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Home My WebLink AboutBUSINESS PLAN Vbp IjO BP West Coast Products LLC 4 Centerpointe Drive La Palma, CA 90623-1066 Mailing Address: PO Box 6038 Artesia, CA 90702-6038 ~£CEtVID OC1 ~ 4 ~@@~ ~ :}' ,:;-<~:,~":":,,,.~..:...."~. :'''': .-.....,,~ September 27, 2004 VIA F ACSIMILIE Central Valley Regional Water Quality Control Board 1685 E. Street Fresno, Ca 93706 Attention: Release Reporting us<t" GeE RE: Facili 3090 3333 Union Ave, Bakersfield Dear Sir/Madam, Attached is an Underground Storage Tank Unauthorized Release Report in connection with a failed Enhanced Leak Detection Test. This report does not positively confinn impact to the subsurface by petroleum hydrocarbons, but rather is sent out of an abundance of caution to provide notification of a potential release as required under California Code of Regulations, Title 23, Section 2644.1, subdivision (a)(5). Please feel free to call me at (714) 670-5321 with any questions. Sincerely, ichael Wilson Environmental Compliance Specialist U.S. Convenience Retail Business Cc: Inspector Steve Underwood Bakersfield Fire File DISCLAIMER: This message (including attachments, if any) contains confidential proprietary infonnation, some or all of which may be legally privileged or otherwise protected from unauthorized use, disclosure, distribution or copying. It is for the intended recipient only. If you are not the intended recipient, you may not use, disclose, distribute, copy, print or retain this message or any part of it. If you have received this message in error, please notify us immediately by calling (714) 670-5336 collect. <" ""']. ...,..., "'-'I "\."'....,. ,..., '"' . ,.,. "'''''... . ""I"" "". .."..... . . . '-'I "I"'~"" . "...~...,,""... \ .......""". "I' "'.......... ........11..", . .....,.. ..,. . ... . ,.... ........". EMERGENCY HAS STATE OFFICE OF EMERGENCY SERVICES FOR LOCAL AGENCY USE ONLY REPORT BEEN FILED? I HEREBY CERTIFY THAT I HAVE DISTRIBUTED THIS INFORMATION ACCORDING TO THE DYES I81NO DYES I81NO DISTRIBUTION SHOWN ON THE INSTRUCTION SHEET ON THE BACK PAGE OF THIS FORM REPORT DATE CASE # 0 7 2 904 . MI DI DI vi v SIGNED DATE M NAME OF INDIVIDUAL FILING REPORT I PHONE ISI1// ),,:/ J ~ I. >- Michael Wilson 714- 670-5321 '" 0 REPRESENTING 181 OWNER/OPERATOR D REGIONAL BOARD I COMPANY OR AGENCY NAME t/ w ~ a: DLOCAL AGENCY D OTHER BP 0 0.. ADDRESS w a: 4 Centerpointe Drive La Palma CA 90623 STREET CITY STATE ZIP NAME I CONTACT PERSON PHONE w ..J '" BP West Coast Products LLC D UNKNOWN Michael Wilson 714-670-5321 ¡¡;~ . Za: ADDRESS 0< :};o.. 4 Centerpointe Drive La Palma CA 90623 w a: STREET CITY STATE ZIP FACILITY NAME (IF APPLICABLE) I OPERATOR PHONE Z Arco Facility No. 3090 BP 909-868-7125 0 ~ ADDRESS 0 3333 Union Ave. Bakersfield Kern 92610 0 ..J STREET CITY COUNTY ZIP w ~ CROSS STREET ¡¡; 34TH/UNION C) LOCAl AGENCY AGENCY NAME CONTACT PERSON PHONE ~en (661) 326-3979 ~w Office of Environmental SelVices, Fire Department Ralph E. Huey z- wO :;Z REGIONAL BOARD PHONE WW ~~ :; Central Valley en (1) NAME QUANTITY LOST (GAlLONS) we !i~ Gasoline 0.00 181 UNKNOWN f!'