOTTLE PRESSURE = 1000 ENDING BOTTLE P~ESSURE = 1000 BEGINNING TANK PRESSURE = 1.5 PSIG ENDING TANK PRESSURE = 1.5 PSIG N (g D.. N t- oo t4) ... ~e iii (g 00 un .~ .. .. . -. -...- . . ~ I- <n ~ ~ UJ U Z UJ ¡:¡ ... IJ.. e Z Q U I I CHENV I . d 12 II II i I I ·1208Ø 9 a [ Ii! l-D IESEL : : : (~. . ~ :: ::: .,. .. ,..,.,., ...., . . .~. .. ~. . #.. ,... . .. ....... ..... . . .. .. .. . . . . 0.841 M ~ , a. N r- oo M P4 M \D iii ~ 00 0.75 .. I- 00 :I .. UJ U Z UJ ¡:¡ ... LL Z Q U M I N U J 3 5 5 ALERT TECHNOLOGIES PLOT OF ULLAGE TEST DATA KERN COUNTY OF SCHOOL 705 So. UNION AVE. 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':':" . : :.:::::::::::;, :.:. ::T:::::'[iir¡.;;· ;::..:::·..:n:::::::.::·:.; :.:..: :: :3trit~ :::;::,::' .. ....... ::::::'::: :::,:: . :::;: :,:'::::::::. .::.':::"':::' "':' :" ..... ..... ..,:::: .... .:::.:::::::j':;:T}:;: :::::"":.::':" . ::::.. .. :.. .. ... ::::::';;':.l::::::::...., . .. ..... .' :/::. '.;:::: ::~~:i·:. ::. .: .: :::<::.:;:·;:;T:¡:¡i:::: ':ji:: ::::. ::::: .:': ,:.:;;, ,,:::.. :¡>:>::+::.¡':::j.. . :: .:'::.:' :::: ...::::::::. ;:::':[~:i:n:i:::::::: ;:'~;:;:¡:.:::: ':":j'¡'i :':::::;: ::. :.: .... . : .:: :-::::;::i¡i ::<~:):,:::--::. ,:::;¡::j::::::;¡~::::ñ:~::: ;::):" .::: :::....::: ::::':':"'..' :.. ',::.::: :..:'::.:''';;':''':::::" ::::: .::: ..., .::;'''': ...,::,::..':'.:::...:: ,:.....:,:'.:.:::'::: :":::. '::'. .::::::;:.::::::::::.:.:::'::::::;:::::::.::::::.......:'::::':..::..... ::::::.. ::::::..:.:" ".:':.':::::' :::;:::::: . ....:: : ....:.. ::"':;'::.. . ..... :..: :::::;:..... ........ .... .... . . ,,:::. ...... .::' :::; ':::::::. ... ::::;i:'" . .,...... . . . :::::: "::·:':::F·:· .... .::::':::::::::,:::',::::..... . ",,:::1' ' : .'. ~:; Y;'/,;;';.,... "/" ;>ij:~":L'ø~i:,',,::,:·;i: "":i';.'" "ï';i'i; · ,";;'/;;;. ..:::.~ ;'5 '.. :,)";;'''''i',;:',:;; i'~~Î;.¡:~:;:i' ; ;'1: i:;; " ',;;;:~:¡t::¡;;1i:I'::~'\'J'¡':2,¡¡I;i' ',,<;'>;: .' ·;';'i. .,~..,:i.'~ ":5 ',:;;';¡'; . · :. ." .', ;;"X;"';¡'::':[~IT,k¡'%;': 11 gal IEREL .. .. 1 iii ~ . Q.. N r- OO 14) ... 14) \D iii ~ 00 0.75 ~ I- IJ) :¡ ~ W U Z W ¡:¡ ... 1.1. Z Q U M I N U ~ 3 S 5 ALERT TECHNOLOGIES PLOT OF ULLAGE TEST DA TA KERN COUNTY OF SCHOOL 705 So. UNION AVE. BAKERSFIELD. CA.93301 12000 GALLON #2-DIESEL TANK 750+ 25KHZ AMPLITUDE RATIO 1.5 750+ 12KHz AMPLITUDE RATIO 1.5 0.75 M I N U ~ 3 S 5 12KHZ DETECTION RATIO:::: 1.04 25KHZ DETECTION RATIO:::: .983 TEST RESULT:::: PASS DATE AND TIME OF TEST: 5/28/96 5: 59 PM BEGINNING aOTTLE PRESSURE = 1000 ENDING BOTTLE PRESSURE = 1000 BEGINNING TANK PRESSURE = 1.5 PSIG ENDING TANK PRESSURE = 1.5 PSIG \D ~ Q.. N r- oo 14) ... ~'e ~ 00 ~ I- IJ) :¡ ~ W U Z W ¡:¡ ... ~e u CONFIDENCE+-UST+- e 81356313872 e P.ø7 DA TE: S-2sr--96 WIO #: RICH ENVIRONMENTAL ~\{JÇE STATION S£RJLlCES 5643 BROOKS COURT BAKERSFIELD, CALIFORNIA 93308 (805) 392-8687 T.~~I LT-3 Øydrastatic Produc~ Linè T~B~ Reøul~ Sheet SITE: Jt-t.=.fÙ .s~/~DO'Ø1JT S~ "/þ.5: 3 ~ fÅAJ 1 ðA1 /J-td &j(~~ e:::µ. ~'ßðJ PRODUCT START TIftE END TIME IREApING tREADING 00;00/hL 00:00/~L ( ps.i ) TEST PRESSURE VOLlIriE RATE RESUL.T PASSI FAIL (GPH> -,Oð -;. 00 I cer~i£y that the above l~ne tes~s yere conducted on this Qet.e according to the equ1.p~&n't manufacturer's pröcedures and l1m1tations and the reQultø a. l~sted are to my knö~ledge tru.e and ~orrect. Signature: ~ ¿fl /J~ Tech.: &~7R/~H OTTL# ·90- Z07;;2... !t!r"a Cert.. It </1 t:1o~ HOTE: The test dat.a collection time period must be f1£~een minutes. . The ~eet pass/fail is determined ~s~ng a thre$holØ o£ 190 ~l per hour (0.05 GPH> rate at 1501. vorking pressure or 50 pS1 ~h1ch ever ia less. The GPH rate is calculated as: mIl 0.0010G. . . -<4'~ .. CONFIDENCE+-UST+- e 81356313872 . P.ø8 DATE: .s"':¿R-~~ WIO #: , RICH ENVIRONMENTAL (~S) 392..8667 5643 BJ.OOKS cr. BAIœR.SFIEID. CA. 93308 L. :AK DETECTOR TEST DA TA SHEET 5'TE: k'£I.~} SlAf'"/~,4Jf}~A.J} St.<Pððl.. ~p.s <::., ~ A." dD ðl~j~ ~tt:,~~~~ &If'" <7,~? fRÖDUCT LEAK DE7'ECTOR TYPE TEST TRIP FUNCTONAL DRAIN PASS TYPE SERIAL NUMBER BELOW PSI ELEMENT BACK OR 3 GJ'H PSI ML FAIL LID TYPEIŒa'ttt~~Ø T SERIAL # 9;Jj.Q/- ~~<'" LID TYPE ~~~ 'LL.f ~ SE~IAL # ~J¡q 1Â-"5fJ? LID TYPE ~ ~ ~s..P SERIAL'I# ..~qq-l_ ~<d' LID TYPE YES PASS SERIAL ,. NO FAIL LID TYPE YES PASS SERIAL # NO FAIL LID TYPE YES PASS SERIAL .. NO FAIL certify the above tests were conducttKI on thlt$ date acconJíng to Red Jacket Pumpll field test apparatus testing pr >ce<fure Bnd limitations. The Mechanlœl Leak Detøc:tør Test pass lfail is determined by using a low flow threshold tr() rate Of 3 gallon per hOur or leS$ at 10 PSI. I acknowledge that all data collected Is tnJe and correct to the best o . my knowledge. n TCHIC/AN: ~t'J1nES.T /?ICJ:I OTTL # C¡O-/07Ç;¿ C, )MMENTS: . . BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION ~~~ Bakersfield, CA 93301 15 Chester Avenue (805) 326-3979 Third Floor - 17/-0311 . APPLICATION TO PERFORM A TIGHTNESS TEST ? rI / t£-,¿( 61<-/ KERN COUNTY SUPERINTENDENT FACILITY OF SCHOOLS ADDRESS 705 So. Union Avenue PERMIT TO OPERATE # OPERATORS NAME Darrell Simons OWNERS NAME Same NUMBER OF TANKS TO BE TESTED 3 IS PIPING GOING TO BE TESTEDYes . TANK # 1 ? :1 VOLUME 12K 12K 12K CONTENTS DSL DST. U/L CONFIDENCE UST TANK TESTING COMPANY SERVICES, INC. 417 Montclair Street ADDRESS Bakersfield, CA 93309-179 TEST METHOD Alert~"ndeifill NAME OF TESTER James Rich CERTIFICATION # STATE REGISTRATION # 90-1072 DATE & TIME TEST IS TO BE CONDUCTED May 28, 1996, 3:00 p.m. ~~~ 5/21/96 DATE . . BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 1715 CHESTER AVE., BAKERSFIELD, CA 93304 (805) 326-3979 APPLICATION TO PERFORM A TIGH'l'NESS TEST ~., ð a~ 1 ?Ä Kern Coùnty Supt. of Sc~ FACILITY ry1,...;:anc::rt""\r~;:at· -1 nn Ã. M;:a -í nt~,::a~SS 705 S. Union, 93307 . PERMIT TO OPERATE i OPERATORS NAME Kern County NUMBER OF TANKS TO BE TESTED 3 OWNERS NAME IS PIPING GOING TO'BE TESTED~ . t, TANK # VOLUME CONTENTS UNL UNL DIESEL 1 2 3 1? nnn 12,000 12,000 TANK TESTING COMPANY Brockway's ADDRESS 2014 S. unior(À~e.. #103 Bakersfield, CA" 93307 TEST METHOD Ibex Tank Test/AES(now WER)PLT-100R Line Test NAME OF TESTER Robert Brockman CERTIFICATION # 92-1251 STATE REGISTRATION i DATE & TIME TEST IS TO BE CONDUCTED JuLy r?Â:f..Pi-I. c:. +-f ~ yI AP',AP ROVED BY: ~ 'W,¡va July 5, 1995 DATE 8, @ 8 AM ~QAAkA -- SIGNATURE OF APPLICANT tJo-.e.: ,Jor j:>«Ac"T'<:.A(,. 'TIJ St.fo\C'1)c.n..~ t)u(Z.''''(r ~~u.te.. -acJ.1/~.s ~# ~ ~~ \ rr ~~ 1=Þe . ~. IBEX Precision Tank Test BROCKWAY'S TANK TESTIN9 Bakersfield, CA. USA (805) 834-1146 Test Identification Test Date Start Data Collection Ending Test Period Time Filled for Test SUP95-1 07-08-1995 07:08:52 09:36:18 16 hrs. f\E.C~\~E\O ~ \qq:, \j\j\. , J.; . "i" 0\\1· "'i N\f\ \ . ~fX¡...· Performed for: Test Location: K.C. Superintendent of Schools 705 S. Union Ave. Bakersfield, CA Tank Data TANK ID. Volume Depth Bury Groundwater Tank Type Test Fluid :North :12000 :36 :> 15 FT :1 Wall Steel : Unleaded CONTENTS Diameter Product level Pump Type Water in Tank Vapor Recovery : Unleaded :92" :105" :Turbine :0 :Phase II I ** Test Report ** Average Rate of Change is based on 244 Data Points Standard Deviation ............. .0187 Gallons - Volume change of Tank Contents - Net Volume * (60 min/Test Time) .0518 Gal. * (60/ 61.42 min.) = .0506 Gph. - Volume change due to Temperature - Avg. Temp. * Volume * Coef. of Expn. * (60 min./ Test Time) 0.0027 Deg.F * 12000 Gal. * 0.00063 * 60/ 61.42 = 0.0201 Gph. Net change = Level Volume - Temperature Volume NET CHANGE 0.0305 GPH. Based on the Information provided and the Data Collected This Tank & Flooded Lines Test has...... PASSED Certified Tester: Robert Brockman # 92-1251'--~~-~L This Test complies with.U.S.EPA and NFPA requirements. No other warrantees are expressed or implied. WO.SUP95 TeMP.: 9.9291 Gph. o ¡1.J__...~.~1,"~~~J~...~".,ti..¡u~w~.¡1~.i~~....,~...J.~~ . 5 gal. e .25 Level: 0.0506 Gph. o ...~_..nL.._.D.~D.h..B~~ø..æ.~I~IIII~edmeDIIIßløal~~EIII . 5 gal.- .25 Net Change Gal. . 0 ".1~·~~~~·~1i1&..'...~~'1'~'·T~j~·w~1i~f'~~*diœi.~M~.~b Ue~tical Scale 1 : .01 gal. 61.4 Min. 5 gal. :1 Tank No. 1 No~th Product Unleaded Test Date 97-08-1995 Length (Min.) 61.42 Level Precision .99155 TeMP. Precision ~Q0151 NET CHANGE : 0.0305 G~h. Test Level -- .-- ."' ."' ... , .1' , ( \ \, ." ...... ...- .-- --- DiaMete~ Liquid Level Ground Water -- --. ... ... ."', ". 92 \) 195 9 I / / ~. .' ... .. .. --- - !¡ e e Product Line Test Test Location Owner ( If Different) Name: K. C. Superintendent of Schools Name: Address: 105 S. Union Ave. Address: City: Bakersfield~ CA City: Contllct Name: Darrell Simons Phone Number: ( 805 ) 321-4812 Tank ID : North Dispenser Is: ~ Product Unleaded Operating ~sW'e 25 psi T est Pressure 50 psi TEST Time V olwne Volume Change Rate ( Gph ) 00 Minutes A 100 ml. + 15 Minutes 8 165 ml. IE-A) 15 ml. +15 Minutes C 158 ml. IC-B) 7 ml. .007 gph. C01YIIersÎan .. ìml I 15min I 0.0158311 .. Gallons Per Hour Continuation TEST (if required) Time Yolwne V olwne Change Rate ( Gp~ ) 00 Minutes A ml. + 15 Minutes B ml. (B-A) ml. + 15 Minutes C ml. (C-B) ml. ¡ph. This TEST was performed with the AES PL T lOO-R Line Testing Unit The AES PLT 100-R has been Third Party Tested in accordance with U.S. EPA Protocol. The results ofthis Protocol Test are available upon request. A FAlL is declared if the Rate is Greater than 0.05 gph. Test Results PASS Tester: ~ ~J. Date: July 8. 1995 Robert Brockman License No. 92-1251 The Tester certifies this testwð.S conducted in accordance with the manufacturers suggested protocol. No other warranties dTe expressed or implied. Product Line Leðk Detector ~YES_NO Brockway's, 2014 So. Union Ave., Bakersfield, CA 93307 805-834-1146 I: e e IBEX Precision Tank Test BROCKWAY'S TANK TESTING BakersfIeld, CA. USA (805) 834-1146 Performed for:· Test Location: K.C. Superintendent of Schools 705 S. Union Ave. Bakersfield, CA Test Identification Test Date Start Data Collection Ending Test Period Time Filled for Test SUP95-2 07-08-1995 07:08:52 09:36:18 16 Hrs. Tank Data TANK ID. Volume Depth Bury Groundwater Tank Type Test Fluid : Center :12000 :36 :> 15 FT :1 Wall Steel :Diesel CONTENTS Diameter Product level Pump Type Water in Tank Vapor Recovery :Diesel :92" :122" : Turbine :0 :N/A :1 II ,I i ** Test Report ** Average Rate of Change is based on 243 Standard Deviation ............. .0195 Data Points Gallons - Volume changè of Tank Contents - Net Volume * (60 min/Test Time) -.0371 Gal. * (60/ 61.17 min.) = -.0363 Gph. - Volume change due to Temperature - Avg. Temp. * Volume * Coef. of Expn. * (60 min./ Test Time) -.0163 Deg.F * 12000 Gal. * 0.00043 * 60/ 61.17 =-.0824 Gph. Net change = Level Volume - Temperature Volume NET CHANGE 0.0461 GPH. Based on the Information provided and Data Collected This Tank & Flooded Lines Test has...... PASSED Certified Tester : Robert Brockmsn # 92-1251 ~~ This Test complies with U.S.EPA and NFPA requirements. No other warrantees are expressed or implied. WO.SUP95 TeMP.: -.9824 Gph. 111 '...."9..~ft~~~~~~~I.R'I'II~~III..I~II.1111'.IJ.IJI'IJ'I~~ . 5 gal. ~~.. I £à ,,' Level: -.0363 Gph. ø .--------~..œoo..eœ.H.n.mD.uE.m~·I~I'IBD.DRIDal~i~.1111IUE I' c:' 1 . J ga . .25 .Ne t Change Gal. . 111 ,....".."6Ulllij.~.III.y~.~Mn~..u.ll·lmuui.llillnU..il Vertical Scale 1 : .91 gal. 5 gal. 61.1 Min. . Tank No. 2 Cente~ Pk'oduct Diesel Test Date 07-98-1995 Length (Min.) 61.17 Level P~ecision .90939 TeMP. P~ecisi~n ~9QIQ3 NET CHANGE : 0.9461 G2h. -} - Test Level -- -- ..- .. 0"' ,. i' ( \\ "'" ".. ....- .---- - '- -- -.. ... ... ... '... o,\,. 92 '. ~22 ) I l I' , /0 ..0 -- ... --- - DiaMetel1 Li, qui d Leve 1 G~ollnd Water e e " Product Line Test Test Locatión Owner ( If Different) N8me: K. C. Superintendent of Schools N8me: Address: 705 S. Union Ave. Address: City: Bakersfield# CA City: Contact Name: Darrell Simons Phune Number: ( 805 ) 321-4812 Tank 10 : Center Dispenser Is: 1 Product Diesel Operating Pressure 25 psi T est Pressure 50 psi 'TEST Time Volume Volume Change Rate ( Gph) 00 Minutes A 165 ml. + 15 Minutes 8 16.4 mt. (B-A) 1 mt. .. 15 Minutes C 164 ml. IC-B) 0 mt. .000 gph. Corrverron .. JLml 15min I 0.0159311 .. Ga~on' Per Hour Confirmation TEST (if required) Time Volume Volume Change Rate ( Gph) 00 Minutes A ml. + 15 Minutes B rot. (B-A) rot. + 15 Minutes C ml. (C-B) ml. gph. This TEST Wd,ç performed with the AES PL T lOO-R Line Testing Unit The AES PLT lOO-R has been Third Pa.rty Tested in accordance with U.S, EPA Protocol. The results of this Protocol Test are a.valla.ble upon requaçt. A FAIL is declared if the Rate is Greater than 0.05 gph. Test Results PASS Tester: ,--~~ J~ ~ Da.te: July 8# 1995 - Robert Brockman License No. 92-1251 The Tester ceTtifies this test was conducted in accorda.nce with the manufactuTers suggested PTotoCOl. No other wð.ft'ð.nties dre expressed or implied. Product Line Leak Detector ~ YES _ NO Brockway's, 2014 So. Union Ave., Bakersfield, CA 93307 805·834·1146 ¡t " I' II t '. r. e e IBEX Precision Tank Test BROCKWAY'S TANK TESTING Bakersfield, CA. USA (805) 834-1146 Performed for: Test Location: K.C. Superintendent of Schools 705 S. Union Ave. "Bakersfield, CA Test Identification Test Date Start Data Collection Ending Test Period Time Filled for Test SUP95-3 07-08-1995 07:08:52 09:36:18 16 hrs. Tank Data TANK !D. Volume Depth Bury Groundwater Tank Type Test Fluid : South :12000 :36" :> 15 FT :1 Wall Steel :Diesel CONTENTS Diameter Product level Pump Type Water in Tank Vapor Recovery ** Test Report ** Average Rate of Change is based on 244 Data Points Standard Deviation ............. .0114 Gallons - Volume change of Tank Contents - Net Volume * (60 min/Test Time) -.0748 Gal. * (60/ 61.42 min.) = -.073 Gph. :Diesel :92" : 117" : Turbine :0 :N/A - Volume change due to Temperature - Avg. Temp. * Volume * Coef. of Expn. * (60 min./ Test Time) -.0178 Deg.F * 12000 Gal. * 0.00043 * 60/ 61.42 = -.0895 Gph. Net change = Level Volume - Temperature Volume NET CHANGE 0.0165 GPH. Based on the Information provided and the Data Collected This Tank & Flooded Lines Test has...... PASSED r-l/-- Certified Tester : Robert Brockman # 92-1251 ~ ~ This Test complies with U.S.EPA and NFPA requirements. ~~o . SUP95 TeMP.: -.0895 Gph. o ··""....~.........~.~~'I.I.'III..lllrllllllllllllllllllII . 5 gal. .fs Level: -.0739 Gph. Q '.__.~.u..ß~.D..U.qIEDOOID~.~~llllœ.qœel.l_qeIIIBelll~1~I . 5 gal. .25 Net Change Gal. o "-_.L-.~-_.._Y~~·r·_·~----~-_·_·YW~i·D~ja~~..D~ID~lnœ~DE Ue~tical Scale 1 : .91 gal. 5 gal. ... 61.4 Min. . :1 Tank No.3 South P~oduct Unleaded Test Date 97-08-1995 Length (Min.) 61.42 Level P~ecision .99962 TeMP. P~ecision .90193 NET CHANGE : 9.9165 G~h. Test Level -} - -- ..- .- ..- ..- r'-' . ,. ( \ \'. ... ...... ...- '"--.. -- -- ..- -.. ... .... """\. DiaMete~ 92 \) Liquid Level 117 G~ound Wate~ 9 _ .Ii ./,' ..' .. .0> -- -- .... e e Prodllct Line Test Test Location Owner ( If Different) N8me: K. C. Superintendent of Schools N8me: Address: 105 S. Union Ave. Address: City: Bakersfield# CA City: Conted Name: Darrell Simons Phone Number: ( 805 ) 321-4812 Tank ID: So","\.- Dispenser Is: 2 Product Diesel Operating Pressme 25 psi T est Pressure 50 psi TEST Time Volume Volume Change Rate ( Gph) 00 Minutes A 146 ml. + 15 Minutes 8 14-4 ml. (B-A) 2 ml. + 15 Minutes C 140 ml. (C-B) 4 ml. .004 gph. Corrve'l'Sion .. ...!. ml I 15 min I 0.0159311 .. Gaflons p~ HOW' Confirmation TEST (if required) Time Volume Volume Change Rate ( Gph ) 00 Minutes A ml. + 15 Minutes B ml. (B-A) ml. + 15 Minutes C ml. (C-B) ml. ¡ph. This TEST was performed with the AES PL T lOO-R Line Testing Unit The AES PLT lOO-R ha.s been Thitd Pa.rty Tested in a.ccotdance with U.S. EPA Protocol. The tesults of this Protocol Test ate available upon Tequest A FAJ1.. is declared if the Rate is Greater than 0.05 gph. Test Results PASS Tester: ~ v?W~L Date: July 8# 1995 -. Robert Brockman License No. 92-1251 The Tester certifies this testwdS conducted in accordance INÏth the manufacturer's suggested protocol. No othet warranties are expressed or implied. Product Line Leak Detector ~ YES _ NO II, ,! Brockway's, 2014 So. Union Ave., Bakersfield) CA 93301 805-834-1146 ~ ... ~,..-¡;.. e P'LOT PL' A·N· . - - . . - . . . .... .-. . ., Underground Storage Tank Work Order No. Sup95 o o o Air Verts No~ i ,./..-r- .,.~~-_. No Scale Tank Aeferen:;e Onl.Y .-----.....---..... . . .'........_......_.._........._._---~........_----_..__....... ...,,------.---------..--.-.-....---......-, -\ tit K. C. Superintendent of Schools City: Bðkcrsficld. CA Locaûon: 705 South Union Ave. II I I Fuel Island Canopy T u,bine 8. leak Oetecta T ulbine 8c leak D etectcr ......~.".--... -~_......_- ......---....__."--......-.-~_........._._.-....... .....' Drawn By: Robert Brockman Brockway's 2014 S. Union Ave. Bakersfield, Ca. Date: July 1 995 e e BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 1715 CHESTER AVE., BAKERSFIELD, CA 93304 (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST -:trr.., ð ()91 ?tÂ Kern Coùnty Supt. of Sc~ FACILITY 'J1T~narn""f·~f·~ nn ~ M~'¡ nt·t:J~SS 705 S. Union, 93307 . PERMIT TO OPERATE t OPERATORS NAME Kern County OWNERS NAME NUMBER OF TANKS TO BE TESTED 3 IS PIPING GOING TO'BE TESTED~ t· TANK # 1 2 3 . VOLUME CONTENTS UNL UNL DIESEL 1?,()()() 12,000 12,000 TANK TESTING COMPANY Brockway's ADDRESS 2014 S. Unior(Á~~., #103 Bakersfield, CA. 93307 TESTMETHOCIbex Tank Test/AES(now WER)PLT-100R Line Test NAME OF TESTER Robert Brockman CERTIFICATION 4i 92-1251 STATE REGISTRATION t DATE & TIME TEST IS TO BE CONDUCTED Ju1.y Rh.p~ c:,+-f~y AP,.AP ROVED BY: c/::>J. W,.va July 5, 1995 DATE 8, @ 8 AM 4QM1J)rLfA ~ SIGNATURE OF APPLICANT f'Jó-. €: ,Jor P«A.(.T'<.Ac.. 'tò st.foiC-out.. <r." ~ AJfr ~éGu -a ~ ~ JUJ c;., (JO.lC.. ~ I .s ~_.~.- -HJ c '.':»7. .. Æ~: . W\· , . ! . , ,.~,...' . e . ··..:"·~?Trft..ir~:;. e . . - .- CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT N~ 0528 RECEI,¡/¡ D· Locati~n k:P"~ C·~""1 ~i. f) ~.L< JUL I 2 19:>. Sub DIV. tt,s-, So. U '^"'~ .... Blk. . Lot } :A2 ' . You are hereby required to make the following corrections . MA ì. DfV'. at the above location: . Cor. No ~~S~ Da te C¡/2. 2-;/9 5 .....; ,'. ;,. ',¡... --- -·--:-;'·-:~.':-;~-'-~-::;"3.:w.:·: .5':"=:Z"cd·2~1!.:F~:~~À'~·:':~-:· UNDERGROUND STORAGE TANAsPECTION Bakersfield Fire Dept. Hazardous Materials Division Bakersfield, CA 93301 ~~;¡:'¡¡~¡l\¡¡1;1¡¡¡¡¡!l;¡ ¡¡¡¡¡l¡mn¡ ¡i¡¡m ¡i¡:H=UU\ ¡i¡U¡Ui¡¡;¡¡¡i;¡¡i¡i¡i¡Uii i¡i¡U¡U;i¡f¡U¡ t¡¡¡¡¡;;¡ii¡;i:¡;:i!i!¡l¡¡l!i!l!iii¡¡;,j,~¡!¡-:,,::·,····· FACILITY NAME k~~t\ (' (-. .Iv"':-' , St'f't FACILITY ADDRESS 7ðÇ-~. Ii )V\ ~ Q '" ð{" Sr~ \ "> BUSINESS LD. No. 215-000 / 5.?-. Cj H, ~ CITY ß"..àJ.s.,(>~'-Q..0.x ZIP CODE c::r.33ð? - FACILITY PHONE No. lOtI lOtI lOtI A\ C)'L A.3 INSPECTION DATE f /')...yc, .é; Product ~~<: eJ ~r« - ¿':-;~.J ~.... le.:s.e \ TIME IN TIME OUT I~~~~ Instoq~. InsllqR~ INSPECTION TYPE: J '':).. ~/ Size Size Size ROUTINE FOLLOW-UP I'J cv--./""' '.....Að~ \'2- Ac:.n I ~o""" nIa REQUIREMENTS yes nIa yes no nIa yes no 1a. Forms A & B Submitted v ~ //' c/' 1b. Form C Submitted 1/ ,./' ...-- 1c. Operating Fees Paid V- I' t.-/ 1d. State Surcharge Paid V -- --- 1e. Statement of Financial Responsibility Submitted /" v ",/ H. Written Contract Exists between Owner & Operator to Operate UST /' .,.-/ ~. 28. Valid Operating Permit v \ V /' \ 2b. Approved Written Routine Monitoring Procedure .,.4 ~ V ~ ¿/ y ....- b- 2c. Unauthorized Release Response Plan .- *- V ~\ (./' -;e c/ ~ 3a. Tank Integrity Test in Last 12 Months .'if V Y· <.-/ 3b. Pressurized Piping Integrity Test in Last 12 Months ~ Iv\ ,,/ &/"/ 3c. Suction Piping Tightness Test in Last 3 Years JoY <--- ...- 3d. Gravity Flow Piping Tightness Test in Last 2 Years \ lv" <--- -- 3e. Test Results Submitted Within 30 Days .,. \ ....' ¡..-- t...- v 3f. Daily Visual Monitoring of Suction Product Piping ! v' v .' -- 48. Manual Inventory Reconciliation Each Month -k- i-/ ! I/"" v/ 4b. Annual Inventory Reconciliation Statement Submitted ,~ I.......,·' -- L.-/ 4c. Meters Calibrated Annually m 1/"/' I I /' I 1/- 5. Weekly Manual Tank Gauging Records for Small Tanks \..J y....~ ¡..-- (..--.' 6. Monthly Statistical Inventory Reconciliation Results 1../' ~ e--- 7, Monthly Automatic Tank Gauging Results v' !.-/ c.---' 8. Ground Water Monitoring /" ./ ./" 9. Vapor Monitoring v' V t./ 10. Continuous Interstitial Monitoring fOf Double-Walled Tanks ,/ ",/ -- Mechanical Line Leak Detectors ~ / ./ 11- ;/ v 12. Electronic Line Leak Detectors ---- ,,/ c/ 13. Continuous Piping Monitoring in Sumps ../ /"" --' 14. Automatic Pump Shut-off Capability ./ /" .......' 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 ,,/" v/ 18. Reported Changes in Usage/Conditions to OperatinglMonitortng ..,/ ./" Procedures of UST System Within 30 Days ..-- 19. Reported Unauthorized Release Within 24 Hours -;;;: ...,-/ ..-' 20. Approved UST System Repairs and Upgrades V ./' ------ 21- Records Showing Cathodic Protection Inspection ,/ / ...-/ .- 22. Secured Monitoring Wells .,,/ V ./ 23. Drop Tube ~. i .y'" ,./" RE-INSPECTION DATE "....---, RECEIVED BY: ¡().;\~ NJ\.-~~-..J25 INSPECTOR: -?:P.t/,re f~;}:¿~'''' -----L/tlV--/ OFFICE TELEPHONE N; , - -------- ------ -~%--~0 FD 1669 "!~-:-:--"""-:~"~~?:·~;·;·~~-·;¡:"·~4"~'i1!"'¡''?-'~·~'''!''''''''~7'~'1;-:.~r.:',~.!,:~~,!,:.o;:~:.;."..-;"",,:-~,.~~:-~+:-,-,,:,,","::--,~..-......,.,..,..~~,~~.'t't;~~;'-'.~~-:,-:·~··~S,~~-~.~.~:·' -. ~,.,"~'\'. .. .8:;rf..·.*'..::. . AUTOMOTIVE -INDUSTRIÞ.;t-PETROLEUM EQUIPMENT INSTALLATION -MAINTENANCE 2080 SO. UNION AVE, BAKERSFIELD, CA 93307 (805) 834-1100 543 WEST BETTERAVIA, STE. F SANTA MARIA, CA 93455 (805) 928-1135 CALIF. CONTRACTORS Lie. NO. 294074 G'·: :,:,\;;""~,,, .. .'. ~.....;:~,. - "E..IER ~PEIª ~~..t,,^'''' Pl..EASE NOTE A,LL lNQUIR'IE'S. ANO 'O~RE' SPONDENCE SHOULD FtEFE¡;:: TO T)-1I$ INVOICE NUMBER SERVICE INVOICE I s: 7546 INVOICE NO. DATE REQUESTED BY PHONE NO. ORDER NO. BY ~, CHARGE SM l-iD-Cf~ ( 31 o CASH MAIL INVOICE TO r ~n'"\ ~-toÇ.s.cJ-xplS 520 I Su.-?".,DA (e. -Ave:. , L o C A T I o N LL I'î } U"Y"I A- V f7 302-<£ L Q33Q'J ..J WORK TO BE PERFORMED: -:tt 9, k _ ¡"n {! A C h->a. +E l 0_ \, \ Alt ~tLPUJKPS o _ r ,-,- <-'. "/L FOR OFFICE USE ONLY .. ,..__...~ ,.... I r-_...... _ I ~ WORK PERFORMED: ('AL' haJ.7 ¡:;';) A--iI /J( ( ..........o!' A <: h- ¿JIt ,R'.{,^ þ~ /1L1,'Æ; h <F;.éJJAV<~ /,1.'·1,..,ì ,,",^}..a ~..¡.I~ "A)1fÂ.,iJ~>-'.. /1.14:(/11£'1\ .ðt.t/{ç::-/ /"'A' {)" .~. /I ~- k ~rC ; C ( L1 :/ LI (.A...-A~ ,. i, '''rí<l/,\/ TECHNICAL , " / ... SERVICE r~/¡l')fe~A-7í(\-; I,';",,:¡-S HOURS MILEAGE Sub Contract n' ,~ . d. A - I/~H{'~:k I Rentals' ~ç .t"'Iê"'/ -' '"7 ___ __._.____. .·____.~_~.__u.___. _ .._.__. ~_____.~___,.__ __.'_'_~_ . .__ __ ___._________~___ __. ___. _._ ~ -.- -. - -. --. .~------- . ~ - - - ,- MAKE I()¡,( MODEL N07.Ç!5 SERIAL NO. :3ÐI ¿., -ç S QTV. PART NO. DESCRIPTION , , , , Hazardous Waste Disposal Fee Supplies Date Completed 7- I J...- Received & Accepted By 9.. ~-C'~ . ~ChniCian(S); , ~ç ¡( j yl1r',Lv.::. __ I \_' \ - o...J Sales Tax TOTAL PLEASE PAY FROM THIS INVOICE:TERMs:Net due upon Receipt Finance Charge of 1 V.% per Month after 30 days. PLEASE REMIT TO RLW EQUIPMENT P,O. BOX 640 BAKERSFIELD. CA 93302 .J e A I.W'·'~·'·· . Record of Computer Change, Meter Change, or Calibration o COMPUTER CHANGE ~fCALIBRATlON o METER CHANGE o W/M NOTIFIED COMPANY .~ .. I!.V PUMP-MAKE AND MODEL IZ ~ '~ ~ c. ·rt... . MONEY GALLONS TOTALIZER READINGS FINISH MONEY START PRODUCT PUMP # TOTAL I.l N J.i;..:fb ~..7) ~<? J7;'~ 70,'- FINISH MONEY TOTALIZER READINGS --START MONEY PRODUCT PUMP # TOTAL "-~I.£A~(þ 7 Ie, C 5~/c.1£. GALLONS ,.;/" ~¡ C 73' ,-j ,3 GALLO~S,,).O S -._ _ /,l.ð ': /.. GALLONS RETURNED TO STORAGE JCte DATE 7- 1/--- DISPATCH NO. . 5 '75'¿;'¡(: t:d .-- 7·.J CALIBRATION ADJUSTED TO CHECKED FAST SLOW 'ç! FAST SLOW METER SEALED &"YES 0 NO FAST METER SEALED DYES o NO ø TOTALIZER SEALED ' -~ES 0 NO CHECKED FAST _ JC SLOW -/ '/%_5"--- FINISH MONEY GALLONS "5.37ìt,Q TOTALIZER READINGS MONEY START c) GALLONS RETURNED TO STORAGE 10 ,() PUMP # 6 TOTAL PUMP-MAKE AND MODEL ..-.--:;:>, -, . ") (.., þ- TOTALIZER SEALED DYES 0 NO CALIBRATION CHECKED- ADJUSTED TO , , FAST SLOW "".;L .,. TOTALIZER SEALED a:rYES C1No SLOW FAST METER SEALED E[ÝES o NO CALIBRATION CHECKED ADJUSTED TO TOTALIZER READINGS GALLONS FAST SLOW FAST SLOW '-:--7 t¡.;z . ( .>r 3 .¡. 3 GALLONS TOTALIZER SEALED METER SEALED .2'?ES o NO ,gyes o NO FINISH MONEY START MONEY FINISH MONEY ---q /' j I 5 (3 GALLONS ., TOTALIZER READINGS START MONEY GALLONS 9 --0/'" 3..;t,j 4-:J - ,.., TOTAL GALLONS RETURNED TO STORAGE It), ) leI< 7!J s-' OoJDI4- . FINISH MONEY GALLONS 35-.;¡C¡jt.I ,~ GALLONS '-35 4t:'. ¿¡ GALLONS RETURNED TO STORAGE /t.,{)~ TOTALIZER READINGS START MONEY FAST +3 SLOW +J. CALIBRATION CHECKED ADJUSTED TO FAST SLOW TOTALIZER SEALED Q.-VES 0 NO CHECKED FAST "t -<. --' SLOW +..-, .J METER SEALED 13 YES 0 NO FAST METER SEALED -r:¡ YES o NO TOTALIZER SEALED >3rÝES 0 NO TOTAL o COMPUTER CHANGE -gJCALIBRA TION . R LW..-··.. . Record of Computer Change, Meter Change, or Calibration o METER CHANGE D WIM NOTIFIED DATE '7- ¡ I- "íCi< ZK~- MONEY FINISH TOTALIZER READINGS MONEY START PpUCT . PUMP" TOTAL I íÉc;;; L 2 SERIAL NUMBER ":? ~("' ,. il / ' "-_J........ '7'- GALLONS -=23137 . -,,9 GALLONS - Q } ¡.-{ 'Z 'I GALLONS RETUR~D TO SlORAGE /0,(.-' CALIBRATION CHECKED ADJUSTED TO DISPATCH NO. S 7,.:5'-.-y¿ FAST SLOW FAST SLOW ø I TOTALIZER SEALED METER SEALED .&ES o NO ,!2I(YES o NO PUMP·MAKE AND MODEL ¡ei< - 7:f25- SERIAL NUMBER ..? . . ,;' ~~ .5(.., / '1 C GALLONS -;J·SC'( 6~ ,7 FINISH MONEY CALIBRATION CHECKED ADJUSTED TO FAST SLOW MONEY GALLONS ..::z. --"". ·7 r7. .....,. ./, ...... __J~ I GALLONS RETURNED TO STof¡AGE jf£J. \:..: FAST ~, _ SLOW .r- --:;l TOTALIZER SEALED ßtiEš' 0 NO TOTALIZER READINGS START PUMP" TOTAL I METER SEALED ~~ÉS 0 NO GALLONS CALIBRATION CHECKED ADJUSTED TO SLOW FINISH MON EY TOTALIZER READINGS START MONEY PRODUCT PUMP" TOTAL FAST SLOW GALLONS TOTALIZER SEALED DYES 0 NO GALLONS RETURNED TO STORAGE FAST METER SEALED DYES o NO GALLONS CALIBRATION CHECKED ADJUSTED TO SLOW FINISH MONEY TOTALIZER READINGS START MONEY PRODUCT PUMP" TOTAL FAST SLOW GALLONS TOTALIZER SEALED DYES 0 NO GALLONS RETURNED TO STORAGE FAST METER SEALED DYES o NO GALLONS SLOW CALIBRATION CHECKED ADJUSTED TO SLOW FINISH MONEY TOTALIZER READINGS START MONEY PRODUCT PUMP" TOTAL FAST GALLONS TOTALIZER SEALED DYES 0 NO GALLONS RETURNED TO STORAGE FINISH MONEY TOTALIZER READINGS START MONEY PRODUCT PUMP" TOTAL GALLONS FAST SLOW GALLONS TOTALIZER SEALED DYES 0 NO GALLONS RETURNED TO STORAGE --..." " FAST METER SEALED DYES o NO METER SEALED DYES o NO -. ,"';-. I MAINTEN:~CE MAN'S SIGNA~E!-: . U{.- .A., '-'" ,--\ 'f .»- ':,~. .;::;.:;:";';;:':; :':~:~:,;.;:~~~';~~~t{f~f~f}::;···· .;'" , . e . ., ..,·.....:M4:i:.::~:l2:~r.==~2:!::;I"v. .. :' ~J ;.-...~ _:ñ!Ct:Kl"~.:,.~...:-:;.~:..:..i. .,:....;.. ~>..¡:;:. :~·.i '-;-;..: . TANK FACILITY ANNUAL REPORT -- , Facili ty KERN CO SUPT OF SCHOOLS Permi t ~ 260007 Month/Yr.JULY 1995 1. I have not done any major last 12 months. during the .' Signature Note: All major modifications the Permitting Authority. 2. I have done major modifications far which r obtained Permi't(s) to Construct frôm Permitting Authority Signature Permit to Construct # 3. Repair and Maintenance Summary Date Attach a summary of all: Routine and required maintenance done to this facility s . tank. piping. and monitoring equipment. Repair of submerged pumps or suction pumps. Replacement of flaw-restricting leak detectors with same. ~ Repair/replacement of dispensers. meters. or nozzles. Repair of electronic leak detection components. or replacement with same. Installation of ball float valves. -~ Installation or repair of vapor recovery/vent lines. Include the date of each repair or maintenance activity. NOTE: All repairs or replacements in response to a leak require a Permi t to Construct from the P,erlllì tUng Autho[' i ty as do all other modifications to tanks. piping or monitoring equipment not listed here. 4. Fuel Changes - Allowed for Motor Vehicle Fuel Tanks Only. List all fuel storage changes in tanks. noting: Date(s). tank number(s). new fuel(s) stored. NONE 5. Inventory control monitoring is required for this facility on the Permit to Operate. and I have not exceeded a reportable limits as listed in the appropriate inv~~. ~.y cant 01 monitoring handbook during the last twelve months (if i' E~ ic ble. ~isregard). Signature ~ / 6. Quarterly Summary Trend Analysis Summary far the last 12 required to do Standard Inventory Control for past year for tanks Inventory Control Monitoring (#UT-15). .- ,. 7. Meter Calibration Check Form Please attach current. completed Meter Calibration Check Form if required in permit conditions. ". " . .. ·.. "~".: '~-'~~~~1,"pr,?"'''''1!::~'~;:'~r 1'';"...- e e San Joaquin Valley Unified Air Pollution Control District AUTHORITY TO CONSTRUCT PERMIT NO: S- 844-1-1 ISSUANCE DATE: 01105/95 LEGAL OWNER OR OPERA TOR: KERN COUNTY SUPT OF SCHOOLS MAll...ING ADDRESS: 1300 17TH STREET BAKERSFIELD, CA 93301-4533 LOCATION: 705 SOUTH UNION, BAKERSFIELD EQUIPMENT DFSCRIPI10N: MODIFICATION OF EXISTING GASOLINE STORAGE AND DISPENSING OPERATION: REPLACE PHASE II VAPOR RECOVERY SYSTEM CONDITIONS 1. Operation shall include two 12,000 gallon underground gasoline storage tanks served by phase I recove!)' system (G-70-97) and four gasoline nozzles served by balance phase II vapor recovery system (G-70-36). 2. All nozzles shall be equipped with coaxial hose configurations. 3. The permittee shall perform a Dynamic Back Pressure Test using BAAQMD Method ST-27 within 60 days after initiãl start-up and at least once every five years thereafter. 4. The permittee shall perform a Vapor Leak Test using BAAQMD Method ST -30 within 60 days after initial start-up and at least once every five years thereafter. . 5. The District shall be notified by the permittee 15 days. prior to each test. The test results shall be submitted to the District no later than 30 days after eacn test. 6. The vapor recovery system and its components shall be installed, operated, and maintained in accordance with the State certification requirements. 7. All testing requirements contained in this permit shall be performed at least once every five years. This is NOT a PERMIT TO OPERATE. Approval or denial of a PERMIT TO OPERATE will be made after an inspection to verify that the equipment hl:&S been constructed in accordance with the approved plans, specifications and conditions of this Authority to Construct, and to determine if the equipment can be operated in compliance with all Rules and Regµlations of the San Joaquin VaHey Unified Air Pollution Control District. YOU MUST NOTIFY THE DISTRICT COMPLIANCE DIVISION AT (805) 861-3682 WHEN CONSTRUCTION OF THE EQUIPMENT IS COMPLETED. Unless construction has commenced pursuant to Rule 2050, this Authority to Construct shall expire and application shall be cancelled two years from the date of issuance. The applicant is responsible for complying with all laws, ordinances and regulations of all other governmental agencies which may pertain to the above equipment. DAVID L. CROW, EXECUTIVE DIRECTORI APCO .1 /./' ,~/ /..... (/,~." . / ._ ,. q-//---t ¿ /, I! /4;i:Á__,( ,-,.. ... C/ i~, ~ SEYED SADREDlN, DIRECTOR OF PERMIT SERVICES . Southern Regional Office *2700 M Street, Suite 275 *Bakersfield, California 93301 *(805) 861-3682* FAX (805) 861-2060' 1995-1-5 - RCR n f'..~ P"nt.)<.J .;n l(tlCV¡;ttJU ¡'ODer, , " . .~---."~. --'-"-""~-';"-. -. '. .~.... "( ;::. .... .- , :. ' KERN e _ e, _c--- COUNTY K~~~~K ~~~~RT~~~~' TREND ANALYSI~ WU~K~H~~1 J . _ _ j;" AC I L I TY J"\' G·"':;'.) TANK # / CAPACITY _ C~~ PERMIT # PRODUCT Qlil ;..;E',If:iJ6;; YEAR/PERIOD <?"':-:,Ç>. I NSTRUCTI ON"S: Fill in all information at top c form. In the space for year period indicate the year and t~ consecutive period of analys~ being conducted (from 1 throu~ 12 ~). Transfer the date ar: the sign from columns 1 and 16 c Reconciliation Sheet to columr. at left. Use the table below ~ determine the action number f: the period being analyzed. PART A : OVERAGE/SHORTAGE DAY DAY 1 DAY 2 DAY 3.~:" ..:.....:.:? ~., DAY 4 DAY 5 . -'" '._ ~- '- DAY 6 .__~--_. DAY 7 DAY 8 DAY 9 DAY 10 DAY 11 . DAY 12 DAY 13 DAY 14 DAY 15 DAY 16 ~. - ' ,-,_-I": DA Y 17 :/ . ' :;-- -'/ ~ DAY 18 DAY 19 DAY 20 DAY 21 DAY 22 DAY 23 DAY 24 DAY 25 DAY 26 DAY 27 DAY 28 DAY 29 DAY 30 TOTAL MINUSES 1 DATE 16 (+/-) -r -¡-- ~ --:-l--,~"'1 5, ~-,1:'¡' '/: - -" ." --" - '- -. -.....-. 'u - ,. . -" - , .-- - ...w ., .. ..- ACTION NUMBER TABLE .- , . '. '-' i' -. ., 30-DAY I ACTION PERIOD NUMBER NUMBER 1 = 20 2 = 37 3 = 54 4 = 69 5 = 85 6 = 101 7 = 117 :ß.; = 133 9 = 149 10 = 165 11 = 180 12 = 196 , ~ - -' " .' ., _ -/ '.. "...-~ - - ~ ..J... - ~ ~I (~.-I ~. ...;-- - . Circle appropriate period an action number. A full cycle _ made up of periods 1-12, afte which a new cycle begins. Us information to comDlete Part P PART B: Line 1. Line 2. Line 3 . Line 4. Line 5. ACTION NUMBER CALCULATION Total minuses this period-Part A Cumulative minuses from previous periods in this cycle. Total minuses (add lines 1 & 2) Action number for this period (from table above) cfÇ- '- Is line 3 greater than line 4? DYes DNo 11. ~ ,.ï.£!! h a v e -ª. r e po r tab 1 e 1 0 s san d m us t beg i n notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MONITORING". e:nv, Healtn 5804113 1016 (6/86) e e KERN COUNTY H~~~IÖ D~~~HTMEN~' TREND ANALYSI~ WU~K~H~~~ ~. A C I LIT Y k (., .s s TANK # CAPACITY I).. O~;::> PRODUCT PERMIT #: UN i.-iE-,¡-ve:.¡; YEAR/PERIOD O..~.- . .:/ ""'- . I NSTRUCTI ON"S : PART A : OVERAGE/SHORTAGE Fill in all information at top c form. In the space for year 1 16 period indicate the year and t:: DAY DATE (+/-) consecutive period of analys::. DAY 1 ¿¡, -, é:.--:::¡ <" -- being conducted (from 1 throu~ , DAY 2 :.¡.. -.)//-. f::: - 12 only) . Transfer the date ar: DAY 3 --~ ,,-,"' 4;; '7""" - the sign from columns 1 and 16 - - - DAY 4 ..;..- ; ~ - Reconciliation Sheet to columr: - DAY 5 - ., , > _.- at left. Use the table be l.ow - DAY 6 tJ..---,'/("" ~7.~ - determine the action number L I DAY 7 ~ -,.~'",:;; '"":' - the period being analyzed. DAY 8 __ _, -:... .)_t~·;' ~ - DAY 9 - .,. ' . .- ACTI ON NUMBER ~- - DAY 10 . . .' --- TABLE -.- .:.... -' "" -- ~ DAY 11 ...."..... .---:;".. } ..:.. ¡- DAY 12 n.':; - --- . 30-DAY \ ACTION '-' --.~-:", ".~ .. DAY 13 '0- _. - ....- PERIOD NUMBER NUMBER DAY 14 -' ' :.--. ..... .. '- .- 1 = 20 DAY 15 , I_~ c-?~-"' 2 = 37 DAY 16 . - .~ .,-- - 3 54 - .~c.._~' I.... = DAY 17 '. .' - 0< -¡- 4 = 69 '.- - DAY 18 -- ,,:.,_. ....'" ... - 5 85 --.' ',. = DAY 19 ,~' _.~--=:l... _ ~nr\n 6 101 '-, .... = '-' . DAY 20 '..-' ---,¡...~.:.:..# ..:.... :-~~~ u u uu llv ':'·-V = 117 -. - DAY 21 , . . ...'1..~:.'; .- .-- 8 = 133 ; - DAY 22 ,... ':..)_.~....... 9 149 -- " = .. DAY 23 S- / i .. "7.:: - 10 = 165 DAY 24 '- _! -- ::, .. -r 11 180 '- ..- - = DAY 25 .- ..-' .7 r·· - 12 196 '- .- ...... = DAY 26 ~_. / b- 9$' r DAY 27 .5 --I 7---<:; S -- Circle appropriate period an DAY 28 ~'..... I,i'.· .;Î-:; ..... action number. A full cycle , - DAY 29 .,. ._- made up of periods 1-12. aft2 .- --, DAY 30 ~ -,~-q\ - which a new cycle begins. Us TOTAL MINUSES information to complete Part " PART B: Line 1 . Line 2. Line 3. Line 4. Line 5. ACTION NUMBER CALCULATION Total minuses this period-Part A Cumulative minuses from previous periods in this cycle. Total minuses (add lines 1 & 2) Action number for this period (~rom table above) ! '- /Q - - ,\,' I., '_J ! --, i Is line 3 greater than line 41 DYes ErN 0 If Yes. ~ have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MONITORING". Env. Health 5804113 1016 (6/86) ;..-~. ·';~:::~:;\~(~i~::;·:%~i;¡:':~;:i:;:''::;~~~~~;~:F~~~.:~:;~~:~~;;~i:.:~~~~:.:··~::·::,·:...." ~ ;'. -;-_:.~. ::::.=.::;,_:.. .;.' .~ _. .. :::':·:·:::.'"::·:·w'~:·I':·::··:·;·>-->f.:,·:--·.·:':·_':.':<:-~::'''':''.;:;:~.~.t.;.:.......,.. ....,...."". ".' e e KERN COUNTY HEAL~b DEPAkTMENT TREND ANALYSIS WOK.K~ Hb h·.1.- ------._-" ." I F A C I LIT Y If.( c.. .5 S TANK # ¡ CAPACITY I J (1)<.:>1:::> p' E R M::r T # PRODUCT ClN U=prfEr;; YEAR/PERIOD -:.71\-, .' '-' ::r NSTRUCTI ON"S : PART A : OVERAGE/SHORTAGE Fill in all information at top o - form. In the space for year 1 16 period indicate the year and th DAY DATE (+/-) consecutive period of analysi, DAY 1 ., - ..l. 7 ._4 .::- - being conducted (from 1 throug' _. DAY 2 .... .~,;;i ,i ~ q " -r 12 only) . Transfer the date an .; DAY 3 ? -/·-'9.s - the sign from columns 1 and 16 0 -' DAY 4 -:( -~ -- 7~ I Reconciliation Sheet to column - DAY 5 ...,. " , . -- at left. Use the table below t -' -' -- -' DAY 6 .. -' (::--- ./.:::. - determine the action number fo DAY 7 -:' _ '··l_/"l ~ - the period being ànalyzed. ' , ..... DAY 8 .-- . -. ..r - .. .. ' -.... .- DAY 9 ., . {···9 ~ -r- ACTI ON NUMBER DAY 10 .3 -/1.0- C¡-5 - TABLE DAY 11 "'/3..... -.# S ï DAY 12 ....l~·..., :--' - 30-DAY I ACTION " - DAY 13 : _..1:::-" _I .' , PERIOD NUMBER NUMBER - '.- I DAY 14 - -. .- - - 1 = 20 DAY 15 ,~. - / --;__-1'::: - 2 = 37 DAY 16 '. ...- ,..)..... ,.":) --/:-"' -r- 3 = 54 DAY 17 -or" - 4 69 -' - ~r , . = DAY 18 3 - d-c;L- Cj .s:- +- 5 = 85 DAY 19 -- . '. ..",... '-6~ = 101 - -~ ... - . \_-~.' DAY 20 ) -..~/;.'¡'... ] 'C. -i-" 7 = 117 - DAY 21 -' ,0 8 = 133 - DAY 22 -~ -'~:J~-9,_'~'of ~ U\~!.Þ_ 9 = 149 " -.;~'/ ---:::~. - 10 165 DAY 23 - .. = DAY 24 - -,] ~--:''''.~ 11 180 .:> = - ~ DAY 25 ."'; --.~ 1_· '-f.<: - 12 = 196 DAY 26 'f -- 3-Cf S -' DAY 27 i.! -i..f-7)- , Circle appropriate period ¡- an' DAY 28 7--;~ -1$"' - action number. A full cycle i DAY 29 £-;- b-r .:- - made up of periods 1-12, afte DAY 30 U'·7-9~ ¡- which a new cycle begins. Us TOTAL MINUSES information to complete Part B PART B: ACTION NUMBER CALCULATION Line 1. Total minuses this period-Part A Line 2. Cumulative minuses from previous periods Line 3. Total minuses (add lines 1 &: 2 ) . Line 4 . Action number for this period (from table Line 5. Is line 3 greater than line 41 1,- ;' ~. in this cycle. sc- above) . DYes -¡ D I:;::. ! [31lo .!1. Yes, ~ have -ª. reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MONITORING". Env, Health 5804113 1016 (6/86) -,' , ',-.-. . ." ..: ~;~~~J;:.:~;:;:r::..¡~'.~-.~;";~;- ....~.:' ::;.~.:::.; .=--' ..- ::.:£~" < ;.-;>,:" . ·'·";~>:;~~;:-¡:;::;'·::~~;:;~'{;~:5":<;Ú:.:-c'~"~:. e e K ERN C 0 U N T Y J:j, .t:. .A. .... -~' b. i.J .c. r A..i<. .~. M E ~' .....- TREND ANALYSI::s W CJ K .K ,os H ~ ~ .~ ~'ACILITY -,- TANK # CAPACITY P.ERMIT # PRODUCT J,j :_-E/.'.::-';::-'ó-, YEAR/PER IOD I NSTRUCTI ON-S : PART A : OVERAGE/SHORTAGE Fill in all information at top G fòrm. In the space for year 1 16 period indicate the year and th DAY DATE ( + I - ) consecutive period of analys: DAY 1 - .-...'" being conducted (from 1 throug DAY 2 , 12 .2.!!1.Y) . Transfer the date ar, DAY 3 - the sign from columns 1 and 16 c DAY 4 .--- 1 ~ Reconciliation Sheet to columr: .. DAY 5 -.' at left. Use the table below - DAY 6 .' - determine the action number fc - DAY 7 --:> _.,.:..J .~. - the period being é}.nalyzed. DAY 8 ' , '~ ,--,;';''''. - ./ --s.. " - DAY 9 I.' -:.~:..:- -;",~- - ACTI ON NUMBER DAY 10 , - (.,.. - TABLE -~.- DAY 11 ¡"J-;" ~!~ - DAY 12 ! _r ,:.. - , - 30-DAY I ACTION ..- DAY 13 . .- ,- ..- PERIOD NUMBER NUMBER DAY 14 - :.;', - .~ 1 = 20 - ' ..~ DAY 15 , ........ - 2 = 37 .