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UNDERGROUND TANK
JUI'JUN.16.2003 J 3:56PM aER CONSTRUCTION'-'" --.. ( - 1'10.610 P.2/9 l-ermU No. ß'["' OJ lo,Ç CITY, OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersneld, CA (661) 326-3979 lJERMIT APPLICATION TO CONSTRVCT/MODD'Y VNDERGROVND STORAGE TANK .( WA1'8P. TO FA V JlR.OVIDED BY D2PTR TO 01\0tJND WATER. SOIL T'iP:B E,",ECTSÞ AT sm NO, ~TAN1CS TO BB INSTALL8D AU TtŒY fOR MOTOR PURL SP(LL PRlVEN'nC)N CONTROL A.ND COUNTER. MEAStJIW PLAN ON FILE b- ijECTION FqJ M01'QJ ~ liO NO FO~ O!lFJCIAI" un O'NL Y [AI'PUCAlIONIIt.~_, ~ACMYm. "',QIIT._. _. ] 'J'tfB APPUCANT HAS RBC~(VED, UNDERSTANDS, AND WILL COMP¡'Y WITH Tlia A1TACfŒD CONDITfONS OF THrS PBRM[1' AND ANY OTHBR £TATE, liOCAL AND FSDBRAL RSQtlLA TlON.. /J THIS P. HAS as fJOMPLBTED tJNDEIl P6NAL.'N OF PBRJTJRY. AND TO TR.U co . ~"L L ç!:L..-G~ '-r, .APPLlCANT NAME (PRINT) , THIS APPLICATION BECOMES A PERMIT WHEN APPROVED T~No. . :;) VOLUME IlJ.t)ðO itI! TANK NO. VOµJMB (, YSS VRS UNLBADBD RBaULAR ::t= PR.EMnJM DIESEL ,^VlATION \l SI!CTION m~ON MOTOR. In1EL STOR.Å.GE TArfXS CHEMICAL STOUD CAS NO. CHEMICAL PRB'VtOUSLV ¡TOUD (NO BRAND NAME) (IF KNOWN) ~~~ " " _-- -,~.---r:""",",- HAZ~OUS MATERI~ ~ISION TIME CHARGED"· , '.f':f¡/' 5 ::P: BUSlNESS/DEAPRTMENT NAME: 7 -- C(eN'~ 1772. , ADDRESS: '3Gð ( 5~Jc.J.J~ ...J.wv PROJECT DESCRIPTION: fro~e".t PI(J''''-e:;; U(J~ I~l::.. li-'\va-hSc...<h.cJ"\ . ~þ PROJECT NUMBER: <g' \ rf 0 :?) \ TIME DATE: NAME: CHGD: COMMENTS: ~¡'D/o'.µw , ~ tJtt . ~e\D{eW ..)/Rt..JQ~ß/ ~J (e-#d'~ 7-{)~DI &JlJ tj ~ Q j¡W:: Jt{DO fj, -' /7/2.~~, c::/::k-.J . .' Z kr. 2evf~ tt Å.Pf{tl.fè. aL Ç(M . /i-/~Dl &it) ~ 6hr?/kD -~ fj /6() .?fL' .' ' illf, la, I Jjz . . . . , 2 hr , «".<Àe...., .c. t~ .. ~ C>.J<if)<K (.J,¡ 1.2. ¡tf-()I fj~J c;?& ~ 1/ fØ:. $ /~ .¿rr- J-z/ t4(O 1 ~ t k r -r.etü,,~ c.) /.r:-r ~1a2-b~ dLé! t?IJ,~ #jfJ¡ /' ,,&¿/ - vÇ,h4/£Yl. d1l-.-J .3 h.- ~e¿¡ SJe... As/'-. -1- t /5.$,1.1< alù:;,W'{ ~ W;ð.L Md.34 fJðfJ, rß_~f/tJ. ~ ~ .- / PROJECT COMPLETION: , DATE: fl!ì·.6~16/2004 04:20 Pili ,+' e e Tanknolo.v 9096764061 2/2 3417 T ANKNOLOGY-SO. CALIFORNIA PH. (909) 308·1210 27576 COMMERCE CTR. OR. STE. 109 TEMECUt.A. CA 92590 16-244523 1220 81- O/fo3 . Wells Fargo 8anll. N.A. California , _.wellsfargo.com NOT NEGOTIABLE 11100 :11. ~ ?ql I: ¡ 2200021., 11:0? 21;0 2,50 2.{;/' fACrUTY '1f LJ~7 2-l stu..·t( (ltLt:: .~/ -- tt .-;2..1' "f' ADDRESS ',::~i \ PERMIT TO OPERATE 1# ~ J 'ßItWrl26.ø--tJ_ OPERATORS NAME_l.__:.l=~t\?VeN__.J t.J ~_.____._____..___ OWNERS NAME -/-, e:1.£\J~¡.J i t.J L, ,.. L~. i) is) NUMBER OF TANKS TO BE TESTED TANK # VOLillvŒ I 'b ~ ,--- ~-- _,..2-_ -~--- --,4- to l( IS PIPING GOING TO BE 'n~STED CONTENTS r2.EtLlA.ß Il ºLtlLl.~t!~ L- ~f2t"}V1 ¡ ul'1_ -,- - TANK TESTINGCOMPANY_~t-.ùlOt1Lt-:-L/0L- ~,__" ìvlAIUNG ADDRESS_4i1£tJ .~~t C!l~(U.~ góüi1f' -··11;:tvtetlJL..~' q"l(£L~' NAME & PHONE NUMBER OF CONTACT PERSON PD/J L/t~_~¡i)DC' ~,4L- ·'In!,.: TEST METHOD <f1"& NAME Of TESTER vJ ¡ t.·t· r20f4frL~ D°:,'/ i (p 4-1. CERTIfICATION # DATE & TfME TEST IS TO BE CONDUCTED Î{14{bt 6::) I Pl1- - DATE SIGNAn,m,E OF ..\PPUCANT !\PPROVF.D BY t K~ílî\.tt·l. rJ q trN Vì fL;Sf1 N6 ~-fltlL- -r)l::~rez..,rT;:/</ ~ ÖfJL-'-( I ~~'ð _f_ e ., Tanlcnology e 8900 Shoal Creek Blvd, Building 200 Austin, Texas 78757 Phone: (512) 451-6334 Fax: (512) 459-1459 Date Printed and Mailed: 07/09/2004 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR STEVE UNDERWOOD 900 TRUXTUN AVE., STE. 210 BAKERSFIELD, CA. 93301 Test Date: 06/14/2004 Order Number: 3135233 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: 7-ELEVEN #17721 MARKET #2133 3601 STOCKDALE HIGHWAY BAKERSFIELD, CA. 93309 Testing performed: Line tests Sincerely, ""])~ K~ Dawn Kohlmeyer Manager, Field Reporting -~ Dlnknology CLIENT: 7-ELEVEN,INC. 20819 72ND AVE. SOUTH SUITE 206 KENT, WA 98032 RANDY MARTIN (253)796-7170 TANKNOLOGY CERTIFICATE OF TESTING 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 TELEPHONE (512) 451-6334 FAX (512) 459-1459 TEST RESULT SUMMARY REPORT WORK ORDER NUMBER: 3135233 CUSTOMER PO: SITE: 7-ELEVEN #17721 MARKET #2133 3601 STOCKDALE HIGHWAY BAKERSFIELD, CA 93309 Manager (661 )834-3093 PURPOSE: COMPLIANCE TEST DATE: 06/14/04 TEST TYPE: TLD-1 1 2 3 1 REGULAR 2 REGULAR 3 PREMIUM FLEX FLEX FLEX PRESSURE P PRESSURE P PRESSURE P 0.000 0.000 0.000 1 2 3 1 2 3 For owner detailed report information, visit www.tanknology.comand select On-Line Reports-WRAP, or contact your local Tanknology office. Tester Name: ALBERT J. QUEIROS Technician Certification Number: 91-1448 t1d//~ Printed 07/09/2004 08:44 SBOWERS INDIVIDUAL TANK INFORMATION AND TEST RESULTS -~ DJnlmology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 TEST DATE:06/14/04 CLlENT:7-ELEVEN, INC. WORK ORDER NUMBER3135233 SITE:7-ELEVEN #17721 Tank ID: 1 1 Product: REGULAR Capacity in gallons: 10,027 Diameter in inches: 96.00 Length in inches: 323 Material: STEEL COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES Installed: ATG and CP CP installed on: / / 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: 128.0 134.0 32.0 4.0 DUAL ASSIST 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 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 sec: Holding psi: Resiliency cc: Test leak rate mllm: Metering psi: Calib. leak in gph: Results: NOT TESTED NOT TESTED Ullage 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 FLEX 2.0 25.0 50 70 60 12:05 13:05 0.000 PASS PRESSURE RED JACKET NOT TESTED Impact Valves Operational: YES NOT TESTED NOT TESTED Printed 07/09/2004 08:44 INDIVIDUAL TANK INFORMATION AND TEST RESULTS ~~ DJnknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 TEST DATE:06/14/04 CLIENT: 7 - ELEVEN, INC. WORK ORDER NUMBER3135233 SITE:7-ELEVEN #17721 Tank ID: 2 2 Product: REGULAR Capacity in gallons: 10,027 Diameter in inches: 96.00 Length in inches: 323 Material: STEEL COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES Installed: ATG and CP CP installed on: / / ~Ít\N~°'Œ$¡¡;ilißE$Ql1iJi$It'««t1o,"o Start (in) .r~º~Î~Õ;JfÊ>R~'Œ$1i(~DDØ 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: 126.0 132.0 30.0 4.0 DUAL ASSIST New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 FLEX 2.0 35.0 50 80 60 13:15 14:15 0.000 PASS PRESSURE RED JACKET NOT TESTED Bubble 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 Ullage 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 Impact Valves Operational: YES NOT TESTED NOT TESTED Printed 07/09/2004 08:44 INDIVIDUAL TANK INFORMATION AND TEST RESULTS t-~ Tanknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 TEST DATE:06/14/04 CLlENT:7-ELEVEN, INC. Tank 10: 3 3 Product: PREMIUM Capacity in gallons: 10,027 Diameter in inches: 96 . 00 Length in inches: 323 Material: LINED COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES Installed: ATG and CP 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 WORK ORDER NUMBER3135233 SITE:7-ELEVEN #17721 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: 126.0 132.0 30.0 4.0 DUAL ASSIST !!IC!~Ê>~"lil:çlº1\teJl8E\ª'~,¥£~ill;lli;lli;llit New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 Bubble Ullage Make: Model: SIN: Open time in see: Holding psi: Resiliency cc: Test leak rate ml/m: Metering psi: Calib. leak in gph: Results: NOT TESTED COMMENTS NOT TESTED NOT TESTED Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: 'Result: Pump type: Pump make: COMMENTS FLEX 2.0 25.0 50 80 60 13:15 14:15 0.000 PASS PRESSURE RED JACKET FLEX 2.0 35.0 NOT TESTED Impact Valves Operational: YES NOT TESTED NOT TESTED Printed 07/09/2004 08:44 -" r~ DJnlmology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FPù«512)459-1459 TEST DATE:06/14/04 CLIENT: 7 - ELEVEN, INC. WORK ORDER NUMBER3135233 SITE: 7 - ELEVEN #17721 COMMENTS Tested the lines only on this visit, all passed. PARTS REPLACED HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) Printed 07/09/2004 08:44 SBOWERS ,..o¡ ~_:¡. e SITE DIAGRAM t-~ Dlnknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FPJ< (512) 459-1459 e TEST DATE: 06/14/04 CLIENT: 7 -ELEVEN, :tNC. WORK ORDER NUMBER3135233 SITE: 7-ELEVEN #17721 0 ® E ~ø ~ø ~s 0 0 :) ^ ^ JJ 0 0 REG REG ::t § § ~-... -... I -...~ JJ I\)~ ~ §~ ø 01 PREM 1 K (XX) VENTS Printed 07/09/2004 08:44 SBOWERS " .~ /\... ""- '(" lVIONITORING SYSTEM CERTIFICATION For Use By o-U/ Jurisdictions Wi£hin ¡he Smle of Cedi/omia ,l!uilOl'/fl' C'ired: Ch"prer 6.7, Heald'] and Safery Code; Chapier 16, Division 3, Title 23, California Code ofRegulmions '" . l'üi,; Ú.>ll11 ln~i'3( bè uSèd ìO dOCWllèll[ [Cstlng and sèl'vicing of monitoring èquipmenr. A separate cèrtitìcarion or report must be pre1:>~\I'èd ,~~l",~'-'-0,l,Jl10(liTOlinS'. svsr'::n1 conrrol pand by the [èdmician who pçrfOl'll1S the work. A copy ofrhis form must be provided to the [,mk .s" .-;[<:m l)\\lltr/opèrMOf. The ownerloperawr must submit a copy of this form to the local agency regulating UST sysrems wÜhin 30 j~:,\, ,)f ll:,;r .:!alt, _''., -L>.-ücnÜ lfiÚ}fmaÜon L":,¡jl,, Kìl11ë: ,:l_:.11_,~1.7ìð- L____._. Bldg. NO·:__'____n__ Sik ,·\LidrèSS: ,3./J.L2..LJ.j.12C,<- D4''-L___filA.1'L-__,_ Ciry; MK.$'It6P'/P¿O Zip: _____,... l:~,..-iLL) c.\jm'ìC[ Person: ____ Contact Phone No.: L___J______..'_n_ l\L,L:ì\lu.:klùf:rvlùniwring Sysrem: Jl:E$.J)£&=.eoOT ~ -.i.so Dare ofTestÍ11g/Servicing: L/ll.l_~!:l_ .h,LH\i:1Hòry ûf Equipment Tested/Cenií1ed '- iJc,_'" (J:", ;¡lJIJr¡J1J~Ja L~_lJOXC? to i!HJk¡)lè ~~ci!Ïc c"<:lLÜf!mtHl,~~c~~cù/sèr"iccd: iil ¡, "I ;1 II I :i :"L,,¡, iD C¿1J.L.,~l____,__________,_---u ,I '}4 in·Lll\.. lJ~lU~ing Probe, Madc::!: ñ~'''lJ_. ¡ii U "dìliuLir SpdL\: or Valllt Sèllsor. MOckl: ___,___ iii )l hpJ11~ Sump iÙcn.::[¡ Sensorls). Model: ~~ i¡1 ~ lilJ Sll111p Scn~orls). . Modd:_, 'II U II k,:iLullL'c1l Lll1<: Lèak Delècwr, Model: _____. !I! \J lkc'lr':HIic: Line' Leak De!èClor. Modd: __,_______ 'ii CJ LÜII:. Ol'èrtJll ! High-Lc:vè1 Sensor. Model:___ ItUlJIJ;c-r lSQèl:ili.;,;~':l~i'p!llèn~.lJ' è, and !Dodd in S~cljonJ::.,O!1 Page 2). ,I -', 0" .;- ...., (;\ J iil h¡¡k 11): +~_'~ ' '!I :x ¡JÌ,j ~illk LJJlIglllg Probe. Mod'::l: M~? I_~=-_ 'II CJ ,\.ll!lLlbr Sp~il:c' L)r Vall¡ Sensor. Ivlodd: 'ii 'iì( hpin~, ')lIlnp ¡ Jrènch Sensor(s). Maciel: - ';}.¿::>-rr ¡! 0 fjJl SU111p SelJsL1r(s), ModeJ: ¡ii CJ l\k"tLLJli¡;,d Lj¡iè L:ak De!ectOr. Modd: ,____ !I,..., 'L·' 1 "0 "l I I iii U 1'.k,'[r('I11c' lflc,è.u': èteClOr. IV ace: ____-.'_,.,_ ¡if cJ l"IJJ\.. OverlìlJ i High,Level Sensor. lVlolitl:_. iL~,,:)dl,'rlsp<:c:ir)'c:'luiE1Uenr,r2'Pc and rn,odel in SèCli~I!,E onP~ge 2). '!¡-'--- I\¡ Djsp¡;ü,;,-r lD: .,L:"..,d...-----,---- :¡: ~ Di,pèlb¡;r CÜlllailU11tm Stl\sor(s). Model: ø-0~------ ii! ~:)!lè"H \ ~dlÇ(';), Ii! i:¡ U UbP.:JbC-r CumajllJ1ltnr FIOd[(S) ùJ1d Chain(s). Itr.....~ . --.-. ,_ ...---. - h - 'Ii Vi,peJì';c'r W: _..____, :i! ~ U¡,ÒµL'lbd' ClH1l~¡jnmenl Sensorls). Model: ___ :¡I Uj!LL'~'{ \ ~ì11el';), :i: qLk;¡J':¡b~l: CU!Il::¡jnJ11è!l!Yhus) and Chain(s), . '1/----:-:-·' D '1 Di::;PÇÜSCr 1 : ._.--.______ ¡,' CJ j)l:i¡kJb,;¡' Conr,iÍn1Uem Sensor(s),Modd: Ii U :-;Ì1':~LJ \al\qs), ] ODj't'c'll~,"r CO!HJÜ1JllL'!1[ FJOl!I(S) and Chain(s). 'h Ilk L¡,'jjily cünr~ins more tanks or dispensers, copy ¡his form, Tank lD: V"fJL. f } Ijt. In-Tank Gauging Probe. !,>,lodd: yi;¡¡'(Si--',-__~'~m'.. b Annular Space or VaulI Sensor. Model: ¡f Piping Sump / Trench Sensor(s). Model: ,_~J{~~=,=:."._ o FiJI Sump Sensor(s). Model: "______ o Mechanical Line Leak DetecIOr. Model: o Electronic Line Leak Derecwr. Model: o Tank Overtìll / High-Level Sensor. t-.'lodel: . ..__",..,_ o Other (s eci', e lIi !Dem ¡y e and model in Section E on Page- :2), Tank lD: o In-Tank Gauging Probe. Modd: I o .ll.nnular Space or Vaulr Sensor. Model: I o Pipjng Sump / Trench Sensor(s). Ivlodel: Iii o Fill Sump Sensor(s). Model: __________m 1.11 o Mechanical Line Leak Detector. Ivlodèl: _,_______".,.__" II ill o Electronic Line Leak Derec1Or. Model; ______,.u,'. I o Tank Overfill / High-Level Sensor. Model: ----'-'----,-,-.. 11/" o Or her (s eci' e lIi meot ' e and model in Secli()_o E iJn Page~2J.- I "I Dispenser lD: J - ~ ;;.~--=;;v--'--- 'i ~ Dispenser Containment Seosor(s), Model: ~..L. !Ii /il Shear Valve(s).1i o Dis enser Coma-inmem Floill(S) and Chain(s). iill 'I Dispenser lD: [: o Dispenser Comainmem Sellsor(s). Model: I; o Shear VaJve(s). 11.: o Dis enser Containmem Flom(s) and Chain(s). Dispenser ID: Ii ____ 0 Dispenser ContainmenT Seosor(s). Model: \11. o Shear Valve(s). o Djs enser Containmem Floar(s) and Chf!in(s), ." __ ...... .I Include informarion for every tank ùJ1d dispenser at the: faciliry, w_____ ._---- ---------.- -....-... ..----.. ...-.- n__._._..~ ----,-.--.,.--.... ...___. _____n_ C, Ccn:ifìcaÜof1· 1 certify that the equipment identitied in tbis document was inspected/serviced in accordance with the manufac£lIn;rs' ~LliddilltS. A{{~¡cbtd to this Certitication is information (e.g. manufacturers' cbecklists) necessary to verify that this information is ,ul r",( ;lnd .. Plor Plan showing the layout of monitoring equipment. For any eq~~pment capable of generating such reports, L h¡:¡vc alsu .¡{l,ldled ;¡ .:upy of the report; (dlt1ck all rhllf app~)'): }( System set-up l' ~ . III histor report 1_dHlJL'unN.U11è(prim):_-..gYA"'t/ ~~t?~ _ Signature: _,.:..._~ , (:èniJÌ~',Hion No, :_,_ti O(J TörÙl~ (\mlpany Name: RICH ENVIRONMENTAL Site: .hldr~'s,s: _J.tJKJ_L 5rðl,,:..t).fL.E ~.!:L l\lûüjrùring Sysfçm Cerrification License. No.: jD40- 809850 .... ---...--..- .-... PhoneNo.:(~J 392-8687 tJ~â~S¡:Iß{.,1J, lJre of Tesfing/Servicillg: _!:t/.J:.1/Ç¿"i. P¡1gc 1 of 3 U3101 'I .' Ù. l(,csühS vt 'fcsring/Servicing :;,)Ú\\~¡l\; \/ct"siûlllns[aJkd: / /~. 0 S---.---.--.----- , ..~L;1:ilJJ"iL,tl~è ~'ullowillg chcddist: il,1LS::~J-}:J Nù;' lIs the audible alarm 0 erarional? t~ \l:',-_J_9 Nù" Is [he visual alarm 0 erational? \r,ÇI,~~,:::LJ 0 No" \Vere all sensors visuall in:nected, flU1crionally tested, and contìrmed 0 erational? i\ 'i' '; '.:'Ò \ U No* \Ai er.e all ,senso;s insl~lled at lowest ~oint of secondary contairunent and positioned so that orheT equipment will !, : no[ JlHertere WLth theu' ro )èr opefauon? !r:¡ G-,~~'~'-r 0 No" If alarms are relayed to a remote monitoring station, is all communications è'quipment (e,g. modL'm) I I lY N.A operational? ii"?5-;:n~:~.---\. ~ No" for ~re~sLU'ized piping systems, d~e.s the turbine al1t~marical~y shut ~own if the pip,ing seco~1dafY cOnm~J11l1è11l :1 U N/A 11l0llHonng system deteces a leak, Ì<"uls to operate, or IS elecmcally dIsconnected? If yes: which sensors lJ1Hlall~ :1 positive shut-down? (Check all (hac appÓ·;J ,¡ðSull1p/Trench Sensors; ~Dispensef Containment Sensors. :i i Did YOll confirm )ositive shut-down due to leaks and sensor tàilure/discol1J1ection? 0 Yes; 0 No. r'2J-~:~~,u'-l ~ .Nc);' For tank sYStems that milii.e the monitoring system as the primary rank overfill warning device (i..:.. Ill) Ii i ~ N. A mechànicaJ overfill prevention valve is installed), is the overfill warning alarm visible and audible at the milk Ii I fill oim(s) and 0 )eralÍng )ro edy? lf so, at Wh,H ereent of tank ea aeit does [he alarm Iri~ger'? ~o ir-ú";;-:~;;--r- ~ -t.~o Was any monitoring equipmem replaced? If yes, idemify specitìc sensors, probes, or orher equipment replacèd !i ! and list the mamrtàeturer name and model for all re lacement artS in Secrion E, below. ii' u-'\-;~l OG No Was liquid fOLU1d inside any secondary containment systems designed as dry systems? (Check all (hat appl)~) 0 'II 'I 0 Product; Water. If es, describe causes in Section E, below, I fij' '\'~,'~-1 U Nù* Was monitorino s stem set-u reviewed to ensure 1'0 er settinas? Attach set u Ii"~,~\,~~ l [J No'" Is all monjroring equ¡pmenr operarional per manufacturer's specifications? " if! Sçi:fjun E bdow, describe how and when thde ddïciencies were or wilJ be corrected. -=\\ ¡cable F ol,'u.üHilt'ìHS: -----..---.-.-.-.-......-... ...-"-~.._-----_._----_._-------------_. -~---- -... ~--. -------.---------------..--------- -.---...----.----------______0 ____~_._.._n_.. -"-'-.0- __ __.___._._ -_._--~_.._---_. --.--- -.---'-.--.-. ..... .----.----------------------------- ----,----------.. ~~-_.__._.__.- .___..___n~____·_ ---. _._-~-_._~._-~._.. ,...~.._._-------_.- ~-_._--_._--_.- ______.____·u_..__.. -~._...__.__.__._---~------_._-_._-------- - --.-. -........---- . --.-.---.-.-... -"--,..--'.. -_._--,- '--"--'-'--'- .-...-..--.... .--.--.--.-.-----.-...--------- ____.~.u.._ .. - --.----.-----.-.--.------ -.------------ .. -.-.--.--.----- ----.--.-- ..... ,.-..- --- ._.._-~-+----- ~.._~---_._.._.- Page 2 of 3 OJ/OI '~) !i,', lù..'Lw.k G,wging / SIR Equipment: J.& Check this box. if tank gauging is used only for invemory conrrol. o Check this box if no rank gauging or SIR equipment is insmlkd, L1L~s SL,..:Liùn must be cOl1.1.pkted if in-tank gauging equipment is used to perform leak detection monitoring. __~~;j.::'J.'~~,<' rîie: fülluwing çhecklist: I: 0 \ c-;; I 0 Nc):· Has ali input wiring been inspected for proper entry and termination, induding testing for ground faults? I!-G--'::~:'-T û Nù" Were all tank gauging probes visually inspected for damage and residue buildup? rù':~-~-,;--r-o 'No" Was accLlracy of s)'slem product level readings resred? II-ö- ,;~:,~--\'IS-N01 Was accLlracy of sysfèm warer lèvd readings tèsred? Ilu<:~:s-l 0 No" I Were all probes reinstalled properly? \[~__~~~,'_','ru No" Wen: ;;111 ¡rems on rhe eqllipmc'IU l1lanUfactLu'er's maintenance checklist completed? " 1" iÜl' SccriÙ!l H, below, describe how and when these deficiencies were or will be corrected. I '___I --:-\ .."j C, 1.Úh' L:Ùk Ûèfectors (LLD): r:¡.. Check this box if LLDs are nor installed. C'lJl1~2.!.t'lc' {ill' fûllowinù checldisc: M -..-- il UY,', I 0 No'" For equipment start-up or allilUal equipment certiíì.cation, was a leak simulated to verify LLD performan<.:e? ! I U N/A (Check all ¡})(J{ appM Simulated leak rare: o 3 g.p.h.; 00.1 g.p.h ; o 0.2 g.p.h. I i I i - ru'-::~~' 0 No" Were aJJ LLDs contìrmed operational and accurate within regulatory requirements? I II--Cj\ ('~ 0 No* Was the resting apparatus properly calibrated? - '1 If O\ö I ~ No'" For mechanical LLDs, does the LLD restrict product flow jf it detects a leak? I, i U N/A I Ilúni~1 9 1'10* For e1ècrronic LLDs, does the rurbine automatically sl1Ut offifthe LLD detects a kak? 1[-:=:--,-, ! U N/A Ii U \ c~ I 0 No'" For electronic LLDs, does rhë: rurbine automatically shut off if any portion of the monitoring system is disabled I~U-\;::-I ~ NOA- or discolmecred? No'" For electronic LLDs, does tllè turbine automatically shut otÌÏf any portion of the monitoring sysrellll1lalfuncrions 11-::,.--:-; ~ No A or fails a test? II U \C'S ! 0 No" For electronic LLDs, have all aCCèssible wiring connections been visually inspected? II ¡ 0 NiA I¡-_.:,____: ' Nù* Wère aJJ irems on the equipnlem manufacturer's maintenance checklist complered? ] II U .~ è~, 1 0 -, ,,- ijj dJl' .seaiotl H, below, describe how and when these deticiencies were or will be corrected. 11. CuÚHHtîHS: --.------------------- ~-------_.._.'-_.- .-....-...-...-.-.--- --.. .-.----..----. ."_. _..._.U."_"___"___ ...._,--_.---------~._----- -.-------....-- ... . ..u...___·_·_·________" "- - .--.--..-----.---- -----. .___.n_"".· .' . .._._..._.._--,~.-_.__._- .---- .----.-... .-----.- ,-- - ...--.-----.--- ---,.------. .._____________..__ _".n .w .... .._ .._.._, Page 3 of3 OJ/Ul .' lÜvuilu.'ing SyS¡¡;UI CertiÜC¡~tion UBT lVlonitori:ng Site Plan Sic,-' ,'\'dèirc:;s: uJl..aLil_JDGK- ~,,+-L E-,-,~£ (}.,fKr(Z;FIFJ., J::j ~ A : ~ :S~JSð: . JL . . . . :s~~E: , () t1(.) 1.. ~ 7 . \~ð::: :Q: ()l: . . . . .Ql: :~6: . 0:::) '-f . ~:::: ; Jl.. .l.. . . v:.Nø-.{<. · . . . · . . . :,t- i9 · . . . · . . . TU¢:i3 v4jL~r' [00' :0 · "'fl<: . . ~. · ~~. . -'(. · . 0.' ..:¡-' · r~. , t:::::1 : . ~. . /f~ Da[e map was drawn: -i-I ~ ~. Instructions If;, ,)l! alrèüdy have a diagram that shows all required information, you may include it, rather than this page, with yuur l\h)¡lllùring Sysœm Cenitìcation. On your site plan, show the general layout of ranks and piping. Clearly idenrij)' lLkJri,)lb 01' The: following equipment, if installed: monitoring system control panels; sensors monitoring tank annular ':;P,kò, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line 1<::ak d'-~lèl:rù1'3; and in-rank bquid level probes (if used for leak detection). In the space provided, note the date this Site Plan \\ ,j~ prc:pcll'èd, Pùge ~of~ 05100 S¿fTWARÈ REVISION LEVEL \ SVSTEMSETUP VERSION 119.05 II - - '- - - - - - - - ,.. - . SOFTWARE¡i 846119-1 OO,..F ,APR 2,1. 2004 9: 44 AM CREATED - 00.02.25.12.15: ¡ S-MODULE¡i 330160-162-A : SVSTEM FEATURES: ; PERIODIC IN-TANK TESTe ANNUAL IN-TANK TESTS CSLD BIR PLLD o . 1 0 AUTO 0.20 REPETITIV WPLLD O. 10 AUTO 0.20 REPETITIV -,- -'~ --, SVSTEI.'!I, UN ITS U.S'. .¡ SVSTEM LANGUAGE ENGLISH " ¡' ¡SYSTEM DATE/T I ME FORMAT i i,. I.;.:I\\IO,N· DD ",'1'1'1 HH: MM : SS xM Ii" t \7-11 17721 r 1>,8601 STOCKDALE HWV BAKERSFIELD.CA 80749954505001 ic-" SHIFT TIME 1 7:00/ÄM SHIFT TIME 2 DISABLED SHIFT TIME 3 DISABLED SHIFT TIME 4 DISAß~ED SHIFT BIR PRINTOUTS I , ~~7fçEg 1 R PR 1 NTOUT~"._..,.J i .ENABLED'] !' ' TICKETED DEL 1 VERV " \ ~À~~B~~~ TST NEEDED '~N ! I ~À~~B~~~ TST NEEDED >WRN r DISABLED 'i I LINE RE-ENABLE METHQpi PASS LINE TEST ' " f , i . ¡""'L I NE PER TST NEEDED,WRNí . DISABLED . " ! 'L 1 NE ANN TßT NEEDEPWRNi ¡ ·D I SABLED \ PRINT TC VPLUMES \ ENABLED : TEMP COMP~NSATION VALUE (DEg F ):60.0 STICK HEIqHT OFFSET ENABLED! " i .: H-PROTOCOC DATA FqRMA'r I HEIGHT' . ," ' DAVL 1 GHT SAV 1 NG TilMS ENABLED . START', DATE APR WEEK STÀRT TIME 2:00 AM END DATE OCT WEEK 6 SUN END TIME 21¡µOAM SUN RE-P I RECT . LOCAL P~'H~TPY" DIQABLED ..,. 1'\'1' ~ ¡J/: .f..r ,({-"; .... , !,:.:..-': .. :': ·,k. E~O PROTÇ\COL.PRE ¡;i?c{" ï S" ,'" , . . . ,~ -'T jr~'h; ¡ 1':1 "~ ~¡; I,' l}F'~ I~¡\t, 'I'·'.·}"., 'i'·"U· ·!I~ I" .,( ,! ' l '-'VMMUNICATIONS SETUP - ~ - - - - - j, ,~~..¡._- .-.--..-- .~:.--------- IN-TANK SETUP ------ --....-'-4;".- PORT. SETTINGS: ~. .....1>,-" T 1 :REGULAR UL TANK 1 I PRODUCT CODE : 1 THERMAL COEFF :.000700 I TANK DIAMETER : 92'1100 I TAN)( PROF 1 LE : 1 PT . ,PULL VOL : . 10\1120 . MET~R DATA :VES: ENP':fACTOR: .' " '..' NÇ>NE , CAL tJ2DAT¡:¡,'v,CQt,I;Efµr:TE'i . . .¡. ,I R£ÇEIVER SETÙP: NONE "- FLOAT SIZE: 4.0 IN. eø96 WATER WARNING . 1.5 HIGH WATER LIMIT: 2.0 AUTO DIAL TIME SETUP: MAX OR LABEL VOL: 10P20 I; NONE I OVERFILL LIMIT 90% 1 ! ;HIGH PRODUCT 9018 : 95% 9519 DELIVERV LIMIT 10% 1002 LOW PRODUCT · 500 · LEAK ALARM LIMIT: 15 SUDDEN LOSS LIMIT: 40 TANK TILT 0.00 RS,..282 SECURlTV MANIFOLDED TANKS CODE : 000000 T#: NONE LEAK MIN PERIODIC: 25% · 2;505 · RS~282 END OF MESSAGE LEAK MIN ANNUAL 50% DISABLED 5010 ~U:O_D:A: ~LA~M_S~T~P J PERIODIC TEST TVPE I STANDARD ¡ ANNUAL TEST FAIL I ! ALARM DISABLED PERIODIC TEST FAIL ALARM ENABLED GROSS TEST FAIL ALARM ENABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOT 1 FV : OFF TNK TST SIPHON BREAK:OFF ~. . . DELIVERV DELAV 8 MIN STløK OFFSf,T 0.00 , ' ; 2:REGULAR UL TANK 2 I PRODUCT CODE : 11 THERI"IAL COEFF : . 00070~ TANK DIAMETER : 92.0~" TANK PROFILE : 1 P FULL VOL: 1002 METER DATA : YES 'i END FACTOR: NO~ CAL UPDATE: COMPLETE ' FLOAT SIZE: 4.0 IN. WATER WARNING HIGH WATER LIMIT: MAX OR LABEL VOL: OVERFILL LIl"llT 8496 1.5 2.0 HIGH PRODUCT DELIVERY LIMIT l0020 90% 9018 95% 951':1 10~, :' ·.100~ ¡ 50q 15 40 0.00 LOW PRODUCT . LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT MANIFOLDED TANKS rr¡t: NONE I LEAK MIN PERIODIC: 25% 2505 LEAK MIN ANNUAL 50% 501C PERIODIC TEST TYPE STANDARt ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM ENABLE~ GROSS TEST FAIL ALARM ENABLE' ANN TEST AVERAGING: OF PER TEST AVERAGING: OF . TANK TEST NOT I FY : OF TNK TST SIPHON BREAK:OF."~,,' DELIVERY DELAY : 8 MI STICK OFFSET : 0.0, I I ---'--1 " .". -. -. ,~ T 8:PREMIUM PRODUCT CODE THERMAL COEFF TANK D 1 AI"IETER TANK PROFILE FULL VOL METER DATA END FACTOR: CAL UPDATE: : :) : .00070Ó¡ : ,92.00 : '~',',PT : 120 : YES NQNE: COMPLETE FLOAT SIZE: 4.0 IN. WATER WARNING . HIGH WATER LIMIT: MAX OR LABEL VOL: OVERFILL LIMIT : H lGH PRODUCT DELIVERY LIMIT 849þ 1.5 2.0 LOW PRODUCT . LEAK ALARM LIMIT: SUDDEN LOSS LIMIT:, TANK TILT' MANIFOLDED TANKS T#: NONE 10020 , 90%! ,9018\ ' 96% 95f9 i .1, >1 a~ 1:#'Jt\ "1~ 50;0 , t!S 40 ¡"O~~ I ',i I 2~ 2SQ5 i 5~% 50110 LEAK MIN PERIODIC: LEAK MIN ANNUAL PERIODIC TEST TYPE STANDA~D ANNUAL TEST FAIL ALARM DI6ABLf;D PERIODIC 1EST FAIL , ALARM ENABL9D GROSS TES~ FAIL ' I ALARM 1Nl1er;~ ANN,' TE,S"T A,',VERA, G"I,'Nq';: ,'I",J~f' PER T;~Fi:r ~V~R6\g 1. ' . . ,_ ",;,. '.:t, TANK ,TEST NOTIFY:' '.'RF " " I" ,i;' TNK T8-T SIPHON ,BR~I1K:Þ~F DEL I VERY I¡IELAY,3 MIN STICK OFF~ET ' 'Oi. qo ¡ LEAK TEST' METHOD', ,; - - - - - - - - :-: ,,- ; - ~ ", TEf3, T CSLD : AL~,""" TRtN~ " Pd .. 99% ' r ,I r CLI MATE FACTCR: M1fRi1 i\ i LEAK TEST REP9RT~i R A "I, ',EN ',D,: .'.. '. 1_--,--;",---,..,---;::--;: r--¡ ;,\' .i· r~;;'¡ " L..'--::"-, - ..._~..', , LIQUID SENSOR SETUP OUTPUT RELAY SETUP ------ - - - - - - - - - - L l:DISP PAN 1-2 TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN R 1 :OVERFILL TYPE: ' STANDARD NORMALLY OPEN L 2:DISP PAN 8-4 ' TRI~STATE (SINGLE FLOAT) CATEGORY : DISPENSER PA~ I 1 N-TANK ALARMS, " ALL:OVERFILLALARM ALL: H1QH PRODI,JCT'! ALARM I ALL :MAXPRODUÇT ALARM , R 2:RUL 1 TYPE: STANDARD NORMALLY CLOSED L 3:RUL 1 TURBINE TRI-STATE (SINGLE FLOAT: CATEGORY : STP SUMP t 4:RUL 2 TURBINE TRI-STATE <SINGLE Fl.tOAT ~TEGORY : STP'SUMP LIQuiD SENSOR ALM~ L 1 :FUEL ALARM ' L 2:FUEL ALARM .L 3:FLEL ~LARM R 3:RUL 2 TVPE:' , STAII/PARP " NORMAtLN"C4P~~:: " r. .1,' " ::!" LIQUID, ;SEN, S"ØR¡'i~,:LM",¡¡ L 1 : FUEL, Al.ARMJ:T L 2:FUEIf~L~RH¡t L 4:F~I.;A~Å~1i: ,I::' ( R 4:PUL \ ' TVPE: , , STANDARD, ,,' ¡ NORMALLYCl.tÞSF~: r L 5:PUL TURBINE TRI-STATE(SINGLE FLOAT CA¡£GORY : STP SUMP --- --- -- \, - - - - i - - - - __ - _I ) I '. ) RECONCILIATION SEJUP EDIM 1: EDI!"I 2: \ AUTOMATIC DAILV CLOSÌNG TIME: 2:00 AM AUTO SHIFT ~1 CLOSING TIME: DISABLED AUTO SHIFT ~2 CLOSING TIME: DISABLED .AUTO SHIFT ~3 CLOSING TIME: DISABLED AUTO SHIFT ~4 CLOSING TIME: 7:00 AM PERIODIC RECONCILIATION ¡ MODE: MONTHLY ALARM: ENABLED ALARM THRESHOLD: 1.0% ALARM OFFSET: 130 TEMP COMPENSATION STANDARD BUS SLOT FUEL METER TAN~ - - - - - - - - - :2 1 2 1 2 1 3 3 2 2 2 1 2 2 3 3 2 3 2 2 2 ,3 3·, 3 2.4 2 2 2;4 3,. 3 HISTORY REPORT ----- S"tSTEMALARM PAPER OUT' ',APR 12. 2004 10: 2E.; AM PR,I NTER ERROR ,APR 12.2004'10: 21:1 AM ,¡BATTERY I S OFF ."{ 'JAN 1. 1996E1: 00' AM OLOSE SH I FT PEND I NG )' APR 27. 2004 7: 00,' AM: CLOSE DAILY·PENDING / APR 27. 2004 2: 00: AMi CLOCK I S INCORRECT," OCT 28.2002 4:56,AI'I1' ,I.. ·~·t; ALARM H I STORY REPORTTl I ---- IN-TANK ALARM --~1 T 1: REGULAR UL TANK 1. I OVERFILL ALARM . APR 11. 2004 7:15 AM NOV 20. 2003 8: 45 PM' AUG 18. 2008 10:56 AM, HIGH PRODUCT ALARM FEB 15. 2002 9:40 AM . PROBE OUT JUN 27. 2003 10:15 AM FEB 15. 2002 9:40 AM FEB 15. 2002 9:38 AM DELIVERY NEEDED APR 22. 2001 6:53PM' LOW TEMP WARNING JUN 27. 2003 1:53PM I ì IE IE IE IE IE END IE ÌIE IE IE ~ I i ¡ I . '.' ALA~M HlSTO'''t,R~ROR: ---- , I N-'Í'AN~ ~Lfj~,M ; T 2 :~EGULAR ¡UI.. T",Nìd OVERFI LL ALARM! APRU ,20047 :Q:9 SEP22. 200~ l1J44 JUL 24. 200~;7:44 LOW P~ODUCT ALARM JUL . 9. 2003;6:4ß M~Y tEL 2003, fa :2~ fÌ\ INVA¡"ID FUEL: LEVEL ¡~t JUL ' 9. 2003'8 :52 p~¡ MA"tlß. 2Ç103! 12 :,25 P:I, .., >'PROBE ':OUT;' , ./:JUN:27,,· 2þ03\ 10 :1,~ ;ó:FEB·l6,:' 2£102;9'34 "'¡,~ltiFi~~,',"~:Ci02;:9 it3Q A ¡ ::':~:~~}?':~ ·..:'1~:.{;,"" ·,::,·t<: 1 ,__,0 :"}; -: ;!~~¡I ~~~1 ~S~~~~~#b JUL '~',,ri2003 j ìrøil M~Y ll" !~q03¡ ~ ,p .1 '.'! f'I~'!; '~, ; I ~ .¡. 'j; ,.','1,'..'. ,n ~iT, ¡E IE IE IE ¡E END IE 'ALARM HISTORV REPORT ---- I N-TANK ALARM ----. ,T 3:PREMIUM , " OVERFILL ALARM FES 15. 2002 9:52 AM HIGH PRODUCT ALARM FEB 15. 2002 9:51 AM INVALID FUEL LEVEL APR 26. 2004 12:40 PM APR 26. 2004 12:36 PM PROBE OUT APR 26. 2004 12:38 PM APR 26. 2004 12:33 PM APR 24. 2004 12:38 PM HIGH WATER WARNING APR 26. 2004 12:37 PM DELIVERY' NEEDED APR 26. 2004 12:38 PM DEO 19. 2003 4:24PM MA"t 16. 2003 7:04PM LOW TEMP WARNING JUL17. 2003 2:52PM :IE ~ ~ ~ ~ END ~ * ~ ~ ~ I . I I I. \, , I': f! ;\i~¡Þ,j+"j;. , . ! ~L~ijM.HISTOijYi,;RE:PQR+' . ; ¡' .', '.,; ", '. . :,-,., . ""--;-~;SENSOR,ALARM L, U,DJSPPAN r~2i , , ~,I SP~NSJ::R PAN,' :¡¡!JEL:;A~ARM ..... ¡ -tPN27,' 2003 9: 55 AM ~UEJ..A.LARM i I"/~R IJ '. 2003 j\:" . ;f1UELALARM ¡ewP'JQ. '2002 9:22 AM ¡ I' . t ALARM HISTORV REPORT ----- SENSOR ALARM ----- L 2:DISP PAN 3-4 DISPENSER PAN FUEL ALARM JUN 27. 20039:56'AM FUEL ALARM MAR 11. 2003 11;42 AM FUEL ALARM FES 15.2002.9;27 AM i , i .' ! ! ' ¡" Li I, I: í; f ¡ :( !~ ~ .~ ~ \: I ., ¡ I :, ".1' !' j ! ¡ i ~LARM HI~!l1p~*.~~q~T -";--,,- S, E,N..,~.O..R.;iA,.~~!iR\R..':,.,M.:";---- L '3:RU~};;"Tl)þ: ¡liE ¡ STP SUMP' ., ,,! FUEL ALARM ' JUN 27 ~.··20p3, 1 P :,07 ¡AM ~ .' ¡;! FUEL ALARM JUN 27. 2003 19:;00 ¡AM FUEL ALARM JUN27. 2003 9 ::58 lAM '!E .~ ~ III ~'ENp ~ ¡~ ~ ~ IE t', . , .. ". ALARM H l~TO~YR,EPORT I ~---- .SE~S.OR,'" A.L.,ARM ----- L 4:RUL ?T~BINE I ST? SUMP " FUEL ALARM JUN 27. 2003 9:48 AM FUEL " ALARM : MAR 11 .200~ 1~.: 43 AM FUEl: ALARM I FE~J 5~,_ ~~O~ ~: 25 AM ~ ì" "~"~r'~~"~F" ~,. .J¡, ALARM HISTORY REPORT ----- SENSOR ALARM ----- L 5:PUL TURBINE STP SUMP FUEL ALARM MAR 11. 2003 11:44 AM FUEL ALARM FEB 15. 2002 9:27 AM FUEL ALARM FEB 28. 2001 9:03 AM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ALARM HISTORY REPORT ----- SENSOR ALARM \i 1: ' OTHER SENSORS ~ ~ ~ ~ ~ END ~ w ~ ~ w ALARM HISTORV REPORT --- DISPENSER 'ALARM E 1: .~ ~ ~ * ¡,¡ ÌIE ~NQ** w ¡,¡ * '''f., {';~'.~~_ Ú~,," --'f >:,' !, , þ~ --- ~----- - -- ALARM HIS~O~~REPORT . '" "J-:i' - ¡ .:t¡ " :~', ---- PRQ~UÇt ALARM'---- F 1 :REGUI.¡A1i!. lL T~1< PROD TH~E$HØ#D ALM AUG 1 .:~qOf3< 2 :00 AM PROD THRESHPijD ALM JUL 1 .g'l1>0;3! 2 :00 AM PROD THRESH04D ALM JUN 1. 2003: 2:00 AM I : ¡ I I i I I I I ì f " ".1,;':\ ..:¡- )~ r- "t. ,j. '¡ ~ '." t,r, ¡'J> "'.', ,.,,!r..~'."..'... ,1 ":!.' . ..~ lX"'~;¡' '¡I '¡Ll,! (;, ., ,&/.' " !"-'- -:----- SENSOR ALARM ----.,. L 4:RUL 2 TURBINE STP SUMP FUEL ALARM APR 27. 2004 9:52 AM ----- SENSOR ALARM ----- L 5:PUL TURBINE" STP';SUMP . FUEL ALARM . APR 27.. 20049:54AM ¡'f: ¡; : ¡" .' ~" .: ~;' ~: <:: " ----- SENSOR ALARM '-.,.-~- L 3: RUL 1 TURSÌ NEì STP SUMP . , FUEL ALARM APRt"27. 2004 9:55AM 1 , f\ :¡: f I :1, '! \'; , ! ' ;¡',"":'.--- SENSOR AL:o.cluI: '- ¡ '.:..",'.;;-',,"i'J 'DISP. '.·P, ."... .,',."'.~....I::.'':, ',,;',.r,.,. 1"'..'.1- ~I.,""" ' "AN 3-~' ,;' I" :;-P,¡r:SPENS~R" T'i.ð.N :¡ "1 < . ,..." .I,! :~Ik . }~ rf"i :', :.". ':" I! ïI"~SL AH~M' . ,;'1', 'I: I '~~~. 27.n~2ÍJ0i4:!9,k67 :~M f: ¡ ~·"~:,,,:~1_1;:. ':::;;~/!!t,:,,:; ::-¡: ·,ft·« :¡r ,'~ L: ! , \: :¡.; ;t" ': t;~ I 1,1. I f.!~ I i~ . (i! !~ 1'1 t'~~ r:~ I f;}i! i ~i ¡i¡ p~ ~. .- f ~ t . , L 'C ~ i : ¡; ----- S~NSOR ALAiM~ ~-~~~ L 1 :DISP .pAN 1-2 :: I" D I SPENSER PAN ¡ FUEL ALARM ,~'.., ~PR __27,~_gº-º~~g¡j_ ~.' i , " ! ! ' ..... ï, , , ~ : .; .~. /~ APR 23 2004 9:28 . BKSFLD FIRE PREVENTION (661)852-2172 p.2 04/22/2004 14;04 6613920621 PAGE 01/01 -copy &EQUESTED PLEASE FAX(661)392-0e2l CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326..3.979 FAX (661) '&'5z. -'2./7"2. APPLICATION TO PERFORM FUEL MONITORING CERTIFICATION FACD.JTY J - (J tt=- ~ ìl9. t ADDRESS -=312lJl 'S'\ô~" -g~~ OPERATORS NAME ~fìf\~~'-\'i - C Llrr OWNERS NAME J .. . . NAMa OF MONITOR MANUPACTURBR '\J ~ß...jQ..oor DOBS FACD.JTY HAVE DISPBNSER.PANS? YB~ NO_ TANK' --l- ~ VOLUME CONTENTS UYll:1ri. PR.FJ?"1 ~ I . NAME OFTESTINO COMPANY j¡cij ENVIRON:~RNT1tL CON1'RACTORS UCBNSE# 90-1072 . v . H NAME & PHONE NQ1\ØŒ9. OF CONTAC'l' PERS~~J1t.MI£SlU~, '3~e~-'ðe7 DATE & T1MB TBST IS TO BE CONDVCTBD ;~J'9.'" 10 _~ - _ :.___r"n . , . \\~:"~" . . flj..¡I'tYl" m~oYl J ,aæm() '1Þ.'9:}D'/ ~~t, mc(~ APPa,OWD BY DAT.S.., SI NATURE OF APPLICANT '. .r: ~ i: 7-11 17721 :3GO 1 f.HOCKDALE HI"N BAKER~3F 1 ELD, CA 80749954505001 MAY 11. 2004 10:09 AM' SVSTEM STATUS REPORT ,¡ - - - - - - - - - - - - ALL FUNCTIONS NORMAL INVENTORY REPORT tit T 1: REGULAR VOLUME ULLAGE 90~. ULLAGE= TC VOLUr"1E = HEIGHT srK HEIGHT= WATER VOL WATER TEMP T 2:REGULAR VOLUME ULLAGE 90% ULLAGE= TC VOLUr"IE = HEIGHT STK HEIGHT= WATER VOL WATER TEMP T 3: PREr1 I ur1 VOLUME ULLAGE 90% ULLAGE= TC VOLUI1E '" HEIGHT STK HEIGHT= WATER VOL WATER TEMP UL TANK 1 3975 GALS 5677 GfiLS 4712 GÀLS 3931 GALS 39.94 INCHES 39.94 INCHES Eo GALS 0.78 INCHES 76. 1 D~G F -' UL TANK 2 3649 GALS' 5950 GALS 4990 GALS 3612 GALS 37 . 6:3 INCHES 37.63 IN.-' S o GA 0.00 IN, S 74.6 DEG F 2400 GALS 7182 GALS 6224 GALS 2373 GALS 26.50 INCHES 26.50 INCHES o GALS 0.00 INCHES 75.4 DEG F ~ ~ ~ * ~ END ~ ~ ~ ~ ~ ~J . U~IÌ:IED PROGRAM I~ECTION CHECKLIST ~~~b\V~Nl%\~; SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmenta1 Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME I ~ 1f ___,..,:] -'-S-EyJ::--'-'-----''---I-21:z.L-----'--'-------' ,.,.-' ----..- ------,.,---- :::,:::oN2rlt/O-L-~~±Q-CI~~.t~..-,~--"-.--,-..---.--- ., ,..,--,----- --,-. 15-021- , Section 1: Business Plan and Inventory Program . C] Routine .Þ( Combined C] Joint Agency C] Multi-Agency C] Complaint C] Re-inspection C V ( c=comPlianCe) V=Vìolation OPERATION COMMENTS ~_~~~~~~~~~~~2:=,~ER_~T O~ HAN~_,,__,_____,___,___,__,____, . .,.....__ .___ .,_,,_ ...'_'_" ." '" ".".., !i,__C] _~~~~SS_~~AN~~_~~~~~~~,~~~~~~~,~~~~~~T=_,___,____,__,__ ___,__..,.,'_ ._ __. .__ ..., ~~.._. VIS~::~~~RE~:_,______,_,_,___..,__,_,___,___'_"_m___,n,_,__._,_,.....,_,.,. . ._._ __..________ C] CORRECT OCCUPANCY ... n... __.___"_~________..__,_..__. ..n_._ .___~ ...n___. .u.___ _u_____ ._.._.._._ _.___ ..____ __. ..'- ---.--.---.---.-.-.---- --. _ ___.___.____~______.__.__.______.._.~__.___________._~_____._..___.n.___ ~____.____..______..___._._.___ _ _.._..___~_____.._._____.__ _.. - .--~_._-_._.._.~-------~--_._..- C] . VERIFICATION OF INVENTORY MATERIALS -----~---------~_.._----~--~~-----_._----.--- ~--'"_._----_._~-~-~ .-...---.--..---".--- ~ --_.._._-_.~--"-._--_._.__..- -.--."-.--. ._----_.-.-_..~-- .-.------.-... -.- .- C] VERIFICATION OF QUANTITIES --_.._--~ -------------------..'"--- ----..--.-.-.-....------ --- ..._--..__._-_.._----~-------- ----.---- -- .. .-- --..-....------.----- ---. ---.--.... __no _ __._____.______ .._ C] VERIFICATION OF LOCATION 1 _ ,~~_-~__~~~~~~~~~~~~~~~~'i~~~~~;~· '..~,~_~~_~_~~.~.-'~__~-., ..,~-~-~.._:.-----,-.,~--,'. 1)( C] VERIFICATION OF MSDS AVAILABIUTYE t i ______~__..______ .___._..__._.__ _____________......__ ._._....____.___._...~_..__.__._..____,,_.. ______ ___ ___ _. . ______..____.__.... )( C] VERIFICATION OF HAT MAT TRAINING I ---,---...,--,------,,---~,-------,-.--"-,-, ,-".....----,--..".... .,,-,. .'..1·'--' ..--..,- . --.---...---....-..,.. ".,-. 15. ~__VERlR:AT'ON OF ABATEMENT SU-"PLlES~()I'ROCEOUR-,S __I ~~:~~~~~:;: ~~~~~~7~~ATE_____u+_ ~~- C] '--HOU~~KEEPI~----'-'---'m -",..,-,----,- -'-'----'-t---- -.." '--- --- ,.-.- --------.,-,--- -,.----.--..---..-.,.,..--....-...,. ---,----,~ -.---- _'U .....-r --...-------. _ _ -- -- --.------ ---.- __ __ _..._._____.. ~___.._.._.,,_ _.__ _ ______.___._.u___________._ ....-.-.---.-..----- --~_.__._------_..._..- .----.. .- -..-..-----.-.-.----.-.-- -- -------.--.- .- ------.....-... ---. --..-..-.---- - ---- ..-....-. . ._._.._.________.__._._._._.._.n_._...._. ___ .._."_.. _.__ __ n__._..__ - ._---. .--...-.--------..... -.-...-.-- ---'.-'--- - -.-...-.---.- -. -- -... -.-..- ----..----- ..-.--...----,.-------- -'- -----.-.--.--..---.---.-.-----.- C] FIRE PROTECTION )1t -O'&;~-D;~~~~~--ADE~~~T~..&'O~ 'HAN~·'------..m- ____._n... _.__~__n_____ - .--....------ -~-----_.__.._._- ..-- - -..-...-. -.--.. .- ._.__._------_.._-_._--~-_.~--_._,. ANY HAZARDOUS WASTE ON SITE?: C] YES ~O EXPLAIN: IS INSPECTION? PLEASE CALL US AT (661) 326-3979 n -:t:z/ -;!, --/!'m~---- Business Site Responsible Party (Please Print) 0> ~ N 11 White - Environmental Services Yellow, Station Copy Pink, Business Copy ~ ,- e ,}7. .~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONI\'IENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave.. 3rd Floor, Bakersfield. CA 93301 FACILITY NAME 7 -£ le"E..I\:¡ rt \ 17 2. , INSPECTION DATE 5j¡'/04- . Section 2: Underground Storage Tanks Program o Routine ~ Combined ~loint Agency Type of Tank S~ . P. ) Type of Monitoring À T 6 o Multi-Agency Number of Tanks Type of Piping o Complaint '3 D~F" ORe-inspection OPERA nON C v COMMENTS Proper tank data on tile X Proper owner/operator data on tìle >< Pennit fees current X Certification of Financial Responsibility ~ Monitoring record adequate and current X Maintenance records adequate and current X Failure to correct prior UST violations X 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 OPERA TION Y N COMMENTS spec available spec on tile with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? (fyes, Does tank have overfìll/overspill protection? C=Compliance V=Violation Y=Yes N=NO yin£ Business Site Responsible Party Whitc - rnv. Svcs. Pink, Busincss Copy FIRE CHIEF i-=\C'Ì'I FR,~ZE 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· ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326·3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326·3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave, Bakersfield, CA 93308 VOICE (661) 399,4697 FAX (661) 399,5763 it e\ April 22. 2004 7-Eleven P.O. Box 711 Dallas, TX 75221-0711 NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE Re: 7-Eleven, 4101 Calloway & 7-Eleven, 3601 Stockdale Hwy. Dear Business Owner: Our records indicate that your annual maintenance certification on your leak detection system will be past due on March 10, 2004. You are currently in violation of Section 2641 (J) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have thirty (30) days, May 22, 2004 to either perform or submit your annual certification to this office. Failure to comply , will result in revocation of your permit to operate your underground storage system. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Ralph Huey Director of Prevention Services bY'~~ Steve Underwood Fire InspectorlEnvironmental Code Enforcement Officer Office of Environmental Services SBU/db -- Cf . //' (b' ___./_ úZ. 4// rJ'/'P /J ~_/____ ~, .J efl~N'/1¿? Ute- UCWV/lU/UfP' oJ'OF' .jC'(;}ope- oJ /UZ/b JO 0&l-UU'? 04/22/2004 14:04 6613'3.1 - PAGE 01/01 *COpy REQUESTED PLEASE FAX(661)392-0621 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326..3979 FAX (661) ~5 z. -"'l.J 7"2. APPLICA TION TO PERFORM FUEL MONITORING CERTIFICATION FACiliTY J -I 1 it- ll~ a I ADDRESS ~ (.Q (J \ 51ô c.k1lf\-\!~ t-1-w" -6 A-~YR~F1£liD OPERATORSNAME~A"(\,~üU4(-r'J - (LtrF OWNERS NAME " NAME OF MONITOR MANUFACTURER 'V \SfJJ~or DOES FACll.JTY HAVE DISPENSER PANS? YES~ NO_ TANK f ) 9.. VOLUME CONTENTS LAtl.L~){ Î fJRFr-Yn-O¡ I NAME OF TESTING COMPANY_ JUC~ ENVIRO~~ENTAL CONTRACTORS UCENSE # 90-1072 NA!v.Œ & PHONE m}I'4BEROF CONTACT PERSON JAMES RICH 166Jl-392-~ô87 DATE&T1METESTISTOBECONDUCTEP 'L1-\ a"ll~ - ~ '.OOpY'v'l \ r2.y Yt Vl' m f¥bOYì J,aamO APPROVED BY LI )Ç}. g,}o,/ I 1 DATE,,· 4~Ú œc[~ SIGNATURE OF APPUcANT J' " - e ß+- DI~ ( exTY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Ch~swr Ave., Bakersfield, CA (661) 326..3979 APPLICATION TO PERFORM A TANK TIGHTNESS TESTI SECONDARY CONTAINMENT TESTINGrrRACER TESTING FACILITY 1-11 .::It llÎ'1..-1 ADDRESS?J~lì' S"T'ðaJ.)Al..E #W'l '6A~I2SP'ELb ) t:..A- PERMIT TO OPERATE # OPERATORS NAME 7- I ( OWNERS NAME ì -II NUMBER OF TANKS TO BE TESTED 3 IS PIPING GOING TO BE TESTED-Ï TANK # I L ~ VOLUME IO~ lOlL 1°f CONTENTS ~€, \ANl.EAþEi) ~'\ UN~j)6þ fe.EMlU(V\ TANK TESTING COMPANY -rAN 'l-NDUJf;;.Y MAILING ADDRESS'L75ìb CoMMEl2.Œ CEt\S\~ »12- .tt 107 1ÉMECLLUt I C.A ~ffl\? NAME & PHONE NUMBER OF cor,rr ACT PERSON ~YI t-j 4A.T LCC-i- \- Ðœ- {Q~~ - 'Z..n~ TEST METHOD V'P L.=J NAME OF TESTER OR SPECIAL INSPECTOR <5£A.I..J 'i3A"I 1-\ ~þ CERTIFICATION # SC- 100 Ie, DATE ,TIME TEST IS TO BE CONDUCTED ?- rb :-04- /L /I. ~~ SIGNATURE OF APPUCANT lQCO 7;-B- Dtf- DATE e 8900 Shoal Creek Blvd, Building 200 Austin, Texas 78757 Phone: (512) 451-6334 Fax: (512) 459-1459 Date Printed and Mailed: 12/17/2003 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR STEVE UNDERWOOD 1715 CHESTER AVE., 3RD FLOOR BAKERSFIELD, CA. 93301 Test Date: 12/01/2003 Order Number: 3132210 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: 7-ELEVEN #17721 MARKET #2133 3601 STOCKDALE HIGHWAY BAKERSFIELD, CA. 93309 Testing performed: Secondary Containment-Spill Container Sincerely, ~~K~ Dawn Kohlmeyer Manager, Field Reporting " '¡, 58-989 5 ONDARY CONTAINMENT SUMMa RESULTS :t~ Tanknology TEST DATE:12/01/2003 WORK ORDER NO.: 3132210 CLIENT: 7-ELEVEN, INC. 20819 72ND AVE. SOUTH SUITE 206 SITE: 7-ELEVEN #17721 MARKET # 213 3 3601 STOCKDALE HIGHWAY KENT RANDY MARTIN 253-796-7170 WA 98032 BAKERSFIELD CA 93309 Piping Interstital Tests REGULAR REGULAR PREMIUM & Under-Dis enser Containment Tests 87NORTH 87S0UTH 91 OPW OPW OPW Pass Pass Pass Tanknology representative: KEN MINTON ,/~----------, r~' 'C···'';fJ )~, '~,,', /\ // ,\ I}·.... --' (---;".¿,~/ ,~; 6 ,} Services conducted by: ROBERT HART ~~QV :t. Tånknology Test Date: 12/01/2003 Work Order: 3132210 SECONDARY CONTAINMENT TEST RESULTS SUMP TESTS Type Tank or Disp Manufacturer Model or Diam,/Width/Length Depth Test Method Start Initial Level Finish Final Pass/ # Material (") (" ) Time Level Change Time Result Fail Spill Container 87NORTH OPW Plastic 11" 11" 8:25am 4.7/8" 0" 8:55am 4,7/8" Pass Spill Container 87S0UTH OPW Plastic 11" 10" 8:25am 5" 0" 8:55am 5" Pass Spill Container 91 OPW Plastic 1111 11" 8:25am 4,7/8" 0" 8:55am 4.7/8" Pass Comments: .,' e e ~L", Tanknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE:12/01/03 CLIENT: 7 - ELEVEN I INC. WORK ORDER NUMBER3132210 SITE:7 -ELEVEN #17721 COMMENTS Tested fill spill buckets - all passed 30 minute lake test - left test water on site PARTS REPLACED HELIUM PINPOINT TEST RESULTS <IF APPLICABLE) Printed 12/17/200309:05 SBOWERS 0' '.. e SITE DIAGRAM e ~ 41.. »Jnknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE: 12/01/03 CLlENT:7-ELEVEN, INC. WORK ORDER NUMBER3132210 SITE: 7-ELEVEN #17721 south real road 0 0 ~G ~G 0 0 I :) ^ ^ ~ - ~ Jf 0 0 .c. g REG REG () I .c. § § en Q) -I 0 CO Jf ::0 "tJ m .:::£ () ø o1 PREM 0 § 0 ... C/) 10K a:::D VENTS Printed 12/17/200309:05 SBOWERS SENf::;OR ALAR~'l L 1 :DISP PAN 1-2 DIf::;PENSER PAI' FUEL ALARr", JUN 27. 2003 9:55 AM ----' SENSOR ALARM L 3:RUL I TURBINE ~3TF' :::~ U~'IP i~ UEL ALARr") JUN 27. 2003 9:55 AM _n__ SENSOR ALAR!"] L 2:DISP PAN 3-4 D I SPEN~3EP.· PAN FUEL ALARI'1 JUN 27. 2003 9:56 AM ----" SENSOR ALARM L 3:RUL 1 TURBINE :::;'H'SUI"lP FUEL ALARr"! JUN 27. 2003 9:58 AI"l ,,---..- ;::ENf::OR iiLi-iRI"1 L 3:RUL 1 TURBINE ;:rrp :3UI"IP FUEL ALAF:!"l JUN 27, 2003 10:00 AM 7"11 1 '1721 ~bCJ 1 f3TOCKDf~LE HI.,IY E:Ai:EF:;::JF I ELD.,:;A 8D7 4'j'j!:,450:-,OD 1 Jur" 27. 2003 10: 05 AI'1 _ ¿ ..a.........-.. 'f. SENSOR ALARI"1 L 3:RUL 1 TURB1NE STP SUI"IP FUEL ALAR!"! ,]UN 27, 2003 10: 07 AI"! -,., , I 7-11 17721 360 1 STOCY.DALE H~\JY BAKERSF I ELD . C¡:\ 80749954505001 JUN 27. 2003 10:08 AM ------ SYSTEf"l STATUS REPO¡n - - - - ... L 3: F UEL ALAR~'1 I N\iENTORY REPORT T 1: REGULAR \10 L U{"1E ULLAGE 90% ULLAGE= TC \lOLUI"IE = HEIGHT STK HEIGHT'" WATER \lOL WATER TEf1P T 2:REGULAR VOLUME ULLAGE 90% ULLAGE= TC \IOLUt'1E '" HEIGHT STK HEIGHT= WATER VOL WATER TEMP T 3: f'REt"l I Uf"1 \/OLU~'1E ULLAGE 90% ULLAGE'" TC VOLUr1E = HEIGHT STK HEIGHT= LdATER VOL lJA TER TEI"1P UL TANK 1 8102 GALS 1551 GAlt,; 586 GALS 7956 GALS 72 . :30 INCHES 72.30 INCHES o GALS 0.00 INCHES 85.7 DEG F UL TANK 2 7898 GALS 1701 GALS 741 GALS 7770 GALS 70.88 INCHES 70.88 INCHES o GALS 0.00 INCHES 83.0 DEG F 406'3 GALS 5513 GALS 4555 GALS 4006 GALS 39.58 INCHEB 39.58 INCHES o GALS o . 00 I NCHE:::; 82.0 DEG F ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ 7-11 17721 3601 'STOCKDALE HWY BAKERSFIELD.CA 8074 '3954505001 ,.TUN 27. 2003 10: me: AI"1 S'if3TEJ'1 ::rU;TUE;: REPORT ------ ALL FLJi',('T] Oft:; NORf"lAL 7"1~1 1 7721 3501 STOCKDALE HWY BAŒRSFIELD,CA 80749954505001 JUN 27, 2003 10:08 AM S''lSTEr'" STATUS REPÜRT .- - - - - - - - .- - - - ALL FUNGT IONS NORr"IAL INVENTORY REPORT T I: REGULAR \/0 L ur"1E ULU~GE 9m¿ ULLAGE = TC 'v'OLlJI"1E = HEIGHT STK HEIGHT= l.JATER \JOL WATER TEr"IP T 2:REGULAR VOLIJr"IE ULLAGE '30~¿ ULLAGE=- TC 'v'OLUf"lE =- HEIGHT STK HEIGHT'" ~JATER VOL WATER TEr'1P T 3 :PREr"11 un \lOLUf"IE ULLAGE 90:". ULLAGE= TC \lOLUf1E = HEIGHT :3T)( HE I (;I'IT= [·.lATER \/OL WATER TEf"IP UL TANK 1 8102 GALS 1551 GALS 586 GALS 7956 GALS 72.30 INCHES 72.30 INCHES o GALS 0.00 INCHES 85.7 DEG F UL TANK 2 7898 GALS 1701 GALS 741 GALS 7771 GALS 70.88 [NCHE:3 70.88 INCHES o GALS 0.00 INCHES 83.0 DEG F - -- ---- 4069 GALS 5513 GALS 4555 GALS 4005 GALS 39.58 INCHES :39.58 I NCHEt: o GALS 0.00 INCHES 82.0 DEG F - M - ~ ~ END M M M ~ ~ .:;......:0. c ~ ! Work Order: 3128501 e e Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3128501 tit . ~ , ;¡ Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3128501 e e ~ ~-~ Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 ( .\-, . CITY OF BAKEtfFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 Facility INSPECTION RECORD POST CARD AT JOB SITE Owner Address Address City. Zip City. Zip Phone No. Permit # INSTRUCTIONS: Please call for an inspector only when each group of inspections with the same number are ready. They will run in consecutive order beginning with number I, DO NOT cover work for any numbered group until all items in that group are signed off by the Permitting Authority, Following these instructions will reduce the number of required inspection visits and therefore prevent assessment of additional fees, TANKS AND BACKFILL INSPECTION DATE INSPECTOR Backfill ofTank(s) Spark Test Certification or Manufactures Method Cathodic Protection ofTank(s) ( Electrical Isolation of Piping From Tank(s) Cathodic Protection System-Piping Dispenser Pan Piping & Raceway w/Collection Sump . Liner Installation· Tank(s) Liner Installation· Piping Vault With Product Compatible Sealer Level Gauges or Sensors, Float Vent Valves Product Compatible Fill Box(es) II Product Line Leak Detector(s) ~\t a, , 1-) -(9"3 WU Leak Detector(s) for Annual Space·D.W. Tank(s) Monitoring Well(s)/Sump(s) . H20 Test C-. ~.J (". 0 j "'-ct \ "- Iè'À(--OJ Jljp Leak Detection Device(s) for Vadose/Groundwater .. II Spill Prevention Boxes . h{Jft -\-r ~t ~ 'd.$'". 1J"1 Æ FINAL Monitoring Wells, Caps & Locks - Fill Box Lock /I Monitoring Requirements Type It. <) - ~ ~"1) ~...Zì·ðJ t/!J ~J' Authorization for Fuel Drop (D,,27.... ð3 ~l{ \ CONTRACTOR t='ttlnc. \' ~CN\,{.rvc.J..t ,,;... LICENSE # I 77 Y:2 ( CONTACT___~~~ PHONE # ffÍð" '39) . I f f3 I .( (, JUI'JUN.16.2003 ¡ 3:56PM _LLNER CONSTRUCTION' -'" -'" - NO.610 P.2/9 ( l'ermU No. !)t". Q.J<C.ç CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 PERMIT APPLICATION TO CONSTRtrCTIMODD"Y VNDERGROtJND STORAGE TANK WA1'S1l TO PA V'¡OVID!%) BY D2P1R TO CJl«)tM) WATER NO. QFTANKS TO DB INSTALLBD AU nmv FQR MOTOR. J:UBI.. 5P(IJ" PRiVENnON CONTROL. AND COUN'J'Ba MEAStJRSS PLAN ON PILE " SecTION FOR M~R PI1EL 1JNLBADBD RBOU1.Aa. PJU!MruM ± YSS NO YRS NO ± ~ VOLtJMB IlJ.Qðð i6J!! DIESEL ^VIATtON v S£C1'ION m'_N'OM MOTOR.1mEL ft'ORÅ.G~ T ANn TANK NO. VOµJMB ' CftEMICAL STOUD CAS NO. CHEMICAL PRBVIOUSLY' STOUD (NO BRAND NAME) (IF KNOWN} FOf( OFFICIAL, USE ONLY [^,,,,,",,,l1ON ~T,¡:. ' : ~ACIUTY NO. .110. "tITAN.. nsu "J1f8 APPLICANT HAS R.ECIUVED, UNDERSTANDS, AND WILL COMPLY WrrH THB A 11'ACHBD CONnmONS OF THIS PBRMIT AND ANY OTHBR STAT&, LOCAL. AND F&DBRAL RSGIJLA110N,S. /1 THIS P. '1'R.U H....S 8S COMPLETED lJM)Efl PSNA):.,T'Y OF P8RJTJRV, AND TO co .' ~. ß..., L L ç&,'t:.~ 1'r, .APPLICun NAME (PRINT) , TJØ.S APPLICATION BECOMES A PERMIT WHEN APPROVED I " f':/ 7-11 17721 3601 STOCKDALE ~~¡ 8AI<EF:SF I ELD. CA 8074995.1505001 JUN 18. 2003 9:39 AM S\'f3TEI"l STATU~:-: RtT-'::>RT -.. "- -- -. -- - ALL FUNCTIONS NORMHL ~ I N\/Ef'JTOR\' FŒPOR~ T 1 :REGULAR \/(;'LUr"IE ULLAGE 90% ULLAC;I::> TC \/OLUI"1£ : HEIGHT ~3TI< HE I GHT: ¡"lATER \/OL [".IATER TEr-'1F) T 2: REGULAF: \/0 L Uf"IE ULLAGE 90~', ULLAGE= TC \/OLUf"1E : HEIGHT STK HEIGHT: l¡JATER VOL WATER TEr-'1f' T :3: PREt"1 I Uf"l 'v'OLUI"IE ULLAGE 90~¿ ULLAGE= TC \/OLUI"lE = HEIGHT STK HEIGHT= k¡r:,TEF: \/OL [¡JATER TEf"lP UL THNK 1 :3~~45 GALS b408 GAU3 t)Ÿ4:~ GALf:~ 3181 GALS :~'4. :]5 J NCHÐ3 34 . :3~i I NCHE~3 o GAU3 o . 