..J (2) g¡~ ::>- D en UNKNOWN ~ DATE DISCOVERED J HOW DISCOVERED D INVENTORY CONTROL D SUBSURFACE MONITORING D NUISANCE CONDITIONS Z w 0 7 2 9 0 4 181 TANK TEST D TANK REMOVAL D OTHER Customer top-off :; MI MI DI DI vi w !;{ DATE DISCHARGE BEGAN METHOD USED TO STOP DISCHARGE (CHECK AlL THAT APPLY) '" ~ I81UNKNOWN o REMOVE CONTENTS D CLOSE TANK & REMOVE D REPAIR PIPING >- MI MI DI DI vi vt a: ~ HAS DISCHARGE BEEN STOPPED? o REPAIR TANK D CLOSE TANK & FILL IN PLACE D CHANGE PROCEDURE 0 DYES 181 NO o REPLACE TANK 181 OTHER en IF YES, DATE MI MI DI DI vi Evaluate tank system for potential repairs Õ v SOURCE OF DISCHARGE CAUSE(S) Ww D TANKLEAK D UNKNOWN D OVERFILL D RUPTURElFAILURE D SPILL Oen a:::> ::>< D PIPING LEAK 181 OTHER D CORROSION I81UNKNOWN D OTHER go CHECK ONLY ONE Ww D SOIL ONLY D GROUNDWATER D DRINKING WATER - (CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) ~o.. 181 UNDETERMINED O~ CHECK ONL V ONE !zen D NO ACTION TAKEN D PRELIMINARY SITE ASSESSMENT WORKPLAN SUBMITTED D POLLUTION CHARACTERIZATION w::> a:~ 181 LEAK BEING CONFIRMED D PRELIMINARY SITE ASSESSMENT UNDERWAY D POST CLEANUP MONITORING IN PROGRESS a:f!' aen D REMEDIATION PLAN D CASE CLOSED (CLEANUP COMPLETED OR UNNECESSARY) D CLEANUP UNDERWAY CHECK APPROPRIATE ACTION(S) D EXCAVATE & DISPOSE (ED) D REMOVE FREE PRODUCT (FP) D ENHANCED BIO DEGRADATION (IT) ..J (SEE BACK FOR DETAILS) $Z D CAP SITE (CD) D EXCAVATE & TREAT (ET) D PUMP & TREAT GROUNDWATER (GR) o REPLACE SUPPLY (RS) oQ w~ D CONTAINMENT BARRIER (CB) D NO ACTION REQUIRED (NA) D TREATMENT AT HOOKUP (HU) D VENT SOIL (VS) ¡¡¡~ a: 181 OTHER D VACUUM EXTRACT (VE) Complete Enhanced Leak Detection process and make any necessary repairs or adjustments. Detailed description here. en An Enhanced Leak Detection test indicated presence of a tracer (vapor) compound in samples collected during the test. This report does not !z positively confirm impact to the subsurface by petroleum hydrocarbons, but rather is sent out of an abundance of caution to provide notification of w :; a potential release as required under California Code of Regulations, Title 23, Section 2644.1, subdivision (a)(5). BP will evaluate the UST :; 0 0 system and make necessary repairs. If a release was positively identified, a follow up report will be submitted. " TRACER TIGHT® TEST RESULTS CUSTOMER COPY Shirley Environmental LLC 9595 Lucas Ranch Rd. Rancho Cucamonga. CA 91730 8/30/2004 Job No: 860406 AM/PM Mini Mart #3090 3333 Union Ave. Bakersfield, CA 93305 SYSTEM STATUS SYSTEM#- Tank 1 Tank 2 Tank 3 Tank 4 89 87 Master 87 Slave 91 SIZE TRACER SYSTEM STATUS 10,000 w FAIL 10,000 R PASS 10.000 G FAlL 10,000 A PASS PRODUCT Soil permeability is greater than 89.