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HomeMy WebLinkAboutBUSINESS PLAN 10/2/2007_~ - ~ `' M®NI7C®ItING SYSTEM CEIZTIFICA'I'ION For Use BY All Jurisdictions Within the State of California Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. If more than one monitoring system control panel is installed at the facility, a A separate certification or report must be~repared 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. Instructions are printed on the back of this page. A. GeneralInfoll~ation Facility Name: Yoo's 34u' street mobil Site Address: 800 34u' street Bldg. No.: City: Bakersfield Zip: 93309 Facility Contact Person: Lena Yoo Contact Phone No.: ( ) Make/Model of Monitoring System: Gilbarco-En~e sn# 80247179805003 Date of Testing/Servicing: 10/2/2007 ~. Inventory of Equipment Tested/Certifped ('hon4 tha onnrnnriato 6nrne to inAir~tn annrefir nm.inmanf inennrtatl/earvirod•• Tank ID: 1 Super Tank ID: 2 Special ® In-Tank Gauging Probe. ._ _ _ Model: 26509600100 ®In-Tank Gauging Probe. Model: 26509600100 ®Annulaz Space or Vault Sensor. Model: 794390-407 ®Annular Space or Vault Sensor.. Model: 794390-407 ® Piping Sump /Trench Sensor(s). Model: 794380.-208 ®Piping Sump /Trench Sensor(s). Model: 794380-208 ^ Fill Sump Sensor(s). Model: ^ Fill Sump Sensor(s). Model: ® Mechanical Line Leak Detector. Model: RJ-FXtV ®Mechanical Line Leak Detector. Model: RJ-FXIV ^ Electronic Line Leak Detector. Model: ^ Electronic Line Leak Detector. Model: ^ Tank Overfill /High-Level Sensor. Model: ^ Tank Overfill /High-Level Sensor. Model: ^ Other (specify equipment type -and model in Section E on Page 2). ^ Other (specify equipment type and model in Section E on Page 2). Tank ID: 3 Regular Tank ID: ® In-Tank Gauging Probe. Model: 25509600100 ^ In-Tank Gauging Probe. Model: ®Annulaz Space or Vault Sensor. Model: 794390-40T ^ Annular Space or Vault Sensor. Model: ® Piping Sump /Trench Sensor(s). Model: 794380-208 ^Piping Sump /Trench Sensor(s). Model: ^ Fill Sump Sensor(s). Model ^ Fill Sump Sensor(s). Model: ® Mechanical Line Leak Detector. Model: RJFX-IV ^ Mechanical Line Leak Detector. Model: ^ Electronic Line beak Detector. Model: ^ Electronic Line beak Detector. Model: ^ Tank Overfill /High-Level Sensor. Model: ^ Tank Overfill /High-Level Sensor. Model: ^ Other (specify equipment type and model in Section E on Page 2). ^ Other (specify equipment type and model in Section E on Page 2). Dispenser ID: 1-2 DispenserlD: 7-8 ^ Dispenser Containment Sensor(s). Model: ^Dispenser Containment Sensor(s): Model: ® Sheaz Valve(s). ®Shear Valve(s); ® Dispenser Containment Floats} and Chain{s). ®Dispenser Containment Float(s) and Chain(s). Dispenser ID: 3-4 Dispenser ID: ^ Dispenser Containment Sensor(s). Model: ^Dispenser Containment Sensor(s). Model: ® Sheaz Valve(s). ^ Shear Valve(s). ®Dispenser Containment Float(s) and Chain(s). ^Dispenser Containment Float(s) and Chain(s). Dispenser ID: 5-6 Dispenser ID: ^ Dispenser Containment Sensor(s). Model: ^Dispenser Containment Sensor(s). Model: ® Shear Valve(s). ^ Shear Valve(s). ® Dispenser Containment Float{s) and Chain(s). ^Dispenser Containment Float(s) and Chain(s). *Ifthe 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 inspectedlserviced in accordance with the manufacturers' guidelnnes. Attached to this Certification is information (eg. manufacturers° checklists) necessary to verify that this information is correct and a Site Plot plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the report; (check all that apply): ®System set-up ®Alarm history report Technician Name (print): Ruben Becerra Signature: Certification No.: 5238591 License. No.: 532878-A-Haz Testing Company Name: Redwine Testing Services Phone No.: (661) 834.6993 Site Address; 800 34u' street Bakersfield, C/4 Date of Testing/Servicing: 10/2/2007 Page 1 of 3 T7-ova '~ Monitoring System Certification I~. Results of Testing/Servicing Software Version Installed: 15.01 !'mm~lPtP the fnllnwina rhvrizlict• ® Yes ^ No* Is the audible alarm operational? ® Yes ^ No* Is the visual alarm operational? ® Yes ^ No* Were all sensors visually inspected, functionally tested, and confirmed operational? ® Yes ^ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? ^ Yes ^ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem) ® N/A operational? ® Yes ^ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment ^ N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate - - - - - - positive shut-down? (Check all that apply) ^ Sump/Trench