- , ~ DAY 16 ,- / ~~. , 3 54 ..- ~. ......,.... . -- - = DAY 17 ' , . ,I' ..~ - 4 69 -:1/'-- -" - '- = DAY 18 --: - ". ·.....i < :f· = 85 ;...-' ..~ DAY 19 ~ ~- -~.., ~ : ~~ ~ - 6 = 101 - DAY 20 ..., .j/ - ~,/~ - 7 117 .."., - = DAY 21 ~ -' ' , /'; .,.... - 8 = 133 DAY 22 .~ -..Ií;: _,~J .~.~ - 9 = 149 DAY 23 ~ -.1 {,..¡-.- ./~ , 10 165 - = I DAY 24 -- .~.' . -' .... 11 180 ., . -. J = DAY 25 " - ! ~..' q :: -+- 12 = 196 "" DAY 26 .. .. ' ,- ",,' 1''- - ~ "- DAY 27 ~ , ~./<:' - Circle appropriate period an t~'- ....;.¡- ¡ ....... DAY 28 ('~. ;";~ - action number. A full cycle ~ .. ---'!., ,;.1"-" '- - DAY 29 '. . ,-"" .:- 7S r- made of periods 1-12. afte :J- up DAY 30 -, 1-:" 1- which cycle begins. Us -. ~, .~~ ,- a new TOTAL MINUSES It- information to complete Part ~ PART B: Line 1 . Line 2. Line 3 . Line 4. Line 5. ACTION NUMBER CALCULATION Total minuses this period-Part A Cumulative minuses from previous periods in this cycle. Total minuses (add lines 1 & 2) . Action number for this period (from table above) /'-: ~ 7 ¡ '" Is line 3 greater than line 41 DYes ciNO If Yes, ~ have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MONITORING". Env, Healtn 5804113 1016 (6/86) ................ . ._.~~~:~..:>~~~:.~~~..~~:., :~':.~... .'. ... .. _. .... ~.-:,:.::?~.::-::;~{.~~~~:~:..~~~.:'.~:.-:.:-_. ',-" OC' . ~--. '."?:~~ ';-'-'~'. ~~. ':~~.'. ...~~. ··_'::~~:<';~l~;::;::.;..... :'.-. ~ :~:~>:::-"...':"~.::.t.::~~:~~·.~: '."'_' , '. '---- .- .. e e KERN COUNTY HE~L~h DEPARTMENT TREND ANALYSIS WO~K~H~~~ __ n_._____ _.. _ ____ ---------- ---------. -,-- PERMI T #12::1,:- PRODUCT ¿¡ ÀJ LE'/I-¡)e'1J , YEAR/PER IOD '1'-1--" j;t' A C I LIT Y ¡'-.( '-.J.5~ TANK # ,1 CAPAéITY I.;) CD':' I NSTRUCTI ON-S : PART A : OVERAGE/SHORTAGE Fill in all information at top 0 for1l. In the space for year 1 16 per iod-' indicate the year and th DAY DATE (+/-) consecutive period of analysi DAY 1 ./ j ._~J-- .1;"; -- being conducted (from 1 throug DAY 2 ¡ I -..). J -r,',L¡ - 12 .Q.!!h) . Transfer the date an DAY 3 -' .¡ ......"'~ ~~' .-:-- the sign from columns 1 and'16 '- - . DAY 4 1,/ ,..,.3 0.--':;' ~l - Reconciliation Sheet to columr: DAY 5 .- .- at left. Use the table below - . DAY 6 - ..,.. determine the action number fc DAY 7 / '.- ~.'-" the period being ànalyzed. DAY 8 ,~ .... :~;. - .;'/ (.~ - '-'~ DAY 9 :'J - ACTI ON NUMBER .'. DAY 10 - . , .., '- TABLE ", DAY 11 '- /. Il' t,r --j- I~~ . DAY 12 .I : 'J ~ . . { , .- 30-DAY I ACTION ", DAY 13 ! (") ._/ j., y U PERIOD NUMBER NUMBER DAY 14 í 1 .' /..: '71./ 1 = 20 J. DAY 15 ; .- .. ~, 2 37 ... = DAY 16 " .' .\.. - 3 = 54 '.. DAY 17 , - ' ..~ ,.,... ~R ~~~ .~nr¡ c!:> = 69 DAY 18 ' . - " ~ ._.~ U\Jtr.\l-' 5 = 85 -- DAY 19 ' ~ . . - 6 = 101 '. DAY 20 - .. .' - 7 = 117 DAY 21 ' , , ·f t. + 8 = 133 _.. DAY 22 ; , .- .--,. - 9 149 -'. ',- ,;'-' -' ...~ ... = DAY 23 , .; {~ , 10 = 165 . ..... " .- -r- DAY 24 ,. .. "'#,'...t - 11 180 ~ = DAY 25 .. . . - 12 = 196 DAY 26 -- .- -- ..~,~.:..",.. ...... DAY 27 - : ," ,.". - Circle appropriate period an DAY 28 - .. , ~... - action number. A full cycle , . , - DAY 29 - ...-i __ ~... " - made up of periods 1-12, afte '., DAY 30 , .. ,- which a new cycle begins. Us . .., TOTAL MINUSES information to comclete Part ~ PART B: Line 1. Line 2. Line 3 . Line 4. Line 5. ACTION NUMBER CALCULATION Total minuses this period-Part A Cumulative minuses from previous periods in this cycle. Total minuses (add lines 1 & 2) Action number for this period (from table above) Is line 3 greater than line 47 (]Yes tJ&'o II Yes. ~ have ~ reportable loss and must begin notification and investigation procedures as described in Kern Coun~Y~êalth Department HANDBOOK .UT-IO "STANDARD INVENTORY CONTROL MONITORING". L;L¡ ~,. .- .- ., Env. Healtl1 5804113 1016 (6/861 : .' '.~ :; ~::~.¡ :.::..:: .,-. '~':' ':f:::::<~':.::~~:-; ::::-: >:;::~. :-,;-.~o:--."':'-, :-~'~ :-,.:-;-,:, :~>-:<::-:: ; .::,1~.';':'J:~;":·i,.:·~<.:t:..:~,:¡:~*» e e KERN COUNTY ft~~~~H ü¿~~kTMEN~' TREND ANALYSI~ WOhK~ H~~'~' .ct' A C I LIT Y /-c v ~5 TANK # / CAPACITY /.--4.0.-;;)";; 1 DATE 16 C+/-) PERMIT :/I: PRODUCT c..¡ tV ::"'2-;';;';'-;..=.-/1 YEAR/PERIOD ,?~ ~ INS T Rue T I 0 N-S : Fill in all information at top 0 form. In the space for year period indicate the year and th consecutive period of analys: being conducted (from 1 throug 12 -º..!!.h). Transfer the date ar: the sign from columns 1 and 16 c Reconciliation Sheet to columr: at left. Use the table below - determine the action number fc the period being ~nalyzed. PART A : OVERAGE/SHORTAGE DAY DAY 1 DAY 2 DAY 3 DAY 4 DAY 5 DAY 6 DAY 7 DAY 8 DAY 9 DAY 10 DAY 11 DAY 12 DAY 13 DAY 14 DAY 15 DAY 16 DAY 17 DAY 18 DAY 19 DAY 20 ,,-" DAY 2 l' DAY 22 /} -)I-C¡ (, DAY 23 .. .. :Y /" DAY 24 ¡ ¡ _._r.. DAY 25 ¡' - ;,;". ..-',.. DAY 26 ,. - ~ . -'. DAY 27 i }- .¡:... DAY 28 ) I ,. I' .....,,, DAY 29 I! -.;:. /-7<.( DAY 30 JI---;;;~-7C( TOTAL MINUSES PART B: Line 1 . Line 2. Line 3 . Line 4. Line 5. /,,,\_ if :¡,. - ,.'::::. ._, "..... ~.r . - j ~~ ,_ .. .~~.__ 7l~" .- / .J--" :"-' ,,' ..~ ~ 1 / \'::, _'r -"'''_ .;;t~ ¡ --; . -., .. - ;' 0 - / U",_ Q c/ , -r- -f- /~) ",';; "I.-l( i 0 -~ />1'-( - ACTION NUMBER TABLE j~ _ ~,:..:._",.i__ -.- ~, '" - ~ ._,~,#j.; - / ù - '::. :, -- '-' '., 30-DAY : I ACTION PERIOD NUMBER NUMBER 1 = 20 2 = 37 :§) = 54 4 = 69 5 = 85 6 = 101 7 = 117 8 = 133 9 = 149 10 = 165 11 = 180 12 = 196 - ". - .. _,:.;;_..... .' ,_d :;., - -~,_:, .. ,..--- !':)-.;/~ ],. -- /1 / / - <i ~ --- .; } ! ......oiL-.- ~:./ ~'. ......... //-;--7"~ ~ ~~~BÍÌ\}~\ll" -. ..... ~... .--, .- ~ '.#' -~ -- - - -i- Circle appropriate period an action number. A full cycle i made up of periods 1-12. afte which a new cycle begins. Us information to complete Part 5 -r - -- ACTION NUMBER CALCULATION Total minuses this period-Part A Cumulative minuses from previous periods in this cycle. Total minuses (add lines 1 & 2) Action number for this period (from table above) I- I . ~/ U'-f c:-' t./.' ~ ! Is line 3 greater than line 41 DYes 8lIf(;' If Yes, ~ have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MONITORING". Env. Health 5804113 1016 (6/861 .' ',... ".. ." -.-. ---r;"-:'·:~-r· ,~,~ . -.7.".',",~._."...~.,~.:'C,,~~~.~.~..'~~..·~'~r~,_ . .·.·..·>-...-,...-.·~.;oI'"YY...~~·~"'".-~~ -,-. ~-.'.-.',-,...-."r.._... e e KERN COUNTY HEA~ÍH ù£rAkTMEN~ TREND ANALYSIS WOKKbU~~1 , FACILITY ''-\C..:;;..) TAN K # CAP A C I T Y ;,;..:~ <;:: Ù PERMIT # PRODUCT (./AJ,-eA-Y:.le:r:,: YEAR/PERIOD If,...; --: I NSTRUCTI ON-S : PART A : OVERAGE/SHORTAGE Fill in all information at top 0: form. In the space for year! 1 16 period indicate the year and the DAY DATE l+/-) consecutive period of analysis DAY 1 J' ....:~ .:! -' ¡I -~-I - being conducted (from 1 through DAY 2 ,f oÞ..;' C - ~- :- - 12 only) . Transfer the date anc DAY 3 -- . - the sign from columns 1 and 16 0,: DAY 4 ~7 _ " ....-.. Reconciliation Sheet to columns , DAY 5 .. , , - at left. Use the table below t:: DAY 6 - - determine the action number for DAY 7 :-i - ;' --,.;(...... r the period being analyzed. DAY 8 _.f -, j~ _ '~,'':'' - DAY 9 -I ./ .J' '... - ACTI ON NUMBER DAY 10 :..{ __I.... _..:i':" -I- TABLE .' -" .-c. .. DAY 11 q__,t ..;:__.¡~. +- DAY 12 .- .... ~ -". - 30-DAY I ACTION -" c DAY 13 '::1 -i ~"...:.;~'"': L.JiW~IM~IJ~';~UI:\3£:='\ _ PERIOD NUMBER NUMBER . . DAY 14 ../ _'(.. _ :7,: ~ 1 = 20 DAY 15 .. : i~~~ _. :.~-I: -- _J...- = 37 DAY 16 q -.:L.~ -/~.I .,- 3 = 54 DAY 17 .... ;... i-~ / (.~ _.i--- 4 69 ", -' = DAY 18 c;¡ -;¡.;J.~'-l 't 5 = 85 DAY 19 a _' .:X.-"J _.,¡/ \..; ..f- 6 = 101 , DAY 20 9 - ;;;"'1. -f'Cf - 7 = 117 DAY 21 ..ì - ... ,¡ .' - 8 = 133 . "'--- , DAY 22 , ~-"'d- "-:;<'... .....-., 9 149 = DAY 23 -' .._--~ -;.~ 7ln. - 10 = 165 DAY 24 ~.' -- 30-1',:..· -r- 11 = 180 DAY 25 I 0 - -l. -91..{ -- 12 = 196 DAY 26 / a -'~-- ~"/7 +- DAY 27 10 --.:;; -'f't -;- Circle appropriate period anà DAY 28 J D- b -1'1 -r action number. A full cycle . i s DAY 29 /c::.-7-Cfif +- made up of periods 1-12, after DAY 30 )o-/r>-C(I.t +- which a new cycle begins. Use TOTAL MINUSES information to complete Part B. PART B: ACTION NUMBER CALCULATION Line 1 . Total minuses this period-Part A Line 2. Cumulative minuses from previous periods Line 3 . Total minuses (add lines 1 & 2 ) Line 4. Action number for this period (from table Line 5 . Is line 3 greater than line 4? above) . DYes /3 II...i 02,7 ~/ --' in this cycle. (3'Eio If Yes, ~ have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MONITORING". Env. Health 5804113 1016 (6/86) ...,.':-:: ...~-:.~:~--.; ;/~~~T:~·.~~-.:;'~:~;>:.':-~~:~; - ':;. .-.. ...... . ~ -. ". . :~ -,~~,·~·:~t,~;:i:~';·:·~~ ,~~;~:::,;~;-;.;;~:~-;::~::..-.:-::-. ~: 'lY'~,!.}t:;?;.~:·:::=:.~~;;:;~·~~·~:::-~:-.;~;.~~~~~;~~..~~:~~j;~~~~~~~.',".~.~.~,'. ,~E2.J.",~..,',~,~.,"~ .: ..,~, ;'~;.':' ""'¡. ",,,-,,,,,,,"~....~-...,--=- . .. ~ .............:..".1,':0;". -:. . f . e e KERN COUNTY HE~£~h ü~rARTMEN~ TREND ANALYSIS WOKK~H~~~ ." __._~ ___.__ _n____ __ FACILITY l<c.S3 TANK # ' CAPACITY /~ C D(.) PERMIT # PRODUCT (/ IJ L ~A7../iS) YEAR/PER IOD 9t.¡-! I NSTRUCTI ON"S . . PART A : OVERAGE/SHORTAGE Fill in all information at top 0 form. In the space for year 1 16 period indicate the year and the DAY DATE C+/-) consecutive period of anal ys i ,~ DAY 1 7 -- Itr'-- ~:, .- - being conducted (from 1 throug DAY 2 7 -.I c..l.--,-,- ,004 -J-- 12 only) . Transfer the date an· I DAY 3 7-' ..;.. .C~·i .. - the sign from columns 1 and 16 0 DAY 4 .- /- ·'l.i ~ Reconciliation Sheet to column~ '. DAY 5 - _.::.....1. - at left. Use the table below .. \. DAY 6 -' , determine the action number fa - DAY 7 ...., .. .-~.- ..':., - the period being analyzed. .- DAY 8 I -:¡ 7 -1 ;.¡ r " .- DAY 9 / -' .;....c:/. -' .;,.., :~ - ACTI ON NUMBER DAY 10 7 - J.. <1'- '7 1-:, - TABLE DAY 11 'J i I ~ '.- DAY 12 - .~/ ( . 30-DAY I ACTION DAY 13 (f-' .' -:?_-.;;.,¡- --' -+- PERIOD NUMBER NUMBER DAY 14 J' -' f-/ ~- -!.:'" r0~ "ú'\:¡[D\( . \¡J 10\ n <::::"1-' = 20 DAY 15 '::? - _ f -. - - u u .~ 2 37 ,-' = DAY 16 ð' -' ¿-- ~I .... +- 3 = 54 DAY 17 ,-f,;) -cr-::;:-- - 4 = 69 DAY 18 ~- I ':r-" ~.,~ :., -.l- 5 = 85 I DAY 19 d' - ,I ! _ c;¡ I.- 6 = 101 DAY 20 ,;¡;:..., ./..:, _..:7 ~. - 7 = 117 DAY 21 -' ,", ,. .' 8 133 -'" - = DAY 22 .r;.f .- . ·r-·"·· , 9 = 149 , -- .., , - 165 DAY 23 t:.f '-.-,: '- '"- 10 = DAY 24 ....... - :' ...)"-::-- __'I - - 11 = 180 DAY 25 f-· . '.:¡.. 4 -;- 12 = 196 DAY 26 x-·;,l.). ..:/ :-- -¡- DAY 27 )" '. ,. .~ .~ ...J.- Circle appropriate period ( ,- ~--.- J anc. DAY 28 .. - l' :.., - action number. A full cycle i:: ,,; . .. DAY 29 ~.7-..l..:-q:.... -r- made up of periods 1-12, afte~ DAY 30 , ~.-. ' . ...... which cycle begins. Us!"; ,.' - ¡ a new TOTAL MINUSES information to cOIIDlete Part B PART B: ACTION NUMBER CALCULATION Line Total minuses this period-Part .' " 1 . A I ~ Line 2. Cumulative minuses froll previous periods in this cycle. , -' Line 3 . Total minuses (add lines 1 ð: 2) Line 4. Action number for th'is period (from table above) - ) Line 5. Is line 3 greater than line 47 DYes QÑo 11 Yes, ~ have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK .UT-10 "STANDARD INVENTORY CONTROL MONITORING". Env. Health 5804113 1016 (6/86) ., ,,-.-.--,",". ,. .'--."-'-'.,' . ',::. .;:~.~;: ;~;~;:.~s::: '~::-;. .:::- -, " .', :,:,;.:,-,-;:;::~:; :;..::-s:~::.:::;~~~it;(';;/;;-;:k;~~;:·.::;'·:-þ;·~~~~:--~~~:; - I 1_. e e KERN COUNTY H~~_TÖ ~~_~~TMB~~ TREND ANALYS:J:::» W CJ K K =::Þ H J::. ~ -.... .i;<' A C I LIT Y k (,¿...$ 5 TANK # / CAPAC ITY ) -:1. (;:; ,~~ PERMIT # PRODUCT LlN L.~;'\'"()la:J YEAR/PERIOD q~- / INSTRUCTI ON-S . . PART A : OVERAGE/SHORTAGE Fill in all information at top c form. In the space for year 1 16 period indicate the year and th DAY DATE C+/-) consecutive period of analysi DAY 1 , - '-::' -' -/- - being conducted (from 1 throug '-, DAY 2 - - 12 only) Transfer the date an DAY 3 " " - 0' .] ;... the sign from columns 1 and 16 c DAY 4 (~___y;-_ .7::- - Reconciliation Sheet to column DAY 5 ') .-.-' .. ...- at left. Use the table below ":- DAY 6 ........ ,,).. :;- '!'p - determine the action number fo DAY 7 /-é) -/ ~_:;w .- the period being analyzed. DAY 8 /~ --j¡'./- ·7!· - DAY 9 :~ -~ '::- " , ....... ACTI ON NUMBER ~'" ,,r-' I DAY 10 {P_!{,_o<.. - TABLE DAY 11 0-1 i -" ·7!~ - DAY 12 ..:.;, __ -.;;.. ~I _ -;,,-' :.·i - 30-DAY .\ ACTION DAY 13 6.' ..~ ;. ,'- -;'~, +' PERIOD NUMBER NUMBER DAY 14 b -'-:-c: "':':'". -......;'" :.- . ' _~._n"ql\ll 1 = 20 DAY 15 " .. "'..... \f~w _ \1~UU'\:'I"Wo 2 = 37 DAY 16 '.-::- _ ':;A; 1/,.' <7 L! -' 3 = 54 DAY 17 ,..... .~.. , ~ .' .-- 4 69 - = DAY 18 :~ -::. ,.J->_.':i!.. -;-- 5 = 85 DAY 19 (~ ........;;.. ./-.:."/ .:-" 6 = 101 DAY 20 ¿~ - .' """,.. /(/- - 7 = 117 - '.-., DAY 21 :: ~' I .- C'J ':.- - 8 = 133 DAY 22 -- . ~ ~. ../ . .. ~ 9 = 149 ..~ DAY 23 "::"'- - -- --- 10 = 165 r DAY 24 7 - ..~J.-. 1 y - 11 = 180 DAY 25 7 -ð-";--" ---- "1~ = 196 DAY 26 7-'/."- --;,"!..,.; - DAY 27 I - /~ ,-.;/ {.,. ~ Circle appropriate period an DAY 28 -. .; '., action number. A full cycle '. - DAY 29 ~ _." 1.__ ../ ,:....', - made of periods 1-12, afte ,,- up DAY 30 .? .-,- , _.:"1' ._# I which a new cycle begins. Us / --' TOTAL MINUSES information to complete Part ~ D PART B: Line 1. Line 2. Line 3 . Line 4. Line 5. ACTION NUMBER CALCULATION Total minuses this period-Part A Cumulative minuses from previous periods in this cycle, Total minuses (add lines 1 & 2) Action number for this period (from table above) !/f / :::- 4' ,~ I , !! '7 , ! I q (-:- Is line 3 greater than line 41 DYes ErN 0 l! Yes, ~ have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MONITORING". Env. Health 58041131016 (6/86) . _ ;:::~.~~.:::::~;::..:·:::y.t:·:,;·: .;:. .~.":: --;;;5:~~-=-:---;-':- '....-.,.."1.......,..-........;..-.. ..,....-. ...-..... '.- '.:: .:~:.:.:-:."--!j-~~:..:..r~,:::~ ~_-~ ';-j~-'~-.:õ-~;-¡,-",~"-,::":;",;""-.-,,:;,:,,-,-.,,,,.. " .~.'-,.,......'o.I,.I'...-. ~",...~-;.~. .\.~;.';",,~~~'="":;: -:. . .."'~,~.:¡.;"~,.--, r .. e e KERN COUNTY HEAL~h üErARTMEN~ TREND ANALYSI~ WO~K~H~~~ _.,._--~-----_..__._---_._-~---_.- 1;0' A C I LIT Y j( G .5 S TANK # I CAPAC ITY J d, OeD ~ _ ~ -_J'l- - P'ERMI T # . PRODUCT UN '- 61Qc,:J YEAR/PER IOD '! i,.i-/. INS T RUe T I 0 N-S : Fill in all information at top c form. In the space for year period indicate the year and th consecutive period of analysi being conducted (from 1 throug 12~). Transfer the date an the sign from columns 1 and 16 c Reconciliation Sheet to column at left. Use the table below - determine the action number fc the period being analyzed. PART A : OVERAGE/SHORTAGE DAY DAY 1 DAY 2 DAY 3 .:.;¡. .. .~. ,;n, DAY 4 DAY 5 DAY 6 DAY '7 DAY 8 DAY 9 - - .- --/:... DA Y 10 ::;:-' .:: ,- " :... DA Y 11 .::.: - ,;'" .,~. DAY 12 - _'..-- n DAY 13 ...... b--i- DA Y 14 -' "/'.- ~;'/.; DAY 15 ~ -,/D-J!.. DAY 1 6 ,::; ~ ! / - ./ ¡., DAY 1'7 ...:..- /.-, _J". DAY 18 '-;--:- !,' - 11.. DAY 19 S _./~ - '11f DAY 20 <.,-/7_Ji./ DAY 2 1 5-) ,p - ~71.t DAY 22 ,- -1"- .J<. DAY 23 .~ _,.;;_~__n. DAY 24 LC'_;;''.!._C}!,/ DAY 25 S .....:. iÙ .:; '.... DA Y 26 r.- ___ -.:" ~¡ i.., DAY 27 .S.....,;)..b-Vl..:/ DAY 28 ..5 -.;) /- q:.., DAY 29 (0- I....:' (, DAY 30 í,.., - .;'2....- 'Ii..¡. TOTAL MINUSES 1 DATE 16 C+/-) ---r- ~ _ ........ z~ .t'!... - ;... -- , -./ ---. .... .~ 4 -'~-: ~ -' :,¡ (.., - - - ACTION NUMBER TABLE - .-¡- - 30-DAY I ACTION PERIOD NUMBER NUMBER 1 = 20 2 = 37 3 = 54 4 = 69 5 = 85 6 = 101 7 = 117 8 = 133 9 = 149 10 = 165 .-1~0 = 180 ...-"., 12 = 196 -.- - nn '0(\ t1Kì'~~t\~,~~ - - + - +- - r - - Circle appropriate period an action number. A full cycle: made up of periods 1-12, aft~ which a new cycle begíns. Us information to comolete Part ~ +- I -r- PART B: ACTION NUMBER CALCULATION Line Total minuses this ) - 1. period-Part A . . . . . - Line 2 . Cumulative minuses from previous periods in this cycle. / if t.r Total minuses (add lines I .- .::J Line 3. 1 " 2) . . - number - .., Line 4 . Action for this period (from table above) '- - Line 5. Is line 3 greater than line 41 DYes [91i~ - 11. Yes, ~ have -ª. l'eportable loss and must begin notJfication and investigation procedures as described in Kel'n County Health Department HANDBOOK 'UT-10 "STANDARD INVENTORY CONTROL MONITORING". Env. Health 5804113 1016 (6/86) > :. .' ;~-:-.;.-:-.-~,;:~:"";.,, :.-:.-' , . . . . . " ,.. ~ ,'..,.,,' ~ .~"".... ..., ~ '\. "':":~.:-:~:":;-:~~':~::---""'~ ..:....: ~ ;_.~:.~....._~~~: ~. :'";:'.~".: ..~_ ;._ ". . '::; ;:c:;~.~:.:::--..::~::.~{ -: :--:~.:;:::..~';~ :, ;:-:::~;.,;~~~~(;;~~~E?~;:~{~:~~:~'::-:~'-;:'::~~:~~~3~T·~:~{.:-:=f~,i~F;~t~.f~W~~:;:~i _, .' e "::;~'>:'.:':;:;-' e KERN COUNTY ftE~L~h üEPARTMEN~ TREND ANALYSIS WOK K ~ .t:I. b ~ .J: . . - --,_._-- ~ ---.-- ~ .______~_______.. _u-_._ FACILITY TANK # CAPACITY ¡kú.55 1.2 0 O·-=' PERMIT # PRODUCT t./tv f-r:3.7fl)e:zJ YEAR/PERIOD(.i~-: I NSTRUCTI ON"S : - PART A : OVERAGE/SHORTAGE Fill in all information at top '- for1l. In the space for year 1 16 period indicate the year and t:: DAY DATE (+/-) consecutive period of analys':' DAY 1 -:0_ ,. c- _."-;¡ c.... - being 'conducted (from 1 throu¡; -' ,"- DAY 2 - --./:;,....:.::,. ~ --- 12 on 1 y) . Transfer the date ar, , I DAY 3 -' ., . ,;' (.. - the sign from columns 1 and 16 - .~ --' '. DAY 4 -- /.._~., . /1..... - Reconciliation Sheet to columr. - DAY 5 .: .,.: ." at left. Use the table below "'-::;;.'",,: ." DAY 6 .::;j _ ~......:... .~~l - determine the action number fc DAY 7 ..5 - :.;2 _~ ~'7' ,...' -L- the period being analyzed. I DAY 8 .- -.::w,;. '-'-'-! - DAY 9 ..:. ,"0'" ;.... ¿ - "1 ~.... ,~ ACTI ON NUMBER ! DAY 10 J -.' t~ .:.;...., .:,.{ :'~( :1--- TABLE DAY 11 ./.- ./- :J - -' DAY 12 -: - -; ~ _' -7 -- - 30-DAY\ ACTION - DAY 13 ,- - ,- - PERIOD NUMBER NUMBER DAY 14 ..- f :... ---- 1 = 20 DAY 15 ;...r- .; - ._ .7,~ 2 = 37 0"\' n; DAY 16 .. ,. b-" i /..;. ,C)(! ilfi~ M!j\' 3 54 - = DAY 17 '-f - "7 " '7 'f \ ......, v .+- 4 = 69 DAY 18 .:...: - é~ - ::('t... - 5 = 85 DAY 19 ~_~J'/...... J :'. -I-- 6 = 101 I DAY 20 '-1-----/;;'" --{ (r' + 7 = 117 DAY 21 4-..- J " .;.~., - 8 = 133 - DAY 22 - -. .J. ,~ -. ..,... 9 = 149 DAY 23 _'1' ._' _ - I .. ~ - .íÔ) = 165 ~ DAY 24 4-/';--11./ +- 11 = 180 DAY 25 ~ _.' -I _-11 ~_ - 12 = 196 DAY 26 ~. _.-...¡,.=>-' !J' - DAY' 27 i-f' --,;¿ l-' ~1 ~l - Circle appropriate period ar. DAY 28 4 -";".j 41t ~ action number. A full cycle , - DAY 29 made up of periods 1-12, aft,:; DAY 30 which a new cycle begins. U:: TOTAL MINUSES information to complete Part ~ - PART B: Line 1. Line 2 . Line 3 . Line 4. Line 5. ACTION NUMBER CALCULATION Total minuses this period-Part A Cumulative minuses from previous periods in this cycle. Total minuses (add lines 1 & 2) Action number for this period (from Is line 3 greater than line 41 I:: ),~ q '_i L; table above)' DYes f .~'-: gfi~ l! ~,~ have ~ ~eportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK _UT-IO "STANDARD INVENTORY CONTROL MONITORING". Env. Healtn 5804113 1016 (6/86) ~~ ~"'-."""" ~. -..., . - ., <=(:' ':~:~;~~<::~~~~; ::'~::~~:~.';: .':{:: .',' , _. .. .~,:..".".:. ...r....· .... . e ;:~';,:~".~~!>:~~":;¡:~::~~~??L:.':·:::':'::·;:::;·¡;t~i:1~f<f:!;:~~?;:~':'~(?:¡'t:,~~::·:, e KERN COUNTY REA~~H üErA~TMEN~ TREND ANALYSIS ~O~K~H~~~ --. -_.- ~-------~.---- -.- ------.~---~-----"- I NSTRUCTI ON·S · · PART A : OVERAGE/SHORTAGE Fill in all information at top - form. In the space for year 1 16 period indicate the year and th DAY DATE C+/-\ consecutive period of analys':' DAY 1 , ;"-"'1 [, - being conducted (from 1 throug l/¿ DAY 2 i .~ ..; I '1u 12 .Q.!!ly) . Transfer the date ar: DAY 3 , . -- the sign from columns 1 and 16 .. - DAY 4 ," , " ., j Reconciliation Sheet to columr: -...~ "_. DAY 5 ~ ~. ~ ,.. :,7;.,;- - at left. Use the table below - ",.. DAY 6 ~ ._..:~..-~!~ - determine the action number f: DAY 7 ~ -d) --1-1.; ~ the period being analyzed. -.; I DAY 8 .. ..1 ,. " - ,. DAY 9 .'\, "" ~~ . M ~, ACTI ON NUMBER ,_. ... DAY 10 - -- . ,." - .~~ TABLE --,.- DAY 11 -, -- ' -', ' " ~ .-,- DAY 12 .' . ,.. ..,..- 30-DAY : I ACTION "-' DAY 13 .~~ I ;')_ -.1 ... - PERIOD NUMBER NUMBER , DAY 14 -. _.~ ; -- ....,' , ,-::::~ tM~'~\\\~~\Io 1 20 .' " = DAY 15 "' ~ ~. I .. )~~ ~U' 2 37 .... , ,.' , - = DAY 16 '-'I ..-. ..;.~:.. - ',7 ~/ 3 = 54 ;...... DAY 17 "'. '- .. .;.... -r- 4 = 69 DAY 18 .. :f' ~ _I :,. 5 = 85 ¡ , ,"" DAY 19 .. ... :.';~'.~ - 6 .101 -.. ' --...L- "-' , ...,..,.... = .. h, -- 7 1'17 DAY 20 .." ,....;.¡. .. = DAY 21 , ·'1 .' ..-.... 8 = 133 ~-- DAY 22 J ~~--.::.r¿.,.: - ::::9..' = 149 DAY 23 .' " '~.~~ 7 f,:' 1-- 10 = 165 DAY 24 -:::: - t...._. .J" ..~.... '- 11 = 180 DAY 25 -, /~v 12 196 ..) - -1-" = DAY 26 ? --,5-<1 ~ - '--' DAY 27 .3 -- '1-7 'i - Circle appropriate period an DAY 28 3 - / 0,-' 'i 'f - action number. A full cycle ; - DAY 29 - - ; /. " " + made of periods 1-12, afte ..; , - up DAY 30 ..;. __. / :...., .1"'( ... -r- which a new cycle begins. Us TOTAL MINUSES information to comDlete Part .- Î-~) ~,~{/~t:: PRODUCT ::..~ PERMIT # (J¡V :-~rl-¡:-:?L) YEAR/PERIOD f _.~:? - ~ACILITY ç'\.'<... TANK # CAPACITY .. ..... -- -- PART B: ACTION NUMBER CALCULATION Line 1. Total minuses this period-Part A Line 2 . Cumulative minuses from previous periods in this cycle. Line 3 . Total minuses (add lines 1 &: 2) Line 4. Action number for this period (from table above) Line 5. Is line 3 greater than line 4? DYes [31fo ¡-: · i / / ì . -, /~ 0 .I .--' c; l! Yes. ~ have ~ reDortable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK *UT-10 "STANDARD INVENTORY CONTROL MONITORING". iEnv. Health 5804113 1016 (6/861 ._;';,-' "." .,(~_'_r__.__.. . ~~. KER.N . CO UN T Y H. ~.A...... 'i':ti. _e '-E .- ~ .a::. r A.t<. #J.·.r'A - ~ -.... TREND ANALYSI:s W CJ K K 0:. H. 1:;. ~ -J. l:;<'ACILITY k<::....5~ TANK # ~) CAPACITY I NSTRUCTI ON"S : PART A : OVERAGE/SHORTAGE Fill in all information at top 0 form_ In the space for year 1 16 period indicate the year and th DAY DATE (+/-) consecutive period of analysi DAY 1 ..s-.... ~ ::J- -4 "( - being conducted (from 1 throug DAY 2 .J -:2-3- 9S - 12 .21!.!.Y) - Transfer the date ar, DAY 3 ... .......:..:.#'.- ..I~ ¡- the sign from columns 1 and 16 c _._. -II DAY 4 -..:; -".. - .~; ~. - Reconciliation Sheet to columr. J'~~:;. . ~ DAY 5 ~'. _."... --" . - at left. Use the table below - " -, DAY 6 -. _. _.~ _~ ._ OJ.:.:. - determine the action number fo ,- DAY 7 t"-.- ." , .................. -- the period being analyzed. '- -~ . .' DAY 8 [,.//,<15 - DAY 9 , ," -' ACTI ON NUMBER '. . , - DAY 10 ~ ~ ......, -'! ...~,. TABLE " . DAY 11 7 ~. !.., . _i .. - . - DAY 12 .. .- - 3D-DAY I ACTION ~ DAY 13 , - ~. PERIOD NUMBER NUMBER DAY 14 :-'":0.... .~/I~"'; _:; - 1 = 20 DAY 15 ,. ,- " ' .-~ 2 = 37 .. DAY 16 ~--/J~C!S + 3 = 54 DAY 17 ~ ".-...... .. ' . - 4 = 69 DAY 18 ~:., ",:.,~,. J ~ --r- 5 = 85 DAY 19 " // (, '-''::; .5- - 6 = 101 DAY 20 ... .~ ' .. ,. .-' 7 = 117 - DAY 21 8- = 133 DAY 22 9 = 149 DAY 23 10 = 165 DAY 24 M=rQ\~f~\i\'" 11 = 180 DAY 25 lJ~':;S1U"~' . ~, . 12 = 196 DAY 26 DAY 27 Circle appropriate period an DAY 28 action number. A full cycle 1 DAY 29 made up of periods 1-12, afte DAY 30 which a new cycle begins. Us TOTAL MINUSES informati()n to comclete Part B PRODUCT PERMIT # o )i~::i,eL_ YEAR/PERIOD ! ~ ,~-:;)... 0-,.,' '- PART B: Line 1 . Line 2. Line 3. Line 4. Line 5. ACTION NUMBER CALCULATION Total minuses this period-Part A Cumulative minuses from previous periods in this cycle. /~/ Total minuses (add lines 1 & 2) Action number for this period (from table above) Is line 3 g~~ater than line4? DYes -oNo If Yes. ~ have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MONITORING", Env. Health 5804113 1016 (6/86) '.- .".. - '.;. ~ . .. ~ . , ..' -~-"I-'- -. '.-.' " ~,,'...-~"~' "A '"~~...' ..,....~.¡. ....~.;,'. ..?_'_'.......--"O..""'...":-.~.;J ~ ","~ ..'......-..-__.:""':."'!;..~,_..~':""~..!'.:-;~~:.:_~ . e KER'N COUNTY Hb~~~H ~¿~AkTME~~ TREND ANALYSI::s w U to(. K :=i H J::. ~ ".I.' j;ò~ A C I LIT Y k c- So S TANK # ~ CAPACITY ¡.:. ~ D ,~ PRODUCT PERMIT # o Je-..s ¢E?:.L YEAR/PERIOD "::::l..., ,- . - -r- INS T Rue T I 0 N-S : Fill i n all info r mat ion at top ,_ form. In the space for year period indicate the year and tt consecutive ~eriod of analys: being conducted (from 1 throug 12 ~). Transfer the date ar. the sign from columns 1 and 16 ~ Reconciliation Sheet to columr. at left. Use the table below - determine the action number fc the period being ~nalyzed. PART A : OVERAGE/SHORTAGE 1 DAY DATE DAY 1 :-r /-"f') DAY 2 t./ -f.D--q S DAY 3 '-:r --j J- ':1 ~ DAY 4 :-¡'! .;-1 <. DA Y 5 ,;;,-: j-4 S DAY 6 - -- .--J .:.. DAY 7 _. '- --- J.:.. DA Y 8·-' -- "-., :.;:::: DAY 9 l..I-:),o"·'/::' DAY 1 0 .,¡ -:--;:<- i - -:- .::. DA Y 11 -t-_,). (-t- 1.::. .- DAY 1 2 --~ '. ,: ._ DAY 13 ..;.-:., .-., - DA Y 14 '-1-).,1.- '9, ',," DA Y 15 .i..Þ-...:...,.. ". ;,;0 ,:" DA Y 16 C-'.., ¡ -' e.-¡ -7:' DA Y 17 '- _. ../ J~' DAY 18 ~ - ..J~' DA Y 19 ..:: - t.J-_.:lS DAY 20 5-.i;;--9S DA Y 21 ~;Y--::'.:S: DAY 22 _.__."1_-.;':;' DAY 23 ,..)-1-...'-<:: DAY 24 .... -! :_-.I.~ DAY 25'··-/~¡.,T: DAY 26 s;--¡S-c;s DAY 27 C"-·¡(.,-9S DAY 28 ~-/7.. '1'::; DAY 29 ,c::.-~'/ if -/ S' DA Y 3 0 ~- /9 -'-I.:' TOTAL MINUSES 16 C+/-) - -¡- o - I - - ~ .. ACTION NUMBER TABLE - - .... '- 30-DAY .\ ACTION PERIOD NUMBER NUMBER 1 = 20 2 = 37 3 = 54 4 = 69 5 = 85 6 = 101 ct.:. = 117 .>~ ',' '.".',.,"'. .ª,. = 133 9. = 149 10 = 165 11 = 180 12 = 196 - ~ - - -r .-r - ,:=In ~'" IH;'¡¡_ r~, - - +- - 1- - Circle appropriate period an action number. A fu11 cycle ~ made up of periods 1-12, afte which a new cycle begins. Us information to comclete Part c - + PART B: Line 1. L~ne 2. Line 3. Line 4, Line 5. ACTION NUMBER CALCULATION Total minuses this period-Part A Cumulative minuses from previous periods in this cycle. Total minuses (add lines 1 &2) Action number for this period (from table above) ;s ;>/ o !P t) ii Is line 3 greater than line 47 DYes DNo If Yes, ~ have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MONITORING". Env. Health 5804113 1016 (6/86) ~-~'i.""..t":>'~~~Öfí:.>t·:.:·:.·>:-:.o-.· e e KERN C 0 UN T Y .t:L b A. .L. -~- .h. u .c. r A. k ".J: ME .N'....... TREND ANALYSI:s W 0 .t<. K :s H ~ ~ .J. k l:."ACILITY (\ TANK # CAPACITY I NSTRUCTI ON-S : PART A : OVERAGE/SHORTAGE Fill in all information at top c form. In the space for year 1 16 period indicate the year and th DAY DATE ( + / - ) consecutive period of analys':' DAY 1 '~'-4: _ ..;: '.~' ~ being conducted (from 1 throug DAY 2 - --, -; ...~~ ---- 12 .2..!!..!.ï.) . Transfer the date an - DAY 3 ~, - ~ ,.? --::1 ;: - the sign from columns 1 and 16 c .-, DAY 4 ~ ..- f ,- '7. r- - Reconciliation Sheet to column DAY 5 ...;Ì... "..- -- at left. Use the table below - - - , DAY 6 - " .I' ~ - determine the action number fc - ' - DAY 7 '- .~;; .-- - the period being analyzed. '- - ¡ DAY 8 ,', é/ r" - - ", , ' - DAY 9 , - ! .. <f"''::'' - ACTI ON NUMBER ;. DAY 10 .-,' ---;'7'.5 - TABLE DAY 11 ./' -/ !) -- c¡ ."i +- DAY 12 . ~:, ' - - 30-DAY ,\ ACTION -~ ., -- DAY 13 "; --/ u- ~·1..s - PERIOD NUMBER NUMBER DAY 14 3 ,··/~.~ 7::' - 1 = 20 DAY 15 " ._- , . .,;70:- - 2 37 . = - (,.- . '.- i DAY 16 3/17_CJ::i - 3 = 54 DAY 17 ''! - :.J. :,).' 9 ::; 4 = 69 DAY 18 - 7'"'~ / ~ '1.5 -- 5 = 85 DAY 19 _.':;~ .~. ~l::: of- 6' = 101 DAY 20 _--, .J ¡ ~o# -t-' 7 = 117 Ã_~' .. '"' DAY 21 -:? _..} ~~ _' ..,,' _0' - 8 = 133 --.. - DAY 22 ;¡.. ,- ~._- -r - - _/"'.....~_:.. 9 = 149 DAY 23 -- ._~~ .../ ...~.;~..:. - 10 = 165 DAY 24 -- .-. '" -~ ',~ ~.- .0- 11 = 180 '. DAY 25 ·;'-30"~ 9.:..·· ;-,\, ~ ~ 12 = 196 DAY 26 :; -,.3 I.; w/-'::' I-~I:!I~ DAY 27 µ ., " j Circle appropriate period --'- , , .- -r an· DAY 28 .....;.... --~-:':;;- j action number. A full cycle i DAY 29 'f- ~ - '7S- - made up of periods 1-12, afte DAY 30 if -- b- q s- - which a new cycle begins. Us .- TOTAL MINUSES information to complete Part E ,"'- ... >'-.-J. "'-' -' .. -.:;"" .~: .::-' ;:") PRODUCT PERMIT # ¿) /=.5 '-:::::C YEAR/PERIOD .-:,,l.- 0' '-.~ ... PART B: Line 1. Line 2. Line 3 . Line 4, Line 5. ACTION NUMBER CALCULATION Total minuses this period-Part A Cumulative minuses from previous periods in this cycle. Total minuses (add lines 1 & 2) Action number for this period (from table above) }J' , bð (,7 '~7 Is line 3 greater than line 41 OY~s '/ ~o ! ? J If Yes, ~ have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MONITORING". Env, Health 5804113 1016 (6/86) KERN e e COUNTY ö~~~~h D~~~RTME~~ TREND ANALYSI::s w U .t<. K ::s ö J:;. ~ ".1 } j;;o'ACILITY /" TANK # CAPACITY PERMIT :#: '- ~ YEAR/PERIOD J-- .- PRODUCT { 1 DATE 16 (+/-) I NSTRUCTI ON-S: Fill in all information at top c form. In the space for year period indicate the year and th consecutive period of analysi being conducted (from 1 throug 12 ~). Transfer the date an the sign from columns 1 and 16 c Reconciliation Sheet to column at left. Use the table below: determine the action number fc the period being analyzed. PART A : OVERAGE/SHORTAGE DAY DAY 1 DAY 2 DAY 3 - DAY 4 " , <"..;:' DAY 5 1-" /('.-<15 DAY 6 .-- '" ./:- DAY 7 1-· J. (',..,;~ DAY 8 '--<. ,~ ....:J :ç- DAY 9 ; --.J- Ll......'1 S DAY 10 ¡ --).. s:-.~ r:- DA Y 11 .-.. :.~, ' ,-- DAY 12 ..-- "': DAY 133 0,'''' DAY 14 I..; f ?:... DAY 15 - DAY 16 .1 ,';t. 7::" DAY 17 ""," ¡'- DAY 18;¿~/~~o.<:: DA Y 19 .~, .' , -- '~'.~..' DAY 2 0 ;).....p.. '7 5.: DAY 2 1.,,) -- 9- qs; DAY 22 ..., ·c·~·· '.'_ DAY 23 ...:. _.',-<',,2" DAY 24 ..;. __I -:-.,.; ,- DAY 2 5 .,~ ,...~ ': DAY 26 .-:......,~, ?~:. DAY 27 .-.. --~-, ).- ... -. '''\ .-:r'l,..- DA Y 28 - ..,.~"",,_' ;'--, DAY 29 -- ~ :'~ DAY 30 .~.. ~ .-. .<-:. TOTAL MINUSES PART B: Line 1. Line 2 . Line 3 . Line 4. Line 5. . ; ,r::.:. -. - --- - - -- - - ACTION NUMBER TABLE - - 30-DAY I ACTION PERIOD NUMBER NUMBER 1 = 20 2 = 37 3 = 54 4 = 69 S- = 85 6 = 101 7 = 117 8 = 133 9 = 149 10 = 165 11 = 180 12 = 196 - - T' - - , - I +- --- - - ._- ®(i 1i1~\ïì-ì I:!m\m'!'1~¡i'jl.'!.\IÁ, .. Circle appropriate period an. action number. A full cycle - made up of periods 1-12, afte which a new cycle begins. Us~ information to complete Part B - -i- , ..j... - ACTION NUMBER CALCULATION Total minuses this period-Part A )¿) Cumulative minuses from previous periods in this cycle. Total minuses (add' lines 1 & 2) Action number for this period (from table above) (" J-; -J.s Is line 3 greater than line 41 DYes ßNo If Yes, ~ have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 ~STANDARD INVENTORY CONTROL MONITORING~. Env. Health 5804113 1016 (6/86) .'- -~~~'-:~~,',~~.:<,.-:-,...'. .# ,'--.·.·~·.·~.~.?~'$:.:;::;~~~;tlt;:;y~~*8~:~.:-~~.r..r-~~:~bí....-.......-~'...-..:;O':.:,.-..-"'J;,.,.....'.- "-'.-".;~~',"^"..r~":"~~~~~~-,~.~.~"""",,-,,,,,,,,~_. e e KERN COUNTY H~~~Ihb~~~KTMB~~ TREND ANALYSI:=:o W U .I:"'C.. K :=:0 H J::. ~ "J. c' A C I LIT Y TANK # __ CAPACITY J::- <: r J" G .....) ~ I NSTRUCTI ON-S : PART A : OVERAGE/SHORTAGE Fill in all information at top 0- form. In the space for year 1 16 period indicate the year and th DAY DATE C+/-) consecutive period of analysi. DAY 1 ;' 1/ 1 ~. - f (~ - being conducted (from 1 throug DAY 2 //~....~ j ',- -,; :.. 12 .Qll1.y) . Transfer the date an DAY 3 í I·· ·t~ 7· ~! ~~ .- the sign from columns 1 and 16 0 DAY 4 JjJ..- .:' .J, ,..( ì....... -- Reconciliation Sheet to column, DAY 5 -' at left. Use the table below t DAY 6 -.... - - determine the action number fo DAY 7 . " .. -- the period being analyzed. - -. DAY 8 _. ,.. . '. - DAY 9 ~ .- . ¡'.,- ..J- ACTI ON NUMBER DAY 10 , -. .;. . -- TABLE DAY 11 ~ --- DAY 12 , -- -- - 30-DAY I ACTION '- . - DAY 13 , , - PERIOD NUMBER NUMBER '. DAY 14 . '/', - 1 = 20 '...-.. DAY 15 .;.. , .- .' - 2 = 37 DAY 16 I-J- _/(~.c?U -f- 3 = 54 DAY 17 ., _. .....i of .~. - Q../ = 69 DAY 18 / :1. 2ð"':¡~' - 5 = 85 DAY 19 ::-:1_ ~. ¡ . ..' ,,4 ~~. "f'" 6 = 101 DAY 20 ., -"'....... .};', ,~ 7 = 117 DAY 21 ._, .-...1":,., ~ 8 = 133 ...... --- . --' DAY 22 l....~ . ':",i -.- ~!,'.. .-- 9 = 149 DAY 23 , i ..l.·.... .- 10 = 165 .... .- ,,- . DAY 24 /d.- - ::: 'J -q (..,; or 11 = 180 DAY 25 / -- ~: _ c:¡ .Jr- . .... ,,'" ~ 12 = 196 DAY 26 i- i-t-q~ 1U)(r~@ ~\'¡K'~~\N~\lIo '- DAY 27 ! -' :-: --1H~ " '-"..:r Circle appropriate period anc I DAY 28 / - -,-,,~ , action number. A full cycle i.: ., DAY 29 - - .. made of periods 1-12. afte :' " -- up DAY 30 - . ~. .-/,~:- - which a new cycle begins. Us (- TOTAL MINUSES information to comclete Part B /() ().~ ''Þ? PRODUCT PERMIT # LJles Cf.-. YEAR/PERIOD 7'..r-- PART B: Line 1 . Line 2. Line 3. Line 4. Line 5. ACTION NUMBER CALCULATION Total minuses this period-Part A Cumulative minuses from previous periods in this cycle. Total minuses (add lines 1 & 2) Action number for this period (from table above) / .~: 40 " " .--¡ ~ Is line 3 greater than line 4? DYes ~ If Yes, ~ have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MONITORING". Env. Health 58041131016 (6/861 '......", "';' .'- .', , .' . ' , ~.'" '.-"..' -':- ~'"'-.-.--'.- ..¡......~.....-... ~ :-:',.. ~ :' ~~7'.:'>-'..\:..: ~:'~c-~~~~.I, e e KERN COUNTY HE~L~~ D~~ARTMENT TREND ANALYSIS WOKKQiH.~~~.l: FACILITY )(cS-.S TANK # ~' CAPAC I TY J;,;. ,!) ..=;>I.;;:> PRODUCT P'ERMIT # () J e-:;. e:.- YEAR/PER I 00 <f ~~ - I NSTRUCTI ON-S . . PART A : OVERAGE/SHORTAGE Fill in all information at top 0 form. In the space for year 1 16 period indicate the year and th DAY DATE (+/-) consecutive. period of analysi DAY 1 I,) - " ~- .~ being conducted (from 1 throug DAY 2 I Q -1 :;:;. u '.j ~ + 12 .Q..!!.U.) . Transfer the date an DAY 3 i ') .~ .: .:'.. -~./ ~ --- the sign from c·o 1 umns 1 and 16 c I DAY 4 I .., - ! L. .l ., - Reconciliation Sheet to column DAY 5 ¡ ':- _ í~'~ .'? .: (' , at left. Use the table below -. ~ , DAY 6 / t) -:;1 -'í'-' - determine the action number fa DAY 7 /c.) - ¡ .:.; -";'c..¡ I the period being analyzed. DAY 8 i ò- :.;¿..:::.-..,.t- r . DAY 9 /':") - .~J'- 1_ .:/ ~ - ACTI ON NUMBER DAY 10 / ~'J .- ::.i... ~_. ./ '.; - TABLE DAY 11 ( ,::) .- -. _.~,I ~l - ;..:....¡ DAY 12 / ) - '.':'" 0 - -/!. - 30-DAY \ ACTION DAY 13 ì ,. F - PERIOD NUMBER NUMBER -. .~ ' '" DAY 14 / .:J _ .-;...., ~:~. .:.7 .:... - 1 = 20 DAY 15 :) - ~ . - ../:.....¡ - 2 = 37 DAY 16 ! 1- ! " '!t/. +- ® = 54 , . DAY 17 / : ..., .c:¡c. -¡-- 4 69 / -" ,~ '. = DAY 18 if - ,~-, 7t..' 5 = 85 DAY 19 ¡' i -'.- /~. - 6 = 101 . .. DAY 20 / i - > _ ,:~l t-f .-, 7 = 117 I DAY 21 l: .J" .! - 8 = 133 DAY 22 li.- '1- ?"",- - 9 = 149 DAY 23 - .~ --:' :. ~ 10 = 165 ¡ DAY 24 /,/ -/'t_.:!C-¡ -- 11 = 180 DAY 25 ; -' ,~-':'... ~.- - . ,I:.'., 12 = 196 .-. DAY 26 ~.....'.,;..... ~W'J\' ~. '1:::.'~.I\iJ"\'\. DAY 27 f ! U ! ¡,:..? l.., 'r Circle appropriate period an DAY 28 ,/ / ,'.. ,I,,. t- action number. A full cycle 1 . 'i DAY 29 ! ¡. -:$. /,,';1 Y , made of periods 1-12, aftE 'r- up DAY 30 ¡i.. :~;;.-q'-f - which a new cycle begins. Us TOTAL MINUSES information to comolete Part B PART B: ACTION NUMBER CALCULATION Line 1. Total minuses this period-Part A . . /d Line 2 . Cumulative minuses from previous periods in this cycle. J. .--.. ""'- Line 3. Total minuses (add lines 1 lie 2 ) Jl .-- .-- Line 4 . Action number for this period (from table above) '::- L.,' .. "- Line 5. Is line 3 greater than line 41 DYes [:g.N'o .!1. Yes, ~ have .!. reportable loss and must begin notificatlon and investigation procedures as described in Kern County Health Department HANDBOOK *UT-10 "STANDARD INVENTORY CONTROL MONITORING". Env, Health 5804113 1018 (6/86) , _ :<':'.-..<.~;~:-:',~::7': ;, >;-:~~~',' :-: :.~<;",~~;,,;.:~:;~_,:.;~:;:::'-:-:::~~J;::::¡.J; .-,_..:.;4;": ..../:~..r:~:..;.:r.;~J;r:~: ":.:-·~?:,~''':-':~;'':''''--.-:J:-';'='Z''':'''::-o{'':'''''':).-.:-oð-:"'',:W-.o?,~"'i~)o-''':'~~~be..- - e KERN COUNTY H~~~Iö ~~~~HTME~~ TREND ANALYSI::s WOK K :s H J:;, J:;, ".1. , " oJ' ,- 1:" A C I LIT Y i\ ,:...,. ...;; J TANK # CAPACITY -., o~,':'; PRODUCT F>ERMIT # ,-..: ,¡::=.:: ¿.:... YEAR/ PER IOD;:- I NSTRUCTI ON-S : PART A : OVERAGE/SHORTAGE Fill in all information at top form. In the space for yea:: 1 16 period indicate the year and t :. DAY DATE (+/-) consecutive period of anal ys :. DAY 1 /Y . being conducted (from 1 throu;~ DAY 2 :.) ,.. .- 0-r 12 .Q.!Ù.Y) . Transfer the date a:' , DAY 3 ? -.J I_Cf'...1 - the sign from columns 1 and 16 DAY 4 , ., Reconciliation Sheet to colum:- DAY 5 '. at left. Use the table below DAY 6 ..' - -~-' -' - determine the action number f ., DAY 7 . . .- the period being analyzed. ., DAY 8 -' DAY 9 "~,, .- ~ ." - ACTI ON NUMBER DAY 10 ~"'_" - " ..- 0 TABLE DAY 11 Q _: ~:_~_7:.... - DAY 12 q -~ I ~-:' ~ ~/ : f' I 30-DAY' I ACTION ¡- DAY 13 .. -'-~- ~ PERIOD NUMBER NUMBER DAY 14 ., .'... 1 20 ~ = DAY 15 ~ " ?,-(,ì.,o .=- 2-' = 37 DAY 16 '. , '. 3 54 - = DAY 17 ~ -'""",,'- 1__- i !-,;- 4 = 69 DAY 18 'f - .:.O~I'";,,:. ~t.. 0 5. = 85 DAY 19 q -~ 3-·ýtf 6 = 101 DAY 20 q~cJ-b-?L:' - 7 = 117 DAY 21 .. '1-~ 7.· .7u -L- 8 = 133 . I DAY 22 9 _;¿,p_.l (. - 9 = 149 DAY 23 " ; . . - 10 165 o' .' 4. = DAY 24 <1 -- .J.:> -'1 L/ -I- 11 = 180 , DAY 25 l :.) _ .:"__7 :.' "..... 12 = 196 I DAY 26 / 0 _¿¡_,Î '- -~-~ DAY 27 /o-S" .J(_ 'G'UU' Circle appropriate period ac DAY 28 .I {)--.-:r--.; Y -r- - action number. A full cycle , - DAY 29 .I ;:;;; - -!,-C/ I... - made up of periods 1-12, afte DAY 30 . ., -f-" which cycle begins. Us / ~J .--'j :::.- '.,t .-' a new TOTAL MINUSES information to comolete Part -: - PART B: Line 1 . Line 2. Line 3. Line 4. Line 5. ACTION NUMBER CALCULATION Total minuses this period-Part A Cumulative minuses from previous periods in this cycle. Total minuses (add lines 1 & 2) Action number for this period (from table abo~e) Is 1 i n e3 greater than line 4 ? DYes .~.,--- BNo 1£ Yes, ~ have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MONITORING". Env. Health 5804113 1016 (6/86) -~'_.. '._..:.:~:.?,;":,,,:.,:.~ -~. :~'" ..-.:-..,;o,;...~..'~'.J"""~' ,; .-:,v . . ','.~..r- >:-_ ..,:-;.,..~i';.;.<-;. ,~.. '-'";_', . ,', -. '. - . ~ ~ "'~ '.,,-.'".' ..... '·"~'·~···'··--'··~'~·"'<';''':_-''----;''··,-''~o.:._'',''''''~·~~K.'I'>,''r.·-~t~~~\..':... e e KERN COUNTY ö~~~Ih ~~~~~TME~~ TREND ANALYSI~ WO kK ~ ö J::ò ~ ".I.' .t"ACILITY kG:;s- TANK # .l CAPACITY I,~_ D<o~::> I NSTRUCT I ON-S : PART A : OVERAGE/SHORTAGE Fill in all information at top G form. In the space for year 1 16 period indicate the year and th DAY DATE (+/-) consecutive period of analys:' DAY 1 ",.., IS 'I (; r being conducted (from 1 throug I DAY 2 - . / ..._û' f...¡ - 12 .Q.!!ly ) Transfer the date '-I an / . DAY 3 .-. .- ' '- --- the sign from columns 1 and 16 c .;..... DAY 4 ..' " .' ., . - Reconciliation Sheet to columr. DAY 5 ..~-. ; '-~ -' at left. Use the table below - - .. ," .' DAY 6 .~<-. ... - ." .,f;." ...- determine the action number fc .,;-.( j DAY 7 '-." ; .- - the period being analyzed. " -- " DAY 8 , " ,.- ,... ~ ., DAY 9 --; ..... :,\. ,r ~. -, ' . - ACTION NUMBER DAY 10 .. ., . , r TABLE , - DAY 11 , .. ; -~, ,--- DAY 12 " -. ",.. .. -- 3D-DAY I ACTION " _. DAY 13 ., " - ", __ ,7 :~. - PERIOD NUMBER NUMBER DAY 14 '.' ;- .. /' L::- = 20 .- DAY 15 ,.' ~ ,--", :. 2 = 37 DAY 16 _,j) --..-i' .- ,? !...,,, Ù 3 = 54 DAY 17 .-< .' - ,j .' . Q 4 = 69 DAY 18 ¡¡ - ./ a - "' :.: 0 5 = 85 DAY 19 n /,1- ., , 6 = 101 ) -.-. DAY 20 ,..f.r· ..... I ~ ~ ¡.. 0 7 117 ..I I~ ....~ = DAY 21 .-; __/ ,S"--- ~i L~ .-¡- 8 133 Ó = DAY 22 ~.. - / b- ...~ ., ,¡-- 9 = 149 DAY 23 ,f - 1'1·· ,r :., - 10 = 165 DAY 24 " -' 1 \' -.,' ; _,...... Îx\æJ~U~lþL- 11 = 180 DAY 25 :]- / .~ ~..".':.,....," \~)~~~~U" . c.-:-- 12 = 196 DAY 26 ~-...-,,>.. - /"" ~ .,~~ ""'I _.