\ dareys. GROUND WATER AND PRODUCT INFO AT INOCULATION AT SAMPUNG 08106/04 08/16/04 DEPTH FROM GRADE WATER TANK TANK TABLE BOTTOM TOP SYSTEM# H2O PROD H2O PROD (in) (in) (in) (In) Tank 1 0,00 40.00 0.00 . 38.00 Tank 2 0.00 83.00 0.00 70.00 Tank 3 0.00 82.00 0.00 69.00 Tank 4 0.00 38.00 0.00 49.00 (in) (in) (in) >144 187 67 >144 ]82 62 >144 177 57 >144 172 52 TEST EVENTS INST ALLA nON 08/06/04 INOCULATION 08/06/04 SAMPUNG 08116/04 ANALYSIS 08/24/04 FILL RISER - SPILL BUCKET TEST TANK# Tank I Tank 2 Tank 3 Tank 4 PASSIFAIL Pass Pass Pass Pass .1 declare under penalty of perjury 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. Install/Inoculate ~~ ,...~6£:111.1"" CA Lie. No: o.:Tkoll.,-\ Signature ;;;f? ~ ~- Sampler Rðßë'Rt' Sðf'¡, CA Lie. NO?;'-I¿~ Signatur~ /t...& TRC AnalystLA-Iv~E^l.f 5.1."""'1" CA Lie. No: "3-156 d Signatur~~ ~'A Date .,--I3o<f- Date 7' I "1 ~ø~ Date ",/,.y .__,.__~_......_._.._ . _._... uu . --- -. -------- - - --- --- - ______u____._ .__ - - -. -. -- _.---- --- ~ --- ~ Praxair Services Job No. 860406 Sample Date: 08/24/04 CONDENSED DATA Location Compound 001 A 001 G 001 R 001 W 001 TVHC 002 A 002 G 002 R 002 W 002 TVHC 003 A 003 G 003 R 003 W 003 TVHC 004 A 004 G Q,Q4 R 004 W 004 TVHC 005 A 005 G 005 R 005 W 005 TVHC 006 A 006 G 006 R 006 W 006 TVHC 007 A 007 G 007 R 007 W 007 TVHC Page 2 of7 . l Concentration 0.0000 0.0007 0.0000 0.0061 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0000 0.0093 0.0000 0.0000 0.0006 0.0000 '0.0000 .. 0.0000 0.0000 0.0005 0.0000 0.1467 0.0000 0.0000 0.0000 0.0000 0.1141 0.0000 0.0000 0.0000 0.0000 0.2103 0.0000 Tracer A, E, G. H, I, R, W and TVHC values reported in microgramslliter (µg/L). 0.00000 = Not Detected -999999.99999 = No sample .--. ---------------,- - . --------- -------- - . .. ". ..--.-----.- - ............... n_ Praxair Services Job No. 860406 Page 30f 7 Sample Date: 08/24/04 CONDENSED DATA Location Compound Concentration 008 008 008 008 008 A G R W TVHC 0.0000 0.0000 0.0000 0.2283 0.0000 009 009 009 009 009 A G R W TVHC 0.0000 0.0000 0.0000 0.2959 0.0000 010 010 010 010 010 A G R W TVHC 0.0000 0:0000 0.0000 1.0921 0.0000 011 OlJ .011 011 011 A G R W TVHC 0.0000 0.0000 0.0000 1.6'094- .. 0.0000 012 012 012 012 012 A G R W TVHC 0.0000 0.0000 0.0000 0.0593 0.0000 013 013 013 013 013 A G R W TVHC 0.0000 0;0000 0.0000 0.0343 0.0000 014 014 014 014 014 A G R W TVHC 0.0000 0.0000 0.0000 0.0252 0.0000 Tracer A, E, G, H, I, R, W and TVHC values reported in micrograms/liter (µg/L). 0.00000 = Not Detected -999999.99999 = No sample ....ø._.___......._____.__. .... _n..."_ .. ...._...".__u.. _". ,"0 ._,.__.___.___.._.___._ .n_n._._.___....h. .. u___ ..___. .__.M_.. .- ------.. ... ... - Praxair Services Job No. 860406 Page 4 of7 1. Sample Date: 08/24/04 CONDENSED DATA Location Compound Concentration 015 015 015 015 015 A G R W TVHC 0.0000 0.0000 0.0000 0.0296 0.0000 016 016 016 016 016 A G R W TVHC 0.0000 0.0000 0.0000 0.0215 0.0000 017 017 017 017 017 A G R W TVHC 0.0000 0.0000 0.0000 0.0169 0.0000 018 018 ._018 018 018 A G R w TVHC 0.0000 0.0000 0.0000 -ò.