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Home My WebLink AboutUNDERGROUND -=0;;- UNDERGROUND STORAGE TANK Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave.. Ste. 210 Bakersfield. CA 93301 Tel: (661)326-3979 APPLICATION TO PERFORM A TANK TIGHTNESS TEST ISECONDARY CONTAINMENT TESTING PERMIT NO. ITT -- 0 I b 8 I TANK TIGHTNESS TEST (E L.D ) FACILITY 7 E I - e..VLI'1 DDRESS li, tI 7 I . . '/ ì ~ ì lA..J I .son o LINE TESTING 0 SECONDARY CONTAINMENT TESTING Our Job No: 377 ~Lj £' L R oa..cJ... ßakQfsf;"e.-ld C A #- . 7 - ¡; I ~\/ fLy¡ 8forfL- / (p S- V 9 7 - E /e.VfLn 93309 ERMIT TO OPERATE NO. S - ;2./ 30 NUMBER OF TANKS TO BE TESTED :;---- ::L IS PIPING GOING TO BE TESTED XYES 0 NO TANK NO. CONTENTS VOLUME I ;;L 3 R UYl/~ P Î~ ¡Uwt Urt! ftbCtndonruX - waf to 1000 !:)o..J 10, 000 !ja../ no+- +~S+ ANK TESTING COMPANY Pro..:xa.i r Se...rv'·c.a....s) T rt C- AlLING ADDRESS C 9 375'5 J.J. ßÙ.sìhQ..SS C2.-#'"\+e..r Driv-L..) JU.C..sOh 112... 8'..570$- Sly AME & PHONE NUMBER OF CONTACT PERSON . . _ _ . _ _ _ -,52.0) .. ---- - _. - --M¡" -a 0:../ I<ro..rnrne...s (szo)- Sl.{S -023~ ùr JlA..[I·Q....Gv.n~SljS-ð lo~ EST METHOD - _ .1- En h~Yl.cl2.d La...a.k [)L-+a..C/I io"J NAME OF TESTER OR SPECIAL INSPECTOR CAr i,., 0 -t(- fL- DATE & TIME TEST IS TO BE CONDUCTED //- ~-o CERTIFICATION NO. ' C.A Lle....:#= 03 - I CoCo V - ?/~Q... ra...-fa...re..ne.e.. Qi/Q.ched work. PICu-] DATE //-;2 -oy PPROVED BY DATE fd2063 11- 3 -Of!: C(~<; ¡OiLr our ¡;¡hone This o/j7/;CG.-77·0Y1 a c~k fDv +tæ uJ~ wan htI (f0~ flt.sf- Il.vvrf., . dirCu,j$'/()J~¡ 1-11<2-· or/5i-I/lcx.fJ ,!f&i d "~ / U _ ./ c. (ì . f b + b ffláf 0" uJ,! . .f~..r~ "J.:::rn +h<L mLQ.'1f,ÍJf!.jJ LJllr m d' n'l..JLJ. . r· . f #,,:r UP(!Cupui.i:l "ft; j<. nolk.) a..bou- J F¡qðf( (P(P/) )is;;'' - <;'")./'71 ,. " 8501 N. MoPac Expressway, Suite 400 Austin, Texas 78759 Phone: (512) 451-6334 Fax: (512) 459-1459 Date Printed and Mailed: 11/16/2004 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR STEVE UNDERWOOD 900 TRUXTUN AVE., STE. 210 BAKERSFIELD, CA. 93301 Test Date: 10/19/2004 Order Number: 3136913 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: 7 -ELEVEN #16549 MARKET #2133 4647 WILSON ROAD BAKERSFIELD, CA. 93309 T esti~9I?e_rfc::>,=-med: ,- --. -- -- - - - - ...--..---. --~-.sf ¡-l:-G-~--r- -- -1- csikJ t ( Sincerely, -:D~ K~ Dawn Kohlmeyer Manager, Field Reporting ., 58-989 SECONDARY CONTAINMENT SUMMARY RESULTS .. Tanknology TEST DATE:10/19/2004 -KENT RANDY MARTIN 253-796-7170 WA 98032 WORK ORDER NO.: 3136913 SITE: 7-ELEVEN #16549 MARKET *2133 4647 WILSON ROAD BAKERSFIELD CA 93309 CLIENT: 7-ELEVEN, INC. 20819 72ND AVE. SOUTH SUITE 206 Tank Interstital Tests Piping Interstital Tests REG UNLEAD PREMIUM Sump & Under-Dispenser Containment Tests 1 87FILL 2 91 FILL OPW OPW Pass Pass Tanknology representative: JERRY BELLOLl ,/f-'p -.. ,__ ',_ " , /1 \ ) \ .'.- ;></ I·:· ~.' . "" ,'0. ,"" .....,,/ t ) Services conducted by: MARCO GODOY ~ Æ. ~ ð~1 !;¡¿ SITE NAME: 7 -ELEVEN #16549 16549 IDA TE: 110/19/2004 IWORK ORDERj 3136913 SITE ADDRESS: MARKET #2133 4647 WILSON ROAD BAKERSFIELD CA 93309 REASON FOR TEST: Compliance Groundwater Level(" from grade): '::):;\:~: .JV-.. DlnJ SECONDARY CONTAINMENT TEST RESULTS Oia, uepm :start Initial -mlsh -mal passl Tan~ Product Tank Size Material Manufacturer (") Test Method Time Level Time Result Fail (") 1 REG UNLEAO 10018 109 OW STEEL 2 PREMIUM 10018 109 OW STEEL 3 0 0 4 5 6 7 8 Comments: TANK INFORMATION AND INTERSTITIAL TESTS LINE INFORMATION AND INTERSTITIAL TESTS - Len, (feet' ass, Fail ma Resul "'Hñïsñ Time lñitiã!' Level "Siãif Time Method Test 'i7õJUme (gallons) Manufacture Material I:5la, ") Product Tan 1 2 3 4 5 6 7 Comments: 8 ~:~~~i~tL Test Date: 10/19/2004 '<:: . Tanknology 3136913 .~^' Work Order: SECONDARY CONTAINMENT TEST RESULTS SUMP TESTS Type Tank or Disp Manufacturer Model or Diam,/Width/length Depth Test Method ::start Tnillao Tevel FIniSh Final asS/ # Material (") (n) Time level Change Time Result Fail Spill Container 1 87Flll OPW Plastic 12 10 1245 5 1315 5 Pass Spill Container 2 91 Fill OPW Plastic 12 10 1245 6 1315 6 Pass Comments: all buckets passed. .. < '. J-~ 71:Jnknology 8501 N MOPAC EXPRESSWAY, SUITE 400 AUSTIN, TEXAS 78759 (512) 451-6334 FAX (512) 459-1459 TEST DATE:10/19/04 CLIENT: 7 -ELEVEN, INC. WORK ORDER NUMBER:3136913 SITE:7-ELEVEN #16549 COMMENTS 60-Day Startup Testing. ·Conf.#04-2861. All tests passed, replaced (4) 8' GY hoses and (1) hour labor. PARTS REPLACED HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) Printed 12/02/2004 13:39 SBOWERS ? SITE DIAGRAM .... ñ"- 4ii ~ DJnknoIogy 8501 N MOPAC EXPRESSWAY, SUITE 400 AUSTIN, TEXAS 78759 (512) 451-6334 FAX (512) 459-1459 TEST DATE: 10/19/04 CLIENT: 7 -ELEVEN, INC. WORK ORDER NUMBER3136913 SITE: 7-ELEVEN #16549 stine rd. ~ ¢ MID 010K o OEJ ~ :E. () CJ) I ¢ 0REGUL C/) oEJ 0 -i A 0 ::J 0 :::u 10K .., m 0 Q) a. 1his tank is out of sevic 3 out of system CJ:D VENTS Printed 12/02/2004 13:39 SBOWERS ·' .¡' t '~ -Work Order: 3136913 9. SPILUOVEIUILL CONTAINM' T KOXES i Test MCI!lod DeveJopcdBy: Li Spi11 BucketMa!wfaCi~rer Ii T 'M I. ~ Other (Sfl~C;¡;' L fnduslryStanâara 1"1 n c. I . f e.~! ct[od u.~cs: ----;;-~ . ... rrojes~! I. . l--.. ·oJ Þre.~sultJ - - _ _ _ on~ rn~[e(:¡- I I Measuring L'quiplne ~;--- - -'-. _ C! OtJrt:'J' íSpecW',/ L.! \lac;;W,;-- - - - ~ - _ . t ! . 5cd-IÏJr'festillo; - - - _ _ _ !!HY¡"ONt~t¡; -- - --I .... -- I ~ ~ l'age (Of~ ~ BUde! /)¡ß.tnerer: ~ 7 sllif 9m.; f1. :.''-(. f!UCkct Dept];:- - - - _11 /, Spllll:loI fl1Ÿ( (. ~wait time het\>.-;-' - -;- _ /. --;;;. ,/r SpJJl UQ~ 11 _ een applvll1g.Lf¿ ,..,... PI'(:'~~Llr!"/\lI("uumiw4tl,:J" - d I - - - I' (/ r - - - S"'rt] ¡¡IJ -- -- ¡ . ~g est; 'l I -----¡--- ---r ~~t~---ì-~- -__ 1_ J -----l ~mta] Reading (Rr): - --+- 13.. ;r __ _ I R.' 's.~ - - - 1- _ _ _ _ _ I T\)S(EudTime' -- ~~ -+ ~".-~--+--__ j , 13'/.) -- --:q~ -L. ---'. Final Readtng (Rr): ---. ,,.:,,, __ 13.'/5--=+1 ----~ 11 D ' g¡:r;'T __l e~t uratJon: Î D-m - - .->- -- ,. . ~ IN 3ðl1'J1 - - .- (:J".";,....,,,,(Rr"'J' 5~, , , ft' ,IV - -', -- :;';;;~;~ª:i;;k'~;;;;,: "~~[::J,~(,,;;iT ¡!,E;@~~'0E:;:í:;'!è;:;; ~::'S:':;.;):1;;;:: ;;:c.';;;;"" Comments - (include,. infDnnatioJ'! (m repairs mmll! prior 10 (~:J'I¡ng) (lJ.liL rd£. - j{j'jwiS /1J.£'S'.(.r::l' - ... -... Tanknology 27576 cjc...~.'/~ln~á;.g Ge.r:'~It.,(·[Nil¡P Tell h~~: IBOO) 666-Þ r 76 Lr..c.:il: (909) 3U~· 1211) (fiX: (908) ~()/H23!J DCCClllbçr200 1 $!lifRfCJ9 7~.. r inc.r JJa. Ca,ljf:Ju I,'i/ Ð2:::~ð Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 . -~ -- --=-- , . . ~ t " '.:", -- --""-- \ 1-' 79·X 2·= 158·* ~~\ 395· - <;~~0\,^ ~.IV\::---4 158· =. , 0-- ~~iÇ ~~_:__?_~7~J:j =-------- .I ~ - ---.~-=-- -.::;:------ JOB CARD e Bakersfield Fire Dept. Prevention Services 900 Truxtun Ave #201 Bakersfield, CA 93301 Tel: (661 )326-3979 I POST CARD AT JOB SITE PHONE No, OWNER 7-- E l evsAJ ADORE?::, , \ .D. B8'X. 71l CITþp'\ \Þ-? ) ~ PERMIT No, 'f:2.... L -- / - 5 ' v- 03(p -LI\JG . FACILITY N::! ~ E l-e" ADDRESS ' 4 (¿; 4-7 CITY BAKERSFIELD ZIP 752-2.-1 6 ~~ -D732- 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 ONE, 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 INSPEC"f,ION VISITS AND THEREFORE PREVENT ASSESSMENT OF ADDITIONAL FEES, PRIMARY PIPING SECONDARY PIPING TYPE OF PIPING to FLEX 0 FIBERGLASS CATHODIC PROTECTION SYSTEM-PIPING DISPENSER PAN '~;4f:":S,~çoi:JE}, ~R~,£ONW~(~M,',ËN..,:r, ;CP,,'~,'eRfl~'~,¡, P, i3~1:,·.,ì;e;,:',~",b,::",N~ i;;I;Ä,~:,;k,',""',~È~ì;ç,')tION,;;~: ~,~', " ""!J',,,,,,,,* ,.",,-_ ~ ':' ?'","" "-" ;'_"?\h,' !,<". -á.;,:;' ""i!f~,.<,,'.. ~ , ~,' ,~"C,"~, '_v _þ" 4,?- c({~ -"", ;' ","" /",. "c _ ,_ ,,,.@,_*,,,,-i,j,*/",,~,;: ~_:"" _ " ~ .' ., '__,J~t% ,,",,__ =_~. _._,:. "~,do' CONTINUOUS VAPOR MONITORING ENHANCHED LEAK DETECTOR TEST LEVEL GAUGES OR SENSORS, FLOAT VENT VALVES FILL TIGHT FILL BOX(ES) PRODUCT LINE LEAK DETECTOR(S) LEAK DETECTOR(S) FOR ANNUAL SPACE-OW, TANK(S) MONITORING WELL(S)/SUMP(S) - H2o TEST SPILL PREVENTION BOXES MONITORING WELLS. CAPS & LOCKS FILL BOX LOCK MONITORING REQUIREMENTS AUTHORIZATION FOR FUEL DROP TYPE ~~---~---- CONTRACTOR ___~~fd___ŒQ_,-__C&1bi~~c:~t2!'1__~_~________________ LICENSE No. _~1º22 . CONTACT ____~~0:!-~----------_,_--------------------~-------------____________ PHONE No. ~~l~Z:_~4-8tP fd1743 - -=----~ -"<;'\ tit) CA Cert. No. 00780 I City of Bakersfield Office of Environmental Services 1715 Chester Ave., Suite 300 Bakersfield, California 93301 (80S) 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 certifiçate displayed at the facility. Instructions to the issuing agency: Use the space below to enter the following information in the format of your choice: name of owner; name of operator; name of facility; street address, city, and zip code of facility; facility identification number (from Form A); name of issuing agency; and date of issue. Other identifying information may be added as deemed necessary by the local agency. This permit is issued on this 2nd day of November, 1998 to: 7 ELEVEN FOOD STORE #21¡25-16549 Permit #015-021-000808 4647 WilsonRd Bakersfield, California 93309 '6 -,~ . ,. BAHKS& CO. PETRÔLEUm'EQUIPmENT , _.~~ ~c.c- ___-;.. F~': ;-to . L, Œ@(!JllrPWŒ~'IT· ~&ILŒ~· ll~~1TÆJ1J1&'ITIJ(Q)~· ~ŒœWIJCCIE 2403 EAST BELmONT. FRESNO. GUFORNIA q37()1· (2OQ) 485-3456· LICENSE NO. 383550 LOCATION 7-// ø /65~9 ;, ADDRESS </ib ¿¡ 7 !v/ L çð¡J 8 A J¿Æ'/2.jh q CITY, ZIP: PHONE ~ t,1~:) FAX (209) 485-3165 Ø-/. ¿/~c?/-ftb TECHNICIAN: ¿ ï DATE : I 1-- TYPE OF SYSTEM : 1. Sensor· Number/Location 2. Sensor Number/Location 3. Sensor Number/Location 4. Sensor Number/Location 5. Sensor Number/Location 6. Sensor Number/Location 7. :. ,.. " ," ·sensbr:NØrnb'èr/Location '., '. 8. .. . .".. '--:.-.-.'~"-' .." - , .' S~ns~:h~fiGmber/L6cat:i()n ., '- Number of Meters Checked : ~- .----- -_..~ -- Number of Met~rs Recalibrated , HONITOREQUIPHENT T~ST 7/;;,7 1- I ?JðÞ.5A/ ~ 6:0 0 ~,? t'SOIV/ ðF..f Mt: I V ~ f/ ,,/ fûÆrI /"Hr"; /!..- ð-r Evr t'û./7.ð'A,J WF;- Pas~ Pas~ Pas~ 2. (6' vI :1)~~1 ~ .3 Ge¿~ #¿~ ð::)~..f!. Pass/Fa i 1 ~nêJ Pass/Fail , / Pass/Fa i i Pass/Fäil Pass/Fai 1 1. Make Product Pass/Fa i 1 2. Make Product Pass/Fa i 1 3. Make Product Pass/Fa i 1 4. Make Product Pass/Fa i 1 Pass or Fail as Per Ma~ufacturers Specifications ~PEI~ ~"""¡WOI'W("'¿:- · LUBE EQUiPmENT . ElECTRONIC fUEL DISPENSING . AIR comPRESSORS . AUTO, TRUC", & BUS LIfTS . KARD-LOCK IJ, KEYlOCK SYSTEmS . ABOVE IJ, UNDERGROUND TANKS . vISES . REELS · RETAIL & commERCIAL fUEL pumps . SERVICE STATION NOlZLES IJ, pump HOSES . VAPOR RECOVERY . LIGHTING SYSTEms . ""lVES /3, TANK fiTTINGS . AIR REGULATORS 8, fll TERS . PARTS WASHERS · STEAm ClEANERS 8, PRESSUR.E WASHERS . HOT TANKS . HAND TOOLS . ~IR TOOLS . EXHAUST SYSTEms . flAGS . ELfCTRIC mOTORS . fiElD ERECTED TAN~S . CAR WASH EQUiPmENT' ,;. ,,/" - ',~ ,11 " ~~ 8 . /fJ . 'D [~ll \~ I \ f.., ~ OfF,(es --"'--. - - ' 7 "- -Ele~en Food Store #2125-16549 464~$son Road . B3~TfiS~~'7A 93309 . i i Wt!son Rd.: ~ ~ ¡ØfJðPEEE v~1 (p",S n 5 r,^~/(~ ,,1ft. E' f)-II I='ood .5torc. 11=" I C:J 5 LJ '1 ~ ~ V I J~o Fm... S 0. ~ '$ r h,D ¡:('Qlf\às r'''l."t~ '" 10$1$ I , o.~S4rs \ 't.J.(; o i I (¡M I ,:,::,..- :,'. 'Ij',-.. tlbl-/1 : WII<}otli ßoI. P fA I' k, (I fir I r-~ f' r{\ ",1/~1 t..4"4d,.ì/ 5 J,~(A,r" R~~t S~¡/'IVt'- / G I e~~5 ,~ ~ FS ~ FS ~l 7-Eœeven Food Store #2125-16549 g ¿;; 8" 5111 7 "~, ..~... ¿"i ;~. ~ ~~t _ ....... " '"'~":" < 0 ":t,",,, _ , ~: ~, "- . I ~ 6, ,I ÎI ,.I II "a I I' ß. F;S :~¡: ---3' .. " ~ -~'\:~ ...,;)_ "'S-' " ~ HlYIlYIP SITE .AGRAM ~ 3u.s;.,:;.ess :-iame: /\ ' / \ PL ~ÁN -Ñl~(P c~-, " '-6Ó~ FelLITY DIAGRAM 0 7 ~ t:LtE'V¿JJ hoc! Sh:Jl<£. Y{¿,':17 w:¡~ '7:.- 713 ~ ?;;?O --/{,5<f9 A=~a ~a? # I I 0: Nc=":~ Name 0: Ar~a: -- ~ ,r.._~. _ ..... _._ _~_, -r I- ~ C ,- - - -~-=--~=-~ :". 6AS ,I ¿/" '" ;¡ , - - ".~- - ,.-~-.".;-.~-=..-:- ~--- - -~.- -- Re.Gt'.\~C.Ð JUl23 \990 _~ ~ 7... ~M~,í. 0\\1· ,_~~~_, __' 0 ~~~__~ ~~ .rs¡"1\- ,.r¡;-- .,...---.... . . ~- /, a.f... ~ÅflA,.r\' o tJ I t..5o¡J I<d ,'/'" /'/) !/ .~-.~- .,;;;~-,~ , ~-~~_ _______~_~::=__:c-__~ ~~.;..~,,~ SH-vT,- //"J AT£1t 7- ELf: V~N ¡)VI' \ ¡;/ede,'- '1 ~ '>t .J \ù / ¡ "I !:Il ~ i Ji ~ ~ ,~ "\ 'f V1~ '::í: ..... <:) S- ,j j ~ < '* ¡;) - )", \1.\ lI.!. "< -õ -:z €I ¡¡,'~ ~'~ ~ :t. \Jl ' :;) ~ 4J <.II pVO '" VI ~: <;t ? z \II ,..í ~~ ~ ...) '\J -.q: ::> 1/1 !Ù t- - " (; tI S, S¡.t lIT - ;:'1'- 'v"I VI, -: ;' \.~. T 1 :RUL \/OLUI"1E ULLAGE 9œ~ ULLAGE= HEIGHT WATER VOL WATER T B°f) 6882 :31 :36 2¡-:34 70.75 o 0.00 86.2 'f : r: 7-11 1654'3 4647 l.-.II LSON RD. BAKERSFIELD.CA.93309 559-83:3-07:32 11-15-00 1 :21 I -- J ., S'iSTH'! STATU;:; REFORI ~ ÁLL FUNCT I O'~S NORr"1A~ IN\/ENTORY REPORT T 2:r"!UL VOLUro1E 1278 GAL' ULJ -v;£ = 8740 GAL - _9C-LLAGE= 7738 GAL I HE~T = 20.19 INC , WATER IJOb = 0 GAL WATER = - 0-.00 I NC TEr"1P 88. 9-DEG I '- ¡.¡: ~(-¥<-.< .... END ,. ""'" ¥: - ---- --. ------ CO¡RECTION NOTI~ BAKERSFIELD FIRE DEPARTMENT N~ 102 1 Loca tiOl1 ì ~ d Sub Div. 4,(0 Cf7 Llh(sof\. mBlk. . Lot You are hereby required to make the following corrections at the above location: Cor. No plAvs~ JLc , i- c:l.a( . 'L' Completion Date for Correction Date ( If'f:)~O Inspector 326·3979 , ' ').0 ,) 0 t· -- - " :1 t.", I I' I I' , r I '. ,-.... ,,,,,~,.q"". ,", :.,....,., I' " ~~, ...., ). .0--' ,i'.,. "" {' ..", ~~ /' .' ~"" ~ ",-,:' '~,~r ~,., I I' I ·' ... --j'-'.- , ~þ. ~, . "0<"0: :1~,1.{jJ_~~il\~:1;t\';j¡~;Ú~J:¡&1fjmÓ:~'E...\ftlfEi1.i.(~t~ti!J..~~~L~~'i;~;'~:'- ~1 ' J?'»" '5"66.6 0576 IlJ002 Permit No. ~ ¡¿-Q~(gS CITY Of BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 BFD HAZ MAT DIY ~, '--" PERMIT APPLICATION FOR REMOVAL OF AN UNDERGROUND STORAGE TANK SITE INFOR~IATION . SITE_l-'ø~!:ij_._~. -¡ 11 _ADDR.ES~ "16'17 WIl5CN I?¿ Z(PC~E9.3~OI APN FACILITY NAME SDIJTHt.AðlD., -7-11 CROSS STREET t.j N . TAN.,; OWNERlOPERA'tOR .s:a~LANO -~-,., , PHONE NO. ~fcI'l.)z.:l.S - 2.1 C¡'CJ I\MILlNG ADDRESS I OL~O - w Cn<EDJSÌ:Jmb £tt'fTY Y.Pl'FLANO ZIP 9'7 'L'2-? L}~7LJ PHONE NO. 4-2S I!'S' ~2 S 2..L LICENSE NO. . CITY Y\ U LlL\ fZ) lP Po zrp 9 f 1./7 ~ := WORKMENS COMP NO. PRELlMINARV ASSESSMENT INFORMATION It} ) '2.~¿ , l/'. COMPANY .;;£ I (rf4)vp PHONE NO.L'1 ft-.-. 'Z. ~LICENSE NO. IJI\JIL~OWN- ADDRESS_~£)t,,Ç /D1L7 Cl+1C.~O I+&.J 7' CITY CCYvCD.2..a ZIP ~IJ~ INSURANCE CARRJER - WORKMENS COMP NO. UIJI'IvOw",) .............. TANK CLEANING INFORMATIO~ COMPANY <!;e:TV\Co ADDRESS ,1-1"1 ~. J~ ~Teee.T WASTE TRANSPORTER (DENTIFICA T(ON NUMBER NAME OF RINSAiE DISPOSAL FACILITY ADDRESS FACILITY IDENTIFICATION NUMBER PHONE NO(UJe¡) Ç'U¡ - ~ , ç.7 CITY Moocn-ø ~i ¡:. ZIP ~ s~ S", CITY ZtP ~~~:::NSPORT'RIN.~j)ìJºN ADDRESS I TANK DESTINATION PHONE NO. CJIT LICENSE NO. ZIP TANK IN FORMATtON CHEMICAL 'fANK NO, AGE VOLUME STORED DO 1--., 4 D , IJ ..LPOD (J..,q~v Í-JN E! DATES STORED CHEMICAL PREVIOUSLY STORED tÝ11S"o (...JN~ .. . ...--- -.-- APPUCAT.lON DATE ' l:or O~iciø.1 U!!C Onl . : " :':'--':"·F.AdtJi9':~~:,,:, ',..,' ,'··:·i~9:'riP.TAÑks": .... .. .P.E,E S~· .,., II': /\l'I'I.(,·,\NT lIAS RI!ŒIVED. I1NDERSTANIJS. AND WIT.I. COMPLY WrrJlTrm ^n'ACIIEI> (,'(INDIl1I)NS OF rrrt¡.; 1'1''{'vIJ'' ¡\ND ANY OHlER STATE. weAL AND Ft:)ERAL.IŒGUI.J\'nONS. n II~ F( WM I JAS 1tI:I:N <:OMl'r :" ':1> (INDER PENALTY OF' PERJIJRY. AND TO'n IF. /JEST OF MY KNOWJ.I:J)(ilo; 1:\ lRI II'; "Nil ('(IF 1<1,:' THIS APPI..ICA TfON BECOME A PERMIT WHEN APPROVED 'I) tl ' ('/71 ~ /#J¡~f'-.c.14) - CITY OF BAKERSFIELD - ,.FICE OF ENVIRONMENT.,SERVICES 1715 -Chester Ave., Bakersfield, CA9J:íOl (661) 326-3979 , ' e UNDERGROUND STORAGE TANKS - UST FACILITY TYPE OF ACTION (Check one Item only) o 1, NEW SITE PERMIT ~ J, RENEWAL PERMIT 'ò 4, AMENDED PERMIT o 5, CHANGE OF INFORMATION (Specdy cNlIg8' ' local use only) . 0 6, TEMPORARY SITE CLOSURE Page _ of _ o 7..PERMANENTL Y CLOSED SITE o 8, TANK RE~VED 400, BUSINESS NAME (Same as FACiliTY NAME,. DBA· Doing BuSineSS As) I. FACILITY I SITE INFORMATION 3 FACILITY 10. ,1 ipS -¥ Wll'5 ,eel Æ1, GAS STATION o 2, DISTRIBUTOR TOTAL NUMBER OF TANKS REMAINING AT SITE 401, ~lllTY OWNER TYPE jð-1, CORPORATION o 2, INDIVIDUAl o 3. PARTNERSHIP o 4, lOCAl AGENCYIDISTRICT" o 5, COUNTY AGENCY" o 6, STATE AGENCY' o 7, FEDERAL ÁGENCY· 402, 3 o 3, FARM 0 5, COMMERCIAL D 4, PROCESSOR 0 8. OTHER 403, Is facility on Indian ~ ,. " owner of UST a public agency. name of su)el\liSOrof trusIIancls? division. section 01' office whic:ll OI8I'I/es tile UST, (This is tile c:ontaá pe<sonlor tile tank recarcls,) 404. ' Dyes ¡{~ 405, 406, IL PROPERTY OWNER INFORMATION 407. PHONE 406, PROPERTY OWNER NAME 8h u IÙ l.. < ~f Shu JA IV MAiliNG OR STREET ADDRESS 756'-1 6-e. L QA,j+C CITY (btL/(µ..,o f'(.e. t cl I PROPERTY OWNER TYPE WAt0q ~+ 409, 410, 412. I I o 1. CORPORATION 2. INDMOUAl o 3, PARTNERSHIP o 4, lOCAl AGENCY 1 DISTRICT o 5, COUNTY AGENCY o 6, STATE AGENCY o 7, FEOERAlAGENCY 413, TANK OWNER NAME III. TANK OWNER It<lFORMATION 7-Eleven, Inc. I Gasoline Accounting . ¡ I P. O. Box 711 ! Dallas, TX 75221-0711 414. I PHONE ,415, 5""ð3- 977-77J~ 416, I . I MAILING OR STREET ADDRESS 417'1 STATE 416. , ZIP CODE 419, CITY' I I I TANK OWNER TYPE ..J. > '~==~Cr;'-INOMDU~· ~' CORPORATION, 03. PARTNERSHIP --""-.~::::: o 4, lOCAl AGENCY 1 DISTRICT o 5, COUNTY AGENCY D 6. STATE AGENCY 420, o 7, FEDERAL AGENCY IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER TV (TK) HQ Call (916) 322..9669 if questions arise 421, V. PETROLEUM UST FINANCIAL RESPONSIBILITY INDICATE METHOD(S) 0 1. SELF-INSURED 0,2. GUARANTEE ~3, INSURANCE . o 4. SURETY BONO o 5, lETTER OF CREDIT o 6, EXEMPTION o 7, STATE FUND o 8, STATE FUND'" CFO LETTER 09, STATEFUND,"CD o 10. lOCAl GOVT ,MECHANISM o 99, OTHER: 422, VI. LEGAL NOTIFICATION AND MAILING ADDRESS Ched< one box 10 indicate wIIiCII acid... sllouId be uHd f,. legal notiIIc:aIions ancI mailing, Legal nollflcations and mllillngs will be ...110 the lank owner unless box 1 01' 2 is c:hecked. o 1. FACilITY o 2, PROPERTY OWNER 3, TANK OWNER 423, Certlflca~on: I certify lI1alll1elnlormdon SIGNATURE OF APPliCANT VII. APPLICANT SIGNA TURE ì I DATE 424, PHONE 425, Jj03- q71-77/3 I 427, , Environmental Manager i --Y and acX:ur8te to tile best of my knowledge, I , 'NAME OF APPliCANT (print) 426, N ( or lOul use only) 429, UPCF (7/99) S:\CUPAfORMS\Swrcb-a.wpd ~ CITY OF BAKERSFIELD , . O_CE OF ENVIRÖNMlNTA~RVICES " 1715 Chester Ave., Bakersfleld,CA 93JOf(661) 326-3979 UNDERGROUND STORAGE TANKS ·,TANK PAGE 1 (6 3. RlHlWAL ~ fSl»d1- . 1M lOcal .... OtIIyJ BUSINESS NAAt! Is-.. lAClUTYNMtI tit 08A. Oøng 11.--...) /(P6~C¡ ~\t~crn ~ (SI»d1.... ·1oI1OcaI.... OtIIyJ 3 IN:&JrV ID. Pever¡ o e, rEr.tPOAAAY SlTeQ.oSUN! o 7. PEAMAHEHTl Y CLQSEO ON SI'Ì'e o e, rANK REMOVED !'VPI! 01' CION 0 ,. rcw SITe PPYT ,0 .: AMUaD Pl!AWT , I C/lec- 0'" ,,.,,. O/'II'fJ OS. CHAHGlMIHFOftMATION) , L TANK DESCRIPTION COMPARTMENTALIZED TANK 0 v. II-r.·. campMle _ lege, far MCfI CDmIMI/IeIII. " ~... AN I . ~OO~ /6' ðtJ ~ I lOA I ( j /6/19~ I~ I ¡ TANK use, 431 I N " MOTOR \IÐfICLI JIUIL 'f,i'-",.tfIed. '--.. ,........ ')peJ o 2. HON-I'UEl PETRDLI!UM o 3. CHEMICAl. "ADOUCT 10 4, HAlAADOUS WAST1! (bIWu I !bell 01) 095. UN<NDWN . . f'-1OIId - C/III)' 43- .. TANK canBrI'I )./ PETRDU!UMT'tPI! ~ '1& MCUMUNI.!AŒD 0 2. LfADED [J 11t. ......1N.VoŒD 0 1 OlEa o 1Co IeQfW)I! tKEADED 0 .. GASOHOL COIM)N NMtI!/'-,...,............ ~P9J .. o 5. JET FUEL EJ .. A'MTIOH FUEL o SIll. O-nœR CAS' {PIom HIø/WUI.............,.", P9J ...: .., i I' TYPE OF TANK, .. I fCNdt _ ..... od1J Ii I I TANK AMTERIAL ~IIW/IIIy IBM ~1. IAN! STB!L I ! (CNdt _ _ odyJ . [J Z. STAN.ØS STEEL I; ·1, TANK AM TEAW. . -*'Y IBM [J 1. INtI! SrI!a I , (CNdt_-od1J [J 2. ITAIfiUSIITIEL' [J 1. .... WM.L ~ ocuUt-La. GR-~l,Ne- .. TANK CCIIaI1ItUC'f'I [J J. ...... WALL wmt I!XTI!RIÒR ~...~ LIII!R . o 4. ...... WALL IN A VAULT [J 1. ...... LND C 2. MJM) IMNI o 3. ~'PI.ASTIC o .. STEEÍ.Q.AO~ A9FORCED P\ASTIC (FRP) j;' FIIERGLASS I PI.ASTIC STEEL Q.AO WFIIERGI.A8S A9FORCED PI.ASTIC (FRP) o 5. CONCAETE q J. I!POXY IMNI , 0 4. "I!JIDUC LNG o 5. SINOU! WALL wmt INTERNAL MADDER SYS1&I o IS. UNKNOWN o SIll. OTHER o s. CONCRETE [J 15. UNÌcNowN 0.. FRPCOWATl8Lev.rtOKMETHANOL 0.. OTHER 443 444 [J .. FRPCOWATIBU! v.rtOK METHANOL [J I. FRP~JACI<E1' [J 10. COATED STEEL 0... UNCNiOWN [].. ,OTHER 445 C 50 G&AI8 LNNO CI.UK.INED 0... UNKNOWN [J SIll. OTHER ... ~T8IN8TAU.ED ..7 ..,- . DfoT8INSTAI..LED 4411 o S, FIIEßCJLASI RI!H'OACI!D PWTIC 0 IS. UNKNOWN o ..IWRESII!D CURAI!NT 0.. OTHER ... SPIlL AND OVEAFI.L ! {C/IecII" ~III/IIIYJ I (FfW 1rx»I_ C/III)' 451 OIIEAFLL PROTECTION EOUIPY!NT: YEAR INSTALLS) )r.r.? 0,. ALARM, ~. FILL TUBE SHUT OFF VAL'Æ l1[(2...- o 2. 8AL.L FLOAT 0 .. exeMPT. ..... "; '1> ,. ,:,:,:.... :-.~..~1t~.; C 50 MANUAL TANK GALIOINO (MTOI C ... VAÐ08e ZOHI! C 7. QlQH)WATIA ST" TlSTICAL ININTOR'f MCONCIUATIOH (II1II1 · C '.. TANK TUTIHO 81eNNIAI. TANK TUTINO C. OTHM Y. TANK CLOIUIU! INPORMATION IPlIUIANINT CLOIURlIN PLACe ISTIAM rID OA TI LAIT UIIØ (YMO'DAY) ... ~TID QUNIITTY ~ SUllTAHCI MMNNINO ... TANK'IU.ID wmt INIRT MATIRIAL' "7 ...... o vel , CND PCF (7198) ·S:\CUPAFORMS\SVVRC8-8·'NPO -- CITY OF BAKERSFIELD '.- - ,OfI'IC. OfI,INVIRONMENTAL SERVICES .a, . hate, Aw., llakenfteld, CAI3301 ("1) 32 .. . ~' " k', ,j/ ''"i¡' ~ UIT . TAllIe PAGe VI. ...... CCNITItUC110H fChec*""""""" UNOeAOflOUHO PIPING , SYSTEM TYPE ' M, PRESSURE 0 2.SUCTIOH 0 J. GRAVITY 451 0 1. PRESSURE CONST~UCTIO~ " SINGLe WALL .. 0 J. LINED TRENCH 0 Ie. OTHER 4eG 0 1, SINGlE WAll MANUFACTURER! 0 2: DOUII.! wALL. 0.. uNKNOWN 0 2. DOUBlE WAll I MANUFACTUReR .., MANUFACTURER ¡ ; 0 " IARE STEEL 0 .. FRP CCM'ATIIL! * Ion METHANoL 0 1. BARE mEL :MATERIALSAHO'O 2. STAINU!SSSTEEL 07. QALVANlZmS1UL 02. STAlNLESSmEL : CORROSION ; t PROTECTION :0 J, P\.AST1CCOWATlllLEWlTHCONTENTS 0.. UNKNOWN 0 J, PlASTIC COMPATIBLE WITH CONTENTS ~4. FIBERGLASS 0 .. FL!xnIu! (HDfIE) 0 III. OTHER 0 4. FIBERGlASS : 0 5. STEEL WI COATING 0 t. CATHODIC PROTECTION .... 0 5, STEEL WI COA TlHG VI. PPIIfO LeAK DETECT10H (CMdt.. III« eppIy) :,:.~.~ OISPeNSERCONTAlNM!NT 0,. FLOATM!OWIISMTHATSHUTSOFPIHI!ARVALVE OA TE INSTALU!D .... ' 0 2. CONTINUOUS DIIfIINSIR PAN S!NIOR . Auoae AND VISUAL ALARMS -'- 0 J., CONTINUOUS DllPlHSERPAN SENSOR mIIi A&Íro SHUT OFF FOR DISPENSER · AUDIBLE AND VISUAL ALARMS . IX. OWNIRIOPIRATOR SIONA TURI III"" 1rItcMIedgI. UNDERGROUND PIPING ESSURIZED PIPING (CIIet:It .. 1ItIJ, eppIy): ,. ELECTRONIC LINE LEAK DETECTOR 3.0 OPH TEST mItf AUTO PUlP SHUT OFF FOR LEAl<. SYSTEM FAJLUAe, AND SYSTEM IJISCOIINECTIDN . AUDØ.E AND VISUAl.. ALARMS 2. MONTHL V 0.2 OPH TEST 3. ANNUAl. INTEGRITY TÈST (0.1 OPH) CONVEHTlONAL SUCTION S)'STEMS: ,0 5. OAIL Y VISUAL MONITORING Of' PUMPING SYSTEM . TRENNIAL PIPING INTÉORrTY TEST (0,' GPH) I ,i SAFE SUCTION fO'YSTEMS, (NO VALVES" BELOWGAOUND PIPING): o 7. SELF MONITOAJNG GRAVITY FlOW: 0, 9. BIENNIAL INTEGRITY TEST (0.1 OPH) II!CONDARILY CONTAMD JIUIING PRESSURIZED PIPING (CIttdI../Itat WIt): '0. CONTINUOUS T\IR8INE SUMP SENSOR mnt AUOIIlE AM) VISUM. ALARMS AND (Check _I 0.. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o Þ.' AUTO PU'" SHUT OFF FOR LÆAKS. SYSTEM FAILURE AND SYSTEM OISC:()MECTION o Co NO AUTO PUMP SHUT OFF , , o ", ~~UNE LEAK DETECTOR(UOPH TESTJmItfROWSHUTOFFOR o 12. "ANNUAL INTEGRITY TEST (0.1 GPH) SUCTIONGRAVITY,SYSTEM: o 13. COHTJNUCIUS SUMP SENSOR . AUDeLaAND Vl8UALMARMS IM!JtGINCY OI!NlMTOIIII ONLY (CIttdI" lilt""" o 14. CONTINUOUS SUMP SENSOR m:D:DlIAUTO PUtoP SHUT OFF. AUDI8U! AND VI~ ALARMS , , o '5. AUTOMo\TlCUNE LEAK DETECTQR(3.0 OPH TEST)mDQUI ROW SHUT OFF'OR , RESTRICTK>N . , O,e, ANNUAL INTEGRITY TEST (0.1 GPH) o , 7, CAlLY VISUAL. CHECK .·;,'1~if~.~Þ~~trZ~.~~~'t:~~· --'i-_l~7' ;'¡",' . ........ _~..~~: h "t . __1Í.:¡}__. "".. . NAME OF OINNEAIOPERATOA (pt/IIt) I «*IJfy "'81 IN l/llamlllan IIO\IICIId IIGreIn !lINe SIGNATURE OF OWNt!RIOPl!RATOR ,.. fI - ..... A8C)vI!QIIIOUNO PIPING o 2. SUCTION o 95, uNKNOWN ':.¡ o III, OTHER I o 3, GRAVITY , ' 4, 0,8. FRP COMPATI8LE WI 10n hETHAHOl o 7. GALVAMZED STEEL o 8. FLÐCIØI..E (HOPE) , 0 III, OTHER o 9. CATHODIC PROTECTION o 95. UNKNOINN 4, .,,;,'- :. .... 4t PRESSURIZED PIPING (CIIet:It .. /N' apply): o 1. B.ECTRONIC UI'E LEAK DETECTOR 3.0 GPH TEST mItf AUTO PUMP SHUT OFF FOR 1ÆAK SYSTEM FAILURE. AND SYSTEM DISCONECTION . AUOI8LI! AND VISUAL ALARMS o 2. MONTHLV G.2 GfIH TEST o 3. NMJALINTEGRITYTEST(O.1 OPH) o 4. OAIL V VISUAL CHECK CONI/ENTJONAL SUCTION SYSTEMS (ChecIr....'~): o 5. OAIL V VISUAL MONITORING Of' fIPIttIO Nfl) PUMPING S't'ST'EM o 8. TRJENNIALINTEGRITY TEST (0.1 GPH) , ' SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUNO PIPING): o 7. SELF MONrTORING GRAVITY fU)W (CMdt../Itat W/y): o e. OM. Y VISUAL MONITORING o t. 8lENNW.1NTEGRfTY TEST (0.1 OPH) , III!CONDMILY CONTAINED PIPIÑG PRESSURIZED PIPING (CItecIc" fIll' .,): 10. CONTINUOUS TURBINE SUMP SENSOR mnt AUDIBLE AN) VISUAL ALARMS AND (."oríe° o .. AUTO PU'" SHUT OFF WHEN A LEAK OCCURS o II. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE 00 SYSTEM DISCONNECTlO'" o Co NO AUTO PUMP SHUT OFF o 11. AUTOMATlCLEAKOETECTOR o 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTIONGRAVITY SYSTEM: o 13. CONTINUOUS SUY" SENSOR . AUDI8LE AND vrSUAt. ALARMS IlleRGINCY OENIRATOIIII ONLY (CItecIc" fIll' wM o 14. CONTINUOUS SU'" SENSOR mnaaAUTO PU'" SHUTOFF .AUOU AND ~ ALARMS o ". AUTOMATIC UNE LEAK DÈTECTOR (3.0 OPH ~ST) o 1e, ANNUAL INTEGRITY TEsT (0.1 GPH) o '7. OAILYV15UAL CHECK :~~.>'~\·;;··f.\,~~~~i~¡: , :h~~~\;';¡.~~~{ttt:'i':~4:-~·' o 4. DÂLv VISUAL CHECK o So TRI!HCH UNER I MONnOfUNG o .. NONe 488 CATE .72 .70 471 TITU!OFOINN l Environmental Manager '¡ , ' I ~( Hum... (ForIDCMIIII 0IIty) 473 ,..,... AIIIOWICI (For 1otIII.. only) 474 I P"",1!IIIrIIIan DIIe (l'GtlDCll" OII)I .15 ] UPCF (7199) S:\CUPAFORMS\sWRC8-8.WPD , .. , ' CITY.OF BAKERSFIELD " O.CE OF ENVIRONMENTA.RYICES ' 17.15 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS· TANK PAGE 1 (£ rvPEOF CIOH a I, ,NlWSlTIPeIUT O..,AMeHDeDPeAWr '¡ CII«- 0'" ,_ onIri o s. CHAHGI 0' INFOfUM TIOH) ... r¡ o e, T£MPOAAAV SITe CLosuq CJ 7. PER~v~òseOONSlTe o a, TAN< RfMOV£D 3. ~AL II!AMT ' (SI1«tIY _ . W lOcal .... OtIi'/J BUSINESS ~ (Seme. ~AClUTY NAMe 01 08A. DaIng ~...) (SI1«tIY cI\IIIpt . W lOcal.... OtIi'/J 3 FAØ.JfY ID . W l \.3. en--) 'r:2J. L TANK DESCRIPT10H COMPAAnENTAUZED TANK 0 v. No ""Y.'. can,.. one pege lor Mdt ~ 0-0 '(L ~ I lOA IN ( i/6l/9~ AOOIT1ONAL DESCAPT10N l'-IOOIII- 0IIItJ ~ TANK use 431 , I, MOTOR V!HICI.I fIU!L (If tad. ___~ 7)peJ o 2. NQN.FUEL PETAOI..E\At '0 3, CHEMICAL "AOOUCT o 4. HAlAAOOUS WASTe {lIIaWoI u.d Of} 095. uNCHDWN I TYÆOFTNIC I (CIteØI_ 11M! ~ i ! TANK M4TÐtiAL . /IIIIIIIy 1M! ~,. BAAl! S1UL ' ' I (CIteØI_ "'" 0IIIyJ 0 2. STAN..!SS STEEL : T ANI< M4 TERIAL . -*'Y 1M! 0 ,. 'BAAl! STIlL (CIteØI_1fem odyJ 0 2. STAKDI STI!L :r''; , ., _LI WALL TAMe (OtaII....., WI¥: CJ I, VISUAL (IXJIOIID PORTION ONL V) o 2, AUTOM4T1CTN«GAUGMJIATO) o ], CONTlHUOUt AM o 4, STATISTICAL IN\IIIHTOAY MCONCuATION (SIR) ~ . II!NNIAI. TNIC TUTINO TAN< IHTEIUOft LNNG OR COATING (C/tedl_ "'" odyJ SPILL AND oveRFU I (C/tedl ~ rNIIIJPIYJ I /ð 00 4:. I. TAMe CCII1IIITI NTRDU!UM 1VPI! o ,.. MOLUR UN.IAŒD 0 2. LEADED 0,.. ....... UN.IAŒD 0 3. DIESEL W;c. MIDoRAœ Ut&.EADED 0 .. GASOHOL COIoMIN NNoe......,..,.......... t-*'Y t»fI8J ... o S. :£r FUEL EJ .. AVIATION FUEL o II. OTHER 441, CAS'/ll'DmHaø/dllØ~~t»fI8 44: c ,. .... Wo\LL ;JiÍ.z. ocxaa WM.L a TANK CØII1"IIUCnON o s. INLI! WALL WITH I!XTPIOR ISØ"ne LINER [J 4. INLI!WALL..AVAULT ..:¡ o s. SINGU! WALL WITH INt"ERNAL MADDER S'tSTÐf [J 115. UNKNOWN [J II. OTHER o s. OONCA£TE [J... UNKNOWN o .. FRP COM'ATIIIlE W1~ a.ETHANOL a II. OTHER 444 I C ,. .....LND C Z. AIJM) ueG ' o 3. FIIIEROI.Ass I PI.AS11C o ".STEEL a.AD WFIIIERGLASS AEJNFOACED PI.AS11C (FRP) . 0 3. FIBERGlASS I PI.AS11C , 'r:7t 4. STEEL a.AD VWFIIERC'ÅAss r AEJNFOACED PI.AS11C (FRP) o s. CIONCN!TE o S. ePOXY LIÌNG, C 4. PI...,. IC UNNG [J... UNICNOWN [J... OTHER o I. FRP COM'ATIIU! W1~ a.ETHANOL o I. FRP NON-CORAOOI8LE JACKET o 10. COATED STEEL 445 448 IMTI! INITAUED 447 ell. UNCNOWN C II. 'OTHER o 5. Ql.Al8I.MtO CI.UfU&) 448 C ,. 1WoU'ACTUN!D CA'ÐtCOIC 0 S. ....ua.'\SS RINOACBI PI.AS11C MOT1!CT1ON 0 4. .....S8ED CUM!NT o 2. SACM'ICIAL AHDOI! ~ Vl!AAINSTAUED 4SO T'tPE(FfwIOUl_OttIyJ '451 ,. SPILL CQNTAINMI!NT , 2. DADfI,,* I B '. 3. ITRIICIIt PLATI C 115. UNKNOWN 0,... OTHER ..... iFo' 1OtaI_ 0IIItJ ovøu:u PROT1!CTIOH EQUPfoENT: Y!AA INSTALLfD ' 1M' .,. o 1. ALARM ~. FILL TU8ESHUTOFFVALVE r.t:/fL o 2. BALL FLOAT 0 .. I!XEMPT ., .'~ . ...." , . :.:,:.... :··:·.:lt~·; ... C 5. .wIUAL. TANK OAUGINO (wrO). C I. VADOSe ZONe o 7. OROUNDWATIR o I.TNIC TUT1Ho 0... OTHIR Y. TANK CLOIUU "ORMATION I PlIUIANIHT CLOIUQIN PLACI IITIIMTID QUNIITTY C1' SUlSTANCI ~ '.... TAN<'uao WITH MAT MATPIAL' , "7 ISTIM4 TIO OATlI.AIT UIID (\1WItIO/IMV) UPCF (7190) ....... ' o v. 0 No S:\CUPAFORMS\SWRce:.a·WPO , CITY OF BAKERSFIELD . 0fI'1C1 OfIINVIRONMENTAL SERVICES _ ' .C...te, Ave., "'kenfleld, CA 13301 ("1) 32"" ....(;~ ,-- ~. UIT . TAMIe 'AGf ,.. aI - -=- UNOt!AOIIOUNO PIPING VI. ...... CONITItUCTlON (a.. II lief ItIIII1J I A80V£OIIOUNO PIPING SYSTEM TYPE ßf t PRESSURe 0 2, SUCTION 0 J. GRAVITY 458 0 t PRESSURE CONSTRUCTIONI,i{t SINGt.! WALL 0 J: LINED TReNCH 0 II. OTHER 4410 0 t SINGLE WALL '-MNUFACTUR ~O 2, OOU8U! WALL 0 II. UNCNOWN 0 2. OOU8U! WALL I M4NUFACTVRER ., , "" MANUFACTURER ,0',8ARESTEEL De. FRPCO..ATJaI!wt1001UETHANOL 0 t, BARE STEEL : '-MTERIALSANO '02. STAINU!SSS11!I!L 0 'T. QALVANIZEOSTm 02. STAINLESS STEEL : CORROSION, : PROTECTION ~3, PlASTIC COW'ATIILE WITH CONTENTS 0 II. UNKNOWN 0 3. Pl..ASTIC COMPATIBU: WITH CONTENTS ~ 4, FIBERGlASS 0 .. FU!XI8U! (HDÆ) 0 II. OTHER 0 4. FIBERGLASS :05. STEELWlCOATtNG 0 t. CATHOOÍCPROTECTION .... ,05,STEELWlCOArWa VI. PPING LeAl( DEtECTION (CMdIII'" 1/PPIy) ,0 1. FL04TaeawaMTHATSHUt'SOfII.IHI!ARVALVE o 2. CONnNUOU8 DIIPI!NSI!R PM SENIOR . AUDIiu! AND VISUAL ALARMS o 3. CONT1NUOUI PM SENIOR mDS AUI'O SHUT OFF FOR DISPENSER . AUDIBLE AND VISUAL ALARMS . IX. OWNI!R1OPI!RA TOR SIONA TURI! IteII tI my 1utcMIecIge. , UHDERGAOUND PIPING PR SSURIZED PIPING (CItedt ., ..., 1/PPIy): 1, ELECTRONIC LINE LEAK DET1!CTOR 3.0 GPH TEST mDf AUTO...... SHUT OFF FOR LEAK. SYSTEM FAILURE. AND SYSTEM ~ +AIJDØ..E AND VISUAL ALARMS 2. MOHTHL y 0.2 OPH TEST 3. ANNUAL INTEGRn'Y TEST (0.1 CJPH) CONVENTIONAL SUCTION SYSTEMS: ,0 5, DA.II. y VISUAL MONITORING OF fIUa,PIN(J SYSTEM + TAIENNIAI. PIPING NTEORrTY I TEST (0, I GPH) Ii SAFE SUCTION ~'YSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7, SELF MONITORING GRAVITY FLOW: o 9. 8IÐNAL INTEGRITY TEST (0.1 CJPH) 1I!iCONDARIL\' CONrAMD JIIIIING PRESSURIZED PIPING (Ch«Jr""" WI1/: " 10. CONTINUOUS TUR8IfE SUMP SENSOR mDS AUDIBLE NfJ VISUM. ALARMS AND (Ched< one) i 0 a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ¡, 0 Þ. ~OFF FOR LEAKS, SvsTEM FAlWAENfJ SYSTEM o c. NO AUTO PUMP SHUT OFF o I 1. AUT'OMATIC LIE LEAK DETECTOR (3.0 GPH TEST) mDf FlOW SHUT OFF OR RESTRICTION o 12: ANNUAL INTEGRITY TEST (0.1 GPH) SUCTIONlGRAVITY SYSTEM: o 13. CONTNJOUS.,.. SENSOR. ~AND VllUALALAMe I!MUØI!NC\' GINIMToa OIL\' (Ch«Jr II.., wM o 14. CONTINUOUS SUMP SEN80R rdItIIlIAUI'O PUfoP SHUTOFF. AUOØ.I! AND , VISUAL AI.ARMS o 15. AUT'OMATIC LINE LEAK DETECTOR (3.0 GPH TEST) rdDIBa FlOW SHUT OFF OR RESTRICTION I 0 1~, ANNUAL INTEGRITY TEST (0.1 GPH) o 17, DAILY VISUAL CHECK . '"w~..~,,,,~,,... . ' "1 " - . _ "L.'4",iI;', d'~ ," ~'" ... ..', ,""'í I". "":,,,rr._ -»~1'r . t\ ~t:: ~ ~-_~i:J'.:. ~~..' :...~'t... DISPeNSER CONTAINMENT DATE INSTALLI!D 488 I C*1dy IIImllle oIIbmellon IIIWICIed tweIn .. SIGNA TUR! OF OWNERIOPERATOR ì NAMe OF OWNERiOPERA TOR (ptIttt) ,,( _, Bob DeNinno o 3, GRAVITY o 2. SUCTION o 95, UNKNOWN o II, OTHER .' De. FRPCOMPATI8L£W/1001UETHANOt. o 7. GALVANIZED STEEL o I. FLEXIBLE (HOPE) ,0 9SI. OTHER o t. CA THOOIC PROTECTION' o 95. UNKNOWN 4, .~'-' : ASOVEGROUND PIPING WALL PIPING 4< PRESSURIZED PIPING (CItedt., IN, WIY): o 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST mDf AUTO fIUM' SHUT OFF FOR lEAK SYSTEM FAILURE. Nfl) SYSTEM OISC()NiIECTION + AUDI8l£ AND VISUAL ALARMS [J 2. MOHTHLY 0.2 OPH TEST [J 3. ANNuAL INTEGRnY TEST (0.1 CJPH) a. 4. DAILY VISUAL CHECK CONIIENTIONAL SUCTION SYSTEMS (ChecIr.....'~): o 5. DAILY VISUAL r.tONITORIiIO OF PIPING NIO PUM'ING SYSTEM o e. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN øaow GROUND PIPING): o 7. SElF MONITORING GRAVITY FLOW (CMdI" /Nt 1/PPIy): o e. OAI. Y VISUAL MONITORING o t. ØlENNlAl.;INTEGRnYTEST(O.1 CJPH) IECONDARIL \' CONTAINED PIPING PRESSURIZED PIPING (Ch«Jr ., /Nt ¥PIYJ: . 10. CÒNT1MJOUS T\JR8INE SUMP SENSOR mItt AUDIBLE Nfl) VISUAL ALARMS AND (cNck _ ' o .. AUTO PUW' SHUT OFF WHEN A LEAK OCCURS' , o b. AUTO PUW' SHUT OFF FOR LEAKS, sYSTEM FAl.URe AND SYSTEM DISCONNECt'JON o c. NO AUTO PUMP SHUT OFF o ". AUTOMATIC LEAK DETECTOR " o 12. ANNUAL INTEGRITY rEsT (0.1 GPH) SUC'TlCm'QRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR . AUOIIlE AND VISUAL ALARMS I!III!RGI!NC\' GENlRAToa ONL \' (Chect II /Nt wM o 14. CONTINUOUS SUW' SENSOR mnaa AUTO PU" SHUT OFF . AUDI8U! AND VISUAl. ALARMS o 15. AUTOMATIC UNE LEAK DETECTOR (3.0 GPH TEST) o liS. ANNUAL INTEGRITY TEST (0.1 GPH) o 17. DAlLYVlSUALCHECK ..,.~~.~r,·.:;.tt\·.~#~~t~j ~~~>':4i~t;ti~,~::{~4:-~·' o 4. DAILY VISUAL CHECK o S. TRENCH LINER I MONITOAIHG o .. NONE - 471 472 DATE 470 i Environmental Manager I, ,,- ' J' . 473 """'~(For"'-CMt}1 474 , Perml~o.(I"OI'..._0IIf)'}4t5 J. , Petm~~""(For1OUl_0IIIy) UPCF (1/99)' S:\CUPAFORMS\sWRC8-Ø.WPD ~. ~ eo,.,..,...tiøa 4005 Port Chicago Highway Concord, CA 9452()..1120 Tel. 925.288.9898 Fax. 925.288.0888 iii 001 02/11/00 FRI 11:10 FAX 19168582355 GROUNDWATER . tlw'f;groUl! February 10, 2000 A J\lem~r of The iT Group Inspector Steven Underwood City of Bakersfield Fire Department Office of Environmenbll Services 1715 Chester Avenue, 3rd Floor Bakersfield, CA 93301 Subject: Permanent Abandonment of Premium Unleaded Underground Storage Tank 7-Eleven Store No. 16549 4647 Wilson Road Bakersfield, California Dear Mr. Underwood: IT Corporation, on behalf of 7-Eleven, In response to the Bakersfield Fire Departmenfs February 3, 2000 letter, requests abandonment In place of the premium unleaded I.I1derground storage tank which WBS taken , out of service in 1999 at the referenced site. Abandonment in place Is requested In lieu of removal or repan due to cost considerations and logistic concerns. Repair of the tank in place would require costly repaIrs and safety measures (confined-space entry). Removal of the tank would iwolve significant logistic and safety hazards as weD, a8 the tank illocated between two other tanks. PossiJle considerations include roRing of the other tanks when the center tank Is'removed, breaching the emtlng tanks during removal of the cëriter tank, and other slmilar potential .cenarios. The worst case scenario would be removal of al three tanks In the rnerests of safety, which would be cost-prohlbitive and tec:Mically UMecessary. The tank did not fully fail; only the Imer lining leaked, and the tank was drained immediately. The sub&&riace loss (If any) is considered likely to be minimal, and subsurface assessment to evaluate soil and/or groundwater conditions below the tank is acknowledged as a Hkely concition of abandonment in place. SUch requirements are anticipated to be much less costly than the alternative repair In place or removal. AU required provisions to property abandon the tank and prevent its future use wiD be completed in accordance with Bakersfield Fire Deparbnent stipuations. Please caN me at (925) 288-2190 if you have questions or comments about this correspondence. Sincerely, IT Corporation, Inc. Submitted by: ' :=;;4~~ Sheby Lathrop Project Manager cc: Bob DeNinno. 7-Eleven, Inc. FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAù< (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAù< (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAù< (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAù«661)326-o576 TRAINING DIVISION 5642 VICtor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAù< (661) 399-5763 - . I I February 3, 2000 Mr Bob DeNinno Southland Corporation 10220 SW Greenburg Rd. Ste.#470 Portland OR 97223 'I Re: 7-Eleven Store #16549 at 464 7 Wilson Rd. Bakersfield, CA Dear Mr, DeNinno: I am in receipt of a letter (undated) from Banks & Co. Petroleum Equipment, informing this office of a leak in the primary tank of the double wall Premium Unleaded UST at the above referenced site. The letter indicates that the fuel has been removed and the tank has been taken out of service as of October 1, 1999. The letter further requests a temporary closure of the tank. This office does not approve temporary closure for tanks which have failed. You must either take the necessary steps to have the tank repaired, retested, and , return to service, or else removed and/or replaced. Therefore, prior to February 25, 2000 you must have on file, with this office either a permit to modify the tank for repair or a permit to remove the tank, and/or a permit to install a new tank. If you have any questions, please give me a call at (661) 326-3979. Sincerely, ~'~-G~~ ~ Howard H. Wines, III Hazardous Materials Specialist Office of Environmental Services HHW/mv cc: A..Rivas Jr., Banks & Co. D. Bean, IT Corp. S:FEBOO\BobDeNinnoL3 --y~ de ~~ ~.A0h? g--kt, A W~" I, . - -- - -~ -- _.- - . . . " , , ce- ,BAttKS' :&-"C'O.' "PETROlEum, EQwpmENT " ' - . o lllB3~1:rÆ!1!1&1:rll~fE . , - -- , , ~ - -.. -- Œ@illIll¡Pj¡ìjJ[:e;~1r· 9. ~&!1Œ~ o ~æ.IRSWllc:cæ·· . - . :. --"- 2403 EAST BElmON( ~~ESNþ:(ALlFORNIA Q3701 o(20Q)'48:5-:3456:òLlCEtI~E,t-IO, 383550 , ~ I I I I -. -. -- .-.. '- , " - , " - ,- ' - i .'c " ' - - , . ,City of Bakersfield :.: ',' Fire:D~partJpJ~l1t l.,E:nvironmental Office . 1715 Cheste.(-Ave., Third Floor Bakersfield;CA 93301 Attn.,: Steve Underwood . ~:: ~, , .. :. . -ENW!.~Œ0;~'itff;m;e Temporary .Ç1<;>sure of Premium Unleaded Unçlergrou~dStorage Ta11k: '. S -- .' . , , . bqEC~aVED, . (~OVÖ\~¡ 1999' , . RE: I. ~"o==,._ Site: 7-Ëlevén Store #16549 _ _~.--A64.1_\\Ülson"Roa(lo.ò-~~~~"-=7-~~, - Bakersfield, CA, _ _.....--c..:.o:" _.....~ --'- . . -- ._- - ---..::-, ' --~--=",,=-==::'--. ..,.<:;~----;:.~-,,- -.- - - - ~ _._-;-0 ... Dear Mr. UnderwQÇ>:9; , - This lette~ is afqllowup to our phone conversation of October 29, 1999. This letter is to' confirm that the above-mentioned undergroundstorag~ tank (UST) was tripled rinsed and that the rinse water was properly disposed of. Attached is a copy of the Unifoìmed Hazardous Waste Manifest and a letter to LT. Corporation as to the steps:forthe UST closure. The Lower ;xp'~~si9rlLevèl (LEL) reading on the UST after triple'rinsing was at zero "0". The UST was ii:ipl~ri1Js~d,on October 4, 1999. . '- .. ;. . <;. . _ , . r. _ _ "-~ :: ,-.·:-",tli~:bas,téëhain of events are as follows, on Seþtember 24, 1999_we were 'contacted by7- Elêve!l about a'possible problem with the Premium Unleaded ~ST.On September 27, 1999', we dispatched a crew tothe site to start some tests. After testing the UST we found that !here was a leak betw~en the primary tank and the secondary tank. According to our testing, there has not, been a leak into ,the s~rrouriding environment. .' , . _ '. On Septembër,29,f999, after our testing, my. tester and I called Mr. Bob De Ninno with the Southland Corporâtion. Mr. De Ninno had all ofthe prqduct was removed fromthéUST on '. approximately September 30, 1999, (I believe no later tQ._an that date)..·Ön Octoqer 1, 1999 I was "~ _ ~ ""-:'O-'--'--oþ~ 'instructe-doß/:I3õIfI)'el\J.ìiiliõ' ofSóuiñlànd cõipõfãtiôirtoprOceéa~witho ¡(te'llí.pôrãryCfòšùiê üfthe' - , UST. - - -- -- .- . - .-- --- If you have any',q~estions orifI can help with anything, please call us at (559) 485-3456. YA)'. '-3,"5 Sincerely; , 4d1.e¿~), ...... Adolf~iy~sy,}~: ,.'.2.'" ; Banks&'Co. . - . - ~ . .. ' ; :':':'. :'.: ~~E'erv~s~r,'",: ..~. .:,. . , .--.. -- - -, .'.. - ..-- . + ,. .. . ,1,: ".': , . , , . : ) ;. ,~. ,.... - " j " ': . r":.. '''"'.:':' , ~ . .... ": ' ': . -: " :'~. :" ,~.: ~. ~.';..: ~. . . - ," . ,"' I - ~. ~ '" . , , (.; ~.:. ,". .~ ," . ... ,}", . ',' -. . . ; I" -. .~. -:. : ;--. ::-~ -.;". .~-~.~ ;' ~ ~ - ," .. . . ~ -- i , ' . - . .. - '. ~.";;. .' . ;.-. . -,. , -, .,-. .. . - -- - ~:. : '-<~-"-- ':"" '" - . .. " .- . ' .,. -- -- - - -. ..~. - - ~ - - - -.. - - -. --- ..... ..;:..-..",:_~-:. . . . . - , . '!PEh \-111 fOJPlll:";G' ~ . . . -- -- .- n _ - - - , .' ~ :~LUBE EQUIPmE'¡r:; ¡' ELECTRONI<: FÛËLDISPENSIN2', '. AIR comPRESSORS . _ AUTO, TRiJCK. & BUS'UFTS', "KARD~Lb,CK &KÉYLCXKSXSTEmS . ABOVE &UN¡jERG~O_U,,!DcT8!:1KS . "VÎSES . íiEELS i':: :::, ~.~RÚAIL'8.:COmmERëIALFÚEL:PU.rTÍPs" ."SERVICESrATlON NOZZLES 8. pump HOSES .. VAPOR RECOYER~. " UGHTlfoIGSYS~EmS. cO, VALVES's.-TANK-FITTiNGS '. AIR j1EGULAT0RS 8. FIL TER',.PARTS WASHERS. ~' , ~--~ t:.~ToEAni~CLE8N_E.RS &'PRE?SU~§ Y"~?~ERS,;:: .<~OT TANK~ '~HANp TeJ0LS . AIR,TOOLS . EXHAt,JST SYSTEmS ,. "fLAGS'" mCTRI(:~OTO~S ~:..' flELD,ERE2TED T,ANK:: ~'\.gA~~AS.HEQUIPmENT. .,~ , . ~ ;·-G'.£.!::-=.=. ~ ~ ~- . __ __ _ _~_ . 'er" ~_ _~.,:~ ~~_~ ; - T -..-- -- -. ..- --, - - ~ _~:__._-_~-.. ~ - - '; . ~ ~o~~~~~ ?~:7 - --.- - -- - e UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK) I CONTAMINATION SITE REPORT EMERGENCY ~ D YES ~ NO REPORT DATE >- m o LU .... a: ~ LU a: HAS STATE OFFICE OF EMERGENCY SERVICES REPORT BEEN FILED? DYES D NO CASE. ,-: 'F' .. R" C ·'t·'··A" , 'E' '. ".,'. "."'" "v..·'......,'·'·'·-:.. ,'.'..'.'.."....','.'. .."..."..'....'..,,'.'.'.'.'....'..,'..',. .'.'.'.','."..".'..'.."...'....'.', :: ,0 ,to A"'" G NCY,USEONt """""-:;""."."",.":"",.""",,,-:;,::.., """-:;:/' "."".,.::,{",:,."""."""".""...,""""'-:;:""": jØëBEm-þ~@f)'T~At(ØAygpl$t~laq'T§ÞTBI$lNfóBMAîltiÑAþþQi@NG"()"HEii PI¥RI~YTI9tt~~o/Wpt'lJ~~$WYPJl9N~M~grpNm~3,\ç~p,,(>pP~T¡'¡ISf()l'ìM-/ ¿{II tie. 'i 7lJ ....".............-.........,......... ....................................... .................................. ....... ........................ .......-....... .................,..............,.~...... ...........-................"... ...... ......................................... ....................... ............... ..................................--. ...................' .............. .......... ,....",............. .-........,........... ........ .........,.,................. SGIIEI}<> " ......................, ..........,................,... ... ... ....,.........,............,....,......... .... ... ......... ............. ........... ...."..... .......................... . . .. . ..".,....... .............. ...... ................... .. .............. ",:-'" ',' ""··"'..·""";,,,',·..';,'..'·>DATE..:'·."'·..'" D LU -' m ¡¡;~ Za: 0< g¡a. LU a: ?'IJ2.0 ZIP v..t4.- ¡,....c... ADDRESS , ¿ LOS. fA/. 6-'-'s~!e~ v FACILITY NAME (IF APPLICABLE) D UNKNOWN Z o ;::: < o 9 LU .... ëñ OPERATOR æ~ PHONE 77-77/3 9'722-3 IP f51l.-~r!. ¡¡;y CITY ( /(.Q.,l't-... COUNTY rS:10r ZIP CJ "!;", ....LU z- LUO ::¡;z LULU -,CJ a.< ~ , VI~ CONTACT PERSON gk....<. u. PÞ~ PHONE (66 )3 ¿t -377 PHONE '" LUO OLU z> ;::-' gJg ~"!; '" (1) VI/\. (2) ~«C4L h NAME QUANTITY LOST (GALLONS) [B'UÑKNOWN .... DATE DISCOVERED HOW DISCOVERED 0 INVENTORY CONTROL 0 SUBSURFACE MONITORING 0 NUISANCE CONDITIONS Z o MI? MI 201 3 01 i y '1 ~KTEST LU 0 0 ::¡; TANK REMOVAL OTHER ~ < DATE DISCHARGE BEGAN METHOD USED TO STOP DISCHARGE (CHECK ALL THAT APPLY) m < ~NKNOWN ~OVE CONTENTS 0 CLOSE TANK & REMOVE o REPAIR PIPING >= a: M M 0 0 y LU > HAS DISCHARGE BEEN STOPPED? o REPAIR TANK D CLOSE TANK & FILL IN PLACE 0 CHANGE PROCEDUR 0 0 ~S D NO IF YES, DATE ~HER '" D REPLACE TANK C- o ùJLU SOURCE OF DISCHARGE 0", ~NK LEAK 0 UNKNOWN 0 0 RUPTURE/FAILURE 0 SPILL a:~ ~< go D PIPING LEAK D OTHER D CORROSION D UNKNOWN D OTHER D UNKNOWN LULU CH~CKON ONLY "'a. t3 ~ UNDETERMINED CHECK ONE ONLY D SOIL ONLY o GROUNDWATER 0 DRINKING WATER· (CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) ....'" æ~ ~~ a'" ~ Z LU ::¡; ::¡; o o D NO ACTION TAKEN D D LEAK BEING CONFIRMED D o REMEDIATION PLAN D CHECK APPROPRIATE ACTION(S) (SEE BACK FOR OETAl..SJ o CAP SITE (CD) o CONTAINMENT BARRIER (CB) D VACUUM EXTRACT (VE) PRELIMINARY SITE ASSESSMENT WORK PLAN SUBMITTED PRELIMINARY SITE ASSESSMENT UNDERWAY CASE CLOSED (CLEANUP COMPLETED OR UNNECESSARY) D POLLUTION CHARACTERIZATION D POST CLEANUP MONITORING IN PROGRESS o CLEANUP UNDERWAY -' <z 50 ~~ LU< a: EXCAVATE & DISPOSE (ED) EXCAVATE & TREAT (E1) NO ACTION REQUIRED (NA) OTHER (01) D REMOVE FREE PRODUCT (FP) D ENHANCED BIO DEGRADATION (11) D PUMP & TREAT GROUNDWATER (G1) D REPLACE SUPPLY (RS) o TREATMENT AT HOOKUP (HU) 0 VENT SOIL (VS) , -, c'- -.~ ..,~.. . -''!'''' " ---."~-,,,,;"_Tj.'t,.....,~, ~,..-~.../ __ -~-:{_ ~~ '~., =V ,.',:"'~;"''4~ ,. ~_",'-(:'_~·.-~O~., .... '-...- ..... ......- \.-'.~..- ~'-' ~~ "''- - ..-,..~ UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK) I CONTAMINATION SITE REPORT EMERGENCY ,./" DYES 0 NO HAS STATE OFFICE OF EMERGENCY SERVICES REPORT BEEN FILED? DYES D NO REPORT DATE 1M I MI () CASE. I ( NAME OF INDIVIDUAL,FILlNG REPORT / '\ ., . /' Î::l-'4 ' ~ ../t:l V f ,~~'.' [~).. .. g,~ ~ @ RËPRESENTING [B"ÕWNERIOPERATOR D ~ 0 LOCAL AGENCY D OTHER w a: ,ADDRESS ", I,': L / / I'f, {)() r N:I'?' (" ¿., ,t t~ y'Ù r/ .,' ~;' c... 1.,< /STREET ./ ~ ",I / NAME ~'t - -l /. Ell -....[ i- 7"", (, ~~ 'I / f);¿ ). 0 J, {..1..-'; (. l';;~;;-¿ {, ~J j( pi, . .- FACILllY NAME (IF APPLICABLE) Ô /- fit L;'A! ~ ~ /-;-,,( / t j,/? ¡:: < o 9 w I- ëñ w .... '" ëï.i~ Za: 0< ¡j;o.. w a: D UNKNOWN ADDRESS '1/ t¡ 7 t i1 I IA _/,: /, If: j~ l\, ¡:;. - . ~. Ii"< STREET CJ ~CI) I-w z- wo :::;;z Ww ....CJ 0..< ~ CROSS STREET ," I ~.: (' \ ·t".,.....r A", ,.-1: .~, '..1.,'_ . f.L()C~,L AG~N¡CY // ,.1-./ '/':"1_-( /) AGE(NCY NAME ';.tI "'f¡/' , . 'I,,, {,.." / ',¡tI., ( C~ i..;, ;:¡ <:).{ [~.~....,:. /';:.'........ Æ.-..-oJ 1. ·lo I \;,; t.' ~;" ! REGIONAl BOARD '" (1) ;' ,/ wo Ow z> VV'\ «.... 1-0 (2) "'> "'z ::>- 00 I( / ¡ . I' ,,r'. 1__" / ,r,1, ,,>,' '. .t. }.. \.,. '1'. II f ( ¡......, ""I NAME I- Z w :::;; w !;( '" < >: a: w > o o '" ë5 DATE DISCOVERED {} Mill MI ;\, '$ DI ? y '7 DATE DISCHARGE BEGAN HOW DISCOVERED D [f~K TEST D ,/ QJ UNKNOWN ÙJw 000 a:::> ::>< go 'D UNKNOWN D OTHER o OVERFILL D CORROSION o SPILL D OTHER Ww "'0.. ð~ CHECK ONE.ONL Y '/ Qj UNDETERMINED CHECK ONE ONLY D NO ACTION TAKEN D LEAK BEING CONFIRMED o REMEDIATION PLAN CHECK APPROPRIATE ACTION(S) (SEE BACK FOR DETAl.SJ D D D PReliMINARY SITE ASSESSMENT WORKPLAN SUBMITTED PRELIMINARY SITE ASSESSMENT UNDERWAY CASE CLOSED (CLEANUP COMPLETED OR UNNECESSARY) o SOIL ONLY o GROUNDWATER D EXCAVATE & DISPOSE (ED) o D o n 'f (. " I' 1'" " f / /' , , , t ..r _.'.l.,..",,' ? '~, J,' ", ,t" t " ,. ", ., .., ",' I I. I r .,' ¡". T f!! <....W£." ., '." " ,',~" ( (''';' , 'IN ¿",,~. " v' ... ~ "/..' 'I' ,t ,{ J I"" '/ I,',:: "í~' ¡fi" ''''1..< ," Î "",' or, ¡";' '/':~' ('. ¡--- ,;; ;' i'5 Cc t".,' t; ...... Ii, I... !;i ' J¡' ,.'~'~ ~ ,. c v"",( .4-'t-- &-: {~t,,: f'N".l..., ·...d.t A..¡· I. .'_, '..." pt..- ,.- ,t'J--' d... f {,¡ "- ~ l... t.f<',,".....'r/;:''/c', '" ./-r:(~,.\>...{...,./; I-.I~.,"",...,,'/ ftt/"Æ. 'flMìl'¿""::'~·I:"c.,,( t!;J.,{,.....I.( +t,..,A h,i"..{t.."":i....:;:- o ¡ f l I /' r II. / I "..f~'i"¡Ctl' '/:., '. j ¡.j I I,; ~l. (., [,fa ¡¡( C,<'f '1'.....;" <~/~;.~, r¡...{. ~ I' (f!-_, ,~;,.. {.I (' (....,.. ,J.,'...'i"!~"'.i~",,4 ,,/, ...,,' (...... J v' --f..t:...( ..', ,/ {./ £,: "" ,.~..:."',,'" ., ;",f" f --;"¡(.,j .,.,.J ~ (...! lIE I~; "oj" ¡',(.( ~,f' Lf t,- f/~..... ,1,-",/,,1:>,:.,.../ /I { ¡~, '-- f.. /""'0: {U..... (', ....."" c; .....",.<' .I 7'P"/ :~s7J(&'90) ¡; I~,../ C", , 1-", i'5~ ~~ a'" -' ~z 00 ~f5 w< a: o o o CAP SITE (CD) EXCAVATE & TREAT(E'I) NO ACTION REQUIRED (NA) OTHER (0'1) CONTAINMENT BARRIER (CB) VACUUM EXTRACT (VE) (l "l·¡¡; 'FOR"L"O'" C'A" 'L'·'·A" 'GEN" C'Y' "u" S' e"o' NL"Y'" .'... .'.'...'.'.'.. ,.'.'.'....'.'.'.'.'... ..'...'.'..'.....,.'.. .'........ ..'.'. .'...'."'..,,'.. ,...' '.' .. -.. '" ..'.......'.'.-........-.-.'.....................,.,...........'.'..-..'..........,',',," . - .. . -......."............-..........'.......,".......,..."............-.,........... (HËRt:ªyc:~RDFYTH~ÜH~YEº,st~,äJyg6TH;~INËókMÀ~~A8þ8R¡)i~d+bTk~> .."PI~ml~PTr9.N~HfW~~.TI-§,f.J$mYPT()~s~§gr()~TJ:I§,!3ÄC.~,P~q~PfTHIS,FOB'-t/<""'" ·,.,SIGNED.,.....·······, ·'·DATE..........·.····' (,r{ ¡ ¡') .,_,.' SIGeTt}RE~ _,\., ì J. _ <:.~ .J":i~-~j ¿J 2 4. _..,/'~.,~ ....// .,.;~...-1-'.....r"" /¿ þ' I COMPANY OR AGENCY~NAME :rr' (() r fir 1""'1/";; ~ (¡;¡,.,,( (~,;;/ CITY CONTACT PERSON '::, / T\ ,/ Lilt¿¡ !J.p /';f/¡ IA') ¡¡Ii ( l 'f:; J' 1" /-If 1.