00 II'CHEf:: 8'7.'/ DEG F UL Tf~N}: 2 3?EJ7 GAL~3 5812 GALS 4852 GAL~3 3'728 GfiLS :3E: . 68 INCHES :]8.68aCHES 0WI:-E:~ O.OD II',CHES 82. I DEG F :]101 b481 :í52:3 3û52 32.} 3 :32.1:3 D 0.00 :32.2 GALS GALS GAL3 Gf~L8 INCHES INCHES GALS I NC HE:3 DEG F ~ ~ · ~ ~ END ~ ~ ~ ¥ ¥ - - CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME 1-(( INSPECTION DATE ~"l ~ ,,() 1 Section 2: Underground Storage Tank~ Program o Routine Œttombined Type of Tank Sill l Type of Monitoring o Joint Agency ( t' . Q. ) jt\~ o Multi-Agency 0 Complaint Number of Tanks '1 Type of Piping . 0(1) P ORe-inspection OPERA nON c v COMMENTS Proper tank data on tile / V Proper owner/operator data on tilc .../ Pennit fees current / ......... Certification of Financial Responsibility ./ Monitoring record adequate and current / ,- Maintenance records adequate and current .,.,I Failure to correct prior UST violations I' Has there been an unauthorized release? Yes No f./" Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERA TION Y N COMMENTS spec available spec on tile with OES Adequate secondary protection Propcr tank placarding/labeling Is tank used to dispense MVF? If yes. Does tank have overtill/overspill protection? e=Compliance Y=Yes N=NO Inspector: Office of Environmental Services (661) 326-3979 ?4n~ Business ~ Responsible Party Whìtc - Fnv, Svcs, Pink, Business C'<'ry It It UNIFIED PROGRAM INSPECTION CHECKLIS~ SECTION 1 Business Plan and In~entory Program I Bakersfield Fire Dept. Emronmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME ! INSPECTION DATE INSPECTION TIME ::]~~~ ,~±~~=~«:;~~~=~=-=======~==-~==¡~~~~ _:.£~.... Section 1: Business Plan and Inventory Program o Routine ...- ð-6mbined d Joint Agenèy CJ Multi-Agency a Complaint aRe-inspection C v cvb ( C=Compliance ) V=Violation OPERATION COMMENTS ApPROPRIATE PERMIT ON HAND _____._______.__~_____________.__.~__.___,._____~< __~. _~·w________·~~_.__·_·_··__,___~_ _ .... .__._,_ ._.'____. __~~. g/' 0 BUSINESS PLAN CONTACT INFORMATION ACCURATE n_'~_._.._ __ ___.__.__"h -.-...-- .--...----.--- -----,.-.-----.-----...., ---'''-- ---~---------~'-----------------_._,----_._-- -.- -----.."..-, .----".'"..----- . .".. _ --..-.,,--,--- ----" ,-.'---.-". ""'--"'-.'. . '-,.---'.-'-' --_.. !]/" 0 VISIBLE ADDRESS ~--'--'~--'---------"---'-'---'" -----....--------,-.. '..,._--,-.-,,--- ~' CORRECT OCCUPANCY '-~' VERIFICATIO~- OF-~~~:;~RY ~~TE~'AL:-'-'--'---'" :~(~::::::~:~-~:::~=~:.:-:-_:-_.-::=:~::::- .:.....:....:::::-......:::.. ... ... -~O--';~-;~~~~GR~~~IO~~~-~~;I~:-------------"-·- - -------,,--,-,-,------ ",--,--,----.--" """-,.,.-.".--..- ,-",'..'" -~O' VE~;FIC~TION ~~-~~;~-~~;:~~~I~-~'-..,-'---"·_'-'-' ,-,-"",---,,-,..,- n' ... '.. "'-',---"--" .",..' ,--, ,--,- ... ._-.,---,~---->_. --_.----. ... .._-- -,----_.. ....--- ..'....~.,_. _. -. _. ,__._....__..,...._,____.. ,,_,'..._ _....m_ __',_ ___'__n_...".._,___.. ... _,___,_..._.._.. ,_...'- _"______________~___·___n_____.___·_____.________ __~.._..___.__.._._.._~.. ______..__ _ ,_.,.._._____,.__.____._~._..._.__ _ . .____...._...__..._.__..__,.._.._...,._ ._..._'..~_.__..___ _. __ _,__. _____~_._._ Cl/LJ VERIFICATION OF HAT MAT TRAINING ~____._____.__'____"____"_____ __, __'_.." '__'''_' ~'_.._____n___" _.__,.,.._,....... 13" LJ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES . .--..-.----.-..-- ...~.-- --.--"" -'--- .-.... - -- .---.-' ___.~_______,~_______.______________...__.___ ___...____,___.._ ._"__.' .__._._._~_._____ ______.____.,,_..__ __.._..____._ _._. _.. __._'. ___~.. ____n___ ,~_,_" __..___,_,.___.__ _.. _.____.__.._ ___ 0/" LJ EMERGENCY PROCEDURES ADEQUATE ..--..·7-'--------'-----.-'-'-...-....----.........-.--...-.--,__,___.__,__".....,___.~--,-'.'-..-n-- --.. ,'..,....---,_........ .-, ...,---..... -.-'-' , L!' a CONTAINERS PROPERLY LABELED I '-"-7~'--'-- - -,--- -,.._,-- -, -- - ----- ---- --' ....,.-.-+,.-.----.....--,-, __h____'..__....".,'_ .. ,.,.......-,- .___.m_... cr L.. HOUSEKEEPING ~ ~~~~.. -~~~!..~i~~~~~~ _~--'___ ~ ~=_ -~ ..','- _' = ,--'_~= ~~~~~ __~~~_~~-, --_~~~~ -,-__~_,~~~-~=~_~-~:-::-_....":~,~,__~~~,- ,. ~ LJ SITE DIAGRAM ADEQUATE & ON HAND .. ----- '-'-."----.-' ... --.--.------- ._u_________._. "n.__,__.___.. ANY HAZARDOUS WASTE ON SITE?: aYES q..NO EXPLAIN: QUESZ'ONS GARDING ,/ IS I I ' ~- - - - Inspector PECTION? PLEASE CALL US AT (661) 326~3979 .' ,__., -,._,_'-1..._---,-------_. Badge No" 0-:£¿- ___~_.___.L~__,_____~____._~._______. Business Site Responsible Party White . Environmental Services Vellow ' Stalion Copy Pink - Business Copy ::1" I"- 1m I LO I ¡LO ¡1:fJ !r' I !r' I 1::1" o 10 10 .0 LO r-=t 1m U.S. Postal ServiceTM CERTIFIED MAILM RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) , ,. , ., > Î 0 FFICiAl U SE I Postage $ Certified Fee Return Reclept Fee Postmark (Endorsement Required) Here Restricted Delivery Fee (Endorsement Required) ( Total Posta nlTo RANDY MARTIN 7-11 STORE PO BOX 711 DALLAS TX 75221 '''-- II1J o 10 ¡l"- I "$fi뚣7ì¡;C;' orPOBoxN ëi(ÿ.·štå¡';::;¡ ~- ------~ - -- - - - .. I I See Reverse for Instructions Certified Mail Provides: , · A mailing receipt (9SJ9A9/:J) ¡:oœ 9unr OOBE WJ0::l Sd I · A unique Identifier for your mailpiece · A Tecord of delivery kept by the Postal Service faT two yeaTs . I Important RemInders: ~ I · Certified Mail may ONLY be combined with First-Class Mail® or Priority rìilàil®-¡ · Certified Mail is not available for any class of international mail. · NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For I valuables, please consider Insured or Registered Mail. · For an additional fee, a Return Receipt may be requested to provide proof of I delivery. To obtain Return Receipt service, prease complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to coveT the, fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for I a duplicate return receipt, a USPS® postmark on your Certified Mail receipt is reqUIred. I · For an additional fee, delivery may be restricted to the addressee or I addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "Restricted Delivery". ¡ · If a postmark on the Certified Mail receipt is desired. please present the artl- i cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. I . Print your name and address on the reverse I so that we can return the card to you. I · Attàch this card to the back of the mail piece, or on the front if space permits. I 1, Article Addressed to: í I I I 7-11 FOOD STORE 3601 STOCKDALE HWY BAKERSFIELD CA 93309 ~--~-~~- -----~-~- - -- ---------../ 2. Article Number I (rransfer from service label) , ¡ PS Form 3811, August 2001 ì D. Is delivery address different from item 1? If YES, enter delivery address below: 3, Service Type ':t!.Certified Mail o Registered o Insured Mail o Express Mail o Return Receipt for Merchandise o C.O.D. I I 4070 I I 102595-02-M·1540 4, Restricted Delivery? (Extra Fee) DYes Domestic Return Receipt 7002 3150 0004 9985 UNITED STATES POSTAL SERVICE First-Class Mail Postage & Fees Paid USPS Permit No: G-1 0 · Sender: Please print your name, address, and ZIP+4 in this box · o Bakersfield Fire Department Prevention Services 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 \2~~(J '{ þ\\.(J...(í~ I ~ "¡-{ l Þ.o . ß ~)C ì t ( ðQ.uo..~ \~ ì 6'"" 22. t ): '" =;p¿ ..:HiE;: :,.:,'! ':~/\":'::': 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 SERY1CES . EIIVIAOItIlEllTAI. 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 FAJ( (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAJ( (661) 326-0576 TRAINING DIVISION 5642 VIctor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAJ( (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 permit 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: J .J( ct££' '-'" Steve Underwood Fire InspectorlEnvironmental Code Enforcement Officer Office of Environmental Services SB VIde ~¡, CL? . ~þ (y:' 'uuZo/. rJ'7' dd (j'7þJ.) ~ _ ~___ " Jt!?/Vu,:?, ~A6 ()cwvn~..,~ .7'01'" t/~(:J(J/"'6 J/'l.a/b vTJ (;JeFu«/I',?- 1''', '1ò . e , "r~ · 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 POBOX711 DALLAS TEXAS 75221 0711 3. Service Type o Certified Mall 0 Express Mail o Registered 0 Return Receipt for Merchandise o Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes 7002 3150 0004 9985 3837 PS Form 3811, August 2001 Domestic Return Receipt 2ACPRI-03-Z-0985 ' - -,--~- .----.------- U.S. Postal ServiceTM CERTIFIED MAILTM RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) ('- IT! cO IT! , . , '. " . " " , I I 0 F F I C I A l U S E Postage $ Certified Fee Postmark Return Reclept Fee Here (Endorsement Required) Restricted Delivery Fee (Endorsement Required) ::r c:J c:J c:J c:J Ll1 .-'I IT! Total Posta ru C1 nfO c:J ('- ~i.APiÑ or PO Box No ëitÿ.-šiãië;z¡ BOB DENINNO 7-11 POBOX 711 DALLAS TEXAS 752210711 : I' . II .... . . . MA¥ 08 2003 7:19 BKSFlD FIRE PREVENTION - ~-O~ç CITY OF BAKERSFIELD· VCLf7---d1 OFFICE OF ENVIRONMENTAL SERVICES . I~O? 1715 Chester Ave., Bakersfield, CA (661) 326-3979 (661)852-2172 _. Permit No. p.2 ~.~ PERMIT AJlPLICATIO;ll TO CONSTRUCT/MODIFY UNDERGROtJND STORAGE TA..~K ( TYPE OF APPLICA nON (CHECK) r JNEW FACILITY [jMOOIPICATlON Of" FACILITY (JNEWTA~K INSTALLATION AT EXISTING F,<\CILlTY $T.UTING DATE H If r PROPOSED COMPLETION DATE Mil.., C::>.3 FACIt.rTY NAME .. EXISTING FACILITY PER,"I¡r NO. FACILITY ADDRESS CITY &k~~5 Field ZIP CODE TYPE Or BUSINESS APN .. TANK OWNER - PHONENO.$SC:; 2"'3 3~03 ADDRESS CITY ZIP CODE t¡ H 7 D" CONTRACTOR CA LICENSE NO. "7~q., a8 ADDRESS CITY ZIP CODE 4fS 2. "l :J- PHONE NO.~l~- 3~·i:I-· Z.SZ-CP BAKERSFIELD CITY BUSINESS UCENSE NO. WORKMAN COMP NO. (NSUIlER / ~1.EFLYDESCRIBETH!.y.¡O~ TOBEDONLt?...~~ ~ ~'ffÆ¡t,~f' ~'~'¡"~1 ~2oi)tJd t:J.¡l, "JJf ,AtU"'~ :!;.o,1h:g, I llhuJ _ _ I __ __ WATER TO FACILITY PR.OVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPæfED AT SITE NO. OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR fUEL YES NO SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN Ol'f FILE YES NO SECTION (fOR MOTOR FUEL TArK NO. nj VOLUME /Ð, Ðò() l',?¡ rwD lqOðð UNLEADED )( ~ REGULAR PREMIUWI"L DiESEL AVIATION K ~iCTION FOR NON MOTOR FUEL STORAGE TANKS TANK NO. VOLUME CHEMICAL STORED (NO BRAND NAME) CAS NO. CHEMrCAL PREV10USL Y STORED (IF KNOWN) APPLICATION DAn FOR. OFFICIAL USE Ol\L y FACILITY NO. NO. OF TANKS FEES $ THE APPLICANT HAS RECE.lVED, UNDER.Sí ANDS, AND WILL COMPLY WITH THE ATTACHED CONDITrONS OF THIS ?EaMIT AND ANY OTHER. Si A TE, LOCAL AND FEDERAL REGULATIONS. (, THfS F HAS BEEN COMPLETED UNDER PENALTY OF" PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE: CO A , THIS APPLICATION BECOMES A PER.\1IT WHEN APPROVED 141002 etf"'~"'LU t-H<I=. I-'I<t;;vE;NT¡ON _1)852-2172 p.2 . Y \e.ase.... ~ . r e.:\\Arr\. ~E>fY -Ç'~, [Slid 3Bb --12./6- CITY OF BAKERSF1ELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 '.\J ~, 04/22/2003 09:27 FAX nrr.-. c:c. C:uu,,: (:~..::J '___ ______ __ __ _~ u, ·-AP;LlCATION TO PERFORM A TA~ TIGHT~SS ;;"'S;/~~~-I SECONDA]~Y CONTAINMENT TESTINGfTRACER TESTING I FACILITY t¡ ---II S I+c:.- $ 1'7'71, \ ADDRESS 3lo0t 5+octdo..\f.. -HLð y PERMIT TO OPERATE # OPERATORS NAN[E'H(fer~r r-z -I \ OWNERS NAME_~t \ NUMBER OF TANKS TO BE TESTED.3 IS PIPING GOING TO BE TESTED!.. TANK # ¡ 2 .- 3 - ' - VOLUME 10000ð . . --'jn,(J()Ô It). 000 , CONTENTS ~¡JOí {)tIl!QÇJ~ - - .M~œI e.. ~(oeickJ Þrun;Uft1 fI /t.tte1t>d TANK JESTING ODMPANY 77U:¡C((L !?£GE/}¡¿CH MAILINOADDRESS "3?~ç' AJoIU~ ßrJS//vÞG5 cf'A/7CIl IJt2.)¡)kj NAME & PHONE NUMBER OF CONTACT PERSON TvCt5orJ¡ /12 '1':JJQS TEST METHOD r:; ¿ 0 fYJR/(,¡é.. Cf}"l}ðrJ - 6(;/2, -V}Z 5'6)7 NAME OF TESTER OR SPECIALJNSPECfOR k~7£ P1A/( / /1/JÆI( Cj)L/.)ÒP'J CERTIFICATION # <¡2-/õCJ7 ~ n -1,09 ' ~71/t!vÆJCO:~:~035 £IQ~. ' APPROVED BY I DATE SIGN~OF~NT A\e't.. b-ld\.~b, 1Ã~KMOLO& Y [51l) 380·- '1121 ---- - --- -- -- APR-22~2ØØ3 08!06 561 852 2172 95% P.02 : -. ---- ~-~-.......- ~ ~ e I Permit No. 15ï:-Œ~ LP0 CITY OF BAKE SFIELD '-:¡7CL-.~ OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 PERMIT APPLICATION TO CONSTRUCTIMODIFY UNDERGROUND STORAGE TANK TYPE OF APPLICA TI (CHECK) [ ]NEW FACILITY [ MODIFICATION OF FACILITY [ ]NEW TANK INSTALLATION AT EXISTING FACILITY STARTING DATE Ll){).:1 PROPOSED COMPLETION DATE ¡)oð "1- FACILITYNAME 7-E¿FtJ¿:N 1I-/?7pZ.l EXISTING FACILITY PER1.1ITNO. FACILITY ADDRESS -:')t,OI S7dcJc.d...k J/..,¡v CITY JJ¡:rk~/:>h4d. ZIP CODE ~ 13(77 TYPE OF BUSINESS r¿{. -h...ï c~~ &lJ' ':> S -+;If,;.... APN # TANK OWNER '-L=U~()¿ I{ J- f1<. . PHONE NO. cf).oé;- Y;<'J - 8Y6&:: ADDRESS . () 86 CITY' ZIP CODE 7J~2/- 07// CONTRACTOR I r I~ ~ CA LICENSE NO. 7 ól. J 'J 96' ADDRESS /oS' Pp-Lr....ð"J. tJA-7 SiA./k (,- CITY OLt.Ul ~I'~ ZIP CODE ç:;¿oSY PHONE NO. 7t>ð - 7Z-i - Y / Z.O BAKERSFIELD CITY BUSINESS LICENSE NO. WORKMAN COMP NO. INSURER S f-¡<¡ 1-<. ,c~ x/) s. # ð S-:J '7 9 e:2 :2 BRIEFLY DESCRIBE THE WORK TO BE DONE P/u..<;.A ~ Sc op..-t d ~ W ()...~ WATER TO FACILITY PROVIDED BY 7-¿;:-6tÇtJt7N DEPTH TO GROUND WATER l..I.AkMwr'\ SOIL TYPE EXPECTED AT SITE NO. OF TANKS TO BE INSTALLED a ARE THEY FOR MOTOR FUEL SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE No XJ YES x- YES NO NO ( SECTION FOR MOTOR FUEL 8<1 REGULAR 'is 7 PREMIUM DIESEL A VIA TION TAN' NO. ..2- '1 VOLUME ¡OK- /ð k.. / tf j:.. UNLEADED 9/ SECTION FOR NON MOTOR FUEL STORAGE TANKS TANK NO. VOLUME CHEMICAL STORED (NO BRAND NAME) CAS NO. (IF KNOWN) CHEMICAL PREVIOUSLY STORED FOR OFFICIAL USE ONLY APPLICATION DATE FACILITY NO. NO. OF TANKS FEES $ THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE A IT ACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULA nONS. ( MPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS ,~ ,^^ ~+Fìrr ;. ß / \)0..1) ù~.. y V\~ lw ¿J (¡J fLÚ ¿/í/ Þvf . APPLICANT NAME (PRINT) APPLICANT SIGNATURE TillS APPLICATION BECOMES A PERMIT WHEN APPROVED TYPE OF ACTION (Check one ilOm only) CITY OF BAKERSFIELD OFAE OF ENVIRONMENTAL SeVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS-TANK PAGE 1 01. NEW51TEPERMIT ~ AMENDEOPERMIT o 5. CHANGE OF INFORMATION) Page at o 6. TEMPORARY SITE CLOSURE o 7. PERMANENTlY ClOSED ON SITE 08. TANK REMOVED 430 o 3. RENEWAL PERMIT I BUSINESS NAME (Same as FACILITY NAME ex DBA . Doing Business As) I 7- EZt':: ¡)¿-AI I? 7 ;;Z I LOCATION WITHIN SITE (Oplionat) TANK 10. NIA DATE INSTALLED (YEARIMO) ¡Po (~Ify IllllSOII - for local use only) I. TANK DESCRIPTION 432 TANK MANUFACTURER A . ð . ":3 Y'^ ,'+-'1-.. TANK CAPACITY IN GALLONS 0)<:- 435 ADDITIONAL DESCRIPTION (For Iocat USII only) ./ TANK USE 1::1 1. MOTOR VEHICLE FUEL Iff marlced. co~ef8 PetJOleum Type) o 2. NON-FUEL PETROLEUM o 3. CHEMICAL PRODUCT o 4. HAZARDOUS WASTE (Includes Used Oil) 095. UNKNOWN (Check one iløm only) TANK MATERIAL - prim8IY tank (Check one iløm only) 431 433 COMPARTMENTALIZED TANK 0 Yes No It "Yes", complete one page fex each compartment. NUMBEROFCOMPß- 434 436 437 : i 438 439 '::II.TANKCONTENTS:\'/« '.' PETROLEUM TYPE ~. REGULAR UNLEADED Cf JÞ. PREMIUM UNLEADED 13"1C. MlDGRAOE UNLEADED o 2. LEADED o 3. DIESEL o 4. GASOHOL COMMON NAME (from Hazan10us Maf8rials Inventol)' page) o P' SINGLE WAlL 13' 2. DOUBLE WAlL o 3. SINGLE WAlL WITH EXTERIOR MEMBRANE LINER 04. SINGLEWALLlNAVAULT o 1. BARE STEEL o 2. STAINLESS STEEL 3. FIBERGLASS / PLASTIC o 4. STEEL ClAD W/FIBERGLASS REINFORCED PlASTIC (FRP) 3. FIBERGLASS t PLASTIC o 4. STEEL ClAD WIFIBERGLASS REINFORCED PLASTIC (FRP) o 5. CONCRETE o 3. EPOXY LINING o 4. PHENOLIC LINING TANK MATERIAl- secandaty tank 0 1. BARE STEEL (Check one iløm only) 0 2. STAINLESS STEEL TANK INTERIOR LINING OR COATING (Check one iløm only) SPILL AND OVERFILL (Check aU that apply) o 1. RUBBER LINED o 2. ALKYD LINING o 1. MANUFACTURED CATHODIC 0 3. FIBERGlASS REINFORCED PlASTIC PROTECTION 0 4. IMPRESSED CURRENT o 2. SACRIFICIAL ANODE / YEAR INSTALLED 450 TYPE (For local USB only) 451 e:J/1. SPILL CONTAINMENT NIp,- ÉI? DROP TUBE r:j 3. STRIKER PLATE 440 o 5. JET FUEL o 6. AVIATION FUEL 099. OTHER 441 CAS' (from Hazan10us MatBrials Inventol)' page) 442 o 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 095. UNKNOWN 099. OTHER o 5. CONCRETE 095. UNKNOWN o 8. FRP COMPATIBLE W/100% METHANOL 0 99. OTHER 443 444 o 8. FRP COMPA TI8LE W1100% METHANOL o 9. FRP NON-CORRODIBLE JACKET o 10. COATED STEEL 445 j I I 095. UNKNOWN o 99. OTHER o 5. GLASS liNING o 6. UNLINED DATE INSTALLED 447 95. UNKNOWN 099. OTHER 446 For Iocat use 0 DATE INSTALLED 449 95. UNKNOWN o 99. OTHER 446 (For local use only) O~RFILL PROTECTION EQUIPME~YEAR INSTALLED , 452 Ó YALARM E:J 3. FILL TUBE SHUTOFF VALVE _ ci' 2. BAlL FLOAT 0 4. EXEMPT IF SINGLE WALL TANK (Ch,ck aU that apply): o 1, VISUAL (EXPOSED PORTION ONLY) 02. AUTOMATICTANKGAUGING(ATGI 03. CONTINUOUSATG o 4. STATISTICAL INVENTORY RECONCILIATION (SIR) + BIENNIAL TANK TESTING 0/ ~2. 03. o 5. MANUAL TANK GAUGING (MTG) 08. VAOOSEZONE 07. GROUNDWATER o 8. TANK TESTING 099. OTHER V. TANK CLOSURE INFORMATIONI PERMANE~l' CLOSURE IN PLACE ESTIMATED DATE LAST USED (YRlMOtDA YI UPCF (7/99) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING MANUAL MONITORING 453 TANK FILLED WITH INERT ~RIAL? DYes efNo 457 I aa/lons S:\CUPAFORMS\SWRCB-B.WPD CITY OF BAKERSFIELD . . OFFICE OF ENVIRONMENTAL SERVICEsA 715 Chester Ave., Bakersfield, CA 93301 (661) 3_79 UST . TANK PAGE 2 .;,. ·~Ò^:·.U -:. '.", . Page of ." ·.·,;;Ôf::...,?;;:'.'&t:~);~}¡!{tJ'c;::',VI.. ~1f!IN~(;Qf4S~,cjÇtl~ (~~t/lat.PP¡Y). UNDERGROUND PIPING I ,.. .~" I .'..,' ~ " ' "..'-<-'> SYSTEM TYPE 03, GRAVITY 458 o 99. OTHER 460 1. PRESSURE 0 2. SUCT10N CONSTRUCTION/ 0;-: SINGLE WALL 0 3. UHED TRENCH MANUFACTURER d 2. DOUBLE WALL 095. UNKNOWN MANUFACTURER 481 o 1. BARE STEEL 0 8. FRP COMPA T1BLE Wt 100% METHANOL MATERIALS AND 0 2. STAINLESS STEa 0 7. GALVANIZED STEEL CORROSION PROTECTION O? PLAST1C COMPATIBLE WITH CONTENTS 0 95. UNKNOWN ø 4. FIBERGLASS 0 8. FLEXIBLE (HOPE) 0 99. OTHER o 5. STEEL WI COAT1NG 0 g, CATHODIC PROTECTION 484 UNDERGROUND PIPING SINGLE WALl. PIPING 488 PRESSURIZED PIPING (Check aU that apply): o 1, ELECTRONIC LINE LEAK OETECTOR 3.0 GPH TEST Ym!:! 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 (0.1 GPH) , CONVENTIONAL SUCTION SYSTEMS: o 5. CAlLY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): 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) - q, a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ø b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF o 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION - o 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR + AUDIBlE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check aU that apply) o 14. CONTINUOUS SUMP SENSOR~ AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS o 15, AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) Y'!!I!:!Q!1! FLOW SHUT OFF OR RESTRICTION o 16. ANNUAL INTEGRITY TEST (0.1 GPH) o 17. DAILY VISUAL CHECK .. ,,, . ~ , ~.. ~< .7.<" J ABOVEGROUND PIPING o 2. SUCTION 095. UNKNOWN o 99. OTHER o 3. GRAVITY 459; 462; I I 463] o 1. PRESSURE o 1. SINGLE WAll o 2. DOUBLE WALL MANUFACTURER o 1. BARE STEEL o 2. STAINLESS STEEL o 3. PLAST1C COMPATIBLE WITH CONTENTS o 4. FIBERGLASS o 5. STEEL Wt COATING o 6. FRP COMPATIBLE WI 100% METHANOL o 7. GALVANIZED STEEL o 8. FLEXIBLE (HOPE) 0 99. OTHER o 9. CATHODICPROTECT10N 095. UNKNOWN 465 ABOVEGROUND PIPING SINGLE WALL PIPING 487 PRESSURIZED PIPING (Check aI/that apply): o 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST ~ 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 (0.1 GPH) o 4. DAILY VISUAL CHECK 'CONVENTIONAL SUCTION SYSTEMS (Check aU 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): o 7. SELF MONITORING GRAVITY FLOW (Chack aU that apply): o 8. DAILY VISUAL MONITORING o 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check &U that apply): 10. CONTINUOUS TURBINE SUMP SENSOR ~ AUDIBLE AND VISUAL ALARMS AND (check one) o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF o 11. AUTOMATIC LEAK DETECTOR o 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM: o 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL AlARMS EMERGENCY GENERA TORS ONLY (Check aU that apply) o 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS o 15, AUTOMATIC UNE LEAK DETECTOR (3.0 GPH TEST) DISPENSER CONTAINMENT DATE INSTALLED 488 o 16. ANNUAL INTEGRITY TEST (0.1 GPH) o 17. DAJlYVISUALCHECK o 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE O.? CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS ø 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS "IX-OWNER/OPERATOR SIGNATURE o 4. DAILY VISUAL CHECK , o 5. TRENCH LINER t MONITORING o 6. NONE 469 /lX/II- - /7r Permit Number (For local use only) 473 Permit Approved (For local use only) I UPCF (7/99) 471 DATE c:l- S- -0 TITLE OF OWNERlOPE~lOR ?('o--L<..---+ Y V\b-AC-... 470 472 474 Permit ExplraUon Date (For /ocat use only) 475 S:\CUPAFORMS\SWRCB-B. WPD Plge C 8, TEMPORARY Sfre CLOSURE o ,. PERMANENTLY CLOSED ON SITE (~ IU_ . for /øQI l'H olliy) (Sp¥;Ity eM"I/II' fOr /0l;Il/ we only) 0 8. T ANI< REMOVED I '"S~7~:;j:~~"'E«~·""j;;; ,---:=T'-'lolIIT ! II U ! . ! LOCA 'f¡ON Wfl'MIN SITE (Oplíot/aU --- j i T'fPE OF ACTION (Che,k one 118/11 onJy) e e CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS-TANK PAGE 1 (Ð Ii o 1. NeW SITe PERMIT r:i:'. AtÆNOfD PERMIT 05. CHANGEOFINFORMATION) o 3. RENEWAl PERMIT 430 11 43'íì frANK 10. 432 i 'I I. TANK DESCRIPTION CO",P..umIENTALlZEtlTANK 0 Yes -c:(~ If "'1'.', ccmplcJle one ~ fat eacn CO"IIpatlmenl, NÜiÃBER OFCOMPARg, /' N/A õï."tE INSTALLED (YEARiMO) ,:/(-\ ADDITIONAL oeSCfUPTIOH (For /øQ1.... ollly) ANK MANUFACTURER f\ ,Ô ' Sr'-' \ -\-- L. 435 I T~J( A IN GALlONS I 0 )<... ,L-___+._ .33 4301¡ I 0431~ 434 .38 ! I . ,. . ~I II. TANKCON'TENTS. ;f' PETROLEUM "TYPE B).. REG>JLAA UNl.£A£)ED ~)p. PREMIUM UNLEAOED !3"1c:. MIOGIW)£ UNLEADED T ~K USE 0439 6'1. MOTORVëHICLERJEL (If malf<td, CO/I¥III. PlI1O/eUm Type) o 2. NON-FUEL PETROLEUM o 3. CHEMICAL PRODUCT o 4. HAZAACOUS WASre (ltrdue.& UMId Oil) 096. UNKNOWN o 5. JET FUEL o 6. AVIATION FUE,L 099, OTHER 441 ¡-W'(flDm Ha_-;;¡;;¡;¡;-~I/lIIØ';lJary þ4got) I o 2. LEADeD o 3. DIESEL o .. GASOHOL I ¡ I ~21 I ,.i" ". .,'.·.1 ... .. ' . ~3 COMMON NMi(;;;;;;¡;;"tdouÎ~~;;;;' ~g<e) --- .. ..... . .-..."" . - - o 5. SINGLE WALl ~ iNTERNAL 6\.AOOER SYSTeM o 96. UNt<NOWN o 99. OTHER o ~. CONcro;re. 0 &6, UNKNOWN o 8, FRP COMPAT1SI.E Wt1~ METHANOl. 0 99. OTHER i ; i 44&1 i .. III, !ANK CONS;fflµÇT1ON': o 3. SINŒ.E WALl WITH EX!ERiOR MeMBRANE UNER o 4. SINGLE WALL IN " VAULT / 'fÃÑK'W,TeRIAI.-pñmerylallk 0 1. BARESTEEL œ' 3. FIÐERG1.ASSIPWTnC (ChetK 0". ifem ollly) 0 2. STAINLESS STeEL 0 4. SteEL CI..AO WIF18E11GLASS , REINFORCeO P!.A!o'T'C (rAP) TANK MATeRIAl. ...-cI8Iy IMk 0 1~ IWIf STeËL----·-'--Ø3. FIBERGLASS ¡PLASTIC (Check one am only) 0 2. STAINLESS STEEL 0 4. sTèEl. CI.AD WIFl8ERGt.ASS REINFORCED PlASTIC (FRP) o 5, CONCIŒrE . .,,' .,. TYPE 'ÕF TANK (Check 01141 ilelll oNy) 0)0 SINGLE WALL [!f 2. DOUBLE WAlL I. ' ~¡ . o e, FRP COMPATIBLE WJ100% IÆrnANOL o 9 fFtP NON-CORROCI8LE JACKET o 10. COATED STEEL . o 95. UNKNOWN o 99, OTkER o 1. RUBBER WNED o 2. AUCYO UNING o .1. EPOXY LINING 0 5. GLASS UNING ~~ UNKNOWN o 4. I"IENOLiC LINING 0 6, UNUNEO 0 99. OTHER o 3, FIBERGLASS ~INF';CEO PlASTIC æ(~, ~NKNOWN .we o 4. IMPRESSED CURRENT 0 99. OTHER --_._- TANK INTERIOR UNING OR COATING {Çi'!!* one ñtm OIIfyJ OTHER CORROSION 0 1. MANUFACTURED CATHODIC PROTECTION IF APPLICABLE PROreCTlON o 2. SÞ.CRlFICIAI. ANOOE , YEAR INSTAU.EO 450 4'1. SPIU.CONTAINMENT ~~ ~J"!' MOP TUBE -- ~ 3. STRIKER PlATE __ '~0:~&';~~~~~?~~~TI~~!f.[t:l~~~~¡V~t~~~~~~11;~~¥~rl~~-r1~~#T~;t}B:;1t;g!i1~~1J;i;~,;1;:i~;if'(~~~¡~~~jl~~,~t~t~~ IF SlNGUi WALL TANK (Check aH IhIII apply): 453 I IF DOUBLE WALL TANI< OR TAIllt< WITH BLADOER (Check one item only): 454 I 01. VISUAL(eXPOSEOPORTiONONLY) 05. MANlIALTANK GAUQNG (MTG) Iii Dr VISU.\i.(SINGl£WAI.1,INVAULTONLY) I o 2, AUTOMATIC TANK GAUGJNG (ATG) 0 6. VADOSE ZONE ø 2. CO~,NUOìJS INTERSTITIAL MONITORING \ o 3. CONTIHUOIJSATG 0 1. GROUNOWATeR 0 3. MANUAl MONITORiNG " ,0 ., STATISTICAl. INVENTORY RECONCILIATION (SIR) . 0 8, TANK 'Æ$TlNG 81EHNIAL TANK TESTING ¡:¡ K, OrrlER I I' . V. TANK CLOSURE INFORMATION I PflWANENT CL.O$UFU: IN PLACE . .55 ESTIW,TEO Qu.wrrrv OF SUBSTANCE REMAINING 45;; TAI'¡K FIu.EO WITW INERT ~RiÃl? 457 ; gallCInII 0 y. 6 No ..__~ ¡Check one item ollly) SPILL AND OVERFILL. (Check /JM IIIIIt ,pply) __ (For_~IIi-;;;õ;ijÿ) j ~ ::::: :' I ¡ I ____.__, (For IøcaI ute only) I TYPE (Forloc4ll UU only) 451 O~IU. PROTECTION EQUIPfÆ-" YEAR INSTALLED 452 " Ó 1, AlARM eJ 3. FIL~ TUBE SHUT OFF VALVe I c(;, IMU. FLOAT = 0 .. EXEIoIPT - . eSTIMATED DATE I.AST useD (YRIMO/OAY) ~,,_ _~.......~_..".a'_"-"n'__~"'''''''''''·'-'"-''_''~-· e _e_--,----,-----...,..... ,'_____....-r......-- -,.....-.',-,"'~"'.."...----...._---_._--- ",_. .-_,"c..>^'··· ._Un'__ __. __.,__-.. .....-.. elf,.' ð' IÁ)o(IUJlI1.e OfFice OF ENVIRONIIIENTAI. SER\lICES 1115 Chester Aye., Bakersfi.ld, CA nS01 (f61ì 328-3i'l'. UST . TANK P 4G. 2 ,-- -"--....,-- ". ,'!:;~ '¥t. "'IN" cofimuc:noù (~ IIfCllot,Pfi)'J L..____--__ ~ _ ~ ,..,... - ~ .-------..-..-----...--. ¡-s:1âTËû1"V-Pê!¿;~~~:;~-~~~~;~::N -o;-~-4;lo " PM-;;.;---'-6~=~:O"1P':~__~_-._~9 3. ~V¡TY-~~ ~~ !'~~N$'tRUC~:oJo;~;:;;;~-- a 3. UNtO TIt£NC~ 0 ft. OTHP ~ ¡o~-:'~;~~---- 0 u. U~KNOIh ~2 : Ml\NUFACTüREJt\a 2, OOUBlEWALL 0., UNI040WN i a 2.00U¡UWAU. Ch.. O~ ! , MAHiJFACTU~R _ -'. .;. ., ¡ ~F"C'r\)~ ,_'"'="_ ~ : ¡----[O '.BARliSTeEL 0 S. FRPCOI.CFATI8L£WIIOO'11o~¡' ¡ a 1. 8IoRESTUL 0 e. FItPCOW>AYIBLS W'1OC," t.iETHANOL !MA!ERJAI.SANO'O 2. arAINLISSST&ëI. I:) 7. (VU.VANIZIOSTœ. ! 02. S'l'A!kU!U$'TU,- 0 " GÞ.!.VAHIHDST£El. : =~~N ¡ O,¡a. PLASTIC CQMP4 '!'81.i WITH coNTVlT'S Chs. uo(NOiMó : a ~. PLM'\'1I: ÇQMPA NUi wrTH CON1'!;m'S 0 8. FWIBL! (HOP!) 0 1$. ()THER lø 4. Flat!RGlASS 0 t. 'LlXleu:(I'IDF't) 0 fe, Q'n!P ! 04. Ft&ERGI.I\$S CJ t, Cì\1'W)OIC.PROTEC1"1CN ,0 5, S"Æf!~ WI COATING 0 $. CA'I}(\t)IC PfIO"ÆCTiON 464 ~ 0 s. me¡. WI COAT1NGi 0.. UNKNOWN , .'Æ5~J1f·"{'i~ ~~~-=-" ':::r"wil'i-=-" .-", PR!.SSIJRlUD PtPING (ChtcJI ~ ~I ,þp~j: i PRi$SIJ~ PIJIING (~tIIlNl.pþ!y); o 1, E~ONle 1.1"'1 I.IAK DeTECTOR U GPt1 TEST ~ AJ/fO P\,;MP Si1Ur OFF ~JI 11 0 ~,*iLfCTRONIÇ loiN! l!AK C!TEcrOI\ 311 (¡PH 1IST ~ AUro PUMP SHU'T O~F FOR u;A.o<. : L.u.K. SVSTIM FAII.URI, AHD SVSTe... OISCOHH£CTION· AUQI8I.E ANti ....¡5~ svmlol FAJI.URJ!. AM) Svmlll OISCoONJoIECTION + AUOlil1.e AND VSUA~ AlARMS ALARMS 0 ¡, MQHI');¡"V c.a GPti TU'T' o 2. MQN'niI.Y0.2GPtiTlST : 0 ). 4NNv...~'T1$TO.' GP!oI) o J. AHtoitJA/. rNfeGMV 11.,.,0.1 CPW} i CJ 4. !:WI.'\' VI8IJAL ()o£QC .~ SUCTION S"$TE" (a-r,N /11ft 1PPiY); ¡ CJ $. tw:. v V\SLW. M'JNrtOR1NG CF PIPING ANO PUMPING SYS"",'" : 0 e. TRlÐtôWo 'H'tCQR.'TY'!'I$T,O.1 GPH) ¡ i SAFI SIJCT10N IVSTIMS (NO 'JÂIoVl!S IN mow GROI.I~D PIJ'o(¡)); t a 'T. S!l.1~O~ : QlltAvrTY ftlJJ'N (CIWot" &/wI Ø(Ifþ · Q I. þþ.L Y IJ¡SUA!. t.iOHrfo.¡~ I:J t. f~ WTtGM"f TEST (C \ GPHI --_-..::~- of c=. ! 4&1 --~., :;;;-'1 ~7, X1HVeHTIOt-W. SUCT10H Sv$TiMS: o $. OAII. If VISUAl. ""'''!TORING 0' I>UMPING SYST!M . TRIJiNIIIw" PF'lNG !NTlGRrrv TEST (0,1 (lPH) SAFe SUCTION SYSTEMS {NO VALVES IN BiI.OW GROUNÞ PIPING); o 1, SELF MONITOIUNG GRAVITY FLOW: o \I, &iENNIALIN"ÆGRrNTlST(O.1 GPH) 'f!CONOIJtI~ Y COHT.AWIÞ PlJlfIíiO 'IC:ONDARJ~Y CONTAJNID PlPIMG I,' PRl::SfâURlZEO MHO (CIrMJc IIlMt IPI'Y). PñlSSUII.I2:C PtP1NI3 íCllUt &lINt '1191'1): i 10, CO,(tlHUOIJS 1\JQIN! SuMP SENS~~ AWOlau: ÀHO 1l1SUJ-L AlARJ,C$ ANO \0. CONT1IAA)~ T\jR81N1 $UI,IP $EN&OFt!:1!!:1 AUC¡a..f AND VISIJÀI. ~ AND jcr.e.::!< 00.) i (01" cne) , 0,.. AUTO PUMP Ir4UT OFF WHÐi A. LEAK OOCUFtS t:J .. AUTO PU.... &HIlT OFf: 'MW"" LiAK OCCURS I ø b. AUTO PUWSHUT OFI" FOR L£AI(6, SY611::M FAiUJiU. Me $Y$11!M ; 0 D. Avro JIIJ.... $o(t)T OFF ¡:OR i.UJ<s, SvSTIt.ll ptAl\..UiŒ AM) $YS\'"E:M OISCONNë:CT!ON ! ClSCOHHic:TION ' o c, NO AUTO PWP SHUT OFF ¡ I:] c:. NO ÁI.1'O PU.... ÞlU'f OFF ' o ", AU~W.T1C LINE I.EAI< Of:T!CTOR (:t,Q G$"H TiST) WlT"ri FLOW $1;U'f OF. OR ¡ a ,,. 4uTOl4'TlC WK CE'ltCTOII. " It! RlCT10t4 ! 0 12. ANNUÁi.IÞlTEGRm'"ÆST(C,' GPH) '-' ,:2, AN"U~I,.".eCIRITVTUT(O,t GlOW) svCTlOWORAvm' SY8TV.t ¡ 3UCT1ONIGN.v!T'Y'SV8TtIot o ,3. CONTINUOUS SUW SfN80R ~ AtiOlaLI AMJ VISUAl. AI.AAMS ¡!:J t~, ~s $w.P SE~R" AU!)8U! »ID VISUAl. ~ .....DlCy 4f:HltA TOM ONI."f lCìtøJI U I!'4llÞpiy) ì IJWtO bIC'f öllilllt4 TOItS OIllL V (CJIOC'Jr ,:J I1IMI I/IPiIi o 14, CONTINUOUS aUfof' 8INIOR ~ AUTO PUWP SHUT' ~ · AUQ:at.f AND i 0 104. OOHT' .NUO!JS SU".. $ENiO$t ~ "..rro POW SI1VT OFF . AiJOIS!Æ ANO VISuAL VISUAl. AVJWS ! ~ o 15 "'~TOMATlC LIN81.1A1C ÞET£CTOR {3.!1 GPH TUT} ~ F1.OW Sk\.<i 01'1' OR ! a ~5. Þ.U'rOMA TIC UN! t..!AI( CET'ECTQR (:¡'O GPH Ttsr) RfSTRlCTION J o 16. ANNU~tHTeaM'Y'TOT(0.1 Gl'Hj ¡ 0 1.. AII/H¡¡Al.INT!~'T!$T(O.1~) o \1, OAII.V VISUAL CHECK ¡ 0 11. CW\.'I'\I\$UÞ.L t>I!Cit ~.,;"......I""-"";r:._{:'T,:;;Y~"lI.. ~,.,~ :-~"?"'..'-'JI!'..h":1Ht'!,..--......-;---,"":..,~" .......~.~_"'",..._."..--.4........,.J ",. .' ~. ,__,'.... ..J,.... 'L.-':' ~ ....' ,:,··:,.-.,,,·,:···"'··ú· ,~,.,,,,,,,,.,<,,,,,;<,"";t.,,,,..~'~;""';""':o......,,.,,,. "....,= <:··,J.(JmI'OIl~R:-AlUU'~···':'''·''''·"!.··'''''''·''!\·~·'' .- .' .' .·~~~,~~~~<1'?:~¡;~'·~'~-:"'~::~r·~"'\::;'!L:.~~;.i'~·~1+""~1.~~.;:: ,;~;-,~~·:-:'iit;:';$·.. ",".,:"~;- "'~"'''.~'' --~ ~'~~! _~ ."~I~·~:~,\~·~·..~'~), ,:.,:!,,"~-;:: ';'I->~>':< CISIOENSERCOHTAlNME.NT c: 1. FLOATMECiWlI$I\ITMAT$i'lUTSOFFSHiW'I\lAi.V£ . ... . ,. . . aUI: IN4TAIJ.5/) ... O?, CONTIIoIUOU8 OI'JIEN.uR PNoI SÞISOR . "~IBlE,.u.,¡c Y/$!JÁ1. ~ ø 3, CONtINUOUS OISJlENSVI PAN U"SOR~ AI.'TC $MU"\' OFF I'tm CISPlNSER. ÀUt>I~ ANt> VISUAL ~t.IS , IX. OWNER/OPERATOR IIGNAnlAE ~~''Y !;:'<111he Ù'I~1II#1 PI'C:MUclI1"'" II trl,¡fli1t14 a=¡ra18 rø h "" d M)' ¡¡,___ $IGÑAr¡¡iŒOFO RA L1 - - ¡-""'Tt Z'~ ,rT'.!k/l .; F, /* C'0I¡'I..t./ ¡ .;2 ~ S- . C ""\. ~ \Mtj TOR :.....::.... UÛ.t,)\J 47'1 j ~~F':WNIPf~)O;r--- I r'I.I<-<-! ~-/\'-...t.~ ¿~F~L:' ~~:~( ,i:tt?:t'~f,' .': ,~;:..:::::,:'j o 4, CAIL'(VISUAL c;;;é;--- : o 5. TRENCH LINER I ~AONITOR!NG ' CJ 6. NONE 46a . '- ------_._,----.~-----: ---------- ..70'! -.---- ' '-41:f~ p_1! ~ (ForlOOlllllt GIlly) 473 Plm\il ~ (For iIIc-41..... only) _.________.~__,_____-_.._...__.~.__,.._ ....__._.. u .. ·--e'--'..'-,·....,....·,··,-----------·· -----e_----'----- -- .~_._..__.---------~-- 1L CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES I11S Chester A,·e., Bakersfield, CA 93301 (661) 326-3979 UNCERGROUNOSTORAGETANKS·TANKÞAGE1 f) POle o .. TEMPOAA¡;Y S,TE ClCS~!'Ie :J 7. PE~ENTLV CLOS!O ON SITE (S/»CÏ)'/WD1·,"NJ:.aO.wy) (~W..~'IoCMII$C"",)~ 0 8, TMKR!UQVED 'BUSINtss ÞWo1E (s..n.. FACli.i'ÿÿ'NÅMi! Of ri¡;ïï:'~·e.... Aot)---------¡TFÃOuTvïtHi ¡ I -lI[. '------.---,-, "1.·'-""---'''-'- I ¡ Iii {} ~ ! ) j ¡_._,Z-"G¿/;:·t!.~¡..j___.,-tl_ ,I ?2 ¿;Z {__,____ ! ! ,1 ,:. ~1.!: ¡ , LOC4 TI~N WI1'Þ4IN SITE (QlltlDfilQ ì 1"PE OF ACTION (C,~."k olle l/elft 0IIIy) a 1, NEIÑ SiTE F!:1tUIT ~. .v.E"~fO P~RMtT at o S. ~OFINF=O~11ON} o 3. AE~41. PeFtWT 430 l' I I .~--~J 43', : ~ It TANK DESCR!PTJON ~ÄÑKï'tri------432 ¡ TANI( ~UF.CTúIiËR " , . N!f) ; A c' , S "'~1 +-1.... -PÄTËïNitAl.LE~---~~~i~ÕAU.ONS· ___ }I / Þ _._L -L 0 ~__ ÁOOITIOIIW. OI!SCltlP'tIOH (i:ølItlotI.... ønJy) ~33-! COVPAJI'NINTÀl.\ZEOT';;- 0 'teo;-ëEr~ ~ I 11-".'. t:ICiI'\~ c¡no ~. fQt ....n tøtI¡wtmW\t. . 636T~ÜMmtQ¡:C6~~·-···"---'--43T! ¡ ....--cJ _.~ 4)8 ~ U. TA1IfK CONTeNTS .- i I .i 44()-1 , '~TAHKV8E <13. 6' j, MOTOR "I!HICL! "V!L (If "",Ac.". 1:01I\III.. Ptl/Mllm TW-) o 2. NONoI'1.I&L PeTROLlUt.I o 3, Cti!t.llCAI. PRODUCt o ~. MAZAACOU8 WASTe (JIItIIIJ4iH /JIetI (1) o 95, UH!I.NOIMI, , P\;"!'ROU;UM'TYPe : m<. A!I)iJWt UNi..lAÞfO 0 2. U1ACED : ({J.D. PIWoW"U~ ~ 3. ~18iL I !3"C. MIOGAA.OE UNL.IAD£t' i.J ., QAIIOIoICL ~AAMi~~MI!tlillll1Mfl1Þ;';;;;¡¡------' i ~, o $. JEHü!!. o e. 4\114T1010'UI::L ; 0.. CTHfl"'_ _ w'if,em Hä;~~A;;~i;;;';;-';~--442-i I '""7J 443 ¡ .~.,. '" " .! _.: :~.'.'.' ., f".-.' d :.~__ ...... : III, TANK CCIH',~",cmON': " ~ .:. .' NPEÖFTANK . . ...--:... . . .. .--. o 3, SINaa WALl. wm1 0 $. SING(.E wAll. WTT'H iN1"E~L. 6\.AOOER SYSTI!.M £X!iRIOR MIteRANI LINEA 0 (;6, U~WH c:J 4, SINGLe WAiJ.lN A '4IJL T t. _ Dee. OTHEJ(__ !:t 3 "¡øP~ I ÞWr!1C: 0 ~, CO~ 086, UNKNOWN o ~. ST'!a ~ ....IFI8PGl.ASS 0 8. FRP coa,¡pÀT".a..E WJ1()C'j, ~NOL 0 aa. OlHER ~ 1\II1N1¢ACIO PI.A~-nc (FRP..,L ___._____. ß!, 'IaIRGI.A$S I P\.A$TIC 0 t. I'RP COMP"1111.E WlIOC1" ~:. Ü N. UNKiIIOWN 44S : o .. m~ Q.AD WlFJfWIGU,ß$ a~. f~ ~AAOCI8l.E.lACI<!'t 0 it OThER___ ; ReINfORCE!) I'\.ASTIC (~) 0 IC. COA ~ STEEl.. 05CO~ ~=Rï:iÑÏNG--'Õ 1. JW.III!RUN~--·~· 0.'1, !IIOXV\.I)'ING !:J $. GI.A$SUNIHG ~: UNl<NO~ - .... 0',1'£ INS't~ë--441 , CJ 2. I\LIC'fØIJHI~ 0 4. ~L¡CUHI~ 0 a, U!oIUNa) o Ii. OTHP _., ~_ ___ ~~~o== ---6 1. M4NUFACTÚ~;;~-D ), PIU~~~-;;;~o I=U$TIC ~~;;'~WN ~----irfè~~~~ ¡¡i~ PROTeCTION IF IIPMJCABlE ~'ÆCTlON 0 4. IMPAÆSSEC ~UR'Œ"ÌT 0 98, OTfooeR tCrec_ 0". iltm on/¡') r::I 2. $ACAIFicw. ANOOE - (klr IacII U;¡;;;;¡;¡- ~>llL ANI) OVERF--¡¡¡:-'-/-'---'~ IN$;~D '4;ò- ""'! !Fof~ U$I ~..._;:~~- ovjÑtu. PROTEC'MON I!QI./)P'''E,' VEAR INSTAL¡:¡¡)' .0;: (Cl/e(;IrI/Ilt/lflrUPIy) 0/1. SPlU.COWTAI~ _ ':\! II"" . 'Ó ~-' A.I.AIW _ fJ 3. ¡:!I.k TUe&SHUr¢F'FV....."¡¡ __ ; ~. MOPtVa.e ___ __ c12 BkL.F~OAT 04. WMP'r ¡ Ó~. STRIKeR ÞI.A rt: _ . _ _ ; ''':i.a,l?_£;}i¡~1fq;~Jg:i-~:~~?mv;;i~~~~,?~~~~:,~1;~1¡~~~~·~~~~:P71t~'i''),';;~·f¿¡¡2~;:.',ti~~;~fJV'~/,;;~~:;è>:tj ~ jF SINGLE WoW. (dJt'¡¡ /II,t I/NiY), ~ I I' DO"IU! WAU. TA* OU,ÙÍj( wibial.ÂDoe~ (Cn~:k~~';:~ ;:;¡yj; 4i4 ~ ~' VISUAl. teXl'QfiEO 1'OfIIT~ ONL Y¡ 0 5. ftWiLuV.. TAli/)( G4IJGlNQ (MT(ò) . !:! /, VI$Ij¡\¡. ($IÞlGLI WAUo. IN VAUl TONI. Yj ! o " .A¡JTOWoTIC TANk QAIJO,HÇ (ATQ) CJ 6. VADOSE ZON! ¡¡( 1 CO/IMNUO'S 'WTtRST! o 3, C:OH'l'~ATr¡ CJ 7. ~OWA'iS~ 1 Õ 3: tMMJAl"';!I~O~¡NG rW,.MONITOFtING o 011, 8T4TIITlCALINVtNTORV ~CONCIlIA '!10,loj {$I~¡ .. a 8. T,t,NK 'Æ$T:NG " I. .I(NNW. T4111K 'l'ESTING 1'"'\ , ,-___ 10.1", OJ1>1!1II , - I V. TANK CI.~~.IH;èWÎATfON I piWNï; CI.O$IJR! IN puce ~ "5£ 1$TIWoò.T&OOi.lMTI'7VO'SU&STMC~!¥AW"~- <!6Z ,.~ __ . 1'.......1( "'I.J.IC WI'Tk' iNêR':" Wo}4R;¡:;------::::--! . (Chllck CIIII/rIm Q~) CJ ). SING:.! W~ ær 2. OOU8lJi WAL.L. --- TÃÑKW.1ERIAI..pM!IIYIW r:J i. 8AM8'1UL JClltlC/( _ ÎffIII OtII~J 0 3. srAINI.fSS mE!. ! ~i m¡K~TiRW..~", 0 1~ ~ $~a (CfIfICIl O/lt iIIm O1IifJ CJ 2. $TI\INL.!$$ SUE!.. F.S1IlAATED CAre I.AST USED~RtJoQiOÀYJ --------..., .....Ii_.~ el'l'l ð~ AÅ~~U!IILð OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Øekel"llfleld, CA i3301 (661) 328·3979 F<~ UST. TANK PAGf Z 01 - -..--- r -..,- ... . . .'.... :":h vt. PIPINGcoNSmU¢nON (CtIeGIr.. till! 'pPy) . I' .. " .-..L UNDERGROUND P'PING I ISYSÍ'ËMTŸPE!t!f 1. ~~~~;~--_·..·-O 2. SUCTION 0 3,-GRAVITY .58 . 0 1. PRESSURE f----~~--- -~----+- ¡ CONSTRUCTION/'O;-: SINGLe WAU. 0 3. WHED TRENCH 0 99. OTHER 460 I 0 1. SINGLf WAU. [ MANUFACTURER [J 2, DOUBLE WALL 0 85. UNKNOWN I 0 2. DOUBLE wAIJ. i "MANUFACTURER .e1 ¡ tMNUFACTURER I [01.BARiSTEEL 0 8. FRPCOMPATlBLEW/I00%~NOL ! 01. BARESTE£L I MATERIALS....ND ! 0 2. STAINLESS STEE!. 0 7. GALVANIZED STEE!. I 0 2. STAINLESS STEEL ~ ~~~,i'g~N Iq,a. PLASTIC COMP....TIBLE WITH CONTENTS 095, UNKNOWN 0 3. PlASTIC COMP....TlBLE ~ CONTENTS [! 4. FlBeRGI.ASS 0 8. FLEXIBI..E (HOPE) 0 99. OT}¡ER ¡ 0 4. FIBERGLASS 0,. STEELW/COATlNG 09. CATHODIC PROTECTION 460i ¡ 0 5. STEELW/COATlNG ;'..·';;:r{(~~ft?:¡~S:7}:':{vll.).IPINoW1<DijJêmOH(èli.Ckåí#ÌstpØy)·· .,. '. ,,' ,. UNDERGROUND PIPING SINGLE WALL PlPIÑÖ PRESSURIZED PIPING (Chec:1I aU thaI ,pp/y): o 1, ELECTRONIC LINE LEAK DETECTOR 3,0 GPH TEST WITH AUTO F'l.iMP SHUT OFF FOR LEAK. SYSTEM FAILU~. AND SYSTEIo4 DISCONNECTION + AUDIBlE ANO VISUAl.. ALARIoIS o 2. MONTHLY 0.2 GPH TEST o 3, ANNUAL INTEGRITY TEST (0,1 GPH) o 16. ANNUALINTEGPJ1YTEST(O.1 GPH) o 17. OAILYV\sUALCHECK 4'~1;i~~ ~#:~~'S;Y-'I~i,ø~~"~~~~IF.Nr:~~>;~{,;;·:~r>'tt~·';;!i~;X'<·.~!~?;Ä0f;~:·,··~~.;,~~~'.~'g'ri.·/;:;;';;~S~;'::"r~~.;¡1'r~ OISPENSER CONTAlNIoIENT 0 1. FLO....T IoIECHANISMTHAT SHUTS OFF SHEAR VALVE 0 4. OlllLYVISUAL CHECK 418 0,-2. CONTINUOUS DISPENSER PAN SENSOR + AUCIBU: ANO VISUAL AI.NWS 0 5. TRENCH LINER / MONITORING j ø 3. CONTINUOUS DISPENSER PAN SEI/SORli!!!:! AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAl. Ai.AR1oIS 0 6. NONE ..a9 : IX. OWNER/OPERATOR SIGNA TUM I I cenlfy ilia! the jn(~8ÚCIn PlOviØed hlllNlin Is tn.IO and ilClCUrale to 1M bell d my lu1CM1edge, '-'--1 ~QFO T /J-://I f 17r O'/A/f'o..(/"" I DATE I') r 470 ! ~ V" I 0'':''') ~ i U 471 " TI1lE OF OWNERIOPERATOR a..:7 J ~r "'S -<- .-+ VV 'Ç,I'\" '\..l.í'"" CONVENTIONAL SUCTIOH SYSTEMS: o 5. DAILY VISU....L MONITORING OF PUMPING SYSTEM + TRIENNIAL PiPiNG INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING); o 7. SELF MONITORING GRAVITY FLOW: o 9. BIENNIAL IHÆGMY resT (0.1 GPH) SECONDARILY COtcrAlMI!D PIPING PRESSURIZED PIPING (C/lIICk" tlUtl apply): 10, CONTINUOUS TUR81NE SUMP SENSOR WITH AUDISI..E AND VISUAL ALARMS AND (QuICk one) - Q, II. AUTO PU.... SHUT OFF WHEN A LEAK OCCURS 121 b. AUTO PU,"" SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION o C. NO AUTO PU~ SHUT OFF o 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPtf TEST) IMTH FLOW SHUT OFF OR RESTRICTION - o 12. ANNUAì.I~EGRlTYTEST(O.1 GPI-I) SUCTION/GRAVITY SYSTEM: o \3. CONTINUOUS SUMP SENSOR or AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (~''1 /NI apply) o 14. CONTINUOUS SU.... SENSOR ~ AUTO PU.... SHUT OFF + AUDIBLE ANO VISUAl. ALARMS o 1 S. AUTOMATIC LINE. LEAK DETECTOR (3.0 GPH TEST) Y::!I!:!2!l! FLOW SHUT OFF OR RESTRICTION o \6. ANNUAL INTEGRITY TEST (0.1 GPH) o 17. OAILYVISUALCHECK DATE INSTALLED , POIIIIjl Numller (For 1OœI_ only) Pemùl A)IrIMICI (For"" _ only) S:\CUPAFORMSISWRCR.R \l\Jþn 0473 , ::ÞCF (7/99) - - ABOVEGROUNO PIPING o 2 SUCTION o 95. UNKNOWN o 911. OTHER o 3, G~~~~ 462 463: o 6. FlU> COt.IPATISLE WJ 100% METHANOL ' o " GA~VANIZEO STeEL o 8. FLEXIBLE (HOPE) 0 99, OTHER o &, CA THOOIC PROTECTION 095. UNKNOWN . ,,'-........',.,': '.~ ",",' " "~' .' ..):--:~!,:.. , i i I 4651 .-, h'.··'·_, ,'_c1 . ';..\~.~~~!:;' ".- .~: j .¡ . ~ " 486' ABOVEGROUND PIPING SINGLE WALL PIPING PRESSURIZEC PIPING (ChWr iii IMI ,pply): II 0 1, ELECTRONIC LINE LeAK OmCTOR 3.0 GPH TEST W!:! AUTO PUMP SHUT OFF FOR LEAK. SYSTEM FAILURE. AND SYSTët.l DISCONNECTION + AUDIBLE ANO VISUAL AlARMS o 2. MONTHLY 02 GPH TEST 10 3. ANNUALIPlTEGMYTEST(0.1 GPH) 10 4. OAILYVISUALCHECIC I·CONVENTlONAI. SUCTION SYSTEMS (Check ,11 IMI apply): ' ,0 S. DAILY VISUAL t.«:ÞNITORJNG OF PIPING AND PUt.lPlNG SYSTEM ¡ 0 e. TR1ENN1AL INTEGRITY reST (0.1 GPH) I, SAFE SUCTION SYST1:MS (NO "ALlIES IN BELOW GROUND PIPING): o 7. SELF MONITORING ¡GRAVITY FlOW (Chec:k all /NI 'ppIy): o B. DA/1.Y \/ISUAL MONITORING I' 0 9. BIfNHIAL INTEGRITY TEST (0.1 GPH), [, I SICONDARlLY CONTAINED PIPlMG L . PÆSSUR1ZEC PIPING (cn.cI< " /N1.ppty): . I I 10. CONTINUOUS TURBINE SUW> SENSOR ~ AUDIBLE AND VISUAL ALARMS AND (Check ooe) - I lOa. AUTO PUMP SHUT OFF \MIEN A LEAK OCCURS I lOb. AUTO PUIoIP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SVSTEIo4 DISCONNECTION, o Co NO AUTO PUMP SHUT OFF o 11. AUTOMATIC LEAl< œreCTOR o 12. ANNUAL INTEGMYTt:ST (0.1 GPH) I , SUCTIONlGRAVnY SYSTEM: o 13. COHTINIJOUS SUMP SENSOR" AUDI8I.e AHD VISUAl. ALARMS 4ê7 I I I I, I!M!RGENCY GENERATORS ONL V (CiIocUIl /hal ply) o 14. CONTINUOUS SU.... SENSOR ~Q.UT AiIfO PUIoIP SHUT OFF + AUOIBLE AND VISUAL ALARMS o 15. AUTOMATIC UNe L.fAJ( DETECTOR (3.0 GPH TEST) 472 ¡ -.J 414 Ptmllt EJtplralJcn ~t. (For locIIIu$t Only) 4751 . CITY OF BAKERSFIEL~ OF7lCE OF ENVIRONMENTAL ~RVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 (Ð UNDERGROUND STORAGE TANKS -INSTALLATION CERTIFICATE OF COMPLIANCE Page _ ri i I. FACILITY IDENTIFICATION. < I II BUSINESS NAME (Same as FACILITY NAME or DBA . Doing Business As) . 7--E{{.::UL:::/V -# /772--1 ADDRESS (For Ioc8/ use only) I !FACIU1YID'IIIIIJJJJIn1 TANKID' 3 476. : ; 417. < I .., . ....,',,' ,;'-'. "...' . . .. ...--.... ,..,...'. "', . ,. ... . .'. II.INST ALLA TI()N ".. ',"' ':. (Check all that apply) The installer has been trained and certified by the tank and piping manufacturers. The installation has been inspected and certified by a registered professional engineer having education and experience with underground storage tank installations. o The installation has been inspected and approved by the Bakersfield Fire Department - Environmental Services. 480. / ~ 478. 479. o ¿ g/' All work listed on the manufacturer's installation checklist has been completed. The installer has been certified or licensed by the Contractors' State License Board. The underground storage tank, any primary piping, and secondary containment was installed according to applicable voluntary consensus standards and written manufacturer's installation procedures. Description of work being certified: 481. 482. 483. ,-"..,' ,.. " .... .... ," .... .' ".. . .., ..'" ..'. .',".'......".......-. ",-P"'" ..".'... "', ,....'..'.",',.. ," ....._"._..._..... ..... d__" ....... 1II.1'ANKOWNERiÄÓENTSIGNÄfijRE: DATE 484. :;2.-~-o.J 485. TITLE OF TANK OWNE AGE 486. ·Pr as~+- -rv!~c...~ . UPCF (7/99) S:\CUPAFORMS\swrcb-c.wpd e e " CITY OF BAKERSFIELD )ST CONSPICUOUSL V" BUSINESS TAX CERTIFICATE Business name Location address. . M I T ENGINEERING & CONSTRUCT! OUTSIDE CITY Lie Nb¡./Class Issue date. Licerlse comment 03 57936 CONTRACTORS, BUILDING i2/30/02 ExpiT'ation date ., 61 GENERAL CONTRACTOR · . · . · . M I T ENGINEERING & CONSTRUCTI 105 COPPERWOOD WAY SUITE G OCEANSIDE CA 92054 Owner/Officer KIRK, JESSE W "NON-TRANSFERABLE" BUSINESS TAX CERTIFICATE IS HEREBY GRANTED, LICENSEE is TO COMPLY WITH ALL LAWS AND ORDiNANCES. ISSUANCE OF THIS LICENSE DOES NOT CONSTITUTE AUTHORIZATION TO CONDUCT BUSINESS IF LICENSEE HAS NOT COMPLIED WITH ALL APPLlCA8LE LAWS AND ORDINANCES, THIS LICENSE IS ISSUED WITHOUT VERIFICATION THAT THE LICENSEE IS SUBJECT TO OR EXEMPT FROM LICENSING BY THE STATE OF CALIFORNIA." ,. . , I, U I. . I , . . . ~ r ,\~'~ e e -------. ,,____v____·~..·······__·····_"_~·· ..,. -- "--.' .-.--...-..--..,,-..-.....-..----------..... M.I.T. Engineering & Construction, Inc. 105 Copperwood Way. Suite G Oceanside. California 92054 Office: (760) 721-4120 Fax: (760) 721-4209 Contractor's License California: 723396 - A and Haz" \ Arizona: 126949 - 81 and Tank Installation INR0108 Nevada: 0043206 - B4 and UST Handler UTH-1122 Other Certifications: International Fire Code Institute - Installation: 1036149-25 Decomissioning: 1036149-26 Site Specific Health and Safety Plan Project: /-EZl=-UE/V ff /772/ Address: :3Got:':·; S-ró C::.kd~~,<· ~v, -~--, .' / .IJ~kr~ ßeld LA-I 9;]']07 . Date: :;2;.- 7- 0:3 .' e e ____U"____ ..'·~.c..:.,-,..;"-,.·_~~_..-_o-,~~..-.,,,..»;:_-"~~,~.,-"-~...'"'''''~<~......,,~.-....~,.......q' .,,-,.~-,,- . ........,...< ," -- .--..~.~ . .~._._...,--,....~_..- .---~-.-~.- ................_-~-~_..----_... GENERAL INFORMATION 1. Site Infonnation ~~\ \ s-\-o re.~ e-J. - khl r~~ ~ Subiect MJ.T. Engineering & Construction, Inc. has been contracted by ~~irif ~ú . to pertorm the followinp: @ë::~. C· .U i::':~~[ ;.:t.'.t~:~~ ~) -,::-;?:;{I r;-:y,ETùf 1. Plan P",rpose and Use This Health and Safety Plan is developed to assist M.I.T. site personnel in understanding and avoiding potential Health and Safety hazards that may present itself at the site. In order to fulfill the requirements of the CAL-OSHA Hazard Communication Standard (SCCR 5194), if a subcontractor employed by M.I.T. will be present on site, the Project Manager is required to provide the subcontractor with a copy of this Health and Safety Plan prior to the start of the project. The Health and Safety Plan will inform the subcontractor of any potential hazards associated with hazardous substances in the area in which their employees will be working, and will provide information on suggested protective measures. The subcontractor is responsible for the preparation of a Site Safety Plan for the subcontracted tasks and communicating and enforcement of Site Health and Safety requirements as it pertains to the subcontractor's agents and/or employees. The potential exists for fuels, solvents and metals to be present in the soil at the site. The potential for a flammable atmosphere is possible and should be monitored in accordance with the City or County Fire Prevention Department requirements. e e .--':...-., . ... ------ ---" '" -,-- -.-.'- Table 1 Emergency Assistance Information Fire Department I Paramedic I Ambulance Service: 911 Poison Information - Poison Control Center: Nearest Hospital with Emergency Room: V'^--fS 'l cH~{'\~ Phone Number: (;? / - :1.:2 ~ - ~,Clð d ::t: ~L .4. .J ," I Health and Safety Coordinator: Jesse Kirk Office Hours: 8:00am to 5:00pm Office: (760) 721-4120 Cell: (760) 889-3115 Project I Site Manager: John Kirk Office: (760) 721-4120 Cell: (760) 887-5184 Recommended Route from Job Site to Hospital Emergency Room: e e ....-.- -_..,-- .-- 1----'- _u.___ -----,-- -.- .---- -. . Code of Safe Practices General 1 . All persons shall follow these safe practice rules, render every possible aid to safe operations, and report all unsafe conditions or practices to superintendent. 2. Foremen shall insist on employees observing and obeying every rule, regulation and order as necessary to the safe conduct of the work and shall take such action as it is necessary to obtain observance. 3. All employees shall be given frequent accident prevention instructions. Instructions shall be given at least every (10) ten working days. :".. I 4. Anyone known to be under the influence of drugs or intoxicating substances which impair the employees ability to safely perform the assigned duties shall not be allowed on the job while in that condition. 5. Horseplay, scuffling and other acts which tend to have an adverse influence on the safety and well-being of the employees shall be prohibited. 6. Work shall be well planned and supervised to prevent injuries in the handling of materials and in working together with equipment. 7. No one shall knowingly be permitted or required to work while the employee's ability or alertness is so impaired by fatigue, illness or other causes that it might unnecessarily expose the employee or others to injury. 8. Employees shall not enter manholes, underground vaults, chambers, tanks, silos or other similar places that receive little ventilation unless it has been determined safe to enter. 9. Employees shall be instructed to ensure that all guards and other protective devices are in proper places and adjusted, and shall report deficiencies promptly to the foreman or superintendent. 10. Crowding or pushing when boarding or leaving any vehicle or other conveyance shall be prohibited. e e 11. Workers shall not handle or tamper with any electrical eqL~Îpment machinery, or air or water lines in a manner not within the scope of their duties, unless they have received instructions from their foreman. 12. All the injuries shall be reported promptly to the foreman or superintendent so that arrangements can be made for medical or first aid treatment. 13. When lifting heavy objects, the large muscles of the leg, inßtead of the small muscles of ·f the back, shall be used. ' 14. Inåppropriate footwear or shoes with thin or badly worn so!esshall not be worn. 15. Materials, tools or other objects shall not be thrown from bu1ldings or structures until proper precautions are taken to protect others from the falling [)~Jject& . . e e . ..--.--,-.,.,-.---- . .-... ..._-.