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Home My WebLink AboutBUSINESS PLAN (2) ,'=-'i .. ,¡ .. .. NOV-10-04 13:01 F ROIil-USTIAAN 30398600T5 (a..\. GILBARCO ..J VEEDER-ROOT T-365 P.01/13 F-958 12261 West BaY<1L¡O Ave. SUite 300 . Laf..ewooc1. CO 80228 · (303) 986-6011 · www.veeçjQI com .--..- .------ -- November 10. 2004 Steve Underwood aakersñeld Fire Department Environmental Services 1715 Chester Avenue, Ste 300 Bakersfield. CA 93301 fax: {66l} 852-2171 RE: VODS Fuel Facility #2512 2100 White Lane Bakenfield, CA 93304 Dear Mr. Underwood: Please find attached the annual Monitoring System Certification comple1ed on Sep~ber 21, 2U04 by Tanknology. I apologize the delay in submitting this paperwoik, 1 had been assUJ~ that it was being submined by the testing company. 1 will be certain that we follow up with next year's certification. Thank you for the call. lfyou have any questiOJ1$ or require any further infotma.tion please do not hesitate to contact m.e at (303) 986-8011. Sincerely. -'7f~r~· ~ Daigneau:/, Programs Manager ..- - -- - ---..- UP ca REDJACKE1'" """ IPMS --- -- -- --- .. .. NOV-l0-04 13:0Z FROIrUSTIMN 30398600T5 T-365 P.OZ/13 F-958 -.~ CJ,¡ENT: V;EDM ROOT - C~ 122&5 WEST ßAYOUD A"~ 0300 t..M&WODD, CO 10228 TANKNOLOGY CERTIFICATe OF TfSTING 8900 SHOAl- CREeK, aUILPING 200 AlJSTIN. TEMS m~7 TEIS'MONE l512) 451-6334 FAX (51;;!) 459-1459 TEST RESULT SUMMARY REPORT WORK ORDIõR lIIu..aER: 313414S8 CIJSTOMER po: SITS: VQHSlSAFJ;WA Y 2100 WHITE LANE ~FIEI-P CA mOot PURPose: cOMPLIANce TesT DAn:: œt21J04 a:M1~Y PAlGNI;AU (1IGCI)25WD54 PHIL ("1)396-2344 p . . uct PI·, Tj. I' eSS Tes R·s Its " "'; ~:~::':~:" ~' '::~r·"::'-X;:: ,!:," ':::: :~. ':\:,:5:;:\::,;" ;. ';I:~;~~:f~;;~,~;"" :L:: ,,::' ::i:¡~'::;r/:;i~:-' ,::~\:, ":', ::':" " '" ~:'i"::' :;~ :~:~>i'Y/: ,1:':;"'i~:;~:r,'::'~,:',:i'~~73~)j Tm lYPs: TLD·1 1 QQ1J1:.AR 2 »LVS 3 sanDE i'IBBJiGUSS FIBERGLAS:! i'iBERGUIiS ¡t1U8StmB lIRBSSUU: PUSSD1UI . .tn~ L '3 ,~O est ',,' :;"~ I::" ; , . :', : ",t;,; ::":'. :~'~~~?-:-J~~~(:!~;:?~i~~-::?-:) .:,¡ ~ . ;~~~ì: i~;:, ~ ê"~'~' ~~'j ~"J' . !; ~::, ~:"~ :.: ':'.~.?":~:'1!:~r:_; :~,r?r:~;~~~E~: ~~~ :'.'c.._:_.~~ :~,~';:~~ , ,~,,,, ' . . '.I ,·11.'':1);t~ t~· I~-\ .: '~~:~'. ...:.... ,. ~J';l..-d'i':' 'i, -'~.~i~:J.:i~,:, J 1\~'\ J.;-J"·4·jl~:~. ~ ~'"'I" ¡I~.:f ~ 'J "v-~:..;'f~'r. ":\;~~-.,, .,.' '..,JJ:,' ',_ ';".' . " 'I r,o' ',~ " ,....,.. ". ¡I' .",' L:' " :!'. ~,' !. - " ',':'" ~',,', '",""~ ,.~: " " kDe T 3. VBBÐ~ 2 vmmlilRaOO'r 3 VBBDBdOO'r ~~¡¡:CTKOHI 176757 æ.zcrRONt 176750 BJ.2CTROBt 17 67 n I' II ¡II e "8. aceU:l Ile·8 ete . est ': :',',,::~~:'i:~::",': :::. '~~'~~:i;':'; ~:;;:-:;:;~ .~-~f:j?7~?:I~:·'~I~'?;~·:;:~~::,;.: ~~~;;\:~:;1~:; ~~ "~ ;'; ';'~';';'I~;':;::~'~~~ ¡ \"':':~~;:;7~ ·:r~'¡~~·'f~?,~:~~ ~,';;;~::~t~ N L kD T For OWDllt 4eiailal n:pOß III vl,il www Wlli:PoIó¡) com wi sclCC:t (In-~c Rcp .,... WItAl'. III' c0llW1101111ocD1 T:mIulOloD' oflí¡;Ç Tester Name: STEVEN GALl..4\RPO Tec:nnJQa/\ Cendir;:aIiOO Nl.lmÞilr. ~ PrItUoCl ,0I1Ba004 13,08 J<DI"IWEYER , NOV-10-04 13:03 FROM-USTMAN 3039860075 T-365 P.03/13 F-958 INDIVIDUAL TANK INFORMATION AND TEST RESULTS ~. 