Sensors; ^ Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ^Yes; ^ No. ^ Yes ^ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no ® N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? ^ Yes* ®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. ^ Yes* ®No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ^ Product; ^ Water. If yes, describe causes in Section E, below. ® Yes ^ No* Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable ® Yes ^ No* Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, describe how and when these deficiencies were or will be corrected. ~. Comments: Monitoring System Certification F. In-Tank Gauging / SIIt Equipment: ®Check this box if tank gauging is used only for inventory control. ^ 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: ® Yes ^ No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ® Yes ^ No* Were all tank gauging probes visually inspected for damage and residue buildup? ® Yes ^ No* Was accuracy of system product level readings tested? ® Yes ^ No* Was accuracy of system water level readings tested? ® Yes ^ No* Were all probes reinstalled properly? ® Yes ^ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leek IDefectors (LLD): Com lete the followin checklist: ^ Check this box if LLDs are not installed. ® Yes ^ No* ^ N/A For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) Simulated leak rate: ^ 3 g.p.h.; ^ 0.1 g.p.h ; ^ 0.2 g.p.h. ® Yes ^ No* Were all LLDs confirmed operational and accurate within regulatory requirements? ® Yes ^ No* Was the testing apparatus properly calibrated? ® Yes ^ No* ^ N/A For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ^ Yes ^ No* ® N/A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ^ Yes ^ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled ® N/A or fails a test? ^ Yes ^ No* For electronic LLDs have all accessible wirin connections been visuall ins ected? ® N/A ® Yes ^ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. Page 3 of 3 SWRCB, January 2006 Spill Bucket Testing 1Zeport Form This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form and printouts from tests (f applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Yoo's 34'~ Street Mobil Date of Testing: 10-2-07 Facility Address: 800 34~' Street Facility Contact: Lena Yoo Phone: Date Local. Agency Was Notified of Testing : 9-28-07 Name of Local Agency Inspector (if present during testing: 2. TESTING CONTRACTOR INFORMATION Company Name: Redwine Testing Services Inc. Technician Conducting Test: Ruben Becerra Credentials': ^ CSLB Contractor ~ ICC Service Tech. ^ SWRCB Tank Tester ^ Other (Sped) License Number(s): 532878-A, Haz 3. SPILL BUCI~T TESTING INFORMATION Test Method Used: ~ Hydrostatic ^ Vacuum ^ Other Test Equipment Used: Incon-TS-STS Equipment Resolution: ~. ~~~r~~~~ _ ~ ~ ~, _ ~ ~ . . ~, ~~o~~ a ,: , v. ~a~~~,.~~._~. ~~~M.~ ~ ,~<~.:.~ ~ ~~- a .;.,. k. Identify Spill Bucket (By Tank Number, Stored Product, etc. 1 Special Fill 2 Special Vapor 3 4 Bucket Installation Type: ^ Direct Bury ^ Contained in Sum ^ Direct Bury ^ Contained in Sum ^ Direct Bury ^ Contained in Sum ^ Direct Bury ^ Contained in Sum Bucket Diameter: 11" 11" Bucket Depth: 13" 13" Wait time between applying vacuum/water and start of test: 30 Minutes 30 Minutes Test Start Time (Ti): 11:05 am / 11:24 am 11:05 an11 11:24 am Initial Reading (RI): 5.0812 in / 5.0814 in 5.0486 in 15.0484 in Test End Time (TF): 11:20 am / 11:39 am 11:21 am / 11:39 am Final Reading (RF): 5.0815 in / 5.0815 in 5.0485 in / 5.0482 in Test Duration (TF - Ti): 15 minutes 15 minutes Change in Reading (RF - RI): .0003 in / .0001 in .0001 in ! .0002 in Pass/Fail Threshold or Criteria: .002 in .002 in Test Result: ~ Pass ^ Fail ~ Pass ^ Fail ^Pass ^ Fail _ ^Pass ^ Fail Comataetits - (include information on repairs made prior to testing, and recommended follow-up for failed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONIDIJCTING THIS TESTING I hereby cert~ that all the information contained in this report is true, accurate, and in full compliance with legal requirements. Technician's Signature:. Date: ' State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. SWRCB, January 2006 Spill Bucket Testing Report Form This form is intended for use by contractors performing annual testing of I1ST spill containment structures. The completed form and printouts from tests (',`applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Yoo's 34th Street Mobil Date of Testing: 10-2-07 Facility Address: 800 