- '-' DAY 27 , - - - ..... :,~ , Circle appropriate period an (, :. DAY 28 ,- '- .' . action number. A full cycle i DAY 29 ,:)' -;.. S ~/ :..,.' - made up of peI"iods 1-12, afte DAY 30 . . .. ! ' , which cycle begins. Us " .-. ."- -or- a new ( TOTAL MINUSES information to complete PaI"t 1:< '-' PRODUCT PERMIT #: /),.."??~'".';¿~_ YEAR/PERIOD q4-- PART B: Line 1 . Line 2. Line 3. Line 4. Line 5. ACTION NUMBER CALCULATION Total minuses this period-Part A Cumulative minuses from previous peI"iods in this cycle. Total minuses (add lines 1 & 2) Action number for this period (from table above) Is line 3 greater than line 41 []Yes ~. ') ONo If Yes, ~ have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MONITORING", Env. Health 58041131016 (6/86) , " ~··::~~:;:":.:'~~:::¿;S·::;:~:~~~~~;~~~~-:-'.;?«":~,-.::~·:=,:o:.,," -:'>.~'>:' :..;'~~" .,.,:.~.;,; ,.' .' . , - '., "-.- -- _ .,. - .-~-.. ", . ,"-'--~---"'----' - . : .Þ- ;,' -~ ---~ ~,-~. =-.~~:.~'.~.~'.~:~~ :~~.~:f.::::::~,'~:-.-~~>?V~~;~~~~i~~.:-~-'--- e e KERN COUNTY ME~L~h üEPAkTMEN~ TREND ANALYSX~ WOKK~H~~~ F A C I LIT Y )~ C- ~ .s TANK # - CAPACITY /.-;;',~ ð..::, I NSTRUCTI ON-S : PART A : OVERAGE/SHORTAGE Fill in all information at top c form. In the space for year 1 16 period indicate the year and th DAY DATE (+/-) consecutive period of analys:' DAY 1 /:; ,- A:' .......:.- ! - being conducted (from 1 throug DAY 2 ,. ~. .- :;-,¡ .- - 12 on I y) . Transfer the date ar. '-' DAY 3 , .'. - ., .'" - the sign from columns 1 and 16 - c DAY 4 /ç _.' ',,; " _- -;7:..: -tr Reconciliation Sheet to columr, DAY 5 " ,,-.... - at left. Use the table below - 7- .-' .' DAY 6 b -/ 0- .., :..:. - determine the action number fc DAY 7 ......, ,_. f :: # .- the period being analyzed. ,- DAY 8 c::;) .. -- ,; .... ;) DAY 9 ,'.;:> _ /.: -~L..- ~ ACTI ON NUMBER DAY 10 - .... ¡;' r-..- , ,¡, ;, '--' TABLE DAY 11 :> -, . ".."... -"- DAY 12 7; -~ ~_,-:¡ u - 30-DAY I ACTION DAY 13 l_ "_.:..'ti:. ¡ t _, - PERIOD NUMBER NUMBER DAY 14 !.; -' ~;.. ..;. ..j :." 't- 1 = 20 DAY 15 &, - ~ :' -,q~' - 2 = 37 DAY 16 I.:/-~~-:¡:;¡" -r- 3 = 54 DAY 17 ~ _ J_ ""7 _- a I.i - 4 = 69 DAY 18 b -d. rf' --:t CJ- -t- 5 = 85 DAY 19 b --~ '1~":"~ i- 6 = 101 DAY 20 .S-~<.; ~ -:1 ~¡ ¡- 7 = 117 DAY 21 . -.,/ , 8 133 I~ /.--- .....- -¡- = DAY 22 -, ::7 .., - 9 149 .. = DAY 23 .. "'--'.'''/,,- - 10 = 165 DAY 24 '-. .-- . 11 180 - " '-r- - = DAY 25 / -J"- '7 L/ - á2) = 196 DAY 26 ! - /' / -- ;¡ (¡. ,,~(, . 7;\[0) tz:'''u~¡¡I~.,íQ\ I DAY 27 7 -/.... _:.1"(., '.::;I\;;/U\· ""~- .-p," -- Circle appropriate period :........ . ar: DAY 28 7·,I:~:-j,-, - action number. A full cycle - DAY 29 / -/(..1, ./ ~¡ + made up of periods 1-12, aft::; DAY 30 +- which a new cycle begins. Us TOTAL MINUSES information to comnlete Part :::: PART B: Line 1. Line 2. Line 3. Line 4. Line 5. PRODUCT P'ERMI T # .l';¡ ::;:'.s¿L YEAR/PERIOD Q., I ~-í ACTION NUMBER CALCULATION Total minuses this period-Part A Cumulative minuses from previous periods in this cycle. Total minuses (add lines 1 & 2) Action number for this period (from table above) Is line 3 greater than line 47 []Yes ~o lL Yes, ~ have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Hea1th Department HANDBOQX*UT-10 "STANDARD INVENTORY CONTROL MONITORING". / !./-¡ :7 -"' Env. Health 5804113 1016 (6/86) -"'-. "':::,:,;~':-:':--''',:;.:'.~ --:... . . " :.:_,- .:, :<;>:." .-. "-.--',_-._;':._,;,~.~_:~".:=';:.c;:;:::,.:_:y~_;:- : -':.'-';_':!::'-';:-t.-~.~-'t',,;,,~..,.--...-?~-:;-;r;~p~~~~~~=~::":;_.-_....-, . '.-' -"'~....-- .' e e KERN COUNTY HE~L~h üErAKTMEN~ TREND ANALYSIS WOK .K';::S H. J::ò ~ .~- --,-~-----_. - .-- .- -.-- ---~---~_.- - -. . ~ --. .--- -. --.-. .-..-- F A C I LIT Y k c .s5 TANK # .1. CAPACITY !~Oc.!:)a PRODUCT PERMIT # () )e<,~ YEAR/PERIOD qi..¡,- .' I NSTRUCTI ON-S : PART A : OVERAGE/SHORTAGE Fill in all information at top c form. In the space for year 1 16 period indicate the year and th DAY DATE C+/-\ conseçutive period of analys: DAY 1 'f-;-:J- 0 -<1 If - being conducted (from 1 throug DAY 2 ~"'..:--, /.. .!':--!"' .- 12 .Q.!Ù.Y) . Transfer the date ar. DAY 3 -.-.-..- - ..',- the sign from columns 1 and 16 c DAY 4 ·-~f - ~_.:.. ~/' (~ Reconciliation Sheet to columr. .' , DAY 5 -'" _. ~ - - - - at left. Use the table below ,- , DAY 6 '-.. - ..//_. -;- determine the action number fc DAY 7 ¿",.; :'. ~- --= - .:'? ~--!. the period being analyzed. DAY 8 ~-..L ~_-'L.... -I- DAY 9 . .~ ..~ .::;(~ - ACTI ON NUMBER ...... DAY 10 .' ., '-·1'· - TABLE - DAY 11 '- .-.. ':::""'__-:':¡u' + ,- DAY 12 ,. ... -. ··<.,tlf - 30-DAY .1 ACTION ~. - DAY 13 . .. .~.. ,xl, - PERIOD NUMBER NUMBER '. DAY 14 ~ -:.:...,":"- '" '-' - 1 = 20 .~ DAY 15 .- '-. .- 2 37 ~'. - ,.' ð'" .-.' ." = DAY 16 S - I /-"11~ - 3 = 54 ... - .....¡.:.... + 4 69 DAY 17 '- _I - = DAY 18 l...- - J ;_... :,C - 5 = 85 .--, DAY 19 -;)- ..-- j ....';.....-. ~.:;-. ~'..' + 6 = 101 DAY 20 . ~ -'I ¡ ,_-"7 '"" - 7 = 117 DAY 21 I. - / :-1'''' - .~.:F :_~ -- 8 = 133 ,- DAY 22 ~ .- .- _7" " '- -r- 9 = 149 DAY 23 - -L. .:=-. --I ;,-. ..., 10 = 165 DAY 24 S-d,J' ....,. .-' - e 180 = DAY 25 ~ __ -; :""'_ ..; r..,.... -:-.~ 12 = 196 ---- -=""'" " DAY 26 ...::;.. -.;: ~ .~: O'c,;:: ._:\n;üì\(2,{ \j;:ìt\i'\.0 ',\.. . DAY 27 '-- - , -, . ~ Circle appropriate period --: .~- ..# >~, an .- DAY 28 " -_)'/,_9'& -r- action number. A full cycle - 1 DAY 29 (.; - /_.~(U- - made up of periods 1-12, aft2 DAY 30 {ç - ..¡ _..:./ ti· T which a new cycle begins. Us TOTAL MINUSES information to complete Part 2. PART B: Line 1. Line 2 . Line 3. Line 4. Line 5 . ACTION NUMBER CALCULATION Total minuses this period-Part A Cumulative minuses from previous periods in this~cycle. Total minuses (add lines 1 & 2) A~tion number for this period (from Is line 3 greater than line 4? ¡ ~, j "3 -; ! ;'- --/' table above) DYes . (:.... .'::, ŒI-N 0 lL Yes, ~ have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 ~STANDARD INVENTORY CONTROL MONITORING~. Env, Health 5804113 1016 (6/86) - ..' - ;.~.-".'."-:~~:;,'--;-. _ : ~ _ .:. ,~.. ..,'. ,~ r.. W~. . . '...-. ..-- ..-.... : .-.:' . -.--: :: ~~:-.::; ;~::;,;.-:..-:~:~;-:':>:;- ~ . '-. ~.-.. . - .....- "'-' . - -. _. - . - - -.',- :>:<...t;~':~~:-?";:·~~:>-:··~:'>Y-.·:--~~·!'"·:-~~~O{"'N·~""~~~'1-!V~',¡.-r.~~~«j~--- . "-~'·:~~!ï,~~':",.r'. e e KERN COUNTY ftEAL~b uEPA~TMEN~ TREND ANALYSI:s WOK K :s H ~ ~ ".I: -------- - -~ ------.------------ -.- -.. FACILI~TY ./:::.<::......S5 TANK # -d CAPAC I TY j,:¡ 0= --- I NSTRUCTI ON"S : PART A : OVERAGE/SHORTAGE Fill in all information at top c form. In the space for year 1 16 period indicate the year and th DAY DATE (+/-) consecutive period of analysi DAY 1 -:; S ,:¡ ,~ -' being conducted (fro II 1 throug - DAY 2 - _' .../ _. .1 ;_. 12 on I y) . Transfer the date an . DAY 3 .... "). _..,~- ~ the sign from columns 1 and 16 0 DAY 4 ." .. .. / - " - Reconciliation Sheet to column DAY 5 .. _ /: i--, ",' ..- - at left. Use the tàble below '- "- DAY 6 - .- - ., - determine the action number fc ~ ' .... DAY 7 - .- - ...; :- " the period being analyzed. - " :> DAY 8 ... . -'" ..f .:.... - - . - DAY 9 -" j _' ._/,' f".... - ACTI ON NUMBER - DAY 10 .' ,.,,;..j. ~7 l-: -;- TABLE - ' . DAY 11 - -. :" ~.. .- .;.:.;1"-.:;;¡.t. DAY 12 - . . ~ 30-DAY .1 ACTION ..' .-.... .Þ DAY 13 - - - PERIOD NUMBER NUMBER >- - ~ .., DAY 14 ~. .-,~ .- 1 = 20 - ,-;7- "'- DAY 15 "' A. ' ., 2 37 .~ - -:~r ..._...J....' - = DAY 16 '''7 -;;L '1 -9 '-(. Û 3 = 54 I DAY 1'7 ..., -]: 0-9"-( -r- 4 69 .j = DAY 18 '3 -,; _u' ø 5 = 85 --...., ~,...'-I, DAY 19 Y. /" t:""...:..¡ :J ---:r 6 = 101 DAY 20 L.,,:. __ ..::- .....-·-.Fr-, . -f- ..- 7 117 . - = DAY 21 :,., _./',~ ----.../ . +- 8 = 133 DAY 22 ;".;.- ...:-..' - 9 = 149 I DAY 23 4 ~d~-''':''/''!·( - CiO> = 165 I DAY 24 "r --//- "( f..~ .-- 11 = 180 DAY 25 ~-; :.:... --/ ~ I 12 196 -r- = DAY 26 ¡...f -I 3_':'7r.~ ". ,0,\0) rru\'J''ffi~!\\~II~\L\'- DAY 27 ~ - ¡ 1./_'-1 (... , '~y '-",. Circle appropriate period an DAY 28 ~ ~- ~.~ ~ ~{., - action number. A full cycle i DAY 29 -t -j II' --j ~ -f made up of periods 1-12, afte DAY' 30 ~--/o/'-7t..( - which a new cycle begins. Us i TOTAL MINUSES information to complete Part 8 PERMIT :# YEAR/PERIOD ?'1-'I"'> PRODUCT PA.RT B: ACTION NUMBER CALCULATION Line 1 . Total minuses this period-Part A ' ;..{ Line 2 . Cumulative minuses from previous periods in this cycle. J . I Line 3 . Total minuses (add lines 1 & 2) , .-:, ~ above) -' Line 4. Action number for this period (from table ." .,J ,~....: Line 5. Is line 3 greater than line 41 DYes aNo 11. Yes, ~ have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK *UT-IO "STANDARD INVENTORY CONTROL MONITORING". c-. Health 5804113 1016 (6/861 ':":::'~';:;::;::\p:::?':: :>:':""':',C:~~":';.-:.,:.:..~::::::::.:::::::!:::,.::::;;::,::~.,:~<:?,,:~;'1;.!:(i,~~~~~~~:~~~~:~_ , e e .' KERN COUNTY BE~~~b DEPARTMENT TREND ANALYSIS WOKKSH~~~ ------ - ---.--- . - -- - - ~ -- - K' .. 1:"..ACI LI TY (..,.S~ TAlfitK # ,::. CAPAC I TY l..l cj 0 ~ PRODUCT P'ERMI T # .0 /ES,r~f.- YEAR/PER 100 9/q :. I NSTRUCTI ON"S : P AiR'T A : OVERAGE/SHORTAGE Pill in all information at top 0 form. In the space for year 1 16 period indicate the year and th .J!IAY DATE (+/-) consecutive period of analysi O.AY 1 ..' ..- ). .., j ,- being conducted (from 1 throug m·AY 2 .." -, ~ ,.. .- ....-- 12 only) Transfer the date -', . an mAY 3 .. - '..,1' ~-. +- the sign from columns 1 and 16 c -r 9,A Y 4 / ~- ~~ 'Î -," ..;1 f; - Reconciliation Sheet to column mAY 5 ./ - ;';;"rr) -- .,::/ - at left. Use the table below : ÐU~Y 6 ....;;.' I , -j- determine the action number fc mAY 7 ..~ -~ ,/-' -I :- - the period being ànalyzed. IDAY 8 -=- - -"i... .. .f :-' i- , - -' ;-- , ' .- N tiMEfif~ 1i1lAY 9 '," :\ ,~ - ACTI ON l\'!)AY 10 n - '- .. --7 ~. 0 TAB'L,B ,-> IIlA Y 11 .. ',- ../ - - ,,' DI.AY 12 ,- .<~7' ;> -+' 30-DAY : I ACTION -,..-',1..- nAY 13 ." Î ..... ,," - ~ - PERIOD NUMBER NUMBER -'_. !f:}AY 14 ..:'l-. .-' J ;.._ .. ì ,.. - 1 = 20 !DAY 15 ~ ~ ...._---1.:." - 2 37 .. - -! = 16 ..., .- -~ (,.¡' - 3 54 DAY -.... -/.' I = D·AY 17 '......, - .~_Ji...,' - 4 = 69 DAY 18 ;).. -/7-C:¡~1 +- 5 = 85 ,BAY 19 " -' ¡;",~y- - ~ = 10·1 ..;.¿ " DAY 20 ~.. .-' .;;..d- - ':-17 I 7 = 117 DAY 21 ~~ .- ~ _=:_ ~~ 4 - 8 = 13.3 DAY 22 , r ..... ··r (9) = 149 .;,...... -- DAY 23 -.-'. "~- --" 10 = 165 DIAY 24 .- ." ~.""'- ~... ......:......: 11 = 180 BAY 25 ..i - 1- 'T'i ' -., 12 = 196 DlAY 26 ì ..;;. _<tt¡ lí)(t}1(Œ\i'!iKti)\t'\..l~~lJ\Ir;;\L- ..... \DAY 27 , :;__ ~ 4 - Circle appropriate period an DAY 28 3 -' 4-_ 'l!./ - action number. A full cycle i !DlAY 29 :¡ .- '- ....-1 r..Þ - made up of periods 1-12, afte ~ '-..; DAY 30 "';<, - .. '. -- which a new cycle begins. Us il'OT AL MINUSES information to comclete Part B i:PART B: ACTION NUMBER CALCULATION L.ine 1 . Total minuses this period-Part A ~Li ne 2 . Cumulative minuses from previous periods iLine 3 . Total minuses (add lines 1 &: 2) . Line '4 : Action number for this period (from table Line 5. Is line 3 greater than line 41 J": in this cycle. 101-( i t ,-:-: ; '-t above) DYes (31f~ 1I Yes, ~ have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK *UT-10 "STANDARD INVENTORY CONTROL MONITORING". .. _""~7 I!Env. Health 580 4113 1016 (6/86) ·'~""""~'-~r-"~~·~-""-¡·~"_Þ_"""---~~..::c-:-~{.:",~~;¡!;.",,:.:,u.c¡o,;...~;¡p~u........~", ~ .. - --T----;-r----~-- ---;--- .;--:-:--".;-'-;:"'--'~:-::-;------;---- . '. . '- . e KERN COUNTY H~~~~h ~~r~KTMB~~ TREND ANALYSI::s w u n. K ::s H. J:. ~ ".I.' k---' /" <::: ~ j:i' A C I LIT Y ! '.. -- --~ TANK # "". CAPAC I TY /.~ ð [),~ PERMIT # P.RODUCT t'J J l.E.:: iZA.'_ YEAR/PER I 00 9"C' I NSTRUCTI ON"S : PART A : OVERAGE/SHORTAGE Fill in all information at top 0 form. In the space for year 1 16 period indicate the year and th DAY DATE C+/-) consecutive period of analysi DAY 1 "- \ ::/- ~7 S- ..;- being conducted (from 1 throug -- -'" I DAY 2 ~ '·~<1·.. ..¡.~.'" + 12 .Q.!Ù.Y) . Transfer the date an. DAY 3 - " .- - the sign from columns 1 and 16 c . DAY 4 ~ ":.;:~~, ~?:.: ; Reconciliation Sheet to column DAY 5 - ~.. , ,. . - at left. Use the table below - L_ _. ~ ,- -. DAY 6 -,.; -- .- determine the action number fc - .- DAY 7 - ..' , - .. ,Y the period being analyzed. " DAY 8 .... . ~-. .. ,: - _.-:--- . ~ -,. DAY 9 . - _.~ .- :.~~ -- ACTI ON NUMBER - DAY 10 " " -- TABLE -. DAY 11 ' . -- _. DAY 12 '. .- '. - 30-DAY I ACTION DAY 13 O' ' , ... -- PERIOD NUMBER NUMBER - ~, ..' DAY 14 .' ..~ ...... ..,.- 1 = 20 '-:-'- . ..~ . '- DAY 15 ? -, ¡ ::~-- .::' ,.- 2 = 37 '-- DAY 16 ~~ -:;'": -q,,-' -¡- 3 = 54 - ........' DAY 17 ~7-- ,. --,- /' ,~. 4 = 69 DAY 18 .~ .. l'::,i . -1.5 - 5 = 85 DAY 19 :- .... ..... .:,,'1'" l S"" - 6 = 101 DAY 20 c,. / 'J-I ...q S· - 7 = 117 DAY 21 " ,+ G:) = 133 , DAY 22 - ,.., ,-'. .. '7,- ,- 9 = 149 ,- DAY 23 '~.......~_ ._.r ........ r0(UJlÙì!R< (Q)æ~~fH~\I\-, 10 = 165 DAY 24 '~..... :_"'7 " " - 11 = 180 .. DAY 25 r.., r ...¡.. J~ /"--! ~~ - 12 = 196 DAY 26 &>r~ ~ _ .:.'1 (" - DAY -27 -, .- ..:.' > ~. ~.,,, ~.~' - Circle appropriate period an, DAY 28 action number. A full cycle i DAY 29 made up of periods 1-12. afte DAY 30 which a new cycle begins. Us TOTAL MINUSES information to comclete Part B PART B: Line l. Line 2. Line 3 . Line 4. Line 5. ACTION NUMBER CALCULATION Total minuses this period-Part A Cumulative minuses from previous periods in this cycle. Total minuses (add lines 1 & 2) Action number for this period (from table above) .I'; -:- Is line 3 greater than line 41 DYes DNa 1I Yes. ~ have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MONITORING". Env. Health 5804113 1016 (6/86) .,. . "'-·-'T·-~~~r;~"';~~,",-4'>:-·'C. ~'._'.',' . e KERN COUNT Y H.t:.~.L. '.L- b. ü -=- r ~.t<. .~. M E ~. ..... TREND ANALVSI.~ W CJ k .1<.. ~ H ~ ~ '.L' 1:" A C I LIT Y k c... 5 S TANK # CAPAC ITY /:J. ~ w .J PRODUCT PERMIT #: {Jj¿Z5'é:C YEAR/PERIOD S?{~,· - I NSTRUCTI ON-S : PART A : OVERAGE/SHORTAGE Fill in all information at top 0 form. In the space for year 1 16 period indicate the year and th DAY DATE (+/-) consecutive period of analysi DAY 1 ...~ - //... ,---," ,~. -I- being conducted (from 1 throug l ._ DAY 2 if --/ ,;.. ::5 - 12 .Q..!Ù.Y) . Transfer the date an DAY 3 :,,- . -~ ...- the sign from columns 1 and 16 . ~.~..' ...:. 0 DAY 4 lf~ 17-7:5- + Reconciliation Sheet to column DAY 5 ....~ -' ,: C :- '-!.-.~ -r- at left. Use the table .below - DAY 6 ~-;.:..>.,,/~ - determine the action number fo .-" DAY 7 ~J-~".:.-~ ~'ï~ .- the period being analyzed. DAY 8 L.f -._"). / ' Cf~ S- -I- I DAY 9 ~ -.:J., 4'- '? .s - ACTI ON NUMBER DAY 10 '-f - ~'5'" - ~~, r\" -+- TABLE DAY 11 li - :-L,....... :;".: - - DAY 12 u~ ,-,;;"'').., q--:..'- - 30-DAY I ACTION -. DAY 13 U ~J..F-'Î:- - PERIOD NUMBER NUMBER DAY 14 '- - :-'-'A/ 1 = 20 .- DAY 15 ...5 ~ ...;L .~ -,' . '~- - 2 = 37 -- '7':; '"!' DAY 16 '- -' - 3 = 54 DAY 17 ~ - ~- --!;~' - 4 = 69 . - DAY 18 -' _.; .;."- - 5 85 ,- ~ = DAY 19 - -:.--r ~ - -<-'''!: f- -6 = 101 - ,--_J~.. ~~ :.~' -- DAY 20 7 = 117 DAY 21 .s-J~--1._C: -I- 8 = 133 J DAY 22 , -- 9 149 .- -- = DAY 23 ~-I(;', __-.i' ..., 10 = 165 I . DAY 24 5>/ :;:-_/: '.- ~~--r- .. n" 11 = 180 DAY 25 -. - '::~ :'.. ~ l' ~.-'- ·uu, 1-2 = 196 DAY 26 ~...f-·,~/: - .- DAY 27 _. . ,,~ ,4'- - Circle appropriate period '..-'" .. . - anc DAY 28 ..' .- i _ , / -r- action number. A full cycle i_ ,--- - DAY 29 -.' .,', made of periods 1-12. afte '- .":..,(/'00 - up DAY 30 ..- -. -- ..1.' - which a new cycle begins. Us;, . .-~ TOTAL MINUSES information to comclete Part 8 PART B: Line 1 . Line 2. Line 3 . Line 4. Line 5. ACTION NUMBER CALCULATION Total minuses this period-Part A Cumulative minuses from previous periods in this cycle. Total minuses (add lines 1 & 2) Action number for this period (from table above) / ,- --~ - 'í~ ~ I ',- Is line 3 greater than line 41 DYes [3No lK Yes, ~ have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MONITORING". Env. Health 5804113 1016 (6/86) ,:~,.;.~~~~:.::.~~=~~,.~";,,,--: ~ . . :--_=,!:r~~:-~;~,~~"!~~~:--:~~-:;- ::- .-.- ,', :"-·~·::.~iF·~:-,;;\:,:"·_";,,~~,:I.:'>:-";__"·~:~:":._'.'_"-'-' _ ~ ~ .. .. '.r·__. -.;_._....~-..:-._ ,_ ., -.,',," , ~'~~~~,~~,i e - KERN COUNTY HEA£~h u~rAkTMEN~ TREND ANALYSIS wO~K~H~~1 ,-, '--.. --,-.--.+ ------------- ---.-- ,--- ---.--- ------~--- ----- - -,----_._-_._~ FACILITY TANK # ~ CAPACITY 1<.' \~~-:.:. PERMIT # [)) tZ5 c::0 YEAR/PER roo I NSTRUCTI ON"S : PART A : OVERAGE/SHORTAGE Fill in all information at top 0 form. In the space for year 1 16 period indicate the year and th DAY DATE C+/-) consecutive period of analys: DAY 1 ...::.. .....J..~? -~,.~; ~. -' being conducted (from 1 throug DAY 2 '3-(--15' - 12 only) . Transfer the date an DAY 3 < - ~:1.. --~,,~--:'. - the sign from columns 1 and 16 0 DAY 4 ~ -. "-" t/ .:;. - Reconciliation Sheet to column -. DAY 5 -. .. _f;"'; ..- - at left. Use the tab Ie below - '" -.. ~ DAY 6 ~ -"7- ;·?S , determine the action number fc; - , . DAY 7 3 .-- ,j ..- ."-4Þ ...-- - the period being analyzed. : -- DAY 8 " '1"..' .f-- '.- .~ . ,~ - DAY 9 " --~} (.':) _ .:ì 5' -r- ACTI ON NUMBER DAY 10 ~ " l.J ..' CJ.:: .- TABLE -' DAY 11 ,:; ...- I ~.~~ ~ - DAY 12 _":i -/"';"-'7":;' - 30--DAY I ACTION DAY 13 . IF .:7 ; - PERIOD NUMBER NUMBER - '- '- - DAY 14 ~ ...- 1 -;., ;/:::. - 1 20 - = DAY 15 " - ":'.;J- / -:--. -- 2 37 ..;. -. = DAY 16 - - :: ' .-~~ - 3 54 ,J = DAY 17 .. , . - 4 69 ,". .' ..... ,.-- ,~ - DAY 18 -; ---:-f.~·3·" -/: - 5 = 85 DAY 19 î ":~ 4 -- :,;.5 r £- = 101 - DAY 20 3 - dv7- ~f'- + ' ~7 = 117 DAY 21 1 -þ'¿ ,~/ -9..5' - 8 = 133 - DAY 22 ..,.::; _~<ê - 9 = 149 - .............. ....... DAY 23 ~._ j 0-':; C 10 = 165 DAY 24 ~ .--..; ¡ - ''-,1: --r 11 = 180 DAY 25 !.,:,. -'~'--?~~ ,. 12 = 196 DAY 26 '-tt-C¡>7IS c.'(1 ,,,í'ì\ìoJ ~~~DL" "';1 .' DAY 27 Lk ..... ~_1..7"':'" - vu.-r: ~~ . Circle appropriate period .- '-' ar. DAY 28 Jf -- b-Cf ') - action number. A full cycle , - DAY 29 Lf~ -}~ ?s - made up of periods 1-12, aft~ DAY 30 4-/~-9 :5 + which a new cycle begins. U::: TOTAL MINUSES information to complete Part ~ PART B: ACTION NUMBER CALCULATION Line 1. Total minuses this period-Part A . . . ,) (::) Line 2. Cumulative minuses from prev·,ious periods in this cycle. -70- Line 3 . Total minuses (add lines 1 & 2 ) . 11 Line 4 . Action number for this period (from table above) / of ! .-. -' 0':'':> PRODUCT qS--''" Llne 5. Is Ilne 3 greater than line 41 DYes ß'Ño l! ~,~ have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK _UT-10 "STANDARD INVENTORY CONTROL MONITORING". Env, Health 5804113 1016 (6/86) ~ KERN CO~TY H J::. .A..L. 'j: H .- e iL:J .... -E ... .&J .a::. ~ .A. &'- ... ~a. .N .w.: TREND ANALYSI::s wu toc.K:S H ~ ~ .~. I .r' A C I LIT yo J\ ::., TANK # CAPACITY ~ - I NSTRUCTI ON"S : PART A : OVERAGE/SHORTAGE Fill in all information at top c form. In the space for year 1 16 period indicate the year and th DAY DATE (+/-) consecutive period of analys: DAY 1 J -IJ. o ¿r -' being conducted (from 1 throus: DAY 2 / -- . .. .,' ., -- 12 £!!l..ï.) . Transfer the date ar, DAY 3 r -/ 1'- 1S -- the sign from columns 1 and 16 ': ¡ DAY 4 '. - Reconciliation Sheet to co 1 umr. DAY 5 - ' ,,' - at left. Use the table below " ,. DAY 6 , . " determine the action number f::: .. . .. DAY 7 --..... the period being analyzed. . -,~ DAY 8 .. ' . - , DAY 9 ! . :; t'-- +-- ACTI ON NUMBER ... DAY 10 l ...;.. r_ ;: ,- - TABLE .~ DAY 11 , ~ ..~ - , DAY 12 , " r ,.- 30-DAY I ,ACTION - DAY 13 - PER rOD NUMBER NUMBER DAY 14 ,- ,- - 1 20 '-.... , = DAY 15 /', .,. .- 2 = 37 ~. ..~. .' DAY 16 , , - 3 54 ", - = DAY 17 ,- - 4 = 69 . :;....~ ,.- '.~ ,- DAY 18 - i /,,'" - 5~, = 85 '~.. DAY 19 - "".-..... - 6 = 101 I .,' " DAY 20 .- .. . --' 7 117 .'-- - = DAY 21 . .. ¡. .'~ 8 = 133 '-' ., DAY 22 '. .. .....- .' - 9 = 149 ........ ~ DAY 23 , -' ;---~;~-- 10 165 -'- = DAY 24 '-' - .,- - 11 = 180 ..... " '-' DAY 25 ~l·-··.~ - -;.. ."; \"" - 12 = 196 ,~ DAY 26 . _... 1 - - ~...-. DAY 27 ....... ,-.-. '- -- .,.....- " =1':-;:¡-ft~~_m\H \b Circle appropriate period an ". DAY 28 d. -' ;:... 2-. -- .:, ~~~ I'" .. action number. A full cycle i I DAY 29 ,-.,... _r...:::..... -'_ -:?,~ -'- made up of periods 1-12, afte DAY 30 :L -,)....Î 4" -+- which a new cycle begins. Us TOTAL MINUSES , information to complete Part 5 .) .-; .-.. PRODUCT PERMIT # -,-:'.'=::':.>::::~ YEAR/PER I OD .../ ~ """,- PART B: Line 1 . Line 2. Line 3 . Line 4. Line 5. ACTION NUMBER CALCULATION Total minuses this period-Part A Cumulative minuses from previous periods in this cycle. Total minuses (add lines 1 & 2) Action number for this period (from table above) .J '~"'. - ..í -- ..-"" ,/ ! .1 ...:. Is line 3 greater than line 4? DYes G-N'o If Yes, ~ have ~ reportable loss and must begin notification ~nd investigation procedures as described in Kern County Health Department HANDBOOK #UT-I0 "STANDARD INVENTORY CONTROL MONITORING". Env, Health 5804113 1016 (6/861 -, - '\~' ~., ~ KERN e e C 0 UN T Y H. .I:. .A...... -i: H. :iJ ~ r .A..i<. ~_J: 1111 E J:'oii' ...... TREND ANALYSI::S w U .t<. K::S H I::ã ~ "... i:" A C I LIT Y !< '-' TANK # .-- CAPACITY I NSTRUCTI ON-S : PART A : OVERAGE/SHORTAGE Fill in all information at top 0 form. In the space for year 1 16 period indicate the year and th DAY DATE ( + / - ) consecutive period of analysi, DAY 1 / !_;;;"J'·"f'-l -+-- being conducted (from 1 throug DAY 2 '-.. , " --- 12 .Q..!!.!.y) . Transfer the date an DAY 3 /~. -'~ Ò _::;¡'"-' - the sign from columns 1 and 16 0 DAY 4 , ! -- ;; lþ - Reconciliation Sheet to column .... - DAY 5 / d- -d--~7'£f at left. Use the table below - , , DAY 6 /,.: '. - ,::, <- - determine the action number fs DAY 7 , ''':''_ .,' t.· 1"' the period being analyzed. .~ DAY 8 ,";;"1. :. .._ ,.4' ~. .+- DAY 9 - .,,~.i ;.i ACTI ON NUMBER ..' .-:.- ~ ..-.. DAY 10 ., -i. . .~/-;...¡ - TABLE , ' -- "--.L~ DAY 11 J~,_...- -. '"-' t..: - DAY 12 ¡ , ! .>,'n - 30-DAY ACTION . ....... DAY 13 - -.~ i.,..' - PERIOD NUMBER NUMBER DAY 14 I ,.:.. --/:- ,,-' ~' .. . -- 1 = 20 DAY 15 .. -' 2 = 37 DAY 16 ,-, - 3 54 -.. ... = DAY 17 ''"' _ :. ::'1 ,-- ...l c., - cD = 69 DAY 18 ! ,\ ""'.~ " .....~.../ ~~ --if- 5 = 85 DAY 19 ' .- 'i t / ç 6 101 "~.-- = DAY 20 ! ...~ '¡ , - }!.. - 7 = 117 , .... - ..... DAY 21 " ,. .-- 8 133 " ~'~ . . = DAY 22 ", ,-~ " . - 9 = 149 -~, DAY 23 .. , - -'..... (~ 10 = 165 .. DAY 24 ¡- ;, ...-;-:;/;'-" - 11 = 180 DAY 25 -, -', --~ 12 = 196 DAY 26 : - ,. '. , \l~r, ,,~@)~\ri<\(a DAY 27 " .. . ..... Circle appropriate period anc DAY 28 .!- I =v ;- . action number. A full cycle i ::; DAY 29 - . ..?17 - made up of periods 1-12, afte :: -' DAY 30 /.,,-1,_- ..,7 " - which a new cycle begins. Us iO TOTAL MINUSES information to comclete Part B ::::. ,~ -' - /.;J. ¿) <c. ~ PRODUCT PERMIT # Ú /::=::s 1Z':"'-' YEAR/PERIOD ~/~ PART B: ACTION NUMBER CALCULATION Line 1 . Total minuses this period-Part A Line 2. Cumulative minuses from previous periods in this cycle. Line 3 . Total minuses (add lines 1 &: 2 ) Line 4. Action number for this period (from table above) Line 5. Is line 3 greater than line 41 DYes ßNo U Yes, Y.2.!! have ~ reportable loss and must begin .I i_I I , 'ref' '.-; notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MON(~ORING". Env, Healtn 58041131016 (6/86) ,-+ -. -~'- -'-:-;"'-", ':'., ..".~,._,. ';.'-~. KERN COATY H. .:. A....... 'i: h. Õ .E:. _ ~.k "J." ME .N ....... TREND ANALYSI::s W 0 tot K::S H. J::. J::. .J. j:o' AC I LIT Y /..<::....55- TANK # !-f CAPAC I TY /;Lc oc..:; PERMIT :# Ol£'."£¿ YEAR/PERIOD Cjt,._.. I NSTRUCTI ON-S : PART A : OVERAGE/SHORTAGE Fill in all information at top c form. In the space for year 1 16 period indicate the year and th DAY DATE (+/-) consecutive period of analysi DAY 1 /t:!YrJ.- J? 'i i- being conducted (from 1 throug DAY 2 /I!!:>_J ":, ..-../- 4 - 12 only) . Transfer the date an d . DAY 3 I(D" ~;~ .} :~ r the sign from columns 1 and 16 c DAY 4 I(})- 17- ,/ 'i . or- Reconciliation Sheet to columr, DAY 5 I (f) --- /J -1 'I - at left. Use the table below - - DAY 6 Ith -. f '1 - ::;-(j -+- determine the action number fc DAY 7 )(Þ-;;"o.-C(lf - the period being analyzed. DAY 8 i tD ~" .;:.. ¡ ,,. .-.J' L( -¡' DAY 9 /([)_ .::;. ~_ jé.4 ACTI ON NUMBER DAY 10 if)- ,,:....;. A;-t:' - TABLE DAY 11 / ([)-;!. /",-'" '''- .-+- DAY 12 10'.1 7- Y~'/ -- 30-DAY I ACTION DAY 13 /0- -l,.p -~ u - PERIOD NUMBER NUMBER DAY 14 /(ù-' ~;. f ~- :;; !.i - 1 = 20 DAY 15 ' r/J- ,.- .,..- ,. .... 2 = 37 DAY 16 " J. -.- ,>? (...: - <~ ) = 54 DAY 17 J .n -:3 _o.~,? ~, - 4 = 69 DAY 18 j i}.o---?c, 5 = 85 DAY 19 : 1,-!5J -~:-' (, ......... 6 = 101 ( DAY 20 -~r";) -- -.' ~ - 7 = 117 DAY 21 J l "':/-9 Lf +- 8 = 133 DAY 22 f . ~ --/ Iv 'Í Lr - 9 = 149 DAY 23 I f¡ -I '...;-:~,- - 10 = 165 DAY 24 ,. Þ _ i~__ -:.71- -r- 11 = 180 DAY 25 i '!J-: ~ -....---,:,. ~! - 12 = 196 DAY 26 ..! Þ -' _;'"'7.....-1 tr , DAY 27 ) P_/,j-C¡l., Iõ)ft ,,((\i\Q) f\1 ¡¡k:;'I~~~~\I,'!,\\L Circle appropriate period an'. DAY 28 )/)-¡ i-4 Y ~y ..;...- action number. A full cycle i ~ DAY 29 ) Þ -').:J.. -'It. - made up of periods 1-12, afte. DAY 30 ! kJ -.",¿ :(-0.- - which a new cycle begins. Us " TOTAL MINUSES information to comclete Part E PRODUCT PART B: Line 1. Line 2. Line 3 , Line 4. Line 5. ACTION NUMBER CALCULATION Total minuses this period-Part A Cumulative minuses from previous periods in this cycle. Total minuses (add lines 1 & 2) Action number for this period (from table above) / -:; , ,_J' Lf~J <' :-.. ~. Is line 3 greater than line 41 DYes ~ If Yes, ~ have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MONITORING". Env. Health 5804113 1016 (6/86) . -'-;-7:'-:;;'- KERN e e COUNTY H~~~~H ü~~~kTME~~ TREND ANALVSI:s W 01 k J:<.. :s u. ~ ~ ".1; J:i' A C I LIT Y !,\' TANK # CAPACITY - ,- PERMIT :# L '.._..; ::::._ YEAR/PERIOD ..-; ..- -- -.-: -- I NSTRUCTI ON-S : PART A : OVERAGE/SHORTAGE Fill in all information at top 0 form. In the space for year 1 16 period indicate the year and th- DAY DATE (+/-) consecutive period of analysi DAY 1 ... -3 ~ -<-/ :..., +- being conducted (from 1 throug ~ DAY 2 l' - 3 i __ï :- - 12 only) . Transfer the date an DAY 3 ...¡ -' -- .., ,.' - the sign from columns 1 and 16 0 DAY 4 I - ~- ._ """:' f..,.. ! Reconciliation Sheet to column DAY 5 : - ' ,,' - at left. Use the table below "C. DAY 6 q - Î .- ä i... - .. determine the åction number fo DAY 7 ' ..' .' -- --- the period being analyzed. DAY 8 -4! ._~ ,./-_ . , .,' DAY 9 ....,./_ r ..' .. -.~ ~. , - ACTI ON NUMBER DAY 10 1...-:.. ! ,_. I - TABL·E .. DAY 11 (,7 -l lj. ,.' ,:'7 f;' - DAY 12 ; ~ ,.' . , - 30-DAY . I ACTION DAY 13 ,,--( -' " .:: _ \/ u - PERIOD NUMBER NUMBER DAY 14 ' / .- , ;: ': ~" -¡- 1 = 20 DAY 15 <Ä _.~ -;l .. , ,'2':.; 37 I /,-0- J = DAY 16 --! ..-~- /-",¡ :.- - 3 = 54 DAY 17 :::¡ -;"':'¡,' .;/ :, ~ 4 69 DAY 18 '-! - ~ _:.~ .., .~/ (-..' - 5 = 85 DAY 19 ~ _'~ ~...1..;;-;' --¡- 6 = 101 DAY 20 .-'/ -' _:.:~ -l_.:.7 :~. - 7 = 117 DAY 21 q-;;l.ð-:7 ý - 8 = 133 DAY 22 '(:l-,~. ..: I? ....:11._ - 9 = 149 DAY 23 7-- j I.~- S7 ~.¡' - 10 = 165 DAY 24 :J, '. '.-- ~ 11 = 180 - DAY· 25 /'::i _:..;_ ':'>c· -- ~n 12 = 196 DAY 26 ¡ 'J - "- (.::,,- ,.~¡ -'I,.({;;¡~ m\\\';\\:::;.."\.'~' - DAY 27 j ,)- ~, -- .? ,"-.- II '31 v -+- Circle appropriate period anc. DAY 28 " . ..' ,... - action number. A full cycle L DAY 29 ,/ 0 --/ '0-':'; ~ -¡- made up of periods 1-12, afte DAY 30 Ie_I.;) q-~. --- which a new cycle begins. Us f' TOTAL MINUSES information to comclete Part B ., ~ .:-- J:'") -... PRODUCT PART B: Line 1. Line 2. Line 3 . Line 4. Line 5 . ACTION NUMBER CALCULATION Total minuses this period-Part A Cumulative minuses from previous periods in this cycle. Total minuses (add lines 1 & 2) Action number for this period (from table above) )r It t -- ?! 7 Is line 3 greater than line 41 DYes [g-No -. If Yes, ~ have ~ recortable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-10 "STANDARD INVENTORY CONTROL MONITORING". Env. Health 5804113 1016 (6/86) '... .:.'+~.:.;;:.":'.. -. -: . ,...,. "-".~':; ;:::.- ".;. -,... ~ ',:. ;.--. ,,;;;- > . ".';'i-·~~i.::'· - . '~~'~is:.i~~~··-" ....,~',;:r;~~£-.:;. '. . .~",,:~.~::~~..,';'" e e KERN COUNTY HE~~~h oEPAkTMEN~ TREND ANALYSIS WOK K S H. .a:. ~ r.1' ., +-.------- .-. J:o' A C I LIT Y /"" c.. 5-':' TANK # CAPACITY !,:"" :~t:'·~ P·ERMI T # PRODUCT LJ) €:5 e;c- YEAR/PER IOD -?~ I NSTRUCTI ON"S : PART A : OVERAGE/SHORTAGE Fill in all information at top ,.., v forJl. In the . space for year 1 16 period indicate the year and th DAY DATE C+/-) consecutive period of analysi DAY 1 7 - I rf-'~- .... - being conducted (from 1 throug DAY 2 ~ -., - ._ _J - 12 only) . Transfer the date an DAY 3 '._ ''';'" ~",,"r - +- the sign from columns 1 and 16 c DAY 4 .., - ' .- R'econciliation Sheet to columr:. DAY 5 ... ., , ...-' at left. Use the table below - - -- ,.-- , ,. DAY 6 - .- - - .~, ",..' - determine the action number fc ! - 7°_ DAY 7 - ..;- '.... ~ .' .,' -- the period being analyzed. DAY 8 -. - ". DAY 9 !_ ~·d"-c.::¡.. + ACTION NUMBER DAY 10 -J .â_J-c..., --- TABLE DAY 11 " - . -...) DAY 12 ; ~- ,- ¡ .. - 30-DAY I ACTION DAY 13 .. .. ., ..- PERIOD NUMBER NUMBER . , -' DAY 14 \ .., .- . ~ y = 20 15 .. 2 37 DAY - .. - = - DAY 16 á .- ):':=::---7 '., - 3 = 54 DAY 17 J ~, '] ... J ',_ -r 4 = 69 DAY 18 -f' -/ D- 9" '-* - 5 = 85 DAY 19 /'~. - .I ·l .. . - 6 = 101 DAY 20 :" l ..~ . ':':.1 .~~ +- 7 = 117 DAY 21 .' ro ,- / S- y. -:.¡-¿... ..,.. 8 = 133 DAY 22 ,j --- / ~~ ..... --: .:.. - 9 = 149 DAY 23 j _ i· :-.. / t.- -r- 10 165 = DAY 24 f /j A"-C¡cf ---::.. n . 11 = 180 DAY 25 .:\ i q .'~ :'"':/ v~ ., , ,'N\Ô) \:.- 12 196 - . ,,,,,,. = DAY 26 t' J~" -' (~~ -' c;.- '!-- \'-'\~Ÿ'U> :f- DAY 27 ð' ~) 1" - Circle appropriate period -~ ,_..... ~ an DAY 28 ð' ---2, 1.1-1~ +- action number. A full cycle - DAY 29 .j ", ~, --- made up of p~riods 1-12, afte ~.- .~ DAY 30 -1~.J ;:; - ~ ~- +- which a new cycle begins. Us TOTAL MINUSES information to comDlete Part PART B: ACTION NUMBER CALCULATION Total minuses this ! , Line 1. period-Part A - . . . Line 2 . Cumulative minuses from previous periods in this cycle. Ù Line 3. Total minuses (add lines 1 &: 2) , - Line Action number for this period (from table above) ., 4. ~"'- Line 5. Is line 3 greater than line 4? DYes [TIN 0 lL Yes, ~ have ~ reDortable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK *UT-10 "STANDARD INVENTORY CONTROL MONITORING". Env. Health 5804113 1018 (6/86) ,.....-,--=-_........~.............r'~......- --_..-.,---...-...~.--~ ....,...>~~;';-;.;.,,:.-.. . ~>:. \::.~:.~.J;~~.~i~iV:~':· ..;f~~~~iít~?f1-:~~:..t:·., e . KERN COUNTY HEAL~h ûEPAkTMENT TREND ANALYSIS WOK K OS ö ~ ~ "...- __._~._____ ._ .___..___u____._ -. .-..-...- - --. ------- -----.-- - FACILITY TANK # Lt CAPACITY I' - ,1..-/.. ',," ï\.\""\"""__' " " I --:,¡¡L....:") .fO;;) ~-~- PRODUCT PERMIT # ~)1¡:¿5¿¿.:- YEAR/PERIOD .t.;, ;' <~/ ~ ,/(...1 16 (+/-) - ..¡.--- , - ..;... - -j- - -+- 7- - +- - - -'- I INS T R U C T I 0 N-S : Fill in all information at top c form. In the space for year period indicate the year and th consecutive period of analysi being conducted (from 1 throug 12 only). Transfer the date ar. the sign from columns 1 and 16 ~ Reconciliation Sheet to columr. at left. Use the table, below - determine the action number fc the period being analyzed. PART A : OVERAGE/SHORTAGE DAY DAY 1 DAY 2 DAY 3 DAY 4 DAYS )' DAY 6 /'? -/:>-" ". DAY 7 !~ -' ~ - .,/ ,. DAY 8-' - ~' .~ DAY 9 y-.::-, .. '.. DAY 10 .~,- ¡'·'--..·l··' DAY 11 (:;.> - ; ':'. -¡>'i.' DAY 12 (':' - :', .""'-Il,' DAY 1 3 ~ -:..' ,¡ , DAY 1 4 I~ - .~...::.. .:n. DAY 15'~"::;' .~_I:.,.. DAY 16 y ..- ,. DA Y 17 b..-;,). '7_.~1 '-- DAY 1 8 0 -..., ,¡. - ·f " DA Y 19 .~') - _. ?~, /i... DAY 20 (;? -.':': ,:; --'-h, DAY 21 .. .I -.../ L. DA Y 22 -¡ - "_' . ,- -.. DA Y 23 .-' - :.:Y· ..:, ~4 DAY 24 --', ., .'. DAY 25 J~6j::¡(.t DAY 26 ; ....... ::.?u DAY 2 7 7 -/:._--1 ",' DAY 28 7 - l'_::.ì.... DAY 29 í --'~_-!!.,i DAY 30 -/ -' j..j -;It(- TOTAL MINUSES 1 DATE b-b/.::;'L-:t J _ I _ ..~¿"'- '" . ACTION NUMBER TABLE - 30-DAY I ' ACTION PERIOD NUMBER NUMBER 1 = 20 2 = 37 3 = 54 4 = 69 5 = 85 6 = 101 7 = 117 8 = 133 9 = 149 10 = 165 11 = 180 lí2""'ì = 196 , , -+- -- - - -+- --. ¡ - =~ !R\W'Q@t\\\.(",¿\ II =v xc-' -r - Circle appropriate period an action number. A full cycle _ made up of periods 1-12, afte which a new cycle begins. Us information to comolete Part B - PART B: ACTION NUMBER CALCULATION Line 1 . Total minuses this period-Part A Line 2. Cumulative minuses from previous periods in this cycle. Line 3. Total minuses (add lines 1 &: 2 ) Line 4. Action number for this period (from table above) Line 5. Is line 3 greater than line 41 DYes G'Ño / --, / / ; " ,~ l! Yes, ~ have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health D.partment HANDBOOK *UT-I0 ~STANDARD INVENTORY CONTROL'KONITORING~. Env, Health 5804113 1016 (6/86) -- . ~.. -~..~.;.. -" -,- ;~'.:!£~)fi~~~~~l:~~;~:~1:~~:f.~tF~·~~~~~.\~.~f~:~~~~~,It;f': e . KERN COUNTY HEAL~h DEPARTMEN~ TREND ANALYSIS WO~K~H~~1 ------~.__._. - FA C I LIT Y /1< c...-5 S TANK # ~~ CAPAC I TV J ~~ I~~=~ - PERMIT # PRODUCT LJI'eet.- YEAR/PERIOD "14-/ I NSTRUCTI ON-S: Pill in all information at top c form. In the space for year period indicate-the year and th consecutive period of analysi being conducted (from 1 throug 12 only); Transfer the date an the sign from columns 1 and 16 c Reconciliation Sheet to columr. at left. Use the table below ~ determine the action number fc the period being analyzed. PART A : OVERAGE/SHORTAGE 1 DAY DATE DAY 1 ~-,.,.;.~--- - DAY 2 t..¡---~ ) -9 t¡- DAY 3 id ,- -~ -~';' DA Y 4 .~ ::>l..,'::: ! i DAY 5 ,'....., -.- ....... ;>~ / ~~ DAY 6 '--I--,;).7-7lf DAY 7 -., - ..;;.. ,;"" .If.;. DAY 8 ~-O'-i>/L,'- DAY 9 ~j -:;... .-( ,- DAY 10 ,.-'..) - 'í4 DAY 11 S"- 7'-.:¡Tr;; DAY 1. 2 r.:- .., "::--~I':"- DA Y 13_" l--'rc: DAY 14 :::- -:.' a ~~" ,-, DAY 1 5 '. -- 1'/.. ;; 1..- DA Y 16 ...:; -/~ ./7 i..- DAY 17 ,5-/'.':!_·~·0 DAY 18 .s-'lb-·7~ DAY 19 ,::::-_/-¡h"t..:. DAY 20 r:;--j>.~-1t.f DAY 21 ...:::,-! -(_.; i~ DAY 2 2 ':;';. :~'- '/ ;., DAY 23 .,';' .,.:. :¡~-:- DAY 2 4 ,Ç' <;1 :J .' -1 kt DAY 25 ,':;- .J....;;. , '1;'.. DAY 26 .s --.;;;).. &-"í if DAY 27 S--;;... 7 9¥ DAY 28 G- I -'I '..J- DAY 29 4 ,;L-- qw DAY 30 ;-"" " q '- TOTAL MINUSES 16 (+/-) - .-- - -+- .¡... , .-' ACTION NUMBER TABLE - --- - 30-DAY I ACTION PERIOD NUMBER NUMBER 1 = 20 2 = 37 3 = 54 4 = 69 5 = 85 6 = 101 7 = 117 8 = 133 9 = 149 10 = 165 ,·-fl- = 180 ~ 12 = 196 -!- - .- - - +- - ~ - - ¡ - -<- - - ¡:õ) vy V u ::.¡-~. ... q~~I",tiQ) _ -- Circle appropriate period an action number. A full cycle i made up of periods 1-12, afte which a new cycle begins. Us information to complete Part B - .- PART B: Line 1 . Line 2. Line 3 . Line 4. Line 5. ACTION NUMBER CALCULATION Total minuses this period-Part A Cumulative minuses from previous periods in this cycle. Total minuses (add ~ines 1 & 2) Action number for this period (from table above) Is line 3 greater than line 41 []Yes ..,;,¿ --=' J ,-' ....;; / f ·r" :=: ßNo If Yes, ~ have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK _UT-I0 "STANDARD INVENTORY CONTROL MONITORING". Env. Healtn 5804113 1016 (6/86) .T. __'-"___..____ .;......._-_._'_..---,-_~.._,_ -_......~~......ø.........'"."'~-...·_-_~...._~· ~ ',';. ;"r,._n,:""..;;:~~~!t\f~·!f?~~-;:~~;:~;~·~·;::--;(~~r-$;7f~~:-l'~W~'~'\'¥~~.~~.'/- it , KERN COUNTY H~~~Ih ~~r~~TMB~~ TREND ANALYSI~ WUkK~Hb~1 j;<'ACI LI TY kC-l..55 TANK # ..-' CAP AC I TY i_) 1':):::>'::;> PERMIT # YEAR/PER I 00 9::-- PRODUCT I NSTRUCTI ON-S : PART A : OVERAGE/SHORTAGE Fill in all information at top 0: form. In the space for year 1 16 period indicate the year and thl:: DAY DATE l+/-) consecutive period of analysi:: DAY 1 j - J c.-q v - being conducted (from 1 throug~- DAY 2 ,..;. -'~/.!~;:"": c' + 12 .Q.!!1...ï.) . Transfer the date an~ DAY 3 ,.. .- ,/ ~~.- :;'¡"I...-· - the sign from columns 1 and 16 0 ,. ! DAY 4 -'. .' ~::: - ::rCi - Reconciliation Sheet to column~ DAY 5 ., -/(-_.:.:' y -r at left. Use the table below t. DAY 6 ./ ..... ,I "'7". (i \1' --- determine the act ion number fo DAY ., ., --- j ¿( ----r.¡ I-! the period being analyzed. ì - DAY 8 ;--.;).f, 1'-( - DAY 9 l - ;,¡.,;,¡.q I..f - ACTI ON NUMBER DAY 10 " -- .~;¿. 3-r:1-~ --:-- TABLE DAY 11 _~ --~ /.f,'i'f . - DAY 12 -' ;¡.~. ......< ~ (~. - 30-DAY I ACTION ..- DAY 13 ...;.' - ~ i.'J7'! -.-.j~ .:.. -r PERIOD NUMBER NUMBER DAY 14 ,~. --,-::;2 f..i_ J /r- 0 1 = 20 DAY 15 _. '.:. ~~') . .~, L.; - 2 = 37 .- DAY 16 .- -. .: /,/ "' f..;' 3 = 54 DAY 17 l-f -- t;t -" i 'I -f- 4 = 69 DAY 18 -:- --:: - ~J- :-. , 5 85 I = DAY 19 ::..;.- '0 ~"4 tf - 6 = 101 DAY 20 Y. - 7-··T~- +- 7 = 117 DAY 21 4- :.:.f ·-cr(...~ - 8 = 133 DAY 22 7- /1__1"':'; -+- 9 = 149 J .-- DAY 23 -t ,-' I t:J., -,..=7 c/ -J-' .; 10' = 165 1 "-----' DAY 24 U -/ .!:.__ ~1~ ;.,¡;;;.;. I' ' 11 180 --, (,';\r'I,,,, ",1'- = DAY 25 t.J. --I '-1-1 ~ \fJ~~w \';" - 12 = 196 DAY 26 ~ __I·...,) e.;L,þ -¡- DAY 27 Lk_.t~/4~ .~. - .....,. +- Circle appropriate period anc DAY 28 I-f -! ',1- :?t.; ¡ action number. A full cycle is DAY 29 made up of periods 1-12, after- DAY 30 which a new cycle begins. Use TOT AI. MINUSES information to comclete Part B PART B: Line 1. Line 2. Line 3 . Line 4. Line 5. ACTION NUMBER CALCULATION Total minuses this period-Part A Cumulative minuses from previous periods in this cycle. Total minuses (add lines 1 & 2) Action number for this period (from table above) Is line 3 greater than line 41 []Yes ~~ If Yes, ~ have ~ reportable loss and must begin notification and investigation procedures as described in Kern County Health Department HANDBOOK #UT-I0 "STANDARD INVENTORY CONTROL MONITORING". /'-f ( ., 7 ,;) IS" . - jb..:; Env.tiealtn 58041131016 (6/86) Cj)RRECTION NOT.CE BAKERSFIELD FIRE DEPARTMENT ", ,',".. ' Location k.1-'~V\. (\\A ~ '1 ~. k('\ .sc~'f)J&, . ~. - C' Sub Div. t65, ,..c', () ,. .'D'" . Blk. . Lot You are hereby required to make the following corrections at the above location: Cor, No Ì\ ~t\t-~ };~-c:(,\»¡,..,-.* 'It>n,Þ.-:'\r'~-;-\~S~~:'-~Df)¡GSo, OC·\.//'1tAR. ....._ _.,..".-- \ I . -""'''-'0- , (iJ,.,,:. t ~>"'(·,:¡{ü: {\'r'~'-':¡;'tõ~:ù-'~~ 1'''''::'' ;)ltnC("~.t.1.«.e"'- (1\"(1 "Un" /,...".; .,--......)~ /', \ . . \':> "'''" ....-1\. <;- <\I"\!¡.\?') \ '2 (c,l\ ì~e\'~·',:: '~ \-eMU; ·--¿;·e t"ti>-:(&.\.... ¡ ..--- 1:',\\1" \lOIA~ ~\¡."t\~~ J \1\....·'y:~1 ~h~ L·; :q~L t'.:\.g~,<"c"\02< , . ·h·:: ¿;\.~C \ ?e.D. $'-\""i·e \ tAw. ~~.,' L ~~l \,f\ ,\. "r :>'\v~V'-~T' , I' \ ,AI \ ðh. 9<: ..~ T").. ? . , ~)¡D"3()70ì J,j,4-h.. allPS~~{J'\S D!"¿ (I/)!/¡':f...fHVs " b { \\ (\~~\: ie. r\ot~ ~<A4,º- ~ - t~ \ , v' 1'\ 'I" (" /. .... \ -, / . / (' \.;" Cl-\ ~,~t (.. ~~ I.". - ,..... ',.) , . ( -/-:>-. Completion Date for Corrections .' - .. ~ V,. . ¿i j. ;' /'" .., (... '(';. -, /-. {z - (/ ' (n .c-I!:- -;:;¡; þ,f'16·'>~·"'~· ,,~'::i~¿. . ..~~. Date 326·3979 . -.::"I.:;----~..--- ~.~-. UNDERGROUND STORAGE TAN.PECTION .' . Bakersfield Fire Dept. Hazardous Materials Division Bakersfield, CA 93301 FACILITY NAME ~...k.t'\ ~ø'''''"'''.ï SII{?i ö-\' S('~\<" BUSINESS I.D. No. 215-000 1'},~..5~ FACILITY ADDRESS 7D'> .':>. (1- ~c~ ~....e CITY " &~~Q\Á. ZIP CODE ~.33Ö7 FACILITY PHONE No. II» II» II» G./~?/C¡~ (')\ n'l. 1\5 INSPECTION DATE Product p~~ .1 p~r /"'.ð ...&..1 ,,^_ I~<e;"e.,\ TIME IN TIME OUT In~~~ Ins! Date Ins!lq~~ INSPECTION TYPE: Jq~<::)... ~ FOLLOW-UP Size Size Size ROUTINE 11.. (IfY"';. I ..!'Jon \21".""- REQUIREMENTS I ~;-. nla nla nla yes yes no yes no 1a. Forms A & B Submitted V ---- l/ v'" 1b. Form C Submitted t/ .,/ ~ 1c. Operating Fees Paid v' ~ V" 1d. State Surcharge Paid V -- ~ 1e. Statement of Financial Responsibility Submitted V V ~ H. Written Contract Exists between OWner & Operator to Operate UST Ý ./ V 2a. Valid Operating Permit v .