ÖH)2- 0.0000 019 019 019 019 019 A G R W TVHC 0,0000 0.0000 0.0000 0.0161 0.0000 020 020 020 020 020 A G R W TVHC 0.0000 0.0000 0.0000 0.0159 0.0000 021 021 021 021 021 A G R W TVHC 0.0000 0.0000 0.0000 0.0251 0.0000 Tracer A, E, G, H, r, R, Wand TVHC values reported in micrograms/liter (µgiL). 0.00000 = Not Detected -999999.99999 = No sample ..--.-..---..-.-.--..-... -." .. ....,..'. --.-...--......--...- ----... . -..-."-.--.-...-----.--.. ... ----..-..-.....--.-...--. .. - ._.. ..__..n___···"_ '" Praxair Services Job No. 860406 Page 5 of7 Sample Date: 08/24/04 CONDENSED DATA Location Compound Concentration 022 022 022 022 022 A G R W TVHC 0.0000 0.0000 0.0000 0.0116 0.0000 023 023 023 023 023 A G R W TVHC 0.0000 0.0000 0.0000 0.0119 0.0000 024 024 024 024 024 A G R W TVHC 0.0000 0.0000 0.0000 0.0105 0.0000 025 025 <>,2,5 025 025 A G R W TVHC 0.0000 0.0000 0.0000 Ö~Öf31 . 0.0000 T 1 Annular Tl Annular T 1 Annular TI Annular Tl Annular A G R W TVHC 0.0000 0.0000 0.0000 0.0000 1.6300 Tl Sump Tl Sump Tl Sump T 1 Sump T 1 Sump A G R W TVHC 0.0000 0.0000 0.0000 0.1417 0.0900 Tl-Fill Sump Tl-Fill Sump Tl-Fill Sump TI-Fill Sump TI-Fill Sump A G R W TVHC 0.0000 0.0000 0.0000 0.0061 0.7000 Tracer A. E, G, H, J, R, Wand TVHC values reported in microgramsl1iter (µg/L). 0.00000 = Not Detected -999999.99999 = No sample ... n_...._.*..___._."...__ ..~..__. . - ..-_._~_._._...__.__._---_.._._. -.. .' . --- -.-~----.....- --- -. - Praxair Services Job No. 860406 Page 6 of7 L Sample Date: 08/24/04 CONDENSED DATA Location Compound Concentration T2 Annular T2 Annular T2 Annular T2 Annular T2 Annular A G R W TVHC 0.0000 0.0000 0.0000 0.1765 0.0000 T2 Fill Sump T2 Fill Sump T2 Fill Sump T2 Fill Sump T2 Fill Sump A G R W TVHC 0.0000 0.0000 0.0000 0.0236 0.4900 T2 Sl.llIlP T2 Sump T2 Sump T2 Sump T2 Sump A G R W TVHC 0.0000 0:0000 0.0000 0.3686 0.0700 T3 Annular T3 Annular T3,Nµ1u1~ T3 Annular T3 Annular A G R W TVHC 0.0000 0.0000 0.0000 0;0000 0.2800 T3 Fill Sump T3 Fill Sump T3 Fill Sump T3 Fill Sump T3 Fill Sump A G R W TVHC 0.0000 0.0000 0.0000 0.0171 1.3700 T3 Sump T3 Sump T3 Sump T3 Sump T3 Sump A G R W TVHC 0.0000 0.0000 0.0000 0.2212 0.0700 T 4 Annular T 4 Annular T4 Annular T 4 Annular T4 Annular A G R W TVHC 0.0000 0.0000 0.0000 0.0000 0.1900 Tracer A, E, G, H. I, R, W and TVHC values reported in microgramslliter (µg!L). 0.00000 = Not Detected -999999.99999 = No sample . .--.-. ...----.-..-. -- .-..-. ---_......_...-....- --_._-_.- --..-----. .-- . ..__._n._____._ Praxair Services Job No. 860406 Page 7 of7 Sample Date: 08/24/04 CONDENSED DATA Location Compound Concentration T4 Fill Sump A 0.0000 T4 Fill Sump' G 0.0000 T4 Fill Sump R 0.0000 T4 Fill Sump W 0.0000 T4 Fill Sump TVHC 0.5100 T4 Sump A 0.0000 T4 Sump G 0.0000 T4 Sump R 0.0000 T4 Sump W 0.0000 T4 Sump TVHC 0.1000 Tracer A, E. G, H, I, R, W and TVHC values reported in microgramslliter (µgIL). 