34th Street Facility Contact: Lena Yoo Phone: Date Local Agency Was Notified of Testing : 9-28-07 Name of Local Agency Inspector (if present during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: Redwine Testing Services Inc. Technician Conducting Test: Ruben Becerra Credentialsi: ^ CSLB Contractor ~ ICC Service Tech. ^ SWRCB Tank Tester ^ Other (Sped) License Number(s): 532878-A, Haz 3. SPILL BI7CKET TESTING INFORMATION Test Method Used: ~ Hydrostatic ^ Vacuum ^ Other Test Equipment Used: Incon-TS-STS Equipment Resolution: g S Identify Spill Bucket (By Tank Number, Stored Product, etc. 1 Super Fill 2 Super Vapor 3 Regular Fill 4 Regular Vapor Bucket Installation Type: ^ Direct Bury ^ Contained in Sum ^ Direct Bury ^ Contained in Sum ^ Direct Bury ^ Contained in Sum ^ Direct Bury ^ Contained in Sum Bucket Diameter: 11" 11" 11" 11" Bucket Depth: 13" 13" 13" 13" Wait time between applying vacuum/water and start of test: 30 Minutes 30 Minutes 30 Minutes 30 Minutes Test Start Time (TI): 10:27 am / 10;44 am 10:27 am / 10;44 am 10:27 am / 10;44 am 10:27 am / 10;44 am Initial Reading (RI): 5.1802 in / 5.1789 in 5.8460 in / 5.8463 in 3.0169 in / 3.0164 in 5.3393 in / 5.3373 in Test End Time (TF): 10:43 am / 11:00 am 10:43 am / 11:00 am 10:43 am / 11:00 am 10:43 am / 11:00 am Final Reading (RF): 5.1791 in / 5.1784 in 5.8462 in / 5.8466 in 3.0166 in / 3.0166 in 5.3375 in / 5.3371 in Test Duration (TF - T~): 15 minutes 15 minutes 15 minutes 15 minutes Change in Reading (RF - RI): .0011 in / .0005 in .0002 in / .0003 in .0003 in / .0002 in .0018 in / .0002 in Pass/Fail Threshold or Criteria: .002 in .002 in .002 in .002 in Test Result: ~ Pass ^ Fail ; ~ Pass' ~ Fail ~ Passe ^ Fail ~ -Pass ^ Fail COmmemts - (include information on repairs made prior to testing, and recommended follow-up for failed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the information contained in this report is true, accurate, and in full compliance with legal requirements. Technician's Signature: Date: 1 State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. i ~. t~~m~it®~n~ ~s~ste~x +~ec°t~~ati€~~ Site .~ddxess: F I~~ ~. s ~• 3 . ;_ ~~ . .~~ ~. . ~ f ~ . ~. ~ ~ (~ ~ t ~ ~°~*: ~ i'tP'tr~C> f' ~~ F~,~~~up,e ' Sump ~~ . ... ~•~=_ ._. ___ ._. ~ ............................ .. . .. t11 . ~ _._ _ J-- tae ~ t ( `~ ~ . E ~ \ ~sp4N6 . L. ~ ' ,' u Via... ,! 3u rr~ (~! ~,p [,.~.__1 .'.`. '. 0 - - . ~~~ ~~~~~ F3~~e axaars vva~fi ~r~`wm • t t~ ! ~'_ ~'? Inst~~a~~s ~f yota already have a diagraan that sl~o~vs all re~a~ired ir,~ornatior~, yon may irolt}de it, ratl2er than this ~,a.~o, ~if~ your ~~lonitorir~~ system ~erti~~atioY~. Can your site p1ar~, sty®~~ the general layo~,~t ~~ tanks and pipi~,~. ~.Iearly identify looation5 of the follosvin~ ectt~apmer~ty ~' i_~stalled: _rno~'itori~ig system control panels; sensors mo~itorins till{ ~L1n33.~~.r S~a~~S, S?.fi~pS, CalSpeilS°.1' 1?~T1S, 5111 ~E3nta.I22e~S, ~r oti~:er S~~onQ~al~J ~C~?tc~iPYPTt~FIt 8.re~3; t2~leC~€an~Cal ~sr electronic line leark det2etors; aild in-tarL:~ lisl~iid level probes ~if used `or leaf detectiors~. ~n tl~e spare ~rovitlecl, note tlae date this site I~Iarc was prepared. MECHANICAL LEAK DETECTOR TEST WORK SHEET Facility Name: Yoo's 34th Street Mobil W/O#: Facility Address: 800 34th street, Bakersfield, CA. 93301 Product Line Type (Pressure, Suction, Gravity) Pressure PRODUCT LEAK DETECTOR TYPE TEST TRIP PASS SERIAL # BELOW PSI OR 3 GPM FAIL UD TYPE RJFX-IV YES 12 psi PASS Regular SERIAL # 116-056 UD TYPE RJFX-IV YES 12 psi PASS Super SERIAL # 116-056 UD TYPE RJFX-IV YES 12 psi PASS Special SERIAL # 116-056 UD TYPE YES PASS SERIAL # NO FAIL I certify the above tests were conducted on this date according to Red Jacket Pumps field test apparatus testing procedure an limitations The Mechanical Leak Detector Test pass /fail is determined by using a low flow threshold trip rate of 3 gallon per hour or les at 10 PSI I acknowledge that all data collected is true and correct to the best of my knowledge. Tech: Ruben Becerra Signature: Date: 10/2/2007 rLHRf~9 H I ~Tt1R`i` REP'uRT ----- SEj'JtiGSR t~LHRt°1 ------ L 3:87 tiPIULLHR HP~IPJULHR SF~~CE FUEL tiLi~Rt"i lu-ii-UE 1u:~3 Hh1 SEtVSiJR UUT~+~hL~iRt°1 U7- i U-Ub ~ : ~i9 HC"~ EEtVE[+R ~+UT F'rLriRt`9 x x n :~ ri .Et'dLi ~ x x n r7Li=ikt°i H I .:]Ti]R'~' REFtURT L t, : 8y ~TF' ;3U MF' STF' SUh9F' ' FUEL HLHRt°t _ 1U-1 i-Ub _ _ lU:'~U ht°i FUEL iiLrRNI FUEL riLHRNI ub-0~-05 5:5y F't'1 ;: x~ :x x EP•lLi x~ x~ x t.~ii-~ NivBIL 8UU 3~TH ,.