---. ,~._- Heat Stress There is a potential for heat stress from the use of protective clothing and climate conditions. One or more of the following procedures may be employed to alleviate potential heat stress problems in the event that site conditions warrant the use of personal protective equipment (PPE), or ambient temperatures 85 degrees F. Provide plenty of liqujds. To replace body fluids (water and electrolytes) lost because of sweating, use a 0.1% saltwater solution, more heavily salted foods, or commercial drink mixes: The commercial mixes may be preferable for those employees on a low-sodium diet. Noise '" \ There is a potential for noise levels to exceed 85 DBA during site activities involving excavation equipment. All personnel are required to wear hearing protection while drilling equipment is in operation. Health Effects There is potential for chemical compounds in the form of solids, liquids, gases, mists, dusts, and vapors to cause both acute and chronic health problems resulting from inhalation (breathing), absorption (through direct contact with skin), or ingestion (eating or drinking). The routes of exposure of chemicals potentially encountered at the site include: * Absorption through direct contact with the impacted soil and groundwater and bare skin, or potentially through the eyes and membranes. * Inhalation of vapors or dusts released from site activities. * Ingestion through 1.) Contamination of hands and hand-to-mouth contact 2.) Contamination of food or liquid brought on-site 3.) Contamination of smoking materials or chewing gum e e ---.*-.----.~._---------_. Monitorina Eauipment (For tank removal) Monitoring equipment utilized on site during all activities shall be one of the following types at a minimum: - * Flame Ionization Detector (FID) * Photoionization Detector (PID) in conjunction with a Combustible Gas Indicator (CCI) I Oxygen Monitor In addition, a direct reading calorimetric tube indicator system may be used. All air monitoring equipment shall be inspected and tested prior to the commencement of site activities. .. \ Risk Assessment Summary Anticipated exposure to chemicals on-site include gasoline, diesel, and benzene, toluene, and xylene (BTX). These chemicals represent a hazard because they are moderately to extremely toxic and most are highly flammable. Threshold limit values (TLVs), Shore Term Exposure (STEL's), and toxicity levels (LD50, Oral Rat), all in mg/kg (PPM), are listed below: Compound Gasoline Diesel Benzene Toluene Xylene TLV 200 50 10 100 100 STEL 300 75 25 150 150 Toxicity 4894 5000 4300 Benzene is considered an extreme cancer hazard. Applicable MSDS Forms are attached. e e ..--...--...------...-.--.-.-..-.--"-.--.-'--.--..--.. Hydrocarbon Vapor Criteria and Responses Hydrocarbon Concentrations 30 PPMV TVH Response Limited hazard. no special action. 30-100 PPMV TVH General Work Areas Benzene detector tube measurements taken each 30 minutes. 100-1400 PPMV TVH General Work Areas Half mask OV Respirators worn by all in work area. Benzene detector tube measurements taken each 30 minutes. 1400 PPMV TVH General Work Areas Flush downhole with nitrogen gas. ," j Work Stops. Procedures taken to subdue excessive vapor levels. 1400 PPMV 1VH Well Head Emissions (near bore hole or auger flights 1 PPMB Benzene in General Work Areas Half mask OV Respirators worn in work area. Benzene detector tube and measurements taken every 15 minutes until levels are well below 1 PPMV. 10 PPMV Benzene in General Work Areas Work Stops. Procedures taken to subdue excessive vapor levels. Benzene detector tube measurements taken each 15 minutes until concentrations are below 1 PPMV. PPMV - Parts per million vapor TVH - Total Volatile Hydrocarbons OV - Organic Vapor e e --.-. ._..._.~ ~.. ..._~.. .-- .-_.. -~,... -------------...--..--.-----------"'-. Personal Protective Eauipment Hard hats, If overhead hazard is present Hearing protection while drilling equipment is operating Safety glasses or goggles Safety Shoes Steel. toe and shank, chemically resistant (PVC or rubber) or PVC overboot as necessary to prevent skin contact or leather absorption of contaminants. Polyethylene Tvvek ," \ Yellow or white coated Tyvek as necessary to prevent skin and clothing contact with contaminated soil. Nitrile gloves (neoprene as alternate) Respiratory Protection: * Half Face APR: Combined organic vapor I dust cartridge respirator required if wind conditions are creating airborne dust and/or airborne concentrations exceed 2 PPM on the PID/FID when measurements are collected in the breathing zone. * Full Face APR: Required when consistent 20 PPM readings are taken in breathing zone of site personnel. Site Control Appropriated safeguards will be taken to prevent fire and/or explosion during this project. Non-sparking tools and equipment shall be utilized at the site. Sources of ignition and spark shall be prohibited within 100 feet fo the excavation site. Dust and vapor suppression controls shall be impleted jf dust and/or volatile organic compounds exceed recommended levels. These controls may include covering dust sources, spraying water onto the source (if practice will not spread contaminated soil to e e ~----------.------~_._..- -" ---." ..... .-... pm._'m'_p________,_____,Om_ I on-site areas), or temporarily stopping work. Acceptable methods for vapor suppression include covering and/or backfilling contaminated stockpiles, backfilling or covering off- gassing excavations, locating stockpiles away from and/or downwind from nearest public receptor and stopping work. Access to the project site shall be limited to authorized personnel who have read and signed the site specific Health and Safety Plan. A site perimeter fence is presently in place for site control. Excavation and/or construction zones will be established with barricades, cones and flagging tape to prevent unauthorized access during the project. .' ) e e ..__..__.~..._-- '-'-'-'--.'.-.-- Heat Stress There is a potential for heat stress from the use of protective clothing and climate conditions. One or more of the following procedures may be employed to alleviate potential heat stress problems in the event that site conditions warrant the use of personal protective equipment (PPE), or ambient temperatures 85 degrees F. Provide plenty of liqujds. To replace body fluids (water and electrolytes) lost because of sweating, use a 0.1 % saltwater solution, more heavily salted foods, or commercial drink mixes: The commercial mixes may be preferable for those employees on a low-sodium diet. Noise ~ I There is a potential for noise levels to exceed 85 DBA during site activities involving excavation equipment. All personnel are required to wear hearing protection while drilling equipment is in operation. Health Effects There is potential for chemical compounds in the form of solids, liquids, gases, mists, dusts, and vapors to cause both acute and chronic health problems resulting from inhalation (breathing), absorption (through direct contact with skin), or ingestion (eating or drinking). The routes of exposure of chemicals potentially encountered at the site include: * Absorption through direct contact with the impacted soil and groundwater and bare skin, or potentially through the eyes and membranes. * Inhalation of vapors or dusts released from site activities. * Ingestion through. 1.) Contamination of hands and hand-to-mouth contact 2.) Contamination of food or liquid brought on-site 3.) Contamination of smoking materials or chewing gum e e -_._-~.._-_._-.-.~- Monitorina Eauipment (For tank removal) Monitoring equipment utilized on site during all activities shall be one of the following types at a minimum: * Flame Ionization Detector (FIC) * Photoionization Detector (PID) in conjunction with a Combustible Gas Indicator (CCI) / Oxygen Monitor In addition, a direct reading calorimetric tube indicator system may be used. All air monitoring equipment shall be inspected and tested prior to the commencement of site activities. c.. \ Risk Assessment Summary Anticipated exposure to chemicals on-site include gasoline, diesel, and benzene, toluene, and xylene (STX). These chemicals represent a hazard because they are moderately to extremely toxic and most are highly flammable. Threshold limit values (TLV's), Shore Term Exposure (STEL's), and toxicity levels (LD50, Oral Rat), all in mg/kg (PPM), are listed below: ComDound Gasoline Diesel Benzene Toluene Xylene rn! 200 50 10 100 100 STEL 300 75 25 150 150 ToXicity 4694 5000 4300 Benzene is considered an extreme cancer hazard. Applicable MSDS Forms are attached. e e ..._---_._~_.~... ...--.-..--.".'-.-.-- -- Hydrocarbon Vapor Criteria and Responses Hydrocarbon Concentrations 30 PPMV TVH Response Limited hazard, no special action. 100-1400 PPMV TVH General WorX Areas Benzene detectpr tube measurements taken each 30 minut~. Half mask OV Respirators worn by all in work area. Benzene detector tube measurements taken each 30 minutes. 30-100 PPMV TVH General Work Areas 1 PPMB Benzene in General Work Areas Flush downhole with nitrogen gas. ." I Work Stops. Procedures taken to subdue excessive vapQrlevels. I Half mask OV Respirators worn in work area. Benzene detector tube and measurements taken every 15'minutes until levels are well below 1 PPMV. 1400 PPMV TVH Well Head Emissions (near bore hole or auger flights 1400 PPMV TVH General Work Areas 10 PPMV Benzene in General Work Areas Work Stops. Procedures taken to subdue excessive va~1' levels. Benzene detector tube measurementstalœn each 15 minutes until concentrations.Jæe below 1 PPMV. PPMV - Parts per million vapor TVH - Total Volatile Hydrocarbons OV - Organic Vapor e e ------- .._--_.-..... ..--". .-- .-.- .--. ..._._-----------"..."._._-~_.._--------".__.,- --.- Personal Pr~tective Eauipment Hard hats, If overhead hazard is present Hearing protection while drilling equipment is operating Safety glasses or goggles Safety Shoes Steel. toe and shank, chemically resistant (PVC or rubber) or PVC overboot as necessary to prevent skin contact or leather absorption of contaminants: Polvethvlene Tvvek ," I Yellow or white coated Tyvek as necessary to prevent skin and clothing contact with contaminated soil. Nitrile gloves (neoprene as alternate) Respiratory Protection: * Half Face APR: Combined organic vapor I dust cartridge respirator required if wind conditions are creating airborne dust and/or airborne concentrations exceed 2 PPM on the PID/FID when measurements are collected in the breathing zone. ) * Full Face APR: Required when consistent 20 PPM readings are taken in bre?thing zone of site personnel. Site Control Appropriated safeguards will be taken to prevent fire and/or explosion during this project. Non-sparking tools and equipment shall be utilized at the site. Sources of ignition and spark shall be prohibited within 100 feet fo the excavation site. Dust and vapor suppression controls shall be impleted if dust andlor volatile organic compounds exceed recommended levels. These controls may include covering dust sources, spraying water onto the source (if practice will not spread contaminated soil to e e . ----"-.----------. -... ..,_. --, ..-.-....-------.-------..-.--. on-site areas), or temporarily stopping work. Acceptable methods for vapor suppression include covering and/or backfilling contaminated stockpiles, backfilling or covering off- gassing excavations, locating stockpiles away from and/or downwind from nearest public receptor and stopping work. Access to the project site shall be limited to authorized personnel who have read and signed the site specific Health and Safety Plan. A site perimeter fence is presently in place for site control. Excavation and/or construction zones will be established with barricades, cones and flagging tape to prevent unauthorized access during the project. '" } MapQuest Yellow Pages - .rsfield Memorial Hospital e Page lof2 , ~;-,';' 'c'''''''''' t~, ;-'\ .\~~' """1"::""" "'~ ·",'i'iJ· 'moo..",__,..," where togo, how to get there! MAPS I DRIVING DIRECTIONS ROAD TRIP PLANNER l~r_l!t~L.~11 ..........~~",.".,..,...,-,."....."...-....-.-..,- ,~-y /,(i¡vérfÎ$ing _."-_.......---------~- t-'~~ liArl Advertise your business on the Mapquest Yellow paaes Find More... · Search by Phone # · MaDs & Directions · White Pages · Local Guide Get business·class services & SUDDort on AOL for Small Business ' Add or uDdate your business listing in the Yellow Pages. Back to Search Results Bakersfield Memorial Hospital . New Search Bakersfield Memorial Hospital 420 34th St PO Box 1888 Bakersfield, CA 93301 Main Phone: 661-327-4647 Fax: 661-326-0706 · Places nearl1.¥ 100M IN g - - ~ - - - ,- - - - If] 100M OUT CtlCtONG20N'MAPiwr&;U ii.. Zoom In 0 Re-center All riahts reserved. Use Subiect to License/CODyriaht Is the information for this listing incorrect? Click here_ to update. Overview HelD I Feedback I Advertise With Us I Add/UDdate a ListinÇl © 2003 Digital City, Inc. All Rights Reserved. Site Index I About MapQuest I partners I MapStore I Help Center International Web Sites I Mobile MacQuest I Advertise With Us I Business Solutions http://yp.mapquest.comlmain.adp? _ dirskip=O& _ dirletter=& _ direxpand=& _ dirmap=O& _ dac==... 2/7/2003 MapQuest Yellow :pages - _ng Directions to Bakersfield MemOrirOSPital Page 10f2 ... .0'".,... :-:7-; -~;~'r'""' m ''''7..,,~': ....- .,".~... .." where to go, how to get there! MAPS \ DRIVING DIRECTIONS I ROAD TRIP PLANNER - i-~. ;--'R:ENTmDVOS¡ !ìtONlINE!1 KÃ:~:~~,~~~~;~~j Advertise your business on the MapQuest Yellow paqes Find More... · Search bv Phone # . Maps & Directions · White Paaes . Local Guide Get business-class services & SUDDort on AOL for Small Business Add or uDdate vour business listina in the Yellow Paaes. Back to Search Results . New Search Driving Directions Starting Point: 3601 STOCKDALE HWY BAKERSFIELD, CA 93309 Destination Point: Bakersfield Memorial Hospital 420 34th St Bakersfield, CA 93301 661-327-4647 1: Start out going South on S REAL RD towards BAKERSFIELD TEHACHAPI HWY/CA-58 W by turning right. 2: Take BAKERSFIELD TEHACHAPI HWY. 0.1 Miles (0.14 Km) 2.0 Miles (3.24 Km) 0.3 Miles (0.47 Km) 2.7 Miles (4.28 Km) 0.2 Miles (0.36 Km) 5.3 miles (8.49 Km) 10 minutes. 3: Take the CA-204/UNION AVE exit. 4: Merge onto S UNION AVE. 5: Turn.LEFT onto 34TH ST. Total Distance: Estimated Time: Starting Point: Address: ~c.>~~c:>.C:::~'?~~~tiyvx. Oty: t~~I(!=~f.'I~~'?"_m'm State: c:;\,1 ZIP code: t~~,~CI.!iJ,1 Save Time! If you log In to Yellow Pages, you can save personal addresses for faster searching. . Loain to AOL Yellow Paces Destination Point: Bakersfield Memorial Hospital 420 34th St Bakersfield, CA 93301 Get directions from this business ~..~' . . . S"t" Pluwered ,--' , . .~ VJ ..... _ _. ',I< _", !::!.elp. I Feedback I Advertise Wi!hJ)~ I Add/Update a Listing © 2003 Digital City, Inc. All Rights Reserved. Site Index I About MapQuest I Partners I MapStore I Help Center International Web Sites I Mobile MapQuest I Advertise With Us I Busine~s Solutions http://yp.mapquest.com/main.adp?qa_d=420+34th+St&qc _ d=Bakersfield&qs _ d=CA&qz _ d=... 2/7/2003 Privacy Policy & Legal Notices . 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 maìlpiece, or on the front if space permits. I 1. Article Addressed to: 7-11 3601 STOCKDALE HWY BAKERSFIELD CA 93309 ~ i. Service Type o Certified Mail 0 Express Mail , 0 Registered 0 Return Receipt for Merchandise r / 0 Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes -- --, --==--'-~"'''''''=~-~~~-'~~~~-==..~-~=---~~~~-~--~ ,I'> J . 7002 0860 0000 1641 6094 ~ -~~--~---- - ---~ - --~----~ I PS,Form 3811. August 2001 Domestic Return Receipt 2ACPRI-D3.Z-D98S/ I UNITED STATES POSTAL SERVICE e 1111\\ First-Class Mail . Postage & Fees Paid 'USPS Permit No. G-10 , dd and ZIP+4 in this box · · Sender: Please print your na"1~, a ress, BAKERSFIELD ARE DEPAATlViENT OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Avenue, Suite 300 &k&rs~~~d, CA 00301 I I I I I "I I \~ . o' ... ., '11 Ii "' ¡¡i. J P¡! if 1'1' Pl····· .H, t.!,..id mil!!: :in:!!! ¡¡ !f!.1" i 'iH!!.ln¡, :: 'n". .. . ... I I I _I ~-~ ----- - . U.S. Postal Service CERTIFIED MAIL RECEIPT (Domer 'VIail Only; No Insurance Coverage Provided) , .::r- IT" 10 ..D I 1M .::r- ¡..D M I A L [0 '0 10 o , 0 ¡..D , <0 ,0 I ru o '0 If"-- I I Postage $ Certified Fee Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Tot Sen 7-11 siñii 3601 STOCKDALE HWY ~:.~~ BAKERSFIELD CA 93309 City. Postmark Here .............. ..................... __ß . * :. . . . I Certified Mail Provides: I . A mailing receipt · A unique identifier for your mail piece · A signature upon delivery · A record of delivery kept by the Postal Service for two years Important Reminders: · Certified Mail may ONLY be combined with First·Class Mail or Priority Mail. · Certified Mail is not available for any class of international mail. · NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. · For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is required. · For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mail piece with the endorsement "Restricted Delivery". · If a postmark on the Certified Mail receipt is d~ired' please present the arti- cle at the post office for postmarking.¡-f a póstmark on the Certified Mail receipt is nWded, detach and affix label with postage and mail. IMPORTANT: this receipt and present it when making an inquiry. PS Form 3800. April 2002 (Reverse) 102595·02·M-1132 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 21 01 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 SMID SERVICES' ENYIRONIlElfTAI. 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 FAJ( (661) 326"0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAJ( (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAJ( (661) 399-5763 -- - ..~ 4>,¡ .~ :? February 13,2003 7-11 3601 Stockdale Hwy Bakersfield 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 September 10, 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. Si2 ct&c Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SBU/dc ~~ y~ de g:¿.,n~ .¥OP .AOP6 .rbt- .A We.n.h~?~~ \,'- .. i'; State of California State of Water Resources ,!'I'rol 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 1 million dollars annual aggregate or AND or ~ 1 million dollars per occurrence D 2 million dollars annual aggregate ," B._" 7 -Eleven; Inc. hereby certifies that if is in'complianéewith tfíe requiremen{s·of Séctioi12807, -" (Name of Tank Owner or Operator) Article 3, Chapter 18, Division 3, Title 23, Califomia Code of Regulations. The mechanisms used to demonstrate financial responsibilíty as required by Section 2807 are as follows: Insurance American Internationa Specialty Lines Insurance Company PLS 2674022 1,000, 00 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 compliancewithall,conditions forparticipation in,the,¡;und.-- . D. Facility Name 7-Eleven #17721 Facility Address 3601 Stockdale Rd., Bakersfield, CA Facility Name Facility Address 4101 Calloway Dr., Bakersfield, CA 7 -Eleven #32241 Facility Address 9600 Brimhall Rd., Bakersfield, CA E. Name and Title of Tank Owner or Operator Bob DeNinno, Environmental Manager Name of Witness or Notary Rachel Rodriguez gency , > .. ';i ~ ~, '. -- 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 International Specialty Lines Insurance Company effective from November 24,2001 to November 24,2004, pursuant to 40 CFR §280.97, providing coverage' 'for 'underground stora-ge tanks'With~respectb -'th-è tákingof- 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 bi~~: ASSiS}an~ 9~rr~~ , ~ I -+ - STATE OF TEXAS _ ,0 --'~-,--.~" --- --,~. ~,--'~" ,--'- 8 8 COUNTY OF DALLAS SUBSCRIBED AND SWORN TO BEFORE ME this My Commission Expires: o E)1íJ f jtJ 3 ..-:'('. , . 102394v1 :.,. I ~ Cai,!;\,' G~":- --:-.. ~~~::]::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 FAJ( (661) 395-1349 PREVENTION SERVICES FIRE SAFEn SERVICES' EHVIRONIIEHfAl. SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAJ( (661) 326-0576 PUBLIC EDUCATION 1715 Chester Avè. Bakersfield, CA 93301 VOICE (661) 326·3696 FAJ( (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAJ( (661) 32EH>576 TRAINING DIVISION 5642 VIctor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAJ( (661) 399-5763 . - January 22,2003 7-11 3601 Stockdale Hwy 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 delivery for missing tags or certificates. I I. I Should you have any questions, please feel free to call me at 661- 326-3190. Sincerely, 1M ~¡J j) /Î )ðJiu ~ Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SBU/dc ~"9~ de W~ ~.A0P6.r~ A W~" I , f'- If'- .J] L/") I 1M l::r I ..D 1M I 10 , 0 ,0 . 0 ~- - - - U.S. Postal Service CERli'-"~D MAIL RECEIPT (Dom~_ , )ail Only; No Insurance Coverage Provided) Postage $ Certified Fee o Return Receipt Fee I..D (Endorsement Required) II cQ RestrIcted Delivery Fee i t:J (Endorsement Required) ru Tota~ , t:J ,C:J Sent f'- . , ........ 7-11 . Street or PO 3601 STOCKDALE HWY êiiý;s BAKERSFIELD CA 93309 Postmark Here q: Certified Mail Provides: · A mailing receipt · A unique identifier for your mail piece · A signature upon delivery · A record of delivery kept by the Postal Service for two years Important Reminders: · Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. I . Certified Mail is not available for any class of international mail. · NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail, · For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mail piece "Return Receipt Requested", To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is required. · For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mail piece with the endorsement "Restricted Delivery", ~. ,"';¡ , . If a postmark on the Certified Mail reef, ";'5 desired, please present the arti- cle at the post office for postmarkin~ ·;:ò. ',~ postmark on the Certified Mail receipt is not needed, detach and affix.:r - :'with postage and mail. IMPORTANT.thiS receipt and prescmt it when making an inquiry. PS Form 3800, April 2002 (Reverse) 102595·02·M·1132 · 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: Î ---\ , /-11 ~'-e 01 ~601 STOCKDALE HWY ~AKERSFIELD CA 93309 D. Is delivery address different from item 1 If YES, enter delivery address below: ì 3. Service Type I o Certified Mail 0 Express Mail I o Registered 0 Return Receipt for Merchandise I o Insured Mail 0 C.O.D. I 4. Restricted Delivery? (Extra Fee) 0 Yes I----~~------ ---~----~- ---~~- --~~ 7002 0860 0000 1641 5677 I PS Form 3811, August 2001 Domestic Return Receipt I 102595'02'M'0835¡ UNITED STATES POSTAL SERVICE e - - .~ First-Class Mail Postage & Fees Paid USPS . Permit No. G-10 . . dd Sand ZIP+4 in this box · · Sender: Please print your name, a re s, BJAtŒRSFIELD FIRE DEPARll\fJENT O;';'F'ICE OF ENV~RON~¡;cNTAL SERVICES 1ì'i5 Chester Avenue, Suite 300 l8akarsfiefd. CA 93301 ~ "" ,(0 '" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 'H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAJ( (661) 395-1349 SUPPRESSION SERVICES 2101 'H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395·1349 PREVENTION SERVICES FIRE SAFETY SERVICES' EHVIAONIlEHTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAJ( (661) 326-0576 PUBLIC EDUCATION 1715 Chester Avè. Bakersfield, CA 93301 VOICE (661) 326-3696 FAJ( (661) 326-0576 FIRE INVEST1GATlON 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAJ( (661) 326-0576 TRAINING DIVISION 5642 VIctor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 ~. . , , ""-, ,~,~ . '- "":'y " ;'': January 13, 2003 7-11 3601 Stockdale Hwy 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 September 10, 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. Should you have any questions, please feel free to contact me at 661- 326-3190. Si1~ Steve Underwood Fire InspectorlEnvironmental Code Enforcement Officer Office of Environmental Services SBU/dc ~~7~ de Wonvnu~ .¥OP ~0P6 .r~ A W~" -.~, .~ {~ - - ., Tanknology 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: 09/10/2002 Order Number: 3124932 Date Printed and Mailed: 10/07/2002 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: 7 -ELEVEN #17721 MARKET #2133 3601 STOCKDALE HIGHWAY BAKERSFIELD, CA. 93309 Testing performed: Secondary Containment testing Sincerely, :D~ K'~ Dawn Kohlmeyer Manager, Field Reporting Y RESULTS S8-989 S CONDARY CONTAINMENT SUM r~ 'nInlmology TEST DATE: 09/10/2002 CLIENT: 7-ELEVEN, INC. 10220 S.W. GREENBURG ROAD SUITE 470 PORTLAND OR 97223 BOB DENINNO 503 -977 -7713 Tank Interstital Tests WORK ORDER NO.: 3124932 SITE: 7-ELEVEN #17721 MARKET #2133 3601 STOCKDALE BAKERSFIELD HIGHWAY CA 93309 REGULAR REGULAR PREMIUM Piping Interstital Tests ULEADED #1 Total Containment PASS UNLEADED #2 Total Containment PASS PREMIUM #1 Total Containment PASS PREMIUM #2 Total Containment PASS Sump & Under-Dispenser Containment Tests PREMI' Total Containment Pass 3/4 Total Containment PREMI Total Containment Pass PREM. OPW UL #1 Total Containment Pass PREM. OPW UL #1 Total Containment Pass PREM. OPW UL #2 Total Containment Pass PREM. OPW UL #2 Total Containment Pass UL #1 OPW 1/2 Total Containment Fail UL#l OPW Tanknology representative: KEN MINTON /L -!1 0Áè Fail UL#2 OPW Pass UL#2 OPW Pass Pass Pass Fail Fail Fail Fail Services conducted by: DAVID LASKY M.rt~~ SITE NAME: 7-ELEVEN #17721 17721 IDATE:! 09/1 0/2002 ¡WORK ORDERj 3124932 SITE ADDRESS: MARKET #2133 3601 STOCKDALE HIGHWAY BAKERSFIELD CA 93309 REASON FOR TEST: SB-989 Compliance IGroundwater Level(" from arade): TANK INFORMATION AND INTERSTITIAL TESTS Dia, Manufacturer Depth Test Method Start Initial Finish Final Pass! Tan Product Tank Size (oo) Material (' ) Time Level Time Result Fail 1 REGULAR 10027 96 STEEL 2 REGULAR 10027 96 STEEL 3 PREMIUM 10027 96 LINED 4 5 6 7 8 Comments: LINE INFORMATION AND INTERSTITIAL TESTS Tanl Dia, Len. Manufacturer Volume Test Method Start Initial Finish Final Pass! Product (oo) (feeÙ Material (gallons) Time Level Time Result Fail 1 ULEADED #1 4.00 25 PLASTIC Total Containment 8 Pressure 1215 5 psi 1315 5 psi PASS 2 UNLEADED #2 4,00 35 PLASTIC Total Containment 11 Pressure 1215 5 psi 1315 5 psi PASS 3 PREMIUM #1 4.00 25 PLASTIC Total Containment 8 Pressure 1215 5 psi 1315 5 psi PASS 4 PREMIUM #2 4,00 35 PLASTIC Total Containment 11 Pressure 1330 5 psi 1430 5 psi PASS 5 6 7 8 Comments: ; e e :::~3?~~~ ~-. Tanknology SECONDARY CONTAINMENT TEST RESULTS Test Date: 09/10/2002 Work Order: 3124932 SUMP TESTS Type Tank or Disp Manufacturer Model or Diam./WidthlLength Depth Test Method Start Initial Level Finish Final Pass/ # Material (") (") Time Level Chanoe Time Result Fail STP Sump PREMIUM Total Containment Plastic 48 56 VPLT 1131 17 " '.00000 1151 ,023 gph Pass STP Sump PREMIUM Total Containment Plastic 48 56 VPlT 1214 17 " ,00000 1230 .021 gph Pass STP Sump Ul#1 Total Containment Plastic 48 43 VPLT 1133 10 " -.00001 1151 .025 gph Pass STP Sump UL#1 Total Containment Plastic 48 43 VPLT 1215 10 " ·.00000 1232 .024 gph Pass STP Sump Ul#2 Total Containment Plastic 48 43 VPlT 1141 8,5 " ,.00081 1158 ,048 gph Pass STP Sump Ul#2 Total Containment Plastic 48 43 VPLT 1216 8.5 " '.00005 1234 .023 gph Pass Dispenser Sump 1/2 Total Containment Fiberglass 34X26 29 VPLT 1305 16 " 1.25VISU 1340 14,75 gph Fail Dispenser Sump 3/4 Total Containment Fiberglass 34X26 29 VPlT 1310 16 " 1.5VISUA 1340 14,5 gph Fail Spill Container PREM. FILL OPW Plastic 11 13 VPlT 1028 6 " -.00000 1047 ,001 gph Pass Spill Container PREM. FILL OPW Plastic 11 13 VPlT 1049 6 " -.00000 1108 .001 gph Pass Spill Container PREM. OPW Plastic 11 13 VPLT 1029 6 " .00001 1048 .001 gph Pass Spill Container PREM. OPW Plastic 11 13 VPLT 1050 6 " ,.00000 1109 ,001 gph Pass Spill Container UL #1 FILL OPW Plastic 11 13 VPLT 1031 6 " -,05622 1045 .107 gph Fail Spill Container Ul#1 OPW Plastic 11 13 VPlT 1015 6 " 3"VISUAL 1030 3 gph Fail Spill Container UL#2 Fill OPW Plastic 11 13 VPLT 1054 6 .. '.03868 1115 ,054 gph Fail Spill Container UL#2 OPW Plastic 11 11 VPLT 1015 6 .. 2.5"VISUA 1040 3,5 gph Fail Comments: All failures were confirmed visually. ..---------, e e Work Order: 3J.24932 e e Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3124932 e e Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3124932 e e Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3124932 e e Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Work Order: 3124932 e e ., Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 I '. e .. 1-~ DJnknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FÞCK(512)459-1459 TEST DATE:09j1.0j02 CLIENT: 7 - ELEVEN, INC. WORK ORDER NUMBER31.24932 SITE:7-ELEVEN #1.7721. COMMENTS SB-989 test on all components. All line interstitials passed. All three STP sumps passed. Both dispenser pans failed. 87 #1 fill and vapor buckets failed. 87 #2 fill and vapor buckets failed. 91 buckets passed, One hour labor tightening all fitting on all nJn boxes. PARTS REPLACED HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) Printed 10/07/200207:48 SBOWERS I ... '. ~ ., , e e SITE DIAGRAM ~ .. ~ 1iJnlcnology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE: 09/10/02 CLIENT: 7 - ELEVEN, INC. WORK ORDER NUMBER312 4932 SITE: 7-ELEVEN #17721 south real road ® ® ~ø ~ø [I 0 0 ^ ^ ~ 3= JJ 0 0 ..c g REG REG () ..c I § § (f) Q) -I 0 co JJ1 ;;u "'C m .::¿ () G o1 PREM 0 §~ +-' CJ) 1 K Cf:X) VENTS I I Printed 10/07/200207:48 SBOWERS .. ~R ORIGINAL , I ...:::..~ '1,1 1 1),7~1 :>e' ~:::T')'~,:I':[IHLE - .,,-, :. . -'" Be -..::,) 1 ELl· . I, r~ E: [I 7 ...f'~ tj~) 4:1 CI ~_:I C1 C.11 HI,..I"''' O'::T 21. ~:'IXI~: 1 Ci : I 0 HI') ---_._.~ ::::'/:3TEI'I :::;1'(1)'11:::; FEj,'i)kT T I: I'll :::;:=:~ ! I"k; T j,:'} rr kIAF:I',J T 2: ,:)\/EF:F 1 LL HLHF:f"l '¡ .-. : 1"11 ~c:;:=:; J f"JG T !':'LET I..,IHF:I·,J .:c T :::::1'11:::::31 1"1t:; TJI:'I:!::T I..JHF:I"J I 1"j\/EI'nOF:''¡' RH":)F:T ,-¡·e'F·('I 'L ., ¡-, ,", . _~ _I .rir-. \/',.."J-¡¡~ " 1.1) .1 J-;':;¡:: '~I~I:, UU,ri'" '1',' \/01.1.11--11 -f-iI:.;.µ,;.w-:¡~, ' ..- STK HE I ';i-1'! - L,.iATEP. \/'A, L"j¡~T[P T. T 2: REGULHF: VOLUI"IE I.lLLA'Æ 90\, ULLAI:;f:> TC ",/OLUI"1E = HEIGHT sn: HEII:;HT= kIATEF: \/()L L,jATER T[I"II: T :~:: I>F:EJI I UI"I '.J'(:. L UJ'1E ULLAGE 9[1::\, UU.HGE= T'~: \/0 L Ur"IE = HElGHT sn: HEIGHT= iAl,c,T,r:::- \/(;L. I,JAl TH'l' \ LiL Thl'a: ~'.~ 7E: Gr·iL.~::~ l'A1L::'~ ':;riL.:::: 1~:r1L~::~ I ¡.JI.'HE:::: ] 1"j':'f1E~=:: ',l l ~;'!:I <:,::"j II c.'''¡ ,':co .,., I,' .: "-~ . __ i) ,....! . IL' . - I.) . .;. + ~_, D 1~;r~L~::i U . 0[1 11"j':'fŒ~::: ,:¡ I . ¿, [JEG F UL Ti~I'-H: ;: ~~¡ "3 'j Ij GH Lf:~ ¿,¿,OD ':;ALS ':, t, 41:1 ':;AL:::~ :2 ':::~:] 9 1~.;f1L~; :3:2 . '5? I N':ï1E~=:: :32.57 I I"J<::HE}~~ o ':;ALB 1=1.00 ! ["JCHE~=::; f38. I [IF; F 1 7t,i~. Gr~U:: 7::::1 to 1=;f1Lf5 ~':)Ü5E: GML.~::~ 1 72'1:', Gi-\L.:::~ 21 .10 1 [',¡CHE::3 ::' 1 . 11=1 ll-'¡<:' HE~':; n ,:;AL:':: 1.:1.00' 1I','=ï-Œ:3 '31 . ':, [lEG F ¥ ~ ~ ~ * ErJ[1 ~ ~ ~ ~ ~ " - CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield. CA 93301 FACILITY NAME '7 - i ( INSPECTION DATE ¡,OJ \ ~ 0<.- Section 2: Underground Storage Tanks Program o Routine 1:9 Combined Type of Tank !)WL Type of Monitoring o Joint Agency (t.P.] A-T(:, o Multi-Agency 0 Complaint Number of Tanks ~ Type of Piping IhVF ORe-inspection OPERA TION C V COMMENTS Proper tank data on tile L l/ Proper owner/operator data on tile ~ V Permit fees current / V 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 AGGREGA TE 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? C=Compliance Y=Yes N=NO Inspector: Oftice of Environmental Services (805) 326-3979 White, Env. Svcs, Pink, Business Copy e - CITY OF BAKERSFIEI.D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3fd 1·'loor, Bakersfield, CA 9330J FACILITY NAME 1- {{ ADDRESS ~f'o 0 I ~\~c..(cAaJL. /{w\f FACILITY CONTACT INSPECTION TIME INSPECTION DATE I 0 ,. J \ - () C-' PHONE NO. ~3q-3013 BUSINESS 10 NO. 15-210- NUMBER OF EMPLOYEES . --- 3 Section J: Business Plan and Inventory Program o Routine ø Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA TION C V J COMMENTS Appropriate pennit on hand l /" Business plan contact infonnation accurate \0.- ./ Visible address ...... ./ ,/ " Correct occupancy J " Veri fication of inventory materials Verification of quantities " ./ Verification of location ./ Proper segregation of material /' .,/ ./ Verification of MSDS availability ,/ Verification of Haz Mat training / / --- Verification of abatement supplies and procedures Emergency procedures adequate / Containers properly labeled ,/ Housekeeping / -- Fire Protection / ./ Site Diagram Adequate & On Hand ./ C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes 'dNO ~~ble Party Questions regarding this inspection? Please call us at (661) 326-3979 White· Env, Svcs, Yellow· Station Copy Pink· Business Copy Inspector: , ~.- e e September 25. 2002 Mr. Steve Underwood Bakersfield Fire Department 1715 Chester Avenue Bakersfield, CA 93301 RE: 7-Eleven #17721.3601 Stockdale Highway, Bakersfield. CA 3- Year ,Cathodic I?rote_ctioo_Certification_ Dear Mr. Underwood: As per our mutual voicemails. enclosed please find the 3-year Cathodic Protection Certification for the referenced site. The document was also faxed to you today. e feel free to call me at (208) 429-8466 should you have any questions. Bob DeNinno 7-Eleven. Inc. - -~- -- - .- --~_.- - - --- ." :.... . . '~ . ~ Enviromental Services Department / 10220 S. W. Greenburg Road / Suire 470 / Portland, Oregon 97223 Phone (503) 977-7713 / Fax (503) 245-3438 i -I --- --- ---~~---~ ê :.-4: e . CERTIFICATE OF UNDERGROUND STORAGE TANK SYSTEM TESTING t-~ "DJnIcnoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST RESULT SITE SUMMARY REPORT PURPOSE: COMPLIANCE TEST DATE: 08/28/02 CUSTOMER PO: WORK ORDER NUMBER: 3124645 CLIENT: 7-ELEVEN, INC. 10220 S.W. GREENBURG ROAD SUITE 470 PORTLAND, OR 97223 BOB DE NINNO (503)977-7713 --- ---- , SIT~7-ELEVEN #17721 MARKET #2133 ' , 3601 STOCKDALE HIGHWAY BAKERSFIELD, CA 93309 Manager (805)834-3093 .. The following test(s) were conducted at the si1e above in accordance with all applicable portions of Federal, NFPA and local regulations Line and leak Detector Tests __--__11. 1 1 REGULAR 2 2 REGULAR 3 3 PREMIUM - , - - .. .. --- -. - - Tanknology appreciates the opportWlity 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: ADAM ROSS /¿ -11 ~ ~ Reviewed: Technician Certification Number: Printed 09/06/2002 17:55 KOHLMEYER ~ .{' . '¡ e e SITE DIAGRAM ~~ 1iJnlcnology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE: 08/28/02 CLIENT: 7 - ELEVEN, INC. WORK ORDER NUMBER3124 64 5 SITE: 7 - ELEVEN #17721 .. , south real road ¢ CD CD ~ø ~ø (I 0 0 ¢ ^ ^ ~ 3: 0 0 J:: g ¢ REG REG (') J:: I 8 8 Cf) Q) -I 0 co ;0 '"0 m ~ () 8@ ® I PREM 0 0 +-' en o::J:) VENTS Printed 09/06/2002 17:55 KOHLMEYER ¡. t, '~ e CATHODIC PROTECTION COMPLIANCE SURVEY UST SYSTEM FOR: 7-ELEVEN, INC. 10220 S.W. GREENBURG ROAD SUITE 470 PORTLAND OR 97223 Contact: BOB DENINNO SITE: 7 -ELEVEN #17721 MARKET #2133 3601 STOCKDALE HIGHWAY BAKERSFIELD CA 93309 BY: TANKNOLOGY ~ð~ ~''''"\,, .=-.$'"0. CORbo"t - ~.~ ....~J - .., œ t, F.~ NACE vt" ~ Cd; ~ ,......-... 1LIJ ..__ ~~ ~ STEPHEN R. OlENICH ~ '~:·\-"·3222-·-71 't~· ...:-;j<. : J, ............~~~- '" l~..- "".."............... Stephen Olenich (NACE Senior Corrosion Technologist #3222) Date: 09/06/02 - --.- -. - - Work order: 3124645 8900 Shoal Creek Blvd., Building 200 - Austin, Texas 78757- P.O. Box 9429 - Austin, Texas 78766-9429 - (512)451-6334 - FAX (512)459-1459 " r " COMPLIANCE SURVEY - e 09/06/02 Work order: 3124645 COMPLIANCE SURVEY IMPRESSED CURRENT CP SYSTEM 7-ELEVEN, INC. 7-ELEVEN #17721 MARKET #2133, 3601 STOCKDALE HIGHWAY BAKERSFIELD, CA 93309 I. SCOPE: A cathodic protection survey was conducted on 08/28/02, on the cathodic protection system at 7-ELEVEN #17721, MARKET #2133,3601 STOCKDALE HIGHWAY, BAKERSFIELD, CA. The purpose of this survey was to meet regulatory requirements for periodic testing, and, more importantly, to determine if the cathodic protection system at this facility meets NACE criteria for cathodic protection. NACE criteria indicates if the system is functionally controlling corrosion (see Appendix). The cathodic protection system for the underground tanks consists of 0.00 anodes energized by one 50.00 volt-1 0.00 amp rectifier. The UST facility consists of three 10,000 gallon steel tanks and associated enviroflex piping. II. RESULTS & ANALYSIS: The structure-to-soil potential measurements are tabulated on Table I, and the rectifier and anode current outputs are tabulated on the Rectifier Maintenance sheet, attached. The rectifier was adjusted and set at a total constant current output of 1.30 Amps +/- 5%. The potential measurements, with the cathodic protection system de-energized, ranged from -989 millivolts to -1506 millivolts. III. CONCLUSIONS: The results of the survey indicate that the structure-to-soil potential measurements meet the -850 millivolts instant off criterion for cathodic protection as established by NACE. IV. RECOMMENDATIONS: It is recommended that the rectifier output be observed monthly. It is also recommended that a structure-to-soil potential survey be conducted annually by a qualified corrosion engineer. The cathodic protection system should operate with minimal maintenance and it is not recommended that any spare parts be kept on hand. V. REGULATORY REQUIREMENTS: Federal and State regulations require cathodic protection systems to be checked periodically. (Reference: 40 CFR, Part 280.31, "Operation and Maintenance of Corrosion "\ COMPLIANCE SURVEY e e 09/06/02 Work order: 3124645 Protection". ) _ All cathodic protection systems must* be surveyed (tested) every three (3) years. _ The cathodic protection system must be inspected and tested within six (6) months after any repairs to the UST system. (Reference: 40 CFR, Part 280.33, "Repairs Allowed".) _ All impressed current systems must be inspected every 60 days to see that they are functioning properly. Inspections must be logged (documented). _ Within six (6) months after initial turn-on of an impressed current system, it is required that a General Survey be conducted and any necessary adjustments made. * To meet minimum regulatory requirements. It is good practice to conduct such surveys annually. (See Appendix.) ... APPENDIX: TEST PROCEDU4þ e 09/06/02 Work order: 3124645 APPENDIX: TEST PROCEDURES In order to determine the effectiveness of the cathodic protection system, structure-to-soil potential measurements were performed at representative locations throughout the subject area. These measurements were collected after the cathodic protection system was energized. These measurements are then evaluated to determine if an adequate level of cathodic protection has been achieved. The two (2) most common criteria for cathodic protection as established by the NACE standard RP-02-95 "Recommended Practice - Control of External Corrosion on Metallic Buried, Partially Buried, or Submerged Liquid Storage Systems" are as follows: 1. A negative (cathodic) voltage of at least 0.85 volts as measured between the structure surface and a saturated copper/copper sulfate reference electrode containing the electrolyte. 2. A minimum negative (cathodic) polarization voltage shift of 100 millivolts measured between the structure surface and a stable reference electrode contacting the electrolyte. This polarization voltage shift is to be determined by interrupting the protective current and measuring the polarization decay. When the current is initially interrupted, an immediate voltage shift will occur. The voltage reading after the immediate shift shall be used as the base reading from which to measure polarization decay. These potential measurements were obtained, utilizing a copper/copper sulfate reference electrode and a Fluke, Model 87 Digital Multimeter. " e e TANKNOLOGY CATHODIC PROTECTION RECTIFIER MAINTENANCE Customer Location: 7-ELEVEN #17721, MARKET #2133,3601 STOCKDALE HIGHWAY, BAKERSFIELD CA 93309 Location of Rectifier Unit: ABOVE DOOR IN STOREROOM Type of Rectifier Unit: Number of Anodes: Unknown Type of Anode: Type of Ground Bed: Distributed Surface Rectifier Manufatctured by: universal Model: SSP Rectifier AC Input: 115 volts 6.2 amps Rectifier DC Output: 50.0 volts 10.0 amps Installation date: Location: Around Tanks Serial Number: 961891 1 phase 60 Hz Shunt: 50 mv 10.0 amps Comments: CP operating properly: Yes :::::;::::::::::::::::::;:::;:;:::::;~:;: ,1¡i:i:¡i:i:i'i:iiiiilllll¡'¡¡¡¡II'I¡lil:l:i,i'i, ¡·lli'. ¡I.' ..................... ::::'¡:I¡.I,¡:¡i¡:¡:: i'¡il:I¡:I,j:¡·~,¡·¡¡¡'i¡¡¡!¡¡¡'!,!,¡I¡I¡¡¡i¡::,:,:.¡.1¡¡:I'¡,¡:¡·¡~¡:ill.I¡'¡·¡.!.!I!i!¡¡¡¡¡i¡~¡¡'i'i¡¡:¡:¡:i,¡~¡~¡:¡I~i:ij·i·:·:·:·::ii:':·:·:'¡'¡¡¡'::i':·¡·¡I¡·:':.:.¡.¡: ;.;-:.:.:.;.:.:.:.:.:.;.:.:.:.:.;.;.;.;.;. ¡1¡1:1:1:¡:¡III¡i¡i!¡!:!:: .......................................... ::::::::::;:::::::::::::::::::::;::::::::: .......................................... .......................................... ..................... ..................... 1 1 -2 5.00 1 .30 08/28/02 AROSS 3YR CH EC K. 2 3 4 5 6 7 8 9 1 0 1 1 . 1 2 1 3 1 4 1 5 W.O. 3124645 Technician: ADAM ROSS Structure to Soil Survey STRUCTURE-TO-SOIL POTENTIALS vs Cu/Cu S04 (Millivolts) Local Structure-to-Soil Remote (fixed) Structure to Soil Structure Location* Native Off On Delta Native Off On Delta Tank 1 Regular ATG -1307 -1869 -1070 Tank 1 Regular FILL -1331 -1746 -1070 Tank 1 Regular STP -1506 -2047 -1070 Tank 1 Regular TANK -346 Tank 2 Regular ATG -1126 -1397 -1068 Tank 2 Regular FILL -1019 -1340 -1068 Tank 2 Regular STP -1054 -1447 -1068 Tank 2 Regular TANK Tank 3 Premium ATG -1012 -1239 -1064 Tank 3 Premium FILL -989 -1286 -1064 Tank 3 Premium STP -1048 -1630 1 -1064 Tank 3 Premium TANK w.O. 3124645 Amps applied: 1.30 Technician: ADAM ROSS * Location for local structure-to-soil measurement is reference cell placement while contacting structure listed. Location for remote (fixed) structure-to-soil measurement is point of electrical contact. ~ ~ e e . - e " -7-Eleven, Inc " En vironlnental Services FAX COVER SHEET Date: 1 /ZS /"2-' TO: ~f..- ¡)NO£~ COMP~~ILOCATION: ..ß'{>r~-" i(fLz...Y) ,'SD,' F~NO.·L6~/) 3U-o)1 b PHONE NO: '. FROM: Bob DeNinno . En"¡roM1en~ ~an~ .' FAX NO: (108) 342-5353 PH~: ß08) 429-8466 , . NUD1bet of pages including this cover sbeet: ~ " ~ COMMENTS: 7-~~ flÎ~1 ~ ~t1 r· oj~ . P<v ~ y/) ~/,,JL~' . . - . . .. O¿jlf\~ ~ 1K-M~ .,) ~ . ...- aoo-~ 100'd "89-1 £9£S Z'Þ'£ aoz SOl£e Of '98'09 ~!l~ed H!M-WOJ~ 8£:80 ZO-SZ-d9S /~c:~---~~ /' - -----' ? (~;;:....,-- .;.':-.----- . (:~ -'-, y? ì.:)~¿ --~ ~--7 .,//" .- / ('~') /) (j(~Þ;/~ ( {-" //', ¿?J ''''<:" ....' í/ .---_...--.... c,,¿ \. j. ......"'r ,. ,; ~.. .._ ",/,J <,[_...-:::.::-.-,-/ -- e ;; CERTIFICATE OF UNDERGROUND STORAGE TANK SY$TI;M TESTING 1-., 'DInImoIogy 8900 SHOAL CREEK. BUILDING 200 AUSTIN. TEXAS 787fil (512) 451-6334 FAX (512)45901459 TEST RESULT SITE SUMMARY REPORT PURPOS~ COMPLIANCE TI!ST DAìE: 08/28/02 CU5TOM!:R po: WORK ORDIôR NUMBE:R: 3124645 CUENT: 7-JiiLEVEN, INc. 10220 S.W. GREBNBURG ROAD SUJ:TB 470 PORTLAND. O~ 97223 BOB DENINNO (503) 977-7713 SITE: 7-BLEVEN i17721 HARRET #2133 3601 STOCKD~E BJ:GBWAY 8AKERSPI:&::t.D, CA 93309 Mana.ger (805)934.3093 The: foltowing testes) were conduc:too at the site above in accordance with all applieable portions ofFeœnt~ NFPA and local regulations Line and Leak Detector Tests 1 1 REGOLU. 2 2 UGaLAR 3 3 PRBMlnX TaDlmolOS)' A>Wclate5 tile o~ily to &1IrVtI you, and lookt forward to worldng wi\h yOu in the futUll:. Plea.<:e eall ¡my time. day or ni&ht, wbcm )'OlIn=! us. Tanknology representative: ICBN HI:NTOH Test conducted by: ~»I Rosa /L -!1 ~ ~ Reviewed: Technician Certification Number: Printed 09106/200217:155 KOHLM~ 800-~ 600/~00'd t6S-l £S£S Zt£ aoz SOl£8 01 '98!08 ~!!~!d H'M-WOJ~ 6£:60 ~0-SZ-d9S e e SITE DIAGRAM S-.... "I11InknoIogy 8900 SHOAL CREEK. eUILOING 200 AUSTIN, TEXAS 787ô1 (512) ~1-6334 FAX (512) 459-1459 TE5TDATE: DS/29/02 CLIENT:7-EIarvœ. INC. WORK ORPE~ NUMBEFU124645 SITE; '7 -ELEVEN' #1.7721 south real road ~ ® ® ~0 ~0 (I 0 0 ~ x :::r;:: fJ ~ 0 0 .c ~ ~ REG REG C".I .r: I § 8 CJ) () ...¡ "'ffi ~ ~ m (.) 8~ ø 01 PREM .9 en cx:::o VENTS I , Printed 09/0612002 17:55 KOHLMEYER eoo-~ 800/£OO'd t8S-! £S£S ~t£ eo~ SOl£8 01 'es!Oa '!I'Bd H'M-WOJ~ Ot:80 ZO-SZ-d8S e e CATHODIC PROTECTION COMPLIANCE SURVEY UST SYSTEM FOR: 7-ELEVEN, INC. 10220 S.W. GREENBURG ROAD SUITE 470 PORTLAND OR 97223 Contact: BOB DENINNO SITE: 7 -ELEVEN #17721 MARKET #2133 3601 STOCKDALE HIGHWAY BAKERSFIELD CA 93309 BY: T ANKNOLOGY ~{!J~ ~'"''\''' ....~R.9~~ t.f1A~% ~ ~ ~ STEPHEN R. Ol£NICH f ~-"\-'-'-"""'"'-77- jI ~ 3222 :: "~ .. '.~, ~~.....;á.~; '" l~..."'~ '"...................... Stephen Olenlch Date: 09/06/02 (NACE Senior Corrosion Technologist #3222) Work order: 3124645 8900 Shoal Creek Blvd.. Building 200 - Austin. Texa$ 78757 - P.O. Box 9429 - Austin, Texas 7876S-9429 - (512)451·6334 - F=AX. (512)459-1459 SOO-~ 600/~OO'd ~6S-1 £S£S Z~£ SOZ SOl£S QI '891°9 ~II~~d H'M-WOJ~ O~:60 ZQ-SZ-d8S e e COMPLIANCE SURVEY 09106102 Work order: 3124645 COMPLIANCE SURVEY IMPRESSED CURRENT CP SYSTEM 7-ElEVEN, INC. 7-ElEVEN #17721 MARKET #2133,3601 STOCKDALE HIGHWAY BAKERSFIELD, CA 93309 I. SCOPE: A cathodic protection survey was conducted on 08/28/02, on the cathodic protection system at 7-ELëVEN #17721, MARKET #2133, 3601 STOCKDALE HIGHWAY, BAKERSFIELD, CA. The purpose of this survey was to meet regulatory requirements for periodic testing, and, more importantly, to determine if the cathodic protection system at this facility meets NACE criteria for cathodic protection. NACe criteria indicates if the system is functionally controlling corrosion (see Appendix). The cathodic protectlOI1 system for the underground tanks consists of 0.00 anodes energized by one 50.00 volt-10.00 amp rectifier. The USTfaclllty consIsts of three 10,000 gallon steel tanks and associated enviroflex piping. II. RESUl TS & ANALYSIS: The structure-to-soil potential measurements are tabulated on Table I, and the rectífier and anode current outputs are tabulated 011 the Rectifier Maintenance sheet, attached_ The rectifier was adjusted and set at a total constant current output of 1.30 Amps +/- 5%. The potential measurements, with the cathodic protection system de-energized, ranged from -989 millivolts to ~1506 millivolts. III. CONCLUSIONS: The results of the survey indicate that the structure-to-soil potential measurements meet the -850 millivolts Instant off criterion for cathodic protection as established by NACE. IV. RECOMMENDATIONS: It is recommended that the rectifier output be observed monthly. It is also recommended that a structure-to-soil potential survey be conducted annually by a qualified cOrrosion engineer. The cathodic protection system should operate with minimal maintenal1ce and it is not recommended that any spare parts be kept on hand. V, REGULATORY REQUIREMENTS: Federal and State regulations require cathodic protection systems to be checked periodically. (Reference: 40 CFR, Part 280.31, "Operation and Maintenance of Corrosion 900-~ 600/900'd t69-l £9£9 2t£ 902 901£9 01 'esloe ~I!~ed H'M-WOJ~ Ot:60 20-9Z-d&S e e COMPLIANce SURVEY 09/06/02 Work order: 3124645 Protection" .) - All cathodic protection systems must... be surveyed (tested) every three (3) years. - The cathodic protection system must be Inspected and tested within six (6) months after any repairs to the UST system. (Réferenco: 40 CFR, Part 280.33. "Repairs Allowed".) - All impressed current systems must be inspected every 60 days to see that they are functioning properly. Inspections must be logged (documented). - Within six (6) months after initial turn~n of an impressed current system, it is required that a General Survey be conducted and any necessary adjustments made. ... To meet minimum regulatory requirements. It is good practice to conduct such surveys annually. (See Appendix.) eoo-~ 600/900'd ta9-! £9£9 lv£ SOl 90l£8 01 '9slo9 ~Il~!d H'M-WQJ~ Ov:80 ZO-9Z-d9S e e APPENDIX: TEST PROCEDURES 09/06/02 Work order: 3124845 APPENDIX: TEST PROCEDURES In order to determine the effectiveness of the cathodIc protection system, structure-to-soil potential measurements weré performed at representative locations throughout the subject area. These measurements were collected after the cathodic protection system was energized. These measurements are then evaluated to determine if an adequate level of cathodic protection has been achieved. The two (2) most common criteria for cathodic protection as established by the NACE standard RP-02-95 "Recommended Practice - Control of External Corrosion on Metallic Buried. Partially Buried, or Submerged liqUid Storage Systems~ are as follows: 1. A negative (cathodic) voltage of at least 0,85 volts as measured between the structure surface and a saturated copper/copper sulfate reference electrode containing the electrolyte. 