0.00000 = Not Detected -999999.99999 = No sample ...n._..____ ____ .._. -. ...-----.-.....---..-.- ."- -.. . .._.._- ---- ._-"- .-. ."-. ..---..-..--.....---- "-_... . ····___._.-n._..... S tor e 11 lS 16 ff~l'IWW. praxair Services, Inc. . . ----------~~~~--------~! I I I 17 I I I I I I I I I I I 18.1 13 ., I I I I I I I , I I I ~." ~." 1-- I I ....-_1 / - I / / /·21 I / I / / / / / / / / /·22 / / / / / / / I o / Vent5 g-.- - - - - -; -- - - - - - - - - .-- o Tank 2 10,000 gal 87 Master Tracer [R) k Q) +' ~ .-< P< I 1 - I . .......1 10.000 gal 20 89 Tracer [W) Dumpster 2S 24 23 860406 Sampling Probe Location t N 0 10 20 £; e .. t S H I R LEY E N V I RON MEN TAL E X P LAN A T ION A M / P M M i n i Mar t # 3 0 9.0 '1 3 3 3 UNION AVENUE C A L 1 FOR N I Ä B A K E R S FIE L D ------ Approximate pipeline Location SAMPLING L 0 CAT ION S ..i1.:860406-1 Arc: 960406-4 S1z.:A Dat@s09-01-04 Fig u r e 1 ....; ;:=--~-"Y"'R ;:~rIUlANlJ TanK 4 10,000 gal 91 praxair services, Inc. ------ co .OOOl) Fl1~: 860410'-1\ Ar~:860406-'" " . . ----------~----------~\ 81" 12 'ND' n:::J I I I 1 I· 17 IND' 1 I I I 1 1 I I I I I I (ND) I I (ND) 18 . I I 13 "I I 1 I I I I I I I I I I I 1 I ~." ""' ~." ,~, S tor e Tank 3 10.000 gal IUD) 87 Slave Tracer [GJ I J _(~.0007' I --_I I - I I I /- 21 (NO! I I I I I I I I ( f I '" 22 (ND) ( ( I ( I I I ( o ( Vents ~-.- -- - - -; - - - -- - - - -- .-- o 20 (NO' 1 10,000 gal 89 Tracer ¡W] I-< () oJ ~ ..... p. Dumpster 25 IUD) 24. IND) 23 CND) EXPLANATION ~ N 0 10 20 f e e t '1 Sampling Probe Location Approximate pipeline Location Soil Gas Sample Value (~g/L) S.lzerA DatClr09-01-04 11 (NDI 15 (ND) 16 CNDI Tank 2 10,000 gal 87 Master Tracer [R] 860406 S H I R L E y E N V I R 0 N M E N T A L AM / PM M i n i M a r t # 3 0 9 0 3 3 U N I o N A. V EN U E B A KERSF 1 E L D C .. L IFORN I .. Tracer ( G J D i s t r ibution Fig u r e 1 a ·,~_.v... !læ..r......... Tank 4 10,000 gal 91 praxair Services,. Inc. .------ ~O.OOQ2) f'ile: 860406-8 Arc, 960406-4. S tor e '., 11 (1..10941 15 10.0.196) Hi <0,0215' , ' , ----------~----------~\ 81' 12 (0 0593\ a, I I I ,- 17 10.0169) I I I I I I 'I I I I I (0.0341), I (0.0162) 18 .1 I 13 " I 'I 3 I I I I I I I I 1 , I I ~." ,,"., ~. " ".M,,, I ,'~. 0061) I J '-_I 1 I ............ I " ~~..........1 1 20 <0,01591 /- 21 (0.0251) 1 1 1 1 1 1 1 1 J 1 1 I' 22 10.01161 1 1 1 1 1 1 I 1 o 1 vent. g-.- - - - - -; - - - - - - - - - - .- - o 1 10,000 gal 89 Tracer (W] N QJ ., ¡:: ItS .... p.. Dumpster 2S 24 (0.0105) (0.0131) 23 (0.01191 E X P LAN A T ION t N 0 10 20 f e .. t '1 Sampling Probe Location Approximate pipeline Location Soil Gas Sample Value (µg/L) Si.ze:A DAte; 09-01-04 Tank 2 10,000 gal 87 Master Tracer [R 860406 S H I R L E y E N V I R 0 N M E N T A L AM I P M M i n í M a r t # 3 0 9 ./J 3 3 3 3 U N I ON A VENUE B A K E R S F I E L D C " LIFORN I A T r ace r [ W ] D i s t rib uti 0 n Fig u r e 1 b ¡~ j~PIMDI. Praxair Services, Inc. ------ (0.0002) F11e: 860406-C ArC' : 960406- 4 S tor e ¡., IV ,J.J ~ ..... p., Dumpster 25 (ND) 24 UfO) 23 (ND' EXPLANATION . 