-1,;,,- CITY Gd .I' STATE ('/{ï r .I") ('., ~~V ZIP PHONE ( f{)5) ,777- 7'7/·3 9, ''7 )1)" -'f <!:~,e , ZIP - , ·,·I';;i <.; '7/) CJ¡¿ STATE OPERATOR PHONE ( f),"( (r r' ~ I.,: 1t~1 CITY I<Ji.,¡........ COUNTY t? ,\) 1)('.7, .' .~.¡..... ZIP CONTACT PERSON ,~ j \ ,.,(~, ( ;'.' ¡f L ; "" /. . # <-..,?' ~,-:....i:': #t~,""(!.,· .. PHONE (/...":1') ? J / '? ')74 C::"t.. ,; t:: ~ ... , ! .f PHONE QUANTllY LOST (GALLONS) œ"lJNKNOWN D UNKNOWN INVENTORY CONTROL 0 SUBSURFACE MONITORING 0 NUISANCE CONDITIONS TANK REMOVAL c=J OTHER METHOD USED TO STOP DISCHARGE (CHECK AlL THAT APPLY) , ,- [}"REMOVE CONTENTS 0 CLOSE TANK & REMOVE 0 REPAIR PIPING o REPAIR TANK 0 CLOSE TANK & F)LL IN PLACE 0 CHAf':IGE PROCEDURE DREPLACETANK ßõ'THER7:t.-~ j,Æ,.....,.;,..,."" {( /.;ij,~l , ; o RUPTURE/FAILURE D UNKNOWN o CI\..: -21(:;:5 DRINKING WATER - (CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) o ;;:'0 D ~J"!?~:)D POLLUTION CHARACTERIZATION POST CLEANUP MONITORING IN PROGRESS CLEANUP UNDERWAY D REMOVE FREE PRODUCT (FP) D o PUMP& TREAT GROUNDWATER (G'I) D [@ ¡~TR.,E~;~EN;~AT HOOKUP (HU) 0 ENHANCED BIO DEGRADATION (IT) " REPLACE SUPPLY (RS) VENT SOIL (VS) ,.":¡c-' ';?o".:.' ï I- Z W ::¡¡, ~ en < ): II: w > 0 0 m ã ¡i¡w Om II:::> ::>< go Ww I ma. (3~ ~ ' I-m æ~ ~~ am .~,.__~~... ~-"~/.f.':T I' .,.", .. ,.', ~:,....,,--:Y~:~ ":'i~;"<Çi!r"~·':-~-:¡ilfff.ti.of,:¡n-'-¡''-¡:;-_-'''i!·U'.'' 'ò "'...."'1.·.."'- '> ,- ·;,-·'...~;..'.,·n',..·>1'''' "'·iI ~,A:,..~~4~'.......:.. 'r" '¡-T""~,I". -~"'~i~~~:ft:§" ~'~~-r"':':~;:?" ....' .".. "~ ~ e " .. _ ,,"0\ , '~t' UNDERGROUND STORAGE T AN"K UNAUTHORIZÊD RELEASE (LEAK) I CONTAMINATION SITE REPORT EMERGENCY, ~ DYES ~ NO ~~~~~~~~~~~g~ E~G~:~Y ~VI~~ '....b~~~fã~i~~Ai~l~~~n~~!D~t~&~~~~I'~~~g~~î~bF!;..................... CASE. ' ...,...'"....'........................,.....-................'..'.;.'............,...,'.-....,-,',-......;,........',',.............. .............................,.... -..................,.. ,.....,..-.. ..,.,........-........,.......,..,..........,.,....~.... .... .':;:::,:;::;;:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::~:::::::;::.::::.:':..-..... ............. ...... ........ ............................ 'SiGN:D::.··"'·' ' ...., , ""'..DATE,.>·,· >- en o w I- a: o a. ~ ADDRESS ell STATE , PHONE "$I .0...0 ZIP w -' en ëñ~ za: 0< ¡);a. w a: D UNKNOWN l1 (IoJ) '77~ 77/3 (!)£ 97 ¿~. 3 STATE IP PHONE ;il '",~.::. , ¡""'£. ADDRESS , / , '0 (w-.(;r..d.t-.....¡I' II L L ..)~ ;II STREET' FACllI1Y NAME (IF APPLICABLE) ð 7· E ~v~i-., l¡;..f.. IllY i= § fA/. {AU, f(tl w ' Ii "F ~ STREET' I- ëñ ÆJ.¡ fk L¡7¿:; OPERATOR ( kltt ~ COUNTY I5If. (1. y ! .(:.; Id' 'CITY ADDRESS c¡ il or ZIP Ö ~m !z!:!! wO ::¡¡z WW -,0 a.< ~ 'f hi 7 cs·~l:: t<vl. LOC~AGENCY I~' /' l, F" Q AGENCY NAME ßa.'I($.(;-(!' 7' -I/,'I'..{ ", "Y'/' 0(.:. ./ I ó ·E"" v' /',t I.....J ,-"la, (1 REGIONAl BOARD i:; 1/....t! CONTACT PERSON (l/,' J! ' .\ 1",( ....',( V;"'J,,/, #""-'¿)u PHONE (6tf!)5¿(, - S 17 PHONE ( , 0) . (/ ' // /' I ' t./ V\. Lh,....1.(4/(. C"-e¡ ~ ') II. NAME m ~@ ~~ ~~ (2) ~~ m QUANTITY LOST (GALLONS) fla'ÚNKNOWN D UNKNOWN INVENTORY CONTROL D SUBSURFACE MONITORING D NUISANCE CONDITIONS TANK REMOVAL D OTHER METHOD USED TO STOP DISCHARGE (CHECK AlL THAT APPLY) '~OVECONTENTS DCLOSETANK& REMOVE D REPAIR PIPING o REPAIR TANK, D CLOSE TANK & FILlIN PLACE D CHANGE PROCEDURE D REPLACE,TANK ßãTHER 7a it !-, ¿If, "It, .1. r... ,; 1../ DATE DISCOVERED HOW'DISCOVEREO D ~KTEST D DATE DISCHARGE BEGAN M M D D Y HAS DISCHARGE BEEN STOPPED ? ~S D NO IF YES, DATE SOURCE OF DISCHARGE ~NKLEAK D o PIPING LEAK D ~NKNOWN D RUPTURElFAILURE D UNKNOWN D SPILL D OTHER -' ::!;z 00 ~t; ~< CHE~K ~ONL Y [B'" UNDETERMINED D CHECK ONE ONLY D NO ACTION TAKEN D LEAK BEING CONFIRMED D REMEDIATION PLAN CHECK APPROPRIATE ACTION(S) (Sé£ """" fOR DETAI.B ENHANCED BIO DEGRADATION (11) $ ,SOIL ONLY DGROUNDWATER' D' DRINKING WATER" (CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) D D o D D D PRELIMINARY SITE ASSESSMENT WORKPLAN SUBMITTED PRELIMINARY SITE ASSESSMENT UNDERWAY CASE CLOSED (CLEANUP COMPLETED OR UNNECESSARY) POLLUTION CHARACTERIZATION POST CLEANUP MONITORING IN PROGRESS CLEANUP UNDERWAY D D o D ' VACUUM EXTRACT (VE)DOTHER (OT) i!Z Dv.t.,~¿),.(I,..",(¡;-t;-:f C/"¿/h n~ -If,.¡ ,~I-ü!.t'I:~/rftt-< Df ¡'-~I!~-f.¡y,'I"',"-- v:..../j:,t.LL Vi'T1 ~ ~ /".(/1"",- /'i"'.I~,(~{ 1.;/11 L.¡.,..¡¡) c¿'v'\,r/..-et/",,: Ilç fd'-"i.. íf.¿ /....f! ï.vJ<-.l..r:¡ 1/.,(;'. ¡;,~~/ a... k-t.,1: ~ I ¡.., I-h¡r' "~'Y.((¡ ",1.(11") V1?'.,¡ ¡-.{j Á(Jw<,v,:~.r N..tr,¿ d¡""'():.¿v,'d.t,IA¿'¿ -k e>t.1L1-l 4J tµr..{ /""0::' !;tt,¡.. o 1.. i..¿l.t:aJ.(, 01 ïw/.£~..;....II!..t.. .(.f{/)¡"""c.lA/I (l1.....ll..fht,~..{JI..J I" ,¿ £l.....t.",. t/u,!,. ..,......,.....Æ.. '. It,~...f ç of tit In ¡,."k /..a £;..( 4,,(.f1.-, Î.-{¡"" ¡i v. it..,,! lit j4. .....iLtn to:...... r! ",;." ~(d '-.d.. I-ll,,/.-tr« ,~st;(8I9<y , . G.l()µ:;t. D D D REMOVE FREE PRODUCT (FP) D PUMP & TREAT GROUNDWATER (G1) D 'TREATMENT AT HOOKUP (HU) D EXCAVATE & DISPOSE (ED) EXCAVATE & TREAT(ET) NO ACTION REQUIRED (NA) o ,CAP SITE (CD) D CÒNTAINMENT BARRIER (CB) REPLACE SUPPLY (RS) VENT SOIL (VS) " ¡ Af~f'\P~f " ,~~lt''fodf\/I . 194..1;. , -"I Corporation 4005 Port Chicilgo Highway Concord. c..\ 94520-1120 Tel. 925.288.9898 Fax. 925.288.0888 . tlwl,f;grOUR Fi ',t .~.~~ ~:~ J 1, I' E: {) ,.~'r.¡i ," , 1, "... ....J.,' (J ,.'; ~14:\ì .. ..1 ¿ A Member of The IT Croup .: I"'" . . . .< ~~>'.: ':~: ¡'",¡ , ~\( . , TO: Mr. Steve Underwood Bakersfield City Fire Department Office of Environmental Services 1715 Chester Avenue Bakersfield, CA 9330,1 (805) 326-3979 he (805) 326-0576 We are sending via: D AIRBORNE DATE: FROM: RE: 11/02199 JOB NO. David Bean 7 -Eleven Store 16549 4647 Wilson Road, Bakersfield, CA 7 -Eleven Store 16834 525 West Columbus Street, Bakersfield, CA ~MAIL DFAX ORIGINALS COPIES DATE DESCRIPTION 2 Underaround Storaae Tank Unauthorized Release (Leak)/Contamination Site Report Transmitted as checked: D For Approval D For Comment D For Your Use D For Resubmittal ~ As You Requested ~ For Your Records Remarks: Mr. Underwood, Per our conversation, the following includes Underground Storage Tank Unauthorized Release (Leak)/ Contamination Site Reports for the two subject sites. Please call with Questions. ~k You. fh5~~ David Bean ~ Copies to: BCTRNS,WK4, ~s.u e - ~002 7$r- 'O?1? 7J (~~);; "" OS/20/99 16:32 '6'661 326 0576 . BFD HAZ MAT DIV ,,~- -"-~~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES UNDERGROUND STORAGE TANK PROGRAM 1715 Chester Ave., Bakersfield, CA (805) 326...3979 APPLICATION TO PERFORM A TANK TIGHTNESS TEST FACILITY ADDRESS . PERMIT TO OPERATE # OPERATORS NAME So It- T ÆL/i-J./ Q ~ OWNERS NAME' NUMBER OF TANKS TO BE TESJED - tr'lf:;¿,- eo ~l'1. . IS PIPING GOING TO BE TESTED CONTENTS ¡)¿;¿p TANK # / VOLUME /ó/c TANK TESTING COMPANY L4n~~L~~ ....y~ MAlLINGADDRESS /S~70 #£.;E..; óJ.Y"$? . t//.5'¡¡;ß,¡ CA-ç 9ðó<.r~ NAME & PHONE NUMBER OF CONTACT PERSON J.tJ4;t/12¿ ~æ/~ ~~?-<,L7-" TEST METHOD /.(.s,~T C'~fJ?J'/ ø/ß~ L?_ L/ . I NMŒOFffiS~R ~~ ~/7?Y CERTIFICATION # 9/- /¥ -3 / DATE & TIME TEST IS TO BE CONDUCTED S--- .:2/- ./~. -æ¡¡¡ APP ,~/t¡-9?- y~~~~~~ DATE SIGNATURE OF APPLICANT ,.' 'I. i, e . INVOICE #BG000522 TEST DATE: OS/24/99 UNDERGROUND TANK TESTERS 15806 AVE. 288 VISALIA, CA. 93292 (209)747-5220 TANK STATUS EVALUATION REPORT ----------------------------- ****,* CUSTOMER DATA ***** ***** SITE DATA ***** BANKS & CO. 7-ELEVEN STORE # 16549 2403 EAST BELMONT FRESNO"CA. 93701 4647 WILSON RD. BAKERSFIELD, CA. 93301 CONTACT: KAY PHONE #: 485-3456 CONTACT: PHONE #: 805-833-0932 ***** 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. TANK #1: SUPER UNLEADED TYPE: STEEL RATE: .020887 G.P.H. LOSS ~ANK IS TIGHT. OPERATOR: BOB Sf~ 1111 lie #91-1431 . SIGNATURE: 7J4Æ~__.DATE: ~øf.1. -------------------- .' TANK DIAMETER (IN) LENGTH ( FT) VOLUME (GAL) TYPE FUEL LEVEL (IN) FUEL TYPE dVOL/dy (GAL/IN) CALIBRATION ROD 1 2 3 4 5 I e ******* TANK NO. 1 96 26.59 10000 ST SUP UNLD 111.49 DISTANCE 10.65625 26.95313 41.93750 56.93750 74.93750 TAN K DATA TANK NO. 2 74 - ******** TANK NO. 3 TANK NO. 4 e - ******* C U S TO MER D A T A ******** 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 000522 BANKS & CO. KAY 2403 EAST BELMONT FRESNO, CA. 93701 485-3456 ******* COM MEN T L IN E S ******* ******* SIT E D A T A ******** SITE NAME (COMPANY NAME) 7-ELEVEN STORE # 16549 SITE CONTACT (LAST, FIRST) ADDRESS ~ LINE 1 ADDRESS - LINE 2 4647 WILSON RD. CITY, STATE BAKERSFIELD, CA. ZIP CODE (XXXXX-XXXX) 93301 PHONE NUMBER (XXX)XXX-XXXX 805-833-0932 GROUND WATER LEVEL (FT) 0 NUMBER OF TANKS 1 LENGTH OF PRE-TEST (MIN) 30 LENGTH OF TEST (MIN) 180 e ~ 15 Cr: lANK 1 STRRI TIME:B9:55:ÐB:ÐÐ CURRENT TIME:1Ð:55:BB:ÐB ,-" 1 Ù tn W J: Ü Z I 5 ~ o o r, <-.J Ù "." Ii ..... ...J ~ ....J ,~ z . w -5 -.88812 l') -.88382 z -< J: ü -10 EAK RATE: .82889 GPH LOSS PTA, VERSION 1.28 -15 0 15 3Q 45 60 BG8Ð8522.TST,2 TIME (MINUTES) 85/24/99 e e INVOICE #BG000522 TEST DATE: OS/24/99 UNDERGROUND TANK TESTERS 15806 AVE. 288 VISALIA, CA. 93292 (209)747-5220 TANK STATUS REPORT -- ULLAGE TEST --------------------------------- ***** CUSTOMER DATA ***** ***** SITE DATA ***** BANKS & CO. 7-ELEVEN STORE # 16549 2403 EAST BELMONT FRESNO, CA. 93701 4647 WILSON RD. BAKERSFIELD, CA. 93301 CONTACT: KAY PHONE #: 485-3456 CONTACT: PHONE #: 805-833-0932 ***** COMMENT LINES ***** CURRENT EPA STANDARDS DICTATE THAT FOR UNDERGROUND FUEL TANKS, THE MAXIMUM ALLOWABLE LEAK/GAIN RATE OVÈR THE PERIOD OF ONE HOUR IS .05 GALLONS. TANK # 1: SUPER UNLEADED TYPE: STEEL SN: .02 TANK IS TIGHT. OPERATOR: Bon Sf¡¡' ITH llC #91-1431 SIGNATURE: 7J4Æ~_- DATE: @$!4!f? -------------------- e ******* TANK NO. . 1 TANK DIAMETER (IN) LENGTH ( FT) VOLuME (GAL) TYPE FUEL LEVEL ( IN) FUEL TYPE dVOL/dy (GAL/IN) CALIBRATION ROD 1 2 3 4 5 96 26.59 10000 ST ,SUP UNLD 111.49 DISTANCE 10.65625 26.95313 41.93750 56.93750 74.93750 TAN K D A T A TANK NO. 2 74 -- e ******** TANK NO. 3 TANK NO. 4 '. e ******* C U ST 0 MER 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) D A T A ******** 000522 BANKS & CO. KAY 2403 EAST BELMONT, FRESNO, CA. 93701 485-3456 e L I N E S ******* D A T A ******** 7-ELEVEN STORE #16549 4647 WILSON RD. BAKERSFIELD, CA. 93301 805-833-0932 o 1 30 180 3,0 ,........ o ~' Ck:: ~ 2.0 o z o I- -.J <: z (.f) (f) ~ 1.0 o .- o 9 lANK 1 SN: PEAK SN: .0 50 BCØ8Ð522.S0N e e Cr: lIME -- 11:23:35 .82 5.81 3/ 2 FREQUENCY (HZ~ 5000C 85/24/99 e -' e,- -- - .. - ", -- n , -- UNDERGROUND TANK TESTERS P.o. BOX 3710 VISALlA, CA. 93278-371 O~ (559) 747-~220 PIPINC¥TIGHTNESS DETERMINATION; PL4QO FORMAT -- TEST LOCATION: 7-ELEVEN #16549 4647 WILSON RD. BAKERSFIE~1 TEST OPERATOR: ,J.)~Æ -- BOBBY G. SMITH OTTL LlC 91-1431 DATE': OS/24/99 PASS REG UNLD PLS UNLD SUP UNLD DIESEL 2 ---- TEST INITIAL FINAL VOLUME LEAK RATE LEAK RATE DURATION -PRESSURE PRESSURE DISPLACED FAIL 30 ,50 43 6 -.0143 X - , COMMENTS: LEAK DETECTOR/S FUNCTIONING PROPERLY YES -- ' ~~. :.-~ - - ~- -- - .¿- ii, i' ~ ¡ 't~ 'ii, L. Ii '~ ' :j! I' .1, 1 L ;;,: . !' ";1 HJr: . " ' , I =- e e PLOT PLAN JOBSITE LOCA nON . N 7- £ZEV!Ç# #/6,11ft , L./C,í?, Wt'{ S ðß !êJ). W !1k'-'l e I; ,? 3 30/ S 'w7Tòo Iý lè,o.'=-~-----------~-'---- E ;/1=3 #.2 ,;:/ ~L --1'L -r¿ v V ~ f() ,..,., FO ~o M .M ^1 'M -1\1 f(VC~d5 SIZE LEGEND F FILL T TURBINE TL TURBINE WITH LEAK DETECTOR FO OVERSPILL CONTAINER ON FILL R REMOTE 0 VENT E ,EXTRACTOR VALVE M MONITOR SYSTEM MANIFOLD SYSTEM MW MONITOR WEll ., ' \, . ! .. :~.::. _____IW_~ -----..-IWWik-W.~-_._uw~...:;¡¡wi1JW,.....__::.;.~,·_io:oI.':O'__w__~~...~~_L,.~~U.tt.r,...~iit:1_."_...IO:J'1If.~"'i£"'¡:~t.:.-:W¡':;;"C;"~:J1I~~w-.¡&;,.hit:'';;:'. CERTIFICA TF ~F UNDERGROUND STORAGE T 'K SYSTEM TESTING 7ÃNKIIDlDGY NDE a TANKNOLOGY-NDE .- ~ -w 8900 SHOAL CREEK, BUILDING ' ~ AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST RESULT SITE SUMMARY REPORT' TEST TYPE: TLD-1 PURPOSE: COMPLIANCE, TEST DATE: 06/11/98 CUSTOMER PO: W805261872 WORK ORDER NUMBER: 2204957 CLIENT: THE SOUTHLAND CORPORATION 10220 S. W. GREENBURG ROAD SUITE 470 PORTLAND, OR 97223 A TIN: BOB DENINNO SITE: 7-ELEVEN #16549 MARKET #2237 4647 WILSON ROAD BAKERSFIELD, CA93309 The following test(s) were conducted at the site above in accordance with all applicable portions of Federal, NFPA and local regulations Line and Leak Detector Tests ){,::LlNE, RESU,' L1ii,:: .·..·.'.:·(P¥P1il~~:.·~#få¡!'...i·:.,'.. 1\,·,i,'.:,', 0:,rc,:~,'.",9,..,~,~!li0r~.......... ...... - "'. ..-.... ._,,,...-....... ...... ,l.;EAKi :·iI..EAKii DETECTORï:>!;TECTQR ~~~~I :~$ULT 'i"')f#2}i#1,'i ,)112·','· 10K 10K 10K 1 REG UNLEAD 2 MID GRADE 3 PREMIUM 0.007 0.008 0.008 P P P y y y P P P Tanknology-NDE appreciates the opportunity to serve you, and looks forward to working with you in the future, Please call an~' time, day or night when you need us, TANKNOLOGY-NDE Representative: Services conducted by: MICHAEL T LEVESQUE MARK SHAW /--/ _.._,,- ~ÇìV/--¿'_// ( ~ 1'/ Reviewed: -JJd: ~ Technician Certification Number: 1405 Printed 06/15/9812:52 KRISTEN TEST DATE: 06/11/98 CLIENT: THE SOUTHLAND e INDIVI~' ''\L TANK/LINE/LEAK DETECTOF ;ST REPORT TANKNOLOGY-NDE . . WORK ORDER NUMBER 2204957 SITE: 7-ELEVEN #16549 ~~ ". Tank ID: 10K 1 Product: REG UNLEAD Capacity in gallons: 10,018 Diameter in inches: 109.00 length in inches: 251 Tank age (years): Fuel pure rating: CP installed on: / COMMENTS Material: DW STEEL Tank manifolded:NO Vent manifolded:NO Vapor recovery manifolded:NO Impact Valves Operational: y Overfill protection: NO Overspill protection: YES / 1"At)I'51'f;~T~~l.J~I~T:~~tM:etp<;ìï:f;Y;iê1i~9-ti tart In Bottom to top fill in inches: Bottom to grade fill in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: Installed: 109.0 4.0 COAX BALANCE . ATG LEA.~P~"'ºª-JŒsuLI~iT::e~rm~t~.@:E'TAi"· New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 Dipped Water level: Dipped Product level: Probe Water Level: Ingress Detected: Water Bubble Ullage Test time: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: Make: VAPORLESS Model: LD2000 SIN: 46082 Open time in sec: Holding psi: Resiliancy cc: Test leak rate ml/m: Metering psi: Calib, leak in gph Results: PASS COMMENTS COMMENTS 4.00 11 140 189.0 10 3.00 Material: DW FIBERG Diameter (in): 2.0 length (ft): 50.0 Test psi: 50 Bleedback cc: 55 Test time (min): 30 Start time: End time: Final gph: 0.007 Result: PASS Pump type: PRESSURE Pump make: RED JACKET COMMENTS 8900 SHOAL CREEK, BUILDING 200, AUSTIN, TEXAS 78757 (512) 451-6334 Printed 06/15/98 12:52 ':;.~?~ 4' e - MONITOR CERTIFICATION FORM CUSTOMER: THE SOUTHLAND CORPORATION SITE 1.0.: 7-ELEVEN #16549 DATE: 06/11/98 ADDRESS: MARKET #2237 4647 WILSON ROAD BAKERSFIELD, CA 93309 WORK ORDER: 2204957 1) IN TANK PROBES MANUFACTURER: TIDEL MODEL NUMBER: EMS 3500 SERIAL NUMBER: EA93 004107 NUMBER OF TANKS MONITORED: 3 SET UP FOR MONTHLY TEST (Y/N): YES DOES THE SYSTEM DISPLAY OR PRINT OUT MONTHLY TEST RESULTS ( Y/N): YES LAST TEST DATE: 06/08/98 PASSED/FAILED: PASSED TYPE (DISPLAY OR PRINT OUT): PRINT OUT OPERATIONAL (Y/N): YES COMMENTS: 2) OTHER PROBES: MANUFACTURER: TIDEL MODEL: EMS 3500 NUMBER OF LIQUID, FLOAT, SW, POSITIVE SHUT FAIL SAFE ( Y/N ) OPERA TIONAL PROBE LOCATION PROBES OR VAPOR SENSOF DOWN (Y IN) (Y/N) ANNULAR PROBE 3 LIQUID NO NO YES TURBINE SUMP FILL SUMP FIBERTRENCH MONITORING WELL DISPENSER PAN OTHER ANNULAR SPACE FILLED WITH MONITORING FLUID? DRY COMMENTS: PAGE 1 OF 2 :¿..(P - .... MO'-OR CERTIFICATION F~ (CO NT.) 3) PRODUCT LINE PRESSURE MONITOR, MANUFACTURER: MODEL: NUMBER OF SENSORS: MECH. LEAK DETECTOR ( Y/N): YES MECH, LEAK DETECTOR OPERATIONAL ( Y/N ): YES DOES THE SYSTEM DISPLAY OR PRINT OUT MONTHLY TEST RESULTS ( Y/N ) TYPE (DISPLAY OR PRINT OUT): DOES THE SYSTEM GO INTO ALARM WITH THE SIMULATED LEAK TEST ( Y/N ): POSITIVE SHUT DOWN (Y/N): OPERATIONAL (Y/N ): YES 4 ) OVERALL SYSTEM PERFORMANCE DOES THE FUEL SYSTEM SHUT DOWN WHEN POWER IS SHUT OFF TO THE MONITORING PANEL ( Y/N ): YES ( FAIL SAFE) DO ALL ALARMS INCLUDE BOTH AUDIBLE AND VISUAL ALARMS: YES (Y/N) THE MONITORING SYSTEM IS CERTIFIED OPERATIONAL (Y/N): YES MICHAEL T LEVESQUE TECHNICIAN ( PRINT) 7Jd~ TECHNICIAN (SIGNATUR ) , COMMENTS: PAGE 2 OF 2 - - --~----- e . 7?Jr- ð?1? 7J ( 3b~;)? CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES UNDERGROUND STORAGE TANK PROGRAM 1715 Chester Ave., Bakersfield, CA (805) 326-3979 APPLICATION TO PERFORM A TANK TIGHTNESS TEST FACILITY 1-/( ADDRESS J.¡ ~ '17 WI":t SoP ¡2lJ . - .-- -----~- ,- - - --------,--.-_- -~------ ---,-~~ . ----~-~~-----~ _._---"'- - PERMIT TO OPERATE # OPERATORS NAME Jõ It, I iL/}-N () eo ßb.. . OWNERS NAME NUMBER OF TANKS TO BE TESTED TANK # VOLUME IS PIPING GOING TO BE TESTED CONTENTS ó«p / / ¡j Ie' TAN1<TESTINGCOMPANY t?ndLA~~L¡---~ -y~ MAILING ADDRESS 1$'~70 Ht.JE" d:?2? t//ðl9-/:/9-; CA-.. 9'ðó<.7ó{ . '> , NAME & PHONE NUMBER OF CONTACT PERSON fA!~,;{/ D A' ..::::).1/1 /~. Q.ózJ?--sL 7- $~ ~__~~,n~ITsÍ~MÊTI{OD~-'lè,s'_ ~I ',- - '~(1~,Ð1) /;ø;//i;e, '-p ,---- . NAME OF TESTER &d ~/~ '/ CERTIFICATION # 7(- /¥ -J> / DATE & TIME TEST IS TO BE CONDUCTED Ó---oZ/....,/ 5' -7~. APP VE~· , -<2- /?-9?- ~~d~~ DATE SIGNATURE OF APPLICANT '. . .. . .'. '.. -. .: ~ '.. ',. . . BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 1715 CHESTER AVE-, BAKERSFIELO, CA 93304 (805) 326-3979 ' APPLICAT10N TO PERFORM A TIGHTNESS ~BS~ ?J1.; ·06?~ 1» ¡:. _ ~-'-o..__.,.,.. ~"_. ....".~/?"õ". I PERMIT TO OPERATE i~ OPERATORS NAME '~".Af..kJ/~ ADDRESS ,L(fr;1{7 (JJ,'-{,(]Y\ (M I OWNERS NAME ~b) FACILITY 711 J./&5Y1 NUMBER OF~ TO BE TESTED ~ IS PIPING GOING TO BE TESTED~ Lt'1-æ'5 I TANK'::: VOLffi1E CONTENTS ...... 27576 Commerce Center Dr. #109 TANK TESTING COMP1\NY TANKNOLOGY-NDE CORP. ADDRESS Temecu 1 a, CA 92590 ~. TEST 'HETHOD . VL-- D - I NAME OF TEST;R /4.èJt~e \¡)h~l¢ CERTIFICATION · /J) 7 L STATE REGISTRATION # 10 -¡ I DATE & TIME TEST IS TO BE CONDUCT£D If!zd!11 (2.ßO~ <~: f~/f-9/ DATE -- .. .~ '~"cA"~ - · CITY OF BAKE~ELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakentield, CA (805) 326-3979 FaQlity ,5111 II I ~ ( . ðlOr'^^"''' Li> ' A.ddrea l(en l.(ì III, (c-.. I/.1Á- City. Zip A ~ .u (f' .A- q. 3 3trJ ì INSPECI10N RECORD POSTCARD AT JOBSrrE 7,11 0waIr ~a~.p Adena p. 0 ~ f?J {J '" '/ /I city, Zip 1)/,/ II;; 4 7~ Yð.. ~ ì ç" 2 G ( -? I s.s- Permit " A I - (() If) () Phone No. r:"lSTRUCTIONS: PI_ caJ.l for aD iDIpec:Ior oaIy whea .... paup of iIIIpec:råoaI wiIb tbo _1IUIIIbar.. rady. Thøy win IUD ÍD _1CiW order .......... willi IIUIIIbw I. DO NOT cover work for any IIUIDbcnd rOUp \IIII:Ü all itemI ÍD IbIt rOUp U'llligaed ofrby the r-.....itbaa AuIbariIy. FoUOWÍDI ta.. ........ wiU reduce tbllIUIDbIr of required inlpecåca viIi1IlDIIlbenfore prwwa III -- of·~~ fooL TANKS AND BACKFILL I DATE INSPECTOR INSPECTION BadtfiU ofTank(.) Spark TCSI CAtificatica or ~."Jf'.-JI'CI Metbod cmiodic Proccdion ofTank(.) PIPING SYSTEM Piping,&: Raceway w/CoUec:tioa Swup Corrosioa Protec:boa of Pipiq. JoÍIIIL FiD Pipe , Elocuic:allsolation ofPipiag from Taok(.) Cathodic Prolection Systcm.ñpïng , Dispenser Pan SECONDARY CONT AIl'-:\fE:>OT. OVERFILL PROTECTION. LEAK DETECTION Liner lnstaIlation· Tank(s) Liner lnstaIlation . Piping Vault With Produc:t CompaIibl. Sealer Level Gauges or Sensors. FlOll Vent Valva I Product Compaùbl. Fill BoX(es) ~~,q- qi Product Line Leak Dc1ec:tOrf s) ~~(L(~8 Luk Dc1ec:tor(.) for AnruW Space-D. W, TanIc(s) Moniloring Well(s)lSW11p(s), H20 Test Leak DerCClion Dcvicc(.) for VadoseiGroundwatcr Spill Prevention Boxes . ~"f L/- 1 ~ FINAL I Monitonng Wells. c~ &: Loeb Fill Box Lock g~{(I-C¡g, ~..J// ~ ~J'1" c¡g-~" 01; - '~ <J ~onitorínl Requiremaru Type ONTRACTOR__f¡hahe$~ ONTACT Br'tttY\ ð~rf' q/h, NIl. '" b UCENSE' s--q ~"'~3 PHONE " G, 2. - Ç?S-~ 1c;-s:ç- '5'805 326 0576 BFD II.\Z ~.\T DlV ~002 -, {~'- -- _nait No. h-l - 0 l CD CITY OF BAKERSFIELD . OFFICE OF ENVIRONMENTAL SERVICES 1715" Chester Ave., Bakenfield;' CA (805) 326-3979 01/27/98 15:20 PERMIT APPLICATION TO CONSTRUCTIMODIFY UNDERGROUND STORAGE TANK I . TYPE OF ÀPPLICA TION (CHECK.) ()NEWFACnIIY þ('MODIFICATIONOFFAClLITY (]NEWTANKINSTALLATIONATEXISTINGFAcn.nY STARTINGDA1E Apri\ 2'!>, \"11ß PROPOSEDCOMPIElIONDAlE FACILITY NAME ~OJtl,''3rr::-1 7-11 ~<: ·I~ EXISTING FACIUTYPERMIT NO. FACILITY ADDRESS 4<P47 ¡,JI\~ R.D:M CITY &a\fet4Ic.1å TYPEOFBUSJNESS~a\ ~rnl!.. F:a<:.iI~y' TANK OWNER ~hl'.k1d GòrFt)t·~pÞn . ADDRESS P.o.l3>eK 7\1 CITY Da"~ . í)(. CONIRACTOR t1~nc~ LDrFDrah'Þn ADDRESS 1'0' Iii. ~i~ ~. PHONE NO. (-XIZ) S1~· 15~~ WORKMAN COMP NO. WG ð\ -¡q O~ BRIEFLY DESCRIBE THE WORK TO BE DONE Uf2!'J"IId~ e.x.iéh·~ U~T'c (i~.. I~n DJar-ñ\\ I ~6pi\\ prot'o ~e¿.. li~ \<!fI~ áetatDP.J I . ' - I'\e.IJ t~-ter~':ll prDb4!6 , .f\e;x £Ot\~cb-s) - WATER. TO FACILITY PROVIDED BY DEPnI TO GROUND WA'IER ~~ SOIL TYPE EXPEC'ŒD AT SITE NO. OF TANKS TO BE INST.All.ED /~i5t. ~ THEY FOR MaI'OR FUEL SPILL PREVENTION CONTROL AND COUNIER MEASURES PLAN ON FILE :j " ZIP CODE APN' PHONE NO.("I~~)Zs.l- .,,~ ZIP CODE ~2.~l-1)711 CA UCENSE NO. ~:>!> Go~~ CITY ~~ ~9<:.h G.4 ZIPCODE ""IOðO"" "ð1~e¡ BAIŒR.SFIELD Cl1Y BUSINESS UCENSE NO. INSURER. ~I I MolJI'anu. Go. YES YES NO NO TANK NO. I Z ~ VOLUME IO.~ l~coD ID.DO:) S1tC'n0N: FOR MOTOR FUEL (6c.is\-i~) ~plar t1~-4:"ak. tJNLBADED ........ PREMIUM DIESEL t>( AVIATION 0<. 0<. SECTION FOR NON MOTOR FUEL STORAGE TANKS TANK NO. VOLUME CHEMICAL STORED (NO BRAND NAME) CAS NO. CHEMICAL PREVIOUSLY STORED (IF KN~WN) FOR omClAL USE ONLY' )¡~~=¡m~i~l~i.:lt~m.li¡¡!¡~¡;,;::::;;:;;g;;;';;¡:¡i;~i~~~IJ~¡~*~r~t;~~¡¡;I.I!{J~;:~~~~;~;~11J;!fJ; 11Œ APPUCANT HAS RECEIVED. UNDERSTANDS. AND WIll. COMPLY wrm THE ATTACHED CONDmONS OF nus PERMIT AND ANY OTHER STATE. LOCAL AND FEDERAL REGUlATIONS. nus FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY. AND TO mE BEST OF MY KNOWLEDGE. IS ~UE . .......-16íl. ~~ brl>JP. I~ ¡.-a;...) ~~ ~t for~. R '. .APIJUCANT NAME P SIGNA1ÚRE (..Of t-.. , Iðf\ - THIS APPLICATION BECOMES A PERMIT WHEN APPROVED . - /- ~NKNDlDGY- NDE- .....,. i I June 17, 1998 City of Bakersfield Hazardous Mat'! Division 1715 Chester Ave, Ste 300 Bakersfield, CA 93301 RE: TESTING RESULTS Dear Sir: Enclosed please find the results from the recent testing performed in your area. 7-Eleven Station: 4647 Wilson Road, Bakersfield Weare forwarding these reports on behalf of The Southland Corporation. If you have any questions concerning these results, please contact Mark Shaw at (800)964-0180. Re~ctfullY Ì?'J ¡j /#~. Jerry Belloli Regional Vice President Tanknology-NDE 1420 West Kettleman Lane · Suite T · Lodi, ,California 95242 · (800)964-0180 · FAX (209) 365-1543 CERTIFICA TEOF U ~NKNDIDGY - NDE ~ RGROUND STORAGE TANK S TANKNOLOGY -NDE 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST RESULT SITE SUMMARY REPORT TEST TYPE: TLD-1 PURPOSE: COMPLIANCE TEST DATE: 06/11/98 WORK ORDER NUMBER: 2204957 CLIENT: THE SOUTHLAND CORPORATION 10220 S.W. GREENBURG ROAD SUITE 470 PORTLAND, OR 97223 ATTN: BOB DENINNO SITE: 7-ELEVEN #16549 MARKET #2237 4647 WILSON ROAD BAKERSFIELD, CA 93309 The following test(s) were conducted at the site above in accordance with all applicable portions of Federal, NFPA and local regulations Line and Leak Detector Tests 10K 10K 10K 1 REG UNLEAD 2 MIDGRADE 3 PREMIUM 0.007 0.008 0.008 P P P y y y P P P Tanknology-NDE appreciates the opportunity to serve you, and looks forward to working with you in the future. Please call any time, day or night, when you need us. TANKNOLOGY-NDE Representative: MARK SHAW Services conducted by: MICHAEL T LEVESQUE ~~ -?Jd. ~ Reviewed: Technician Certification Number: 1405 'V INDIVIDUAL PORT TEST DATE: 06/11/98 CLIENT: THE SOUTHLAND WORK ORDER NUMBER: 2204957 SITE: 7-ELEVEN #16549 Tank1D:10K 1 Product: REG UNLEAD Capacity in gallons: 10,018 Diameter in inches: 109.00 Length in inches: 251 Tank age (years): Fuel pure rating: C EN CP installed on: I OMM TS . Material:DW STEEL Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: NO Impact Valves Operational: y Overfill protection: NO Overspill protection: YES / Bottom to top fill in inches: Bottom to grade fill in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage )I vapor recovery: Installed: 109.0 4.0 COAX BALANCE ATG Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Bubble Test time: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS Make: VAPORLESS Model: LD2000 ' SIN: 46082 Open time in sec: Holding psi: Resiliancy cc: Test leak rate mllm: Metering psi: Calib. leak in gph: Results: PASS Ullage COMMENTS 4.00 11 140 189.0' 10 3.00 Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Test 1: Start time: Finish psi: Vol change cc: Test 2: Start time: Finish psi: Vol change cc: Test 3: Start time: Finish psi: Vol change cc: Final gph: Result: Pump type: COMMENTS Pump make: DW FIBERG 2.0 50.0 50 55 30 12:10 48 13 12:20 50 o 12:30 50 ' o 0.007 PASS PRESSURE RED JACKET 8900 SHOAL CREEK, BUILDING 200, AUSTIN, TEXAS 78757 (512) 451-6334 Printed 06/16/98 08:59 MSHAW .. INDIVIDUAL PORT TEST DATE: 06/11/98 CLIENT: THE SOUTHLAND WORK ORDER NUMBER: 2204957 SITE: 7-ELEVEN #16549 Tank1D:10K 2 Product: MIDGRADE Capacity in gallons: 10,018 Diameter in inches: 109.00 Length in inches: 251 Tank age (years): Fuel pure rating: CP installed on: / COMMENTS Material:DW STEEL Tank manifolded:NO Vent manifolded: NO Vapor recovery manifolded: NO Impact Valves Operational: y Overfill protection: NO Overspill protection: YES Bottom to top fill in inches: Bottom to grade fill in inches: Fill pipe length in inches: Fill pipe diameter in iriches: Stage I vapor recovery: ~tage II vapor recovery: Installed: 109..0, 4.0 COAX BALANCE ATG / Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Bubble Test time: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS Ullage ~J!B~~er:eø1tøJ1~~~I!tl'S.1:êSlm@· ~~~~~*"'ðm~Ä~"'Ø:%#:' :~ ,'~:~ ~~~--i~" **"~>-0:<:",?:;~.;::Rh~ New/passed Failed/replaced L.D. #1 L.D. #1 Make: RED JACKET Model: FX SIN: 311977457 Open time in see: 4.00 Holding psi: 11 Resiliancy cc: 145 Test leak rate ml/m: 189.0 Metering psi: 10 Calib. leak in gph: 3.00 Results: PASS COMMENTS Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Test 1: Start time: Finish psi: Vol change cc: Test 2: Start tir)1e: Finish psi: Vol change cc: Test 3: Start time: Finish psi: Vol change cc: Final gph: Result: Pump type: COMMENTS Pump make: DW FIBERG 2.0 50.0 50 70 30 12:40 48 15 12:50 50 o 13:00 50 o 0.008 PASS PRESSURE RED JACKET 8900 SHOAL CREEK, BUILDING 200, AUSTIN, TEXAS 78757 (512) 451-6334 Printed 06/16/98 08:59 MSHAW '. INDIVIDUAL TEST DATE: 06/11/98 CLIENT: THE SOUTHLAND PORT WORK ORDER NUMBER: 2204957 SITE: 7-ELEVEN #16549 TanklD:l0K 3 Product: PREMIUM Capacity in gallons: 10,018 Diameter in inches: 109.00 Length in inches: 251 Tank age (years): Fuel pure rating: CP installed on: / COMMENTS Material: DW STEEL Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: NO Impact Valves Operational: y Overfill protection: NO Overspill protection: YES Bottom to top fill in inches: Bottom to grade fill in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: Installed: 109.0 4.0 COAX BALANCE ATG / Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Bubble Test time: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS Ullage Make: RED JACKET Model: X.L.D. SIN: 107947806 Open time in see: 4.00 Holding psi: 12 Resiliancy cc: 140 Test leak rate ml/m: 189.0 Metering psi: 10 Calib. leak in gph: 3.00 Results: PASS COMMENTS Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Test 1: Start time: Finish psi: Vol change cc: Test 2: Start time: Finish psi: Vol change cc: Test 3: Start time: Finish psi: Vol change cc: Final gph: Result: Pump type: COMMENTS Pump make: DW FIBERG 2.0 50.0 50 60 30 12:45 48 16 12:55 50 o 13:05 50 o 0.008 PASS PRESSURE RED JACKET 8900 SHOAL CREEK, BUILDING 200, AUSTIN, TEXAS 78757 (512) 451-6334 Printed 06/16/9808:59 MSHAW <,¡¡ ~NKNDIDGY - NDE ...... e SITE DIAGRAM T ANKNOLOGY -NDE 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE: 06/11/98 CLIENT: THE SOUTHLAND CORPORATION o I en -; o :::0 m C(X) VENTS e WORK ORDER NUMBER: 2204957 SITE: 7-ELEVEN #16549 stine rd. MID 0' 0 OISTP1 10K v ~ 0REGUL ~ A 10K ® Oô o PRE~ OISTPI 10K ~ ~ Printed 06/16/98 08:59 MSHAW ~. en o :::s ..., o w a. .. e e MONITOR CERTIFICATION FORM CUSTOMER: THE SOUTHLAND CORPORATION SITE I.D.: 7-ELEVEN #16549 DATE: 06/11/98 , ADDRESS: MARKET #2237 4647 WILSON ROAD BAKERSFIELD, CA 93309 WORK ORDER: 2204957 1) IN TANK PROBES MANUFACTURER: TIDEL MODEL NUMBER: EMS 3500 SERIAL NUMBER: EA93 004107 NUMBER OF TANKS MONITORED: 3 SET UP FOR MONTHLY TEST (Y/N): YES DOES THE SYSTEM DISPLAY OR PRINT OUT MONTHLY TEST RESULTS ( Y/N): YES LAST TEST DATE: 06/08/98 PASSED/FAILED: PASSED TYPE (DISPLAY OR PRINT OUT): PRINT OUT OPERATIONAL (Y/N): YES COMMENTS: 2) OTHER PROBES: MANUFACTURER: TIDEL MODEL: EMS 3500 NUMBER OF LIQUiD, FLOAT, SW, POSITIVE SHUT FAIL SAFE (Y/N ) OPERATIONAL PROBE LOCATION PROBES OR VAPOR SENSOF DOWN (Y/N) (Y/N) ANNULAR PROBE 3 LIQUID NO NO YES TURBINE SUMP FILL SUMP FIBERTRENCH MONITORING WELL DISPENSER PAN OTHER ANNULAR SPACE FILLED WITH MONITORING FLUID? DRY COMMENTS: PAGE 1 OF 2 , -. e e MONITOR CERTIFICATION FORM (CONT.) 3 ) PRODUCT LINE PRESSURE MONITOR MANUFACTURER: MODEL: NUMBER OF SENSORS: MECH. LEAK DETECTOR ( Y/N ): YES MECH. LEAK DETECTOR OPERATIONAL (Y/N): YES DOES THE SYSTEM DISPLAY OR PRINT OUT MONTHLY TEST RESULTS (Y/N ): 'TYPE (DISPLAY OR PRINT OUT): DOES THE SYSTEM GO INTO ALARM WITH THE SIMULATED LEAK TEST ( Y/N ): POSITIVE SHUT DOWN (Y/N): OPERATIONAL (Y/N): YES 4 ) OVERALL SYSTEM PERFORMANCE DOES THE FUEL SYSTEM SHUT DOWN WHEN POWER IS SHUT OFF TO THE MONITORING PANEL (Y/N ): YES ( FAIL SAFE) DO ALL ALARMS INCLUDE BOTH AUDIBLE AND VISUAL ALARMS: YES (Y/N) THE MONITORING SYSTEM IS CERTIFIED OPERATIONAL (Y/N): YES MICHAEL T LEVESQUE TECHNICIAN ( PRINT) -,d.~ TECHNICIAN (SIGNATUR .)' , COMMENTS: PAGE 2 OF 2 "= ?' Work Order: 2204957 . e OPERATOR VERIFICATION FORM..:"';~" , .. ....: Customer NIUDe ~ - ~ L.i;..Ù(l'/V ;...,., .: ...J , ">/> ' Customer Ston: ~ &~ :! -'." -' :'~ .- -~:¡'.----' ; ~;~~O:ON o~;t¡~~??' Ii 27?: -,'. , .'..J;' ,(_, ~:;r.~:~-'7'; '/ _/ .;., --'-'--r-'" . f - '""<-." _" . h-- ~.' ." Was the work ~I.'i~ to YoW' satisfaction? c!p" No -' ~-' . Store Stamp Additional Comments Job DcSGription Work Date ¿, III / '9B Break '..-- . TcJ - Store Manascr Signature .' Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 01/27/98 15: 20 . '8805 326 0576 BFD HAZ MAT DIV @002 . (), pe.~o.~- 0 l C;Q CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTf\L SERVICES 1715- Chester Ave., Bakersfield;' CA' (80S) 326-3979 - PERMIT APPLICATION TO CONSTRUCTIMODIFY UNDERGROUND STORAGE TANK . TYPE OF APPLICATION (CHECK) []NEWFACILITY ~MOD1FICATIONOFFAC1LITY [JNEWTANKINSTALLATIONATEXISTINGFACILITY STARTINGDATE Apri\ 2:?,I~ß' . PROPOSEDCOMPLETIONDATE FACILITY NAME SCJ\Jt~ l-am 7ø II ~orG \1' 1ú>54"'I EXISTING FACILITY PERMIT NO. FACILITY ADDRESS ~7 W!\~ R.D::a.:I CITY &\tel'eftdå TYPEOFBUSINESS ~taìl ~Ine. FaG-Hit)' TANKOWNER ':x>uth(~nd Cbrj:Ðr':l.h'Þ\"t ADDRESS P.o. e.t:K 7\1 CITY I?al\~' . í)(" CONIRACTOR l1al'1~~ LOf'Fl'rat(bn ADDRESS 1\01 E. ~pri~ ~. PHONE NO. {~(4ZJ 5"15·1555 WORKMAN COMP NO. ¡,JG. ðl7q O~~ BRIEFLY DESCRIBE TIIE WORK TO BE OONE Uf"'}riSde.. a.ié\'i~ U~T( (¡,.. I"~n DJerf\\l/ 0\/û6P1'\\ prot'.. el~. line \eøk.. de;tut~ I ~w fn~('S1\'-IGI~\ prob~6 , flGx lOnned-Þ.-s) ~, WATER TO FACILITY PROVIDED BY DEPTII TO GROUND WATER un~1o<M SOIL TYPE EXPECTED AT SITE NO. OF TANKS TO BE INSTALLED oæ 1f"X1'St. ~ TIlEY FOR MOTOR FUEL SPILL PREVENI10N CONfROL AND COlJN'ŒR. MEASURES PLAN ON FILE TANK NO. I Z ~ VOLUME IO.ctú 10. a;¡{) ID.CO? TANK NO. VOLUME ' j , I .'r..,.., .>:~:~' ."'*~ ··1~tp ZIP CODE Am#- PHONE NO.c4t?JZ.~I· "II~ ZIP CODE 7':> ZZ-l -/H 11 CA LICENSE NO. ;,:> ~ Go ~ ~ CITY I..o~ Px:~h G.4 ZIP CODE "'Dß~· D"I~q BAKERSFIELD CITY BUSINESS LICENSE NO, INSURER ~I ln~ù'anu. Co. '! YES YES NO NO SECTION FOR MOTOR FUEL (&.is\-i~) ~¡)'ar ~ UNLEADED ' .. PREMIUM D1ESEL f>( AVIATION 0<. '0( SECTION FORNON MOTOR FUEL STORAGE TANKS CHEMICAL STORED CAS NO, CHEMICAL PREVIOUSLY STORED (NO BRAND NAME) . (IF KNOWN) .'>' FOR OmCIAL USE ONLY )¡~~~~mm,m~~~~i1~¡~¡',:~~~.~ml:¡:.',;,·;;:::;';;;;i;'!:·!i¡I~~~~!:¡!!;;i':;¡~¡~lt:.;i¡1¡l¡:¡.ll¡¡~~I~!~I~¡!r!l¡ THE APPUCANT HAS RECEIVED, UNDERSTANDS, AND WIlL COMPLY wrrn THE ATTACHED CONDmONS OF THIS PERMIT AND ANY OTIIER STATE. LOCAL AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY. AND TO TIlE BEST OF MY KNOWLEDGE. IS ~~L~b<~P.lnc~¡i~)~~ ~tf.,~ . R : ' '. .Al'PUCANT NAME P SIGNATIfRE Ú)'t"""" WI\ '. - THIS APPLICATION BECOMES A PERMIT WHEN APPROVED . """"" 09/16/96 13:55 -5'805 326 0576 BFD HAZ MAT DIY . 6F05/D IaI 002 . BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST FACILITY 7- £}~ù~n /bS'/9 " PERMIT TO OPERATE # ADDRESS 110 If 7 /1): J SD n r2oad. ,/, OPERATORS NAME OWNERS NAME 6ou~o'(\A Cnr.p. IS PIPING GOING TO BE TESTED~ NUMBER OF TANKS TO BE TESTED TANK' I .2 3 VOLUME /Or.. JDr. ¡Or:... CONTENTS TANK TESTING COMPANY \ñ~"-'f\'D\aQt ~t)E. ADDRESS 1120 W. WleiYltU1LA.5k.r J LDdi ~¡¡ 9$ 2l2- TEST METHOD NAME OF TESTERj-\\\{ 0 1 ~\)~lLQ.. CERTIFICATION # /4OS DATE & TIME TEST IS TO BE CONDUCTED !b. II- 9! ¿'- /¿,,?r DATE 1~t2~ SIG~TU E OF APPLICANT' " November 21, 1997 , City of Bakersfield Haz. Mat'l Division 1714 Chester Ave, Ste 300 Bakersfield, CA 93301 RE: TESTING RESULTS Dear Sir: . Enclosed please find the results from the recent testing performed in your area. 7-Eleven Station: 4647 Wilson Road, Bakersfield _..~..r ...... ~ '. , - "--'1 F)'7~::;;~~~~:c'" ", , . . ( i"::!~~6 ;:9;;0 ~-..""-::.~"" -'--.-¥- j -......~ --..... ¡ th' _. _ __'-.'::':-:~ Weare forwarding these reports on behalf of The Southland Corporation. If you have any questions concerning these results, please contact me at (800)964-0180. " ReTctf~¥~!í/' ð /~ (})..Jjj;4' , Jerry BellûH Regional Vice President . Tanknology-NDE I, " '. ,1420 West Kettlemàn lane. SuiteT· Ladi', Cali.lamia 95242 ~ (8QO) 96.4-0180· FAX (209) 365-1543 CERTIFICATE OF ~NKNDlDGY - NDE --- ERGROUND STORAGE TANK TANKNOLOGY-NDE 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST RESULT SITE SUMMARY REPORT, TEST TYPE: 'l'LD-1 PURPOSE: COMPLIANCE I TEST DATE: 11/20/97 WORK ORDER NUMBER: 2202960 CLIENT: 'l'HE SOUTHLAND CORPORA'l'ION 19033 WES'l' VALLEY HWY., D-104 KEN'l', WA 98032 ATTN~ BOB DENINNO SITE: 7-ELEVEN #16549 MARKE'l' #2237 4647 WILSON ROAD BAKERSFIELD, CA 93309 The following test(s) were conducted at the site above in accordance with all applicable portions of Federal, NFPA and local regulations Line and Leak Detector Tests lOR: 1 REG UNLEAD -.004 P Y P lOR: 2 MIDGRADE -.002 P Y P lOR: 3 PREMIUM -.003 p Y P " Tanknology-NDE appreciates the opportunity to serve you, and looks forward to working with you in the future. Please call any time, day or night, when you need us. T ANKNOLOGY -NDE Representative: MARK SHAW Services conducted by: WILLARD DEAN LUKEHAR'l' JR ~ ~k;-/ -J Reviewed: Technician Certification Number: 97-1128 ì'?: i' INDIVIDUA TEST DATE: 11/20/97 CLIENT: THE SOUTHLAND REPORT WORK ORDER NUMBER: 2202960 SITE:7-ELEVEN #16549 Tank ID: 10K 1 Product: REG UNLEAD Capacity in gallons: 10,018 Diameter in inches: 109.00 Length in inches: 251 Tank age (years): Fuel pure rating: COMMENTS Material: DW STEEL Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: NO . Impact Valves Operational: Y , Overfill protection: NO Overspill protection: YES Bottom to top fill in inches: Bottom to grade fill in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: Installed: 109.0 4.0 COAX BALANCE ATG End (In) New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.C. #2 L.D. #2 Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Bubble Ullage Test time: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS Make: RED JACKET Model: D.L.D. SIN: 30784-19187 Open time in sec: 3.00 Holding psi: 30 Resiliancy cc: Test leak rate mVm: Metering psi: Calib. leak in gph: Results: PASS 189.0 10 3.00 COMMENTS Material: DW FJ:BERG Diameter (in): 2.0 Length (ft): 50.0 Test psi: 50 Bleedback cc: 0 Test time (min): 30 Test 1: Start time: 05:10 Finish psi: 50 Vol change cc: -4 Test 2: Start time: 05:20 Finish psi: 50 Vol change cc: -2 Test 3: Start time: 05:30 Finish psi: 50 Vol change cc: '-2 Final gph: -0.004 Result: PASS Pump type PRESSURE Pump make: RED JACKET COMMENTS 8900 SHOAL CREEK, BUILDING 200, AUSTIN, TEXAS 78757 (512) 451-6334 Draft 11/21/9709:42 MSHAW ;$'i ~ of TEST DATE: 11/20/97 CLIENT:, THE SOUTHLAND WORK ORDER NUMBER: 2202960 SITE: 7-ELEVEN #16549 - TanklD: 10K 2 Product: MJ:DGRADE Capacity in gallons: 10,018 Diameter in inches: 109.00 Length in inches: 251 Tank age (years): Fuel pure rating: Material: DW STEEL Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: NO Impact Valves Operational: Y Overfill protection: NO Overspill protection: YES COMMENTS Bottom to top fill in inches: Bottom to grade fill in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: Installed: 109.0 4.0 COAX BALANCE ATG Start (in) End (in) Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Bubble Ullage Test time: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank wàter level in inches: Water table depth in inches: . Determined by (method): Result: New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 . ,L.D. #2 L.D. #2 Make: VAPORLESS Model: LD2000 SIN: 46082 Open time in sec: Holding psi: Resiliancy cc: Test leak rate ml/m: Metering psi: Calib. leak in gph: Results: PASS COMMENTS COMMENTS 7.00 30 189.0 10 3.00 COMMENTS Material: DW FJ:BERG Diameter (in): 2.0 Length (ft): 50.0 Test psi: 50 Bleedback cc: 0 Test time (min): 30 Test 1: Start time: os: so Finish psi: ' so Vol change cc: -2 Test 2: Start time: 06: 00 Finish psi: so Vol change cc: -2 Test 3: Start time: 06:10 Finish psi: so Vol change cc: 0 . Final gph: -0.002 Result: PASS Pump type PRESSURE Pump make: RED JACKET 8900 SHOAL CREEK, BUILDING 200, AUSTIN, TEXAS 78757 (512) 451-6334 Draft 11/21/97 09:42 MSHAW f~ TEST DATE: 11/20/97 CLIENT: 'l'HE SOt1'1'HLAND WORK ORDER NUMBER: 2202960 SITE: 7-ELEVEN #16549 Tank1D:10K 3 Product: PRÉMIUM Capacity in gall oris: 10,018 Diameter in inches:, 109.00 . Length in inches: 251 Tank age (years): Fuelpure rating: COMMENTS Material: DW S'l'EEL Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: NO Impact Valves Operational: Y Overfill protection: NO Overspill protection: YES Bottom to top fill in inches: Bottom to grade fill in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: Installed: 109.0 4.0 COAX BALANCE A'l'G Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water. Bubble Test time: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tankwàter level in inches: Water table depth in inches: D,etermined by (method): Result: COMMENTS New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 Ullage Make: RED JACKET Model: X.L.D. SIN: 30794-7806 Open time in sec: 5.00 Holding psi: 30 Resiliancy cc: Test leak rate mVm: Metering psi: Calib. leak in gph: Results: PASS 189.0 10 3.00 COMMENTS Material: DW FIBERG Diameter (in): . 2.0 Length (ft): 50.0 Test psi: 50 Bleedback cc: 0 Test time (min): 30 Test 1: Start time: 06: 30 Finish psi: 50 Vol change cc: -4 Test 2: Start time: 06:40 Finish psi: 50 Vol change cc: _~ Test 3: Start time: 06:50 Finish psi: 50 Vol change cc: 0 Final gph: "';0.003 Result: . PASS Pump type PRESSURE Pump make: RED JACKET ' COMMENTS 8900 SHOAL CREEK, BUILDING 200, AUSTIN, TEXAS 78757 (512) 451-6334 Draft 11/21/9709:42 MSHAW '" " ~NKNDIDGY - NDE ~' I I e SITE DIAGRAM e TANKNOLOGY-NDE 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE: 11/20/97 CLIENT: THE SOUTHLAND CORPORATION , WORK ORDER NUMBER: 2202960 SITE: 7-ELEVEN #16549 () , en - o ::D m CJ:X) VENTS stine rd. MID 010~ ® OEl f7\REGUL EJ ~ 0 0 STP , 10K U o PREM® OSTP 10K ~ ~ =E en 0 ::J ...... 0 s» c. Draft 11/21/97 09:42 MSHAW ~ ~ ...-. e e MONITOR CERTIFICATION FORM CUSTOMER: tHE SOUTHLAND CORPORATION SITE I.D.: 7-ELEVEN #16549 DATE: 11/20/97 ADDRESS: MARKET #2237 . 4647 WILSON ROAD BAKERSFIELD, 'CA 93309 WORK ORDER: 2202960 1) IN TANK PROBES MANUFACTURER: TIDEL MODEL NUMBER: EMS-3500 SERIAL NUMBER: NUMBER OF TANKS MONITORED: 3 SET UP FOR MONTHLY TEST (Y/N): YES DOES THE SYSTEM DISPLAY OR PRINT OUT MONTHLY TEST RESULTS (Y/N ): YES LAST TEST bATE: 11/20/97 PASSED/FAILED: PASSED TYPE (DISPLAY OR PRINT OUT): PRINT OUT OPERATIONAL (Y/N): YES COMMENTS: . 2) OTHER PROBES: ,MANUFACTURER: TIDEL MODEL: EMS-3500 NUMBER OF . LIQUID, FLOAT. SW, POSITIVE SHUT FAIL SAFE ( Y/N ) OPERATIONAL PROBE LOCATION PROBES OR VAPOR SENSOF DOWN (Y/N) (Y/N) , I ANNULAR PROBE 3 LIQUID NO YES YES TURBINE SUMP 0 FILL SUMP 0 FIBERTRENCH 0 MONITORING WELL 0 DISPENSER PAN 0 OTHER 0 ANNULAR SPACE FILLED WITH MONITORING FLUID? COMMENTS: PAGE 1 OF 2 ."" 'J ,,-~ e e MONITOR CERTIFICATION FORM (CONT.) 3) PRODUCT LINE PRESSURE MONITOR MANUFACTURER: MODEL: NUMBER OF SENSORS: MECH. LEAK DETECTOR (Y/N): YES MECH. LEAK DETECTOR OPERATIONAL ( Y/N ): YES DOES THE SYSTEM DISPLAY OR PRINT OUT MONTHLY TEST RESULTS ( Y/N ): TYPE (DISPLAY OR PRINT OUT): DOES THE SYSTEM GO INTO ALARM WITH THE SIMULATED LEAK TEST ( Y/N ): POSITIVE SHUT DOWN (Y/N): NO OPERATIONAL (Y/N): YES 4) OVERALL SY~TEM PERFORMANCE DOES THE FUEL SYSTEM SHUT DOWN WHEN POWER IS SHUT OFF TO THE MONITORING PANEL (Y/N ): NO (FAIL SAFE) DO ALL ALARMS INCLUDE BOTH AUDIBLE AND VISUAL ALARMS: YES ( Y/N ) /' / THE MONITORING SYSTEM IS CERTIFIED OPERATIONAL ( Y/N): YES WILLARD DEAN LUKEHART JR TECHNICIAN ( PRINT) TE~~ COMMENTS: PAGE20F2 09/16/96 13:55 13'805 BFD HAZ MAT \)IV ~002 e\ FIELD FIRE DEPARTMENT F ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST FACILITY 7- £J~lJe.{} J 1iJ0¥9 " PERMIT TO OPERATE # ADDRESS -9'¿' ¿¡7 I J...Ji ¡.jot) R.d OPERATORS NAME OWNERS NAME IS. PIPING GOING TO BE TESTED~ ' NUMBER OF TANKS TO BE. TESTED TANK# VOLUME CONTENTS TANK TESTING COMPANY --rñ.i\'L'(\C\\Njf . 'uDi:. TEST IvIETHOD ADDRESS P.J20 ~ J. ~~.J.fIP.YYlIl/) l.n .sk r LDdì ,~ 5¿¥~ . NAME OF TESTER~ùe (' r\\"ry DATE & TIME TEST IS TO BE CONDUCTED J /. J¿j. 97 CER'rIFICATION # /6107 , ~ /1-/7-'1'7. DATE ~¿ SIGNATURE OF APPLICANT " ¡;OO/ZUO I2J '110 TJ:JIIS UE19SL9Ulg XVd gs:y¡ 96/9[/SU " .' .--~ . <~-,¡ . -. -.:-::-'"~.~'~-. .~.. "UNDERGROUND STORAGE TANAsPECTION " ,..','.,..,','.,-, . Bakersfield Fire Dept. Office of Environmental Services BakersfieldJ CA 93301 FACILITY NAME FACILITY ADDRESS 7"-1( If&, &../7 W'/!>tJ¡, /lA. BUSINESS I.D. No. 215-000 80S CITY lltJf"f.~.f-trtl ZIP CODE 1 "?3Ð '1 FACILITY PHONE No. 83J~íDì.3 2- 10# 10# 10# / 2.. ..3 INSPECTION DATE Product Product p~~~ TIME IN TIME OUT U¿, ¡J, U t.- -r tJ6 Insl Dale Insl Dale Ins~ ~e INSPECTION TYPE: 11gq /1St! I II ROUTINE V"" FOLLOW-UP Size Size Size ¡f). NY) IIJ ,tJðÐ / () (l') r\ REQUIREMENTS yes no n/a yes no nla yes no nla 1a, Forms A & B Submitted ./ 1b. Form C Submitted .J 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 ..../ 2a. Valid Operating Permit V , 2b. Approved Written Routine Monitoring Procedure V 2c, Unauthorized Release Response Plan V 3a, Tank Integrity Test in Last 12 Months ":' - 5' -«f .., IV" 1- 'Ie+ rcclC.¡},/ Ii 3b. Pressurized Piping Integrity Test in Last 12 Months IJ..: 511 tÍ-.... ../ 30, Suction Piping Tightness Test in Last 3 Years V 3d, Gravity Flow Piping Tightness Test in Last 2 Years V ........ 3e. Test Results Submitted Within 30 Days -.l ~' 3f. Daily Visual Monitoring of Suction Product Piping ¡/ .r" ~ 4a, Manual Inventory Reconciliation Each Month \/ -I: 4b. Annual Inventory Reconciliation Statement Submitted tV ~ 4c, Meters Calibrated Annually \/ ~ ~ 5, Weekly Manual Tank Gauging Records for Small Tanks \/ <J 6. Monthly Statistical Inventory Reconciliation Results V 7. Monthly Automatic Tank Gauging Results 8, Ground Water Monitoring V 9. Vapor Monitoring V 10, Continuous Interstitial Monitoring for Double-Walled Tanks ~ 1/ 11. Mechanical Line Leak Detectors V 12, Electronic Line Leak Detectors .../ 13, Continuous Piping Monitoring in Sumps '\/ 14, Automatic Pump Shut-off Capability V 15, Annual Maintenance/Calibration of Leak Detection Equipment ~-!J' t'f 7 .../ 16. Leak Detection Equipment and Test Methods Listed in LG-113 Series ~/ 17, Written Records Maintained on Site v' 18, Reported Changes in Usage/Conditions to Operating/Monitoring Procedures of UST System Within 30 Days II 19, Reported Unauthorized Release Within 24 Hours ./ 20, Approved UST System Repairs and Upgrades ,,¡ 21, Records Showing Cathodic Protection Inspection J 22. Secured Monitoring Wells j if 23, Drop Tube ..jJ " Î' ~ RE-INSPECTI~E dI~i£J RECEIVED BY: //1 /}h1 Þt'/fA A ?;lI¿O /" v/v "V 3,)"-31;~~ INSPECTOR: OFFICE TELEPHONE No. T ',~ FD 1669 (rev, 9/95) HAZARDOUS MATERIALS INSPEcI,N &kersfield Fire Dept. OFFI'!'!f' OF ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 Date Completed ~ I~ /17 Business Name: 7 - , Location: 'Ìtp t-f'l W J1IJ fl Ill. Business Identification No. 215-000 sos (Top of Business Plan) Inspector 5-h:UL c/llldCfWfOO/ Station No. Shift Arrival Time: Departure Time: Inspection Time: Ade~te Inadequate Ade~e Inadduate Address Visable [DI' g Emergency Procedures Posted Correct Occupancy Containers Properly Labled ~ 0 Verification of Inventory Materials [NI" 0 Comments: Verification of Quantities CÝ 0 ~ Verification of Location ~ 0 Verification of Facility Diagram 0 Proper Segregation of Material 0 Housekeeping 0 Fire Protection cY" 0 Comments: Electrical ~ 0 at Comments: Verification of MSDS Availablity 0 Number of Employees: < UST Monitoring Program aÝ 0 Comments: Verification of Haz Mat Training g 0 Permits (9" 0 Comments: Spill Control ¡:g/ 0 Hold Open Device LV 0 Verification of rn/ Hazardous Waste EPA No, Abbatement Supplies and Procedures 0 Proper Waste Disposal g{ 0 Comments: Secondary Containment 0 Security aJ./ 0 Special Hazards Associated with this Facility: Violations: to ~ All Items O.K Correction Needed rn/' o :> Cl) e;. N In «> .... White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy CI u.. j " , c_, , ",1,_, I t t:::1,', ~",,;¡, ' , ' '<I" !PRODUcrs I' ~ --""'t: '+1~~~'· ' ',', ~-ÞI=';1: 3:' 1 Af!ËRMONEY' tlJ.# \f'-, . 5lO:;", ' ~lJ' '~~ '~~T;,:~GAU..ONS . IA ,.J .UOIt 'I" , !I' T[n:~U:j:', rrtn-ALGAU..ONSPUMPED :,:'¡.j 'i:;,:',;' .J ALL FUEL REItJRNED TO STORAGE TANK I'Jq _IH:q f~!!Z , Pump, Tèstt Receipt ~;, - ,~~~ ~-~" ". . ( I, i I~:, , p--¡, ""~' <1 :' ~~/t¡N ' II' 7::, ~~H I' l~rAH :%'..:,: . -:;:;~ .- -"-~;:,. BEFORE GALLONS NAME . :~~w .\1i\. , , . :~~ License No. 383550 2403;{ E. BELMONT'· FRESNO, CA 93701 ~ ,~JI(2,209) 485~3456 ~b>~~ 20748 ..' , , BEFORE MONEY DAn;, ,~ -ð"-7 ; TIME: lA/-A. o <-0 ð/ ¿?9"/ WS¥ORDb :' .. DESCRIPTION OF WORK PERFORMED ,»,'",'." (' TOTAL, PARTS · ¥ UaJ_ odlorwioe 'pmvided by law, Ibe ooIler (Boob" Co) bereby "'plally dildailDa all_Ii... cilller VERlFI aplaNd "'¡lDplied, ¡acladiasUJ ilDpliocl...maty of 1Den:baa.....ity o.fi_ f... a plrlicøJ.. p~ aad ' aoilller '_lDa ao. aadloriøa UJ oilier ...... ID _IDO f... ¡. UJ liability ia coaGKlioo willllbe 1010 of llid prodaca." SHOWNARECORREcr' 'TOTAL LABOR , TOTAL PARIS TIME AND LABOR RECORD ate HOURS MILEAGE RATE COST SUBLEr TOTAL AMOUNT II I I II J SALF.S TAX ~~._~--_..._-~_._-~-- --~-~-~- - ----- -- !,.' License No~. 383550' 2403:~ E. BELMONT" FRESNO, CA 93701 " (209) 485-3456 ". NAME 7.... (/ . (t 0 f¡C{1 ADD~~ll ¿d,~m CITY' ~ ¡ _~HONE# . , PRODUcrs, , AFTER MONEY BEFORE MONEY AFTER GAlLONS, BEFORE GAlLONS DATE: V/(9 -9:? I. 1UTAL GAlLONS PUMPED . AU. FUEL RETURNED TO sroRAGE TANK TIME~ ' Technicians SIgnature: CUST: ORDER: ( ORDER WRJT1'EN BY 16549 ,. \ ~~. J ";, ::;~~.__. ','~ CLERIt '-... . .{ " TOTAL PARTS' UaI_ 0_" pnmded by law. die 1011.. (Baab A Co) boreby aplally dilClai..II1_â-. ci..... CIp_ or i. plied, iDdodiDl1IIJ iDlplied _mDIY Dr Dladaaa.....ily or 6_ ror. parlicølor pDrpoDD. ..d aci..... ._DlCO Dor ..dIoriza u, 0lil.. ...... ID _DID ror il'" liabilily iD COD-a.. wi... die aiD of ..id proclaCIL VERIFICATION: I HEREBY CERTIFY HOURS/MATERIALS SHOWN ARE CORRECT .. ' 1UTALU\OOR ,.' Verified By Date 5-/~·q7 1UTAL PAlUS TIME AND LABOR RECORD MILEAGE HOURS RATE COST SUBLEI' SALES TAX TOTAL AMOUNT ! I . I '" --- "-.. -..-----..-----.---- _ _~__ _ _ _ _ n _ uO ..-_" _ _ -- - - Pump; Test: Receipt , . . , , ' B';.4\,,~TKS' "& 1f'1~., " ;, ~,:- .\ (' \L, v~~~,. . 