2. A minimum negative (cathodic) polarization voltage shift of 100 millivolts measured between the structure surface and a stable reference electrode contacting the elec:tro/yte, This polarization voltage shift is to be determined by interrupting the protective current and measuring the polarization decay. When the current is initially interrupted, an immediate voltage shIft will occur. The voltage reading after the immediate shift shall be used as the base reading from which to measure polarization decay. Thesa potential measutements were obtained, utilizing a copper/copper sulfate reference electrode and a Fluke, Model 87 Digital Multimeter. SOO-~ 600/l00'd t69-l £9£9 2Þ'£ S02 SOl£S QI '9Sl08 ~I!~~d H1M-mol~ 0Þ':60 20-92-d9S e e TANKNOLOGY CATHODIC PROTECTION RECTIFIER MAINTENANCE CustQMer Location: 7·ELEVI:N #17721. MARKET #2133. 3601 STOCKDALE HIGHWAY. BAKERSFieLD CA 93309 location of RectHiêr Unit: ASOVe DOOR IN STO~E~OOM Type of Røctlfler UnIt: Number of Anodes: Unknown Type of Anodo: Typê of Ground Bed: Di$tributed Surface Rectlfiet Mêlnufatctured by: universal Model: 55P Rectifier AC Input: 115 volts 6.2 amps Rectifier DC Output. 50.0 volts 10.0 amps Location: Around Tanks Serial Number. 961891 1 phase Shunt: 60Ht SQnw 10.0 amps Installation tlate: Comments: CP opertlting properly: Yea 1-2 2 3 4 5 6 7 8 9 10 11 12 13 14 15 W,O. 3124645 5.00 1.30 08128102 MOSS 3YR CHECK. Technician; ADAM ROSS SOO-~ SOO/SOO'd tSi-l £i£i Z.,£ SOZ iOl£S QI 'ISIo9 ~Il~~d H'M-WOJ~ 1':80 ZO-iZ-dBS CD - - I ... CD - ~ CD - - a: ~ CD on , .... CO) on CO) on NO ~ CO) CD - .... on o ..... CO) CD ~ CD ... o <0 ~ - u <II .... ::E: ... az: I e o ~ .... ~ CD - ..... o I I<> ..... I C. CD en '" Structure to Soil Survey .. STRUCTUR&To..sorl POTENTIALS vsCu/Cu 504 (Miltivorts) Loca I Structu re-to·Soil Remote (fixed) Structure to Soli Structure LocatIon* Native Off On Delta Native Off On Deta Tank 1 Regular ATG -1307 -1869 -1070 Tank 1 Regular Fill -1331 -1746 -1070 Tank 1 Regular SiP -1506 -2()47 -1010 Tank 1 Regular TANK -346 Tank 2 Regular ATG -112.6 -1397 -1066 Tank 2 Regular FILL ·1019 -1340 - -1068 Tank :2 Regular STP -1054 -1447 -1068 Tank 2 Regular TANK Tank 3 Premium ATG -1012 -12.39 -1064 Tank 3 Premium FILL -989 -1286 -1064 Tank 3 PremJum STP -1046 -1630 1 -1064 Tank 3 Pre~um TANK e W.O. 3124545 Amps appJled: 1.30 Technician: ADAM ROSS · Location for local structure-to-soil measurement is reference oeD placementwhUe contacting structure listed. location for femole (fixed) structure-ro-soll measurement Is polnl of electrical contact. e --r ~.", ; '(". .. I"f'" I . ,~ ,tJ WRITTEN MONITORING PROCEDURES UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitoring program must be kept at the UST location at aD 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(11) CCR. Facility Name: 7-Eleven Store #17721 Facility Address: 3601 Stockdale Highway, Bakersfield, CA Date: September 17. 2002 A. Describe the frequency of performing the monitoring: The site consists of three 10,000 gallon single walled cathodically protected steel tanks ( 1- Regular Unleaded, 1-Midgrade, 1-Premium) and are monitored monthly with a VeederRoot Tank TLS350 Product lines are double wall Enviroflex 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 Continuous Statistical Leak Detection (CSLD) using the Veeder-Root TLS350 Tank Gauge programmed for a threshold of .2gph. VeederRoot model MAG -1 probes are used for the monitoring. High level alarms activate audio/visual and external alarms. Piping Enhanced Leak Detection The piping is monitored continuously by VeederRoot liquid sensors model #794380-252 located in the turbine sump of each tank. The turbine sump sensors provide positive shutoff and activate audio/visual alarms. Vaporless LD2000 line leak detectors are located on the turbine and programmed for a leak threshold of 3gph. 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 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, Tejeinder Takhar. 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. Piping Current status reports are available from the Veeder-Root TLS 350 as a print out and from I~ J ... '}:' . ~ D. the display scr. ,_ Third party annual test results will be submitted to the agency. Describe the preventive maintenance schedule for the monitoring equipment. 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. 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. I l~v/ '~f19 'jtc. . ELEVEn ."' ~ ~\- (... . . September 20,2002 City of Bakersfield Office of Environmental Services 1715 Chester Avenue Bakersfield, CA 93301 ßo\\--. ..(.\0 êO(~ RE: 7-Eleven #17721,3601 Stockdale Highway, Bakersfield 7-Eleven #16549,4647 Wilson Rd., Bakersfield v 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 Envicomental Services Deparcmenc I 10220 S. W. Greenburg Road I Suite 470 I Poreland, Oregon 97223 Phone (503) 977-7713 I Fax (503) 245-3438 09/04/02 16: :f3- '6"661 326 0576 I!, \.IV \(' It .' @002 '731- -ÕÌf )') 7 ~ J -=t/:-2q&1 BFD HAZ }1AT DIV CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326.3979 APPLICATION TO PERFORM A TANK TIGHTNESS TESTI SECONDARY CONTAINMENT TESTING FAcn.ITY ï~II$J\T7Z I I~'-~'-~-~--- ~=-----~~-~~:'--:_'~-==-~-'I-r:--' .....- . '.-~., , ADDRESS ) (,o I' <)-ro <¥-OA't.L ¡t'¡ &l-tlNtt't ) q<A-k~<;F~HD . PERMIT TO OPERATE #I OPERATORS NAME ------ OWNERS NAME Mn ~ T·ï.f. TA-~~ NUMBER OF TANKS TO BE TESTFJ) TANK # VOLUME \ \ 0 J DO:) 2 . . ')û)\Â?J -ç . \lJ) QJO (§ ¡, \ .-- f/~I.. - )' 0 ~ ~ IS PIPING GOING TO BE TESTED CONTENTS e, U~LfAD!iD r3'l VI-! LúlOfO "'l V~\.£~€'Q '---- TANK TESTING COMPANY_I 1'I-1J\<;40to(,1 MAnlNG ADDRESS ?-'7t;"7 ¿, CoMV"'¡¿(l.~f Ct ~ On. ') c;1L IOO¡. \ ~ .M,f<"vLA q2? 9 0 NAME & PHONE NUMBER OF CONTACT PERSON íS AAo n A-,ï ~ ~¿.- ! 'l o'i - ~ o(~- , 210 TEST METHOD VUt. I..A-tJ¡tllfUhJ Fuil. Ç"ß- OJ 6 9 NAME OF TESTER OR SPECIAL INSPECTOR- f'\n. 1) ft;/£ UK ~ '1 CERTIFICATION' DAT TESTIS TO BE CONDUCl1JD J€<; PiI'1 " C, / Ivl 02 ) 0300 _~ ædJtfl C¡-C¿-O"l ~~~~ ~ APPROVED BY DATE SIGNATURE OF APPUCANT -- e RETAIL HSE Procedures Section 1 - Code of Safe Practice for Contractors . - - - ~ ----. ~---~---------, , r "1¡",(' FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 oW Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAJ( (661) 395-1349 SUPPRESSION SERVICES 21 0 1 oH" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAJ( (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 FAJ( (661) 399-5763 . .: D August 30, 2002 7-11 3601 Stockdale Hwy. 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 yet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to insure that the systems are capable of containing releases from the primary containment until they are detected and removed. Of great concern is the current failure rate of these systems that have been tested to date. Currently the average failure rate is 84%. These have been due to the penetration boots leaking in the turbine sump area. For the last four months, this office has continued to send you monthly reminders of this necessary testing. This is a very specialized test and very few contractors are licensed to perfonn 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 perfonn this test, by the necessary deadline, December 31, 2002, will result in the revocation of your pennit 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. since:! ~ Steve Underwood Fire Inspector/ Environmental Code Enforcement Officer Office of Environmental Services ~~7~ de W~ ~ ~0Pð.r~ A W~" ete items 1, 2, and 3. Also complete it 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 1. Article Addressed to: BOB DENINNO 7-ELEVEN I!iC 10220 SW GREENBURG RD STE 470 PORTLAND OR~,97233 " .; Liù l Lis1-ù D. Is delivery address different from item 1? If YES, enter delivery address below: 3. Service Type :¡J Certified Mail o Registered o Insured Mail o Agent o Addressee DYes ONo o Express Mail o Return Receipt for Merchandise o C.O.D. 4. Restricted Delivery? (Extra Fee) 1 0360 0002 5244 6974 3811, July 1999 Domestic Return Receipt DYes 102595-00,M-0952 UNITED STATES POSTAL SERVICE First-Class Mail Postage & Fel'id USPS Permit No, G-1 · Sender: Please print your name, address, and ZIP+4 in this box · i.~!~~(ERSFH~UD FiRE DEPARTMENT C~FFICE OF ENV~RONMENTAl SERVICES 1715 Chaster Avenue, Suite 300 ßB1kers1is4d. CA æ30;1 þ- 1S 11 ,I,,,! 111" I 1,11111'" 1111,1'1 'II, ! 1111 I! I! 11,'1111" II e U.S. Postal Service CER'T'~IED MAIL RECEIPT (Do;' 1 Mail Only; No Insurance Coverage Provided) \.-. I::t' Ir'- IT ...D ::t' ::r ¡r\J ¡Ll1 I n.J 10 o o I 10 ¡...D .rrI I:J Postage $ .34 Certified Fee 2.10 Postmark Return Receipt Fee 1.50 Here (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Total Postage & Fees $ 3.94 Sent To BOB DENINNO ši;ëëtX¡,¡:Ñõ:;····..·····...·..···························................................. or PO Box No. 10220 SW GREENBURG RD STE 470 ëiiŸ,"iiišië:ž¡¡;;·;¡··············..······················..................................... :eORTI;AN1l":OR 'Of'U '\ ''\ i i : " ,t . . 'M I 0 1::2 I Certified Mail Provides: · A mailing receipt · A unique identifier for your mailpiece · A signature upon delivery · A record of delivery kept by the Postal Service for two years Important Reminders: · Certified Mail may ONLY be combined with First·Class Mail or Priority Mail. · Certified Mail is not available for any class of international mail. · NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. · For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the I fee. Endorse mailpiece "Return Receipt Requested", To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is required, · For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "Restricted Delivery". · If a postmark on the Certified Mail ~eipf:oois o~sired, please present the arti· cle at the post office for postmarking. If a postmark on the Certified Mail receipt is cno! needed, detach and affix label with postage and mail. IMPORTAtewe this receipt and present it when making an inquiry. PS Form 3800, January 2001 (Reverse) 102S!I!õ·R1.M.1R.t7 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 oW 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 FmE SAFETY SERVICES' ENVIRONIlENTAI. SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326·3979 FAJ( (661) 326-0576 PUBLIC EDUCATION 1715 Chester Avè. Bakersfield, CA 93301 VOICE (661) 326-3696 FAJ( (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 FAJ( (661) 399·5763 - . ~..'i"r-~ "..... ¡¡;, ? July 30, 2002 Mr. Bob DeNinno 7 -Eleven Inc 10220 S.W. Greenburg Road, Suite 470 Portland, OR 97233 CERTIFIED MAIL RE: 7-Eleven #17721,3601 Stockdale Hwy, Bakersfield, CA Dear Mr. DeNinno: Our records indicate that your cathodic protection system has not been tested per code. Section 2635 2(a) requires the following: "Field-installed cathodic protection system shall be designed and certified as adequate by a corrosion specialist. The cathodic protection system shall be tested by a cathodic protection tester within six months of installation and at least every three years thereafter." You are therefore required to perfonn or submit evidence of testing. Your cathodic protection is part of your leak detection system and is a condition of your pennit to operate. Therefore, you shall submit the necessary documentation within 30 days, (August 30, 2002). Failure to comply will result in revocation of your pennit to operate. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Ralph E. Huey Director of Prevention Services By: I. JL~ ./ Steve Underwood UST InspectorlEnvironmental Code Enforcement Officer ~"7~ ~ W~ Yo;e.A0P6.r~ A W~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 'H' Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAX (661) 395·1349 PREVENTION SERVICES FIRE SAfETY SERVICES. ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAJ( (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 FAJ( (661) 326-0576 TRAINING DIVISION 5642 VIctor Ave. Bakersfield, CA 93308 VOICE (661) :399-4697 FAJ( (661) 399·5763 II . July 30. 2002 7-11 3601 Stockdale Hwy 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 yet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). f" 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. Sincer~',ere , ; ( / )/tv (»>J/Jtt;;[ Steve Underwood Fire Inspector Environmental Code Enforcement Officer ~"7~ ~ WonwuutÜp STop ~lYe §"'~ A W~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 'W Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAX (661) 395·1349 SUPPRESSION SERVICES 2101 oW Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFE1Y SERVICES' ENVIRONMENTAl. SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326H3576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326·3696 FAJ( (661) 326H3576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAJ( (661) 326~576 TRAINING DIVISION 5842 VIctor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 . . July 30, 2002 7-11 3601 Stockdale Hwy 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 I Operator: If you are receiving this letter, you have not vet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). Senate Bi11989 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, failüre 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 caIl me at (661) 326-3190. sin1ere '~, ". ./ . tt., ~ Steve Underwood Fire Inspector Environmental Code Enforcement Officer ~~7~ de W~ STop vØ60P6 .r~ .A W~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 oH'Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661)395·1349 SUPPRESSION SERVICES 21 01 'W Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAJ( (661) 395·1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326·3951 FAJ( (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326·3979 FAX (661) 326·0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAJ( (661) 399·5763 - -- June 30, 2002 7-11 3601 Stockdale Hwy Bakersfield, CA 93309 REMINDER NOTICE RE: Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 3601 Stockdale Hwy. Dear Tank Owner / Operator: The purpose of this letter is to inform you about the new provisions in California Law requiring periodic testing of the secondary containment of underground storage tank systems. Senate Bill 989 became effective January 1,2002, section 25284.1 (California Health & Safety Code) of the new law mandates testing of secondary containment components upon installation and periodically thereafter, to ensure that the systems are capable of containing releases from the primary containment until they are detected and removed. Secondary containment systems installed on or after January 1,2001 will be tested upon installation, six months after installation, and every 36 months thereafter. Secondary containment systems installed prior to January 1,2001 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 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. si2cere/ ' " ~// ~ ,.~ Steve Underwood Fire Inspector/ Environmental Code Enforcement Officer Environmental Services SUIkr ' ~~7~ ~ W~..¥'OP ~0P6 .r~ .A W~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 oH" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAJ( (661) 395·1349 SUPPRESSION SERVICES 2101 MHo Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAJ( (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 FAJ( (661) 326·0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAJ( (661) 399·5763 - .r May 28. 2002 Mr. Bob DeNinno, Environmental Manager 7 -Eleven, Inc. 10220 S.W. Greenburg Rd., Suite 470 Portland, OR 97233 RE: 7-Eleven Store #17721 at 3601 Stockdale Hwy in Bakersfield Dear Mr. DeNinno: This is to inform you that this department has reviewed the result of the Additional Site Assessment dated April 29, 2002 associated with the underground tank removal. Based upon the information provided, this department has determined that appropriate response actions have been completed, that acceptable remediation practices were implemented, and that, at this time, no further investigation, remedial or removal action or monitoring is required at the above stated address. Nothing in this determination shall constitute or be construed as a satisfaction or release from liability for any conditions or claims arising as a result of past, current, or future operations at this location. Nothing in this determination is intended or shall be construed to limit the rights of any parties with respect to claims arising out of or relating to deposit or disposal at any other location of substances removed from the site. Nothing in this determination is intended or shall be construed to limit or preclude the Regional Water Quality Control Board or any other agency from taking any further enforcement actions. This letter does not relieve the tank owner of any responsibilities mandated under the California Health and Safety Code and California Water Code if existing, additional, or previously unidentified contamination at the site causes or threatens to cause pollution or nuisance or is found to pose a threat to public health or water quality. Changes in land use may require further assessment and mitigation. If you have any questions regarding this matter, please contact me at (661) 326-3979. Sincerely, ~{.~~ '" '-" " It - Howard H. Wines, II¡ Hazardous Materials Specialist Registered Geologist No. 7239 Office of Environmental Services cc: J. Whiting, RWQCB E. Simonis, IT Corp. ~"7~S~~.¥0P ~0Pe .r~ A W~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 'W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAJ( (661) 395·1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAJ( (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326·3951 FAJ( (661) 326·0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-oS76 TRAtNING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAJ( (661) 399-5763 -- tI 7-11 3601 Stockdale Hwy Bakersfield, CA ,93309 RE:Necessary Secondary Containment Testing Requirement by December 31, 2002 of Underground Storage Tank located at 3601 Stockdale Hwy REMINDER NOTICE Dear Tank Ownerl 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 pennit 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. sin2ere. ' ., /'/ / /',,' "~ Steve Underwood Fire Inspectorl Environmental Code Enforcement Officer SBUIkr enclosures ""7~ IJfe W~ ~ ~0P6.r~ A W~" FIRE CHIEF RON FRAZE ADMtNISTRATIVE SERVICES 2101 oH" Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAJ( (661) 395-1349 SUPPRESSION SERVICES 2101 oH" Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAJ( (661) 395·1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAJ( (661) 326·0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326·3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAJ( (661) 399·5763 It . April 17, 2002 7-11 3601 Stockdale Hwy 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 Bì1l989 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 shaU 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 instaUer. Please be advised that there are only a few contractors who specialize ånd have the proper certifications to perform this necessary testing. For your convenience, I am enclosing a copy of the code for you to refer to. Once again, aU 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. sincereb,·~ ~~ Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer SB Uldm enclosures ~~7~ de W~.¥~ ~0P6.o/~ A W~" / t\ ~ f.( :~~.1' ,'" ~ ;" "" 'ir, It It /\'~ v Á , t_\ \j"} WRITTEN MONITORING PROCEDURES UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitoring program must be kept at the UST location at all times. The information on this monitoring program ar tio~ra~t. The permit holder must notify local agency within 30 days of any nges to the monito_ rocedures, re..~ obtain approval before making the change. Required by Sections 2632(dj~~ (h) CCR. Facility N me: 7-Eleven Store #17721 ~ Facility A dress 3601 Stockdale Hi hwa , Bakersfield Tank A. Piping . Product lines are double walled Environflex and are monitored continuously B. What methods and equipment,.identified by name and model, will be used for performing the monitoring: The method of leak detection for the tanks is Continuous Statistical Leak Detection (CSLD) Tank using the Veeder-Root TLS350 Tank Gauge Piping The piping is monitored continuously by VeederRoot sensors located in the turbine sump 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. 7-Eleven, Inc. is responsible for maintaining the equipment D. Reporting format for monitoring: Current status reports are available from the Veeder-Root TLS 350 as a print out and from Tank the display screen. Current status reports are available from the Veeder-Root TLS 350 as a print out and from Piping the display screen D. Describe the preventive maintenance schedule for the monitoring equipment. 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. E. Describe the training necessary for the operation of UST system, including piping, and the monitoring equipment: 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. .. ..' -(- ,FIED PROGRAM CONSOLIDATED FOa UNDERGROUND STORAGE TANKS - T1JJK PAGE 1 TANKS ;: f'¡ (two pages per tank) Page_Df _ o 6 TEMPORARY SITE CLOSURE o 7 PERMANENTLY CLOSED ON SITE o 8 TANK REMOVED 430 1 TYPE OF ACTION o 1 NEW SITE PERMIT o 4 AMENDED PERMIT ~ 5 CHANGE OF INFORMATION (Check Dne item Dnly) o 3 RENEWAL PERMIT BUSINESS NAME (Same as FACILITY NAME Dr DBA - DDing Business As) 7-Eleven #17721 LOCATION WITHIN SITE (OptiDnal) 3601 Stóckdale Hwy., Bakersfield, CA FACILITY 10: (Specify reaSDn - fDr IDcal use Dnly) (Specify reaSDn - fDr IDcal use Dnly) 3 431 1 DATE INSTALLED (YEAR/MO) 435 TANK CAPACITY IN GALLONS 1/1975 10,000 ADDITIONAL DESCRIPTION (FDr IDcal use Dnly) If "Yes", cDmplete Dne page fDr each cDmpartment. 436 NUMBER OF COMPARTMENTS 437 i/" 438 TANK USE 439 ~ 1, MOTOR VEHICLE FUEL (If marked cDmplete PetrDleum Type) o 2, NON-FUEL PETROLEUM o 3. CHEMICAL PRODUCT o 4, HAZARDOUS WASTE (Includes Used Oil) PETROLEUM TYPE ~ 18. REGULAR UNLEADED 02, LEADED o 1 b, PREMIUM UNLEADED 0 3, DIESEL o 1c, MIDGRADE UNLEADED 0 4, GASOHOL COMMON NAME (frDm HazardDus Materials InventDry page) Gasoline o 95, UNKNOWN 440 o 5. JET FUEL 06. AVIATION FUEL o 99. OTHER 441 CAS# (frDm HazardDus Materials InventDry page) 442 3. SINGLE WALL WITH 5. SINGLE WALL (Check Dne item Dnly) EXTERIOR MEMBRANE LINER 0 95. UNKNOWN o 2, DOUBLE WALL 04. SIGNLE WALL IN VAULT 0 99, OTHER TANK MATERIAL-primary tank ~1. BARE STEEL 03, FIBERGLASS/PLASTIC 05. CONCRETE (Check Dne item Dnly) 02. STAINLESS STEEL 04, STEEL CLAD W/FIBERGLASS 08. FRP COMPATIBLE WI REINFORCED PLASTIC (FRP) 100% METHANOL TANK MATERIAL -secondary tank 01, BARE STEEL 03. FIBERGLASS I PLASTIC 05, CONCRETE (Check Dne item Dnly) 02, STAINLESS STEEL 04. STEEL CLAD W/FIBERGLASS 08. FRP COMPATIBLE REINFORCED PLASTIC (FRP) W/100% METHANOL 05. CONCRETE 010, COATED STEEL TANK INTERIOR LINING 01, RUBBER LINED OR COATING 0 2 ALKYD LINING (Check Dne item Dnly) . EPOXY LINING 0 5, GLASS LINING 04 PHENOLIC LINING 06 UNLINED OTHER CORROSION 01 MANUFACTURED CATHODIC)1D 3 FIBERGLASS REINFORCED PLASTIC PROTECTION IF APPLICABLE PROTECTION 4 IMPRESSED CURRENT (Check Dne item Dnly) 0 2 SACRIFICIAL ANODE SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (IDcal use Dnly) 451 (Check all ~ 1 SPILL CONTAINMENT that apply) 2001 2001 I o 1 VISUAL (EXPOSED PORTION ONLY) 02 AUTOMATIC TANK GAUGING (ATG) 3 CONTINUOUS ATG 04 STATISTICAL INVENTORY RECONCILIATION + (SIR) BIENNIAL TANK TESTING o 5 MANUAL TANK GAUGING (MTG) 06 VADOSE ZONE o 7 GROUNDWATER o 8 TANK TESTING 099 OTHER UPCF (1/99 revised) o 95, UNKNOWN o 99. OTHER 444 o 95, UNKNOWN o 99, OTHER 445 095. UNKNOWN o 99 OTHER DATE INSTALLED 447 446 (FDr IDcal use Dnly) o 95 UNKNOWN 099 OTHER 448 DATE INSTALLED 449 (FDr IDcal use Dnly) OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 o 1 ALARM ~ 2 BALL FLOAT 03 FILL TUBE SHUT OFF VALVE o 4 EXEMPT IF DOUBLE WALL.TANK OR TANK WITH BLADDER (Check Dne item Dnly) o 1 VISUAL (SINGLE WALL IN VAULT ONLY) o 2 CONTINUOUS INTERSTITIAL MONITORING o 3 MANUAL MONITORING gallons DYes 0 No ,. Formerly SWRCB Form B " Go :!7, FlED PROGRAM CONSOLIDATED FO TANK UNDERGROUND STORAGE TANKS - TANK PAGE 2 UNDERGROUND PIPING SYSTEM TYPE 1, PRESSURE 02, SUCTION 03, GRAVITY 458 CONSTRUCTION / 0 1, SINGLE WALL 0 3, LINED TRENCH 0 99, OTHER 460 MANUFACTURER '9( 2. DOUBLE WALL 0 95, UNKNOWN MANUFACTURER ~1 01. BARE STEEL 06. FRP COMPATIBLE w/100% METHANOL 02, STAINLESS STEEL 07. GALVANIZED STEEL 0 UKNOWN o 3. PLASTIC COMPATIBLE W/{2NTENTS 0 99, OTHER o 4, FIBERGLASS fi 8. FLEXIBLE (HOPE) 05. STEEL W/COATlNG 09. CATHODIC PROTECTION 464 UNDERGROUND PIPING SINGLE WALL PIPING 466 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 o 3, ANNUAL INTEGRITY TEST (0,1 GPH) CONVENTIONAL SUCTION SYSTEMS 05, 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) - V,a, AUTO PUMP SHUT OFF WHEN A LEAK OCCURS J! b, AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION Dc, NO AUTO PUMP SHUT OFF ~ 11, AUTOMATIC LINE LEAK DETECTOR (3,0 GPH TEST) WITH FLOW SHUTOFF OR RESTRICTION J¢ 12. ANNUALlNTEGRITYTEST (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 o 15, AUTOMATIC LINE LEAK DETECTOR (3,0 GPH TEST) WITHOUT FLOW SHUT OFF OR RESTRICTION o 16, ANNUAL INTEGRITY TEST (0,1 GPH) o 17, DAILY VISUAL CHECK Page _ of ABOVEGROUND PIPING 01, PRESSURE 02, SUCTION 03, GRAVITY 459 o 1, SINGLE WALL 095, UNKNOWN 462 D 2, DOUBLE WALL D 99. OTHER MANUFACTURER 463 01, BARE STEEL 06. FRP COMPATIBLE W/100%METHANOL D 2, STAINLESS STEEL 07. GALVANIZED STEEL o 3. PLASTIC COMPATIBLE WI CONTENTS 0 8, FLEXIBLE (HOPE) 0 99, OTHER 04, FIBERGLASS 09, CATHODIC PROTECTION 05, STEEL W/COATING 095, UNKNOWN 465 ABOVEGROUND PIPING SINGLE WALL PIPING 467 PRESSURIZED PIPING (Check all that apply): o 1. ELECTRONIC LINE LEAK DETECTOR JO GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS. 02, MONTHLY 0.2 GPH TEST o 3. ANNUAL INTEGRITY TEST (0.1 GPH) o 4, DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS (Check all 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): o 7, SELF MONITORING GRAVITY FLOW (Check all that apply): 08. 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) o 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 011, AUTOMATIC LEAK DETECTOR D 12, ANNUAL INTEGRITYTEST (0.1 GPH) SUCTION/GRAVITY SYSTEM D 13, CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all thaI apply) 014. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS 015. AUTOMATIC LINE LEAK DETECTOR (JO GPH TEST) o 16, ANNUAL INTEGRITY TEST (0,1 GPH) o 17. DAILY VISUAL CHECK FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS 473 470 472 Permit Approved (For local use only) Permit Expiration Date (For local use only) 475 UPCF (1/99 revised) Formerly SWRCB Form B '. ~-) " "'. ,FIED PROGRAM CONSOLIDATED FO, UNDERGROUND STORAGE TANKS - TANK PAGE 1 TANKS (two pages per tank) Page_of _ TYPE OF ACTION 0 1 NEW SITE PERMIT 0 4 AMENDED PERMIT 181 5 CHANGE OF INFORMATION 0 6 TEMPORARY SITE CLOSURE (Check one item only) 0 7 PERMANENTLY CLOSED ON SITE o 3 RENEWAL PERMIT (Specify reason -for local use only) (Specify reason-for local use only) 0 8 TANK REMOVED BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 7 -Eleven #17721 LOCATION WITHIN SITE (Optional) 3601 Stockdale Hw ., Bakersfield, CA FACILITY ID: 431 3 TA KID# 2 DATE INSTALLED (YEAR/MO) 435 TANK CAPACITY IN GALLONS 1/1975 10,000 ADDITIONAL DESCRIPTION (For local use only) If "Yes", complete one page for each compartment 436 NUMBER OF COMPARTMENTS 437 438 TANK USE 439 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 1811a. REGULAR UNLEADED o 1b. 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 (Check one item only) INGLE WALL WITH 5. SINGLE WALL WITH INTERNAL BLA EXTERIOR MEMBRANE LINER 0 95. UNKNOWN o 2, DOUBLE WALL 0 4. SIGNLE WALL IN VAULT 0 99. OTHER TANK MATERIAL _ primary tank 1811, BARE STEEL 0 3. FIBERGLASS / PLASTIC 0 5. CONCRETE 0 95. UNKNOWN (Check one item only) 02. STAINLESS STEEL 04, STEEL CLAD WIFIBERGLASS 08. FRP COMPATIBLE WI 099. OTHER REINFORCED PLASTIC (FRP) 100% METHANOL TANK MATERIAL -secondary tank 01, BARE STEEL 03. FIBERGLASS / PLASTIC 05. CONCRETE 02. STAINLESS STEEL 04. STEEL CLAD WIFIBERGLASS 08. FRP COMPATIBLE REINFORCED PLASTIC (FRP) W/100% METHANOL 05, CONCRETE 010, COATED STEEL 444 (Check one item only) o 95, UNKNOWN o 99, OTHER 445 TANK INTERIOR LINING 0 1, RUBBER LINED OR COATING 02 ALKYD LINING (Check one item only) 3, EPOXY LINING 0 5, GLASS LINING o 4 PHENOLIC LINING 06 UNLINED o 95, UNKNOWN o 99 OTHER 446 DATE INSTALLED 447 (For local use only) 448 DATE INSTALLED 449 OTHER CORROSION 0 1 MANUFACTURED CATHODIC J=!J3 FIBERGLASS REINFORCED PLASTIC PROTECTION IF APPLICABLE PROTECTION ~ 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 (For local use only) OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 o 1 ALARM 181 2 BALL FLOAT 03 FILL TUBE SHUT OFF VALVE o 4 EXEMPT o 1 VISUAL (EXPOSED PORTION ONLY) &2 AUTOMATIC TANK GAUGING (ATG) .A.!. 3 CONTINUOUS ATG 04 STATISTICAL INVENTORY RECONCILIATION + (SIR) BIENNIAL TANK TESTING o 5 MANUAL TANK GAUGING (MTG) o 6 VADOSE ZONE 07 GROUNDWATER o 8 TANK TESTING o 99 OTHER F~,~!ð,.<2~T{:~~~~!~w~N~'~,~ ESTIMA QUANTITY OF SUBSTANCE REMAINING IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only) o 1 VISUAL (SINGLE WALL IN VAULT ONLY) o 2 CONTINUOUS INTERSTITIAL MONITORING o 3 MANUAL MONITORING DYes 0 No gallons UPCF (1/99 revised) Formerly SWRCB Form B " .~ -¡,. ·v.~ lED PROGRAM CONSOLIDATED FO TANK UNDERGROUND STORAGE TANKS - TANK PAGE 2 SYSTEM TYPE CONSTRUCTION / B 1. SINGLE WALL MANUFACTURER ~ 2, DOUBLE WALL MANUFACTURER 01. BARE STEEL 06. FRP COMPATIBLE W/100% 02, STAINLESS STEEL 07. GALVANIZED STEEL 03, PLASTIC COMPATIBLE W/ CONTENTS o 4, FIBERGLASS i:J 8, FLEXIBLE (HOPE) 05, STEEL W/COATING /Ò 9, CATHODIC PROTECTION 03, GRAVITY 458 o 99, OTHER 460 461 METHANOL o UKNOWN o 99, OTHER 464 466 UNDERGROUND PIPING 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, 02, MONTHLY 0.2 GPH TEST 03, ANNUAL INTEGRITYTEST (O,1GPH) 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 09, 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) ~a, AUTO PUMP SHUT OFF WHEN A LEAK OCCURS b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION DC, NO AUTO PUMP SHUT OFF ) 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUTOFF OR RESTRICTION ji 12, ANNUAL INTEGRITY TEST (0,1 GPH) SUCTION/GRAVITY SYSTEM o 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 015, AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR RESTRICTION o 16, ANNUAL INTEGRITY TEST (0,1 GPH) 017, DAILY VISUAL CHECK 473 Permit Approved (For local use only) UPCF (1/99 revised) Page _ of ABOVEGROUND PIPING o 1. PRESSURE 02, SUCTION 03, GRAVITY 459 o 1, SINGLE WALL 095, UNKNOWN 462 o 2, DOUBLE WALL 0 99. OTHER MANUFACTURER 463 o 1. BARE STEEL 06, FRP COMPATIBLE Wf100% METHANOL 02. STAINLESS STEEL 07, GALVANIZED STEEL 03. PLASTIC COMPATIBLE W/ CONTENTS 08. FLEXIBLE (HOPE) 099, OTHER 04, FIBERGLASS 09. CATHODIC PROTECTION 05, STEEL W/COATING 095, UNKNOWN 465 ABOVEGROUND PIPING SINGLE WALL PIPING 467 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 o 3. ANNUAL INTEGRITY TEST (0,1 GPH) 04. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS (Check all 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): o 7. SELF MONITORING GRAVITY FLOW (Check all that apply): o 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) o 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 011, AUTOMATIC LEAK DETECTOR o 12, ANNUAL INTEGRITYTEST (0.1 GPH) SUCTION/GRAV/TY SYSTEM o 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 o 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) o 16, ANNUAL INTEGRITYTEST (0,1 GPH) 017, DAILY VISUAL CHECK 470 472 Permit Expiration Date (For local use only) 475 Formerly SWRCB Form B '. ~ ;c. IFIED PROGRAM CONSOLIDATED F0'J. UNOERG UNO STORAGE TANKS - T~K PAGE 1 TANKS ., (two pages per tank) BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 7 -Eleven #17721 LOCATION WITHIN SITE (Optional) 3601 Stockdale Hw ., Bakersfield, CA FACILITY ID: Page_of _ o 6 TEMPORARY SITE CLOSURE o 7 PERMANENTLY CLOSED ON SITE o 8 TANK REMOVED 430 1 TYPE OF ACTION o 1 NEW SITE PERMIT o 4 AMENDED PERMIT I:8J 5 CHANGE OF INFORMATION (Check one item only) o 3 RENEWAL PERMIT (Specify reason - for local use only) (Specify reason - for local use only) 3 431 ANK ID # 3 DATE INSTALLED (YEAR/MO) 435 TANK CAPACITY IN GALLONS 1/1975 10,000 ADDITIONAL DESCRIPTION (For local use only) If "Yes", complete one page for each compartment. 436 NUMBER OF COMPARTMENTS 437 438 TANK USE 439 I:8J 1, 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 02, LEADED I:8J 1b, PREMIUM UNLEADED 03. DIESEL o 1c, MIDGRADE UNLEADED 04, GASOHOL COMMON NAME (from Hazardous Materials Inventory page) Gasoline 440 o 5, JET FUEL . 06. AVIATION FUEL o 99. OTHER 441 CAS# (from Hazardous Materials Inventory page) 442 1!I~i~~!œ . SIN ALL WITH 5. SINGLE WALL WITH INTERNAL BLADD EXTERIOR MEMBRANE LINER 0 95. UNKNOWN o 2, DOUBLE WALL 0 4, SIGNLE WALL IN VAULT 0 99 OTHER TANK MATERIAL -primary tank I:8J 1, BARE STEEL 03. FIBERGLASS I PLASTIC 05. CONCRETE 095. UNKNOWN (Check one item only) 0 2. STAINLESS STEEL 0 4. STEEL CLAD W/FIBERGLASS 0 8, FRP COMPATIBLE WI 0 99, OTHER REINFORCED PLASTIC (FRP) 100% METHANOL TANK MATERIAL -secondary tank 0 1. BARE STEEL 03. FIBERGLASS I PLASTIC 05, CONCRETE (Check one item only) 02. STAINLESS STEEL 04, STEEL CLAD W/FIBERGLASS 08. FRP COMPATIBLE REINFORCED PLASTIC (FRP) W/100% METHANOL 05. CONCRETE 010. COATED STEEL ~ 3. EPOXY LINING 0 5. GLASS LINING 0 95. UNKNOWN IÔ 4 PHENOLIC LINING 0 6 UNLINED 0 99 OTHER (Check one item only) 444 o 95, UNKNOWN o 99. OTHER 445 TANK INTERIOR LINING 01. RUBBER LINED OR COATING 02 ALKYD LINING (Check one item only) 446 DATE INSTALLED 447 (For local use only) OTHER CORROSION 01 MANUFACTURED CATHODIC 0 3 FIBERGLASS REINFORCED PLASTIC PROTECTION IF APPLICABLE PROTECTION rxí 4 IMPRESSED CURRENT (Check one item only) 0 2 SACRIFICIAL ANODE f" ' SPILL AND OVERFILL YEAR INSTALLED 450 TYPE (local use only) 451 (Check all I:8J 1 SPILL CONTAINMENT that apply) o 95 UNKNOWN o 99 OTHER 448 DATE INSTALLED 449 (For local use only) OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 o 1 ALARM I:8J 2 BALL FLOAT 03 FILL TUBE SHUT OFF VALVE o 4 EXEMPT o 1 VISUAL (EXPOSED PORTION ONLY) o 2 AUTOMATIC TANK GAUGING (ATG) 3 CONTINUOUS ATG 04 STATISTICAL INVENTORY RECONCILIATION + (SIR) BIENNIAL TANK TESTING o 5 MANUAL TANK GAUGING (MTG) 06 VADOSE ZONE 07 GROUNDWATER o 8 TANK TESTING o 99 OTHER '~,~:~,~'::!,!':IJ;.~.!~I~I~¡PI,~~:i'~,~Mi~~kt;!J¡"Ç~:€1~\;I,~, ESTIMATED QUANTITY OF SUBSTANCE REMAINING IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only) o 1 VISUAL (SINGLE WALL IN VAULT ONLY) o 2 CONTINUOUS INTERSTITIAL MONITORING 03 MANUAL MONITORING TANK FILLED WITH INERT MATERIAL? DYes 0 No gallons UPCF (1/99 revised) Formerly SWRCB Form B .. ",. . 'if' ~¡ '. c FlED PROGRAM CONSOLIDATED FO .. TANK UNDERGROUND STORAGE TANKS - TANK PAGE 2 UNDERGROUND PIPING SYSTEM TYPE , 1.PRESSURE 02, SUCTION 03, GRAVITY 458 CONSTRUCTION 1, SINGLE WALL 0 3. LINED TRENCH 0 99. OTHER 460 MANUFACTURER b(¡ 2 DOUBLE WALL 0 95, UNKNOWN MANUFJ;~URER 461 01, BARE STEEL 06, FRP COMPATIBLE w/100% METHANOL 02, STAINLESS STEEL 07, GALVANIZED STEEL 0 UKNOWN 03, PLASTIC COMPATIBLE WI CONTENTS 099, OTHER o 4, FIBERGLASS X18. FLEXIBLE (HOPE) 05, STEEL WICOATING /D 9, CATHODIC PROTECTION 464 UNDERGROUND PIPING SINGLE WALL PIPING 466 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. ANNUAlINTEGRITYTEST (O,1GPH) CONVENTIONAL SUCTION SYSTEMS 05. 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) o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS 'rizf b, AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM /"'" DISCONNECTION ~ DC, NO AUTO PUMP SHUT OFF 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUTOFF OR "':J. RESTRICTION jtJ'12, ANNUAL INTEGRITYTEST (0,1 GPH) SUCTION/GRAVITY SYSTEM o 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERA TORSONL Y (Check all that apply) o 14, CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS o 15, AUTOMATIC LINE LEAK DETECTOR (3,0 GPH TEST) WITHOUT FLOW SHUT OFF OR RESTRICTION o 16, ANNUAL INTEGRITYTEST (0.1 GPH) o 17, DAILY VISUAL CHECK Permit Number (For local use only) 473 Permit Approved (For local use only) UPCF (1/99 revised) Page _ of ABOVEGROUND PIPING o 1, PRESSURE 02, SUCTION 03. GRAVITY 459 o 1. SINGLE WALL 0 95, UNKNOWN 462 o 2. DOUBLE WALL 0 99. OTHER MANUFACTURER 463 o 1. BARE STEEL 0 6. FRP COMPATIBLE W/100% METHANOL 02. STAINLESS STEEL 07, GALVANIZED STEEL 03, PLASTIC COMPATIBLE WI CONTENTS 08. FLEXIBLE (HOPE) 099, OTHER 04, FIBERGLASS 09, CATHODIC PROTECTION 05. STEEL WICOATING 095, UNKNOWN 465 ABOVEGROUND PIPING SINGLE WALL PIPING 467 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) 04. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS (Check all that apply) o 5, DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM 06. TRIENNIAL INTEGRITY TEST (0,1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7, SELF MONITORING GRAVITY FLOW (Check alllhal apply): o 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) - o 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 011, AUTOMATIC LEAK DETECTOR o 12. ANNUAL INTEGRITY TEST (0,1 GPH) SUCTION/GRAVITY SYSTEM o 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) 014. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF + AUDIªL~ AND VISUAL ALARMS o 15. AUTOMATIC LINE LEAK DETECTOR (3,0 GPH TEST) 016. ANNUAL INTEGRITYTEST (0,1 GPH) o 17, DAILY VISUAL CHECK Permit Expiration Date (For local use only) 475 Formerly SWRCB Form B -o;¡- < ~ .. - - --- --- - " - e CERTIFICATE OF UNDERGROUND STORAGE TANK SYSTEM TESTING "F.,,- ~ ,,,--,--, ~]¡ ~ .an"'~T 8900 SHOAL CREEK. BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459·1459 TEST RESULT SITE SUMMARY REPORT TEST TYPE: TLD-1 ---..... PUW0SE"'"'CõMPLIANCE - '-. ..~ WORK ORDER NUMBER: 3 20931 TEST DATE: 02/15/02 CLIENT: 7-ELEVEN, INC. 10220 S.W. GREENBURG ROAD SUITE 470 PORTLAND, OR 97223 BOB DENINNO (503)977-7713 SITE: 7 -ELEVEN #17721 MARKET #2133 3'60:t "STOCKD.ALE- HI Gh...AY - BAKERSFIELD, CA 93309 Manager (805)834-3093 The foHowing testes) were conducted at the site above in accordance wit lìcabJe portions of F Line and Leak Detector Tests .: '1_ '.; ~ 1 2 3 0.000 0.000 0.000 1 REGULAR 2 REGULAR 3 PREMIUM P P P 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 Il·-H·~ Reviewed: Test conducted by: RICHMOND PHILLIPS .. -... .-.. - Technician Certification Number: 91-1071 Printed 02/20/200214:10 KOHLMEYER ~ ÎiiÞ 'ÐJnIcnoIogy ~MONITORING SYSTEM CERTIFICATION . :;¡, se By All Jurisdictions Within the State of California Authority Cited: Chapter 6, 7, ' th and Safety Code; Chapter 16, Division 3 Title 23, Co nia 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 regulating UST systems within 30 days of test date. A. General Information Facility Name: 7-ELEVEN #17721 Site Address: MARKET #2133 3601 STOCKDALE HIGHWAY City: BAKERSFIELD Contact Phone No: 834-3093 CA Zip: 93309 Date ofTesting/Service: 02/15/2002 Facility Contact Person: Manaç¡er Make/Model of Monitoring System: B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment inspected/serviced Work Order Number: 3120931 Tank 10: 1 Tank 10: 2 X In-Tank Gauging Probe. Model: MAG-1 X In,Tank Gauging Probe, Model: MAG-1 = Annular Space or Vault Sensor. Model: Annular Space or Vault Sensor. Model: X Piping SumpfTrench Sensor(s), Model: 208 Y Piping SumpfTrench Sensor(s). Model: 208 = - Fill Sump Sensor(s), Model: ~ Fill Sump Sensor(s), Model: = Mechanical Line Leak Detector. ModEiI:---' -- -- , ~.~-- MêchaniCãf[¡ne lea'k'Detector. - Mode!: - = Electronic Line Leak Detector, Model: ;::: Electronic Line Leak Detector, Model: X Tank Overfill/High·Level Sensor, Model: MAG·1 ~ 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 mQdel in Section E on page 2). '- Tank 10: :~ Tank 10: X In-Tank Gauging Probe, Model: MAG-1 - In,Tank Gauging Probe. Model: == Annular Space or Vault Sensor. Model: Annular Space or Vault Sensor, Model: X Piping SumpfTrench Sensor(s). Model: 208 Piping SumpfTrench Sensor(s). Model: == Fill Sump Sensor(s). Model: - Model: = Fill Sump Sensor(s), 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: MAG-1 - Tank Overfill/High·Level Sensor, Model: = - Other (specify equipment type and model in Section E on page 2). Other (specify equipment type and model in Section E on page 2), - - ulspenser IU: 1/2 Dispenser 10: o Dispenser Containment Sensor(s) Model: 208 -, Dispenser Containment Sensor(s) Model: ŒJ Shear Valve(s), :::J Shear Valve(s) o Dispenser Containment Float(s) and Chain(s), -, Dispenser Containment Float(s) and Chain(s). Dispenser 10: Dispenser 10: [8] Dispenser Containment Sensor(s) Model: 208 - Dispenser Containment Sensor(s), Model: [8] Shear Valve(s), - Shear Valve(s). n Dispenser Containment Float(s) and Chain(s), = Dispenser Containment Float(s) and Chain(s). Dispenser 10: Dispenser 10: 0 Dispenser Containment Sensor(s) Model: D Dispenser Containment Sensor(s). Model: 0 Shear Valve(s). - - - , - [] ShearValve(s), _ ' ,- 0 Dispenser Containment Float(s) and Chain(s). o 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; 0 Alarm history report 0 SIGNATURE: PHONE NO: page 1 of 3 PRINTED NAME:RICHMOND PHILLIPS COMPANY: Tanknoloç¡y (800) 800-4633 Based on CA form dated 03/01 ·, tþ"itoring System Certification e CT Site Address: MARKET #2133 3601 STOCKDALE HIGHWAY Date of Testing/Service: 02/15/2002 D. Results of Testing/Servicing Software Version Installed: Complete the following checklist: [8] Yes DNo' Is the audible alarm operational? [8] Yes DNo' Is the visual alarm operational? [8] Yes nNo' Were all sensors visually inspected, functionally tested, and confirmed operational? [8J Yes DNo' Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interreréwith their p'rÓper operati6nT '- ' - ' - .. '- ----" ~ ~ _.-- , - ,- n Yes nNo' !~N/A If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? [] Yes DNo' DN/A 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) ŒJ Sumpffrench Sensors; ŒJ Dispenser Containment Sensors, Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ŒJ Yes DNo [] Yes DNo' DN/A 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? 90 % DYes' []NO 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' EJNO Was liquid found inside any secondary containment systems designed as dry systems? (check all that apply) D Product; o Water. If yes. describe causes in Section E, below. [] Yes DNo' Was monitoring system set·up reviewed to ensure proper settings? Attach set-up reports, if applicable, [] Yes DNo' 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 t. ta,itoring System Certification e ¿j'" Site Address: MARKET #2133 3601 STOCKDALE HIGHWAY Date of Testing/Service: 02/15/2002 F. In-Tank Gauging I SIR Equipment D 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? ŒJYes DNo' Were all tank gauging probes visually inspected for damage and residue buildup? ŒJyes DNo' Was accuracy of system product level readings tested? ŒJyes DN~' Was accuracy of system water level readings tested? ŒJYas DNo' Were all probes reinstalled properly? DYes ŒJNO' 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. Une leak Detectors (llD) : o Check this box if LLDs are not installed. Complete the following checklist: DYes 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 DYes DNo' Were all LLDs confirmed operational and accurate within regulatory requirements? nYes DNa' Was the testing apparatus properly calibrated? DYes DNo' DN/A For mechanical LLDs, does the LLD restrict product flow if it detects a leak? DYes DNa' DN/A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? DYes DNo' DN/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? DYes DNo' DN/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? DYes DNa' DN/A For electronic LLDs, have all accessible wiring connections been visually inspected? DYes DNa' 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: no Ids at this site. - . - ~ -- - --.~ -- ~ u page 3 of 3 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 'H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAJ( (661) 395·1349 SUPPRESSION SERVICES 2101 oH" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chesler Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAJ( (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 FAJ( (661) 399-5763 - e February 20, 2002 Bob Deninno 7-11 POBox 711 Dallas, TX 95221-0711 CERTIFIED MAIL NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE RE: Failure to Submit/Perfonn Annual Maintenance on Leak Detection System at 7-11,525 W. Columbus, Ba.kersfield, CA., 7-11, 3601 Stockdale Hwy, Bakersfield, CA., 7-11, 4101 Calloway, Bakersfield, CA 7-11,9600 Brimhall, Bakersfield, CA Dear Mr. Deninno: Our records indicate that your annual maintenance certification on your leak detection system is past due. February 1,2002, February 19,2002, February 23, 2002, February 23, 2002. You are currently in violation of Section 2641 (J) of the California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, opera~ed and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have thirty (30) days, March 22, 2002, to either perfonn or submit your annual certification to this office. Failure to comply will result in revocation of your permit to operate your underground storage system. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Ralph Huey Director of Prevention Services bY:~~ Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services cc: Walter H. Porr Jr., Assistant City Attorney ~"7~âe W~ ~.A0P6.r~ A W~'I'I - e 'I f ..lJ ,..::¡ ::r ITI ..lJ Lr :::r T Postage $ .34 2.10 1.50 Postmark Here Certified Fee ...0 Return Receipt Fee CJ (Endorsement Required) CJ Restricted Delivery Fee CJ (Endorsement Required) Total Postage & Fees $ 3.94 ::~;li1~" T Lr Sent 0 : Š;rëë;;~~~õ~?Ö~;WO·1C··f!N·O'··········~·"·····'.'"................. , '; ~ CJ POBOX 711· ................... f2 ëitŸ,·ŠiïifPik···iX··9Š·ïïï···ö:;"ïï······.······_············............. :" ,, -. -. . . ~-... ~ . SENDER: CCi~Iì¡:OLETE THIS SECTION «".--- -. --' -- -.-..-, ., Comp,mé1ifu'1, 2, and 3. Also complete item 4 ifffestricted 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 mailpìece, or on the front if space permits. 1. Article Addressed to: BOB UmINNO ( ""_11 ~ POBOX 711 DALLAS, TX 95221 -0711 RE: 525 W COLUMBUS, 3601 OCKDALE HWY, 410 1 CALLOWAY, 960 2. ArtiC~Sö'ðbeÓ(S2Õ frO'ö2tc9~ï8 7714 3. Service Type DC Certified Mail 0 Express Mail o Registered 0 Return Receipt for Merchandise I o Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes PS Form 3811, July 1999 Domestic Return Receipt 102595'99,M,1789 'i. . ", 'i'\:J 6y /\u '<" ~ . 