•H 9331=i1 T3~}:ERSF I ELD G81 -Lib9-1 y?`~ ~LNRt°t H I ETt;lr'•t' REF'i~RT SEhdSUR F=iLr';RP't tiLHRt°i H I ETi:>R'' REF'uRT ~~a ;~i.~TEt°1 `.--~TtiTU`~--~' REF'iJR - r=1LL FUhiCTlti~f+l~ fVi:?Rf'1r';L. L 5:91 E;TF SUt°1P ~~TF' ~~UN1F' FUEL HLhRNt 1U-11-OG IU:US wit°1 FUEL HLHRNI 1 U-1 1 -U5 1 1:38 At''1 FUEL HLtikt°l 1 U-1'~-p4 1 1: 1 Hh9 n z EWLi ~ x x~ x Q L ? : E? 5TF EUNiF ETF' SUt°iF' FUEL HLiRf°t lU-ii-06 1U:35 HP9 FUEL ti Lrkt°i _ l U-1 1-U5 1 1 .5h HC''I FUEL ~•rLr7Rh'1 1 U-1'~'-u4 1 1 : U5 NNt x x x EPdD x~* x HLHRN9 H I ST~aR'~' REP~:IRT i~LHRP'1 HIST{iRY REPLiR T -_.---- SENS~~R FiLtiRt°1 ----- L 1:91 F;tVULLr,R r;Lr=+Rt°1 HI ~Ttak'Y' REF'«kT ----- It'd-TriPJY: iLHRP'1 ----- riPJtVULr=jk ;.~F'tiGE FUEL rLiRP1 ---- I h•!-Ttitd}; tiLHRt"1 ----- T 3: UNLE~IiED 10-1 1-06 I U: 1 1 r'=tt°1 T '' : SF'E~ ~ I HL SETUP L,HT~ LJNR N I tVG ' FUEL rtLriRt°1 1 U-I 1-U5 1 1:48 H("1 U~i~-'~'.b-•98 8: X38 HNi SETUP DtiTA 6JHRtVI NG u3-'2698 8:48 ~t°i t}VERFILL r~LHRf°I FUEL HLhRt°1 , 04-09-U? 11:'t3 ~I`9 1U-1~'-U~! 11:1? ~;t°1 L~+W F'RUUUi~T f=; Lr=iRtu1 , U'~-1 G-07 8 : ~iU Hf°t U9-l ;i-0? ~ 8 : 4y Ht°l , U 1-23-U? 8:1.1 r~Nl u5-10-0? i, : UO F'Nl ~ Li:J451 F'ROLiUi}T r~LtiRt°t I Pdt1NL I P FUEL LEVEL 1 D-1 1-U5 1 '? : 1 ~! Ff°1 09-1:_'-0? 6:3a F't•1 HIGH PRi~DU~?T HLHRt°1 u6-'~3-0? B:O~J F't°l 04-09-0? 11:'25 i~Nl U9-07-05 9:12 r~f'1 FRti?BE uUT U8-14-05 7:'?U r~Nl * * ~ * *`' END * ~ * x 10-11-U6 1Li:31 F;t°1 1U-11-U5 1'2:35 FM ItVU'r~LID FUEL LEVEL 10-12-04 1'1:01 HI°t 0?-31-0? 8:21 Ht°1 06-2t~-ia? 8:2U rat°1 06-01-0? 8 : a8 Nt°i L:,EL I 11ER',' fVEEDED 09-'~' 1-U? 3 : ~JO Pt°t PF,'t7bE +~UT 09-1 1-U? 1 : U~l Ph9 U5-1 ?-07 12:03 F'P'1 09-U3-0? ~ : 41 PNl 1 U-1 1 -CJ6 1 U : a6 ANl 1U-11-U5 1'2.1 PNl riLr`7Rt°t H I STt,R`,` REF'ti+RT DEL I t1ER`! t'dEEDED U9-'2~J-U? 11:53 ANi - °EtVSUR ~LHRt°1 ---- ^' - ---- • U9-13-0? 5: ~J8 Pt°1 L= ~ 89 htVULLtiR U9-U9-0? 3:3°3 F'Ni rfVhdlJLrR SPtii:.E FUEL tiL~RNt L{~l,J TEt°1F' ~~JARIV I NG 05-1?-~U? 12:1'2 F't°1 FUELr';LrtRP9 EP•JD ~ x x * * 10-11-U5 1'?:29 Ft°1 SETUF' LiHTfi 4+1F-tktVIfVG ' ~ 03-18-0~1 9:15 rat°t x n ~ x ~ EhJD ~ ~ >t ~JUTFUT F,ELt~ ~ SETUF' k 1 : UhJLEUEL? T ~'F'E : , ~~TtiPJDf;kL? PJ~k[^'1tiLL~! CLUSEL? L. I iaU I U ~~EN:~Ck i=~LNt L 3 : FIJEL riL~Rf°1 L 7:FUEL HL`kl°1 k :' : PLU'.-; .. TYFE: STr~P'J~HRU PJ~3kN1r~LLY ~_ LvSEL? iLf ikf"1 H I TUk ,' kEF'UkT F't~FEk UUT 09-1 ~-07 6 :.UU Nt°1 F'kINTEk EkkUR 09-14-0'r' 6:00 rit°1 BNTTER'; I5 :iFF C'LsJGK I5 I NCi_ikkE~:T L I i~U I Li :3EP•Jt=]fJk i~LMS L 2:FUEL ~LHRNI L 4:FUEL 6iLHkt`9 L 6:FUEL r~Lt~kt"1 k 3 : F'kEt"1 I Ut"1 T'^,'F'E ST~tVD€;kLi fdC,kP9nLLY ~_LUSED L I 4iU I L? EEPJ ~`k ALt°1:1 L 1:FUEL ~tLt~kM L 4 : F UEL tiL~kt°i L 5 : F UEL t~LHk[°i k 4 : ~1~,hJ I TkvL HLr~kt°1 T1'F'E ;TtiPJDrkD tdURl°ir~LL.' UF'EPd L I i~ U I L? SE Ntiukr=tLP9~~ HLL :FUEL HLHkt°1 E,~::?FTI.JtiRE kE'~+ 1.J I C+PJ LEVEL 'vEk:~I~JtJ 15.01 ,i.>FTI~Jr=;RE#i .346015-1 UU-B i kEr=+TELi - 97 .1 iJ . 2 ~3 . Uii . 56 iVU ;3t>FTLJrikE N1C+I~ULE S`;STEP9 FEHTUkE:~: F'Ek I fiLi I i_ I fV-Tt~PJ}; TE TS rtPJtVUHL I M-Ti~[SJk: TE T:3 F x ~ x ENL? * ~ ~ ~ n iL~kt°i HI;'tt~R`t' kEF'11kT ---- I tV-TtitVk: tiLtiRNi ----- T 1::3UF'Ek EETUF' L?rT'H I.JAktV I Nia 04-19-U3 9:09 tit°1 03-26-98 8:48 hNJ ?~+,tEkF I LL i~Li~k["1 UG-~~5'-U2 1 U: 17 I"'it"t Lt34.J F'k_t~LlUi:~T HLHkt^'i 1U-11-Ub 1U.15 hi°i 10-1 1;-05 1 1:53 H["1 HIi~H PRUL?UC'.T hL~kf"J 06-:'S-0~' 1 i i 18 Hhl 01-06-0~ 1':46 F't°1 1''-'~'S-01 7:O1 F'f"1 I N11r~L I Li FUEL LE~,rEL 01-1 ?-07 4:25 Pt°1 10-i1-06 10:15 ANl 1 ~-1 1 `U5 i 1 .5:i h~If 't F'kv13E CUT 1 U- i 1 -06 10:16 Ht`1 1 U-1 1-05 1 1:54 H[°1 P L?ELI 1lEk`I NEEDEL? 09-26-0'r 8:10 F'M U8-18-0? 4:01 Ft"1 t°lr;'; PkUL?UiT HLHkt°t 1'~'-'<5-U1 7:03 F'f°1 08-05-U1 '3:22 ~Nt u6-16-01 ?:47 F'h'1 Lc'~L~J TE_t^'1F' l~Jr_=tktV I Nia lU'11-U5 i I :55 f'It"~ ' ~. T ? : ~PEi' I r,L PROliUCT CC 1LrE ' THERt~1FtL i'OEFF :. UC1Ul17U THN}; DIHNIE'TER 90.85 Th}d}~: F ROF I LE 4 PTS FULL Vi~L 9741 68.1 'IPJC:H VIOL 791?. 45 . ~ I PJGH t?OL ~ . 4884 '«' . 7- I•tJC'H ItOL 1885 FLuHT :_~ I ZE : 4.0 I IJ 6•JFiTER b•JhRNI PJG H I i;H l.•,1tiTER• L I t~i I T f°}r-1`.~; OR LHBEL 'v+t}L O~JERFILL LIMIT HIi;H PROLiU~'T DEL I ~1ERY L I t~1 I T . LOI.,J PRODUi~T LEH}=: t~L~Rt~i L I i°1 I T SUIiLrEtV LOSS L I t°1 I T Ti~tV}: TILT f'1tiN I FOLDELi TtitV}~;S Ttt : tVOlVE LEr;}~: t~i I N PER I C>D I i' : LEA}: t°1I Nr'iPJt'JUr,L 8496 '~ U 3.U 9741 9 u:s 876E 95% y254 1 U"~ y~4 5UU 99 5U 1.7u u-'~ U U`%~ G PER I C>D I i' TEST T'; PE ~T~fJLrr;RL:t i~rt'•JNU€;L TEST FrIL rL~RNi D I SHBLED PERIODIC TEST.FHIL HLHRP•} Ii I SHBLED i;RU Ji-J TEST FH I L HLHRt~1 D I SHBLED HIVPd TEST HiJERHG I NG : CiFF F''ER TEST H'~tERHG I Nt; : OFF 'I`HtV}: TEST tVOT I F'`s' : OFF TPJ}: TST S I F'Ht ~N BRED}; : s?FF DEL I VEk.' DELr=i ;' 15 N1I N T 3:UNLEHDED F'RODUi:;T i~t~DE 3 THERt~1HL iOEFF :. UUUU70 TritV}; Li I Ht~1ETER 91J . 