20159 License No. 383550 2403 E. BELMONT· FRESNO, CA 93701 , (209) 485~3456 "NAME '1-¡J~/h5t.fq " ADDRESS ''It, tf7 tu;)5o~ tel ,CITY6b.F/~,t::; ¿,if, PHONE#: DATE: ' Lj- :J1-5 7 TIME: : CUST. ORDER: : é OisramersSigoalme: TYPE OR MOL'EL SERIAL NUMBER Work Ordered By: ORDE1l 'WRIT1'EN BY (- I Ql'AN PART NO. DESCRIPTION AMOUNT REPAIR ORDER - LABOR INSTRUCTIONS ' I DESCRIPTION OF WORK PERFORMED (' , ,~ TOTAL PARTS Ualaa odlcrwile provided by 1_. Il1o 1eI1.. (BuD 4 Co) borebJ ...p...&y diJdaima all _Ii... eith.. ap_ or im pli.... iodudiollDJ implied _moly or mcrdoIDlahlily or fI_ for. parlicalar porpo.. IDd . acidta: .lIDlDa lor aalborizoa uy odacr penoa to UUalO tor it aay liability ia coaDOCÛoo willi dto aI. of ..id prodoaa. 1UI'AL lABOR 1UI'AL P AlITS " TIME AND LABOR RECORD MILEAGE COST SUBLEI' SALES TAX TOTAL AMOUNT I I' .... ~7~~~~tj~Y~~1-;~v~~~~ I Pump Test Receipt· 211 0 6 ' License No. 383550 2403 E. BELMONT· FRESNO, CA 93701 ~, -#-(~09) 485-3456 NAME o¡__// ~ /15'/9 : TOTALG~~~TOsroRAGETANK ADDRÈsslfGrr~ 1A/¿~~_;RD TIME: , ... : C ~"Á~ -/;¿/~PHONßffj:J-p~32- It/1t:J~/'?~i ,~ Teàmiaans Signature: .", CUST. ORDER . .:«' Signature: ! TYPEORMOL'EL /' SERlALNUMBER ' . Work Ordered BY:~~~4 . t.'. .'. . . I~!II~'I' 'l!tl!ll~"" ,_~fl.BY J __ , ~~,.- ~A_ 7- ~ . ,':::f. ~ . / " - PRODUcrs Af1'ER GALLONS BEFORE GALLONS DATE: s- -3 ¿J-/~ AFrERMONEY BEFORE MONEY /I.£f , .// / . /... /Wø/~ 1///...../1 /yH II / " DESCRIPTION OF WPRK PERFORMED/' ¿ ~ ð..-. "3 J ~ /1//'~ _. :::7'"'~ /? -:lA' - - /l.£~- .// ...6h -'- ~ ~~/ A~_'~ ~'.LA ..,¿;. ~ ~~ - ¡,/ L _ /1It~¿? c.Ã'7-::;"~ ~ ~/"' '/. A~_ -/? -/A ~ 2r ~ y¡i:5 ~~ ¿("J' /- ~--,/ ./ ,~. _ ~ _- /7 V', 7 - / ~. --'" .. - -" ././ ~ ~ f I. ¿..'_ /, _;;?';:7 ¿....~./ "..."./. _ _ ~ 1'\.- .II ./U'. ¡..r- ,.~ v ;.. ~.J" - / .A/. l. '" ~ ~",'.Þ' ~~.:.~JtII!!., ~" _.~' ~ r '"", " c- ~ ~ // I VERIFICATION: I iYXHOURSlMATERIALSSHOWNARECORRECr Verified By J If: If t.4/1/ . Date' Dr:- jD-~ 7 o OVER TIME ¿¡ - TRAVEL WORK DATE DEPART ARRTVF- START STOP"-----' '6-f¿;,y) 6:/,}¡:" ¿:j'l>M .6~f)1#t- t)<-6~ f¡.. , ....,,~/,.OIIE /..'7 '-"" ..... , , , Jf Jf ~ /' -~ ~A .77 -~ ~/'P? ~ '~'/~V-~__,--Ld :,~ / / '- ~Li . 'TOTAL PARTS ,- ." - ,< 1UI'ALLAOOR 'UIÙaI olborwioe plOviclod by low. !be seller (Bub" Co) bereby ""I"ally disclaillls oIl_li...citber 'cspraocd or illlplied, ioelodiDl1D)' illlplied ..mDI)' oflll_..lablil)' o,fi_ for I puticølar parposo...d Dcitber _III" Dor IDtborizcs lay otbcr, penœ to _III. for it ..y ¡ilbilil)' iD ..D...Ii.. witb!be uI. of aid prod..... , , TOTAL PAKI'S TIME AND LABOR RECORD MILEAGE WDRKER _ ~/h-R· HOURS RATE COST " --.' , , . -., , n ( h.. 1.)10,'''' # l65 "" ,¡ - .".,'" ,'~;.~ "" '~~~O~:O~~""·"'~~_~i'.· ......" "',\".", "'C:--"""--"'\;'J',""", ""F"""'%':"''''''''''''''';''; ·c,1 I : ',ß\'t'~;:';:,,~?:~' __ ,.,,::':.:;',..;:I,' ,",'i" " _" . ,i\~t~:g~;-~~:~X~~~t.i·"~)':''''·~''\~ :"""~;¿1{~" :":0"';" ,':~;~ ,¡ '.' .,. ":~:';"J':;":; , SUBLET ,.. .;; " , ,,' ',-- " " ~1 I. :~~~~,,~ri2i;,,~~::::""'::":"'" 1_ ~~~fi~:~;~~:~~~\~\~;!{~':~-ß':~ ' ," ":E;"':,;'fi,:"::';":¿,,,,,, "',,'<"'4',,,--',/.~ '!~ ,$',';" ::, :,':"',r'i, ,';'""','1"", th,:' ""',, ',':, ,"e.' :, ::'-;-':;~:r!;~'" "', " ' e_ II. WRITTEN RESPoNsE PLÀN n an unautÌiotized retease occurs how will the hazardous substance be cleaned up? In the state of California, if a tank leaks and the "operator is able to cleanup the release within 8 hours aftër the release was detected or should reasonably been detected, and which does not escape from the secondary containment, does not increase the hazard of fire or explosion and does not cau§e deterioration of the secondary cohtaihirtetit of the undergrourid storage tank, shall be recorded on the opèrator's monitoring reports.;' thus, in this situation, the operator should make a record of the sþill and maintaIn this record with the gasoline files at the facility. However, this sittiation does not require reportiilgto the local agency. However, all other unauthorized releases ÌTIiIst be reported to the local ageilcy within 24-hours. The next action would be to evacuate the primary vessel and then the secoridary vessel. The tank would then be replaced arid/or reþàired. Any leaking þiþes will be treated in the same manner. í f an ünaùthorized release occurs fro"l a single-wall tarik árid/or piping system, the same protocol should be followed. SoUthland would then begin any assessment and/or cleanup activities directed by the iocal agency . ist the 'ro osed methods and e . ui ment to be used fì r reitiovin and ro erl dis bf any hazardous substances. Include the iocatioìt and availabiiity of the required equipment if not permanêntly on-site and an equipment itiaintenaíice schedule for the equipment locáted on site. This Fàcility has absorbent material (kitty litter) on site to be used for very small spills. The absorbènt material is maintained on a weekly basis and replenished as needed by the local wholesaler. Once used, this absorbent inateriàl is collected by a contractor ànd disposed as oily waste. ifä larger spill occurs, the store operator will contact the Fire Department (911) and Southland's Disþåtch Inlaintenance number at (800) 828-0711. The maintenance department will contact the local ailthorized service contractor to collect, remove and properly dispose of the hazardous substance, the County Environmental Health, Division will also be ilotified, Fluor ' , . . Daniel GTI (GTI), SoUthland's environmental èorisllltant for Northerii California Area, may also be hotified. GTI will then proceed to perform whätever tasks necessary, such as a site' assessment in accordance with SA/1\1 manüal gtiideliiles. ist tÍte "âme and titie s urirlH the respônse þiån. The environmeiltal coordinator for the Southland Corporation, Western Region, is Bob DeNinno. Ail necessary work ahd coordiilatioil with contractors will be aüthorized by his office. GTI tìiay also be contaèted. I -.;. j ,," . " e e , , UNDERGROUND STÖRAGE tANK MÖNITÔRING PROGRÂM i. wIÛtTEN MONITORiNGPROCEÍJURES Site Name: #16549 ~, \ ' , SiteAddress: 4647 Wilson Road, Bakersfield, CA. 93309 Describe the freqUency of performing the mOliitoririg method. Tanks are double walled with interstitial probes and will be continuously monitored. Product lines are double wall fiberglass and constantly i11öilitored with mechanical leak detectors. What methód and equipment will be used fòr performing the nìònitoring? The piping system is tested annually With line tightness tests and are constantly monitored with Red Jacket XLD which are equipped with flow restrictors. The tanks are monitored with Interstitial Probes from the Tidel Automatic Tank Gauge (A TG). Describe the location(s) where the monitoring will be performed; The Red Jacket XLD are located in the ttirbine pit. The A TG probes are located in the tanks. List the narite(s) of the þerson(s) responsible fot performing the monitoring and/or maintaining the equipment. The individual(s) responsible for monitoring the equipment is/are the store operator(s). The store øperator(s) for this store are David and Ján Wang. The Southland Corporation is responsible for maintaining the equipment. Reþorting format: The informàtion for theititerstitial probes is in thë Tidel Tank Gauge. Probe status is available via a printout from the Tidel Tank Gauge. Stàte the preventive maintenance schedule for the inonitorhlg eqtìipnient. Note: rite n;a;nfenaitce scltèdüle shall be ii, accordance witlt tlte í1íalilifactûrer's ;';structiOlts. Equipmeílt rt::pairs and replàcement will be perfotìned as needed. Additionally, in accordance with the manufacturer's instructions, the monitoring equipment will be tested annually to certify that it is functioning properly. Describe the training needed for the operation of both the tank system and the , monitoring equiþment. Training is þrovided for nèw employees. Training refrt::shers are offered as needed. The operatiolis i11anuál for the equipment was provided to the store operator when the equipment was installed. Traii1ing also includes emergency procedures and spill clean-up. I .. """V,, __ --I "'r : : .:-::-,r-_~...... · , ,:"·i..i..i·:::t UU i REPfJRr .ID # 16549 t'Ø7 :0e :00 06/02/97 ~JRHK 1 "f;~IR UCT GRADE., RUL r,e E;NT STRTUS ,t LEVEL '- 66.20 'Ì"6ROSS GALLONS 6368 -} NET 'GALLONS 6279 ; IJLL~6E ·3649 · Al)ERAGE TEMPER~TURE 79.0~F , SHIFT SÞlLES ' 1011 ,i . LL~ST DELI IJERV ,,, . ~QNE ! ; CURRENT I N- TANK ~' ALAR~1S " ( NONE 'I; t' . '. !,:;r;CURRENT I N- TANK oJ,'" _It~GS : tì~~mf .... I; , ~ TANK 2 1 PRODUCT GRADE MUL ; CURF.:HH ST~TUS LEIJEL GROSS GALLONS . ~jET G~LLOr~S IJLL~GE ' --?--Rl:JERRGE- -""""'" . 4 TEMPERATURE 9Ø.5~F . }. :3HIFT . SALES 147 ! . ;i,LASTDElIIJERY [' .J lJ. NONE t"~~,~,,, 'CURRENT I N- TANK ¡¡j:' AL~Rt'1S ¡"_ì ' IHH~ "j . CURRENT I r~- TANK .. L~IAF.:H HjGS 24.4E. 1681, 1646 '8336 HONE' TANK 3 . PRODUCT GRADE PUL CURRHH STATUS LEVEL , 24.05 GROSS GALLONS 1641 · ,~jET GALLONS, 1609 " ULLAGE 8376 " AIJERASE · . TEt1PERATURE 88. 7~F " :: SH 1FT SALES . 58 .' LAST DEL I IJERV ·-~jl - CU REtH Hj- TÇNK · RLRRNS HONE ' CURRENT I r~-TÇNK L,JRF.:N I NGS HONE - - - - - - -...InI!t ,_ _ -- . '-, BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISIQN 1715 CHESTER AVE., BAKERSFIELD. CA 93304 (805) 326-3979 ßT- ÙC+YO . APPLICATION TO PERFORM A TIGHTNESS TEST FACILITY 7/;1. , ADDRESS 'I{,tf7 WIISðn ,(2J.. PERMIT TO OPERATE * OPERATORS NAME 5" w -I ¡, / ~rÞ1.~ OWNERS NAME 5'" ~ Ie:;.--" 0{ , mER OF TANKS TO BE TESTED ø IS PIPING GOING TO BE TESTED rlÒ . ¡t'tð 1'1' Jo r t~r f¡ +:.'".; + J I> It - . TAN"lC# I "Z J VOLUME ? ? 7 CONTENTS eÚ- nI ,",In '. J ù 1:1/ 51t1l< Joy TANK TESTING COMPANY ~J"ÞI7/ - !YOE.. ADDRESS 2..7 57' to~'(~1¿'e.. (~k~ dr II I T r!!'fh<.' w I~ èt4 9Z~Ò . TEST 'METHOD ~ ALI.t ~~~ 1 NAME OF TESTER C¡',/s ~",i(\4 S CERTIFICATION if ;J zr STATE REGISTRATION if ~? - IS" ~ ~~7 DAT~ ' 5() @. I#f I'LR- SIGNATURÉ OF APPLICANT , DATE & TIME TEST IS TO BE CONDUCTED /' {(,'5 - e BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISIQN 1715 CHESTER AVE.~ BAKERSFIELD CA 93304 (805) 326-3979 ' RECEIVED 6T- O·~OS SEP 2 {} 1995 APPLICATION TO PERFORM A TIGHTNESS TEST HAZ. ~,I1AT. DIV. FACILITY _<)cuP!tf'rll//") //.p'fl-/7 ADDRESS VILli? I1j¡¿-~yV eþ· PERMIT TO OPERATE # OPERATORS NAHE .<Ot.'/Î(Lfb'..{Þ ,OWN£RS NAME mJMBER OF TANKS TO BE TESTED ".y' IS PIPING GOING TO BE TESTED ;fs - T AWl\.-#: / (1. ,.-") -) VOLUME CONTENTS R'-'iA/ /VIlA· SO^/ 'rANK TESTING COMPANY 11t7I/t'/)(){VÞ)( . TEST 'l.fETHOD ¿1M vrg -I ADDRESS 'kAJW6 ¿vAry ~ø4 . ~eF¿-1t t'Æ '7é01/ NAl1E OF TESTER /)ftt/I.D--rV1/! ~ CERTIFICATION * -=)/;).. STATE REGISTRATION * /7,/ ,c;- OATE & TIME TESTIS TO BE CONDUCTED TUC<; -(~7, ~J(., .;2.,,). II CUY\.. ~ . P-P OVE 13: ð-g-/-/,~- DATE ~~ SI ATURE OF APPLICANT ~ ~ 1.';::,172 1 ::;' ~! S.O.# VacuTect™ TEST REPORT , \ 09/0'?I'3~j :::- e52-6B8C W\SQUE Z 6 ::, ~1¡, \ EtbB Date 16~¡4'3 Site # COF.:P SOUTHLAND Owner Phone Attn ':1567 C:A COI=<:DOVA RANCHO 30C SUITE Df<: CAIV!P 130LD 3145 CORP. THlAND sou Invoice Name/Address ':;1330'3 CA , Bf~tŒ¡:;;:SF 1. ELD . RD ¡"J I LSON 4647 7--ij, Site Name/Address TANKS and LINES Tested to CFR-40 Parts 280-281 & NFPA 329 Spec's. Leak Det NEW LD(s) Tested & PASS Exist LINE LD(s) ill Pass/ Tight Fail/ or or Fail NONE Final Leak Rate . LINE TEST . END TIME LINES LINE TEST . START TIME Line Delivery Sysl. Type . Line Material . ST/ FRP TANK . Tight or Fail Ullage Air Ingress Detected . Bubble Ingress Detected . Water Ingress Detected . Probe Water Level . START END TANKS Dipped Product Level . START END Dipped Water Level . START END Tank Cia, & Material ST/ FRP/ Lined See Diag, For Other GPH PS/SS/GS Line # Yes/No Yes/No Yes/No Tank Capacity Tank Product rik # f·:-J<=';..../!:k)J XL.!) :.:;() Exist LD SN/MDl/MFG: New/2nd LD SN/MDL/MFG n "'u-v,'.'.""..,,,'." '",f""","".'.,,.,..·,1 P" V . c.J~I; !C> 1. f:1Ff(P , 'l5ërcent 01 Fiii at Time 01 Test: r¡¡;;r- Test PSt - Oíameter Material !3UPf¡,: UNL 1 )( . y '5f LINE TEST PSI Dispenser Shear Valves Operate (yes/no) nclinometer DegreeS: I'ump MIg,: I Probe En1!Y; ~: End Time: VLD Ex;s' LD SNiMDL/MFG: PL D New/2nd LD SN/MDL/MF~S082 "'" ,- -' y p - F P "IIJ 9,~ 2~ I f-fii~P.IMPS f =+ 'l5ãr"ceñi"õm1Tãt Time of Test: ~ T~ f Diameter REG U!\JL ..:. ,:.. " bLA) ,00 V 8'4'= 1 '3 Hh LINE TEST PSI Dispenser Shear Valves Operate (ves/no) .. (J.#~ " ,.". nClinometer Decrees: 'F'Ump MIl!,: I Probe En~ Start Time: EndTim!!.: Matenal -7 Exist LD SN/MDLlMFG: 3 C New/2nd LD SN/MDL/MFG: LINE TEST PSI 5 (, t PS fOR? ·3A f t I5ei'cent 01 t-11Tã1' Time 01 Test: r¡¡;;r- Ie¡,Œ t I5rameter PLUS UNL 3 J5ümp MIg,: Millena "" ,,(Ie y ,,'. Dispenser Shear Valves Operate (ves/no) I nclinometer Qegrees; TI5rõ"6ã rEntrY; t at ~ End Time:, .- F Diameter Exist LD SN/MDLlMFG: New/2nd LD SN/IVIDL/MFG - ~ I" f ..,.." I Material Diameter 'F'Ump MIl!,: 'ercent 01 Time 01 Test ~ Test PSI ~ i LINE JEST PSI Dispenser Shear Valves Operate ¡ves/no Incllnomete Q,egreeJ¡; ~ EO~ New/2nd LD SN/MDL/MFG LINE TEST PSI: Dispenser Shear Valves Operate (ves/no) t ump MIg,: TI5rõ"6ã I Entrv: >arcent OlfilratI Time 01 Test: ' r¡¡;;r- IeslPSI;, f Material f TnCI1ñomete 0mIœes; TPro6e I E.nJiY: t 'ercenf 01 rill ãt' Time 01 Test: r¡¡;;r- ~ f ~ End Tim..e; Oíamefer Matenal Exist LD SN/MDLlMFG: New/2nd LD SN/MDLlMFG I .. ,....:,... I ump MI9..: LINE TEST PSI: Dispenser Shear Valves Operate (yes/noL Tankn()logy Corporation Internationa 5225 Hollister St..Hou . I rïñCiTnometer I~ I Probe Entrv: Start Time: End Time: i stan" TX 77040 FAX (713) 690-2255 -~-~'>-.._"-""" . (800) 888-8563 CA State: #1315 file. State Lic. Control Department and maintained on 08S! # Unit reviewed by Tanknology's Audit ~:EGION WESTEF.:N Data recordings are T~NKNOLOGY Region '.;.¡, 'i"., NOTE: '\ TA~-O Original VacuTect --e .:, BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 1715 CHESTER AVE.! BAKERSFIELD, CA 93304 (805) 326-3979 6T- O~OS APPLICATION TO PERFQRM A TIGHTNESS TEST FACILITY _SCUp!L/f--I\I/-':J /&)[/1 ADDRESS ¥ti-f7 WIG5:()/Ij /21::>. PERMIT TO OPERATE * OPERATORS NAJ.\1E .<Ol/'¡'/(Lfrt"lD OWNERS NAME NUMBER OF TANKS TO BE TESTED..-&" IS PIPING GOING TO BE TESTED ~ TAW.rC# / ,1. '~ -') VOLUME CONTENTS R¿iA/ IV! If) , SO^/ TANK TESTING COMPANY 1ft/t1t:'r10LVþY ADDRESS . TEST~œTHOD ¿1M vTE-/ N~'1E OF TESTER '/)ftt/íl> ¡(iI/I K CERTIFICATION * t¡¿~6 ¿VArY !e,~4'1 7g!1&YUft cÅ- '1éS11 -=) /,-'1. STATE REGISTRATION * / -:J,(c;-' DATE & TIME TEST IS TO BE CONDUCTED TU¡¿S -(~? 1v~~...2à I I a.M.· I I / ~ /,P /.{. ,,,~ ,-1 "A.P-P-f{OVE E,: ---- v- _ c..- .'- c;- <- :.-' .:.;:, / ~ DATE ~~ SI .ATURE OF APPLICANT "WE CARE" e e CITY of BAKERSFIELD January 30, 1995 ARE DEPARTMENT M. R. KELLY FIRE CHIEF WARNING! 1715 CHESTER AVENUE BAKERSFIELD. 93301 326-3911 CERTIFICATION OF FINANCIAL RESPONSIBILITY REQUIRED 215-00ø-000a0a 7 ELEVEN FOOD STORE #2125-16549 ':tb47 WI.LSON RD BAkERSFIELD, CA 93309 Dear Underground Storage Tank Owner: Our records indicate that your business does not have a Certification of Financial Responsibility on file with this office. Please forward either a copy of your existing State approved mechanism to show financial responsibility or else complete the attached Certification of Financial Responsibility form. An attached letter from the State Water Resources Control Board lists the approved financial responsibility mechanisms required to pay for corrective actions resulting from leaking underground fuel tanks. Remember, most,tank owners only have to show financial responsibility for at least $10,000 of clean up liability. The Underground Storage Tank Clean Up Fund (USTCF) may be used as the mechanism to cover the remaining accidental release liability. The total amounts of financial responsibility required (check boxes from section A of fonn) are as follows: If you don't sell product from you tanks, and you pump less than 10,000 gallons per month. check "$500,000 per occurrence", Else, or if you are in the business of selling from your tanks, check "1 million dollars per occurrence". For owners of 101 or more petroleum underground storage tanks, check the -2 million dollar annual aggregate" box. All others need only check the "1 million dollars annual aggregate" box. Please be aware that failure to provide the financial responsibility document to this office within 30 days will result in your Penn it to Operate being revoked. (25285.1 (b) California Health & Safety Code). ~ If you have any questions, or would like help in completing the Certification of Financial Responsibility, please contact Howard Wines, Hazardous Materials Technician, at 326-3979. REH/dlm ,,~ CORRECTION NOTICE - BAKERSFIELD FIRE DEPARTMENT N~ 0493 LocatioI1 7-/ I \ tJ,S·\ ~ Sub Div. .l.(L \f7 W,"'/<OJl\. Á¥lk. . Lot You are hereby required to make the following corrections at the above location: Cor. 110 JÎ\'\ N Completion Date for Corrections L¡/2 "3-19 r-" Date 3I~/'tš ~~d'(?2~~ ~-- Inspector 326-3979 e ~ ---- ---- .. ¡, , -0> ." ,. ~~,""-,,.,;:. e e k~ KLEINFELDER February 27, 1995 Project No. 51-4003-00-N80 Mr. Ralph E. Huey Hazardous Materials Coordinator 1715 Chester Avenue Bakersfield, CA 93301 Subject: Certificates of Financial Responsibility for 7-Eleven Stores Dear Mr. Huey: In response to your letters dated January 30, 1995, copies of Certificates of Financial Responsibility for eleven 7-Eleven Stores located in Bakersfield are enclosed. The addresses of the subject stores are: 7-Eleven Store 16329, 1701 Pacheco Road, Bakersfield, CA 93307 7-Eleven Store 16549,4748 WùsonRoad, Bakersfield, CA 93309 7-Eleven Store 16834, 525 W. Columbus Street, Bakersfield, CA 93301 7-Eleven Store 17721,3601 Stockdale Highway, Bakersfield, CA 93309 7-Eleven Store 18655, 300 North Chester Avenue, Bakersfield, CA 93308 7-Eleven Store 20317, 2351 South Union Avenue, Bakersfield, CA 93307 7-Eleven Store 21476, 1700 Brundage Lane, Bakersfield, CA 93304 7-Eleven Store 21481,2636 River Boulevard, Bakersfield, CA 93305 7-Eleven Store 22150, 4012 White Lane, Bakersfield, CA 93309 7-Eleven Store 22647, 33390 Rosedale Highway, Bakersfield, CA 93312 7-Eleven Store 26599, 6529 East Brundage Lane, Bakersfield, CA 93307 If you have questions or require additional information, please call me at 619-541-1145. Sincerely, KLEINFELDER, INC. ~\0iD~. Linda C. Nebiker Staff Professional cc: Bob Vasquez - Environmental Coordinator Tim Jones - Market Manager Andrew Chan - Program Manager KLEIN FELDER 9555 Chesapeake Drive, Suite 101, San Diego, CA 92123 (619) 541-1145 "'1 'j ~tatc ~ Ca1~a CD 1 B ard::::~:i::::::::::·::-~:::t::::~i:::::¡:::¡:¡~:¡;¡¡¡~j:j:i,j¡i¡¡¡¡¡:~:::/::::)::i·::¡:::-:.:.~JJ::¡:¡jj¡.:i:¡~:;:¡:¡!~¡~¡¡:¡::¡¡¡i:¡~¡i~:i:!~¡::¡:'¡,':,¡:¡ii:¡¡¡;~::i)::::::i:!:::::::: ~taœ ater un:cs n tro . i:¡:}::i::::::':::':;II~i¡:~;:¡Ii¡¡¡Jfi;¡¡i:::-:;:~:~':~:¡~~~;ir:~::::;:!:;:il;:~:1ir;¡!;Jl!:;:ir:iii¡~;!:i!i:i:!ffii;it:/;:~,;:;:~;;:\¡::;;:,::::,::'. (InltructÎoaa OD reverse) t··; :;;:::}/ "'~':.: ':';'::. ·:-=.;::t:·: ~ :::::-::./: :;:~.;~.;::. ::.::·;·:·::·:~;~;~:;·~;::·:~::;:~~~:~~t:~~~;~~::~;j:~:::~:¡:~~:~~:~¡~~~:~:~¡~~::~:::~~::::"" ::". ;=:::::::, .::. CERTIFICATION OF FINANCIAL RESPONSIBILIT á~ FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM A.. I am recrczircd 1.0 dellUlllœ1IJI F'usa8ICia1 Rcspouibiity ÌII Úle required alllOIllUI u specÜied ÌII SeCÚOII 2807. Chaplet 15. DiY. 3. Title 23. CCR: o soo.ooo doUan per OCICIU1'ellce D llllï;iOl/ doUan awtwagrepte or AND or o llllillioll dollan per oc:currellce [X] 2 lIIillioll dollan awtw agrepte 8. The Sonth' ~M rf')~-r;::!t-; nn <N-oIT~o.-- a-0ptttØ:r) Aftjcle 3, Chapter 18, Division 3, Title 23; California Code of Regulations. The mechanisms used to demonstrate financial responsibility as required by Section 2807 are as follows: ..~f¡:;::::~:Ër~W~~¡:¡¡~:. :¡:~~¡~i1~=:;:~~\~*:Ïij~:t:;::I:&:M.I:¡:¡t:':;:;¡¡'::::::::::~:::' :::¡~¡::::::¡::!'::::::::::::::¡:~~~b~/::::::::~¡:'::'¡::':::::,::!¡:,::::::::::~e~~:':f::: ::.:¡¡:~§þ~~~~:::;::::r::gÃ~~0.' ·Irgg~a~¡ I hereby certifies that it is in compliance with the requirements of Section 2807, subpart H of 40- CPR Part 280 Bankers Trust Carpany No. 5-08219 Irrevo- cable . Irrevo- - ..cahle.' Yes Yes. I I I Note: If you are using the State Fund as any part of your demonstration of financial responsibüity, your exeaJtion and submission of this certificatkJn also certifies that ou are in com liance with a/l conditions tor rticiPation in the Fund. 7-E1evenStore No. \Lv·.ß3l.\ I' aa1i I1I'i1111a ~-Eleven Store No. \11d.\ 1'aa1i11~ \~'5 Dale Z/1-/' C¡J ·1'aa1i11~ j.-Eleven Store No. Flåiity~ 7-Eleven Store !'b. \~~à.~ \OS ~ C\ FIåiiI1~ Siplaln Sipaan Dale c:n(Dm) f1LE: Oripal - Local ~r:r Cðpi.. -1'8Cili1)l'Si1ll(.) .,- (' ~ ~' r.. 'p':.c'" e e CERTIFICATION OF FINANCIAL RESPONSIBILITY The Southland Corporation' hereby certifies that it is in compliance with the requirements of Subpart H of 40 CFR Part 280. The financiëf.l assurance mechanism used to demonstrate financial responsibility under Subpart H of 40 CFR Part 280 is as follows: Irrevocable Standby Letter of Credit No. S-08219, issued by Bankers Trust Company on December 20, 1991, pursuant to 40 CFR 280.99, to demonstrate financial responsibility for taking corrective action and/or compensating third parties for bodily injury and property damage caused by accidental releases in the amount of up to $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate. THE SOUTHLAND CORPORATION By: ~~~~ Name: Steven R 1 wi z Title: Assistant Secretary Date: February 19. 1992 STATE OF TEXAS § § COUNTY OF DALLAS § SUBSCRIBED AND SWORN TO BEFORE ME this 1992. //J-:J I day of -l ,/. :' " I;' . . , '. (./ ' ..~'. - . ~ --- /> lf~ ,( < /( 'NOTARY PUBLIC / /' I / /(, My Commission Expires: ~OC'oocco:;¡occ.;:¡:x;ooC;;)co~~x x:x) 8 .~..~-;~..,';...~~~,,~ 8 o ~"""~;¡('" 8 Ô f~/ ,4. -,,:-.\ DEBORAH A. ALLEN . ç.¿.i~~:~....7'*ª ,...... t) v ~ ~ : ,...... J = Notarv Po!'\IIC. .')'3ié f)' Tp'a~ 0 ~i "':::\~;:~~:\:':':/ I.'v (:(',."/',,",,,," 1'.:",,:; 3'~ S2 ~ ~:;-:;c:~;.>; :;":;.'::;',T ":-:::::"~::x-J:X;ococxoo SRSCON1245 · .. .~" -". U1\"DERGROr STORAGE TA1\TJ{ ~!O~TfORIII PROGR.\1\! L 'VRITTEN ~10NITORING PROCEDÌMES . 1. Site Name: ~- tS\WVV\ Sro~~ \l.Q'5L\q 2. Site Address: 41oL\"l W\~ 'KO).D\ &"~'U\d. CA ct33CP\ I, , 3. Describe the frequency of performing the monitoring method. All Southland tanks, both single-wall and double-wall, are equipped with automatic tank gauges (ATGs). The ATGs monitor the system constantly and test the tanks montWy. The piping systems (single-wall and double-wall) are monitored constantly by mechanical pressure gauges. Additionally, all SoutWand piping systems receive line tightness tests annually. 4. What method and equipment witl be used for performing the monitoring? Quantitative monitoring will be used at all Southland sites. The ATGs test both types of tanks monthly. The ATG system used by the Southland Corporation is the TIDEL EMS. The piping systems are tested annually with line tightness tests and are constantly monitored 'with Red Jackets or Vaporless LD 2000 which will shut off the piping if the pressure drops too low. 5. Describe the 10cation(s) where the monitoring will be performed. The Red Jackets or Vaporless LD 2000 are located in the turbin pit. The ATGs are located in the tanks. 6. List the name(s) of the person(s) responsible for performing .the monitoring and/or maintaining the equipment. The individual(s) responsible for monitoring the equipment i~the store operator(s). The store operator(s) for this store i~ ~\-\\JÑ \ ~\:\\.) WANe:, . The Southland Corporation is responsible for maintaining the equipment. 7. Reporting format: The TIDEL EMS unit keeps the results ofleak tests in memory for 12 months. This information can be printed by follo\\'Ïng the instructions on the unit. 8. State the preventive maintenance schedule for the monitoring equipment. Note: The maintenance schedule shall be in accordance with the manufacturer's instnlctions. Equipment repairs and replacement will be performed as needed. Additionally, in accordance v,ith the manufacturer's instructions, the morutoring equipment will be tested annually to certify that it is functioning properly. 9. Describe the training needed for the operation of both the tank system and the monitoringeouipment. Training is provided for new employees. Training rerreshers are offered as needed. The operations manual for the equipment was provided to the store operator when the equipment was installed. Training also includes emergency procedures and spill clean-up. 59ERJ-94.WRD Copyright 1994 KIeinfelder, Inc. Page 1 of2 51-2104-00 ";.. i;\ - ,. f--"" ~ e II. 'VRITIEN RESPONSE PLA~ 10. Ifan unauthorized release occurs how wiII the hazardous substance be cleaned up? If a tank leaks into the secondary containment, the first action would be to notify the Environmental Health Services 'within 24 hours of the unauthorized release. The neh,1: action would be to evacuate the primary vessel and then the secondary vessel. The tank would then be replaced and/or repaired. Any leaking pipes will be treated in the same manner. If an unauthorized release occurs from a single- wall tank and/or piping system, Environmental Health Services will be notified within 24 hours. The faulty equipment would then be repaired or replaced as necessary. Southland would then begin any assessment and/or cleanup activities directed by the local agency. 11. List the proposed methods and equipment to be used for removing and properly disposing of any hazardous substances. Include the location and availability of the required equipment ifnot permanently on-site and an equipment maintenance schedule for the equipment located on site. All Southland facilities have absorbent material on site to be used for very small spills. Once used, this absorbent material is collected by a contractor and disposed as oily waste. If a larger spill occurs, Environmental Health Services will be notified. Kleinfelder, Inc., Southland's environment consultant for the f~B::>l\.\ORegion, may also be notified. Kleinfelder will then proceed to clean up the spill (or perfonn whatever tasks necessary, such as a site assessment) in accordance with \c..c\".)~~ guidelines. 12. List the name(s) and title(s) of the person(s) responsible for authorizing any work necessary under the response plan. The environmental coordinator for the Southland corporatioh, F~~Nb Region, is Bob Vasquez. All necessary work and coordination with contractors will be authorized by his office. Kleinfelder, Inc., may also be contacted. .. 59ER3-94.WRD Copyright 1994 Kleinfelder, Inc. Page 2 of2 Sl-2104~O '. r ~ . CUSTOMER: SOUTHLANDfoRP (7-11) ADDRESS: 3146 GOLD CAMP DRIVE CITY:RANCHO CORDOVA ST'\TE: CA ZIP: 95670 SITEID: 165'" ADDRESS: 4647 WILSON RD CITY: BAKERSFIELD STATE: CA ZIP: Testina Evaluation Report The USTest 2000 System aeclares a tank to be leaking when the measured leak rate exceeds the threshold of .05 gallons per hour and has a probability of false alarm of <1 % and a probability of detection of >99%. TANK 1 II SYSTEM ~i INFORMATION ~t \ VOLUME _' DIAMETER if FUEL TYPE TANK TYPE FUEL LEVEL WATER IN WATER OUT SYSTEM RESULTS ddddq LEVEL'd ¡~'.:;;::¡¡:¡;¡:::;::::..~lU\g~::;::.::..,...:.... .,,{......LEAK:. ..,.. ..:DETE~TÖR>: i<LI!,.;~t:': II VOLUME DIAMETER FUEL TYPE TANK TYPE FUEL LEVEL WATER IN WATER OUT REG UNLD SYSTEM INFORMATION VOLUME DIAMETER FUEL TYPE TANK TYPE FUEL LEVEL WATER IN WATER OUT SYSTEM RESULTS Itt'ii.·.f,LEVEL/ '. '''''''''q U' I ^GE ' , ::~:}~:}}~{" ~- :"-=:: -: .............. . . ..·.::::::....:LEAK/' " .........tÓÈTECTÕR'··. LINE'd"" "q .." ,):~:~:===:}~}<{:? " . ... .......... ....... .. . .. {{{:::V APOR II ;": TANK 2 TANK 3 II II VOLUME DIAMETER FUEL TYPE TANK TYPE FUEL LEVEL WATER IN WATER OUT PLS UNLD SUP UNLD ::........'.' U:.Vêl4?,..."""" '{{'.',ULLAGE. ,.", )(:"LEAK{(ft :}~:r:: :}Ii/?:?:{: PA$$}{jÙ:> ttt])ËTECTÓ'R ef~t :~¡):m/räÖ7"84lj'9'~fâ\r ". :.PASS/+;014:: TANK 4 VOLUME DIAMETER FUEL TYPE TANK TYPE FUEL LEVEL WATER IN WATER OUT '" d:'" " .q=.ysW.. .q "q qd"uq;AG.~;,:, }::::)...»):LEAK ........··DETECTOR::. .........:)):..:ÇIN;::I\:/i.::· "'VAPORII ....-.... ..:........((, LEVEL·.···'...·.'·" ............. - .... . ............... .... .-...... '......"" ULLAG E' " , ........... . ...... {{:}~{:}- ::::~:::~:~::;;::-.. ............. . . ...... :::.:::.::(). LEÞJ~: {::::DETECTOR " ::i.::' Uf\E:i if.·..\:VAPQR'II,::¡...:. <PASS <....,',.. ." .... -. .... .,". .. .......... --- ...... .... . ::..·NïA/i',',.·",· {P ASS/,·;;;,01,6,.";,", . ..,- . . . . . . . . - . . - -,.. .. - . . . . . . - ..... TANK 5 TANK 6 VOLUME DIAMETER FUEL TYPE TANK TYPE FUEL LEVEL WATER IN WATER OUT i?,LEVEL.,..:'.·.·? ::ULLAGE) , ......... ''''"LEAK··,,.. ·:::'::::':bËTECTð~). ..m:..m:'\..; UN E'."(:.·' }}}{VAPOR II ............. .. TECHNICIAN: MIKE KNUTSON CERTIFICATION #: UST -701 DATE:DECEMBER 5. 1994 , I . -. . I ,;)talC 01 \..aUf01DJa . 'Stale Waterltesoun:esY1 Board (lutnlCliou 011 _ \ ~";I CERTIFICATION OF FINANCIAL RESPONSIBiliTY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROlEUM A. I alii ftIJI1IÏNCi 10 ........ FIIIUIIIÏaI Reap Duibiiq ÏII eM required __caulpOCiúed ia Scaioa 2807. CIa,.. la. DiY. 3. Tide U. CCR: D 500.aoo doDan per ~_ 0 ImilåCIII doUan_aalagrepae M ~D M D ImiliaD doUan per ~.œ IJU 2 lIIiDioD dollan ...ualagrepte B. The South 1 rmn ('r1"f"!Y'r;:¡t-; nn hereby certifies that it is in compliance with the requirements of Section 2807, (N_ørn.tOlnNrcrap.ur) Article3, Chapter 18, Division 3, Title 23, California Code of Regulations. Thè mechanisms used to demonstrate financial responsibilfty as required by Section 2807 are as follows: ~m¡¡¡¡i¡¡:~R1i~;lj~ :¡:!II;ii=~~:~~~f;¡¡1%:i~!W:;i::::?::;:::¡'::;::¡·::1:::: '::::::¡:;¡::::::::;¡::¡¡!;:;::;:~=6~X:':':::¡:::":'¡'::'¡.:,¡·i::::' :::~:~:::~~~;¡:::::; ,:;,¡¡·:~þ.~H69;':;::::::¡: :::Éj[~~i; .wgg~a~¡ SUbpart, H of '40. CFR Part 280 BankersTI:ust Canpany No. 8-08219 Irrevo- cable . Irrevo- . ..ca};üe. Yes. Yes, Note: If you are using the State Fund as any part of your demonstrafun of financial responsibl7ity, your execution and submission of this certification also certifies that !.l are in compliance wfth all conditions for rtici ion in the Fund. . p..w1J x- 7-ElevenStore No. \Lv·.ß3L\ Paå1iIJNmu ~-Eleven Store No. \11d-.\ Paå1iI7~ 7-Eleven \ úWS5" Dale Z,/ LI ~ C¡J '-Eleven Store No. F..w1J N-. 7-Eleven Store ~. \ \.Q~ ð.. ~ lOS~q Faå1iIJ"- $iF8=" SiF8=" Date a:JI{04"1Z) fIŒ: Drizjøll - Løc:II Af1:«1 Copi. - flålitJt5itl(.) 1\ ~ ,~-~~ -- - CERTIFICATION OF FINANCIAL RESPONSIBILITY The Southland Corporation hereby certifies that it is in compliance with the requirements of Subpart H'of 40 CFR Part 280. The financia'l assurance mechanism used to demonstrate financial responsibility under Subpart H of 40 CFR Part 280 is as follows: Irrevocable Standby Letter of Credit No. S-082l9, issued by Bankers Trust Company on December 20, 1991, pursuant to 40 CFR 280.99, to demonstrate financial responsibility for taking corrective action and/or compensating thir'd parties for boãily injury and property damage caused by accidental releases in the amount of up to $1,000,000.00 per occurrence and $2,000,000.00 annual aggregate. THE SOUTHLAND CORPORATION By: ~~~~ Name: Steven R e1 wi z Title: Assistant Secretarv Date: February 19. 1992 STATE OF TEXAS § § § COUNTY OF DALLAS ~@OR ORIGINAL . SUBSCRIBED AND SWORN TO BEFORE ME th.is :' ~j-:II day of , -{' .!. ;" , , /; . , , . -./ ......, - " 1992. J 'ÑOTARY PUBLIC I i it..- ..~. ,.t.. "~I .//~ / -__.. I, My Commission Expires: ~OOOOCCO:lOCW:;r.;cocococc::;c~,"xoo 8 ,..''''~:''';::'~'''' 8 8 //'~'-~~:.\ DEBORAH A, ALLEN ~ ç,:: :....~~7\ !. .ì \.1 ~... ~ .... tt·{ j * i NC')(arv PuNIC. S!a:c· fj T(lr.as 0 i.: --=#.::;:"~~~~_'.'.~~."'~"~'.:-/ /'" C("J'~(T!:::~';I.'n ":Xt'lfr"!:;3·10-,92 8 (; ',' "".. ' 8 . , .... ,,: ~.,. ,..,> ~:;-:;ç.'~:~. :~,:;. ':;'7' ":-~-::'~:'XJCCOCOOCOOO . , . th 'ì\ SRSCON1245 B &: C Tank ()d'JJL ùf~ Testing .};p v 1~~(C,~l~~1 ~ APR 3 1995 ¡yi By Bl~ER~F I E~~, CA 93:::;04 1;..1-8,..:.4-1..:..,.A AES - SYSTEM II PRECISION TANK ~ LINE TEST RESULTSSUMMARV Invoice Addt'ess: Tank Location: W.O.#': BC551 B S S R 6630 ROSE DALE HWY. B BAKERSFIELD. CA. 93308 7-11 WILSON RD. BAKERSFIELD~ CA. I.D. Number: 16549 Technician:8WH Tech.#:88142 Van#:l Date: 3-20-95 Time Start: Facility Phone#: N/A Contact: BRET TACKET 10:45 End: 13:00 County: KE Groundwater Depth: N/A Blue Prints: N/A Date;Time system was filled: N/A Tank Fi IllVent Product T~pe Of Vapor Inches of Pump Tank Tank Capacity Pt'oduc t Tank Vapot· Li nes Line ecovery Water/Tank Type Material 1 10K 87UL N/A N/A PASS II N/A TURB. NiA 2 101< 89UL N/A N/A PASS II N/A TURB. N/A 3 101< 92UL N/A N/A PASS II N/A TURB. N/A Additional Information: ONLY THE PRODUCT LINES WERE TESTED ON THIS SITE. SITE LOG TIME Set Up ECuip: Bled Product Lines: Bled Vapor Lines: Bled Vent lines: Bled Turbine: Bled Suction Pump: Risers Installed: 10:55 1 <): 4~:; N/A N/A N/A N/A N/A a) ALL PRODUCT LINES WERE TESTED USING THE PLT-l00R b) This system and method meets the criteria set forth in NFPA #329. c) Any failure listed above may reCuire further action. check with all regulatory agencies. Copyright (c) 1994 by AES. Inc. California O.T.T.L. Numbet~ : 97-1069 BRUCE W HINSLEY Cet'tified Technician SignatUt'e : '~4..--~~ Date 3-20-..qS n 0 ü '< ..... , ..... 4647 WILSON RD. ,~ ::T ct' .... n ~ Å .... .,(J N co ...0 '4 :D fm fm !T1 UJ . IJ:I !lI A I'D , 87UL In +. .... 89UL 92UL ID >-' a. D 0 0 '4 n 0 0 0 !lI >-' ...' [::J !:] [::J +. 0 ... . ::J ...' !) STORE 116549 r I I Site Layout For: 7-11 BAKERSFIELD, CA. e e BILLING ORDEr-l Invoice NUllber. ßC SS4___ ...... _... .... __. ._~_ ._._ .___~.__...__.._....h_._.__.._,.__..__..._.______·. INVUICE ADDRESS: I TANK LOCATION: I : 7-/1 # /'5'10/ I I I ~C i.¡7 W/!5t>J1 ,t<~ I I : ¡ja-kerfH'e/< Cc<. I I I ---.-.-------. Cont~ct:, I Contact: _____,___,____,_[JL(T~(k et- 1_____ Phone: 't I Phone: ____'u_ .~ f/.I_~___2__~-=,222L_1 - I Taken by:--¿:::) , ,// I ~£l/~ I Dat e taken: 3 I __ _ --2 (2-- 2.s~ _ I Sales.an: Terr: I _ '..z¡t~ J.J 1 Technician: I _._____________~~-:._~ ___.___ I CountYI I _.___u___.-..&~ª I Co. Notified: I /Þ/A-- I P. O. .. : I I Test Date: 1 J Test Till": I ß S5 I( Ga }D ¡eOJfa'¡If. /~ &. fp,kerJ '-!-I-e/¡;ýC Pl, ~J;J() ( -.-.... .-. ".-"."- ".. ....--...---.-- --- 3-2o-9S II: flO ..-.---. EI~ERGENCY CONTACT: PHQNE: ---_.-.-._~-.__._----._... -.....- '. -.- ---...----------.--.-..- ...--...------...--.....-..-.,-.. HVDROSTATIC PRODUCT LINE TEST RESULT SHEET I , PRODUCT 1__....,____,..._,...,.____1 I REGULAR 1 1 f ,.,_".8~l:- V !--_I ___7.2_,_' _____72.___ £)0 (/Jì.' I 5/UL " I 1 1._.u!1.k-<./L I 12g- t _J../L___ I R/UL I I I . .'i.7::f:!.? _I ct 0 I -7 L I DIESEL I I 1_...____...._.___1 t I OTHER I I , -----,---,---, '---.. .- I I CONFIRMATION TEST IF FIRST FAILED I _'", ______________ _---- I I I I I ...._______,_..,..__, ________1 _~___I _,___ I , , I , I I I . _0.'6"._."_'_._ __.____.___ ------- .. 1 I I I 1____.__1 1____1 START VOLUME - END VOLUME -..- VOLUME DIFF. CGPH) .--.---.-- TEST PRESSURE I PASS/FAIL I I I .P~JL-I I Ik-sj~ __I ¡?a..SS --·c;o-z 5 tJ fill: stJ ¡::'J/~ - .0 /Ci _-.O()8' I , I , I I I I I , , I TEST PRESSURE IS 50 PSI WITH LEAK DETECTOR REMOVED & ,IMPACT CLOSED. e e INVOICE NUMBER f1c 5'$2 AES HYDROSTATIC PRODUCT LINE TEST WORK SHEET TEST PRODUCT START END START END TEST ,VOL. NO. ,TIME TIME VOL. (m1) VOL. (m1) DIFF. (m1) / 'i7VL //;00 I)':/s C/o ~O /0 2 f{ / I U,S'" //:30 9:"() 72- ff I clZ (/ ¿ / J: 15- J I: SO ILjt) J'29; 1'2 2 II / /: so Þ2..:0S- J?t1. ) i9. II) I ~9uL l'2;os /2: 2S 'XS 77 'i? 2 JI /2 ~ 2.S" /2:7'0 77 70 7 Divide the volume differential by the test time (15 minutes) and multiple by 0.0158311, which will convert the volume differential from ~illiliters per minute to gallons per hour. The conversion constant Is found by: (60 nln/hr)/(3790 ml/gal) = O.OlSS31l{min/hr) (qal/ml) The conversion constant causes the milliliters and minutes to cancel out. Ex. If the level dropped 3ml in 15 minutes then: 3/15 ml./min. X O.0158311(min/hr) (g41/ml) - 0.003 gal/hr. _.......... _... _... _....._ .,.___ .....""..,.... -...... D~ I"'nUDt'T1:"n nu A I:" _ ~ _ 1:IF-~t]T~T~ - .- CITY of BAKERSFIEW FIRE DEPARTMENT FIRE SAFETY CONTROL & HAZARDOUS MATERIALS DIVISIONS 1715 CHESTER AVE. . BAKERSFIELD. CA . 99301 R,E, HUEV HAl-MAT COORDINATOR (805) 326-3979 March 23, 1995 R,B, TOBIAS. FIRE MARSHAL (805) 326-3951 Jeff Simonson The Southland Corporation 295 W. Cromwell, Suite 104 Fresno, CA 93711 Dear Mr. Simonson, Enclosed, please find the results of my underground storage tank inspections at the 7 -Eleven's within the city ¡knits of Bakersfield. For each facility, you will find an inspections checklist with "yes, no, and not applicable" columns for each tank, blank forms provided to facilitate supplying information required by the state, a business plan for a store with a new operator, and Correction Notices for each facility, which list items ' that need correction. Please note that one month was given to complete the required corrections. Also, note that the tank monitor at your store located at 525 W. Columbus showed two tanks in the alarm mode. Investigate the cause of the alarms as Soon as possible and notify us of your findings. We are pleased to have only found minor problems, (mostly paperwork requirements) at your facilities. Call us with questions or comments at (805) 326-3979. Sincerely, Ralph E. Huey, Hazardous Materials Coordinator ;u~~ Mark A. Turk Inspector , enclosures MT/d/m {..t,....y..-. .4..~,~,I~~..·< ',";"-'. ·'-r. ,", :t' . .' . .,' " I I, ~", '. ~~~~ui p.~PíJP1' :":' ID' ' ... '..l~;"'l,Ç¡ , , "_ _ tr;. , '..J._I_~' N' . , , 4 , " .: I "~: 1'4 :.ø 1. : 5,8 .. (1:3'.···:22:··"95 , , Or' :"'.":: ·,:TANK 1, P,RODUCT,G¡:;:~RÇIE·' ¡-tUS', I"tIRRENT" '::nFII;:' , , .... '., . 'ow'. ! _ ....t' ~' ':,'. ,.; ',' "" .." '.," LEVEL .:' L E,l ,Of:' , GROSS.l3RLLOf·E:;'- 5??6.' . ~~ET 'GALLot-t:; 57?:3" , , tiLLAGE', ,4241. ' ¡:¡UER¡:¡GE, TEt1PEF-:¡::¡TUF.:~' ·,,59.4':'F '" .,' , ' LAST DEL I I')ERV " 'DATE:, .' . G3,,"u'::, ,""':;:1:;:1 "TINE·' "., 0:i:33; 15 , GROSS·' G¡::¡LLOW;;,. ,',' 621'.:04 ,NET . Gt=lLLOt'1S 6321' . , . ·WITIt=lL 'LE'..JEL:Sl ,7~7-! . Ð·~D-LE'.I¡:-I.':=:;:: 47:- '" It:H n AL~TENP. : ,,;'?(j : 0C; ,END, TEt:1f' '4? .60 . " . CÚF.:REtH", m"-tHNk "" AL~~'oj:3,.. ': '.',', :, ' . ~..., .-',7 '-"" " . ~ " õ!, o " NONE, " .',' .'," .'¡'.< CURF.Hrr I r:r,..TAi,4K . 1,'Jt=lRt·HNG~;<"· . . , '. NONE ,~: ~:POOR:.,GíNAL. mNK '2" "" u PF.:C~DI;JC~, Gf':¡:¡~I~. ¡'11JL , ·'c.U¡:;;;f;HH ' ~;Ti:iiu:3 , " LEIJEL .. ' . GROSS, Gt=lLLOI'·,¡S .' . ~~ET,ï3RlLor·~~;· ,. ULLt=lGE . ,:¡:¡IJEF.:AGE :.' TEt-1PERHTURE' ' H~:r" 8857 ~:='~4 '11,3':' F' 'I " Lt=lST DEL I l}EP'y', [;.RTE """ .': (_ '6/'95''- , TH1E"" ok ,:.,:-;, j;:' GROSS GHLLONSLL258i-v ~c.NET §~1U-:Of"jS..::..' ~25¡::,:;L - ' '1m T11::H:=ŒfJt:')~¡~~,'Z'" END! hUE!' , 44 ':.-1 :;: INITIP.LTEMP84:S8, Et-~[:ì TENP, , e~ ,57,' CURRENT'iH-Tf~Ht(' . . RL¡:¡F.:t'1S ''1''..--.;:' 'r,jor~iE, .' ,.,' ' ,,' CUF~REtH I tl-cTRHK· " l,.I¡:¡Rr'nr'~GS. . " ·~mNE ',,' . :', . ' , , .,', ¡ '''; . -;,." TRNK'3 PRODlICT;i3RRDE CUI<:RErH::;TRTUS LEI..JEL , , GROSS GRLLOl'Ü. NET GHLLOI"1S '; ULL¡::¡GE , AI.,JER¡::¡GE :.. .- TEt1PERRTUPE Þ~!)L '. ~~:~; .44 . 177::) g~~~, ',' ,-, , .,,' . ," i'" . f~?Ø t¡:3':' F '. " , .- LRSr' DELI(íEP;) "': '. '~~~~, "'.- ,~~"~'g;~';~r" , GRO:3S' G·¡::IÚ.l~IH:3- '; 1@4'g ¡, , r~ET GHLLot'b ,+ ¡24:::; ,~ . : T t·~ I T IAL ' LEI)EL ",~ ::;;.'~~ 'ÜK) LEUEL ",' :.t;:i ~ 1"-; , 'IHÌTIRL TEt-iF' ';' ?1,~7.~;·' , END, TEt1P, '.' ' " f.:.,) .,~·l " r:~IR~Há 'I t'J" TRt:iK . ':- ¡:¡LARt'1::~ : : ~ .' ; " , t-~: ~',' . .,. I' NÖNE o,"j CIIF.'REtn'It-F,TRUK ,'" '. "-I~!RRmHGS, ,: '''-~~,~~~~'' .- /" : NONE .. ,. ',. ", ;., " _t,.,_,~ _ ',;0-'-'--- - - - .1 I~ '.- :~' " Ey.'TERrH=ÎLPF.:ÒBE:::;;,·;; '.' ë:~I,3nt';e l' ~ ~~-'--:-':'-Fo~:'~i-;~- , It'i"pt-':::h ·ct,;::;!. ,- t ,"~ 1'" ..- - ~ j:i" 11 '. , No Respot·ls~-:-\,;-,~: IXI( Þ l' P a:::~r:.!~ ~~ _.,'¡'M, .I.: " __ N(~,. ',.1 ï S¡;:;:::., .'~,t"A /1, : , t~1at7' , .c. ( 1 ,". Feb, , ,'t) '~"""_'." Intet-s:h hal-·Pt, .bL'I" . ' 'Rl:~nIÎ""I:,~;t ", ,;·-t·1UL. 'Et~6'OF F.:EPoru ,(-014R) . ..,~ f,.", ,:' < , . "., .' , , : :t' '~d\,'" , , t \ ! . Cåmpletion Date for Corrections 4/:2 2../9 r " , 'DateYu)0~4' ' "/?kd/h_~._;4¿¿~" , '-T, Ínspectòr.· .--..~..,..-==~~~~.-~------------- .- ---.. - - -- - - - - -- "..- .- . -'.' . - --- ---- --- ----- -"- - . .' .' .' ... .... ~lfR. ECTION. . NOjCE .. . . . . . , " BAKERSFIELIJ, FIRE DEPARTMENT -;,~ò l ¥l...".. Locatiop '7~ / I Sub Div. ilL '/7 ¿Ii; I""Ût" '£i~lk. . Lot You are hereby required to make the following corrections at the above location: Cor. No ~.\ np~')Sé:.- ;)t1t ,~¡f\P :;;.¡¡,'*e ~lec')'I14~!Ç{ te.. , \, I"' ) :.y. D;., ,..' . ~ L' 'I r e..-!5e.- '':i!,t--L.:à/)II'''' ;~~ ",>(,-:..'/1'1.,' /;"., II' {..L': F ,,.., . I "- /,~, (I ,';;ì ,::j,~I,-"",1¡e/\1 r~ {~"''-''Vu4 I ;;:~) , 5ë 1'\ c/,'1 c:; > ð{,~. 12 (' ð'\(?c~ F C'D!J,'~~ Jì: f'.... ~ '~ f rf,t.1':.£. ~X1~h (' L,¥.¡'ft--lI'¥-::1 1..1?'-1".,,"-.e-4"n 1)(-:> 'in h,'~~ ¡;> ...,'t~ )5 Is ÛP 1>.;:"l;\V-E't""( (,1)1è.:~11 r'h kol..'4 ¡', lie Rt'-c:.4t:( K.(fl~'.l-I€£. ~Þ".:fJ/":;:;é' I) }tlðl ; -It:Ji.;?¡ 'I.~ to-' ,'-.) rut ( (', ,:-¡- '¡ / IJttfl \ \.<:'ð &(!"/'; I ~< t~.4'ì- k, ~( 1)Þ1" '" ~~ / !7 fP@OR OlfiGi~AL, I 326-3979 "~ ,": ,!j Q4Ú") kt.,.., " ~(' ~~:.. ..:-~ .;.·sr¡;}...r~~$'~'i;~;:l~·~~~~\~-7;iP:':':.<;..'::~~.;<J-;~~"~'~'~..::',¡:'.~;. .. ~..,""'~~~:::;':,~': .,,~;';!-':':~,'--~ : -:".~:':' .. ;::~-~;:'l;'~!~~-:-:: .'~ ~~7,,",_ _. ~. .~~:: ',- yo'~ . ._/ .~-.~' _~_-,:;'...., ~ -.,.n :~~~y::~;~~:)..~~. ....' UNDERGROUND 'STORAGE tÂN'.~ECtION -<,.... . " . ,Bakersfield Fire Dept. o Hazardous Materials Division 'Bakersfield, CA 93301 Í!-;;' ;~c;>~'i .. 7-11 LIt, (/ 7 ~~''- FACILITY NAME FACILITY ADDRESS fA); ISðn J)d I. . No. 215-000 ¿f)a I >eld ZIP CODE Ci:3-æ;'j FACILITY PHONE No. INSPECTION DATE TIME IN INSPECTION TYPE: ROUTINE ý' 1a. Forms A & B Submitted 1 b. Form C Submitted 1c. Operating Fees Paid State Surcharge Paid Statement of Financial Responsibility Submitted Written Contract Exists between Owner & Operator to Operate UST Valid Operating Permit Approved Written Routine Monitoring Procedure Unauthorized Release Response Plan Tank Integrity Test in Last 12 Months '? '.. -\ t''^~'' ,\1...\ ~ \I..J.. ? Pressurized Piping Integrity Test in Last 12 Months Suction Piping Tightness Test in Last 3 Years Gravity Flow Piping Tightness Test in Last 2 Years Test Results Submitted Within 30 Days Daily Visual Monitoring of Suction Product Piping Manual Inventory Reconciliation Each Month Annual Inventory Reconciliation Statement Submitted Meters Calibrated Annually Weekly Manual Tank Gauging Records for Small Tanks Monthly Statistical Inventory Reconciliation Results Monthly Automatic Tank Gauging Results ~ ,J Ground Water Monitoring r\QJ\QJK UKIUlftlIA\bb Vapor Monitoring Continuous Interstitial Monitoring for Double-Walled Tanks Mechanical Line Leak Detectors Electronic Line Leak Detectors Continuous Piping Monitoring in Sumps Automatic Pump Shut-off Capability Annual MainténancelCalibration of Leak Detection Equipment Leak Detection Equipment and Test Methods Listed in LG-113 Series Written Records Maintained on Site .c;~ --\1. í.... ""r! Reported Changes in Usage/Conditions to OperatingJMonitoring Procedures of UST System Within 30 Days 19. Reported Unauthorized Release Within 24 Hours 20. Approved UST System Repairs and Upgrades 21. Records Showing Cathodic Protection Inspection' 22. Secured Monitoring Wells 23, Drop Tube -.'Ie tI, / _~.·w~[eA 'fAI\\oI.. ,^,/~"'~' t).~""'h~t\\-e... ,t,,~~~ R..II\MSSIZ- ,,";' / A RE-INSPECTION DATE, , ", ' .k-.." RECEIVED BY: ¡ !~r::.~....v INSPECTOR: 7~~A,., ~ OFFICE TELEPHONE No. ,/ - . .ý V' "" , t/ ,/ ..... .,/ ,/ ,/ 833-D73>")... IDI IM4q - I Product JL 7j.,Æn!.';'lof. Inst ~t:..v. ' ¡C)FM Size I/J. 0(( iO yes ~ nla -...... V (__ ,c TIME OUT \1&'4 \ ft\\'s ;500 FOLLOW-UP REQUIREMENTS 'J' z¡ I; t" k¡it,'",' ..!1~¥I ,;' 1d. 1e. 1f. 2a. 2b. 2c. 3a. 3b. 3c. 3d. 3e. 3f. 4a. 4b. <Ie. 5. ,6. 7. 8. 9. ,10. 11. 12, 13. 14. 15. 16. 17. 18. v ,r 'Il >- ,: v ,~, r/ V v ~' , .\,.~. . '" f,''\ì ¡:ráf·iíi\ -~., ,g", ¡¡i:¡\ Y-ÌI ,;/.:.':!:I)"<; .i-i". - :.~. Jì"''' j¡i~~ì.R, ¡ v" r/' ¡/' III'" / / ........- ,/ v IDI IDI // Þ-i, '" . ::t 1(;5'JQ - ~ Product J A A ( Prod~ UL f)¿ ,Aí(>(ll'll ll-1 no. Inat Da~~; Inat Dat~1 ¡q 4 19 ~ Size' Size t r: /J, "? It.~ yes~ nla yes(~ nla /'--'" ,,/' .- &;0'" V ,;' ,/ r/" r/'" ,,/ /' t/ ,r Ii"'" V'" .,/ .r tI'" ;' ,/ ,,;" ,/' ,/' ,/ ",.r' \ ",.... ,/" ý V'" ......... V ,/ V v' ,,/' ø/ V Ý ~' ð-- .....- ' Þ""" V' v ,/ 0/ .... ",..... "" ,/ /" Ot' V- I/" ,/ ,/ ø/ ,/ "./ "..,.' ,/' ......... V e/ ,/ t/ , ¡,./ v' --- ..-"" V ......-- .,./ " " 4/ ¡,/ t/ ./ V _ ~,,¿ ~.A (¿ ~~-~ 79 r ,) FD 1669 r\\ . . CITY of BAKERSFIELD FIRE DEPARTMENT FIRE SAFETY CONTROL & HAZARDOUS MATERIALS DIVISIONS 1715 CHESTER AVE. . BAKERSFIELD, CA . 99301 R,E, HUEY HAl-MAT COORDINATOR (805) 326-3979 R,B, TOBIAS, FIRE MARSHAL (805) 326-3951 March 20, 1995 The Southland Corporation 295 West Cromwell, #104 Fresno, CA 93711 Fax No.: 209~261-0614 Attn: Jeff Simonson RE: Operating Permit for 7-11 Market, 4647 Wilson Road, Bakersfield, CA. Dear Mr. Simonson, We have met with Bret Tacket of Bakersfield Service Station Repair to address the modifications completed to your underground storage tanks located at 4647 Wilson Road, Bakersfield. This office is satisfied that no further action is required and therefore re-activate your permit to operate this tank. Iph E. Y azardous Materials Coordinator REH/dlm cc: 7-11 Market Howard H. Wines, III - . CITY of BAKERSFIEW FIRE DEPARTMENT FIRE SAFETY CONTROL & HAZARDOUS MATERIALS DIVISIONS 1715 CHESTER AVE. . BAKERSFIELD. CA . 99301 R,E. HUEV HAl-MAT COORDINATOR (805) 326-3979 March 20, 1995 R.B. TOBIAS. ARE MARSHAL (805) 326-3951 .. The Southland Corporation 295 West Cromwell, #104 Fresno, CA 93711 Fax No.: 209-261-0614 Attn: Jeff Simonson Dear Mr. Simonson, Although I am unclear on exactly what work was completed on the modification of your underground tank facility located at the 7-Eleven Market, 4647 Wilson Road, Bakersfield, Ca., 93309, it is obvious that modifications were made. We therefore have no other choice, but to revoke your permit to operate these tanks until further notice. This situation does need to be resolved before we can re-acti vate your permit to operate. plans for your modification must be reviewed and approved. If lines were removed soil testing under these lines must be accomplished and this work must be conducted under the oversiteof a local implementing office. I suggest a meeting with a representative of your office as well as the company that completed these modifications as soon as possible so that these issues can be addressed. Call me t set up an appointment. Sincerely, ~~/- - ~~Ph E. ~ Hazardous Materials cc: 7-Eleven Market Howard H. Wines, III Coordinator " / q) \ /1(~ ,/l;J r o;F, ~ . (}P Vycr 0 ·;z ~ ~ REH/dlm ---------- - - - - .....r...· ØZARCQUS.MATERIALS DIVIS. UNC~GROUND STORAGE TANKP~ñAM bTCb311 fr~~ PERMIT APPUCATtON TO CONSTRUCT/MODIFY UNDERGROUND STORAGE,TANK TYPE OF A PPtlC,\ TtON (CHECK) . . 0 NEW FACiLITY *ODIFiC'XnON OF FACILITY 0 NEW TANK INSTALLATION AT EXISTING FACILITY STARTING DATE 3 -- i ( - q-ç PROPOSED COMPLETION DATE 3- 2 D -'1;- FACILITY NAME f~ í EXISTING FACILITY PERMIT No. FAC¡UTY ADDRESS LIre 1_(7 (;.), ISa '\ ~ß ZIP CODE ? 33 TYPE OF BUSINESS C - .5 -To ,...¿, - ~..3 ç ~ APN TANK OWNER 5e> v¡-+t... i?;.,..,dJ ~ ' PHONE No. 201~2rP/-tD71( ADDRESS r'\-PQ "c f') ,þ-Þ-,'c::e CITY í ~ 1'\ <> ZIP CODE CONTRACTOR Bs..s tZ, l-~, CA LICENSE No. ADDRESS 0&'50 fZ-05-t'c.O~ ~, ' CITY ZIPCCOE PHONE No. 588- ~ 771 BAKERSFIELD CiTY BUSINESS LICENSE No. WORKMAN COMPo No. INSURER (,),'(t;i>A" 5c~'f.t..(.f-2- -f'C(I--4'-> BRE[FlY DESC:118E THE,WORK TO 8E DONE !<é-;(4d -5lV'zM ~ :Tc~~ - ò~w Ijo)l-R) SOIL TYPE EXPECTED AT SITE -ð- ARE THEY ~OR MOTOR FUEL, 0 YES 0 NO City W A TEi< TO ï=ACUTY PROVIDED BY, DEPTH TO GROUND WATER No. OF TANKS TO BE INSTALLED SEC1'ION FOR MOTOR FUEL TANK No. VOLUME UNLEADED REGULAR ( (0 (e .:< ¿ / Ô (( /"---- 3 I D (L PREMIUM DIESEL AVIATION ,<'OØl-ØRl8tNttl - - .....,- v_ 0. SECTTON FOR NON MOTOR FUELSiORAGE iANKS TANK No. VOLUME CHEMICAL SiOREJ (no brenc neme) CAS No. (if ~<nown) CHEMICAL PREVIOUSLY SiOREJ i¡~!ä~!f~"!r~~Yf!f~!1.~!