\ v' c/ 2b. Approved Written Routine Monitoring Procedure tv&.? ~ V ~ ¿J/ ~ 6/" ~ 2c. Unauthorized Release Response Plan ,. -{( V :;9\ I!/ . ¿f:;? v ~ 3a. Tank Integrity Test in Last 12 Months ),'( ...- v t./ 3b. Pressurized Piping Integrity Test in Last 12 Months .If" " t/ r../ 3c. Suction Piping Tightness Test in Last 3 Years V" L..--- ~ -, Gravity Flow Piping Tightness Test in Last 2 Years ;id. V- I.-- -- 3e. Test Results Submitted Within 30 Days '" v ....... c..-- 3f. Daily Visual Monitoring of Suction Product Piping v v .....-- 4a. Manual Inventory Reconciliation Each Month -f V l/ V 4b. Annual Inventory Reconciliation Statement Submitted 4 V- ".- ~ 4c. Meters Calibrated Annually ~ v' .;" I~ 5. Weekly Manual Tank Gauging Records for Small Tanka 'J V t.-" t---- 6. Monthly Statistical Inventory Reconciliation Results (,;' '-" c.- 7. Monthly Automatic Tank Gauging Results V- I.-' (...../ 8. Ground Water Monitoring c/ .,/ ...,.,.,. 9. Vapor Monitoring v V t/ 10, Continuous Interstitial Monitoring for Double-Walled Tanka 1/ V ---- .11- Mechanical Line Leak Detectors :-~. II'" V r/ 12. Electronic Line Leak Detectors ,/ V" V 13. Continuous Piping Monitoring in Sumps r/ c/ -- 14. Automatic Pump Shut-off Capability r/ ,/" r,../ 15. Annual Maintenance/Calibration of Leak Detection Equipment ~ ¡/" /' t/ 16. Leak Detection Equipment and Test Methods Listed in LG-113 Series v V ,./ 17. Written Records Maintained on Site V ",... v' 18. Reported Changes in Usage/Conditions to OperatlngIMonitoring /' / Procedures of UST Systfm Within 30 Days ........-- 19. Reported Unauthorized ~elease Within 24 Hours ¡/ t/" ...,/ 20. Approved UST System Repairs and Upgrades ~ V ..,/" ,y/ 21- Records Showing Cathodic Protection Inspection t/ ...".--- ~ 22. Secured Monitoring Wells .,/ t/" IV 23. Drop Tube J?). I ,/ ¡,/ RE-INSPECTION DATE RECEIVED BY: ¡(') IJ.v{NA A: r>, ~ ~ INSPECTOR: 7PçVlØ æø~ .--- OFFICE TELEPHONE No. :~~ ,..?CJ?9 FD 1669 Permit to Operate Underground Hazardous Materials Storage Facility I. '_ 260007 .........:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:......... 1529 ........................ ....,' ," ..................... S tat e I D No ..:::::::::(\:::::::.i':;::':.:::'::::'::::::::::::;::::::::::;:"::;;;::::;::::::;::::::.:::::;::::;.:":.::-"::":::;:;:::):;:\:::::::... P e rml" t N 0 ... ....,.. .,. ..... ....;.;.;.;.. :.:.:-:.: ;.:-:.:. .:...........:.;........ .,.-. ..... .:':':'. . Tank Number 01 02 03 Issued By: Approved by: .. . ., y ': ·::tf::: :::: .:= t k ~F¡Z~'~:(h ~=:~ C2~~):~~1~ .:.' . :.;.; .. .,:.' : ....:.. ':::;;;;;.:.:.:.:.',>::::.. {r::::':\¡¡¡~":::;:;::;:"::"" . .. . ...... "::::' . .. ... :.::; ::;::" ,'..:::~.: :....:..;.. ", . . . ·:::\··:·::::::;;::::::~(tr ii~::<t?::.·.::..:.... . . . .:.......:.. "':':':';'.. . . '~1~f()Rf'~fé::TO: Bakersf leld Fire Dept. "'::::::::::::(::::::.::'::::> >'::';::::::':"';"'::"';:::':';?:;,::::;:":/:' f /.././:::::':::':'" HAZARDOUS MATERIALS DIVISION .....:.;:.::.::::.:.:::::.::::::.:::::::::(::::::::::::::::::::/::.:::.:/:..::::.:.:::::.:..... 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 (805) 326-3979 Hazardous Substance . . . . ... . . . . .. . ... ...... G ....,.,.. .... ............ ..~..QO'i:.:-.. ..;: C~:p:~ç!ßt:::::::/::: ... . ............... ... . ... ........... .... .. . . . . . . . . .. . . ... .. ........ · . .. . . . . . .. . .... ... ... .. . .... .... .. . ...' .. . .-. . ... .. '.. .... .. ... .. . .." .. .". .. . .... .... .'. ··2··..00..· ......... ..... .. .... · . ..... .. '" ... · .. .... ····1·· ...... 0······..· .. . . .. ::::". ',.:1 ......::.. ;:..:: " ". .. .. · . . . . . ·····1·2·· 000 ..... · . . . .. .. .. · . . . r>··..·. .;.1 f:¡~ :::::'12'" 000 t·:: · . . .' . .. . . . ;.;'. ".. .....; \;~4~ \(\ GASOLINE DI ESEL DIESEL ... Valid from: Piping Method Piping Monitoring FCS FCS FCS PRESSURE PRESSURE PRESSURE ALD ALD ALD KERN COUN1Y SUPERINTENDENT OF SCHOOLS SERVICE CENTÈR 705 S. UNION AVE. ' ¡ BAKERSFIELD, CA 93307 11-10-94 to: 12-22-98 e . . I FILE CONTE~TS SUMMARY ADDRESS : ßrloo's &r\J¡(,,~ ~PY1--k.1 7ð5 S _ UYlìðY) A~. ' dlp()ty) 7 ENV. SENSITIVITY:1J.E.s FACILITY: PERMIT #: Activity Date # Of Tanks Comments ~ Ô //2 ~I ~5' 9 () IJe ra k I I I d(()()('fJ 7 C 1; II f7 c¡ It I I. c¿ ~/¡ï()M7r. JI/y-/q, &, J)oc.¡ tOle flh /:L 1((/91 h rern()vt'd -ht c'f~ ~ I I ¡;;'/¡&/q / (~~ le{.kr / / ! /d. 3/ '1~ (\ ~\;r1 \ ··ì t' , l\3'n~Y\~qs [-e~ t..Lf 14.1 aLL. '::( ~ .( " I t L'- n{.4.o v . I. , I ,I f - . ~ , . "TDfo9ñ ~ ! \ ( \ I -, +s J)/ '::S iC,7:r! <::~ ", ,3 Y-- c{ sS'pr',\ j GC5f- ít~C:i ¡ I __~ ., - I I I ,. I .,--:--.....,''':''"--.-.. . . ",' .<" . ',~ '. '" KERN COUNTY ENVIRONMENTAL .HEALTH DEPARTMENT' . . ":,'. .<....,. ..: ;::"INVESTIG:ATIOM,"RECORD, ',',' .." . ,~:,'~. . '\., :- ,\ .~, ,', : -,"',:', .' . " '. .; -, - '. ",. '. . '¡ -1 - ....., '> , . ..':.,1....,. ',~:. :'~''''''.,~' " .7'.\-'" . ,:.~....; ~_. " '. . , .' . . ~? . . DBA . . -'. . . ' , ." - OWNER " ~RESS . ~i ADDRESS '7 ()Ó .ß. 2') /7/rY) ~~ rßI<~ ~ <1i. ASSESSORS' PARCEL I CT CHRONOLOGICAL RECORD OF INVESTIGATION DATE ~-:: I I I I J I I I I I I J I I I I r r e· . TIGHTNESS TESTING REPORTS EVALUATION FORM Specialist reviewing the tightness test report: ~~l J(J. ?~Juv . Date tightness test reports were submitted: ______ "1/;? 9j tj~ cltJ()007 Number of Tanks Tested at the site: 3 Date tightness tests were completed: Facility Permit Number: (list the tanks by their tank numbers if provided) Was the method a test of the entire tank system, piping alone, or just the facility tanks? ( describe) ~ <- r;;t=.¿TV1 ,- Did the facility pass all tests: 6~: No (if no, provide the leak rate and a description of the tank(s) that failed the test) (failure is > 0.1 gal per hour) The facility will do the following to investigate the failed test: The test method certification that is submitted to the state specifies that each test ~ethod be completed in a certain manner. Is there anything within the results Whi~ suggest that the tank test was improperly completed? Yes . No ( describe) Information has been reviewed and placed within the database: / ~ Date entered within tbe database: ð:j/c1'/ HM2S Entered by (name) ~}. NO ~l$ ENVIRONM~ r AL HEALTH SERVI~ DEPARTMENT '¡ßj;~¡/ - '" oft·!~.if V 2700 WMW Street, Suite 300 Bakersfield, CA 93301 (805) 861-3636 (805) 861-3429 FAX . STEVE McCAllEY, R.E.H.S. DIRECTOR TANK INTEGRITY TESTING INSPECTION FORM THIS FORM MUST BE COMPLETED AT TIME OF INTEGRITY TEST BY THE TECHNICIAN ON SITE AND SUBMITTED WITH THE TANK INTEGRITY TEST RESULTS TO THE KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Faciìity Permit to Operate Number }-.. ~ 0 0 7 Facility Permit to Tightness Test Number or fj 6' q 0 Facility Name l'te..qJ11 ß/) Ii' 1\1. 7-'1 S 19.f) 0 tJf'~ D eï, r co ff S'c¿,.,,,,L /?¡ ù S' ß~""N Facility Address 70Ç 5,o",tT'Å UN¡'{)'Y ,g.¡)e., í3QI<....'~ F,d¿J Cð,. q' ~<: or - Facility Telephone Number go '1- - .3;)./ - 4 6 0 0 Have you complied with the following safety requirements stated in UT -20, Section 25? YES/NO Ye-s ye-s Ye-5 y/?S The area within 25 feet of any underground storage tank opening is free of smoking, open flames, and any other source of ignition. Legible signs with the words "NO SMOKING" are posted in conspicuous locations around the testing area. The general public is restricted from the testing area by rope, flags, cones, and "if dark" a fluorescent barrier. YE5 Fire protection in the form of a 2N20BC fire extinguisher is located within the restricted area. Vehicles utilized during the testing period, or within 25 feet of the underground storage tank opening, have adequate ventilation, and the tester has equipment which can be utilized to monitor the concentration of flammable vapors within the vehicle. Personal protective equipment, an eye wash and gloves, and a site safety plan are within the testing area. Equipment/materials is available to absorb and contain any small release of testing liquid which is discharged as a result of the test. (Examples include DOT-acceptable containers for storage of the absorbent and an adequate supply of absorbent). If the answer to any of the above questions is NO, stop the testing procedure IMMEDIATELY until compliance is obtained. -¥c<)' AJ/I/- COMPLETE REVERSE SIDE e . INVOICE #YE000028 TEST DATE: 04/23/94 UNDERGROUND TANK TESTERS, INC. 917 WEST BELLEVIEW AVE. PORTERVILLE, CA 93257 1-800-244-1921 TANK STATUS EVALUATION REPORT ----------------------------- ***** CUSTOMER DATA ***** ***** SITE DATA ***** KERN COUNTY SUPT. OF SCHOOLS 705 SOUTH UNION AVE. MAILING 5801 SUNDALE AVENUE BAKERSFIELD, CA. 93309 KERN COUNTY SEPT. OF SCHOOLS 705 SOUTH UNION AVENUE BUS BARN BAKERSFIELD, CA. 93309 CONTACT: FOWLER, DON PHONE #: B05-398-3600 (p % - t.\c>06 CONTACT: FLOWER, DON PHONE #: 805-321-4829 trtÞ"L ***** COMMENT LINES ***** (;t90 \ t.lf\!\.. ~ t¡ ~ "2jD \ CURRENT EPA STANDARDS DICTATE THAT FOR UNDERGROUND FUEL TANKS, THE MAXIMUM ALLOWABLE LEAK/GAIN RATE OVER THE PERIOD OF ONE HOUR IS .05 GALLONS. *THESE TESTS ARE PERFORMED USING THE USTEST PROTOCOL* TANK #1: REG UNLEADED TYPE: STEEL RATE: .021240 G.P.H. LOSS TANK IS TIGHT. TANK #2: DIESEL FUEL 2 TYPE: STEEL RATE: .023598 G.P.H. LOSS TANK IS TIGHT. TANK #3: DIESEL FUEL 2 TYPE: STEEL RATE: .031332 G.P.H. GAIN TANK IS TIGHT. OPERATOR: _~~~U~~~~___ SIGNATURE: ~L~ DATE: 'j_:?:.~_~'-( TANK DIAMETER (IN) LENGTH (FT) VOLUME (GAL) TYPE FUEL LEVEL (IN) FUEL TYPE dVOL/dy (GAL/IN) CALIBRATION ROD 1 2 3 4 5 6 7 8 e ******* TANK NO. 1 92 34.75 12000 ST REG UNLD 131.76 DISTANCE 10.6563 26.9531 41.9375 56.9375 74.9375 .0000 .0000 .0000 e TAN K ******** D A T A 74 TANK NO. TANK NO. TANK NO. 2 3 4 92 92 34.75 34.75 12000 12000 ST ST 90 70 DIESEL 2 DIESEL 2 48.43 141.67 10.6563 26.9531 41. 9375 56.9375 74.9375 .0000 .0000 .0000 10.6563 26.9531 41.9375 56.9375 74.9375 .0000 .0000 .0000 - ******* C U S TOM E R JOB NUMBER CUSTOMER (COMPANY NAME) CUSTOMER CONTACT(LAST, FIRST): ADDRESS - LINE 1 ADDRESS - LINE 2 CITY, STATE ZIP CODE (XXXXX-XXXX) PHONE NUMBER (XXX)XXX-XXXX ******* COM MEN T ******* SIT E SITE NAME (COMPANY NAME) SITE CONTACT(LAST, FIRST) ADDRESS - LINE 1 ADDRESS - LINE 2 CITY, STATE ZIP CODE (XXXXX-XXXX) PHONE NUMBER (XXX)XXX-XXXX GROUND WATER LEVEL (FT) NUMBER OF TANKS LENGTH OF PRE-TEST (MIN) LENGTH OF TEST (MIN) e D A T A ******** 000028 KERN COUNTY SUPT. OF SCHOOLS FOWLER, DON 705 SOUTH UNION AVE. MAILING 5801 SUNDALE AVENUE BAKERSFIELD, CA. 93309 805-398-3600 L I N E S ******* D A T A ******** KERN COUNTY SEPT. OF SCHOOLS FLOWER, DON 705 SOUTH UNION AVENUE BUS BARN BAKERSFIELD, CA. 93309 805-321-4829 o 3 30 240 .-. 10 tf) W I Ü Z ,.... o o , ~ ....J ~ ....J Z w -5 l') z < I ü -10 -15 e e Cr: 15 START TI"E:11:53:88:88 CURRENT TI"E:13:53:88:88 5 ù 8: -.8885G C1: - .8881G EAI( RATE: .82124 GPH LOSS PTALL, VERSION 3.88 o YE88Ø82B.TST,l 30 60 TIME (MINUTES) 90 120 84/23/94 .-.. 1 0 U> W I Ü Z ~ o o , o"...J ....J ~ ....J Z w -5 ü z « I ü -10 -15 15 5 o EAK RATE: e -.88815 -.88849 .82368 GPH LOSS PTALL, VERSION 3.88 e Cr: o YE888828.TST,1 30 60 TIME (MINUTES) 90 120 84/23/94 __ 10 en w :r: Ü z ,.... o o , ....; -.J ~ ...J Z w -5 ø z < :r: Ü -10 -15 e e 15 Cr: START TIME:11:53:ßB:BB CURRENT TIME:13:53:BB:ßB 5 o ß : - . BBB34 C1: .88843 EAR RATE: .83139 GPH GAIN PTALL, UERSION 3.88 o ~EeeaeZ8.TST1 30 ao TIME (MINUTES) 90 120 ß4/23/94 11 . , "-, . , , .' , . UNDERGROUND TANK TESTERS, INC. 917 West Belleview, Porterville, CA 93257 1-800-244-1921, "30 111,'N vt c. (),j. T/Î-- C,()ll-€c.ï,'OI"'I T,',tlt' P(':or' Tt!" sr. -r-v TESTER. ,LOG PIPING TIGHTNESS DETERMANATION PUOO FORMAT TEST LOCATION: K tll' /., Cø ~ 1\., ¡< 7' ..§ ("~2 f- , r- Set. 0 () I> 7 t? ç- 5 ~ u ¡,.. t, ¡;) AI ,. O/'f ,i ) e. ß u}' @Q,. 1,/ .' /3 ~ k p " s F.' (' l r! eo,. c( ~ ? 0 q /t{ßø~r -'~~"~/i. D WIS. ' / UTIL. ~7. 1800 G II' 0 f' 'f ~. Y 11- ¡I' b,. 0 '" '" L . TEST OPERATOR: For plus change, use - ¡SF Calc:ulaticn: /; For minus change. use + Q) ~/" ,G) Leak Rate = -1 [C.iSZ) ,e x ; 1/( t) rë./52) i:C 'J f 3iffi 1 _ f L f 3iffi f lar 60 188 18F 60 1'1ffie or TIiœ"" of Test (Divide) Test (Di,,1.de) Date I.{ - :z 3 -q Lf . ~ Reg, Unld. , Unld. Plus . '" f-, ~ ···t...c-tt-.. Diesel ,User Instructions ,,' (rev.D) Step # '4f, -ro-n.. ~ 7 (1) (1) (1) (1) .. .. .. (1)" t'C co:: t'C ~ ~ ~ ~ ~ ~ ~ ...~ t/) - co:: co:: co:: (1) co:: t/) ~ (1) (1) (1) ;> (1) co:: ...J ...J ...J <r:...J P-. ri. e (1) (1)U E-<C:: (1).!!! c:: ... .... t'C ...J> ri. e (1)c¡¡ E-<u ... c:: (1)t'C .. 'C 8) cu E-<> (1)'i (1) t/) c:: (1) (1) .. cu =' 0 ... ... e~ ~ ~:g ~ -=' =' ..co:: CUt/) _t/) ::I~ ~ .!: 0 8)5 ~8) ~ 8) -t/) cu '2 ... .... ... 0·... (1) <~ E-<O _p-. ¡:¡..¡:::.. >0 ...J ... /' ./ tJO L.f -1 '1 ./ .(("7 b ¢f7 (;t,. ..., /' £' [:,0 '-IS -3 .Go 11 AiJO 7 I J j ;' b 50 '4{' '-f ./ ;.oocr{ / ... ,00'1 ~ 17A 18D OPTION or 18B 180 OR 17 18F 18F 18F OPTION OPTION ** .* ** 18A 18E i ~ I I Comments: Leak Detector functioning properly G ,. j\: \ . . . " . . . . '" . . , . . PLOT PLAN JOBSITE LOCATION . I <w+ ø k ~ n\1 Crc'r.J t""y ç.~ r' r; 0 ¡-;- f r:Jt 00 L f "/07- 5() 1.1 r-tl v (oJ " ¡) nJ' rl ¡) ~ .'. s o v l' I-: ~¡)I~ f'~)/.ð) ~ e .} /,' L.' í I , ! ¡ ! ¡ j , , i I ¡ I I I ¡ I® :I~ ! fe,' i L- ,;...,1 (. ¡.Ir , ,... 1/ fë1'; ~:' /_ ¡. /.)1''', I- 7 ,-~. ¡) AI I., "j ,/. ¡; rrn 'I I ¡ ., I !., , I I ! , I IBJ! .' . - I I I I ¡ IS u> <;'l¡ íJ p, ¡t. I 1 rEI ~ ¡ §1 J l pi J- 1~3 (;;; "!' t I ! TANK SIZE PRODUCT , LEGEND . # 1 AI c¡/ ~ I. F FILL ,-:;1 TURBINE ( ), , ,) " ;? ..:;.: ~'ß VI" I ,J'. t..!.J , . #2C,;-;.,;rt " /1- /);C'c-L 2 @ TURBINE WITH LEAK DETECTOR /) (1 I) # 3<;" u ---/., Ii)... .."\,." t*) /) . elL..I J... ~ OVERSPILL CONTAINER ON FILL ~ #4 \R¡ REMOTE FILL #5 I~ EXTRACTOR VALVE - , I MONITOR #6 ;!!J SYSTEM 11:7 r-l MANIFOLD SYSTEM · . e e INVOICE #YE000028 TEST DATE: 04/23/94 UNDERGROUND TANK TESTERS, INC. 917 WEST BELLEVIEW AVE. PORTERVILLE, CA 93257 1-800-244-1921 TANK STATUS REPORT -- ULLAGE TEST --------------------------------- ***** CUSTOMER DATA ***** ***** SITE DATA ***** KERN COUNTY SUPT. OF SCHOOLS 705 SOUTH UNION AVE. MAILING 5801 SUNDALE AVENUE BAKERSFIELD, CA. 93309 KERN COUNTY SEPT. OF SCHOOLS 705 SOUTH UNION AVENUE BUS BARN BAKERSFIELD, CA. 93309 CONTACT: FOWLER, DON PHONE #: 805-398-3600 CONTACT: FLOWER, DON PHONE #: 805-321-4829 ***** COMMENT LINES ***** CURRENT EPA STANDARDS DICTATE THAT FOR UNDERGROUND FUEL TANKS, THE MAXIMUM ALLOWABLE LEAK/GAIN RATE OVER THE PERIOD OF ONE HOUR IS .05 GALLONS. *THESE TESTS ARE PERFORMED USING THE USTEST PROTOCOL* TANK #1: REG UNLEADED TYPE: STEEL SN: .23 TANK IS TIGHT. TANK #2: DIESEL FUEL 2 TYPE: STEEL SN: .39 TANK IS TIGHT. TANK #3: DIESEL FUEL 2 TYPE: STEEL SN: .45 TANK IS TIGHT. OPERATOR: __~~.!!.__ SIGNATURE: ~-~i- DATE: ~~~!'_:::!'f e e ******* TAN K D A T A ******** TANK NO. TANK NO. TANK NO. TANK NO. 1 2 3 4 TANK DIAMETER (IN) 92 92 92 LENGTH (FT) 34.75 34.75 34.75 VOLUME (GAL) 12000 12000 12000 TYPE ST ST ST FUEL LEVEL (IN) 74 90 70 FUEL TYPE REG UNLD DIESEL 2 DIESEL 2 dVOLjdy (GAL/IN) 131.76 48.43 141.67 CALIBRATION ROD DISTANCE 1 10.6563 10.6563 10.6563 2 26.9531 26.9531 26.9531 3 41. 9375 41. 9375 41.9375 4 56.9375 56.9375 56.9375 5 74.9375 74.9375 74.9375 6 .0000 .0000 .0000 7 .0000 .0000 .0000 8 .0000 .0000 .0000 e ******* C U S TOM E R JOB NUMBER CUSTOMER (COMPANY NAME) CUSTOMER CONTACT(LAST, FIRST): ADDRESS - LINE 1 ADDRESS - LINE 2 CITY, STATE ZIP CODE (XXXXX-XXXX) PHONE NUMBER (XXX)XXX-XXXX ******* COM MEN T ******* SIT E SITE NAME (COMPANY NAME) SITE CONTACT(LAST, FIRST) ADDRESS - LINE 1 ADDRESS - LINE 2 CITY, STATE ZIP CODE (XXXXX-XXXX) PHONE NUMBER (XXX)XXX-XXXX GROUND WATER LEVEL (FT) NUMBER OF TANKS LENGTH OF PRE-TEST (MIN) LENGTH OF TEST (MIN) . , , e D A T A ******** 000028 KERN COUNTY SUPT. OF SCHOOLS FOWLER, DON 705 SOUTH UNION AVE. MAILING 5801 SUNDALE AVENUE BAKERSFIELD, CA. 93309 805-398-3600 L I N E S ******* D A T A ******** KERN COUNTY SEPT. OF SCHOOLS FLOWER,DON 705 SOUTH UNION AVENUE BUS BARN BAKERSFIELD, CA. 93309 805-321-4829 o 3 30 240 3,0 TANK 1 ........ 0 ~ Ct:: w 2,0 (¡') 0 z 0 I- ....J < Z 0 tn 1.0 ~ 0 SN: ~ ~ g PEA]( SN: .0 50 YE8B8B28.S0N e .23 5.99 TIME -- 16:07:21 . Cr: A 1. UTA, VERSION 1.88 I 500 5000 FREQUENCY (HZ~ 50000 84/23/94 3,0 TANK 2 ...-.-. 0 ~ CI::: w 2.0 (¡') - 0 z 0 I- ....J -c( Z ~ tIì 1,0 -....J 0 SN: 'I"""" ô g PEAK 8N: e .39 B.81 51 4 TIHE -- 16:88:55 . Cr: r\ An,..., UTA, VERSION 1.88 . W'W 500 5000 FREQUENCY (HZ) .0 50 VE8Ð8Ð2B.80N 50000 84/23/94 3,0 TANK 3 ........ 0 ~ Ct:: w 2,0 !J) - 0 z 0 f- ....J -< Z "-' ÚÎ 1,0 -....J 0 'I"""" SN: () g PEAK SN: - .45 18.84 . TIME -- 16:18:39 Cr: 71 6 UTA, VERSION 1.80 V 500 5000 FREQUENCY (HZ~ .0 50 YE8Ð8ÐZ8.S0N 50000 84/23/94 KemCounty e Environmental Health Services DepL 2700 M Street. Suite 300 Bakersfield, CA 93301 (80S) 861-3636 ~.~b~ Tanks to Test 3 Test to indu.de: Tank only TanklPipinj PTO No.;;¿ h/J/)()Î AppL Date 'f -1'-/ q'-f I APPUCATION FOR PERMIT TO TEST UNDERGROUND HAZARDOUS SUBSTANCES STORAGE TANK ..-- -.-. - --- . - -. - _. - .. . -. . ~ -. - -. ., A. Facility Information Kern Coun\y Environmental Health Services De1)t. Permit to Ü1)erate I; .t b tJ tJ () 7 (H there is no permit number, an application for a permit to operate must be submitted and approved before the permit to test can be processed). I Proposed Test Date: HITT r'ATT tJHRN Cir.~mmTT.F.1) Jj/c:¿3/9.!f, /a;oo Facility Name Address JWS ß;\RÞT (~1J.P]:RTEND:E'11J'T' n1<' CiNmm.Ci) 705 SOUTH UNION AVE. TANK # SIZE PRODUcr AGE OF TANK COMMENTS , n 1{ nTF.SF.T, '0 1{ DTP-SF.I. 10 K GAS Contact Person Day HUE m) T\T A rrv Night Phone ( 805 ) 398-3600 Phone ( 805-) 321-4813 B. Tank Owner Information Owner Name C:TTPRRTT\T'T'1<'T\Tn~T\rr QF SìCT,IQºl~ Mailing Address 5801 SUNDALE AVE. Phone ( gOS ) 398 J600 lU f(~PSFIEl];) Zip Code 93309 c. Testin~ Company Information Company Name TT~rn1<'lH::R()TTNn 'rANT{ TF.STF.~S INC. Address 0~"7 r;'ZST "9:LLE'.TIEH ~,'rE. l)O~T1\nUETl;', CI!. O~?C;7 Contact Person Day D pm I S E. GOO D A ~1 Night c: ^ '1 F Phone ( ß 0 0 ) 2 l~ It -1 <) 2 1 Phone ( ) Worker's Compensation Insurance # Liability Insurance # 9 1 6 4 if - 4 <) 2 11 C) Test Method Used TIS T~ST r TRt-A-T~EAT{. N/A State Licensed Tester nFNN~T~ R c::oonAN - CM1POnUT.,tER GEORGE YARBROUNG 90-1237 State Licensed Tester # TJTTT, 92-1000 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED ·......:/~~·/C;l ". _. - . - ...- ...~ .~ ,.... .- ~..- ........ ,. .......,. ....;.:.~sc ,- :......,. ~< E ;~\[ '- ~ ~ .; :.J ..... . ..........- -. .'''' .~ ......' \........ . '\1 ._; ":' "0::.::: :~" ',¥I '.....-: 'J '.J -- :-: /~\ ,\: ~(. '.J :...) e -, ,- - ~' ,- ::? ,?; 1-'\: (::- ~'\ '5...::; .¡::. ", :::~. ReSC~:~CE ~Är\~AG2M~~~ AGE~CY .,-, '~'. ,""'\ ," .. - ....' ,; ....... / ~: .~.. \.... '-' . ..... .::....;::", .: 'y' ......;:....., ,to .~: :~ ./e - ;':. \1 ~<" 2, , ;..... -- r". ..... .-' .. '. '¥'....,j , , ~,~ .:... --.::, : :~., e· _ :'~ \¡' 8 'j C e !~ b ~., ~ Type of (]r'der"" '\ ;::. ::: ;: c ~ 8 ~_~ ;,.~ 0 T ,-\;~ K -. -:. .. (~'::.: ~~ ..... ,~. . ¿ / ~J;" ,- , .'~ / ,"" I ,,:,. .':;~. -~< ..... - -,........,...-" ' -. ," ., - -'. .- ~:--l'---r-·-.("'"· ::.:J ; c.:""\ ,.:) \/ .. r-;:: . :':''::''''';c13 J'~ sc ~;"ì "T t ,:3 S , :. c - j .", ('::'~ >". r.,)·ca Amount Due :'~:\!I;'!e!"~ t: V!ade By Check POOR OR'G'N~U_ PA,GE ;~8583 i¡~ . e~"'n!s :\j, ~ , ' í c¡::¿?. 2 4. :~} 2,~ :J .. ;" ',' 240.00 24·C~:·~: 04/12/94 3:35 pm C.~SH REGISTER ¡ ¡Customer ?O.1+ ¡CK 294; , ; -. r-, e-) R E C E I P T KERN CO RESOURCE MANAGEMENT AGENCY 2700 'M' Str'eet Bakersfield. CA 93301 Wtn 3y ¡Order Date c r.¡¡ ,A. 04/12/94 L i n e Des c r' i pt .'j on 4751 ~NDERGROUND TANKS TIGHTNESS UST005 THANK YOU! ~/~ eJ71ji:¡o· '-l· .... ) .. ,"'"f ;! ,,.\ "':')0, . ;,./(...'(1 Invoice Nbr'. :3 Y-í'/1i PAGE ~ I 118683 ! -< /. /f ¡-"','/.>' ._;' -"_ 1/-' '-' .... " / Type of Order W Î I ! UNDERGROUND TANK TESTERS 2hip Date 04/i2/S4 Quar.tity 3 Via Price Urrit 80.00 E '" . u~sc o t, d e r' Tot a 1 Amount Due Payment Made By Check fP&J~ . vi ~R'GlN~[L '1;., ,.~ ' Ter'ms NT Tota'¡ 240.00 240.00 240.00 240.00 Co; ~ 04/1,/94- 10;56 am CA.SH REGISTER ¡ Customer' P. 0, 't: !S125-IN ! . ¡~ ¡: , . ¡'"I~ ',. R E C E I P T KERN CO RESOURCE MANAGEMENT AGENCY 2700 'r.;¡' Str'eet Bakersfield, CA 93301 i""~' .)' I n vo '; c e N b r . 1 Type of Order COUNTY OF KERN Wtn By ¡Order Date SMK I 04/11/94 Ship Date 04/11/94 Line Description Quantity 3398 UNDERGROUNDTA NNUA~ FEE EH 3 /---------- ../' US Toe 1 2 REë (~_:o~c~y-- Via 20-KERN64 I I I Disc Price Unit 150.00 E Ot~der Tota 1 Amount Due THANK YOUl ", "Ô)~ Ø~~~~¡;W,Q\r. ?ayment Made By Check ;)0 - r::-d¡/ &;/ r---- I '- JU I ~ 0 ¡ I' I I // " - I /,-1 OJ APR ,') u - G;J ~ {¿: 5:J v/74¡ PAGE 1 118553 w Terms NT Total 450.00 . 45 0 ~'O 0 . -. - . ~ . 450.00 450.00 eX t.R VVV / O.Of Dr. Kelly F. Blanton Kern County Superintendent of Schools 5801 Sundale Avenue, Bakersfield, CA 93309-2900 (805) 398-3600 March 2, 1994 County of Kern Environmental Health Services 2700 "M" Street, Suite 300 Bakersfield, CA 93301 Dept. ., To Whom It May Concern: _...__.~-~--~ . ." - --'-.' -... ...~,_.'-' I am the chief financial officer for the Kern County Superintendent of Schools, 5801 Sundale Avenue, Bakersfield, California, 93309. This letter is in support of the use of the Underground Storage Tank Cleanup Fund to demonstrate financial responsibility for taking corrective action and/ or compensating third parties for bodily injury and property damage caused by an unauthorized release of petroleum in the amount of at least $1,000,000 per occurrence and $1,000,000 annual aggregate coverage. Underground storage tanks at the following facilities are assured by this letter: Kern County Superintendent of Schools, Schools Service Center, 705 So. Union Avenue, Bakersfield, California, 93304. 1. Amount of annual aggregate coverage being assured by this letter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10. 000 2. Total tangible assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $40.510.000 3. Total liabilities (if any of the amount on line 2 is included in total liabilities, you may deduct that amount from this line and add that amount to line (4)..............$35.088.060 4. Tangible net worth (subtract line 3 from line 2. Line 4 must be at least 10 times line (1).....................$ 5.421.940 I hereby certify that the wording of this letter is identical to the wording specified in subsection 2808.1 (d) (1), Chapter 18, Division 3, Title 23 of the California Code of Regulations. I declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge and belief. Executed at Bakersfield, County of Kern on March 3. 1994 í{)1J!;VdZL-- Thomas G. Valos, Chief Financial Officer Kern County Superintendent of Schools TGV/dla A: TANKS P'¡nMrlI'Vl _""-4 ~ I· I S~=~~=~~'~noIBcud . 'ìif2~;H e I.............·...................... . '. .~... .' ',',' .::',,:'" :.:::.: " ".. , ,'. . . .. CERTIFICATION OF FINANCIAL RESPONSIBiliTY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROlEUM A- I am requind to demooltrate rUlaocåal Relpoaùbiity ill the required amouau sa apecified ill SectioD2.807. a.apter 18, Div. 3. Title 23. CCR: 0500.000 dollan per occarreaœ m ImiDioct dollan auualaalresate or AND cw ~ lminioo doUa" per OCCtIlftOCC o 2 milioa dol,.,. aUllalaøre.ate 8, Kern County Superintendent of S chao Is hereby certifies tbat it is in compliance with the requirementS of ~ion 2807 (Ham. of TaakOllD. ...ap.._) Article 3, Chapter 18, DMsion 3, Title 23, California Code of Regulations. The mechanisms used to demonstrate financial responsibility as required by Section 2807 are asfolløWs: C. Mechanism. .H ::\:~a'11e a.:7.~~cjr~'~~f·I?:~~:i/:}::t::;::::: ·:.:::·:::;;\;:··;;f::··;:::::~~~i.::i:(:i::f·:i:::':::::~~.j' {}99.ye~ge:: :::.Coverage~;. Corrective Third f TVDe .,....'H :'//'AmöÙrit .' .: :..,'., Period "'.. ,. ACtion .. ColT $990,000 State Func State Fund State Cleanup Fund Not Applicable per Coverage PO Box 944212 For State Fund Occurence Continuou~ Sacramento, CA 94244-2120 $990,000 Yes Yes Annual Ag Sregate' Chief Kern County Supt of School Not applicable for $10,000 Financial 5801 Sundale Avenue State Alternative per ~enewed Yes Yes Officer Bakersfield, CA 93309 Mechanism occurence ~nnually Letter $10,000 Annual Ag gregate '\ Note: If you are using the State Fund as any part of your demonsttation of financial responsibUity, your execution and submission of this certifICation also certifies that you are in comtJIiance with all conditions for œrticiœtion in the Fund. D. 'acilityN..... KERN COUNTY SUPERINTENDENT OF SCHOOLS I""~ . 5801 SUNDALE AVENUE 5801 SUN DALE AVENUE, 8AKERSFIELD, CA 93309 I .-- --- i>aciíi.,.¡.¡..... ...... AdIIr-. FaålilyN_ - P-.y~ PacilityN_ .....AdIIr-. FditpAdllr-. CC--v Do.. ~j .;2 ~Lj r Do7 I 3 :>/'14- "- ..11.. olTaak 0... _ 0perQW DON FOWLER, DIRECTOR, TRANSPPRTATIC CFJt(~) f1IJ!: on.. - LoaII ""'*'" "-a(WI_.~ Sarah B. Tierce Admin c..p. - '-.,.sIto(.) ENVIRoNMEtrAL HEALTH SERVICI; DEPARTMENT STEVE McCALLEY. R.E.H.S. DIRECTOR 2700 -M- Street, Suite 300 Bakersfield, CA 93301 (805) 861-3636 (805) 861-3429 FAX February 24, 1994 KERN COUNTY SUPERINTENDENT OF SCHOOLS 5801 SUNDALE AVENUE BAKERSFIELD, CA 93309 SUBJEcr: 705 SO. UNION AVENUE, BAKERSFIELD, CA PERMIT #: 260007C Dear Sir/Madam: The permit issued to the facility cited above provided one page of conditions/prohibitions for operation of the underground storage tank system. One of the conditions provided on that page specified that "the owner and operator ensure that the facility have adequate financial responsibility coverage, as mandated for all underground storage tanks containing petroleum, and supply proof of such coverage when requested by the permitting agency." Federal regulations which went into effect in December 1988 required that all underground storage tank facilities obtain financial responsibility coverage, using an approved mechanism to pay for the costs of cleanup and any third party liability, in case of a leak from the tank system, and provide evidence of that coverage to the local imple- menting agency by deadlines established in law. The amount of coverage required and the mecha- nisms which could be utilized were also specified in law. In an attempt to assist underground storage tank facilities comply with the financial responsibility requirements, the state developed a clean up fund, which was approved by the Federal EP A as a mechanism for meeting a portion of the Federal financial responsibility requirements. The state has prepared a summary of the clean up fund, how you pay into the fund, and the financial responsibility requirements. That summary has been enclosed with this letter. The Certificate of Financial Responsibility enclosed is the proof that this Department needs for the underground storage facility cited above. As shown by the example provided, you can utilize one statement for all underground storage tanks that you own or operate. Please review all information provided, complete the Certificate of Financial Responsibility enclosed, and return it by March 31, 1994. If you have any questions, feel free to call the 'Underground Storage Tank Program at (805) 861-3636. Sincerely, AEG:jrw Enclosures (block1d) ardous Ma pecialist IV Hazardous Materials Management Program . ENVIRONMtt r AL HEALTH SERVI',-S DEPARTMENT STEVE McCAllEY, R.E.H.S. DIRECTOR 2700 -M- Street, Suite 300 Bakersfield. CA 93301 (805) 861·3636 , (805) 861·3429 FAX UNDERGROUND STORAGE TANK PERMIT UPDATE QUESTIONNAIRE THIS QUESTIONNAIRE MUST BE COMPLETED AND RETURNED WITH YOUR INVOICE PAYMENT. PERMIT # FACILITY ADDRESS , CITY/STATE '+ / -( -/' /<' '--J ( . -- ~.: L/ NUMBER OF TANKS ,.;:5 f< '_. 1·" ,'.. ¡ , ,---: T \ I -.-;:.: ; ~(-' ~ ;! 7 r ,-- ,"~- -, I C. ( h ,', r' J c ..... í J ,f_... . ..- , - /' .;'J; 70S '-,o{J.ih l)n Ion A. !JP . ^ ) \ ¡ r·' \ I'CI".K I" ," "y ì " \ (\' ( ,=\ , . - - - . - . . - - . - - . . - - - - - - - . . - - - - . . - - - - - - - - . - - - - - - - - - - - - - - - - - - - TANK OWNER ADDRESS CITY/STATE f< (,.'..C" n ("[) (ì r" ,- I I J ;-";0 ") [.,-, (Îrj i\. ' i? of Schuls PHONE # 90S- - ~ !-If£;(7) (- ! . "ì {. ,-,(_ ,-- I ¡ "r~ 'ì ,rt c 1/\ T ...... '; ... '. , \ r ',' + ¡ .\.1 'C, ( '\ I /1 I r' -:-, 1. J.^'£:.... k... ó...?! S t \ ~ f... (0- ZIP c¡ 3~() q . . . . - . . . . . . . . . - - . . . - - . - . . . . . - . . - . . . . . . . . . . . . - . . . . . . . . . . . . - IF A TRANSFER OF OWNERSHIP HAS TAKEN PLACE WITHIN THE LAST YEAR, PLEASE COMPLETE THE FOLLOWING: DATE OF TRANSFER: MONTH DAY YEAR PREVIOUS OWNER: PREVIOUS FACILITY NAME (IF CHANGED): OPERATOR ADDRESS CITY/STATE , /',,' <_~-.::' (, {/~, ., ( , 07, .. ~~ "ì I L .. ~,r ¡'Cy, ..e.. PHONE # \-O~":2.,~ !-L/-.vÔ?J ..:; ,~'.'(_.' J ( ) { '{""(~ c\ ¡ (..' _\ \.. ~ " ¡, \ I ~-..( .. t ,'....c' ( ,~\ ¡.; __ .. [' ," :~ ZIP c¡ ~-:l,~'! - - - . - - . - - . . - . . . - . . . . - . - . - - . . . - . . . . . - - - . . . - - . - . . . . . . . . . . . . . SIGNATURE CO~PLETED UNDER PENALTY OF PERJURY AND TO THE BEST OF MY !,ND I ORRECT. / I TITLE'''· '..- ;c;:- -;"'n, nC ~:) DATE / ,.:1.. -.~ I - ':", ?, ./;'<. -- IF YOU HAVE ANY QUESTIONS PLEASE CALL JANE WARREN AT (805) 861·3636 EXT. 554. eh I-IM~ , " .' -' . - ._-" "~"~".' ....... .:..:.: i:" _ ,:.: """; ..._"::"':::f,: : ~~. . "b'c:.. ,¡' d. ':.....~ ~:.':\ ¡ ~~.''\....~.....~IIi'·-w....~.....~-------- - '7'ì,:ì~ .. .._ ~. ... .~. - . -..- '_M' . . ~ . -" .... -. e RECEr?; . , Jr. '.; '.~ ~"".~ PAGE .---.-.--------....-----..----.------------.------..--,..-----....--.-.....------.--.--.----.------------..-.--.-" 1"2667 01/19/94- 11 : 54 am KERN CO RESOURCE MANAGEMENT AGENCY 2700 'M' Stt~eet 8akersfie1d. CA 93301 Invo'ice Nbr'. Type of Or'der w .-...--.-.---...----..---....--..--..---.---..-.----..--.-.-.-........... . .......-..-......................---.--..-...--..--.-.---......-........-.---..............-.-.... CASH REGISTER KERN COUNTY SUPT. OF SCH .--.-...--.--.-----.-....--..-.---.....-.-.....---....---.-.....--.-.............. .-.....-.---..-.-.-....--..-..-..---.---..-...... ... ........ ........... ... I Ship Date Via 01/19/94 120-KERN64 Customer ~_O.; : Wtn 3y lOrder Date 72:9-IN ! GL.3 : O~/19í94 .·;ne Desct'-; pt-ion Ouantity ..---....--.-.-................-.....--. -.--.-.-.--.'" '-..-.-..-.-.--'-'--"'.' -.-.-....---.---.-..- .---.--.---.-..-.-.-.-... '- 3393 UNDE~GROUNC7A~~~S ANNUA~ .- - '- .- - -.' U37QO: 2 RE;=: 2600Û7C ::3 C-94 Pr';ce Unit Disc ...,r- -.,... (:;) _ U'''; Ol"del~ Tota ~ Amount Due Dòvi!!ent: Made By C:')eCK THAN K ':'O~:: ! ;:2o-(C~LN6~ r-i'ì ' "- ~ í\CL ¡en ~) IT(~ 8~ 0 -".- II r \ \ r=\ JA~i ~ ;) 1994 !I t (t¿ '1\ i ~" !:¡ L---'.' ({J~'. . - -rLi ~' Ù.L I /0--- ,0 '-i .... ..- .- .... .... ... .... .... -- -. -" 7 e ~'" ~"ns ¡\I ~ j\ ¡ .... ..- .- ..- ._. .... Tota' 75. a:· 75.00 75.00 7S,CQ fí. ,,- . fe· j" ~:': .. .-' R E C E I P T PAGE 1 _______._._._._______...__.________ø_________·_____·___.____.____.___._.___.._____.__________._._ 01/19/94 11 : 54 am Invoice Nbr'. 112667 KERN CO RESOURCE MANAGEMENT AGENCY 2700 'M' Street Bakersfield, CA 93301 Type of Order w :_----------------------------------------------------------------------------, , ! , C,ASH REG I STER KERN COUNTY SUPT. OF SCH , I :_____________________________________________________------------------______1 i 'Customer P.O.# ¡ Wtn By IOrder Date I Ship Date ¡ Via I Terms I 117219-IN ! GLR i 01/19/94 I 01/'19/94 120-KERN64 NT j i_______________I________I___________I___________I________________:__________~I _ine Description Quantity Price Unit Disc Total' 1 3398 UNDERGROUNDTANKS ANNUAL FEE EH 1 75.00 E 75.00 UST001 2 REF: 260007C 3 C-94 Ol'der Total 7 Sf 00 Amount Due 75.00 Payment Made By Check 75,00 THANK YOU! :Jo-/é dLtJ &i .........-11 I '---,\\Ct ì( 'k .---. --- @0. 0 rc=:>' \\Cf. JAN 2 5 \994 ' ! \ ¡ ----- \ u ~---- (f~ ~--,.- G/ t).~· I /IO-þ<l r- JiE~ RN COUNTY Î .. ENVI RONME.L 'HEAL TH SERVICES DEPART.e\.., 2700 aM" STREET, SUITE 300, BAKERSFIELD. CA.93301 1 (805)861-3636 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE FACILITY * INSPECTION REPORT * TIME IN TIME/f)UT NUMBER OF TANKS: 3 VES.........:~~-:::::3~LÖ~·.. .../.<~....... ···...·_····......Tr~SPECT r ON CIA TE: b:.~E-::::.~f3.~:~~=:== TYPE C)F INSPECTION: ß"Ot.¡r~~_~-.::::).,L:..._........ REiNSPECTION ..m.................... COMPLAINT ..___.................. // ..........-' ~: Þ. C I L.·i·T·:~;···..N·Ã·~1-Ê··;:§~çE:9.9:Ç§:~:=~~>§Y:If:.g._. .:~ .f~£T.~i.R...................... ........ ......m..... ....................................-.................................._..._.. .._.~._....._.. FA C ì. L .l '7 Y A f) D R ES S ; .IS2.?.....§.º..~...J:!N.I2l~...:.~:'{:~.t~!)f...................................................................................................................................................... 8Ar\.ERSF I E:"'D, C.A C¡ ~IN E R S N A IV! E : .is.Ç~....§.iJ..P._fB.I.l:!.:r:.E.~Q.f:.t:LL...º.f.....§.'~~.tLQ.Q.1,,:?....................................... ..............................................__......._..................._......... OPERATORS NAME:KC SUPERINTENDENT OF SCHOOLS I . ". /~), ..: :.......................-......:..:.-;;...... ...... :::"'7' ............. ..-......:::.~''':........... ..:::..:::............ ·..t;;..:.. ::::............. ...¡-.-..................................- ....-........... .................. CO(\l!iV1Ef'~ T,:;,: I~ ::.;.¡.-. -'rBi' )¡';, "-.' . r~, ,."_ .-: I r /) (,,:- ~'<J. .................. .f)!.J..,:...~~·Z2::Z::.:Z.:s~;I:i:::::::.::~..:~·.:~:~~:::~:=::::::~:~~:::::~~~.~:I~..~:::~:::::.::.:::::.::::.:::.::::::::::~::.~~:=:::=:::..=.::::::::::::::::=:==::::~:==~:..-:::::::.::~:~:~~: ""~,.........,~..,.... .... ...........', ...... .........._......,...,...... .....:.-.....:~.,............ ,.... H.... .............................. ,..... .......... ...............n......... ......... .......... ..........n',......·,........"'.......~..........'................_.n._..·................._.........._u__..............__ PERMIT# 260007C PERMIT POSTED? I T':~i'''' V!G~ATIONS/08SERVAT!ONS .---..--..- -.--..--..-... _________.oa 1. . ~RIMM¡Y CONTA¡NMf.~i MONITORING: ñ. I~.~~~~i~~~~~e~ti~g 5ystem :~" ~~S'tan8a!'d jrwel'\tor'/ë.ônt,,;r-"',~ ........~.,.~~.---.:..-...,....~~ r;. !~od'ifil!ci Ir,vsnëory ¡;Òntro' d. i,i--tar¡k L?'~l ~ðnsi¡iQ Device e. Groundw~r~r Mon~toring f. V~oo~e Zc~e Mo~itQrirg <,' .··,.-...V\¡. ')f\ Ît (....../\ ..,.. 1,-1 .' 4,Jït/" ,...., ::¡)-)L}j~ ;...:.;rc/2i'.- ,~..:V;eð / J; t' ..., V - -p" .Ii LJ .-- t... ¿£..1A){ ¡:::C~4e-'IS .rTl"-é-· (f' .r, It ¿1'$/Q) I~ , ,/ ""I') u\ ;'í .¡~ ;;.¡ I ....... /' . /. /~-:)':~'.- 1-...) ~ ------.....,-...---- 2. SECONDA~Y CCNTAIN~ENT ~ONITORING: I .~. L ine¡' i~ 'J /" I b. <?J~~!~E~} f\.../j F\ ¡ C. ~!!U, t ! ì .--.------....-----+--- ~. PIr¡:~G.~£:iF?R~N.~:_ ¡ f2 2" L 'SriC·{6"-:- i ç p..i( OETC c-rDR5 ~,..-"~ssuì·ïZed ,) j , b>-St1ct-;"n--/ ! 1\ '")c ---- .....--1" / j--^ c. Î:~aýity ¡ ,n~,.._- JI',)":Ji,r\. tr/....J ._._....________ .__-Ì-- 4. JVERFILL~ROTECTI:)N: II «;/),.'-,':.1);::;"/1 /l\f¿'::)-Œ¿-r-;'é..-;AJ R ,~_. ...... v F u'O)<E: ...:.;. I í' P ---" f I 1\ ..___.______________.__.-L...L-j-'~ i-::- l-=.i'Y~TA ! /0 ) 1 ¡ '< . .' ____-!_._~...L.+::L.. ¡ \ ¡ ~" ., ,./ i J.. J0f\. j }~.. -i ! . "'I~ -+.+-._.i.. ) ¡ -~. ì'-' ~ "\ " ,"-',! ,t·~· -+~-.:-...~ g. MAINTENANCE. GENERAL SAFETY, AND !', OPERATING CONDITION CF FACILITY I (J 1. é~cc I C OMM E N T SIR f.:C 0 M!'rl EN 0 A T ION S_.........................................................................................,..............................._......................._.......=.........................__.._.............. .-'" . 1 c:....../ ~ 11 -' / '-~. .,'- 'K ,^ J \ ! /'--' I ~'-.... , -'. 5. TIGHTNESS TESTING ----. ¡ ¡q <....,..,- .. -.., , . V r::: pJ;¿ ! ' o. NEW CONSTRUCTrON/~OD~F!CATIONS 7 CLOSURE/ABANDONMENT ð. UNAUTHORIIED RELEASE ..'~'......h....~..~~~..~.~.....~~..,.......... ................u..............--.....u_....~.".~................u................~........._.,.....................................~................................................_....h....~.................__................un....._.._..........._......._.._........................-....--..........-...... ..................................................................~,..................._...................................................._.......u................··..·,·.·..··..· .........................................................................-.................-.........................-...----................-................--..-......---......... ......................._........................._....................................................................,..........................._............,............._.~~~:..:.............h._................................................................._.............._....__......._n_....___......____.._......"...__........_.........._ .................,..................................................................................,..............._......................./.~:..........................................................-........................~.......... ...... .............:.............-....................... REINSPECTION SCHE9Ul..E-p?:L..~...... yes ,...V~:.0Q APPROXH<i!ATE REINSPECTI D~E: ...._...............-'......... ~ 'c p " .' ... / /.. .;-----1 R F pn T '" . !. ~~ '-'. EC TOR .............;...,.........<::..............~.......I...;.~............................. ,.... ,,; R. I-< E C E I V E D 8 Y ..... ........._........~.. ......................__._.......... . : / . , 1/ ............ ¡ ë. ./;) :-; / g :~ "1:(;:3 dm >:1" . : i\ ~~;.~ I ~ ~.: c, .[ ~3 T [-: ~\ ; ? 6 CJ 0 () !':;<;J:3 ; ~~;u :.~ t (')ìn~:! (, PO. ~:; . ~+ eO ;.;: E: C E po f' :Œt~i'J co '~t:~¡OU~~C~': /'iìANf$)F:IV;E:;-1T .i\GE::-'¡C'r' ~~? 0 C .,;~ r .~) t r'\ A(:!t Ç3 <:t ~< e i' S .~ .~. (r:") '1 d,~ (: /\ ~J :3 :3 0 '1 ( t1 0 ~ ) :3G-¡'''Jr;C2 ... ..... ...... ... L~ t n d ':/ ; C, 1"\ cj 8 r' ~)~<1 t ~~) ~\ ,j ~-1 . :;~ / 2 :j / 9 ~2 n ¡..~ ::; C~~~ (~ :'" 'i :)~. ··ì ~:) ;..,,\ -: 3~:; P U :\~ lì ¿ ;~Cy: ;.(()$ N {) r .f\.i~ f\~':~ .!:',¡\ ~,~ ;...~ />.. t.. ::f~~ 'JI'·"''(....r-. ., ,) . ') I ...¡~.J f -.-,-¡ A;--'J:< Y:jU: POOR OR'G~~i9" eO .. j. r"" \/() ~ c: e ;~ b (' . ¡' \l P{~ () f ~J t'l d..~ f"' ~; () U Ì\j --r y (.; ¡:: :-'\ t~' R i\J ~:~t..: '-1 D Dó t [-:) .:; ?/~;~J/f,)2 ()l~':':ì t -i tv , .... ~ , Cj"! -. -,' \l -: (~; - . }) r'"\ ..¡ C t-~ i.i; 'f 1: D '-i ~:; C ~ :, (~ " ''; ~ ~..J v " \1,... '., G (' ü {~ {' ~ (;) t ¿) I l~m()UrH: Due ¡;; <:1 'men (- !'<i.;: d (;) F:i \¡ C Î¡8C i, PAGE ~\7:)4() I~J íE~r'I¡'¡~; NT ~. ()t ð ;JCD.on ;:~ () 0 . C () 300.00 Joe nc ... JRCE MANAGEM~\..~CY RANDALL L ABBOlT DIRECTOR DAVID PRICE m ASSISTANT DIRECTOR 111t~r-: ¡I' '",\.fÞ"-~ ( ....... .")j ~ ~\ ~~..../,\-. ~.:' . ..-~~ ,\ ('4a- ·I"" ~.i . .:I,·t; .a~_<_·:~' \.. 'I~ ,'" .\ ¡; '" ,.' -. " r I, ~>¿5~::4:~~9? ~ ~}¡'. ("\\.\~IJI¡¡ -~..-...--;;-~}~!.. Em..o:...._.__Hallhs.-CI~ _, STEVE McCAU..EY. RÐf5. DIREC AIf PaIUiaIt CGIIInII 0iIIricI WI1..LIAM J. RODDY. APCO ~.Dv 1_ .1.....0..