1 Sampling Probe Location Approximate Pipeline Location Soil Gas Sample Value (µg/L) SJ.ze:A Da.te:09~Ol-04 Tank 4 10,000 gal 91 ·11. UIDI 15 om) 16 (NO) . . ----------l~-----------~\ :81' 12 (ND) [81 I 1 ¡ I' 17 IND) I 1 I I 1 1 I I I I I I IbilDI I I (NP) 18 . I 13 " I 1 I I I I I I I I I I I I I [OJ ~. " ,~, ~. " ,~, Tank 1 10,000 gal 20 ¡MD, 89 (ND) Tracer (W] (ND) t N 0 10 20 f e e t Tank 2 10,000 gal 87 Master Tracer [RJ 860406 S H I R LEY E N V I RON MEN TAL A M / P M M i n i Mar t i 3 090 333 ~ v e: N !J E !J N ION a A K E R S FIE L D C A L I FOR N I ^ 1 T V H C D i s t rib uti 0 n Fig u r e 1 ç ~. ,.;, I,¡:';;cer Tigbt OJ) I. ,am Job # SIT E INFORMATI . :?au\ MOSCWCl o N FOR M ~t{c::(O Ino'ulauon Technician Sampling Technician : 'P~ I"-\c6Q;J;e;. iba#~rTighU) \ \O<s 0 Tra~,erTight.~ 1D tt: \ lÒS'O State License IJ : ~-,<o4-Y State License # : o3,-1!d-\\4 Sito AA/f~ t-\\~ Mà-r't#30qo t Nanie : Affillia te ~~tßY E:þJ,,t~~tJ1.4L Site : 3333 lJ~ton ~t r~\0J~dJ CA :~os : Address Cit.y State : Zip Precision Test o Leak Delineation 0 8 /to I O~ Depth t.o ground: wat.er in tank pit "/{ '(if in. 0 All Water Ingress 0 Inoculation dale : at. inoculation/initial visit (in inches): IniUal Test 0 (see box at right) B /l~ /C~ Deplh lo ground waler in lank pit =:>l Lll\. Annual Test Monthly Monitoring 0 at sampling/second vl:sU (in inches): in. Sampling dat.e : , Relesl 0 To be used for ALL Water Ingress Tests Result Verification 0 t:'LO \Ð Maximum Sample Vacuum Tank(s) were cOlÌstantly & complelely 0 [} ~ submerged in ground wat.er for the Residential Tank(s) 0 (Highest probe Vacuum on site) .- in Hg duration of the lest ? YES NO 2_1:1 ~::t ~ 'I t: At sampling -~ o<::¡'~ '3':/ i 3 ~i -< ~ã~ _ 'Ø 8 . At inoculation " II" "Ø ;c:!uh ~3! =It r ödr ..; I: ~ ~ f'lf II' a r.t ~ r:.;- Product oø.c~ Volume r: · a II .. " noli o o_aC ".0 lenl TDtal U'lui. H.O 1.".1 Total LIquill o ~ o ... þ. · ~ii~Þ If S .., s- Tank No. ë: hI: ...... "'~e:(D ~{~~ e .. II ¡:: () o þ' " ::I:!.;: ~ :q (in gallol1s) ~ þ to In tank leyel In tank .Ievel ~!:ã. ., I ~ õ:; r.o .. ., =--i"~· ......, .... "X' 0 In Inches) (In Inohes (In iueh.. (in iDches !:. ~iG" o .. - . ... ¡¡ co ..... . ~... ~.: . co -. " ... , ß~ 0 ~ /OJ 01)0 JO'..(1 W1~b \ , .~~ I ($0 m 0 \&1 n:a "'-0 I Q ~o a UII 110 110 :L ßl MA:STff~ 0 ~ ( 0 I 00 0 lo~n ~"'760 \ Po 8.!:. n ,0 l ~ 0 æ 0 li~ n:a 0 ~o liD .1 [57 S LPlVt 0 IZJ l 0 I OD ø \'0 )( ~ 6 -1000 \ fJo ~L be:¡ \ m 0 IE 0 \:ï1 ns NO 0 0 110 UII KO ~ 9\ 0 6Q tOL 000 11)')(17 ,. A '"'011 \, ~o; ~ LA ( [¡ 0 IE 0 l'fl. YIS 110 C (\ 'nS 110 IU 110 0 0 0 0 0 0 YJS 110 TIS 110 IU 110 0 0 0 0 0 0 TIS 110 us 110 UII 110 0 0 0 0 DO n8 1<0 . ns 110 us NO . 