85 TrihJ}: PROFILE 4 F'TS FULL 1rOL 9741 68.1 I tVi'H VOL 791 45.4 INCH 'VIOL 4884 '~'~ . 7 I tVi.;H '~+OL 1885 FLC+~rT SIZE: 4.iJ IPJ. 84yi GJr'TER WriRN I PJG '~ . 0 HIi;H WHTER LIMIT: 3.0 Nir~~: OR L~rBEL Ut3L : 9741 OL+ERF I LL L I P'1 I T 90`~ . 8766 HIGH PRODUCT 95:b 9254 DEL I TIER ,~ L I Ni I T 10%0 974 LOW PROLiUiT 5UU LEr}°; HLHRt~1 L I t°1 I T: 99 SUDDEN LO~~S I. I t~J I T : 5U THtVk: TILT } . 3U t°irifV I FOLDED THIV]S:S T# : tVOtVE ~LEN]<: hl I t5J PER I OLi I C : u:a U LEH}: thI N HtVtVUtL U`u . U F'ER I OLi I << TEST T`: PE STHfJUHRLi FiNPJUr";L, TEST FriIL HL~RNi Lr I t?.tiBLED F'ER I OLi I ~' TEST Fri I L HLtikt~1 Lr I StBLED i,RCr`~S TEST F~ I L ' HLHRNI D I SHBLED HNtV TEST H'ttERr4i3I tdia : OFF F'ER TEST H~IERrtC~ I NG : OFF THN}: TEST tVOT I FY : OFF TtVK TST SI PHOt'J }3REHk:: UFF DELI 1+ER~` LiELHY 15 P'i I PJ LEA}; TEST t~tETHC>D TEST C}tV Dr'TE HLL T~rN}; t~1rR 26. ~ 199`1 STr~RT T I t~lE ~' : UUrit~1 TEST Rr~TE : U . 'L'U GNL, HR LiUkr`TIC?tV ~' HOURS LEF=,}: TEST REPORT FORN1r~T tVORt~iHL L I uU I D SEf•JS.,~R SETUP L 1:91 ifVLILLi-iR TRI -ST~rTE (S I NILE FLO;~T :r C'HTE~:~CrR~' r,t'JiVULHR SF'r7i_'E L 2:89 ~ttVULLHk TRI -STr=tTE ~ S I tVi=,LE FLOi-tT C'(iTEiaUR;' HPJNULi~R SF'r;CE L 3:87 r~NULLHR TRI-STHTE (SINGLE FLOriTi Cr~TECaClR'r' r-;hJtVULtiR SPNC'E L 5:91 STF SUt°1P TRI -STr~TE f S I Ni;I.E FLOAT iv~TEGORY' STF SUP'1P L 6:89 STF SUhtP TRI -'"-STHTE C S I PJGLE FLCtr`;T ) i.'HTEGOR',' STP SUf~iF' L 7:87 STF' SUMP TRI-STHTE C~INC~LE FLOHT) CHTEGG+kY STF 5Ut°iF ' .^ Jl`~JTEf°l SETUP ,'•i'ETEh'1 Ut'J I T U.S S'i'STENI LH!`JijlJrii=E ENi=LISH J1• JTEP'l~ Dt~TE:~Tdt°1E FSaRf^9rT f°1h'i-DLi-':.` HH : P'ihl : tiS, :Aa'9 3uo 34TH Fit~}ERSF I ELLi t"r; 933U 1 i;Gl -86'~-1'~?a RIFT. T I I°lE i l U: UU F'P'1 H I FT T I P'lE '' : b: 0 U rit°l SHIFT T I h1E 3 D I SriHLED SHIFT T I NiE 4 : Li I Sri13LED TrihJ}; F'ER I vD I C t.JtiRtV I CViaw, Li I SrELEL~ Tr~tVk: tifVNUriL l~.JriRf'JIfVi.S fi I :J~BLED L I PJE F'ER I uD I C (1JriR fV I NGS D I S~13LED LINE riNPJUrL 6Jr;RNI hJGS Li I StiBLED F'RIfVT T~_ 1t+~LUt°lES Et'Jr~FiLELi TE!°iF' C-vf"1PEN ~hT I CtN SJriLUE f DEG F ) : G0.0 :~T I r.-..}: HE I i H'I' ~~>FF:=,ET Li I SriIaLED Dh,jL. I i BHT :=;rit,' 1(V~_~ T 1 h11r' EPJri)=~LEI:~ ST€iRT Lir;TE STriRT T I f°lE END DHTE ' V~_T 1;JEE}: t. SUN E hJLi TIME '? : OCi rif°t `;` TEt°I SEi~ UR I T ,'.. i~t~DE 0000U0 I PJ-T~hJ]<: ;ETUF' T 1:SUE'ER F'R~~>liU'T i=ULiE 1 THERt^'1riL xjEFF :. L"iUUD?Ci ..~. THNK Li I riP'tETER 50.05 Trit'Jk: F'RUF I LE 4 PTS FULL t;'ti+L y?41 ' G3. 1 I !Vi_'H L1C1L 9'~ 1 ? i'i~1t°lt°IUNI~-:r;T I~~+I'JS SETUP - - - - - - - -- - -. _ .- 45.4 I f+Jt~'H LjiiL : 4884 '.''? . ? I t'Ji~:H U'k;L 18ti5 F'iiRT SETT I PJi~ S : FLt aril S I EE : 4 . Li I tV . 34yt PJ:1hJE F_rUtVLi 6~JriTER LJriR'hJ I PJG '~ . D HIGH UJriTER LIh9IT: 3.U RS~-23'~ SE~~UF?IT': P'lri;>::; ~::iR Lr13EL 't~s:~L: y741 C:`~TaE 00rJ0U0 r ~tiJERF I LL L I P9 I T 90°ti Ii766 NIGH 1?RC~LiUi'T 95b . '2`54 DELI 1?ER'Y LIf°1 I T l U-~i. RS-232 ENLi OF t°1ESSri~~E y74 ' DISriBLED LG+LJ PRt~LiU~='T 5uU LErik: riLr;Rt°1 LIf°t I T :v9 `SUDDEfV LCiSS LIt°IIT: 50 TrfV}: TILT 1 .50 f^'1riPJIFCiLLiELi Tr~Nk:S T#: Nc~NE LEti}: t°i I N F'ER I ULi I i~ : U`i; • U LEH}: t°lI N rfVPJUtiL U%:,. 0~.. FER I C}D I ' TE ,T 'I"YF'E STrihJUriRD ritVlVUr~L TEST Fr, I L tiLriRl"1 D I ti,riEsI.ELi F'ER I L>Li I C' TENT FH I L riLr=tRf°t D I °~r;SLED GR{JE~S TEST FH I L riLHRNt D I Sr~BLED rifVfV TEST ri~~ERriG I PJG : UFF F'ER TEST ri11 ERrii=~ I tVi~ : t~FF Tr=~N}; TEST hJC~T I F'.' : ~>FF TPJ}: TST S I FHUhJ BREr~}; : ~~>FF DEL I VER'B' DELri`, 15 h~1 I N I' ~ fA ~ ... . . ',fit l !'-, Vi`''a i`:- -~5v~- ~ , ry~: ! ~~' _~ I .159''}?,::' ~vii:i' -_- ti r, _ ~, _ . _' '.'i r1 `. ~ ' .': (r'i..•'4.jR;! ,:.C_1IJ f ~.~ _i- _ _ _ _. __, - E' _. .. . , 1 ~_ _ i'4i', ._~i_j}'.1 _ _ _^ _:I' ;i s "'~' _ _ _. rim ~ -- _ _ tt .'~I'~ Ti_r~ 'h;,;. -fir ~ _wi ,~ - .':1~'I%'-, i' " • ~,'~- i•;I.:' ~l.; ° ~~i~?; err; . __ i=1i*:' ~.. .441 ''1'? =4.i - _ ^_~- - - . 1 r'L _ ;• - _ - _ ~i. ~.liJ 'S'am , _i-i17 ~_'ii"! ' F1,' `.•_i",,,x141 _. _ ir``. r - .. ~~' _ _ ,~_ ?'ii'i :._:. .cr ~~_~,_. _ 1 1'.. ..___ 1 ^SPEuxs~„ L't~l I-if' ~' _ is '_~_ ~4'~.,~' _ _.hi~_ vv..