- TED JAMES. AJC7. ~K(]8 ENVIRONMENTAL HEALTH SERVICES DEPARTMENT UNDERGROUND STORAGE TANK PERMIT UPDATE QUESTIONNAIRE THIS QUESTIONNAIRE MUST BE COMPLETED AND RETURNED WITH YOUR INVOICE PAYMENT. PERMIT I 26oo07C-S3 FACILITY ADDRESS CITY/STATE Bakersfie1d. Ca. NUMBER OF TANKS 3 Kern Count Su erintendent of Schoo1s Attn: I ransportation Dept. un a eve. 93309 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - TANK OWNER ADDRESS CITY/STATE Kern County Superintendent of Schoo1s 5801 Sunda1e Ave. Bakersfie1d. Ca. PHONE I 805-321-4800 ZIP 93309 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OPERATOR Kern County Superintendent of Schoo1s ADDRESS 5801 Sunda1e Ave. CITY ¡STATE Bake rs fie 1 d, Ca. PHONE # 805-321-4ROO ZIP 93309 IF A TRANSFER OF OWNERSHIP HAS TAKEN PLACE WITHIN THE LAST YEAR, PLEASE' COMPLETE THE FOLLOWING: DATE OF TRANSFER: MONTH DAY YEAR PREVIOUS OWNER: PREVIOUS FACILITY NAME (IF CHANGED): - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - , THIS FORM MY KNOWL SIGNATURE IF YOU HAVE ANY QUESTIONS PLEASE CALL JANE WARREN AT (805) 861-3636 EXT. 554. \- ..-': t-' '-: . . , ~~ "11 .;..... 6 I . ....tJ ch HM4 2700 "M" S1Rt.t.I. SUITE 300 '.' . '" " ~ ';8':',2 L ~ . ,;J"": l· '... BAKERSFJELD, CALIFORNIA 93301 " ')..---..--(885) 861·3£ FAX: (805) 861·31 ,.--. K';~k'N:¡~ÖUNi:'y --";;E-;O~R~E M~' '~~~'M~~-~~..~--~~e/NC· ~. ".... ~NVIRGNME ';EAL TH SERVICES DEPART ·...N· d .,' 27~ -M- ISTRE .--SUITE 300. BAKERSFIELD. C -.~3301 . f { (805)861-3636 .., UNDERGROUND HAZARDOUS SUBSTANCE STORAGE FACILITY * INSPECTION REPORT * T E~~_I_~_--N'5-;¿_~U T------TN s p ~~~~ ~~ ~~ T~ ~~~'J.~~=: R au TIN E........L,................ REI N S PEe T I aN .....m.............m.. C aMP LA r N T .........._................. .,................".................................._.............................-..................................................n......................... F.A C r LIT Y N AM E :§.ç.t:!.º.Q.!::.§.....§.s.R.v.J..Ç.S,....çJ~.~~.Ig.8................................................................................................................._................_.......m......___. ;:.Ä ell I T Y ADO RES S : .7..º.~.....§.º..:......~.~J.-º.~....:~.y..s.~.~.g......................................................................................m...............mm....................._.................... BAKERSFIELD, CA OWN E R S N A ~'E : JS.ç.....§.~.e.sB.I.N.I.§N.Q.§N.I.....Q.r....§.ç.l:i.Q.Q.b:.§....................... ................................,...........m..............m.........m................"___..m""'''' ~ ~ ~~ ~ ~ ~ ~ ~ N ~ E : ~T~·:§~?;gJ.·~.I.~~-r-~.I·....º·T··..·~r.Q.9·!::·?....·2'..··....·..t\7E:s·£.l........................................................................ __.........~......................h....... ......................................................... ....... ..... .............. ......H......................................... ...........u............................._.................~~..~......n~~U.h~...~~~....~~..........~~.................._...~....~._.~...~..... ,........ .~.~...... ....". ....~~.. ,'.... ..~... ..n~.... .............. ..~~.. ".......~. .~... .~~ ........ ...... .~.......... .~.~..., .n.~..~ . ... .., ........... ............... .n... ........ ...... ..... h' .H..... ...~~... ..........n... .~...... '~'~'n."""",.""..."" ..~..n...n....~..n~. .n..~~~__.. ..........--.................... . . .. ..., ...... .......... ..... ......... .~... .. ...... ....... ..... .. .~. .....h...n........... ........... ...... .......~.. ............ ....... , ..... ........."...,... ..... ..,.. .~. ........ ........., ....... ..... ....~~..~..... .... n. ....... .....~.......~... ........... n... .~....~..........~u.~.... ~~.h~~.......~~_.._....._.. ..~...... ITEM VIOLATIONS/OBSERVATIONS i. PRIMARY CONTAINMENT MONITORING: a. Intercepting an directing system ~ Standard Inventory Control c. Modified Inventory Control d. In-tank Level Sensing Device e. Groundwater Monitoring i. Vadose Zone Monitoring bAI' /y .L-NUCNTDR! V/5,'¡0G ;(, (r J:õt/,_S --... I 1 SECONDARY CONTAINMENT MONITORING: D/A S,W, I(S ¡p.N a. Liner b: Double-Wailed tank .'c., Vauit " ¡ 3. ß?f~G.MONITORING: ~a~ oressurized b, Suction .. Gravity (/ Cw [2£5712;t... Tr;'0b /6,Af.( fJéTE<:W!? S A~£ IµSTAI/Eb . -. OVERFILL PROTECTION: ð tJGRr--, O'KES ¡A¡?,c r~£rnlltÇ CLGSURE/ABANDONMENT I I I !µ "7-'f-l¡'AJ l A 5-¡- ¡ I 1000£ I A)n \ I A)n I (e,,'-'Of'J h/V!OAJ7ï4'\ ( oK' ') .. TIGHTNESS TESTING .... J. NEW CONSTRUCTION/MODIFICATIONS - 2. UNAUTHORIZED RELEASE .' ~AINTENANCEr GENERAL SAFETY, AND OPERATING CONDITION OF FACILITY :: 0 MM EN T S / R E COM MEN 0 A T ION S..................................................................................................................................................................................................._.........m ,......... ,.n. .~.... .~...~.................. .".. .....n......... ................ ........,.......... .......n.................._.......................... ............,. .........,................ .....~..... ...... ..........h~.............~...................................................................................... ............................................................................................................................'--,..,.................../........................................................................................................-........................................ .................................,..............................................···..·····....·....······..·...·..···..·....··....·····..·7':::·..··..··.................................................,.................................'............................................................ ~~£~·~~~~·;·;··~~~;~·.~~:¿~~~2·.?·:.~··.·...~::.::~.!~.~~'..:.~·..·~·~·~~·~~·i'~~~f~·:~f~·Ñ·~~·~~~~~·~:~~~::::~~::::::~~.::::.::::.:.:::. t KERf.i2hv A1R POLLUT10NCO~lcr 2700 "M" Street, S,l:Jitè275. Bakersfield, CA. 93301 , .;fs cot ...,.-.-.~ '.- 0' --.--.. (805) 861-3682 PHASE I VAPOR RECOVERY INSPECTION FORM . Station Name 5t'..J./"",.,/" Sr:PtJIè.F (,6r~Location 1-0<; Sé>. Lu) ,'''''D LJ. J£ ". - . Company Mailing Address S À .41) E Date "3 - ~ - 92 Phone System Type: 1~Sj)ëctor .,4'4-) ~< ~~ . Notice Rec'd By ~ 1. PRODUCT (UL, PUL, P, or R) 2: TANK LOCATION REFERENCE' TANK # 1 4L IJ"t77/- .j ...~J PIO t!~ City,R AI< t![,P" ç, F .¡)) Sep.Riser/~ /~ 6~: TANK #2 TANK #3 TANK #4 R 3. BROKEN OR MISSING VAPOR CAP 4. BROKEN OR MISSING FILL CAP 5. BROKEN CAM LOCK ON VAPOR CAP 6. FILL CAPS NOT PROPERLY SEATED 7. VAPOR CAPS NOT PROPERLY SEATED 8. GASKET MISSING FROM FILL CAP 9. GASKET MISSING FROM VAPOR CAP 10. FILL ADAPTOR NOT TIGHT 11. VAPOR ADAPTOR NOT TIGHT 12. GASKET BETWEEN ADAPTOR & FILL TUBE MISSING I IMPROPERLY SEATED 13. DRY BREAK GASKETS DETERIORATED 14. EXCESSIVE VERTICAL PLAY IN COAXIAL FILL TUBE ~. 15. COAXIAL FILL TUBE SPRING MECHANISM DEFECTIVE 16. TANK DEPTH MEASUREMENT 13( /31 J 7 ::;- /29 ¡ , Lf II I ( 7 . . , 17. TUBE LENGTH MEASUREMENT 18. DIFFERENCE (SHOULD BE 6" OR LESS) 19. OTHER 20. COMMENTS: t:7 * WARNING: SYSTEMS MARKED WITH A CHECK ABOVE ARE IN VIOLATION OF KERN COUNTY AIR POLLUTION CONTROL DISTRICT RULE(S) 209, 412 ANDIOR 412.1. THE CALIFORNIA HEALTH & SAFETY CODE SPECIFIES PENALTIES OF UP TO $1,000.00 PER DAY FOR EACH VIOLATION. TELEPHONE (805) 861-3682 CONCERNING ANAL RESOLU- **** TlON OF THE VIOlATlON(S) ************************************************** APr.n 1=111= .' ,': ..... .,+""jiY '¡.."".~"".' ."'....,,'-:,',~.~':. ,",,' . . . ø KERIJ)NTY AIR POLLUTION CON~~TRICT::' . 2700 "M" ~treet, S!:Jite 275 ~ - B~kersfield, CA. 93301 (805) 861-3682 PHASE II VAPOR-RECOVERY INSPECTION FORM .-)1'''' ... .,. , Q Station Location -:¡. t'::> "5 50 . Company Address <5 A, tV] é.-- f /AA) I c') "- \ A0E-, P/O# , City ßAK~-I'~Fi ç IIJ- Zip System Type: "CV RJ HI HE Notice Rec'd By~....k \ £~ ^, . Contact Inspector II ),'r ~s 1- Phone ,Date 5 - "3 - 92-. GH HA NOZZLE iF GAS GRADE NOZZLE TYPE "2-3 . 1/ - ~ 1. CERT. NOZZLE C? ..-7 t7 17 r' -~ -- - 2. CHECK VALVE m \T' If' N ~' v' \J' & 0 3. FACE SEAL Z (f\ t"I-, Z 4. RING, RIVET - --. -- L E 5. BELLOWS 6. SWIVEL(S) 7. FLOW LIMITER (EW) 1. HOSE CONDITION V A 2. LENGTH P 0 3. CONFIGURATION R 4. SWIVEL H 0 5. OVERHEAD RETRACTOR S E 6. POWER/PILOT ON 7. SIGNS POSTED Key to system types: Key to deficiencies: NC= not certified, B= broken BA=Balance HE =Healey M= missing, TO= torn, F= flat, TN= tangled RJ =Red Jacket GH=Gulf Hasselmann AD= needs adjustment, L= long, LO= loose, HI =Hirt HA =Hasstech S= short MA= misaligned, K=kinked, FR= frayed. ** 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 THE VIOLATION. NOTE: CALIFORNIA HEALTH & SAFETY CODE SECTION 41960.2, REQUIRES THAT THE ABOVE LISTED 7-DAY DEFICIENCIES - BE CORRECTED WITHIN 7 DAYS. FAILURE TO COMPLY MAY RESULT IN LEGAL ACTION lIDen 1="11 1= e . ,.".....:.- . R E C E I P T PAGE 1 ------------------------------------------------~---------------------------- ì 02/25/92 Invoice Nbr. 1 67620 9:38 am KERN CO RESOURCE MANAGEMENT AGENCY 2700 'M' Street 8akersfield, CA 93301 Type of Order W (805) 861-3502 I ' 1__________________________________________________________~__________________,f , ! CASH REG.ISTER COUNTY OF KERN ! 1 ! ----------------------~---------------------------------------------. ¡Customer P.O.# I Wtn By IOrder Date! Ship Date I Via I Terms 1260007C 9 I SMK I 02/25/92 I 02/25/92 I I NT {'¡r:ïë-õë;ZiPti'ë;;:¡ 1--------1----------- , ·--Q~;;:;t:¡tÿ- I--p;:ië;-üñi't-õiš~ ------Tõt~ï ¡ ... ~¡UNDERGROUND TANKS ANNUAL FEE 3 50.00 E 15a.OU~ UST001 Order Total 150.00 Amount Due 150.00 Payment M~de By Check 150.00. THANK YOU! ~IGHTNESS TESTING REPAiS EVALUATION FORM Specialist reviewing the tightness test report: l~es/£Y f . Date tightness test reports were submitted: Date tightness tests were completed: ~ - Z I - 'I Facility Permit Number: 2 b OC:> c::> + Number of Tanks Tested at the site: numbers if provided) , 'K fA L :3 (list the tanks by their tank - ¡7..K R.. /2 K -A. Was the method a test of the en(:e tank system, piping alone, or l)'t the facility tanks? (describe) ~ ySr?F'~ //~E,~ f /)/!£.T7~GrD~S Did the facility pass all tests: ../ Yes No (if no, provide the leak rate and a description of the tank(s) that failed the test) (failure is > 0.1 gal per hour) The facility will do the following to investigate the failed test: The test method certification that is submitted to the state specifies that each test method '. be completed in a certain manner. Is there anything within the results which w9Uld suggest -. that the tank test was improperly completed? Yes ~ No ( describe) Information has been reviewed and placed within the database: \ . ÁYES/// y NO Date entered within the database: v-- ,~t-dI0~ Hr-.C.: Entered bv (name) e e RESPONSE CHECKLIST Specialist reviewing the. information returned: l1J~s/ec¡ 'Al(~s ~~/9/ Date questionnaire was returned: Facility Permit Number: cY ¿/IJ¿)() 7 Tanks located at the facility: q Was a reply received for each .substance code assigned to the facility? ,/' V Yes No Does the facility need to provide additional information in order for the alternative to be acceptable? ~.,/ Yes No Describe what information is required: 'f~F ,HE TAiUKC, monitoring /:)E>/E ! } AlA ¡ rl=, :.<J . The monitoring alternative picked by the fac~presentative is acceptable for the facility tanks. Yes ,/ No (The monitoring alternative will be viewed as unacceptable if the alternative was not appropriate for the type of tank described on the facility profile or within the facility file. Example: The facility may wish to use the visual alternative for a tank that is not vaulted, or the tank size is not appropriate for the type of inventory monitoring chosen. ) Additional Comments: THE- T.4r0KS I" '-;..¡. ,....4..--11 , ¡ . -'.'A L< '- 7PrAX E CeliE ~ 1Cb,0 - A ]'UF S '1 C...Jn 2 'J ,\ -\ \ (y10/\ 1,L.:Fj , . ,~ A-I'~ 1\"\......,-,-- ,¿~ I /¡', 'AAljl rA1~~lÆ<" -¡¡.:::/) (" t ....,:/2....... / I I '1,'1/ £3~ ,>n-:-¡;::2-¡;:i:J T::.C:,( )£.,,~_;¡~.i? // / Information has been reviewed and placed within the database: f Entered by (name): ( \.. Date entered within the database: ¡\ t:"r:.~,.,t: ~\\~~'~~\\'~I)\\I~ ! I ',' 11\1'111\\\'" , I ",,' ., I IIII1II e Office of Dr. Kelly F. Blanton Kern County Superintendent of Schools 5801 Sundale Avenue, Bakersfield, CA 93309-2924 (805) 398-3600 September 23, 1991 Amy Green County of Kern Environmental Health Services Department 2700 "M" Street, Suite 300 Bakersfield, CA 93301 Dear Ms. Green: Enclosed are the Kern County Superintendent of Schools Office underground tank reporting forms that you requested. Also enclosed are copies of our three MVF tank integrity test results. These three tanks have also been equipped with Red Jacket leak detection devices and overspill boxes. Our one W.0.2 tank and five non-MVF 3 tanks will be removed by RLW Equipment in the immediate future and replaced with double wall concrete above ground tanks. (Please see attached specifications.) For this reason, I have completed the oil tank MONITORING ALTERNATIVE forms as if the above ground tanks existed. Please call me at 398-3681 if you have any questions. Sincerely, Kelly F. Blanton ;;¡z:¡;¡:;:~ Thomas G. Valos Director, Facilities TGV:jc Enclosures e e· ENCLÒSURE· CHECKLIST Facility Kern County Superintendent of School s - School s Service Center Permit # 260007C This checklist is provided to ensure that all necessary packet enclosures were received. Please complete this form and return it to the Kern County Environmental Health Services Department, along with the Monitoring Alternatives Questionnaire, within 30 days of receipt. CHECK YES NO The packet I received contained: x 1. Cover letter. x 2. Facility Profile Sheet (provides Facility Permit Number and information on the underground storage tanks and piping, as provided on the application). The substance code in Column #2 should be referenced when reviewing the Monitoring Alternatives Fact Sheets and Ouestionnaires. " ^ 3. A Monitoring Alternatives and Upgrade Requirements Fact Sheet for each substance code referenced on the Facility Profile Sheet. ---L 4. A Monitoring Alternatives Questionnaire for each substance code referenced on the Facility Profile Fact Sheet. Signature of Person ~I 1/ Completing the Checklist ~ Thomas G. \ a os Title Director, Facil ities Date Septer.1ber 23. 1991 (grccn\chklsLl) e e ..... . MONITORING AtØ;ERNATIVES QUESTIONNAIRE FOR MVF 3 FACILITY TANKS ~. Facility Name: Schools Service Center Facility Address: 705 S. Union Avenue Owner's Name: Kern County Superintendent of Schools Owner's Address: 5801 Sundale Avenue Operator's Name: Kern County Superintendent of School s Permit Number (obtained from the facility profile sheet): 260007C Number of Tanks which have been assigned the MVF3 Code: 3 All information has been received and reviewed and the following summarizes the monitoring alternative which I have picked for the MVF 3 tanks at this facility. I realize that the monitoring alternative must be approved by the local agency before implementation. (Place an X next to the alternative picked). 1. VISUAL MONITORING will be utilized. (1 can inspect the exterior of all tanks, without using extraordinary personnel protective equipment). 2. IN-TANK LEVEL SENSOR will be installed in each tank, which are capable of detecting a leak of 0.2 gallons per hour. The sensor will be used to test the tank monthly. The facility will ALSO COMPLETE A TANK INTEGRTIY TEST EVERY THREE YEARS. utilizing a licensed tester who's method has been certified to detect a leak of 0.1 gallons per hour. 3. IN-TANK LEVEL SENSOR has been installed in each tank, which is capable of detecting a leak of 0.2 gallons per hour. The sensor will be used to test the tank monthly. The facility will ALSO COMPLETE A TANK INTEGRI1Y TEST EVERY THREE YEARS. utilizing a licensed tester who's method has been certified to detect a leak of 0.1 gallons per hour. Provide the following information on the system installed: System Manufacturer: System Model No.: Date Installed: -- SEE PAGE 2 FOR ADDITIONAL ALTERNATIVES -- e e - .t:~-:- MONITORING ALTERNATIVES QUESTIONNAIRE FOR MVF 3 FACILITY TANKS Permit No.: 260007C 4. VADOSE ZONE MONITORING will be utilized ALONG WITH ANNUAL TANK INTEGRITY TESTING. The facility will submit a proposal to the department for approval of the number, locations and design of monitoring wells which will be utilized to monitor the underground storage tank systems. Each monitoring well will be equipped with a continuous monitoring device. 5. VADOSE ZONE MONITORING will be utilized ALONG WITH ANNUAL TANK INTEGRITY TESTING. The facility has already installed monitoring wells, and would like to utilize them. A plot plan of their locations and a drawing showing their construction are enclosed. The facility does/does not have continuous monitoring equipment installed within each well. Provide information on the monitor which has been installed within each well: System Manufacturer: System Model No.: Date Installed: 6. MODIFIED INVENTORY CONTROL MONITORING (tank gauging 2 days per week) for underground storage tanks which have a total tank capacity of 2,000 gallons or less, that do not have metered dispensers; ALONG WITH AN ANNUAL TANK INTEGRITY TEST utilizing a licensed tester who's method has been certified to detect a leak of 0.1 gallons per hour. x 7. STANDARD INVENTORY CONTROL MONITORING (tank gauging 5-7 days per week) for underground storage tanks which dispense product from metered dispensers; ALONG WITH AN ANNUAL TANK INTEGRITY TEST utilizing a licensed tester who's method has been certified to detect a leak of 0.1 gallons per hour. Name of person completing this form: Thor.1as G. Valos Title: nirprtnr, F~rilitip~ Date: Septer.lber 23. 1991 AEG:ch green\question e e , - MONITORING AWfERNATIVES QUESTIONNAIRE· FOR NON-MVF 3 FACfLITY TANKS Facility Name: Schools Service Center Facility Address: 705 S. Union Avenue Owner's Address: Kern County Superintendent of Schools 5801 Sundale Avenue Kern County Superintendent of Schools Owner's Name: Operator's Name: Permit Number (obtained from the facility profile sheet): 260007C Number of Tanks which have been assigned the NONMVF3 Code: 5 All information has been received and reviewed and the following summarizes the monitoring alternative which I have picked for the NON-MVF 3 tanks at this facility. I realize that the monitoring alternative must be approved by the local agency before implementation.(Place an X next to the alternative picked) , \ . v-J,...J ~ 1. VISUAL MONITORING will be utilized. (I can inspect the exterior of all tanks, ~..... without using extraordinary personnel protective equipment). 2. IN-TANK LEVEL SENSOR will be installed in each tank, which are capable of detecting a leak of 0.2 gallons per hour. The sensor will be used to test the tank monthly. The facility will ALSO COMPLETE A TANK INTEGRI1Y TEST EVERY THREE YEARS. utilizing a licensed tester who's method has been certitied to detect a leak of 0.1 gallons per hour. 3. IN-TANK LEVEL SENSOR has been installed in each tank, which is capable of detecting a leak of 0.2 gallons per hour. The sensor will be used to test the tank monthly. The facility will ALSO COMPLETE A TANK INTEGRI1Y TEST' EVERY THREE YEARS. utilizing a licensed tester who's method has been certified to detect a leak of 0.1 gallons per hour. Provide the following information on the system installed: System Manufacturer: System Model No.: Date Installed: -- SEE PAGE 2 FOR ADDITIONAL ALTERNATIVES -- e e - - MONtTORING ALTERNATIVES. QuesTIQNNAIRE FOR NON-MVF <3 FACILITY TANK~:.' P ·t N 260007C ernll 0.: 4. VADOSE ZONE MONITORING will be utilized ALONG WITH ANNUAL TANK INTEGRITY TESTING. The facility will submit a proposal to the department for approval of the number, locations and design of monitoring wells which will be utilized to monitor the underground storage tank systems. Each monitoring well will be equipped with a continuous monitoring device. 5. VADOSE ZONE MONITORING will be utilized ALONG WITH ANNUAL TANK INTEGRI1Y TESTING. The facility has already installed monitoring wells, and would like to utilize them. A plot plan of their locations and a drawing showing their construction are enclosed. The facility does/does not have continuous monitoring equipment installed within each well. Provide information on the monitor which has been installed within each well: System Manufacturer: System Model No.: L Date Installed: MODIFIED INVENTORY CONTROL MONITORING (tank gauging 2 days per week) for underground storage tanks which have a total tank capacity of 2,000 gallons or less, that do not have metered dispensers; ALONG WITH AN ANNUAL TANK INTEGRI1Y TEST utilizing a licensed tester who's method has been certified to detect a leak of 0.1 gallons per hour. 7. STANDARD INVENTORY CONTROL MONITORING (tank gauging 5-7 days per week) for underground storage tanks which dispense product from metered' dispensers; ALONG WITH AN ANNUAL TANK INTEGRITY TEST utilizing a licensed tester who's method has been certified to detect a leak of 0.1 gallons per hour. Name of person completing this form: Thomas G. Val os Title: Director, Facilities Date: September 23, 1991 AEG:ch green\question e . MONITORING AIØERNATIVES -',,>;,- - QUESTIONttAIRE FOR W.O. 2 FACILITY TANKS Facility Name: Schools Servi ce Center Facility Address)05 S. Union Avenue Owner's Name: !~ern County Superintendent of School s Owner's Address: 5801 Sunda 1 e AvenlJe Operator's Name: Kern County Superintendent of School s Permit Number (obtained from the facility profile sheet): 260007C Number of Tanks which have been assigned the W.O.2 Code: 1 All information has been received and reviewed and the following summarizes the monitoring alternative which I have picked for the W.O. 2 tanks at this facility. I realize that the monitoring alternative must be approved by the local agency before implementation. (Place an X next to the alternative picked). \~~ ~~. VISUAL MONITORING will be utilized. (I can inspect the exterior of all tanks, ----..., - " without using extraordinary personnel protective equipment). 2. IN-TANK LEVEL SENSOR will be installed in each tank, which are capable of detecting a leak of 0.2 gallons per hour. The sensor will be used to test the tank monthly. The facility will ALSO COMPLETE A BIENNIAL TANK INTEGRI'IY TEST(testing every other year), utilizing a licensed tester who's method has been certified to detect a leak of 0.1 gallons per hour. 3. IN-TANK LEVEL SENSOR has been installed in each tank, which is capable of detecting a leak of 0.2 gallons per hour. The sensor will be used to test the tank monthly. The facility will ALSO COMPLETE A BIENNIAL TANK INTEGRI1Y TEST (testing every other year), utilizing a licensed tester who's method has been certified to detect a leak of 0.1 gallons per hour. Provide the following information on the system installed: System Manufacturer: System Model No.: Date Installed: -- SEE PAGE 2 FOR ADDITIONAL ALTERNATIVES -- e . MONITORING ALTERNATIVES QU8STtONNAIRE .',,";," . FOR W.O. 2 FACILITY TANKS' ~' P ·t N 260007C enm 0.: ~ MODU'IED INVENTORY CO~OL MONITORING (tank gauging 2 days per week) for underground storage tanks which have a total tank capacity of 2,000 gallons or less, that do not have metered dispensers; ALONG WITH AN ANNUAL TANK INTEGRITY TEST utilizing a licensed tester who's method has been certified to detect a leak of 0.1 gallons per hour. Name of person completing this form: Thomas G. Va 1 os Title: Di rector. Fac i 1 it i es Date: September 23. 1991 AEG:ch green\question e e OFFICE OF KElLY F. BLANTON KERN COUNTY SUPERIN1ENDENT OF SCHOOLS SPECIFICATIONS FOR UNDERGROUND TANK REMOVAL AND REPLACEMENT PROJECf QUOTATION REQUEST Contractor shall furnish tools, labor, permits and equipment to excavate, remove and dispose of six (6) underground tanks. List of Tanks: 4 ea 550 gallon Oil Tanks 1 ea 2,000 gallon Oil Tank 1 ea 550 gallon Waste Oil Tank Upon completion of sampling and approval from Kern County Health Department, contractor shall backfill tank hole with clean sand and compact. Contractor will also patch area with 4" asphalt over a 4" base. NOTE: Waste oil lines in building will remain in place and be capped. This bid will not cover the removal of any contaminated soil. If contamination is found, contractor shall remove this soil on a time and material basis. Contractor shall furnish tools, labor and permits to saw cut asphalt, remove and pour back six inch (6") concrete slab with four inch (4") burm and drain. (See attached specifications.) Contractor shall also furnish and install five (5) 250 gallon above-ground double wall concrete oil tanks (see attached specifications) and install existing Lincoln oil pumps on new tanks. Existing grease pump unit to be relocated to southeast corner of same area. Contractor will furnish and install 3/4" Sch. 80 pipe from oil pumps to existing lines and will furnish and install .3/4" galvanized pipe for air supply to pumps. Upon completion, contractor shall check system for correct operation and leakage. Work to be scheduled so as to minimize down time. Contractor shall furnish and install one (1) 500 gallon waste oil concrete tank (waste evac) system. (See attached specifications.) Tank to be mounted on six inch (6") slab with four inch (4") burm and drain. (See attached specifications.) Contractor shall set eight (8) bumper posts 6" x 5' filled and set in concrete 12" from slabs. We wish separate bids for this unit with a dump station inside the adjacent building and also with a two inch (2") air drive pump to be installed in pipe run with trap door adjacent to center post in shop. Concrete to be saw cut and air control valve connected via sleeved conduit to existing line on post. Connections between pipe run and tank to be above ground. Unit to have overfill protection. Contractor shall also provide fencing and gates as per attached drawing. Deadline to submit sealed quotation is Friday, September 6, 1991, by 2:00 P.M. Quotation should be addressed to: Tom Valos, Director, Facilitics Kern County Superintendent of Schools Office 5801 Sundale Avenue Bakersfield, CA 93309 Any qucstions should be directed to Jess Gaitan, Supervisor, Maintenance and Operations, Kern County Superintendent of Schools Office, 321-4860. ~-, .-~~~-_.,..- ----------- - , CON~VLr (DV) (C?~(â( ro;,ø V/éW '1..' /. . (;~ . ) eo..vt.t?l.I"r o/"¿rr L;Jc.$/tSN(4 X sréEL ¿:)OG/BLé Soo 6'A¿t.O~ O~s,;." <rC" , I , I I ~/~" :'-'7 ~ /2 ""........---- - ,...............-v- f7'" , ~ .. II -~ ¡?~,,) \ I ¡l(vEllr) .-z.::* , "- , " ~ Ie I \ ~ . ' . I ~ 't .'0 \l\ ..2!:/.44 ¿,6£j ð 4-M£)(Þ&¿.t.IC'Y V¿r"Nr , ~ , I ". ~ ~"~tøV') : ~ , ~ -.us ~ E~~N"") " ' .(.~Ai/: DrrçCrt:1~ ;rV.dr ~ ¿,. f:X'"M/ON VARI£ oS , II -~ ,- .A/ð r.!' 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I w 1000H Ct..lAII."fIIINT . "''',,,,no 0... ~,O, ~ . Ul,,'¡ oil I fI' I 1 of' ..-r~ ~ ~ . 1- ;1' lj~f f'" " j)r,.;., '-. /,¿í., .. / f"'''''t:- ~ fJ.b.,- 6' , .," \~t'I' lVll 1-'-/1' .,.¡ ---.r- ¿ _/- /rr?4 f,/J 0/"71//'(74 I '., 1- - 6 > O(JI.. L)oJr , t I .. " ~I /5' 1; ,",,"~_.._-..,.- ;</' i I , "'-' ;Ç·,Ù ..-. . y " , I. t',." 0:: r'" ~.. ..;-- , , ., I !J ,23' SCALE: APPROVED BV: DATE: ~ 0,./ ,.cv 'lI~J . " .,. 21 I «'1 · 8 '¡191 c /¡,.~ I.,.,J ;:;'a::.c. - . >1 6 d,1 /ÍhJ OFlA~N BY REVISED DRAWINQ NUMBER e e FACILITY PROFILE SHEET 260007C SCHOOLS SERVICE CENTER 705 SO. UNION AVENUE BAKERSFIELD, CA PERMIT # 260007C Substance Tank Tank Year Is piping Tank # Code Contents Capacity Installed Pressurized? 1 MVF3 PREM-UNLEADED 12,000 1982 Yes momQ)~ 2 MVF3 REGULAR 12,000 1982 Yes iUÞŒNQ)~ 3 MVF3 DæSEL 12,000 1982 Yes iUNmœm 4,5,6,7 NON-MVF 3 LUBE OIL 550 1982 Yes ~~m 8 NON-MVF 3 LUBE OIL 2,000 1982 Yes ~~M" 9 W02 WASTE OIL 550 1982 Yes ~~~M" e e Attachment 3 RMA Accounting Instructions AccountlPermit No. Date ~/ ~/ 9 ~ Action To Be Taken: o canceVdelete account o closure of business date of closure o other (explain below) Reason For Action: r,(ìU~ kCj}í~ Vy)I'~+OkfJVì/ f"':P{YYìi+-kd hI0PrYJdVo..i b¿ C. i~ n+nnly (0 TnY1K:=:' . Lye;¿ iCo/''' mw'>-1:. be- ~o ((pr+r=>'¡ -fn í n~u) -/-e. VI k V1 U vvdjf',ý'. Status of Account: B' ~ waive permit/service fee waive late charges Specialist t:- Chief Accounting Use Only: Action Taken Date R4 e e K ERN C 0 U N T Y - - - - 0 F F ICE M E M 0 RAN DUM TO ACCOUNTING DATE: 1/7/106' FROM JANE WARREN SUBJECT: CHANGE OF INFORMATION FOR PERMIT # d ~()()07 FACILITY NAME CHANGE CHANGE OF OWNERSHIP Mailing Address DELETE A FACILITY . ( ADD NEW FACILITY Facility address Owners Name Mailing Address ( ) NUMBER OF Reason: TANKS CHANGED: From 9' To (~Removed ~ ( ) Installed ( ) Discovered other tank(s) during inspection ( ) Other 3 CHANGE OF PERMIT NUMBER: From To CHANGE OF ANNIVERSARY DATE: From ( ~ DELETE ANNUAL FEE $ 45" (). ()(j, To DATED ~-~-~ ( ) DELETE STATE SURCHARGE $ REASON: fru~ --Peni)¡+¡ m¡'f)+etkpYl)¡ ~'i C it¡ o~ O'iJ\¡ La :±ttV\k~, ~ \ c~ -+-e Yl k ~ \ DATED - - --- fP('m;-+:k~ -iZt;í (r>VY1Cva] Tnvo J'e ~ C.ð('('ëc.~ SPECIALIST CHIEF DIF.E:CTOR I ..' '. + D I , R I r'" no i i r' r- í : ~e í- L {""., I'll ~ (-, Tf.~;\;~·t> >f·'.;', ; .-.. COUNTY Of KERN ENVIRONMENTAL HEALTH SERVICES 2700 "M" STREET, SUITE 300 BAKERSfiELD, CALIfORNIA 93301 (805) 861-3636 PERMIT/INVOICE '260007C-92 KC SUPERINTENDENT OF SCHOOLS I SCHOOLS SERVICE CENTER 5801 SUNDALE AVENUE BAKERSFIELD, CA 93309 + BILLING DATE 01/10/92 ..... AMOUNT DUE 150.00 ,III AMOUNT ENCLOSED .._\ CHARGES PAST DUE ARE SUBJECT TO PENALTY -.J DETACH HERE-. PLEASE RETURN THIS PORTION TO INSURE CORRECT PAYMENT IDENTIFICATION PLEASE MAKE CHECK PAYABLE TO THE COUNTY OF KERN SEND PAYMENT WITHIN 30 AVOID 50% PENALTY ~ ':~, '" 01/10/92 PERMIT/INVOICE' 260007C-92 e '.~ o:>r-- ·0 I W I "";':¡I_ I --r -. ~ I [[[ E I ""I .' r., I r' ANNUAL FEE FOR PERMIT TO OPERATE UNDERGROUND STORAGE FACILITY WITH 3 TANK(S) LOCATED AT: 705 SO. UNION AVENUE BAKERSFIELD, CA I ENVIRONMENTAL HEALTH SERVICES 2700 "M· STREET, SUITE 300 BAKERSFIELD. CA 93301 , KERN COUNTY ORDlNANCf COOE 8.0~ 190 PENALTIES. H any '" "",Wed by th. di";'¡"" :""Bi~~~~J a _ JoAy 31. and in tho c.... of a -'r flIaI>Ii....d bu';"... '" ac'vity "'''y-one (31) TOTAL AMOUNT DUE day. ofter commencen'l@nt of ... bustneu Of øctMt)( ____ - __ _._ _.___ __u__. ___._ __... _.__ --. - .---- --- -- -- -- -- -- -~- -- .--- -- DUE DATE 02/09/92 r DETACH HERE .. \ II ; ...." AMOUNT "" ,,-.\ ...\ 150.00 li1 150.00 RE~URCE MANAGEMENT A~iCY RANDALL L. ABBOTT DIRECTOR DAVID PRICE ßI ASSISTANT DIRECTOR Environmental Health Servica Department STEVE McCAU.EY, REHS, DIRECTOR Air PoUution Control District WIWAM J. RODDY, APCO Planning & Development Servica Department 1m JAMES. AlCP. DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT January 23, 1992 Kern County Superintendent of Schools 5801 Sundale Avenue Bakersfield, California 93309 CLOSURE OF 6 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANKS LOCATED AT 705 SOUTH UNION AVENUE IN BAKERSFIELD, CALIFORNIA. PERMIT #640019 This is to advise you that this Department has reviewed the project results for the preliminary assessment associated with the closure of the tanks noted above. Based upon the sample results submitted, this Department is satisfied that the assessment is complete. Based on current requirements and policies, no further action is indicated at this time. It is important to note that this letter does not relieve you of further responsibilities mandated under the California Health and Safety Code and California Water Code if additional or previously unidentified contamination at the subject site causes or threatens to cause pollution or nuisance or is found to pose a significant threat to public health. cc: RLW Equ~pment 2080 S. Union Ave Bakersfield, CA 93307 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 FAX: (805) 861-3429 e e. TANK REMOVAL FOR K. C. SUPERINTENDENT SCHOOLS 705 S. UNION AVE 6 TANKS WERE REMOVED ON 12/9/91 UNDER BAKERSFIELD REMOVAL PERMIT #BR-0023. 4 TANKS CONTAINED MOTOR OIL 1 TANK CONTAINED AUTOMATIC TRANSMISSION FLUID 1 TANK CONTAINED WASTE OIL THE TANK REMOVAL WAS UNEVENTFUL AND THE SOIL BENEATH AND AROUND THE TANKS SHOWED NO VISIBLE SIGNS OF AN UNAUTHORIZED RELEASE. THE FOLLOWING DOCUMENTS ARE ATTACHED 1. PERMIT #BR-0023 2. TANK DECONTAMINATION STATEMENT 3. HAZ WASTE MANIFEST 4. LAB DATA SHEETS 5. CHAIN OF CUSTODY SHEET 6. TANK DISPOSAL STATEMENT 7. STATE FORMS A & B THE PERSON NAMED ON THE TANK DISPOSAL STATEMENT TOOK FIVE OF THE SIX TANKS, THE SIXTH TANK WAS THE WASTE OIL TANK AND WAS DESTROYED AND DEPOSITED AT THE DUMP. a Bakersfield Fire Dept_ · r1AZARDOUS MATERIALS DIVI&Wtt UNDERGROUND STORAGE TANK PROGRAM , PERMIT No. f£-DCB::. PERMIT APPLICATION FOR REMOVAL OF AN UNDERGROUND STORAGE TANK SITE INFORMATION I} $d".is :>/.o¡P SITE ¡(;r,v a",...J¡ 5~p'" /....-t",../J,.,.,.J- ADDRESS 7175-:50. (h.lI~,K) AI/~ ZIP CODE '1::? 30"7 APN FACILITY NAME .M:r; .f....N:r...."'.. .-; 0fÞ"" j/~ CROSS STREET/~N';z ~.. uJ27 TANK OWNER/OPERATOR 6,..n--, -.þ PHONE NO. .3 7~-.3" P / MAILING ADDRESS '5"0 I SVA/ d~),.. 41./ ~ CITY ~J¿,.;_'¡¡.,J¿) ZIP CODE 9..3 ~ t:I <¡. CONTRACTOR INFORMATION COMPANY ;2.Lcu £~, PHONE No. ADDRESS /0);-0 50· VAJ ,ry\ iJ v e INSURANCE CARRIER Ld, If i:z n-L ¡;¿ J. 1 t1 ,IV S 2'~q.-//ð 0 LICENSE No. ~ 9907 ¿¡- CITY ~~v..-""''¿J.d¿J ZIP CODE '9~~o7 WORKMENS COMP No. -5"/ W 8 ~ N 22..¿.93 ,¡þ".fF".,eß7 f_~",.,-,<,,~ PRELlMANARY ASSEMENT INFORMATION COMPANY 13 c J..-:Lb ADDRESS ~JéiJ ,4//;>-:; e. j INSURANCE CARRIER W",-) to''' mtÞ.r ¡,..AI <5 ¿1 .'1 PHONE No. ~..77- -1£'9// LICENSE No. CITY 8% ;¿.,/<SILrcP ZIP CODE q 3-3o,g :T./t/e, WORKMENS COMP No. l.3 w'(3 ?727ð9/ é'(f-rI /N J!"lVþl ~ AI?....,.':>........ ..,.. TANK CLEANING INFORMATION COMP ANY í3...¡ j.. ()~ ~ i/ U IY\ PHONE No.~.:3 q ~- -5"770 ADDRESS 74- 01 .L-ve,'/(e 4ó... CliY i3"2.¥....,......,f,..,:)"p ZIP CODE 9~?ð2 WASTE TRANSPORTER IDENTIFICATION NUMBER :;41) ~ F 0 Pß~t? ~ .,:;; /... /.. J:J .2.:2 / NAME OF RINSTATE DISPOSAL FACILI!y G';'is ð,' -( . i //l-j¡ ADDRESS ,;7-9'(1) (Ç, b Sð,o ;;;;1-. CliY 82.JÜ~<,;,,-H... )£} ZIP CODE q ~ 5r-ð Y FACILITY INDENTIFICATION NUMBER (? A l> qÝð i'f' 3 J 77 TANK TRANSPORTER INFORMATION COMPANY t? 1. 4.) C Y ADDRESS .;'20 rC) ....J n I,' )1J I".... TANK DESTINATION &'ð/¿..../u PHONE No. ç-~¿j- //190 LICENSE NO./79t17 ~ {}. v ~ CliY Dz. ~""'7 .,//. f,¿; ZIP CODE c:?:;'~ð7 ~,I->-I-t!!. <l.7~'¡""'-/'" rNt'-, TANK INFORMATION TANK No. CHEMICAL DATES CHEMICAL STORED STORED PREVIOUSLY STORED ø / q 7-""~, 55"å bJ'é'/-"'" t); ¿ "?ð IfP2- 1'74/ .rI 2 9 7"'~ ?":7--C /{Jd./""".... f7/¿ ..¡/# ¡fPZ- It:¡'jl .zi ~ 7,,""4 ~~-() .4T¡:: it ;t:L <:. Cj y~"'-. .r;-S-D /."?~,. "'l¿ " :tf --=7 q 7 ".. .:7, ~o U /77,p.f-ð;- 0/ ¿ /</~O H ;i:1 b -5'5"0 tß~}-~ ðlL Jf AGE VOLUME ... ./ ! ./ Ii / r9'?-V ./ THE APPLICANT HAS RECEIVED, UNDERSTANDS. AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE. LOCAL AND FEDERAL REGULATIONS, THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY. AND TO THE BEST OF MY KNOWLEDGE. IS TRUE AND CORRECT. .,~./ --./ ,. ),b ê~ ~ C /. k ~. 0"-,, me /11.< . --~~~-tf(!'