~m'~~~~~,1 THE APPtICANTHAS ~EC;!VED. UNOERSTANOS.ANO WilL C::JMPlY WITH THE ATiACHED CONOITIONS CFTHIS PE~MIT ANO ANY orHE¡( STA re. ~CCAL ANO F2DE¡(AL ~EGULAnONS. THIS FOr<M HAS aE:N CC~PlETED UNOER PENALTY'CF ?EitJU~Y. ANO TO THE :lEST CF MY KNOWLEDGE-IS mUE ANO cc:mec¡. ~D:~ 7> ," Hf A :(.t\ c k~ APPUCANT NAME (PRINT) o ~. Î ~-'(J . I ò-i Id= APPUCANT SIGNATURE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED e) e - ?~ 't.s 1'1"'1 V\ t2 \,.' µ ~ t NLW ..Ç \ €'f- ' II eM) þy k.e.. ,e r ¥~~ ~~,~ "- , ""55 1r;t- 0 ~q ç R,L 'Þ . -r~ fuA PM? ' {35> 5 (L J I ~ \ , t"'" .!I-€.-,.s F1 I: I II r I I' ì r- t ~ :2 \' ß So S (~ ~ J2. 1"'Wf,o. ¿) \ -¿'" I ~ ~\ O~p~ rJ@uJ cd-' l"'>'* -t~ ~l e - ~ ~~J {Li~Ú\ rz:;--'h..5 Old f ~ ~~ ~ -{ ~. l,J~ I t>feQ. ~ 1- , - ------..- --- - , ' ,p- .¿J~ ~.' . ~.. r¡30.Å0!~ ~ ~ ~ &d}fó~-;2777' ~.~ ~ W4 ,~. ~ð~ ':-..,.,..--=::.,.. --;._~--.;~::B _ __- ::-;;-~---- - "-""" ~~~~~-==---=-----=""'~. -- - - ..:"""".,..- ---.,.-=.~~,~--~ -~~~~- >< ..~.~-,._..~.-. .,-~-~~.- . \ OCT-1:3-""" THU 1;'::::1.:50 t-'M WM,_ -1..01< ~ L.L. b~';;O ':::>b¿. - b.:>';;O.:> \ :~ERSFIELD FIRE DEP~_~TME~ , HAZARDOUS MA~ERIAL DIVISION 1715 CHESTER,AVE.J'BAKERSFIElD. tA 93304 (805) 326-3979, APPLICATION TO PERFORM A TIGHTNESS TEST 15T~ (0 -¿ 31 FACILITY 1-' \. ADDRESS PERMIT TO OPERATE f OPERATORS NAME~ -'" 0\1u WQJl~WNERS NAM(1Íx ~ taY1d Wrp. NUM~ER OF TANKS TO BE TESTED~ IS PIPING GOING TO' BE TESTED~ ... £WM -œst ~, VOLUME CONTENTS TANK TESTING COMPANYJj::J-r~~+ ADDRES TEST METHOD C f)~ ~i\ \¿r-~')\1-\-tf) \.ý n'c:e.e. NAME OF TESTER M \ &. kOU-ktxLCERTIFICATION it q'l L6J 6 . STATE REGISTRATION *.9..JJ 5, s U~T- ,ot DATE & TIME TEST IS TO BE CONDU£!'ED ort, ~-!-h Or \y-l-h I \ rnò un CL.-ùrl...J ~ ~ ¡¿-/'/-9~ ~I~TU~~jA1fr.ICANT En"VÎronmenta' Sensltl\lltv , ~ :c-fion i I riié \~ UNDERGROUND HAZARDOUS SUBSTANCE STORAGE FACILITY .. INSPECTION REPORT .. " \ 'f;! r ~--.. . F .. ' '\'1 (- 0, r " ¡,'\ r,', ' aCllttyNam~ ' ,~I-"'.~'''"'":''''\IV''-{.,. No. of Tanks ---, .' Is Information on Permit/Application Correct? . Llf"--r ' Address I (1')!-\ \ . . (~\ ' "\ \ / ;"_'" .......... I ..,...... ~.' \ \ X' ·1, '" " ( N' \\ \ I' ,,""7'-\.:. ');\ \ .-.,¡,.... ..... )!" .., No Permit Posted? -- Yes A.\ ¡' /-1 )\ ,-;""1,_ \t)~/'1 ( :r-;' ~-\i~; ... ~ ;, "'-, \ ". --' ..., Yes No - Type of Inspection: R~utine "f~ Comments: .Y'ct:e ~':.." .~."'/Y\' \. \- Complaint X"\C'*-- CSì'JC~ t), Reinspec:tion \\ \.01! 0 \J(\;!' . , ITEM VIOLA TlONSNOTED a. Intercepting and Directing System b. Standard Inventory Control Monitoring c. Modified Inventory Control Monitoring 0n- Tank level Se~~ing Device e. Groundwater Monitoring f. Vadose Zone Monitoring 2, Secondary Containment Monitoring: a. liner \ ¡&.:J) Q0---û c&:ø:tðt-\-oQ.\Y\G ~~f¿:e V^('''\ ~ - \ ' E,-\f\ 'X(ç~'-.).~ -t\\.jY'y~ \.~ \_~\\:\."\ ~-QJY'--' r, - S0,o\";~9\kj y.Ji::;\~\i J<~, Q..~·'-.Q__Æ:k. ., Y\\(XYO~Y~R\( r'~d.. \ 'ý\. ~ I( e\J\~0 ~ \{ Qc.~ ~. . '::',: '-, ~,:,:;" ~.: ~.:_~,:': , " ... M~~""' !;,,,t . ~r!,;~ ',' ,,/c ;;~.i~ < <""'t.~- , 1, Primary Containment MorÌìi:oring: ':'-,.,.. , ' . ..... f'<:3. ......... ""- - ,.., '~..;....-- ~- '\ ,f!>..., V:\ ,""- b. 'Double-Walled Tank c. Vault 3. ~~ng Monitoring: ( a. "Pressurized \...,.../ b. Suction c. Gravity -( 0 1, \rrJ-'~,.r'>,,,,-.. o+-., '. 'y!'e£ L\'0-E:. LQ~ l Leo..~~f-"~ ~. %;:~i-(,-~ ~ d-\,ce..' ïj~ ~',\..::: ........--~,--:;. ,-.." 4. Ovèrfill Protection '~¿-~)L~'" I ....-"\ ,\ t', ,-.-......... \ ~--..." .'-'-=-- \.._._..../ \ \ ":·,·L~'.C.::.:.../' ~ --- , ' :.1..G- .'y~v'-'-..- ""-''''J...v>... \µ,~ ('. ':,,\,c:.D:2d -+-\..1;r!~() \, r / ,~::\~-) C ~~' ~\~ ~T'\\<"'+J~ l,\'f2- ,) 0 . '-.I \-.-)1:':;.(,,"'--£.' \' \:-\1ê. \:)Q.-A.. \\~ 'C(,;,eL l \'-..J~ 5. Tightness Testing " 8. Unauthorized Re!ease ~ '",- '~ R ORIGINAL 6. New Construction/Modification 7. Closure/ Abandonment ,-¡ 9. Maintenance, General Safety. and Operating Condition of Facility ;;:r\ \~< - , I, ¡:--\ \ \;f:d 'J .µ, \2\\ Comments/ Recommendations: f\'" \. i I.- :~:i'" .~~.~. -:;;:;>~) \. ,;':':r\\ ~ No "- \j-; ( ',\/\ (<=::::--ç í\ ::.,.-:-1 \, \ \~ > \~~ç-~ (- \ ..' '\ \. ,~_ " I \ "" \ \.ì, Ii"" oj\, ! '\t---..,i\l \, 'II \ 'þ \ \'--, +...) ,- \-+' r \ '-;\ ...... ; ~:::-l.:'- \f.Y\V : \, \ 1 "" \... "",\ ~\ ,\. pc--¡ "\ l\ , .", \ i\ -- "',' l'. , \) ';Y'I\ ,V,,, '''-C'" '1-;\;i1H,' J.,:v-y'-eè~.!,__Q...:.C; X)c \-\r,-ô/ U ,\.ì '~ _~ (' ,I ~ \' I Î',"..I ' "\ Approximate Reinspection Date ,":'J.('-\ (~¡ ~ /\_.[''2\ ¡; '" Y'\ r\.! (Ì\ U{\,) .: \ i /\j'J' - ~ . \ , "" 1 ~-:1 , " ,< /~¿ , _ J REPORT RECEIVED BY: 'k/.'ï it!!.:,:.;:·!, f :' ( /,;T /'- '=--:;-- ¡ -f··-I''/··· \~, ~ ,/: ..-J:'t--, ~ _"_~~_." \ L, \ -, ~ (.1)r'}....~': ''.---::>-. -,,'7~ ,\,..:.... , ì, f -~ ) ,';"'-"\.''''~'>-,.\1, ~f(:-'r "---" -: ¡""" ¡ ,"\'~ \' f '~~' \ \ ,....Jo.~ - . J/-- Reinspecti<m ...1!l#!ulecr ' , ~p'" /'.. ---::-r- £ \ " INSPECTOR:'-.----f. 17;" ;,,> 't,,'; ," 'ç~.'¡'\ ; ;. .-- '-, \ \..'.\ ",-Y-;'" "-----. - Health 580 4113 170 (7·87) ~, '--__ ... "~o, ,.- '. 'F... -. .., I' I \' "'-c- !~ ¡ ,í I I i ! ) ¡ r I I I I , I ...¡ f ',', ", ,,: .' L_," , , I .-:-, ! I ¡ ! I I ! i I i II I : I ! I i I I II , I I \ ! I I , ! 1 ' I I : ¡ I I . ! ! .' Stati~ Name T:.'Ú2.,¡j¥:y'~{__-, t.=aticn -~~~~3ti\Pï::- PIC &-~ Company Mai,li,ng Address~,', _ i'¡;~, 'Ð'1~'î··~..~......·........··....·....:CitYO.Ö.,'\À,. ,~, e,..' Date ll--:Ð=r..~.~...._.__..... P ..:.~.ºS=-_.....~':L~::.2.T1\..~!:~.. System Type: Sap. Riser ~ Coaxial Inspector ~c _ _ ____ _ __ _~_ Notice Reo'd 8Y't; __ __ _ - _~____ ", TANK #1 "æt K #2 L,,' #3T"ANK #4 'Y;::;{~:;~;>, . ...,. PRODUCT (UL, PUL, P, 01" R) 'P ltL .' . ~ ..,' ',,' :':" . 'if2.TANKLOCATION REFERENCE '/~ &-·t} \C>~ ,', , ", ;':': -~a~: :::::'~~~R;P (#;) -. '-".':-:~ ,:;,,',~5. EN CAM LOCK ON VAPOR çAP",:.;,,";,~ff:S,.;.;;:;,:~è:';;':;:;f;>·::~ii::!:;~rtltfi:H~¡r' -,j 6. FÌLL 'CAPS NOT PROPERLy:'SEATED " 7. VAPOR CAPS NOT PROPERL'r>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 8Er~EEN ADAPTOR & FILL TUBE MISSING / IMPROPERLY SEATED 13. DRY BREAK GASKETS DETERIORATED 14. EXCESSIVE VERTICAL PLAY IN COAXIAL FILL TUBE 15. COAXIAL FILL TUBE SPRING MECHANISM DEFECTIVE }":, . ,,~,,: : .. ~; '" ',0 ~, (Jf;l . ~ ~OOftORlOItw;-- 16. TANK DEPTH MEASUREMENT J(2)( 0 .t 0;/ (lL , 1 .-- I 17. TUBE LENGTrl MEASUREME:\JT J0(~ I~ J5~ . 18. DIFFERENCE (SHOULD BE 6" OR LESS) . 2:>/\ 4 A./ LIft 19. OTHER 20. COMMENTS: ~í'\-:J~~~~"':l1IÞ15~\l-.~ G\:-- (i) ~ (:;:(~~~ ~tPo fV"\ fìr~n~ ~ ç\~ \{\I1(jr()o f)l " 1\' - ~~ J') \~-.j) ~ \) ~r~f) ~~) ~\\ -b.fu7 ~ ~ ~(? (~I~~~' .¡--:« WARNING: SYSTEr.tf MÅRKED WITH A CHECK ABOVE ARE IN VIOLATION OF'KËRÑ OOJNTY ÃÌR\ POL'éù~ **** CONTROL DISTRICT RULE~S) 209, 412 AND/OR 412.1. THE~CAL'IFORNI>. HEALTH & SAFETY CODE, =: ã~T~1~ã~ ~~~~a~ ~IN~L ~~~ú¥¥~ ogFP~ED¢iO~~I~~)V,!ß~JJ~ .:+c+:.J~~~:~4C~) '."" ....-.---....,'." '~"" ' _0'_-'_00__.___"- _'0__'_'_ _ _ _ _ __ _ _ _ _ __ _ _ '---:-' -'-- -'- -,---_._-~ ,} , . - -... ~ .-'- ,'* 2'?OJ "¡','"" .3tr'eec.. ,;L4~'Ce 27S \ ~' .~-- \ ',-- '_.-- ~\. ~ \ , ~ -'.... \ I - . 8akersfield, CA, 93301' _ '-" . (805) 861-3682 ;~¿:"~AA~qe~ ~~ PHASE II VAPOR RECOVERY INSPECT';~~ - .. 4. SWIVEL. H o 5. OVERHEAD RETRACTOR S E 6. POWER\P I LOT ON 7. SIGNS POSTED ~ w, ~~~J""- y..... Key to system ty~: II Key to deficiencies: NC= not cert if i ad. 8= broken 8A=8alance HE=Healey g M= missing, TO= torn, F= flat. TN= tangled RJ=Red Jacket GH=Gu If Hassel mann 'B AO= needs adjustment L= long, LO= loose, HI=Hirt H,A,=Hasstsch 111 S= short M.A.= misaiigned. R= kinked, FR= frayed. """ '_m_ a-~_--M-- -~~--~ '001 ORIGINAL ( , ! ** INSPECTIeJoJ RESULTS ** ~~.I~1Í- , Key to inspection results: 8lank= OK, 7= Repair within seven . " daYê, T= Taggêd (nozzle ta~ge~ out-ofjOrder until repaired) :::~_s~~~~_==::==~~~~=~~=~~~=:~~~~L\~~_=:===:= , , ! I I "1" '.-- t I . I ¡ i i , I ' ; ¡ , ! , I Ii 1'1 i I I._! ! I I ",II ~'.. '. I' I I ! I I ! ! II II I ¡ I ! ¡ i I I ! II i } I ¡ I I , ¡ 1411 1. CERT. NOZZLE 2 _ CHECK VALVE N o 3 _' FACE SEAL Z 'I ,4. RING. RIVET E 5.' BELLOf.IS 6. SWIVELCSj .oo '1~ ~J~~ 1. HOS~--oN V A 2. LENGTH P o 3. ca-JFIGURATION R ~ .- : , ..". .- '. ",,::,. ,.} .:;):; -- I - '+:?;" )",,~C, :+,,;' ",E.., - .... "".,,.f,) ", - '" ' ,::,-> JJ,t 'if'~::; ~,~~~: .".... .' .. ' ,=, j. .- __ .',c, ) ,. I l \é; u'\\ 1e {'rC t:>\I~ ~ -d?- ^/1 IA V"IV /'ÀJ 'DJ1 1;-_ _\II b,4\: \ II [OX' \.:¡ ~ ;.. :~ ,'TY\ , .._. . --'" , I I ..~~~.._, ................ ......n.... ......................"................................u._...,................... ...................................,,,....................,....................,..."........ ............ .... .........,..............................._........................................n........ ** VIOLATI~S: SYSTEMS MARKED WITH A "T" CODE IN INSPECTI~ RESULTS. ARE IN VIOLATI~ 'OF **, KcHN c.;wNTY'" AIR POLLUTI~CO\ITROL 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 ** VIOLATI~. TELEPHO\IE (805) 861-3682 CO\ICERNING FINAL RESOLUTI~ OF THE VIOLATI~. NOTE: CALIFORNIA HEALTH & SAFETY CODE SECTI~ 41960.2É REQJIRES THAT THE ABOVE LISTED 7-DAY DEFICIENCIES BE CORRECTED WITHIN 7 DAYS. FAILUR TO CCfYIPLY MAY RESULT IN LEGAL ACTI~ ! I ¡ ! f l . , I \ ! i I I ¡ L_,_ -~ -----;'''- ---=- -- __ -~.. -..__'_,__ _ _.-:~..,_ '--,-.,--,--'--o----=:.... '- -- -,-~-'-- -- -'-- -'-' .. ~.d -/-......- . . Tag Numbe~~~ti2-7-~~~~~ Station Name 1-~"{> JV"\.~ tlJ,j Operator's Name ~~ ~ ~ ~ Station Address \ \. ' ~ Totalizer Reading When Tagged It)] 39l'J ~ WARNING Use of this device is prohibited by state law and un- authorized removal of this tag or use of this equipment IMII constitute a violation of the law punishable by a maximum evil fine of $1,000 per day or a maximum criminal fine of $500 per day and/or six months in jail. I declare under penalty of perjury that the device tagged was not used, nor was the tag removed, until the required repairs were effected and the district notified. Repaired by TItle_ (Please print) Signature Date Time Totalizer Reading at Time of Repair ,Repairs made BEFORE USING THIS DEVICE Tel~one ~ocal air pollution control district at ~... (,...~ . If repai~were made to the nozzle body you must notify the County Department of Weights arid Measures. Ser, # 66150 r' .~ j "" --: ..; .'..".,¡ 4j "'_ -...~.." ,_... ;; 1 ,) . ~NVIRONMENTAL HEALTH SERVICES DEPARTMENT 2700 "Mil, STREE.-- SUITE 300, BAKERSFIELD, ~,93301 \ (805)861-3636 ... UNDERGRO~ND HAZARDOUS SUBSTANCE STORAGE FACILITY * INSPECTION REPORT * .. ..... ->--.-- '-_...........;:....- ~ .. '"'-" --. . . --;'~"-'-¡'.-:I ..... -;:-~--~ "-- ... ,.-''- '--...... oi -<...;;¡¡~~'..........- .. -~' . .. PERM I T# . TIM E IN J..lLt?.£?.. T I,r T .L.l..L3.Q..... NUMB E R 0 F TAN KS : .........._...â.............. ~~:~ I 6 F PIN S P E CT I ON: Y E S'····R·ÕÜ..r·Ì N ~,~.¿~:::::~·..R¡: INS P E C T i ~~p.~~..~..~~~., ~ ~~ ~ ~A·rj\¡:fL::=~::~~:::::::: .",--_.._~~..u~~_..~_....·.........._~____..~........____.._..u_..u FA C I L I TY N AM E :,1.::.~b.g.Y..g,tL.f..1...?,~::.1.§,?_4..ª-....__...__,_..._.,......_..............'.'..._...............................,_.._...........,_........_........,_.._..,.,...,...... FA C I L I TY ADD RES S : .~..~ß-..7.....!.!1..b.$..º.~.....8.ºAº......:._._.........................'..'....................._......_.......,_...,.._,.......__....,._._.....___...__.......... . BAKERSFIELD, CA ' OWN E RS N AM E :.T 1iL.$..9 Ll.ltt..~At:I..º...,.Ç.º-f3.!?.º-8.~.T I..º-~........._........_............._.................._,..........___.._......._..:..:.....__......,.__.._.:....'. . OPE RAT 0 R S N AM E : TH É.._$..ºY.I.t!.b.~_I:I..º,_.Ç-º.81?.Q.8AT..I.º.~....................................................'......._............__...........__._.._...___...... COMMENTS: ----_......_......_-------_.._--_...._.._--_........._.......~_.._---~~........~..~-~-..~.._............_.._.__..~~......~--~----_.._-..-..~.. ~.._-------_.._-----_...~.._-- ------.... ...~...._..__.._......_---~_.. ..",(~~ -- ' .-, ITEM 1. PRIMARY CONTAINMENT MONITORING: " a. ' Intercepting an, directing system b. Standard Inventory Control c. Modified Inventory Control @ In-tank Level Sensing Device e. Groundwater Monitoring f. Vadose Zone Monitoring 2. SECONDARY CONTAINMENT MONITORING: J a. Liner i ,i b. Double-Walled tank I I c. Vault Ii " I' I 3. PIPING MONIiORING: I) I: Ð Pressurized o. Suction Ii c. Gravity ! 4. OVERFILL PROTECTION: ;::'P.s-rAI/£/J VIOLATIONS/OBSERV~TIONS , . ".< , ' , -.' . ·....---..---......---........_........_____......~__..a____.._____..______..___.._~...._....___~_____........___...._____......___......_..~.. T L S - T;l:JA I '-5y SíF~,cS :Çµ TA.,ùK leVG! .ÐA;/Y P.~I·.)T -~r . "i· !;",~-:,,:,:].,;- .--.... . ~~ ~~KtJD¿,J0 I . !/INk ¡Jow1J (p- (ow R~s T~ ,'e.. Ti /..)6. / G'AK D6~¿,.-roR:-S ) will AhvI:s6. Z¡::= pcrr ¡::::P$T/1i¡!¡;;:.}J ßo'¢5 H4tJç ;ÙO wAf ío /JÞA'·¡..) t906vtc:¡ ,,1/1/<,,,,7 A.t:: ¿:/~L1;. vdl f"¡ü/:; fu)/S I VI ¡I,Jl-( J. )Q'~~ ') olJ Ii :i 5. TIGHTNESS TESING ¡ I 'i it 5. NEW CONSTRUCTION/MODIFICATIONS 7. CLOSURE/ABANDONMENT l : ,I i ; ,< ù()~ )1::: 8. UNAUTHORIZED RELEASE 1\ )(')10. )F 9. MAINTENANCE, GENERAL SAFETY, AND OPERATING CONDITION OF FACILITY ! 1 i; Ii I, " I, 't CO MM EN T S / R E COM MEN D A T ION S.............._...._................................__...........................,.................................,........................_.................._._.................._................... .h..___..h~~.....n_.......___~....u...._......_.._~u......_...__.......u......._.._.....~..._~h..~.........._~.~_n_......._......_.~.u.~..._....~...~_......~h..u..n.......~~~_......~...~..uu...~..~................~..........~..".~uuu.._........~...~..__....'....~.h..~....'..................~.........h._....~.................~h......... ····....~_.._....~......H..~._._....~............h.~....~_~..~..__...~......_......~~~....~....................._~...............~.....h............~..........._.........._.......~...._........~~.._.._.............~~...~............h~.........~..~..h_.....~.~.....................n...............~.....h..............~....~_~.........___...................~._.....................~n.............. ......--...............-...-............................................................................................~..._._.................._....................................-....................................................................................,.....-........... 'R..EÏÑ..i5'p,·,..Ë..ë"r-ì"Õ·N··..·s"i5·H·Ët)j··..LEï5'?.....··..-..,...y..,..~..-............... ~..'..Ãr5·~·R·Õ·£f"M'Ã·r·, E·····R·Ë·ÜTs¡;·ËCT·i....Ñ·..)..[5A·T'Ë·~...._,....·....·..·..·...........".. , syHE9Ÿ ../')/7""-' y.? ..... ..... :R.N/"pA ¡ ¡:;...-...-...................... IN SP ECT 0 R ~'__-/_'~._.__._._._. REPORT R EC E I V E 08 Y ,.__..J.JJ::tu-lM,X......_..__.._._.._..._._ . I .. . __ u _ .___ _ ."~__ - .. ~ - - --- ". - - - - - - -- ...--".- -- -- - - - - . .__ _n_ _._.__ ----- -- - - -_.~ ."---. .- 6. . . Are Red Jacket sub pumps and all line leak detector accessible? Type' of line leak detector, if any j¡,.;¿-,¿ ~lJ .s-j"",? 7. Overfill containment box as specified on application? If "No", what type and lIodel number: a) Is fill box tightly sealed around fill tube? b) Is access over water tight? c) Is product present in fill box? 8. Identify type of monitoring: 7ÍÍJGL.- a) Are .anual lIonitoring instrullents, product and water finding paste on pre.ises? b) Is the fluid level in Owens-Corning liquid level .onitoring reservoir and alar. panel in proper operating condition? c) Does the annular space or secondary containment liner leak detection systell have self diagnostic capabilities? If "Yes",' is it functional If "No", how is it tes'ted for proper operating condition? 9. Notes on any abnor.al conditions: I ..., Yes I~/ \ I~( I~ 1;( I~ ,Z( I_I -J 1- -J I I No 1_' 1_' I_I I_I I_I' I_I 1=1 rJ)A I I I I --~ //~ j-/ f/\ ,P&Vj '_/ . . ~" i ",j, . \ : ~ ' . i , '..--' Pernai,ts . Fac 11 i ty Name ~ò'7oCJo3 ~l¿"""'> (. '" ,¿;"'~'-!) Inspector ~ J<J':'.:;.5~ 7ÍP="- (f'JrJ Owt'û5-/ ",' ~,' C' ! , ' -OK';..I", n¡o,,".":) A_~ ? }~.. .J.-o::!_ L5 /!Ké I./J'; " /IcC6JJ,..,sa_. PINAL INSPtiCTION I/~ÒÒù.J (¿Jw) f;~)()¿ . I I ('~' '-<"<"'; /),'.-' /Cov 0', ,¿J,v J 11/.:.,1\', ¡C-,~ I' J /', ','r"'" Jc'," /.""")O~~' .' U<·t1/ U"-G-"Þt.,'· .1"'/1.. 1/ -- j" " Î ~~"qL¿ ¿ / ,v¿J¿ w/~,?;'~'~<'" Ccè ! I f.!Ec1'.£1(' :;~-;;;~.r;------'---~ I ¡ 1,I.v'. ,!),,!~¡)J.~K. Ji~r::..¿ (ow,--,.)j C:U'''i';~) \.! " lp'f!;J1.ø _,;""..c, .---'~ i '~";-j¡;- l~ ~ I \' I~! 1; : µ:J ~(,J/L5ð,J / I : I I I I I I I I I N Plot plan notes /ì 'viI /) I " '1 / ,,/ I / \ "-./' l/ . ð o . I : I !e] ~ /::)1 I o . !" /J ¡ '------" o i , ð ) ___-------1. .lJ,. //.....--: F.t.,-cc-- --ì A Plot Diagram 1. All new and existing tanks located on plot plan? 2. Does tank product correspond to product labels on plot plan? 3. Was there no Modifications identified which were not depicted on the plot plans? If "No" described 4. Are monitoring wells secure and free of water and product in sump? 5. Is piping system pressure. suction or gravity? ~ /JII!·.I ;~..,. I I I .í I I I I i I I I' I I t I ! I I I ! I .J.) ~1,'" ,....',.;1r·'Ji<- Yes No I~ '_I I=~ I_I I~ I_I '_I ? 1_' j:l¡ESJ hLé ern County Health Department (/, ¡ivision at Environmental Heal the 700 FloW'er Street, Bakersfield, j 93305 Permit No..- ~()O()~ Application Da(,F:.......,o< : ' . '_, APP.LICATION FOR PERMIT TO OPERATE UNDERGROUND HAZARDOUS SUBSTANCES STORÞGE FACILIT'f ~ of Application (check): , ' DNeW Facility Of'odification of Facility (8ExistiD;) Facility O'rransfer of ownership Ðnergency 24-Hour Contaét (name, area code, ¡:none): Days k'~ M4.JJA IDS '3'1~'JI Nights . ~œ: 'I Facility Name ,44 ~ 2~ - No. of Tanks -.-.l Type of Business check): Gaso ne Statlon Other (describe) _ ~__. .~ ~ ~ Is Tank(s) Located on an Agricultural Farm? Dyes IaNo ' , ' Is Tank(s) Used Primarily for Agricultural Purposes? DYes HI No, ' Facility Address ~f4Lï 141/LSeIò Ki) , Nearest Cross St. ~ T ' R SEC (Rural Locations cnly) . ·Owner -11b! ~,Cd~~ 'Contact,Person ~~S&J 1ddress·~",þ s. C~~",~,.c&~ JkJ'" Zip f.;Þ'- Teler;mñë7j1, fø3~"7IJ ' Operator -SAW\4 ' " , Contact Person - ·Address Zip Telephone . ,I I , . ,'. water to Facili'Cf provided, by Depth to' Groundwater Soil Characteristics' at facility Basis for Soil Type and Groundwater Depth Deteœinations CA Contractor's License No. Zip Telephone proposed Canpletion Dste Insurer '. Contractor Address . proposed StartiBj Date WOrker's Canpensation ,Certification . '. If This Permit Is For Modification afAn ExistiD;) Facility, Briefly Describe Modifications proposed . Tank(s) Store (check all that apply): .. Tank ! Waste Product Motor Vehicle Unleaded Regular premi'-ID Diesel Waste Fuel Oil J 0 - - II II iii ~ [::J 0 8 ±:: 0 ii, II 0 ~ [J 0 iI. IQ 8 8 B B 0 0 0 . Chemical Canposi tion of Materials Stored (not necessary for motor vehicle fuels) . Tank t Chemical Stored (non-coamercial name) CAS . (if known) Chemical previousl y Stored (if different) J. Transfer of OWnership Date of ~ansfer Previous Facility Name Ii Previous Owner accept fully all obligations of Permit No. issued to . I understam that the PennittiBj Authority may review and modify or terminate the transfer. of the Permit to Operate this\ndergroœd storage facility upon receiving this completed fonn. 'ft1is form ,haS, ~, c ple~.t, ~e. r penalty 0, f true and correct.,' , , Signature " I' perjury am to the best of my knowledge is 'Title ~/A.1,ð ~('t»t Date "JP7.~ Facility Name 7~~;- ':t' - 9 "permit No. TANK! / (FIL~ OUT SEPARATE FORM FOR &TANK) FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES -----~ -- H. 1. Tank is: DVau1ted ONon-Vaulted ~I))uble-WallDsingle-Wall 2. Tank Material DCarbon Steel 0 Stainless Steel 0 Polyvinyl Chloride ISI Fiberglass-Clad Steel o Fiberglass-Reinforced plastic 0 Concrete 0 Alt..minum 0 Bronze DUnkoown D Other (describe) 3. prima'ry Containment Date Installed Thickness (Inches) ,Capacity (Gallons) Manufacturer II) I ~L#' I O} 000 ~eoA.. 4. ~ Containment E8 Double-wall 0 Synthetic Liner 0 Lined Vaul t 0 None D Unknown DOther (describe): Manufåcturer: OMaterial Thickness (Inches) Capacity (Gals.) 5. Tank Interior Lining URubber OAlkyd DEpóxy DPhenolic OGlass DClay Bl1'\lined Dl1'\known OOther (describe): - ' 6. Tank Corrosion protection -rrGalvanized -¡¡Fiberglass-Clad OPolyethylene wrap DVinyl wrappiB} , DTar or Asphalt DUnknown DNone OOther (describe): Cathodic Protection: IaNone Ormpressed Olrrent System [:::J Sacrificial Anode System Descrite System' Equipnent: 7. ~ Detection, Monitoring, and Interception . a. Tank:, OVisual (vaulted tanks only) DGrolll"dwater Monitorirç Well(s) o Vadose Zone Moni toriD;) Well (s) 0 u-Tube Wi thout Liner o U-Tube with Canpatible Liner Directi~ Flow to Monitorirç well(s) * o Vapor Detector* 0 Liquid Level Sensor 0 Conductivit;t Sensor* o Pressure Sensor in Amular Space of Double, Wall Tank œI Liquid Retrieval , Inspection Fran U-Tube, Moni toriB} Well or Amular Space Ii Daily Ga\X]iB} , Inventory Reconciliation S Periodic Tightness TestiD;) o None 0 Unknown 0 Other b. PipiD;): X Flow-Restrictirç Leak Detector(s) for pressurized PipiB}w o Mon! to riD;) SlInp wi th RaceWlY 0 Sealed Concrete Racewsy . OHalf-cut Canpatible Pipe Raceway IBSynthetic Liner Raceway ONone o Unknown D Other *Describe Make 'Iþ:lel: là;%) J~ 8. Tank Tightness Has 'l'hlS Tank Been Tightness Tested? Dyes ~ Dl)\known Date of Last Tightness Test Resul ts of Test Test Name · ~sting Canpany 9. Tank, Repair Tank Repaired? DYes IZIHo DUnknown Date(s) of Repair (s) Describe Repairs 10. ,OVerfill Protection ~ator Fills, Controls, , Visually Monitors Level , DTape Float Gauge iiFloat Vent valves 0 Auto Shut- Off Controls Deapacitance Sensor SSealed Fill Box DNane Dtk1known DOther: List Make Ii Model Por Above Devices .. t:Jp'IJ 'g~u. ~ VM..IIM .h\IÞ ðPIJ) h1Þ&~ g"f t'~ß,..",,) Au.... ' 11. Plpmg , , a. tk1derground Pipi~: !SYes DNa Dl)\known Mate'dal ~ ~1ifM5, Thickness (inches) Diameter ;Z '1 Manufacturer f"p0 .6A1,nl-;I'. ~ ~essure []Suction (JGravity Approximate Le~th 0 Pipe Run ' b. Underground piping Corrosion Protection : DGalvanized 8Fiberglass-Clad DImpressed CUrrent Dsacrificial Anode Opolyethylene Wrap DElectrical Isolation DVinyl Wrap OTar or Asphalt DUnknown DNone OOther (describe): c. underground piping, Secondary Containment: OoOuble-Wall [Rsynthetic Liner System DNone DUnknown DOther (describe): 76..ée1/.¥J '.' - J ~~ '/ <¡ i pe nn it TANK ~ '·~",f' (FILL OUT SEPARATE FORM ~OR·& TANK) - F:ÕR EACH SEcTIõÑ, CHECK ALL APPROPROOE BõXEŠ-- ' Facility Name H. 10. 11. No. 1. Tank is: O'Vaulted ONon-Vaulted liD:>ub1e-Wall DSingle-wall 2. Tank Material DCarbon Steel 0 Stainless Steel 0 Polyvinyl Chloride iii Fiberglass-<:lad Steel (] Fiberglass-Reinforced Plastic 0 Concrete 0 All.mim.m 0 Bronze DUnknown o Other (describe) , Primary Containment Date Installed Thickness (Inches) In I i't.I . 4. Tank' Sek:õnt:1ary Conta inment 13 Double-WallO Synthetic Liner DOther (describe): DMaterial 5. Tank Interior Lining' --¡:]"Rubber DAlkyd DEpoxy DPhen<?lic DGlass DClay Blhlined DlhknCM\ DOther (describe): 6. Tank Corrosion ProtectIon -rTGalvanized 'þ¡FiberglaSS-Clad DPolyethylene Wrap DVinyl WrappiB] , DTar or Asphalt DUnknown DNone DOther (describe): ' , Cathodic Protection: IaNone DImpressed Olrrent System [JSacrif1clal Anode System Describe System, Equipnent: ' , 7. ~ Detection, Monitoring, ~ Interception , . a. Tank: OVisual (vaUlted tanks only) DGroUJ"dwater Manitori~ Well (s) D Vadose Zone Mani toring Well (s) 0 U-Tube Wi thout , Uner DU-Tube with Compatible LIner Directi~ Flow to Monitori~ well(s)* o Vapor Detector* D Liquid Level Sensor D Conductivit~ Sensor* o Pressure Sensor In Annular Space of Double Wall Tank II Liquid Retrieval 51' Inspection Fran U-Tube, Man! toring Well or Annular Space Ii Daily Ga~iBJ , Inventory Reconciliation a Periodic Tightness Testing o None D Unknown 0 Other b. Piping: X Flow-RestrictiBJ Leak Detector ( s) for Pressurized Piping- o Mani toring SUnp wi th Raceway 0 Sealed Concrete Race..y DHalf-cut Compatible Pipe Raceway (BSynthetic Liner Raceway DNone o Unknown 0 other *Describe Ma~ 'Model: lèSð .J.4tX&r 8. Tank Tightness Has Ttus Tank Been Tightness Tested? Date of Last Tightness Test Test Name 9. Tank Repair Tãñk Repai red? DYes r2!IHo DUnknoWT1 Date (s) of Repair (s) Describe Repairs OVerfiil Protection ;!Operator Fills, Controls, & Visually Monitors Level OTape Float Gauge IiIFloat Vent Valves 0 Auto Shut- Off Controls DCapacitance Sensor LBSealed Fill Box DNane DtmknoW'l DOther: List Make , Model Por Above Devices ÐP.,.) ~ALl ~ lJt+f..lI~ ....vI) ðPtlJ h1Þð~ R'I t'~T1hIÛ6..~ MU- Piping a. Ik1derground Pipi~: fj,Yes DNa DUnknoWT1· Material 'R.,s¡;, ~ f"ðl1i~ Thickness (inches) Diameter ;;Z '1 Manufacturer t"P0 .s""n~ ;'~µ QPressure DSuction OGravity APproximate Le~th 0 ,Pipe RLn . b. Underground Pipi~ Corrosion Protection : DGalvanized 5iFiberglass-Clad OImpressed CUrrent OSacrificial Anode OPolyethylenewrap DElectrical Isolation DVinyl Wrap DTar or Asphalt DUnknoWT1 DNone DOther (describe): c. UndergroUJ"d Pipirg, Secondary Conta irment: DDouble-wall lasynthetic Liner System ONone OUnknoW'l [JOther (describe): 3. Capacity (Gallons)~ lO}OOð DLined Vault Manufacturer .Jeo IÌ... Thickness (Inches) o None 0 Unknown Manufacturer: Capacity (Gals.) : DYes r&-b O.UnknOW'l Resul ts of Test Testi~ Canpany ) Facil i ty Name H. 7édtJ~ , (.' Permit TANK ~ (FILL OUT SEPARATE FORM FOR -CH TANK) ~FÕR EACH SECTIõÑ, CHECK ALL APPRõPRÏÄTEBõXEŠ-- No. 1. Tank is: O"Vaulted' ONon-vaulted l8Il))ub1e-Wall DSingle-wall 2. Tank Material _ ocarbOn' Steel 0 Stainless Steel 0 Polyvinyl Chloride 181 Fiberglass~lad Stèel o Fiberglass-Reinforced Plastic 0 ConcreteD AlLminum 0 Bronze OlJnknown o Other (describe) ..q 3. Primary Containment Date In~talled Thickness (Inches) JI) ~L/ ' 4. ~ Sè ondary Contairrnent Ia Double-Wall U Synthetic Liner DOther (describe): D~terial 5. Tank Interior Lining , "l:fRubber 0 Alkyd OEpoxy DPhenolic OGlass DClay Btl'1lined Dtl'1knOW1 DOther (describe): 6. Tank Corrosion Protectlon -crGalvanized ëiFiberglass-Clad OPolyethylene Wrap DVinyl WrappiD:j . DTar or Asphalt OlJnknown DNone ~;¡DOther (describe): ' , Cathodic Protection: ~ne DDnpcessed CUrrent System [JSacriflclal Anode System Describe System fa Equipnent:' 7. ~ Detection, Monitoring, !!!! Interception . a. Tank: DVisual (vaulted tanks only)OGrourdwater Monitoril'J) Well (s) o Vadose Zone Moni toriD:j Well (s) 0 u-Tube Wi thout Uner o U-Tube wi th Canpatible Liner Directi~ Flow to Monitoril'J) Well (s) * . Dvapor Detector* DUquid Level Sensor DConductivit~ Sensor* o Pressure Sensor in Annular Space of Double Wall 'Tank 1m Liquid Retrieval fa Inspection Fran U-Tube, Moni t~ring Well or Annular Space 51 Daily Gau;Jing , Inventory Reconciliation S Periodic Tightness Testing [J None [J unknoW1 0 Other b. Piping: X Flow-Restrictirq Leak Detector(s) for Pressurized PipiD:j" o Moni toring SlInp wi th Aaceway D Sealed Concrete Aaceway DHalf-cut Canpatible Pipe Aaceway rBSynthetic Liner Raceway DNone o Unknown 0 Other . , *Descr ibe Make fa Model: "'ià£:ð ..JAt.i&r 8. Tank Tightness Has nus Tank Been Tightness Tested? Date of Last Tightness Test Test Name 9. Tank Repair Tank Repaired? DYes ,~ DlJnknoW'l Date(s) of Repair(s) Describe Repairs OVerfiil Protection g;Operator Fills, Controls, , Visually Monitors Level DTape Float Gau;Je iiFloat Vent Valves D Auto Shut- Off Controls OCapacitance Sensor I8Sealed Fill Box DNone Dunknown DOther: , List Make fa Model Por Above Devices D1'~ 'BAu ~ ilt4tf..I/M .h\Ib ðPIJ) h1.D~ f4I ('t!lltJT1f-u\1';"''''') Ru.. Piping a. lklderground Piping: SYes DNo DUnknown Material ~ ~ f,lðl1i~ Thickness (inches). ' Diameter;Z '1 Manufacturer ~O .Sv11,PI- ",~µ , gpressure DSuction DGravity Approximate Length 0 Pipe Am . b. Underground Pipi~ Corrosion Protection: DGalvanized gFiberglass-Clad OImpressed CUrrent OSacrificial Anode DPolyethylene Wrap DElectrical Isolation DVinyl Wrap DTar or Asphalt DUnknown DNone DOther (describe): c. Undergrourd Pipi~, Secondary Contairment: ODouble-wall lasynthetic Liner System DNone OUnknown [JOther (describe): Capacity (Gallons) JO}OOC:> D Lined Vaul t Manufacturer ~eeA.. Thickness (Inches) D None 0 Unknown Manufacturer: Capacity (Gals.) -- DYes t3No Dlklknown Results of Test . ~sting Canp;:iny 10. 11. _ _ _ . .... . . _,. .. _ . io -. _ _. . ..;0.. . ..... _ Ii ~ o. , . 28 'DOING BUSINESS AS / B , Seven Eleven #16549 ~~~'Î:t.647 :WUson HQad "',~;;:Bakersrield' CA ,- PUBLIC ' HEALTH PERMIT APPLICATlON/ ", , RENEWAL FORM '", ESSADDRESS ' .. "'-~ .*. , . ~ '..... 0, ' ,_. :",'. {:.'-, /,,-,::,':l.~ 'All construction to: be as 'þer l'à.cilityplans approved by thisdepa.rtmeIIt'and;L':~:¡::;ð; ~;;;":'::~;;';"::~~;';;';",:,,:veri.fied ins ction Permitt· Author1t. ,'.:':'1",,::;~;~,~,":P',:,¡t;:,;>,;':,,;.\::,:'}Jf.-i;5:.::,?;8: " ..::~i~;':å~~1~'f:~:2.';:<Perm1ttee must contact Permitt Authorit for on-site ction sWith :':'::>:'''~'~¡';;'~,,:, ;' hours advance notice. 3. Pipes' to be electrically isolated from tanks." ;", ,:.:{,:;, ;:'<;;¡?;}:itii;A~;;,J:"r'¡';? , 4.. Backfill material for pipi.ng and tanks to be as per manufacturer' s spec:ti'icat:toris~: 5. On-site inspections by Permitting Authorit~r will be made of: ,:i,';,"¡-""'~<~~::j7'~':~':~:" A. 'lank, hytrel liner and piping' installation.:':i:",)",_:?::::,.~~;,~?i):;¡;-;:;;~ B. Any other inspection Permitting Authority deems necessary. ,,~;,-,;~'~iil¡'~i~;;i";s~::;:'" , 6. Underground storage facility not to' be put into operation until f'iml approvàl: on ' ~ "Permit tQ OrJerate" is Rranted by Permitting Authority. '--" ·"""''-','!C4.s.< ' '- c.:I 7.' Construction work DOt to be initiated until this department is furnished with ';¿:;,~:;.- certificate of workers' compensation insurance by contractor. _ ".;/:,-;,'-.,;",~¿~~;f~?,< 8. ,U-Tube assemblies to have leak-proof caps at grade and below sUlDp and access 'f~'i¡~~;::;",<" ,,:,~}\:r,'.c: ":> points for monitoring we~s to bewater--tight and sectÌred against una:uthõrlze(:f:~"1~':;,x,' , access. " "',,,,:-,;yt,:,,..-;>-, :~;.:::';~::,;~'ii';i~,i;\·' 9. Mmitoring requirements for this facility Will be described on f'iml "Perm1t,,;,to "; , Operate". ' ,>... > >"","-'" - ''':~,.'''';,. ,., .-' ," , . ..... ~';Æ:L~ -- , ' '"'.';; 0, , '~~~~~~;~~i~~~1Y;~:~" " : ;.¡~.~ o:~', :..:>t:$ ~~:i1~~~~t~'~ ~'~t~~~-'¿~fJ>,;~~l};:Gt?~~,~~~~~ ::~>;. '".. - '. :.\<;' :-·:.o,-.;:\tftX~ '.:.-. ,,:..~':-:';'/--;:~:f3:~:Itl~¿--!~:.\'~~' ';o:;:~J<' ,~,:,- "'0' ;.". 'P~- ..",_ ',":,,'-' -'. ; ;~ ",.'., '". ..~!?:~:~ J~:;~:: ~~~t~~~~:.~::~:,.~..~. _ '. ' . . ;/ .: "'0' :. -.'. '.:.:.,--.:.~"t~,;.~': -,. . .' "~~<o.~::~~ ::'o;::.~;:}/~~:-: ;~ }~i~~~t~¿i#,~j_~:A:: , ',' .!~ , . ';',,: .< f~.;· :'~::;; \~:;"{,....> " '"., ; ,~' . . ",~:'·7'''''.''' ~ . ..::: "'CBV'D BY ... .' - ~O~NTY HEALT~' ~FFIC~~;~C7·· 'l1(&~~ " SECTlON'3803 FI I Ncl,'¿F APPLICATION FÒR PUBLIC HEALTH PERMIT. .. SECTION 3807, PENALTIES, If any fee required by Ihis Dbnsion is,. not Every person is required to obtain a public, he?lth permit to conduct any ·~US.. paid prior to the delinquency dote, in, addition to such fee. ,he applicant sholl iness, occupotion or other octivity provided for in this Division, ond sholl file pay a penalty equol to twenty.five percent (25%) of the fee, The term "delin.' on opplicotion with the Health Officer on 0 form to be provided ond poy the quency date" shall mean in case' of a renewal July 31, ond in the case af required fee and penalty, if any, a newly established business or activity thirty·one (31) days after commencement of the business or activily, '".t .¡" -" , ~ ,;<~"1~ :.,,_.': " \. ~ < .-----~---. I '',. -----CT:d . H~l.rLTHALpËR~T . '" DOING BUSINESS AS / BUSINESS ADDRES ' <' Seven Eleven #16549 4647 Wilson Road Bakersfield CA '...,--" PeïeIn/1 -#r:;8000313 . - ,:""~ ''',' . .., , :.; PAY BY JULY 31 TO AVOID PENALTY a::: = ~ ..... 0- = ........ a::: LU z , .'~ TYPE OF BUSINESS . FEE BASIS FEE PENAL TV (IF ANY) PAY THIS AMOUNT UnderØ"l"'ound StoraJZe ~ Tanks :':' . OW NE R / S The Southland Corporation i: MAILING ADDRESS ,1240 S. State College;' ',.:Anaheim, CA . 92806 x NEW BUSINESS CHANGE OWNERSHIP., " . RENEWAL ' BLIND", ,0';;::.:"'" ..'"'' CHARITY /TAX SUPPORTED ;..,: .'.- ; ", ',::,<:,,;:~:,~.,.,r,;:{~~~~,:" ">7;'~:<':', :CONDITIONAL . ',",',PERMIT EXPIRES .JVNf 'JIYI .;jSept~b~ .26~ '1985 , i:;~:,:·:t}'~}?:~2:~:~·::1 C"": NON - T RAN 5 FER A B L E - .:p 0'5 T ,~:o· N :~'p REM I S'E 5 :~"l "L ",.,,?:: '. '. .' .. . ..¡o . ""~" .~~. ~" " DATE FEE PAID DATE APPROVED HEALTH OFFICER - ." I . ' ' lEON M. HEBERTSON. M.D. . h _. _ "._ _'_.._~~ ...~-''''''.,.''':;~~.:'..~~...... ':'.~ ,~::~ " . ~~ .-·"1 , I - ., Bakersfield Fire Dept. .. H~RDOUS MATERIALS DIVIS~ 2130 G Street, Bakersfield, CA 93301 (805) 326·3970 UNDERGROUND TANK QUESTIONNAIRE P P IIt'fct) -1;;>6 -;?() \ I. FACILITY/SITE 3 No. OF TANKS ADDRESS DBA OR FACIl/lY NAME I -Eleve?1 CllY NAME REC (.AN 0 6 b>,¿ HAlo ~tC\To DIV. NAME OF OPERA TOR (" r; Ie Ue NEAREST CROSS STREET ./ BOX TO INDICA TE ~RPORA TlON D INDIVIDUAL D PARTNERSHIP D lOCAL AGENCY DISTRICTS D COUNlY AGENCY D STATE AGENCY D FEDERAL AGENCY lYPE OF BUSINEsS QSOTHER EMERGENCY CONTACT PERSON PRIMAR DAYS: NAME (LAST. FIRST) PHONE No, WITH AREA CODE œ mAPJo I FRANK (${fY5) t633-0732 NIGHTS: NAME (LAST, FIRST) PHONE No. WITH AREA CODE D~Mtt({,ì 0 I F f!A-N K {W5) <¿:3 4 ,--01 '15 ,/0100 '-19-051 ?..~ '0003 :51 J:?/91 EMERGENCY CONTACT PERSON SECONDAR 0 Ilona I DAYS: NAME (LAST. FIRST) PHONE No, WITH AREA CODE (~D5) ßtf-Z'7( I KERN COUNlY PERMIT TO OPERA TE No. ~ JOl\\e~ j Tì m NIGHTS: NAME (LAST. FIRST) PHONE No, WITH AREA CODE II. PROPERTY OWNER INFORMATION (MUST BE COMPLETED) NAME CARE OF ADDRESS INFORMATION I I MAILING OR STREET ADDRESS ./ BOX o INDIVIDUAL Q LOCAL AGENCY QSTATE AGENCY i TO INDICATE o PARTNERSHIP o COUNlY AGENCY o FEDERAL AGENCY CllY NAME STA TE ¡ZIP CODE I PHONE No, WITH AREA CODE III. TANKOWNER INFORMATION (MUST BE COMPLETED) NAME -¡k /'/"'. ~ ...... .. ~.... , , - --., no OWNER'S TANK No. 16£l/1 -I /bbi/q- 2-: /b£'1 -3 DATE INSTALLED J qft! Iqf<l /C¡f~ 0e ./ BOX CARE OF ADDRESS INFORMATION \ I ~ c1Y),Sðy\ o INDIVIDUAL 0 LOCAL AGENCY Q STA TE AGENCY o PARTNERSHIP 0 COUNlY AGENCY 0 FEDERAL AGENCY TO Il:mlCATE STA TE ZIP CODE PHONE No, WITH AREA CODE ell 9371/ ðð9 rf6 / -I) 711 VOLUME j ! PRODUCT ~~ /f)¡,- Jt t~) (JæIYJIO~ (}7Jleß.tfpJ @N @/N 6)/ N Y/N Y/N YI N IN SERVICE /1) ()/){) ;()./ /ß oòð~ /òòÐð ~. DO YOU HAVE FINANCIAL RESPONSIBILITY? (ßN TYPE ~/.ç ~ ~ Fiil one segment out for each tank, unless all tanks and piping are constructed of the_,-'me materials, style and t.' then only fill one segment out. '." ~se identify tanks by own ,/ID#. I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN ---...- -~----- A. OWNER'S TANK I. Q, # B, MANUFACTURED BY:--JDO Ý D, TANK CAPAClìY IN GALLONS: 0 () /<1 III. TANK CONSTRUCTION' MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND ALL THAT APPLIES IN BOX D A. TYPE OF ~ 1 ,DOUBLE WALL 0 3 SINGLE WAll WITH EXTERIOR LINER 0 95 UNKNOWN SYSTEM 0 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER 0 " BARE STEEL 0 2, STAINLESS STEEL 0 3 FIBERGLASS ¡g:) 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL 0 5 CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 ALUMINUM 0 8 100% METHANOL COMPATIBLE WIFRP (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER 01 RUBBER LINED 0 2 ALKYD LINING 0 3 EPOXY LlNIN9 0 4 PHENOLIC LINING C. INTERIOR 0 5 GLASS LINING CRf6 UNLINED 0 95 UNKNOWN 0 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES_ NO_ D. CORROSION 0 1 POLYETHYLENE WRAP ~ 2 COATING '::0 3 VINYL WRAP 3 4 FIBERGlASS REINFORCED PlASTIC . ,,',"- - PROTECTION 0 5 CATHODIC PROTECTION 0 91 NONE -::-095 UNKNOWN o 99 OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION . A @ 2 PRESSURE v ,A U 3 GRAVlìY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A ø 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A u. 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A@ 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COA TlNG A U 8 100% METHANOL COMPATIBLE WIFRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION I8J 1 AUTOMATIC LINE LEAK DETECTOR D 2 LINE TIGHTNESS TESTING o 3 INTERSTITIAL D 99 OTHER MONITORING V . TANK LEAK DETECTION o 1 VISUAL CHECK ¡g:¡ o '6 TANK TESTING ~ 2 INVENTORY RECONCILIATION 03 VAPORMONITORING(&j 4 AUTOMATIC TANK GAUGING 0 5 GROUNDWATER MONITORING 7 INTERSTITIAL MONITORING 0 91 NONE 0 95 UNKNOWN 0 99 OTHER I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN A, OWNER'S TANK I. D, # /0 c. DATE INSTALLED (MO/DAYIYEAR) B, MANUFACTURED BY: Too r D. TANK CAPAClìY IN GALLONS: J 0 0 I ...-----..----- III TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND ALL THAT APPLIES IN BOX D A, TYPE OF ~ 1 DOUBLE WALL 0 ,3 SINGLE WAll WITH EXTERIOR LINER 095 UNKNOWN SYSTEM 0 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 099 OTHER ~ .... ,-....-.:--~ D 1 BARE STEEL D 2 STAINLESS STEEL 0 3 FIBERGLASS [2g 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK 0 0 6 POLYVINYL CHLORIDE 0 7 ALUMINUM 0 8 100"10 METHANOL COMPATIBLE WIFRP MATERIAL 5 CONCRETE (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 ~6 UNLINED 0 95 UNKNOWN 0 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100"10 METHANOL? YES _ NO_ D. CORROSION 0 1 POLYETHYLENE WRAP cg¡ 2 éOA TING o 3 VINYL WRAP 0 4 FIBERGLAsS REINFORCED PLASTIC . PROTECTION D 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN ' 0 99 OTHER IV PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A@ 2 PRESSURE A U 3 GRAVlìY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A @) 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A@ 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100"10 METHANOL COMPATIBLE W/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION œ;¡.1 AUTOMATIC LINE LEAK DETECTOR D 2 LINE TIGHTNESS TESTING o 3 INTERSTITIAL D 99 OTHER MONITORING V. TANK LEAK DETECTION !~l 1 VISUAL CHECK I)Q 2 INVENTORY RECONCILIATION ,0 3 VAPOR MONITORING ~ 4 AUTOMATIC TANK GAUGING 0 5 GROUNDINATERMONITORING r ,J 6 TANK TESTING ø 7 INTERSTITIAL MONITORING 0 91 NONE 0 95' UNKNOWN D 99 OTHER Â :1} J ly I. TANK DESCRIPTION A. OWNER'S TANK L D; # B,MANUFAC1URED BY: - SPECIFY IF UNKNOWN _.--- - .____._.__ ____..m ___ -- ---~----~. - --~--------_._._.- ------~--..-- - .--- ---.- III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND ALL THAT APPLIES IN BOX D , A. TYPE'OF ~1 DOUBLE WALL 0 3 SINGLE WAll WITH EXTERIOR LINER 095 UNKNOWN SYSTEM 0 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 099 OTHER 0 1 BARE STEEL 0 2 STAINLESS'STEEL 0 3 FIBERGLASS ~4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC "B. TANK MATERIAL 0 5 CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 AlUMINUM o 8 100% METHANOL COMPATIBLE WIFRP (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER 0 1 RUBBER LINED '. o 2 AlKYD LINING 0 3 EPOXY LINING D 4 PHENOLIC LINING C.INTERIOR D 5 GLASS LINING ~8 UNLINED D 95 UNKNOWN D 99 OTHER LINING " IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES_ NO_ D.CORROSION ;,0 1 POLYETHYLENE WRAP IZ1'2 COATING "', ,0 3 VINYL WRAP PROTECTION 0 5; CATHODIC PROTECTION D 91',NONE ,~¡,j,:" ,"''':;;;095 UNKNOWN D 4 FIBERGLASS REINFORCED PLASTIC '0 99 OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE ' ;::, ""',~ A. SYSTEM TYPE A U" 1 SUCTION ,A U 2 PRESSURE , A U 3 GRAVI'TY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL : A U 2 DOUBLE WAll A 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER ' C. MATERIAL AND A' U 1 BARE STEEL ':"~.f.A U 2' STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A@ 4 FIBERGLASS PIPE.., CORROSION A U 5 AlUMINUM :-' Ai U 8 CONCRETE ~;, U' T ,STEEL WI COATING A U 8 100% METHANOL COMPATIBLE WIFRP PROTECTION A U 9 GALVANIZED'STEEL A U, 10 . CATHODIC PROTECTION , "A U 95 UNKNOWN A' U 99 OTHER D. LEAK DETECTION 1 AUTOMATIC LINE LEAK DETECTOR 02 LINE TIGHTNESS TESTING 0 3 :~ORI:i 099 OTHER V. TANK LEAK DETECTION o 1 VISUAL CHECK o 6 TANK TESTING 2 IN\lENTORY RECONCILIATION '0 3 VAPOR MONITORING ~ 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER M~NITORING 7 INTERSTITIAL MONITORING D, 91 NONE 0 95 UNKNOWN 0 99 OTHER I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN A, OWNER'S TANK L D. # B. MANUFAC1URED BY: C, DATE INSTALLED (MO/DAYIYEAR) D. TANK CAPACI'TY IN GAlLONS: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND ALL THAT APPLIES IN BOX D ~ - A. TYPE OF D 1 DOUBLE WALL 0 3 SINGLE WAll WITH EXTERIOR LINER D 95 UNKNOWN SYSTEM 0 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER 0 1 BARE STEEL 0 2 STAINLESS STEEL 0 3 FIBERGLASS 0 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL 0 5 CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 AlUMINUM Os 100% METHANOL COMPATIBLE WIFRP 0 , 0 0 0 .\,~'m¡'yTank) 9 BRONZE 10 GALVANIZED STEEL 95 UNKNOWN 99 OTHER 01 RUBBER LINED 0 2 AlKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C. INTERIOR 0 5 GLASS LINING 0 6 UNLINED D 95 UNKNOWN 0 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100'¥. METHANOL? YES _ NO_ D. CORROSION 0 1 POLYETHYLENE WRAP 0 2 COATING D 3 VINYL WRAP 04 FIBERGLASS REINFORCED PLASTIC PROTECTION 0 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN 0 99 OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE 2 PRESSURE - A. SYSTEM TYPE A U 1 SUCTION A U A U 3 GRAVI'TY A U 99 OTHER B. CONSTRUCTION A U , A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER 1 SINGLE WALL C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A U 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100% METHANOL 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 INTERSTITIAL o 99 OTHER MONITORING V. TANK LEAK DETECTION o 1 VISUAL CHECK 0 o 6 TANK TESTING 0 2 INVENTORY RECONCILIATION 0 3 VAPOR MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING 7 INTERSTITIAL MONITORING 0 91 NONE 0 95 UNKNOWN 0 a9 OTHER :f'rn COlont.y H"l1lth D"p3rt.mPllt )iv1a1~rt of ~nv1ronmpnta1 Hf'a1th 1700 Plowftr Street, Bakersf1eld, CA 8(5) t361-,o'6 , ',; 't "IV ) "-" p~ rlDi t tio. "Application Datè Application Por I'erm1 t To O¡.erate Underground , ' " Hazardous Mat@riala Storag'; facUlty :ype or Application (chl!'ck): ' . New Pac:1l1ty Construction ~)IIOditiCatiOn ot F.x1ating 'acil1ty__ F.x1sting r'aclltty_ Transfer of Ownersblp_ , , ' ) , ElMrgency '24-Hour Contac't Ii T~lf!phOfil! NUlDb~r")JST12lcr JI1It.h.~ . 7k.6.u.wJ ¡)J$r7tI(T DÞFx£.80$ R3Lf ;;'1/1 Pacil1t1 Nalllft 7-Gd.A,lU --'-LIÇ,~ · Aøs'!Bsor's Parcel HUlDbe~ . Pacil1t)' Addresa ~ fd'f1 W 1....5,mJí{ì) I t,1t(~t=I6-j) T~e..2.._ R ~1 t5.. Sec :;¡¡:: Ollnn ~ ~ðUT1lt/IfV)_.£.t:'ODfllYrÎð¡J Contact A~ 6-U.:T71ÇÆ.s~ Atldrees J 2,/'-' ç. ~-rPrr£. caLJ?Æ,¿ A1VII'-#£/M tíllDLtelephOnp. 7,"'¡ ~ ~5 -;7/1 operl1tor_ 5A-m¿ Contact 5 A-m.Á Address Telephone " 3 W.~er to !.8ci11ty providød By Soil Characteristics at Pacility ø..is tor 5011 type and Oroundwater, Deptb Deter.1nat1ons Depth to Groundwater ,:: Contractor A-L.TPN C#N~u.c1/e;J I!n , 'Addreac L7t:JoIKJ'ÑIi- ß"'''i Su....£.LJ lTKc;iJAJ ,'Proposed Start1118 ~t" !5#7 Øtl J Iq~' ' , CA. Contractor's L1cense' 'CC¡ l.&(,(p)~) '7~c.. go telephona "7/~ 7~ð ¡;;Z:'13 ' , " '"pois.a Complation Data OCTI > J I? llY D Br1efly Describa Modif1cat10n8,Propo~8d NIJ~-r'A-uA'f7Þ"J &þ (T'A~L-IA1£, FIl-UL.I'J/ ! 1) Pr1mary Contaiu.entl tank DatI!' , Capacity , , InlltaUed Tbiokness (oals) ...L IDIODð ..L /0. Dð l:> .J,.JO' "f)ð .' IIPHI Model J~e c1,{IJ £ JOf)R. - Type CoaUng. IIBt'l ' 'haT. IIBt'l ( 'RP.~'-c) Int/F.xt St.ored Stor~d " brnLBt¿"tI1M,l.. í'..fflt fÞ$ J 1£ ~OL.IU¡t;:. .~ t ~ ' I ( i9'W\.. Dß5 J-r&: (.".A-S().,,µJ1f!... ' I r .. . . I ' , Cl9tt1lJe>$47'~ fs~øi.ÞfJ£ I,. , . .. . 2) Secondary Con~i...nt !ank I / ;t' ~ , ' . __...0..- "'tar1111'.thi~kne.. l.~~~tTL.'·""", i ' ' ~'- I' Oapacity '.' (Oals) COnlltruotion Details 'Do""Sl,£'" .vAiL T.4J1( , " , ¡ I I ~ .! ., " " , II It " Cat.hodi0 ProtaoUon Y, @, De.oriba .4) Pip1ngl Pre.sure v"--- Orad ty Secondary Contå1_,nt (j) I Desorib!! lIB t ' 1 ' F '¡~k.i-JMt""5 Ily fVi4.. L., A/6/l.. , 5) , Overfill Warning Dl!Y1ce. Y . Dltscribe M'~, ')-1 AlL C.1/-JCžLX ' V Au' /;,S ,~ ~ rAllO /24) f1L~ 6) Laak Intarcept1aa and Diraoting Sy.tam Deta1l. (.otor vehicle 'fA.... iIl\.ßI£A55IS-/V1ß',Y I ~/AJ£f!... (, "' ¡-r<-~ k,) Ä-U- t9 r: '1) ~ß Lf- MJ A£L -r1tI'r g 7) Describe Leak Detéct10n,and Monitoring Port tank(s). /AJtI&Vnrllr"~7?r-~çLUAr/HJ e:AJ II- Þ/kt.-y' 'l:?,A$15 ¡ ~. WAJ~ F~-r;R~~I!),~I.,..'t-t.?~!!P.~~!-!~ ~?~, ,oE.¡;bt~~cñ"wl1L~,7ß1tJ!.., _, _,__.__ .1LnlM::-Â=-~ e~,_~ _,4_, r¿, ~L~~~ :e:,t-J;Í<f:ii ~~~, i&J;" 7iiV~ Piping: ,;¡),¡r-N'T1Jk 1{r,<.tJf'J(..,-Iu.../~-P/Ù Æ ~f---12tf7Jç . ,,-- . _., LA Tw.ß£ _~~t) fj,.L'6Crf(')Ñ~c.:fH{!Jt~WL-æAL7oJJ_fþ~tA:J!.ð-rþ11'¡T~c.J.I tV ____/fyíA~.Jd~fHj-...., , 7{ML~~~ ,j)~---."-._..:,~-,,,------ e,> . Watpr Intrw.ion lIon~,'or~ .~d ..~..1 Der'.. tor .ooo.d.... Co.ta1n~o' ®. D...rib. __,~~rµ~ c.- tr7JH'5.!_'!/f..::_ÆlLÆ.~l:.;,,_J.hV,v~ $¡:>~~i!.f-__i2ð-!yfjuL ~~ , Date of Transfer, _~~.~PraY10Ua Own..r_ _,__...__' .______Pr~v1ous Operator,,__...,__ Pr""iou8 Pacility Hamp. ____ \.,.. , ,_,...,..... ,_,_ _,_~,._____' ,,_________,____,u__ 1,___._ ...._._,_____Acc..Pt Fully All Obl1Kat;;;Jns or Permit 1___._.~lssued To ._ '1 Und..rstand Th!t 'fhe rpr~1t.t1ng Autho~1t,Y May H~vle'" "lid Modify Or Tpr'1l]r¡a~,. Thp. 'rr8!'\st'p.r Of Thf! Pf'rmit To Ó~pr'atp Thia Under(.round Stor~e I'I<(:ll1ty Upor. R..cP1yng '!'hl'Ø Con¡~lf'tf'd I'orm. fuels only) Mc&UV~. ,~~:.JJ.IÚ ~.s SUbfDl tt...t, 11'1 -rlk;. 9C9åT#tA71FD --dt?-" . . /kff--.-,,'~'-- ~ . _ "~'. .... . '.. '., .. . . , ' . ' . '. . &e..P. Jat" 3~~/ýfY G1;þtlltl¿ ./ltWL. ' ' -I Owner'.. ;;I.n"tu("p Tl tl'! t , .,..., . . , . , :.f.::;':.:,'" '.;~;'~, ~~~.¡: --_". '..-..,,"'..~ ";,,.~.:.,~ ; .".-"~ ;.,.... , . ,'.: ,.;.',.~.. ,; .' .'- ~ .& . -;-: '-"" . / . ~~ ..t~ I i . ~., ','~. :~;.";').'~i.:...~-,~ o .//' /:../~. , -"':~~ ~.- .^' ~ ... ,- . .-,-.-' ..._- ~ -_..~._-~-" .~--,. , .----- - . _._-~_... . "' ~,,' ,,'---., " ~... ¡. ~:f1ò--,,-":7:~--,~~·:,. \';;T~~'--- -,~~.;JtfA/l~:- ,1_ ¿_,':+-./,..D---..:...~, ' -'>''--"..: _~-/':""I - ~L,1'7 ~ ': _~~: ,~--.-.,.-,-t/~':..__P,. .~.---.:.~~~,,--- I ; .....' '¡':..:.. , i.té, . \ . <:-1-':; :<7-n I", I ..- ..--,., t -j? . ,¡: v·,,, -" , _./'~Î"', /!.....- - .~...-.' \, /~I".'" ! / r- ' >'.- 'I ' '! ,r -- ..'.- ,-~ --.-----'. . ,. ._. ~..H ..__ ~.._____.._.__.__,..-~. --..~-+-----~.,~ . _.~, , ' ' , ' ' '" -.-.,.-- ," -- ' ".:." ,-- l ,. ¡- !itvr /ttÞ¡¿ F> . .-\ .,~ooo/ lfJD,'!op -- /'~', ,~ -z.... '? ç; -', . 5>/ ~D) . j/ï ..... './ /' / '{ ./ .& ,1,.../ ./ /' ///~ ¡ I I' I I I I i i ! i \ \ I SOOOA ~. \ I \ .I " , ¡ ¡ : ,J .. ~ . I'· ¡ ,/ , /,'*' I .r ~,..", .....~ /. , ,,.. 1 '¡tV ,.- _.~/' "--'j"""" ... .' ' ,J""~. } ,...- ./ ,/ { ..//' ,\--- . " , '0\""" \D f«-'k .. <' ( .. .. .. .~--~. .,,~ '~.,' . - '...'~ ,~-.' - --~.-._,--- ....- ,I .., ,r-' ( " .; ~- í., , , , ", ~ F I L E ':rm'n:NTS INVENTORY Facility 7 E)~ -#- /toL~-¥-q ~Permit to Operate ~ ~3 OConstruction Permit It OPermit to abandon~ No. of Tanks OAmended Permit Conditions DPermit Application Form, o Appl ication to Abandon DAnnual Report Forms Date :Date. Date Tank Sheets tanks(s) Date DCopyof Written Contract Between Owner & Operator DInspection Reports / DCorrespondence - Received Date Date Date OCor~espondence - Mailed Date Date Date DUnauthorized Release Reports o Abandonment/Closure Reports DSampling/Lab Reports DMVF Compliance Check (New Constru(~tion Checklist) OSTD Compliance Check (New Construction~ Checklist) DMVF Plan Check (New Construction) ~STD Plan Check (New Construction) DMVF Plan Check (Existing Facility) DSTD Plan Check (Existing Facility) 0" Incomplete Appl i ca t ion" Form DPermit Application Checklist o Permit Instructions DDiscarded o Tigh tness Test Resul ts Date Date Date DMonitoring Well Construction Data/PermIts ----------------------------------------------------------------- DEnvironmental Sensitivity Data: DGroundwater Drilling, Boring Logs DLocation of Water Wells []Statement of Underground Conduits ~Plot Plan Featuring All Environmentally Sensitive Data Dphotos Construction Drawings Loca,tion -:f/It::..5 OHalf sheet showing date received and tally of inspectIon time, etc fS M i sce 11 a neo us '/z.. óhe.e..;f.· ì (î5{Y"'l" ho n paSP _ _ ........-..- --.......- .--,-....- -..-.