-ti. ~I~Lf._~_.1 _.. 54EC4~'~ vPpuM1° -~.~~'~ _ iiC 'dry ~:i ~'!T'I 'l~E 1' ~ r1y I_~~ iy' - ~~- Prevention Services U~NIFI~D PROGRAM INSPECTION. CHECKLIST B F R S P_, 90o Truxtun Ave., suite 210 FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ~ ° aRrM Tel:: (661) 326-3979 Fax: (661) 872-2171 , FACILITY NAME ~ - _ _ - INSPE TIO DATE INSPECTION TIME ` ~ ~ ~ ~~fl7 ADDRESS PHONE NO. NO OF EMPLOYEES ~~~ j ~~ FACILITY CONTACT USINESS ID NU ER 15-021- J'1 j,~ Section 1: Business Plan and Inventory Program -- - - r^ ROUTINE ~MBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ( C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIr1eSS PLAN CONTACT INFORMATION ACCURATE ' ^ VISIBLE ADDRESS - / ~1' ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS Ei~ ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION t ^ 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 ANY HAZARDOUS WASTE ON SITE? ^ YES ~NO EXPLAIN: THIS INSPECTION? PLEASE CALL US AT (661)' 326-3979 Fire Invention / 1'~ In /Shift of Site/Station # / mess//: J~ White -Prevention -Services ~ ~ - Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 CORRECTION NOTICE - BAKERSFIELD FIRE DEPARTMENT 0 015 5 7 You are hereby required to take the following action at the above location; ^ CORRECT & CALL FOR REI/NSPECTION ^ C fORRECT & PROCEED _~'PW~c4tQ_tit f~lltfka ~' PREVENTION SERVICES DIVISION 1600 TRUXTUN AVENUE, SUITE 401 (661) 326-3979 Location: ~~ 3rC~ ~~ ~ ~-~r~~ Completion Date for Corrections: /~_ /~ Received by: Inspector: Steve Un oo Initial Date: ~ /~ /~~ Desk Phone: (661) 326-3190 (from B:OOam to 8:30am) KBF-9229 ~+ INSPECTIONS BUSINESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST FACILITY NAME: t~{~ ~, S ~.Q ~ c~ H II E R S F I L D F/RE ARTM T Section 2: Underground Storage Tanks Program BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 INSPECTION DATE: -~'~-~,+",, ^ Routine ^~Combined ^ Joint Agency ^ Multi-Agency ^ Complaint ^ Re-Inspection Type of Tank QU14~.'~ Number of Tanks 3 Type of Monitoring Lt_LW1 Type of Piping l~~ OPERATION C V COMMENTS Proper tank data on file Proper owner /operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? ^ Yes ^ No Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank Aggregate Capacity Number of Tanks 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 ove~ll I overspill protection? C =Compliance V =Violation Y =Yes N = No Inspector: Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services siness Sit po I art Pink -Business Copy KBF-7335 FD 2156 (Rev. 09/05) __ _ _ ? -c . <,• . F YOOS MOBIL SiteID: 015-021-000345 Manager LINA Y00 Location: 800 34TH ST City BAKERSFIELD CommCode: BFD STA 04 EPA Numb: BusPhone: (661) 325-6320 Map 103 CommHaz Moderate Grid: 19D FacUnits: 1 AOV: SIC Code:5541 DunnBrad:77-032-4494 Emergency Contact / Title Emergency Contact / Title SUNG H Y00 / OWNERS BROTHER LINA Y00 / MANAGER Business Phone: (661) 330-7686x Business Phone: (661) 325-6320x 24-Hour Phone ( ) - x 24-Hour Phone (661) 330-7686x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact LINA Y00 Phone: (661) 869-1974x MailAddr: 800 34TH ST State: CA City BAKERSFIELD Zip 93301 Owner LINA Y00 Phone: (661) 869-1974x Address 800 34TH ST State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD PROG U - UST ENT'p q ~~ ~ 5 2007 Df=.~pd an mY inquiry of those indivic?~_s~!S re:~~;7v~ncil;it~ for obtaining the inf;~rn~ati ~ on, ! c~~; ~tfy unc?~~r py;;afty of fart that ! have personally e>cf.rninr.d and am familiar with the infor mation s~~~:~iitted and believe the information is true, acc"'""'•". end complete. Signature ~ /3~~ Dat -1- 07/16/2007 -~ F YOOS MOBIL Last Action Type: 5iteID: 015-021-000345 ~ STORAGE CONTAINER DATA (UST FORM A) FACILITY/SITE INFORMATION Business Name: YOOS MOBIL Cross Street Business Type: Org Type: Total Tanks 3 IndnRes/Trust: No PA Contact: Dsg Own/Oper LINDA YO0 ICC Nbr: PROPERTY OWNER INFORMATION Name LINA YO0 Phone: (661) 325-6320x Address: City Type INDIVIDUAL Name LINA YOO Address: City _ . Type INDIVIDUAL BOE UST Fee# Financ'1 Resp: Legal Notif Date: Name:LINDA YOO State UST # State: Zip: TANK OWNER INFORMATION Phone: (661) 325-6320x State: Zip: Phone: ( 66) 119-74 x Ttl: 1998 Upg Cert#: -2- 0~/16/200~ ii ~ F YOOS MOBIL SiteID: 015-021-000345 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... __ SpecHaz EPA Hazards Frm DailyMax Unit MCP GASOLINE F IH DH L 10000.00 GAL Mod GASOLINE F IH DH L 10000.00 GAL Mod GASOLINE F IH DH L 10000.00 GAL Mod -3- 07/16/2007 -4- 07/16/2007 v F YOOS MOBIL SiteID: 015-021-000345 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: FRONT OF STATION - UST CAS# 8006-61-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 1000.00 GAL HAGAtLJ~UUS CUMPUNENTS 100.00 Gasoline No 8006619 IStiGtiiCL H~ J.7L+.7.71"1P~1V 1 iJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: FRONT OF STATION - UST CAS# 8006-61-9 Liquid TMixture ~ Ambient~E ~ AmbientT~E UNDEROGROIUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000_.00 GAL I 1000.00 GAL riraurucLV~.