7åI'WnObØY resT DATE:Q9/21/0i 8900 SHOAI-CREEK. eUIL..D1NG 2DO WOR/( ORDER NUM6f;R3136t58 CLI~T VØDD JtOOT - Q(S AUSTIN, TEXAS 78757 (512) 451-633i SITE,VOIfS/~Y , : ~.. ~I.. _.~_.~ _r"~~.~ ,:.. ~. '-= ".. ~. ~ '-':' _ '.~:... . ...1.__ __ _ ~...~., '.' ,/~. "y,'~!.n,~":': ~~ ~ !,,},~·¡t _ _. '_~_'~.. _. ...:.~.." ,_-,:~ ._:' __._.~ "_~_'..:' .~14 .~;.. ...::' _ . - ,.~~.: 4 ~ '~~.:~ ~1 Tank 10: I Product a:s~ Capaci~ to gallOns: :¡ o. on. Ciamef,Gf 10 IncneS: 120. 00 I-ength in IOcn8S~ 613 Malerial: )w :intU. COMMEMTS Tank manafolce(: HO Vent manlfOjde<l; YBS vapor recovery manlfo(eQ. YES Ovetfill pro¡eaion: YES Over&pllI prctec1ion: YES Installed: ~':G CP Install." on: I I Bouom to top fill in inChes; Bouom to grade in incl1eS' Fill pipe Ieng1h in Ind'le$; Fill pipe <1iameter in Incnes: Stage vapor recovery: Stage II vapor recovery: 120.0 ..0 Dtl'AL US:tST SWt (In) Olppscl Water Level. DIpped P~uc:t Level. ProÞe Wð18r Level Ingress DetedeU. Water BuÞÞle Test Il1ne: InClinometer reading; VacuTectT8&tType: fiC': vacuTect Probe EnUy POI01: 'l'8STKD Pressure Set POInt Tank wa1er le\'et In lnc:Mi Water lable depth In incnes: CetalTPloeQ Dr (me~hO<J): Result: COMIIEfiTS End (in) ~~,'.=~~·:b~E{.~fj :-J~~t~~·~·;:I,I~1:~:·:i~~.'~.~J~~~~,.:.j'~ ·:~·~~~'~~ir:~;'l':~.,. .: :: '~-~=~J Hawlpauod "~lc<IIreplaCed Newlpaucct FilileØlruplaced ~D. ., ~D. .\ I- P. 12 I.. p. ,¡ UIlag6 MaIæ MoUe: SIN: Open lime In see Holding pSI: Resll¡enc)' cc: Test lea~ rate mllm Metering PSI: CaIIÞ. lea( in gp": Re!iuns: vaaaaoo'f EUCTaOIIfIC U'?l7 :1.111.0 HOT TESTBD COMMEMTS ].00 'ASS '," .',: :'~'_~~~/"::"_:-~~\~I;-~~':~~:~:~:~~~<'~, .:::>:',<~~_, ,::,', .:":J~'~:,:~~:'i .:·:2~:~...f:~:~~~~~:":."':~_;;._:~~'~~~:.;':i¡ .~:X~.:" ::.~,,¡;:. :'~J MaJeria!: Diameter (In) l-engJh (ft): Test psi. BleedþaCk CC: Test tune (ffiIO): Scan time. End QrM: Fmal gpn' Reuult Pump ~pe' Pump make: caMMittTS 1i':t¡¡B¡tGLASS 2.0 243.0 WDT T-=:STBD MDT TESTJ:t) }JOT 'I'~~TlQ) ROT TZ:lTIID russvu VB PJTRO Impaçt Vi!llves OperatIOnal. tmDO* PM18CI 10118/2QQ413:08 NOV-l0-04 13:05 FROM-USTIMN 3039860075 T-365 P.04/13 F-958 INDIVIDUAL TANK INFORMATION AND TEST RESUL T8 -,. 'DInIø1oIoSY TeST PATE-os/u/o. 8900 StQA¡. CREE/(.. 8UIIl)ING 200 WORK O~DER NUMBelUU6U8 CLleNT.~R BOOT - cxs AUSTIN. TExAS 18757 (512)451-8334 SITE.VOHSI¡¡.uoz¡ay _ K.. ~~_ _ _':~.~'. 'J:'"' _~'_~'~.~_~~.~:" ~~~~.'.':::'.'" :,: ..' ':;~ ::~~~_~~'~ ~·~~~~'~t :-!'ï~!~~\=~~~' ;_.I";;~~: ~, .'~ .:~' _' ..'" ~.~ ~~~~:.;:._. ~:~'~'~1:~ '.~~ ~~_' '_~._ ~ w~~..~:,,: .~, .-:.~¿1 TanklD; ~ PrQ(lI.l¢ ,.¡.oll CÇétQ'Y in gallOns: 10.03? Daameler in inCf\es: 120 .00 UI\gtþ In lr1å\es 207 Materia" ÐW smf. COMMENTS TlilnIt mfmifo/deø: w vent manifO/l,1ec1: 11IS Vapor recovery marurOlØed. nB Overfill pfOlectlon: Y2S Ovsrspill protealOO: 11IS In~lIed. ATG CP Il'Istallec; on. I I Bonom 10 lOp fill Íf' .ocnes: Bottom to gl1lde in InCheS: FlU pipe length In inches. Fill pipe Qlame¡ar In Inc:n~· Stage I vapor recovery: Slags II vapor æCDyery: 120.0 i.O ÐtrAJ. loSSJ:ST Sian (In) PIPped Water .øvel: Pipped ProQl.lc:t Lltval: PrOÞe Water &..evel: Ingress Petedea: W~œ1 &ÞÞIa Test lime: Inclinometer raQlng Vacl.ITect Tesz Type' !I1O'f VQCu Tea Probe EnuY Point TE:i':!