-...... It ~ ~~ ~/).. (/~s- --s: ~ -, ~_1. ( I. ¡; t ¡ . I' í , ¡ I ¡ I' i j . i ¡ \ I ¡ ¡ , I ¡ ; ¡ I:~ ..A_ Bakersfield Fire Dept. . ~RDOUS MATERIALS CIVI N 2130 G Street, Bakersfield, CA 93301 (805) 326-3970 -~ /" I~ ,\/\~ ~ CL\J~ RECEIVED JAN 0 3 1992 UNDERGROUND TANK QUESTIONNAIRE I. FACILITY/SITE 3 No. OF TANKS DBA OR FACllI1Y NAME ADDRESS #:Ifos: ad HAZ: MAT. DIV. 1YPE Of BUSINESS ./ BOX TO INDICATE 0 CORPORATION salNDIVIDUAL 0 PARTNERSHIP 0 LOCAL AGENCY DISTRICTS 0 COUNlY AGENCY 0 STATE AGENCY 0 FEDERAL AGENCY 01 GAS STATION 03 FARM 02 DISTRIBUTOR 04 PROCESSOR S /(YI QY\$ M J e [Ç. ot¡ .;).{p I -() 7 II NIGHTS: NAME (LAST. FIRST) I { PHONE No. WITH AREA CODE ()-Ô7 ;LCjt(-/I?G,- II. PROPERTY OWNER INFORMATION (MUST BE C9MPLETED) CARE OF ADDRESS INFORMATION NAME ad-. eW J>(' CI1Y NAME Orov~ le...; KERN COUNlY PERMIT TO OPERATE No. optional NIGHTS: NAME (LAST. FIRST) PHONE No. WITH AREA CODE ./ BOX TO INDICATE DIVIDUAl o lOCAL AGENCY o STATE AGENCY o PARTNERSHIP 0 COUNTY AGENCY 0 FEDERAL AGENCY PHONE No. WITH AREA CODE NAME III. TANKOWNER INFORMATION (MUST BE COMPLETED) ,I~ ólq~ CITY NAME \"Lh¥\ ~U +t,o~ vù '&f\..D OWNER'S TANK No. 1(0 Sit( l} - , /loS;4lì v l.-. I bÇ"l(C:¡-3 DATE INSTALLED I oJ~t/ lo'/~L( I ID/r¡l{ " CARE OF ADDRESS INFORMA nON "0 e «þ S ì t'Y\ OY\ S (.IV"\. ./ BOX 0 INDIVIDUAL TO INDICA TE 0 PARTNERSHIP V e. O>f' STA TE ZIP CODE o LOCAL AGENCY 0 STATE AGENCY o COUNTY AGENCY 0 FEDERAL AGENCY PHONE No. WITH AREA CODE eA <1371/ q db ( -07/ , VOLUME PRODUCT STORED l) "l e.c.dÆd fV1trl-5v-~ Prc..W\ ~ I.JW\ ' IN SERVICE I ð AJ?)o , (O,on-o , IO(ðf)1) ~/N m/N fl)/N V/N V/N V/N DO YOU HAVE FINANCIAL RESPONSIBILlTY?®N TYPE LjJ/~r- of) ~ J/'e.til ~ ~;);~¡; \'¡::~. '.Y" '.. I. TANK DESCRIPTION A, OWNER'S TANK I. D. # )10<54 B, MANUFACTURED BY: C, DATE INSTALLED (MOiDAYIYEAR) D. TANK CAPACITY IN GALlONS: C)'v- '0 01 ~ -----... III TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND ALL THAT APPLIES IN BOX D ~1 DOUBLE WALL 0 3 SINGLE WAll WITH EXTERIOR LINER o 95 UNKNOWN A. TYPE OF SYSTEM 0 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) o 99 OTHER 0 1 BARE STEEL 0 2 STAINLESS STEEL 0 3 FIBERGlASS ~4 STEEL ClAD WI FIBERGLASS REINFORCED PlASTIC B. TANK 0 0 6 POLYVINYL CHLORIDE 0 7 ALUMINUM o 8 100% METHANOL COMPATIBLE WIFRP MATERIAL 5 CONCRETE (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER 01 RUBBER LINED 0 2 ALKYD lIN ING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C. INTERIOR 0 5 GLASS LINING 13"6 UNLINED 0 95 UNKNOWN 0 99 OTHER UNING IS LINING MATERiAl COMPATIBLE WITH 100% METHANOL? YES_ NO_ D. CORROSION 0 1 POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRAP ~. FIBERGLASS REINFORCED' PlASTIC PROTECTION, 0 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN o !IS OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE A.SYSTEM TYPE A U 1 SUCTION A &J 2 PRESSURE AfP3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WAll A@3 LINED TRENCH A U 95 UNKNOWN A II 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A@ 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100% METHANOL COMPATIBLE WIFRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION ~ AUTOMATIC LINE LEAK DETECTOR o 2 LINE TIGHTNESS TESTING o 3 INTERSilllAL o 99 OTHER MONITORING V. TANK LEAK DETECTION o 1 VISUAL CHECK g-2 o 6 TANK TESTING 0 7 INVENTORY RECONCILIATION 0 3 VAPOR MONITORING ~ AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING INTERSTITIAL MONITORING 0 91 NONE 0 95 UNKNOWN 0 99 OTHER I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN A, OWNER'S TANK I. D. # B, MANUFACTURED BY: J 00 -.r OO/f C, DATE INSTALLED (MO/DAYIYEAR) D. TANK CAPACITY IN GALLONS: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND ALL THAT APPLIES IN BOX D A. TYPE OF ~ DOUBLE WALL 0 3 SINGLE WALl WITH EXTERIOR LINER o 95 UNKNOWN SYSTEM 0 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) o 99 OTHER 01 BARE STEEL 0 2 STAINLESS STEEL 0 3 FIBERGlASS ~ STEEL CLAD WI FIBERGLASS REINFORCED PlASTIC B. TANK MATERIAL 0 5 CONCRETE 06 POLYVINYL CHLORIDE 0 7 ALUMINUM o 8 100% METHANOL COMPATIBLEW/FRP (Primarv Tank) 0 9 BRQNZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER 01 RUBBER LINED o 2 ALKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C. INTERIOR 0 5 GLASS LINING ~ UNLINED 0 95 UNKNOWN 0 99 OTHER UNING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES_ NO_ D. CORROSION 0 1 POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRAP Q"4 FIBERGlASS REINFORCED PLASTIC PROTECTION 0 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN ' o 99 OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A., SYSTEM TYPE A U 1 SUCTION A @ 2 PRESSURE A U 3 GRAVITY A U 99, OTHER B. CONSTRUCTION A u 1 SINGLE WALL A U 2 DOUBLE WALL A (fI) 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A Ð FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100% METHANOL COMPATIBLE WIFRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U. 99 OTHER D. LEAK DETECTION ~ AUTOMATIC LINE LEAK DETECTOR ' 0 2 LINE TIGHTNESS TESTING o 3 INTERSTITIAL o 99 OTHER MONITORING V. TANK LEAK DETECTION o 1 VISUAL CHECK o 6 TANK TESTING '2 INVENTORY RECONCILIATION 0 3 VAPOR MONITORING ~ AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING o 7 INTERSTITIAL MONITORING 0 91 NONE 0 95 UNKNOWN 0 99 OTHER I'" .. ."'-- ~ \ .... . I. TANK DESCRIPTION A. OWNER'S TANK I. D. # _ SPECIFY IF UNKNOWN B. MANUFACTURED BY: C, DATE INSTALLED (MOIDAYIYEAR) D. TANK CAPACITY IN GAlLONS: O"'ö"r }OO\ '? "------- III TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B.ANDC. AND ALL THAT APPLIES IN BOXD Gr'1 DOUBLE WALL 0 3 SINGLE WAll WITH EXTERIOR LINER 0 95 UNKNOWN A. TYPE OF SYSTEM 0 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER 0 1 BARE STEEL 0 2 STAINLESS STEEl D 3 FIBERGLASS u;;;r-- 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK D 0 6 POLYVINYL CHLORIDE D 7 AlUMINUM o 8 1000/0 METHANOL COMPATIBLE WIFRP MATERIAL 5 CONCRETE (Primary Taok) 0 9 BRONZE D 10 GAlVANIZED STEEl D 95 UNKNOWN 0 99 OTHER 01 RUBBER LINED 0 2 AlKYD LIN ING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C. INTERIOR D 5 GLASS LINING ~ UNLINED 0 95 UNKNOWN 0 99 OTHER UNING is LINING MATERIAL COMPATIBlE WITH 1000/0 MEl'HANOL? YES_ NO_ D. CORROSION D 1 POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRAP ~' FIBERGLASS REINFORCED PlASTIC PROTECTION, D 5 CATHODIC PROTECTION D 91 NONE o 95 UNKNOWN o 99 OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A @ 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALl A(Q)3 LINED TRENCH A U 95 UNKNOWN A II 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)AC!) 4 FIBERGLASS PIPE CORROSION A U 5 AlUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 1000/0 METHANOL COMPATIBLEWIFRP PROTECTION A U 9 GALVANIZED STEEl A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION !Ø AUTOMATIC LINE LEAK DETECTOR D 2 LINE TIGH1NESS TESTING D 3 INTERSffilAL D 99 OTHER MONITORING V. TANK LEAK DET'ECTION o 1 VISUAL CHECK ~2 o 6 TANK TESTING 0 7 INVENTORY RECONCILIATION 0 3 VAPOR MONITORING ~ AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING INTERSTIT1AL MONITORING 0 91 NONE 0 95 UNKNOWN 0 99 OTHER I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN A. OWNER'S TANK I. 0, # B. MANUFACTURED BY: C, DATE INSTALLED (MOIOAYIYEAR) D. TANK CAPACITY IN GALlONS: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B.AND C, AND ALL THAT APPLIES IN BOX D A. TYPE OF 0 ' DOUBLE WALL 0 3 SINGLE WAll WITH EXTERIOR LINER 0 95 UNKNOWN SYSTEM D 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER 0 1 BARE STEEL 0 2 STAINLESS STEEl 0 3 FIBERGLASS ' 0 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL D 5 CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 ALUMINUM 08 1000/0 METHANOL COMPATIBLE WIFRP (Primary T aok) 0 9 BRQNZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN 0 99 OTHER D 1 RUBBER LINED 0 2 AlKYD lIN ING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C. INTERIOR 0 5 GLAS~ LINING 0 6 UNLINED 0 95 UNKNOWN 0 99 OTHER UNING IS LINING MATERIAL COMPATIBLE WITH 1000/0 METHANOL? YES_ NO_ D. CORROSION 0 1 POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRAP 0 4 FIBERGLASS REINFORCED PLASTIC PROTECTION 0 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN D 99 OTHER IV. PIPING INFORMATION CIRCLE ,A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A U 4 FIBERGlASS PIPE CORROSION A U 5 AlUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100'Y. 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 D' AUTOMATIC LINE LEAK DETECTOR ' D 2 LINE TIGHTNESS TESTING D 3 INTERSTITIAL D 99 OTHER MONITORING V. TANK LEAK DETECTION o o o 1 VISUAL CHECK D 6 TANK TESTING 2 INVENTORY RECONCILIATION 0 3 VAPOR MONITORING 0 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING 7 INTERSTITIAL MONITORiNG D 91 NONE D 95 UNKNOWN D 99 OTHER ,.,..;--- ,'. . . Moni t,oririg Plan; 1. Monitoring shall be performed through St"andard Daily Inventory Reconciliation. This shall be done by the store operator. 2. 1m annual tank and product line integrity test shall be done bY' a licensed tank tester. 3. Product line leak det.eetors shall be inspected and test,ed semi-annu.ally by a trained service tecfu"1ician. 4. Meters shall be checked by a trained service technician registered with the Department of Weights and Measures semi- annually. .5. fu"1nular space will be monitored by trained service technician by manual dipping of interstitial space. This space should be found dry at all t"imes. If any moisture . water or fuel is found it will be immediately reported to Gasoline Supervisor for determination of course of action. This will be done mont,hly. 6. Trench liner shall be monitored by trained service technician by manual dipping and observation of trench liner monitoring well. Well should be found free of any gasoline vapors and/or free floating product. If vapors or product is found it will be inunediately reported to Gasoline Supervisor for determinat.ion of course of actlon. This will be done monthly. Spill Response Plan: 1. Above ground spills will be dealt: with by 5t.ore personnel according t.o severi t.y. Smaller spills will be absorbed with available mat.erial. Larger spills will be dispatched to appropriate fire department" 2. Underground spills (potential. suspected or actual) will be assessed by the Gasoline Supervisor. Potent.ialspills will be remedied by repair of potent.ial problem. Suspected leaks shall be .inspected for actual problem or prol:Jlem with paperwork error, Actual releases will be handed over to our Environmental Services Department for site asse3sment and remediation. .LJlŒCRUUNO STOMGr: FACILITY ~ PLAN CHECK LIST . ----- APPLICABiLITY/EXEMPTIONS (Facilities in any uf fuUuwlng catE:gories are ~xempt) 1 ¡ j / / Facility has Hazarduus Waste Facilities Permit or LSD from DOHS Not storing hazardous substances V' Tanks not substantially underground / 1/ Control of external parasites on cattle I 'I Farm tanks storing MVF's used to propel vehicles for ag purposes , ' Storing MVF's for ag pest control by licensed pest control operator within one mile of farm Sumps, separators, storm drains, catch basins, oilfield gatµering lines, refinery pipelines, lag~ons1 evaporation ponds, and well ceilars ',^, ::.~.. , APPLICATION COMPLETION / /Identification òf responsible partÙs (24 hour) / . Facility location adequ~tely described -- --::> - Workers' Compensation certificate or waiver ~A,PPlicant desires exemption from secondary containment for MVFls (If "YES", the following subsection must be completed with all "YES" . answers in order for e~emption to apply) ____ Highest groundwater not within 50 feet of ground surface ., Nearest surface water is not within 75 feet of tank excavation ~ Nearest ag, or domestic well is not within 50 feet Qf tank excavation , ~acility is not located in an aquifer recharge area ____ Facility is not located in a unique wildlife habitat area GENERAL DESIGN STANDARDS (astterisked items are N/A if MVF exemption permitted) * ~/provides primary and secondary containment -/ I ~Primary containment product-tight ~ ;Approval by nationally recognized testing, agency of tanks and equipment ~:~econdary containment compatible with product ¡ , *c./ .Secondary co'ntainment volume at least 100% volume of primary tank -/ * } If sec. cont. for more than one tank, must contain lSO% of volume of C· largest primary tank placed in it, or lO% of aggregate volume, whichever is greater. ~ --,\;.- ~- -----: ~~-~- - * // If open t(.infaIL. sel") cont. must als,o .('~\Jdatt. 2/, hr. raJnfaLI /'Honitoring system within secondary cl1ntainment, apprl'vcd, and COIllP,¡t ib1e , /. Mµnitoring continuous ~ater int rusion into se¡:. cont.--mon i to ring and removing ~corrosion Protection-~ Tanks .--. ,- .J/ £orrosion Protection-- Piping ~;çorrosi~n Protection-- Isolation of piping and tanks ~ ~Overfill Protection (device with alarm system) * ~potential intermixing of incompat¡ble substances prevent"ed by separation 7 / ' ' ~ ~k8 no closer than 10 feet to buildings ./ Water and sewage lines no closer than 10 feet from tanks" pipes, &. monitori /stems Approved backfill and bedding for tanks and piping ,. '·r,,:,.· " " ,I MOTOR VEHICLE FUEL EXEMPTIONS Cathodically Protected Steel, Fiberglass" Reinforced Plastic, or Fiberglass Steel Tanks Leak Intercepting and~Directing System U-Tube 4" Schedule 40PVC or better Horizontal and Vertical Sections half-slotted (typ. .06") Sloped 1/4 inch per foot to well 2 foot monitoring sump or greater Caps at grade and below sump sealed to be leak proof Pan, or Trough Synthetic Membrane Liner or Sealed Concrete Sloped 1/4 inch per'foot to monitoring well Under each tank and of size .to intercept leak from anywhere ~, Minimum 2' monitoring well or sump or.~Other~~De~cribe Leak Detectipn/Monitoring Pressurized Product Piping - _ Leak\interception and d iree tIlln system to moni toring we 11 Red Jacket (cannot be used alllne) -- \ Overfill Pri!ltection / \ Fill Bo~ sealed leak-proof Visua llÝ\ monitored by fal'i 11 tyoper:ttor '- \ . \ \ \ - or.~~, on L1 :Ù;C t: ijt:cu I' :¡ar.;( ,,[ ,~r il,i t{ <-;Z;; f.", "..I~i£2~~tU/ ¿~ _)L/ c¡ Ad,\: ~-.. :::' ~ C/ O\.,onf'r/('(1~it.act [ALIiIv' h-L.rrTLÆSE~ J ! ~.J;. ,-~~ . ,~ 'w( ~, Phone Humber (1/(j) /~ 3) - 77// V'. , ' Application Attå.ched Plot Pl~n (3 sets) Conetruction Dràwings Comr let, ion Card (j sets) ",'f ,/ 0/ H01Jr~ : ::¥t '3/1- .p/4- Plaús Checked By: Date: ,Date Plans Picked-Up: By signature Inspections: I. _ - , .,¡..ð5: ' (lr. c"*:ye. (Final Designated By "F") iÓ"~~~~j B.s. :t::~,.c';t;:;i1~ :~''':-i/l ,,¿ . / CJ 9 '4 hV,,p1 , /~ éJ1fÜ <fæ" ~ ðl?tZf4'-15 , /O--'2'3·g4- PtU blxeJ. 11/{ (J-""Õt2R brvM !'}K.·..j;"!1,é~~¡,'7~e~13. 'IDTAL HOURS: x $'35.00 Total Plan Check/Inspection Fee . . ., ......: , , . ;f '. ¡',' .," ....,.,. ,:.-; KERN .NTY AIR POLLUTION CONTRO.TRICT 2700 "M" Street, Suite 275 Bakersfield, CA. 93301 (805) 861-3682 . .~ . - '" i I " .. -, . PHASE I VAPOR RECOVERY INSPECTION FORM :. -~ '.;:: I~,'l <:;QA) k¡'")A fJ ,.P/O # 80{004?-ðS-; Station Name ?- - E /ßI;,)~f,) Location L¡ I> if 7- .--''> . ~- - ,_" Company Mailing Address ".city ;".:"~:-;'{:~;~ '> .-,: ,". ">. -..- ',Date 2/¡-2 /q/ . I' I ' : Inspector V es/ E='1 ,11 ).~ 1-<5 ,-. . . Phone Notice Hec'd By . ., , .System Typ~:.: Sep. Ris~r I~..- }:;,\~~;;~;~~:< .'Dß6--~~, -d·..· 1. PRODUCT (UL,PUL, P, or R) . 2. TANK LOCATION REFERENCE -. ,3. BROKEN OR MISSING VAPOR CAP ~ 4. BROKEN OR MISSING FILL CAP 5. BROKEN CAM LOCK ON VAPOR CAP 6. RLL CAPS NOT PROPERLY SEATED 7. . VAPOR CAPS NOT PROPERLY SEATED 8. GASKET MISSING FROM FILL CAP 9. GASKET MISSING FROM VAPOR CAP 10. RLL ADAPTOR NOT TIGHT 11. VAPOR ADAPTOR NOT TIGHT 12. GASKET BETWEEN ADAPTOR & FILL TUBE MISSING I IMPROPERLY SEATED 13. DRY BREAK GASKETS DETERIORATED 14. EXCESSIVE VERTICAL PLAY IN COAXIAL FILL TUBE 15., COAXIAL FILL TUBE SPRING MECHANISM DEFECTIVE 16. TANK DEPTH MEASUREMENT 17. TUBE LENGTH MEASUREMENT 18. DIFFERENCE (SHOULD BE 6" OR LESS) 19. OTHER 20. COMMENTS: ," TANK #1 '. ¡;¿ -. ~ >~ ':.:~ ~:~:<;.~; ;:_;>.~~.t·~~i\·~-~'F-:· . ~ . > ""!" ~ -+~ ~.' '" , , ,", . .' ~ ~ ~ !5?- /5$ /55 J <2, /55 1ST> / ..-/ J . Lf _3 C; * WARNING: SYSTEMS MARKED WITH A CHECK ABOVE ARE IN VIOLATION OF KERN COUNTY AIR POLLUTION CONTROL DISTRICT RULE(S) 209, 412 ANDIOR 412.1. THE CALIFORNIA HEALTH & SAFETY CODE SPECIFIES PENALTIES OF UP TO $1,000.00 PER DAY FOR EACH VIOLATION. TELEPHONE (805) 861-3682 CONCERNING FINAL RESOLU- **** TlON OF THE VIOLATlON(S) ************************************************** APCD FILE ' " - 9149-1010 '" . 2700 "M" Street, Suite 275 Bakersfield, CA. 93301 . ~ '; (805) 861-3682 PHASE II VAPOR RECOVERY INSPECTION FORM .' Statidn Location '1-6'7 T Com~y Address ' . Contact· . Inspector (A). ,A ),'¡- £<S ,^J.' J SOl'} l?~Jj , City System Type: . Notice,Rec'd By P/O# ~oloot.¡9-ð5'f Zip ~ RJ HI, HE GH . ):)~ClA~ - " Phone Date 2. /1 2./9 { HA NOZZLE # GAS GRADE .,J-' NOZZLE TYPE·, - . "I,~ '~ .. . :i;'.t" -- I I ¡ , I ! I I , I , I , I i I I I ; ~ 1. CERT. NOZZLE " ,:'." . -- ' .>;: ..:;.} .. ~ :f;i/~ .- .' .- .. . ,:..., ~...,. , " '-- " 2. CHECK VALVE : ': . " ',:, ,:'<i,' '.,::é' ' ,);< '. -- .. .<"- .'.,:;,'; " ,:',', ~ I,: " .'-.., N ' , .~--:; . ~,,:i ' :·;:'t:': --::,i", ''..c 0 3, FACE SEAL -' " ...-'~ ,:,¿, ......"., ... ,.....,' ,.., - . ' ·--.i , ":':c '~ '::':' '. '. .., ¡--~... <. "", " ,:,.. ;:;:,¡ Z <,.;~. , -- -:-' Z 4. RING, RIVET -- -- I '. '" -- . ' -. .. , , " L -rn E 5. BELLOWS r 6. SWIVEL(S) . 7. FlOW UMITER (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 J _v , , "'¡... 7. SIGNS POSTED I~ 1f4iø 'ie1. ~ ~ Key to system types: Key to deficiencies: NC= not certified, B= broken BA=Balance HE =Healey M= missing, 'TO= torn, F= flat, TN= tangled RJ =Red Jacket GH=Gulf Hasselmann AD= needs adjustment, L= long, LO= loose, HI =Hirt HA =Hasstech S= short MA= misaligned, K= kinked, FR= frayed. i ** INSPECTION RESULTS ** o 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: ~ ~oøl.OlUGJNAL Ii , i ¡ t. 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 RESO~UTI()N 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 ' --~\ .·.·c 0, APCD FiLE 9149·1015 \ , " ., . u..~ . . ,1 ~ November 20, 1986 Kern County Health Department 1700 Flower Street Bakersfield, Calif. 93305 Attn: Mr. Joe Canas , ' ,;- .:.~ " ~ \.. 1VOI/ . /,'" V <' ,... \I...'?/I.¡C,O'" , ....' ~i)Î' VI I·-UU'" 'vI, I I..., '"'í¿il-¡ . '~~:':Jl. ." .;.. " I "r.. . 'j; j~.(.. ." Dear Mr. Canas, I I ' ' " I would like to thank you for approving our Store Gasoline Report that is to be used in lieu of your Inventory Recording Sheet and Inventory Reconciliation Sheet. As per our méeting with you on November 13, 1986, your Inventory Reconciliation Summary and Trend Analysis Worksheet will still be completed by our stores. .. .... '" Enclosed are ten(10) copies of our report that you can distribute to your field personnel. The numbers that appear in high-light areas correspond to the column headings on your Inventory Recording Sheet and Inventory Reconciliation Sheet. Again, thank you for your time and attention. If you have any questions, or if we can be of assistance to you, please let us know. eve Hardy Division Gasoline Sales Manager Western Pacific Di vision SH:jas cc: Jack Dooli ttle 7-Eleven Stores I Western Pacific Division . , 1240 South State College Blvd. I Suite 100/ P.O. Box 6520/ Anaheim, California 92806/ Phone (714) 635-7711 , c. ... THEsSÖÙT~LAND ~ .] CORPORATION ',T r '" I -- --¡---i· -j---.--- ._--. '-, ' I -, I ',} - L' \.. i I ,- , ,-.. ., l' -)) ,-:":, \\/. ¡ -::,': ' \.,' ,,- - I: )) r', \ --' - '::--. 'C." t~/ ,J U MA.1989 . £:NVIRONMENTAL HEALTH ~o Slans 19 Gas Storl:s 5 Corp Stares I1tiiit:£T 272ú .Q06 iiHIrE LANE tA~EßSFiËLD. CALiFûñNIA 93301 ¡60S) 634-¡711 } STO~r:. IBII ì (SC5¡ PHûl.è: _ FRANCHISEE STORE AüüRESS itSIIT FûRH CIO üÎtTE " - ======================================================::::::::::;=::::::::::::=:=:::;:::;:::::;::=;:::::::::============= 13î32f" 4ó¡~4 323-56ó1 Judy FrieQi~ 2331 Chester Lane, aikido 933û4 1/76 Úói07i77 1!1:óri .ó167 B71-ii377 iiarry ~ 6ura,Ül Singh 3760 Birnard St., øatfd. 9330ó 6/63 10/02/85 1',"10~t C'...... ~. a3~-.4';55 Tejln~er ~ iulshinaer Takhar 5301 Stockdale Hwy., Baiid 93309 4/86 03125/85 """Io"'h' ..1\10.. 1ô329A ó103; a·· ··r,' Gas ;;'Jstln Ie cli..nor iìiqila.. 1701 Pacheco Rd., Sakid. 93307 4/74 03/0a174 810C03, ""-~"¡wJ lóS\1D C;":-C:"~ 6:~-(i7:: GiS ¡:ran~ CI:/li.rio 4é47 Wi¡50n Rd.! Bikid. 93309 1/60 OÓ/2Ó/81 .1- ~ "'......~... 16031D ó~íì~1 ~....., ~..... 1Jj¡ Karen ~ Jerry McGill 525 .est ColujbuSI BaKEd.' 93301 6/93 02125/86 ~I .......-1 or: lÞ':;4ón ó30 ¡ 1 ~i3-1 :¡a2 Cürpor ..tion 620 Wilson AVi., Oildale 93308 01/12/6:; 177212 Ôì14ó ........ ........, bas J i i Ley~ndeckir 3601 Stockdale H.y., -Ba~fd. 93309 ó/S3 01/17/85 ",)'1-";11'.:1 18ó55E 72273 393-:7ü( S0I5 iiHt Selzer 300 North Chester, Bakfd. 93308 ./88 09/ûblåa 03<::100 I ló7¡:¡ Ó7iZ~ 3:;-.;l3t Corp~ration 1200 it Strut', oal,rd. 93301 ú.i24/S6 1 Ba28 ii2~21 ~23-~ó¿2 SolS narry ~ S""òil SIngh 102b Diaie Ihe., BaJ.i ~. T3305 .i/Sa 02107/89 '1fðO I S- 1940lE aZS20 n5-,¡711 kS C..~il~ k ~arii Garcl& 92ó Ceci I "'Ie., Deldno 13216 6/63 Ù!/22/å5 ~~~ ~1Ì317C ~('4Gl ã:;-7¡4~ Ôi~ ~~nj;t ~ Snalsner Þrewal 2351 Socth Ur.icn, Þii:fd.. ~3307 6¡63 O¡¡O~/B4 31003 I 21476A 1'-" .--.... ,.. ..~ ôu ¡,d ~ Frida RawliS I¡OO Brundage Lane, ø..i:fd. 93304 sns (¡1/071aO \q0ð07 :þ ~":~-:;i , 214PIJ tê':;é 1~2-2,,: SolS Ci)rp~ration 2b3ó ~iver ølvd., Bal:fd. 93305 OS/221íi5 IlIDO" 221SÐft 13;1 ....,. --: C" 6a5 ~i. ~ L~is ~rici .012 ~nite Lane, 6..;_to. 933ú9 7/GO 04/10/61 3lO(%l.c:¡' d,,'I-:;'O.. 22á47i 1C'-- S5Ÿ-vidØ ,jas Terry ~ ~¡thy States 33390 Kosedaie "wy., aaUd. ,3307 6/83 õl/0Jla.. 3~OO I ( ..J':tS 2JUó¡ ~-~.. a71-l~,ja bas Ron ~ JudY ~niqnt 2300 ColulCus, BaUd. 93306 o/ô3 ó9¡1S¡6~ C ()Ol~ .j.;,.jO 2~-:ûlJ 4é7S 322-ä4ä7 Ccrporatior. 12D Brundòge Lane, 6¡dd. 9330~ û:i23/B1 25;55:. l~,r 6~5-1~3~ 'a~ JiCt ~ Shirley nuqhes 1040& /Iii n 5t., Lalont 93241' 6/33· ,........'''':C" 1tACCOj' ..-.. ...J ¡ 'I, òJoJ 2bS99B 5094 :66-4766 ì¿5 íu:o Dast.tiaour ¿529 E. Brunciage Ln., Bdifd. 93107 b/6b vcíi 1 ~¡ii7 ó2 '1-00 1.:2- A. r.o.. 4CH a3~-7ii¡ VeliOitir ~ Sh..n!.. 6dd..ii 1700 S. Ches tir , &šlid. 93:07 4 ...... ~5/1ó/aa ' ..:,)~..V" ..JCO 2b70(;, 4i;95 ã~~-:i5a 6.i! ß;ct ~ R~~ario V"lq~ez 1540 Dear IItn.Blvd., ~rvin 93201 4iaa 0-4/~a/a9 (,!OO;t I 2óS19A ~p.r:. :1~-63';: lias Jü~~ ~ ~r1å~në .hite ~24 N.Ct.ester h,e., Oildali 9330B o/Sá ûli07¡Bb otð0.2tf ~"w.j 27t22~ 'm; 765- ìj30 6as J,ji: ~ Rita Tiro 1224 6th St., T ait 932ó3 ó/61 û4iV]/iì6 SS~~í l71(oZ~ ~;5~ 7';ó-5;07 ~s Ca~i¡a ~"..ria Garcia .51 E. Lirda ii.y. I Shaiter 93263 4/63 03iCQ/ô9 fIIJO' f ;;;i.:n i(J=i;¡~r David Ta11ür· .. ¡b~4:; 13932 lcia:~ 1393Í1 18¿55 1'''''· Q..cc iB723 16329 l:;'¡~i 1ó940 :l<iìb '17721 ")"~ C·"· , ,.....-.~ .~ ...J 11~a~ 25~·jl 2v317 ....~.-~t: 2H6¡ ,,,,7,,J.J :~fJ5Ù ~2oi7 :a~~'i "'~1 t ':'¡'I..o ~"I ,... ...·~c- .J._~ '!ÖoI." 27~;)3 :óèl~ (~~;- S TùRE "0 DI. TPICT DATE .:i;n.&IL"J;{:,I..:..L...W..; T'ME .,on R. atl . , .'I'1...a;"'I"'JlU~òI,;)1l1:,~r"'f"1r;'!":~" . lnr¡TT."'II.~. SECTION I l Y SALES REGUl...R PUMP ", / PI' C.llon ,"CO,,,,....,, f·~" T"~ .... S I, : S r ¡ S I ! $: ¡ I ". NO lE...O PUMP S S S S S 10, Currlnl q..øll'" 11, V'''.rd.y·, ~'adl'" . Sub TOI., l~1 Mell' Check 12. Tot., SOld· J P~ /If ........_, C"'LLONS ITln.hll AMOUNT IC., 1. Cv",n1 Readl'" 2. Yftte'day', RUdlnt Sutl To.., l", M..., Check 3. Tot'l SOld 1601 ¡ PI' Gallon RI.a,1 I , : , I ! I I , I I I P.t Canon AI.a.. S S S S S I L , I Pit Gallon RtI.t , ., CUltl"' Aead,,. 5. "'"tlralv', Re.h"" Sub 'T 0'01 Ln' Me'!, Chtck 8, T 0.01 Sold l627 I, 7. Currlnt A."int 8. Yftl.rday', AI";"" Sub To.... l... Met., o..ck 9, To... SOld l614 PREMIUM PUMP - 13 Cut"nl Aladlng .., "Httrday', R'"I''' Sub To,oI LIss Metlr Check 15, TO"I Sold· l PUMP flf A""licob'" S S S S S PIf Gillon Att.d I si - 16. Current A..,ìnt 17, VMlIrd.y', "t8ding Sub Toi.. Usa Mto.., Check II. TO'"I Sold · I PUMP III A ie_I S S S S S/ ,OS I GRANO TOTAL ITo'"1 O'l._3, 6. 9,12. 15 a. 11.._ - .n.., on Lone 132 of CWt R.......' 'THIS AREA CAN BE USED FOR DIESEL ·C_ 635. GASOHOL 'C_ 604. SUPER NO LEAD.Co. 601. " '" .. REGULAII NO LE"'O PREMIUM OTNEII ~ + .. .. 4 4 c 1. IEGII\NING II\VENTORY ~ + 12 12 11 11 > 2, DELIVERIES IATTACH DELIVERY PAPERSI S · 3. TOTAL ILINE 1 AND 21 ~ H .ß + t z ., GALLONS SOLO tMETEREDI .B~..J. . + t , + 9 .. -> · 140rJS 14 or 15 14 or J5 14 or J 5 -z 5, IN·.-ENTORY ON HAND ~; + . . . . ;:~ I. INVENTORY IN TANK tACTUAL! r¡¡~ 7. OVER 'SHORT! (±) 16 J6 J6 J6 ..... z I, YESTEROA Y'S IoIONTH.TO,OATE OVER, ,SHCRTi (±) 1& 1& 1& 1& =- j · 16 16 16 16 g, CURREI\T MONTH,To-OATE OVERIISHORTI --'- IN. -1 IN. ~ 'N, --1 "', > 10, CURRENT fTDDAY'SJ STICK REAOII\G ClNCHESI ~ 11, WATER IN TAI\K· STICK REAOING III\CHESJ 13 IN. 13 IN. 13 IN, 13 .. ë 0 12, ~~g~~~RG:~~II~~ + OPENING GASOLINE .r~'\''2:''D . REGISTER READING - INVENTORY IEFORE DELIVERY DELIVERY INVEI\TQAY GALLONS JUMP AFTER DELIVERY OVE" 15 GASOLINE AUDIT WETE" INCHes GALLONS GALLONS INCHES GALLO'" (SHOATI :I GALLONS Qw'tfSt\o" "'EADING 0... O'I.......y C ( ~ REGULAR 4 10 10 12 11 11 . ~ REGULAR 603 ã o . =~ I\O LEAD 4 10 10 12 11 11 ~ NO LEAO 629 ~~ PREMIUM' ... ~... . 10 lQ 11 11 11 ~ PREMIUM 616 u> DIESEL 4 10 10 11 11 11 '7 DIESEL 637 ...- ..~ . ~ .. GASOHOL 4 10 10 11 11 11 GASOHOL 606 0 Z ~'&'~ËAO 4 20 20 12 II 11 o SUPER 609 ;: NO lEAD ,~ Soli. Loaa To S.Of'I -- SQ'i! lo.d From Store ::: TOTAL 640 \. REGULA,! NO LEAD PREMIUM >1: DIESEL Z- 0: -> GASOHOL ~~ SUPER ...... 010 NO lEAD TOTAL o~~~Jf.:?D Dæ~~~~ES UNITS COST P,O, NUMIER (FOR INVENTORY) DOLLARS fCENTS» CEN'1'$IGALS. GALLONS DELIVER~u (FOA TAXESI IILL OF LADING 602 0 · . 628 0 0 615 · 0 0 636 · i 605 i 608 ! 630 0 It_co",.... ~.. 0 .... ,...c.., f ..... .c ",....." lu.... co.. /I ...."....., -:.::..::.-=- t.,.... ........" VENOOR NO 1("00' 'Tl~~ ~I VENDOR NO, f'OO'l""'IE PAVABLES; ',,", 6150033 2.11 " " --.. . ." " --. "... . . ,; --.... '-- «- R". 1. C""en. RUd,n, 2. Y"te~Øly'l Anch"9 5..0 To.., ltu ......, Chec k 3. TOI. Sold 601 P., G.,lon R.I,II STOR[ "0 DI,;rPlçr :r'lI "'."..;I..¡ ¡¡ 'l'r:,~t.~r.':e",'I':-JT'!TT."II' . SECTION ILV SALES RECUlAR PUMP CAllONS I TonI"" S§AMOUNT IC~nl" I S I S ~" S I " S ti ì I 'NO,lEAD PUMP S S S S S 4. W,.,., R.adll'tl 5, Yesterday's Readl"g Sub Tot" leu Me.., Check 8, To... SoleI [627 P" G.l1oft Retld 7. CUMnt Re~i"9 8. Yft1l'l'ûy', R.adlng Sub TouI lns ....., Check 9, To... SoleI I- , i i ; L I I ¡ I I 614 DATE ~..;'I":,Il.ì!"'l'r.1II.. JI, T~·.·E ~. : I I I I I , ì I " P., G."on PUMP III """ÒCIÞIo Re",J__ GALLONS IT.nths' A"OU~i IC 10 Curr.nt ".",no 11, Yest.rd,y', RlI!'oIdlng S.... TOil' Leu Mel., C!'Iec. 12, T 01" SOld· l S S ' Pe, G,lIon Re".1 S S S ~ 13, C..,,,,n, 'A.adlnt I., Yft'frdl(1 R'adl", Sub To... L...Me.. Check 15, TOI,I Sotd · I PUMP (If A...'...... S ; S S S S , ..l. ....C.""" Re.... =--- 18, Cur"n, Ae~.n, I n. Yn'lm.y·, Reading Sub TOI.. l... Me.., o..ck ;8, Tot./SoIeI· I PUMP (If A S iub"t s s S S GRANDTOTAlITo..' of Lo_3, 8, 9,12.15618_ - .n.."," l.... 13201 Coott R.......' Osl ·THISAREA CAN BE USED FDR DIESEL 'C_ 635. GASOHOL ,C_ 60.. $/HER NO LEAD.C_ f/(7, tÌ REGUlAR NO LEAD PREMIUM OTHER ... + ., ., 4 " C 1. BEGINNING INVENTORY 0 2, DELIVERIES IATTACH DElivERY PAPERSI + 12 12 ..L2 12 >- , , C · I 0 3, TOTAL (liNE 1 AND 21 ~ H B + 9 z -'-+9 ~ ~-+~ w ., GAllONS SOLD IMETEREDI ! -> · 14ør15 14 or IS 1" or IS 1'" or 1 '; -z 5, IN·.-ENTORY ON HAND ~; + -'- " -'- " -z 8. INVENTORV IN TANK (ACTUAL' ~;! 7, OVER (SHORTI (;t) 16 16 16 16 ·w z (:t) ..L6.. I ,Ii. 16 H.. =- 8. VESTERDAV'S MOrnH.TO,DATE OVER, .S,",CRT; ¡ · 16 16 16 16 9. CURRENT MONT....TO·OATE OVER/ISHOATJ c IN, IN, IlI:j 0 .3 ...3 ..J. J >- 10. CURRENT (TODAV'SI STICK READING INCHES) ... II, WATER IN TANK, STICK READING (INCHES' 13 IN, 13 IN, 13 IN,¡ 13 ë 0 12. ~~g~~~~RG~~5:~~ + OPENING GASOLINE ~L~~G~~~~~DED . REGISTER READINC - . . ~ REGULAR =g "'0 LEAD -C 2~ PREMIUM ~w u> DIESE l ..- ..... 2: GASOHOL :tr~~AO S.lit Loea To $to.. .' . , , .. '.1 .' 602 REGULAR /fO lE AD 628 PREMIUM 615 . >: ~: DIESel 636 t~ GASOHOL 605 .... SUPER 608 "0 "'0 lEAD . TOTAL 630 PAYUlES ~ '?,,., 6'S0033 2"1 -, ......... INVENTOR V BEFORE DELIVERV INVENTORY PUMP , DELIVERY AFTER DELIVERV lOnE R INCHES GALLO"S GALLONS INCHES GALLO"S READING " 10 10 12 11 11 " 10 10 12 11 11 " 10 lQ 12 11 11 " 10 10 12 11 11 " 10 10 12 11 11 " 10 10 12 11 11 Sulit Loea From ~'ore D~~~J-~:tD DEUVERiES UNITS COST p, 0, NUMBER "OR INVENTORY) DOLLARS (CENTS) œNTS/GALS. ~ ..o:,:co.....;¡... I·:~;~~~::I· ·.00iI .........", Iv...., co... . .........., ___ ..... GALLONS OVER fSHOAT, On Oe.."...y .. ã ::) c >- · C REGULAR lll~ NO lEAD 1 B~ PREMIUM z I DIESEL · ~ GASOHOL · ~ SUPER ;: NO LEAD -' IP.!~ T:J'!'Þ,:' GASOLINE AWO," CALLONS 0.."'5" VENDOR NO ("""'1"18 603 629~ 616 637 606 609 64C U_....~WI.... OE:L.I""-ër;:~:> (FOR TAXES' B/ll OF lADI"G ,P.... 0_..",.." ",e.c", VENDOR NO, ~ f"'~T'II" ""~., ,; . . PERMIT NUMB~R' "dl~ {)OD3' TYPE OF INSTALLATION ( ) 1. In-Tank Level Sensor ,( ) 2. Leak Detector () 3. Fill(Box 7-// 7It c.¡? ?'J/-I<501ùr¿cf 8Æ-kv-s/}¿(¡; :Te!2t 5~M~!:O-AJ {ç)oZ)c2tl- Ó7-11 í FACILITY NAME FACILITY ADDRESS CONTACT PERSON 1. IN'TANK LEVEL SENSORS Number of Tanks J List By Tank ID Name of 'system6'-~5 ~k.. '1JDN',lof'! Manufacture.r & Mode Number ']';,; I c<;; t./sk"", $ . C-rIIYl- / Contractor/Installer / ~ 2. LEAK DETECTORS Number of Tanks .J List By Tank ID (2ed. T o.daX- Manufacturer & Model Number Contractor/Installer Name of System 3. FILL BOXES Number ~f Tanks J List By Tank ID Name of System Manufacturer & Model Number pI"> f}1¿(' Ò '(J I Contractor/Installer i) ~$:~ o E~ ERA TOR ---- /-/f'-11 DATE NUMBER OF TANKS AT THE SITE:.,....."......,........,..............,.... ENV. SENSI7IVITY......... EMERGENCY CONTACT PERSON. I MARY) : <:'..1." NAME:' Z (i Od~.-¿ ..unn.....__..........................................._n.._.............................................................................. ................................~..............................n PHONE NUMBER: ..._.........................._................_......................................__......................nn................................·.·..·.·····..·.......................... EMERGENCY CONTACT PERSON(SECONDARY): NAME: . ................. ................ .n__._........ .................................. ............. ...........................................n.n.................. ............................................................ PHONE NUMBER: ...............................................nn.................................. ...n.........................··.....·..·..·· ........................................... ..~... TANK OWNER INFORMATION: NAME: ....-...-................-........................-................................................-......---............-............-.......-..-......................................-........... ADDRESS: " ..-..................-.................................-........................--................-.....................-..--..................................-..........-.....................-................. PHONE NO.: TANK CONTENTS: ..........---.......-.--.-..................-..-----....---...-..........---..............................--....-.....--....-..................-..........-- ,T AN K # MANUFACTURER YEAR INSTALLED CAPACITY CONTENTS , TANK CONSTRUCTION: TANK # TYPE(dIN, SIN, sec.cont.) MATERIAL INT. LINING CORROSION PROTo LEAK DETECTION: TANKS: ..___......, VISUAL ,____GROUNDWATER MONITORING WELLS ._....,..,... VADOSE ZONE MONITORING WELLS ...__.__......._...._,_. U-TUBES 'WITH LINERS .__.__". U-TUBES WITHOµT LINERS .._.__.._ VAPOR DETECTOR ...,__...... LIQUID SENSORS ,___......__ CONDUCTIVITY SENSORS .... PRESSURE SENSORS IN ANNULAR SPACE _.__.....__ LIQUID RETRIEVAL SYSTEMS IN U-TUBES, MONITORING WELLS, OR ANNULAR .__...._... NON E ....__._yN KN OWN ._....___._ OTH E R ........_................................._......................._........_,.....__....,........ PIPING INFORMATION: TANK # SYSTEM E (SUC RE .~GRAV.) CONSTRUCTION (SW,DW,LINED TR) MATERIAL LEAK DETECTION: PIPING: FLOW RESTRICTING LEAK DETECTORS FOR PRESSURIZED PIP I NG...........................,..... MON I TO -r NG SUMP WITH RACEWAY ........................' SEALED CONCRETE RACEWAy.................... HALFCUT COMPATIBLE PIPE RACEWAY ............_......,..... SYNTHETIC LINER RACEWAy,.................. NONE ,................. UNKNOWN OTHER ............................. '- Bakersfield Fire Dept. Environmental Servic~ 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 PERMIT APPLICATION .~ONSTRUCT/MODIFY UNDERGROUND STORAGE TANK PERMIT NO, I fdJr - D 3" ~I TYPE OF APPLICATION (CHECK) D NEW FACILITY \Ýt MODIFICATION OF FACILITY D NEW TANK INSTAllATION AT EXISTING FACILITY STARTING DATE ï 1-"1 J 04- PROPOSEJ rr~r(/+- EXISTING FACILITY PERMIT NO, FACILITY NAME I - E LG V E N if: I tv 5" 4-'1 FACILITY ADDRESS 4-L, 4- Î U) l cz,O tJ CITY BN '-E. ~~ F) E: L-b TYPE OF BUSINESS . c- ?IOf2.E L.Ù J ~\..{To Fu E L J N & TANKOWNER 1_ ELE.vE N :CNc'. ADDRESS p.O. eo~ ill CI~LL~S ZIP CODE íS2.2- CONTRACTOR ~'2 N Co· CoN ~ T f2.. 4 U) (!) N ADDRESS p.o. Bc-x [;09'" CITY ~~sF) ~ Iq PHONE NO, BAKERSFIELD CITY BUSINESS LICENSE NO. WORKMAN COMP NO, INSURER J .l.ø*.~~!o ()CrJ3<õ"1-<:b ~ATE' ¡::Y N D Î BRIEFlY DESCRIBE T,HE ~ORK TO BE DONE u.p61<.Me.. PH A.SE I To o P\tJ - EV'f!- PH ASE J WATER TO FACILITY PROVIDED BY DEPTH TO I SOIL TYPE EXPECTED AT SITE GROUNDWATER NO. OF TANKS -e- I ARE THEY FOR MOTOR FUEL I SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE TO BE INSTAlLED DYES o NO DYES DNO THIS SECTION IS FOR MOTOR FUEL TANK NO, VOLUME UNLEADED REGUlAR PREMIUM DIESEl AVIATION I '2.. O,tDo 10)000 x x THIS SECTION IS FOR NON MOTOR FUEL STORAGE TANKS TANK NO, VOLUME CHEMICAl STORED (NO BRAND NAME) CAS NO (IF KNOWN) CHEMICAl PREVIOUSLY STORED "IJ A I v I FOR OFFICIAL USE ONLY APPLICATION DATE FACILITY NO, NO, OF TANKS FEES $ The applicant has received, understands, and will comply with the attached conditions of the permit and a ~ othe state, local and federal regulations. This form has been completed 1I er penalty of per) and, h est of my knowledge, is true and correct. C') I{) o N :E ,,- - a... ::::E <{ f-- VI dJ RD. oj ~ ¡ ~ !~ ),30 : l I 1 I ¿I c... §¥. = IUI =. 1111 It; ß' 0 '" 0 <.> w '" -' "" > 0 '" 0- 5 0- ~ "" " ¥ ¡¡ ~ I ~ II 8 ~ = œð z "" W L.....J o~ > I~ zO ~e ::5 <{ ~ => W~ a..~ ~ð a... ~ô -q~ w=> §:~ t::a::: ~5i W ~o (/» ~~ I '-'-' "" "" f"'-. IX! œð ~ ~ ' V1 S z 0 ~ Vi ;; w '" ~ ' g - '" ~ ... on......, , 0 <> , , , - '- . ~ ~ ~ . , ~ ~ SHEET FS-1 WHIT[ LANE & RISERS W/NEW RISERS, NOTES - THIS LAYOUT WAS PREPARED WITHOUT A SURVEY, - AU INFORMATION MUST BE VERIFIED. - LOCAL CODES MUST BE REVIEWED FOR FURTHER REQUIREMENTS, - THIS LAYOUT WÞS PREPARED TO OEPIC A SCOPE OF WORK PRESCRIBED BY THE CLIENT. - ALL REOUIRED PARKING, LANDSCAPING AND DEDICATIONS ARE NOT NECESSARILY SHOWN, 20 r I 11 ;i ï 1 G.C.=GENERAl CONTRÃCTOR CP",CONOCOPHIWPS i1 \ ). REPLACE EXIST, ,~flLL AND VAPOR BUCKETS, DROP TUBE "OPW-EVR' SPill BUCKETS, DROP TUBE ANa RISERS, ,Ii, INSTALL NEW 'O~W" PV VENT VALVES ON EXISTING VENT jl SAWCUT & PATCH AS REQUIRED. J ,\ It / i J y /' i ~' :\ Ç;.\:l,/!\ !<, , If ~~ I /' ! \ I II !j ;\ If ci '" w z ¡¡¡ ~ z c:i a:: :z 0, V) -J, ?:, ¡I INTERIOR OF FIBERGLASS CONTAINMENT SUMP Ta BE CLEAR OF PEA GRAVEL. TRASH AND ANY LIQUID, ' \ ~ ALL INSTALLATIONS ARE TO BE PER MANUFACTURER'S SPECIFICATIONS, ~¡ ij 1 -'L- 10' NOTES APPROVED BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERViCES "J0Tf:' S:~':":, ~ () f0\-! ~r~pt2;Jnce applies to plans as submitted ,ion and/or !nstallation thereon. <>p\:Ò'C!iO 'anœ. 10 " G,C. G,C, G,C. ~EYNOTES Q ITEN MN. INS!. NO..- BY BY /~ ~ ~ / SCALE. / / / 'GENERAL 20 G,C, CP CP / 108 6 ~eJ 2, / / 4~ ßV /.~~ç,. / qq;. , / , / , / , / / I I I I I I ¡ I : I I . I I I 7 - ELEVEN STORE #16549 I o EXIST. VENT RISERS I LOCATION ~ /'v'o-.... EXIST. E.5.0. SWITCH fa EXIST. TANK 0 NOT IN USE 0 'APOR 0 ¡.... 0 o co o , 0 ~ % TURBINE 1------, I # @ I (>0 # I tJ I L ~ ------ T - APPROACH lJ- - - - - PROPERTY LINE SIDEWALK WILSON ROAD -------'--- --- - --- ------------ . - ~ - -- a.. ::;:;;: <{ f- (/) (~EN. . G,C, ~ GENERAL CONTRACTOR NOTES SUPPLIED BY o o o o o o o o o o o o I MODEL 623V 1-2100 634fT -EVR 61SALP-EVR 6tJSK-44CB-EVR lDK-2100 FSA-4QD 61SQ-410C-EVR 611'-'400-E\I11 1711T-EVR 61VSA-OO OP233VM-6045 o ::: OWNER MANUFACTURER OPw - OPw OPW OPW rë;; ¡I( OPw V OPw ,',OPW II OPW/POMECO :r OPw .I OPW :1. OPw ¡ " I ~ ~ ~ ~ I ~ 8 ~ e ¡j ~ 8 ~ ~ ~ ~ ; ~ t ~ ~ . " . c '" o o w '" -' ... > o '" 0- 0- ... ~ ~ ~ "" z 0'" ",0 o~ ",=:¡ t5ð '" . ~d ~~ "'!;:! .:;!i ~ Z w W 0 > bl~~ W ~~ <{ ~ u~ t-:::> -.J~~ :=:0:: W~ [;j I f'. ~ ~ ~ :\ II ¡j ¡ì ) I, I :¡ r ¡ ,I ¡. ,I ~! ,I - - - NO EQUIPMENT DESCRPTION B (uS( £QtJ!PWCHT AS AI'PIXABl£ 10 TH£ PROJ[CT SCOPE) PRESSURE VACUUM VENT VALVE 0 SPILL BUCKET. 5 GALLON G) 4" FIll TOP SEAL CAP ø 4" fiLl PIPE. SWIVEL. ADAPTOR, BRONZE ® JACK SCREW ASSEMBLY ® REPLACEMENT DRAIN VALVE KIT ø FACE SEAL ADAPTER ® DROP TUBE WITH FLAPPER VALVE 0 95% CAPACllY ® TANK BOTTOM PROTECTOR @ 4· VAPOR TOP SEAL CAP @ 4· VAPOR SWNEL ADAPTOR @ EXTRACTOR FITTING @ @ @ @ @ @ @ @ 1 . ! o . I: --,¡¡¡¡ ~.... {~v ï"\ N.T-S I I ï"\ (I ,I \ I I I I , I r \ ; - Î I I \ \ I I , I I I ! Q ~ - ~ ~ FILL SYMP SECTION V1 8 z 0 ~ Vi ;;: w '" ~ ' ~ d.<. .;v. :;v.v.k'. t= z ~ ~ 0 ____ c - z . '" . ~ ~ " . g ~ ~ z . , ~ SHEET FS-2 i GENERAL NOTES USE AS APPL.X:ABL£ Tq 11£ SCOPf fOR THE PROJ£CD o PEA GRAVEL BACKFlll. AU.. OThER MATERIAL MUST 8£ APPROVED BY o THOROUGHLY HAND CLEAN WlTI-I WIRE BRUSH THE RISER TANK MANUFACTURER AND OWNER'S FIELD REPRES£NTAT1VE. SURFACE WITHIN 3~ OF EXISTING TANK FlffiNG, ALl. METAWC COMPONENTS ABOVE TANK AND LOWER ,. OF SPIll CONTAINER. 0SLOPE CONCRETE AWAY FROM All MANHOLES 1· RISE OVER 12- APPLY COAl TAR (PO('( TO TI-lESE AREAS. WRAP WIT1-! 3M TAPE RUN. EXCEPT WHERE INDICATED. 20 Mil THICK. @ INSTAll. UD ONTO SUMP RISER AND SUMP RISER ONTO SUMP BASE ; 0 "-It G.I. NIPPLE. TIGHT Fill AOAPITR (OR STAGE L VR DRY BREAK) USING AU.. SUPPUED GASKETSI ·0· RINGS. BOLTS, STEEL PlATtS. AND lOCKING CAP. MAINTAIN 1 1/2- TO 2- BETW[[N CAP AND ETc. PER SUMP MANUFACTURER'S INSTAUATION INSTRUCnONS. OVERFill CONTAINER COVER. USE STABIUZER BARS SUPPUEO WITH OvrRFIll. CONTAINER TO ESTABUSH CORRECT FlNtSHEO ElEVATION. ® REINFORCE CONCRETE SlAB AROUND MANHOLE wi 3-14 REBAR 8' IN l£NGTH 9~O.c.. PLACE REBAR 6" fROM SIDES or BOX. MIN. 2- , 0 VAPOR RECOVERY ADAPTOR FINI$H[Q H[GHT TO BE 3 1/2- COVER . TO 4 1/2- BELOW THE MANHOLf RIM ELEVAnON. ø 8- THICK 2500 PSI CONCRETE SLAB REINFORCED W/ 13 REBAA 0 la~ @ AU- INSTAUAnONS ARE TO BE PER IotANUFACTURER"S SPECIFICATIONS. O.C. TANK SlAB TO EXTEND 2' PAST TANK HOLf IN AU.. DIREcnONS. o INTERIOR OF fiBERGLASS CONTAINMENT SUMP TO BE CLEAR or PEA GRAVEL, "ffiASH AND A~ uaUID. - - - - - I t I I \ I , I ! I ---.~ TANKS: lLDtl\~DIERGROlUJND STORAGE rANKS ~, rtzC~UlfY J' (one page per site) Page _ of__ 'O"~"~""=''"____,____"=,T,", " "",'--~~=~='-"~'"__=~~ "=~~,,' . ',-,':=-"C=C;'T''''', ~"'''~ ... .=~~,","".,,,_~, ." ,',. r TYPE OF ACTION 0 1, NEW SITE PERMIT ¡:;g 3, RENEWAL PERMIT 0 5,CHANGE OF INFORMATION 0 7PERMANENTL Y CLOSED SITE ~ (Checl< one item only) 04, AMENDED PERMIT specify change local use only 0 8, TANK REMOVED o 6 TEMPORARY SITE CLOSURE _,IFIED PROGRAM CONSOLIDATED F_ ..... . 400 I. F't%;CILlTY;¡SlllEINF:ØRMl\iJjïØN ,",-:'.0 .':," 7 -Eleven #16549 NEAREST CROSS STREET 401 4647 Wilson Rd" Bakersfield BUSINESS ¿¡] 1, GAS STATION 03. FARM 05. COMMERCIAL TYPE 0 2, DISTRIBUTOR 0 4, PROCESSOR 0 6, OTHER 403 TOTAL NUMBER OF TANKS Is facility on Indian Reservation or REMAINING AT SITE trustlands? 3 404 DYes [8J No 405 FACILITY OWNER TYPE [8J 1, CORPORATION D 2, INDIVIDUAL D 3, PARTNERSHIP 402 'If owner of UST is a public agency: name of supervisor of division, section or office which operates the UST (This is the contact person for the tank records,) 406 PROPERTY OWNER NAME 7 -Eleven, Inc. MAILING OR STREET ADDRESS P.O. Box 711 Attn: Gasoline Acctg CITY Dallas PROPERTY OWNER TYPE D 1, CORPORATION 409 410 STATE 411 ZIP CODE TX 75221-0711 181 2. INDIVIDUAL D 4, LOCAL AGENCY I DISTRICT D 3, PARTNERSHIP D 5. COUNTY AGENCY 412 D 6, STATE AGENCY D 7, FEDERAL 413 TANK OWNER NAME 7-Eleven, Inc. MAILING OR STREET ADDRESS P.O. Box 711 Attn: Gasoline Acctg CITY Dallas TANK OWNER TYPE 1811. CORPORATION 416 417 STATE 418 ZIP CODE TX 75221-0711 D 2. INDIVIDUAL D 4. LOCAL AGENCY I DISTRICT D 3. PARTNERSHIP D 5. COUNTY AGENCY 419 D 6. STATE AGENCY 420 D 7. FEDERAL AGENCY 424 PHONE 253-796-7170 425 426 TITLE OF APPLICANT Environmental Manager 1998 UPGRADE CERTIFICATE NUMBER (For local use only) 427 STATE USTFACILlTY NUMBER (For local use only) 428 429 UPCF (1/99 revised) Formp.rlv SWRCR Form A ~'x ~, IFIED PROGRAM CONSOLIDATED F TANKS UNDERGROUND STORAGE TANKS-TANK PAGE 1 (two pages per tank) Page_of _ TYPE OF ACTION o 1 NEW SITE PERMIT 0 4 AMENDED PERMIT ¡z;;¡ 5 CHANGE OF INFORMATION 0 6 TEMPORARY SITE CLOSURE (Check one lIen1 Ollly) [J 7 PERMAI\Ei~TL Y CLOSED ON SITE o 3 RENEWAL PERMIT (Specify reason - for local use only) (Specify reason - for local use only) 0 8 TANK REMOVED 430 BUSINESS NAME (Same as FACILITY NAME or DBA - DOing Business As) 131 FACILITY ID: I I , I I I I I , I I I I 1 7 -Eleven #16549 LOCATION WITHIN SITE (Oplional) 431 4647 Wilson Rd., Bakersfield I. TANK DESCRIPTION (A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local aqency.) TANK ID # 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK 0 Yes ~ No 434 1 Joor If "Yes", complete one page for each compartment. DATE INSTALLED (YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 10/1984 10,000 ADDITIONAL DESCRIPTION (For local use only) 438 II. TANK.COtllTENT§ TANK USE 439 PETROLEUM TYPE 440 1811 MOTOR VEHICLE FUEL 1811a. REGULAR UNLEADED o 2, LEADED 05 JET FUEL (If marked complete Petroleum Type) o 1b, PREMIUM UNLEADED o 3, DIESEL 06, AVIATION FUEL o 2, NON·FUEL PETROLEUM o 1c, MIDGRADE UNLEADED o 4, GASOHOL o 99, OTHER o 3. CHEMICAL PRODUCT COMMON NAME (from Hazardous Materials Inventory page) 441 CAS# (from Hazardous Materiats Inventory page) 442 o 4, HAZARDOUS WASTE Gasoline (Includes Used 011) o 95. UNKNOWN " IlL JAt-./KC0NSTRUQTION TYPE OF TANK 01 SINGLE WALL o 3, SINGLE WALL WITH o 5, SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Check one Item only) EXTERIOR MEMBRANE LINER 0 95, UNKNOWN 1812 DOUBLE WALL 04, SIGNLE WALL IN VAULT o 99, OTHER_ TANK MATERIAL - primary tank 1811. BARE STEEL o 3. FIBERGLASS I PLASTIC o 5, CONCRETE o 95, UNKNOWN 444 (Check one Item only) o 2, STAINLESS STEEL 0 4. STEEL CLAD W/FIBERGLASS 08, FRP COMPATIBLE WI o 99, OTHER REINFORCED PLASTIC (FRP) 100% METHANOL TANK MATERIAL -secondary tank o 1, BARE STEEL o 3, FIBERGLASS I PLASTIC 05. CONCRETE o 95, UNKNOWN 445 (Check one Item only) 02, STAINLESS STEEL 181 4, STEEL CLAD W/FIBERGLASS 08, FRP COMPATIBLE o 99, OTHER REINFORCED PLASTIC (FRP) W/100% METHANOL o 5, CONCRETE 010, COATED STEEL 01. RUBBER LINED o 3, EPOXY LINING o 5, GLASS LINING o 95, UNKNOWN DATE INSTALLED 447 TANK INTERIOR LINING 446 OR COATING o 2 ALKYD LINING o 4 PHENOLIC LINING o 6 UNLINED o 99 OTHER (Check one Item only) (For local use only) 448 DATE INSTALLED 449 OTHER CORROSION o 1 MANUFACTURED CATHODIC 0 3 FIBERGLASS REINFORCED PLASTIC o 95 UNKNOWN PROTECTION IF APPLICABLE PROTECTION o 4 IMPRESSED CURRENT o 99 OTHER (Check one Item only) o 2 SACRIFICIAL ANODE (For local use only) SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (local use only) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (Check all 1811 SPILL CONTAINMENT 2004 o 1 ALARM 181 3 FILL TUBE SHUT OFF VALVE that apply) - 181 2 DROP TUBE 2004 02 BALL FLOAT o 4 EXEMPT - 1813 STRIKER PLATE 1984 2004 IV. TANK LEAK DETECTION (A description ôfthe 1110nitoring piôgràm shall be submitted to the local agency,) IF SINGLE WALL TANK (Check all that apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 (Check one item only) o 1 VISUAL (EXPOSED PORTION ONLY) 05 MANUAL TANK GAUGING (MTG) 01 VISUAL (SINGLE WALL IN VAULT ONLY) 02 AUTOMATIC TANK GAUGING (ATG) 06 VADOSE ZONE 181 2 CONTINUOUS INTERSTITIAL MONITORING 03 CONTINUOUS ATG 07 GROUNDWATER o 3 MANUAL MONITORING 04 STATISTICAL INVENTORY RECONCILIATION 08 TANK TESTING + (SIR) BIENNIAL TANK TESTING o 99 OTHER IV. TANK CL0SURE INFORMATIONIPERMANENT;CLGSURE IN PLACE 455 I ESTIMATED QUANTITY OF SUBSTANCE 456 I TANK FILLED WITH INERT MATERIAL? 457 ESTIMATED DATE LAST USED (YR/MOIDAY) REMAINING gallons DYes 0 No UPCF (1/99 revised) Fnrmprl" ~'MRr.R Fnrm R ...¿ ,.......' ,.:C______~ IFIED PROGRAM CONSOLIDATED F TANK " ~~""I~>T:;'Y"~ .~'. ~ UNDERGROUND STORAGE TANKS - TANK PAGE 2 of VI. PIPING CONSTRUCTION (Check all that apply) ~ UNDERGROUND PIPING ABOVEGROUND PIPING I_SYSTEM TYPE IS! 1. PRESSURE 02, SUCTION 03. GRAVITY 458 01, PRESSURE 02, SUCTION 03. GRAVITY CONSTRUCTION / 0 1, SINGLE WALL 0 3. LINED TRENCH 099 OTHER 460 0 1, SINGLE WALL 095, UNKNOWN MANUFACTURER IS! 2, DOUBLE WALL 095, UNKNOWN 02 DOUBLE WALL 099 OTHER MANUFACTURER 461 MANUFACTURER 463 01. BARE STEEL 06, FRP COMPATIBLE W/100% METHANOL 01. BARE STEEL 06 FRP COMPATIBLE W/100%METHANOL 02, STAINLESS STEEL 07. GALVANIZED STEEL 0 UKNOWN 02, STAINLESS STEEL 07. GALVANIZED STEEL o 3. PLASTIC COMPATIBLE WI CONTENTS 0 99, OTHER 0 3. PLASTIC COMPATIBLE WI CONTENTS 0 8, FLEXIBLE (HOPE) 0 99, OTHER [8] 4, FIBERGLASS [8] 8. FLEXIBLE (HOPE) 0 4, FIBERGLASS 0 9, CATHODIC PROTECTION 05, STEEL W/COATING 09 CATHODIC PROTECTION 464 05, STEEL W/COATING 095, UNKNOWN VII. PIPING LEAK DETECTION (Cheèkall that apply)(ÎÌ deåèripiionof the monit6rin9p(ogramshall bei submitted to the locåj"gency,) UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING 466 SINGLE WALL PIPING PRESSURIZED PIPING (Check all that apply): o 1, ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS, o 2, MONTHLY 0,2 GPH TEST 03. ANNUAL INTEGRITY TEST (0,1GPH) CONVENTIONAL SUCTION SYSTEMS D 5, DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0,1 GPH) SAFE SUCTION SYSTEMS (NO VALUES IN BELOW GROUNDPIPING): D 7. SELF MONITORING GRAVITY FLOW o 9, BIENNIAL INTEGRITY TEST (0,1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10, CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) - D a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS [8] b, AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION Dc NO AUTO PUMP SHUT OFF [8] 11, AUTOMATIC LINE LEAK DETECTOR (3,0 GPH TEST) WITH FLOW SHUTOFF OR RESTRICTION [8] 12, ANNUAL INTEGRITY TEST (0,1 GPH) SUCTION/GRAVITY SYSTEM D 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) o 14, CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS D 15, AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR RESTRICTION D 16, ANNUALlNTEGRITYTEST (0,1 GPH) o 17. DAILY VISUAL CHECK Page 459 462 465 467 PRESSURIZED PIPING (Check all thai apply): o 1, ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS, o 2, MONTHLY 0,2 GPH TEST D 3. ANNUAL INTEGRITY TEST (0,1GPH) o 4, DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS (Check æl that apply) o 5, DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM o 6, TRIENNIAL INTEGRITY TEST (0,1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): D 7, SELF MONITORING GRAVITY FLOW (Check all that apply): D 8, DAILY VISUAL MONITORING o 9, BIENNIAL INTEGRITY TEST (0,1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10, CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) D a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION Dc NO AUTO PUMP SHUT OFF D 11, AUTOMATIC LEAK DETECTOR D 12, ANNUAL INTEGRITY TEST (0,1 GPH) SUCTION/GRAVITY SYSTEM D 13. CONTINUOUS SUMP SENSOR + AUDI BLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) D 14, CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS D 15, AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) D 16, ANNUALlNTEGRITYTEST (0,1 GPH) D 17, DAILY VISUAL CHECK YIU.:PISPE:N$,~,~,:ÇºN:rÂìijMEN.;t FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS CONT ÕUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER + A IBLE AND VISUAL ALARMS / IX.OWr.¡gRi.º,~e'~A tQ~,$IGNfi/rµJ{$ accurate to the best of my knowledge, DISPENSER CONTAINMENT DATE INSTALLED 468 2001 I certify that the info SIGNATURE.