0 0 0 0 0 0 n:s NO DII HO YU 110 , Comments :_~~~_~_~~_~_~~_~~Ñ£ø~~~~_______----~________-----__~_--------------------------------------------. ~ ------------------------~--------------------~-------------------------------------------------------------- ------------------------------------------------------------------------------------_._---------------------- Rniaed 8-27-98 Roy. 03 TlltU RtUluJ C,,,,,,liu rn '< 7 CONFIDENTIAL Praxair Services, Inc. TechnlaaJ Solutions for1he Industrial Wand.· UC1SCO ~T...ae..Rc."œrch CorrocDII Site Information For Enhan,ced Leak Detection Siies Submit Completed Fonn With Each Jobl TtcbnicillD~""~6.c::.."-'..... Job # 9<00 l{C(o Date B""""--oy Site Nam ., . . , ., 1Jmose oftcs14 (PíocIuI:t oIi WIåI" IIIblc? W'lIbio 1000' of wd1'l UolcstllbJc ICaODdary HIII/II;""""'!? Jb:guIatmy directive? New .IostaIlalion? BŒctgr.ÌIGy ~ ~'Itmt ..,........-dmnu? otfu:¢ CDP.AI~ft..r....): . . SuIÌlBmDt'TCit::.~ m~ m~àn) . m ~ "IXA ~ 1KS (PassIFaiI) TK6 (PassIFail) TwcofSamoPDron (S1.IC/:ÙI!I)~ ~~,~"1'-eð . ... . '-/ .... VeatlinePJobs ~\ I Zt. I t,:~, L4 "'UP ~ VllDllr'RJ!CovervLineProbcs ,Noo", eØN- 0.<;' \.h-., U('Q... -vccb.~ 'rypeur Backfi1l =:œ~~/~b GmandCover ~)~ (other) c'-_dàwer~dffiDD ~ ~ (,pair) (P~) (otbcð U.tA1J~rwes . '-Timk ..,.. (SiapWeI1)\poUbIc wall)' (Stec1)~Fib1:r1tIaQ:) (oUlta',) Lines ~ WaD) (Double v¡etb (Stcc1) ll'1bI:'lØ!lØJ (Fiberircnoh) (other) VCDtÜDcli (SiDgIcWeI1) ~1eW@) (Steel) ~ (otbcr)' V8pD1'Rr.cvveÌy(Single Wall) (Double 'fielD ~Stee1) ~) (CJt.lm1 Vapor Rea:wcrv (BafIiiiêè) (Assist) ~" SImIø Ccm&tnIction: (Sealed III lank top) (Dirt) (Rí:lrofit - bolted to risci at taøJc top) (Retrofit - bolted to uianwåy) SoIDBuoht. PInnI!l!r"~1I!c.. -P\U~( .., . . . ovirlriIPratccdÖn ~\...........~( T~k PiJIs ~ ' Tank ManifbJds . . cati Wsterm Ç1!mp: Wml'Ín Line trench: YES Wattldn lank pit: YES I 0 .LineLeakDctectors -...J~\ ~(J --::...=. =F ~ . . Shape (dntw pic:!orelfpece8BIIIY): V '-J . Depth to top; S¡gna~ ufsftepcn;on vc:rlfYiag coadition of¡¡itc at end ofinstaUation: ~ ,r t=\ " . . '., Depth fi'(J]I1 ~ce: . DØ from &Urfacc: Depth limn &mfi1ce: .:. .. .. ..' ~~ t, " ... _...._ n___... "___".._.."__. . "._ ..._.___.mn_u . .-.--..... .-...---.--..-.,..--- ~! Pnwiit Services, Inc., 3755 N. Business Callier Drive, Tucaon. AZ 85705 (520) 888-0400 -I \ii ~t Jj V'~ J . ~ i! I ¡¡ > I Job.:8~ CHAIN OF' CU ST'ODY RECORD Date: ~~ pag8~2- Client: SIte N......: ~/fM.· µ'l~l µt:.~ ~.509. 0 SiIe Þ41r:ess: ,~3 lJNC^- ¡::,..~ CIty. :&t~sf.1Q. \rl. _. ce::. Zip: q 3bC< Alllaale: 5 h.. 4 l C\{ E."""'C(\~..\.(i\. \ CoIIect8d By: 1> f::ILJl- fJ' ~Cb ~ P. Tedt. IDf: , \OSC J /// ~~ ? LAB 4,/ c_ . ().'? 0° .~ '/ 'Ì ~ '? /<1' ~ Uae Only ChøcIc One Prob8(s) Depth(n) T\m8 Rematka Remadca r:::J- ...... 1 \..ðfr Ð ¡;Q.t'=rO~ t:,3o . V I f'l- t 7.~,:Yl V' '3 ?~* . I ¡/ tt 9.:$b .v' ;- z,' .39 V b 9..:46 '" I \ ~·.4L , v' 8 'rL4Q , j , 2;·I.U~ , ,,/ q to t'.I1~ t/ \\ \:( 2.