Ð PresSIoIre SeJ Poim: Tan... wa¡&r level In incnes: Water 1aPJe depth &n 1OCneS: DeJem/'Ø<I by (meJnDd): Resi.l1t: COMMENTS ~~ (In) _~ l. '":oJ:' :~:~r7t~;~~~ "~_Y~~~-L!.:;~~7··~-: .'~ ,~~~~. . ~.r~ '. ~~~ 1:.\ I': .~~.~~ ~~ . .'~ ,': ~..\, I: ~ ):.....~ Hew¡pa5Hd Fõlilcålreplam ~ItW'p~l:~ FllÍlodlroplõl~G101 ~.D. .1 I-P. f1 a..D. R L.D. 12 Ullage Ma~: Model: SIN; Open JII'nS In Me Holding pSI: Resiliency cc' e$J leak rate mum: Met.erlllg PSi: Callþ. Isalt in gpn: Re:iUIt&: VUÐEØOO'r ,uC'.t'aOmC ~"'JO ¡u.o IIOT TBaTSD COMMaITS 3.00 '~9 _' ".: ' _~_,~2~~~:. '. '. : ¡'~·ì.:·!~~::~~~:)~~::i·~~·.~:~ ~~..':.:,' .'-:~~ ::_ ,:: .-':':~_~~.:~_,.': ..:. ~:::';'~~~::,,::,~~:¡~: _.', ~". " ,:" ',: '~; ~:~>~:iéi .,h" ,"," _'.~:>:' ~.~',~_, I Metanal: OlameJer (in): a.engtn (ft): T 8SJ psi: Bløødþack cc. Test lime (min) S1Bn'llme: EnQ ¡,me Final gph. Result· Pump Jyps: Pump maIte: C~¡:NTS I'Ia~3 2.0 2,..0 IrQT 'rB'TJP 1fØ'1' Tl:S'fBP øo':f TlSST£Ð 1IiO'1' 'rBSTaD iI~SSUU va n"rao Impact Vlillves OperatlOllBl: 1DIælONW Pmu~ 10118/2004 19 08 NOV-10-04 13:08 FROLt-USTIMN 3039860015 T-365 P.05/13 F-958 INDIVIDUAL TANK INFORMATION AND TEST RESULTS 1-", 1ånknology TI:$T DATE:Q9/U/06 8900 SHOAl CREEK. BIJII.OING 200 WORl< ORDER NUMB¡;RnU6Sa CLlENT:vu¡)Ø ~ - CD AUSTIr.!. TEXAS 78757 (512) 451~~ SITE: VOHS/SUINAY _':". ~ _ _:.. _'.. ';. ~. ~.__~__ _ò·_.~ "_ .". ~. _ ,~_~:. ___~ .~' ! _~ : _:{~~·:l·!"'!'·J-:~·II~:..· !~~'I:·~:-..-~·~~u _.~'-_ _ .~. ... :.., ~.~I.Lw _ _ ~~ __ '~:-~~~.~_'... ~.: .:' _~ . :-~~~}~~:..J T at'IK ID: ~ ProduCt SUPQIMK CQpaciJy in gallons' 10. 037 Piameter 10 Inche$. 12 0 . 0 II I-MgUl in lI'W:l\8$: 307 M3U1na1: ÐW s~l!tIr. COIoUlaCTS TQI1k rnanlfoCe~· NO Vem manlfolaecJ' ns vapor recovery rnanlfoJdeQ: YES Overfill prctect¡oo nil OverspIIl pro1eCtlon. ¥"IS InSIaIl~' .ATC CP Installed on: / / aonom to top fiU In IncneS BoUDm to grace in 1000¡eS. FI~ pips 1engU\ .n lnct1es Fig pipe Cllameter In mcnes: Stage I vapor recovery Stage II vapof recovery. 120.0 ~.O DUAL ASS:¡:ST sun (In) Dippeø water ..eve!. Dippec Proclu~ !-eve!. ProtMI Water I-evel. Ingress Petected. WAter S\¡þþIe Test lime: Inclinometer reaeling: vacuTect Te!5( Type: HOT Vat;4Tect PrOÞÐ Entry Point: 'n:aTSÐ P~re Set Pomt. Tank waw level In inche$: wa¡er table !JepUI 11'\ ll\C/\e,: Determtn~ Py (m81h0à): ReSult: COMMENTS end (in) ~. ~ .~!.~ Ji~~~! ~'~~(~.~,!~ ,;~;-.:;:~'!.~_ .:~ i.'_~ .'..'" .' u', ~~~~'J::·:~2}~~!:':'~::,~·I~;·':; ~~~~~.': ~ NBW/passca FallelllreplilGeG Ncw/¡Hl5Hd FitllcCllreplaçeca L.P.1t L.D. ., UI. &12 I-P, 12 Ullage Make M~I SIN Open time In see' HOldll'~ psi' ResilienCy cc: Te&¡ INk rate mUm: Metenng psi: CaIlÞ, leak in gpn: ReSIIIÞ. vagaaoœ .u:~¡C U"'~ UII.a NOT TES'tBP CDMMÐlTS 3.00 'ASS ':. ',: <_~~_'_,' '. ,:'i~!i~!~,?,}C~~D;..'":;~~''~~''' '.:..' ~_~LL,< ,~.~I,:2]E':~, ::~~?:':~'., _L~~. ,.'"