-- /APP VED BY: APPLICANT NAME (PRINT) PPLlCANT SIGNATURE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED ,~ ~----=-=-- ENVIRONMENTAL e . LABORATORIES, INC. J. J, EGLIN, REG, CHEM. ENGR. 4100 ATLAS CT., BAKERSFIELD, CALIFORNIA 93308 PHONE (805) 327·4911 FAX (805) 327·1918 CHEMICAL ANALYSIS PETROLEUM RLW EQUIPMENT 2080 S UNION POBOX 640 BAKERSFIELD, CA 93302 Attn.: BUD MCNABB 834-1100 Date Reported: 12/16/91 Date Received: 12/09/91 Laboratory No.: 12971-1 Page 1 Sample Description: SUPER-INTENDENT OF SCHOOLS 705 S. UNION AVE.: OIL TK #1 @ 2', 12-09-91 @ 11:00AM SAMPLE COLLECTED BY KEN MITCHELL TOTAL CONTAMINANTS (Title 22, Article 11, California Code of Regulations) Constituents Sample Results Units Method P.O.L. Method Regulatory Criteria STLC TTLC mq/L mq/kq Total Petroleum Hydrocarbons None Detected mg/kg 20. EPA-418.1 Comment: All constituents reported above are in mg/kg (unless otherwise stated) on an as received (wet) sample basis. Results reported represent totals (TTLC) as samp~e subjected to appropriate techniques to determine total levels. P.Q.L. Practical Quantitation Limit (refers to the least amount of analyte detectable based on sample size used and analytical technique employed. None Detected (Constituent, if present, would be less than the method P.Q.L.) . Soluble Threshold Limit Concentration Total Threshold Limit Concentration N.D. = STLC TTLC REFERENCES: EPA = "Methods for Chemical Analysis of Water and Wastes", EPA-600, 14-79-020. ~~ Department Supervisor ENVIRONMENTAL e e LABORATORIES, INC. J. J. EGLIN. REG. CHEM, ENGR. 4100 ATLAS CT., BAKERSFIELD, CALIFORNIA 93308 PHONE (805) 327·4911 FAX (805) 327·1918 CHEMICAL ANALYSIS PETROLEUM RLW EQUIPMENT 2080 S UNION POBOX 640 BAKERSFIELD, CA 93302 Attn.: BUD MCNABB 834-1100 Date Reported: 12/16/91 Date Received: 12/09/91 Laboratory No.: 12971-2 Page 1 Sample Description: SUPER-INTENDENT OF SCHOOLS 705 S. UNION AVE.: OIL TK #1 @ 6', 12-09-91 @ 11:10AM SAMPLE COLLECTED BY KEN MITCHELL TOTAL CONTAMINANTS (Title 22, Article 11, California Code of Regulations) Constituents Sample Results Units Method P.O.L. Method Regulatory Criteria STLC TTLC mq/L mq/kq Total Petroleum Hydrocarbons None Detected mg/kg 20. EPA-418.1 Comment: All constituents reported above are in mg/kg (unless otherwise stated) on an as received (wet) sample basis. Results reported represent totals (TTLC) as sample subjected to appropriate techniques to determine total levels. P.Q.L. = N.D. = STLC = TTLC Practical Quantitation Limit (refers to the least amount of analyte detectable based on sample size used and analytical technique employed. None Detected (Constituent, if present, would be less than the method P.Q.L.) . Soluble Threshold Limit Concentration Total Threshold Limit Concentration REFERENCES: EPA = "Methods for Chemical Analysis of Water and Wastes", EPA-600, 14-79-020. ~~ Department Supervisor ENVIRONMENTAL e e LABORATORIES, INC. J. J, EGLIN, REG. CHEM. ENGR. 4100 ATLAS CT., BAKERSFIELD, CALIFORNIA 93308 PHONE (805) 327·4911 FAX (805) 327·1918 CHEMICAL ANALYSIS PETROLEUM RLW EQUIPMENT 2080 S UNION. POBOX 640 BAKERSFIELD, CA 93302 Attn.: BUD MCNABB 834-1100 Date Reported: 12/16/91 Date Received: 12/09/91 Laboratory No.: 12971-3 Page 1 Sample Description: SUPER-INTENDENT OF SCHOOLS 705 S. UNION AVE.: OIL TK #2 @ 2', 12-09-91 @ 11:20AM SAMPLE COLLECTED BY KEN MITCHELL TOTAL CONTAMINANTS (Title 22, Article 11, California Code of Regulations) Regulatory Criteria STLC TTLC mq/L mq/kq Constituents Sample Results Units Method P.O.L. Method Total Petroleum Hydrocarbons None Detected mg/kg 20. EPA-418.1 Comment: All constituents reported· above are in mg/kg (unless otherwise stated) on an as received (wet) sample basis. Results reported represent totals (TTLC) as sample subjected to appropriate techniques to determine total levels. P~QeL. = Practical Quantitation Limit (refers to the least amount of analyte detectable based on sample size used.and analytical technique employed. None Detected (Constituent, if present, would be less than the method P.Q.L.). Soluble Threshold Limit Concentration Total Threshold Limit Concentration N.D. STLC TTLC REFERENCES: EPA = "Methods for Chemical Analysis of Water and Wastes", EPA-600, 14-79-020. ~~ Department Supervisor ENVIRONMENTAL e e LABORATORIES, INC. J. J. EGLIN, REG. CHEM. ENGR. 4100 ATLAS·CT., BAKERSFIELD, CALIFORNIA 93308 PHONE (805) 327·4911 FAX (805) 327·1918 CHEMICAL ANALYSIS PETROLEUM RLW EQUIPMENT 2080 S UNION POBOX 640 BAKERSFIELD, CA 93302 Attn.: BUD MCNABB 834-1100 Date Reported: 12/16/91 Date Received: 12/09/91 Laboratory No.: 12971-4 Page 1 Sample Description: SUPER-INTENDENT OF SCHOOLS 705 S. UNION AVE.: OIL TK #2 @ 6', 12-Q9-91 @ 11:30AM SAMPLE COLLECTED BY KEN MITCHELL TOTAL CONTAMINANTS (Title 22, Article 11, California Code of Regulations) Constituents Sample Results Units Method P,O.L. Method Regulatory Criteria STLC TTLC mq/L mq/kq Total Petroleum Hydrocarbons None Detected mg/kg 20. EPA-418.1 Comment: All constituents reported above are in mg/kg (unless otherwise stated) on an as received (wet) sample basis. Results reported represent totals (TTLC) as sample subjected to appropriate techniques to determine total levels. P.Q.L. = N.D. = STLC = TTLC = Practical Quantitation Limit {refers to the least amount of analyte detectable based on sample size used and analytical technique employed. None Detected (Constituent, if present, would be less than the method P.Q.L.). Soluble Threshold Limit Concentration Total Threshold Limit Concentration REFERENCES: EPA == "Methods for Chemical Analysis of Water and Wastes", EPA-600, 14-79-020. ~~ Department Supervisor ENVIRONMENTAL _ _ LABORATORIES, INC. J, J. EGLIN, REG. CHEM. ENGR. 4100 ATLAS CT., BAKERSFIELD, CALIFORNIA 93308 PHONE (805) 327·4911 FAX (805) 327·1918 CHEMICAL ANALYSIS PETROLEUM RLW EQUIPMENT 2080 S UNION POBOX 640 BAKERSFIELD, CA 93302 Attn.: BUD MCNABB 834-1100 Date Reported: 12/16/91 Date Received: 12/09/91 Laboratory No. : 12971-5 Page 1 Sample Description: SUPER-INTENDENT OF SCHOOLS 705 S, UNION AVE.: OIL TK #3 @ 2', 12-09-91 @ 11:40AM SAMPLE COLLECTED BY KEN MITCHELL TOTAL CONTAMINANTS (Title 22, Article 11, California Code of Regulations) Constituents· Sample Results Units Method P.O.L. Method Regulatory Criteria STLC TTLC mq/L mq/kq Total Petroleum Hydrocarbons None Detected mg/kg 20. EPA-418.1 Comment: All constituents reported above are in mg/kg (unless otherwise stated) on an as received (wet) sample bas~s. Results reported represent totals (TTLC) as sample subjected to appropriate techniques to determine total levels. P.Q.L. Practical Quantitation Limit (refers to the least amount of analyte detectable based on sample size used and analytical technique employed. None Detected (Constituent, if present, would be less than the method P.Q.L.) . Soluble Threshold Limit Concentration Total Threshold Limit Concentration N.D. STLC TTLC REFERENCES: EPA = "Methods for Chemical Analysis of Water and Wastes", EPA-600, 14-79-020. ~é--j Department Supervisor ENVIRONMENTAL e e LABORATORIES, INC~ J. J. EGLIN, REG. CHEM. ENGR. 4100 ATLAS CT., BAKERSFIELD, CALIFORNIA 93308 PHONE (805) 327·4911 FAX (805) 327·1918 CHEMICAL ANALYSIS PETROLEUM RLW EQUIPMENT 2080 S UNION POBOX 640 BAKERSFIELD, CA 93302 Attn.: BUD MCNABB 834-1100 Date Reported: 12/16/91 Date Received: 12/09/91 Laboratory No.: 12971-6 Page 1 Sample Description: SUPER-INTENDENT OF SCHOOLS 705 S. UNION AVE.: OIL TK #3 @ 6', 12-09-91 @ 11:4SAM SAMPLE COLLECTED BY KEN MITCHELL TOTAL CONTAMINANTS (Title 22, Article 11, California Code of Regulations) Regulatory Criteria STLC TTLC mq/L mq/kq Constituents Sample Results Units Method P.O.L. Method Total Petroleum Hydrocarbons None Detected mg/kg 20. EPA-418.1 Comment: All constituents reported above are in mg/kg (unless otherwise stated) on an as received (wet) sample basis. Results reported represent totals (TTLC) as sample subjected to appropriate techniques to determine total levels. P.Q.L. Practical Quantitation Limit (refers to the least amount of analyte detectable based on sample size used and analytical technique employed. None Detected (Constituent, if present, would be less than the method P.Q.L.) . Soluble Threshold Limit Concentration Total Threshold Limit Concentration N.D. = STLC TTLC = REFERENCES: EPA = "Methods for Chemical Analysis of Water and Wastes",· EPA-600, 14-79-020. ~~ Department Supervisor ENVIRONMENTAL e e LABORATORIES, INC. J, J. EGLIN, REG. CHEM. ENGR. 4100 ATLAS CT., BAKERSFIELD, CALIFORNIA 93308 PHONE (805) 327·4911 FAX (805) 327·1918 CHEMICAL ANALYSIS PETROLEUM RLW EQUIPMENT 2080 S UNION POBOX 640 BAKERSFIELD, CA 93302 Attn.: BUD MCNABB .834-1100 Date Reported: 12/16/91 Date Received: 12/09/91 Laboratory No.: 12971-7 Page 1 Sample Description: SUPER-INTENDENT OF SCHOOLS 705 S. UNION AVE.: OIL TK #4 @ 2', 12-09-91 @11:s0AM SAMPLE COLLECTED BY KEN MITCHELL TOTAL CONTAMINANTS (Title 22, Article 11, California. Code of Regulations) Constituents Sample Results Units Method P.O,L. Method Regulatory Criteria STLC TTLC mq/L mq/kq Total Petroleum Hydrocarbons None Detected mg/kg 20. EPA-418.1 Comment: All constituents reported above are in mg/kg (unless otherwise stated) on an as received (wet) sample basis. Results reported represent totals (TTLC) as sample subjected to appropriate techniques to determine total levels. P.Q.L. = Practical Quantitation Limit (refers to the least amount of analyte detectable based on sample size used and analytical technique employed. None Detected (Constituent, if present, would be less than the method P.Q.L.). Soluble Threshold Limit Concentration Total Threshold Limit Concentration N.D. STLC TTLC REFERENCES: EPA = "Methods for Chemical Analysis of Water and Wastes", EPA-600, 14-79-020. ~~ Department Supervisor ENVIRONMENTAL e e LABORATORIES, INC. J. J. EGLIN, REG. CHEM. ENGR. 4100 ATLAS CT., BAKERSFIELD, CALIFORNIA 93308 PHONE (805) 327;4911 FAX (805) 327·1918 CHEMICAL ANALYSIS PETROLEUM RLW EQUIPMENT 2080 S UNION POBOX 640 BAKERSFIELD, CA 93302 Attn.: BUD MCNABB 834-1100 Date Reported: 12/16/91 Date Received: 12/09/91 Laboratory No.: 12971-8 Page 1 Sample Description: SUPER-INTENDENT OF SCHOOLS 705 S. UNION AVE.: OIL TK #4 @ 61, 12-09-91 @ 11:SSAM SAMPLE COLLECTED BY KEN MITCHELL TOTAL CONTAMINANTS (Title 22, Article 11, California Code of Regulations) Constituents Sample Results Units Method P.Q.L. Method Regulatory Criteria STLC TTLC mq/L mq/kq Total Petroleum Hydrocarbons None. Detected mg/kg 20. EPA-418.1 Comment: All constituents reported above are in mg/kg (unless otherwise stated) on an as received (wet) sample basis. Results reported represent totals (TTLC) as sample subjected to appropriate techniques to determine total levels. P.Q.L. = N.D. = STLC TTLC = Practical Quantitation Limit (refers to the least amount of analyte detectable based on sample size used and analytical technique employed. None Detected (Constituent, if present, would be less than the method P.Q.L.) . Soluble Threshold Limit Concentration Total Threshold Limit Concentration REFERENCES: EPA = "Methods for Chemical Analysis of Water and Wastes", EPA-600, 1;4-79-020. ~¿--j Department Supervisor ENVIRONMENTAL e e 'LABORATORIES, INC. J. J. EGLIN, REG. CHEM. ENGR. 4100 ATLAS CT., BAKERSFIELD, CALIFORNIA 93308 PHONE (805) 327·4911 FAX (805) 327·1918 CHEMICAL ANALYSIS PETROLEUM RLW EQUIPMENT 2080 S UNION POBOX 640 BAKERSFIELD, CA 93302 Attn.: BUD MCNABB 834-1100 Date Reported: 12/16/91 Date Received: 12/09/91 Laboratory No.: 12971-9 Page 1 Sample Description: SUPER-INTENDENT OF SCHOOLS 705 S. UNION AVE. :·OIL TK #5 @ 2', 12-09-91 @ 11:57AM SAMPLE COLLECTED BY KEN MITCHELL TOTAL CONTAMINANTS (Title 22, Article 11, California Code of Regulations) Regulatory Criteria STLC TTLC mq/L mq/kq Constituents Sample Results Units Method P.O.L. Method Total Petroleum Hydrocarbons None Detected mg/kg 20. EPA-418.1 Comment: All constituents reported above are in mg/kg (unless otherwise stated) on an as received (wet) sample basis. Results reported represent totals (TTLC) as sample subjected to appropriate techniques to determine total levels. P.Q.L. Practical Quantitation Limit (refers to the least amount of analyte detectable based on sample size used and analytical technique employed. None Detected (Constituent, if present, would be less than the method P.Q.L.) . Soluble Threshold Limit Concentration Total Threshold Limit Concentration N.D. STLC = TTLC REFERENCES: EPA = "Methods for Chemical Analysis of Water andWastes", EPA-600, 14-79-020. ~C-) Department Supervisor ENVIRONMENTAL _ _ LABORATORIES, INC. J. J. EGLIN, REG. CHEM, ENGR. 4100 ATLAS CT., BAKERSFIELD, CALIFORNIA 93308 PHONE (805) 327-4911 FAX (805) 327·1918 CHEMICAL ANALYSIS PETROLEUM RLW EQUIPMENT 2080 S UNION POBOX 640 BAKERSFIELD, CA 93302 Attn.: BUD MCNABB 834-1100 Date Reported: 12/16/91 Date Received: 12/09/91 .. Laboratory No.: 12971-10 Page 1 Sample Description: SUPER-INTENDENT OF SCHOOLS 705 S. UNION AVE.: OIL TK #5 @ 6', 12-09-91 @ 12:00PM SAMPLE COLLECTED BY KEN MITCHELL TOTAL CONTAMINANTS (Title 22, Article 11, California Code of Regulations) Regulatory Criteria STLC TTLC mq/L mq/kq Constituents Sample Results Units Method P.O.L. Method Total Petroleum Hydrocarbons None Detected mg/kg 20. EPA-418.1 Comment: All constituents reported above are in mg/kg (unless otherwise stated) on an as received (wet) sample basis. Results reported represent totals (TTLC) as sample subjected to appropriate techniques to determine total levels. P.Q.L. = N.D. STLC = TTLC Practical Quantitation Limit (refers to the least amount of analyte detectable based on sample size used and analytical technique employed. None Detected (Constituent, if present, would be less than the method P.Q.L.) . Soluble Threshold Limit Concentration Total Threshold Limit Concentration REFERENCES: EPA = "Methods for Chemical Analysis of Water and Wastes", EPA-600, 1.4-79-020_ ~~ Department Supervisor ENVIRONMENTAL e e LABORATORIES, INC. J. J. EGLIN, REG. CHEM. ENGR. 4100 ATLAS CT., BAKERSFIELD, CALIFORNIA 93308 PHONE (805) 327·4911 FAX (805) 327·1918 CHEMICAL ANALYSIS PETROLEUM RLW EQUIPMENT 2080 S UNION POBOX 640 BAKERSFIELD, CA 93302 Attn.: BUD MCNABB 834-1100 Date Reported: 12/23/91 Date Received: 12/09/91 Laboratory No.: 12971-11 Page 1 Sample Description: SUPER-INTENDENT OF SCHOOLS 705 S. UNION AVE.: WASTE OIL #6 @ 2', 12-09-91 @ 12:10PM SAMPLE COLLECTED BY KEN MITCHELL TOTAL CONTAMINANTS (Title 22, Article 11, California Code of Regulations) Constituents Regulatory Criteria Method STLC TTLC Sample Results Units P.O,L. Method mq/L mq/kq None Detected mg/kg 2.5 SW-6010 5.0 1000. None Detected mg/kg 20. SW-9020 40. mg/kg 20. EPA-413.1 Lead TOX Oil & Grease . - Comment: All constituents reported above are in mg/kg (unless otherwise stated) on, an as received (wet) sample basis. Results reported represent totals (TTLC) as sample subjected to appropriate techniques to determine total levels. P.Q,L. Practical Quantitation Limit (refers to the least amount of analyte detectable based on sample size used and analytical technique employed. None Detected (Constituent, if present, would be less than the method P.Q.L.). Soluble Threshold Limit Concentration Total Threshold Limit Concentration N.D. = STLC = TTLC = REFERENCES: . EPA = "Methods for Chemical Analysis of Water and Wastes", EPA-600, 14-79-020. SW = "Test Methods for Evaluating Solid Wastes Physical/Chemical Methods", SW 846, September, 1986. ~~ Department Supervisor e· e ENVIRONMENTAL LABORATORIES, INC. J. J. EGLIN, REG, CHEM. ENGR. 4100 ATLAS CT., BAKERSFIELD, CALIFORNIA 93308 PHONE (805) 327·4911 FAX (805) 327·1918 CHEMICAL ANALYSIS PETROLEUM RLW EQUIPMENT 2080 S UNION POBOX 640 . BAKERSFIELD, CA 93302 Attn.: BUD MCNABB 834-1100 Date Reported: 12/23/91 Date Received: 12/09/91 Laboratory No.: 12971-12 Page 1 Sample Description: SUPER-INTENDENT OF SCHOOLS 70S S. UNION AVE.: WASTE OIL #6 @ 6', 12-09-91 @ 12:10PM SAMPLE COLLECTED BY KEN MITCHELL TOTAL CONTAMINANTS (Title 22, Article 11, California Code of Regulations) Constituents Sample Results Units Method P.O.L. Method. Regulatory Criteria STLC TTLC mq/L mq/kq TOX Oil & Grease None Detectèd 30. mg/kg mgjkg 20. 20. SW-9020 EPA-413. + Comment: All constituents reported above are in mg/kg (unless otherwise stated) on an as received (wet) sample basis. Results reported represent totals (TTLC) as sample subjected to appropriate techniques to determine total levels. P.Q.L. = N.D. = STLC = TTLC Practical Quantitation Limit (refers to the least amount of analyte detectable based on sample size used and analytical technique employed. None Detected (Constituent, if present, would be less than the methodP.Q.L.) . Soluble Threshold Limit Concentration Total Threshold Limit Concentration REFERENCES: EPA = "Methods for Chemical Analysis of Water and Wastes ", EPA- 600., 14 -79 - 020. .SW = "Test Methods for. Evaluating Solid Wastes Physical/Chemical Methods", SW 846, September, 1986. ~~ Department Supervisor t, ENVIRONMENTAL e e LABORATORIES. INC. J. J. EGLIN, REG. CHEM. ENGR. 4100 ATLAS CT.. BAKERSFIELD, CAUFORNIA 83308 PHONE (&OS) 327-4811 FAX (806) 327-1818 CHSIIC.4L ANALYStJ PETROLEtJII RLW EQUIPMENT 2080 S UNION" Þ 0 BOX 640 ~RSFIELD, CA 93302 Attn.: BUD MCNABB 834-1100 Sample Description: SUPBR-INTBNDENT OF. SCHOOLS 705 S. UNION AVE.: WASTE OIL ;1:6 . 6' I 12-09-91 . 12:10PM: SAMPLE COLLECTED BY 1ŒN MITCHBLL ~ate Reported: 12/23/91 Page Date Received: 12/09/9-1 Laboratory No.: 12971-12Revised 1 -""!"'..' -.- .,. _.. .--.- . -. , . '-.' .'.' -..' " ....'P'. . . . TOTAL CONTAMINANTS (Title 22, Article 11, California Code of Regulations) Constituents Samole Results None Detected !1!û..tl! mg/kg mg/kg mg/kg Method P.O.L. 2.5" Method Regulatory "Criteria STLC TI'LC" maiL ma/ka Lead SW-6010 5.0 1000. TOX _ Oil & Grease None Detected 30. 20. 20. SW-9020 EPA-413.1 COllUl1en t : All constituents reported abovè are in mg/kg (unless otherwise stated) on an as received (wet) sample basis. Results reported represent ~otals (TTLC) as sample s~jected to appropriate techniques to determine total levels. " , P.Q.L. = Practical Quantitation Limit (refers to the least amount of analyte detectable based on sample size used and analytical technique employed. None Detected (Constituent, if present, would be less than the method P.Q.L.) . Soluble Threshold Limit Concentration Total Threshold Limit Concentration N..D. = STLC = TTLC = REFERENCBS: EPA = "Methods for Chemical Analysis of Water and Wastes·, EPA-600, 14-79-020. SW = "Test Methods for Evaluating Solid Wastes Physical/Chemical Methods', SW 846, September, 1986. ~~~7~ Department Supervisor ~ Pr¡':'ted on environment 26 contalnlno 100% reclalmad flb~r8 with 15% Posl.conlumer Waste > c o ... en ::J o LL. o Z - < :I: o co o (I') ,·ti 0-- oE o (/) :t: ro- _ro «0 o-ö 0- ..-Æ oo:t(ñ ~ Q) ~ ro OJ " IT o ~ IT o CD <! -.J '-~ ú c Hepart I a: Q) Analysis Requested 0> Name:!? t.. w ~Q(fIP: Project: W;~r:oTf!jÞ~r: ~ ~ ~ Address:-2/J,m .$ UNI{)'f) Project#: .5< Vl/IO¡¡} A-tfc Vf§. , G City: ,11~ E:~-> F/ê::t.-P Sampler Name: ~ Q) - , State: c¡;- Zip: 93 :5{)2 Other: =ro ~..' ~.~ Attn:8tØ ~ l/A.....~' ú)~ ~ ' -- ~ Phone: .~ ~ t: Lab# Sample Description Date & Jime Sampled Ctí I'::): . ~ -( ~#J--Är Þ-Lh~ IF 00 5 / /or/7/ /1 -;) ,. ( 'f .. ¡/ IY '/ ~ ç (( II :10 / ,-~ t'Y" r IIIIJJ/ If: ::J ...::J." r( tl : ;¡,o v/ -4 . r/" 1/ rr ~-t:1 t( (/ : 36 -C) 1/ 1/ :tt3 <- :? / rr (( ¡w Iv --b (f r u:-clS V Ir "'T3 - " rr -7 fl If * ¥-,2/ (( II /50 v"" -ß If Ir -:l:é1 - ~ I' rr Ii f55 V -c; II tr 1f'F.5 - J f If II : ..5 7 ¡/--/ - VO Ii If =1FC;-G( f( fIJ ! 00 vi -II ( // w f!-STI:-s. ðI'- ìK:tt: ~ - J rr I;:). : (c/ -12- (f if if -JF:::f,- G f fr (( rf .J! ¡/ ----- ê ~ - >- r:: ~ .0 :Q (1) "0 (1) "0 0- 0 ~ (1) E c::>- (,) co "0 -- col- c.> Q) (1)1- ~ ~ (1) (f) (1)o(j (1) () ~ Z .0 r:: >. (/)2 E 'ëü (/) "0 (1) 0 ::co :::IE a. (¡) ~O 20 E :::I Q) 0 co 0 a: (f) ,/ tJ br. ~hll;¡f~l r \ I I .,1 \¡ ,V / \ - Comment: ~~:~~~ rcJ1~:d P()l!/lt~À ~:Time l<Vi /..(~ Relinquished by: (Signature) Received by: (Signature) Date: Time Relinquished by: (Signature) Received by: (Signature) Date: Time Relinquished by: {Signature} Received by: (Signature) Date: Time Relinquished by: (Signature) Received by: (Signature) Date: Time Relinquished by: {Signature} Received by: (Signature) Date: Time Billing Info: N <' Á - 11....."" /./ ame: ~A-IJ1£ Æ<:::J rr nuv L Address cY'95t )C9~' ~ Sample Disposal o BC Disposal @ 5.00 ea. o Return to client City Attention: Time: /, 5 #4-<' Miles: ~ $ , ..s P.O.# 1)7 {if State . e BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 CERTIFICATION STATEMENT OF TANK DECONTAMINATION I. B {( / .m?I1/" þ b an authorized agent of ame . f! L w J.{;;. 02 f::C here by attest under penalty of contra6ting co. perjury that the tank(s) located at 7D5 5.1}/lJ/(J/Ù Il-P,e and address being removed under permit# ß~ (90 :13 has been cleaned/decontaminated properly and a LEL (lower explosive limit) reading of no greater than 5% was measured immediately following the cleaning/decontamination process. \ '1..\ q \ ev \ . \date S¿¡~rj /J1 c A/..--Þ b , name (print) ~ ~~ðL- s~gna~ure COMPLETE THIS FORM FOR EACH FACIUTYISITE STATE OF CAUFORNlA . STATE WATER RESOURCES CONTROL BOARD . UNDERGR~ND STORAGE TANK PERMIT APPLlCA~N . FORM A MARK ONLY ONE ITEM D 1 NEW PERMIT D 2 INTERIM PERMIT D 3 RENEWAL PERMIT D 4 AMENDED PERMIT D 5 CHANGE OF INFORMATION ø 7 PERMANENTLY CLOSED SITE D 6 TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS· (MUST BE COMPLETED) NAME OF OPERATOR ,NIe./lJQwce è 0 PARCEL' (OPTIONAl) ../ BOX TO INDICATE TYPE OF BUSINESS D 1 GAS STATION D 3 FARM D 2 DISTRIBUTOR D 4 PROCESSOR ~OCAl.AGENCY D COUKTY-AGENCY D STATE·AGENCY D FEDERAl-AGENCY ~ISTRlCTS O ../ IF INDIAN . OF TANKS AT SITE E. P. A. l D.' (oplict1a1) RESERVATION OR TRUST LANDS D CORPORATION D INDIVIDUAL D PARTNERSHIP EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY)· optional DAYS: NAME (LAST, FIRST) PHONE. WITH AREA CODE DAYS: NAME (LAST, FIRST) PHONE. WITH AREA CODE NIGHTS: NAME (LAST, FIRST) PHONE. WITH AREA CODE NIGHTS: NAME (LAST, FIRST) PHONE 41 WITH AREA CODE III. TANK OWNER INFORMATION· (MUST BE COMPLETED) NAME OF OWNER CARE OF ADDRESS INFORMATION CITY NAME ../ box Ie indical8 D INDIVIDUAL D CORPORATION D PARTNERSHIP STATE ZIP CODE D lOCAl·AGENCY D STATE,AGENCY D COUKTY,AGENCY D FEDERAl,AGENCY PHONE. WITH AREA CODE IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER· Call (916) 739-2582 if questions arise, TY (TK) HQ @E]-CIIIIIJ V. LEGAL NOTIFICATION AND BILLING ADDRESS Legal notification and billing will be sent to the tank owner unless box I or II is checked. CHECK ONE BOX INDICATING WHICH ABOVE ADDRESS SHOULD BE USED FOR lEGAL NOTIFICATIONS AND BILLING: L 0 II~ III. D THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE. IS TRUE AND CORRECT ./ COUt'.'7Y # [lliJ JURISDICTION # ~ FACILITY # ~ LOCA nON CODE . OPTIONAL CENSUS TRACT. - OPTIONAL SUPVISOR - DISTRICT CODE . OPTIONAL THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE PERMIT APPLICATION· FORM B, UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY, FOR0033A·R2 FORM A (9-90) _ STATE OF CALIFORNIA , - STATE WATER RESOURCES CONTROL BOAR UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAl PERMIT o 4 AMENDED PERMIT o 5 CHANGE OF INFORMATION o 6 TEMPORARY TANK CLOSURE . D~ 7 PERMANENTLY CLOSED ON SITE ~ 8 TANK REMOVED . DBA OR FACILITY NAME WHERE TANK IS INSTALLED: ~. C. 5". I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN ~ ð/C- o A. OWNER'S TANK I. D.' B. MANUFACTURED BY: L-- D. TANK CAPACI1Y IN GAlLONS: " . TAN K CONTENTS IF A·1IS MARKED, COMPLETE ITEM C. A. 0 1 MOTOR VEHICLE FUEL 4 OIL o 2 PETROLEUM 0 80 EMP1Y o 3 CHEMICAL PRODUCT 0 95 UNKNOWN D. iF (A.1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED B. C. ~PRODUCT o 2 WASTE la REGULAR UNLEADED Ib PREMIUM UNLEADED 2 LEADED 3 DIESEL 4 GASAHOL 5 JET FUEL 99 OTHER (DESCRIBE IN ITEM D. BELOW) o 6 AVIATION GAS o 7 METHANOL C.A.S.': III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, AND C, AND ALL THAT APPLIES IN BOX 0 AND E . A. TYPE OF 0 1 DOUBLE WALL 0 3 SINGLE WALL WITH EXTERIOR LINER 0 95 UNKNOWN SYSTEM J2]2 - 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER SINGLE WALL 01 BARE STEEL 0 2 STAINLESS STEEL ø 3 FIBERGLASS 0 4 STEEL CLAD W/ FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL 0 5 CONCRETE 0 6 POLYVINYL CHLORIDE o 7 AlUMINUM 0 8 100"1. METHANOL COMPATIBLE W/FRP (Primary Tank) 09 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER 01 RUBBER LINED 0 2 ALKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C. .INTERIOR 0 5 GLASS LINiNG 06 UNLINED 0 95 UNKNOWN 0 99 OTHER LINING is LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES_ NO_ D. CORROSION 01 POLYETHYLENE WRAP 0 2 COATING D :1 VINYL WRAP 0"4 FIBERGLASS REINFORCED PLASTIC PROTECTION 05 CATHODIC PROTECTION 0 91 NONE D 95 UNKNOWN o 99. OTHER E. SPILL AND OVERFILL SPILL CONTAINMENT INSTALLED (YEAR) , /" OVERFILL PREVENTION EQUIPMENT INSTALLED (YEAR) ...- , IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE Å U 1 SUCTION A U 2 PRESSURE A U 3 GRAVI1Y A U 99 OTHER B. CONSTRUCTION A 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) U FIBERGlASS PIPE CORROSION A U 5 AlUMINUM A U 6 CONCRETE A U 7 STEELW/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 0 1 AUTOMATIC LINE LEAK DETECTOR 0 2 LINE TIGHTNESS TESTING 0 3 MONrTORING 99 OTHE V. TANK LEAK DETECTION o 1 VISUAL CHECK j2r'2 INVENTORY RECONCILIATION 0 3 VADOZEMONITORING 04 AUTOMATIC TANK GAUGING 0 5 GROUNDWATER MONITORING Ø;TANK TESTING 0 7 INTERSTITIAL MONITORING 091 NONE 0 95 UNKNOWN 0 99 OTHER 2. ESTIMATED OUANTI1Y OF SUBSTANCE REMAINING 3. WAS TANK FILLED WITH INERT MATERIAL? STATE 1.0.# COUNTY # flISJ JURISDICTION # [Q!¡[[] TANK # ~ FACILITY # ~ PERMIT NUMBER PERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE FORM B (7,91) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FOAM A, UNLESS A CURRENT FORM A HAS BEEN FILED. YES 0 FOROG:l48-R5 ·e . STATE OF CAUFORNlA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT o o 3 RENEWAL PERMIT 4 AMENOEO PERMIT o o 5 CHANGE OF INFORMATION & TEMPORARY TANK CLOSURE ~ 7 PERMANENTLY CLOSED PN SITE B TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: I. TANK DESCRIPTION A. OWNER'S TANK I. D. II B. MANUFACTURED BY: å2. D. TANK CAPAClìY IN GALLONS: II. TANK CONTENTS IF A·1IS MARKED, COMPLETE ITEM C. A. 0 1 MOTOR VEHICLE FUEL Ø4 OIL o 2 PETROLEUM 0 SO EMPìY D 3 CHEMICAL PRODUCT 0 95 UNKNOWN D. IF (A.1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED c·D o o 1a REGULAR UNLEADED Ib PREMIUM UNLEADED 2 LEADED B o o 3 DIESEL 4 GASAHOL 5 JET FUEL 99 OTHER (DESCRIBE IN ITEM D. BELOW) o & AVIATION GAS o 7 METHANOL B. ..ca..-r PRODUCT o 2 WASTE C.A.S.#: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B,ANDC, AND ALL THAT APPLIES INBOXD AND E A. TYPE OF 0 1 DOUBLE WALL 0 3 SINGLE WALL WITH EXTERIOR LINER 0 95 UNKNOWN SYSTEM j;2t2 SINGLE WALL - 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER 0' BARE STEEL 0 2 STAINLESS STEEL ¡::¿r3 FIBERGLASS 0 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B, TANK MATERIAL 0 5 CONCRETE 0 & POLYVINYL CHLORIDE o 7 AlUMINUM 0 8 100% METHANOL COMPATIBLE W/FRP (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER 0' RUBBER LINED 0 2 AlKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C, INTERIOR 0 5 GLASS LINING J2(& UNLINED 0 95 UNKNOWN 0 99 OTHER LINING is LINING MATERIAL COMPATIBLE WITH 1000/. METHANOL? YES_ NO_ D. CORROSION D 1 POLYETHYLENE WRAP D 2 COATING o 3 VINYL WRAP ~ FiBERGLASS REINFORCED PLASTIC PROTECTION D 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN o 99 OTHER E. SPILL AND OVERFILL SPILL CONTAINMENT INSTALLED (YEAR) - OVERFILL PREVENTION EQUIPMENT INSTALLED (YEAR) IV. PIPING INFORMATION A. SYSTEM TYPE B. CONSTRUCTION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE 1 SINGLE WALL A U 2 PRESSURE A U 2 DOUBLE WALL A U 3 GRAVlìY A U 3 LINED TRENCH A U 99 OTHER A U 95 UNKNOWN A U 99 OTHER 1 SUCTION C, MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) U FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 1000/0 METHANOL COMPATIBLE W/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION o 1 AUTOMATIC LINE LEAK DETECTOR o 2 LINE TIGHTNESS TESTING o 3 MONITORING V. TANK LEAK DETECTION 0....;, VISUAL CHECK 2 INVENTORY RECONCILIATION 0 3 VADOZE MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING ø & TANK TESTING D 7 INTERSTITIAL MONITORING 0 91 NONE 0 95 UNKNOWN 0 99 OTHER 2. ESTIMATED QUANTITY OF SUBSTANCE REMAINING ~LLONS 3. WAS TANK FILLED WITH INERT MATERIAL? YES 0 THIS FORM HAS BEEN COMPLETED UNDER PENAL TV OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE-AND CORRECT APPLICANT'S NAME DATE (pRINTEO & SIGNATURE) STATE 1.0.# COUNTY # rn JURISDICTION # [Qill]] FACILITY # ~ TANK # ~ PERMIT NUMBER PERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE FORM B {7'91) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FOR0034B-RS MARK ONLY D 1 NEW PERMIT D 3 RENEWAL PERMIT ONE ITEM 0 2 INTERIM PERMIT D 4 AMENDED PERMIT DBA OR FACILITY NAME WHERE TANK IS INSTALLED: fYk o 5 CHANGE OF INFORMATION o 6 TEMPORARY TANK CLOSURE _ STATEOFCAlIFORNtA a .. STATE WATER RESOURCES CONTROL BOARP' UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. o 7 PERMANENTLY CLOSED ON SITE E'"a TANK REMOVED .' I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN "2- B. MANUFACTURED BY: 0 D. TANK CAPACITY IN GALLONS: A. OWNER'S TANK L D.. C) II. TANK CONTENTS IF 11.-115 MARKED. COMPLETE ITEM C. A. 0 1 MOTOR VEHICLE FUEL J2r4 OIL o 2 PETROLEUM D 80 EMPTY o 3 CHEMICAL PRODUCT 0 95 UNKNOWN D. IF (11..1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED g-, PRODUCT o 2 WASTE C.O o o la REGULAR UNLEADED Ib PREMIUM UNLEADED 2 LEADED B 3 DIESEL 0 6 AVIATION GAS O 4 GASAHOL 0 7 METHANOL 5 JETFUEL o 99 OTHER (DESCRIBE IN ITEM D. BElOW) ~Æ:;.,t· £ B. III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B. AND C. AND ALL THAT APPLIES IN BOX D AND E A. TYPE OF 0 1 DOUBLE WALL 0 3 SINGLE WALL WITH E"XTERIOR LINER 0 95 UNKNOWN SYSTEM B"2 SINGLE WALL - 0 4 SE"CONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER .0' BARE STEEL 0 2 ST AINLE"SS STEEL ~ FIBE"RGLASS 0 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL 0 5 CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 ALUMINUM 0 a 100"!. METHANOL COMPATIBLE W/FRP (Primary Tank) 0 9 BRONZE D 10 GALVANIZED STEEL D 95 UNKNDWN 0 99 OTHER 0' RUBBER LINED 0 2 ALKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C,INTERIOR 0 5 GLASS LINING )2(6 UNLINED 0 95 UNKNOWN 0 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES _ NO_ D. CORROSION 0' POLYETHYLENE WRAP 0 2.COATING o 3 VINYL WRAP &4 FIBERGlASS REINFORCED PLASTIC PROTECTION 05 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN o 99 OTHER E. SPILL AND OVERFILL SPILL CONTAINMENT INSTALLED (YEAR) - OVERFILL PREVENTION EQUIPMENT INSTALLED (YEAR) - IV. PIPING INFORMATION A, SYSTEM TYPE A B. CONSTRUCTION A CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 99 OTHER A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND CORROSION PROTECTION D, LEAK DETECTION A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A FIBERGlASS PIPE A U 5 ALUMINUM A U 6 CONCRETE A U 7 STE"EL WI COATING A U a 100"!. METHANOL COMPATIBLE W/FRP A U 9 GALVANIZED STEEL AUlD CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER o 1 AUTOMATIC LINE LEAK DETECTOR 0 2 LINE TIGHTNESS TESTING 0 3 ~ONITORING ~THER V. TANK LEAK DETECTION D 1 VISUAL CHECK 2 INVENTORY RECONCILIATION 0 3 VADOZE MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING ø-; TANK TESTING r.l!!f}7 !NTERSTtTIALMONITORING 0 91 NONE 0 95 UNKNOWN 0 99 OTHER 2. ESTIMATED OUANTITY OF SUBSTANCE REMAINING ~ I 3. WAS TANK FILLED WITH GALLONS INERT MATERIAL? YES 0 THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT DATE I /6' ERS BELOW STATE I.D,# COUNTY # [ill] JURISDICTION # l<iliI] FACILITY # ~ TANK # ~ PERMIT NUMBER PERMIT APPROVED BY/DATE PERM IT EXPIRATION DATE FORM B (1-91) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FOR0034 B-AS - ---- -- --~. STATE OF CAUFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B e! e COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAl PERMIT o 4 AMENDED PERMIT 5 CHANGE OF INFORMATION 0 7 PERMANENTlY CLOSED ON SITE 6 TEMPORARY TANK CLOSURE ~ 8 TANK REMOVED DBA OR FACilITY NAME WHERE TANK IS INSTAllED: I. TANK DESCRIPTION A. OWNER'S TANK I. 0.11 C/ C. DATE INSTALLED (MOJDAYiYEAR) '8' "2-- B. MANUFACTURED BY: 0 C- D. TANK CAPACITY IN GAlLONS: :5': II. TANK CONTENTS A. D 1 MOTOR VEHICLE FUEL o 2 PETROLEUM o 3 CHEMICAL PRODUCT IFA-1ISMARKED.COMPLETEITEMC. 4 OIL o 80 EMPTY o 95 UNKNOWN B. Q--1' PRODUCT o 2 WASTE C. D o o 1a REGULAR UNLEADED 1b PREMIUM UNLEADED 2 LEADED B 3. DIESEL 4 GASAHOL D 5 JET FUEL o 99 OTHER (DESCRIBE IN ITEM D. BELOW) ,.0 o 6 AVIATIDN GAS 7 METHANOL D. IF (A.1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED t-O' C.A.S.II: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, ANDC, AND ALL THAT APPLIES INBOXDANDE A. TYPE OF 0 1 DOUBLE WALL 0 3 SINGLE WALL WITH EXTERIOR LINER 0 95 UNKNOWN SYSTEM ~2 - 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER SINGLE WALL 01 BARE STEEL 0 2 STAINLESS STEEL ß---3 FIBERGlASS 0 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL 0 5 CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 AlUMINUM 0 8 1000/. METHANOL COMPATIBLE W/FRP (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN ; 0 99 OTHER 1 01 RUBBER LINED o 2 AlKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C. INTERIOR 0 5 GLASS LINING ß1UNlINED 0 95 UNKNOWN 0 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES_ NO_ D, CORROSION 01 POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRAP ~ FIBERGlASS REINFORCED PLASTIC PROTECTION 0 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN o 99 OTHER E, SPILL AND OVERFilL SPILL CONTAINMENT INSTALLED (YEAR) _ OVERFILL PREVENTION EOUIPMENT INSTAlLED (YEAR) -- IV. PIPING INFORMATION A. SYSTEM TYPE B. CONSTRUCTION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 99 OTHER 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 FIBERGlASS PIPE CORROSION A U 5 AlUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100% METHANOL COMPATIBLE W/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. lEAK DETECTION o 1 AUTOMATIC LINE LEAK DETECTOR o 2 LINE TIGHTNESS TESTING o 3 ~ONrrORING 99 OTHER /t/o. V. TANK LEAK DETECTION o 1 VISUAL CHECK 2 INVENTORY RECONCILIATION 0 3 VADOZE MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING 6 TANK TESTING 0 7 INTERSTITIAL MONITORING 0 91 NONE 0 95 UNKNOWN 0 99 OTHER VI. TANK CLOSURE INFORMATION 2. ESTIMATED OUANTITY OF SUBSTANCE REMAINING 3. WAS TANK FilLED WITH INERT MATERIAL? YES 0 STA TE 1.0.# PERMIT NUMBER FORM B (7'91) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FOR00348-RS COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. ,~;,~~ -~ A STATE OF CALIFORNIA __ . STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B _.~. MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAL PERMIT o 4 AMENDED PERMIT o 5 CHANGE OF INFORMATION .' '<"0 '7 PERMANENTLY CLOSED ON SITE o II TEMPORARY TANK CLOSURE; z..-; TANK REMOVED . DBA OR FACILITY NAME WHERE TANK IS INSTAllED: I. TANK DESCRIPTION 'ð' '"2- B. MANUFACTURED BY: ¿p c::...-- D. TANK CAPAClìY IN GALLONS: " A. OWNER'S TANK I. D.' II. TANK CONTENTS IFA·1ISMARKED,COMPLETEITEMC. A. 0 1 MOTOR VEHICLE FUEL J2r4 Oil o 2 PETROLEUM 0 80 EMPìY o 3 CHEMICAL PRODUCT 0 95 UNKNOWN D. IF (A.1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED B. . ., 2--1 PRODUCT' o 2 WASTE la REGULAR .-' B 3 DIESEL 0 6 AVIATION GAS - UNLEADED . _ 1b PREMIUM 'i. 4 _ GASAHOl 0 7 METHANOL : UNLEADED - 0 5 JET FUEL 2 lEADED 0 99 OTHER (DESCRIBE -IN ITEM D. BELOW) C.A.S.': III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, ANDC. AND All THAT APPLIES IN BOX 0 AND E A. TYPE OF D 1 DOUBLE WAll D 3 SINGLE WAll WITH EXTERIOR LINER D 95 UNKNOWN SYSTEM )a2 SINGLE WAll - 0 4 SECONDARV CONTAINMENT (VAULTED TANK) 0 99 OTHER D 1 BARE STEEL 0 2 STAINLESS STEEL ~FIBERGLASS 0 4 STEEL CLAD W/ FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL 0 5 CONCRETE D 6 POlYVINVl CHLORIDE D 7 ALUMINUM 0 8 100"1. METHANOL COMPATIBLE WIFRP (Primary Tank) D 9 BRONZE D 10 GALVANIZED STEEL D 95 UNKNOWN 0 99 OTHER 0' RUBBER LINED D 2 AlKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C,INTERIOR D 5 GLASS LINING ~lINED D 95 UNKNOWN 0 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100"1. METHANOL? VES_ NO_ D. CORROSION 0' POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRAP ~IBERGLASS REINFORCED PLASTIC PROTECTION 05 CATHODIC PROTECTION 0 91 NONE . o 95 UNKNOWN o 99 OTHER E. SPILL AND OVERFILL SPill CONTAINMENT INSTAllED (YEAR) - , OVERFILL PREVENTION EOUIPMENT INSTAllED (YEAR) IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE At?? SUCTION A U 2 PRESSURE A U 3 GRAVlìY A U 99 OTHER 8, CONSTRUCTION A@' SINGLE WAll A U 2 DOUBLE WAll A U 3 LINED TRENCH A U 95 UNKNOWN AU· 99 OTHER C, MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) ~ FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/COATING A U 8 100"1. METHANOL COMPATIBLE W/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D, LEAK DETECTION D 1 AUTOMATIC LINE lEAK DETECTOR D 2 LINE TIGHTNESS TESTING o 3 MONrrORING ~THER~ V. TANK LEAK DETECTION D 1 VISUAL CHECK 2 INVENTORY RECONCILIATION D 3 VADOZE MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING ~ TANK TESTING 0 7 INTERSTITIAL MONITORING D 91 NONE 0 95 UNKNOWN D 99 OTHER 2. ESTIMATED OUANTlìY OF SUBSTANCE REMAINING 3. WAS TANK FILLED WITH INERT MATERIAL? YES 0 NO STATE I.D.# COUNTY # 0I2 JURISDICTION # ~ FACILITY # TANK # ~ PERMIT NUMBER PERMIT APPROVED BY/DATE FORM B (7-91) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FORO()(B-RS e STATEOFCAUFORNlA tþ STATE WATER RESOURCES CONTROL BOARD m .- UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM o 1 NEW PERMIT o 2 INTERIM PERMIT' o 3 RENEWAl PERMIT o 4 AMENDED PERMIT o 5 CHANGE OF INFORMATION o 6 TEMPORARY TANK CLOSURE o 7 PERMANENTLY CLOSED ON SITE ~ TANK .REMOVED . I. TANK DESCRIPTION COMPLETE All ITEMS - SPECIFY IF UNKNOWN DBA OR FACILITY NAME WHERE TANK IS INSTALLED: A, OWNER'S TANK I, D.' B. MANUFACTURED BY: 0 L..- D. TANK CAPACI1Y IN GAllONS: 5'0 II. TANK CONTENTS A. 0 1 MOTOR VEHICLE FUEL o 2 PETROLEUM o 3 CHEMICAL PRODUCT IF A-1IS MARKED, COMPLETE ITEM C. ~, :- 1 PRODUCT C·O o o la REGULAR UNLEADED Ib PREMIUM UNLEADED 2 lEADED B o o 3 DIESEL 4 GASAHOl 5 JET FUEL 99 OTHER (DESCRIBE IN ITEM D. BELOW) ·0 "0 -, 6 AVIATION GAS 7 METHANOL 4 OIL o 80 EMPTY o 95 UNKNOWN B. D. IF (A.1) is NOT MARKED, ENTER NAME OF SUBSTANCE STORED C.A.S.# : III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, AND C. AND All THAT APPLIES IN BOX 0 AND E A. TYPE OF o 1 DOUBLE WALL 0 3 SINGLE WALL WITH EXTERIOR LINER 0 95 UNKNOWN SYSTEM ~SINGlE WALL - 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER 0' BARE STEEL 0 2 STAINLESS STEEL 2--:í FIBERGLASS 0 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL 0 5 CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 ALUMINUM 0 8 100% METHANOL COMPATIBLE W/FRP (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER 0' RUBBER LINED o 2 ALKYD LlN ING 0 3 EPOXY LINING 0 4 PHENOLIC LINiNG C. INTERIOR 0 5 GLASS LINING J2J6 UNLINED 0 95 UNKNOWN 0 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES_ NO_ D. CORROSION 01 POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRAP . _ ~BERGLASS REINFORCED PLASTIC PROTECTION 05 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN iiiïif"99 OTHEEl ~ -'A T E. SPILL AND OVERFILL SPilL CONTAINMENT INSTAllED (YEAR) OVERFILL PREVENTION EQUIPMENT INSTAlLED (YEAR) IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTiON A U 2 PRESSURE A(ù.-> GRAVITY A U 99 OTHER B. CONSTRUCTION A(V1 SINGLE WAll A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND AØI BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A U 4 FIBERGLASS PIPE CORROSION A U 5 AlUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100"10 METHANOL COMPATIBLE 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 o 3 MONITORING ..099 OTHER /l/ð/f./ ~ V. TANK LEAK DETECTION o 1 VISUAL CHECK 02 ~ TANK TESTiNG D 7 INVENTORY RECONCILIATION 0 3 VADOZE MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING INTERSTITIAL MONITORING 0 91 NONE 0 95 UNKNOWN 0 99 OTHER 2. ESTIMATED QUANTITY OF SUBSTANCE REMAINING 3. WAS TANK FillED WITH INERT MATERIAL? YES 0 NOø THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRU~.AND CORRECT APPLICANTS NAME DATE (PRINTED & SIGNATURE) ~ I STATE 1.0.# TANK # ~ PERMIT NUMBER FORM B (7-91) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FOROO348-RS :",::':;;~=~'.' .7.~~OMB No. ~~a,3I).t1) ..·\......1,~'~--..- '.' .:.... ;; print or type. Form de./tJlled tor UN 011 ellte.'-· oitch typewriter). "''')' . UNIFORM HAZARDOU Jøn.,.,or's us EPA ID f/' WASTE MANIFEST I s N ~! =".:. '<:):;j ........~ :'\J:!i :Y')~ ~~ -~ () :'Jz .1')~ :::J§: TIN ~ ~ ........~ ,~ ~; w !ž w () w I/) Z o Q. I/) W a: ..J -< Z o ¡::: < z w ¡: ..J ..J <:3 16. .J ..J il: I/) a: o >- () z w (:1 a: w ::¡ w Z < II.. o W I/) < () ~ Dep.rtment Of Health ServIces Toxic Subeta_s Control Division Sacramento. Call1omis In'OfIIIItlollln the thlded arsss 18 not required by Federalla.. ~3/77i7 11. US DOT Description (lncludlno Proper Shipping Harne, Hazard Claaa, and 10 Number) t4. Unit WI/Vol L Waat. No, No. e. 0 E N E R A T 0 R c. d. StaN.., ~:;}. I OD &- ~.P" SI1II. Will I; ~ I J '~lj{'^ 17 ;.Þ rc;.. f.-.( ~ Lj EPAlOttMf Stal. EPAJOthw Slat. EPAlo:Mr J. Additional Deecriptlona lor Materiala LI-'ed Above O ....I'/ó éJ(L .......,.. .' . .~~~;'~. .~~.': '2Jf ., . .:.' ,'. :'- '. o-~ /O~~N4--rr=-P,- . ~" ".: ~',~. :~:. ~. -".- "., ".) Co do 15. Special Handling Instructions and Addilionallnformation ~ #. a&], . (Q18~~N 7ðO~7 M71iL 1t~77V£ Q Urr=:!!-- eJc,-rTfC GENERATOR'S CERTlFICATlOH: I hereby declsre fhsl fhe contents of Ihis consignmenf are fully and sccurafely described above by proper shipping name and are clauitied. packed, marXed. and labeled. and are in all reap eels in proper condition lor transport by highway according to applicable international and national government regulaliona. III am a larga quantity generator, I certify that I have a program In place to reduce the volume and loxicity of wasle genera led 10 Ihe degree' have delennined to be economiçally practicable and thst I have aelec1ed the practicable method 01 Ireatment, "Iorage, or di"po"al currently avaHabl4lto ma "'''ich minimize" Ihe present and tuture IhreallO human heallh and the environment; OR. if 1 am a amall quantity generator. I have made a good 'ailh eHort ·to minimize my waste generalion and selec1lhe best wasle managemenl method the I is available 10 me and that I can aHord. PrinledfTyped Neme /vIonlll Day < Yeat T R A N S P o R T E /vIOnlll Day Yaaf J!ðN /vIonlll /! Day/', Yaat á,/¡~ / PrintedfTyped Name 19. Discrepancy Indicalion Spaca F A C I L I 20. Facility Owner or Opetatot Certification of receipt 01 hazardous materials covered by Ihis. manifest except as noted in lIem 19. T Y Signature JHS 8022 A :PA 8100-22 qev. 6·69) Previous edition a are oboolete. White: TSDF SENDS THIS COPY TO DOHS WITHIN 30 DAYS To: P.O. So( 3000. Socromento. CA 95812 - e . To ctLlAJ ~Ll~l"~' ' ~. K -e\r~ tb S~-("(".\~~ ~b S~ Lc~ e.-. S(Á.~~ ~lv-e- ')Æ.V-V~cQ... J: ~ ~6 Ir~~~' .~~1~ .~~LS~ ~~ 7Þc;- ~þ U:-~J . -r-~ O-~c.-L- ~ e~ ~ , .~.,~~ ~L_~ ~ ~ ~~ ctl-s I""""'Lt~ ~ ~ -\~<'.". \~ I\\~ \ Å~~ .~ é' v If C:? r (/ yO' I/< ~ 7 /57 GoY d-r'S //°7 Þ'r' / ::z. /v 0 ~ a~ 9' ¿..;:z./ G> :~..:,,:. j/// 3' 7';;7-- -4 J> -=J 0 ...--r--' L 7 ,:;-::7 fr ¡:- S {..V J' / / by us~ c/ ~ ..:sit:? /f T' /- /' rot: ~>' j j; , f.,U 2- ,..;- *f-rJ j- / / ',. .:~"... {f ¡--r' -+' - ···k ,~. e e To ~LW ~Ll~f>~ _ ....... ... <. ~. K. -e\;~ Q.b S~<,(/.\~~ ~ S~ lß~~ SCÄ-lA.~ ~~. s.