~SC V 1--- V It- ~:,5Ç I:; b"OO V 'tf , 1.3 :0'2.. t/ IS l~;o<t t/ )~ \ ~·.o(P ./ \-"t 3:08 V I \~ \ ~;lO vi \" ~:IL / CJ< "1:\,,1 f... t-.l...-~ ~t.. '& I 3: lip l/ Rellnqullihed By: (SlgnatUrlllD&w) Lab Relinquished By: (SIgnatul8lDal8). M , ß-oala Sheet wllh iVHC MexInÌum Pump VllCUum (In Hg) '7!':2...,.. t?7/___ o Data Sheet without 1VHC R' By: (Slgnawr&'Dal&) Lab Relinqulehød By: (S1gnatw&/Date) Rematke: o Two Cilia SheaIa (onø with TVHC .. one wIthoUt) PART .SF01 RIW.03 0512003 WHITE . Retum with IIIIII¡IIa 10 lab PINK ,- Sønd8(a Copy !!l!JfÆPIlADII. ~..--.. Praxair Services, 100., 3755 N. Bualness Center Drive, TUClOO, AZ 85705 (52D) l188-O4OO JOÞ.:~ CHAIN OF· C:USTjODY RECORD page~or~ DatøB";lb~ Clleoc 6118 Name: ~{PÞ'-\. Mik1\·t-^~Lí ~8 aq 6 SIte_sa: 3.333 OJJlC~ J:;.U£ CItr. ook(Ç~ tð . StaIa . CP ZIp: '1MO:Ç AflIUale: Sh\ ~ 'e. y t2. t-.\( : ra\".r.-a.·J.,1II. } CallecledBy: 'V~<- M~~iJ~ Tech.1OtII: t to seJ /// ~/ Dal8 ~<f9/I:~ ~ ;Ø LAB u.ø Only Check One Probø(s) Døplh(ft) TIme ~ ;/ ~~ tlJ/..ø° /~ ((jo RømøtIuI ':'f... ~ð L.S- '&. IØ-I(.~ ~:~ V ¡ ; r z..\ \ ~:~t. tI' ¡ i , \ z.z-- 3:3~ r/ I .- \ 2~ ~··3~ V : i () ~4 ~:JB v" I ...... U ~~ 3'· «\.0 V V : -J --r' -\ 5u~ P ~ g:~;- 1/ I 1'"':"\ ¡:: lU... 5uÞ-^.p /' ~·Só ¡/ '. ~t í-I ~~ .~:S< . v" -1 -r~z.. ~IM P 'l\ 't::::C V ~ -r--z... ¡:.W... 50"'" f' tl',o<Ç t/ : -r--~ ::./lJ1o.J 4'·lÓ v' . ~ -r-3 S u.... p 4'.t5 . ¡// i! I -r:"'~ ~lu.. s(¡~f ~;26 / & -(-3 ~: z,.,ç i II >- ::J.JIV ¡ 1"'-4 SU/M.{> 4 '..3~ V z ~(5.{ i .,- "'l\: F\u-sowf V "Í-~ þ.IIJÙ \..\',u.ð vi 1 rf- I I .¡ ! t:::.¡i', ~l,.,~~ 4·,i.\Z, -- ,- Relinquished By. (Slgnaturø/Dale) Lab Rellnqulahed By: (SlgnaturwDate) ~ Sheet wtth 1VHC ~ Maximum p~ Vaa¡wn (In Hg) ~ 11/......., , o Data Sheet wtlhout TVHC &1Inqui8hed By: (SIgnÚlf8lDate) Lab Rellnqulahed By: (SlgnalunOlDode) FiønarIœ: o Two Oeta ShøøIs (one with 1VHC .. one without) : PART .SF01 AGY.03 0IW003 WHITE - AâJm with 8MIpIea to lab NFa:l-G1. JCIDU " PINK - 8endeI'a CcIt:'Y filaPllJlDlIl. S ""\ o~\ ( ¡ I .,/' I~ .Ln lj., I [ ~1. t~\.¡IJ() ¡~ ~ I .. ,·t L· / l'r1- / <:) <1.......- __ _, ___ 2 ~~ ?'i ., ./ R> - Fill Out Form Completely I! Please Print Clearly t / / . ,I '-I p(Þlt gu..vJ:... i~ ... .. .¡; ,I .. ~.~ I~ ·'B~· I> -,- \E, - 'T~-~ .p I I , n ; ~ t 13 ' . I \ß, . I E' 1'1 'cY W" '1'-1 .,.-~ TilsLAIK -r-q gq '61MASTtt "It IO\(ìtJO /Q.OOO ,\o¡oOV IO¡O~ IO'(!? Ic>:,n If) xT? 10,(/7 lU'~~¡' \1-·7(.0 bolD DO A -/olj Probe Lengths Length 1.5' 5' tð; Number 15 10 or Probes Map Check List [iJ Tank Outlines P Nearby Buildings 00 Numbered Frobe Location/! [iJ Piping Locations 0 Ground Coverings I~ I [j] D''''~''' !d,.,cli,d ;ffi.o,.,k L~Uo' m Vent Pipes ŒlNOIth Dirp-ction [tJ-FiII Locations 0 Monitoring Wells Truer RUtlfd CQ/pQnlio.D Tank Details Total ~. ~ Tank Number Number Of ~ IZJ Tank Size Tanks On Site Total QJ Tank Product Number o Tracer In Tank Of Probes ~II Pipe Total ~ 0 [§1 Number Of ~ ~. Sump Pump Tanks I o Manifolds Tested = ~O ft. inch ;~