~~~':'~~:"..,:'~_~~:L.L,,..1 Material. Dlilmeter (In): L.englh (ft): Test pSI: 8leeClÞacIC ce. T e'5t lime (trIIn) Stan time. E~ rime: Final9pn: Result. Pump Jype: Pump malæ: C:OaDIENTS nasRQtASS 2.0 :¡g¡.O NOT 'tas'I'BD IITO'Z '1'XSTBD NO'r #S'l'ED NO'r T88'1'211 PRØSOø npnao Impact valves OperatIOnal: 'DRAIotØI PnnUIQ 10118/20Q.4 13:08 NOV-10-04 13:10 FROM-UmWI 3039860015 T-365 P,06/13 F-958 SITE DIAGRAM --p 7ånIø1ØIøgy 8900 SHOAL. CREeK. aUR.OING 200 AUSTIN. TExAS 787'ST (&12) 451-6334 FAA ($12) 4$9-1459 TEST DATe· 09/U/Di CLlENT.V1ŒDsa aoO'1' - CMS WORK ORPER ",uMa~RU36458 SITE: VOIfS/SUBWAY WHITLANE VENT 0 PRE~ § I I ~~Ecl r@ UL @~ 201< ~ 1 1 \ C-STORt: 1 Pn01ec1 ,OllBr¿o04 ,308 (,()HI-MEVER NOV-10-04 13:12 FROW-USTUAN 30398600T5 T-365 P.OT/13 F-958 MONITORING SYSTEM CERTIFICATION For Use B¡ NJ .Ju/)JiØlCtlCJns Witlin flð SRJlð of CðIdomIII A4IUIøfi{y CJwa' CnaplOl' 6. 7. Health ana Sa~ Cfxtfl; CtlIIPlfH 18. DNls/on 3 T/rJe 23. CaItfwnfa Coae of Rf1g..IillIom Tnlli form mu:ol l1li 1l0ØCI 10 QOCIIB/Illllliq ilnclllCnllanø gf JIIOIIIIQmg IIqIüllMllL If IIIOhi II1ln OI'IV mgllllOnllg 8~m CXIIII"OI põIIIIII15 II1>oQ_ :II1hII f:aCdll)', . ...p.o~ ¡¡e~ or ~ II1u5r hit -~ ~ ~ rrIðIImInna "v","'" mnImI œ.~ ~ 1M lecn/llQlln ~ psrform:> II1d "DrII. A COØY or l1'li1 1Dm1 m.a 118 þrDvlO8Q to Ø181i11'1~ &~ _1CIpeI&1OI' TIle oo,l18I'/OpEfiIIIf mw:JI _mII:\ c;opy 011111& fam1110 1IIII10IõII1 iI~ 10Ql.l1lll/l uST IJIIIlII11a Wll/ltlI 30 Øil)~ c(ltAC CIAo A. o.n.nu Il'lfonnI'lon FacililY Na/nll' VONSlSAFEWA Y 51111 AIICIRIIR: 2100 WI'IITE I.AAE ~; BAl<ERSFI~1-P ~~p~eNo: 3~~ DiIftI Qf Til&linglServloe: 0&12112004 CA ZIp' 93~D4 FaCIIRY ContaCI Person PtlIL MilIl8lMocIeI of MonlTOflng S)'Iitem:TL.S-~50 WCKk OfOer NumÞer' 3136458 8, ~mory of ictwlpmenl Te5ltKIICerlifilld CneC/l. 1t\1I appropn8W þQx¡n¡ 10 1t14.c:aæ spllCllic equIpment Inspecædlserviœd Tank ID: 1-87 TIlIIk IP. 2-89 ~ In-To GII&9I1!3 P{gc;, r.toqø¡,MAG X In- T81\II. Gll<Glng Probv. Model' MAG ~ MtUaI' Space or Vaw. Sc:nõlOr. I\IIOQ$I vA 'VI, IY AnnwIõII" SpillOlt or \/swlt Sel1Mlr. MQQOI: VR 301 ~ p,pon¡¡ SIIInpliOll1Cll Ssn&or(:>. _I: VR 208 tv P,II11Ø i..II1KT~ SenSOl($. MOØeI: VR 2QII ~I. vR?lUI r: X Fill Sump SGnM:Ir(O), ~ F~I Sump ScINgr(,1 MOCkII VR 208 i= MeCnaflœl Ld18 I..ciII\ CIIIÇJO(, MaQaI MeenaIllCal ~ LuI\ Ddacfor, ~ "X a4OCI8l aøœcnc &..nIl L.ea~ Øe!1IQOI MiXlCI:Pl.I.D ßac;¡rgn,c L.onlll.'*' CleIØCDl". MIIIIIII: VR PL.L.D f"' T~ OWltiIIl/1tlH.ÆY<ll Scm;or NcKI8I TI/IILOverfilUl1JI1~ ~ ~ MOIIoII. 0ØI0r (~ VCllllpm8llllypll.ncll11QI<II 10 geCIIOII E on paqe 2). I- Cllwr (~ Bqu¡pmanl ~pII8nQ I1IQQII 111 Seæon E on p;:as112) TilfmIP' Tan¡ ID: [! Ill- TIUIk CàQIIIg Prolllt _I' MAG In· ran" GlI&II/qj PI\IIIoI. MDcIBI. ex Annulilr SpIICO Ot VSLI¡ Ssn&or. McilGoIl' vR 30' NlnwÞlr 5paœ or Vawl! Scn$Or MDdBI. ~ PtPflIO ~- geo&ar(&), UodoIt· VR 208 P¡pnQ Sump/T18IIØJ SconllQl"l$· Model. ~ Fdl ~ Sco:>CX1a¡, Mgcat. VR 208 f11 ~"'P Sen&ar(II. MDcI8I. :: MoeI\lIn¡cal ~.. I.G.ok Daro<:ø. MOCI8I. ... MloC;I\\/C:1II i-If\8 L£il1\ ~ I0\OII8I 1(. eeatonlC Line LNto. ~ ro4OQ8l. PLLD .... Ettd"anoC I.l/I8 ~ Oaldc1gr. MOCIBI ~ TIII1kOWl1llvMln-~l;IvSI s..n-. ~I TIII1I\ Ort:tIdllt1l1H.ØVSI Se.