ØF Permit Number (For local use only) 473 Permit Approved (For local use only) UPCF (1/99 revised) D 4, DAILY VISUAL CHECK D 5, TRENCH LINER f MONITORING D 6, NONE 469 DATE, , "7~ /S/ '[ C/ TITLE OF OWNER/OPERATOR Environmental Manager 470 472 Permit Expiration Date (For local use only) 475 Formerlv SWRCB Form B :Ii_ ~~ IFIED PROGRAM CONSOLIDATED F UNDERGROUND STORAGE TANKS-TANK PAGE 1 TANKS (two pages per Pago _ of __'. TYPE OF ACTION D j NEW SITE PERMIT 0 4 AivlENDED PERiliilT 1;;;;1 5 CHAI\lGE OF INFORMATION 0 6 TEMPORARY SITE CLOSURE (Checl_ one lIem only) LJ 7 PERIVíANEI\lTL Y CLOSED Ol\! SITE o 3 RENEWAL PERMIT (Specify reason - for local use only) (Specify reason - for local use only) 0 8 TANK REMOVED 430 BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) FACILITY 10: 7-Eleven #16549 LOCATION WITHIN SITE (Optional) 4647 Wilson Rd" Bakersfield 1.;r~tlKºg~~8IPT:IE>N"~;(.A.,:šê~,I~cI,fpl?I"þl~[1(lÌIilh\lh~,'lõç~tigr9f"ttl,~;I;!~if{~ . ",:',,,:\ "),,i\;Y"" '. ",' , , .',,\Lá; en' TANK 10 # 432 TANK MANUFACTURER 2 Joor DATE INSTALLED (YEARlMO) 435 TANK CAPACITY IN GALLONS 10/1984 10,000 ADDITIONAL DESCRIPTION (For local use only) 3 431 i[1:9s¡~r¡<I.:I~[1dÎ"r1~rl<~'s hallþè, sublllitlèçj .10. Ih~;locâl :,,~'\4,':L:,j:},$Æ{Æ.::::~;~~;f;C~·"""- -----, --- ' -". - ",'~'<' . No 434 II "Yes", complete one page lor each compartment. 436 NUMBER OF COMPARTMENTS 437 438 TANK USE 1811, MOTOR VEHICLE FUEL (If marked complete Petroleum Type) o 2, NON-FUEL PETROLEUM o 3, CHEMICAL PRODUCT o 4, HAZARDOUS WASTE (Includes Used Oil) o 95, UNKNOWN PETROLEUM TYPE o 1a, REGULAR UNLEADED 1811b, PREMIUM UNLEADED o 1c, MIDGRADE UNLEADED 440 o 2, LEADED o 3, DIESEL o 4, GASOHOL o 5, JET FUEL 06, AVIATION FUEL o 99, OTHER_ 441 CAS# (from Hazardous Materials Inventory page) 442 COMMON NAME (from Hazardous Materials Inventory page) Gasoline 3, SINGLE WALL WITH 5, SINGLE WALL WITH INTERNAL BLADDER SYSTEM EXTERIOR MEMBRANE LINER 0 95, UNKNOWN 1812. DOUBLE WALL 04, SIGNLE WALL IN VAULT 099, OTHER TANK MATERIAL - primary tank 1811, BARE STEEL 03, FIBERGLASS I PLASTIC 05, CONCRETE 095, UNKNOWN (Check one item only) 0 2. STAINLESS STEEL 04, STEEL CLAD W/FIBERGLASS 08, FRP COMPATIBLE WI 099, OTHER REINFORCED PLASTIC (FRP) 100% METHANOL TANK MATERIAL -secondary tank 01, BARE STEEL 03, FIBERGLASS I PLASTIC 05, CONCRETE 02, STAINLESS STEEL 1814, STEEL CLAD W/FIBERGLASS 08, FRP COMPATIBLE REINFORCED PLASTIC (FRP) W/100% METHANOL o 5, CONCRETE 0 10, COATED STEEL 443 (Check one item only) 444 (Check one item only) o 95, UNKNOWN o 99, OTHER 445 TANK INTERIOR LINING 01. RUBBER LINED OR COATING 0 2 ALKYD LINING (Check one item only) o 3. EPOXY LINING 0 5, GLASS LINING 04 PHENOLIC LINING 06 UNLINED o 95, UNKNOWN o 99 OTHER 446 DATE INSTALLED 447 (For local use only) OTHER CORROSION 0 1 MANUFACTURED CATHODIC 0 3 FIBERGLASS REINFORCED PLASTIC PROTECTION IF APPLICABLE PROTECTION 0 4 IMPRESSED CURRENT (Check one item only) 0 2 SACRIFICIAL ANODE SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (local use only) 451 (Check all 1811 SPILL CONTAINMENT that apply) o 95 UNKNOWN o 99 OTHER 446 DATE INSTALLED 449 (For local use only) OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 2004 2004 1813 FILL TUBE SHUT OFF VALVE o 4 EXEMPT o 1 VISUAL (EXPOSED PORTION ONLY) o 2 AUTOMATIC TANK GAUGING (ATG) 03 CONTINUOUS ATG 04 STATISTICAL INVENTORY RECONCILIATION + (SIR) BIENNIAL TANK TESTING 05 MANUAL TANK GAUGING (MTG) o 6 VADOSE ZONE 07 GROUNDWATER 08 TANK TESTING o 99 OTHER IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only) 01 VISUAL (SINGLE WALL IN VAULT ONLY) 181 2 CONTINUOUS INTERSTITIAL MONITORING o 3 MANUAL MONITORING gallons TANK FILLED WITH INERT MATERIAL? DYes 0 No 457 UPCF (1/99 revised) ¡:::"rmørlll C::\^,Rrp. ¡:::"rm P. 2~'_~- " IFIED PROGRAM CONSOLIDATED F TANK UNDERGROUND STORAGE TANKS - TANK PAGE:2 - ~",.,: ~.",~"..,.r_.~a:,__..... _ - ""~ .' 'Y'_~", ,>c_, _ _ ..':_ _.-___',..',.,\ <--,i^.Y:.~" ,':,,"~.., ---'--"<'-~;'~''';-i'_'__'__",_':':_ "7"'. <:: __ :_':^_'-:~':-. :__.- _ _ '. _ _ _:. ^ ' VI)?I~ì~ØêR~~tRIJ<¿TION (c::h~,*~lIt~~t~PP!Y) UNDERGROUND PIPING SYSTEM TYPE ~ 1. PRESSURE 02 SUCTION 03 GRAVITY 458 01, PRESSURE CONSTRUCTION / 0 1 SINGLE WALL 03 LINED TRENCH 099 OTHER 460 0 1. SINGLE WALL MANUFACTURER I2?J 2, DOUBLE WALL 095, UNKNOWN 02, DOUBLE WALL MANUFACTURER 461 MANUFACTURER 01. BARE STEEL 06, FRP COMPATIBLE w/100% METHANOL 01. BARE STEEL 06, FRP COMPATIBLE W/100%METHANOL 02, STAINLESS STEEL 07. GALVANIZED STEEL 0 UKNOWN 02, STAINLESS STEEL 07, GALVANIZED STEEL o 3 PLASTIC COMPATIBLE W/ CONTENTS 0 99, OTHER 0 3 PLASTIC COMPATIBLE W/ CONTENTS 0 8, FLEXIBLE (HOPE) 0 99 OTHER 1Z14, FIBERGLASS 1Z18 FLEXIBLE (HOPE) 04, FIBERGLASS 09, CATHODIC PROTECTION 05. STEEL W/COATlNG 09, CATHODIC PROTECTION 464 05, STEEL W/COATlNG 095 UNKNOWN ',c i'i""';';';-'\);;;»::Vm?ffIRIN~:;I"i.I;'/f,K:'·.P¡;,tf;~TIQN.·(ctî~bk~¡¡itB.åfi$Þl~i(Ã·if~;;¢I;þ¡iðìì·Þ(itì~'iî\ó¡{¡¡ð¡'¡RE;p:[¡;g(~m:$i¡ªìl!ßì1·';ÛíJin¡¡:¡~dï8!itìiiJº¿¡¡¡~g~iîW¡ :t,,·, ,\ ."., UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING 466 SINGLE WALL PIPING PRESSURIZED PIPING (Check alllhat apply): o 1. ELECTRONIC LINE LEAK DETECTOR 30 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS, o 2, MONTHLY 0,2 GPH TEST o 3, ANNUAL INTEGRITY TEST (O,IGPH) CONVENTIONAL SUCTION SYSTEMS o 5, DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0,1 GPH) SAFE SUCTION SYSTEMS (NO VALUES IN BELOW GROUNDPIPING): o 7, SELF MONITORING GRAVITY FLOW o 9, BIENNIAL INTEGRITY TEST (0,1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10, CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) - D a, AUTO PUMP SHUT OFF WHEN A LEAK OCCURS IZI b, AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION Dc, NO AUTO PUMP SHUT OFF 1Z111, AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUTOFF OR RESTRICTION 1Z112, ANNUAL INTEGRITY TEST (0,1 GPH) SUCTION/GRAVITY SYSTEM D 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all thai apply) D 14, CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS D 15, AUTOMATIC LINE LEAK DETECTOR (3,0 GPH TEST) WITHOUT FLOW SHUT OFF OR RESTRICTION D 16, ANNUAlINTEGRITY TEST (0,1 GPH) D 17, DAILY VISUAL CHECK Permit Number (For local use only) 473 Permit Approved (For local use only) UPCF (1/99 revised) ........"---..~"',.,.,._.,.,..=~';'T;r-Oc!",-'~'":'~,,.~ ". " ," Page of ABOVEGROUND PIPING o 2 SUCTION 03. GRAVITY o 95, UNKNOWN o 99, OTHER 459 ._~--~-- 462 463 465 467 PRESSURIZED PIPING (Check all that apply): D 1, ELECTRONIC LINE LEAK DETECTOR 3,0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS, D 2. MONTHLY 0,2 GPH TEST D 3. ANNUAL INTEGRITY TEST (0,1 GPH) D 4, DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS (Check all that apply) D 5, DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM D 6, TRIENNIAL INTEGRITY TEST (0,1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): D 7, SELF MONITORING GRAVITY FLOW (Check all that apply): D 8, DAILY VISUAL MONITORING o 9, BIENNIAL INTEGRITY TEST (0,1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) - D a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS D b AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION Dc NO AUTO PUMP SHUT OFF D 11. AUTOMATIC lEAK DETECTOR D 12, ANNUAL INTEGRITY TEST (0,1 GPH) SUCTION/GRAVITY SYSTEM D 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) D 14, CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS D 15, AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) D 16, ANNUAL INTEGRITY TEST (0,1 GPH) D 17, DAILY VISUAL CHECK 469 470 472 Permit Expiration Date (For local use only) 475 Formerly SWRCB Form B "'":"\\ ~~.:: -- -~ - -. .......... ........... . .............. .&..&... u t ~·...t.4 VV.J. au...:. 0 I V.1. 1\ I; ENVIRONMENTAL HLTlI 141 006 - .-,.:. e e ~ 6-10 Vendors $112.50 11-15 Vendors $150.00 16 or more Vendors Water Systems - T mosient Non-Commùoity $187.50 $150.00 HAZARDOUS MATERIAlS MANAGEMENT PROGRAM Underground Storage Tank Facility Permit: Permit to Close/Abandon (per facility) Permit to Construct (per facility) Permit to Modify (per facitity) Underground Tank Tightness Test Authorization: per tank Well Application: Fiting and Processing Fees Per cathodic protection well Pèr monitoring well Per vadose zone well $1100.00 $1500.00 $650.00 $ 80.00 Test hole application (drilled & destroyed) Test hole application (driUed & completed) $225.00 $335.00 $335.00 $225.00 $335.00 Wells permitted within the hazardous materials management program shall be charged at the above rates for the first well. Each additional well applied for, constructed and inspected concurrently at the same location shall be charged at the rate of $50.00 per well. Extended service fee rates shall apply to activities assodated with vadOse zone welts drilled as a requirement of the local oversight progtan. for the remediation of contaminated underground storage tank sites. Each business required to submit a business plan pursuant to Health and Safely Code Section 25500 et. seq. , shall pay the following annual administrative fee. 7 "".~ Ii e - SYSTEM SETUP - - - - - - - - - - APR 19.2004 11 :56 AM COMMUNICATIONS SETUP ""':- - - - - - ,SYSTEM UNITS U.S. SYSTEM LANGUAGE , ENGLI SH SYSTEM DATE/TIME FORMAT MON DD YYYY HH:MM:SS xM MEMORIAL CENTER 5201 WHITE LANE BAKERSFIELD CA 805-398-1800 PORT SETT I NGS: . COMM BOARD BAUD RATE PARITY STOP BIT : DATA LENGTH: ·2 <RS-232) 1200 ODD 1 STOP 7 DATA --- -- - '. -. ~~----.. '~-- DISABLED DISABLED DISABLED DISABLED AUTO TRANSMIT SETTINGS: AUTO LEAK ALARM LIMIT DISABLED AUTO HIGH WATER LIMIT DISABLED AUTO OVERFILL LIMIT, DISABLED AUTO LOW PRODUCT DISABLED ~UTO THEFT LIMIT DISABLED AUTO DELIVERY START DISABLED AUTO DELIVERY END DISABLED AUTO EXTERNAL INPUT ON DISABLED AUTO EXTERNAL INPUT OFF DISABLED AUTO SENSOR FUEL ALARM DISABLED AUTO SENSOR WATER ALARM DISABLED AUTO SENSOR OUT ALARM DISABLED SHIFT TIME 1 SHIFT TIME 2 SHIFT TIME 3 SHIFT TIME 4 TANK PERIODIC WARNINGS DISABLED TANK ANNUAL WARNINGS DISABLED LINE PERIODIC WARNINGS DISABLED LINE ANNUAL WARNINGS DISABLED PRINT TC VOLUMES ENABLED TEMP COMPENSATION VALUE (DEG F): 60.0 STICK HEIGHT OFFSET DISABLED H-PROTOCOL DATA FORMAT HEIGHT DAYLIGHT SAVING TIME ENABLED START DATE APR WEEK SUN START TIME 2:00 AM END DATE OCT WEEK 6 SUN END TIME 2:00 AM RE-DIRECT LOCAL PRINTOUT DISABLED ' SYSTEM SECUR ITY CODE : 000000 RS-232 SECURITY CODE : 000000 RS-232'END OF MESSAGE DISABLED f?<7 . Ai e IN-TANK SETUP ".: fÎ, -t .~,--,-, Iff 1 .000450 63.00 1 PT 999 " -/ :E~K _ T:S~ ~ET~O~ _. ~ _ _ ~~TEST ON DATE: ALL TANK ~ APR 3. 1 999 , '~ START TIME: 2: 00 AM I· TEST RATE ': 0.20 GAL/HR ; DURATION : 2 HOURS - - - - - - - - - - - - T 1 :DIESEL 2 PRODUCT CODE THERMAL COEFF TANK DIAMETER TANK PROFILE FULL VOL FLOAT SIZE: 4.0 IN. 8496 - WATER WARNING : 2. 0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: OVERFILL LIMIT HIGH PRODUCT - - , DEL I VERY LI M IT LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT MANIFOLDED TANKS Tit: NONE ~EAK MIN PERIODIC: LEAK MIN ANNUAL , LEAK TEST REPORT FORMAT NORMAL 999 90% 899 95% 949 10% 99 80 99 50 1. 00 " ~ ·:w I, . L I:DIESEL 2 ANNULAR TR I -STATE <S I NGLE FLOAT) CATEGORY : ANNULAR SPACE " r; 0% o - L 2:DIESEL 2 SUMP ~ /TRI-STATE (SINGLE FLOAT) 'CATEGORY : PIPING SUMP 0% o PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED a,' PERIODIC TEST FAIL ~~ ALARM DISABLED GROSS TEST FAIL ALARM DISABLED _~ '~,';,NN TEST AVERAGING: OFF , , ER TEST AVERAG I NG : OFF t ~TANK TEST NOT I FY : OFF 6;., \~NK TST SIPHON BREAK:OFF ~\ ' }ELIVERY DELAY : 15 MIN '~ lÎ , , .~ POOR ORIGI~AL - - - - I".,,~'~· I ~,~; -- --- j~ ,\ -I ,J, , .~ ~ .Ie- _ ;' -.~ SOFTWARE REVISION LEVEL VERSION 15.01 SOFTWARE# 346015-100-B CREATED - 97.10.23.08.56 S-MODULE# 330161-001-A SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS 0.20 GAL/HR PLLD PRECISION TEST SPECIAL . IN-TANK D I l-îGNOST IC - - - - - - - - - PROBE DIAGNOSTICS T 1: PROBE TYPE MAG 1 SERIAL NUMBER 057455 ID CHÅN = OxCOOO GRADIENT = 350.8300 NUM SAMPLES 20 COO 1498.0 COl 9571.8 C02 9571.3 C03 9571.4 C04 9571.5 C05 9571.9 C06 9571.3 C07 9571.5 C08 9571.9 C09 9571.7 CI0 9571.9 Cll 43673.9 C1221166.3 C1322116.4 C14 22366.6 C15 22759.2 C1622927.3 C1723113.5 C18 43675.7 SAMPLES REAQ =195584218 'SAMPLES USED '=195581704 ALARM HISTORY REPORT ----- SYSTEM ALARM ----- PAPER OUT APR 19. 2004 11:57 AM ., PR I NTER ERROR APR 19. 2004 11: 57 Alvl BATTERY IS OFF JAN 1. 1996 8:00 AM CLOCK IS INCORRECT OCT 31. 1999 1:01 AM ~ ~ ~ ~ ~ END~ ~ ~ ~ ~ . ALARM HISTORY REPORT ---- IN-TANK ALARM T 1 :DIESEL 2 OVERFILL ALARM NOV 7. 2002 10:20 AM JAN 22. 2001 4:39 PM HIGH PRODUCT ALARM JAN 22. 2001 4:40 PM APR 3. 1998 8:57 AM INVALID FUEL LEVEL APR 3. 1998 9:07 AM PROBE OUT OCT 16. 1999 3:07 AM OCT 16. 1999 3:07 AM JUN 17. 1998 3:03 PM MAX PRODUCT ALARM APR 3. 1998 8:57 AM LOW TEMP WARNING JUN 17. 1998 3:09 PM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ALARM HISTORY REPORT ----- SENSOR ALARM ----- L 1: DIESEL 2 ANNULAR ANNULAR SPACE FUEL ALARM APR 19. 2004 11 :34 AM FUEL ALARM APR 19. 2004 11 :33 AM FUEL ALARM APR 19. 2004 11 :31 AM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ '- e ALARM HISTORY REPORT ----- SENSOR ALARM L 2:DIESEL 2 SUMP PIPING SUMP FUEL ALARM APR 19. 2004 11:29 AM SENSOR OUT ALARM MAR 4. 2004 11 :04 AM FUEL ALARM DEC 23. 2003 1:19 PM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ MEMORIAL CENTER 5201 WHITE LANE BAKERSFIELD CA 805-398-1800 APR 19. 2004 2:11 PM LAST POWER OUTAGE REPORT T 1 :DIESEL 2 PROBE SERIAL NUM 057455 POWER REMOVED NOV 7. 2002 10:10 AM VOLUME WATER VOL TEMP 695 GALS o GALS 67.3 DEG F POWER RESTORED NOV 7. 2002 10:16 AM VOLUME WATER VOL TEI1P 723 GALS 23 GALS ' 65.6 DEG F GROSS VOLUME CHANGE 28 GALS T 2: NO DATA, HISTORY T 3: NO DATA HISTORY T 4: NO DATA HISTORY "'-T _ -J,. ~ OJ \ e . ~ Tanlcnology e 8900 Shoal Creek Blvd, Building 200 Austin, Texas 78757 Phone: (512) 451-6334 Fax: (512) 459-1459 ' Date Printed and Mailed: 07/28/2004 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR STEVE UNDERWOOD 900 TRUXTÙN AVE., STE. 210 BAKERSFIELD, CA. 93301 Test Date: 07/15/2004 Order Number: 3135556 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: 7 -ELEVEN #16549 MARKET #2133 4647 WILSON ROAD BAKERSFIELD, CA. 93309 Testing performed: Secondary Containment-Spill Container ) I I I Sincerely, :b~ k'~ Dawn Kohlmeyer Manager, Field Reporting Î" SB-989 CONDARY CONTAINMENT SUM -., Tanknology RY RESULTS TEST DATE:07/15/2004 WORK ORDER NO.: 3135556 CLIENT: 7 -ELEVEN ,INC ~ 20819 nND AVE. SOUTH' SUITE 206 KENT, RANDY MARTIN 253-796'-7170 WA 98032 SITE: 7-ELEVEN #16549 MARKET #2133' 4647 WILSON ROAD, BAKERSFJ:ELD CA 93309 Tank Interstital Tests Piping Interstital Tests REG UNLEAD PREMIUM REG FILL REG FILL PREM FILL PREM FILL Pass Pass Pass Pass Tanknology representative: JERRY BElLOLl Services conducted by: STEPHEN COULTER ~, é~~. - " .~ , , .<;.;:. SUMP TE.5YS' ,'Type " . . Tank'9i [)isp " ,c- #' - - Spill Container: " REG,FILL SpillC9ntainer REG F[LL ßpill Containèr. _ PREM FILL Manufacturer c. -. ~pill Coptainer PREMFIU': . ""-'" . . , i"':' , , . ., ., " - ' ," ~ ,"- '-- " - -- . . -- , .... """" " -- .' Test Date: 07/15/2004~ . >,"-~~ SECONDARY'CONTAINMENT TEST RESULTS Work Orde~:-' 3'135556- , ' ...,. " Model & c,' Diam:JWidthlLengtlÌ Dept!1 Test Method Start Initial [eyel', Finish " final Passl Matenal- ("), .C) Time Level , Change ' . ,Time Result' '. Fa~ Plastic 14 12 - VPL l' . .916 '-5' ' , +,00009 931 5 Pass Plastic 14 12 VPLT _9,32. 5 -,00043, 947 ~ 5 Pass Plastic, 14 __ 12 VPLT 916 5 -,00002 931 :. 5, Pass' "Plastic ,'. '14 12 VPLT 932 5 ' +,00002 947 ': 5: Pass - ,. .' " . - - - . :òrl}men~s: Spill container_man~factùreris ~mèo Wheãton.ßPill'çon~irwr~ ar~ direct bUry'" ~, . - , -- -- . _""'c . - ~ -- . '.r_ - ~: ~' '~-' -I e e 'î' ~';, --1' Work Order: 3135556 e e . . .- " Seco~'-~aJY;Ç,9,~tai~~'e~tTesq~gRÇp,ºiif,;'Qrm· ,:=~J'~1f¥i;:kt~~~r;~=~~~t:t~~~~~ alidJ»'i1itti/íø~t#b.'(ifåP.P.lfCi.l,bf!)i::flrOtdrJ'~ JlIiNitlst!t{~~í!ify;~~(),ofM'rrd)ÌHlitåltOìhêlOCåJ,,'" . ...' '~~Qgèitcy. '..... . . , .' ..'.....,. ,H'''' ,.,.,.". ." ". .'.... .FAÇlJ;rr[;Y::~~TIQN· ' . ~L'i;g~- T~im'sS¡'" SWR~ " ...'. 1I!J11:!t:Co:fPiøiDg~1'e~:'Ð,' ...; .:",. I " ,'", lDJJþcr;(Jf.UDC~TøIIIed.:,:tZv ' '".:: . 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T~stMethò(fÜsçd: ' Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 (i'í ... !,"_,,1: t-~ Dtnlmology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1.459 TEST DATE:07 /15/04 CLIENT: 7 - ELEVEN IINC . WORK ORDER NUMBER3135556 SITE:7-ELEVEN #16549 COMMENTS Arrived on site at 8:45 A.M. for spill container testing. PARTS REPLACED HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) Printed 07/28/2004 07:25 SBOWERS ;~ "_, ,r_,r. TEST DATE: 07/15/04 CLIENT: 7 - ELEVEN, :tNC. () en - o ;U m Cf:X) VENTS e SITE DIAGRAM t-~ DJnknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FP0«512)45~1459 e WORK ORDER NUMBER3135556 SITE: 7-ELEVEN #16549, stine rd. MID 010K 0' OSTP REGUL o 0 oEl 10K his tank is out of sevic out of s stem ~ ~ Printed 07/28/2Ò04. 07:25 SBOWERS' " :E. en o :J a D> a. .~~ ~' ::-:: '" ¥. 7 EI,m ¥. '" " io( ;.: '~ç- )$ j. ¡,:J ',1'1: It'.5049 ;¡ '=' ' i '/ 1,,1 J Lt:;O N RD BAKERSFIELD.CA93309 AO:36'305300500 1 MAY 11. 2004 2:10 ~1 _ ~Y:~T:f"1__S'~'AT~:3 _R~?:-~P_ ALL FUNCT J ON~; NCoF:r"lHt : I NVEI\~ÖÖ.~RtGINAL, T 1 :RUL 'v'O L UI"1E ULLA'=;E '30% ULLAGE= TC VOLurvlE = HEIGHT ST)( HEIGHT= I"IATER \iOL I"JATER TEr"lP T 2 :SUL VOLurv1E ULLAGE 9 O~. ULLAGE = TC \/OLurv1E = HEIGHT STY. HEIGHT= WATER VOL WATER TEr"P 1 t:'30 GALS 7876 GALS E.899 GAL:3 18t.':! GAL.S 26. '71 I NCHH3 2 Eo . ? 1 I NC HE~3 [I C;¡::\LS 0.00 INCHES 76.[1 [lEG F 1801 GALS 8217 GAL'" 7215 GZ" 1 77'3 GA_ 25.68 I NCHÐ:ì 25.68 I NCHE:3 1 [I I,~:;ALS ' [1.77 J NCHH3 77. 1 DEG F ~ ~ * ~ ~ END ¥ ~ ¥ ~ ~. e - ../ UNIFIED PROGRAM INSPECTION CHECKLIST ~~~~'Vt~',fn;a!~~t~~~: SECTION 1 Business Plan and Inventory Program ¡.¡ - Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 'flí¡¿~__ INS::I:_:I,~~___ PHOtJ No, No, of Employees - Ü:J _______L_____'_'_ ,_ usiness 10 Number FACILITY NAME -, ~, \ \..u..- - {- c:. e~N 'IT '(,8+~ ---'-----_______,_,___________________,_____,________,_____1_____n_'________,..."",,___ "_ ADDRESS 1:~A]-----lAJll~-,---gd------- _____________ FACILlTYCONTACT -----....- .-.._----~--_._.__.._-~-- ___ __m_.____.__ _~ ______... 15-021- -' - - -, 'S,_~çti()Í11: .BUsin~ss Plan éJnp Inventory Þrogr~m 1:J Routine 1:J Joint Agency 1:J Multi-Agency C V ( c=comPliance) V=Violation OPERATION .. . - . M 0' ApPROPRIATE PERMIT ON HAND ~--------~----_._._.._---------------_.__.~----,-~-----~~- ~___O ___~USI~_ESS_PLAN_~~~~~~~~,~_~_~A!I~~_~~~~,~~TE <.at 1:J VISIBLE ADDRESS )"!..-,--,.,-,____,_,___,_____,_,____,__,_______,'___'_m__' _____,__,_,_,_______ 1:J CORRECT OCCUPANCY 1:J Complaint 1:J Re-inspection COMMENTS - .....___._______...._. _._._____n__..__.. ....___________. .- ."- ._-_.._--~--..---. ~--_..._..- - - --.___ ..._____~____n_._..____ ____.._______ .__~~__ _n.__.__'n_____ _.n.__._.._.____________________. ._._ .__..__ ~_ _ _____.____._____.._.__._ ._. __ __ - -. -- .-.-.-.---.---------------.------.-.-----...-.-.---.- n._ _ _ _ _ ________ . __________ .___._. ____.__.__. .- .-. ---..,.. ...-----------.--------.. . - ---.-_. ~- ---.-.-------.------.-. _M__~____~~I~~~T~~_~~_~~~~~~~~~T~~I~~_~,_____,___uu_____ ,.__________m_n______,_ ___ . _'uu 1:J VERIFICATION OF QUANTITIES . ... -- ...---- ------_._-_.._-_..._-----~_...-_.__...- ----------------..---- __________________ ____.._.____._._ _.. . .__.___n__..._______ _ ______,..._ ___~__.._.._ .._ .....__._______ __,,_ ________~_ Èt__~ _~~_R~':~~I~~~~~~~~I~~_ _______m_____,_ ________n_________. i1 1:J PROPER SEGREGATION OF MATERIAL I ~-_----,--u-,-------------------,-----'------m-' _u,________, _______,_ _ ,n, __,___'_'__" ,__, ,_n _'__n_'___ _____,_,____u_ _ "_,,______, _'_'____"_______________,_,__'____m_ o VERIFICATION OF MSDS AVAILABILlTYE I ~ '-c;--V~RI~~~~~~~u~~H~~-M~~-~~~I~~--------------- ---f------- ..---- '_u,______m'_______'_______________________ '_'mm______, ,,___,____. ,,-----,i,-'m---------, )t¡_~ V~RlF~CAT'ONOF ABA"",ENTSUPf'lIESANDf>ROCEDURESj .... ....... __. _____ .._ ~.. ~~:~~~~:~;:~;::~UATEm____¡_ . _____________ -=0 ~;~~""'~~___~~___~--=___-~~I~=___ __ . ... ... ... _-- .... -==-==== ýJ 0 FIRE PROTECTION I ,i-OS;':,;DIAG';';;; ""'~;;'~&O~HAND -- ... --- _m___ - .-------- --- ANY HAZARDOUS WASTE ON SITE?: )QNO 1:J YES EXPLAIN: __._... _._____.._ _ __ __~______.n.__,".. ...-.._-.-.._._-_.~-- _ __ _ n __.____n ____._ n.._ __ ._. _..._ .n_...___.________._ _.____ ·_________··__·___________.._.n _________·_···__________.n__n_n_ -- _.-----~._--- -- ---.--...--- INSPECTION? PLEASE CALL US AT (661) 326-3979 Fire Prevention 1 5t-ln/Shift of Site White - Environmental SeNices Yeilow - Station Copy '" ~ N 12 r.> e e / CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECll0N CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME 7- E'E:."Ë:.~ 14", (0549. INSPECTION DATE sill-Iv!+- Section 2: Underground Storage Tanks Program o Routine p( Combined, 0 Joint Agency Type of Tank ~c....~ Type of Monitoring '- o Multi-Agency Number of Tanks Type of Piping o Complaint "; þiAJE ORe-inspection OPERA nON c v COMMENTS Proper lank data on tile X Proper owner/operator data on tile X Penn it fees current '" Certification of Financial Responsibility l( Monitoring record adequate and current >( Maintenance records adequate and current K Failure to correct prior UST violations ~ Has there been an unauthorized release? Yes No X Section 3: Aboveground Storage Tanks Program AGGREGATE CAPACITY Number of Tanks TANK SIZE(S) Type of Tank OPERA TION Y N COMMENTS spec available SPCC on tile with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? Pillk - RlISillcss Copy C=Compliance Y=Yes N=NO \' , . ...:Ît e, 8900 Shoal Creek Blvd, Building 200 Austin, Texas 78757 Phone: (512) 451-6334 Fax: (512) 459-1459 Date Printed and Mailed: 03/02/2004 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR STEVE UNDERWOOD 1715 CHESTER AVE., 3RD FLOOR BAKERSFIELD, CA. 93301 Test Date: 02/06/2004 Order Number: 3133608 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: 7 -ELEVEN #16549 MARKET #2133 4647 WILSON ROAD BAKERSFIELD, CA. 93309 Testing performed: Leak detector tests Line tests Sincerely, :D~K~ Dawn Kohlmeyer Manager, Field Reporting i, ¡ .ubcontracted Services 41 TOPS Data Entry Form Site Name & ID # 7 -ELEVEN #16549 Address: MARKET #2133 City, State, Zip: BAKERSFIELD. CA 93309 Phone # (661) 833-0732 Subcontractor Name JAMES Address: 5643 BROOKS CT City, State, Zip: BAKERSFIELD. CA 9330 Phone # 661-392-8687 wo# 3133608 Tanknology Contact: CP T estdate 02106/2004 Site Information Product Tank Size Tank Tightness Test Line Tightness Test Leak Detector Test Tank Cathodic Protection Line Cathodic Protection Flex Cathodic Protection 60 Day Inspection ATG Certification P Tank# 1 Tank# 2 Tank# 3 Tank# 4 Tank# 5 Tank# 6 Tank# 7 Tank# 8 REG UNLEAD PREMIUM 10018 10018 P P P P Pressure Decay AIL Liquid Removal Dry DBP Wet DBP AZ Leak Test Section 52 Insp. Intersticiallnsp, Rule 461 Insp. 03/02/2004 '. 'Î' Work Order: 3133608 e - . l I Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 e - Work Order: 3133608 I. .e:;.("it~g.1 ::¡~,.r'?,·¡cin~_~ Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 _ø____ e e Work Order: 3133608 Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 POOR ORIGINAL ---":-'=7- -;";--.'-:'.. ...':~ Wark Order: 3133608 e e , " " r .. " , '! .' " ".. d , ,iY¡\ulÍhI.'¡1I2 Svsu~m C'crHnC¡¡IÍOll " ", ':. 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" ¡,,' ,. .;~ ."W' ", '.:;;:',; x;' Il~;~'~j ;,.N> · ':,:L' ¡;'~ók ;.,i, '" ',·c....";<'; ,.' '. '..,,". ,;.cc,,--; "" ,', ;.,'':0'.{.,: :I'A,LMm ; .',' .,--,'.. l..J.--··.,i.Øl; .;'" ,- .'.. ..··'t·.· :{[:;...' '.. ,,'....' :; .i:'¡'. '¡". " .,'; . ," '.":' \.. '.: , , .;..: ",' "{,It ".', ;, ',...'..: ','.'", ..,.;-- ",.' . .',., . , . "';0';. ... ,;,"". e ';;'f- Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 POOR ORIGINAL Work Order: 3133608 e e t:;'iStËì1 St,TUP, fEa b. 2004 ~ -- - .... '.1 '-~;;_bUL " PRODuqr,<:;ÒDE, , ';: "'. ' '3 'THE:RMALOOEf'ft· . ,c. 000700 TÀNKDIAMETtR¡', ;;::lrJ9,¡OO ;Jt1~gROPJ ¡ ..,,:u,;~r; " ~ -. Ln"t ", ,2"":,,. _" _ _ _.. Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 POOR ORIGINAL - e Work Order: 3133608 "'Jo:LS'~Uk£ L ¡ NE LEAK SETuP '"'" - - - ...... Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 POOR ORIGINAL Work Order: 3133608 e -- ~----- P.LAF:J'1 H!S7,JXV REPO?T ALÂRI'1 H! ST0R\/' ;--- IN:':TÄNK Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 POOR ORtGINíU. Work Order: 3133608 . e Tanknolpgy-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 'OOR ORIGINAL e e Work Order: 3133608 ...,' . .:~'~ ','/. ' "-;~Z",;~,c.~,, ',.';,' :; ',FA; ',' :fn",';,..:., '\',1,F' . :;;·"/f ....:¡, iF;,\·';·' , ':::';;: , .~: :", , . ~, RÊVEMr.;tþr-i· . ('S61}852-Z172 'H.t, ' " " " . ';,: ','" " . 'f'" ~,:: ,,' '; .~i:.~" ' .' ,it;,.; . , \, "'::';~,;, '!;';'!";;..; . "", ' ,.,,' ,'.; ";,:', :"'F, ',,' \i;;'" '... ' ", '; ,';';' ; ,"';,,;< F.','," F..... .,,\..'. ,,: >:" ":;t";.' -'7; ;0' ::'.'!; , ,f';.; i,.',;;,;:,7".:: . _', ¡,:[: " ':;' .\, ~'",'; ·';;"1':·; "'ft' ,,'.,,' '>;:. ;,<:;,!:" ~rr4;"'7F ", . 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"",-.','. ,':'" 'I'. , "b,;,,, ':",'" . :",i' : ;<,:/..·;:X" :'", ,"': .Q~ ; ,',,"" ,: ,:1: , "v. :, ii:',';' "'" ,,'fi' ':":::x,' ,;," :;;: ~:;J:;i;, , ,";,:. .:;)3:}; ".,;';.. '" '. ',".". ,,<i:, : ;", .; , :'" ,:'; ,i.., , ii':""'" ' ~::: '~;f,? .- , ::;::::2::/: ,,' "" , ,2..., ;:j;:'" L '. ::~;:,::: ':";;g~ "i/ ,,,,.,;';,,, " Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 '001 ORIGINAL Wark Order: 3133608 e e Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 POOR ORIGINAL '. ---- e e Work Order: 3133608 i Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 'OOR ORIGINAL· -0 Work Order: 3133608 e e Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 '001 ORIGINAL. A' '. ~j¡~ Tanlr--'---, ,."" ~''-'-~.T 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE:02/06/04 CLIENT: 7 - ELEVEN, INC. WORK ORDER NUMBER313 3 6 08 SITE:7-ELEVEN #16549 COMMENTS subbed out lines, ld's monitor cert...all pass PARTS REPLACED HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) Printed 03/0212004 09:00 SBOWERS ;;'j ~. ,t. TEST DATE: 02/06/04 CLIENT: 7 - ELEVEN, INC. () en -I o ;0 m CC;() VENTS e SITE DIAGRAM ..~!jjj 3~.Tån"--'--' __'.if. .... """""::11 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 e WORK ORDER NUMBER313 3 6 0 8 SITE: 7-ELEVEN #16549 stine rd. MID O 0 QfSTP1 10K L.:.J REGUL, ~ o 00ô 10K his tank is out of sevic out of s stem '--.. '-, ~ ~ Printed 03/0212004 09:00 SBOWERS ~ en o :::J a Q) a. -,. L- ~4 c ~V . MONIT&ING SYSTEM CERTIF.ATION '" - -- For Use By All Jurisdictions Within the Stale of California ,·lurÍloriry Cired: Chapter 6.7, Health and Scd'ety Code; Chapter 16, Division 3, Title 23, Calijòrnia Code ofRegulwio/1s This form must be used (Q document testing and servicing of monitoring equipment. A separate certification or report n~ust be prepared for tJch moniwring sysœm control panel by the technician who performs the work, A copy of this form must be provided to the tank SYSIèlll oWIler/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 JiI)'S l)f tè'St date., A. Gencrallnformation FaciliTy Name: 7 - J J -# / (p .Ç~9 . SÌTèAddrèSs:_'!lJ.47 kJlL.,Sð-U t:,() Facility Coman Person: lYbkè..lvlodel of Moniwring System: í(,~ ...'3Sð . Bldg.No.: Zip:____. City: ßA-/(,~-¡¿.1F/G~..P Contact Phone No.: ( ) Date of Testing/Serv icing: ~..1LLð~ Tank ID: o In-Tank Gauging Probe, Model: o Annular Space or Vault Sensor, Model: o Piping Sump / Trench Sensor(s). Model: o Fill Sump Sensor(s). Model: o Mechanical Line Leak Detector. tvlodel: o Electronic Line Leak Detector. Model: o Tank OveríìlJ / High-Level Sensor. ¡Vfodel: o Other (s ecify e ui ment I e and model in Section E on Paúe 2), Dispenser ID: ) ... 'I '9iI Dispenser Containment Sensor(s), Model: 'dO 8'" f}I Shear Valve(s). o Dis enser Containment FJoat(s) and Chain(s), Dispenser ID: o Dispenser Containment Sensor(s). Model: o Shear Valve(s). o Dis enser Containment Float(s) and Chain(s), Dispenser ID: o Dispenser Comainmenr Sensor(s). Model: o Shear Valve(s), o Dis enser Containment FJoat(s) and Chain(s). Include information for every tank and dispenser at the tàcili¡y. B. lnvcntOì'Y of Equipment Tested/Certified CIl",!; (he apprùpri~re bùxes to iodic¡¡tè S ècitic è ui mellt inspected/serviced: ~I!:r~:'-d~' ¡~: -:LW~.i.7 11II ~ tn-Tank Gauging Probe. Model: rAÅ(~ I i!' Annular Space or Valllr Sensor. Model: '}-() I ~ Piping Sump j Trench Sensor(s). Model: rO~ I 0 FiU Sump 5ensOr(5), Model: o I\lèchanical line Leak Detector. Mociel: Cil Ekl'tJ'Onie Line Leak Detector. Mode!: (L G '~4J Ie... ."¡' :.r·· OLmk Over!ìJJ / High-Level Sensor. ,~odèl: . o º!h~r (S eeif' e lIi mefit t' e and model in Secrjon E on Page 2). T¡wk lD: o in-Tallk Gauging Probe, Model: o Annular Space or Valllr Sensor. Model: I II 0 Piping Sump I Trench Sensor(s), Model: o FjJJ Sump Sensor(s). Model: !; II 0 l\k.::hÇ!llÍcal Line Leak DetecTOr. Model: I 0 EkclrOlÜc Line Leak Derector. Model: I OLU1k OverrìlJ / High-Level Sensor. Model: o Urhèf ~ ècit\' e( ui mènr t f e and model in Section E on Pae 2 . Dispenser lD: 1- ð- , Di~pênSè[ Conrammenr Sensor(s). Model: )..0 r §d Sj¡è~ìr Valve(s), o Di~ èl1ser çontainmenr Float(s) and Chain(s), Disp'::llser ID: o Dj~pèj]sèr Containmem Sensor(s). Model: o Stlèar Valve(s), .q D.i~n?eE Comainmenr FloJt(s) and Chain(s). Dispense-rID: o DispèJlSèr Coorainmèm Sensor(s). IVlodel: o Sl'Jèm VaJve(s), ºPi?pèJ)~èr Cùnminmenr Flo!lt(s) and Chain(s), "Jfrhè flciJity comains more tanks or dispensers, copy this form. Tank lD: PIlGY"1 "/ I :>' In-Tank Gauging Probe. Mode!: ¡+146¡ II §( Annular Space or Vault Sensor, Model: "'¡d-ð ,_,_,.,_ ~ Piping Sump /TrenchSensor(s). Model:}ð1 I o Fill Sump Sensor(s). Model: ______ o Mechanical Line Lealc Detector. Model: I ~ Elecrronic Line Leak Detector. Model: tJl. (L bCTRP..u,--~_· ¡ OTanI¡: Overfill / High-Level Sensor, Model: I 0' Other s eci', e ui ment t e and model in Section E on Pc¡ ,è .?). I II 'I I' 'I II r: C. Certification -I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guiddilles. Attached to this Certitication is information (e.g. manufacturers' checklists) necessary to verify that this information is cùrreCl and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, 1 have also , ¡¡{~¡¡Ched a copy o~'the report; (check a/l thllt ilpp~V); ~ System ~et-up, ij&.a~m ~port ledl1uclan Name (prmI): ('-'(AI'(,) 1/'IA-£CÞt/ SIgnature: ~ =----e-- Cènitkarion No,: $1/ t -7)--t1t:J"éJ License. No.: C61/D40- # 829850 I'esÙngCo111panY'!'1ame: RICH ENVIRONMENTAL PhoneNo.:(661 ) 392-8687 Sire Address: '111'1] wJC,SQ;(J ¡( 0 6..4 t.F~.sFJß 1,4 f.4 Date of Testing/Servicing: ~ .k_) 51.2'-, lVlonjwring System Certification Page 1 of 3 03/0.1 ¡ , -'}. û.' 1Zdì.Úts of Testing/Servicing SoÌm ,Irè V èrsionlnsralled: \~o6 - COIH pièfC (he followina checldist: Ii l}I Y è:S \ 0 No'" Is the audible alarm 0 erational? \ ,- \~ 0 No* Is dle visual alarm 0 erational? ~ Y to; 0 No* Were all sensors :isuaJl ins ected, fLU~ctionall tested, and c,onfinned ° era,ti,onal? _ '91 'y' c", \ 0 No" Were all sensors illstalled at lowest pomt of secondary contalIunent and posltLoned so that other equipment \-vlll nO{ imertère with their 1'0 )er 0 eraÜon? U Yts 0 No" If alarms are relayed to a remote monitoring station, is all communications equipment (e,g,. modem) 9è. N/A operational? ' o No" For pressurized piping systems, does the turbine automatically shut down if the piping secondary comainmèrH o N/A moniroring system detects a leak, fails to operate, or is electrically discormected? If yes: which sensors inirialè posirlve shut-down? (Check all thm apply) )IJ Sump/Trench Sensors; 1J Dispenser Containmen[ Sensors. ' Did 'ou confirm ositive shut-down due to leaks and sensor failure/disconnection?- Yes; 0 No, o No* For rank systems that utilize dle lllonito¡-ing system as the primary tank overfill warning device (i,e. no .!>l NiA mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible ar the milk Ell oim(s) and 0 eratíno )1'0 erly? If so, at what ercent oftaIÙ( ca aci does the alarm tri"ger? <;.'{) QII Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replacèu and list the manutàctw-er name and model for all re lacement arts in Section E, below. Was liquid found inside any secondary containment systems designed as dry systems? (Check all (hat app1x) 0 Product; 0 Water. If es, describe causes in Section E, below. Çb YèS 0 Nù* Was monitorina s stem set-u reviewed to ensure fa er settinas? Attach set u ~ Y èS 0 No* Is all monitorina e ui ment 0 erational er manufacturer's specifications? ;, In Sëcrjon E below, describe how and when these deficiencies were or will be corrected. ~ \:6 Pu'- I Yd I U Yes" o Y.::;'" No 1! No £. COHlmem:s: - . _..~---.-.._._- .. __.,.__H._'____" .-....--.. .--...-..----.- .__ _ _,~, _n ,.___ _",.. _ .u.__, ._.__~._ .___'__n --.------.--. ____.... __._________n. -----...-- "'U ______. ,_______. -------------.-- ---.---- --.----.,..-- -"-------" .'____u__., .. .,,,_.___ -"..-" - ..--.------- ..,.-.,,-.- ,..-._----- _._--,-- .-.------ ------._-- ----- Page 2 of 3 (3/01 . :¡' .', ,¡ - e i'. In-'f~i.ílk G.,ulgì:ng / SIR Equipment: ø Chèck ~his box. if tank gauging is used only for inventory conrrol. o Check wis box if no tank gauging or SIR equipment is inswlkd. Tllis sècLion mUSt be cOl'l1pleted if in-tank gauging equipment is u.sed to perform leak detection monitoring. ('0"'..0.;(" rll.: fùUowino Chècklisr: -- ~ I LJ \ö .1 u No'" HilS all input wiring been inspected for proper entry and termination, including testing for ground faldts? íD-ì~~~-[ U No'" I Were all Hlnk gauging probes visually inspected for damage and residue buildup? I ~=~~-~ 0 No'" Was accuracy ofsysrem product level readings rested? I U Yes! U No" Was accuracy of sysrem warer h:vèl readings resred? ¡u-';.\;;;-r 0 No" Were all probes rèinsralled properly? \--~ No" WtTr: all items on the equipmenr manufacturer's maintenance check]ist completed? ~\__"s____c 0 --- - ., Úl lìlL' Sc¡;rjù!l H, below, describe how and whe-u these deficiencies were or will be corrected. G. l.ine' Lt'ì1\. Deœctors (LLD): o Check. this box ifLLDs are not installed. CUlüpktL' (he following checklist: - I~ 'tees U No* For equipment start-up or a111ma] equipment cerritìcation, was a leak simulated to verify LLDperformance? I 0 N/A (Check all ¡har apply) Simulated leak rate: ~ 3 g.p.h.; 00.1 g,p.h; 00.2 g.p.h. I ø 'ì'èS U No" Were all LLDs confirmed operational and accurate within regulatory requirements? 'If\¿,s I U No;¡; Was me resting apparatus properly calibrated? f--- o \'èS 0 No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ~N!A ,-- ~ 'Ie'S I ~ No* For electronic LLDs, does the turbine aLltomaÖcally shut off if the LLD detects a leak? U N/A f-----' ~ 1: èS I 0 No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabkl1 I i 0 NiA or disconnected? ~~~O No* For electronic LLDs, does the wrbine auroma1Ïcally shut off if any portion of me monitoring system maltì.mcrions I' 10 ¡ 0 N/A or tãils a leSt? ,', ' I '~ \' cS I 0 No* For electronic LLDs, have all accessible wiring cOIUlections been visually inspected? i 10 N/A I~ ON' -- I . Yd 0'" Were all items on the equipmem manufacturer's maintenance checklist completed? .< lü We Secrion H, bdow, describe how and when these deticiencies were or will be corrected. ,H. Cúm,mems: .. u__u.._.______ ..-.,.---.-.--- -.------- .--.,------....--.---.., -.---..-...--,- _____ ____n__u_ Page 3 01'3 . 03/01 :-'i . , Monitoring Sysrem CertiHcation e ,e Sire Address: '/ Ú £1 '7 , UST Monitoring Site Plan ¡.J I L ~(J,v reI) '6/t'Kh ¡~ FIG ¿/J. (A ". . . . . . . . . . . . . . . . . . . . . - . :0 j :L 5:o~: ~. .(:) :0 6 o. o· o Ó· o· o (2{): :j//: . 'Z.:./'i. :s~~: :v4Q,~: :Fu;,~: . . . . . :~~(7 : o. . . . - . :A~(VU £41-: :~:TL~:-:)~-Ò: Date map was drawn: -.l:J ~ 0'/, ~ ~ Instructions If you already have a diagram that shows all required information, you may include it, rather than this page, with YOllr Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identít\' locarìons of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechaIlical or electronic line kak derccrors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was, prepared. ' Page . . 1,.,1 of ¡",J 05/un , '. - e MONITOR CERT. FAILURE REPORT SITE N1IME: 7 ~ J I .. ADDRESS: YLJ"Iì 'w I L ~~ (t{) CITY :6h"-f"~~ f \ J;"L 0 SITE CONTACT: DATE: ). -6 -0 'f TECHNICIAN: t. YA-1J l""1/1ío<J SIGNATURE, % yV1~ THE FOLLOWING COMPONENTS WERE REPLACED/REPAIRED TO COMPLETE THE MONITOR CERTIFICATION TESTING. LIST OF PARTS REPLACED/REPAIRED: . REPAIRS: - tVt2IlJ,~ LABOR: /f./CJA..J E PARTS INSTALLED: (r) {WtL cJ It PIl/"lJrr£ IL f4lGfL ! SOFTWARE REV I S I ON LEVEL 1 'VERSfGN 119~05 ' SOFTWARE~ 84õ119-100-F \ CREATED - 00.02.25. 12. 15; I , I S-MODULE~ 330160-160-A i SVSTEMFEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS BIR " PLLD o . 1 0 AUTO 0.20 REPETITIV WPLLD ' o . 1 0 AUTO 0.20 REPETlTIV ~Y~T~M _S~T~P _ _ _ _ .., ,,~ FEB 6. e4 10:56 AM ! SYSTEM UNITS U.S. SYSTEM LANGUAGE ' I I' ENGLISH ," SVSTEM DATE/TIME 'FORMAT! MON DD 'lVVV HH: MM :sSxM ¡ ~ . . \ 7-ll 16549 ' r, 4647 WlÌòSON RD ' í aAKERSFIELD.CA93~09 A0369D53E10500 1 . SHIFT TIME 1 7: DO AM ' SHIFT TIME 2 DISABLED r SHIFT TIME 3 DISABtED SHIFT TIME 4 DISABI;;~t)" SHIFT BIR PRINTOUTS II' ENABLED ' i DAILV BIR PRINTOUTS ENABLED TICKETED DELIVERY DISABLED ' I TANK PER TST NEEDED WRNl DISABLED,'" " TANK ANN'TST NEEDED WRNI DISABLED ' " ,," ': LI NE iRE-ENABLE METHODi, PASS :1..1 NE TEST ' ' : I, LINE ,PER TST NEEDED WRNi DISABLED :,' I L I NE,ANN TST NEEDED '14,¡'I,NI' DISABLED '< I- PR I NT "TC VO~UMES II ENABI,.ED i , TEMPCOMPEN$ATION VALUE'DEG F ): GO ..0 STICK HEIGHT OFFSET' ENABLED H-PROTOCOL pATA FOR~AT HEIGHT : (: PREC IS I ON TEST DURAt<IO HOURS: 604 ' 0.20i GPH LINE TEST AUTO~CONFIRM: ENABLED 0.10' GPH LINE TEST'''' AUTO-CONF I RM: ENABLEP' DAYLIGHT SAVING TIM~ ENABLED" START DATE APR WEEK ,1 SUN,' START TIME 2:00 AM END DATE OCT WEEK 6 .SUN END TIME 2:00 AM RE-DIRECT LOCAL PRtHToUt DISABLED"":: EURO PROTOCOL PREFIX S' - ' SYSTEM SECURITY OODE : 000000 ' IN-TANK SETUP ------ - - -- -- T 1: RUL PRODUOT CODE ~THERMAL COEFF TANK DIAMETER TANK PROF I LE FULL VOL METER DATA 'END' FACTOR: '¡,CAL UPDATE: : 1 :.000700 109.00 IPT IDOla YES NONS COMPLETE ' ;~LOAT SIZE: ~. 0 IN. :WAT];R WARN I NO : 'HIGHwATERLIMlT : " ,!MAKOR LABEL VOL: ::OVERf' I LLL I MI T ':', ' ,H I GH "PRODUCT DELIVERV LIMIT 84S6, 1.5 2.0 IDOla 90% 901~ 95% 9617 10% 100f 500 15 40 0;00 i ,LOW PRODUCT : ¡, LEAK ALARM L I M I T: :;SUDDEN LOSS 'LIMIT: tTANKTILT : ¡MANIFOLDED TANKS ! T~: NONE ¡ l LEAK MI N PERIODIC: ' . . 25% 2504 : LEAK, M I N ANNUAL 50% i 5009 ! 'PERIQD I C TEST TYPE I i,: " ' STANDARD i , 'ANNUAL TEST FA I L ; " ALARM DI SABL!::D ¡ , :PERIOPIC TEST FAIL ALARM DISABLED' , i ¡.GROSS TEST FAIL ! ALARM D H3ABLED >ANN 'TEST AVERAGI NG: OFF ; P~RTEST AVERAG I NG :OFr : " TANK, TEST NOT I FY : OFF TNK TST SIPHON BREAK: OFF DELIVERV DELAV 3 MIN STI CK OFFSET 0.00 -- !~ . ,'\ ,l__,___LJ ,I' ... ,·wu..... PRODUCT CODE THERMAL COEf'F TANK DIAMETER TANK PROFILE FULL VOL METER DATA ' END FACTOR: CALUPDATE: 3 : .000700 : 109.00 1 PT 10018 YES NONE COMP~ET!:: FLOAT SIZE: 4,0 I,N, 8496 WATER WARN:I NO : 1 5 HIGH WATER LIMIT ::2: 0 MAX OR LABEL VOL:: 10018 OV$RFILLL.1MIT .:! 90% H ' 'I 9016 IGH PRODUÇT· ;:~ 95% '. > :;" ~517 DEl,.lVERVLIMI.T· :1 1 O~. r;~~'rr.~\J,Oo 1 LOW PRODUCT :i' 500 LEflKALARM L'I~lI T;i 15 SUDDEN ~OSS ÇIMI~: 40 TANK TILT' .:: 0.00 MANIFOLDED TANKS' T#: NONE LEAK MIN ,PERIODIC: " ., 25% 2504 LE~K MIN ANNUAL. ; : 50% 5009 PERIODIO TEST TVPE , ,STANDARD ANNUAL TEST FA IL ' , ALARM ¡;) I SABLED PERIODIC Tþ;ST FAIL ,ALARM Q 1 SABLED GROSS T~StFAIL .,; AL~RM~ISABLED ANN TEST '. ~VERAQl NO: OFF P!::R TEST, A\I~('U NG : OFF TANK TEST NOTIFv : OFF TNK TSTS1PHON B~EA~:OFF PEL I VERY PELAV :' :;3 M I N STICK OFFSET ' 0.00 LEAK TEST METHOD TEST-OÑDATE 7 ÃLL TAÑK- JAN 1" 1.'396 START TlME :, DISABLED TEsT RATE ' :0, 20GAL/HR DURATIO~:2 , HOURS LEAK TEST REPORT FORMAT NORMAL ! YRESSURELINE LEAK SETUP _ _ _ ,.ì_ _.. ...<. _ _ _ _ _ _ Q 1: RUL ITYP:2.0 IN FIEERGLASS iLINE LENGTH: 75 FEET 0.20 GPH TEST: REPETITIV 0.10 GPH TEST: DISAELED SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHUTOFF:NO LOW PRESSURE: 5 PSI I T 1 :RUL DISPENSE MODE: STANDARD ,SENSOR: NON-VENTED i PRESSURE OFFSET: O.OPSL i I Q 2:SUL TYP:2.0 IN FIBERGLASS LI NE LENGTH: 75 FEET , 0.20 GPHTEST: REPETITIV 0.10 GPH TEST: DISABLED: SHUTDOWN RATE: 3.0 GPH ! LOW PRESSURE SHUTOFF:NO LOW PRESSURE: 5 P£I T 2:SUL DISPENSE MODE: STANDARD SENSOR: NON-VENTED PRESSURE OFFSET: O.OPSI LINE LEAK LOCKOUT SETUP - - -" - - - - - - - - LOCKOUT SCHEDULE DAILV START TIME: DISABLED STOP TIME : DISABLED 'A~ARMHISTORV REPORT . j-r---,S\'STEM ALARM ----- ,PAPER OUT ' , , ; · f'~B .'6.' 2004 10: 56 AM ¡pR I NTER ERROR' ¡FES ,6'.2004 10:.56 AM ',If 1SØTTERV' IS OFF ~6\N 1. 1 996 ' e: 00 AM :Ot-OSE.SHI FT PEND 1 NG :F~8 p-2,004 7 :00 AM ;CI£.OSE:'PA IL V PEND I NG IFJi:B~~ 2004 2 :-00 AM '. PL¡OCK IS INCORRECT . r~V15. 2002 6:50 AM , 1 :I~U:D.~OR _S~T~P,., ~ _' L 1: RUL ANNULAR I TRI-STATE <SINGLE FLOAT} CATEGORY: ANNULAR SP~O '. L2 :RUL TURBI NE SU1"IP TRI-STATE <SINGLE FLOAT) CATEGORV : STP SUMP .,' ¡ "'i. L, 3:S\JL ANNULAR iI TRI -STATE <81 NGLE FLOAT)') CATEGORV : ANNULAR S})-Acal I I I I L 4:SUL TURBINE SUMP .¡ TRI-STATE (SINGLE FLOAT): CATEGORV : STP' SUMP .'" L 5 :D I SPENSER PAN 1-2 ,: TR I -8TA,TE<8 INGLE FLOA,r" )11' CATEGÇ>R\/, : DISPENSER J>AN . :. .. ;¡ i L 6:DISPENSER PAN 3-4 . :i.; TRI-STATE {SI NGLE FLOAT):I CATEGORV: DISPENSER þ"'N¡ , ,- " 'i I . I I i I OUTPUT RELAV SETUP - - - - - - -' ~ R 1:0VERFILL A4ARM TVPE:' '. ,PUMP CONTROL ¡OUTPUT TANK It: NONE ' IN-TANK ALARMS ALL:OVERFILL ALARM .-.._~---- ~~~~~ ~I~.S~T~ o~~~~;:;;~c_n LIQUIP SENSOR ALMS HIG,I;I,,"", ATER,AL,',ARM " L l:FUEL ALARM "'" " L2 :FUEL ALARM FES 19, 2003, 2: 50, PM , tir~~~t ~t~~~ OVilF I LLALARM , 'L 1 : SENSOR OUT ALARM JAN'29. 2004 5:44] PM L2:SENSOR OUT ALARM JAN. e. 20,0,4, 11:32: AM L 5:SENSOR OUT ALARM' SEt' 1S1.20D~ 1 :32 PM L· 6:SENSOROUT ALARM LOW'PRODUOT f¡LARM'1 ' ,,' L USHORT ALARM FEI: 1 0. 2003 2 :39, PM t §;~~g~f ~t~~ MAR:24. 2Q9t7:09iA~ L 6: SHORT ALARM S~N LOSS AI..A~M i '.'.,G 2 :SU, L, ,MA'I' 6. 20038:,37: AM FES 13. 20032:16; PM FES;10. 200(3 2:67: PM HI QI¡I f'RODUOT AI..ARM!';' FEe 21. 2,002 ~ 2: 01 PM i INVALID FUEL LEVEL FES 10. 2003 2:39, PM MAR 24.2001 11:4/$ AI\1 PROSE OUT· MA'I'6. 2003 8::38 AM FEB'13. 2003 2~16 PM FEB 10. 2003 2:57 PM HIGH' WATER WARNING FEB 10. 20032:~OPM ¡;to I QU 11;) SENSOR ALMS : L :3:FUEL ALARM L 4:f'UEL ALARM L 5,:'f'UEL, ALARM "L ,6:FUEL ALARM ;:L3:,BENSOROUTALARM :,L4:,~1:;NSOR OUT 'ALARM ,L5:ÆJENSOR OUT ALARM :,fL6 :e1:;NSOR OUT ALARM ìL3:$HORT ALARM /fL 4~HORT ALARM lL5:SHORT ALARM 'tL 6: ~t:iORT ALARM I i I ¡ -I DEL I VER'I NEEDED FEB'10. 200:3 2:39 PM MAR 23. 2001 6:39 AM LOW ,TEMp· WARN I NG ' FES 21. 2002 12:rt PM ~ ~ ~ * ~ END * ~ * ~ ~ ,v ---.-------. -.---- I I I I ! ~ ~ .!'E~i ,~ END jiE ~'¡ * * * ' " I ALARI"j;> HI ST9~Y REPORT \ , ---- IN-TANK ALARM --1 . I T 2:SUL : HIGH WATER ALARM I FEB 10.'2003' 2:54 PM I FEB 21. 2002 11:58 AMI OVERFILL ALARM ' FEB 10. 2003 2:44 PM FEB 21. 2002 12:01 PM JUN 4. 2001 8:02 PM LOW PRODUCT ALARM FEB 10. 2003 2~41 PM APR 12. 2001 8:10 AM SUDDEN LOSS ALARM FEB 6. 2004 10:09 AM DEC 22. 2008 11:18AM MAY 6. 2003 8:41 AM HIGH PRODUCT ALARM ' FES 21. 2002 12:01 PM JUN 4. 2001 8:04 PM INVALID FUEL LEVEL . MAY' 6. 2008 8:42 A/"1 FES 10. 2008 2:41 PM "JUL 22. 2002 11: 88 PM PROSE OUT AUG 5. 2008 5:15 PM AUG 8. 2008 4:18 PM AUG 3. 2008 3:59 PM HIGH WATER WARNING FEB 10. 2003 2:54·PM FES 21. 2002 11:58 AM DELIVERY NEEDED OCT 81. 2003 5:23 PM FES 10. 2008 2:41 PM APR 1. 2001 9:11 AM LOW TEMP WARNING JUL 19. 2003 11:48 AM OCT 22. 2002 8:27 PM SEP 7. 2002 9:39 PM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ALARM HISTORY REPORT ----- SENalaALARIY\ -"-- ' L 1: RUL Ar-.AR ANNULAR' SPACE ! . FUEL ALARM ' FEB ' 6. 2004 10: 18 AM FUEL ALARM JUL 29. 2003 10:03 AM FUEL ALARM FEB10. ,2008 3: 01 PM ~ ~ '~ ~ ~ END ~ ~ ~ ~ . , ~;'~""'~"I '. I ,I ..~.._~" x: J"':'.-VI': 1 , I : I AI,.ARM H l:STORV REPORT~l,.AR~, H I STORY REPORT I' :~-~"'i: SENSOR ALARM ---,..-' ,:!;' 5:QISPEN~ER PAN 1-2 ;11 ·'J:uepJ:;WSeij,PAN :,FUEH itñLARM ¡ I 10.: 18 AM ;P:i.iI¡ 19' 2004 10: 14 AM : I 'f,'UEl,. ~LARM ,,' I' .~~~ i1. 2Q08 11 :55 AM ' , !FUEL ÅLARM ,Fp¡l!O. 2008 3:08 PM ----- SE:NSOR ALARM,,..-¡ L 2:RUL :TURBINE SUMP' STP SUMP' ' " FUEL ALARM FEa 6.2004 FUEL ALARM MAY 22.2003 11::53 PM SETUP DATA WARNING MAY 22.2003 11;: 58 ,PM "':~-"';-SENSORALARM - - L 4 :,SULTURBINE SUM:a- STP;SUMP' ... FUEL ALARM PEa:' 6f 2004 10: 14 AM fUEL:, ALARM ;JUL' 1. 2008 11: 52 AM FlJ£I..; ALAR/"! JU~' 1. 2008 11 :47 AM IE IE ~ ~, ~J;ND ~ ~~ ,~ ~ , . - ~ IE' IE ~ ~ ,~ END '" :IE ~'~ ,,~IE:IE.¡IE IE J;ND ì>E ì>E IE IE IE !. ... ALARM HISTORY REPORT -----SENSOR ALARM -- L :3:SUL ANNULAR ' ANNULAR SPACE FUEL. ALARM rEi 6. ~004 10:14 AM FUEL ALARM FES 10. 2008 FUEL ALARM FEB 21. 2002 I:' " : ~H*'~IHISTORV REPORT ,t;~~:¡,..lSENSOR ALARM----- .IIi¡,ó¡·P4ePENSER PANS;'4 I¡j~6~:~f;R-P'AN ~U~~r~LARM:' , 1. ::" 2004' 1 0 : 1 5AM f!¡qsI,.,~J.ARM ~~y:~~. 20q~ ' 2:00 PM 3 : 00 PI" Ii', r ' P,jEI¡.~,IJ.A~M , 11 : 84 A~_' ~~JI; p~~ 2008 3: 04 PM _ - ""---- - -L " ~.------.' RECONCILIATION SETUP ,- - - .... -- ---- ED 1M 1: EDIM 2: AUTOMATIC DMLY CLO~¡INO TIME: 2:00 AM : AUTO~HIFT #lCLQSING TIMj;:DISABL.'¡::D ' ' AUTO SHIFT #2CL.OSI NO TIME: DISABLED ¡ AUTO 6HI FT #8 CI"OSIN\3 TIME: DISABLED" : ; AUTO SHIFT ~4 CLOSING :i TIME: 7:00AM' , II PERIODIC RECONCILIATION MODE: ,'" fY\ONTHL.V ALARM: .' ENAeL.ED ALARM THRESHOLD: 1 .0% ALARM OFFSET: ' 1 ~Q TEMP COMPENSATION STANDARD ' BUS SLOT FUEl,METEfl·TANI< - - - - - ~ -' - _..~. -~- 3 2 1 2 l' 3 2 1 3 2' 3 2 221 3 2 2:3 2 32 8 2 1 32 3 3 .. 2' 8 2 4 2 ' 1 3 2 4 32 ALARM HISTORV.REPORT: -----6ENSORALARM -~--- 9 1:' ' " ' "OTHERßENSORS' , . IE ~ ~* ~ END * ~ * ,IE lEi "- ALARM HISTQ~V 'REPORT ---, DISPENSER ALARM ---- ,E 1: ", ',".' -..----..- ----.. ...!,.~; . ~ e ·e 'ALAR!"! HI STORY REPORT ---- PRODUCT ALARM ---- F 1 :RUL PROD THRESHOLD ALM MAR 1. 2003 . 2~00 AM PROD THRESHOLD ALM MAR 1.2002 2:00 AM ALARM HISTORY REPORT ----- SENSOR ALARM ----- Q 2 :SUL , PLLPSHUTDOWNALARM ! FEJ¡I 6. 2004 10: 42 AM ~.~ ~ ~ ~ END ~ ~ ~ ~ ~ j' GROSS LINE FAI L FEa 6. 2004 10:42 AM _._._ ___ __0_ ¡PLLD'SHUTDOWN ALARM FES 6. 2004 10: 17 AM ALARM HISTORY' REPORT . ----- SENSOR ALARM ----- Q 1 :RUL PLLD SHUTDOWN ALARM FES 6. 2004 10:37 AM [GROSa LINE FAIL ¡FEe '6. 200410:17 AM jPLLDSHUTDOWN , A¡'ARM' ¡FEe ':6. 2004 10: 15~M , I ,IPLLJ:lSHUTDOWN ALARM ¡FEEl ' '6. 2004 1 0 : 1 4 AM I' , ! GROSS LINE FAIL FEEl 6. 2004 10:87 AM PLLD SHUTDÖWN ALARM FEE 6. 2004 10: 16 AM , , ,Þ,LLDSHUTDOWNALARM f;ES6. 2004 10:14 AM , . ¡ GROSS LINE FAIL . FEE 6. 2004 10:16 AM PLLD SHUTDOWN ALARM FEE 6. 2004 10:14 AM P~LD ßHUTDOWN ALARM fEE ,6. 2004 10:14 AM \ ' ì I' ! "i,'J,." LD,S,HUTD, OWN ALARM " UL,I. 2003 11: 55 AM . I'; , 'ltLLD$HUTDOWNALARM ~WL L 200311: 52 AM !' " PLLD SHUTDOWN ALARM FEe' 6. 2004 10:15 AM PLLD SHUTDOWN ALARM FEe 6. 2004 10:13 AM ~ ,IE ~t * END *, )IE IE ,)IE' * PLLD SHUTDOWN ALARM FES 6. 2004 10:13 AM PLLD SHUTDOWN ALARM JUL 29. 2003 10:03 AM PLLD SHUTDOWN ALARM JUL 1. 2003 11:55 AM i ¡,¡ ¡,¡ ¡,¡ ¡,¡ :IE END * :IE ¡,¡* :IE ._0- . __.. _0'___.._ ._'_0" ''-.::, -~ ',- ":;;'FEF!<ììS 2004 13: 53 B4liLD FIRE PREVENTION 02/03/2004 08:56 6613920621 (S_852-2172 _ p. 1 ~ PAGE IU/€!3 -COPT ~BQUESTEÐ PLEASB FAX(661)392-C621 CIT'YOF BAKERSFIELD OFFICE OJ;'ENVIRO.NMENTAL SERVICES 1115 Chester ,A ve., lIakersfte1d, CA (661) 326-3979 FAX ~661) ~5'Z.-2/7'2. APPLICATION:TO PERFORM FUEL MONITORING CERTIFICATION FACILITY '] -II ~ I (¡, c: '1 Oa ADDiBSS 4" 4'7 L0d":¡6 N~d.. . (.3A-~~.{"tE:"LO I () A OPERATORSNAMB ? ..¡/ .' OWNBRS NAME ' ~ - "-f ~ 1 NAMEOFMONITORMANUFAc-ru;;RQ ,I/~ R~ DOESPACJL1TYHAVBDISPBNSBRPANS? YES.1r' NO_ TANK # I ~- ~ VOLUME CONTENTS ;'.4!~ ¡:'/t/i1f. UNL.. NAMBOFTBSTINGCOMPANY RICH W~'ONtJq'l'1!.L CON't-R.ACTORS UCENSS * 90-1072 c NAME&PHONBNUMBEROFCONTACTfÞBRSON JAMES RICH , ' . DATE &: 11MB TBST IS TO BB CONDtJC'X'.BD :J..... D"~ '-I 166~l3!M587 lOJ.Oo C(~ , , . _J:j{ln~ APPROVBD BY ~ A24/6 ¢.. """ ", ~ATE.,.. .5?~~ SIONATURS OP APPLICANT '. .1; p~' ~.,;¡. ~7 " II - RICH ENVIRONMENTAL 5643 BROOKS CT BAKERSFIELD,CA.93308 OFFICE(661)392-8687 & FAX (661)392-0621 ACURITE TM PIPELINE TESTER Precision Product Line Test TEST RESULTS Test Date: 02/06/2004 P.O.