€v-u~'-Q... .T ~ ~6 \r~'r {~'l~ ~V2-L5S ~A 7ÞC;- SO lÀ..~~ .' ~~..o-~~ ~ e~ ~ . ·~ð_.~qJ.ß- ~~~ ~ ~ 0~ ct.:l'S ['-"""&~~ ~ 6k1l ~~ \~l\\~\ Â~~ .~ ~ ~ II C;;7 Ì" U ,.. "" ¿ 7 /57 ¿;;;ye-.-"s- //w7 p~r /::z /v 0 ~ a~ '9 ¿...::z-/ ~ .~~ ..- ,,;,;¡,""." ,". '~¡;' 4" j//J .5 77-4J>~o -¡?Þ}S UJ /' / / by u s~ ci -;it 5..)&/1 T' J- /' .- ~ ~ ,//-; <. ¿..V2-....~ 1-"" {/I ..... =.::.. ~..., .~'- :..¡~... f/~~ - ~t -'--~, ..~~ - R£URCE MANAGEMENT ,a-.:.NCY RANDALL L. ABDOn DIRECTOR DAVID PRICE m ASSISTANT DIRECTOR ,JJf;i~~'~;'~;;'>, I~ .,\\. "I ,-<':'~- 1~!/~ :--.....~.:.:..... 'I¡0':-:'" [:\I"'<~n~UWj¡~~/)~~. l "'.J . .;:~'\,':'¡~ ~~f~fi£J!',~} --____ '(\~~"4¡J!! ..........,,.,~ Environmental Heahh Setvicea Department STEVE McCAU.EY, RÐfS, DIRECTOR Air Pollution Control District WIUJAM J. RODDY. APeO . Planning & Dewlopment Servica Department TED JAMES, AlCP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT PERMIT TO OPERATE UNDERGROUND HAZARDOUS STORAGE FACILI'IY Permit No.: 260007C State ID No.: 23319 Issued to: SCHOOLS SERVICE CENTER No. of Tanks: 9 Location: 705 SO. UNION AVENUE BAKERSFIELD, CA Owner: , KC SUPERINTENDENT OF SCHOOLS 5801 SUNDALE AVENUE BAKERSFIELD, CA 93309 Operator: KC SUPERINTENDENT OF SCHOOLS 5801 SUNDALE AVENUE BAKERSFIELD, CA 93309 Facility Profile: Substance Tank Tank Year Is piping Tank No. Code Contents Capacitv Installed Pressurized? 1 MVF3 PREM-UNLEADED 12,000 1982 YES 2 MVF3 REGULAR 12,000 1982 YES 3 MVF3 DIESEL 12,000 1982 YES 4,5,6,7 NON-MVF 3 LUBE OIL 550 1982 YES 8 NON-MVF 3 LUBE OIL 2,000 1982 YES 9 W02 WASTE OIL 550 1982 NO-GRAVITY This permit is granted subject to the conditions and prohibitions listed on the attached summary of conditions/prohibitions ~,ì By: ' Steve McCalley Issue Date: November 4, 1991 Title: Expiration Date: November 4, 1996 -- POST ON PREMISES-- NONTRANSFERABLE 2700 "M" STREET, SUITE 300 BAKERSFIELD, CAUFORNIA 93301 (805) 861-3636 FAX: (805) 861·3429 e .' HAZARDOUS UNDERGROUND STORAGE FACILl1Y PERMIT SUMMARY OF CONDmONSIPROBIBmONS CONDmONSIPROHIBmONS: 1. The facility owner and operator must be familiar with all conditions specified within this permit and must meet any additional requirements to monitor, upgrade, or close the tanks and associated piping imposed by the permitting authority. 2. If the operator of the underground storage tank is not the owner, then the owner shall enter into a written contract with the operator, requiring the operator to monitor the underground storage tank; maintain appropriate records; and implement reponing procedures as required by the Department. 3. The facility owner and operator shall ensure that the facility has adequate financial responsibility insurance coverage, as mandated for all underground storage tanks containing petroleum, and supply proof of such coverage when requested by the permitting authority. 4. The facility owner must ensure that the annual permit fee is paid within 30 days of the invoice date. 5. The facility will be considered in violation and operating without a permit if annual permit fees are not received within 60 days of the invoice date. 6. The facility owner ami/or operator shall review the leak detection requirements provided within this permit. The monitoring alternative shall be implemented within 60 days of the permit issue date. 7. The facility underground storage tanks must be monitored, utilizing the option approved by the penniuing authority, until the tank is closed under a valid. unexpired permit for closure. 8. Any inactive underground storage tank which is not being monitored, as approved by the permitting authority, is considered improperly closed. Proper closure is required and must be completed under a permit issued by the permitting authority. 9. The facility owner/operator must obtain a modification permit before: a. Uncovering any underground storage tank after failure of a tank integrity test. b. Replacement of piping. c. Uning the interior of the underground storage tank. 10. The tank owner must advise the Environmental Health Services Depanment within 10 days of transfer ' of ownership. 11. Any change in state law or local ordinance may necessitate a change in permit conditions. The owner/operator will be required to meet new conditions within 60 days of notification. 12. The owner and/or operator shall keep a copy of all monitoring records at the facility for a minimum of three years, or as specified by the permitting authority. They may be kept off site if they can be obtained within 24 hours of a request made by the local authority. 13. The owner/operator must repon any unauthorized release which escapes from the secondary containment, or from the primary containment if no secondary containment exists, which increases the hazard of fire or explosion or causes any deterioration of the secondary containment within 24 hours of discovery. AEG:jrw (green\penDiLp2) 2 · .. MONITORING REOUIREMENTS:{MVF3,NON-MVF3,W02S,M(W02,NON-MVF3)pr,ar) 1. All underground storage tanks designated as MVF 3 within Page 1 of this permit shall be monitored utilizing the following method: a. Standard Inventory Control Monitoring (Tank gauging five to seven days per week). Kern County Environmental Health SeIVices Department forms shall be utilized unless a facility form can provide the same information and has been reviewed and approved by the Environmental Health SeIVices Department. (Monitoring shall be completed in accordance with requirements summarized in Handbook UT-lO.) AND b. All tanks shall be tested annually utilizing a tank integrity test which has been certified as being capable of detecting a leak of 0.1 gallon per hour with a probability of detection of 95 percent and a probability of false alarm of 5 percent. The first test shall be completed before December 31, 1991, and subsequent tests completed each calendar year thereafter. All tank integrity tests completed after September 16, 1991, shall be completed under a valid, unexpired Permit to Test issued by the Environmental Health SeIVices Department. 2. All undergrQund storage tanks designated as W02 and NON-MVF3 on the first page of this permit shall be monitored utilizing the following methods: a. Modified Inventory Control Monitoring (Tank gauging two days per week). Kern County Environmental Health Department forms shall be utilized unless a facility form can provide the same information and has been reviewed and approved by Environmental Health Services Department. (Monitoring shall be completed in .accordance with requirements summarized in Handbook UT-15.) AND b. All tanks shall be tested annually utilizing a tank integrity test which has been certified as being capable of detecting a leak of 0.1 gallon per hour with a probability of detection of 95 percent and a probability of false alarm of 5 percent. The first test shall be completed before December 31, 1991, and subsequent tests completed each calendar year thereafter. All tank integrity tests completed after September 16, 1991, shall be completed under a valid, unexpired Permit to Test issued by the Environmental Health Services Department. 3. All pressurized piping systems shall install pressurized piping leak detection systems and ensure that they are capable of functioning as specified by the manufacturer. The mechanical leak detection systems must be capable of alerting the owner/operator of a leak ' by restricting or shutting off the flow of hazardous substances through the piping, or by triggering an audible or visual alarm, detecting three gallons or more per hour, per square inch, line pressure within one hour. 4. All pressurized piping systems shall be tested annually unless the facility has installed the following: a. A continuous monitoring system within secondary containment. b. The continuous monitor is connected to an audible and visual alarm system and the pumping system. 3 · e c. The continuous monitor shuts down the pump and activates the alarm system when a release is detected. d. The pumping system shuts down automatically if the continuous monitor fails or is disconnected. The first test shall be completed before December 31, 1991, and subsequent tests completed each calendar year thereafter. 5. All underground storage tanks shall be retrofitted with overspill containers which have a minimum capacity of 5 gallons; be protected from galvanic corrosion, if made of metal; and be equipped with a drain valve to allow the drainage of liquid back into the tank by December 1998, or as specified by the Environmental Health Services DepartmenL 6. All equipment installed for leak detection shall be operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks (at least once per year) for operability or running condition. 7. An annual report shall be submitted to the Kern County Environmental Health Services Department each year after monitoring has been initiated. The owner/operator shall use the forms provided within the Handbooks UT-lO and UT-15. 4 - _QUEST/ORDER FORMS & UT MONITORING MANUALS The Kern County Environmental Health Services Department will need to provide some underground storage facilities updated manuals which describe the methods which must be utilized to monitor underground storage tanks. Regrettably, we must pass OIl the cost of duplicating and postage of these manuals to you, the cost of which will be $5.00 per manual. We have in addition placed these manuals at Kinko's Copyhouses and Hoven and Company. You may contact them directly and arrange to have a copy of the manual made for you. Whatever method you choose, please indicate below and return the bottom portion of this form, along with your check if you select items 1 or 2. If you submit payment within 30 days the manuals will then be mailed to you along with your final permit. NOTE: DUE TO CHANGES IN STATE LAW, THE MANUALS AND SOME OF THE FORMS HAVE BEEN CHANGED. FORMS AND MANUALS DISTRIBUTED BEFORE THIS DATE MAY NOT HAVE INFORMATION WHICH WILL GUIDE YOU THROUGH A MONITORING COURSE WHICH WILL ENSURE COMPLIANCE WITH _~AL ~ ST~~_~::____JJliJd._W¡~_B!/J¡l-f'I I Thomas G. Valos have re~ewed the information provided on the monitoring alternatives which can be utilized and have chosen a monitoring alternative of standard inventory control or modified inventory control. Please send a copy of the manual and forms indicated below with the final permit to operate. I understand that I may reproduce the manuals and forms at my own expense after receiving the initial copy. PLEASE MAIL THE FOLLOWING TO THE FACILITY OWNER WITH THE FINAL PERMIT TO OPERATE: x 2. ($5.00) HANDBOOK UT-#lO AND 12 RECORDING, RECONCILIATION AND TREND ANALYSIS FORMS (FOR STANDARD INVENTORY CONTROL MONITORING). ($5.00) HANDBOOK UT-#15 AND 12 RECORDING FORMS (FOR MODIFIED INVENTORY CONTROL MONITORING). 3. I WILL ARRANGE THROUGH A COPYING SERVICE TO OBTAIN A COPY OF THE MANUALS I NEED. x 1. FOR THE FOLLOWING FACILITY: ~'.;;j{f.~1 .::..{.- - - ,.- SCHOOLS SERVICE CENTER 705 SO. UNION AVENUE 3AKERSFISLD, CA , . . -~"" . . .".~ ....".. "'~ MAKE CHECK PAYA)lLKTO ' THE ~. COUN'IY ENVIRONMENTAL HEALTHSERVICES-fiEPAIt~NT HM29 ORDER NUMBER 921960 ¡"'urchase Order KERN ~NTY SUPT OF SCHOOLS 5801 SUNDALE AVENUE BAKERSFIELD CA 93309 (805) 398-3600 SHIP TO INFORMATION ICE OF KELLY F. BLANTON KERN COUNTY SUPT. OF SCHOOLS 5801 SUNDALE AVENUE BAKERSFIELD, CA 93309 ·THIS ORDER NUMBER MUST AP, PEAR ON ALL INVOICES. PACKAGES AND OTHER CORRESPONDENCE. To: KERN COUNTY ENVIRONMENTAL HEALTH SERVICES 2700 M STREET SUITE 300 BAKERSFIELD CA 93301 Invoice in triplicate to tha School District at best discount term: Nota: District will not honor any commitment msde without Purchsse Order. JA TE OF ORDER REQUISITION NO. REQUESTED BY VENDOR NO. TEM QUANTITY UNITS DESCRIPTION UNIT PRICE TOTAL PRICE STORES NO. 'JO. 1 EA HANDBOOK UT - #10 &. 12 RECORDING AN 5.00 5.0 TREND ANALYSIS FORMS (& RECONCILIATION . - - - _.. - . -. - ,- +" - . a 1 EA HANDBOOK UT - #15 AND 12 RECORDING 5.00 5.0 FORMS Purchase Orde' wi!! :>; CfF celled if merchandise 13 not received in ful; cry JUI,;'':' ;3,), after date of issue, 10.00 0.00 SUB TOT A ~TAX ~TOTAL 10.00' 10.00 './):f\JnnC? r('';PY CAL-OSHA Material Safety Data Sheets (Form OSHA-20) must be supplied on materials listed by CAL-OSHA as Hazardous Substances. Equipment supplied by Vendor shall conform to all CAl-OSHA requirements. e e STAFF REVIEW OF TIGHTNESS TESTING REPORTS Specialist reviewing the tightness test report: Wf? t::s)PLj G 1\), (-01 s. Date tightness test reports were submitted: 0/ ~/ q / Date tightness tests were completed: Facility Permit Number:____ Number of Tanks Tested at the site: numbers if provided) /Jí£S/i.i .3 ~ Ç(.... A '-". / / ' (list the tanks by their tank Was the method a test of the entire tank system, piping alone, or just the facility tanks? ( describe) ~ ys- n;- .¥1 Did the facility pass all tests: 1/ Yes No (if no, provide the leak rate and a description of the tank(s) that failed the test) (failure is > 0.1 gal per hour) The facility will do the following to investigate the failed test: " The test method certification that is submitted to the state specifies that each test method be completed in a certain manner. Is there anything within the results which w~d suggest that the tank test was improperly completed? Yes ~ No ( describe) Information has been reviewed and placed within the database: Date entered within the database: o If (ý /0. ¡ Fnt~Ted hv (name) CXì ~ ) /, ¡,¡V II PLOT PLAN I TEST NO. ~ Coexel Fill I C~~II Straight I 4- Fill . 1095 · 1 2,000 Unleaded · 1 2,000 Regular · 1 2,000 Regular I Drawn By: R. BROCICItAN CANOPY NAME: K. C. SUP. of Sohool. CTrY: Bak.r.fi.~d. CA LOCATION: 705 S. Union Av.. 1/4 ~. Sou~h' of Brundag. u i "or D 01 01 2'x2' Turbine Box 2'x2' Turbine Box 2'x2' Turbine Box Date: 8-21-1991 I I DEL I DEL 200 YARDS < :> S H o p Brockways 2014 S. Union Ave. No. 103 Bakersfield. CA. 93301 7 o 0:J"} 6 7 ':'1.., . L,¡ s. ,-, U N I o N A V E IBE~preCiSion Tank Test -- BROCKWAY'S 2014 S. UNION AVE. BAKERSFIELD, CA. 93307 (805) 834-1146 Performed for: Test. Location: K.C. Superintendent of Schools 705 S. Union Avenue Bakersfield, CA Test Identification Test Date Start Data Collection Ending Test Period Time Filled for Test 1095-1 08-21-1991 10:34:48 :2 '14 08-20-1991 Ta.nk Data TANK ID. Volume Depth Bury Groundwater Tank Type Test Fluid : South :12000 :37 :> 15 FT :1 Wall Steel :DIESEL CONTENTS Diameter Product level Pump Type Water in Tank Vapor Recovery :DIESEL :92 :95 : Turbine :0 :Phase 1 ** Test Report ** Average Rate of Change is based on 236 Data Points Standard Deviation ............. .0187 Gallons - Volume change of Tank Contents - Net Volume * (60 min/Test Time) .0389 Gal. * (60/ 61.38 min.) = .0381 Gph. - Volume change due to Temperature - Avg. Temp. * Volume * Coef. of Expn. * (60 min./ Test Time) 0.0072 Deg.F * 12000 Gal. * 0.00046 * 60/ 61.38 = 0.0393 Gph. Net change = Level Volume - Temperature Volume NET CHANGE -.0013 GPH. Based on the Information provided and Data Collected This Tank Test has...... PASSED Certified Tester : Robert Brockman # This Test meets all U.S.EPA and NFPA 92_1251é~ requirements. I· 1140.1995-1 TeMP.: 9.9393 Gph. ~ .~II~..~..L.II~I.&..~¡.¡.II.~I.'w~I~~~I~I~liliM~~.~.~.*~**i~I~11 I . 5 gal. I .! Level: 9.9381 Gph. Q J~~IIL~j~.IIIM~"j"~'~ÝI~ ,¡~~ ~ '~u,..~..~~~I"JL~ t JLI' ~j~., ~~1' J 1;I~',~t. I . 5 gal. Net Change Gal. J~~,'~jj~.Jw~'rn,~,li~'~f'~~~'~~~~~"~.P~'~f~~~~~'~'r~~"trw"~;,~ I Scale 1 : .91 gal. 61.3 Min. ;. Tank - South Pl'oduct DIESEL Test Date 98-21-1991 Length (Min.) 61.38 Level Pl'ecision .99293 TeMP. P~ecision .99111 NET CHANGE : -.9912 G~h. Test Level -} - -- -- .- .- .... 1" l , ( \ \ "" ".. ". .... .- ---- -- -- -...... ..." I "I' ./ 018" .. -.... --- I ! DiaMetel' Liquid Level G~ound Water' IBE. recision Tank '-3t BROCKWAY'S 2014 S. UNION AVE. BAKERSFIELD, CA. 93307 (805) 834-1146 Performed for: Test Location: K.C. Superintendent of Schools 705 S. Union Avenue Bakersfield, CA. Test Identification Test Date Start Data Collection Ending Test Period Time Filled for Test 1095a-2 08-21-1991 10:34:48 14:11:18 08-20-1991 Tank Data. TANK ID. Volume Depth Bury Groundwater Tank Type . Test Fluid : Center :12000 : 35 :> 15 FT :1 Wall Steel : REGULAR CONTENTS Diameter Product level Pump Type Water in Tank Vapor Recovery : REGULAR :92 :118 : Turbine :0 :Phase II ** Test Report ** Average Rate of Change is based on 236 Standard Deviation ............. .0097 Data Points Gallons - Volume change of Tank Contents - Net Volume * (60 min/Test Time) .3734 Gal. * (60/ 61.44 min.) = .3646 Gpij. - Volume change due to Temperature - Avg. Temp. * Volume * Coef: of Expn. * (60 min./ Test Time) 0.0499 Deg.F * 12000 Gal. * 0.00060 * 60/ 61.44 = 0.3538 Gph. Net change = Level Volume - Temperature Volume NET CHANGE 0.0108 GPH. Based on the Information provided and Data Collected This Tank Test has...... PASSED Certified Tester : Robert Brockman # This Test meets all U.S.EPA and NFPA 92-125;¿-~¿ requirements. II WO.1995a-2 TeM .: 9.3538 C h. " ..UôMlllllltllllllllltllllllllll 1111111111111111111111 11111 . 5 gal. - Net Change Gal. e 1~~LW¡~""'.~"~'~1.M"rr~,~~,~".~~...ap.~~.l~)~.~'~IM~lw~lt~ill I Scale 1 : .91 gal. 61.4 Min. Tank - Centel' Pl'oduct REGULAR Test Date 98-21-1991 Length (Min.) 61i44 Level Pl'ecision .99996 TeMp. Pl'ecision .99145 NET CHANGE : 9.9198 G~h. Test Level -} {- -- - -- --- ...... ..... ,J'.- ..." ~ ~. I \ l ( Di aMe tel' 92 (' Liquid Level 118 Gr'ound Water' 9 I. I . \ / \ ~ ~ ~ .........- ....' ..... -. ...- ---- ----- . , ! I IBEXyrecision Tank T~st e' é-- BROCKWAY'S 2014 S. UNION AVE. BAKERSFIELD, CA. 93307 (805) 834-1146 Performed for: Test Location: K.C. Superintendent of Schools 705 S. Union Avenue Bakersfield, CA ·,t'· Test Identification Test Date Start Data Collection Ending Test Period Time Filled for Test 1095b 08-21-1991 12:43:33 15:36:50 08-20-1991 Tank Da.ta TANK ID. Volume Depth Bury Groundwater Tank Type Test Fluid : North :12000 :36 :) 15 FT : 1 Wall Steel :Prem-Unlead CONTENTS Diameter Product level Pump Type Water in Tank Vapor Recovery :Prem-Unlead :92 :118 : Turbine :0 :Phase II ** Test Report ** Average Rate of Change is based on 236 Data Points Standard Deviation ............. .0093 Gallons - Volume change of Tank Contents - . Net Volume * (60 min/Test Time) .3144 Gal. * (60/ 61.44 min.) = .3071 Gph. - Volume change due to Temperature - Avg. Temp. * Volume * Coef. of Expn. * (60 min"./ Test Time) 0.0385 Deg.F * 12000 Gal. * 0.00060 * 60/ 61.44 = 0.2730 Gph. Net change = Level Volume - Temperature Volume NET CHANGE . . . .0341 GPH. Based on the Information provided and Data Collected This Tank has...... PASSED Certified Tester: Robert Brockman # 92-1251' $~ . 1995h TeMp. : 9.2739 G h. ~..~.~MI~llllltllll~IIII~IIII~11111111111I1111111111111II IIIII ~ gal. 25- Level: 91397tel~I,111 r.....IIIII~.II.llllltllllllllllllllllllllllllllllllll111j[11111 5 gal. Net C}1ange Gal. -. #~"~ftr~~'~.~.'A~_~¡,"~-.~t.a~~~~~~~.I~r-r-~I~..~lllltl111'I.tIM. I Scale 1 : .91 gal. 61.4 Min. . " . , " " _ .' ,:t ~ Tank - NORTH P~oduct UNLEADED Test Date 98-21-1991 Length (Min.) 61.44 Level P~ecision .99946 TeMp. P~ecision .99145 NET CHANGE : 9.9341 G~h. -} - Test Level .---- -----...... ..- ,/- ..'"'"- .r' '. I \ DiaMetel' 92 Liquid Level 118 Gl'ound Watel' 9 \ / '\.. _/~ ....- ........-.. ----------- ~~' . 4, Since 1937 2014 S, Union Avenue. Suite 103 e . Bakersfield, CA 93307 805-834-1146 L I NET EST RES U L T S Date: 8-;).1- Iqq¡ Location: gupe.,~... LJ C)ç Sc.,l~5 u.....\o~ A.J~. "BAk.€/~.at!!(J. DI~5EL PRODUCT: NUMBER OF DISPENSERS: '1 TANK: ~,... - Q~ :5A,LeUv;2..l,. ------------------------------------------------------------------------ OPERATING PRESSURE: TEST PRESSURE: 5" D -+ (1-1/2 * operating pressure) ------------------------------------------------------------------------ INITIAL PRESSURIZATION LIQUID LEVEL = STARTING POINT. TIME PRESSURE LEVEL READING Starting Point: r) ') { . -j ~!.-,- } . ,:, ~ð· , VOLUME CHANGE -------------------------------------------------------- 1st check: I~·. 50 ~2 , 0 cl :;. ~ 2nd check: I "DO S;¡.. .oCJ;)f) 3rd check: 'I~- ç::L .69~ 4th check: 5th check: çI <) ,000 S- ------------------------------------------------------------------------ TOTAL TIME: ~ D cI TOTAL VOLUME CHANGE: CALCULATIONS: 60 MIN/TEST TIME * OVERALL LIQUID LOSS = GPH RATE NOTES: A II Db fE>U CC( , t L: .I,::-S ie-51 c: sf -I- ocz e to- 4 L e Ii.- LINE IS TIGHT IF NET GPH CHANGE IS LESS THAN .05 GALLONS PER HOUR ., 'P ASS /' " ---.-.----"' F A I L SignedÆ..¿ Rober Broc man State License # 92-1251 Test witnessed by This test is performed to comply with Federal EPA UST regulations (40 CFR Part 280, Subpart D), using a threshold of .05 gallons per hour as the determination of the integrity of the pipeline at 1-1/2 times operating pressure. '~~:4; · .' 2014 S. Union Avenue, Suite 103 Bakersfield, CA 93307 805-834-1146 L I NET EST RES U L T S Date: 8-'-I-Cf I PRODUCT: ReI vi", (L , I )VfÛqJ A"~ , 4· sc.loò( SO 1?f\k.. NUMBER OF DISPENSERS: TANK: Cer'.J e~ - '"2- Location: K.C. 5.... f' ------------------------------------------------------------------------ OPERATING PRESSURE: TEST PRESSURE: 50+- (1-1/2 * operating pressure) ------------------------------------------------------------------------ INITIAL PRESSURIZATION LIQUID LEVEL = STARTING POINT. TIME 3 '.CO Starting Point: "7 PRESSURE LEVEL READING ,y.. .. o4.º-J VOLUME CHANGE -------------------------------------------------------- 1st check: Y:ÓD ':)3 .0"10 ¢ 2nd check: LJ'" D 3rd check: 4 " J. 0 '5'2- ):1 .o3( +.00/ ,03\ -1-,oòl 4th check: 5th check: ------------------------------------------------------------------------ TOTAL TIME: 30 TOTAL VOLUME CHANGE: + , o~ I CALCULATIONS: 60 MIN/TEST TIME * OVERALL LIQUID LOSS = GPH RATE 0/(0 )!' 001.: . 001- NOTES: LINE IS TIGHT IF NET GPH CHANGE IS LESS THAN .05 GALLONS PER HOUR ~ Sign~~ ~ Robert Brockman F A I L State License # 92-1251 Test witnessed by This test is performed to comply with Federal EPA UST regulations (40 CFR Part 280t Subpart D)t using a threshold of .05 gallons per hour as the determination of the integrity of the pipeline at 1-1/2 times operating -----...-- e e· , TIGHTNESS TESTING REPORTS EVALUATION FORM Specialist reviewing the tightness test report: !AkS)ey j¡J) 'ak..-.S Date tightness test reports were submitted: 9jJ!~/C¡ / Date tightness tests were completed: 6);;"// c¡ I Facility Permit Number: Number of Tanks Tested at the site: numbers if provided) .3 (list the tanks by their tank Was the method a test of the entire tank system, piping alone, or just the facility tanks? (describe) A II i7'\A,)V -: Jf ¡\ .;l'\,·,d ~- ,::'(..-- .':: j¡- ;t::;,::,/¿ 71-I-r:. /2. DOC fl· I' I GAl 1.41.. I( - ¡J-íNl J ,\JE-, ~¡¿()iJc.tr T II~~ - AJo t:;¡...)Çf) f1'Ik) I Did the facility pass all tests: / Yes No (if no, provide the leak rate and a description of the tank(s) that failed the test) (failure is > 0.1 gal per hour) The facility will do the following to investigate the failed test: The test method certification that is submitted to the state specifies that each test method be completed. in a certain manner. Is there anything within the results which wo uggest that the tank test was improperly completed? Yes J No ( describe) Information has been reviewed and placed within the database: YES NO Date entered within the database: HM25 Entered by (name) ~!m!¡ '..!!!' I . I ... PLOT PLAN NAME: K. C. SUP. of' Sohoo~. crIY: B.k.r.f'.1.~d. CA I. I LOCATION: I TEST NO. 1095 I 705 S. Un.1on Ave. ~ 1/4 H.1. Sou~h' of' Brundage I CAN0i: ~I 7 . U~DW 0 Œ1 I ESEL 6 IŒCU....RtID. ~laEL S. I I 200 U N YARDS I < > i 0 N A 50 FT. t V E Co axe I 1 2,000 0 2'x2' Fill · Unleaded Turbine Box S A H 4. ¡ 2'x2' 0 ~þ u Coaxel 1 2,000 0 P UE Fill · Regular Turbine Box ~ S Straight I 1 2,000 01 2'x2' · Regular Turbine Box 4" Fill , Brockways I Dr awn By: Date: 8-21-1991 I 2014 S. Union Ave. No. 103 R. BROCHHAH Bakersfield. CA. 93307 e . IBEx'reC:iSion Tank ~st BROCKWAY'S 2014 S. UNION AVE. BAKERSFIELD, CA. 93307 (805) 834-1146 Performed for: Test Location: K.C. Superintendent of Schools 705 S. Union Avenue Bakersfield, CA. Test Identification Test Date Start Data Collection Ending Test Period Time Filled for Test 1095a-2 08-21-1991 10:34:48 14: 11: 18 08-20-1991 Tan.k Data TANK ID. Volume Depth Bury Groundwater Tank Type . Test Fluid : Center :12000 :35 :> 15 FT :1 Wall Steel : REGULAR CONTENTS Diameter Product level Pump Type Water in Tank Vapor Recovery : REGULAR :92 :118 : Turbine :0 :Phase II ** Test Report ** Average Rate of Change is based on 236 Data Points Standard Deviation ............. .0097 Gallons - Volume change of Tank Contents - Net Volume * (60 min/Test Time) .3734 Gal. * (60/ 61. 44 min.) = .3646 Gph. - Volume change due to Temperature - Avg. Temp. * Volume * Coef. of Expn. * (60 min./ Test Time) 0.0499 Deg.F * 12000 Gal. * 0.00060 * 60/ 61.44 = 0.3538 Gph. Net change = Level Volume - Temperature Volume ------~ // NET CHANGE // 0.0108 ~ Based on the Information provided and Data Collected This Tank Test has...... PASSED Certified This Test r;;]t~ Tester : Robert Brockman # 92-1251 . . meets all U.S.EPA and NFPA requirements. WO.1995a-2 reM.: 9.3538 G hi ~ '."J~III'llltllllllll~1111111111 111111111111111111111111 11111 . 5 gal. Net C}1ange Gal. e l~iLW~~""'."~~'~1.R"rr~'~'r~".~~....~.~~.L~~I~M'~IU~~W~II~ill I Scale 1 : .01 gal. 61.4 Min. Tank - Center P~oduct REGULAR Test Date 98-21-1991 Length (Min.) 61.44 Level P~ecision .00096 TeMP. P~ecision .09145 NET CHANGE =0.9198 G~h, n Test Level -}I(- JL -- -- .-- --. .- -. ~ ~ ..- -.. / , l" "\ (.." Di a~'e te~ 92 \'1 (Liquid Level 118 ) G~ound Watek' Q I I \ I \ / " I ~\ ,~ .... ..- ~- -~ -. .. 1IINa... ....__ -..... .......... IBExe_-ecision Tank T.t BROCKWAY'S 2014 S. UNION AVE. BAKERSFIELD, CA. 93307 (805) 834-1146 Performed for: Test Location: K.C. Superintendent of Schools 705 S. Union Avenue Bakersfield, CA Test Identification Test Date start Data Collection Ending Test Period Time Filled for Test 1095-1 08-21-1991 10:34:48 12:29:14 08-20-1991 Tank Data TANK ID. Volume Depth Bury Groundwater Tank Type Test Fluid : South :12000 :37 :> 15 FT : 1 Wall Steel : DIESEL CONTENTS Diameter Product level Pump Type Water in Tank Vapor Recovery :DIESEL :92 :95 : Turbine :0 :Phase 1 ** Test Report ** Average Rate of Change is based on 236 Data Points Standard Deviation ............. .0187 Gallons - Volume change of Tank Contents - Net Volume * (60 min/Test Time) .0389 Gal. * (60/ 61.38 min.) = .0381 Gph. - Volume change due to Temperature - Avg. Temp. * Volume * Coef. of Expn. * (60 min./ Test Time) 0.0072 Deg.F * 12000 Gal. * 0.00046 * 60/ 61.38 = 0.0393 Gph. Net change = Level Volume - Temperature Volume .-'---- ,,,,----'" .',- '" ~ "'. NET CHANGE ,/ ( \". " - _ 001 3 G PH - ) i / / .// ....../ ---- " Based '-. ~--____x~._ on the Information provided--'and--Dãt-a-CQ.])e~ted This Tank Test has...... PASSED ) Certified This Test ............. ../,/// Tester : Robert BrOCkman~~::: ~ meets all U.S.EPA and NFPA requirements. 140.1995-1 TeMP. : 9.0393 Gph. 9 ."II.~.pJ..L..jilll&" ..t..¡......I.bl...AI ~n M I ~ I i.i~~~~h~li Miii~ll~ II I . 5 gal. , -~25 Level: 0.9381 Gph. 9 1~~iILj j~; IM1~j .t~~~YI~'£ ~~ ~i ~u,.. ~~..~ ~ 1 t.. ~ ~~ ~ JL., ~.~ d' ~ d 1 ,JI~ ~¡,~U I . 5 gal. . tie t Change Gal. e J,~'il~j~.J~~'rn,~,Yi~'~r'~~"~f~~~"h~~~'~f~~~~~~~~'~~fttrH"~;~~ I Scale 1 : .01 gal. 61.3 Min. Tank - South P~oduct DIESEL. Test Date 98-21-1991 Length (Min.) 61.38 Level P~ecision .99293 TeMp. Precision .09111 . NET CH A NGE -=._ -. 9012 ..~ }1. Test Level -) {- ...-....-.. --. .. .... 95 Q I " " l .1"" .... ..... .... --...... -.----..- -- ...... .... ..... .. ,l· I· l ( 1\ '\ "'. \0", .. .......- .... -- DiaMete~ Liquid Level G~ound WateÏ' IBE~ recision Tank e ~t BROCKWAY'S 2014 S. UNION AVE. BAKERSFIELD, CA. 93307 (805) 834-1146 Performed for: Test Location: K.C. Superintendent of Schools 705 S. Union Avenue Bakersfield, CA Test Identification Test Date start Data Collection Ending Test Period Time Filled for Test 1095b 08-21-1991 12:43:33 15:36:50 08-20-1991 Tank Data TANK ID. Volume Depth Bury Groundwater Tank Type Test Fluid : North :12000 :36 :> 15 FT : 1 Wall Steel :Prem-Unlead CONTENTS Diameter Product level Pump Type Water in Tank Vap<?r Recovery :Prem-Unlead :92 :118 : Turbine :0 : Phase I I ** Test Report ** Average Rate of Change is based on 236 Data Points Standard Deviation ............. .0093 Gallons - Volume change of Tank Contents - Net Volume * (60 min/Test Time) .3144 Gal. * (60/ 61.44 min.) = .3071 Gph. - Volume change due to Temperature - Avg. Temp. * Volume * Coef. of Expn. * (60 min./ Test Time) 0.0385 Deg.F * 12000 Gal. * 0.00060 * 60/ 61.44 = 0.2730 Gph. Net change = Level Volume - Temperature Volume -----~ ------- ~':0341 GPH.--) '-- ---- ------ ~------- NET CHANGE Based on. the Informati~~gCOv±ded~anct-~àba~llected ThIS Tank has. ...... PASSED ) ( \..~ Robert Brockman # 92-1251 '--::at ~. Certified Tester I I 'fO.1995b TeMp. : 9.2739 G h. ~ ,~..~.jW'j,tl'II'I'lllllllllllrlllllllllllllllllllllll1I1I 1I1I1 .1' t; gal. . 5 gal. Net Change Gal. 1~...,~~...~...~.~~~"\..~k..~,~,..,..~..._j'I.~II.II.1IIIIIt..~ J Scale 1 : .91 gal. 61.4 Min. Tank - NORTH Pfoduct UNLEADED Test Date 98-21-1991 Length (Min.) 61.44 Level pfecision .99946 TeMp. P~ecision .9Q145 NET CHANGE : 9.9341 G~h. -} - Test Level -- --- -- -- .- -. .- -.. ..- -. 1',. .\ ,. '\. I \\ (/ Di aMe te~ 92 \) . Liquid Level 118 G~oun(\ Wa tef Q ~, ,.' " ' \ I \ " .~ . \ ,J .... .... ~- -~ --... ..-- ..-...... ----... i .1 ~~:~ 2014 S. Union Avenue, Suite 103 e e Bakersfield, CA 93307 805-834-1146 L I NET EST RES U L T S Date: 8-'-.I-Cf I PRODUCT: Rei vl.l\ (L , I ) l.J f ðe0 Å"C2.. , cf "SLloð( 5' 1?A~ NUMBER OF DISPENSERS: TANK: Ce,.,Je~ - 2- Location: K.C. 5... f. ------------------------------------------------------------------------ OPERATING PRESSURE: TEST PRESSURE: 5ù+ (1-1/2 * operating pressure) ------------------------------------------------------------------------ INITIAL PRE SSURI UTI ON LIQUID LEVEL = STt':I~TING POINT. TIME 3 ·.s-ù Starting Point: PRESSURE LEVEL READING )Y- { 4040 VOLUME CHANGE -------------------------------------------------------- 1st check: "":ÓD )3 5"2- ):1. ,D40 ø 2nd check: LJ', I D 3rd check: 4 " :2.0 ,0$( +.00/ -t'.oòl ,03\ 4th check: 5th check: ------------------------------------------------------------------------ TOTAL TIME: 30 ~ I TOTAL VOLUME CHANGE: ' oc) CALCULATIONS: 60 MIN/TEST TIME * OVERALL LIQUID LOSS = GPH RATE {;o/ v 00 I =- 00 '2.... /;;0 ,.. , . NOTES: LINE IS TIGHT IF NET GPH CHANGE IS LESS THAN .05 GALLONS PER HOUR ~ /~) <---- -// Signed ~-~ Robert Brockman F A I L State License # 92-1251 Test witnessed by This test is performed to comply with Federal EPA UST regulations (40 CFR Part 280, Subpart D), using a threshold of .05 gallons per hour as the determination of the integrity of the pipeline at 1-1/2 times operating ~~:~ 2014 S. Union Avenue. Suite 103 e e Bakersfield. CA 93307 805·834·1146 L I NET EST RES U L T S Date: 8 - ;)..1 - 1'11/ Location: SU(k¡f~...L",,~ oQ 5c.-l~$ u......\o,...:> AU2-. "ß A.~el"!..a~(J. PRODUCT: D l'l£ .5t:L NUMBER OF DISPENSERS: LJ TANK: 5ouil- Q~J 3A<.L.d· l'v~l,. ------------------------------------------------------------------------ OPERATING PRESSURE: TEST PRESSURE: 5' D -+ (1-1/2 * operating pressure) ------------------------------------------------------------------------ INITIAL PRF.SSURIZATION LIQUID LF.VF.L = STARTING POINT. TIME PRESSURE LEVEL READING Starting Point: <: '~i :. C') ) ....- { . t$J ~ ~ c;--} VOLUME CHANGE -------------------------------------------------------- 1st check: I ?-', )"0 r;2 ,OC(;J...S- 2nd check: I "DO 5;t. . 0 ~~t¡"' 3rd check: ' 17- t):L .óCf ~ 4th check: 5th check: çI ø ,000 S- ------------------------------------------------------------------------ TOTAL TIME: :s -0 TOTAL VOLUME CHANGE: ~ CALCULATIONS: 60 MIN/TEST TIME * OVERALL LIQUID LOSS = GPH RATE NOTES: All D'"jfeU<~'" -V L;µc:s ie7ic=:s+ -t~eA-~LeL- LINE IS TIGHT IF NET GPH CHANGE IS LESS THAN .05 GALLONS PER HOUR ~--. ./ .--..--.~--'-' '.'--', //p A S S./) ,/,..-r' '-,_.__--' .._----.-- ( - --------- Sign~~ ~d~n F A I L State License # 92-1251 -¡'Ii! '. .;[/fl -:::-:- Test witnessed by This test is performed to comply with Federal EPA UST regulations (40 CFR Part 280, Subpart D), using a threshold of .05 gallons per hour as the determination of the integrity of the pipeline at 1-1/2 times operating oressure. ~ -'4 ~937 2014 S. Union Avenue, Suite 103 e e Bakersfield, CA 93307 805-834-1146 ?-b 0 00--:;- ocr - .4 1991 October 2, 1991 Mr. Wesley Nicks Kern County Environmental Health Dept. 2700 M Street, Suite 300 Bakersfield, Ca 93301 RE: Ibex Precision Test Data for K.C. Supt. of Schools' tank Dear Mr. Nicks, Enclosed is the sample of the raw test data from one of the tanks tested for the Kern County Superintendent of Schools. The print out represents two hours of data for the Prem-Unl tank, labeled 1095b (the accompanying graph is labeled Unleaded). If you will refer to the cover page of each test graph, you will see the time that data collection was started and the time it ended. Though we collect data for two hours or more, the test graph represents the last hour of data collection from which the gallon per hour rate is derived. As you can see from the raw data, the first 48 minutes of data reflects that the tank and equipment is still stabilizing. Our program has a window that begins to move after one hour, so that the second reading actually becomes the first reading, then the third reading becomes the first reading, and so on, in order that the true situation of the tank is reflected in the mathematical calculations. The window is always at least sixty to sixty two minutes long and represents the last hour portion of the two or more hours of test data. If you have any questions about this print out, please call Robert. He will be available after October 9 at 834-1146. Thank you. Sincerely, ~~ Deborah Brockman General Manager e e., .j -" " " . R e eEl P T PAGE" 1 --------~------------------------------------------~---~~---~~~--~~-~---~~--~- 107/29/91 Invoice Nbr. 1 55"35Q.', ¡ 12:05 ðm KERN COUNTY PLANNING & DEVELOPMENT - ~~ I 2700 'M' St~eet , I ¡ 8!1ke~$fie'd. CA 93301 Type of Order W':i>.J, I ! (B05) 136'1-2615 ':Y . \ . ¡ \_-----------------------------------------------------~-----~----~---~-~~---~ CASH REGISTER COUNTY OF KERN / I' T i,/-------- f .., .,¡ C~ ;t;;;;;;~õ-:-;- ¡-wt";-ãÿ -ïõ;: d;; ;:-Õ;t";- ¡-šiii;;-õ:;t';; -ï----V1;---------ï-T;~;;;;----- ¡ I ¡Z60007C-91', I YKN I 07/29/91 07/29/91 I I NT J'., ~ I_______________I________J___________\___________I__________~_~___f____~______~tt ,,-Line Description Quantity Price Unit Disc Total-·: '--T--S'730 UNDERGROUND T.ANKS STATE SURCH 3 56.00 E 504.00 ZZZ001 Order Total 504. 00':· . Amoun1: Due 504.00 Paymœnt Made 8y Check 504.00 THANK YOU A.NO HAVE .A N ICE DAY! i;':<~:":~·~"~·COUN::r-' RESOURCE MA(~~GEME~T... AGENC' ·;'·:··";1~~Ò~N~~~O:~~.: ~~~~~H 3~~~V~¡~~R~~i~~~~Á.93301 .'. :..::, ~ ?' (805)861-3636 \UNDERGROUND HAZARDOUS SUBSTANCE STORAGE FACILITY ~ * INSPECTION REPORT * ~~~.~_..~..~_?.l~º T~~E OUT ········_···_·_··TNSP~~~~~~ °CDO~MT TpE A.:.NA.~I¡;N.~T~..~7..f¡~~==:: ROUTINE 7-·..····"Rï::INSPECTION _ f- ·-V·····..·······.... ........._........~~. ......._...............~ ..____.... ...u__......._........._......._.....__................._..._..._._......_. ¡= AC I LIT Y N AM E : §.Ç.Ij.Q.Q_l:-_$_....§.~.ßY..tÇJL.ç.~Jn.~K......._........................_....................._..............._..........._............_.._................__.........._........... FA C I LIT Y ADD RES S : 1.º.§.....§.9...:.....y..~J.º.tL..~.Y...;.~J¿.~................................................................................................................................_............_.......... BAKERSFIELD, CA OWN E R S N AM E : .K,Ç.....§.'d.[?.~.&I.t-:!.I.~.~..º.~.I::!.I.._º..E.....§.ÇJLº.º.h.§..............................................................................................._...................................... <) PER A TOR S N AM E : .K.Ç...Jª.h!.[?.~.ßJ..~.I.~~.º.~.tJ..T.....g.E.....§.Ç.t:!9-º.b.§...................................................................................................__.................... COMMENTS: PERMI~Ú~tb PERM I' .H", TYPE OF INSPECTION: .........................__....................._.........._......................................................_...un...._........._...........................................__.....nn....._..........................._.._.._...........__......._.........__..............____........._.._......-_............._............ _........................................_..............................................._................................................................................._.......................................................................................n...........................n............................._.......................................................................................................................-............................._............... ........_.........................................................................................................._........................._....................................._..................._n........................................................................................................................................................................................................................................._...._......_.......................... ITEM VIOLATIONS/OBSERVATIONS 1. PRIMARY CONTAINMENT MgNITORING: a. lnterceoting an directing system ~ Stand~rd Inventory Control c. Modified Inventory Control d. In-tank Level Sensing Device e. Groundwater Monitoring i. Vadose Zone Monitoring I ÔA,'/y STiCKING I I I I vlµK'¡ÙOW~ ÐÞ rAAJkS 2. SECONDARY CONTAINMENT MONITORING: a. Liner . b Double-Walled tank f c: Vault 3. PIPING MONITORING: Ð Pressurized b. Suction C5> Gravity O~J FVr£/ T~AJKS, C ~ ) o/v ÞrF/VIA;AJ/AJb L0~S.7 (;;... oil 1A1Ü~ OUT3'~F,'J( ßOK£S v' ;ù$TAIIE;j, oµl;fI!;!í?) Po D U 6? çJ ï / Dµ WAçr¿;: O/'! T.21;J J( ç f/J¡J(( AJ d "'-.J tJ .. ~. OVER~ILL PROTECTION: I I , I ^ )rì/-.JË 7. CLOSURE/ABANDONMENT ! AJo AJ E.... 3. UNAUTHORIZED RELEASE I. , ~ IUD,'\J~ 3. MAINTENANCE. GENERAL SAFETY, ~ND ~ OPERATING CONDITION OF FACILITY _I 60C)~ :: 0 M M ~ N T S / R E COM MEN D AT ¡¡ N S ....J.,.B,ß..'?:L.t;;...............Q.!;.L..........:r2ì¿)K.~.........:sI.!.a.u¿/J......m.....J.-::Üj.l..¿J.~_...#~&.¡j.~?1 .........DJ~..:ç.............Q.LÌ.£¡¿.6.L'ïrm......!_.p.~'>Q7..S..........!..:..)~~L::!:.....·....·7·Æ.........j!d.!.~~..l..............~...............-é-ð.1...........~:i~46..rr{ I ......~~~-r.:H..~.0...........3..0...,.....·..·.~::¡A/;iS.~..~·;r;~£F~7..·!..l.!··?~~· ....:.:<:..JL·~....~~E..r......"~j;'=rt~~·~,···..ïY1 ..__..........,l.1.s.r.........,....ð.L..2.Q...............................b...........__......g..........'1..........................?!:f::._...........,...~_L.1:L.......-<J.......................l......:!................_................. Y s: , 5. TIGHTNESS TESING 5. NEW CONSTRUCTION/MODIFICATIONS .~._~..._.............