-r. Moael· F= I- 0Insr (&PS¡;¡) CIþIIp/nw IYI8 iInØ mgQ.:t 10 $eQIon E go pi1ØC12). '""" 0IMr (&peaI) cq..pll1lll'lt ¡yps amI I11QI In $OC{Qn ¡: on page 2. ~ Plspense,.,). ,/7 Øisperllllr IP ~I" :x DaGpen&ar CanIII.nmenl $lI/IS~~1 McIœI' \lR 208 X OI&III/1Mr COnIaIn/11llÞt Ssn..orl'¡ Mød8I. VA 208 X ShIll' \llIIvII(&). ¡: ~ VBlVOIa) ¡¡¡¡ p,;¡penMll' ~nJ FIOIII(6) anc Chôltl1\a>- == 00apsn&8r ConIatIV1'loll'a fJQBI(&) iIIØ ~nI8¡ PllipBnser 10: 516 )Ispenlllr IP 7/8 ~. p,;tpOnMf CQou/1l/1ont $er14Ql'(& ~t vR 208 rx c,8penaer ConlalMMof'Ø 5e0&0l(&). M<>AøI' vR 208 X) Shear vlIIVS(&. ~ 5n_ ViloCi&I. n p"pe,1SeI' ~n¡ FIoa!(al iIlU ChillnlSl Pl5plIll5lr Cgnlalnlllll/ll F~lll) ant:I cl\IIIlI(&1 Dlllpel'l88r ID; 91'0 DISpen&er 10' 'X Oo~r COnlelnmøl11 s.n.g'(8¡ r..xtsI vR 208 ~ lJ!~n&BrConlllmf1ln¡ Sen:igr1'1. MoQet I:i 5neIr vlllvII(&). ~ Shear Vlllue(&). ~ != PlIp8I\1ICl" COIøInrnenlI'IOaT(I) aIIII Chillll('). DdipIItIIlII' ConI8ontllll/ll: FlQ;llt~ aM ChSln(Ii. "'f 1t1e IaçIlitY CØlIf8IP$ more Tan"l or QlliPensenl. oop~ V\d form. In~ae Information for eve~ tanlt alld 415p8n&1n" at 1he façll~. c. COl1ifilJildan I celfih' Vl811he 8qllipl1le/l1111en11lit=C1 It) 1f1I5 ooØl4meru WS& 1I1aõp/iQ~C8Q In 8COOR1anc8 wfl/l VIe m<II'I¡¡facwreno l,ui4elloes. AttacI\EIf; to 1/\15 œrt¡fic¡¡tIOn IS mfofmation (c.g manufac:rurll/$' J:n8e¡¡s1S) neÇII~~ 10 ~ IfIllt "II1Ilsotorrnallotl 15 çorrl$Ct. afIQ Ii S«e Plan $/10"'"9 me I¡¡~t ot rtIotIl1OIÏna eqlllpment. Far ¡¡O)I ec\lpment capaÞle of gør¡enn¡ng ,""cn repons. IlNIve .ISO 1111iIçMc Ii copy of Ih$ (CtlltCI\ d tnat IIPplr) 0 S~l8m set-up ŒJ Alarm hI:s(Oty repon ~ 78757 . Signature; LIQInse, ~o: phOn¡,: No.: C80011lO()-o1833 Date Q Te5W1Q/ServIClI1g 09/2'/¡¡Q04 T8CIV1Jcian Nalnll (PM1). STEVEN GAU.ARDO Cer1IfigöQn No.. 006-05-'228 Tesung Company Name'T8nI\nQIOQV &tilt A4CIr8$ti: 8900 Snoal Cfeølt. Bldg. 200 Au$1d1. TX PitQI!' of3 Ba..eo on CA fonn datsIJ D~1 MODitDriDI System Cerdfi~lioD NOV-10-04 13:13 FRO~USTMAN 3039860015 T-365 P,08/13 F-958 Monitoring SY61em Certification SIWAQdnn;s: 2100 WHITE LANE P<IÞI of Tø..1ÏnglSel'Vlco: 09/21/2004 D. Results of Tes¡il1g/Servicing SoI'Iwõll1J VIll1ilCO IIIST8IJect Compllll8 1118 follØllW1ns ctleCkJl5t X Yes r- Is ItIe auØlble alarm optrahOnaI? 1'10 . ¡( V- ~ 1\10" 1:1; me VISual alann operaAOl'lar? ¡( y- ~ No" were all senscn vl:;uilllv 111&ŒI~. functlOl1_ te$ed, and ccnfRl'tJe( QIIMICIOnar? [E) Y8& D",o' WII'Ø all sensors In5la11ed at ItWIUSI JOInt of seoonalU)' c;on1illl1mcot an<! pœlllQllecl 5D q¡¡n omer eqUIPmem will noJ Il1terferl! wiU'l thell' proper OPeratlOC1'? Œ"I '(11$ n foIO " InNlA If iI/<Irms ;¡re reayeè;O II remote man(Q'1t1g 5U1t1on, iii 0111 øom~"jCaIOIlS eqllipmill1l (lit g. ~m) openllionar? ŒI ve& Om' DIiIA For prGS$IItlZeo PlPII19 &y5tem!i. does tne lulÞlna autcm.d,callY Shut aown If tria Piping secorKUifY conIaInmenl monltDmg $~-œm Qetem 3 INK. fa~ I~nue, or ~ Uaç¡¡C;¡lIy dSCQMeaea'? If yA WIllen sensors Il\III&IUI po&l1I"B :öl1li1"down? (Clled\ IIU Ihlll aPPlY) x Sl/IT1p1Tr8rICfl Sensors; ¡¡¡ DISpenser corp;lnmern Sl!~ Pili vOl.! COI'Ifitm IIO&IIvO 1hwI-<Iown due 10 leall& iIPII ,;unsOr tallulelóIiQOnnsc:tlDO? ŒI Y8Ii No ŒI '(eo. 01'10' DN/A fOor tarII\ :iy!o1QrnS WlI ultrlZe tne monitcnng syS~m as tne pnmiuy lank overfill warning 4evICð (, e . no meCf\an¡çal ~dl prtvenllOfl vlllve 1:1 In:iUtI$(), IS ItIe overfill warnll'IQ alarm vlSJt)a amI aloldlClle at 1Þe \Bf1k fdl POIOÞõ('$) a,lII operSlJOS propely'? If :lD, III wlllU percent of tanIt capaclIY Cloes tne alarm It"iaget? 