~ ~.v1•trvtvr,lvl~ oWt. RS CAS# 100.00 Gasoline No 8006619 1"1tiL~tyiCL ti~ 7 ~J L' ~J ~1.1L~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -5- 07/16/2007 a F YOOS MOBIL ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME GASOLINE Location within this Facility Unit FRONT OF STATION - UST STATE TYPE PRESSURE Liquid TMixture ~mbient SiteID: 015-021-000345 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8006-61-9 TEMPERATURE CONTAINER TYPE Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 1000.00 GAL - t~~xxL~u~ ~uinr~lv~ivl~ %Wt. _ _ -RS CAS# 100.00 Gasoline No 8006619 t1E~G1-~KL H.7J~aJ1~1~1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -6- 07/16/2007 ... F YOOS MOBIL SiteID: 015-021-000345 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 07/19/2006 NOTIFY CHEVRON LOCAL REPRESENTATIVE AND/OR CHEVRON DISTRICT OFFICE, THEN NOTIFY LOCAL FIRE DEPT. ,,, P~Lll~J1VyCG 1VV 1.11 ~ L~VCLV UCLL1V11 Public Notif./Evacuation Emergency Medical Plan 03/30/2006 TRANSPORT TO MEMORIAL HOSPITAL - ONE BLOCK AWAY. -7- 07/16/2007 z i F YOOS MOBIL SiteID: 015-021-000345 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 02/16/1993 ~ UNDERGROUND STORAAGE - RELEAASE PREVENTION NOZZELS AT PUMPS. = Release Containment 07/19/2006 TRAINING ALL PERSONNEL IN PROPER HANDLING PROCEDURES. Clean Up 02/16/1993 FLOATING ANY SPILL WITH WATER. ~,_ v~.iici iccwuiVC t]1:1~1VQ1.1V11 -8- 07/16/2007 _. F YOOS MOBIL SiteID: 015-021-000345 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JCC:1d1 rid"GdLU~ Utility Shut-Offs 05/01/2007 GAS - BEHIND BLDG BACK OF RESTROOM ELECTRIC - SW CRNR OF STORAGE RM WATER - SHUT-OFF VALVE IN BACK BY RESTROOM SPECIAL - EMER SHUT-OFF SW CRNR OF STORAGE RM Fire Protec./Avail. Water Building Occupancy Level 03/30/2006 6 EMPLOYEES -9- 07/16/2007 _~~ 7` F YOOS MOBIL SitelD: 015-021-000345 ~ Fast Format ~ ~ Training Overall Site ~ Employee Training 09/26/2006 MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ON-THE-JOB TRAINING WITH CONSTANT SUPERVISION. rage ~ Held for Future Use Held for Future Use -10- 07/16/2007 y,. :~ ~,~a~ YOOS MOBIL Manager LINA Y00 Location: 800 34TH ST City BAKERSFIELD CommCode: BFD STA 04 EPA Numb: SiteID: 015-021-000345 BusPhone: (661) 325-6320 Map 103 CommHaz Moderate Grid: 19D FacUnits: 1 AOV: SIC Code:5541 DunnBrad:77-032-4494 Emergency Contact / Title Emergency Contact / Title SUNG H Y00 / O ERS B-OTHER LINA Y00 / MANAGER Business Phone: (661) 3 5-6 Ox Business Phone: (661) 330-7686x 24-Hour Phone (661) 32 320x 24-Hour Phone ( ) - x Pager Phone (661) 39 - 9x Pager Phone ( ) - x Hazmat Hazards : ~~~~-°~~ ~~~~o=~ ;: ~~ Fire ImmHlth DelHlth Contact LINA Y00 Phone: (661) 869-1974x MailAddr: 800 34TH ST State: CA City BAKERSFIELD Zip 93301 Owner LINA Y00 Phone: (661) 869-1974x Address 800 34TH ST State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD ENT'D MAY 01 2007 PROG U - UST ~~~ C3ased on my inquiry of those individuals responsible far obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate mplete. ~-~~~~ Signature Date -1- 04/26/2007 ~. F YOOS MOBIL SiteID: 015-021-000345 ~ STORAGE CONTAINER DATA (UST FORM A) -Last Action Type: FACILITY/SITE INFORMATION Business Name: YOOS MOBIL Cross Street Business Type: Org Type: Total Tanks 3 IndnRes/Trust: No PA Contact: Dsg Own/Oper LINDA YO0 ICC Nbr: PROPERTY OWNER INFORMATION Name LINA YO0 Phone: (661) 330-7686x Address: City Type : INDIVIDUAL Name LINA YOO Address: City - Type INDIVIDUAL BOE UST Fee# : Financ'1 Resp: Legal Notif Date: Name:LINDA YOO State UST # State: Zip: TANK OWNER INFORMATION Phone: (661) 330-7686x State: Zip: Phone: ( 66) 119-74 x Ttl: 1998 Upg Cert#: -2- 04/26/2007 F YOOS MOBIL ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-000345 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP GASOLINE F IH DH L 10000.00 GAL Mod GASOLINE F IH DH L 10000.00 GAL Mod GASOLINE F IH DH L 10000.00 GAL Mod -3- 04/26/2007 -4- 04/26/2007 F YOOS MOBIL SiteID: 015-021-000345 