~..........._......................u........._................................................................................................................................................................................................................................................._............................................................................................................................._.........~u REI N SPEC T ~ ON ~CH E DU LE DJ.........Ã es...........~':ì 0 A P P ROX ! MATE REI N S P E:JJ: O~............................. ~ N S PEe TOR ~~.......:::::;;;:.:.:~¿¿j"...::2<:2....._................. R E PO R T R E C E I V E D 8 Y : .............:.......................::....._................................., ,tP ......."'..,- , ~-'1"" 0 KER~NTY AIR POLLUTION CONTR<eASmICT. . 2700 "M" Street, Suite 275 Bakersfield, CA. 93301 (805) 861-3682 '.' A <-. PHASE I VAPOR RECOVERY INSPECTION FORM Station Name sC{kx:JIC. 5ERI)I~¡::: Location -=fD...S ~¡ l4~ ì~7~ P/O# Company Mailing Address. . +0$ S'" &1."J / ~; City M-kE=-fi SF( 6 t1 , I Date 'S/? 3! 1/ . , Inspector 1--1 /' . Phone System Type: Sep, Riser I Coaxial NoticeReC'dBY~ ~~- A ){> If. " 1--· 1 TANK # 1 '1L ,/,1 /IJ f'Il..E TANK #2 TANK #3 /2 , ^ )œíl,f .- TANK #4 1. PRODUCT (UL, PUL, P, or R) 2. TANK LOCATION REFERENCE 3. BROKEN OR MISSING VAPOR CAP 4. BROKEN OR MISSING FILL CAP 5. BROKEN CAM LOCK ON VAPOR CAP 6. FILL CAPS NOT PROPERLY SEATED 7. VAPOR CAPS NOT PROPERLY SEATED 8. GASKET MISSING FROM FILL CAP 9. GASKET MISSING FROM VAPOR CAP 10. FILL ADAPTOR NOT TIGHT 11. VAPOR ADAPTOR NOT TIGHT 12. GASKET BETWEEN ADAPTOR & FILL TUBE MISSING I IMPROPERLY SEATED 13. DRY BREAK GASKETS DETERIORATED 14. EXCESSIVE VERTICAL PLAY IN COAXIAL FILL TUBE 15. COAXIAL FILL TUBE SPRING MECHANISM DEFECTIVE , I': , ~.p '~ -~~,.... 16. TANK DEPTH MEASUREMENT 1<0 { <;D I /;7 f. 121-. ,-/iI ( If 17. TUBE LENGTH MEASUREMENT 18. DIFFERENCE (SHOULD BE 6" OR LESS) 19. OTHER 20. COMMENTS: * WARNING: SYSTEMS MARKED WITH A CHECK ABOVE ARE IN VIOLATION OF KERN COUNTY AIR POLLUTION CONTROL DISTRICT RULE(S) 209, 412 AND lOR 412.1. THE CALIFORNIA HEALTH & SAFETY CODE SPECIFIES PENALTIES OF UP TO $1,000.00 PER DAY FOR EACH VIOLATION. TELEPHONE (805) 861-3682 CONCERNING FINAL RESOLU- **** TlON OF THE VIOLATlON(S) ************************************************** APrn 1:'11 ~ ,'t;>¿·~ -:.;.~.,,; '. ... ":/i':> .,-. .......~~ (/1':.:., . i,l?" KERM~NTY::~~~:O:~~~IC1>' ,t~ " .' ::...... 'It Bakersfield, CA. 93301 (805) 861-3682 PHASE II VAPOR RECOVERY INSPECTION FORM S:.rs>, t1,Z)¡ ~A-j PIO #- City ß7!!!/,c,í:.:4:) Zip Phone System Type: . A RJ. HI HE Date 5/':2> f¡ ,I Notice Rec'd By ~ ~~ ~ r I f' Station location 7-0 ~ Company Address .$ A (f) £ . Contact Inspectör ( ^ ) ( ,1 X ~ ¡<So GH HA ", NOZZLE #- '" J... + çr GAS GRADE .~ I< UL kL. -"'-' -"-- NOZZLE TYPE .~ ~r¿, cA. rÅ.J ;~.... II/[" ~ -,A 1'1: 1. CERr. NOZZLE 2. : CHECK VALVE N 0 3- .. FACE SEAL ·Z /' \'Z f' RING, RIVET L E 5. BELLOWS 6. SWIVEL(S) 7. flOW LIMITER (EW) 1. HOSE CONDITION \ . V A 2. LENGTH P 0 3. CONFIGURATION . R 4. SWIVEL H 0 5. OVERHEAD RETRACTOR S E 6. POWER/PILOT ON 7. SIGNS POSTED Key to system types: Key to deficiencies: NC= not certified, B= broken BA=Balance HE =Healey M= missing, TO= torn, F= flat, TN= tangled RJ =Red Jacket GH=Gult Hasselmann AD= needs adjustment, L = long, LO= loose, HI =Hirt HA =Hasstech S= short MA= misaligned, K= kinked, FR= frayed. , \, ~l ** INSPECTION RESULTS ** Key to inspection resu ts: Blank= OK, 7= Repair within seven days, T= Tagged (nozzle tagged out-at-order until repaired) u= Taggable violation but left in use. COMMENTS: ~ ~ "3 ~~ rrlr: ¡t k,?:-;z./6S S} r Jot..c ~ g J.(4JE Tit£... L)¡¿'r'J1..Yi> ~oT$ /J.C'>S,s./¿'!ý THE. (AJÞðÁ~ ,<.);")~rJ£ç /~,cr- T') ~ ¡Ç"fè..1 ¡rCtE ~)". Iii1 ö- Þ )DlA//:J, ,^/S.,AI1/¡-::: Vfl0<" / F/£ET _ :::::> fi'"'<:> +- I,. { ~ VIOLATIONS: SYSTEMS MARKED WITH A "T OR U" CODE IN INSPECTION RESULTS, ARE IN VIOLATION OF KERN COUNTY AIR POLLUTION CONTROL DISTRICT RULE(S) 412 AND/OR 412.1. THE CALIFORNIA HEALTH & SAFETY CODE SPECIFIES PENALTIES OF UP TO $1,000.00 PER DAY FOR EACH DAY OF VIOLATION. TELEPHONE (805) 861-3682 CONCERNING FINAL RESOLUTION OF THE VIOLATION. NOTE: CALIFORNIA HEALTH & SAFETY CODE SECTION 41960.2, REQUIRES THAT THE ABOVE LISTED 7-DAY DEFICIENCIES .,---- BE CORRECTED WITHIN 7 DAYS. FAILURE TO COMPLY MAY RESULT IN LEGAL ACTION OLi,':_1r'u::; APrn PI ~ ~\\~~~~~~:(~ I I r . '''~).,^ l, I IIIIIII ---'.6 000 ~ offilf Dr. Kelly F. Blanton Kern County Superintendent of Schools 5801 Sundale Avenue, Bakersfield, CA 93309-2924 (805) 398-3600 June 12, 1991 Amy Green Kern County Resource Management Agency Environmental Health Services Dept. 2700 M Street, Suite 300 Bakersfield, CA 93301 Dear Amy: On behalf of the Kern County Superintendent of Schools Office, I would like to express our appreciation for all your assistance as it relates to our underground tanks. On May 23, 1991, Mr. W. Nicks inspected the tanks located at our Schools Service Center (see attached copy). The address of the center is 705 South Union Avenue, Bakersfield. Mr. Nicks indicated that we were out of compliance on piping, monitoring and overspill boxes. It is the intent of this office to do one of the following within 60 days: A. 1. Remove 6 oil product tanks and replace with above ground tanks. 2. Install overspill protection, Red Jacket sensors, and electronic intake sensors to the remaining 3 fuel tanks, and do appropriate monitoring. B. Leave all tanks in place, but install overspill protection, Red Jacket sensors and electronic intake sensors to all 9 tanks, plus do appropriate monitoring. C. Leave all protection, monitoring. tanks in Red Jacket place. sensors Install and do overspill appropriate As you are well aware, cumbersome process to Hopefully, we will be able indicated above. public entities have a lengthy and follow on construction projects. to complete the project with the time · e Amy Green -2- June 12, 1991 If you have any questions, please contact me at 398-3681. I would also appreicate it if you would inform Mr. Nicks of our intentions. Sincerely, Kelly F. Blanton County Superintendent of Schools JLðV~ Thomas G. Valos Director, Facilities TGV:sbt Enc. / CNVJKUN~N, MeALin ~cKVJ~~~ UC~AKI~C~ 2700 MM" STR ,~OO, BAKERSFIELD, t~~93301 05)861-3636 '. . UNDERGROUND HAZARDOUS SUBSTANCE STORAGE FACILITY * INSPECTION REPORT * PERMIT# .:' 2'~'~) PERMIT PO"s~ TYPE OF INSPECTION: TIME IN 3\~~'OUT NUMBER YES NO INSPECTION " ROUTINE REINSPECTION '. FACILITY NAME:SCHOOLS SERVICE CENTER FACILITY ADDRESS:705 SO. UNION AVENU~ BAKERSFIELD; CA OWNERS NAME: KC ~~~.ERINTENDENT OF ~CHOOLS OPERATORS NAME:~C SUPERINTENDENT OF SCHOOLS COMMENTS: OF TANK~ 9 DATE:.5 2~/tI COMPLAI T l -_.- ITEM VIOLATIONS/OBSERVATIONS I IJA: I y S TI 'cK ,'foX,. I o¡: rnAJkS 1. PRIMARY CONTAINMENT MONITORING: a. Intercepting an directing system ~ Standard Inventory Control c. Modified, Inventory Control d. In-tank level Sensing Device e. Groundwater Monitoring f. Vadose lone Monitoring 2. SECONDARY CONTAINMENT MONITORING: a. Liner b. Double-Walled tank c. Vault Ì1~K,ùOL...:>,J 3. PIPING MONITORING: rtã') Pressurized 1>'. Suet i on Gravity öµFr/fel mt..JKS. (~) 4. OVERFILL PROTECTION: oµ A:/VJA/',J/~b Lc.)pA-s.n:: 0"/ 04IUKS Ol/I3"~F,'[( &X"ß...$ $m//éLj oµ me/, PD ou, Gø¡:=,'I DJ-' WAÇ ,'1 5. TIGHTNESS TESING 6. NEW CONSTRUCTION/MODIFICATIONS 7. CLOSURE/ABANDONMENT 8. UNAUTHORIZED RELEASE Æ.JOAJ ,0G... 9. MAINTENANCE, GENERAL SAFETY, AND OPERATING CONDITION OF FACILITY 600,6 ~~~~~~:~ 'P!~ ,_~J4..s:r_----L1l.s,D-_./::lAL1~ OJJß..R.FIII &X£5. ~~:0 3'~y: REINSPECTION SCHEÖU~~~~e~.~o APPROXIMATE REINSPECTION ~~___ INSPECTOR~_.~~~__ REPORT RECEIVED BY~ ~...._._ 1(/ " /." J '. !--'i./ fL<.-'h;· r' ,:' "" /{; i<.5 -, .....-~..."...- . '" - ..... _"'~"."_ :-==-=-:::"~...'''':'':':'':--: .=7."",!,":::--:"':"'-o:..~.;"::::'..~.:-::,_~ .::~:-.:':'.::'.'" ';';'-:":-:::;...~.."..."~.~:~,""_1''''~''''~~.::::...'~:: _~.:'...'~;'~'~.~::"':'7...."....:.:-..'f.~:7"~: .:~,.'.." --:- .. ..........,.. . ,. . , ,.......... . , .". ",'.. ...~, ."" . .. . ... ...,.,.,'..,.,.,.,.,.,.....,.,.,..,....., ',' .,....,......... . ":+:'. '-'" ,.' , '. ,. .: . . ..". ~ . . ..,--,..,---.- ....- .'ÉRNCOUNTYHEALTH DEPARTM~ ",;, . __~. ":.' - . " .' .. ..' <, ' Lèon,ltflèbett8Oli. MA'i',<, .... .. . ¡ !:.',.... I), _" '. -- ;. ,,)!OO Flower Street ,. , ÈlakerSßeId. CalifornIa ~305 ~ '. , . Tele~e (805) 88.1~3836 . ...: .:. ',.. . ENVIRONMENTAL HEALTHDMSION . "} , . ',:". \. .....=.. . -.... ~' . . "".. , ! .: .,.... : '..'····:t·:::;~, <::'~'.'.:' "; ',: , . \ '~'., ,.' . . . . ' DÍREcToR OF ENVlRONMENTAÚiEALTH . ... , ;';' ; ,', ., , ~ !/Vemcin s. Reichard ' . PEiixJ..±T#260¿d7·'C .' . . ',,, '.', -' '. .' ,'..... . , . '. -' ,. .1' , '~..: '.: ;:, . ~, \'. ~ . " . '; ,:.; J . " .:~ " , '. :J:,SSU:e::p:;:;' .,::- :.ÁPItIL1, 1987 ' '. EX~':J:RES:'::'AP~L'1, 1990 .'.' 'w',';. '¡ ',' . ...·t '.' . .'~ . , :J:NTERIM· .PERM:í:T TO OPERATE': UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY NUMBER OF" .TÅNI{S= . .9:; , " , . . . . . . - - --- - - - --- - --- ------------ ---- --- -------------.------~-~-~--.------~--.- .. ,'''. ,. , FACILITY: SCHOOLS SERVICE CENTER 705 SO. UNION AVENUE BAKERSFIELD, CA OWNER: , '.., KC SUPERINTENDENT Ò~:· SCHOOLS 5801 SUNDALE AVENUE" " < .; BAKERSFIELD, CA '. 9~309 \: --------------------------~------------------------------------------- TANK # 1-3 4-8 9 AGE (IN YRS} 3 3 3 SUBSTANCE CODE MVF 3 NON MVF 3 WO 2 PRESSURIZED PIPING?'. UNK UNK UNK.": . J ~ : ," . - -/'. '. ....:' , . , ,. . . .' ' "~ I,. NOTE:, ALL INTERIM REQUIREMENTS ESTABLISHED BY THE PERMI'TTING. '. .' ",;;. . AUTHORITY MUST BE MET DURING THE TERM OF THIS.PEttMIT.:i,' .. .'.:.':" ' , ". "':'., ' NON-TRANSFERABLE *** POST bN 'P~~M±~ES .',;.. ; , .. ~. '.~.) .'1\: .'.' ',. , , . " " . :'. 'I" .. .,. ~: " DATE PERMIT MAILED: ' APR 1'1987 DATE PEmUT CHECK LIST RETURNED: .'; ....., .\ ,- ,. . . ..·.1_.. " .. . . '. :. .' ~. ',: ¡'. .. . . . e e Perm.:Lt Quest.:Lonna..:Lre Normally, permits are sent to facility Owners but since l1any Owners live outside Kern County, they may choose to have the permits sent to the Operators of the facility where they are to be posted. Please fill in Permit # and check one of the following before returning this form with payment: For PERMIT # ,:J.Ló é9úL/ ? () - /~ 1. Send all information to Owner at the address listed on invoice (if Owner is different than Operator. it will be Owner's responsibility to provide Operator with pertinent information) . 2. Send all information to following corrected address: Owner at the 3. Send all information to Operator: Name: Address: (Operator can make copy of permit for Owner) . ~"I i<. <....- 1--- I , (' / .. \./, 'y Ó ..<>'í:::'?L ;",'7Z:t<~.....c:-'---.... - Kern County Health Department, Division of Environmental Heat , 1700 Flower Street, Bakersfi~, CA 93305 Permit No. ..2 ~ Q1f~ 76 Application e'·,e arc' 8t 1985 ¿.~ APPLICATION FOR PERMIT TO OPERATE UNDERGROOND HAZARDOUS SUBSTANCES STQRN:;E F1\CtLIT'l ~ of Application (check): DNew Facility Ofo'odification of Facility SExistirg Facility OTransfer of CMnership 1\. Emergency 24-Hour Contact (name, area code, phone): Days 325-0675 Nights 397-7053 Facil ity Name Schools Service Genter i. .' " . r No. of Tanks 9 Type of Business (check): ÔGasoline Station Oather (descrlbe)Vehicle ~laintenance Shop Is Tank(s) Located on an Agricultural Farm? Dyes i}No Is Tank(s) Used primarily for hjricultural Pur¡:x>ses? DYes [¡No Facility Address 705 So. Union Avenue (Bakersfield) Nearest Cross St. Belle Terrace T R SEC (Rural Locations cnly) OWner Kern County Superintendent of Schools Contact Person Don Fowler Address 5801 Sundal e Avenue Zip 93309 Telephone 325-0675 Operator Same as Owner Contact Person Addr ess Z i p Telephone B. water to Facility Provided by Ca 1 Hornia Water Service Depth to GroW1dwater Unknown Soil Characteristics at Facility Unknown Basis for Soil Type and Groundwater Depth Detenninations CA Contractor's License No. Zip ëë13309 Telephone 327-q341 Pro¡:x>s Canpletion Date Insurer . C. Contractor Gal-Valley Equipment Co. Address 3500 foi lmore Avenue proposed Start rg Date Worker's Canpensation .Certification t D. If This Permit Is For Modification Of An Existirg Facility, Briefly Describe Modifications Proposed E. Tank (s) Store (check all that apply): Tank . Waste Product Motor Vehicle Unleaded Regular premh.ll\ Diesel Waste -- Fuel Oil 1 0 0 t] 9 8 ~ 0 0 ') 0 0 t] 0 § 0 0 l. 3 0 0 a 0 B B B 4 0 IX]< 0 0 see addit i ona 1 list F. Chemical Composition of Materials Stored (not necessary for motor vehicle fuels) Tank . ChemiCðl Stored (non-commercial name) CAS I ( 1 f known) Chemical previously Stored (if different) Tanks 4.5.6.7.8. Lub. Oil None Tank 9 ~Jaste Oi 1 None G. Transfer of OWnership Date of Transfer Previous OWner Previous Facility Name I, accept fully all obligations of Peonit No. issued to I understaoo that the Pennittlrg Authority may review and modify or teoninate the transfer of the Permit to Operate this underground storage facility upon receiving this completed form. This form has been canpleted under penal ty of true and cor~ Signature. ~[ ~~::... perj ury and to the best of my knowledge is Title Directort Date Transportation Services 3/28/85 ...--.........-.1 .__6.._ _................._ _.......1_..... ...........__. .. - - ... - - .--.~. 11. Piping a. UndergroLU'\d Pipi~: ayeS ONe DUnknown Material Steel Thi ckness (inches) Unknown Diameter·. 2" . Manufacturer A.. o. SlTiith DPressure DSuction DGravi ty . Approximate Le~th of pipe RJJ\ 60- feet b. Underground Piping Corrosion Protection : DGalvanized X~Fiberglass-Clad DIrnpressed CUrrent DSacrificial Anode DPolyethylene Wrap DElectrical Isolation (¡Vinyl Wrap DTar or Asphalt DUnknown ONone DOther (describe): c. Underground Piping, Secondary Containment: DDouble-Wall Osynthetic Liner System [iNane DUnknown DOther (describe): H. 10. TANK! _----. (FILL OUT ~EPARATE FORM ~ TANK) FOR ]~!CSEC1'ION, CHECK ALL APPROPRI.-sO>ŒS 1. Tank is: DVaulted Uhlion-Vaulted DDouble-Wall t]Single-Wall 2. Tank Material aCarbon Steel 0 Stainless Steel 0 Polyvinyl Chloride 0 Fiberglass-Clad Steel ~ Fiberqlass-Reinforced Plastic 0 Concrete 0 Alll1\inum 0 Bronze DUnkoown OOther (describe) primary Containment Date Installed Thickness (Inches) 1982 .270 4. Tank Secondary Containment o Double-wallu Synthetic Liner DOther (describe): DMaterial Tank Interior Lining --rJRubber 0 Alkyd DEpoxy DPhenolic DGlass DClay >ŒJlblined DlbknoW'\ . DOther (describe): Tank Corrosion Protection -rrGalvanized K]Fiberglass:'-Clad DPolyethylene Wrap DVinyl WrapplB] OTar or Asphalt DUnknown DNone DOther (describe): Cathodic Protection: DNone DIrnpressed Current System CJSacriflclal ~e System Describe System & Equipment: Leak Detection, Monitoring, and Interception a:-Tank: DVisual (vaulted tanks only) DGrouoowater Monitoring' Well (8) o Vadose Zone Moni toring Well (s) 0 U-Tube Wi thout Liner DU-Tube with Compatible Liner Directi~ Flow to Monitoring well(8)* o Vapor Detector* 0 Liquid Level Sensor 0 Conductivit;t Sensor· o Pressure Sensor in Annular Space of Double Wall Tank o Liquid Retrieval & Inspection From U-Tube, Moni toring Well or Annular Space G Daily Gauging & Inventory Reconciliation 0 Periodic Tightness TestlDj DNone Dunknown )OOOther P755S8 "Red Jacket" w/2 stage leak detector b. Pipi~: Flow-Restricting Leak Detector(s) for Pressurized PipiDjK o Monitoring Sump with Raceway 0 Sealed Concrete Raceway DHalf-Cut Compatible Pipe Raceway DSynthetic Liner Raceway DNone o Unknown ;aJ Other *Describe Make & Model: P755S8 "Red -Jacket" w/2 stage leak detector 8. ~nk4igh~~S Be s IS en Tightness Tested? DYes ONe KJUnknown Date of Last Tightness Test Results of Test Test Name Testing Company Tank Repair Tank Repaired? Dyes aNa Dunknown Date(s) of Repair(s) Describe Repairs OVerfill Protection DOperator Fills, Controls, & Visually Monitors Level DTape Float Gauge OFloat Vent valves 0 Auto Shut- Off Controls DCapacitance Sensor DSealed Fill Box XIDNone DUnknown (JOther: List Make & Model For Above Devices 3. Capacity (Gallons) 12,000 Manufacturer Owens Corning 5. o Li ned Vaul t K1 None 0 Unknown Manufacturer: Capacity (Gals.) -- Thickness (Inches) 6. 7. 9. .)\,./lVV'';> .)cr v/\..t:: ,",CIII..r::, r~L"IJ.'- L.....,. L' a~ J..L i '- Y ,"Ollie; H. TANK! _ . _ (FI L~ OUT SEPARATE FORM Fa.:;A.Qi TANK) FOR~ECTION, CHECK ALL APPROPR~ES 1. Tank is: Dvaulted gNon-Vaulted O{buble-Wall [!Single-Wall 2. Tank Material Dcarbon Steel 0 Stainless Steel 0 Polyvinyl Chloride 0 Fiberglass-<lad Steel ~ Fil::>erglass-Reinforced Plastic D Concrete 0 Alllt\imm 0 Bronze OUnkroWn o Other (describe) primary Containment Date Installed Thickness (Inches) 1982 .270 Tank Secondary Containment DDouble-Wallu Synthetic Liner Dather (describe): OMaterial Tank Interior Lining -cfRubl::>er OAlkyd O~xy OPhenolic OGlass DClay ~Lhlined DLhknowt OOther (describe): Tank Corrosion Protection -crGalvanized DFiberglass-Clad OPolyethylene Wrap OVinyl Wrappl~ OTar or Asphalt DUnknown ONone DOther (describe): Cathodic Protection: o None OImpressed CUrrent System DSacriflcial Anode System Descriœ System & Equipnent: Leak Detection, Monitoring, and Interception ~Tank: DVisual (vaulted tanks only) L!Grouoowater Monitoring" Well(s) o Vadose Zone Monitoring Well( s) 0 U-Tube Wi thout Liner DU-Tube with Compatible Liner Directi~ Flow to Monitoring welles)· o Vapor Detector· D Liquid Level Sensor 0 Conductivit¥ Sensor· o Pressure Sensor in Annular Space of Double Wall Tank D Liquid ~trieval & Inspection Fran U-Tube, Monitorin:j Well or Annular Space ':J Daily GalXJin:j & Inventory Reconciliation 0 Periodic Tightness Testin:] o None 0 Unknown 1X]<00her P755S8 IIRed Jacket II w/2 stage leak detector .b. Piping: Flow-Restricting Leak Detèctor(s) for Pressurized PipingW o Moni taring SLlnp with Raceway 0 Sealed Concrete Raceway o Hal f-Cut Canpatible Pipe Raceway 0 Synthetic Liner Raceway 0 None o UnknoW1 Œ}(Other *Describe Make & Model: P755S8 IIRed Jacket II w/2 stage leak detector Tank Tightness RaS'IblS Tank Been Tightness Tested? Date of Last Tightness Test Test Name Tank Repair Tank Repai red? 0 Yes DNa Ounknown Date(s) of Repair(s) Describe Repairs OVerfill Protection []Operator Fills, Controls, & Visually Monitors Level []Tape Float Gauge DFloat Vent Valves 0 Auto Shut- Off Controls []Capacitance Sensor DSealed Fill Box ~ne Dunknown OOther: List Make & Model For Above Devices 3. Capacity (Gallons) 12,000 Manufacturer Owens Corninq 4. OLined Vault IDNane OunknoW'\ Manufacturer: Capacity (Gals.) '-- 5. Thickness (Inches) 6. 7. 8. DYes DNa DunknoW1 Resul ts of Test Testing Company 9. 10. 11. Piping a. underground Pipi~: Dyes DNa Dunkno\oK\ Material Steel Thickness (inches) Unknown Diameter 2 \I Manufacturer A'-' O. Smith [JPressure []Suction ÔGravi ty . Approximate Length ot Pipe RLn' 60 feet b. Underground Piping Corrosion Protection : [JGalvanized [3Fiberglass-Clad DImpressed CUrrent []Sacrificial Anode [Jpolyethylene Wrap [JElectrical Isolation ~Vinyl Wrap []Tar or Asphalt OUnknoW1 []None OOther (describe): c. Underground Piping, Secondary Containment: O[X)uble-Wall OSynthetic Liner System 9None OunknoW1 DOther (describe): --------------- -- --- rCLuL..,- 1"""'. rc:l~J.J..J.L.Y ¡..OllIe ~cnools ~erV1Ce l,enter , H. TANK ! ___~. (FILL OLJ~ SI~PARATE ~ F~ TANK) FOR ~ECTION, CHECK ALL APPROPR~ES 1. Tank is: OVaulted DNon-Vaulted Ol))uble-Wall DSingle-Wall 2. Tank Material OCarbon Steel 0 Stainless Steel 0 Polyvinyl Chloride 0 Fiberglass-Clad Steel I] Fiberglass-Reinforced Plastic 0 Concrete 0 Ahrninum 0 Bronze DUnkoown D Other (describe) Primary Containment Date Installed Thickness (Inches) 1982 .270 4. Tank Secondary Containment o Double-wallu Synthetic Liner OOther (describe): OMaterial Tank Interior Lining DRubber D~kyd DEpoxy DPhenolic OGlass DClay rnlblined Dlbk.noW'\ OOther (describe): Tank Corrosion Protection -UGalvanized [lFiberglass-Clad DPolyethylene Wrap DVinyl WrappirY:J DTar or Asphalt Dunknown ONone o Other (describe): Cathodic Protection: o None OImpressed OJrrent System D Sacrificial 1tnode System Describe System & Equipment: Leak Detection, Monitoring, and Interception ~Tank: OVisual (vaulted"tãnks only) LIGrouoowater Monitorirg" Well (s) OVadose Zone Monitoring Well(s) OU-Tube Without Liner o U-Tube with Canpatible Liner Directi~ Flow to Monitorirg Well(s)· o Vapor Detector· 0 Liquid Level Sensor 0 Conductivi t:( Sensor· o Pressure Sensor in Annular Space of Double Wall Tank D Liquid Retrieval & Inspection Fran U-Tube, Moni toring Well or Annular Space G Daily Gaugir~ & Inventory Reconciliation 0 Periodic Tightness TestirY:J ONone OunknO\1iln ~Other P755S8 "Red Jacket" wj2 stage leak detector- b. Piping: Flow-Restricting Leak Detector(s) for pressurized PipingW o Moni toring SlInp wi th Raceway 0 Sealed Concrete Race'IØY o Hal f-Cut Canpatible Pipe Raceway 0 Synthetic Liner Raceway 0 None o Unkno\1iln :m Other ' ' *Describe Make & Model: P755S8 "Red J-acket" wj2 stage leak detector Tank Tightness Has TIns Tank Been Tightness Tested? Date of Last Tightness Test Test Name Tank Repai r Tank Repai red? 0 Yes DNa Ounkno\1iln Date(s) of Repair(s) Describe Repairs OVerfill Protection DOperator Fills, Controls, & Visually Monitors Level DTape Float GðU3e DFloat Vent Valves 0 Auto Shut- Off Controls DCapacitance Sensor OSealed Fill Box )(iJNone Dunkno\1iln [JOther: List Make' Model For Above Devices 3. Capacity (Gallons) 12,000 Manufacturer Owens Corning 5. o Li ned Vaul t IUNone 0 UnknO\1iln Manufacturer: Capacity (Gals.) -- Thickness (Inches) 6. 7. 8. Dyes DNa Dunkno\1iln Results of Test Testing Canpany 9. 10. 11. Piping a. Underground Piping: DYes DNo Dunkno\1iln Material Steel Thickness (inches) Un~nown Diameter. ,?~_Manufacturer A.O . Smith DPressure OSuctlon L1Gravity Approximate Length of Pipe RLn 60 feet b. Underground Piping Corrosion Protection : DGalvanized [iFiberglass-Clad OImpressed CJrrent OSacriflc1al Anode Opolyethylene Wrap DElectrical Isolation UVinyl Wrap DTar or Asçhalt DUnkno\1iln o None OOther (describe): c. Underground Piping, Secondary Containment: DDouble-Wall OSynthetic Liner System >OONone Ounkno\1iln [JOther (describe): - ------------- - - rc 1 1I1.11. 1'fU. rd~111LY ~œl~ ~cnools ~erVlce ~en~er H. TANK! __ . (FILL OUT SEPARATE FORM F..:ACH~) FOR ~ECTION, CHECK ~ APPROPR~ES 1. Tank is: DVaulted fjNon-Vaulted OD:>uble-Wall fising~e-wall'. 2. Tank Material OCarbon Steel 0 Stainless Steel 0 Polyvinyl Chloride 0 Fiberglass~lad Steel ~ Fiberglass-Reinforced Plastic 0 Concrete 0 AlLminum 0 Bronze OUnknown o Other (describe) Primary Containment Date Installed Thickness (Inches) 1982 .270 Tank Secondary Containment ODouble-wallw Synthetic Liner Oather (describe): DMaterial Tank Interior Lining -oRubber 0 Alkyd DEpoxy OPhenolic DGlass DClay ;g¡l)\lined Dl)\knoW'\ OOther (describe): Tank Corrosion Protection -UGalvanized [lFiberglass,..Clad DPolyethylene Wrap OVinyl WrappiB;J DTar or Asphalt DUnknown DNone DOther (describe): Cathodic protection:· DNone DImpressed CUrrent System DSacriflcial Mode System Describe System & Equipment: Leak Detection, Monitoring, and Interception a:--Tank: DVisual (vaul tad tanks only) [JGrouoowater Monitorirg' Well (s) o vadose Zone Monitoring Well (s) 0 U-Tube Without Liner DU-Tube with Compatible Liner Directi~ Flow to Monitoring W811(s)* o Vapor Detector* 0 Liquid Level Sensor 0 Conductivit;t Sensor* D Pressure Sensor in Annular Space of Double Wall Tank o Liquid ßetrieval & Inspection Fram U-Tube, Monitoring Well or Annular Space fi Daily Gau:1ir~ & Inventory Reconciliation 0 periodic Tightness Testing o None 0 Unknown 0 Other b. Piping: Flow,..Restricting Leak Detector(s) for pressurized PipingW o Moni taring Sump wi th Raceway 0 Sealed Concrete Raceway o Half-Cut Compatible Pipe Raceway 0 Synthetic Liner Raceway 0 None t:1 Unknown a other *Describe Make & Model: ~nk'¿;igh~~s Be s 1S en Tightness Date of Last Tightness Test Test Name Tank Repair Tank Repa ired? 0 Yes aNa DUnknoW'l1 Date(s) of Repair(s) Describe Repairs OVerfill Protection DOperator Fills, Controls, & Visually Monitors Level OTape Float Gau:1e DFloat Vent Valves 0 Auto Shut- Off Controls Beapacitance Sensor Dsealed Fill Box ~None Dlklknown Other: List Make & Model For Above Devices 3. Capacity (Gallons) 550 Manufacturer Owens Corning 4. 5. o Lined Vault IDNone OUnknown Manufacturer: Capacity (Gals.) -- Thickness (Inches) 6. 7. 8. Tested? DYes ONe> DUn known Results of Test Testing Company 9. 10. 11. Piping a. Underground Pipi~: DYes DNa OUnknown Material Steel Thickness (inches) Unknown Diameter Unknown Manufacturer Unknown DPressure DSuction DGravity . Approximate Length of Pipe RLn b. Underground Piping Corrosion Protection : DGalvanized DFiberglass-Clad OImpressed OJrrent DSacrificial Anode OPolyethylene Wrap OElectrical Isolation LUVinyl Wrap OTar or As¡:t}alt DUnknown o None DOther (describe): c. Underground Piping, Secondary Containment: [JDouble-Wall []Synthetic Liner System ~None [JUnknown [JOther (describe): r'ÇLIII,l.1... 1't'J. L' O\.. J. J.. L l. Y L~C1I\'" .)(; nuu I::; .)e r'v 1 ce l..ell Le r' 11. Piping a. Underground Pi pi~ : D Yes DNa []unknown Material Steel Thickness (inches) Unknown Diameter Unknown Manufacturer Unknown []Pressure DSuction OGravi ty . Approximate Le~th of pipe R1.I'\ b. Underground Piping Corrosion Protection : DGalvanized DFiberglass-Clad DImpressed OJrrent DSacrificial Anode Opolyethylene Wrap [JElectrical Isolation K3Vinyl Wrap DTar or Asphalt OUnknown []None OOther (describe): c. Underground Piping, Secondary Containment: DDouble-Wall DSynthetic Liner System 9None Dunknown [JOther (describe): H. 10. TANK! _ . (FIL~ OUT SEPARATE ~ F_.::AŒ TANK) FOR~ECTION, CHECK ALL APPROPR~ES 1. Tank is: []Vaulted fiNan-Vaulted O[):)uble-Wall fi1Single-Wall 2. Tank Material OCarbon Steel 0 Stainless Steel 0 Polyvinyl Chloride [] Fiberglass-Clad Steel tJ!J Fiberglass-Reinforced Plastic 0 Concrete 0 AlLmim.m\ 0 Bronze OUnkoo~ o Other (describe) primary Containment Date Installed Thickness (Inches) 1982 .270 4. Tank Secondary Containment o Double-wall-r::J Synthetic Liner DOther (describe): []Material Tank Interior Lining []Rubber Dlùkyd []Epoxy []Phenolic DGlass []Clay ŒPU1lined []U1knoW'1 DOther (describe): Tank Corrosion protection -UGalvanized DFiberglass-Clad []Polyethylene Wrap []Vinyl Wrappi~ DTar or Asphalt []Unknown []None []Other (describe): Cathodic Protection: DNone []Lmpressed CUrrent System LJSacrificial Anode System Describe System & Equipment: 7. Leak Detection, Monitoring, and Interception . a. Tank: DVisual (vaulted tanks only) DGrouoowater Monitoring well'(s) o Vadose Zone Moni toring Well (5) 0 U-Tube Wi thout Uner o U-Tube with Canpatible Liner Directir-r¡ Flow to Monitoring We11(s) * o Vapor Detector* 0 Liquid Level Sensor [] Conductivit¥ Sensor* o Pressure Sensor in Annular Space of Double Wall Tank o Liquid Retrieval & Inspection Fran U-Tube, Moni tori~ Well or Annular Space ;(]I Daily Gau;Jing & Inventory Reconciliation [] Periodic Tightness Testing o None D unknown 0 Other . b. piping: Flow-Restricting Leak Detector(s) for Pressurized PipingW [] Moni toring SlII\p wi th Raceway D Sealed Concrete Raceway []Half-Cut Canpatible Pipe Raceway DSynthetic Liner Raceway []None . ['J Unknown D Other *Describe Make & Model: Tank Tightness Has ThIs Tank Been Tightness Tested? Date of Last Tightness Test Test Name Tank Repair Tank Repai red? [] Yes I]Na Dunkno'NO Date (s) of Repair (s) Descrite Repairs Overfill Protection []Operator Fills, Controls, & Visually Monitors Level []Tape Float Gau;Je []Float Vent Valves 0 Auto Shut- Off Controls Deapacitance Sensor DSealed Fill Box X[JNane Dunknown [JOther: List Make & Model For Above Devices 3. Capacity (Gallons) 550 Manufacturer Owens Corning 5. o Lined Vault IDNone DUnknown Manufacturer: . Capacity (Gals.) -- Thickness (Inches) 6. 8. DYes DJIt> Dunknown Results of Test Testing Canpany 9. ______._________~_._ - u_____________·_u_.__ .. .....-....... -1 ...-...- ...,\,,0""''"' . ~ .....~. y 1\,,0.111;: ""C;II "ç; I 11. Piping a. underground Pipi~: Dyes oNo Dunknown Material Steel Thickness (inches) Unknown Diameter Unknown Manufacturer Unknown DPressure DSuction OGravi ty . Approximate Le~th of pipe RLI1 b. Underground Piping Corrosion Protection : DGalvanized DFiberglass-Clad DImpressed CUrrent DSacrificial ^"'>de opolyethylene Wrap DElectrical Isolation >W<vinyl Wrap DTar or Asphalt DUnknown DNone DOther (describe): c. Underground Piping, Secondary Containment: DOouble-Wall DSynthetic Liner System Xl!JNone Dunknown OOther (describe): H. 10. TANK !~. (FILL OUT ~EPARATE FORM ~ TANK) FOR-~SECTION, CHECK ALL APPROPRî~BOXES 1. Tank is: DVaulted ~Non-Vaulted DOouble-Wall DSingle-Wall 2. Tank Material OCarbon Steel 0 Stainless Steel 0 Polyvinyl Chloride 0 Fiberglass-Clad Steel Dt Fiberglass-Reinforced Plastic 0 Concrete [] Ahmintln D Bronze OtJnknown D Other (describe) Primary Containment Date Installed Thickness (Inches) 1982 .270 4. Tank Secondary Containment o Oouble-WallU Synthetic Liner DOther (describe): DMaterial Tank Interior Lining DRubber 0 Alkyd DEp:>xy DPhenolic DGlass oClay rnU1lined DU1knOW1 DOther (describe): Tank Corrosion Protection ---O-Galvanized DFiberglass-Clad DPolyethylene Wrap oVinyl Wrappi~ DTar or Asphalt Ounknown DNone oOther (describe): . Cathodic Protection: o None DImpressed C1rrent System 0 Sacrificial Anode System Describe System & Equipment: Leak Detection, Monitoring, and Interception ~Tank: []Visual (vaulted tanks only) LfGroundwater Monitoring"well(s) D Vadose Zone Moni tor i~ Well (s) [] U-Tube Wi thout Liner [] U-Tube with Canpatible Liner Directir:rl Flow to Monitoring Wel1(s)· D Vapor Detector· D Liquid Level Sensor D Conduc:tivit): Sensor· D Pressure Sensor in Annular Space of Double Wall Tank D Liquid Retrieval & Inspection Fran U-Tube, Moni toring Well or Annular Space fi Daily GaUJing & Inventory Reconciliation D Periodic Tightness Testlo;J D None 0 unknown D Other b. Piping: Flow-Restricting Leak Detector(s) for Pressurized PipingW D Moni tor ing SlInp wi th Raceway 0 Sealed Concrete Raceway D Hal f-Cut Canpatible Pipe Raceway [] Synthetic Liner Raceway [] None I..l Unknown fi1 Other *Describe Make & Model: Tank Tightness . Has "'us Tank Been Tightness Date of Last Tightness Test Test Name Tank Repair Tank Repaired? DYes R]No ounknown Date (s) of Repair (s) Describe Repairs OVerfill Protection DOperator Fills, Controls, & Visually Monitors Level DTape Float GaUJe DFloat Vent Valves [] Auto Shut- Off Controls OCapacitance Sensor OSealed Fill Box )(!INane Dunknown DOther: List Make & Model For Above Devices 3. Capacity (Gallons) 550 Manufacturer Owens Corninq DLined Vault IXlNone []unknown Manufacturer: Capacity (Gals.) -- Thickness (Inches) 5. 6. 7. 8. Tested? DYes D~ [lunknown Results of Test Testing Canpany 9. .._...,...~...'-~ ..~-...- JL.IIUUI,:) J~r VIL~ L~IIL~I H. 10. I TANK !~. (FILL OUT SEPARATE FORM ~ TANK) FOR~~SECTtON, CHECK ALL APPROPRï~ BQXES 1. Tank is: DVaulted g~n-Vau1ted Orbuble-Wall DSingle-Wall 2. Tank Material Dcarbon Steel 0 Stainless Steel 0 Polyvinyl Chloride 0 Fiberglass-Clad Steel PI Fiberglass-Reinforced Plastic 0 Concrete 0 Altrnim..m 0 Bronze DUnknown o Other (descr ibe) primary Containment Date Installed Thickness (Inches) 1982 .270 4. Tank Secondary Containment D Double-Wall U Synthetic Liner DOther (descrite): OMaterial Tank Interior Lining --;:rRubber D Alkyd DEpoxy DPhenolic DGlass DClay rnU1lined OU1known DOther (descrite): Tank Corrosion Protection -rrGalvanized DFiberglass-Clad OPolyethylene Wrap []Vinyl Wrappil'¥] []Tar or Asphalt OUnknown []None []Other (describe): Cathodic Protection: []None []rrnpressed OJrrent System DSacrificial Anode System Describe System & Equipment: 7. Leak Detection, Monitoring, and Interception . a. Tank: DVisual (vaulted tanks only) []Grouoowater Monitorin;J we11(s) o Vadose Zone Moni toring Well( s) [] U-Tube Wi thout Liner [JU-Tube with Compatible Liner Directi~ Flow to Monitoring well(s)* o Vapor Detector* [] Liquid Level Sensor [] Conductivit¥ Sensor* [J Pressure Sensor in Annular Space of Double Wall Tank [] Liquid Retrieval & Inspection From U-Tube, Moni toriI'¥] Well or Annular Space fi Daily Ga~ing & Inventory Reconciliation 0 Periodic Tightness TeSUI'¥] [] None [] Unknown D other b. Piping: Flow-Restricting Leak Detector(s) for pressurized Pipil'¥]w [J Moni to ri I'¥] SlInp wi th RacelfllaY [] Sealed Concrete Raceway o Hal f-Cut Compatible Pipe Raceway 0 Synthetic Liner Raceway 0 None .0 Unknown ;{X] other *Describe Make & Model: 8. ~nk4igh~~SBe s 1S en Tightness Date of Last Tightness Test Test Name Tank Repair Tã'ñk Repai red? [] Yes fiNo []Unknown Date(s) of Repair(s) Describe Repairs Overfill Protection []Operator Fills, Controls, & Visually Monit~rs Level DTape Float Ga~e OFloat Vent Valves 0 Auto Shut- Off Controls DCapacitance Sensor []Sealed Fill Box X(gNone Dunknown OOther: List Make & Model For Above Devices 3. Capacity (Gallons) 550 Manufacturer Owens Corning 5. o Li ned Vaul t XL:!] None 0 Unknown Manufacturer: Capacity (Gals.) -- Thickness (Inches) 6. Tested? DYes ONo [¡Unknown Results of Test Testing Company " 9. 11. Piping a. Underground Piping: DYes DNo DUnknown Material Steel Thickness (inches) Unknown Diameter Unknown Manufacturer Unknown []Pressure []suction ÓGravity Approximate Lel'¥]th of pipe RLn b. Underground Piping Corrosion Protection : DGalvanized OFiberglass-Clad OImpressed OJrrent DSacrificial Anode []polyethylene Wrap DElectrical Isolation DVinyl Wrap DTar or Asphalt DUnknown DNone DOther (describe): c. Underground Piping, Secondary Containment: DDouble-Wall DSynthetic Liner System 9 None Dunkno'Nn [JOther (describe): raClll1:.Y l....dllll:: ~cnoo I s ~erVlce ~enter 11. Piping a. underground Pipio;p DYes ONo Ounknown Material Steel Thickness (inches) Unknown Diameter Unknown Manufacturer Unknown DPressure OSuction DGravi ty . Approximate Le~th of Pipe RLn . b. Underground Piping Corrosion Protection : DGalvanized DFiberglass-Clad OImpressed CUrrent OSacrificial!\node Dpolyethylene Wrap DElectrical Isolation üJVinyl Wrap DTar or Asphalt DUnknown o None DOther (describe): c. Underground Piping, Secondary Containment: DDouble-Wall DSynthetic Liner System :iXJNone Dunknown DOther (describe): H. 10. rCLIIIJ.1.. 1'IU. TANK ! _.. . (FI LL OUT SEPARATE FORM FcA 'ACH TANK) FOR ~ECTION, CHECK ALL APPROPR~ES 1. Tank is: D Vaul ted DNon-Vaul ted DDouble-Wall DSingle-Wall 2. Tank Material Dcarbon Steel 0 Stainless Steel D Polyvinyl Clùoride D Fiberglass-Clad Steel ßlFiberglass-Reinforced Plastic OConcrete 01ù\.l'\\in\E\ DBronze OUnknown o Other (describe) primary Containment Date Installed Thickness (Inches) 1982 .270 Tank Secondary Containment DDouble-wallu Synthetic Liner DOther (describe): OMaterial Tank Interior Lining DRubber 0 Alkyd OEtX>xy OPhenolic OGlass OClay glk\l!ned OU1kno~ OOther (describe): Tank Corrosion Protection -o-Galvanized )qX](Fiberg1ass-Clad DPolyethylene Wrap OVinyl Wrappin:j DTar or Asphalt OlJnknown ONone OOther (describe): Cathodic protection: . ONone OImpressed CUrrent System [J Sacrificial Anode system Describe System' Equipment: Leak Detection, Monitoring, and Interception ~Tank: OVisual (vaulted tanks only) LfGrouoowater Monitorin:J well (8) o Vadose Zone Moni tori~ Well (s) D U-Tube Wi thout Liner o U-Tube with Canpatible Liner Directi~ Flow to Monitoring Well(s)· o Vapor Detector* 0 Liquid Level Sensor 0 Conductivit;( Sensor· o Pressure Sensor in Annular Space of Double Wall Tank o Liquid Retrieval , Inspection Fran U-Tube, Moni tori~ Well or Annular Space DDaily Gaugi~ , Inventory Reconciliation 0 Periodic Tightness TestiD;J o None 0 unknown 0 Other b. Piping: Flow-Restricting Leak Detector(s) for Pressurized PipiD;Jw o Moni tori~ S\.I'\\p wi th Raceway D Sealed Concrete Raceway o Hal f-Cut Canpatible Pipe Raceway 0 Synthetic Liner Raceway 0 None o Unknown fiJ Other ' *Describe Make , Model: 8. ~nk 4igh~~SBe s 1S en Tightness Date of Last Tightness Test Test Name Tank Repair Tank Repa ired? 0 Yes IDNo Dunknown . Date (s) of Repair (s) Describe Repairs Overfill Protection DOperator Fills, Controls, , Visually Monitors Level DTape Float Gauge OFloat Vent Valves D Auto Shut- Off Controls OCapacitance Sensor DSealed Fill Box ~None Dtk1known [JOther: List Make & Model For Above Devices 3. Capacity (Gallons) 2,000 Manufacturer Owens Corning 4. 5. D Li ned Vaul t )(X] None 0 Unknown Manufacturer: Capacity (Gals.) -- Thickness (Inches) 6. 7. Tested? DYes ONe ID'unknown Results of Test Testi~ Canpany 9. . ·'ac il ì ty Name Sc haD 1 s Servi ce ç~n:tp-r Perm it No. TANK ! _ ..__ (FI LL aU! ~~EPARATE ~ F.~œ ~) fQ!! EACH SECTION, CHECK ALL APPROPRIATE BOXES . I. 1. Tank is: OVaulted KJNon-Vaulted O[):)uble-Wall DSingle-Wall 2. Tank Material Dcarbon Steel 0 Stainless Steel 0 Polyvinyl Chloride 0 Fiberglass-<lad Steel ~ Fiberglass-Reinforced Plastic 0 Concrete 0 AllJT1inlln 0 Bronze OUnknown o Other' '(describe) primary Containment Date Installed Thickness (Inches) 1982 .270 Tank Secondary Containment ODouble-wallU Synthetic Liner o Other (descr it:e) : OMaterial Tank Interior Lining -oRubber 0 Alkyd DEp:>xy DPhenolic OGlass DClay ;gUllined DUlknoW'\ OOther (describe): Tank Corrosion Protection -rrGalvanized [1Fiberglass-Clad O~lyethylene Wrap OVinyl Wrappil'XJ OTar or Asphalt OUnknown DNone OOther (describe): Cathodic Protection: o None DImpressed CUrrent System DSacrificial Anode System Describe System & Equipment: 7. ~ Detection, Moni toring, and Interception . a. Tank: OVisual (vaulted tanks only) DGrouoowater Monitorin.;J well (s) o Vadose Zone Monitoring Well (s) 0 U.J{'ube Without Liner o U-Tube with Canpatible Liner Directi~ Flow to Monitorirg Well(s) * o Vapor Detector* 0 Liquid Level Sensor 0 Conductivit>: Sensor* o Pressure Sensor in Annular Space of Double Wall Tank o Liquid Retrieval & Inspection Fran U-Tube, Monitoril'XJ Well or Annular Space f] Daily GalJ3il'XJ & Inventory Reconciliation 0 periodic Tightness Testil'XJ o None 0 Unknown 0 other . b. Piping: Flow-Restrictirg Leak Detector(s) for pressurized Piping- o Moni tor in::J SLlttp wi th RacellolaY D Sealed Concrete Race'M!Y o Hal f-Cut Canpatible Pipe Raceway 0 Synthetic Liner Raceway D None .U Unkno'W\"\ DOther *Describe Make & Model: Tank Tightness Has TIÙs Tank Been Tightness Date of Last Tightness Test Test Name Tank Repair Tank Repai red? 0 '{es fiNo OUnkno'W\"\ Date(s) of Repair(s) Describe Repairs OVerfill Protection [JOperator Fills, Controls, & Visually Monit~rs Level DTape Float Gau;Je []Float Vent Valves [] Auto Shut- Off Controls []Capacitance Sensor OSealed Fill Box X{gNone Olh1known [JOther: List Make & Model For Above Devices 3. Capacity (Gallons) 550 Manufacturer Owens Corning 4. OLined Vault ~None OlJnknown Manufacturer: Capacity (Gals.) -- 5. Thickness (Inches) 6. 8. Tested? DYes ONo [jUnknown Results of Test Testing Canpany .' 9. 10. 11. Piping a. Underground Pi pil'XJ : a Yes []No OUnknown Material Steel Thickness (lnches)Unknown Diameter Unknown Manufacturer Unknown [JPressure [JSuction DGravity 'Approximate Len::Jth of Pipe RLn b. Underground Piping Corrosion Protection : [JGalvanized DFlberglass-Clad DImpressed CUrrent []Sacrificial 1\node [Jpolyethylene Wrap [JElectrical Isolation KlVinyl wrap (]Tar or Asphalt DUnkno'W\"\ DNone Oather (describe): c. Underground Piping, Secondary Containment: ODouble-Wall DSynthetic Liner System 9None (]Unkno'W\"\