8900 Shoal Creek Blvd, Bui/ding 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: 02/15/2002 Order Number: 3120931 Date Printed and Mailed: 02/21/2002 Monitor Certification Stage II AIL tests Stage II pressure decay tests Sincerely, :D~ K'~ Dawn Kohlmeyer Manager, Field Reporting ·' \:: CERTIFICATE OF UNDERGROUND STORAGE TANK SYSTEM TESTING ~~ (~.f.ii- . ~ Tánknology 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: 02/15/02 CUSTOMERPO:wc02181924 WORK ORDER NUMBER: 3120931 CLIENT: 7-ELEVEN, INC. 10220 S. W. GREENBURG ROAD SUITE 470 PORTLAND, OR 97223 BOB DENINNO (503) 977-7713 SITE: 7-ELEVEN #17721 MARKET #2133 3601 STOCKDALE HIGHWAY BAKERSFIELD, CA 93309 Manager (805)834-3093 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 1 2 3 1 REGULAR 2 REGULAR 3 PREMIUM 0.000 0.000 0.000 P P P 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 Il -11 fo/Cè Reviewed: Technician Certification Number: 91-1071 Printed 02/21/2002 07:46 SBOWERS O' INDIVIDUA'i TANK INFORMATION AND ST RESULTS TEST DATE:02/15/02 CLIENT: 7-ELEVEN, INC. ,~ j,...... ~ ~ DJnknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 WORK ORDER NUMBER3120931 SITE:7-ELEVEN #17721 Tank ID: 1 1 Product: REGULAR Capacity in gallons: 10,027 Diameter in inches: 96.00 Length in inches: 323 Material: LINED COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES Installed: ATG and CP CP installed on: / / 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: 128.0 134.0 32.0 4.0 DUAL ASSIST 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 Bubble Ullage Make: Model: SIN: Open time in sec: Holding psi: Resiliency in ml: Test leak rate mllm: Metering psi: Calib, leak in gph: Results: COMMENTS Failed/replaced L.C. #2 NOT TESTED NOT TESTED NOT TESTED Material: Diameter (in): Length (ft): Test psi: Bleedback cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS FLEX 2.0 25.0 50 o 60 08:30 09:30 0.000 PASS PRESSURE RED JACKET NOT TESTED Impact Valves Operational: YES NOT TESTED NOT TESTED Printed 02/21/2002 07:46 '. INDIVIDUA\f TANK INFORMATION AND ST RE5UL T5 TEST DATE:02/15/02 CLlE NT: 7 - ELEVEN / INC. ,¿. ¡ji"'" ..-., 7:fJnknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 WORK ORDER NUMBER3120931 SITE:7-ELEVEN #17721 Tank 10: 2 2 Product: REGULAR Capacity in gallons: 10,027 Diameter in inches: 96.00 Length in inches: 323 Material: LINED COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES Installed: ATG and CP CP installed on: / / ¡EßI.~W¡.~.¡!J~~,; i;T¡,~!ØI.!~IB~~~~ßi!JiI¡~;¡¡¡¡¡¡~;¡¡;(i;;¡i¡¡@iBt;;.tm~9tilïl;;)¡!i¡;¡;(1;¡¡¡;¡1(iii:¡¡illii 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: 126.0 132.0 30.0 4.0 DUAL ASSIST New/passed Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #1 L.D. #2 L.D. #2 FLEX 2.0 25.0 50 o 60 08:30 09:30 0.000 PASS PRESSURE RED JACIŒT NOT TESTED Bubble Ullage Make: Model: SIN: Open time in sec: Holding psi: Resiliency in ml: 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 NOT TESTED NOT TESTED Impact Valves Operational: UNKNOWN Printed 02/21/2002 07:46 INDIVIDUA'L TANK INFORMATION AND TEST DATE:02/15/02 CLIENT: 7-ELEVEN, INC. ,,~ "..... .. .. »mknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 ST RESULTS WORK ORDER NUMBER3120931 SITE:7-ELEVEN #17721 Tank 10: 3 3 Product: PREMIUM Capacity in gallons: 10,027 Diameter in inches: 96. 00 Length in inches: 323 Material: LINED COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: YES Overfill protection: YES Overspill protection: YES Installed: ATG and CP CP installed on: / / 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: 126.0 132.0 30.0 4.0 DUAL ASSIST 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 Bubble Make: Model: SIN: Open time in sec: Holding psi: Resiliency in ml: Test leak rate ml/m: Metering psi: Calib. leak in gph: Results: NOT TESTED NOT TESTED Ullage NOT TESTED COMMENTS Material: Diameter (in): Length (ft): Test psi: Bleed back cc: Test time (min): Start time: End time: Final gph: Result: Pump type: Pump make: COMMENTS FLEX 2.0 25.0 50 o 60 08:30 09:30 0.000 PASS PRESSURE RED JACKET NOT TESTED NOT TESTED NOT TESTED Impact Valves Operational: UNKNOWN Printed 02/21/2002 07:46 .."'1'ånknoIogy "MONITORIN~ SY~TEM ~ERTIFICATION , , .. .Use By All Junsdlctions Within the State of Ca/lfonA Authority Cited: Chapter 6.7, "Mea/th and Safety Code; Chapter 16, Division 3 Tit/e 2'-'ifomia Code of Regu/ations This form must be used to document testing and servicing of monnoring equipment. If more than one monitoring system control panel is installed at the facil~y, 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 of this form to the local agency regulating UST systems within 30 days of test date. A. General Information Facility Name: 7-ELEVEN #17721 Site Address: MARKET #2133 3601 STOCKDALE HIGHWAY Facility Contact Person: Manager Make/Model of Monitoring System: B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment inspected/serviced City: BAKERSFIELD Contact Phone No: 834-3093 CA Zip: 93309 Date of Testing/Service: 02115/2002 Work Order Number: 3120931 Tank 10: 1 Tank ID: 2 rx In-Tank Gauging Probe, Model: MAG-1 fXl In-Tank Gauging Probe. Model: MAG-1 := Annular Space or Vaun Sensor. Model: 1 Annular Space or Vaun Sensor. Model: rx Piping Sump/Trench Sensor(s), Model: 208 X Piping Sump/Trench Sensor(s). Model: 208 := 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: X Tank OverfilVHigh·Level Sensor. Model: MAG-1 ~ Tank OverfilVHigh,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). - lanKIU: .:> lanK IU: !J In,Tank Gauging Probe, Model: MAG-1 o In-Tank Gauging Probe, Model: - Annular Space orVaun Sensor. Model: Annular Space or Vault Sensor. Model: ~ Piping Sump/Trench Sensor(s), Model: 208 Piping Sump/Trench Sensor(s). Model: - Fill Sump Sensor(s). Model: r- Fill Sump Sensor(s). Model: = Mechanical Line Leak Detector. Model: r- Model: Mechanical Line Leak Detector, = Electronic Line Leak Detector. Model: ¡= Model: X Electronic Line Leak Detector. Tank OverfilVHigh,Level Sensor. Model: MAG·1 := Tank OverfilVHigh-Level Sensor. Model: = other (specify equipment type and model in Section E on page 2), r- other (specify equipment type and model in Section E on page 2). - '-- IU, IlL ulspenser IU: ~ Dispenser Containment Sensor(s) Model: 208 n Dispenser Containment Sensor(s) Model: ~ ShearValve(s), o ShearValve(s) D Dispenser Containment Float(s) and Chain(s), n Dispenser Containment Float(s) and Chain(s). ulspenser IU: ulspenser IU: I!] Dispenser Containment Sensor(s) Model: 208 n Dispenser Containment Sensor(s). Model: ~ Shear Valve(s), D Shear Valve(s), [l Dispenser Containment Float(s) and Chain(s), D Dispenser Containment Float(s) and Chain(s). Dispenser ID: Dispenser ID: 0 Dispenser Containment Sensor(s) Model: n Dispenser Containment Sensor(s), Model: D Shear Valve(s), o ShearValve(s). 0 Dispenser Containment Float(s) and Chain(s). o 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 ¡::] SIGNATURE: PHONE NO: page 1 of 3 PRINTED NAME:RICHMOND PHILLIPS COMPANY: Tanknology (800) 800-4633 Based on CA form dated 03/01 ~nitoring System Certification e Site Address: MARKET #2133 3601 STOCKDALE HIGHWAY Date of Testing/Service: 02/15/2002 D. Results of Testing/Servicing Software Version Installed: Complete the following checklist: ŒJ Yes ONo' Is the audible alarm operational? ~ Yes DNo' Is the visual alarm operational? ~ Yes DNo' Were all sensors visually inspected, functionally tested, and confirmed operational? ŒJ Yes DNo' 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' f\]NtA If alarms are relayed to a remote monitoring station, is all communications equipment (e,g. modem) operational? EJ 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) f!9 SumplTrench Sensors; [29 Dispenser Containment Sensors, Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ŒJ Yes DNo [] Yes DNa' ONtA For tank systems that utilize the monitoring system as the primary tank overfill warning device (í.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? 90 % DYes' []No 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' EJNo 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 ONo' Was monitoring system set-up reviewed to ensure proper settings? Attach set-up reports, if applicable, EJ Yes DNo' 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 'nitoring System Certification e Site Address: MARKET #2133 3601 STOCKDALE HIGHWAY Date of Testing/Service: 02/15/2002 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: DVes DNo' Has all input wiring been inspected for proper entry and termination, including testing for ground faults? E:J Ves DNo' Were all tank gauging probes visually inspected for damage and residue buildup? E:J Ves DNo' Was accuracy of system product level readings tested? c:JVes DNo' Was accuracy of system water level readings tested? E:J Ves DNo' Were all probes reinstalled properly? DYes c:J No . 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) : o Check this box if LLDs are not installed, Complete the following checklist: DYes 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 DYes 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? Dyes DNo' DN/A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? DYes DNo' DN/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? DVes DNo' DN/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? DYes 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. 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"j- § ,":\f.ET . ~ .:-.;;"', 'rot ChE~1: ~@gR OR'G~ft\q£[J., "i."¡\} T. ~.: h'UL H·~I.>-j J·C,';' :"hÓ;"' J:':-": 1-. .~."? t'~. .1< .~. ;~: .~.:_ ::t; ~ e ,". ~.~ r~; : . ' Ef<\" kTJ·:~~>kT . " '·;I..i:i~f:·: ;.~ . ¡", :.' "-":.1 ¡..:::: V·:)L'!¡'-:;E: ·;:\:-i.unt ¡-¡:J'! ",. .,", '.. ,., :.:.;'! tt'i T ~:i~;. :,t, .',. ,N): \,::1..1/,·<. "·;:(:l.,U;'-='¡E 'j .; f:t~:) ... "'-':j :_;.:H, Ut::::' ::.~ .< ! C ~ ;.::;:': ;-..:;(;. 'r-E1::~F' f;::·· f-:.: .-..'-, :·:i. ~ :"~_::; .. :0." ~ : r·~ ,:!:.:-"~ ) : :::.:!...; ¡~~["1 T i:~P f ¡ '.:,:~ j '::;;;'.,: ,.":'.. >'.,., :'1.< ':..",;'::. ;':', t ',¡ ; ~:..: fTO:: ^.;:" . "" ", ,:{I.,., ~-:--.':- " ....:.,> '·..":.:L:,:HF, sf' :: ::,;".;.. ..._--_._.._._,.._._._"_.__..,~-_....... Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 Wor}( Order: e 3120931 ,cc.''''''''*~~~'''''''''''''~,.",....., ..;" :1';- .. .'<r,' .::~ . F::',~;~: :.,,: :~; .";,' 'c. ::01'. POOR OR~G~ft)!j£~ i¡¡,::;:rC?i ,- ,"",.! 1-:-/;' " ~·1J...r:}::i-··: ~,'L::: .~. " ; '¡ ~ ;( j:' ':>1: .~: ~:·::,ú.: '" :_:". .:~ _1_ '> ':.' '-","'" : :;~..n;<.::··>: ~~.F) : :.;',:,"; :·~-~{.i-"!.:;:';'··: H:: ¡:.":.::':: '.'-~' ¡r,:: ;-:~n ~,;..}.';:-: _: ;-'~) . .; ";.';' ~ ",,¡-r .". .":'_.":'--'-" ·}1Lj..~::..:::·: vr· ... 'h'" '. .~:..: . ;:<.t.:!:~:çJ'··¡ "t·,:; ~ ::,~:.T,tY~:·~: ~:h'.!>·:·_:·kT t ¡'.; ",' <.~~; ;:tL· T C,:" :;:: '1. :: LL. r-~LF::r~:n ", ;>I)i/,' .",. <-.-'1 ",..n '.; :. .~,~ ~i;"::' ".1 ; ::.ò:~:' . f";~"~ :;·;_(.,~·~Ft·-::. ¡ ...} 'H FUE fl:T.: ; ';':::; H:": ':';:~' :: Fi,LJ "..' ¡.)<.-¡ ~··~::·:~S.: }.::;.:.;,;~; .: .*. ::s:. ~. :.; L>Jf: >1:. ", + ... 'y: 0:::: L': ~ !<:h': , . ; h.J }_< ·T,<.;1·r=:: ~E<1"¡ '?;'E;fJ .;. .~- ,,~ ':';.: '.,.- r~'~r' ::IY- ::0:, .... :,.,: :'t. f'; ~...h;<r': -;-,., .. ,,',.. J'~'Et· ,'" .... l ::" d LL ::·,~)·:~.:.t·,: ..,,, .::: ::~. ':; :;.. i':: - : '·h. ,,'.'>:.'. ,ü..':'r·" .. ikA:i' FTf:: ,.. !:L1:' :,:r.iU~: ;':; ~ - ,:', :,." . ,C ,'. .' ~ ;'{-': ,I'.:';)',' ¡·h.r'· ,'- ...... ','Ub :¡I::' Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 .;'-',::' n~':: ~ ,?: .J>: );' .,.-. ",,",' .~- :)' '" ~ .;.. ,:-.".. y: 5.- ~ ,,: .¡ ::.,;, "'. ,. . ':-:':'-:."! ...'-' {.;:"': ~' L_:.< ,;:':u"; :::i::! ,:,,'1:': ,"j"; " Work Order: 3120931 e . (.-~~/~S:t-i j:·i.·..," '; ," : ~'. ',.. ::' $: '.f ,r¿:,.:. ,~;. i_.' :.;:: ":'..:' ;:.J " i. 'I>';- _~.: ~ ,,~ .j, -.,: -.,.: :.:< .~: .)0 , . "'-"- . if: ~OOR O~~GI~ilL ;;' .:~.,-~y; h. ':i : rT'·'· ..." , "'.:,/:' ':'.' ~. ) ,"; ~"!'-~TtÇ:: ":·:::""'L"·.-";";:'''';' iI:- ~_;., ~ '~;.: :;,. :-~~..( ~: :i',_ _)_: '.. ._~ ~ ; ¡"-j : ;'.:~':: i i'~:. ;"! ;-~i· :,'. ; , <. :.- ¡. ..~. ··:-;·';t·::. ;'"¡'. :."'¡ . :... ~; ¡:,.' ; " ::';',':.[.,:'.;;-",.., ...-.-...., ~! : ;-:':. <:}.,,';' J:".:: ".-,.. ;:<jL(':,::;:·!.·· : k:;~ .,~"-~"""""-"""""-""'"'"""-. .~..~ .~ .~~~, Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 78757 .. =---... , . ... ,,(.... ""-~ 4J! .. .a. -----::II 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE:02/15/02 CLIENT: 7-ELEVEN, INC. WORK ORDER NUMBER.3120931 SITE:7-ELEVEN #17721 COMMENTS No Id I S present PARTS REPLACED HELIUM PINPOINT TEST RESULTS (IF APPLICABLE) Printed 02/21/200207:46 SBOWERS ~. . .' ~ e ',,-- SITE DIAGRAM . .~ ',j.r':; 4! ~ DJnknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE: 02/15/02 CLlENT:7-ELEVEN, INC. WORK ORDER NUMBER3120931 SITE: 7-ELEVEN #17721 south real road 9 ® ® ~ø ~ø [I 0 0 9 ^ ^ ~ ~ ([) ([) .c ,º 9 REG REG 0 .c: . I § § (j) .,g¿ -t 0 C\1 ;0 "'0 m ~ () I§~ ø ®I PREM 0 +J en 0::;0 VENTS Printed 02/21/2002 07:46 SBOWERS 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 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 FAJ( (661) 326·0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAJ( (661) 399·5763 . - November 27,2001 Mr. Bob DeNinno 7 -Eleven, Inc. .. 10220 S W Greenburg Road Portland OR 97233 RE: 7-Eleven #17721 at 3601 Stockdale Hwy in Bakersfield, Ca Dear Mr. DeNinno: Our records indicate that your former underground storage tank site is currently subject to Corrective Action Requirements under Article 11 of Title 23 California Code of Regulations concerning leaking underground tanks. Accordingly, pursuant to Section 2722(b) of Article 11, you are hereby directed to begin the necessary work at your site within 90 calendar . days from the date of this letter. The required work shall include: Installing one soil boring to a depth of 40 feet below grade to obtain a representative soil sample from under the western- most fuel dispenser. Please be aware that, pursuant to Section 2722(c) of Article 11, you are required to have an approved workplan on file with this office prior to initiation of any corrective action work. In addition, you are to provide ongoing status reports of all activities involving the progress of this case to this office every 90 days. If you have any questions regarding the provisions of this letter, please call me at (661 )326-3979. Sincerely, µ1kU~~ Howard H. Wines, III Hazardous Materials Specialist Registered Geologist No. 7239 Office of Environmental Services HHW/dm cc: S. Lathrop, IT Corp 5:IU5TFORM51U5T.LSB --7~ de ~~ ~;e vØ60Pe .o/~ A W~'I' 7-11 17721 3601 STOCKDALE H~\J'i BAKERSF I ELD. C~1 NOV 8. 2001 2:49 PM S\"STH1 STATU~3 REPORT ~U;CK IS - I ï~CORRËCT _ - INVENTOR\" REPORT T 1 :RUL 1 \/OLUI'1E ULLAGE 90% ULLAGE= TC VOLUr"1E HEIGHT WATER VOL WATER TEI'lP T 2:RUL 2 VO LUr'1E ULLAGE 9W. ULLAGE= TC \/OLUI"1E HEIGHT WATER VOL WATER TEr1P T 3: PUL IjOLUf"1E ULLAGE 90% ULLAGE= TC VOLUt'1E HEIGHT WATER 'vOL WATER TEMP 5913 4107 :3105 5805 54.82 o 0.00 86.2 8255 1765 763 8159 7:3.71 o 0.00 76.6 GALB GALS GALS Gf~LS INCHES GALS INCHES DEG F GALS GALS' .·-"·'LC' ~ t_1 -. oJ HE:3 GALS I NC HEf3 DEG F 2613 GALS 7407 GALS 6405 GALS 2566 GALS 29.49' INCHES O'GALS 0.00 INCHES 85.:3 DEG F N N N N N END N N N N N --~ -- ~- - - - - - -- - C.RRECTION NOT¥E BAKERSFIELD FIRE DEPARTMENT N~ 1055 Locatiol1 ì - { ( SUbDiv.~¥lk. . Lot You are hereby required to make the following corrections at the above location: Cor. No 4- tiR_ l) f- -z..a. rcl vk.s ø s 3@ da ~y;~ S. r¡õ:J/úL-IL-- Completion Date for Correction Date4 ~ Is f I Inspector 326-3979 -- - CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd {·'Ioor, Bakersfield, CA 93301 FACILITY NAME ì ... t ( ADDRESS 3~() ( {()l,~(L Hw.'f- F ACILITY CONTACT INSPECTION TIME INSPECTION DATE If {~r(J I PHONE NO. g'Jlj - 3013 BUSINESS 10 NO. 15-210- NUMBER OF EMPLOYEES ?-, Section 1: Business Plan and Inventory Program o Routine ~ Combined ' 0 Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA TION C V COMMENTS Appropriate permit on hand \... / Business plan contact information accurate I\.. / ,., Visible address rv Correct occupancy I\..... I Verification of inventory materials \... / Verification of quantities v I Verification of location V Proper segregation of material V Verification of MSDS availability V MJ ~l!lH"t:( V erification of Haz Mat training v' t..~ (\ Verification of abatement supplies and procedures v L\.. " Emergency procedures adequate lL { ( v Containers properly labeled / ./ Housekeeping " .s-\~Il\ ~t HM'\" r- fAt (lJ.t.f Fire Protection V NffÅ {"", ,AJIlIl hJ\.k c;,"f-tt. ,1 ,¡.- Site Diagram Adequate & On Hand 1\...0 ~ C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes B-No White - Env, Svcs. Yellow· Station Copy Pink· Business Copy Inspector: Questions regarding this inspection? Please call us at (661) 326-3979 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- (( INSPECTION DATE if WG{ Section 2: Underground Storage Tanks Program o Routine rj" Combined 0 Joint Agency Type of Tank ,,~WL. Type of Monitoring ATC, o Multi-Agency 0 Complaint Number of Tanks ~ Type of Piping {)(1J t=- ORe-inspection OPERA nON c v COMMENTS Proper tank data on tile 5 Proper owner/operator data on tile Pennit fees current Certification of Financia] 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 TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available spec on file with OES Adequate secondary protection Proper tank p1acarding/1abeJing Is tank used to dispense MYF? If yes, Does tank have overfiJl/overspiJl protection? c~comPI;,"'£V;OI";OO V~Y., In,p"to<o _ ~ Office of Environmental Services (805) 326-3979 White, F.nv, Sves, N=NO ~'2~5', µU~ , Business Site Responsible Party Pink - Business Copy ~ FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 oH" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAJ( (661) 395·1349 SUPPRESSION SERVICES 2101 oH" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAJ( (661) 395·1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAJ( (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326·3979 FAX (661)326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAJ( (661)399·5763 . - July 25,2001 Ms. Shelby Lathrop It Corporation 4005 Port Chicago Hwy Conrad, Ca 94520-1120 RE: 7-Eleven Store No. 17721 at 3601 Stockdale Hwy in Bakersfield. W orkplan for Subsurface Investigation Dear Ms. Lathrop: This is to notify you that the work plan for the above stated address is satisfactory. Please give this office 5 working days notice prior to the commencement of work. Please be advised that any work done that is not perfonned under direct oversight by this office will not be accepted, unless previously approved. If you have any questions, please call me at (661) 326-3979. Sincerely, Á./4Llc uJ- Howard H. Wines, III Hazardous Materials Specialist Registered Geologist No. 7239 Office of Environmental Services HHW /dlm cc: B. OeNinno ~~ C'yJ .I/' v' ()'"2;' jj "?'2J // C/;J '1'1 Jff~ UU} UN/I/;ZN/U7?, .!Øo/'- ./i-'(:)~P~~ '::y/Ù,,n, ../(:} 0e/l/N/r ;:t~- -~~ ,.. .e Corporation "4005 Port Chicago Highway Concord, CA 94520-1120 Tel. 925.288.9898 Fax. 925.288.0888 . the(/; grOUl! A Member of 71Je IT Group June 6, 2001 Mr. Howard Wines Bakersfield Fire Department 1715 Chester Avenue Bakersfield, California 93301 RE: WORK PLAN FOR FURTHER SUBSURFACE INVESTIGATION 7 -Eleven Store No. 17721 3601 Stockdale Hwy Bakersfield, California Dear Mr. Wines: IT Corporation, Inc. (IT) proposes the following work plan to further investigate conditions at the referenced site, as requested by the Bakersfield Fire Department (BFD) in correspondence dated May 14, 2001. The scope of work includes installing one soil boring to a depth of 40 feet below grade (Figure 1). The boring may be slant-drilled to increase chances of obtaining a representative sample from directly below the pump island area, which has been identified to be the current known plume location. SITE HEALTH AND SAFETY PLAN/PERMITTING The existing Health and Safety plan will be modified for use during subsequent drilling operations. The Health and Safety plan was prepared as required by the Occupational Safety and Health Administration (OSHA) Standard "Hazardous Waste Operations and Emergency Response" guidelines (29 CFR 1910.120). The plan is reviewed and signed by all IT Corporation personnel/subcontractors performing work on the site. Prior to the start of work, permits for drilling will be obtained from the appropriate agencies, and Underground Service Alert will be used to clear drilling locations prior to field activities. The BFD will be notified as required or at least two days prior to the start of work. 14063.wP 9- It e 7-Eleven Store No. 17721, 3601 Stockdale Hwy, Bakersfield, California Workplan for Further Subsurface Investigation June 6, 2001 Page 2 SOIL SAMPLING AND ANALYSIS One boring will be drilled to a depth of 40 feet below ground surface (BGS) using an 8-inch diameter hollow stem auger. During drilling, soil samples will be collected at five foot intervals from surface grade to the total depth of drilling and logged using the Unified Soil Classification System by an IT Corporation field geologist, working under the supervision of a California registered geologist. Soil at each depth interval will be evaluated for relative hydrocarbon content using a photo-ionization detector (PID). Samples collected for laboratory analysis will be sealed with plastic caps over Teflon film, taped, labeled, placed on ice and sent to a state certified laboratory under legal chain of custody. Based on field observations, selected soil samples will be analyzed for benzene, toluene, ethylbenzene, total xylenes (BTEX) and total petroleum hydrocarbons as gasoline (TPH-G) following EPA method 8015(modified)/8020, and methyl-tert-butyl ether (MTBE), tert-butanol (TBA), diisopropyl ether (DIPE), ethyl-tert-butyl ether (ETBE) and tert-amyl-methyl ether (TAME) using EPA method 8260. The soil sample with the highest field hydrocarbon indication and/or selected samples to total depth Oncluding the 20-, 30-, and 40-foot samples) will be submitted for analysis. All sampling equipment will be cleaned between sampling intervals using detergent and rinsed with deionized water. Drill cuttings will be drummed for proper disposal, and the boring will be backfilled to grade with concretelbentonite slurry. SCHEDULE AND REPORTING Findings will be submitted within 6 - 8 weeks of drilling. Field work is proposed for the third quarter, 2001, and will commence following written regulatory approval of this scope of work. If you have any questions or comments, please contact Shelby Lathrop of the IT Corporation at (925) 288-2190. Sincerely, IT Corporation, Inc. Submitted by: IT Corporation, Inc. Approved by: Attachments Figure ¿ 6k-#~ Shelby Lathrop Project Manager cc: 7 -Eleven, Inc. 14063.WP t..-.. e e' FIGURES 'hI): I'¡¡'·~·' ....,. '...: e - EXPLANA TION 0 SOIL SAMPLE LOCATION I:8J FUEL DISPENSER .-. PROPERTY BOUNDARY --G- GAS LINE -w--- WATER LINE -(- ELECTRIC LINE ----------- APPROXIMATE BOUNDARY OF UNDERGROUND STORAGE TANK ~ N , 0 20 40 I I APPROX. SCALE IN FEET 7-ELEVEN, INC. 7-ELEVEN FACILITY NO. 17721 3601 STOCKDALE HIGHWAY BAKERSFIELD, CALIFORNIA 823983 DRAWN BY: L MASON DATE: 03-09-0 DRAFiED BY: DEN HOLMES DATE: 03-15-0 CHECKED BY: DATE: - SITE PLAN FIGURE 1 - l o ~ o 0: ...J ~ L.J 0: :J: .... ::> o I/) e l ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ :¡¡ ~ 1 " " " I (') " " I " I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I G G- --.-....... ..... ..... " , " , , , SIDEWALK I I 00 : I I , 00 7-ELEVEN FACILITY NO. 17721 HIGHWAY ------G G G G G G G G G G G G - - - .--. P2-50-2' P2-50-6' P3-50-2' P3-50-6' ü z :;;:: a:: « 0. o o STOCKDALE w w w w w I I I o o I I I I I I I I . . I I I I I I I I I I I I I e P1-50-2' P1-50-6' ~+ o CCl f) 0 h Prof oS eJ J(~ n~ e IT CORPORATION I I I t I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I m 17721SP '" " ;.\ FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAJ( (661) 395-1349 SUPPRESSION SERVICES 2101 oH" 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 fAJ( (661) 399·5763 -- e April 25, 2001 Mr. John Whiting, R.G. Central Valley Regional Water Quality Control Board 3614 East Ashlan Avenue Fresno, CA 93726 RE: MTBE Dear Mr. Whiting: Preliminary site assessment results from UST Product Line Upgrade Report for the 7 -Eleven Store # 17721 site located at 3601 Stockdale Hwy., yield MTBE concentrations of 850 ug/kg at 6' below the west dispenser. The remainder of the test results are below levels that we would normally require a full site assessment. I have enclosed the closure report, including this prelirninary assessment for your review. Per LG letter 153, any closure involving MTBE must be reported to the Regional Water Quality Control Board prior to closure. I am requesting concurrence that this site can be closed with no further action required. . Please notifY me at your earliest convenience, on your concurrence, or reasons to require further action. Sincerely, 4I~2/fUL-5:L Howard H. Wines, III Hazardous Materials Specialist Office of Environmental Services HHW/db Enclosure S,IAPRIL 2001\3601 Stockdale Hwyusr,L6.wpd ~".%U~ ófe ~,,/'~ ..%/~ A6OP8 .!Y/lU/b A W~..........y~~ ~' - e IT Corporation 4005 Pori Chicilgu lIig""'''} Concord. CA 94520-1120 Tel. 925.288.9898 ¡'ilx.92.').288.0888 -~ . the(,/; grOUl! II M"ml,,,r of 'J'I1i.' IT (,'m'll' UST PRODUCT LINE UPGRADE REPORT AND REQUEST FOR CLOSURE 7 -ELEVEN STORE # 17721 3601 STOCKDALE HIGHWAY BAKERSFIELD, CA 93309 IT Corporation Project Number 800769 March 6, 2001 Prepared for: Mr. Bob OeNinno 7 -Eleven, Inc. 10220 S,W. Greenburg Road Portland, Oregon 97233 IT Corporation Written by: IT Corporation Approved by: -> ¿ ~ --r::, Leonard Mason Staff Geologist ¿'Sh~~ Shem'y Lathrop Project Manager '" a ~ e e ! CONTENTS 1.0 INTRODUCTION... '.......................................................................................... .............................. 1 2.0 SOIL ASSESSMENT WORK ........ ........... ......... .................... ..... .... ....................... ............... .......... ..... 1 2.1 Soil Sample Collection...... ............ ..... ............................ ............ ................ .......... ........ .... ........ 1 3 .0 RESULTS....... ... .......... ....... ..... ............... ...... ....... ....... ... .......................... .............. .......... ...... .............. 1 3.1 Results of Soil Sample Analysis .............................................................................................. 1 4.0 CONCLUSION AND REQUEST FOR ..CLOSURE........................................................................... 2 Figures 1. Site Plan Tables 1. Results of Soil Sample Analysis Appendices A. Laboratory Reports and Chain-of-Custody e - , <! Product Line Upgrade Report and Request for Closure The Southland Corporation. Store # J 7721,3601 Stockdale Highwav. Bakersficld, California March 6,2001 1.0 INTRODUCTION This ret ,,j ::;ubmitted by IT Corporation (IT) summarizing regulatory sampling activities conducted at 7 -Eleven Store No. 17721, 3601 Stockdale Highway, Bakersfield, California (Figures 1). The scope of work included: 1) ex.;avation, removal and offsite disposal of product piping associated with underground storage tanks (UST), 2) collection and analysis of six soil samples from points underlying the three former fuel dispensers, 3) backfill and compaction of the excavation and, 4) preparation of this report summarizing the methods and results of the work performed. The work was designed to fulfill the requirements of the Bakersfield Fire Department. The soil sampling was conducted under the direction and observation of Mr. Steve Underwood of the Bakersfield Fire Department. Jenal Engineering, Inc., of San Diego, California was contracted to upgrade the product piping associated with the UST and fuel dispensers. 2.0 SOIL ASSESSMENT WORK . 2.1 Soil Sample Collection On February 2, 2001, IT personnel collected six soil samples from beneath the three former fuel dispensers. A soil sample from 2 feet below ground surface (bgs) and from 6 feet bgs were collected from beneath each former fuel dispenser (Figure 1). All soil sampling was conducted at the direction of Mr. Steve Underwood of the Bakersfield Fire Department. Soil samples were collected in 8 ounce glass jars directly from a pre-cleaned shovel. Soil beneath the dispenser island consisted of a light brown, fine to medium silty sand. The sample jars were labeled, placed on ice in an insulated container, and submitted for analyses under chain-of-custody manifest to state-certified STL ChromaLab, in Pleasanton, California. A total of six soil samples, collected from the floor of the UST excavation and beneath the dispenser island, were analyzed for total petroleum hydrocarbons-as-gasoline (TPH-g), benzene, toluene, ethylbenzene, and total xylenes (BTEX) according to EPA Method 8020/8015 Modified, and for methyl- tert-butyl-ether (MTBE) and other oxygenates according to EPA Method 8260. 3.0 RESULTS 3.1 Results of Soil Sample Analysis The highest xylene and TPH-g concentrations were detected in the soil sample P1-S0-2, collected at 2 feet bgs of the westernmost fuel dispenser. Sample P1-S0-2 contained xylene and TPH-g concentrations of 500 milligrams per kilogram (mg/kg) and 4,300 mg/kg, respectively. Xylene and TPH-g concentrations were drastically reduced in sample P1-S0-6, collected at 6 feet bgs. Sample P1-S0-6 contained xylene and TPH-g concentrations of 10 mglkg and 100 mg/kg respectively. Sample P2-S0-2 contained TPH-g concentrations of 20 mg/kg and a xylene concentration of 0.97 mglkg,. TPH-g and xylene concentrations in sample P3-S0-2 were 31 mg/kg and 1.5 mglkg respectively. Both soil samples P2-S0-6 and P3-S0-6 did not contain detectable levels of BTEX and TPH-g. I 772 I 4ustrpll(SThI. ) ; . e ~ Product Line Upgrade Report and Request for Closure The Southland Corporation. Store # 17721.3601 Stockdale Highway, Bakersfield, California 2 March 6, 2001 Sample P1-S0-2 r.ontained tert-butyl-alcohol (TBA) and MTBE concentrations of 6,500 microgréLns per kilogram (ug¡"~, . ~..¡ ~ ,100 ug/kg respectively. TBA and MTBE concentrations were reduced in sample P1-S0-6 to 2,300 ug/kg and 850 ug/kg respectively. Sample P2-S0-2 contained an MTBE concentration of 60 ug/kg. MTBE was not detected at or above the reporting limit in sample P2-S0-6, but TBA was detected at a concentration of 14 ug/kg. MTBE was detected at a concentration of 13 ug/kg in sample P3-S0-2, but was not detected at or above the laboratory reporting limit in sample P3- SO-6. Complete analytical reports and chain-of-custody documentation are included as Appendix A and are summarized in Table 1. 4.0 CONCLUSION AND REQUEST FOR CLOSURE On February 2, 2001, six soil samples were collected beneath the former fuel dispensers during a product line upgrade. Analytical results indicated soil hydrocarbon levels ranged up to 4,300 mg/kg TPH-G. The highest TPH-G levels were found 2 feet bgs of the western most fuel dispenser. The highest xylene concentration was 500 mg/kg. Concentrations of hydrocarbons at depths of more than 2 feet below grade were significantly lower, indicating vertical delineation of the extent of the plume. Based on the reported concentrations of BTEX, TPH-g, and MTBE in the soil samples collected during product line upgrades on February 2, 2001, the vertical limits of BTEX, MTBE and TPH-g have been defined. Soil impacted with low hydrocarbon concentrations appears restricted to a limited area immediately beneath the westernmost fuel dispenser. Based on 1) the non-detectable to moderate hydrocarbon concentrations in the soil samples collected from beneath the fuel dispensers and 2) the declining TPH-g and BTEX concentrations with depth, IT Corporation, on behalf of the 7 -Eleven, Inc., requests that the site be classified as low-risk and that site closure/no further action status be granted based on this information. 1112 I 4ustrpb{STh). ) ~ - FIGURES Imlusbpb(SThI·) e STOCKDALE HIGHWAY - -- -- -- -- -- -- ---- rn 17721SP IT CORPORA TlON PI-SO-2' ....,.. ....'.¥.'-..'.'" :~=!~=!: PI-SD-6' ~ F P3-SD-6' ~ ~.' ~~. :.'~' "~-~='.~~' ----'.- -f I I -- -- -- -- -- -- -- -- --- o o ]] -- -- -- -- -- ---- ---------- -------- 1-ELEVEN SIGN ..--.-..' -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --~- SIDEWAlK .----...----.-.-------.- : 0 Do ,-----------.-.-----...- .--------------------._-, , , , , i_~_. _ u ___ _ _______~~_~ j~..n~...n 7-ELEVEN FACILITY NO. 17721 \ , , .. '" -3. :;< '" C> 'v. EXPLANA TION ,. SOIL SAt.4PLE LOCATION ~ FUEL DISPENSER PROPERTY BOUNDARY GAS LINE WATER LINE -(- ELECTRIC LINE .6.PPROXn.Aþ, t£ BOUNDARY Of UNDERGROUND STORAGE TANK C> '" o Q: oJ ~ Q: ~ ::J o '" t N a o 20 40 ~- , APPROX. SCALE IN FEET 7-ELEVEN, INC. 7·ELEVEN FACILITY NO. 17721 3601 STOCKDALE HIGHWAY BAKERSF'lELD, CALIFORNIA 823983 DRAWN BY: L. WASON DATE: 03-09-01 DRAnEO BY: DEN HOLWES DATE: 03-15-01 CHECKEO BY: DATE: SITE PLAN FIGURE 1 ,'- e e ; e e . TABLES /772/ USlrptl(SJ1¡.) o It - TABLE 1 Soil Sample Analytical Results (Results Expressed as milli!)rams per kilogram) Southland No. 16834 525 West Columbus Street, Bakersfield, California Sample ID Sample Date Sample TPH-g Benzene Ethylbenzene Toluene Xylene TBA MTBE Depth P1·S0-2 215/01 2.0 4,300 NO NO NO 500 6,500 1,100 P1-SQ·6 215/01 6,0 100 NO NO NO 10 2,300 850 P2·SQ·2 215/01 2.0 20 NO NO NO 0.97 NO 60 P2·SQ-6 215/01 6.0 NO NO NO NO NO 14 NO P3·SQ-2 215/01 2.0 31 NO NO NO 1.5 NO 13 P3·S0-6 215/01 6.0 NO NO NO NO NO NO NO Notes Sample depth is expressed in feet bgs bgs· below ground surface TPHg' Total Petroleum Hydrocarbons as gasoline accordin9 to EPA Method 8015M. Benzene, Ethylbenzene, Toluene, Xylene according to EPA Method B020. NO- Not detected at or above the laboratory method detection limit. e e = APPENDIX A Laboratory Results and Chain-of-Custody Documentation 1772Iustrptl{rn.J.) ......--..,..--'--"..--,-------,------ . e .----- .---------------- ---- -----------.---- _.... ._-------- _. ...------- STL ChromaLab Environmenlal Services (CA 1094) Submission #: 2001-02-0122 Date: February 13, 2001 IT Group 4005 Port Chicago Highway Concord, CA 94520-1120 Attn.: Shelby Lathrop Attached is our report for your samples received on Thursday February 8, 2001 This report has been reviewed and approved for release. Reproduction of this report is permitted only in its entirety. The report contains a Case Narrative detailing sample receipt and analysis. Please note that any unused portion of the samples will be discarded after March 25, 2001 unless you have requested otherwise. We appreciate the opportunity to be of service to you. If you have any questions, please call me at (925) 484-1919. You can also contact me via email. My email addressis:ssidhu@chromalab.com Sincerely, s~,~,~ ç"c.t~ '-1 I Surinder Sidhu 1220 Quarry Lane' Pleasanton, CA 94566-4756 Telephone: (925) 484-1919' Facsimile: (925) 464·1096 CA DHS ELAP#1096 Printed on: 02/13/2001 06:43 Page 1 of 2 rn INTERNATIONAl TEcHNoLOGY CO~RATION Project Name/No. 1 Sample Team Members 2 Profit Center No.3 Project Manager 4 Purchase Order No.6 Required Report Date 11 ::;.-1/ /71") I L. I1As~ "J S/,~(hv (Ail/"" f' ).l( t.. I . Tór øI-OOl-Ut,I. -&,IIÞ~ Reference Document No·5 3610 g'" Page 1 of _ ANALYSIS REQUEST AND CHAIN OF CUSTODY RECORD * Samples Shipment Date, 7 Lab Destination 8 Lab Contact 9 Project Contact/Phone 12 Carrier/Waybill No. 13 ." ð ,., " ~ .- 0....... C f) J2 I::. <,_H? ~ ¡') ,~ I T ( "> P '-' ..'.. . ~ ::T . '0;.· 'ë='t. ,ro (/01)5" Pùit'T CHlc~(:;J..J lfwf '-1 ú).-"IcoC!/), C:~ 7'-/')-,"1.0 .~ FA'( 'ì 25"-"2 '?, ~ - ()ß~L'" : g - ....L__·__~o :3 :-0 'QJ ,::J : '< 'If) ;QJ ; :3 '-0 Bill to:5 C)JS:'2gS· 2/70 Report to: 1 0 ..... _~C'..~. ONE CONTAINER PER LINE ___on ,: ro '11 Date/Time 16 Container 1/ Sample 18 Pre- 19 Collected Type Volume SeI'V8tive 2.11 ' 73 )"'¡ 5'5 ·101 °1/0 y'''' ßo 1. No ,.$"( Sample 14 Number Sample 15 Description/Type ? 1-~6 -, z.. ? \ - "S D-' Ç. 56; I :v 1-·<; t> - --¿ P2'-SCr ~ '~~ <" -..,. jJ .:> _ _.> ~~ _ "'"_ '\ P 3- <; ') -, Ç. Special Instructions: 23 (.?..J:>i( Possible Hazard Identification: 24 Non-hazard :]¡ Flammable Q Skin Irritant a Turnaround Tim~~uired: 26 Nonnal.J Rush~ 1. Relinquished by ~ /J 1/L (5gnaWre/AffiliBÔOn) /C- ¡-. // /' 2. Relinquished by J (Signaturel Affiliation) 3. Relinquished by (Signature/Affi~aôon) ToT I, Comments: 29 cr. '1 ~ 0'112. O'ì<>b 01/(..{ V' <.' 1:)'2.. ~I' 'v V Requested Testing 20 Program 9')"~/eo~:..ö TP"tòÎe,,< IR).(h I1Îi~ f\.} D 6ilv; - CN..')r.~ .JÞTI::S ." ¡~ ,0. 10 '0 1-0 Condition on Receipt Disposal 22 Record No. -< ro o :E .- .. ~""~ ~'--'''' .-. ~"-- .-. I}. ( .,_., /"" ".":._. "..' .' "0 t:h"Jl' "'-:'š iL., (~ ~~" ~~l~ rt~"·j~~ 1-;; :~...r.;".~t\_~~ ~~ J}'~ t"""'" !It.:!<';4''~p:~ .r.- r'~!~' -,." "','.--, , '''. . '~~ .. j, .~~ ;.'~.. ff; '.- 'to .."... ~.?10& ~... __ J' ~,. ~,4!i 1''' ~}~·f,"~~'}""~" I!I !'!J ~ r æ"P. ;1\ ?- ¡ffi ';i,.{, 1i1 t.'I '1\1"'" ~{"'" ~.t r." ,., d ",! ' ~"~i'¡.~ I :Û1 I~ !QJ o r \V '-~-':;"!":~'" ~ÞI Poison 8 Q Unknown Q I QC Level: 27 La ILQ IILQ Proiect Specific [specify): ;{ -. 8- 0 I' 1. Received by 2 ~ . ' I . L '/S"ôY (Signature/Affiliation] Á. 'iu.~. fItt.~'\- ~{Ø-¡/0 2. Received by U (Signaturel Affiliation) " ;3 Q I If) [mas) 1fi ,0 j~ is en o.ate: .).1-2(;(.' 1_.._\ ~ Time: /;j to L). g Date: I fh Time:! o.ate: I Time: ! I Sample Disposal: 25 // Return to Client Q Disposal by Lab Ç5'" Archive Date: Time: Date: Time: Date: . Time: 3. Received by (Signaturel Affiliation] --~ I r, .- ~.--.L," 'G ,-.1 . M'rA 111"~1 ~ .' - -, '..-'-'--'-...--.---- ",-,--e_'----.- --,.---,------ . ..-.-..,.......-, ......,-,- --,- '-'" ---- -_..,-....... --...--.... -,'--, -_.. ,... '" ~ STL ChromaLab Environmental Services (CA 1094) Submission #: 2001-02-0122 Date: February 13,2001 To: IT Group Attn.: Shelby Lathrop CASE NARRATIVE General and Sample Comments We (STL ChromaLab) received 6 Soil samples. on Feb 82001 3:04PM. Analysis Comments and Flags by QC Batch I Fuel Oxygenates by 8260B Soil P1-S0-2 QC Batch#: 2001/02/12.01-27 Lab#: 2001-02-0122-001 Analysis Flag(s) o Reporting limits were raised due to high level of analyte present in the sample. P1-S0-6 o Lab#: 2001-02-0122-002 Reporting limits were raised due to high level of analyte present in the sample. P2-S0-2 rl Reporting limits raised due to reduced sample size. I Gas/BTEX (High Level) Soil P1-S0-2 Lab#: 2001-02-0122-003 QC Batch#: 2001/02/08.05-03 Lab#: 2001-02-0122-001 Compound Flag(s) sd Surrogate recovery not reportable due to required dilution. g Hydrocarbon reported in the gasoline range does not match our gasoline standard. P1-S0-6 Lab#: 2001-02-0122-002 g Hydrocarbon reported in the gasoline range does not match our gasoline standard. sh Surrogate recovery was higher than QC limit due to matrix interference. P2-S0-2 9 P3-S0-2 9 Lab#: 2001-02-0122-003 Hydrocarbon reported in the gasoline range does not match our gasoline standard. Lab#: 2001-02-0122-005 Hydrocarbon reported in the gasoline range does not match our gasoline standard. 1220 Quarry Lane· Pleasanton. CA 94566-4756 Telephone: (925) 484-1919 . Facsimile: (925) 484·1096 CA DHS ELAPII1096 Printed on: 0211312001 06:43 Page 2 of 2 ..~-_.._..,'_.. ---'---...---. ",,---e- STL ChromaLab ------,..,.._,-- ~__" _..~u_... _~. __.... Submission #: 2001-02-0122 .. Environmental Services (CA 1094) Fuel Oxygenates by 82608 IT Group ~ 4005 Port Chicago Highway Concord, CA 94520-1120 Phone: (925) 288-9898 Fax: (925) 288-0888 Attn: Shelby Lathrop Project #: 7-11 17721 Project: Samples Reported Sample ID Matrix Date Sampled Lab # P1-S0-2 Soil 02/08/2001 09:10 1 P1-S0-6 Soil 02/08/2001 09:48 2 P2-S0-2 Soil 02/08/2001 09:12 3 P2-S0-6 Soil 02/08/2001 09:36 4 P3-S0-2 Soil 02/08/2001 09:14 5 P3-S0-6 Soil 02/08/2001 09:52 6 1220 Quarry lane· Pleasanton, CA 94566-4756 Telephone: (925) 484·1919· Facsimile: (925) 484-1096 Printed on: 02112/2001 16:47 Page 1 of 11 ;; --... ..,..- ----, ---- -,_..,-,e--,---,.."",--- ' . --.-.,...---......,---'''''' -e ,- ".......,....--...-..,. .,..,-_..,. .._'--'-- ,.......,_...,..,_..,. ;; STL ChromaLab Environmental Services (CA 1094) Submission #: 2001-02-0122 To: IT Group Attn.: Shelby Lathrop Test Method: Prep Method: 8260B 8260B Fuel Oxygenates by 8260B Sample 10: Project: P1-S0-2 7-11 17721 Lab Sample 10: 2001-02-0122-001 Sampled: Matrix: 02/08/2001 09:10 Soil Received: Extracted: aC-Batch: 02/08/2001 15:04 02/12/2001 15:59 2001/02/12-01.27 Sample/Analysis Flag 0 (See Legend & Note section) Compound Result Rep.Limit Units Dilution Analyzed Flag tert-Butyl alcohol (TBA) 6500 25 ug/Kg 4.90 02/12/2001 15:59 Methyl tert-butyl ether (MTBE) 1100 25 ug/Kg 4.90 02/12/2001 15:59 Oi-isopropyl Ether (OIPE) NO 49 ug/Kg 4.90 02/12/2001 15:59 Ethyl tert-butyl ether (ETBE) NO 25 ug/Kg 4.90 02/12/2001 15:59 tert-Amyl methyl ether (TAME) NO 25 ug/Kg 4.90 02/12/2001 15:59 Surrogate(s) 1,2-0ichloroethane-d4 89.7 70-121 % 4.90 02/12/2001 15:59 1220 Qua~ry Lane· Pleasanton, CA 94566-4756 Telephone: (925) 484-1919· Facsimile: (925) 484·1096 Printed on: 02/12/2001 16:47 Page 2 of 11 .",-::."",---,---,..----_e__ -,-,----,-,-a. --_._-~. ._--.~--..._._.- õ' STL ChromaLab Environmental Services (CA 1094) Submission #: 2001-02-0122 To: IT Group /-\!tn.: Shelby Lathrop Test Method: Prep Method: 8260B 8260B Fuel Oxygenates by 8260B Sample 10: Project: P1·SQ·6 7-11 17721 Lab Sample 10: 2001-02-0122-002 Sampled: Matrix: 02/08/2001 09:48 Soil Received: Extracted: QC-Batch: 02/08/2001 15:04 02/12/2001 15:29 2001/02/12-01.27 Sample/Analysis Flag 0 (See Legend & Note section) Compound Result Rep.Limit Units ~ilution Analyzed Flag tert-Butyl alcohol (TBA) 2300 23 ug/Kg 4.63 02/12/2001 15:29 Methyl tert-butyl'ether (MTBE) 850 23 ug/Kg 4.63 02/12/2001 15:29 Oi-isopropyl Ether (OIPE) NO 46 ug/Kg 4.63 02/12/2001 15:29 Ethyl tert-butyl ether (ETBE) NO 23 ug/Kg 4.63 02/12/2001 15:29 tert-Amyl methyl ether (TAME) NO 23 ug/Kg 4.63 02/12/2001 15:29 Surrogate(s) 1.2-0ichloroethane-d4 86.2 70-121 % 4.63 02/12/2001 15:29 1220 Quarry Lane· Pleasanton, CA 94566-4756 Telephone: (925) 484-1919· Facsimile: (925) 484·1096 Prinled on: 02/12/2001 16:47 Page 3 of 11 .,---------,.-,'--.------.-,-,-----...---.-.----'-----''-'-----"--_"___'0._.____, _0, 'STL ChromaLab .. Submission #: 2001-02-0122 Environmental Services (CA 1094) To: IT Group Attn.: Shelby Lathrop Test Method: Prep Method: 8260B 8260B Fuel Oxygenates by 8260B Sample ID: P2-S0-2 Lab Sample ID: 2001-02-0122-003 Project: 7-11 17721 Received: Extracted: QC-Batch: 02/08/2001 15:04 02/12/2001 15:00 2001/02/12-01.27 Sampled: Matrix: 02/08/2001 09:12 Soil Sample/Analysis Flag rl (See Legend & Note section) Compound Result Rep.Limit Units Dilution Analyzed Flag tert-Butyl alcohol (TBA) NO 19 ug/Kg 3.85 02/12/2001 15:00 Methyl tert-butyl-ether (MTBE) 60 19 ug/Kg 3.85 02/12/2001 15:00 Oi-isopropyl Ether (OIPE) NO 38 ug/Kg 3.85 02/12/2001 15:00 Ethyl tert-butyl ether (ETBE) NO 19 ug/Kg 3.85 02/12/2001 15:00 tert-Amyl methyl ether (TAME) NO 19 ug/Kg 3.85 02/12/2001 15:00 Surrogate(s) 1.2-0ichloroethane-d4 91.3 70-121 % 3.85 02/12/2001 15:00 1220 Quarry Lane· Pleasanlon, CA 94566-4756 Telephone: (925) 484-1919· Facsimile: (925) 484-1096 Printed on: 02/12/2001 16:47 Page 4 of 11 ·. "-->"- .,...,-,---,....-..-------,->---.....,---,--.-.,--.-.-,.'" STL ChromaLab Environmental Services (CA 1094) . .,,------,.,-----------,.. ... ~- -'-.'.'-. .... ~ Submission #: 2001-02-0122 To: IT Group Attn.: Shelby Lathrop Test Method: Prep Method: 8260B 82608 Fuel Oxygenates by 82608 Sample fO: P2-S0-6 7-11 17721 Lab Sample 10: 2001-02-0122-004 Received: 02/08/2001 15:04 Extracted: 02/12/2001 14:30 QC-8atch: 2001/02/12-01.27 Project: Sampled: Matrix: 02/08/2001 09:36 Soil Compound Result Rep.Limit Units Dilution Analyzed Flag tert-Butyl alcohol (TBA) 14 5.0 ug/Kg 1.00 02/12/2001 14:30 Methyl tert-butyl ether (MTBE) NO 5.0 ug/Kg 1.00 02/12/2001 14:30 Oi-isopropyl Ether (OIPE) NO 10 ug/Kg 1.00 02/12/2001 14:30 Ethyl tert-butyl éther (ETBE) NO 5.0 ug/Kg 1.00 02/12/2001 14:30 tert-Amyl methyl ether (TAME) NO 5.0 ug/Kg 1.00 02/12/2001 14:30 Surrogate(s) 1,2-0ichloroethane-d4 105.5 70-121 % 1.00 02/12/2001 14:30 1220 Quarry Lane' Pleasanton, CA 94566-4756 Telephone: (925) 484-1919' Facsimile: (925) 484-1096 Printed on: 02112/2001 16:47 Page 5 of 11 '. -_e-----d-------'-----e--,-, ".. __, .____d___._'_,____, ._.._'__,_____ STL ChromaLab Submission #: 2001-02-0122 ------ _._--.---_. Envirol"''''0nlal Services (CA 1094) To: IT Group Attn.: Shelby Lathrop Test Method: 82608 Prep Mcll iOd: 87608 Fuel Oxygenates by 82608 Sample ID: Project: P3-S0-2 7-11 17721 Lab Sample ID: 2001-02-0122-005 Sampled: Matrix: 02/08/2001 09:14 Soil Received: Extracted: QC-8atch: 02/08/2001 15:04 02/12/2001 14:01 2001/02/12-01.27 Compound Result Rep.Limit Units Dilution Analyzed Flag tert-Butyl alcohol (TBA) ND 5.0 ug/Kg 1.00 02/12/2001 14:01 Methyl tert-butyl ether (MTBE) 13 5.0 ug/Kg 1.00 02/12/2001 14:01 Di-isopropyl Ether (DIPE) ND 10 ug/Kg 1.00 02/12/2001 14:01 Ethyl tert-butyl ether (ET8E) ND 5.0 ug/Kg 1.00 02/12/2001 14:01 tert-Amyl methyl ether (TAME) ND 5.0 ug/Kg 1.00 02/12/2001 14:01 Surrogate(s) 1,2-Dichloroethane-d4 93.8 70-121 % 1.00 02/12/2001 14:01 1220 Quarry Lane· Pfeasanton, CA 94566-4756 Telephone: (925) 484·1919· Facsimile: (925) 484·1096 Printed on: 02/12/2001 16:47 Page 6 of 11 ; ...'.----..--,..--.. ,--,..'-,,----..e, '.---.--.,-., STL Chroma Lab --..-------.-----. -".... . , --..-e,- . ------ -.. -- ---. -... ------------ - . .-----.-. .- . ..... . .. Submission #: 2001-02-0122 Environmental Services (CA 1094) To: IT Group Attn.: Shelby Lathrop Test Method: Prep Method: 8260B 8260B Fuei'<ygenates by 8260B Sample 10: P3-S0-6 7-11 17721 Lab ~dlìlple 10: 2001-02-0122-006 Sampled: Matrix: 02/08/2001 09:52 Soil Received: Extracted: QC-Batch: 02/08/2001 15:04 02/12/2001 12:26 2001/02/12-01.27 Project: Compound Result Rep.Limit Units Dilution Analyzed Flag tert-Butyl alcohol (TBA) NO 5.0 ug/Kg 1.00 02/12/2001 12:26 Methyl tert-butyl ether (MTBE) NO 5.0 ug/Kg 1.00 02/12/2001 12:26 Oi-isopropyl Ether (DIPE) ND 10 ug/Kg 1.00 02/12/2001 12:26 Ethyl tert-butyl ether (ETBE) NO 5.0 ug/Kg 1.00 02/12/2001 12:26 tert-Amyl methyl ether (TAM E) NO 5.0 ug/Kg 1.00 02/12/2001 12:26 Surrogate(s) 1,2-Dichloroethane-d4 92.0 70-121 % 1.00 02/12/2001 12:26 1220 Quarry Lane· Pleasanton, CA 94566-4756 Telephone: (925) 484·1919' Facsimile: (925) 484-1096 Printed on: 02/12/2001 16:47 Page 7 of 11 .....-=-,. ..-,,,----...-,'-. - -----,---",- ..--e- · STL ChromaLab ---_.,,---------,-,- ---.---.---- Submission #: 2001.Q2·0122 Environmental Services (CA 1094) To: IT Group Attn.: Shelby Lathrop Test Method: Prep Method: 8260B 8260B Batch QC Report Fuel Oxygenates by 8260B Method Blank Soil QC Batch fI ')M1In2/12-01.27 MB: 2001/02/12-01.27-006 Date Extracted: 02/12/2001 11 :56 Compound Result Rep.Limit Units Analyzed Flag tert-Butyl alcohol (TBA) NO 5.0 ug/Kg 02/12/2001 11 :56 Methyl tert-butyl ether (MTBE) NO 5.0 ug/Kg 02/12/200111:56 Oi-isopropyl Ether (OIPE) NO 10.0 ug/Kg 02/12/2001 11 :56 Ethyl tert-butyl ether (ETBE) NO 5.0 ug/Kg 02/12/2001 11 :56 tert-Amyl methyl ether (TAME) NO 5.0 ug/Kg 02/12/2001 11 :56 Surrogate(s) 1,2-0ichloroethane-d4 85.3 70-121 % 02/12/200111:56 1220 Quarry Lane· Pleasanton, CA 94566-4756 Telephone: (925) 484·1919· Facsimile: (925) 484-1096 Printed on: 02/12/2001 16:47 Page 8 of 11 · ..-'---.."'.,--... .-.'--------. .....--.'..--..'..'----e-..----... ... -.....,..---..----.. ,..,------,.-..-".. -..-,--e----·--··..·, ...-' '----.,----,-,,--, -..-------.- STL ChromaLab Submission #: 2001-02-0122 ~ Environmental Services (CA 1094) To: IT Group Altn: Shelby Lathrop Test Method: Prep Method: 82608 82608 Batch QC Report Fuel Oxygenates by 82608 Laboratory Control Spike (LCS/LCSD) LCS: 2001/02/12-01.27-004 LCSO: 2001/02/12-01.27-005 Soil Extracted: 02/12/2001 10:49 Extracted: 02/12/2001 11 :27 QC Batch # 2001/02/12-01.27 Analyzed 02/12/2001 10:49 Analyzed 02/12/2001 11 :27 Compound Cone. [ uglKg ] Exp.Conc_ [ uglKg ] Recovery [%] RPD CtrL Limits ['Yo] Flags LCS LCSD LCS LCSD LCS LCSD {"!oj Recovery RPD LCS LCSD Methyl tert-butyl ether 81.3 75.0 100.0 100.0 81.3 75.0 8.1 65-165 20 Surrogate(s} 1.2-Djchloroethane-d~ 473 415 500 500 94.6 83.0 70-121 1220 Quarry Lane' Pleasanton, CA 94566-4756 Telephone: (925) 484-1919' Facsimile: (925) 484-1096 Printed on: 02/12/200116:47 Page 9 of 11 -;. ......, ,-,----..'- ..-",-...,----_IÞ__-,.."- STL ChromaLab Environmental Services (CA 1094) To: IT Group Attn.: Shelby Lathrop . -~-'----~. ---~.. -.. ...,,-- .._._~-- -.".-.... ----,--- '------,-"---------".... .. ._-,-_.