# BILLING:TANKNOLOGY S.CAL REGIONAL 27576 COMMERCE CENTER DR.#109 TEMECULAR,CA 92590 SITE:7-11 #16549 4647 WILSON RD BAKERSFIELD,CA PRODUCT PRODUCT MECH. OR ELEC. ~ONITOR PRODUCTS LINE TEST LEAK DETECTOR LEAK DETECTOR UNL-87 -.OOl-PASS PASS ANNULAR & SUMP PREM-91 -.OOO-PASS PASS ANNULAR & SUMP COMMENTS A precision test was performed on product lines at the above location using the ACURITE TM PIPELINE T¡EST. I have reviewed the data produced in conjunction with this test for þurpose of verifying the results and certifying the product line test systems. The testing was performed in acorrdance with ACURITE TM 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 pag~. Inèluded 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. I declare under penalty of perjurt that I am a licensed tank tester in the State of California and that the information contained in this report is true and correct to the best of my knowledge. MFG.Certification:#601.LT Test C tif~ed~ J. Ri cert 99-1072 " i ;1P'''>::'''_~~- e - RICH ENVIRONMENTAL 5643 BROOKS CT'~RSFIELD/CA.93308 OFFICE ( 661) 392-8687 & FAX (661) 392-062,1 ACURITE '1'W J?I:i?ELINE TESTER WORK SHEET DATE: }.'IJ -Cí'w/ W/O#: -=It Facility Name: 7'11 I h'SL¡f/ Facility Þ.J.dre:s:' 'III c.¡7 LJIJ.,SQ~ (t 0 , ' D~15FJtt..g)J cA- Pump Manufacturer: locO ifðt~E:1 sucition,' Gravity): litE S!d~ I I¡$~lation Mechanism: ßÆt..L IIftl,/¡; ! Product Line Type (Pressure I PRODUCT TEST PRESSURE (PSI) VO~UME RATE (GPH) RESULT PASS / FAIL I certify that the above line ~ests were conducted according to the equipment manufacturer's pr9cedµres. The results as listed are to my knowledge true and correct.' : The test pass/fail is deterroinþd using a threshold of 190 ml per hour (0.05 GPH) rate at 1 1/2 t1mesl working pressure or 50 psi which ever is greater. ; Tech: JAMES J. RICH sig~ature' ~~ ~ /" ' i \) i i MFG. CERTI FlCATION: # ! State License:# 99-1072 601. LT " " ,. ~ ð'---->,~;,_,~ e -' ~õ43aROOKS CT B~:&::RSF¡BLt),CA.~330a OFFIC2(ôôl)392-8õ87.QJ¡ FAX (õ6~}392-062~ MECHANICAL L~^~ p~TECTOR T~~. NORK S~~Er:r, W/O#: Facilit¥ Name: 7-1 -:it . . /c,S~9 Facility Ad.d.relia:4~4i ~/...S~.-v: (l1J ~Â/(E(tJ P IbL ~ /4 Product Line· Type~' (i?X'~uu.re, SU.~t~Q¡Q1 Gn.vity) J~Þ.!~tJ~I; PRODUCT LEAK D~TECTOR TYPE TRIP PASS Si:RIAL N'UMÐEij. PSI OR ~ ' 11 L .A.J L. ~7 LIt) TYPE ,þ þ~1a.OAJI'- YES SERIAL #-1!S~;~ÚI NO , I./D TYPi: YES PASS SERJ:AL if NO 11 AU. LID TYPE YES PASS SUIAL " NO FAIL I certify the above tests were c.p~åµQted on this date according to Rad J&ck&t i'Ù,mPiI fietçi test appara¡t~::¡~1;¡i'esting proceåure an limitations. The Mechanical Leak Detector Testp~Ei.S / fail is determined by using a ',low flow threiihold trip rate of '39~J;lon per hour or less at 10 PSI. r acknowledsa that all data coll:ect~~ is true and correct to the best of my knowledge. ' ;' e. Tech:. J~S J. RICH Signaturè:~ '~~ Date: ;>"¿'.c:::;) ~ , . .~. '. \. --- 02/03/2004 08:56 66139&1 . PAGE 01/03 ~COpy REQUESTED PLEASE FAX(661)392-0621 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 FAX (661) <?J5Z - 2/ 7'2 APPLICATION TO PERFORM FUEL MONITORING CERTIFICATION F ACn...ITY r¡ - II # I.L.~ ~ Ci ADDRESS 4 ~ 1./ '7 tV t I.J ~ tv R ct . 13A-~ 8l.~.ç L ~t. D ') (I f3 OPERATORS NAME ? -{ / , OWNERS NAME .".,~ . 0.( J:I-rnJ- . NAME OF MONITOR MANUFACfURER tI~ R~ DOESFACIUTYHAVEDLSPENSERPANS? YESK NO_ TANK # I ~ ô VOLUME CONTENTS ø ~E1I-- f7/l/i12. UIVL.- NAME OF TESTING COMPANY RICij EN¥IRQNt:¡:E~TAL cONtRAcrORS UCENSE # 90-107 L NAME & PHONE ~ER OF CONTACT PERSON JAMES RICH DATE & TIME TEST IS TO BE CONDUCrED :J... - Qfe,:-Q '-I ' t§.~113~2~B6B7 lO)()o Q V¡n. , _J:J dflu1t() APPROVED BY DATE,,' tJ~~ SIGNATURE OF APPLICANT .(/ð~JofL ., " .Jr." Jul-18-03 05:47A TANKtMLOGY I I - I _ I i I ,I 909&8 1239 P.03 ~- 0 )-:LS CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 ~ -'... APPLICATION TOPHRF08MA TANK TIGHTNEss TESTI SECONDARY CONTAINMENT TESTINGtrRACER TESTING PAC1lJTY 7-~e¡.J 1Þ~ ADDRESS 4~ W'W6~ (ì..O PERMIT TO OPERATE # OPE8ATORSNAMB ~r') . OWNERS NAME NUMBER OFTANXS TO DB TBS'I'ED IS PIPING GOING TO BE 'œSTFD_ :i: TANK # T1- VOLUME lOOJß } t'5O \'6 CONTENTS ~ OlXA-~ Ctï) ?~ t<0t-1 (11\ - TANXTESTlNG COMPANY ~ \-t IUV'U> (,-¡,L( MAIUNOADDRBSS...!J;p1Ct> &uW~p: Cø.Jm2..- - 1b4fI(,UlA- NAME dI: PBONENUJdBI!i¡ OF CONTAcr PI!IISO'L:=->~'- 6ro --IDlE(. - '21 't,. TEST METHOD V pl..Jl NAME OF TBS1'ER. OR SPECIAL INSPECTOR t l...l- ~¡¿,) CERTlPlCATION. 74-'3 i leD IMTTBSTISTO~CONDUCTED ¡(Blip?!. e- 1:~ - ;~ œiJft/iO' 'i /It! OJ ~ ~ APPROVED BY, DATE SI A OF . " ~ ~.. -- 10, . "t..., "I'b¡"¡~... ..) · .~..... ~T AoNITORING SYSTEM CERTIFICATION ' ~e By All Jurisdictions Within the State of California Authority Cited: Chapter 6. 7, Health and Safety Code; Chapter 16, Division 3 Title 23, California Code of Regulations - This form must be used to document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at the facility, a separate certification or reoort must be oreoared for each monitorina svstem control oanel by the technician who, performs the work, A copy of this form must be provided to the tank system owner/operator, The owner/operator must submit a copy of this form to the local agency regula~ng UST systems within 30 days of test date, A. General Information . Facility Name: 7-ELEVEN #16549 Site' Address: MARKET #2133 4647 WILSON ROAD Facility Contact Person: Manager Make/Model of Monitoring System: VRTLS350 B. Inventory of Equipment Tested/Certified Check the appropriate boxes,to iridicate specific equipment inspected/serviced City: BAKERSFIELD Contact Phone No: 833-0732 CA Zip: 93309 Date otTesting/Service: 02/10/2003 Work Order Number: 3127597 Tank ID: 87 Tank ID: 91 X In-Tank Gauging Probe, Model: MAG 1 , X In-Tank Gauging Probe, Model: MAG 1 ~ 420 ... 420 X Annular Space or Vault Sensor, Model: Annular Space or Vault Sensor. Model: , . ' X - Piping SumplTrench Sensor(s), Model: 208 Piping SumplTre~ch Sensor(s), Model: 208 = Fill Sump Sensor(s), Model: , = ,~ , = Fill Sump Sensor(s), , Model, Mechanical Line Leak Detector, Model: Mechanical Line Leak Detector, Model: ~ PLLD - Electronic Line Leak Detector, Model: X Electronic Line Leak Detector, Model: PLLDi' '. o Tank Overfill/High~Level Sensor, Model: ' Tank Overfill/High-Level Sensor, Model: := Other.(specify equipmeht type and model in Section E on page 2),' o Other (specify equipment type and mgdel in Section E on page 2), Tank ID: Tank ID: r- In-Tank Gauging Probe, Model: r- Þ= In-Tank Gauging Probe, Model: Annular Space or Vault Sensor. Model: ' ,Annular Space or Vault Sensor, Model: 1= , Piping SumplTrench Sensor(s), Model: Piping SumplTrench Sensor(s), Model: 1= Fill Sump Sensor(s), Model: Fill Sump Sensor(s), Model: 1= Mechanical Line Leak Detector, Model: r- Model: Mechanical Line Leak Detector, := Electronic Line Leak Detector, Model: , F' Electronic Line Leak Detector, Model: := Tank Overfill/High-Level Sensor, Model: r- := Tank Overfill/High-Level Sensor, Model: Other (specify equipment type and modeí in Section E on page 2), r- "- L- ather (specify equipment type and model in Section E on page 2), ulspenser IU: 1/2 Dispenser ID: 3/4 ~ Dispenser Containment Sensor(s) Model: 208 ex Dispenser ContainmentSensor(s) Model: 208 ŒJ Shear Valve(s), 'X Shear Valve(s) D Dispenser Containment Float(s) and Chain(s), := Dispenser Containment Float(s) and Chain(s), Dispenser ID: Dispenser ID: D Dispenser Containment Sensor(~) Model: ' n Dispenser Containment Sensor(s), Model: D Shear Valve(s), ~ Shear Valve(s), n Dispenser Containment Float(s) and Chain(s), n Dispenser Containment Float(s) and Chain(s), Dispenser ID: Dispenser ID: o Dispenser Containment Sensor(s) Model: 0 Dispenser Containment Sensor(s), Model: o Shear Valve(s), ID Shear Valve(s). - o Dispenser Containment Float(s) and Chain(s), tJ Dispenser Containment Float(s) and Chain(s), . If the facility contain~ moretanks or dispensers, copy this form, Include information for every tank and dispenser at the facility. C. Certification I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines, Attached to this certification is information (e.g manufacturers' checklists) necessary to verify that this information is correct. and a Site Plan showing t~e layout of monitoring equipment. For ahy equipment capable of generating such reports, I have also attached a copy of the (Check all that apply): System set~up report; 0 Alarm history report 0 SIGNATURE: PHONE NO: page 1 of 3 "',,::-"-" "'""" " -- '" '~~~/;;:2:1~7..' PRINTED NAME:RODNEY BREDESON COMPANY: Tanknology (800) 800-4633 'Based on CA form dated 03/01 r-- ~ u uuu r4ttoring SY!Þtf!~ Certification ~ - Site Address: MARKET #2133 4647 WILSON ROAD Date,of Testing/Se~ice: 02/10/2003 D. Résúlts of Testing/Servicing : , Software Version Installed: 119.05 Complete the following checklist: I fX] Yes - No' o Yes ,- No' o Yes - No' o Yes DNo' In Yes, ,n No' íxl N/A KJ Yes DNo' DN/A DYes ONO' 0N/A DYes' ,K]NO [j Yes' g]No KJ Yes ONo' ) KJ Yes DNo' Is the audible alarm operational? Is thè visual alarm operational? Were all sensors visually inspected, functionally tested, and confirmed operational? Were all se~sors installed at lowest point of seconda,rycontainment and positioned so that other equipment will not interfere with their proper operation? If alarms are relayed to a remote monitóring station, is all communications equipment (e,g, modem) operational? For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (check all that apply)Œ] Sumprrrench Sensors; Œ] Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? Œ] Yes D No For tank systems that utilize the monitoring system as the primary tank overfill warning device (Le.: no mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill points(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? % ' Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement-parts in Section E, below, Was liquid found inside any secondary containment systems designed as dry systems? (check allthat apply) D Product; ,0 Water. If yes, describe causes in Section E, below. , Was monitoring system set-up reviewed tó ensure proper settings? Attach set-up reports, if applicable, , Is' all monitoring equipment operational per manufacturers' specifications? , , . In Section E below, describe how and when these deficiences were or will be corrected. - E: Comments: page 2 of 3 ~ ~ .'" ;. Mltoring' Sys~em Certification - -,"" Site Address: MARKET #2133' ," 4647 WILSON ROAD Date of Testing/Service: 02/10/2003 "~ , F. In~Tank Gauging' SIR Equipment ~ Check this box if tank gauging is used only for inventory control, o Check this box if no tank gauging or SIR equiplTlent IS installed. 'This section must be completèd if in~tank. gauging equipment isused to peñorm leak detection monitoring. Complete the following checklist: 0ves DNo· ' Has all input wiring been inspected for proper entry and termination,-including testing for ground faults? 0ves' DNo~ Were all !ankgauging probes visua!lý inspected for damage and residue buildup? 0ves DNo· Was accuracy of system product level readings tested? , 0ves DNo· Was accuracy of system water level readings tested? , . !Xl Yes DNo· Were all probes,reinstalled properly? 0ves DNo· Were all items on the equipment manufacturers' maintenance checklist completed? ·In the Section H, below, describe how and when these deficiencies were or will be corrected, G. ,Line leak De~ectors (lLD) : D Check this box if llDs are not installed, Complete the following checklist: 0ves DNo· DN/A For equipment start-up or annual equipment certification, was a leak simulated to verify llD performance? (Check all that apply) Simulated leak rate: 0 3 g,p,h 0 0, t g,p,h 00,2 g,p,h 1Xl Yes DNo· Were àllllDs confirmed operational and accurate within regulatory requirements? 'Xl Ves DNo· Was the testing apparatus properly calibrated? Dves DNo· 0N/A For mechani,calllDs, does thellD restrict product flow if it detects a leak? !Ilves DNo· DN/A 'For electronic llDs, does the turbine automatically shut off if the llD detect~ a leak? -- !Ilves, DNo· DN/A For electronic llDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? '. ,,' " !II Yes DNo· DNtA For electronicllDs, does the turbine automatically shut off ifany portion of the monitoring system malfunctions or fails a test? !Ilves DNo· ONtA For electronic llDs, have all accessible wiring connections been visually inspected? 0ves DNo' Were all items on the equipment manufacturers' maintenance checklist completed? . In the Sectioh,H, below, describe how and when these deficiencies were or will be corrected, H. Comments: , " page 3 of 3 " ~- (~N-30-e3 MaN 1_47 FROM Q' B _ S _ S _ R _, '"N C _ P _ 01 .t"ag~ & 01 ¿ .lb:bssr ·~~~f!'.: From: T;.): Ç,ij': $~~~,t: "(,'" $Übject: ,C!:;<:l¡:...·ß . "'J"'I~.\! I "I~bs$r" <lizbsst@bak.rr.com> "Steve UndelWood" <sunderwo@cLbakersfield.ca.us:> "dwtgh1bssr" <dwjghtbssr@bak.rr.com>; "Brett racket" <btackett@bak.tr.com> Monday, June $0, 20031:30 PM 7-11's - 4647 Wlson Rd 'A:¡;~~~ had an openÌl'g in 111Y &ch~dule .I1~d will be ::.bl& to ~t;Jt't II::J.¡il1:'. li\:'I~J lJuluw ullho 7-11.4647 Wilson ~d. ;, ·~\~~f)'$.field tomorrow Tuesday, July 1st, 2003 @ 9:00 AM. f"¡.;'!r your request I will follow up this email with a phone call. T~~nk you. Liz Alvarez S~Yvice Manager e$,$R 9~;1-S8a-2777 ~)'i,þ,~;1r@ bq~.J.r,_(:,º,m I ~ I' , . ,-"- Original Message-- , :from: l~~§l 'IOiI~r~~r.",,,,-,y, .,lUll. 1..1, ..IU'.)J JII..J,.U IIIIUI , ¡'i~,~bl~(;I; P'w; T..II'ti· 4ð4T \M1;sun ~IJ iolll\J I'/,O I "'iI~·hv:r.:u ~ù, ,,:~..- Original Message - :f..rQm: !,i,4.~3.$1 , :,1.,';'. ~.lc::t',.o;r.. !,,1!J~,'!'L~r_\,IY~ ::~:ÇPI ~r.~".,~,_!iI.Ç~9~ ;4,W!9M~~~r.; k9.try,~~r ',- ,,:'~,D~~fl Thl.lTClday, -J4.lno 1:3. :300'1 2::3( nM _ _ _ .. " ,: "'Subject: 7-11 's -4647 Wil$on Rd.. ~nd 1701 Pacheco Rd. ' . 1""-' ,".- _ :Steve .,' . , ¡ :;~i~ted below are (2) two 7-11's which have contracted with BSSR. Inc for upcoming $B;¡~9 rBþairs and , ¡ ::~~b1;equent testing. ¡ :',n.~t.eª!;'þ",_ç.2Ji.Q~~.ls scheduled for Wednesday June 1 8th, 2Q03 9AM, .;:;B~þ~ir5 to Include STP Sumpt and Spill BuckErls. , ~. : . . ;4!4.t.W,iJ~Q.!1 will be scheduled for July 14th, Monday at 9AM " :::~ëpairs to include S1P SUn1p$, FiII60xes and Dispenser Pans. <:$,teve, Underwood needs Permits pulled by Monday June 16th, 2003 ,¡ :q~ Alvarez ' ' " :!?~r:v¡CØ Manager ' ;,:I,~SSR 6130/03 7--11 16549 464 7 ~',J I LSON RD BAKERSFIELD.CA93309 AD369053005001 JUN 18. 2003 9:52 AM - - - - - ~ _TEf"l STATUS REPORT T 2:PROBE our - -- - -- -- -- I NVENTOR'i REPORT T I :RUL VOLUt"IE ULLAGE 9W. ULLAGE= Te v'OLUlvE = HEIGHT STi( HEIGHT= I;JATER VOL WATER TEI"lP Ttf'-'UL v~ ~~ UL {,.~ý 9W. ULLAGE= TC VOLUtvE = HE WHT STK HEIGHT= WATER VOL WATER TEf"lP 2439 GALS 7327 GALS 6350 GALS 2401 GALS 32. 1 2 INCHES 32. 12 INCHES o GALS 0.00 I NC~HES 82.4 DÐ; F 2:384 GALS 7634 GALS 6632 GALS 2349 GALS :31 . :35 I t"ICHES :31.35 INCHES o GALS 0.00 INCHES 80.6 DEG F ~ ~ ~ ~ ¥ END ¥ *'¥ ¥ ¥ POOR ORIGINAl. ~ UNIFIED PROGRAM IlpECTION CHECKLIST e SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield. CA 93301 Tel: (661)326-3979 FACILITY NAME Ii INSPECTION DATE INSPECTION TIME -~-----_._--~.._~--_._------------_.,--- No, of Employees ADDRESS FACILlTYCONTACT t L~N --12~---___,________ --------------.-.. ~~cti,on,1,f.Bµ~i~~ŠS PlåÍ1~ncjlnvèrítóiyProQfam ,. '. _ c _ ' , , '-I" ~.'^,: j Routine ~ombined tJ Joint Agency l] Multi-Agency l] Complaint l] Re-inspection C V (~:~i~~iï~~nce) OPERATION COMMENTS ~ ApPROPRIATE~~RMIT 'ON HAND -~-T'----------'--:-~--------------------- ---,----,-----,----------------,-,,----,--,------,,-,--------------,,---, óI' l] BUSINESS PLAN CONTACT INFORMATION ACCURATE ___·_____····,_______n____.___ _________________ ____._________.__._.._._______~___.__,_.____,_____.__._...__________ -- ---- -------._- cu./l] g/~- rn/l] / lfI'l] rVl] ~l] ~l] VISIBLE ADDRESS ._.~------------------_.._-."---- _._--_._-------_._._--~~.__.__._---,--_.._.__._--_.---.---------.--.---------- -~-_. CORRECT OCCUPANCY ~~------------.- ----_._._------------~.__._----------------_._-------~-----~-----_._-------_.- ~-- VERIFICATION OF INVENTORY MATERIALS -------------~--------- .---.-------. ---------.--.--------------.-- ----------.--------.-- --~~ --- ---.""----..---.--- VERIFICATION OF QUANTITIES __________.____~________._..a.....-_ _____________.____.~_~___~_____________.________________~_______._ _..___._____.__._____ VERIFICATION OF LOCATION - ----------~----------------~-_._._--_._--------_._--- PROPER SEGREGATION OF MATERIAL ------------------------ ----~~-_._--_._----------_.._.~----~--------------~---~------.---------- VERIFICATION OF MSDS AVAILABILlTYE -T------------~---------------""---'n- n______'_,_,___,___,______"_,_____,___~____'____n_'_'__------ 0/ l] VERIFICATION OF HAT MAT TRAINING ----.-----.------.------- ----------.-----------.-----------.----.-------------.-----~~._----_._---- l] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES -----------------.---- -_._-------------_._-----_.__._------~_.--~-----~_._----------.--- l] EMERGENCY PROCEDURES ADEQUATE ' '--/-----,----,n-------'---'--------------'---í--'---~--------'------------,---,--------,---,---------,---,--,---,---,------- r:i l] CONTAINERS PROPERLY LABELED ~----_---_--,--------------n---'m------' '___'_________,______'n'___'___,_,_,__,______",____,______'__n'___' d l] HOUSEKEEPING t -y- ,--,,-------,---,- ------~--~,-----------~--------,--,------,--,--, ð l] FIRE PROTECTION --/'----------,---,--,-------,-~,--,-----,-, ------------~:......,-,~----"------,-,--,,--,------,--"--,------- ~ l] SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: l] YES ~O EXPLAIN: L( -------- Badge No, I Ie Party IS SPECTION? PLEASE CALL US AT (661) 326-3979 White . Environmental Services Yellow· Stalion Copy Pink· Business Copy e e CITY OF BAKERSFIELD FIRE DEPARTMENT O]1'FICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave.~ 3rd Floor~ Bakersfïeld~ CA 93301 FACILITY NAME '7- It INSPECTION DATE to" (t6 ^ 03 Section 2: Underground Storage Tanks Program o Routine ~ombined 0 Joint Agency Type of Tank If}CùH' ,~ Type of Monitoring ¿. LlìI\ o Multi-Agency 0 Complaint Number of Tanks "") Type of Piping DUll::;' o Re-inspectioD OPERA TION C V COMMENTS Proper lank data on tile '- V Proper owner/operator data on tile L,..- V /' V V Penn it fees current / Certification of Financial Responsibility -./ Monitoring record adequate and current .......... V / Maintenance records adequate and current / V Failure to correct prior UST violations I' Has there been an unauthorized release? Yes No i/ Section 3: Aboveground Storage Tanks Program AGGREGATE CAPACITY Number of Tanks TANK SIZE(S) Type of Tank OPERA nON Y N COMMENTS spec available spec on tile with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection') c~comPI;,"~V~ViOI,tiOO ¥ <¥ e, ,7 (t~ Inspector: _ "/~ .' "I}-V Office of Environmental Services (661) 326-3979 N=NO Party Whitc - Fnv, Svcs, Pink - Busincss C"ry y::'J I. '" ' <...... 05/30/03 1jJ~ ElEVEn II: FRI 10:44 FAX 1 9~61 0430 - I4J 001 SECOR-SACRAMENTO May 30, 2003 Mr. Steve Underwood Bakersfield Fire Department 1715 Chester Avenue Bakersfield, CA 93301 RE: 7-EIeven #16329, 1701 Pacheco Rd. 7-Eleven #16549, 4647 Wilson Rd. 7-Eleven #16834, 52S West Columbus 7-Eleven #17721,3601 Stockdale 7-Eleven #32241, 4101 Calloway 7-Eleven #32376, 9600 Brimhal1 Rd. Dear Mr. Underwood: 7-Eleven is working with qualified contJ'actoIs to make the necessary repairs to the secondary containment systems and re-test the equipment at all of the referenced stores with the exception of7-Eleven #16834 at 4647 Wilson Road. At that site, the underground storage tank system will be removed. 7-Eleven #16549 (4647 Wilson Rd.) has been repaired and testing is being scheduled. The repairs at #16329 (1701 Pacheco Rd.) are being schedu1ed and will be completed and retested by the June 15. deadline. The three remaining sites (#17721, #32241, #32376) are scheduled to start the upgrade of the piping system by the June 15 deadline. ease feel free to contact me should you have any questions. Bob DeNinno 7-Eleven, Inc cc Judy Soper Jeff Simonson Joe Jordan ~:R= ',:HiE;" :CI'¡ ..:::)..\..:::: ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield. CA 93301 VOICE (661) 326·3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES· EHVIROHIlEHTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLfC EDUCATION 1715 Chester Ave. BakerSfield. CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661)326.0576 TRAINING DIVISION 5642 VIctor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 - . May 8, 2003 Bob OeNinno 7-11 P.O. Box 711 Dallas, Texas 75221-0711 CERTIFIED MAIL RE: Failure to Complete SB 989 Secondary Containment Repairs &. Retest at the following locations in Bakersfield, CA: 7-11, 1701 Pacheco Rd., 7-11, 4647 Wilson Rd., 7-11 9600 Brimhall Rd., 7-11, 3601 Stockdale, 7-11, 4101 Calloway, 7-11, 525 W. Columbus. FINAL REMINDER NOTICE Dear Underground Storage Tank Owner & Operator: Since January 1,2003, this office has sent you monthly reminders advising you of a failed SB 989 test. In that letter, this office also requested an update with regard to repairs of your system. This office further explained that repairs of your system are a condition of your pennit to operate. Please be advised that you must have your system repaired and retested by June 15,2003. Failure to comply may result in further enforcement action up to, and including revocation of your pennit to operate. This office has extended every courtesy with regard to sending contractor infonnation as well as one on one visit's Should you have any questions, please feel free to call me at 661-326- 3190. Sincerely, Ralph E. Huey Director of Prevention Services by: ./ ·~C~ \../ Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SBU/dc ""Y~ú~ ~ ?Sb,,/l/;uuu?? .%.... v~o/"e .YZr/b 'j--'6 g;/'lbu-P" - ¡f" C. . · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the mailpiece. or on the front if space permits. 1. Article Addressed to: BOB DENINNO 7-11 POBOX 711 , DALLAS TEXAS 752210711 3. Service Type o Certified Mall 0 Express Mail o Registered 0 Return Receipt for Merchandise o Insured Mall 0 C.O.D. 4. Restricted Delivery? (Extra Fee) I I Dyes PS Form 3811, August 2001 7002 3150 0004 9985 3837 2ACPRI-03-Z.Q985 -~--.---------_. Domestic Return Receipt U.S. Postal ServiceTM CERTIFIED MAILTM RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) I"- m <tJ m LJ' <tJ IT" IT" . , -. . . . . .- I r 0 F F I C R A L U S E . Postage $ Certified Fee Postmark Return Reclept Fee Here (Endorsement Required) Restricted Delivery Fee (Endorsement Required) BOB DENINNO 7-11 POBOX711 DALLAS TEXAS 75221 0711 ;:r CI CI CI CI LJ' A m ru CI CJ I"- Total Posta ..- , " .... . . . Ix~-./ 04/22/200,) 09: 2ï FAX nr" c:c. C:UU..3 r;;:).,3 - ~K~~LV.~lK~ ~~~V€NTION - (561)852-2172 @002 p.2 1-, "..~~ ~-~~ I 'fL-EA-5[ FA'/.. .1 R8~t ŒDP~ . FAI/-{5l¿,) 3BO-7ZIS- CITY OF BAKERSFlELD OFFICE OFENVIRON1\llENTAL SERVICES . ~.l ~lS CheS~r:Ve.,:akersfi~ld~ CA (6~~.~~Ò \ \ ( , ' vcuD APPLICATION TO PERFORM A TANK TIGHTNESS TEST/ SECONDAJ[tY CONTAINMENT TESTINGffRACER TESTING FACILITY 17- I \ 6~+e..:tit ~.9t~ ADDREss-11éi'1 W;I $01\. ,t::ood: PERMIT TO OPERA, TE # OPERATORS NAlv'Œ Ö\>€(V~"'tO~ '1-- \ \ OWNERS NAME '1- \ \ NUMBER OF TANKS TO BE TESTED 2-. IS P1PING GOING TO BE TESTED_ TANK # VOLUME -,----1-------,.-·, --~- - :-ID:t;it)(::Y-~-~----- '2- I D; oaê) CONTENTS .. %;1Ar /3:/mJe¡j- .--Jf.~rY\ W\Y\ f\ kod ~ - ~ - - -.' - ~ - - -- -- TANK TESTING COMPANY i¡(f!CCf'I- !<..£6¿A(2CH MAJLING ADDRESS J ?~.Ç ¡Jo¡¿ 1 H ß vs//uÞS5 CE'/t/7CIl f)(J.)!/t':j NAME & PHONE NUMBER OF CONTACT PERSON TvCJotJ¡ 112 ~)-?OS' J TEST MEmOD r,; ¿ /] (Y}R!(/c C ¿.tOo /)û rJ - ((;02 - C( }Z 5'6J'7 NAME OF TESTER OR SPECIAL INSPECTOR /¿P.7£ f1A!( / ;11/-ìÆ/C C¡)L/.JO'~ , .' "' ~~.-,.' --GER~I-ll'LÇAT!QN-#-,- . '72--. 5-CJ"::? .---- A ,~ D~U¡f~J.TES IS TO BE CONDUCTED 6 (p i~ 4!Zl'/ðJ \~ APPROVED BY DATE A-kl£. \\.¿~ +h. \~i'\.'?f\tA03 ~ l5'\2-) 300,...t"tZ.'" APR-22-2003 08~06 661 852 2172 95% ' P.02 I I I ~¢èmípl~!~..jfêlJ1s~1~2,and 3. Ajsó' complete .t Itiiefil'A-ifRestricted DéliveryAs desired. ¡" , ,;~pnñtÿour.Q~e anct~êJdrèss o,n the r,ªverse <'so that we can return't1ìe card to you;/ _____ l"ii~Áttach this car~ t<;»lÍ,e back ~~i~~ailj5iece, or on the front If sp~ce PE!rrm~' . , /:': 111. ArtiCI~~7,t~í~~ / _ // ~~.~~~~-- .~" -,/-'----=-- I BOÎ3:UENINNO - I 7-11 / .' ^( I PO BQ:x'711 1f JlP~LtAS TEXAS 9~221 ~7~~;,:' 1 / '~ ,// 7002 3150 0004 9985 3097 PS Form 3811 ,August 2001 ß. ~ / , D. ,Is delivery address differen Ite.1? , if YES. enter delivery address below: ' '3. Service Type o Certified Mail 0 Express Mail o Registered 0 Return Receipt for Merchandise· ' o Insured Mail 0 C.O.D. 4. " ':!estricted Delivery? (Extra Fee) 0 Yes Domestic Return Receipt ~CPRI"(3-Z-0985;1 I"- IT" o m I U' , <Q IT" I IT" I , 1 .' ~ > ",' .." ,'1!% þv. ~",,-" \ ~ ''''- '" , 'l;J:S'. R;RstarServiceTM ' , t~,J ~ CF;-.o¡q-IFIED MAILTM RECEIPT (Dd.._Jic Mail Only; No Insurant}.!! .coverage Provided) " . .. . . . . "' . , . r OFFICIAL USE I Postage $ Certified Fee Retum Reclept Fee Postmark (Endorsement Required) Here Restrfcted Døllvarltfee (Endorseme( I Total POs1 BOB DENINNO I 7-11 nt 0 I P ~-AP' 0 BOX 711 orPO~&1 DALLAS TEXAS 95 ëitÿ.štãi9:Zit"+4-----===-=___ 221 0711 , ---==-~ I~ ,D o I 10 I U' ,..-=I : T I lru 10 I~ . . :.. .0 II FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chesler Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chesler Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 VICtor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 . . ~~---- ~ {i~ ~ ,. ~ April 11, 2003 Bob DeNinno 7-11 P.O. Box 711 Dallas, Texas 95221-0711 CERTIFIED MAIL RE: Recent SB 989 Secondary Containment Testing 7-11,4647 Wilson Rd, Bakersfield CA 93309 FOURTH REMINDER NOTICE Dear Owner/Operator: Our records indicate that you completed your secondary containment testing on October 1, 2002. Our records further show a failed test. Therefore you are required to have your system repaired and re-tested as soon as possible. This office requests an update with regard to repairs of your system. Please be advised that repairs involving the replacing of components must be under pennit from this office. The repairs of your system are a condition of your pennit to operate. Failure to repair and re-test will result in the revocation of your pennit to operate. Should you have any questions, please feel free to contact me at 661- 326-3190. Sinc~t· r / I _ ~' ~ Steve UndelWood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SBU/dc -....., --9~ ~ W~ ~OP.AOPe ~ .A W~" I_ ' Complete items 1, 2, and 3. Also complete , item 4 if Restricted Délivery is desired. I- Print your name and address on the reverse so that we can return the card to you. - Attach this card to the back of the mail piece, or on the frorit if space' permits. . ~- 1. Article Addressed to: 7-11 4647 WILSONRD BAKERSFIELD CA 93309 D. Is delivery address different from item ? if YES, enter delivery address below:' '3. Service Type o Certified Mail ,J 0 Registered o Insured Mail I o Express Mail o Retum Receipt for Merchandise-' OC.O,D. 4. Restricted Delivery? (Extra Fee) I PS Form 3811 ,August 2001 7002 3150. 0004 9985 2892 Domestic Return Receipt DYes I 2ACPRI-03-Z-0985 , ru cr co ru ~ ~>7 ". - ., ¡¡;¡;~:t \~ í ; ~ '" ~, U.S. Pôstal Ser'\Zi€~"Mr~::<' '," " 1 ' ~. >;JJi ,!!1 y"""~TIFIED MÄm.;~' RECEIPT (L~ ,estic Mail Only; No Insurance Coverage Provided) . .- . . . -, . . . I OFF I C I ÃD It'l USE I Postage $ Certllied Fee Postmark Return Reclept Fee Here (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Total PoSll 7-11 ntTo I ~-AP-! 4647 WILSON RD or"d'Bo!c}, BAKERSFIELD CA 93309 ëitÿ;-šiãiõ;¡ "'- å.,;'-- ,.-- , , U1 0:0 0- 0- .:t' J:J J:J J:J i J:J 1U1 I,..:¡ 1m , ru 'J:J J:J I"- FIRE CHIEF RON FRAZE e e ;!i'" .. ~ ~¡. ~".~ March 5, 2003 7-11 4647 Wilson Rd Bakersfield CA 93309 CERTIFIED MAIL RE: Recent SB 989 Secondary Containment Testing ADMINISTRATIVE SERVICES 2101 '"W Street Bakersfield,CA93301 THIRD REMINDER NOTICE VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES' EHVIRONIlENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Avè. I' Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX(661)321H>576 TRAINING DIVISION 5642 VIctor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 Dear Owner/Operator: Our records indicate that you completed your secondary containment testing on October 1, 2002. Our records further show a failed test. Therefore you are required to have your system repaired and re-tested as soon as possible. This office requests an update with regard to repairs of your system. Please be advised that repairs involving the replacing of components must be under permit from this office. The repairs of your system are a condition of your permit to operate; Failure to repair and re-test will result in the revocation of your permit to operate. Should you have any questions, please feel free to contact me at 661- 326-3190. SinceH:a~ _I,rel~,:," , ~C~ Steve Underwood Fire InspectorlEnvironmental Code Enforcement Officer Office of Environmental Services ' SBU/dc "7~~,W~ ~ ~~.r~.A W~" I · C, omp/ete items 1; 2, and 3. Also complete item 4 if Restricted Delivery is desired. ,- .Print your name and address on the reverse I so that we can return the card to you. 1111 Attach this card to the back of the mailpiece, or on the front if space permits. 11. Article Addressed to: 7-11 4647 WILSON RD BAKERSFIELD CA 93309 l D. Is deli~ery address different from item 1? if YES,· enter delivery address below: 0 No 3. Service Type I 0 Certified Mail ) 0 Registered o Insured Mail o Express Mail o Return Receipt for Merchandise o C,Q.D. 4. Restricted Delivery? (Extra Fee) 2. Ai 7002 2410 0002 1974 9138 (T: I ., PS.Form 3811, August 2001 Domestic Return Receipt DYes' I 2ACPRI-Q3-Z-098S I I co ITl ,....:¡ [J" - - , U.S. Postal ServiceTM ! CER'T-u=\IED MAILM RECEIPT (Dome¿._ jail Only; No Insurance Coverage Provided) ." . . .. . . Iii I 0 F F I CtA~ U S E I Postage $ Certified Fee Postmark Return Reclept Fee Here (Endorsement Required) Restricted Deliverv Fee (Endorsemen ! ::r- I"'- [J" ,....:¡ lru D o o I~ '::r- ru I Total Pj 7-11 ru o Sent To I 4647 WILSON III 10 I"'- Sirëëi.ÄÏÏt.j BAKERSFŒLD CA 93309 orPOBox~ ëi¡ÿ.-šiãië:z'r..... - , .--/ FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES. EHVIRONIlENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 ChesterAvè. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 -- . ..-:, - ~"'.- ,..... ~ . ~ February 13,2003 7-11 4647 Wilson Rd Bakersfiêld CA 93309 Certified Mail RE: Recent SB 989 Secondary Containment Testing SECOND REMINDER NOTICE Dear Owner/Operator: Our records indicate that you completed your secondary containment testing on October 1, 2002. Our records further show a failed test. Therefore you are required to have your system repaired and re-tested as soon as possible. This office requests an update with regard to repairs of your system. Please be advised that repairs involving the replacing of components must be under permit from this office. The repairs of your system are a condition of your permit to operate. Failure to repair and re-test will result in the revocation of your permit to operate. Should you have any questions, please feel free to contact me at 661- 326-3190. Si1~ Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SBU/dc ""Y~ ~ WoHl/nu~ .¥OP vØ60Pß ..rbt, .A W~" State of California State of Water Resources Control Board Division of Clean Water Programs P.O. Box 944212 _ Sacramento; CA 94244-2120 (Instructions on reverse side) --= CERTIFICATION OF FINANCIAL RESPONSIBILITY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM A. I am required to demonstrate Financial Responsibility in the Required amounts as specified in Section 2807; Chapter 18, Div. 3, Title 23, CCR: D 500,000 dollars per occurrence D I million dollars annual aggregate or AND or [;g] I million dollars per occurrence D 2 million dollars annual aggregate B. 7-Eleven, Inc. . hereby certifies that it is in compliance with the requirements of Section 2807, (Name of Tank Owner or Operator) Article 3, Chapter 18, Division 3, Title 23, Califomia Code of Regulations. The mechanisms used to demonstrate financial responsibility as required by Section 2807 are as follows: Insurance PLS 2674022 , ,0 per Occurrence & $2,000,000 Annual Aggregate Annual Yes Yes Note: If you are using the State Fund as any part of your demonstration of financial responsibility, your execution and submission of this certification also certifies that you are in compliance with all conditions for participation in the Fund. D. Facility Name 7 -Eleven #16329 Facility Address 1701 Pacheco Rd., Bakersfield, CA Facility Name 7 -Eleven #16549 Facility Address 4647 Wilson Rd., Bakersfield, CA Facility Address 525 W. Columbus St., Bakersfield, CA E. te Name and Title of Tank Owner or Operator Bob DeN in no, Environmental Manager Name of Witness or Notary Rachel Rodriguez ~. :-~r:.:: -4Þ: -- e CERTIFICATION OF FINANCIAL RESPONSIBiliTY 7 -Eleven, Inc. (formerly known as The Southland Corporation) hereby certifies that it is in compliance with the underground storage tank ("USr) financial responsibility requirements of Subpart H of 40 CFR Part 280 and applicable requirements under State law. The financial assurance mechanism used to demonstrate financial responsibility is third party insurance, more particularly described as follows: Storage Tank Third Party' Liability Corrective Action and Cleanup Policy No. PLS6191639, issued by American IntemationalSpecialty Lines Insurance Company effective from November 24, 2001. to November 24, 2004, pursuant to 40 CFR §280.97, providin~ coverage for underground storage tanks with respect to the taking of corrective action and/or compensating of third parties for bodily injury and property damage caused by accidental releases. The limits of liability are those "per occurrence- and "annual aggregate- limits specified by 40 CFR §280.93 and/or applicable State law. . This Certification supercedes all previous such Certifications issued with respect to financial responsibility for UST's owned or operated by 7 -Eleven, Inc. or its predecessor The Southland Corporation. To the extent required by applicable law, Certificates of Insurance have been filed with appropriate State authorities. 7 -ELEVEN, INC. BY:~ Name: Edward J. Herman i;:: AssiSll+ifL~l , I -- STATE OF TEXAS ô ô COUNTY OF DALLAS ô My Commission Expires: O!)/ò rIM 3 SUBSCRIBED AND SWORN TO BEFORE ME this I 102394v1 ...~~., . : (·;.·';~i;ff) i:;~~~~~l!b , ,:,.....:......~.~- , !' - -~'"'<":~.:. " FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES' ENY1RONIlEHTAI. SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 328-3979 FAX (661) 326-0576 PUBUC EDUCATION 1715 ChesterAv8. Bakersfield, CA 93301 VOICE (661) 328-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 . -- January 22, 2003 7-11 4647 Wilson Rd Bakersfield CA 93309 RE: Upgrade Certificate & Fill Tags Dear Owner/Operator: Effective January 1,2003 Assembly Bill 2481 went into effect. This Bill deletes the requirement for an upgrade certificate of compliance (the blue sticker in your window) and the blue fill tag on your fill. You may, if you wish, have them posted or remove them. Fuel vendors have been notified of this change and will not deny fuel deli very for missing tags or certificates. Should you have any questions, please feel free to call me at 661- 326-3190. Si1' riLo Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SBU/dc ~~y~ de W~ øeve ~0Pe.r~ .A W~" 1 I I , I ! I 1, Article Addressed to: I I 17-11 14647WILSONRD r I BAKERSFIELD CA 93309 I" I · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the card to you. ~:' · Attach this card to the back of the mailpiece, or on the front if space permits. I I I , 0 ~ dressee I . C~ . t ~IiYfry I ¡P .' 'PJI D, Is delivery address different from item 1? 0 Yes If YES, enter delivery address below: 0 No I I i i '" -- ../ 3, Service Type o Certified Mail 0 Express Mail o Registered 0 Return Receipt for Merchandise o Insured Mail 0 C,O.Q, 4, Restricted Delivery? (Extra Fee) DYes I 7002: 08600000 1641 561~ " PS Form 3811, August 2001 Domestic Return Receipt I 1 025~5-02-M-08351 0 Postage $ 10 10 Certified Fee 10 0 Return Receipt Fee I..D (Endorsement Required) Ic() Restricted Delivery Fee , J:: (Endorsement Required) Postmark Here ru ,0 10 . l"- I Total Post¡ I Bent To /7-11 š;;šë¿-Äp,:¡ 4647 Wn..SON RD 0' PO Box I u...:........! BAKERSFlliLD CA 93309 CIty, State, ~ ~, I I I ¡'....... i ........ I // . II :.. !. I. FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 oW Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES' ENVIROHIŒHTAL SERVICES 1715, Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 I, " r" e " ,4: ~ ",.. ß' " January 13,2003 7-11 4647 Wilson Rd Bakersfield CA 93309 Certified Mail RE: Recent SB 989 Secondary Containment Testing REMINDER NOTICE Dear Owner/Operator: Our records indicate that you completed your secondary containment testing on October 1, 2002. Our records further show a failed test. Therefore you are required to have your system repaired and re-tested as soon as possible. This office requests an update with regard to repairs of your system. Please be advised that repairs involving the replacing ofcomponents must be under pennit from this office. The repairs of your system are a condition of your pennit to operate. Should you have any questions, please feel free to contact me at 661- 326-3190. S2~ Steve Underwood Fire InspectorlEnvironmental Code Enforcement Officer Office of Environmental Services SBU/dc ""Y~de ~~~ ~ ~0Pe y~ A W~" c-' \.-.. (~ ~' e 8900 Shoal Creek Blvd, Building 200 Austin, Texas 78757 Phone: (512) 451-6334 Fax: (512) 459-1459 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR STEVE UNDERWOOD 1715 CHESTER AVE., 3RD FLOOR BAKERSFIELD, CA. 93301 Test Date: 10/01/2002 Order Number: 3125318 Date Printed and Mailed: 11/06/2002 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: 7 -ELEVEN #16549 MARKET #2133 4647 WILSON ROAD BAKERSFIELD, CA. 93309 Testing performed: Secondary Containment testing Sincerely, -:D~ K~ Dawn Kohlmeyer Manager, Field Reporting .. 'i' Work Order: 3J.253J.8 e e # Secondary Contai:nment Testing Report Form '1'hJ$.fi:»'m is intendJJdfor use by C(1~tM perfqrmmg (ItritNl1c tuIing ofUST -11tiary CMlf;tinml!/ft systems. U1le the ~ pages ofthisft:¡mt tol'epœ1 H!3IJlI8for all ~ mtøJ. fhecompJetedjørm. wr11ten teal ~ tmd printo'ut8: from ~ (if applit;Q1Jle). shmddbe provi1letl m the jår:itity mvncrIDperalor for I'Ubmiltal to thelo«rJ 1'f1gUim01'}',~ Page./- Of:{... Q SWR..CJ)!.ÍI;tmseÒ TmIk Tater ~ Date 'framm¡ E/q)ÎJU SWllCB ~ /ð - 4/ 1!'::J'<., ~2001 1'C\;htticilln's ~ --_.~_.,_..",.-"_...,......"..._..._.._--_. Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 [P@@)51 öI~~~~ß[1 'i Work Order: 3125318 e e ~ ..zof?' 4. TANKANNI.1LAR TESTING . Test Method Developed By: IJ 'I'Imk.~ ¡¡..u'fdmtty ~ C Profcsskmai SttPœr a Clher (SpeeiJjt) TcstMethod Uses: IJ~ :;u;um Q~ a Other (S¡Jet:i/y) M~ Equipnmtt1Jsed for Tatù:tg: If Tan'1# L Tank II TanIc ~ Ta:nt Material: TmM-'~ ~Stwed: Waitt:!me betWeen ~ ~~_&tIring test: Tcst Stm't Tune: lnitia1 Reading (Jtð: ~ Comments - (include ¥rmtltion on1'epairs mmJr¡ prjDTlo testing) ~iOOfteRJ8fNA1 SWRCB Deem_zoot Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3125318 e e 6. SUBMERSIBLE.PUM.P CONTAINMJ£NT SUMP TESTiNG Test Method Deve10ped By: 0 SUmp Mannt'm:tum S~ Q Pmfessional ~ 1:!0000r ~) 1'es:tMetlrodUses: Q~ QVaooum ~ 000. (SpecIh) ~~'UsedÛlr"~V~, ~ Pagelor§ Smnp (# ~and~ test Test Start Tune: tnitiIû Iteatling (R¡); Test End T'~ Final Reading (It,): TWIt I)umtion: Chang. in ~~): PølFaiJ'Thmshold: C()m~. - (mcl'Utk i~ion fJ1!!ff1tdr$ nwde prior to testinfP ,¡Jø~~, I If the testìJ1!lmetl1cx1 ~ not tm tÌæ ~ dqth of the sump" ~ b1Iw tn11ch ofm!: ItI.U1'I{J '\IlJ'IS w.sœtt ~ not ~ me ~ su.m.p ib.ould only be used iftfw ~ sysmn pnwfdes fail·sa!. ~ !ll:muìown. : W'dh the srmmem'btepum-p:mmi-ng, p~t1tø~ in ~ (di~ ~ shøu1d IÛSð be ~ in~). The time between placing 1M seøor in p-rodw and the t1.I1'bine~dovm is the tøpm1!11: time. 1hisshould be dQ.. iftbe ~ndmy ~œt testing methødœedl.'Wcs aottØt tho ~whm'ieofme~ SWKCB ~2Mt L__,_"~..,_._. _ Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 r Work Order: 3~253~8 e e ] I PIp~of :i 1. mmm-DJS.PENSD Cotn'AlNMENT (fJDC) TES'l'ING Test Method Deveto-p«i By. IJ UJ:'JC ~ 811i1ndard IJ Prof"_ ~ IJ 0ItItr ~ IJ 'Pressure IJ Other (SpecJfY) M_I.l1'Ú1g~UsW fwT~ -¿.r Uses; IJ Vaeuum r;urydr~ UÐC ,. Conunqm -(ind1tdø infortMl!ontm repdrs ma. prim to œ,img) ¡ Iftb{t ~ Ø1hod dmIII ..4Jt tut tho emire ~ ofþ tmC. çøçifÿ llOwœnch of the UDC was 'I:eSted. MctJwd& not ~ th!1 eut:ire tmC sttwtd omy '- used if the nlonitori:ng ~ ptÞVÎdes ftill-Sltfe tamine ~ 2 Wtfu the~õle ~ nmat.1ng. ,_me~ in ~ (å~f.¡¡~ $bunk! aIM'- pllICed. water). 1"1:mtime between p1acing the SA$Of m ~ an4 the tmbbI-e shtxl:l:i:ng t'fown is the rt::spØI1¡¡e: timtt. This tmøuki be done iftbe ìImnIÞy cantaù1øl.eat testing œetOOtt USÞd does not tf:$t the ~ volt.ImØ of tho t..JtK; SWRCB ~200¡ ________m ....__,...."... ......._ ..__~_..~._._ .._..,-~.. _._.._---_.~~_....~" . .._..n.".............._......__ Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 ~@@oo O~~~OOßl1 Work Order: 3J..253J..8 e e . . 9. SPJLUOVImFJt.L CONTA1l'QŒNT BOXES Test Method Developed By. OSpm ~~WuIl,1ly StauàmI IJ Other (S¡mrif¡) TestMdlod Uses: Q ~ !J Vwuu.m a Other Mœsm:i.ng eq.. Used fet Tmmg: Pug!,! :f' of L o ProfèGional Engineer ~c CoJtUDeø1ls - (indUlk ¥17tttIIion 011 repairs 11'IfPie priorm testing} SWRCB ~1\\dOOl I I ,_""",__,..,....,___"..J L_.. Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 rõ)(ô)@~ @~~~~~~{o\n SB-989 S ONDARY CONTAINMENT SUM ~ 4i ~ Dlnknology Y RESULTS TEST DATE: 10/01/2002 WORK ORDER NO.: 3125318 CLIENT: 7-ELEVEN, INC. 10220 S.W. GREENBURG ROAD SUITE 470 PORTLAND OR 97223 BOB DENINNO 503-977-7713 SITE: 7-ELEVEN #16549 MARKET #2133 4647 WILSON ROAD BAKERSFIELD CA 93309 Tank Interstital Tests REG UNLEAD PREMIUM Joor Joor PASS PASS Piping Interstital Tests ., Sump & Under-Dispenser Containment Tests 3/4 Total Containment Fail PREM Total Containment Fail 1/2 Total Containment Pass U/L Fail U/L Fail PREM Pass PREM Fail U/L Total Containment Pass Tanknology representative: KEN MINTON /¿ +1 ~ Services conducted by: DAVID LASKY (1" r.~u /1::AiY;'Y.tl/ c/Cì4---7(f- SITE NAME: 7-ELEVEN #16549 16549 ' IDATE:110/01/2002 IWORK ORDER 3125318 - SITE ADDRESS: MARKET #2133 4647 WILSON ROAD ~ BAKERSFIELD CA 93309 REASON FOR TEST: Compliance IGroundwater LevelC" from grade): . Tànknology SECONDARY CONTAINMENT TEST RESULTS '~ TANK INFORMATION AND INTERSTITIAL TESTS Product Dia, Material Manufacturer Depth Test Method Start Initial Finish Final Passl Tan Tank Size (00) (00) Time Level Time Result Fail 1 REG UNLEAD 10018 109 DW STEEL Joor 45 Vacuum 1323 -10 OOHg 1423 -10 OOHg PASS , , 2 PREMIUM 10018 109 DW STEEL Joor 43 Vacuum 1333 -10 OOHg 1433 -10 OOHg PASS c .' 3 0 0 , 4 5 6 7 8 Comments: .' e LINE INFORMATION AND INTERSTITIAL TESTS ! Tan~ Dia, Len. Manufacturer Volume Test Method Start Initial Finish Final Passl Product (00) (feet\ Material (callons) Time Level Time Result Fail 1 " 2 3 4 " 5 6 7 8 , Comments: e Test Date: 10/01/2002 SECONDARY CONTAINMENT TEST RESULTS Work Order: 3125318 SUMP TESTS Type Tank or Disp Manufacturer Model or Diam,/WidthlLength Depth Test Mettiod Start Initial Level Finish Final Passl # Material (") (") Time Level Chanoe Time Result Fail Dispenser Sump 3/4 Total Containment Fiberglass 44x23 33 ' VPLT 1107 16,25 " -,02259 1126 .392 gph Fail Dispenser Sump 1/2 Total Containment Fiberglass 44x23 ' 33 VPLT 1108 17,75 " -,00004 1123 ,004 gph Pass Spill Container U/L VAPOR Plastic 14 11 VPLT 1015 7,25 " -,75"visual 1035 6,5 gph Fail Spill Container U/L FILL Plastic 14 11 VPLT 1110 6 " -,00674 1128 ,022 gph Fail Spill Container PREM Plastic 14 11 VPLT 1202 6,5 " -,00030 1220 ,002 gph Pass . .' Spill Container PREM FILL Plastic 14 11 VPLT 1100 7 " -,50"visual 1145 6,5 gph Fail STP Sump UIL Total Containment Plastic 42 45 VPLT 1156 10,25 " -,00004 1214 ,009' gph Pass , STP Sümp PREM Total Containment Plastic 42 43 VPLT 1159 9,5 " -.08922 1217 1,960 gph Fail , , , , , Comments: Spill Containers are Emco Wheaton. there is no pull down for this Manufacturer, . . ~ .- - e #' t-~ Dlnknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE:10/01/02 CLIENT: 7 -ELEVEN, INC. WORK ORDER NUMBER3125318 SITE:7 -ELEVEN #16549 COMMENTS SB-989 test on all components. Both tank annulars passed. Dispenser pan 1/2 passed but dispenser pan 3/4 failed. 87 STP sump passed but 91 STP sump failed. Four spill buckets tested - 87 fill and vapor spill buckets failed, 91 fill spill bucket failed, and 91 vapor bucket passed. PARTS REPLACED HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) Printed 11/06/200208:28 CCHAPA ---r-- ~~----- '!~ ~ '. TEST DATE: 10/01/02 CLlENT:7-ELEVEN, INC. o I en - o ::0 m CfX) VENTS e SITE DIAGRAM -~ DJnknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 e WORK ORDER NUMBER3125318 SITE: 7-ELEVEN #16549 stine rd. MID O rf\ O~ 10K ~ ~ ~REGUL EJ 0J . ® 0 STP 10K F o PRE~ 10K OEJ is out of sevice out of system ~ ~ Printed 11/06/200208:28 CCHAPA :E. m o ::J ..., o Q) Co ('it' :.... ( . 7· . . ,,;,~ . . , . . 09/27/02 FRI 10:50 FAX 512.!IIt.. ...~ e Tanknology-Gulf Coast ~003 , . ':ßT- Ole ~7 ? ~-Á {J--Z1ß;> , CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 (" .~, APPLICATION TO PERFORM A TANK TIGHTNESS TEST I SECONDARY CONTAINMENT TESTING FACIUTY 1-11 '-'4: I h1J.1~ \-:0-. ADDRESS J.¡ "11 W...ç-3~ Ill).} €'~~ F-Ilt.t n . CA PERMIT TO OPERATE 1t OPERATORS NAME OWNERS:NAME Ç' A-/\I\l NUMBER OF TANKS TO BE TESTED "5 IS PIPING GOING TO BE TESTED 7f S TANK:# VOLUME CONTENTS \ i ð DJO 2 \ II}) ()JQ , 3 IO)ao s»¡) T~ LJIhJ~ 8'1 . [J,JLfI\í) ~n... ~ c.JHI£M)f,Q ') I "'1-1 ~.lit1>Eß TANK TESTING COMPANY ) A--~Nûl1.1 iY~ MAILING ADDRESS 2ïS:;7t, CoN.Mf;Il~£.. ~tl. G)a.'\Æ} Çv~ l"1I·.......,-¡-MŒ..W1A' NAME & PHONE NUMBER OF CONTACT PERSONJ? flffJ) (S A111l£-ì t1-i 1 tïo't- ).:\1-"UiQ TEST METHOD VPlT) M"'~hlçA-/J-Vt1fæ' P/l.()"IDL.{)L.<: NAME OF TESTER OR SPECIAL INSPECTOR . DPM. lfrs 1'-1 CERTIFICATION' "('-\1 J ~Q DATEr~rsTOBECONDUCŒD IJI'!ðZ vL~ q"J7"fJL ~--:: APPROVED BY DATE " ot- PJ'z/it!o \QQJ SIGNATURE OF APPUCANT 7-11 16549 4647 WILSON RD BAKERSFIELD,CA93309 A0369053005001 OCT 15, 2002 2:32 PM , -. _TErvl STATU~~ REPORT ------ T 1:0VERFILL ALARM INVENTORY REPORT T 1: RLlL VOLUt"lE ULLAGE 90}. ULLAGE= TC VOLUI"tE = HEIGHT STK HEIGHT= WATER VOL WATER TEMP T ""'SUL V-IE UmGE 90% ULLAGE= TC VOLUME = HEIGHT STK HEIGHT= WATER VOL WATER TEMP 8534 GALS 1232 GALS 255 GALS 8413 GALS 88.62 INCHES 88.62 INCHES o GALS 0.00 INCHES 80.3 DEG F 3567 GALS 6451 GALS 5449 GALS 3499 GALS 42.07 INCHES 42.07 INCHES o GALS 0.00 INCHES 87.4 DEG F ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ I ,¡ e e CITY OF BAKERSFIEIJD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Hoor, Bakersfield, CA 93301 FACILITY NAME ì- el(Vt~ ADDRESS <{to l{ ì U} \,(s V\. FACILITY CONTACT INSPECTION TIME INSPECTION DATE 10 ,( ç. Oc. PHONE NO. 833" 073.1. BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program o Routine ïSJ Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA TION C V COMMENTS Appropriate pennit on hand t,... / Business plan contact ¡nfonnation accurate c.. / Visible address l / Correct occupancy ./ ",/ V erification of inventory materials ,/ ~ Verification of quantities l. V Verification of location t V Proper segregation of material L V Verification of MSDS availability :;.... V Verification of Haz Mat training L Y Verification of abatement supplies and procedures I........ ./' Emergency procedures adequate I........ ,/ _. Containers properly labeled / ,/ Housekeeping / / Fire Protection -- ",- ,/ Site Diagram Adequate & On Hand / I C=Compliance V=Violation Pink - Business Copy Any hazardous waste on site?: Explain: DYes tiÑo Questions regarding this inspection? Please call us at (661) 326-3979 White - Env, Svcs. Yellow· Station Copy Inspector: e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ì- FIrm IA INSPECTION DATE /0" rS" 07 Section 2: Underground Storage Tanks Program o Routine àf.Combined 0 Joint Agency Type of Tank ~'X.