90 'f. OYos" Œ]NII Was any mo/lllOl'lng sqUI~1\t replaced? II ~s. laenll~ ~pÇfÇ G8n~r.¡, probe:¡, or other eql4lpme/U replacecJ IIncII¡$t me manufat'tl.lrer name aOO I110ØeI fQf a~ reølacement œft1Ï In S&c11OO E. below. o ...e&" ONO Was Þquld fOI./'I 1"8 any seconoary conTainment ~ ~ntCI as ell)' $~m,() (cneck all ttlalllpply) o ProduC1; 1m Warer. If y¡,.., (~fÞe C8U$Ø5 In SøctiOn e. ÞeIOw, ŒJ V86 DNa" was mon4Omg l5y"~m set.....p l'8VØwed fa e:nsure proper &etlIllQIi? ARIICfI Se1.....p rapor1S. It appliCaDle. ŒI vea DNO" 15 all mQf1IlDrl119 equlJ>l'T1Clnt opoI'<lliotUill per marIIoIlila..rers· spec:diC8I1O~? . In Sec1&On E Þefow. Ó85\:f1bt1 hOW and wnen thll::i8 defic.enc:es were D( WIll be QOITKIe<I E. Commants: Liquid found in 87 fill sump and 87 ana 91 STP sumps. page 2 gf :3 BasocI en CA tomI4i:lteG 0310 1 /' NOV-IO-04 13:15 FROM-USTMAN 30398600T5 T-365 P.09/13 F-958 Monitoring System Cenification Site Aøclreu' 2100 WHITE LAtIIE. Daœ of TntlnØl~.œ: 09/2112004 F. In-Tank Gauging J SIR Equipment o CI'oBC* mi' )Ox I ¡Ink galolS/ng i$ usea onl)' for InvemDl}l contrOl. o CheCll.1M boA If no tëmk g~glng or SIR OC¡IIIpmøJ111$ 1tISt811ed. Thia HCtion 11'11&1 Þe compJetecl if in-i<P1k g2lwginø eq&lipmem i. lISeci 10 perform lea( detec:tion rnonkotlng_ Comp¡ece IhIt fOI_lng Che~t: 0TIIII DND" tta$ Glllnfl'll ""11109 Þeen I115peçÞi1ca far popel" enll}l aM rermtnallOß. 11ICI1ICI1I19 teslll1g for glOllllØ fallll6? Œ]Tes ONQ" 'NerD lID UInIÇ ~QII'\9 prOÞe$ \lllõllilll)' inspeaecl for <IiI1TIa!!" ana re9idye Þ\,lIlduP? 0v= ONO" WU iKQfëC;Y of 5yStem prOdllçt IIIW$J ,efClf\ga tØGleftJ 0y.... DNo' was accut8Cy of ij~ wmer /eVO/ RI<I(/'IIfl' ~I/IQ? IfilTW ONO- Were ilP propes rem8111Ded prcpltl1y? Œ]Tes ONQ- Were illI irams on me eqUipment ffiIIl'lufacturers' m8lf1tenaRCe meClllj~ comp_~? " In Ih/t Section H. ÞØIw. CI&SC1IÞØ how aM WOIMn ItIeSe CleficIØl1CtS were or WtU Þø c:orrecteG. G. 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OJI rcpwir.J JIflI4.priør,ø wnlt& œuI ~øI.føuow-.,før fmkttJ IUl.f) neplzrøvQ'£a~PII1dI. ~"""""OMØIII UST GJœp Tanknology-ND£ 8900 Shoal Creek. Build¡n¡ 200 Ausnn. TeuI> 7i157 .. , ., , FINANCIAL RESPONSIBILITY - CERTIFICATE OF INSURANCE FEDERAL UNDERGROUND STORAGE TANK (UST) NAME: Safeway Inc. and all subsidiaries ADDRESS: 2100 White Lane Bakersfield, CA POLICY NUMBER: PEC000095640 1 PERIOD OF COVERAGE: July 1,2004 to July 1, 2007 NAME OF INSURER: ADDRESS: Indian Harbor Insurance Company c/o XL Environmental, Inc. 520 Eagleview Blvd. P. O. Box 636 Exton. P A 19341-0636 NAME OF INSURED: ADDRESS OF INSURED: Safeway Inc. and all subsidiaries 5918 Stoneridge Mall Road Pleasanton. CA 94588-3229 1. Indian Harbor Insurance Company, the Insurer, as identified above, hereby certifies that it has issued liability insurance covering the following underground storage tanks(s): # of Tanks Facility Name Facility Location 3 Safeway Inc, Store} 2512 