~ -- ... Submission #: 2001-02-0122 Test Method: 82608 Prep Method: 132608 Batch QC Report Fuel Oxygenates by 82608 Matrix Spike ( MS 1 MSD ) Soil QC Batch # 2001/02/12-01.27 Sample 10: P3-S0-6 Lab Sample 10: 2001-02-0122-006 MS: 2001/02/12-01.27-008 Extracted: 02/12/2001 13:02 Analyzed: 02/12/2001 13:02 Dilution: 1.0 MSD: 2001/02/12-01.27-009Extracted: 02/12/200113:31 Analyzed: 02/12/2001 13:31 Dilution: 1.0 Compound Cone. [ ug/Kg ] Exp.Conc. [ug/KQ 1 Recovery [% RPD Ctrl. limits [%] Flags MS IMSD Sample MS MSD MS MSD [%] Recovery RPD MS MSD Methyl tert-butyl ether 70.7 74.8 ND 99.6 99.4 71.0 75.3 5.9 65-165 20 Surrogate(s) 1,2-Dichloroethane-d4 86.7 90.2 500 500 86.7 90.2 70-121 1220 Quarry Lane· Pleasanton, CA 94566-4756 Telephone: (925) 484-1919· Facsimile: (925) 484-1096 Printed on: 02112/2001 16:47 Page 10 of 11 ·--.-----.---- ,..,.u----'-----.-e-'-.. ,...., STL ChromaLab .. --- ----..-.- ----- ,..-·..·,..,-,-,e-..--..--···--..·, , . -.---.-------... Submission #: 2001-02-0122 .. Environmental Services (CA 1094) To: IT Group Alln: Shelby Lathrop Test Method: 8260B Prep Method: 8260B Legend & Notes Fuel Oxygenates by 8260B Analysis Flags o Reporting limits were raised due to high level of analyte present in the sample. rl Reporting limits raised due to reduced sample size. 1220 Quarry Lane· Pleasantof\, CA 94566-4756 Telephone: (925) 484-1919' Facsimile: (925) 484·1096 Printed on: 02/12/2001 16:47 Page 11 of 11 ___u_ ___040 ...___0·_____________ .__. e_.-.., "'-.-,-------.--,. ,---------,-e--- ---'" ......U'UU.,U.__·_'_____.._·_U. 'h'" U·_,_U. STL ChromaLab .. Submission #: 2001-02-0122 Environmental Services (CA 1094) Gas/BTEX l'T Gmup l Attn: Shelby Lathrop Project #: 7-11 17721 I8J 4005 Port Chicago Highway Concord, CA 94520-1120 Phone: (925) 288-9898 Fax: (925) 288,n888 Project: Samples Reported Sample 10 Matrix Date Sampled Lab # P2-S0-6 Soil 02/08/2001 09:36 4 P3-S0-6 Soil 02/08/2001 09:52 6 1220 Quarry Lane· Pleasanton. CA 94566-4756 Telephone: (925) 484-1919· Facsimile: (925) 484-1096 Printed on: 02109/2001 16:50 Page 1 of B _...~-,---------------------_.._._-,_.,-- · STL ChromaLab Environmental Services (CA 1094) e-------.----..-,-----,.,-'-..--. SUiJlnission #: 2001-02-0122 To: IT Group Test Method: 8020 8015M Prep Method: 5030 Attn.: Shelby Lathrop Gas/BTEX Sample ID: Project: P2-S0-6 7-11 17721 Lab Sample ID: 2001-02-0122-004 Sampled: Matrix: 02/08/2001 09:36 Soil Received: Extracted: QC-Batch: 02/08/2001 15:04 02/08/2001 19:10 2001/02108-01.04 Compound Result Rep.Limit Units Dilution Analyzed Flag Gasoline ND 1.0 mg/Kg 1.00 02/08/2001 19:10 Benzene ND 0.0050 mg/Kg 1.00 02/08/2001 19:10 Toluene ND 0.0050 mg/Kg 1.00 02/08/2001 19:10 Ethyl benzene ND 0.0050 mg/Kg 1.00 02/08/2001 19:10 Xylene(s) ND 0.0050 mg/Kg 1.00 02/08/2001 19:10 Surrogate(s) Trif1uorotoluene 59.9 53-125 % 1.00 02/08/2001 19:10 Trif1uorotoluene-FID 70.8 53-125 % 1.00 02/08/2001 19:10 1220 Quarry Lane· Pleasanton, CA 94566-4756 Telephone: (925) 484-1919· Facsimile: (925) 484-1096 Printed on: 02109/2001 16;50 Page 2 of 8 ô'...._..___u_.. ..,'--..----..,.--.---- --- -e'-.. .---..,,---,. , STL ChromaLab Environmental Services (CA 1094) "-------e-----'-,u-- ·U'__,·, "---..--"-'--" --.. . Submission #: 2001-02-0122 To: IT Group T ( Method: 8020 8015M Prep Method: 5030 Attn.: Shelby Lathrop Gas/BTEX Sample ID: P3-S0-6 7-11 17721 Lab Sample ID: 2001-02-0122-006 Sampled: Matrix: 02/08/2001 09:52 Soil Received: Extracted: QC-Batch: 02/08/2001 15:04 02/09/2001 11: 1 0 2001/02/09-01.04 Project: Compound Result Rep.Limit Units Dilution Analyzed Flag Gasoline ND 1.0 mg/Kg 1.00 02/09/2001 11:10 Benzene ND 0.0050 mg/Kg 1.00 02/09/2001 11:10 Toluene ND 0.0050 mg/Kg 1.00 02/09/2001 11: 1 0 Ethyl benzene ND 0.0050 mg/Kg 1.00 02/09/2001 11: 1 0 Xylene(s) ND 0.0050 mg/Kg 1.00 02/09/2001 11: 1 0 Surrogate(s) Trifluorotoluene 66.9 53-125 % 1.00 02/09/2001 11: 1 0 4-B romofluorobenzene-F I D 86.0 58-124 % 1.00 02/09/2001 11: 1 0 1220 Quarry Lane· Pleasanton, CA 94566-4756 Telephone: (925) 484·1919· Facsimile: (925) 484·1096 Printed on: 02109/2001 16:50 o Page 3 of 8 ~. -,,-,-e-,·..,- ,-,..,.._. '-'-"'--"---"'-'''- ' ...,.-,-....-.. ..-·-e,----· ....-,'.,.,"----..-.-..--......'--..,-.-." ' STL ChromaLab Submission #: 2001-û2·0122 Environmental Services (CA 1094) To: IT Group Test Method: 8015M 8020 Prep Method: 5030 Attn.: Shelby Lathrop Batch QC Report Gas/BTEX Method Blank Soil QC Batch # 2001/02/08-01.04 MB: 2001/02/08-01.04-003 Date Extracted: 02/08/2001 07:51 Compound Result Rep.Limit Units Analyzed Flag Gasoline NO 1.0 mg/Kg 02/08/2001 07:51 Benzene NO 0.0050 mg/Kg 02/08/2001 07:51 Toluene NO 0.0050 mg/Kg 02/08/2001 07:51 Ethyl benzene ND 0.0050 mg/Kg 02/08/2001 07:51 Xylene(s) ND 0.0050 mg/Kg 02/08/2001 07:51 Surrogate(s) Trifluorotoluene 103.0 53-125 % 02/08/2001 07:51 4-Bromofluorobenzene-F I D 123.2 58-124 % 02/08/2001 07:51 1220 Quarry Lane· Pleasanton, CA 94566-4756 Telephone: (925) 484-1919· Facsimile: (925) 484-1096 Printed on: 02/09/2001 16:50 Page 4 of 8 ? ." .. .--.---.. "u, -,..,.,-_4Þ..,...----..-.."'-."-.------..-....,,---,-e STL ChromaLab Environmental Services (CA 1094) __._ ________._. .____._n___. Submission #: 2001.Q2·0122 To: IT Group Test Method: 8015M 8020 Prep Method: 5030 Attn.: Shelby Lathro¡. Batch QC Report Gas/BTEX Method Blank Soil QC Batch # 2001/02/09-01.04 MB: 2001/02109-01.04-001 Date Extracted: 02/09/2001 08:09 Compound Result Rep.Limit Units Analyzed Flag Gasoline ND ., 1.0 mg/Kg 02/09/2001 08:09 BenzenE! NO 0.0050 mg/Kg 02/09/2001 08:09 Toluene NO 0.0050 mg/Kg 02109/2001 08:09 Ethyl benzene ND 0.0050 mg/Kg 02/09/2001 08:09 Xylene(s) ND 0.0050 mg/Kg 02109/2001 08:09 Surrogate(s) TrifJuorotoluene 99.4 53-125 % 02/09/2001 08:09 4-B romofl uorobenzene-F I 0 115.4 58-124 % 02/09/2001 08:09 1220 Quarry Lane· Pleasanlon, CA 94566-4756 Telephone: (925) 484-1919 . Facsimile: (925) 484-1096 Printed on: 02109/2001 16:50 Page 5 of 8 ..'--.. ....-..-- ,.,,_ ._,__..... __en,., __._..' ,__, ,_......... .. .._., ,_..__.____..__.., ._,____,__.tIt.. .._..__._.~_.._.._______.._..._.__.., ~ _ ..h '_U" f - STL ChromaLab Environmental Services (CA 1094) To: IT Grolip Submission #: 2001-02-0122 ",~n: Shelby Lathrop Test Method: 8015M 8020 Prep Method: 5030 Batch QC Report Gas/BTEX Laboratory Control Spike (LCS/LCSD) LCS: 2001/02/08-01.04-006 LCSD: 2001/02/08-01.04-007 Soil Extracted: 02/08/2001 09:16 Extracted: 02/08/2001 09:44 QC Batch # 2001/02/08-01.04 Analyzed 02/08/2001 09:16 Analyzed 02/08/2001 09:44 Compound Cone. [ mg/Kg ] Exp.Conc. [ mg/Kg ] Recovery [%] RPD Ctrl. Limits [%] Flags LCS LCSD LCS LCSD LCS LCSD [%] Recovery RPD LCS LCSD Gasoline 0.457 0.452 0.500 0.500 91.4 90.4 1.1 75-125 35 Surrogate(s) 4-Bromofluorobenzene-FI 571 558 500 500 114.2 111.6 58-124 1220 Q~arry Lane· Pleasanton, CA 94566-4756 Telephone: (925) 484-1919' Facsimile: (925) 484·1096 Printed on: 02/09/2001 16:50 Page 6 of 8 , _ a . -...-----.-.---....-.-......---.. .....---------.-.-..-----------..-----.- ., -._--- -".--.--.- ----..-------.--------..-.. STL ChromaLab Submission #: 2001-02-0122 Environmental Services (CA 1094) To: r Group Attn: ~Ilelby Lathrop Test Method: Prep Method: 8020 5030 Batch QC Report Gas/BTEX Laboratory Control Spike (LCS/LCSD) LCS: 2001/02/08-01.04-008 LCSO: 2001/02/08-01.04-005 Soil Extracted: 02/08/2001 10:12 Extracted: 02/08/2001 08:48 QC Batch # 2001/02/08-01.04 Analyzed 02/08/2001 10: 12 Analyzed 02/08/2001 08:48 Compound Cone. [ mg/Kg ] Exp.Conc. [ mg/Kg ] Recovery [%] RPD Ctrl. Limits [%] Flags LCS LCSD LCS LCSD LCS LCSD [%] Recovery RPD LCS LCSD Benzene 0.0913 0.0827 0.1000 0.1000 91.3 82.7 9.9 77-123 35 Toluene 0.0859 0.0780 0.1000 0.1000 85.9 78.0 9.6 78-122 35 Ethyl benzene 0.0859 0.0790 0.1000 0.1000 85.9 79.0 8.4 70-130 35 Xylene(s) 0.259 0.238 0.300 0.300 86.3 79.3 8.5 75-125 35 Surrogate(s) Trifluorotoluene 480 426 500 500 96.0 85.2 53-125 1220 Quarry Lane· Pleasanton. CA 94566-4756 Telephone: (925) 484-1919· Facsimile: (925) 484-1096 Printed on: 02109/2001 16:50 Page 7 of 8 .. -.'.''........-..--,..,..-....-.. ,··....--e-----·......·, -.......-" ... --.-..,.-..-.....--... --- ",-41.. STL Chroma Lab -.. .."_ - "._.. ___._____. .._....._______.___,.__. "_0.. Submission #: 2001-02-0122 , Environmental Services (CA 1094) To: IT Group Test Method: 8015M 8020 Prep Method: 5030 Attn: Shelby Lathrop Batch QC Report Gas/BTEX Laboratory Control Spike (LCS/LCSD) LCS: 2001/02/09-01.04-002 LCSD: 2001/02/09-01.04-003 Soil Extracted: 02/09/2001 08:37 Extracted: 02/09/2001 09:06 QC Batch # 2001102/09-01.04 Analyzed 02/09/2001 08:37 Analyzed 02/09/2001 09:96 Compound Cone. [ mg/Kg J Exp.Conc. [ mg/Kg J Recovery [%J RPD etrl. Limits [%] Flags LeS LCSD LCS LCSD LeS LCSD [%] Recovery RPD LCS LCSD· Gasoline 0.476 0.482 0.500 0.500 95.2 96.4 1.3 75-125 35 Benzene 0.0969 0.0904 0.1000 0.1000 96.9 90.4 6.9 77-123 35 Toluene 0.0912 0.0860 0.1000 0.1000 91.2 86.0 5.9 78-122 35 Ethyl benzene 0.0914 0.0867 0.1000 0.1000 91.4 86.7 5.3 70-130 35 Xylene(s) 0.278 0.263 0.300 0.300 92.7 87.7 5.5 75-125 35 Surrogate(s) T rifluorotoluene 499 469 500 500 99.8 93.8 53-125 4-Bromofluorobenzene-FI 598 602 500 500 119.6 120.4 58-124 1220 Quarry Lane· Pleasanlon. CA 94566-4756 Telephone: (925) 484-1919' Facsimile: (925) 484-1096 Printed on: 02109/2001 16:50 Page 8 of 8 ·. -.... ..-.__...__._. ·,--..-·---'..-,---,e- -''''---'' -,-- -------.-.-,.., STL ChromaLab ... ------. .. ..- - e,.. ..__..__.____.__~____._u......____. _. .... " Submission #: 2001.Q2·0122 Environmental Services (CA 1094) Gas/BTEX (High Level) IT Group t8I 4005 Port Chicago Highway Concord, CA 94520-1120 Phone: (925) 288-9898 Fax: (925) 288-0888 Attn: Shelby Lathrop Project#: 7-1117721 Project: Samples Reported Sample JD . Matrix Date Sampled Lab# P1-S0-2 Soil 02/08/2001 09:10 1 P 1-S0-6 Soil 02/08/2001 09:48 2 P2-S0-2 Soil 02/08/2001 09:12 3 P3-S0-2 Soil 02/08/2001 09:14 5 1220 Quarry Lane· Pleasanton, CA 94566-4156 Telephone: (925) 484·1919 . Facsimile: (925) 484·1096 Printed on: 02109/2001 16:48 Page 1 of 8 ---...-.-..--." . _.__ ._ __. _.....h.. .--,.---..-.. ----·-..·-e--·..··,·-,-, ---, .... STL ChromaLab ..-.-.. -.-.-._' . ..-.,-~. -....... . ........- . ._.. . ....-. -- ._.... . ... '.-~._- -"-.. '" Submission #: 2001-02-0122 Environmental Services (CA 1094) To: IT Group Test Method: 8020 8015M Prep Method: 5030AEXT Attn.: Shelby Lathrop Gas/BTEX (High Level) Project: P1-S0-2 7-1117721 Lab Sal"ple 10: 2001-02-0122-001 Sample 10: Sampled: Matrix: 02/08/2001 09: 10 Soil Received: Extracted: QC-Batch: 02/08/2001 15:04 02/08/2001 14:04 2001/02/08-05.03 Compound Result Rep.Limit Units Dilution Analyze~ Flag Gasoline 4300 200 mg/Kg 20.00 02/09/2001 14:04 9 Benzene NO 12 mg/Kg 20.00 02/09/2001 14:04 Toluene NO 12 mg/Kg 20.00 02/09/2001 14:04 Ethyl benzene NO 12 mg/Kg 20.00 02/09/2001 14:04 Xylene(s) 500 12 mg/Kg 20.00 02/09/2001 14:04 Surrogate(s) Trifluorotoluene NA 53-125 % 1.00 02/09/2001 14:04 sd 4-8 romofluorobenzene-FI 0 NA 58-124 % 1.00 02/09/2001 14:04 sd 1220 Quarry Lane· Pleasanlon, CA 94566-4756 Telephone: (925) 484-1919' Facsimile: (925) 484-1096 Printed on: 02109/2001 16:48 Page 2 of 8 ,~ .. .......... --.., '.. ·-,··--..-,....-··-,,--,·e,--..,..,-·,--·..-··......, STL ChromaLab .-_. .... .. .-. ..- ..._-. - ..-.. ... e,,·-,.. ... . ...... ._____....____.._...n Submission #: 2001-02-0122 - Environmental Services (CA 1094\ To: IT Group Test Method: 8020 8015M Prep Method: 5030AEXT Attn.: Shelby Lathrop Gas/BTEX (Higl. ¡,evel) Sampl~ ,'--. P1-S0-6 7-11 17721 Lab Sample 10: 2001-02-0122-002 Sampled: Matrix: 02/08/2001 09:48 Soil Received: Extracted: QC-Batch: 02/08/2001 15:04 02/08/2001 18:14 2001/02/08-05.03 Project: Compound Result Rep.Limit Units Dilution Analyzed Flag Gasoline 100 10 mg/Kg 1.00 02/08/2001 18:14 9 Benzene NO 0.62 mg/Kg 1.00 02/08/2001 18:14 Toluene NO 0.62 mg/Kg 1.00 02/08/2001 18:14 Ethyl benzene NO 0.62 mg/Kg 1.00 02/08/2001 18:14 Xylene(s) 10 0.62 mg/Kg 1.00 02/08/2001 18:14 Surrogate(s) Trifluorotoluene 95.6 53-125 % 1.00 02/08/2001 18:14 4-B romofluorobenzene-F I 0 124.8 58-124 % 1.00 02/08/2001 18:14 sh 1220 Quarry Lane· Pleasanton, CA 94566-4756 Telephone: (925) 484-1919· Facsimile: (925) 484-1096 Printed on: 02109/2001 16:48 Page 3 of 8 · ;;.. ........_...... ,--,--,.....,..",.....---e---,----- STL ChromaLab ----·,---..e, .----.-.--....--.-... ----..-, ........, , ,.. Submission #: 2001'{)2-0122 '::' Environmental Services (CA 1094) Attn.: Shelby Lathrop Test Mell1Od: 8020 8015M Prep Method: 5030AEXT To: IT Group Gas/BTEX (High Level) Sample 10: Project: P2-SC ' Lab Sample 10: 2001-02-0122-003 7-1117721 Received: Extracted: QC-Batch: 02/08/2001 15:04 02/08/2001 18:42 2001/02/08-05.03 Sampled: Matrix: 02/08/2001 09:12 Soil Compound Result Rap.Limit Units Dilution Analyzed Flag Gasoline 20 10 mg/Kg 1.00 02/08/2001 18:42 9 Benzene NO 0.62 mg/Kg 1.00 02/08/2001 18:42 Toluene NO 0.62 mg/Kg 1.00 02/08/2001 18:42 Ethyl benzene NO 0.62 mg/Kg 1.00 02/08/2001 18:42 Xylene(s) 0.97 0.62 mg/Kg 1.00 02/08/2001 18:42 Surrogate(s) Trifluorotoluene 90.5 53-125 % 1.00 02/08/2001 18:42 4-B romofluorobenzene-FI 0 122.1 58-124 % 1.00 02/08/2001 18:42 1220 Quarry Lane· Plaasanton, CA 94566-4756 Telephone: (925) 484-1919' Facslmlla: (925) 484-1096 Printed on: 02109/2001 16:48 Page 4 of 8 .- ~....-.._~~.-.. .. '''" ., _,..,__.._..._''___. ,,- ...-- .__________,___,.... . __h' STL ChromaLab ......_~-"---_... .--..-- , __. '0, __ ". .. _____ ,..__._"_ '''' _. ". __ ...h,_"..,.., Submission #: 2001-02-0122 "" Environmental Services (CA 1094) To: IT Group Test Method: 8020 8015M Prep Method: 5030AEXT Attn.: Shelby Lathrop Gas/BTEX (High Level) Sample 10: P3-S0-2 7-11 17721 Lab Sample 10: 2001-02-0122-005 Sampled: Matrix: 02/08/2001 09:14 Soil Received: Extracted: QC-Batch: 02/0P,/2001 15:04 02/08/2001 16:47 2001/02108-05.03 Projec~. Compound Result Rep.Limit Units I Dilution Analyzed Flag Gasoline 31 10 mg/Kg 1.00 02/09/2001 16:47 9 Benzene NO 0.62 mg/Kg 1.00 02/09/2001 16:47 Toluene NO 0.62 mg/Kg 1.00 02109/2001 16:47 Ethyl benzene NO 0.62 mg/Kg 1.00 02/09/2001 16:47 Xylene(s) 1.5 0.62 mg/Kg 1.00 02/09/2001 16:47 Surrogate(s} Trifluorotoluene 92.4 53-125 % 1.00 02/09/2001 16:47 4-B romofluorobenzene-F I 0 110.6 58-124 % 1.00 02/09/2001 16:47 1220 Quarry Lane· Pleasanton. CA 94566-4756 Telephone: (925) 464-1919 . Facsimile: (925) 464-1096 Printed on: 02109/2001 16:46 Page 5 of 8 ·-j, ........' --- -, ...'---_.- --------'-_..,--'----.-------' STL Chroma Lab - --------- - ..,----. -..-.--....--. .. ., _.·___'H._ - --- - - . . ---. ~ - Submission #: 2001-02-0122 ~ . En':: ",-~~"!nlal Services (CA 1094) -.-- To: IT Group Test Method: 8015M 8020 Prep Method: S030AEXT Attn.: Shelby Lathrop Batch QC Re¡.. rt Gas/BTEX (High Level) Method Blank Soil QC Batch # 2001/02/0R-nS.03 MB: 2001/02/08-05.03-001 Date Extracted: 02/08/2001 19:46 Compound Result Rep.Limit Units Analyzed Flag I Gasoline NO 10 mg/Kg 02/08/2001 19:46 Benzene NO 0.62 mg/Kg 02/08/2001 19:46 Toluene NO 0.62 mg/Kg 02/08/2001 19:46 Ethyl benzene NO 0.62 mg/Kg 02/08/2001 19:46 Xylene(s) ND 0.62 mg/Kg 02/08/2001 19:46 Surrogate(s) Trifluorotoluene 118.6 53-125 % 02/08/2001 19:46 T rifluoroto/uene-F I 0 112.0 53-125 % 02/08/2001 19:46 1220 Quarry Lane· Pleasanlon, CA 94566-4756 Telephone: (925) 484-1919 . Facsimile: (925) 484·1096 Printed on: 02109/2001 16:48 Page 6 of 8 ..--..----' __,'..,__,u...,..'_,_.__u_.. ----'------e-..-.....'...-.'. -----, " STL ChromaLab "0 _..._____.._ _. -.---..'..- ........,--,-,-,---,----' -- ....--- Submission #: 2001-02-0122 .- Environmental Services (CA 1094) To IT Group Test Method: 8015M 8020 Prep Method: 5030AEXT Attn: Shelby Lathrop Batch QC Report Gas/BTEX (High Level) Laboratory Control Spike (LCS/LCSD) LCS: 2001/02/08-05.03-002 LCSO: 2001/02/08-05.03-003 Soil Extracted: 02/08/;¿û01 20:19 Extracted: 02/09/2001 14:32 QC Batch # 2001/02/08-05.03 Analyzed 02/08/2001 20:19 Analyzed 02/09/2001 14:32 Compound Cone. I mg/Kg ] Exp.Cone. I mg/Kg ] Recovery 1%] RPD Ctrl. Limits 1%] Flags LCS LCSD LCS LCSD LCS LCSD [%] Recovery RPD LCS LCSD Gasoline 0.709 0.644 0.625 0.625 113.4 103.0 9.6 75-125 35 Benzene 0.132 0.135 0.125 0.125 105.6 108.0 2.2 77-123 35 Toluene 0.127 0.129 0.125 0.125 101.6 103.2 1.6 78-122 35 Ethyl benzene 0.127 0.130 0.125 0.125 101.6 104.0 2.3 70-130 35 Xylene(s) 0.392 0.413 0.375 0.375 104.5 110..1 5.2 75-125 35 Surrogate(s) Trif1uorotoluene 515 521 500 500 103.0 104.2 53-125 4-Bromof1uorobenzene-FI 562 587 500 500 112.4 117.4 58-124 1220 Quarry Lane· Pleasanton, CA 94566-4756 Telephone: (925) 484-1919· Facsimile: (925) 484-1096 Printed on: 02109/2001 16:48 Page 7 of 8 .~ . . - - - -----~..._.-..-.._._. .-..-" . . STL Chroma Lab . . -- -_.- ---. .'- d"., Submission #: 2001-02-0122 . .. .,....... ....- - - .'-_.._.~-'..__..- .. Environmental Services (CA 1094) To: IT Group Test Method: B015M B020 Prep Method: 5030AEXT AUn: Shelby Lathrop Legend & Notes Gas/BTEX (High Level) Analyte Flags g Hydrocarbon reported in the gasoline range does not match our gasoline standàrd. sd Surrogate recovery not reportable due to required dilution. sh Surrogate recovery was higher than QC limit due to matrix interference. 1220 Quarry Lane' Pleasanton, CA 9'1566-4756 Telephone: (925) 484-1919· Facsimile: (925) 484-1096 Printed on: 02109/2001 16:48 Page 8 of 8 e ,IT Corporation 4005 Port Chicago Highway Concord, CA 94520-1120 Tel. 925.288.9898 Fax. 925.288.0888 . the'f;grOUl! A Member of The IT Group UST PRODUCT LINE UPGRADE REPORT AND REQUEST FOR CLOSURE 7-ELEVEN STORE # 17721 3601 STOCKDALE HIGHWAY BAKERSFIELD, CA 93309 IT Corporation Project Number 800769 March 6, 2001 Prepared for: Mr. Bob DeNinno 7-Eleven, Inc. 10220 S.W. Greenburg Road Portland, Oregon 97233 IT Corporation Written by: IT Corporation Approved by: >¿~ -Q Leonard Mason Staff Geologist L~h~~ Sheltry t:..athrop Project Manager '" e e CONTENTS 1.0 INTRODUCTION.............. ....................... ... ................................ .......................... ...... ........... ....... ....... 1 2.0 SOIL ASSESSMENT WORK ....... ...... ..................................... .................. ..... ......... .............. .............. 1 2.1 Soil Sample Collection. ....... ......... .... ................................... ..................... ....... ......... ......... ....... 1 3 .0 RESULTS ........... ............. ......... ..... ......... ......................................... ......... ............. ...... .............. .......... 1 3.1 Results of Soil Sample Analysis .............................................................................................. 1 4.0 CONCLUSION AND REQUEST FOR CLOSURE .............................................................................2 Figures 1. Site Plan Tables 1. Results of Soil Sample Analysis Appendices A. Laboratory Reports and Chain-of-Custody e e Product Line Upgrade Report and Request for Closure The Southland Corporation, Store # 17721, 3601 Stockdale Highway, Bakersfield, California March 6, 2001 1.0 INTRODUCTION This report is submitted by IT Corporation (IT) summarizing regulatory sampling activities conducted at 7-Eleven Store No. 17721, 3601 Stockdale Highway, Bakersfield, California (Figures 1). The scope of work included: 1) excavation, removal and offsite disposal of product piping associated with underground storage tanks (UST), 2) collection and analysis of six soil samples from points underlying the three former fuel dispensers, 3) backfill and compaction of the excavation and, 4) preparation of this report summarizing the methods and results of the work performed. The work was designed to fulfill the requirements of the Bakersfield Fire Department. The soil sampling was conducted under the direction and observation of Mr. Steve Underwood of the Bakersfield Fire Department. Jenal Engineering, Inc., of San Diego, California was contracted to upgrade the product piping associated with the UST and fuel dispensers. 2.0 SOIL ASSESSMENT WORK 2.1 Soil Sample Collection On February 2, 2001, IT personnel collected six soil samples from beneath the three former fuel dispensers. A soil sample from 2 feet below ground surface (bgs) and from 6 feet bgs were collected from beneath each former fuel dispenser (Figure 1). All soil sampling was conducted at the direction of Mr. Steve Underwood of the Bakersfield Fire Department. Soil samples were collected in 8 ounce glass jars directly from a pre-cleaned shovel. Soil beneath the dispenser island consisted of a light brown, fine to medium silty sand. The sample jars were labeled, placed on ice in an insulated container, and submitted for analyses under chain-of-custody manifest to state-certified STL ChromaLab, in Pleasanton, California. A total of six soil samples, collected from the floor of the UST excavation and beneath the dispenser island, were analyzed for total petroleum hydrocarbons-as-gasoline (TPH-g), benzene, toluene, ethylbenzene, and total xylenes (BTEX) according to EPA Method 8020/8015 Modified, and for methyl- tert-butyl-ether (MTBE) and other oxygenates according to EPA Method 8260. 3.0 RESULTS 3.1 Results of Soil Sample Analysis The highest xylene and TPH-g concentrations were detected in the soil sample P1-S0-2, collected at 2 feet bgs of the westernmost fuel dispenser. Sample P1-S0-2 contained xylene and TPH-g concentrations of 500 milligrams per kilogram (mg/kg) and 4,300 mg/kg, respectively. Xylene and TPH-g concentrations were drastically reduced in sample P1-S0-6, collected at 6 feet bgs. Sample P1-S0-6 contained xylene and TPH-g concentrations of 10 mg/kg and 100 mg/kg respectively. Sample P2-S0-2 contained TPH-g concentrations of 20 mg/kg and a xylene concentration of 0.97 mg/kg,. TPH-g and xylene concentrations in sample P3-S0-2 were 31 mg/kg and 1.5 mg/kg respectively. Both soil samples P2-S0-6 and P3-S0-6 did not contain detectable levels of BTEX and TPH-g. lml4usIJpIl(SThl·) -- e Product Line Upgrade Report and Request for Closure The Sou1hland Corporation, Store #17721, 3601 Stockdale Highway, Bakersfield, California 2 March 6, 2001 Sample P1-S0-2 contained tert-butyl-alcohol (TBA) and MTBE concentrations of 6,500 micrograms per kilogram (ug/kg) and 1,100 uglkg respectively. TBA and MTBE concentrations were reduced in sample P1-S0-6 to 2,300 ug/kg and 850 uglkg respectively. Sample P2-S0-2 contained an MTBE concentration of 60 uglkg. MTBE was not detected at or above the reporting limit in sample P2-S0-6, but TBA was detected at a concentration of 14 uglkg. MTBE was detected at a concentration of 13 uglkg in sample P3-S0-2, but was not detected at or above the laboratory reporting limit in sample P3- SO-6. Complete analytical reports and chain-of-custody documentation are included as Appendix A and are summarized in Table 1. 4.0 CONCLUSION AND REQUEST FOR CLOSURE On February 2, 2001, six soil samples were collected beneath the former fuel dispensers during a product line upgrade. Analytical results indicated soil hydrocarbon levels ranged up to 4,300 mg/kg TPH-G. The highest TPH-G levels were found 2 feet bgs of the western most fuel dispenser. The highest xylene concentration was 500 mglkg. Concentrations of hydrocarbons at depths of more than 2 feet below grade were significantly lower, indicating vertical delineation of the extent of the plume. Based on the reported concentrations of BTEX, TPH-g, and MTBE in the soil samples collected during product line upgrades on February 2, 2001, the vertical limits of BTEX, MTBE and TPH-g have been defined. Soil impacted with low hydrocarbon concentrations appears restricted to a limited area immediately beneath the westernmost fuel dispenser. Based on 1) the non-detectable to moderate hydrocarbon concentrations in the soil samples collected from beneath the fuel dispensers and 2) the declining TPH-g and BTEX concentrations with depth, IT Corporation, on behalf of the 7 -Eleven, Inc., requests that the site be classified as low-risk and that site closure/no further action status be granted based on this information. 1 m 14ustrpIl(SThI·) e e FIGURES I ml usllptI(SThI·) e e HIGHWAY STOCKDALE e e EXPLANA TION LOCA TION SOIL SAMPLE o DISPENSER FUEL [3J P2-S0-2' P2-S0-S' P3-S0-2' P3-S0-S' ----------------------- 0 00 ----------------------- ----------------------- 0 Do ----------------------- ü z ::.c 0:: .,..".1.,00 « Q. 7-ELEVEN FACILITY NO. 17721 PROPERTY BOUNDARY APPROXIMATE BOUNDARY OF UNDERGROUND STORAGE TANK LINE WATER LINE LINE ELECTRIC GAS -(- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- ---- SIDEWALK ~ Pl-S0-2' P1-S0-6' o « o 0:: -J « w a::: :I: I- ::> o V1 w ·W w ------ o o I N ::.c -' « 3: w o Vi w ~. II iW I I I , , I , , , , I , I I I ~__f__l I I 40 20 o FEET 03-09-01 03-15-01 N 7-ELEVEN, INC. 7-ELEVEN FACILITY NO. 17721 3601 STOCKDALE HIGHWAY BAKERSFI ELD,CALlFORNIA 823983 DRAWN BY: L. MASON DATE DRAFTED BY: DEN HOLMES DATE CHECKED BY: DATE SCALE APPROX ] SITE PLAN FIGURE 1 T CORPORATION __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ ____ __ __ __ __ __ ______ rn 17721SP e e TABLES J mJusbptr(STh],) o e e TABLE 1 Soil Sample Analytical Results (Results Expressed as milligrams per kilogram) Southland No. 16834 525 West Columbus Street, Bakersfield, Califomia Sample 10 Sample Date Sample TPH.g Benzene Ethylbenzene Toluene Xylene TBA MTBE Depth P1-S0-2 2/5/01 2.0 4,300 NO NO NO 500 6,500 1,100 P1-S0·6 2/5/01 6,0 100 NO NO NO 10 2,300 850 P2-S0-2 2/5/01 2,0 20 NO NO NO 0.97 NO 60 P2-S0·6 2/5/01 6.0 NO NO NO NO NO 14 NO P3-S0·2 2/5/01 2,0 31 NO NO NO 1,5 NO 13 P3-S0-B 2/5/01 6,0 NO NO ND NO NO NO NO Notes Sample depth is expressed in feet bgs bgs- below ground surface TPHg· Total Petroleum Hydrocarbons as gasoline according to EPA Method 8015M, Benzene, Ethylbenzene, Toluene, Xylene according to EPA Method 8020. ND- Not detected at or above the laboratory method detection limit. e e APPENDIX A Laboratory Results and Chain-of-Custody Documentation , 17721 ustrptI(SThI,) -_._-----_.~- e ---------e --~-~--- STL ChromaLab Environmental Services (CA 1094) Submission #: 2001-02-0122 Date: February 13,2001 IT Group 4005 Port Chicago Highway Concord, CA 94520-1120 Attn.: Shelby Lathrop Attached is our report for your samples received on Thursday February 8, 2001 This report has been reviewed and approved for release. Reproduction of this report is permitted only in its entirety. The report contains a Case Narrative detailing sample receipt and analysis. Please note that any unused portion of the samples will be discarded after March 25,2001 unless you have requested otherwise. We appreciate the opportunity to be of service to you. If you have any questions, please call me at (925) 484-1919. You can also contact me via email. My email addressis:ssidhu@chromalab.com Sincerely, S~I~'~ ç~t, '-1 ' Surinder Sidhu 1220 Quarry Lane· Pleasanton. CA 94566-4756 Telephone: (925) 484-1919 . Facsimile: (925) 484-1096 CA DHS ELAP#1096 Printed on: 02/13/2001 06:43 Page 1 of 2 rn INTERNATIONAL TECHNOLOGY . CORPORATION Project Name/No.1 Sample Team Members 2 Profit Center No.3 Project Manager 4 Purchase Order No.6 Required Report Date 11 ::¡·-(f /71J. ¡ L. I1ASoJ IJ $h<,{hv (AIt/¿J f' .)l( t, I. Tór Samples Shipment Date. 7 lab Destination 8 lab Contact 9 Project Contact/Phone 12 Carrier/Waybill No. 13 oU'XI'-Oi;f. -&lI~~ ¡ Reference Document No. 5 3610 9 Page 1 of -.__.. . .,1 f¡ f.~ (L~ Bill to:5 iT CDi?-P ./ ~"- ~ c¡ 00 s- P<J if'., [I{I C r~ c::,u If t;.ý Y' I ~ Ú),,.¡ CO,CZ ¡). c l1 '7 (.1)'-,:( 0 I ~ FAt 92$"-') "ð~- °ß~~ I g ð ,.... I,<:~::J 7J.S:'2ß5-2/10 ~ Report to: 10 _;:.C'ò.~_ ANALYSIS REQUEST AND CHAIN OF CUSTODY RECORD* ." ð A' ~'.- o·'v{ Co;2 E. ONE CONTAINER PER LINE Sample 1 Volume Sample 14 Number Date/Time 16 Container1 Collected T e 2.h :5 !"" 57 '8101 01/0 y'" ? I-~~·' z.. S'r.) i o-<'YC,;,-E .-,;l''-f'l:::.s L:> 'T ,- ""S c.-' ç, +,,-,<; u - -¿ pre-19 servative Condition on 21 Recei t Disposal 22 Record No. 801.- N (\ ....r--< if, '11Q 0912. T1 ro ëL ('J o l:J o 'ì<$"G -2--$(.)"" ~ o'1/l..t '-';;z C -? ¡- .;> - .~ ~J - C"_ f' 3- <; f.) .' ~ <"11~1.. v w Tö....· Special Instructions: 23 (2v:>H Possible Hazard Identification: 24 Non-hazard Q Flammable Q Skin Irritant Q Turnaround Time ~uired: 26 Normal :J Rusha- ' 1. Relinquished by ~ ¿J (Signature/Affiliation) /C,t,· þ 2 _ Relinquished by [Signaturel Affiliation) IT 3. Relinquished by [Signaturel Affiliation) Poison 8 Y Unknown Y QC Level: 27 I.Y II.Y Sample Disposal: 25 ~_,/ Return to Client Y Disposal by Lab çr'" Archive Date: Time: Date: Time: Date: . Time: d-' 8- 0 i' 1>0 III.Q 1. Received by ~ (Signature/Affiliation) t 2. Received by (Signaturel Affiliation) Date: ;L, Time: Date: Time: Date: Time: 5 en rt -, C n rt Õ ::J en 3. Received by (Signature/Affiliation] Comments: 29 ...., I D .- ;,'"). L.. G "-,. . MCI\ 311519, ~-_.."__m__'_'_----,-e-- STL Chromalab .. ····---·-:Ub~iSS;On #~ 2001.02~~~~- ------1 Date: February 13, 2001 Environmental Services (CA 1094) To: IT Group Attn.: Shelby Lathrop CASE NARRA riVE General and Sample Comments We (STL ChromaLab) received 6 Soil samples, on Feb 8 2001 3:04PM. Analysis Comments and Flags by QC Batch I Fuel Oxygenates by 8260B Soil QC Batch#: 2001/02/12.01-27 P1-S0-2 Lab#: 2001-02-0122-001 Analysis Flag(s) o Reporting limits were raised due to high level of analyte present in the sample. P1-S0-6 o Lab#: 2001-02-0122-002 Reporting limits were raised due to high level of analyte present in the sample. P2-S0-2 rl Reporting limits raised due to reduced sample size. I Gas/BTEX (High Level) Soil P1-S0-2 Lab#: 2001-02-0122-003 QC Batch#: 2001/02/08.05-03 Lab#: 2001-02-0122-001 Compound Flag(s) sd Surrogate recovery not reportable due to required dilution. g Hydrocarbon reported in the gasoline range does not match our gasoline standard. P1-S0.6 Lab#: 2001-02-0122-002 g Hydrocarbon reported in the gasoline range does not match our gasoline standard. sh Surrogate recovery was higher than QC limit due to matrix i!'1terference. P2-S0·2 g P3-S0·2 g Lab#: 2001-02-0122-003 Hydrocarbon reported in the gasoline range does not match our gasoline standard. Lab#: 2001-02-0122-005 Hydrocarbon reported in the gasoline range does not match our gasoline standard. 1220 Quarry Lane' Pleasanton, CA 94566-4756 Telephone: (925) 484-1919' Facsimile: (925) 484-1096 CA DHS ELAP#1096 Printed on: 02/13/2001 06:43 Page 2 of 2 -------_._--. e STL ChromaLab Submission #: 2001~2-0122 --e- ~----~-- Environmental Services (CA 1094) Fuel Oxygenates by 8260B IT Group B1 4005 Port Chicago Highway Concord, CA 94520-1120 Phone: (925) 2BB-9B9B Fax: (925) 2BB-OBBB Attn: Shelby Lathrop Project #: 7-11 17721 Project: Samples Reported Sample ID Matrix Date Sampled Lab # P1-S0-2 Soil 02/0B/2001 09:10 1 P1-S0-6 Soil 02/0B/2001 09:4B 2 P2-S0-2 Soil 02/0B/2001 09:12 3 P2-S0-6 Soil 02/08/2001 09:36 4 P3-S0-2 Soil 02/08/2001 09:14 5 P3-S0-6 Soil 02/08/2001 09:52 6 1220 Quarry Lane' Pleasanton, CA 94566-4756 Telephone: (925) 484-1919' Facsimile: (925) 484-1096 Printed on; 02/12/2001 16:47 Page 1 of 11 -----------..---------- -----"----'--'---~-.----e_.-------,----,-----,----- STL ChromaLab Submission #: 2001-02-0122 Environmental Services (CA 1094) To: IT Group Attn.: Shelby Lathrop Test Method: Prep Method: 8260B 8260B Fuel Oxygenates by 8260B Project: P1-S0-2 7-11 17721 Lab Sample 10: 2001-02-0122-001 Sample 10: Sampled: Matrix: 02/08/2001 09:10 Soil Received: Extracted: QC-Batch: 02/08/2001 15:04 02/12/2001 15:59 2001102/12-01.27 SamplelAnalysis Flag 0 (See Legend & Note section) Compound Result Rep.Limit Units Dilution Analyzed Flag tert-Butyl alcohol (TBA) 6500 25 ug/Kg 4.90 02/12/2001 15:59 Methyl tert-butyl ether (MTBE) 1100 25 ug/Kg 4.90 02/12/2001 15:59 Oi-isopropyl Ether (OIPE) NO 49 ug/Kg 4.90 02/12/2001 15:59 Ethyl tert-butyl ether (ETBE) NO 25 ug/Kg 4.90 02/12/2001 15:59 tert-Amyl methyl ether (TAME) NO 25 ug/Kg 4.90 02/12/2001 15:59 Surrogate(s) 1,2-0ichloroethane-d4 89.7 70-121 % 4.90 02/12/2001 15:59 1220 Quarry Lane· Pleasanton, CA 94566-4756 Telephone: (925) 484-1919· Facsimile: (925) 484-1096 Printed on: 02/12/2001 16:47 Page 2 of 11 -~--- - STl Chromalab ---e Submission #: 2001-02-0122 Environmental Services (CA 1094) To: IT Group Attn.: Shelby Lathrop T est Method: Prep Method: 8260B 82608 Fuel Oxygenates by 82608 Project: P1-S0-6 7-11 17721 Lab Sample 10: 2001-02-0122-002 Sample 10: Sampled: Matrix: 02/08/2001 09:48 Soil Received: Extracted: QC-Batch: 02/08/2001 15:04 02/12/2001 15:29 2001/02/12-01.27 Sample/Analysis Flag 0 (See Legend & Note section) Compound Result Rep.Limit Units Dilution Analyzed Flag tert-Butyl alcohol (TBA) 2300 23 ug/Kg 4.63 02/12/2001 15:29 Methyl tert-butyl ether (MTSE) 850 23 ug/Kg 4.63 02/12/2001 15:29 Oi-isopropyl Ether (OIPE) NO 46 ug/Kg 4.63 02/12/2001 15:29 Ethyl tert-butyl ether (ETBE) NO 23 ug/Kg 4.63 02/12/2001 15:29 tert-Amyl methyl ether (TAME) NO 23 ug/Kg 4.63 02/12/2001 15:29 Surrogate(s) 1,2-Dichloroethane-d4 86.2 70-121 % 4.63 02/12/2001 15:29 1220 Quarry Lane' Pleasanton, CA 94566-4756 Telephone: (925) 484-1919' Facsimile: (925) 484-1096 Printed on: 02/12/200116:47 Page 3 of 11 e STL ChromaLab e- '-'--- Submission #: 2001-02-0122 Environmental Services (CA 1094) To: IT Group Attn.: Shelby Lathrop Test Method: Prep Method: 82608 82608 Fuel Oxygenates by 82608 Sample ID: Project: P2-S0-2 7-1117721 Lab Sample ID: 2001-02-0122-003 Sampled: Matrix: 02/08/2001 09:12 Soil Received: Extracted: QC-8atch: 02/08/2001 15:04 02/12/2001 15:00 2001/02/12-01.27 Sample/Analysis Flag rl (See Legend & Note section) Compound Result Rep.Limit Units Dilution Analyzed Flag tert-Butyl alcohol (TBA) ND 19 ug/Kg 3.85 02/12/2001 15:00 Methyl tert-butyl ether (MTBE) 60 19 ug/Kg 3.85 02/12/2001 15:00 Di-isopropyl Ether (DIPE) ND 38 ug/Kg 3.85 02/12/2001 15:00 Ethyl tert-butyl ether (ETBE) NO 19 ug/Kg 3.85 02/12/2001 15:00 tert-Amyl methyl ether (TAME) ND 19 ug/Kg 3.85 02/12/2001 15:00 Surrogate(s) 1,2-Dichloroethane-d4 91.3 70-121 % 3.85 02/12/2001 15:00 1220 Quarry Lane' Pleasanton, CA 94566-4756 Telephone: (925) 484-1919' Facsimile: (925) 484-1096 Printed on: 02/12/2001 16:47 Page 4 of 11 ~---_. e STL Chromalab Submission #: 2001-02·0122 '~n_-,e ._.._-~_.-------- Environmental Services (CA 1094) To: IT Group Attn.: Shelby Lathrop Test Method: Prep Method: 8260B 8260B Fuel Oxygenates by 8260B Project: P2-S0-6 7-11 17721 Lab Sample 10: 2001-02-0122-004 Sample 10: Sampled: Matrix: 02/08/2001 09:36 Soil Received: Extracted: QC-Batch: 02/08/2001 15:04 02/12/2001 14:30 2001/02/12-01.27 Compound Result Rep.Limit Units I Dilution Analyzed Flag tert-Butyl alcohol (TBA) 14 5.0 ug/Kg 1.00 02/12/2001 14:30 Methyl tert-butyl ether (MTBE) NO 5.0 ug/Kg 1.00 02/12/2001 14:30 Oi-isopropyl Ether (OIPE) NO 10 ug/Kg 1.00 02/12/2001 14:30 Ethyl tert-butyl ether (ETBE) NO 5.0 ug/Kg 1.00 02/12/2001 14:30 tert-Amyl methyl ether (TAME) NO 5.0 ug/Kg 1.00 02/12/2001 14:30 Surrogate(s) 1,2-0ichloroethane-d4 105.5 70-121 % 1.00 02/12/2001 14:30 1220 Quarry Lane· Pleasanton, CA 94566-4756 Telephone: (925) 484-1919· Facsimile: (925) 484-1096 Printed on: 02/12/2001 16:47 Page 5 of 11 e- STL ChromaLab Environmental Services (CA 1094) e-'-'-----' Submission #: 2001.02-0122 To: IT Group Attn.: Shelby Lathrop Test Method: Prep Method: 82608 82608 Fuel Oxygenates by 82608 Sample 10: Project: P3-S0-2 7-1117721 Lab Sample 10: 2001-02-0122-005 Sampled: Matrix: 02/08/2001 09:14 Soil Received: Extracted: QC-8atch: 02/08f2001 15:04 02/12/2001 14:01 2001/02/12-01.27 Compound Result Rep,Limit Units Dilution Analyzed Flag tert-Butyl alcohol (TBA) NO 5.0 ug/Kg 1.00 02/12/2001 14:01 Methyl tert-butyl ether (MTBE) 13 5.0 ug/Kg 1.00 02/12/2001 14:01 Oi-isopropyl Ether (OIPE) ND 10 ug/Kg 1.00 02/12/2001 14:01 Ethyl tert-butyl ether (ETBE) ND 5.0 ug/Kg 1.00 02/12/2001 14:01 tert-Amyl methyl ether (TAME) ND 5.0 ug/Kg 1.00 02/12/2001 14:01 Surrogate(s) 1,2-0ichloroethane-d4 93.8 70-121 % 1.00 02/12/2001 14:01 1220 Quarry Lane' Pleasanton, CA 945664756 Telephone: (925) 484-1919' Facsimile: (925) 484-1096 Printed on: 021121200116:47 Page 6 of 11 ~--~------- ------. STL ChromaLab Submission #: 2001-02-0122 ,....,-'--~--'-'e---_._,.._' ---~_..._-~----- Environmental Services (CA 1094) To: IT Group Attn.: Shelby Lathrop Test Method: Prep Method: 8260B 8260B Fuel Oxygenates by 8260B Sample 10: Project: P3-S0-6 7-11 17721 Lab Sample 10: 2001-02-0122-006 Sampled: Matrix: 02/08/2001 09:52 Soil Received: Extracted: QC-Batch: 02/08/2001 15:04 02/12/2001 12:26 2001/02/12-01.27 Compound Result Rep.Limit Units Dilution Analyzed Flag tert-Butyl alcohol (TBA) NO 5.0 ug/Kg 1.00 02/12/2001 12:26 Methyl tert-butyl ether (MTBE) NO 5.0 ug/Kg 1.00 02/12/2001 12:26 Oi-isopropyl Ether (OIPE) NO 10 ug/Kg 1.00 02/12/2001 12:26 Ethyl tert-butyl ether (ETBE) NO 5.0 ug/Kg 1.00 02/12/2001 12:26 tert-Amyl methyl ether (TAME) NO 5.0 ug/Kg 1.00 02/12/2001 12:26 Surrogate(s) 1,2-0ichloroethane-d4 92.0 70-121 % 1.00 02/12/2001 12:26 1220 Quarry Lane' Pleasanton, CA 94566-4756 Telephone: (925) 484-1919' Facsimile: (925) 484-1096 Printed on: 02/12/200116:47 Page 7 of 11 e STL ChromaLab e- Submission #: 2001-02-0122 Environmental Services (CA 1094) To: IT Group Attn.: Shelby Lathrop Test Method: Prep Method: 82608 8260B Batch QC Report Fuel Oxygenates by 82608 Method Blank Soil QC Batch # 2001/02/12-01.27 MB: 2001/02/12-01.27-006 Oate Extracted: 02/12/2001 11 :56 Compound Result Rep.Limit Units Analyzed Flag tert-Butyl alcohol (TBA) NO 5.0 ug/Kg 02/12/200111:56 Methyl tert-butyl ether (MTBE) NO 5.0 ug/Kg 02/1212001 11 :56 Oi-isopropyl Ether (OIPE) NO 10.0 ug/Kg 02/12/2001 11 :56 Ethyl tert-butyl ether (ETBE) NO 5.0 ug/Kg 02/12/2001 11 :56 tert-Amyl methyl ether (TAME) NO 5.0 ug/Kg 02/12/2001 11 :56 Surrogate(s) 1,2-0ichloroethane-d4 85.3 70-121 % 02/12/2001 11:56 1220 Quarry Lane' PJeasanton. CA 94566-4756 Telephone: (925) 484-1919' Facsimile: (925) 484-1096 Printed on: 02112/2001 16:47 Page 8 of 11 -------- e-- STL ChromaLab -e-,-,--- - ----- Submission #: 2001-02-0122 Environmental Services (CA 1094) To: IT Group Attn: Shelby Lathrop Test Method: 8260B Prep Method: 82608 Batch QC Report Fuel Oxygenates by 82608 Laboratory Control Spike (LCS/LCSD) LCS: 2001/02/12-01.27-004 LCSD: 2001/02/12-01.27-005 Soil Extracted: 02/12/2001 10:49 Extracted: 02/12/2001 11 :27 QC Batch # 2001/02/12-01.27 Analyzed 02/12/2001 10:49 Analyzed 02/12/2001 11 :27 Compound Cone. I ug/Kg ] Exp.Conc. I ug/Kg ] Recovery 1%] RPD Ctrl. Limits 1%] Flags LCS LCSD LCS LCSD LCS LCSD [%] Recovery RPD LCS LCSD Methyl tert-butyl ether 81.3 75,0 100.0 100,0 81.3 75.0 8,1 65-165 20 Surrogate(s) 1,2-Dichloroethane-d4 473 415 500 500 94.6 83.0 70-121 1220 Quarry Lane' Pleasanton, CA 94566-4756 Telephone: (925) 484-1919' Facsimile: (925) 484-1096 Printed on: 02/12/2001 16:47 Page 9 of 11 ---~--------- .e------'-'------..,.-...--'- STL Chroma Lab Submission #: 2001'{)2-0122 Environmental Services (CA 1094) To: IT Group Attn.: Shelby Lathrop Test Method: 8260B Prep Method: 8260B Batch QC Report Fuel Oxygenates by 8260B Matrix Spike ( MS 1 MSD ) Sample 10: P3-S0-6 Soil QC Batch # 2001/02/12-01.27 Lab Sample 10: 2001-02-0122-006 MS: 2001/02/12-01.27-008Extracted:02/12/200113:02 Analyzed: 02/12/200113:02 Dilution: 1.0 MSD: 2001/02/12-01.27-009Extracted:02/12/200113:31 Analyzed: 02/12/200113:31 Dilution: 1.0 Compound Cone. [ ug/Kg ] Exp.Conc. [ ug/Kg ] Recovery [%] RPD Clrl. Limits [%] Flags MS MSD Sample MS MSD MS MSD [%J Recovery RPD MS MSD Methyl tert·butyl ether 70.7 74.8 ND 99.6 99.4 71.0 75.3 5.9 65-165 20 Surrogate(s) 1,2-Dichloroethane-d4 86.7 90.2 500 500 86,7 90.2 70-121 1220 Quarry Lane· Pleasanton, CA 94566-4756 Telephone: (925) 484-1919· Facsimile: (925) 484-1096 Printed on: 02112/2001 16:47 Page 10 of 11 -----_._--------~----- -e--------------'-'--__---.--'----.,.,'---- STL ChromaLab Submission #: 2001-02-0122 --.----------------- Environmental Services (CA 1094) To: IT Group Attn: Shelby Lathrop Test Method: 82608 Prep Method: 82608 Legend & Notes Fuel Oxygenates by 82608 Analysis Flags o Reporting limits were raised due to high level of analyte present in the sample. rl Reporting limits raised due to reduced sample size. 1220 Quarry Lane' Pleasanton, CA 94566-4756 Telephone: (925) 484-1919' Facsimile: (925) 484-1096 Printed on: 02/12/2001 16:47 Page 11 of 11 ----~~~--- e----- STL ChromaLab ·'--~'·~--'-·e~'-·--''''··_-_''~--'----'---'----'---'--- Submission #: 2001-02-0122 Environmental Services (CA 1094) Gas/BTEX IT Group [g] 4005 Port Chicago Highway Concord, CA 94520-1120 Phone: (925) 288-9898 Fax: (925) 288-0888 Attn: Shelby Lathrop Project #: 7-11 17721 Project: Samples Reported Sample ID Matrix Date Sampled Lab # P2-S0-6 Soil 02/08/2001 09:36 4 P3-S0-6 Soil 02/08/2001 09:52 6 1220 Quarry Lane' Pleasanton, CA 94566-4756 Telephone: (925) 484-1919' Facsimile: (925) 484-1096 Printed on: 02/09/2001 16:50 Page 1 of 8 -e STL ChromaLab -. Submission #: 2001-02-0122 Environmental Services (CA 1094) Attn.: Shelby Lathrop Test Method: 8020 8015M Prep Method: 5030 To: IT Group Gas/BTEX Sample 10: Project: P2-S0-6 7-11 17721 Lab Sample 10: 2001-02-0122-004 Sampled: Matrix: 02/08/2001 09:36 Soil Received: Extracted: QC-Batch: 02/08/2001 15:04 02/08/2001 19:10 2001/02/08-01.04 Compound Result Rep.Limit Units Dilution Analyzed Flag Gasoline NO 1.0 mg/Kg 1.00 02/08/2001 19:10 Benzene NO 0.0050 mg/Kg 1.00 02/08/2001 19:10 Toluene NO 0.0050 mg/Kg 1.00 02/08/2001 19:10 Ethyl benzene NO 0.0050 mg/Kg 1.00 02/08/2001 19:10 Xylene(s) NO 0.0050 mg/Kg 1.00 02/08/2001 19:10 Surrogate(s) TrifluorotoJuene 59.9 53-125 % 1.00 02/08/2001 19:10 Trifluorotoluene-FIO 70.8 53-125 % 1.00 02/08/2001 19:10 1220 Quarry Lane * Pleasanton, CA 94566-4756 Telephone: (925) 484-1919 * Facsimile: (925) 484-1096 Printed on: 02/09/2001 16:50 Page 2 of 8 ---+~._-" -e-..--- STL ChromaLab --...."-~--..-e--..--- Submission #: 2001.Q2-0122 Environmental Services (CA 1094) To: IT Group Test Method: 8020 8015M Prep Method: 5030 Attn.: Shelby Lathrop Gas/BTEX Sample ID: P3-S0-6 Lab Sample ID: 2001-02-0122-006 Project: 7-11 17721 Received: Extracted: QC-Batch: 02/08/2001 15:04 02/09/2001 11: 10 2001/02/09-01.04 Sampled: Matrix: 02/08/2001 09:52 Soil Compound Result Rep.Limit Units Dilution Analyzed Flag Gasoline ND 1.0 mg/Kg 1.00 02/09/2001 11: 1 0 Benzene NO 0.0050 mg/Kg 1.00 02/09/2001 11: 1 0 Toluene NO 0.0050 mg/Kg 1.00 02/09/2001 11: 1 0 Ethyl benzene NO 0.0050 mg/Kg 1.00 02/09/2001 11: 1 0 Xylene(s) NO 0.0050 mg/Kg 1.00 02/09/2001 11: 1 0 Surrogate(s) Trifluorotoluene 66.9 53-125 % 1.00 02/09/2001 11: 10 4-B romofluorobenzene-FI D 86.0 58-124 % 1.00 02/09/2001 11:10 1220 Quarry Lane· Pleasanton, CA 94566-4756 Telephone: (925) 484-1919' Facsimile: (925) 484-1096 Printed on: 02109/200116:50 Page 3 of 8 --'·--·,'---·'--'-·----''..··-------'-e STL ChromaLab '-·---~-------·---'--,,---e--·---- "----------- Submission #: 2001-02-0122 Environmental Services (CA 1094) To: IT Group Attn.: Shelby Lathrop Test Method: 8015M 8020 Prep Method: 5030 Batch QC Report Gas/BTEX Method Blank Soil QC Batch # 2001/02/08-01.04 MB: 2001/02/08-01.04-003 Date Extracted: 02/08/2001 07:51 Compound Result Rep.Limit Units Analyzed Flag Gasoline ND 1.0 mg/Kg 02/08/2001 07:51 Benzene ND 0.0050 mg/Kg 02/08/2001 07:51 Toluene ND 0.0050 mg/Kg 02/08/2001 07:51 Ethyl benzene ND 0.0050 mg/Kg 02/08/2001 07:51 Xylene(s) ND 0.0050 mg/Kg 02/08/2001 07:51 Surrogate(s) T rifluorotoluene 103.0 53-125 % 02/08/2001 07:51 4-Bromofluorobenzene-FI D 123.2 58-124 % 02/08/2001 07:51 1220 Quarry Lane· Pleasanton, CA 94566-4756 Telephone: (925) 484-1919· Facsimile: (925) 484-1096 Printed on: 02/09/2001 16:50 Page 4 of 8 e STL ChromaLab Submission #: 2001-02-0122 --'-----e·-------'-----~---'----- Environmental Services (CA 1094) To: IT Group Test Method: 8015M 8020 Prep Method: 5030 Attn.: Shelby Lathrop Batch ac Report Gas/BTEX Method Blank Soil ac Batch # 2001/02/09-01.04 MB: 2001/02/09-01.04-001 Date Extracted: 02/09/2001 08:09 Compound Result Rep.Limit Units Analyzed Flag Gasoline NO 1,0 mg/Kg 02/09/2001 08:09 Benzene NO 0.0050 mg/Kg 02/09/2001 08:09 Toluene NO 0.0050 mg/Kg 02/09/2001 08:09 Ethyl benzene NO 0.0050 mg/Kg 02/09/2001 08:09 Xylene(s} NO 0.0050 mg/Kg 02/09/2001 08:09 Surrogate(s) Trifluorotoluene 99.4 53-125 % 02/09/2001 08:09 4-Bromoft uorobenzene-FI 0 115.4 58-124 % 02/09/2001 08:09 1220 Quarry lane· Pleasanton, CA 94566-4756 Telephone: (925) 484-1919· Facsimile: (925) 484-1096 Printed on: 02109/2001 16:50 Page 5 of 8 --------'-.-"-'-~,·-,------e-----·---·-----,-----,,·------·---e",---,----,--,---,--,..-,---- STL ChromaLab Submission #: 2001-02-0122 Environmental Services (CA 1094) ..-~~,---- To: IT Group Attn: Shelby Lathrop Test Method: 8015M 8020 Prep Method: 5030 Batch QC Report Gas/BTEX Laboratory Control Spike (LCS/LCSD) LCS: 2001/02/08-01.04-006 LCSD: 2001/02/08-01.04-007 Soil Extracted: 02/08/2001 09:16 Extracted: 02/08/2001 09:44 QC Batch # 2001/02/08-01.04 Analyzed 02/08/2001 09:16 Analyzed 02/08/2001 09:44 Compound Cone. [ mg/Kg ] Exp.Conc. [ mg/Kg ] Recovery [%] RPD Ctrl. Limits [%] Flags LCS LCSD LCS LCSD LCS LCSD [%] Recovery RPD LCS LCSD Gasoline 0.457 0.452 0.500 0.500 91.4 90.4 1.1 75-125 35 Surrogate(s) 4-Bromofluorobenzene-FI 571 558 500 500 114.2 111.6 58-124 1220 Quarry Lane· Pleasanton, CA 94566-4756 Telephone: (925) 484-1919· Facsimile: (925) 484-1096 Printed on: 02/09/2001 16:50 Page 6 of 8 -_._------~~~--~- -----e STL ChromaLab Submission #: 2001-02-0122 -,--e----------· ----------.._-~ Environmental Services (CA 1094) To: IT Group Attn: Shelby Lathrop Test Method: Prep Method: 8020 5030 Batch QC Report Gas/BTEX Laboratory Control Spike (LCS/LCSD) LCS: 2001/02/08-01.04-008 LCSD: 2001102/08-01.04-005 Soil Extracted: 02/08/2001 10:12 Extracted: 02/08/2001 08:48 QC Batch # 2001/02/08-01.04 Analyzed 02/08/2001 10: 12 Analyzed 02/08/2001 08:48 Compound Cone. [ mg/Kg ] Exp.Conc. [ mg/Kg ] Recovery [%] RPD Ctrl. Limits [%] Flags LCS LCSD LCS LCSD LCS LCSD [%] Recovery RPD LCS LCSD Benzene 0.0913 0.0827 0.1000 0.1000 91.3 82.7 9.9 77-123 35 Toluene 0.0859 0.0780 0.1000 0.1000 85.9 78,0 9,6 78-122 35 Ethyl benzene 0,0859 0.0790 0,1000 0,1000 85.9 79.0 8.4 70-130 35 Xylene(s) 0.259 0.238 0.300 0,300 86.3 79.3 8.5 75-125 35 Su"ogate(s} Trifluorotoluene 480 426 500 500 96.0 85.2 53-125 1220 Quarry Lane' Pleasanton, CA 94566-4756 Telephone: (925) 484-1919' Facsimile: (925) 484-1096 Printed on: 02/09/2001 16:50 Page 7 of 8 ----"..-'---'--..-.-'------'--e------------~-'---·--..--'-~-e'''------'---'-----' ...,._,--- STL ChromaLab Submission #: 2001-02-0122 Environmental Services (CA 1094) Attn: Shelby Lathrop Test Method: 8015M 8020 Prep Method: 5030 To: IT Group Batch QC Report Gas/BTEX Laboratory Control Spike (LCS/LCSD) LCS: 2001/02/09-01.04-002 LCSD: 2001/02/09-01.04-003 Soil Extracted: 02/09/2001 08:37 Extracted: 02/09/2001 09:06 QC Batch # 2001/02/09-01.04 Analyzed 02/09/2001 08:37 Analyzed 02/09/2001 09:06 Compound Conc. [ mg/Kg ] Exp.Conc. [mg/Kg] Recovery [%] RPD Ctrl. Limits [%] Flags LCS LCSD LCS LCSD LCS LCSD ['Yo] Recovery RPD LCS LCSD Gasoline 0.476 0.482 0.500 0.500 95.2 96.4 1.3 75-125 35 Benzene 0.0969 0.0904 0.1000 0.1000 96.9 90.4 6.9 77-123 35 Toluene 0.0912 0.0860 0.1000 0.1000 91.2 86.0 5,9 78-122 35 Ethyl benzene 0.0914 0.0867 0.1000 0.1000 91.4 86.7 5.3 70-130 35 Xylene(s) 0.278 0.263 0.300 0.300 92.7 87.7 5.5 75-125 35 Surrogate(s) Trifluorotoluene 499 469 500 500 99.8 93.8 53-125 4-Bromofluorobenzene-FI 598 602 500 500 119.6 120.4 58-124 1220 Quarry Lane * Pleasanton, CA 94566-4756 Telephone: (925) 484-1919 * Facsimile: (925) 484-1096 Printed on: 02109/2001 16:50 Page 8 of 8 ----,-."..----,.-"'---------.' ----e----·-'-'----,..·---·....····,'---,··,-·-,,-e·····--'-...-"...'.-'...',---,'-,..--..,-----..."--.-------.-., STL ChromaLab Submission #: 2001.02-0122 Environmental Services (CA 1094) Gas/BTEX (High Level) IT Group B1 4005 Port Chicago Highway Concord, CA 94520-1120 Phone: (925) 288-9898 Fax: (925) 288-0888 Attn: Shelby Lathrop Project #: 7-11 17721 Project: Samples Reported Sample ID Matrix Date Sampled Lab # P1-S0-2 Soil 02/08/2001 09:10 1 P 1-S0-6 Soil 02/08/2001 09:48 2 P2-S0-2 Soil 02/08/2001 09:12 3 P3-S0-2 Soil 02/08/2001 09:14 5 1220 Quarry Lane' Pleasanton, CA 94566-4756 Telephone: (925) 484-1919' Facsimile: (925) 484-1096 Printed on: 02109/2001 16:48 Page 1 of 8 --~-_._--~~-----~--- _~...._-_..- -------·-·..·-------..--'-..'.."