ùF( S Type of Monitoring ("UM- Number of Tanks Type of Piping o Multi-Agency 0 Complaint :3 tJW ,::::- ORe-inspection OPERA TION C V COMMENTS Proper tank data on tile V ,/ Proper owner/operator data on file ,.., ,/ Penn it 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 ,~ Section 3: Aboveground Storage Tanks Program AGGREGATE CAPACITY Number of Tanks TANK SIZE(S) Type of Tank OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? White - Env, Sves, Pink - Business Copy C=Compliance N=NO Inspector: Oftìce of Environmental Services (805) 3 t\u x\; s¿c, ~ ELEVEn R® ¡-I ¡go\- <..- . (- September 20, 2002 City of Bakersfield Office of Environmental Services 1715 Chester Avenue Bakersfield, CA 93301 l" 1,,\0 ~01 RE: 7-Eleven #17721,3601 Stockdale Highway, Bakersfield 7-Eleven #16549,4647 Wilson Rd., Bakersfield v êO~'\ The referenced sites have a single wall component in the Underground Storage Tank System and are reportedly within 1000' of a public well per notification from the State Water Resources Control Board. As per the State requirement, Enhanced Leak Detection (ELD) will be part of the method of leak detection for the sites. 7-Eleven is contracting with Shirley Environmental to perform Tracer Tight Tests at these sites to be completed in early 2003 and every 3 years thereafter. Enclosed please find revised Monitoring Plans showing the inclusion of the Tracer Tight Tes. lease feel free to call me at (208) 429-8466 should you have any questions. Bob DeNinno 7-Eleven, Inc. cc Mike Frisk (Tanknology) Judy Soper Scott Brown Peg Betz Enviromental Services Department / 10220 S, W. Greenburg Road / Suire 470 / Portland, Oregon 97223 Phone (503) 977-7713 / Fax (503) 245-3438 /~0 . \jþ,~ e - WRITTEN MONITORING PROCEDURES UNDERGROUND STORAGE TANK MONITORING PROGRAM TJús monitoring program must be kept at the UST location at all times. The information on this monitoring program are conditions of the operating permit. The permit holder must notify local agency within 30 days of any changes to the monitoring procedures, unless required to obtain approval before making the change. Required by Sections 2632(d) and 2641(h) CCR. Facility Name: 7-Eleven Store #16549 Facility Address: 4647 Wilson Rd., Bakersfield, CA Date: September 17. 2002 A. Describe the frequency of performing the monitoring: The site consists of two double walled plasteel tanks ( 1-Regular Unleaded 1 Ok gallon, 1- Tank Premium 10k gallon) and are monitored continuously with a VeederRoot TLS350 Product lines are single wall fiberglass and are monitored continuously with a VeederRoot TLS350. The turbine sump sensor activates audio/visual alarms and provides positive Piping shutdown of the turbines. B. What methods and equipment, identified by name and model, will be used for performing the monitoring: Tank The method of leak detection for the tanks is Interstitial Monitoring of the double wall tanks using the Veeder-Root TLS350 Tank Gauge programmed for a threshold of .2gph. VeederRoot model #847390-420 probes are used for the monitoring. High level alarms activate audio/visual and external alarms. The piping is monitored continuously by Electronic Line Leak Detectors. The turbine sump sensors provide positive shutoff and activate audio/visual alarms.. The piping is precision tested annually at a threshold of .1gph. Dispensers are equipped with under- dispenser containment with VeederRoot liquid sensors model #794380-208 that provide positive shutdown of the turbines. This site has a single wall component of the tank system and utilizes Enhanced Leak Detection (ELD) to include a Tracer Tight Test completed in 2003 and every 3 years thereafter. . / Piping Enhanced Leak Detection C. List the name(s) and title(s) of the people responsible for performing the monitoring and/or maintaining the equipment: The individual responsible for the monitoring equipment is the store operator, Shun Wang. The operator will contact 7-Eleven Dispatch I (800/828-0711) for any alarm conditions on the VeederRoot. The local maintenance contractor will be dispatched. 7 -Eleven, Inc. is responsible for maintaining the equipment. The Environmental Manager is Bob DeNinno D. Reporting format for monitoring: Current status reports are available from the Veeder-Root TLS 350 as a print out and from the display screen. Monitoring records will be kept at the location and at a central office Tank location. Current status reports are available from the Veeder-Root TLS 350 as a print out and from the display screen. Piping Third party annual test results will be submitted to the agency. ,~ ,-1: Describe the preventive rrAenance schedule for the monitoring .pment. Note: Maintenance must be in accordance with the manufacturer's maintenance schedule but not less than every 12 months. The tanks and product piping system are checked every 120 days. Any equipment repairs and replacement are as needed. In accordance with the manufacturer's instruction, the monitoring equipment is tested annually to certify that it is functioning properly. D. E. Describe the training necessary for the operation of UST system, including piping, and the monitoring equipment: 7 -Eleven trains the store operator in the operation of the equipment. The monitoring plan is reviewed with the operator. Training is provided for new employees. Training refreshers are offered as needed. The operations manual for the equipment was provided to the store operator when the equipment was installed. FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFm SERVICES· ENVUIOHIlEHTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX(661)32~576 PUBLIC EDUCATION 1715 Chester Avè. Bakersfield. CA 93301 VOICE (661) 326-3696 FAX(661)32~576 FfRE INVESTIGATION 1715 Chester Ave. Bakersfield. CA 93301 J VOICE (661) 326-3951 FAX(661)326~76 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 . e July 30, 2002 7-11 4647 Wilson Road Bakersfield CA 93309 REMINDER NOTICE RE: Necessary Secondary Containment Testing Requirements by December 31,2002 of Underground Storage Tank (s) Located at the Above Stated Address. Dear Tank Owner / Operator: If you are receiving this letter, you have not vet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). Senate Bill 989 became effective January 1,2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to insure that the systems are capable of containing releases from the primary containment until they are detected and removed. Of great concern is the current failure rate of these systems that have been tested to date. Currently the average failure rate is 84%. These have been due to the penetration boots leaking in the turbine sump area. For the last four months, this office has continued to send you monthly reminders of this necessary testing. This is a very specialized test and very few contractors are licensed to perform this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. The purpose of this letter is to advise you that under code, failure to perform this test, by the necessary deadline, December 31,2002, will result in the revocation of your permit to operate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Si2~ Steve Underwood Fire Inspector Environmental Code Enforcement Officer --7~ de W~ .¥OP vØ'6~ .r~ .Æ W~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "HO Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVfSION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 ¡;. e June 30, 2002 7-11 4647 Wilson Road Bakersfield, CA 93309 REMINDER NOTICE RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 4647 WTIson Road. Dear Tank Owner / Operator: The purpose of this letter is to infonn you about the new provisions in California Law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1,2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to eQsure that the systems are capable of containing releases from the primary containment until they are detected and removed. Secondary containment systems installed on or after January 1,2001 will be tested upon installation, six months after installation, and every 36 months thereafter. Secondary containment systems installed prior to January 1,2001 will be tested by January 1,2003 and every 36 months thereafter. REMEMBER! Any component that is "double-wall" in your tank system must be tested. Secondary containment testing shall require a permit issued thru this office and shall be perfonned by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize and have the proper certifications to perfonn this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at (661)326-3190. SinÃere, ' / Ú~/ /Î - '~ Steve Underwood Fire Inspector/ Environmental Code'Enforcement Officer Environmental Services SUIkr ~~Y'~ /Æe W~ ~.A0Pe .r~ .Æ W~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661)395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661)395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 - e 7-11 4647 Wilson Road Bakersfield, CA,93309 RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 4647 Wilson Road REMINDER NOTICE Dear Tank Owner/ Operator: The purpose of this letter is to inform you about the new provisions in California Law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1,2002. section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are detected and removed. Secondary containment systems installed on or after January 1, 2001 shall be tested upon installation, six months after installation, and every 36 months thereafter. Secondary containment systems installed prior to January 1,2001 shall be tested by January 1,2003 and every 36 months thereafter. REMEMBER!! Any component that is "double-wall" in your tank system must be tested. Secondary containment testing shall require a permit issued thru this office, and shall be performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at (661) 326-3190. . S2~ Steve Underwood Fire Inspector! Environmental Code Enforcement Officer SBU/kr enclosures ~~y~ de W~ ~.A0Pe y~ A W~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave, Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave, Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave, Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 - .y ~ April 17. 2002 7-11 4647 Wilson Rd Bakersfield CA 93309 RE: Necessary Secondary Containment Testing Required by December 31, 2002 REMINDER NOTICE Dear Tank Owner/Operator: The purpose of this letter is to inform you about the new provisions in California law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1,2002. Section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are detected and removed. Secondary containment systems installed on or after January 1,2001 shall be tested upon installation, six months after installation, and every 36 months thereafter. Secondary containment systems installed prior to January 1,2001 shall be tested by January 1,2003 and every 36 months thereafter. Secondary containment testing shall require a permit issued thru this office, and shall be performed by either a licensed tank tester or licensed tank installer. Please be advised that there are only a few contractors who specialize and have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, all testing must be done under a permit issued by this office. Should you have any questions, please feel free to contact me at 661-326-3190. Si:t ~ Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer SBUldm enclosures --y~ de W~' ~.A~ y~ .Æ W~" '\. ¡,.' I .~~:'_~.-.~_r 1\, ' I'/~U ,\~v "\ ~1,\t'\ I e BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR STEVE UNDERWOOD 1715 CHESTER AVE., 3RD FLOOR BAKERSFIELD, CA. 93301 Test Date: 02/21/2002 Order Number: 3121031 8900 Shoal Creek Blvd, Building 200 Austin, Texas 78757 Phone: (512) 451-6334 Fa~ (512)459-1459 Date Printed and Mailed: 03/06/2002 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: 7-ELEVEN #16549 MARKET #2133 4647 WILSON ROAD BAKERSFIELD, CA. 93309 Testing performed: Leak detector tests Line tests Monitor Certification L1L;:J I ~".ò1. ....,!U II " I. ;:J . -- ~ Sincerely, :D~K~ Dawn Kohlmeyer Manager, Field Reporting ~j:r'i- ~~i'~ CERTIFICATE OF UNDERGROUND STORAGE TANK SYSTEM TESTING ~:¡IL .D ~ 7ánknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST RESULT SITE SUMMARY REPORT TEST TYPE: TLD-1 PURPOSE: CÒMPLIANCE TEST DATE: 02/21/02 CUSTOMERPO:wc03042357 WORK ORDER NUMBER: 3121031 CLIENT: 7-ELEVEN, INC. 10220 S.W. GREENBURG ROAD SUITE 470 PORTLAND, OR 97223 BOB DENINNO (503) 977-7713 SITE: 7-ELEVEN #16549 MARKET #2133 4647 WILSON ROAD BAKERSFIELD, CA 93309 Manager (661)833-0732 The following test(s) were conducted at the site above in accordance with all applicable portions of Federal, NFPA and local regulations Line and Leak Detector Tests 10K 10K 1 REG UNLEAD 2 PREMIUM 0.000 0.000 P P y y P P y y Tanknology appreciates the opportunity to serve you, and looks forward to working with you in the future, Please call any time, day or night, when you need us, Tanknology representative: KEN MINTON Test conducted by: RICHMOND PHILLIPS /¿ 11 t1yQ Reviewed: Technician Certification Number: 91-1071 Printed 03/06/2002 08:35 SBOWERS " _ ,1_____- ~r-i' INDIVIDU TEST DATE:02/21/02 CLIENT: 7-ELEVEN, INC. TANK INFORMATION AND ST RESULTS ""'" I!Jf": ~ . DInknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 WORK ORDER NUMBER3121031 SITE:7-ELEVEN #16549 Tank ID: 10K 1 Product: REG UNLEAD Capacity in gallons: 10,018 Diameter in inches: 109.00 Length in inches: 251 Material: DW STEEL COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES Installed: ATG CP installed on: / / wM!lm§mIËIYMm!~ lii§ðl_§ºigB1m§~mRfi$gg]3 Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water T est time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS Bubble Ullage Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: 4.0 DUAL ASSIST 109.0 New/pas'sed Failed/replaced New/passed Failed/replaced, L.D. #1 L.D. #1 L.D. #2 L.D. #2 Make: Model: SIN: Open time in sec: Holding psi: Resiliency in ml: Test leak rate ml/m: Metering psi: Calib, leak in gph: Results: VEEDERROOT P.L.D. 108123 NOT TESTED PASS NOT TESTED COMMENTS Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS DW FIBERG 2.0 50.0 50 o 30 11:30 12:00 0,000 PASS PRESSURE RED JACKET NOT TESTED NOT TESTED NOT TESTED Impact Valves Operational: YES Printed 03/06/2002 08:35 "~- ,-~ .'} INDIVIDU TEST DATE:02/21/02 CLlENT:7-ELEVEN, INC. TANK INFORMATION AND ,~: 'I":: ~ . »mknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 ST RESULTS WORK ORDER NUMBER3121031 SITE:7-ELEVEN #16549 Tank ID: 10K 2 Product: PREMIUM Capacity in gallons: 10,018 Diameter in inches: 109.00 Length in inches: 251 , Material: DW STEEL COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES , Installed: ATG CP installed on: / / Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: 109.0 4.0 DUAL ASSIST emlurn:;ºmgß1Œ§§¡I1R§§!lI,¡!§ New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 Bubble Make: Model: SIN: Open time in see: Holding psi: Resiliency in ml: Test leak rate mllm: Metering psi: Calib, leak in gph: Results: VEEDERROOT P.L.D. Ullage NOT TESTED COMMENTS 115356 NOT TESTED PASS Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS FIBERGLASS 2.0 50.0 50 o 30 11:30 12:00 0.000 PASS PRESSURE RED JACKET NOT TESTED Impact Valves Operational: YES NOT TESTED NOT TESTED Printed 03/06/2002 08:35 <'-;;i';"~ "ftót..........~.... - MONITORING SYSTEM CERTIFICATION __ if, .""'" --~.T .r Use By All Jurisdictions Within the State of CalifqA Authority Cited: Chapter 6, ~alth and Safety Code; Chapter 16, Division 3 Title JfI1alifomia Code of Regulations This form must be used to document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at the facility, a separate certification or report must be prepared for each monitoring system control panel by the technician who performs the work, A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy oflhls form to the local agency regulating UST systems within 30 days of test date, A. General Information Facility Name: 7-ELEVEN #16549 Site Address: MARKET #2133 4647 WILSON ROAD Facility Contact Person: Manager Make/Model of Monitoring System: TLS-350 B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment inspected/serviced City: BAKERSFIELD Contact Phone NO:833-0732 CA Zip: 93309 Date of Testing/Service: 02121/2002 Work Order Number: 3121031 Tank ID: 1 Tank ID: 2 rx In-Tank Gauging Probe, Model: MAGT-1 IX] In-Tank Gauging Probe, Model: MAG-1 rx Annular Space or Vaun Sensor. Model: 420 'Xl Annular Space or Vaun Sensor. Model: 420 =x Piping SumplTrench Sensor(s). Model: 208 'X Piping SumplTrench Sensor(s), Model: 208 = Fill Sump Sensor(s), Model: 0- := Fill Sump Sensor(s), Model: ;:::: Mechanical Line leak Detector. Model:, Mechanical Line Leak Detector, Model: ix Electronic Line leak Detector, Model: PLLD rx Electronic Line Leak Detector, Model: PLLD rx Tank Overfill/High-level Sensor. Model: MAG-1 ~ X Tank Overfill/High-level Sensor. Model: MAG-1 ;:::: Other (specify equipment type and model in Section E on page 2), Other (specify equipment type and model in Section E on page 2), "- lanK IU: I anKìU: o In-Tank Gauging Probe, Model: ~ In-Tank Gauging Probe, Model: - Annular Space or Vaun Sensor, Model: Annular Space or Vaun Sensor. Model: = Piping SumplTrench Sensor(s), Model: Piping SumplTrench Sensor(s), Model: = Fill Sump Sensor(s). Model: - = Fill Sump Sensor(s), Model: Mechanical Line leak Detector, Model: - Mechanical Line leak Detector, Model: = Electronic Line leak Detector. Model: = = Electronic Line leak Detector. Model: Tank Overfill/High-level Sensor. Model: Tank Overfill/High-level Sensor. Model: = Other (specify equipment type and model in Section E on page 2), =:J Other (specify equipment type and model in Section E on page 2), - IU, l/L I ulspenserlU ~ Dispenser Containment Sensor(s) Model: 208 h Dispenser Containment Sensor(s) Model: ~ Shear Valve(s). b ShearValve(s) D Dispenser Containment Float(s) and Chain(s), h Dispenser Containment Float(s) and Chain(s), IUlspenser IU: ulspenserlD: ~ Dispenser Containment Sensor(s) Model: 208 n Dispenser Containment Sensor(s), Model: ~ ShearValve(s), D ShearValve(s), n Dispenser Containment Float(s) and Chain(s), D Dispenser Containment Float(s) and Chain(s). Dispenser ID: Dispenser ID: D Dispenser Containment Sensor(s) Model: D' Dispenser Containment Sensor(s), Model: D Shear Valve(s), D Shear Valve(s), D Dispenser Containment Float(s) and Chain(s), D Dispenser Containment Float(s) and Chain(s), . If the facility contains more tanks or dispensers, copy this form, Include information for every tank and dispenser at the facility, C. Certification I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines, Attached to this certification is information (e,g manufacturers' checklists) necessary to verify that this information is correct. and a Site Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the (Check all that apply): System set-up report; ~ Alarm history report ~ SIGNA TURE: PHONE NO: page 1 of 3 PRINTED NAME:RICHMOND PHILLIPS COMPANY: Tanknology (800) 800-4633 Based on CA form dated 03/01 -----.~--+-- - . " 4Ionitoring System Certification e Site Address: MARKET #2133 4647 WILSON ROAD Date of Testing/Service: 02/21/2002 D. Results of Testing/Servicing Software Version Installed: n/a Complete the following checklist: ¡::] Yes DNa' Is the audible alarm operational? ~ Yes DNa' Is the visual alarm operational? ~ Yes DNa' Were all sensors visually inspected, functionally tested, and confirmed operational? ¡::] Yes DNa' Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? DYes DNa' 'tl NtA If alarms are relayed to a remote monitoring station, is all communications equipment (e,g, modem) operational? [] Yes DNa' ONtA For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (check all that apply) ~ SumplTrench Sensors; ~ Dispenser Containment Sensors, Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ~ Yes DNa DYes DNa' ONtA For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e,: no mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill points(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? % DYes' ·[]Na Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below, DYes' []Na Was liquid found inside any secondary containment systems designed as dry systems? (check all that apply) o Product; o Water. If yes, describe causes in Section E, below, [] Yes DNa' Was monitoring system set-up reviewed to ensure proper settings? Attach set-up reports, if applicable, [] Yes DNa' Is all monitoring equipment operational per manufacturers' specifications? . In Section E below, describe how and when these deficiences were or will be corrected. E.Comments: page 2 af3 '"ø d tþonitoring System Certification e Site Address: MARKET #2133 4647 WILSON ROAD Date of Testing/Service: 02/21/2002 F. In-Tank Gauging I SIR Equipment o Check this box if tank gauging is used only for inventory control. o Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: DYes DNo' Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ¡:::¡ Yes DNo' Were all tank gauging probes visually inspected for damage and residue buildup? ¡:::¡ Yes DNo' Was accuracy, of system product level readings tested? ¡:::¡ Yes DNo' Was accuracy of system water level readings tested? ¡:::¡ Yes DNo' Were all probes reinstalled properly? DYes DNo' Were all items on the equipment manufacturers' maintenance checklist completed? . In the Section H, below, describe how and when these deficiencies were or will be corrected, G. Line Leak Detectors (LLD) : D Check this box if LLDs are not installed. Complete the following checklist: ~Yes DNo' DN/A For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) Simulated leak rate: 0 3 g,p,h 0 0.1 g,p,h 00,2 g,p,h [2] Yes DNo' Were all LLDs confirmed operational and accurate within regulatory requirements? DYes DNo' Was the testing apparatus properly calibrated? DYes DNo' DN/A For mechanical LLDs, does the LLD restrict product flow if it detects a leak? [2] Yes DNo' DN/A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? [2] Yes DNo' DN/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? [2] Yes DNo' DN/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? [:] Yes DNo' DN/A For electronic LLDs, have all accessible wiring connections been visually inspected? DYes DNo' Were all items on the equipment manufacturers' maintenance checklist completed? . In the Section H, below, describe how and when these deficiencies were or will be corrected, H. Comments: page 3 of 3 'Î',¡,. . -~ .. TEST DATE: 02/21/02 CLlENT:7-ELEVEN, INC. o en -I o AI m CJ:X) VENTS - SITE DIAGRAM . ,-~ !l!iI"':; 4! ~ DJnknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 WORK ORDER NUMBER3121031 SITE: 7-ELEVEN #16549 stine rd. MID (j0 ® OrsTPl v 10K D h'\REGUL ~ ~10K ® Oô 0PREM® O[STP[ 10K is out of sevice out of system ~ ~ Printed 03/06/2002 08:35 SBOWERS =E (J) o ::J .., o Q) a. ,', , ! Work Order: 3121031 Tanknology-NDE 8900 Shoal Creek, Building ~OO Austin, Texas 78757 .. '!" " . Work Order: 3121031 Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 ,'¡" ,~ Work Order: ..:.'::~ 3121031 SSCUR.! 1'1 080000 AUTO !)¡ At !'LA~"?i'1bETjp - - .» .- ~.EH~ TEST I ¡ !i-TAM:' ~JETU¡:' .,. - -. ~~. 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FEB21, 2D02 ¡ '2: DE in PROBE .oUT FEE! 21 ,< 2(')[:);?' FEE '¿ 1.~ 2Ü(Y,~ JI.JN2$, ?Cif¡¡ ¡.2:. Ü~~ .pt~1 1 ~';,.5;) ;~!~1 . 8 .~ .~~.? r":;"'; i~i;H ~,'f:T5i;(j;~Af'¡~ \ ~g .+' DELi -,/ËR'{ NEfPET' ÄPR ~,~ 2~JD.l ·::~·::-t t f~;~':~ ·i· *. 1\' ~' .J'. EN1> :~'. 'tt. :~ ~ .~ ALARI"! '" kUO~:T ~ N··'·T(.;NK :l~iJä:~~"~' -.. :- .;"~ ~ {i ',,~ ~ -"'-"'-'_. .,".' "---____..-:_,i_:;_:;__:: :: ':... " '....' Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 ~«)OR ORIGINAl '~~h I' - ,.'¡. '~-' " Work Order: 3121031 e e ~;.t,:~:'·;;·f:;H :d.1 f.vr/.~:·f<::)· ;3r·~~S(.~H ~j::~;;~, ',':' (;J.J~p('; -Ht.;:rf(::pv """"""'-':'-':'_:'_::_:::_::::_:::_;:_::'-':~-~:-'~:'-{_:,.,' 't -:,: L if; ~';';EN:S;G;;' - {)¡~.f~hh Ah f)ThrJ~ ~3EN~~¡ÜRE' ",ETO? DR.T;:; ki1RN r Nt'; ~1I1R -~~\~~ 2ÙO~ '! 0-: ~;~5: Pt;"'-:1 ~Ä~t ~~:P:'it;jü 1 \(';;:2) f~h ¡~E.~U~9r.;{~i:Jü~'~;\7¿ ~ ~~j ,4t' . FUEL f~ti~F«'1 td;:A.E ?) 2D·(I L 1 Ci '~'j ü - j;':il';'~ ~¡l~ U~::'::i :;f~ ~:;j ¡J~¡~~7';2 ~. ~::~. f'~,::-.-. .. ~ ~. ïf =- :r:Ht: ~ ~_. ¡:K; :.; .:;.:; ~ ;í. :~: ~ ?I;' EN~> ;c; ._.. .".. ;.;,-:* f4Lrl.RM h18'1'\.if:~V Ri:.P(}}(I' ~j~tf7~:3~ ¡:~L~·\t:~>J H } f~/r ÖR'/ :PE:[;ÒF:T 2,SnBdi i'<LARI-1 L a·~ ('THER D£:14:.".;(,+;;:: . ~;{i;::j}~9'~~A~~(/í}At~f; ~ ~:;t~ ~~Ä~L ~;¡~P.~~i rn p! ;þ~ iW' ;"{.-;- .~:~:-' . rHtt-t).f' r;~ 7:~~. ~JÄ}::;~ !~J 1 f'1AT~~: 2~~,~ ·~hJO r ~::, . ~t·~ t~:~J:E~t",~:~~¿f.·t(·~~. .~ :j...··}.\:--··~'f·t·,M E:ETUF f~iAE' Ç\t" :¡···¡:~~k N· r .!>,V; i!:1)4i"i .."'; :~ °i .)t;. ~.:'~:'~ :~.~ EhG ~. ~ ~ ~ ~ 'fbOR OR'G~NAl Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 -- SYSTEl"l SET UP ------ MAR 7. 2001 10:24 AM SYSTEM UNITS U.S. SYSTEM LANGUAGE ENGLI SH SYSTEM DATE/TI t1E FORt"lAT MON DD YYYY HH :1"11"1 :SS xM 7-11 16549 4~WILSON RD Bt SFIELD.CA9:3:309 5 833 0732 SHIFT TIME SHIFT TII"JE 2 SHIFT TII"IE 3 SHIFT TIME 4 7 : 00 AI"1 DISABLED DISABLED DISABLED TANK PÉR TST NEEDEÏfwRN"1 DISABLED TANK ANN TST NEEDED WRN DISABLED LINE RE-ENABLE METHOD PI LINE TEST LI PER TST NEEDED WRN DISABLED LINE ANN TST NEEDED WRN DISABLED PRINT TC VOLUMES ENABLED TEMP COMPENSATION VALUE (DEG F ): 60.0 STICK HEIGHT OFFSET DISABLED H-PROTOCOL DATA FORt"IAT HE IGHT PRECISION TEST DURATION HOURS: 12 DAYLI GHT SAV I NG T It1E DISABLED RE-DIRECT LOCAL PR-INTOUT D~LED I EURO PROTOCOL PREFIX 9 I / SYSTEM SECURITY ¡ CODE : 000000 ,./ II __.. .... .~----- ---.. --- ---~ ~ COMMUNICATIONS SETUP -e- - - - - PORT SETTINGS: RECEIVER SETUP: NONE AUTO DIAL TIME SETUP: Ne RS-232 SECURITY C.: 000000 RS-232 END OF I"1ESSAGE DISABLED AUTO DIAL ALARM SETUP - - - - - - - - - - - - . ~I:~ :E:U~c:._ -:. c.-_ PRODUCT CODE : 1 THERMAL COEFF :.000650 TANK DIAMETER 109.00 TANK PROFILE 1 PT FULL VOL 10018 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING HIGH WATER LIMIT: MAX OR LABEL VOL: OVERFILL LIMIT : HIGH PRODUCT DELI VERY LI M IT L'~>RODUCT : L~ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT : MANIFOLDED TANKS -,/F;t,:- NONE LEAK MIN PERIODIC: Le MI N ANNUAL ; 1.5 2.0 10018 90% 9016 95% 9517 10% 1001 500 99 99 0.00 50% 5009 50% 5009 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALAR,.,' DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF T~TST SIPHON BREAK:OFF D~VERY DELAY 1 MIN 11 T 2 :SUL PRODUCT CODE THERMAL COEFF ,TANK DIAMETER '\TANK PROFILE - '\ FULL VOL :1~ 2 : .000650 : 109.00 1 PT 10018 F4IÞT SIZE: 4.0 IN. 8496 WATER WARNING : 1.5 HIGH WATER LIMIT: 2.0 MAX OR LABEL VOL: 10018 OVERFILL LIMIT 90% 9016 HIGH PRODUCT 95% 9517 DELIVERY LIMIT 10% 1001 LOW PRODUCT 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK ,TILT : 0.00 MANIFOLDED TANKS nt: NONE L.MIN PERIODI9: 50% 5009 LEAK MIN ANNUAL 50% 5009 PER I OD I,Ç TEST TYPE- STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL a ALARI1 DISABLED G_ TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY" 1 MIN - LEAK TEST METHOD ------ - - - - TEST ON DATE : ALL TANK JAN 1, 1996 START T l11E : DISABLED , , TEST RfHE : 0.20 GAL/HR !~DjRAT-I-O'N~-:~¿~110jRS ------:....1 LEAK TEST REPORT FORMAT NORI"IAL . PRESSURE LINE LEAK SETUP - - - - -----'- Q 1 :RUL TVP:2.0 IN FIBERGLASS LINE LENGTH: 75 FEET SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHUTOFF:NO LOW PRESSURE: 0 PSI T,'UL D 'NSE r"lODE: ::3 ANDARD SENSOR: NON-\/ENTED PRESSURE OFFSET: O.OPSI Ó.UL TVP:2.D IN FIBERGLASS LINE LENGTH: 75 FEET SHUTDOWN RATE: 3.0 GPH LOW PRESSURE SHUTOFF:NO LOW PRESSURE: 0 PSI T 2:SUL DISPENSE r"lODE: STANDARD SENSOR: NON-VENTED PRESSURE OFFSET: D.OPSI e'''' A ,~~f=t""':;.,~ ¿~'~-f.j.:~(-- ,4 _ ~. LI NE~LEAK LOCKOUT SETUP -'~ - - - - - - - LO:ëkòÙT SCHEDULE ~, [fAILV START TIME: DISABLED ¡ ,~¡S;:.oB,;!·'fJ~E"",:---DJS8BLED~, ~1 ,e LIQUID SENSOR SETUP - - - - - - . - - - - L 1: RUL ANNULAR TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L 2:RUL TURBINE SUMP TRI-STATE (SINGLE FLOAT) CATEGORY : STP SUMP L 3:SUL ANNULAR TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE LaUL TURBINE SUMP TRI-STATE (SINGLE FLOAT) CATEGORY : STP SUMP L 5 :DISPENSER PAN 1-2_ __ _ TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L~ISPENSER PAN 3-4 T~TATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN OUTPUT RELAY SETUP - - - - - - - - - R 1:0VERFILL ALARM TYPE: iiiflNDARD N~LLV OPEN ~. -,--=..=r:-. I rA1NK ALARMS _: OVERF I LL ALARM PLLD LINE DISABLE SETUP - - - - - - - - - - - - Q 1 :RUL LIQUID SENSOR ALMS L 1: FUEL ALARM L 2:FUEL ALARM .:FUEL ALAR!"! :FUEL ALARM Q 2 :SUL LIQUID SENSOR ALMS L 3:FUEL ALARM L 4:FUEL ALARM ,-= 1:. -5': FtJEL ALARM - L 5:FUEL ALARM e RECONCILIATION SETUP - - - - - - - - - - EDIM 1: AUTOMATIC DAILY CLOSING TIME: 2:00 AM ' PERIODIC RECONCILIATION MODE: MONTHLY TEMP COMPENSATION STANDARD BUS SLOT FUEL METER TANK ~-MÃP-EMPTŸ - - - - - 7-11 16549 4647 WILSON RD BAKERSFIELD,CA93309 559 833 0732 MAR 7, 2ÓOl 10:25 AM 4IÞSTEM STATUS REPORT - - - - - - - - - - - - ALL FUNCTIONS NORMAL INVENTORY REPORT T 1 :RUL VOLUME ULLAGE 90% ULLAGE= TC VOLUME HEIGHT WATER VOL WATER TEMP T 2 :SUL VOLUME U~E = :I LLAGE= TC OLU~1E = HEIGHT WATER VOL WATER TEMP 7769 GALS 2249 GALS 1247 GALS 7676 GALS 78.93 INCHES o GALS 0.00 INCHES 78.3 DEG F 2041 GALS 7977 GALS 6:175 GALS 2020 GALS 28.06 INCHES o GALS 0.00 INCHES 75.8 DEG F ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ · .- CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd I<'loor, Bakersfield, CA 93301 I I INSPECTION DATE . 1. <¿ fo I PHONE NO. ß3,1"" ö ì . J.. BUSINESS IO;NO. 15-210- , NUMBER OF EMPLOYEES~ FACILITY NAME "7 - (t ADDRESS 4(,(/) UJlt~l1V\ (LJ. FACILITY CONTACT INSPECTION TIME Section 1: Business Plan and Inventory Program o Routine ¡j Combined D Joint Agency o Multi-Agency D Complaint D Re-inspection OPERA TION C V COMMENTS Appropriate permit on hand l. / ,/ Business plan conlact information accurate ....,/ Visible address ,/ V Correct occupancy / '--'" Veri fication of inventory materials /' / Verification of quantities v Verification of location \..... / Proper segregation of material \. ,/ ¡ , Verification of MSDS availability "- / Verification of ~az Mat training "- / : / , V erification of abatement supplies and procedures '-" Emergency procedures adequate \... / Containers properly labeled \..... / Housekeeping \/ e(ce..tnn ( cnl n r VIA ü..J.- {¡I"- \llt {}rMt ,. "" , Fire Protection i'-' Site Diagram Adequate & On Hand t.... /' ,0' C=Compliance V = Violation Any hazardous waste on site?: Explain: DYes ~o White - Env, Svcs, Yellow - Station Copy Pink - Business Copy Business Sit e 'ponsible Party Inspector:.J!:.., ~rlfJ Questions regarding this inspection? Please call us at (661) 326-3979 - CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ì - { ( INSPECTION DA TEM 0' Section 2: Underground Storage Tanks Program o Routine ¡j Combined 0 Joint Agency Type of Tank OwR- 5 Type of Monitoring A tG, o Multi-Agency Number of Tanks Type of Piping ~O Complaint IUPT ORe-inspection OPERA nON C v COMMENTS Proper tank data on tile \. V Proper owner/operator data on file t.. V Permit fees current '-'" , Certification of Financial Responsibility V J Monitoring record adequate and current L..,.I i Maintenance records adequate and current 'v 7 J Failure to correct prior UST violations oJ Has there been an unauthorized release? Yes Nor/ Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank OPERA TION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling [s tank used to dispense MVF? [fyes, Does tank have overfill/overspill protection? AGGREGATE CAPACITY Number of Tanks C=Compl;,noe ~~V¡Ola¡;On In,pecto, _..J/¡_) dtZlk/.Þ Oftïce of Environmental Services (805) 326-3979 White - Env. Svcs, Y=Yes N=NO (jJ Business Site Pink - Business Copy , " 7-11 16549 4tA'7 kl I U3-:)1'~ RD BAKERSFIELD.CA93309 559 8:.33 073? NOV : 8. 2001 2:24 PM .;~.~ !,- Elv1 0:'1''-''TI jC' RF")(¡r"r ~_ ~_I H ....J . ..1" '_ 1'". - ... -- - .- .- I ALL FUNCT I ON~3 NOF:r"lAL INVENTORY REPORT T I :RUL \/0 L UI"lE ULLAGE 90:\ ULLAGE~ TC VOLUlv1E HEIGHT [,JATER \/OL ~',JA TER TEr"lP T 2 :SUL 1)0 L UI"lE ULl 8CØJ, ~ i;.ròh~E: HEIGHT lnJATER \l(}L l¡JATER 'J;EI"lP / 6317 GAL:3 J'70I GALS 2699 GALt~ 622:i CALS 65.76 INCHES (I GALS O.DO INCHES 82.2 DEG F ?7138 GAL~3 7220 GALS 6218 Gi;U3 2753 GALS 3::, . 19 I NCHE~3 o GALS I] . 00 I NCHEEi 84. 1 DEe; F ~ ~ ¥ * * END * ¥ ¡ * ¥ ¡ '001 ORIGINAL FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave, Bakersfield. CA 93306 VOICE (661) 399-4697 FAX (661) 399-5763 .4. ~ e ~. ~ May 3,2001 7-Eleven Food Store #2125-16549 4647 Wilson Road Bakersfield, CA 93309 Dear Business Owner: Enclosed, please find the Site and Facility Diagram Instructions packet. ~en your Hazardous Materials Management Plan and Inventory were submitted it was lacking the diagram portion, Please draw and submit thediagram(s) of your facility by June 8, 2001. The diagram should include the following: 1) 2) 3) 4) 5) 6) 7) 8) name of your business; business address; indicate which direction is North; the cross streets neighboring business addresses (within 300 feet) entrances and exits location of utility shut-offs; location of the nearest fire hydrant; portions of the building protected by automatic sprinkler system; and most importantly the location of the hazardous material(s). 9) If you have any questions, please feel ftee to call me at (661) 326-3658. Thank you for your assistance. Sincerely, RALPH E. HUEY, DIRECTOR OFFICE OF ENVIRONMENTAL SERVICES '¡£( Esther Duran, Accounting Clerk II Office of Environmental ServiC'~(' ED\db Enclosures (,(, c/) '. .I/o' C/' .ÚZ. /.2./ ú"'7'P d cz./ /. " JY"'/U'I;?' Útð (./r..Wl/;-¿N~ ._f'O/e <,./C'úope ..//UUb L7CJ øe/la;,~r . \'~V ~ ;té --" e e . Tanknology p 8900 Shoal Creek Blvd, Building 200 Austin, Texas 78757 Phone: (512) 451-6334 Fax: (512) 459-1459 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR STEVE UNDERWOÒD 1715 CHESTER AVE., 3RD FLOOR BAKERSFIELD, CA. 93301 Test Date: 03/06/2001 Order Number: 3115934 Date Printed and Mailed: 03/20/2001 gear-R-egl:llat~, (Enclosed are tht0~Õf'recent testing performed at the following facility: 7-ELEVEN #16549 MARKET #2133 4647 WILSON ROAD BAKERSFIELD, CA. 93309 Testing performed: Line tests L tests Stage " blockage tests Stage" pressure decay tests Sincerely, :D~K~ Dawn Kohlmeyer Manager, Field Reporting Co ~' ;'CF, CERTIFICATE OF UNDERGROUND STORAGE TANK SYSTEM TESTING ~f'1f.l ~ ~ Dlnknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST RESULT SITE SUMMARY REPORT TEST TYPE: TLD-1 TEST DATE: 03/06/01 CUSTOMERPO:wa03141261 PURPOSE: COMPLIANCE WORK ORDER NUMBER: 3115934 CLIENT: 7-ELEVEN, INC. 10220 S.W. GREENBURG ROAD SUITE 470 PORTLAND, OR 97223 BOB DENINNO (503) 977-7713 SITE: 7-ELEVEN #16549 MARKET #2133 4647 WILSON ROAD BAKERSFIELD, CA 93309 Manager (661)833-0732 The following test(s) were conducted at the site above in accordance with all applicable portions of Federal, NFPA and local regulations Line and Leak Detector Tests 10K 10K 10K 1 REG UNLEAD 2 MIDGRADE 3 PREMIUM 0.000 0.000 P P y y Tanknology appreciates the opportunity to serve you, and looks forward to working with you in the future, Please call any time, day or night, when you need us. Tanknology representative: KEN MINTON Services conducted by: RICHMOND PHILLIPS /L 11 ~ Reviewed: Technician Certification Number: 91-1071 Printed 03/20/2001 08:46 CCHAPA ,. INDIVID .-", TEST DATE:03/06/01 CLlENT:7-ELEVEN, INC. L TANK INFORMATION A TEST RESULTS ii.f: ê! . DJnIcnoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 WORK ORDER NUMBER3115934 SITE:7-ELEVEN #16549 TanklD: 10K 1 Product: REG UNLEAD Capacity in gallons: 10,018 Diameter in inches: 109.00 Length in inches: 251 Material: DW STEEL COMMENTS ..ŒAN" "g"TSSŒ'R£'S"UC'T$'" ......t .. ... . .... ........ .. .. . ... ...... ',L:}~§' Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES Installed: ATG CP installed on: / / Bubble Ullage Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage II vapor recovery: 4.0 DUAL ASSIST 109,0 New/passed Failed/replaced L.D. #2 L.D. #2 Make: Model: SIN: Open time in sec: Holding psi: Resiliency cc: Test leak rate ml/m: Metering psi: Calib, leak in gph: Results: NOT TESTED NOT TESTED NOT TESTED COMMENTS Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS DW FIBERG 2.0 50.0 50 o 30 12:15 12:45 0.000 PASS PRESSURE RED JACKET NOT TESTED NOT TESTED NOT TESTED Impact Valves Operational: YES Printed 03/20/2001 08:46 'r 1- " ~".. ,- INDIVID~L TANK INFORMATION AN~EST RESULTS TEST DATE:03/06/01 CLIENT: 7-ELEVEN, INC. d "J.¡~ ~ . DInknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 WORK ORDER NUMBER3115934 SITE:7-ELEVEN #16549 Tank 10: lOR 2 Product: MIDGRADE Capacity in gallons: 10,018 Diameter in inches: 109.00 Length in inches: 251 Material: DW STEEL COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES Installed: ATG CP installed on: / / Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Test time: Inclinometer reading: VacuTect Test Type: VacuTect Probe Entry Point: Pressure Set Point: Tank water level in inches: Water table depth in inches: Determined by (method): Result: COMMENTS Bottom to top fill in inches: Bottom to grade in inches: Fill pipe length in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage" vapor recovery: 4.0 DUAL ASSIST 109.0 em!!],.§g!£@ßæ§!MR§§!QÞX3·Rtmtfigf!i.mII Bubble Ullage New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 Make: Model: SIN: Open time in sec: Holding psi: Resiliency cc: Test leak rate ml/m: Metering psi: Calib, leak in gph: Results: NOT TESTED NOT TESTED NOT TESTED COMMENTS Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS DW FIBERG 2.0 50.0 50 o 30 12:15 12:45 0.000 PASS PRESSURE RED JACIŒT NOT TESTED NOT TESTED NOT TESTED Impact Valves Operational: YES Printed 03/20/2001 08:47 " r¡~ .~ t, -(~ TEST DATE: 03/06/01 CLlENT:7-ELEVEN, INC. - SITE DIAGRAM e ~"r.- . ~ »JnImoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 WORK ORDER NUMBER3115934 SITE: 7-ELEVEN #16549 stine rd. ~ MID 010K ® OEJ ~ :E () en I (J) øREGUL oEJ 0 - A ® ~ 0 10K F :::u .., m 0 Q) c. ø PREM® OB 10K CCD VENTS Printed 03/20/2001 08:47 CCHAPA ~~\~ ~M.~ ? ,-- - '. Mar. 162001 01:11AM Pi PHONE NO. 9093611463 Phone 760-721-4120 Fax 160 721-4209 M.I.T. Engineering and Construction ., -I (" d ~f~l11 tù\~o" Q. To: Fire Inspector Steve Unde/WOOd Frolll: Larry Hartzell M.I. T. Fax: 661-326-0576 "~es: 2 Pbone: Date: 3/16101 Re: State "S" form c:c: Kim Matez IT Corp. xUrgent xFor Review o Pleaso ComnJent D Please Reply D Pleasè Recycle . Comments: Inspector Underwood Per your request here Îs the corrected State "B" form for the Southland s10re located at 4647 Wilson Road in Bakersfield. ' lany Hartz:ell , ~ ' ;Þ__,..s:- - PHONE NO. : 9093611463 . Mar. 16 2001 01:12AM P2 'FROM: .::~ MAaIC OIiLV 0 1 Þœw~!AMI'r ONE I1'iII 0 2 IJfreIW ÆFIIøt ImA Cß PACIU1Y NAMEtHRE T.uuc IS INSTA.L&.ED: r. TANK, DØCAlPJJON ~;¡¡àU.1"tQG - 5'tGF'r'1t'~ 6~__L;' . ~ ~ 06.'Æ H::tAI.i.Ø~~ _ IL TANK CONTBNTS IF 1-1181oW111&1:L COWPIJ!Æ11ÐIc' B ~ 1IêIe.tAJ. PMMrr & ~ PliiAMrT tTATEo;~ STATE W¡II¡'IU fESQUR~CONTJIaL,I!OARO UNDERGROUND STORAGE TANK, PERMIT APPUCATlON . FORM B COUFUTi A SEJI.RarUQRMl'CIII þ~ r~$YST!M. S CHPlØI! (II' IfCI'OAIòTiC1' t:J 8 ~'I' TAM\; Q.OSlJIIE! ., , P~Ii'lu,/U' c.CISa) Q¡oI $'1& II T~ F/SMCYS I C4, - : j--" .. .... ...."., .. ......... .. , ~ WMICUi RIEL c:J ~ 1:111. Da~ Ogellll"!"t o a CIEII/C&~ 0 as UNtòIOWH Do IFfA1)$HDT~~ SßS ÞWiB CF~~I! ~ ø. o 1 PIIOI:aJCT ,Oil WAS'I'& (;. ,. R6a!UoII ~ 15 .vIATlOIlfG4$ !O ~ IIUIIÞSI .. GUWfCI. 7 ~ '" /Iài!UDi ul'lJialJSl 8 :5 JET "uII:(. II !001116 o 2 ~ ._ æ O1N5R~IICnr.\lD.~ C.....l&.f: III. TAN( COHSTRUQT1ON .NNIK CNe:1"/'OI C/fL" IN IICJIES 4. a. ~C.NlD AI.&. 'lMl.T ÀI"~ IN BtJ)¡ D 1oH¡;) ¡ A. nPE OF ~ I J;M,S ~ 0 3 MU wA/J. ...m. Q'ÆR1b~ UNþ ',0 S IÞITaDW. SIAlIDSI ~ 0 n UNIQØIN "'$JIll t:J a SIIIØUI w..a.. 0 á ~ WA!-L ~ ,4 ¥JIiUU' 0 as ~ .. TAM: . a 1 ~.sna 0 It &1'AlHLØa è'nõi\. 0"' FIlØGiASS c::J 4 ~e1.0..0 W¡"Uil~ fW0RŒt PIA&TIC 1fA'JiRIA.L c::J s ~ 0 15 JIIQL.'I'IIIJoI'tt. CIiLORlOi D f AWIo1IN/J", D II .gQ.... ....'""I1-tN-lOI. CDI4P..."8Uiw,",", Ø'dmIrJ'f-o 0 \I 8RCN:B c:;:¡ '/0 GIII.'iMi1llCl ~L /XI 9Ii uN!CNQWN a _ OT1i!A c.1N1'BtIOß 0 1 ~ uNIID 0 :t ÞiJt'(O U/IIINð, 0 I Ef'QX'I' UNIHQ D. P¡'¡liI"OUC LINN: UIINB OR 0 , GöI.ASS UNING 0 ' I.W.NIib 0 \I~ IJN~ 0 9i Ø1iiER eoATII4G u; IJIIIUG w,liiJIIK. caMP"..... WI')( 10C1!'0 ~ 7 'fES _ NQ_ D. exTÞœ 0 1 f'O'o.TEnt'I\I!IC 1tIW 0 I CQA1INII :: 0 ~ t:.Jþggç~ 0 lit IIQHS 1.5PILL.AIIIDOYlRRLJ.,.. DROP= ¥&!i . ~ IV. PIPING INFORIlATJON ~ A ~MO'4EGliCUIUIOR U II'UlCaellllllØJlÐ,lIaTl"FAfIIIUø~ A. SYS1ÐIIWE & U ~ ..... A ' f PI1ESSUfIS A Ù . ØMvrrt A IS . f'\.1ãX18U! ~"'*" A U I. ØTIWI ¡., CCH$~ I II , SIJG.I! wAI,L It DCUa.J; "fAt.&. A U G u¡ug 1RI!HQC A" 1/11 Ob4tR ... U 1 IIMIII ØI'iEL .. U c '"'~ PIPIi .L" ð ~III Ii ~ ~ C(II,pÀ1'II1UiW1l=RP )UjMJ!)T es ~Q Co 1lA1UW. AND COHROStaH PR~ -f ü~_ STATE I.D:' " tit! STIoTE J.D. NI.IWJ;R IS eouPCl$EJ;l OFTHi cauNT"t, , oIUAlSDIanON . OJ em N1JM8SRS BELOW 'ACIUT'f I I 'I '/ r I ! TAMK. o:o:::IIJ 1I&MWIf~ 1 f'&IIUf~8'tO'Te, "PEflMrJSlClO["'T~~TE nœ RIa III.$TBE AC:C~IV. P§!}IP! AnUt:Þo""·J:ÐfiNJ..IIN1ØSA. CUllliitr.' fOJIAI" AAS aœr FII.SÞ. pa t: IAl9ru COfrLI1tC 101l1ij8TAU.ATlOHS.. m£ rCAM -......_...-.-....-~........... ... .~-~. AU.~E'ftIJ-='~WI'nI"'*.ftt':&I at'..-..r:"...'~1HS'ti~UNþSTO~'f4l«.R£CU1.ATlOHS . PRESSURE LINE-LEAK ALARM- Q 2 :SUL PLLD SHUTDOWN ALARr"! MAR 7. 2001 10:26 AM ----- SENSOR ALAR!"! ----- L 4 :SUL TURBI NE SU!"lP STP SUMP FUEL ALARM MAR 7. 2001 10:26 AM - PRESSURE Ll NE LEAK ALAR!"! Q 1 :RUL PLLD SHUTDOWN ALARr"t MAR ,1! 2001 10:?§ A!"1 PRESSURE LINE LEAK ALARM Q 2: SUL PLLD SHUTDOWN ALARM~ MAR 7. 2001 10:26 ~ ----- SENSOR ALARM ----- L 5:DISPENSER PAN 1-2 DISPENSER PAN FUEL ALARM MAR 7. 2001 10:26 AM e PRESSURE LINE LEAK ALAR!"! Q 1 :RUL PLLD SHUTDOWN-Al:;ARI"l MAR 7. 2001 10:27 AM - -- PRESSURE LINE LEAK ALARM Q 2 :SUL PLLD SHUTDOWN ALARM MAR 7. 2001 10:27 AM ----- SENSOR ALARM ----- L 6:DISPENSER PAN 3-4 DISPENSER PAN __ FUEL ALARM MAR 7. 2001 10:27 A - PRESSURE-l?INE--I:EAK ALARM Q 2 :SUL PLLD SHUTDOWN ALARM MAR 7. 2001 10:27 AM e ----- SENSOR ALAR"'! L 3: SUL ANNULAR ANNULAR SPACE FUEL ALARM MAR 7. 2001 10:27 AM PRESSURE LINE LEAK ALAR"'! Q 1 :RUL PLLD SHUTDOWN ALARM MAR 7. 2001 10:27 AM e SENSOR ALAR!"l L 2 :RUL TURBI NE sur"IP STP SUMP FUEL ALARM MAR 7. 2001 10:27_ PRESSURE LINE LEAK ALARM Q 1 :RUL ,- PLLD SHUTDOWN ALARt"1 '"tAR 7. 2001 10:28 AM ----- SENSOR ALARt"1 --- L 1: RUL ANNULAR ANNULAR SPACE FUEL ALAR!"! MAR 7. 2001 10:28 AM -,- PRESSURE LINE LEAK ALARM G 1: RUL PLLD SHUTDOWN ALARM MAR 7. 2001 10:28 AM - PRESSURE LINE LEAK ALARM Q 2:SUL PLLD SHUTDOWN ALARM MAR 7. 2001 10:28 AM ----- SENSOR ALARM ----_ L 6:DISPENSER PAN 3.' DISPENSER PAN FUEL ALARM MAR 7. 2001 10:28 AM ----- J PRESSURE LINE LEAK ~M Q 1 :RUL ... PLLD SHUTDOWN ALARM MAR 7. 2001 10:28 AM PRESSURE LI NE LEAK ALAR'"1 Q 2:SUL PLLD SHUTDOWN ALAR!"! MAR 7. 2001 10:28 AM e ----- SENSOR ALARI"! L 5:DISPENSER PAN 1-2 DISPENSER PAN FUEL ALARM MAR 7. 2001 10:28 AM :,~=-...., .::-~---=:::;'-~--.'. . - ~ ..~ ~ PRESSURE LINE LEAK ALARM¡ Q 1 :RUL PLLD SHUTDOWN ALARr"1 M~R' 7. 2001 10: 29 At"! - :- " PRESSURE LINE LEAK ALARr"1 Q 2:SUL PLLD SHUTDOWN ALARr"1 MAR 7. 2001 10:29 AM ~-- ----- SENSOR ALARM ~-- L 5:DISPENSER PAN 1.., DISPENSER PAN FUEL/ALAR,.,1 MAR 7. 2001 10:29 AM '- ~. CITY OF BA~SFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 INSPECTION RECORD POST CARD AT JOB SITE Facility Owner Address Address City,Zip City, Zip 1.- Phone No, Pennit # 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 Pennitting Authority, Following these instructions will reduce the number of required inspection visits and therefore prevent assessment of additional fees. TANKS AND BACKFILL , INSPECTION DATE INSPECTOR ' . " , .. .' " Backfill ofTank(s) , ) Spark Test Certification or Manufactures Method " . ~:,- .- " ' .- '. Cathodic Protection ofTank(s) Piping & Raceway w/Collection Sump PIPING SYSTEM t '0 \ Corrosion Protection of Piping, Joints, Fill Pipe Electrical Isolation of Piping From Tank(s) Cathodic Proteètion System-Piping Dispenser Pan 'Q \ SECONDARY CONTAINMENT, OVERFILL PROTECTION, LEAK DETECTION Liner Installation - Tank(s) Liner Installation - Piping VauhWith Product Compatible Sealer Level Gauges or Sensors, Float Vent Valves Product Compatible Fill Box(es) Product Line Leak Detector(s) Leak Detector(s) for Annual Space-D,W, Tank(s) Monitoring Well(s)/Sump(s) - H20 Test Leak Detection Device(s) for Vadose/Groundwater Spill Prevention Boxes . c}g-(91 L FINAL Monitoring Wells, Caps & Locks Fill Box Lock Monitoring Requirements Type 2S'JrO , ~ ~Q ( Authorization for Fuel Drop CONTRACTOR IV\ I J:. IT €.he¡. t éot\S~ . CONTACT Ii 6. r () f\ cd Ie:. (ò LICENSE # 1.J .13<1(D PHONE # G. (y ~ "71 ß -4 ÐLtc ,FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "HO Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "HO Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661)326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakerslield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 . . January 22,2001 7-11 4647 Wilson Road Bakersfield, Ca 93309 RE: Dispenser Pan Requirement December 31, 2003 Underground Storage Tank Dispenser Pan Update Dear Underground Storage Tank Owner: You will be receiving updates from this office now, and in the future with regard to the Senate Bill 989, which went iI).to effect January I, 2000. This bill requires dispenser pans under fuel pump dispensers. On . December 31, 2003, which is the deadline for compliance, this office will be forced to revoke your pennit to operate, effectively shutting down your fueling operation. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning now to retro-fit your facilities. If your facility has upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, ~cWtiJ Steve Underwood, Inspector Office of Environmental Services SBU/dm ~~7~ ~ W~ S7~ V#;~ ~~ .A~~" rf ¿,~ò ~ . . -' Permit No.ß L () ( 9/ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 PERMIT APPLICATION TO CONSTRUCT/MODIFY UNDERGROUND STORAGE TANK TYPE OF APPLICATION (CHECK) [ }NEW FACILITY [~ODIFICATION OF FACILITY [}NEW TANK INSTALLATION AT EXISTING FACILITY STARTINGDATE.JlI...1..c.A.~'I ZOØlI PROPOSED COMPLETION DATE r~b zøol FACILITY NAME ? -IICI S.)"ð.e~ 1f¡l I (,$411 EXISTING FACILITY PERMIT NO. FACILITY ADDRESS t.¡f,Y7 wtl~.J ~ CITY S~K.U2.¡::;'e/c/ ZIP CODE TYPE OF BUSINESS <Ø 4,$ S 1"16 n o...J / CcÞ-> ñ."J' ~AU.¡¿ .s 7è!;>...ec2.. APN # TANKOWNER 7':'1/ Cc~t9æ.A;;¡''''¡ , PHONENO.&/i"')8Zcf~ :;~(fO ADDRESS 27// AI. .AI.c:I..sA~ sr CITY :Z:>,¿l//...ø.J T~)C. ZIPCODE ?.:)z'li"L- CON1RACTOlÜ·~Ùï E..Jc.. ~ o..J ~r. CALICENSENO. 72.3$76 A-H.o:S ~ , ADDRESS 10 S C!.D ?~u.J.?-J W ~ d:. Ó'l CITY oce.4....J S ¡::Dc, <2 Å' ZIP CODE S; z o.:rY . PHONE NO. {l'-o ) 7 Z/. Y/ Z 0 BAKERSFIELD CITY BUSINESS LICENSE NO. WORKMAN COMP NO. INSURER BRIEFLY DESCRIBE TIlE WORK TO BE DONE .2(;,,0/"" U .;;; XI.$ T/.,.JÇ ~4.s V.-,j P~J,S e..e J- r...J~r411 ,..}e.....J X)¡sp-..J.see.... P,ô....¡'s. ~.sT,4t:...<. ,..;,~c..J Vc.cdeo:c. ¿øoT ;:rz;.s 3.$'0 2. r.ANÅ:- 4{rff~ . ," WATER TOFAC PROVIDED BY , DEPTII TO GROUND WATER SOIL TYPE EXPECTED AT SITE iE't=i~j';M?-+NO. OF TANKS TO BE INSTALLED -&- ARE TImY FOR MOTOR FUEL YES NO SPILL PREVENTION CONIROL AND COUNfER MEASURES PLAN ON FILE ~ YES NO TANK NO. VOLUME I Z. L( ,.J 4. 4 ¿.. d' r "",., ~ TANK NO. VOLUME SECTION FOR MOTOR FUEL UNLEADED REGULAR PREMIUM ~ DIESEL AVIATION v ¿do "Con q" ern ,¿ / A/ ';;:>/4. c..c.. SECTION FOR NON MOTOR FUEL STORAGE TANKS CHEMICAL STORED (NO BRAND NAME) CAS NO. (IF KNOWN) CHEMICAL PREVIOUSLY STORED FOR OFFICIAL USE ONLY TIlE APPLICANT HAS RECEIVED, UNDERSTANDS. AND wn.L COMPLY wrm TIlE ATTACHED CONDmONS OF THIS PERMIT AND,ANY OTIlER STATE, LOCAL AND FEDERAL REGULATIONS. TIIIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY. AND TO TIm BEST OF MY KNOWLE ~UE C~RRECT. ' - ~ ", J:~~ ¿;!¡2//þ . , Y: APPLICANT NAME (PRINT) THIS APPLICATION BECOMES A PERMiT WHEN APPROVED '. ' " . :.JC.< 4...J, (! ,¿) /Z..;z.; /" t:A./,ern ~p;::>;20U 4-L- 1 p~~/ Q5 u4.NfJ!. p(g.ðS-t.. ~// (?d'?) /ZJ-- 2. C. ~D