2100 White Lane Bakersfield, CA for taking corrective action and/or compensating third parties for bodily injury and property damage caused by either sudden accidental releases or non sudden accidental releases or accidental releases; in accordance with and subject to the limits of liability, exclusions, conditions, and other terms of the policy; arising from operating the underground storage tank(s) identified above. The limits ofliability are $1,000,000 each occurrence, $2,000,000 aggregate exclusive oflegal defense costs, which are subject to a separate limit under the policy. This coverage is provided under PEC00095640 1. The effective date of said policy is July 1, 2004. ENSTE843 (9/02) FEDUST -CERT Page 1 of2 .- :;, -' 2. The Insurer further certifies the following with respect to the insurance described in Paragraph 1: a) Bankruptcy or insolvency ofthe insured shall not relieve the Insurer of its obligations under the policy to which this certificate applies. b) The Insurer is liable for the payment of amounts within any deductible applicable to the policy to the provider of corrective action or a damaged third-party, with a right of reimbursement by the insured for any such payment made by the Insurer. This provision does not apply with respect to that amount of any deductible for which coverage is demonstrated under another mechanism or combination of mechanisms as specified in 40 CFR 280.95-280.102. c) Whenever requested by the Director of an implementing agency, the Insurer agrees to furnish to the Director a signed duplicate original of the policy and all endorsements. d) Cancellation or any other termination of the insurance by the Insurer, except for non-payment of premium or misrepresentation by the insured, will be effective only upon written notice and only after the expiration of 60 days after a copy of such written notice is received by the Insured. Cancellation for non-payment of premium or misrepresentation by the insured will be effective only upon written notice and only after the expiration of a minimum of 10 days after a copy of such notice is received by the insured. e) The insurance covers claims otherwise covered by the policy that are reported to the Insurer within six months of the effective date of cancellation or non-renewal of the policy except where the new of renewed policy has the same retroactive date or a retroactive date earlier than that of the prior policy, and which arise out of any covered occurrence that commenced after the policy retroactive date, if applicable, and prior to such policy renewal or termination ate. Claims reported during such extended reporting period are subject to the terms, conditions, limits, including limits ofliability, and exclusions of the policy. I hereby certifY that the wording of this instrument is identical to the wording in 40 CFR 280.97(b)(2) and that the Insurer is licensed to transact the business of insurance, or eligible to provide insurance as an excess or surplus lines insurer, in one or more states. ,~~ Signature of Authorized Representative ofInsurer Eric Nielsen Type Name Underwriter, Authorized Representative XL Environmental, Inc. 520 Eagleview Boulevard P.O. Box 636 Exton, PA 19341-0636 ENSTE843 (9/02) FEDUST-CERT Page 2 of2 ~ / " .. , . ~i 0J SAFEWAYINC. 