-'e',...-'----'----'··..--..,------,---------,-.-- STL ChromaLab Submission #: 2001-02-0122 Environmental Services (CA 1094) Attn.: Shelby Lathrop Test Method: 8020 8015M Prep Method: 5030AEXT To: IT Group Gas/BTEX (High Level) Project: P1-S0-2 7-11 17721 Lab Sample 10: 2001-02-0122-001 Sample 10: Sampled: Matrix: 02/08/2001 09:10 Soil Received: Extracted: QC-Batch: 02/08/2001 15:04 02/08/2001 14:04 2001/02/08-05.03 Compound Result Rep.Limit Units Dilution Analyzed Flag Gasoline 4300 200 mg/Kg 20.00 02/09/2001 14:04 9 Benzene NO 12 mg/Kg 20.00 02/09/2001 14:04 Toluene NO 12 mg/Kg 20.00 02/09/2001 14:04 Ethyl benzene NO 12 mg/Kg 20.00 02/09/2001 14:04 Xylene(s) 500 12 mg/Kg 20.00 02/09/2001 14:04 Surrogate(s) Trifluorotoluene NA 53-125 % 1.00 02/09/2001 14:04 sd 4-Bromofluorobenzene-F I 0 NA 58-124 % 1.00 02/09/2001 14:04 sd 1220 Quarry Lane' Pleasanton, CA 94566-4756 Telephone: (925) 484-1919 . Facsimile: (925) 484-1096 Printed on: 02109/2001 16:48 Page 2 of 8 ___._.'__m___'~_'____._'_'m________.---.-----.--,-.-,----.--,.,-------,-..,..e,... STL ChromaLab ...._-"-~--_. _.._---------~_.._--.-._-- Submission #: 2001-02-0122 Environmental Services (CA 1094) To: IT Group Test Method: 8020 8015M Prep Method: 5030AEXT Attn.: Shelby Lathrop Gas/BTEX (High Level) Sample ID: Project: P1-S0-6 7-11 17721 Lab Sample ID: 2001-02-0122-002 Sampled: Matrix: 02/08/2001 09:48 Soil Received: Extracted: QC-Batch: 02/08/2001 15:04 02/08/2001 18:14 2001/02/08-05.03 Compound Result Rep.Lîmit Units Dilution Analyzed Flag Gasoline 100 10 mg/Kg 1.00 02/08/2001 18:14 9 Benzene ND 0.62 mg/Kg 1.00 02/08/2001 18:14 Toluene ND 0.62 mg/Kg 1.00 02/08/2001 18:14 Ethyl benzene ND 0.62 mg/Kg 1.00 02/08/2001 18:14 Xylene(s) 10 0.62 mg/Kg 1.00 02/08/2001 18:14 Surrogate(s) Trifluorotoluene 95.6 53-125 % 1.00 02/08/2001 18:14 4-B romofl uorobenzene-FI D 124.8 58-124 % 1.00 02/08/2001 18:14 sh 1220 Quarry Lane· Plèasanton, CA 94566-4756 Telephone: (925) 484-1919· Facsimile: (925) 484-1096 Printed on: 02109/2001 16:48 Page 3 of 8 -~-._-~~-~._-~- e STL ChromaLab e Submission #: 2001-02-0122 Environmental Services (CA 1094) Attn.: Shelby Lathrop Test Method: 8020 8015M Prep Method: 5030AEXT To: IT Group Gas/BTEX (High Level) Project: P2-S0-2 7-11 17721 Lab Sample 10: 2001-02-0122-003 Sample 10: Sampled: Matrix: 02/08/2001 09:12 Soil Received: Extracted: QC-Batch: 02/08/2001 15:04 02/08/2001 18:42 2001/02/08-05.03 Compound Result Rep.Limit Units Dilution Analyzed Flag Gasoline 20 10 mg/Kg 1.00 02/08/2001 18:42 9 Benzene NO 0.62 mg/Kg 1.00 02/08/2001 18:42 Toluene NO 0.62 mg/Kg 1.00 02/08/2001 18:42 Ethyl benzene NO 0.62 mg/Kg 1.00 02/08/2001 18:42 Xylene(s) 0.97 0.62 mg/Kg 1.00 02/08/2001 18:42 Surrogate(s) Trifluorotoluene 90.5 53-125 % 1.00 02/08/2001 18:42 4-Bromofluorobenzene-FID 122.1 58-124 % 1.00 02/08/2001 18:42 1220 Quarry Lane' Pleasanton, CA 94566-4756 Telephone: (925) 484-1919· Facsimile: (925) 484-1096 Printed on: 02109/2001 16:48 Page 4 of 8 :1 -_._--~---'_._-'-~'---_-'-~-----------'---,._--.,-'----''-e.'--'-------.~----------,-,-----,·,-,---·-""-~j STL ChromaLab Submission #: 2001-02-0122 Environmental Services (CA 1094) Attn.: Shelby Lathrop Test Method: 8020 8015M Prep Method: 5030AEXT To: IT Group Gas/BTEX (High Level) Project: P3-S0-2 7-11 17721 Lab Sample 10: 2001-02-0122-005 Sample 10: Sampled: Matrix: 02/08/2001 09:14 Soil Received: Extracted: QC-Batch: 02/08/2001 15:04 02/08/2001 16:47 2001/02/08-05.03 Compound Result Rep.Limit Units Dilution Analyzed Flag Gasoline 31 10 mg/Kg 1.00 02/09/2001 16:47 9 Benzene NO 0.62 mg/Kg 1.00 02/09/2001 16:47 Toluene NO 0.62 mg/Kg 1.00 02/09/2001 16:47 Ethyl benzene NO 0.62 mg/Kg 1.00 02/09/2001 16:47 Xylene(s) 1.5 0.62 mg/Kg 1.00 02/09/2001 16:47 Surrogate(s) Trifluorotoluene 92.4 53-125 % 1.00 02/09/2001 16:47 4-Bromofluorobenzene-FI D 110.6 58-124 % 1.00 02/09/2001 16:47 1220 Quarry Lane· Pleasanton, CA 94566-4756 Telephone: (925) 484-1919· Facsimile: (925) 484-1096 Printed on: 02109/2001 16:48 Page 5 of 8 --~~._-~--~._~._-._~- '--'. STL ChromaLab Submission #: 2001-02-0122 ....----e-'--'-----'-.-'-----'----.------- Environmental Services (CA 1094) Attn.: Shelby Lathrop Test Method: 8015M 8020 Prep Method: 5030AEXT To: IT Group Batch QC Report Gas/BTEX (High Level) Method Blank Soil QC Batch # 2001/02/08-05.03 MB: 2001/02/08-05.03-001 Date Extracted: 02/08/2001 19:46 Compound Result Rep.Limit Units Analyzed Flag Gasoline NO 10 mg/Kg 02/08/2001 19:46 Benzene NO 0.62 mg/Kg 02/08/2001 19:46 Toluene NO 0.62 mg/Kg 02/08/2001 19:46 Ethyl benzene NO 0.62 mg/Kg 02/08/2001 19:46 Xylene(s) NO 0.62 mg/Kg 02/08/2001 19:46 Surrogate(s) Trifluorotoluene 118.6 53-125 % 02/08/2001 19:46 Trifluorotoluene-FIO 112.0 53-125 % 02/08/2001 19:46 1220 Quarry Lane· Pleasanton, CA 94566-4756 Telephone: (925) 484-1919· Facsimile: (925) 484-1096 Printed on: 02109/2001 16:48 Page 6 of 8 I -----,..'--'--------_e__--' STl Chromalab -----------e-,---.., -~~._-"-- .-._----,-~- Submission #: 2001-02-0122 Environmental Services (CA 1094) To: IT Group Attn: Shelby Lathrop Test Method: 8015M 8020 Prep Method: 5030AEXT Batch QC Report Gas/BTEX (High Level) Laboratory Control Spike (LCS/LCSD) LCS: 2001/02/08-05.03-002 LCSD: 2001/02108-05.03-003 Soil Extracted: 02/08/2001 20:19 Extracted: 02/09/2001 14:32 QC Batch # 2001/02/08-05.03 Analyzed 02/08/2001 20:19 Analyzed 02/09/2001 14:32 Compound Cone. [ mg/Kg ] Exp.Conc. [ mg/Kg ] Recovery [%] RPD Ctrl. Limits [%] Flags LCS LCSD LCS LCSD LCS LCSD [%J Recovery RPD LCS LCSD Gasoline 0.709 0.644 0.625 0.625 113.4 103.0 9.6 75-125 35 Benzene 0.132 0.135 0.125 0.125 105.6 1 08.0 2.2 77-123 35 Toluene 0.127 0.129 0.125 0.125 101.6 103.2 1,6 78-122 35 Ethyl benzene 0.127 0.130 0.125 0.125 101.6 104.0 2.3 70-130 35 XyJene(s) 0.392 0.413 0.375 0.375 104.5 110.1 5.2 75-125 35 Surrogate(s) Trifluorotoluene 515 521 500 500 103.0 104.2 53-125 4-Bromofluorobenzene-FI 562 587 500 500 112.4 117.4 58-124 1220 Quarry Lane· Pleasanton, CA 94566-4756 Telephone: (925) 484-1919· Facsimile: (925) 484-1096 Printed on: 02109/2001 16:48 Page 7 of 8 -·-'---'..'·-'·-..,----·--.-----,..-e·'..,..·-·-,----,....,",....-'--,....,'-----'------e-,."..,-----'---',..,.---.--~-- STL Chromalab Submission #: 2001-02-0122 Environmental Services (CA 1094) To: IT Group Test Method: 8015M 8020 Prep Method: 5030AEXT Attn: Shelby Lathrop Legend & Notes o Gas/BTEX (High Level) Analyte Flags g Hydrocarbon reported in the gasoline range does not match our gasoline standard. sd Surrogate recovery not reportable due to required dilution. sh Surrogate recovery was higher than QC limit due to matrix interference. 1220 Quarry Lane· Pleasanton, CA 94566-4756 Telephone: (925) 484·1919· Facsimile: (925) 484-1096 Printed on: 02109/2001 16:48 Page 8 of 8 . . {Sf D5~ J \ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 APPLICATION TO PERFORM A TANK TIGfITNESS TEST FACILITY '7-tl::J 171¿~ ADDRESS 3W1 .s rrx'----~-r:: ¡,IN! ~~ PERMIT TO OPERATE # , OPERATORS NAME I 7/(4. OWNERS NAME 7-/( (SOl/f>fll(-Nr..~ -.5 vi NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED I TANK # VOLUME CONTENTS I lOlL 1//)'-' 1- ;~Ž [;;J TANK TESTING COM:PANY 1tp7/410LOÞ( MAlLINGADDRESS 2-7\"7£.0 Comn?~C/Ç ~ ÞR. 7em¡;;zJ1 ~é)D/cId:::;II..30 b-Æ/1~ NAME OF TES.TER CERTIFICATION # /0 DATE & TIME 'TEST IS TO.BE CONDUCTED .A/iJ& 4~ DA IE SIGNATURE OF APPLICANT 10/" From: Alan Westermeyer 619-697-2400 To: Steve Underwood Date: 03/15/2001 Time: 7:27:20 PM Page 8 of 13 UNIFIED PROGRAM CONSOLIDATED FORM TANKS UNDERGROUND STORAGE TANKS-TANK PAGE 1 (Two pages per tank) Page~of~ o 5, CHANGE OF INFORMATION 0 6, TEMPORARY TANK CLOSURE 430. a 7, PERMANENTL Y CLOSED ON SITE o 8 TANK REMOVED TYPE OF ACTION o I, NEW PERMIT a 3, RENEW AL.l'tKMlT 181 4, AMENDED PERMIT L.'f~rcu:lI!, Sß'1ß'1 f (spocòfy r.-o) BUSINESS NAME (Same OJ F ACIUTY NAME Of DBA - Doina Busiroeu As) 7-Eleven Store #17721 LOCATION WITHIN SITE (0pIi0n0I) , 3601 Stockdale H , Bakersfield, CA 93309-2152 (Check OJIO it... only) 3, L III. T ANKCQ!'iSTRUd1.0N mE OF TANK I. SINGrF. WAI.L ), SINGLE WALL WITH EXTERIOR S. SINGLE WALL WITH INTERNAL. BLADDER SYSTEM 443 (Check one irern only) MEMBRANE LINER 0 9S, UNKNOWN 2, DOUBLE WALL 04. SINGLE WALL IN A VAULT 099. OTIJE!l TANK MATERIAL - Ph....,..... L BARE STEEL 3. FIBERGLASS I PLASTIC D S. CO¡JCRE:TE 95, UNJ<:¡JOWN 444. (Che<koneò'Wlooly) 02, STAJNLESSSTEEL 04, STEELCLADWIFlBERGLASS 08. FRPCOMPATffiLE o 99,OTIŒR: REINFORCED PLASTIC WIIOO% METHANOL TANK MATERIAL - "",,Mazy tank 0 I. BARE STEEL ], FIBERGLASS I PLASTIC &. FRP COMPTæLE WIlOO"lo METHANOL 95, UNKNOWN 445. (Check one irem only) 02. STAINLESS STEEL 04. STEEL CLAD WlFffiERGLASS 09. FRP NON,CORRODABLE JACKET 099. OTHER REINFORCED PLASTIC (flU'J 010. COATED STEEL s, CONCRETE 1. RUBBER LINED 3. EPOXY LINING S. GLASS I.!NING 02, ALKYD LINING 04, PHENOLIC LINING 06. UNLINED J. TANt(nESCRIPTJ(}N: (Astali:<! iot: IIIIi ~tI¡ ,ilK: laçatiOll ¡'ftl¡c UST s 4JZ. TANK MANUFACTURER Unknown Existin m TANK CAPACITY IN GALLONS 11, T ANKCONTENTs TANK USE 09. 181 I. MOTOR VEHICLE FUEL (Irthe<\od. complele Peuolewn Type) o 2, NON·FUEL PETROLEUM o ), CHEMICAL PRODUCT o 4. HAZAROOU!\ WASTE (I.dutles Used Oil) o 95. UNKNOWN PETROLEUM TYPE o la. REGUlAR lINLEADED 02, LEADED I8Ilb, PREMIUM UNLEADED 0 3, DIESEL o Ic. MIDGltADE UNLEADED 04, GASOHOL COMMON NAME (ft... Huard... Mot<riab -Of)'_) Gasoline I. MANUFACTIJREl) CATIlODIC PROTECTION 2, SACRIFICIAL ANODE YEAR INSTALLED 2001 2001 1997 431 . . 8/lcf lahdnulI'ks rhàll,be .ilÌm'iìtted:lOdH: local 433, COMPARTMENTALIZED TANK No 434 431. 431, 'f"V." c.ompkte onr p-sr: fM eaeh QØmparrmtnt 436. NUMBER OF COMPARTMENTS N/A 440. o S. JET fUt:L 06. AVIATION GAS 099, OTHER: 44'. CAS# (liom Hilmi... MotorlaJ.lllventory pase) 442. 4SO. ), FIBERGLASS REINFORCED PLASTIC o 4, IMPRESSED CURRENT 9$. UNKNOWN 446 DATE INSTALLED 44). o 99.0TIŒR Unknown 9S,1JNI(NOWN 441. DATF.INSTALLED 449 o 99. OTHER Unknown TYPE 4SI. OPW Type OPW 4' stlaighr IV. TANJ{'LEAKDETECTION OVERFll.L PROTECTION EQUIPMENT: YEAR INSTALLED 452, 1811. ALARM 2001 [J 3, FILL TUBE SHUT OFF VALVE _ 1812. BALL FLOAT 200t 04, EXEMPT IF SINGLE WALL TANK (Check all that apply) . OJ. VISUAL(EXPOSEDPORTIONONLY) 02, AlITOMATIC TANK GAUGING (ATG) 0), CONTINUOUS ATG 04. STATISTICAL INVENTORY RECONCILIATION (SIR) + BIENNIAL TANK TESTING ;ùn shall be submiUed to the local ency.) m. IF DOUBLE WALL TANK OR TANK WITH BLADDER (Ch""k one item only) OJ. VISUAL(SJNGLEWALLINVAllLTONLY) 02. CONTINUOUS INTERSTITIAL MONITORINC a 3. MANUAL MONITORING a 5, MANUAL. TANK GAUGlNG (MTG) Db, VADOSE ZONE 07. GROUNDWAl1iR D 8. TANK TESTING o 99. OTHER ESTIMATED DATI:: LAST USED (YR/MOfOAY) 4SS. v; TANK CLOSURE INFORMATION I PERM'AN.NTCLÖS~·1N :f\.A,CE TANK FILLED WITH INERT MATERIAL? DYes [J No EST!MA TED QUANTITY OF SUBSTANCE REMAINING gallons 1¡PCF bwfwre-b (1199) - 1/4 bttp:llwww.IIDidocs.org 456 451. Rev. 02116/00 From: Alan Westermeyer 619-697-2400 To: Steve Underwood Date: 03/15/2001 Time: 7:27:20 PM Page 9 of 13 e lT1\lnmrn PDfV:IUM rnN~nUn&T1i'n ¡¡,nDM TANKS UNDERGROUND STORAGE TANKS-TANK PAGE 2 SYSTEM TYPE CONSTRUCTION! MANUFACTURER :~; PIPINGCONSTRIJCTION o.odràll ~ UNDERGROUND PIPING 1811. PRESSURE 02, SUCTION 03. ORA VlTY 458. o !.SINGLE WALL 03,LlNEDTRENCH 099, OTHER 1812, OOUBLE WAlL 09UINKNOWN MANUFACTURER Total Containment 461. o I. BARE STF.EL 06, FlU' COMPATrBLE W/lOO";' METHANOL 0 I. BARE STEEL o 2, STAINLESS STEEL 0 7. GAL V ANIZED STEEL 0 2, STAINLESS STEEL 03. PLASTIC COMPATrBLE WITH CONTENTS 0 9S, UNKNOWN [J 3, PLASTIC COMPATIBLE WI CONTENTS 04. FIBERGLASS I!!iI B. FLEXIBLE (HOPE) 099, OTHER [J 4. FIBERGLASS [J s, STEEL W/COATING 09, CATHODIC PROTECTION 464. 0 S, STEEL W!COATING . VII. PIPING LEAK DETECTION (CIieèk oDthat UNDERGROUND PIPING P e 2. of ?. 460. ABOVEGROUND PIPING o I. PRESSURE 0 2, SUCTION 0 3. GRAVITY o I. SINGLE WALL 0 9S. UNKNOWN o 2. DOUBLE WALL 0 99, OTHER MANUFACTURER 45'. 4bZ. 463. 06, FRP COMPATIBLE WIt 00% METIIANOL 07. GALVANIZED STEEL o 8, FLEXrBLE (HDPE) o 9. CATHODIC PROTECTION 09S. UNKNOWN JlWlbe 1UbtróuedIOW IoaoJ' '.) ABOVEGROUND PIPING 099, OTHER 465. 01. URIZED PIPING (Chock all thaI apply): LECTRONIC LINE LEAK DETECTOR 3,0 GPH TEST MIH AUTO P OFF FOR LEAl(, SYSTEM FAlLURE, AND SYSTEM DISCO CTlON + UDIBLE AND VISUAL ALARMS. 02, MO n.YO.2GPHTEST 03. o 4. DAILY V UAL CHECK CONVENTIONAL CTION SYSTEMS (Chcck all mat apply) o S. DAILY VISUAl. ONITORlNG OF PIPING AND 02, 03, SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10, CONTINUOUS TIJRBINE SUMP SENSOR MIH AUDIBLE AND VISUAL ALARMS AND (Check one) 181 a, AUTO PUMP SHUT OFF WHEN A LEAl( OCCURS ~ b, AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION a" NO AUTO PUMP SHI.IT OFF o II, AUTOMATIC LINE LEAl( DETECTOR (3.0 GPH TEST) YlIIH FWW SHUT OFF OR RESTRICTION o 12 ANNUAL INTEGRITY TEST (0.1 GPH) SUCTIONIGRAVITY SYSTEM o 13, CONTINUOUS SUMP SENSOR + AUDrBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all thai apply) [J 14. CONTINUOUS SUMP SENSOR ~ AUTO PUMP SHUT OFF AUDIBLE AND VISUAL ALARMS 015. AUTOMATIC LINt: LëAK Dh"fECTOR (3.0 GPH TEST) MJHQ!lI FWW smrr OFF OR RESTRICTION 016, ANNUAL INTEGRITY TEST (0,1 GPH) 017. DAILY VISUAL CHECK OIL AUTOMATIC o )2, ANNUAl. RlTY TEST (0.1 GPH) SUCTION/GRA TY SYSTEM o 13, CO OUS SUMP SENSOR + AUDIBLE AND VISUAL AL EMERGE Y GENERA TORS ONLY (eMck all thai apply) o 14. NTINUOUS SUMP SENSOR.wIIHQJ.!I AUTO PUMP SHUT 0 "UOrBLE AND VISUAL ALARMS . AUTOMATIC LINE LEAl( DETECTOR (3.0 GPH TEST) I certify that the infonnation provided SIGNATURE OF OWNER/OPERATOR 16. ANNUAL INTEGRITY TF.ST (0 I GPH) o 17, DAILY VISUAl. CHECK VUL'IJISPENSERCONfAINMENT . DISPENSER CONTAINMENT 468. DATE INSTALLED 02/23/200 ) fLOAT Mt:CHANISM THAT SHUTS OFF SHEAR VALVE CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS CONTINUOUS DISPENSER PAN SENSOR IDIIi AUTO SHUT OFF FOR ISPENSER + AUDIBLE AND VISUAL ALARMS . OC,O~RIOPERATOR SIGNATURE d accurate to the best of my knowledge, DATE' -...., .-- . .>-/.:> -01 04. DAILY VISUAL CHECK 469. OS, TRENCH/1..INER MONITORlNG 06, NONE 410. NAME OF OWNER/OPERATOR (print): Alan Westermeyer, Agent for 7-Eleven,lnc. TITLE OF OWNER/OPERATOR: Vice.Presidenl of Jenal Engineering Corp, 412, """'it Number (Agency use DIlly) 471, Pennit Approved By (AplCY """ only) 414. Pmnit Expiration Dale (Ageo<:y I/Sl: only) 475, UPCF hwCwrc·b (1199) . 3/4 http://www.unldocs.org Rev. 02/16/00 From: Alan Westermeyer 619-697·2400 To: Steve Underwood .. . ~ Date: 03/15/2001 Time: 7:27:20 PM Page 10 of 13 -=- UNIFIED PROGRAM CONSOLIDATED FORM TANKS UNDERGROUND STORAGE TANKS - TANK PAGE 1 TYPE OF ACTION o 1. NEW PERMIT a 3, RENEW At PEIlMJT a S.CHANUJ,;Ol'lNfURMATION a 6.1EMPORARYTANKCLQSURE a 7, PERMANEN11. Y CLOSED ON SITE (S"",ify_) 0 8. TANKIŒ.MOVED ~ 4. AMENDED PERMIT UN)(¡Jt, 'Ï>ßq~ (S""'ify.naon) BUSINESS NAME (S_os fACILITYNAMEorDBA- DoingS",..... As) 7-Eleven Store #17721 (Chcd<.,," lto.n unIJ) (Two pages per tank) Page ...!.- of ..b.. <>0 3. (Optio....) 3601 Stockdale Hwy, Bakersfield, CA 93309-2]52 4JJ. 02 Unknown Existing (A ~ed plot Jilan witltthe lotati(ß of th~ tI~T system includingbiiildings ''¥ lå¡\dmatks s~aIl be SUbtnitft<\ to dœ local: agc:acy.} 434, a, D 2. STAINJ.£SS STIÐ.. 04, STEEL CLAD WIFIBERGtASs D 9. FlU' NON.cORR.ODABLE JACm 099. OTHER REINFORCED PlASTIC (FRP) 0 10, COATED STEEL OS. CONCRETE o . ~ . 446. 02, ALKYD LINING 0 4,I'fiEI'JOUC UN1NG Q 6. UNLINED 0 99. OTHER Unknown (YEARlMO) @ January 1975 10,000 (For local .... only) ~ I, MOTOR VEHICLE FUEL (Ifcb",kcd, ""mplot. Petroleum Type) o 2. NON·FUEL PETROLEUM o 3. CHEMICAL PRODUCT o 4. HAZARDOUS WASTE Oñ<Ju4.. Used Oil) ~ la. REGULAR UNLEADED 02, LEADED o lb. PREMIUM UNLEADED 03. DIESEL D'e, M1DGRADE UNLEADED 0 4. GASOHOL COMM NNAME (ñomHw"lo",Mat.ria..bMmOlJl_) Gasoline o 95. UNJ{NOWN (Ch""k <)It<: ;Iell/ oult) MEMBMNE LINER 04. SINGŒWALLINAVAULT D 2. DOUBLE WALL - pmnll}' lonk (Ched< one item ooIy) 02, STAlNLESSSn;EL 04, STEELCLADWIFIBERGlASS REINFORCED PlASTIC (FRP) secon (Ch\:<:k one item only) OR COATING (01eek one: item unly) PkO'ŒCTlON (If AppJjoabtc) PI\O'ŒCTlON ŒI 2. SACRIFICIAL ANODE o 4, IMPRESSED CU1UIENì (Check alllhat apply) ~ I, SPIU. CONTAINMENT 200] 1812. DROP lUBE 2001 3. S11UKER PlATE @ 1997 450, 4 t OPWTypc 1 OPW 4' Slioight lr"Ya. .. œmplc:tc one pasc for cad\ œmpartment. 437. N/A 4)8, 440. OS. lET f1lEL o 6. AVIATION GAS '0 99. OTHER; (!Tom Iiuordous M.tcrials t""..tory pa¡¡. ) O' o 95. UNJ{NOWN o 99, OTHER a· a 8. FlU' COMPATIBLE 099, Ol1lER; W/lOO% METHANOL 444. 44\. 447. 448. 449. o 99. OTHER Unknown : 4\2, ~1.ALARM 2OOI03.fIlJ.TUBESHUTOFFVALVE_ 1812,DAlLFLOAT 2001 D4.EXEMPT (A description oftlie monitoring program shàJ be sub/JÙned to the/oca! agency.) (Che"" all that apply) o I. VlSUAt(EXl>OSED PORTION ONLY) 1812, AUTOMATIC TANK GAUûlNG (ATG) o 3, CONTINUOUS ATG 04, STATISTICAL INVENTORY RECONCILIATION (SIR) + BIENNIAL TANK TESTING o 5, MANUAL TANK GAUGING (MTG) 06, VADOSE ZONE 07, GROUNDWATER 08, TANK TESTING o 99, OTHER A ESTIMATED DAre LAST USED (YR/MOIDA V) (Che"" on. item only) 01. V1SUAL(SINGLE WALL IN VAULTONLYj o 2, CONTINUOUS INTERSTITIAL MONI1ORlNG o 3, MANUAL MONITORING ESTIMATED QUANlTIY OF SUBSTANCE REMAJNINO pilon. TANK FIU.ED WITH INERT MATERIAL? aVe. a No UPCF bwfwrc-b (1199) - 1/4 http://www.unidoc..org Rev. 02116/00 From: Alan Westermeyer 619-697-2400 To: Steve Underwood .j; e Date: 03/15/2001 Time: 7:27:20 PM Page 11 of13 , ffJ\lJ...J....n PROr.IUM rOJ\l,li:OJ,Jn4TJi'O FORM TANKS UNDERGROUND STORAGE TANKS-TANK PAGE 2 VI; J>IPING.CONSJ'RVCnON(bioctill.....·· UNDERGROUND PIPING 1811. PRESSURE 0 2. SUCTION 0 3, GRA VITV m. o I, SINUL!:: WALL 0 3, LINED TIŒNCH 0 99, OTHER 1812, DOUBLE WALL 0 9~. UNKNOWN MANUFACTURER Total Containment 461, o 1. BARE STEEL o 6,FRP COMPATIBLE W/IOO%METHANOL o I. BARE STEEL 02. STAINLESS STEEL 07. GALVANIZED STEEL 02, STAfNLESS STEEL o 3. PLASTIC COMPATIBLE WITH CONTENTS 0 9~, UNKNOWN 0 3. PLASTIC COMPATIBLE WI CONTENTS 04, FIBERGLASS 1818. FLEXIBLE (HDPE) 099. OTHER 04, FIBERGLASS o ~. STEEL WICOATING 09. CATHODIC PROTECTION O~. STEEL WICOATING VII. PIPING LEAK DETECTION CbOr1:.øIlill' UNDERGROUND PIPING SYSTEM TYPE CONSTRUCTIONI MANUFAC11JRER 01. 02 03. INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10, CONTINUOUS TURBINE SUMP SENSOR ~ AUDIBLE AND VISUAL ALARMS AND (Check one) C3I a. AUTO PUMP SHUT Off WHEN A LEAK OCCURS 181 b. AUTO PUMP SHUT OFF FOR L£Al(S, SYSTEM FAJLURE AND SYSTEM DISCONNECTION DC. NO AUTO PUMP SHUT OFF o I I, AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) ~ FLOW SHUT OFF OR RESTRICTION 012. ANNUAL INTEGRITY TEST(O, I GPH) SUCTION/GRAVITY SYSTEM o 13, CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) o 14, COmINUOUSSUMPSENSOR~AUTOPUMPSHtTTOFF AUDIBLE AND VISUAL ALARMS o 1~. AIITOMo\TIC I.INF. I.F.AK nF.TF.CTOR (3.0 GPH TEST) YillHQl![ FLOW SHUT OFF OR RESTRICTION o 16. ANNUAL INTEGRITY TEST (O.I GPH) 017, DAlLYV1SUALCHECK Pae2.ofL 4C>U, ABOVEGROUND PIPING o L PRESSURE 0 2, SUCTION 0 3, GRAVITY o I. SINGLE WALL 095. UNKNOWN 02. OOUBLE WALL 099, OTHER MANUFAC11JRER 461. 459. 4b¿ 06. FRP COMPATIBLE W/IOO% METHANOL [J 7, GAL V ANIZED STEEL o 8. FLEXIBLE (HDPE) 09. CATHODIC PROTECTION o 95, UNl<NOWN ....nbelllbnlíttA:diothe~ ,) ABOVEGROUND PIPING o 99. OTHER 465, P SSURIZED PIPING (Chock all that apply): o I. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST:MI!:! AUTO OFF FOR LEAK, SYSTEM FAILURE. AND SYSTEM DISeON + UDIBLE AND VISUAL ALARMS, MO m. Y 0,2 GPH TEST INTEGRITY TEST (0.1 GPH) UAL CHECK o 5. DAILY VlSU 06, TRIENNIAL TYTEST(O,I GPH) SAFE SUCTION SYSTEMS 0 VAL YES IN BELOW o 7. SELF MONITORING GRAVITY FLOW (Chc"k all that o g, DAILY VISUAL MONITO 09, BIENNIAL INTEGRJTV TEST (0, SECONDARIL Y CONTAINED PI PRESSURIZED PIPING (o,cck an th 10 CONTINUOUS TI1RB1NE ALARMS AND (Check one o 8. AUTO PUMP S Off WHEN A LE o b. AUTO PUMP S .IT OFF FOR I.EAKS, , DISCONNECT N OC. NO AUTO P SHUT OFF o II. AUTOMATIC AKDETECTOR o 12. ANNUAL GRITY TEST (0,1 GPH) SUCTIONIGRA ITY SYSTEM o 13. CONT OUS SUMP SENSOR + AUDIBLE AND VISUAL AL EMERGE Y GENERATORS ONLY (Check all that apply) o 14, mlNUous SUMP SENSOR ~ AUTO PUMP SHUT 0 AUDIBLE AND VISUAL ALARMS o 5. AUTOMATIC LINE LIJAK DETECTOR (3,O OPH TEST) 16. ANNUAL INTEGRITY TEST (0.1 GPH) 017. DAILY VISUAL CHECK ViIl,J)ISPENsER CONT "IN~ENT DISPENSER CONTAINMENT 468 DATE INSTALLED FLOAT MECHANISM THAT SHUTS OFF SHEAR VAL VF. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS .' NTINUOUS DISPENSER PAN SENSOR WllI AUTO SHUT OFF FOR DENSER + AUDIBLE AND VISUAL ALARMS .OC 'OWNEJVOrERATOR SÌGNATURt: urate to the best of my knowledge. :, ~~-...... DATE: J. I ~ -oj NAME OF OWNER/OPERATOR (print): Alan Weslermeyer, Agent for '·Eleven,lnc. TITLE OF OWNER/OPERA TOR: Vice·President of JenaJ Engineering Corp. 02/23/200 I I certify that the infonnation provided he SIGNATIJRE OF OWNER/OPERATOR 04. DAILY VISUAL CHECK 469. O~. TRENCHlLINER MONITORING o 6, NONE 470, 412. 474, Permit Expiration Dale (Agency use only) 475. UPCF hwfwrc-b (1199) - 3/4 http://www.unldou.org 471. Permit Approved By (Asency use only) Rev. 02116/00 Pennit Nwuber (Agency use only) From: Alan Westermeyer 619-697-2400 To: Steve Underwood ~ '\ ;- Date: 03/15/2001 Time: 7:27:20 PM Page 12 of 13 ~ UNIFIED PROGRAM CONSOLIDATED FORM TANKS UNDERGROUND STORAGE TANKS-TANK PAGE 1 (Two pages per tank) Page -L of .:h. 1YPE OF ACTION 0 1. NEW PERMIT c¡¡: 4. AMENDED PERMIT 0 S, CHANGE OF INFORMATION (Check one ítemonly) 0 3,RENEWALPERMIT lJf'fJrM~ SßCJg') (sped¡< .....,.J (specify ''"'''.J BUSINESS NAME (Some u FACIUTYNAME or DBA- Doingeu.u-As) 7-Eleven Store #17721 o 6. 1r:MPORARY TANK CWSURE o 1. PERMANEN1L Y CLOSED ON SITE o &. TANK REMOVED 430 (Op.õonaI) 431. 3601 Stockdale Hwy, Bakersfield, CA 93309-2152 LTANKDESCRJPTtoN ' .(A s.çaÌ'1d plot plan with the location ofdlc usnÿ-tiom ìrièhidlng buU4111s$' arid l~dmarkS shall ¥ subl1Íili!id!to :d1clóé:all!lt~'?YJ es 434. 01 Unknown Existing (YEARlMO) @ January 1975 10,000 (For Iooal.,. only) ,:11. TANK CONTENTS c¡¡: t. MOTOR VEltICLE RJEt (Itchoc~od.......,,1oIo P_1oum TJ'PO) o 2, NON·FUEL I'E11I.OLEUM o 3, CHENRCALPRODUCT o 4, HAZARDOUS WASJE (liicluda Usod Oil) o 95, UNKNOWN I8la, REGUlAR UNLEADED 02, LEADED o lb. PREMIUM UNLEADED 0 J. DIESEL o k MIDGRADE UNLEADED 0 4. GASOHOL COMMON NAME (r"""HounIo<IsM..cÑlstnv_ry.....) Gasoline III. TANK CONSTlWcrtON MEMBRANE LINER CJ4, SINGL£ WAlL IN A VAULT o 2, DOUBLE WAlL _ pnnwy Wok (C'h.<l one..... only) 0 2. STAINlESS STEFL CJ 4, STEEl CLAD WiFlBERGlASS REINFORCED PlASTIC (FRP) - secon 02. STAINLESS S1EEL 04, S1EEL CLAD WIflBERGLASS 09, FRP NON·COtI./WVABU JACIŒT REINFORCED PLASTIC (FRl') 0 10. COATED SiEEL 5. CONCRETE (Check one ¡Iem only) OR COATING (ChecIr. one item only) 02. AlKYD LINING . ' o 4, PHENOUC UNING 0 6. UNLINED PROTECTION (If Applicable) PROT£C110N I!i3 2. SACIUfICIAL ANODE 0' o 4,IMPRESSED CURJŒNT (Check aU thaI apply) c¡¡: J. SPILL CONTAINMENT 2001 c¡¡: 2. DROP 11JBE 2001 3, STIlDŒR PLAJE @ 1991 4\0, 45L OPW Type J OPW 4" Straighl If "Yes," complete one pI8C for each companment. 431 N/A 431. 440 OS, ÆTFUEL o 6. AVIATION GAS CJ 99. OTIlER: (from H...,oJow Ma.oÑIJ ¡nv..tory page) 095. UNKNOWN o 99, OTIIER 0' 08. FRP COMPATIBLE 099. 01HER: W/IOO%MErnANOL 444. 445, 099, OrnER o 99, OTHER 446. 447. Unknown 44&. 449. Unknown o 99. OrnER 452, c¡¡: 1.Al.ARM 2001 03, FILL TUBE SHUTOFF VALVE _ 182.BAlLFLDAT 2001 04,EXEMP'f N. TANKLEJ\K~ETEC:TION (A description ofthë incinltoring program shai: '* sitbmlttedto the local agency) (Check all1hat apply) o 1. VISUAL (EXPOSED PORTION ONI. Y) c¡¡:2, AlITOMATICTANKGAUGING(ATG) CJ ], CONTINUOUS ATO 04, STATISTICAL INVENTORY RECONCR./ATlON (SIR) + BIENNIAL TANK. TESTING oS. MANUAL TANK GAUGING (MTG) 06. VADOSE ZONE o 7. GROUNDWATER 08, TANK TESTING CJ 99. 01HER (Check one item only) 01. VISUAL (SINGLE WAlLIN VAULT ONLY) o 2. CONTINUOUS INTERS1TI1AL MONITORING o 3, MANUAL MONITORING ESTIMA 'ŒD DATI; lAST USED (YRlMOIDA Y) v; T ANK;CLOSURE INFORMATION! PERMANENT CLOSURÊIN PLAC£ TANK Fn.LED WITH INERT MA TE1UAL? DYe. 0 No ESTlMATEDQUANTITI Uf SUI!STANCEREMAlNlNG gallons UPCF bwfwrc·b (1199) -1/4 http://www.ualdoes.org ReÝ. 02116/00 From: Alan Westermeyer 619-697-2400 To: Steve Underwood . Date: 03/15/2001 Time: 7:27:20 PM Page 13 of 13 ~ "\ , " ITl'\1f1¡'I1i',n pgO~IUM rON¡¡OJInAnn 1i'OÐM TANKS UNDERGROUND STORAGE TANKS-TANK PAGE 2 Pile 2.. of L SYSTEM TYPE CONSTRUCTION! MANUFACTURER VI; PU'ING'CONSTRUCl10N(CNct.ø door UNDERGROUND PU'ING 181 I- PRESSURE 02. SUCTION 03. GRAVITY 451. o 1, SINGLE W AU. 0 3. LINED TRENCH 0 99. OrnER 1812, DOUBLE WAU.. 095. UNKNOWN MANUFACTURER Total Containment <01. o J. BARE S'Œa 06. FRP COMPATIBLE W/lOOO,& METHANOL 0 J. BARE STEEL 02, STAINLESS STEEL 07, GALVANIZED STEEL 02. STAINlESS STEEL o 3, PLASTIC COMPATIBLE WITH CONTENTS [J 95. UNKNOWN 0 3. PLASTIC COMPATIBLE WI CONTENTS o 4. fIBERGLASS 181 JI, FLEXIBLE (HOPE) 0 99, OTHER 0 4. FIBERGLASS 05. STEEL W/COATING 09, CATHODIC PROTECTtON 464. 05. STEEL WICOATING VII. PIPING LEAK DETECTION 'CWJdœI UNDERGROUND PIPING 460. ABOVEGROUND PIPING o 1. PRESSURE 02. SUCTION 03. GRAVITY o J. SINGLE WALL 0 95. UNKNOWN 02, OOUBLE WAU. 099, OTHER MANUF ACTUKEK 4\9 462. 463. 06, FRP COMPATIBLE WIlOO% METHANOL 07, GALVANIZED STEEl. o 8. FLEXIBLE (HDPE) o 9. CATHODIC PRoTEcrrON 095, UNKNOWN ó!iIII buAÍlÌlluaI t. ïIIO Ia<II ;) ABOVEGROUND PIPING o 99, OTHER 4M, 02. 03, GLE WALL PIPING PR SURlZED PIPING (Check aU that apply): o 1. ECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST YiIlli AUTO P OFF FOR LEAl(, SYSTEM FAILURE, AND SYSTEM DISCO + UDlBLE AND VISUAL ALARMS, o 2. MO Y 0.2 GPH TEST 03. ANNU INTEGRJTYTEST(O,I GPH) 04 OA.II.YV.UALCHECK CONVENTIONAL CTION SV~ïEMS (Check all thai opply) o S. DAILY VISUAL ONITORJNG OF PIPING AND P o 6. TRIENNIAL ITY TEST (0.1 GPH) SAfE SUCTION SysTEMS 0 VAL YES IN BELOW o 1. SELF MONITORING GRAVITY fLOW (Check all that a [J 8. DAILY VISUAL MONITORIN 09. BIENNIAL INTEGRITY TEST (0, SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10, CONTINUOUS TURBINE SUMP SENSOR 'tl!IH AUDIBLE AND VISUAL ALARMS AND (Check one) 181 ., AUTO PUMP SHUT OFF WHEN A lEAK OCCURS 181 b, AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION DC. NO AUTO PUMP SHUT OFF o I I. AUTOMATIC LINE LEAK DETECTOR (3,(/ GPH TEST) YlIIH FLOW SffiJT Off OR RESTRICTION o 12, ANNUAL INTEGRJTY TE~ï (0, I OI'H) SUCTIONIGRA VITY SYSTEM o 13, CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Cheek all thll apply) o 14. CONTINUOUS SUMP SENSOR YíJIHQ!JI AUTO PUMP SHlIT Off AUDIBLI! AND VISUAL ALARMS o IS. AUTOMATIC LINE LEAK DE'ŒCTOR (3,0 GPH TEST) ~ FLOW SH1JT OFF OR RESTRICTION 016. ANNUAL INTEGRITY TEST (0.1 GPH) 011. DAILY VISUAL CHECK I cenify that the information provided her SIGNAroRE OF OWNERJOPERATOR 16, ANNUAL INTEGRJTY TEST (0,( GPH) 011. DAILY VISUAL CHECK VIII. DISPENSER CONT IlINMENT. FLOAT MECHANISM 11iA T SHUTS OFF SHEAR V Ai. YE CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS CONTINUOUS DISPENSER PAN SENSOR Y£II1 AIJTO SHUT OFF FOR ¡SPENSER + AUDIBLE AND VISUAL ALARMS IX; OW'(tJ/OI'ERA"'OttSIGNA TURE accurate to the best of my knowledge, '. 04, DAILY VISUAL CHECK 469. o 5. TRENCWLINER MONITORING [J 6. NONE DISPENSIrJI. CONTAINMENT DATE INST AU.ED 02/23/200 I "'", 01- 02 g3. DATE: 3"'-1) _ (j ( 470. NAME OF OWNER/OPERATOR (prim): AIIII1 WestennêŸer, Agent for 7·EI~en,lnç. TITLE OF OWNER/OPERATOR: Vice-President of JenaJ Engineering Corp. <472. Pemút Number (Agency use only) 47J. Permit Approved By (Agency use only) 474, Permit Expintion Date (Agency use only) 475. UPCF hwfwrç-b (1199) . 3/4 hl1p:Jlwww.unidoea.o.1l Rev. 02/16/00 ------...~............... I -.--- 7-11 17721 3601 STOCKDALE HWY BAKERSFIELD.CA FEB 23. 2001 8:33 Ar. " SYSTEf"1 STATUS REPORT ------ ALL FUNCT IOr'JE:; I'JORr"lAL 7-11 17721 3601 STOCKDALE HWY BAKERSFIELD.CA FEB 2:3.. 2001 8:54 Ar'1 e ----.-- SVSTEr'l f;;TATUS REPORT ------ ALL FUNGT IONS NORf"lAL - ---lNVENTORY REPORT T I :RUL I ·,,<VOLUME . 8191 GALS I ULLAGE 1829 GALS ~ 90% ULLAGE= 827 GALS " TC VOLUI'1E = 8189 GALfi ~~E~~HT = 73.14 INCHES , 1WAT¡;:~VOL-='-="":-'Ô"'Gf\I:S-': ,~,' 1hJATER . /.= 0.00 INCHES TEMP 60.4 DEG F T 2:RUL 2 VOLUt1E ULLAGE 90% ULLAGE= TC VOLUME HEIGHT WATER VOL WATER TEMP T 3:PUL VOLUME ULLAGE 90% ULLAGE= TC VOLUr"1E HEIGHT WATER VOL WATER TEr1P 9090 GALS 930 GALS o GALS 9082 GALS 81.73 INCHES o GALS 0.00 INCHÐ3 61.2 DEG F e 8406 GALS 1614 GALS 612 GALS 8391 GALS 75.06 INCHES o GALS 0.00 INCHES 62.4 DEG F ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ -" ....-.+- -~"".~" ----- SENSOR ALARM L 1 :DISP PAN 1-2 DISPENSER PAN FUEL ALARt"l FEB 23, 2001 S:13,4IÞ 7-11 17721 360 1 ~3TOCKDALE HlN BA}ŒRSF I ELD. CA JUL 23, 1992 3:45 AM S\'STEI1 STATUS REPORT ------. L 1: FUEL ALARM -- 'I ----- SENSOR ALAR!"l L 3:RUL 1 TURBINE STP SUt"lP FUEL ALARt"l FEB 23. 2001 8:31 AM :.. ----""'--"'.----'-, ------ -~..- ---- ---- -- -- ---- ----- SENSOR ALARr1 L 1 :DISP PAN 1-2 DISPENEŒR PAN FUEL'ALARM FEB 23, 2001 8:56 AM ----- SENSOR ALARr"1 L 2:DISP PAN 3-4 DISPENSER PAN FUEL ALAR!"l FEB 23, 2001 8:56 AM ----- SENSOR ALAR!"1 -e. L 3:RUL 1 TURBINE STP SUI"lP FUEL ALARt"l FEB 23, 2001 8:57 AM _____ SENSOR ALARf"1 L 4:RUL 2 TURBINE STP SUt"lP FUEL ALARt'" FEB 23, 2001 8: 58 AI"' e ----- SENSOR ALARr"1 L 5:PUL TURBINE STP SUl"lP FUEL ALARf"l FEB 23, 2001 8:59 AM , -1__~__________ ~----- -t~ ¡.-J\; /' It CITY OF BAKItlSFIELD 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 I Phone No, Permit # INSTRUCTIONS: Please call for an inspector only when each group of inspections with the same number are ready. They will run in consecutive order beginning with number I. DO NOT cover work for any numbered group until all items in that group are signed off by the Permitting Authority. Following these instructions will reduce the number of required inspection visits and therefore prevent assessment of additional fees. TANKS AND BACKFILL Backfill ofTank(s) INSPECTION DATE INSPECTOR Spark Test Certitìcation or Manufactures Method Cathodic Protection of Tank(s) Piping & Raceway w/Collection Sump "'~ ~lq "0 ( rI Cathodic Protection System-Piping Electrical Isolation of Piping From Tank(s) Dispenser Pan Liner Installation - Tank(s) Liner Installation - Piping Vault With Product Compatible Sealer Level Gauges or Sensors, Float Vent Valves Product Compatible Fill Box(es) Product Line Leak Detector(s) ~- -<9l SECONDARY CONTAINMENT, OVERFILL PROTECTION, LEAK DETECTION Leak Detector(s) for Annual Space-D,W, Tank(s) !)-I'ì\91 ~'\C{-O\ Monitoring Well{s)/Sump(s) . H20 Test Leak Detection Device(s) for Vadose/Groundwater ~- '1-(9 ( Authorization for Fuel Drop <'7"' CONTRACTOR ,-.)r IAO ( (?(J\<¡(l-vc tiil.. t CONTACT è II'CLI f NCHIJrAll Spill Prevention Boxes Monitoring Wells, Caps & Locks Fill Box Lock Monitoring Requirements FINAL Type rl '1 J...S· ~ ro LICENSE # A - Co G 2, gl) 1'0 PHONE # Cot. q , , f)- 2. '2Ðb ;/ -',..............F,.,- --,T FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 oH" Street ' Bakersfield, CA 93301 VOICE (661) 326-3941 FAJ( (661) 395-1349 SUPPRESSION SERVICES 2101 'H" Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAJ( (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAJ( (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAJ( (661) 326-0576 TRAINING DIVISION 5642 VICtor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAJ( (661) 399-5763 . . January 22,2001 7-11 3601 Stockdale Hwy 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 into effect January 1, 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, ~~ Steve Underwood, Inspector Office of Environmental Services SBU/dm "7~ de W~ S7cp ~0P6.r~ A W~" . I~ 1) '. , MONITOR CERTIFICATION FORM <;õ' "'" I ~ SITE 1.0.: 7-ElEVEN #17721 DATE: 11/22/2000 A MARKET #2133 3601 STOCKDALE HIGHWAY BAKERSFIELD, CA 93309 ORK ORDER: 3114514 1) IN TA ROBES MANUFACTURER: MODEL NUMBER: 3500 SERIAL NUMBER: NUMBER OF TANKS MONITORED: 3 SET UP FOR,MONTHL Y TEST (Y/N): DOES THE SYSTEM DISPLAY OR PRINT OUT MONTHLY TEST RESULTS ( Y/N ): LAST TEST DATE: / / PASSED/FAILED: TYPE (DISPLAY OR PRINT OUT): OPERATIONAL (Y/N): YES COMMENTS: 2) OTHER PROBES: MANUFACTURER: MODEL: 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 TURBINE SUMP FILL SUMP FIBERTRENCH MONITORING WELL DISPENSER PAN OTHER ANNULAR SPACE FILLED WITH MONITORING FLUID? COMMENTS: PAGE 1 OF 2 - ~ ----~- ~,~> \' .~ . . MONITOR CERTIFICATION FORM (CaNT.) ". 3 ) PRODUCT LINE PRESSURE MONITOR MANUFACTURER: tidel MODEL: NUMBER OF SENSORS: 3 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 ): NO 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): NO 4 ) OVERALL SYSTEM 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: NO ( Y IN ) THE MONITORING SYSTEM IS CERTIFIED OPERATIONAL ( Y/N): NO ....". .' . . RICHMOND PHilLIPS TECHNICIAN ( PRINT) .".., ../ ;.:~?:$~:':::',:;:>;; COMMENTS: PAGE 2 OF 2 l--~- ~ c~ e SITE DIAGRAM . .-¡'1 ~ül- ~ ~ DJnImoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459·1459 ,," TEST DATE: 11/22/00 CLIENT: 7 -ELEVEN, INC. WORK ORDER NUMBER3114514 SITE: 7-ELEVEN #17721 south real road Q ® ® ~ø ~ø C[ 0 0 Q ^ ^ ~ 0 0 ~ .r=.. ~ PREM ~EG UL 0 .º . (f) .r=.. § § -I <1> 0 ::u co m -0 .:¥. t) 0 § 0 ø ® +-' en 10K MID ceo VENTS Printed 12/06/200009:23 CCHAPA ~ . - 1»etøaitMo. E:)I- Ol9 Co CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SJtRVlCES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 PERMIT APPLICATION TO CONSTRUCllMODIFY UNDUGROUND STORAGE TANK T'YP1! QF APPLrCATIO~ (aœcK) []NEWFACJIJIY [)qMODIFICA'l1ONŒFAClIJ'IY [JNRWTANKINSI'ALLAlION4TEXm'INGPACIUIY STAaTINODATE 02/19/2001 PROPOSED COMPLE'l1ONDA'Œ 03/02/2001 FACJIlTYNAMR 7 -Eleven Store #1'1721 EXJSTING FACILrrY PEIMl'J'NO. FACILtIY ADDRESS 3601 Stockdale Hwy at Real RoadClTY Bak\rsfield Tm OF BtJSINBSS Retail Sales Gasoline TANK OWNBR 7 -Eleven, Inc. ADDlŒSS P. O. Box 711 CON'IRAC1"OR. Jenal Engineering Corporation .ADDRESS P. O. Box 459 PHON! NO. (619) 697 .~~OO WOIUCMANCOMPNO. 4 -518 BIUEFlYDBSC!UBE TBB WOax. TOBBDONE Dispenser Pan Uparade/Slphon Z1P CODE 93309-2152 APR" 149-222-29-007 PBONliNO. (603) 977-7713 ZIPCODE 76221-0711 CA UCENSB NO. A-602806 CllY Lemon Grove; CA ZJPeODR 91946'()469 BAIœRSP'mLD crrY'BUSINBSS LJCENSB NO. JNSU1U!R.. State Compensation Insurance Fund Cl1Y , Dallas, TX WA1Ea. TO FAC111rY JIROvmED BY NIA DEPIHroœ.OUNDWA1ER. NIA SOIL TYPBBXPECIBDATSlœ NO. OF TANXS TO DB 1HS1'AtLED NIA ARE TBBY ,01\ MOT01l 'F.tIEL SPILL PREVENIJON CONmOL AND COUN1'EK MEAStJ1ŒS PIAN ON FILE SEC110N JI'OR MOTOR mE., Backfill Material X 'Yæ x ~YES NO NO TANK NO. 01 02 0:1 VOLUMB 10.000 aal. 10.000 aal. 10.000 aal. t1NLEAD!D X RBCRILAR PRDmJM D.ŒSEL AVlAnON X X SEenON lOR NOM MOTOR J'OEL ST01tAGB TANKS " TANK NO. VOLUME CHI!MJCÄL S1OR'EJ) (NOBRANJ) NANB) CAS NO., CHEMrCAL PKEVIOUSLY STO.R!D (1P KNOWN) "!HE APPLlCANTHAS~. tJNDERST.ANDS. AND WIU. COMPL ywrm-nmATrACHBD CONDI'IIONS OF 1HJS PERMIt" AND ANY O'IHEA STATE. LOCAL AND PBDBRAL REGULA11ONS. . TIns FORM HAS BEEN COMP.LE1lD UNDiR.PliNALTY OF PER.JtJR.Y. AND TO 1HE RMI' OF MY i:NOWLEDGE.18 4OB~CT' ~ ~ _ /- Alan P. Westermeyer . ~ \>'0....... "" 01/09/2001 . APPLTCANTNAME (PlUm') APPLICANT STGNATURB THIS APPLICATION BECOMES A PERMIT WHEN APPROVED ~y~ ,ô' 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 I1~Q bfj ~/"~i) l1'r I/NI/¡p . POOO 'in,., ^ " ,~ . >~vIC~8 Test Date: 11/22/2000 Order Number: 3114514 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: 7-ELEVEN #17721 MARKET #2133 ,-ì )b() ( BAKERSFIELD, CA. 93309 -5~GbltJ<- Hw't Testing performed: Monitor certifications Sincerely, ""])~ K~ Dawn Kohlmeyer Manager, Field Reporting l' e SITE DIAGRAM e ~ ~f.- é! ., TánknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE: 11/22/00 CLIENT: 7 -ELEVEN, INC. WORK ORDER NUMBER3114514 SITE: 7-ELEVEN #17721 south real road ~ CD CD __0 __0 C[ 0 0 ~ ^ ^ ~ 0 0 ~ ~ ~ PREM ~EG UL 0 9 I ~ § § Cf) -I Q) 0 ::u rn m ""C ~ (.) 0 §~ ø ® +-' rJ) 1 K MID CXXJ VENTS Printed 12/06/200009:17 CCHAPA ~ e e þ MONITOR CERTIFICATION FORM CUSTOMER: 7-ELEVEN, INC. SITE 1.0.: 7-ELEVEN #17721 DATE: 11/22/2000 ADDRESS: MARKET #2133 3601 STOCKDALE HIGHWAY BAKERSFIELD, CA 93309 WORK ORDER: 3114514 1) IN TANK PROBES MANUFACTURER: tidel MODEL NUMBER: 3500 SERIAL NUMBER: NUMBER OF TANKS MONITORED: 3 SET UP FOR MONTHLY TEST (Y/N): DOES THE SYSTEM DISPLAY OR PRINT OUT MONTHLY TEST RESULTS ( Y/N ): LAST TEST DATE: / / PASSED/FAILED: TYPE (DISPLAY OR PRINT OUT): OPERATIONAL (Y/N): YES COMMENTS: 2) OTHER PROBES: MANUFACTURER: MODEL: 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 TURBINE SUMP FILL SUMP FIBERTRENCH MONITORING WELL DISPENSER PAN OTHER ANNULAR SPACE FILLED WITH MONITORING FLUID? COMMENTS: PAGE 1 OF 2 " e e MONITOR CERTIFICATION FORM (CONT.) .~ 3) PRODUCT LINE PRESSURE MONITOR MANUFACTURER: tidel MODEL: NUMBER OF SENSORS: 3 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 ): NO 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 ): NO 4 ) OVERALL SYSTEM 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: NO ( Y/N ) THE MONITORING SYSTEM IS CERTIFIED OPERATIONAL (Y/N): NO '. / /_.. RICHMOND PHILLIPS TECHNICIAN ( PRINT) -'- .-".. '. . -. .. :-:.{:>;> ",:' COMMENTS: PAGE 2 OF 2 ,,~. - -~ '-/ - CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA93301 FACILITY NAME 7 -( I INSPECTION DATE-1i((S!OO Section 2: Underground Storage Tanks Program o Routine ()Æ::ombined 0 Joint Agency Type of Tank SuN- Type of Monitoring 1\-'\<0 o Multi-Agency 0 Complaint Number of Tanks 3 Type of Piping ~~ tAl r ORe-inspection OPERA TION C V COMMENTS Proper tank data on tile V Proper owner/operator data on tile V Penl1it fees current ./ Certification of Financial Responsibility if Monitoring record adequate and current J Maintenance records adequate and current V Failure to correct prior UST violations \/ Has there been an unauthorized release? Yes No V Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERA TION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfilIloverspill protection? C=CompJiance Y=Yes N=NO Inspector: Office of Environmental Services 5) 326-3979 White - Env, Svcs. ~ I{¿~ $. ~~ usmess Site Responsible Party . Pink - Business Cory e - CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENT AL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME Î ~ It ADDRESS .3<00 l ,-~-\t(bWL.. t:lw'-t FACILITY CONTACT INSPECTION TIME INSPECTION DATE I r I~I 0 0 PHONE NO. ~3C( -30 (} .3- BUSINESSID NO. 15-210- NUMBER OF EMPLOYEES tI Section 1: Business Plan and Inventory Program o Routine []Ytombined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Appropriate permit on hand \..00 / Business plan contact information accurate \... /' Visible address V Correct occupancy L- V Verification of inventory materials L, :/ Verification of quantities V V / Verification of location IV Proper segregation of material 'V '/ Verification of MSDS availability V '/ Verification ofHaz Mat training 1/ 'V Verification of abatement supplies and procedures V \.. / Emergency procedures adequate / Containers properly labeled V / Housekeeping V J Fire Protection v Site Diagram Adequate & On Hand I\. :/ C=Compliance V=Violation An~ hazardous waste on site?: Explain: o Yes ONo - (~í1--(~ ~. ~4-A~ usmess SIte esponslble Party Questions regarding this inspection? Please call us at (661) 326-3979 White· Env. Svcs. Yellow - Station Copy Pink· Business Copy Inspector: ·.. :of' ~ ~ I\'U " - 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 I¡~c 41J~ ~/V~l) ? é"1\IV7.-9QAI of <'000 . ·t::~Ilv. ïCES Test Date: 06/05/2000 Order Number: 3112541 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: 7-ELEVEN #17721 MARKET #2133 BAKERSFIELD, CA. 93309 Testing performed: Leak detector tests Line tests Monitor certifications Stage II AIL tests Stage" pressure decay tests Sincerely, ~~K~ Dawn Kohlmeyer Manager, Field Reporting " l' CERTIFICATE OF UNDERGROUND STORAGE TAÑK SYSTEM TESTING ~ "'.... .a ~ Dlnknology 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST RESULT SITE SUMMARY REPORT TEST riPE: TLD-1 The following test(s) were conducted at the site above in accordanc PURPOSE: COMPLrANCE --------~ '........... 58----- WORK ORDER Nl:JMBER: 3 ~ TEST DATE: 06/05/00 CLIENT: 7 -ELEVEN, INC. 10220 S.W. GREENBURG ROAD SUITE 470 PORTLAND, OR 97223 BOB DENINNO (503)977-7713 SITE: 7-ELEVEN U 7721 MARKET #2133 3601 STOCKDALE HIGHWAY BAKERSFIELD, CA 93309 Manager (805) 834-3093 ·th all applicable portions of Fe eral, NFPA and local regulations Line and Leak Detector Tests 10K 10K 10K 1 REG UNLEAD 2 MIDGRADE 3 PREMIUM 0.000 0.000 0.000 P P P Y Y Y P P P Y Y Y Tanknology appreciates the opportunity to serve you, and looks fOlWard 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 08/11/200008:36 CCHAPA 'f 1....f INDIVID TEST DATE:06/05/00 CLlENT:7-ELEVEN, INC. L TANK INFORMATION AN EST RESULTS ,,~ "'ö"' ~-., DJnImoIøgy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 WORK ORDER NUMBER3112541 SITE:7-ELEVEN *17721 Tank 10: 10K 1 Product: REG UNLEAD Capacity in gallons: 10,027 Diameter in inches: 96. 00 Length in inches: 323 Material: LINED COMMENTS Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: NO Overfill protection: YES Overspill protection: YES Installed: ATG and CP CP installed on: / / 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: 128.0 134.0 32.0 4.0 DUAL ASSIST 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 Bubble 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 Ullage VAPORLESS LD2000 n/a 4.00 16 155 189.0 10 3.00 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 SW FIBERG 2.0 25.0 50 o 30 09:00 09:30 0.000 PASS PRESSURE RED JACKET NOT TESTED NOT TESTED NOT TESTED Impact Valves Operational: YES Printed 08/11/200008:36 - ",. INDIVID ,.,~ TEST DATE:06/05/00 CLlENT:7-ELEVEN, INC. L TANK INFORMATION AN EST RESULTS ,.~ ~f- . .7iJnknoIogy 8900 SHOAL CREEK, BUilDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 WORK ORDER NUMBER3112541 SITE:7-ELEVEN #17721 Tank 10: 10K 2 Product: MIDGRADE Capacity in gallons: 10,027 Diameter in inches: 96. 00 Length in inches: 323 Material: LINED COMMENTS #fANJÇTS$1tR£$UtTS>é:s ::;.;.:.:::::::.;:;::~:;::;::;.;.;;:.:.:.:...:,;.....,." 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: NO Overfill protection: YES Overspill protection: YES Installed: ATG and CP 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 1\ vapor recovery: 126.0 132.0 30.0 4.0 DUAL ASSIST New/passed Failed/replaced L.D. #1 L.D. #1 Make: VAPORLESS Model: LD2000 SIN: n/a Open time in sec: 4.00 Holding psi: 15 Resiliency cc: 155 Test leak rate ml/m: 189.0 Metering psi: 10 Calib, leak in gph: 3.00 Results: PASS 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 SW FIBERG 2.0 25.0 50 o 30 09:00 09:30 0.000 PASS PRESSURE RED JACKET NOT TESTED NOT TESTED NOT TESTED Impact Valves Operational: YES Printed 08/11/200008:36 '. 'io/ INDIVID TEST DATE:06/05/00 CLlENT:7-ELEVEN, INC. Tank 10: 10K 3 Product: PREMIUM Capacity in gallons: 10,027 Diameter in inches: 96.00 Length in inches: 323 Material: LINED COMMENTS L TANK INFORMATION AN EST RESULTS ,-~ ,,~.... .i ~ DJnknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 WORK ORDER NUMBER3112541 SITE:7-ELEVEN #17721 Tank manifolded: NO Vent manifolded: NO Vapor recovery manifolded: NO Overfill protection: YES Overspill protection: YES Installed: ATG and CP CP installed on: / / 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: 126.0 132.0 30.0 4.0 DUAL ASSIST 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 Bubble 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 Ullage VAPORLESS LD2000 n/a 4.00 14 150 189.0 10 3.00 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 SW FIBERG 2.0 25.0 50 o 30 09:00 09:30 0.000 PASS PRESSURE RED JACKET NOT TESTED NOT TESTED NOT TESTED Impact Valves Operational: YES Printed 08/11/2000 08:36 I , ';>. ';" e SITE DIAGRAM e ;,;¡'" .~;;!Ï r. »mknoIogy 8900 SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 78757 (512) 451-6334 FAX (512) 459-1459 TEST DATE: 06/05/00 CLlENT:7-ELEVEN, INC. WORK ORDER NUMBER3112541 SITE: 7-ELEVEN #17721 south real road ~ ® 0 ~ø ~ø 0 0 I :) ~ ^ ^ ~ - 0 0 3: .s::: G PREM ŒGUL 0 ~ I (f) .s::: § § - (]) 0 :;u co m "'C ~ t) 0 § 0 ø 0 +oJ en 10K MID 020 VENTS Printed 08/11/200008:36 CCHAPA CITY OF BAKERSFIELD __FICE OF ENVIRONMENT9ERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 . UNDERGROUND STORAGE TANKS - UST FACILITY TYPE OF ACTION (Chec/( one Item only) D 1, NEW SITE PERMIT ~ 3, RENEWAl PERMIT o 4. AMENDED PERMIT D 5, CHANGE OF INFORMATION (Specify Change . lOcal use only) D 6, TEMPORARY SITE CLOSURE Page _ of _ o 7 . PERMANENTLY CLOSED SITI: o 8 TANK REMOVED 400 BUSINESS NAME (Same as FACILITY NAME OT DBA . Doing Buliness As) I. FACILITY I SITE INFORMATION' 3 FACILITY 10 1# 7-G~ /77~1 NEAREST CROSS STREET 300 \ ~~k-dO-.~ 401. ~ILITY OWNER TYPE ~, CORPORATION o 2. INDIVIDUAl o 3, PARTNERSHIP D 4, LOCAl AGENCYI015TRICT" o 5, COUNTY AGENCY" o 6. STATE AGENCY' D 7, FEOERAL AGENCY' 402, t+w'- BUSINESS TYPE o 3, FARM 0 5, cOMMERCIAL o 4. PROCESSOR 0 6. OTHER 403. 1. GAS STATION o 2. DISTRIBUTOR TOTAL NUMBER OF TANKS REMAINING AT SITE .3 Is tacility on Indian ~ OT lrUStIandS? "If _ of UST a public agency: name of superviSor of division, sec:Iian CK ofIIœ whictl operatesllle UST. (ThiS ia !he COlI*' person fOr !he tank records.) 404. Dyes No 405. 406. IL PROPERTY OWNER INFORMATION , PROPE7:W¿~ ~~ MAILING OR STREET ADORESS -Pc> ß 71/ CITY vO-LLo-><o I PROPERTY OWNER TYPE .-t' ~. CORPORATION o 2. INOMOUAl o 3. PARTNeRSHIP 407. ;;3~977.7ìI3 408, 409, 410. ATI: 411. ZIP DE 412. -,~ 7 ~T~;;;-/ - (71) o 4. LOCAl AGENCY t DISTRICT o 6. STATE AGENCY 413. o 5. COUNTY AGENCY o 7. FEDERALAGENCY III. TANK OWNER INFORMATION TANK OWNER NAME i '7 -¿~ i MAIU:¡;~TREET 7};SS CITY vlLLLÛÁ) 414. 415. - 977-771 3 ~e-. 7// 416, 417. o 6. STATE AGENCY o 7, FEDERAL AGENCY 419. TANK OWNER TYPE ~ CORPoRATION o 2. INOMDUAI.. o 3. PARTNERSHIP o 4, LOCAl AGENCY I DISTRICT o 5. COUNTY AGENCY 420. IV. BOARD OF EQUALIZATION U8T 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 cW' GUAFWn'EE J&.;!, INSURANCE " o 4. SURETY BONO o 5. LETTER OF CREDIT o 6. EXEMPTION o 7. STATEFUNO 06. STATEFUND&CFOLETTER o 9. STATE FUNO & CO o 10. LOCAl GOVT MECHANISM o 99, OTHER: 422, VI. LEGAL NOTIFICATION AND MAILING ADDRESS , Chec;( one boX 10 indicate whien ~ shoulcl Þe used tOT legal noIIfiaIlions and maiHng. Legal nOllflcalions and mailings wtfl Þe MIll to !he œnk _ unless boX 1 OT 2 is c:IIeCked. o 1. FACILfTY o 2. PROPERTY OWNER 3. TANKOWNER 423. Certification: I CIII1i!y thaI the InformllÜon p SIGNATURE OF APPLICANT VII. APPLICANT SIGNATURE and ICICUrale 10 the besl of my knowtedge. 424, PHONE 425. NAME OF APPLICANT (print) Bob DeNinno 426, . Environmental Manager , 4'Z1, I ST A TE UST FACILITY NUMBER (For Ioul UN only) 426. 1998 UPGRADE CERTIFICATE NUMBER (ForlOul UN onty) 429'1 UPCF (7/99) S:\CUPAFORMS\swrcb-a.wpd . CITY OF BAKERSFIELD O.CE OF ENVIRONMENTA.RVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS . TANK PAGE 1 (£ ~- I~ CIIIIIIpt . ffI' '-" _ 0IIIy) ) FAC:IU1Y 10 . PaIge fII o e. TEMPORARV. SITe a.OSUN! o 7. PERMAHeHTt. v a.oseo ON SITe o e. TAHIC Rl!MCM!D rYPE OF ~ION at, HII!W SITe PeNotIT 0 .. AMIHDID "'RMIT I CII«. 0'" ,"'" OII/'f ). ReNeWAL PeNMT 1SNci'1- . ffI' 1DeaI_ 0IIIy} 9USINE" ~ (SIriIe. FAClUTV ~ or CIlIA· 0cInt........) o s. CHAHGI Of' .NfOlUM TION) 7-E~ , \.OCATION WfTHIit srTI ~ 177;;;¡'/ 300 I e:r+ö~t~àa. \~ )-Iw'-( L TANK DI!SCRIP11ON U~~1()~ ~ ID 060 CO....ARn.EHTAlIZED TAHIC a v. It "Y.'. cam.._ pege tar Mdt ~ AN I . ¡ OA IN i I I 7Q 1""'""""-"'--- ; TAM< use at ¡ ¿,. MOTOR VÐtICLI A& I r-1ItaIUd. ---,.....,.... J)øe} I 0 2. NC)H.RJEL. PET'ACUUM ¡ 0 ). CHEMlCALIIIAOOUCT I 0 .. HAlAAOOUS WASTe (tIcIWN I IbIIII Of) 095. UNCNOWN r I TYPE OF TAM< I (ChM:It - ... /WtI i ! TANK AM TERIAL . IIWI\Iry'" X,. loW! STRL !(ChM:It_.../WtI 02. STAlUSSST'EEL ¡ 4. 4J. .. TANK CCIITIIfTI g¡ ~'M'I! ~& MCUMUNBŒØ 0 2. U!ADED C,I. ......UNJ!AŒD 0 3. DI!SIL C,Co ~ UtUADED a 4. GASOHOl COMMONfWe,..~~*-*'Y".J .. o s. ÆT FUEL EJ .. AIMTIOH FUEL Oft. OnER CAS , (ItDtn HIøIIIbcø ....,..,. *-*'Y /»fIIJ ..., 44: G t+~ ¡ ;,ù--e. ,:¡:G. ......WML C 2. DOI.&I! WM.L. .. TAIeC CONI'IItUCnOII o J. .....WAU. WITH D1~r.