4410 ROSEWOOD DRIVE .. PLEASANTON, CA 94588·3492 Certification of Financial Responsibility Safeway Inc. hereby certifies that it is in compliance with the requirements of subpart H of 40 CFR part 280. The [mancial assurance mechanism used to demonstrate financial responsibility under subpart H of 40 CFR part 280 is as follows: Mechanism: Issuer: Amount of Coverage: Insurance Policy Indian Harbor Insurance Company $1,000,000 each claim $2,000,000 aggregate Effective Period of Coverage: 7/1/04-7/1/07 Type of Coverage: Taking corrective action and compensating third parties for bodily injury and property damage caused by accidental releases. SAFE~ ~ Gail Kiyomura, CPCU, ARM Director of Insurance Corporate Risk Management 7/1/04 ê~ ( gnature of witness) ~/1I1~ y,-/Ier (N e of wItness) 7/1/04 a\Recycled ~Paper 'i :¡ " ·(RrnP(ÇL- '. ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE Page 1 of 2 7/1/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Willis Insurance Services of California, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR One Bush street, 9~ Floor ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San Francisco, CA 94104 INSURERS AFFORDING COVERAGE INSURED INSURER A: Indian Harbor Insurance Company Safeway Inc. INSURER B: 5918 Stoneridge Mall Road INSURER C: Pleasanton, CA 94588-3229 INSURER D: I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, I~i: TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS ~NERAL LIABILITY EACH OCCURRENCE $ n COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone flTe) $ I ] CLAIMS MADE [0 OCCUR MED EXP (Anyone person) $ F PERSONAL & ADV INJURY $ '- GENERAL AGGREGATE $ O'L AGGREðE LIMIT APOS PER: PRODUCTS - COMP/OP AGG $ POLICY jf8,: LOC $ ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ¡-- ?= ALL OWNED AUTOS BODILY INJURY (Per person) $ ~ SCHEDULED AUTOS ~ HIRED AUTOS BODILY INJURY (Per accident) $ i= NON-OWNED AUTOS n PROPERTY DAMAGE $ (Per accident) RJRAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ ID· OCCUR /OJ CLAIMS MADE AGGREGATE $ $ B DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND 11 T~g~T~J;¥š If 11 O¡~- EMPLOYERS' LIABILITY EL EACH ACCIDENT $ E.L DISEASE - EA EMPLOYEE $ EL DISEASE - POLICY LIMIT $ A OTHER UST Financial PECOOO0956401 7/1/04 7/1/07 $1,000,000 Each occurence Repsonsibility $2,000,000 aggregate DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS See attached certificate of insurance CERTIFICATE HOLDER I 1 ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3D- DAYS WRITTEN State Water Resource Control Board NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Division of Clean Water Programs IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Underground Storage Tank Program 1001 I Street, 1 7~ Floor REPRESENTATIVES. Sacramento, CA 95814 AUTHOR~E~PRESENT~VE I , r l - v- ACORD 25-5 (7/97) © ACORD CORPORATION 1988 r .0 ... I"" ';' Page 2 of 2 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-5 (7/97)