Øt..UNER 04. .....WAU.INAVAULT o 5. SINGl2 WALL WITH INTERNAL IIADOER S\'S'ÆM 015. UNIOIOWN Oft. cmtER a s. ~ aIlS. UNKNOWN a .. FRP COWATI8U! wt1em. AoETHANOl a ft. 01HER 413 Ct. ....LMD C 2. AIJM) LIING a 3. FI8EAOLASS, P\.ASTIC o 4. STEEL CLAD WFIIIERGLASS AEWOAŒD PlASTIC (FRP) o 3. FIIERGI~' PlASTIC a 4. ST&L CLAD WFIIERGLASS RI!N'ORCED P&ASTIC (FAP o s. CICINCÆrI! !JI'QXY LIING C .. PlIBO IC LIING 44" I T ANI( MATERIAL· -.Illy ... 0 ,. lIME STRL (ChM:It_iIIIII/WtI CJ 2. STAKISISTI!L o .. FRP COWATI8U! wnem. AoETHANOl [J .. FRP NCJH.CORAoOeU! JACKET [J 10. COATED STEEL o tIS. UNICNOWN C..01HER 445 C 50 GI.ASI LIING 0 tIS. ~ o .. UM.INED C.. OTHER ... Di'TI! NrALLED 417 (ChM:It _ ... My) SPILL AND OV!AFU. C t. 1WUIAC1UMD CATHODIC 0 3. F1IEIIØ.ASS RØIIORCI!O fUITIC C MOT'ICTIOH ),( 4. ........, CUfNNT 2. SAØtI'ICIAL ANOØI! r Yl!ARINSTALLED 410 T'fÆ(I'fNIoUI_My} 451 )(,. SPlU.COHTAINfot!NT 199fÞ ')¡zf 2. 0A0fI~ ~ 3. ITRIC!RP\ATI ~ OM. UNICHOWN 0.. OTHER ..... 100II_ Di'TI! INSTAI.I..ED 4411 i (C/Iec:k ., IIIIJIIIIIPIYJ I I ¡ r-' (FM1ooII_ odyJ O\IEAFIU. PAOTECTIOH EQUlf'toENT: YI!AR INSTALLED lJcdo 452 [J I. ALARM Ja::3. FILL TUBE SHUT OFF VALVE/1.£....- a 2. 8AL1. Ft.OAT 0 4. exÐPT :r,··~.. ".;~,. .:' ~:,~..:··::,~t;1"\~..~~'~~i~·:" :IJ~::,,_UAK d. '.. IF SING&AWALL TAMC~"_~ _ a t. VlSUAL(OPOIID~ClNLYJ C 50 MANUAl. TAHKQAUQtNQ(MTOI a 2. AUTO~TlCTAHKClAUGNJCATOI C.. VADOIIZOH! a J COHTIHUQUlATO a 7. OROUN)WATI!A ]if: STATISTlCALIN\IIIIITCMY"ICOHCIUATIOH(_I· [J.. TAHlCTUTINQ j "eNNIAL fANe TIITWO C III. OTHllt . .-- Y. TANKCLOIUU INPORMATION,NIUlANlNTCLOIUJUlIN PLACI 'STAMT'OOo\TlLAlTUIIØ~YJ 4N IltaMTlDauANmYOfISUllTAHCIMMAININO .... TAHKn.LIOWlTHINIRT~TIIIIAL' ~.' :1."~;j{~;,~ ';'~~"'" ":1;"" ..:: >.~"". :~~:)"~ .... '.~~;. N': .::,,:.... :.~..!!t:.;~. :.; "oI~ ..~ ~4'''''': ~,~,..".;. '.' .:\Y"" . ..~:..,.:,;.:40 '.., , _ . . ~ WALL TANK Oil TANK wmt ILADOIIt (ChecIt _..,. t/IIIft: 4S4 C t. V1SUAL(SINOLeWAU.INVAU\.TONLYJ CJ 2. CONTINUOUS IHT!RSTITIAL MONlTOAING o 3. AWNAL MOHITOAINO 417 ....... o V. a NIl UPCF (7198) S;\CUPAFORMS\SWRcø-8·wPD CITY OF BAKERSFIELD .. ØP'ICI OfIINVIRONMENTAL SERVICES. ' WC""'" Ave.. ..Ic.,.....'d. CA .3301 (111) 321o'! .. ::. ... UIT . TANK PAoQ! - ( '"'- uNDEAOI'IOUND PlPlNO VI. ...... CONITRUCTION (CIt/fct""""" I o J, GRAVITY SYSTEM TYPE }i" PRESSURE 0 2. SUCTION 0 J. QRAVITY 454 0 f, PRESSURE CONSTRUCTIO~ t. SiNGlE WALl. 0 J, LlNfO TR£NCH 0 II. On1ER 4410 0 I, SiNGlE WALl. , MANUFA.CTtJRER!O 2. OOV8U! WALl. 0 IS. VHKNOWN 0 2. COU8I.ë WALl. I MANUFACTURER '" MAHUFA.CTUR£R !O I. &\R£ STEEl [J I, FRPCOW'ATllLhW 100'l.,.EnW.oL 0 I. BARE STEEL : MATERIALS A.NO '0 2. STAINU!SS STEEL [J 7. ~VAHIZED STEEl 0 2. STAINLESS STEEL : CORROSION :0 0 0 PROTECTION : ,3. PI.AST1C COMPATI8L£ WITH CONTÐITS IS. UNKNC)INN 3. PLASTIC COMPATIBLE WITH CONTENTS :' )e(.. FIBERGLASS 0 .. Fl.!XIIL£ (HOPE) 0 II. OTHER 0 .. FIBERGlASS :05. STEELW/COATlNG 09. CATHOOICPAOTECT1ON ..... '05. STEELWlCOATING VI. f'ItING U!AK DETEC110N (CIrck""" ctJ/y) ..:.~,~ [J 1. FI.04T M!OWISM TH4T SHUTS OR IHIWt VALVE [J 2. COHrMIOUI 0I8PINS!R PAN seNIOR. AUOIILE AND VISUAL AlARMS [J 3. CONTINUOUS PAN seNIOR mns AUTO SHUT OFF FOR DISPENSER · AUDIBLE AND VISUAL AI.NUoCS DC. OWNIRIOPI!RA TOR SIGNA TURI! ........111 my~. UNDERGROUND PIPING SSURIZED """NO (CttecII II iliaC ctJ/y: I. ElECTROMC LINE L£AK DETECTOR 3.0 GfH TEST mD1N1TO PUlP SHUT ~ FOR LEN<. SYSTEM FALUAe. AND S'tSTEM OISCCUNECTIOH · AIJOØJi ANO VISUAL ALARMS 2. MONTHLY 0.2 QfIH TEST 3. AHHUN.INTEGRITY TEST (0.1 GPH) CONVeHTlONAL SUCTION SYSTEMS: . 0 5. OAII. Y VISUAL MONITORING OF PUIFING S'tSTEM .1'RIEM«AL PIPI«J INÆORITY TEST (0. I GAt) I Ii SAFE SUCTION &'YSTEM$ (NO VALVES Nøa.ow QAOUN) PIPING): o 7, SELF MONITOAING GRAVITY FLOW: o 9. 8I£NNIAL INTEGRITY TEST (0.1 GPH) II!CONDARILY CONrAINBI PIPING PRESSURIZED PIPING (Chec* lllIIat ¥IJ/1): '0. CON'TNJOUS TUR8UE SU.... SENSOR mnt AUOIØlE ANfJ VISUAL ALARMS AND (Check one) o a. AUTO PUW SHUT OFF WHEN A LEN< OCCURS o Þ. AUTO PU.... SHUT OFF FOR LEAKS. SYSTEM FAIt.lIÆ ANfJ SYSTEM OISCONECTION o c:. NO AUTO PUW SHUT OFF o 11. AlIT'OM'TIC LN: L£AK DETECTOR (3.0 GfH TEST) mIlt FlOW SHUT OFF OR R£STRICT1ON o 12. ANNUAL INTEGRITY TEST (0.1 QPH) SUCTIONlGRAVITY SVSTÐot o 13. CONTINUOUS SUM» SENSOR . AUDaI! ANO VlSUALALAMD IMIAG!NCY OINlRATOM ONLY fCIw*" flit""" o 14. CONflNJOUS SU.... SENSOR mnIQLIIAUTO PUtoP 8HUf CWF· AIJDIBU! ANO VlSUAL~ o 15. AUTOMATIC LINE L£AK DETECTOR (3.0 GfH TEST) mng,a FlOW SHUT OFF OR RESTRICTION 0 HI. AHNUAL.INTEGRITY TEST (0.1 GPH) o 17, OAILYVlSUAl.CHECK " ;, '1~¡[m'~·i.~~-;'<,~>~'f':;~· '. '¡·_1~' .',J' .- ~...... _~.._~~ t~ 'l.t.. ___...".J_~. 0 ,. DISPeNSER COHTAJtolW.eNr DATE IHSTAI.U!D ... NAME OF O'MolERtOPERA TOR (ptttIt) '\ I -"'Y "'., !lie ,nlalmatlon IOOICIed twain Ie II'IIe SIGNATURe OF OIo't'NENOPeRATOR A80VI!OAOUNO PlPINO [J 2. SUCTION o 95. UHI<NOWN [J 98. OTHER . o II. FlIP COMPAT18U! WI 100'II. METHANOl o 7. GAlVANIZED STEEL o .. FlEXI8I.E (HOPE) 0 99. OTHER o 9. CA THOOfC PROTECTION [J 95. UHI<NOWN 4, ~'- : ... ABOVEGROUND PIPING WALL PIPING ~ PReSSURIZED PIPING (Ctteclllllllat ¥tJ/Y: o 1. eu:CTROHIC LINE LEAl( DETECTOR 3.0 GPH TEST m:w AUTO PUW SHUT OFF FOR lEAK. SYSTEIof FAILUR£. NÐ SYSTEM OISCQfoWECTIOH · AIJOI8U! AND VISUAL ALARMS [J 2. MONTHLY 0.2 QfIH TEST [J 3. NHJAL I'f1'!GAm' TEST (0.1 GPH) o 4. DAILY VISUAL CHECK CONVEHTIOHAL SUCTION SYS1ÐIS (CIt«:Ic....,."pIy): [J 5. DAIlY VISUAl. MOHITORING OF PIPING ANO PUfooFtHG SYSTÐot [J II. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN øa.ow GROUND PIPING): o 7. SELF MOHrTORING GRAVITY FlOW (Check ..lIIat apply: o e. DAILY VISUAL MONITOAINO o 9. BlENNlALI'f1'!GAm' TEST (0.1 GPH) BECONDARlLY CONTAINED f'IIIØQ PRESSURIZED PIPING (CIItcIc .."., ¥tJ/YJ; 10. COHTINUOVS TURBINe SU.... SENSOR mnt AUDIBLE NÐ VISUAL AI.ARMS NÐ (dWCk_ o .. AUTO PUMP SHUTOFF WHEN A tEN( OCCURS o Þ. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE NÐ SYSTEM OISCONNECT1ON o c. NO AAffO PUMP SHUT OFF o 1 1. AUTO~TIC LEAK DETECTOR o 12.ANNUALINTEGRI1Y TEST (0.1 GPH) SUCTlQNt'GRAVITY SYSTEM: [J 13. CONTINUOUS suaP SENSOR. AUOI8L2ANO VISUAL A&NUI UlDGINCY OENIItATOM OM. Y {Check""" ctJ/y [J 14. CONTINUOUS SUMP SENSOR mnI2IlI AUTO PU.... SHUT CWF . AUOI8LE AND VISUAL ALAAMS o 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) o III, ANNUAL./NTEGRITY TEST (0. 1 GPH) o 17. OAILYVlSUALCHECK ~~:.~t~·:.;.'~·~~~~~) :J< ~:!'~~~~ttti#~~::Nê~1%.·' [J .. DAILY VISUAL CHeCK [J So TRENCH UNER I MONrTOAJNCJ [J .. NOHI! - 471 .72 DATE .70 , Environmental Manager \....------ f Pam"C ....mlltr (Fot fOUl till OIIIyJ UPCF (7/99) 473 I ".",. AW!MtI (Fot 1otIII,. 0IIIy 474' PIIIIIII!¡pIrIIIanDlle(I"otIøcll"" "J S:\CUPAFORMS\sWRC8-8.WPC · ~;'~r ..,. _.~._. CITY OF BAKERSFIELD O.CE OF ENVIRONMENTA.RVICES 171S Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS . TANK PAGE 1 3(06/ Sh~lcd~\e ""PI! OF -'CTION a " HeW SlTI PPMT 0.. AMeHDlD Pl!RAMT / Cite<:_ ontO ,_ ~J ~]. ReNeWAL PI!IUiIT (s.-ty _ . W IDeM _ OIII'fJ BUSINESS ~ (SIme . 'AClUTV NAMI or 08A . DaII'II..... AI) 7- é~ 177~( , LOCATION WITH" SITI ~ AN I . ~ I ; '" TAMe use 431 : 111-." MOTOR VMCLII'UI!L ¡ (If -**I. ___~ J)pe) ! 0 2. NOHoI'UEL PIiTROl8JM j 0 3. CHeMICAl. "AOC'JUCT I 0 4. HAZMOOUS WASTe (NWu I u.d 01) Ogs.~ I I TYPe OF TAMe I (Ch«:It - ..... ØIIIy i ! TANK ~TERIAL . IMWy"'" ~ f. BAAl! ST!B. ! (Ch«:It - ..... ødyJ 0 2. STAINLØS STEB. ¡ (6 o s. CHAHQI ~ 'NFQAMA TION) ,.. tit o S, TEMfIOAAAV SIT! a.OSlMe o 1. PERIoWIENT\." a.OSl!D ON SIT! o S. TANI( REMOVED (St1ed1 C/IØIfe ·w IDeM - 0III'f) ] FACIlTY G . HW'-/ L TANK DESCRIPTION Ll~ l6t,~LÙ N /6 ððO ... COMPARTMENTALIZED TANK 0 v_ /I -V... c:ønplele _ øeoe tar MCII ~ 43. .. TANK CON1'IIIØ NTIa.IUW'MII! a t~ MCIAM \KUŒD a 2. L!.'DED a ta. .......UtUADI!Ø a 1 DIØEL ~c. foIDGfWII!UtUADED a 4. GASOHOl. COIoM)H NMI!""""""'" ............, (»ge) ... a S. JET FUEL EJ .. AVIATION FUEL a II. 01)tØ CAS' (from HIØIabuI........ ~ (»ge) 44: 44t <3 A.s..<ð 7 I ~ e.... )ã(t. 1NUWM.&. [J 2. DOIAe WM.L I T ANI( MATERIAL. . -*'Y ..". 0 t. IARI! STIlL (Ch«:It - 11M! ødyJ a 2. STAN.UI STI!EL TANK INTERIOR....... OR COATING o t. .....Ute [J 2. AIJM) &.leG .. TANK CONI'I'RUC1ION a So ...... WALL WI'fH EX1'!RI()A ,.,WNE LMR a 4. ...... WALL IN A VAULT o 3. FI8eAOLASS' fItASTIC a 4. STEEl.. a.AD WF1IIÐtGIASS REH=ORŒD fItASTIC fFRP o 3. FIIERGI.ASS' fItASTIC a 4. STEEL a.AD WFIIERGLA8S AEN'ORCED PLASTIC (FAP) a s. CONCRI!TI! ~So !JIOXY LM«J a 4. PI EICIIIC LM«J a s. SINGl£ WALL WITH Hn!RNAL a.ADOER SVS'ÆU aN. UNICNOWN a.. OTHER o 5. CONCÆTI! a II. UNICNOWN o .. FfVI COtoIPATIIILE WltIlD" a.ETHANOI. a II. OTHER ..... <K! o .. FfVI COtoIPATI8U! WltIlD" a.ETHANOI. CJ .. FfVI~JACI<ET a to. COATED STEEL o II. UNICNOWN a_OTHER 445 .... Dl'TI! MTAI.UD ..7 a s. GtA8I UNNO 0 II. UNCNOWN a .. UN.N!D a II. OTHER --- Ooue INSTAUEØ .., (C/I«Jl_ ..... ødyJ SPILL AND OWRFU. ! (C/I«Jl ~ IN, IIÞPIYJ I a 1. MNIJIIACTUMD CATHCCIC a So NERIJIAIS R!N'OAœD PLASTIC aN. UNICNOWN PAOTICnON .4. ..-.:teeo CUAR!NT' a II. OTHER [J 2. IACIWICIAL ANODe ~INSTAU.ED 450 T'tÆ(FotIDcll_OfIIyJ 4It ;( t. SPILL CONTANot!NT / q 9¡P OROPTUII ~ So ITMCI!IU"ATI I c¡ rh fFM-- - odyJ OV£IU'IU. PROTECTIOH EQUIPMENT: Y£AR INSTALLED 452 a 1. ALARM ~. FIU.TU8ESHUTOFFVALVE ~ [J 2. 8ALL FLOAT [J 4. ex&tPT ISTI~TIO ~TI LAIT UIIØ (VM¡DDAY) UPCF (1198) 4N ..... ~.~~. ~~~~·f~.~:·~~::~~::~:"· :..:........ ;.;~f~·:::;·:.~~~· .~: ~:' .:.:,:....:.~..!Jt~.; 4IS . DOUaII WALL TNeC OR TNeC WITH IUDDM (CItecIr _ .... otf1': 464 a t. VI8UAL(SINoLIWALLINVAUl.TONLY) [J 2. CONTINUOUS INTIRSTlTIAL MONITOAINQ a 3. MAHUAL MDHfTOAINO [J s. MANUAL TAMe GAUGING (MrO) [J .. VAØ08& ZONe o 7. CW)UfCMA1'IR o .. TN« TUTINO 0_ OTHØ V. TANK CLOIUIU! INPORIlATIGH I PlIUIANIN1' CLOIUU IN PLACI IlTUTIØ auNmrY CW SUllTAHCI MMAININCI ... TANe'1UIØ 'NITH MAT AMTlRW.7 487 IIIIaIII [Jy. aND S:\CUPAFORMS\SWAcø-e·WPO I CITY OF BAKERSFIELD A OPPIe. ()fI eNVIRONMENTAL SERVICES A .C""'" A"., lak....fhlld, CA 13301 (111) 32"- Eo UNOI!AOROUND PlPINO VI. NItNO CONITItUCTlON (C1tect" lllet..", I ... un . 1'ANIC "AQr - cI "'" SYSTEM TYPE 1Ia' " PAESSUR! 0 2. SUCTION 0 1. GRAVITY 458 0" PRESSURE CONSTRUCTIO:,J;3: ,. SINGlE WALL 0 1. LINIO TRENCH 0 II. OTHeR 4eO 0" SINGLE WALL , MANUFAcTURe1¡'o 2. OOU8U! WALL 0.. UNCNOWN 0 2. OOUBLE WALL I MANUFACTURI!R 441 MANUFACTURER ; : 0 1, 8AAE STeEL 0 e. FRP COMPATIIl.! WlI~ ~L 0 1. BAAE STEEL :MATERIALSAHO'O 2. STAINU!SSST1!I!L 07. GALVAHlZEDSTI!a 02. STAINLESS STEEL : CORROSION ; PROTECTION :03. P\.,\STICCOWATI8U!WlTHCONTEHTS 0.. UNKNOWN 03. Pl.ASTICCOMPATI8L£WlTHCONTENTS ib(.... FlØERGLASS 0 .. F\.!XI8U! (HOPE) 0.. OTHER 0 4. FIBERGLASS /CJ~. STEELWlCOATlNO 0 t. CATHOOICPfIOTECTION 44S4 0 S. STEELWlCQAT1NG VI. PPING LeAK DI!TECT1ON (CItedr"",., WiYJ o 1. FL04T MIowaM THAT SHUTS OFJIIIEAR VALVE o Z. CONTNIOUI DIIf'I!N8eR PAN SI!NIOR . AUOIILE AND VISUAL AlARMS o 1. CONrNJOUI DIIP!NSI!R PAN Sf!NSOR mItf AUTO SHUT OFF FOR DISPENSER . AUDI8L£ AND VISUAL ALARMS DC. OWNI!R1OPERA TOR SIGNATURI! 10 !lie MIl cI my 1rncIwIede. UNDERGROUND PIPING SSURIZED PlPlNO (Check II tNt WiY): 1. ElECTROHIC lINE LEAK DETECTOR 3.0 QPH TEST mns AUTO II\,Mt SHUT OFF FOR L.£AI(, SYSTEM FAILURE. AND SYSTEM DI8CX1fMCTION . AUDØ.E AND VISUAL ALAAMS 2. MOHTHL Y 0.2 QfIH TEST ~ 1. ANNUAL INTEGRfTY TEST (0.1 QPH) CONllENTlONAL SUCTION SYSTEMS: . 0 5. DAILY VISUAL MONITORING OF fIUU'INQ SYSTEM . TRISftAL PIPING IN1'EORITY I TEST (0.1 GPH) Ii SAFE SUCTION á'YSTEMS (NO VALVES IN BELOW GAOUND PIPING: o 7. SELF MONrTORING ' GRAVITY FlOW: o t. 8IÐINIAL INTEGRfTY TEST (0.1 GPH) SI!CONDARLY CGNrAlNm I'IPIIIG PRESSURIZED PIPING (CIIedt III /Nt ¥PIT): 10. CONTINUOUS TURBINE SUMP SENSOR mItf AUDIBlE NÐ VISUAL AlARMS AND (Chedlane) , o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o Þ. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAIUJRE NÐ SYSTEM 0ISC0HNECT10N o c. NO AUTO PUMP SHUT OFF o 11. At/TOMo\TIC lIE LEAK DETECTOR (3.0 QfIH TEST) mns FlOW SHUT OFF OR RESTRICTION o 12. ANNUAL INTEGRfTY TeST (0.1 QPH) SUCTIONGRAVITY SYSTEM: o 13. CONTNJOUS'" SENSOR . AUDa.I! AND VISUAL AI.AM8 1!IIDG!NC"f GBllltATOM OM. Y (CIteÆ III"''''''' o 14. CONTINUOUS SUW SENSORmnDlIAUTO PUt.P SHUT OFF.AUDI8U! AND VISUAL ALARMS o 15. AUTOMATIC LINE lEAl< DETECTOR (3.0 QfIH TEST} mnDlI AÞW SHUT OFF OR RESTRICTION I 0 18. ANNUAL INTEGRITY TEST (0.1 GPH) '., o 17. OAJLYVlSUALCHECK . '",w§..~."",,,... . ' ,_ ~..." , . . -. '(i,.'f'I .Þ~ .~~'" ',," ..', i' (.:.J. . '.....:..._ ..~ . t~ 1:1'.... (. i.-__:.!u;":_. "I.,' ...,.~.~ DISPeNSER COHTAlHMI!NT OA~ - ~ 1/181 !lie ,nlannallon IIO\IIded '*-In SIGNATURE OF OWNERlOfleRATOR NAMe OF OWNERtOPERATOR (ptttItJ - \ I I PttmrC Hum"., (For /oeM... 0IIIy) 413 I """'~(ForIocll"'OIIIy) UPCF (7199) A80VI!OIIOUNO PlPlNO o 2. SUCTION o is. uNI<HOWN o 911. OTHER o 3. GRAVITY 4 o e. FRP COMPATIBLE WlI~ MET1iAHOL o 7. GALVANIZED STEEL o a. Fl.£XI8LE (HOPE) 0 19. OTHER o II. CATHODIC PROTECTION o is. UNKNOWN 4£ ... .~'-' : 4t PRESSURIZED PIPING (Check II tNt~): o 1. ElECTRONIC lINE lEAl< DETECTOR 3.0 GPH TEST mD1 AUTO PUMP SHUT OFF FOR LEAK. SYSTEM FAIlURE. AND SYSTEM DISCONNECTION . AUDI8LE NIO VISUAL ALARMS o Z. MONTHLY 0.2 GPH TEST o 3. ANNUAL INt'EGMY TEST (0.1 GPH) o 4. OAIL Y VISUAL CHECK COH\IEHTIOHAL SUCTION SYSTEMS (Check III..'~): o 5. DAILY VISUAL MOHrTOANJ OF PIPI'«a NÐ PUMPING SYSTÐof o 8. TRIENHIAL INTEGRITY 'TEST (0.1 GPH) SAFE SUC'TIOÑ SYSTEMS (NO VALVES IN ea.ow GRQUNO PIPING): o 7. SELF MOHfTOAIHG GRAVITY FLOW (CItedr III /Nt W/y): o e. OAIL Y VISUAL MONITORING o t. BIENNIAL INTEGMYTEST (0.1 QPH) IECOIIDARlLV CONTAINED PIPING PRESSUAIZ£O PIPING (Chet:It III tNt ¥PIT): 10. CONTINUOUS TURBINe SUMP SENSOAmtf AUDIBLE AND VISUAL ALARMS AND (c:IIedI_ D .. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS D Þ. AUTO PUMP SHUT OFF FOR lEAKS. SYSTEM FAILURE NIO SYSTEM OISCOHNECTION D c. NO AUTO PUMP SHUT OFF o 11. AUTOMATIC LEAl< DETECTOR o 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTlQHlGRAvrTY SYSTEM: o 13. CONrNJOUS SUMP SENSOR . AIJOIILE AND VISUAL A&.AAMS IIIIRGI!NCY GENIItATOM ONLY (Chet:It III",., WIY) o 14. CONTINUOUS SUMP SENSOR mngaAUTO PUMP SHUTOFF. AUDIBLE AND VISUAL ALARMS o 15. AUTOMATIC UHE LEAK DETECTOR (3.0 GPH TeST) o 18. AHHUAL INTEGRITY TEST (0.1 GPH) o 17. OAILYVlSUALCHECK ~~~~~~·:·:··t\·_~¡~~t~j :¡,~"'~~'W'~~~:Nê~~4' D ... DAlc.Y VISUAl. CHeCK D s. TRI!HCH LINER I MOHfTOAIG D .. NONE ... 471 Environmental Manager DATE ~ 470 472 "-- ..---'-- -"'---~ . -~-- -- .--'----=-.- .74 I Pttmll /!IIrIIIOn DIll (1'01' 1øoII.- od)'J 4751 S;\CUPAFORMS\sWRC8-8.WPO CITY OF BAKERSFIELD O.E OF ENVIRONMENTAL.RVICES 1715 Chester Ave., Bakersßeld, CA 93301 (661) 326-3979 UNDERGROUND STORAGE TANKS· TANK PAGE 1 (6 ,.. fII noPE OF ACTION 0 I. HJIW SITe PPMT 0 t. AMHDfD P!AWT / Cllec_ 0'" ,_ 0lIl1) . RlNlWAI. P(RWT (~__ .IoIIOCeIUM OffIyJ 8USlNESS ~ f . ~AClUTY NAMI tII D8A . 0aIrIg II.-- AI) -8~ o s. CHANGI Of' ""~TIONI o S, Tl!MfIOAAAV SITe ClOSUfa! o ,. PER~y'C&.oseD ON SITe o s. TAHIC AfMOV!D (SIJ«tff c:/IeIIpI·loIlOCeI_ OffIyJ J ~ACILITY II) , , LOCATION WlTHIII SITI ~ 177~1 ~ ~\C clú... \ €.. 300 I ¡fwL/ L TANK OESCRIPT1OH . TANK 10' -3 432 ~ COY'ARTMENTAUZEO TANK o V. ONo . U ~ IC-no~ 1\J "~.'. camp¡.te_ P-ve lor MdI ~.. I DATe INST~D( w QO .. ¡ 1/1970 ¡DJ ð'öð AOOf1'IOHAL DUCRP1'1ON f'ooIlOtIeI_ odyJ 43. , I ¡ ~ TAHKUII 431 ¡ I. MOTOR V!HICU IIU!L I tf IIIVØd. ---,...... ')pe} ! 0 2. NOH-I'UEL PI!TROU\JIof J 0 3. CHaICAI. "AODUCT I 0 .. HAZAAOOUS WASTI! (NWN ¡/MIl 01) o 95. UHICNOVt'N , r I TYPe OF TN« I (Chedr - .... 0III)0 i I TANK W\TeRIAL . IItnIIry ** .JIt't. IAAI! ST1I!L I (Check - .", 0III)0 CJ 2. SfAN.ØS STEEL ! .. TANK CCIN1DI'I 'Jil t. INUVINL [J 2. oowu.u. ~1'tÆ CJ 1& MeUM IKIAŒD a 2. LEADED ~.. ......IKIAŒD a s. DIESEL a,Co r.mGAADI! tH.EADED 0 4. GASOHOl CX)IAIOH NMoI! /IIW,...,........... ~ 1»11') to o S. JEr FUEL EJ .. AIllATION FUEL o III. O'nER CAS' (tIom HuaI'IfDIII AIIIWIIiII ~ 1»11') .., ...: GA-~ð,11 ~e- .. TANK COIIITIWCI1DN C J. .....WALL WITH ~'~~LINER a... .....WALL..AVAIJlT o 3. FIIIEROII~ I P\ASTIC a 4. STEEL CLAD WFI8EROL4SS RDFORCED Pt.-\ST1C (FRf') o 3. F1tERGtASS, Pt.-\ST1C o ... STEEl. CLAD WNERQA8S ItEINFOAŒD Pt.-\ST1C (FRP) a s. CXJNCRerE , tJIOXY LNIG a... "81011CLNIG a s. DIOU! WAU.IMTH INTERNAL ILADØER S\'S'ÆM CIS. IHCNOWN o III. OTHER o s. CONCReTE 0 IS. IHCNOWN o .. FRP CiOM'ATI8U! VWt~ METHANOL 0 III. antEA .... <M3 I TANK MATERIAl.· -*y ** CJ t. IAAI! STDL (Check_""OIII)o CJ 2. STAN.!SISf&L o .. FRP CiOM'ATI8LE W11~ METHANOL o .. FAP NON-CORRODIIU! JACIŒT o to. C04TED STEEL o IS. UNCNOWN 0... OTHER 445 .... ~TI! INSTALLED 447 CJ 1. NIIIIIR LIB C 2. AIJM) LMG --- ~TI! INSTALLED 4411 a s. QI.ASS LHNO [J IS. UNKNOWN C .. \M.IB) ell. OTHER (Check _ .",,.,, SPILL. AND OVEIV'U. i (CJIecJI" tNl WIY) C t. MVQrACTURID CATHCIOIC 0 J. I'IIÐ1GLAU fœIN'ORCI!O PLAITIC JIAOTKTION 4. ~SS8) CURMNT C 2. IACNIICIAL ANDCI VI!AR INSTAU.ED 450 TYPE (1'0"0", _,." 4It )i t. SPIU. COHI'AIfMNT / q 9 (p . 2. DAOP TUII J9? b (Fw /OQI- odyJ OVERFill PA011:CTION eQUIPMENT: "f1:AA INSTAUEO 152 o t. ALARM ~. FILL TU8ESHUf'OFFVALVE.J:ti!£. a 2. 8ALI. FLOAT 0 4. I!XS4PT I 'STW\TIOQATlI.AlTua.ø~Y) , Oil. UNICNOWN a... OTHER .... ~.~~. :?~/fP4.i:·~~::":::~:· >.:-.'''''. :t~f~'~ ."/:..~~' .~::- ,:,:,:...:·:·..t.:'t~.. 4A . DOWUI WALL TAM( 0" TAM( WITH IIUØØU (CMcIr _".", 0III1J: ..... o t. VIIUAL(SINOU!WALLINVAUt.TONLY) o 2. CONTINUOUS IHT!RSTmAL MONfTORINO a 3. awNAI. MOHrTOAINO 411 c S. MANUAl. TAM< QAUG/HO (urO) 0.. vAØOle ZONe o 7. OI'OUHDWATI!R C L TANK TUTINO 0.. OTHl!ll V. TANK CLOIUIUIINPOIUIAnaN' NIUIANINT CLOIUUIN PLACI IITIIMTID QUANTITY CW SUllTAHCI......1HI«I .... TANK'WO WITH IHIRT AMTllUAL1 417 ..... a v. C No S:\CUPAFORMS\SWRcø.a·WPD UPCF (7198) CITY OF BAKERSFIELD . OfI'ICIOP eNVIRONMENTAL SERVICES - WC""., Aw.. ..k.......ld. CA .3301 (811) 32'-' ...- 'J ,--.' lIlT . TANK "AGe YL NItNO CClNI1.,UIC1'1ON (C1tec/I"....,.", UHOt!AOROUNO PIPING , SYSTEM TYPE )š: ,. PRESSURe a z. SUCTION 0 J. GAAItITV .sa 0" PRESSURE CONSTRUCTIO~ ,. 'IHOLe WALl. 0 J. LIHID TR£NCH 0.. OTHeR 480 0" SINeiLe WALl. . WoNUFACTlIAeR!O z. OOUIIU! WALl. 0 iI. UNKNOWN 0 2. OOU8t.e WALl. I MANUFACTUReR 41' MANUFACTUA£R ¡ : 0 I.IWU! STEEL a .. FRP COWATIIU! WI ,om. MET1iANOL 0" SAAE STEEL : WoTERIALSAHO'O 2. STAINU!SSSTEEL 01. QAlVAHlZEDSTm 02. STAlNI.£SSSTeeL : CORROSION ; I PROTeCTION :0 3. "'-'STIC COMPAT18LE wmf CONTEHTS 0 iI. UNICNOWN 0 3. PlASTIC COMPATIIIU! WITH CONTENTS jlt 4. FIBERGlASS 0 .. I'I.!XIIU! (HOPE) 0.. OTt4ER 0 4. FI8ERGLASS :0 s. STEEl.wtCOATING 0 i. CATHOOICPROTECT1ON ... ,0 S. STEEL WI COATING VI. PPING U!AK DI!TECT1ON (CI/edt" Nt W/yJ UNDERGROUND PIPING ESSURIZEO PIPING (CMdI "tIIat W/y): 1. ELECTRONIC LINE LEAK œncTOR 3.0 OPH TEST mItt AUTO PUlP SHU1' OFF FOR LEAl<. SYSTEM FAIWRe. NÐ SYSTEM DI8COfNCTION + AUDa.E NÐ VISUAL A&.NUo&S 2. MONTHLY 0.2 OPH TEST 3. NHJþL INTEOAITY TEST (0.' OPH) CONl/ENTlONAL SUCTIOH SYSTEWS: . 0 S. 0AIl y VISUAL MOHfTORING OF fIUYIING S'tS'TEM + 1RØHAI. fIllING INTEOAfTY TEST (0.' GPH) I Ii SAFE SUCTION :.YSTEMS (NO VALVES IN eaow CR)UND PIPING): o 7. SELF MONfTOAJHG GRAItITV FLOW: o i. 8IÐHAL INTEGRITY TEST (0.' OPH) SI!CONDMI.Y CONfME) PII'ING PRESSURIZED PIPING (CIIec:II " tIIat WI1J: 10. CONTINUOUS TUR8INE SUMP SENSOR mDi AUDI8l.E AND VISUM. AI.AAMS NÐ (Check _) o .. AUTO PUIoP SHUT OFF WHeN A LEN< OCCURS o Þ. AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAIWA£ AND SYSTEM DISCOHNECTIOH o Co NO AUTO PUW SHUT OFF o 1,. AtITOM'TIC LINE LEN< DETECTOR (3.0 OPH TEST} mItt F1.OW SHU1' OFF OR A£STRICTIOH o 12. ANNUA/.INTEOAITY TEST (0.1 QPH) SUCTlONGAAVITY SYSTÐot o 13. COHT1HUOUS SUW SENSOR +~NÐWlUALA1.AM8 ÞlUGINCY GINIMTOM OM.Y (Chtct"..."" o 1... COHTlHUOUS SUMP SENSOR rdIl:D4AUTO PUMP StIITOF1+ AUDBJ! NÐ VISUAl. ALARMS o 15. AUTOMATIC LINE LEN< DETECTOR (3.0 OPH TEST) mnaa: F1.OW SHUT OFF OR RESTRICTION IDle. AHHUAL.INTEGAITY TEST (0.1 GPH) o 17 . CAlLY VISUAl. CHECK . ·"wm··~""'·~'t.. .' ')" , '~~(5,'" .#t,. ."~"" ~~.. ..;r .l,"T (:J. . "~_ s__ .l~~1'...,'. t.-_;!w.: "",' ...·~'t ... 01 - "" A80Vf!OfIOUHO PIPING o 2. SUCTION o 9$. UNI<NOWN . 09'. OTHER o 3. GRAVITY .. o e. FAP COWATIIIU! WI '0011. ME1'HANOL o 7. GALVANIZED STEEl. o e. FLÐCI8t.E (HOPE) 0 ft. O'nG o !I. CA1)()D1C PROTECTION 09$. UNKNOWN " ... ~'- ~ PRESSURIZED PIPING (CItecIr .. -'t ¥PlY): o 1. a..ECTROHIC UIE LEAK DETECTOR 3.0 GPH TEST mD1 AUTO PUMP SHUT OFF FOR LEAK SYSTEM FAILURe. NÐ SYSTEM DISCONNECTIOH + AUDIBLE NÐ VISUAL ALARMS o 2. MOH1'M. Y 0.2 OPH TEST o S. NHJL INI'EGfVTY TEST (0.1 GPH) o 4. DAII. Y VISUAl. CHEQ( CONVEH1'IOHA/. SUCTIOH SYSTEMS (CIwdr"...' apply): o 5. 0AIl Y VISUAL WOHfTOANQ OF PIPING AND PUMPING SYSTSC o e. TRJEHNIALIHTEGMY TEST (0.1 GPH) SAFE SUCTION SYS1ëMS (NO VALVES IN eaow GROUNO PIPING): o 1. seLF MOHITORIHG GRAVITY FlOW (CI/edt.. tIIat l/I1PIY): o e. DAII. v VISUAl. MOHrTOAING a e. 8IENGAL INI'EGfVTY TEST (0.1 GPH) IECOMDARIL Y CONTAINED PIPING PRESSURIZED PIPING (Chedc" tIIat ¥PlY): 10. CONTINUOUS TUR8INE SUMP SENSORmnt AUOI8l.EAND VlSUALAI.AAMS AND(dIØ_ o .. AUTO PUMP SHUT OFF WHEN A LEN< OCCURS o Þ. AUTO PUMP SHUT OFF FOR U!NCS. SYSTeM FAILURE NÐ SYSTEM DlSCOHNECnON o Co NO AUTO PUMP SHUT OFF o 11. AUTO*TIC LEN< DETECTOR o 12. ANNUAL INÆGRlT'f 'TEST (0.' GPH) SUC'TIOHIGRAVITY SVSTÐot o '3. CONTNJOUS SUMP SENSOR + AUDllLEAND VISUAL AI.AAMS IDIIRGINCY GINØAMM OM.Y (Chec*""""" o 14. CONTINUOUS SUMP SENSOR mD:D.IINJrO PUMP SI«IT OFF + AVOI8LE NÐ VISUAL AI.AAMS o 15. AUTO*TIC LIN£ LEAK DETECTOR (3.0 OPH TEST) o 18. ANNUAl. INTEGRITY TeST (0.1 GPH) o 17. OAIl Y VISUAl CHECK o 1. FI.04T..awaM THAT SHUTS 0FJr IHEAR VALve a 2. COH1NJOUS OIIPINSIR PM SINIOA . AUDIIU! NÐ VISUAL AI.NIMS o s. CONTINUOUS ØIIPIHSER PM SINIOA mItt AUTO SHUT OFF FOR DISPENSER · AUDIIIU! AND VISUAL A&.NtMS IX. OWNI!RJOPeRATOR SIGNATURe MIl tfYt~. DISPeNSER COHTAItMNT OATE INSTAU.!D ... ----- NAME OF OWNERiOPEAATOft (þtfntJ I c:attify III" !lie lII/amIaIIan IfO\IIáed het1IIn II .". SIGNA TUA£ OF OWNeRlOPeRATOR Bob DeNinno I PwmlC NutnIMt (FofIOUl ",.unlyJ ..73 "-"'II AIIIIrCMd (For IotIIIIIIt 0nIyJ S:\CUPAFORMs\sWRC8-8.WPO UPCF (1/99) :~~:,)~\·.:~·'~.~#~~i~J 41' 472 OATE 410 , Environmental Manager 47" IP,""lIl!xifIIIano.(I"ct*-l &*OIi)'J 4t~J 1\ U ~\~\,~!~, I ~ ~7~\'Ì.LO ,,/h \ @/$¥/} <'~\:_~- ~ç " IJ ,,~- ~~ ~,' ,~~~i~>l~ ~~~\\~ ·]lkERSFIELD FIRE DEPARTMENT'" HAZARDOUS ~~TERIAL DIVISION . .~ 1715 CHESTER AVE., BAKERSFIELD, tA 93304 (U05) 32G-]979 APPLICATION TO PERFORM A 'rIGHTNESS 'l'I~S'l' ~ "D00) FACILITY i-If #/77Z!ADDRESSxor 5/a1t-~1e Wuy PERMIT TO OPERATF.ir OPERATORS NAME 7-1 { OWNEHS NAME 7- / ( N1JMRER OF TANKS TO BE TES1'ED__ IS 'PIPING GOING TO BE TESTED -16' ,,! T I\NK:; I J-, "3 VOLm1E: lOlL i OLL- IO~ .I,' CONTEN'l'S fZe!lLf;W 1V1ftJv$~ þIY'M~~ J !27576 Commerce Center Dr. 1110~ ' 'r'ANK TESTING COMPl\NY TANKNOLOGY-NDE CORP. ADDRESS Temecu J a, CA 92590 I " ~. TES'l' 'HETHOD~ V¿...!>~ I NAME Of TEsrr,ER~¡ l!'~5 CERTIFICATION ~; 107/ 1071 STATE REGISTRATION ~ 4~c ~-g'"-~ DATE: -S/4JD (Z¡f,q~j ~ø SIGNATURE OF APPLICANT DATE r. TIME TEST IS '1'0 BE CONDUCTED ---.. " FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 °H· Street Bakersfleld. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 °H· Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAJ( (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave. 'Bakersfield. CA 93301 VOICE (805).328-3951 FAJ( (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester" Ave. Bakersfield. CA 93301 VOICE (805) 326-3979 FAJ( (805) 326-0576 TRAINING DMSION 5642 Victor Ave. Bakersfield. CA 93306 VOtCE (805) 399-4897 FAX (805) 399-5763 . e April 4, 2000 7-11 Mr. Bob Deninno 10220 SW Greenberg Rd #470 Portland OR 97223 Dear Mr. Deninno: You have been identified as the compliance coordinator for the facility/facilities referenced in the attachment. The pennits to operate this facility/facilities will expire on June 30, 2000. However, in order for this office to renew your pennit, updated fonns A, B, & C must be filled out and returned prior to the issuance of a new pennit. Please make sure that you are sending the updated fonns which are indicated by the date 7/99 in the lower left hand comer. Please complete and return to this office by May 15,2000. Failure to comply, will result in a delay of issuance of your nèw pennit to operate. Should you have any questions, please feel free to call me at 661-326-3979. Sincerely, ~~ Steve Underwood, Inspector Office of Environmental Services SU/dam attachment ""7~ de W~ ~ .AtJ1"6 gr~ A W~p" ~ ,;:fl', ' e e Facility 7-11 7-11 7-11 7-11 7-11 7-11 Address 1701 Pacheco Road, Bakersfield, Ca 93304 4647 Wiison Road, Bakersfield, Ca 93309 ~ßOl Stockdale Hwy, Bakersfield, Ca 93309 960 Brimhall Road, Bakersfield, Ca 93312 525 West Columbus, Bakersfield, Ca 93301 4101 Calloway, Bakersfield, Ca 93312 ~.. SEP-17-1999 10:07 ~THLRND CORP NW DIV. 503 977 7711 P.01/06 a- ¡ ,~ " The Southland Corporation Environmental Services 10220 S.W: Greenburg Rd. #470 Portland, OR 97223 FAX COVER SHEET Please note Ol/f new ø44resl tJ1td phune and fru fUlmbers!!! 91nJr~ I , TO: S-fc..v'C-- (jl) rJ ~ (¡J'û Ù -0 COMPANY/LOCATION: ßA ~J~ r: 't). FAX NO: ~ ~J 1Zb/D!1' PHONE NO: <:--- FROM: iSoJ1 )~ 1 JV1~ Date: FAX NO: (503\ 245-3433 PHOW'YJ7-'l7I3 Number of pages induding this cover sheet: b p~ Ck\\ ~~ h~ ~~ SEP-17-1999 10:07 ~THLAND CORP NW DIV. 503 977 7711 P.02/06 . e '\ CATHODIC PROTECTION COMPLIANCE SURVEY UST SYSTEM FOR: 7-ELEVEN, INC. 10220 S.W. GREENBURG ROAD SUITE 470 PORTLAND OR 97223 Contact: BOB DENINNO SITE: 7 -ELEVEN #17721 MARKET #2133 3601 STOCKDALE HIGHWAY BAKERSFIELD CA 93309 ~.-.""~\ Q9\Ç·ffletf~'~ ~ ..~ t¡ J:- NACE \~I ... GILBERT W. SCNUI'ZA \ .'01 I fa .~... .eo ., u;6~..-·" ·'\,,~CtA\:. BY: TANKNOLOGY ftPu.tLþ- Gilbert W. Schutza Date: 09/17/99 Corrosion Engineer Manager (NACE Cathodic Protection Specialist #41 OS) Work order: 311 Q258 8900 Sholll Creek BI\leI.. BulldlnS 200 .A~stln, Teøs 7B7S7· p.O. Bad429-Austin, Texð& 7876&.9429· (512}4Sf06:!34- fAX (512}4S9-1458 SEP-17-1999 10:08 COMPLIANCE SURVEY ~THLAND CORP NW DIV. 503 977 7711 P.03/06 . 09/11/99 COMPLIANCE SURVEY IMPRESSED CURRENT CP SYSTEM 7-ELEVEN, INC. 7-ELEVEN #17721 MARKET #2133, 36Q1 STOCKOA1.E HIGHWAY BAKERSFIELD, CA 93309 I. SCOP!: A cathodic protection survey was conducted on 09/17199, on the cathodic protection system at 7·ElEVEN #1772'1 MARKET #2133, 3601 STOCKDALE HIGHWAY, BAKERSFIELD, CA. The purpose of this survey was to meet regulatory requirements for periodic testing. and, more importantly, to determine if the cathodic protection system at this facility meets NACE criteria for cathodÎc protection. NACe criteria indicates if the system is functionally controlling corrosion (see Appendix). The cathodic protection system for the underground tanks consists of an unknown number of anodes energized by one 50.00 volt-1Q.OO amp rectifier. The UST facility consists of three 10,000 gallon steel tanks and associated fiberglass piping. II. RESULTS & ANALYSIS: The SVucture-to-soil potential measurements are tabulated on TaÞle I, and the rectifier and anode CUrTént outputs ar~ tabulated on the Rectifier Maintenance sheet, attached. The rectifier was adjusted and set at a total constant current output of 2.30 Amps +1- 5%, The potential measurements, with the cathodic protection system energized, ranged from -1033 millivolts to ·1100 millivolts. III. CONCLUSIONS: The results of the survey indIcate that the structure-to-soil potential measurements meet the ·850 millivolts criterion andlor the 100 millivolts cathodic polarization criterion for cathodic protection as established by NACe. IV. RECOMMENDATIONS: It is recommended that tl'1e rectifier output be observed monthly. It is also recommended that a sttudure..to-soil potential surveY' be conducted annually by a qualified corrosion engineer. The c:athodic protection system should operate with minimal maintenance and it is not recommended that any spare parts be kept on hand. V. REGULA TORY REQUIREMENTS: SEP-17-1999 10:08 COMPLIANCE SURVEY IIÞTHLAND CORP NW DIV. 503 977 7711 P.04/06 4IÞ O~11199 FederQI and State regulations require cathodic protection systems to be checked periodically, (Reference: 40 CFR. Part 280.31. "Operation and Maintenanœ of Corrosion Protection" .) . AU cathodic protection systems must- be surveyed (tested) every three (3) years. . The cathodic protection system must be inspected and tested within six (8) months after any repairs to the UST system. (Reference: 40 CFR. Par1: 280.33, "Repairs Allowed".) - All impressed current systems must be inspected every 60 days to see that they are fundioning propet1y. Inspections must be logged (documented). .. Within six (6) monthS after initial turn-on ot an impressed current system, it is required that a General SUlvey be conducted and any necessary adjustments made. ~ To meet minimum regulatory requirements. It Is good practice to conduct such surveys annually. (See Appendix.) SEP-17-1999 10:08 ... THLAND CORP NW DIV. APpENOIX: TEST PROCEDU 503 977 7711 P.05/06 _ 09/17/99 APPENDIX: TEST PROCEDURES In order to determine the effectiveness of the cathodic protection system, strudure..to..soil potential measurements were peñormed at representative locations throughout the subject area. These measurements were collected after the cathodic protection system was energized.' These measurements are then evaluated to determine if an adequate level of cathodic protection has been achieved. The two (2) most common criteria for cathodíc protection as established by the NACE standard RP-02-85 "Recommended Practice .. Control of External Corrosion on Metallic Buried. Partially Buliedl or Submerged Liquid Storage Systems" are as follows: ,. A negative (cathodic) voltage of at least 0.85 volts as measured between the $tr1Jcture surface and a saturated capper/copper sulfate reference electrode containing the electrolyte. Determination of this voltage is to be made with the protective current applied. 2. A minimum negative (cathodic) polarization voltage shift of 100 millivolts measured between the structure surface and a stable reference electrode contacting the electrolyte. This polarization voltage shift is to be determined by interrupting the protective current and measuring the polarization decay. When the current is initially interrupted, an immediate voltage shift will occur. The voltage reading after the immediate shift shall be used as the base reading from which to measure polarization decay. . .. These potential measurements were obtained. utílizing a copper/copper sulfate reference electrode and a Fluke, Model 87 Digital Multimeter. . if!" ',. :~ Structure to Soil SliNey STRUCTURE-TO.sotl POTENTIALS vs Cu/Cu S04 (Millivolts) locae SC(UcCure-to~oil J Remote (liKed) Structure to SoH Stnrcture LDcation- Native Off On Oelta Native Off On Detta Tank 1 Reg Unlead ATG -1059 -1683 Tank 1 Reg Unlesd Flll -1033 -1680 Tank 1 Reg Unread SlP -1056 -1682 Tank 1 Reg Unlead TANK -1683 Tank 2 Midgrade ATG -1087 -1701 Tank 2 Midgrade Fill -11(O -1700 Tank 2 M¡dgrade STP -109B -1701 Tank 2 Midomde TANK -1701 rank 3 Premium ATG ·1096 -1699 Tank 3 Premium Fill -1101 -1697 rank 3 Prem1um STP -1075 -1698 Tank 3 Premium TANK . t699 Product piping: frp @ dispenser (f) m \), I ~I I .... I.D I.D I.D .... IS) IS) I.D .: -I I r D z tI n o ;;0 \) Z £: tI - C W.O. 3110258 TectJnician~ DAVID TaHIR - · Location for local sl(ucture-to-soil measuremenl is reference 0011 pls<:ement location 'or remote (fixed) structure-fo-soll measurement is poln~ of etedrical contact. <.J1 IS) 0J I.D -J -J -J -J .... .... -I o -I D r \) IS) (]) \) IS) (]) "- IS) (]) I; . ,.... Q) 't:I 'iij Q) II) .. Q) > Q) .. Q) ,¡: I ... C o 't:I Q) ¡.i 11:1. I ~ ¡~ iffi a: C C « z a: :) S.ER: · plete items 1 andlor 2 for additional services, · plete items 3. and 4a & b, · Print your name and address on the reverse of this form so that we can return this card to you, · Attach this form to the front of the mailpiece, or on the back if space does not permit, · Write "Return Receipt Requested" on the mailpiece below the article number. · The Return Receipt will show to whom the article was delivered and the date delivered, 3. Article Addressed to: ~ TAJINDER 'KULSINDER 7-11 3601 STOðmALE HWY BAKERSFIELn CA 93309 2. 0 Restricted Delivery Consult postmaster for fee. 4a. Article Number P 024 368 640 I .1 .~I ~¡ ÆI 0.' ·iiil u Q)I a:1 E¡ ;1 a:¡ .~\ :\ .21 ::21 g,¡ 8. A essee's Address (Only if requested ~I and fee is paid) ¡, ,¡:! 1-, , I also wish to receive the following services (for an extra fee): 1. 0 Addressee's Address 4b. Service Type o Registered KXCertified o Express 7. DOMESTIC RETURN RECEIPT UNITED STATES POSTAL SERVICE Official Business PENAL USE TO A OF POSTAGE, $300 Ii . Print your name, address and ZIP Code here . BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 VI!> 11.1"..11." 11.11, "".11.1.1",1.1,"1111"11111111.1,11".1 - a P 024 368 640 ~ Receipt for Certified Mail 'M No I~nce Coverage Provided ;;¡¡ Do not use f$i-International Mail ¡See Reverse) ... ØI ØI ... SelflJINDER KULSINDER strj'MYi No STOCKDALE HWY p'<ømi~¡iFï.b CA 93309 Postage $ .32 Certified Fee 1.10 Special Delivery Fee Restricted Deliverv Fee Return Receipt Showing 1.10 to Whom & Date Delivered Return Receipt Showing to Whom, Date, and Addressee's Address TOTAL Postage $ 2.52 & Fees Postmark or Date Q) c: ::s ., g CO C") E ð u.. æ STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE. CERTIFIED MAIL FEE. AND CHARGES FOR ANV SElECTED OPTIONAL SERVICES 1_ front!. 1. If you want this receipt postmerked. stick the gummed stub to the right of the return addreu leaving the receipt attaclRld and present the article at a post office senice window or hend it to your rural carrier (no extra chargel. q¡ ~ :¡. ~ ..... ... en en ... 2. " you do no1 want this receipt postmarkad. stick the gummad stub to tha right of the return addrass of the article, date, detach and retain the receipt, and mail the articla. 'Ii 3. If you want a raturn receipt, write the certifiad mail number and your name and addrass on a return receipt cerd. Form 3811. and attach it to tha front of the article by means of the',gummed ends if space permits. Otherwise, affix to back of articla. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. tþ c =' "") Ò o ~ E ... o u.. If 4. If you want deliyery restricted to the addrassea, or to an authorized agent of the addrassea, endorse RESTRICTED DELIVERY on the front of the article. 5. En1ar fees for the services requested in the appropriate spaces on the front of this recaipt. If return receipt is requested, check the applicable blocks in item 1 of Form 3811. 6. Save this receipt and prasant it if you make inquiry. 1 02595-93·Z·04 78 ~ .;. "L FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 'W Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661)395-1349 SUPPRESSION SERVICES 2101 oH" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAJ( (661) 395·1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326·3951 FAJ( (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAJ( (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAJ( (661) 399-5763 -- e ~ ~ ¡, ,,~ August 18, 1999 Tajinder Kulsinder 7-11 3601 Stockdale Hwy Bakersfield, CA 93309 CERTIFIED MAIL RE: Failure to Perform or Submit Cathodic Testing NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE Dear Business Owner: Our records indicate that you are passed due on your cathodic protection testing, which is part of your leak detection system. Section 2635(a)(2) of Title 23, Division 3, Chapter 16, of the California Code of Regulations reads as follows: "field-installed cathodic protection systems shall be designed and certified as adequate by a corrosion specialist. The cathodic protection system shall be tested by a cathodic protection tester within six months of installation and at least every three years thereafter. " By this letter, you are hereby notified that on September 18, 1999, your permit to operate will be revoked, unless the above mentioned testing and documentation is received by this office. If you have performed the required testing, please submit a copy as verification to our office, as soon as possible. Should you have any questions or concerns, please feel free to call me at 661-326-3979. Sincerely, Ralph E. Huey, Director Office of Environmental Services by: J¡. rd4J Steve Underwood, Inspector Office of Environmental Services SBU/dm ~~7~ de W~ ~eve.AOPe .rbt, A W~.,., ~"., " CERTIFICA1, ~NKNOlDGY - Nbl ~ " . . _ UNDERGROUND STORAGE TAa SYSTEM TESTING - TANKNOLOGY-NDE. 8900 SHOAL CREEK, BUILDING 200 R IZ C ~ AUSTIN, TEXAS 78757 ¡;;, IV_~ D (512) 451-6334 '- FAX (512f459-1459 JUL n () 1q98 TEST RESULT SITE SUMMARY REPORfnVir~nmenta! Sen/ì~es TEST TYPE: TLD-l PURPOSE: COMPLIANCE TEST DATE: 06/11/98 CUSTOMER PO: W80S261838 WORK ORDER NUMBER: 2204977 CLIENT: THE SOUTHLAND CORPORATION 10220 S.W. GREENBURG ROAD SUITE 470 PORTLAND, OR 97223 ATTN: BOB DENINNO SITE: 7-ELEVEN #17721 MARKET #2237 3601 STOCKDALE HIGHWAY BAKERSFIELD, CA 93309 Tht: following tt:st(s) wcrt: conductt:d at tht: silt: above in accordance with all applicable portions of Ft:deraL NFPA and local regulations Line and Leak Detector Tests LINE RESULT "?LEAK K ;(~pã#§;J:~r~I!;/;; ;.ppeCTOR ..DETECTOR i..·A··..·.·,··..·..·.'...0............,I.·.:,I1C....a·...··.,..O,...,.........,..I1C..............."...........CI.U..S..,:.'..,...,..I'·'.~".D),·.·.·.·.,.......·.P~~~,.RESULT·· .'. .' ......., ,',. ,". '.', .... ',',',' ,,'. ....',.. .....?t!1>/fl.2.i!t1.tl2. 10K 10K 10K 0.008 0.005 0.007 1 REG UNLEAD 2 MIDGRADE 3 PREMIUM 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 caIJ any ¡im.:. da~' or night. when you need us, T ANKNOLOGY -NDE Representative: MARK SHAW Services conducted by: MICHAEL T LEVESQUE /"7 . -.-"..-- fv/L--//'" ( ~ ¡Y Reviewed: ~~ Technician Certification Number: 1405 Printed 06/15/9812:53 KRISTEN ;. INDlVID T REPORT , ' TEST DATE: 06/11/98 CLIENT: THE SOUTHLAND WORK ORDER NUMBER 2204977 SITE: 7-ELEVEN U 7721 TankID:I0K 1 Product: REG UNLEAD Capacity in gallons: 10,000 Diameter in inches: 96.00 Length in inches: 323 Tank age (years): Fuel pure rating: CP installed on: / COMMENTS Material: LINED Tank manifolded:NO Vent manifolded:NO Vapor recovery manifolded:NO Impact Valves Operational: y Overfill protection: YES 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: 128.0 134.0 32.0 4.0 COAX ASSIST ATG / T~~~rf$T~SUL"~;r!!§~M~tj'\9(;våCi#'rf;)þt;r< tart In t~K[)ç~CT~\RE~t.TS(!+~strnéthbd:~'tA· Failed/replaced New/passed Failed/replaced L.D. #1 L.D. #2 L.D. #2 New/passed L.D. #1 Make: Model: SIN Open time in sec: Holding psi: Resiliancy cc: Test leak rate ml/m: Metering psi: Calib. leak in gph: Results: PASS 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: 189.0 10 3.00 COMMENTS COMMENTS INCON TS-LLD ELECTRONIC UNIT Material: DW FIBERG Diameter (in): 2.0 Length (ft): 25.0 Test psi: 50 Bleedback cc: 55 Test time (min): 30 Start time: End time: Final gph: 0.008 Result: PASS Pump type: PRESSURE Pump make: RED JACIŒT COMMENTS Printed 06/15/98 12:53 8900 SHOAL CREEK, BUILDING 200, AUSTIN, TEXAS 78757 (512) 451-6334 Î INDIVIL. TANK/LINE/LEAK DETECTO.ST REPORT . TANKNOLOGY~DE WORK ORDER NUMBER: 2204977 SITE: 7-ELEVEN #17721 " , ! TEST DATE: 06/11/98 CLIENT: THE SOUTHLAND Tank1D:10K 2 Product: MIDGRADE Capacity in gallons: 10,000 Diameter in inches: 96.00 Length in inches: 323 Tank age (years): Fuel pure rating: CP installed on: / COMMENTS Material: LINED Tank manifolded:NO Vent manifolded:NO Vapor recovery manifolded:NO Impact Valves Operational: y Overfill protection: YES 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: 126.0 132.0 30.0 4.0 COAX ASSIST ATG / T~flJIÇTE~;r-~~IJ~!~[~stM~tJ'¡~9;¥ªê:iµ~gt> tart 10 ti~~pt:,~;rQRL~StJÞT~;Er~~!méthgd:Ë",rAi ........ Newlpassed Failedlreplaced Newlpassed Failedlreplaced 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: Model: SIN: Open time in sec: Holding psi: Resiliancy cc: Test leak rate ml/m: Metering psi: Calib. leak in gph: Results: PASS 189.0 10 3.00 COMMENTS COMMENTS INCON TS-LLD ELECTRONIC UNIT. Material: DW FIBERG Diameter (in): 2.0 Length (ft): 25.0 Test psi: 50 Bleedback cc: 50 Test time (min): 30 Start time: End time: Final gph: 0.005 Result: PASS Pump type: PRESSURE Pump make: RED JAClŒT COMMENTS Printed 06115198 12:53 8900 SHOAL CREEK, BUILDING 200, AUSTIN, TEXAS 78757 (512) 451-6334 INDIVIL,. TANK/LINE/LEAK DETECTOReST REPORT T ANKNOLOGY -NDE WORK ORDER NUMBER: 2204977 SITE: 7-ELEVEN *17721 TEST DATE: 06/11/98 CLIENT: THE SOUTHLAND Tank ID: 10K 3 Product: PREMIUM Capacity in gallons: 10,000 Diameter in inches: 96.00 Length in inches: 323 Tank age (years): Fuel pure rating: CP installed on: / COMMENTS Material: LINED Tank manifolded:NO Vent manifolded:NO Vapor recovery manifolded:NO Impact Valves Operational: y Overfill protection: YES Overspill protection: YES / !~~~;µ;Sl'BI?!)I.!~J~T~stM~th9d;V࿵'l'tåçt\··i' tart In Dipped Water Level: Dipped Product Level: Probe Water Level: Ingress Detected: Water Bubble Ullage T est 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 Bottom to top fill in inches: Bottom to grade fill in inches: Fill pipe len9th in inches: Fill pipe diameter in inches: Stage I vapor recovery: Stage \I vapor recovery: Installed: 126.0 132.0 30.0 4.0 COAX ASSIST ATG ~!!ǺE1FCTCJR~¡lIL.:TS\J~~t!1~th~9:FTA(i New/passed Failed/replaced New/passed Failed/replaced L.C. #1 L.C. #1 L.C. #2 L.C. #2 Make: Model: SIN: Open time in sec: Holding psi: Resiliancy cc: Test leak rate ml/m: 189.0 Metering psi: 10 Calib, leak in gph: 3.00 Results: PASS COMMENTS INCON TS-LLD ELECTRONIC UNIT. Material: DW FIBERG Diameter (in): 2.0 Length (ft): 25.0 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 JACIŒT COMMENTS 8900 SHOAL CREEK, BUILDING 200, AUSTIN, TEXAS 78757 (512) 451-6334 Printed 06/15/98 12:53 '. r , e SITE DIAGRAM e ~NKN0106Y - NÞE .~ " . TANKNOLOGY -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 WORK ORDER NUMBER: 2204977 SITE: 7-ELEVEN #17721 south real road i F \ i F \ \ j I I '0.../ ~ i r-- I I V \ ; V \ ..,..., I ; 'J .....~ I ..... ~ 0 i 0 ^ I ^ i i LJ I ! r--. ~ A i A \ . I l i I v I '~ I (, I PREM REGUL i \ i ~! ! ( , ' i -----. ~. , , i (STPi iSTPI L-J \ / ¡ ¡ '----'" '~' [I) I I I I I I I (") I en ---4 o ::u m .r::. Q) ro "'C ~ U o .... rn ~,---., .-... (STP) (A) ( Vi ~' 10K MID'~ (F¡ "-....-. o.:::() VENTS Printed 06/15/98 12:53 KRISTEN !" e . MONITOR CERTIFICATION FORM CUSTOMER: THE SOUTHLAND CORPORATION SITE I.D,: 7-ELEVEN #17721 DATE: 06/11/98 ADDRESS: MARKET #2237 3601 STOCKDALE HIGHWAY BAKERSFIELD, CA 93309 WORK ORDER: 2204977 1) IN TANK PROBES MANUFACTURER: TlDEl MODEL NUMBER: EMS 3500 SERIAL NUMBER: EA93 004080 NUMBER OF TANKS MONITORED: 3 SET UP FOR MONTHLY TEST (Y/N): NO DOES THE SYSTEM DISPLAY OR PRINT OUT MONTHLY TEST RESULTS ( Y /N): YES LAST TEST DATE: OS/23/98 PASSED/FAILED: PASSED TYPE (DISPLAY OR PRINT OUT): PRINT OUT OPERATIONAL (Y/N): YES COMMENTS: 2) OTHER PROBES: MANUFACTURER: MODEL: NUMBER OF LIQUID, FLOAT. SW, POSITIVE SHUT FAIL SAFE (Y/N ) OPERATIONAL PROBE LOCATION PROBES OR VAPOR SENSOR DOWN (Y IN) (Y/N) ANNULAR PROBE 0 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 MOrt-OR CERTIFICATION FOtM (CaNT.) 3 ) PRODUCT LINE PRESSURE MONITOR MANUFACTURER: INCON MODEL : NUMBER OF SENSORS: 3 MECH, LEAK DETECTOR ( Y/N ): MECH. LEAK DETECTOR OPERATIONAL ( Y/N ): YES DOES THE SYSTEM DISPLAY OR PRINT OUT MONTHLY TEST RESULTS ( Y/N ): NO TYPE (DISPLAY OR PRINT OUT): DISPLAY DOES THE SYSTEM GO INTO ALARM WITH THE SIMULATED LEAK TEST ( Y/N ): YES POSITIVE SHUT DOWN (Y/N): YES 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) ïJd1f:::r:- TECHNICIAN (SIGNAT"" ). COMMENTS: PAGE 2 OF 2 ", '. . ..........-,. ,'. "'. ...... BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 1715 CHESTER AVE., BAKERSFIELD, CA 93304 (805) 326-3979 -:, . . APPLICATION TO PERFORM A TIGHTNESS ~EST f5T-' O~-y ( J -±1 cRtÎ ~ ß llo~ S' -k FACILITY 7-11 1/, / 77 Z { ADDRESS SlßO I 5~k U¥, :5J~J PERMIT TO OPERA.TE 1~ , OPERATORS NAME 5~C(,~ NUMBER OF TANKS TO BE TESTED g OWNERS NAME IS PIPING GOING TO BE TESTED~ :t TANK-#: VOLUME CONTt:;S , 1 1f1L ~ " 1', L ''t~ ~ u~T~ ~ 27576 Commerce Center Dr. #109 TANK TESTING COMPANY TANKNOLOGY-NDE CORP. ADDRESS Temecu 1 a, CA 92590 :~ TEST 'l-iETHOD .UðavteJ- ~( NAME Of TESTER D¿tUM 'Tò~\r CERTIFICATION #: )51S- 13fS- ".' STATE REGISTRATION # DATE & TIME TEST IS 1'0 BE CONDUCTED -<1~ ¿¡~~~-97 DATE: ' ~ SIGNATURE OF APPLICANT ....... -:. PERMIT STATEMENT ~~ ~ ~ c---... RECEIVED FROM "I.,; ~~~ [- \ \ ~ \ll'd-\ , , AMOUNT '-..,,'" U5T/A5T PERMIT 82 '~TATE SURCHARGE 86 TANK TESTING 83 \(J COPIES/REPORTS 89 \ \ by ~~~ FD1595 Bakersfield ,re Dept. 1715 Chester Ave. Bakersfield, CA 93301 DA TE L\~ db- qq ~ldo.~ 0 '~'"ð- AMOUNT TENTS, LPG 84 FIREWORKS, POWDER, 84 OTHER PERMITS OTHER TOTAL DUE ~ \ 6~ . I .,~_~- . . . I " .. I I ""--I I I ~. - . Cit~ of Bakersfield ": uua CUSTOliER RECEIPT a ¡HI ePF.R: U~ORiOU OC DRAm: 1 ¡¡.~:E: 4/26/99 01 RECEIPT: 0973909 DESCRIPTION OTY AnOUliT iP TN FR TANK TESYInG 1 $165.00!!83 CK TENDER DETAIl. CI{ 2171 DA1£: 4/26/99 TOTfIl. CHECR Sl65.$0 TIliE: 13:39:27 $165.00 ,. _ ,,__wo, 'T ____ "~ ~... .. .--'" , '" '-F ~ FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 'W Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAJ( (805) 395-1349 SUPPRESSION SERVICES 2101 'W Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAJ( (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-3951 FAJ( (805) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 TRAINING DMSION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (805) 399-4697 FAX(805)3~5763 ;. . February 9, 1999 7 Eleven Food Store 3601 Stockdale Hwy Bakersfield, CA 93309 RE: Compliance Inspection Dear Underground Storage Tank Owner: The city will start compliance inspections on all fueling stations within the city limits. This inspection will include business plans, underground storage tanks and monitoring systems, and hazardous materials inspection. To assist you in preparing for this inspection, this office is enclosing a checklist for your convenience. Please take time to read this list, and verify that your facility has met all the necessary requirements to be in compliance. Should you have any questions, please feel free to contact me at 805~326~3979. SinCjlY, :Jtvda£J Steve Underwood Underground Storage Tank Inspector Office of Environmental Services SBU/dm enclosure ~~..7~ de Wt¥.IlH~ ~ ..A0P6 .7~ A We/UÚ~'I'I 'I. FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 ·H· Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAJ( (805) 395-1349 SUPPRESSION SERVICES 2101 'H' Street Bakersfield, CA 93301 VOICE (805) 326-3941 FAJ( (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3951 FAX(805)32~576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (805) 326-3979 FAJ( (805) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (805) 399-4697 FAX (805) 399-5763 . .' January 28, 1999 James Lyendecker 7-11 3601 Stockdale Hwy Bakersfield, CA 93309 RE: Rectifier Inspection Records Dear Sir: ./ Our records reveal that your facility was recently modified to meet 1998 upgrade requirements. Our records also show that your facility uses cathodic protection using an "impressed current system. " California Code of Regulations Title 23, Division 3, Chapter 16 Section 2635(a) requires that all impressed-current cathodic protection systems shall be inspected no less than every 60 calendar days to ensure that they are in proper working order. Since cathodic protection is a vital part of your monitoring system, this office will be verifying that your logs and inspection records are up to date. To assist you, this office is providing you with a "Rectifier Inspection Sheet" for your convenience. Should you have any questions with regard to your cathodic protection system or record keeping requirements, please do not hesitate to call me at 326-3979. Sincerely, Jd£ÆJ Steve Underwood Underground Storage Tank Inspector Office of Environmental Services SBU/dm enclosure cc: R.Huey, Director, D.E.S. ~~7~ de W~.¥OP.A0P6 .r~ A W~p"