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: FRONT OF STATION - UST CAS# 8006-61-9 Liquid TMixture ~ AmbRent~E ~ AmbientT~E ~EROGROIUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 10000.00 GAL 10000.00 GAL 1000.00 GAL t1HGHKLVUS lrV1~lYV1V1;1V1~ _ %Wt. _ "_ '"_ _ _ ~ RS CAS# 100.00 Gasoline No 8006619 ril-1G1-~ICL EiJ Jr,aJP'1~1V1b TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME GASOLINE Location within this Facility Unit FRONT OF STATION - UST Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8006-61-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 'GAL 1000.00 GAL t1EiGEiKL V U .7 1. V1~lY V1V iS1V 15 ~Wt. RS CAS# 100.00 Gasoline No 8006619 r1L~iGKtCL Ei. 7.7L' .751"1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -5- 04/26/2007 _ ~., F YOOS MOBIL SiteID: 015-021-000345 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: FRONT OF STATION - UST CAS# 8006-61-9 Liquid TMixture ~ Ambient~E ~ AmbientT~E ~EROGROUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10000.00 GAL 10000.00 GAL 1000.00 GAL r1t~Gtii[.1JVVJ 1.V1~lYV1V r,1V 1.7 oWt . - - _ __- _ - ~_ _ -- - - - - - RS CAS# 100.00 Gasoline No 8006619 ilti[~tiLCL tiJ J P~ J J1.1P~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -6- 04/26/2007 F YOOS MOBIL SiteID: 015-021-000345 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 07j19/2006 ~ NOTIFY CHEVRON LOCAL REPRESENTATIVE AND/OR CHEVRON DISTRICT OFFICE, THEN NOTIFY LOCAL FIRE DEPT. Employee Notif . /Evacuation __~' _ _ _ _ ___ -=,_ , >~ - rua,~ll~. tvv~.ii . j r~va~..ua~.LVtt Emergency Medical Plan 03/30/2006 TRANSPORT TO MEMORIAL HOSPITAL - ONE BLOCK AWAY. -7- 04/26/2007 F YOOS MOBIL SiteID: 015-021-000345 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 02/16/1993 ~ UNDERGROUND STORAAGE - RELEAASE PREVENTION NOZZELS AT PUMPS. = Release ContainmentT_~ ~ _ _ __ __ __ _ ___ _ _ _ _ _ _____ 07/19/2006_ TRAINING ALL PERSONNEL IN PROPER HANDLING PROCEDURES. Clean Up 02/16/1993 FLOATING ANY SPILL WITH WATER. V1~11C1 LCC :7V U1 l..C 1'il.. l,.1VQ1.1 V11 -8- 04/26/2007 _ . ~~ F YOOS MOBIL SiteID: 015-021-000345 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~~J~C:1d1 ridGdl (1~ _ `Utility Shut-Offs _ ~_ _ _ _ _ _ , __ _ __ _ _ _ ~_ .07/19/2006_ A) GAS - BEHIND BLDG BACK OF RESTROOM B) ELECTRIC - SW CRNR OF STORAGE RM C) WATER - SHUT-OFF VALVE IN BACK BY RESTROOM D) SPECIAL - EMER SHUT-OFF SW CRNR OF STORAGE RM E ) LOCK BOX - NO Fire Protec./Avail. Water Building Occupancy Level 03/30/2006 6 EMPLOYEES -9- 04/26/2007 ~r fi r, F YOOS MOBIL SiteID: 015-021-000345 ~ Fast Format ~ ~ Training Overall Site ~ Employee Training 09/26/2006 MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ON-THE-JOB TRAINING WITH CONSTANT SUPERVISION. rayc c raciu ivs. r u~u.LC use nclu iui ru~uie use -10- 04/26/2007 .-~., ~ .~-- r.~- s~ :~: r.:w~ r~~ -_,. - :... .~ - ...--;°-fir .,-> - - -.. .. ~ _ .. _- - _ .r . _..., .. _ .- - ~. .-- _ `~ "' - _ ., - ,. ' ~~10 ~ ~ ~~ _ - _ BAKERSFIELD FIRE DEPT. ' 1 ~~.~~ , d ._.. _~. ~. ,.~ FIRE ORDI"NANCE VIOLATION. $- _~~~ ' D . Prevention Services ~~~ ~ Altfr 900 Truxtun Ave., Ste. 210 ' ~ - ~ ~ ~ . Bakersfield, CA 93301 " - ~ Tel.: _ (661) 326-3979 X Fax: (661) 852-2171 _ . OCCUPANCY DISTRICT BLOCK NO: GATE TO ~ ~ ' ~ TITLE FIRM OR DBA"'^+ ~ ` ;i~y~ ~s~ .`y ~ k-7~ti .,~. \ •~^ Z f V ~~ r j t ~ ~ ~ I' `tel. ~ 1 d !~ COMPANY ADDRESS- (CITY, STATE, 21P) (` . . ; . ~'~ '~ A ~:~ ~ a ~ p ~ ~ ~ ! 1 BUSINESS PHONE ~~~ ~ ~,~,^^~ ~ NOME PHONE CORRECT ALL VIOLATIONS' vrourrow CHECKED BELOW wo. REQUIREMENT8 . ' COMBUSTIBLE WASTE /DRY VEGETATION- - 1 , 2 - Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) Provide non-combustible containers with tight fitting lids for the sforiipe of combusttble waste and rubbish pending its safe disposal. (U.F.C.) t:oMBUSneLE SroRAGE 3 Relocate combustible storage to provide at least 3 feet clearance around"motor•fuse box/fire door (N.E.C.) (U.F:C.) 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) EXTINGUISHERS ~ ' 5 Provide and install (amount) _____ approved (type 8 size) ~_ ~_______ portable fire extinguisher to be immediately accessible for use in (area) _~~____~____~____ _.(U.F.G.) g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use, by a person having a valid license or certificate. (U. F.C.) - sIGNS • 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to fire escape. (U.F.C.) - g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate.the .~ correct address of the building. (B.M.C.) (U. F.C.) - FJREDOORS/ FlRE SEPARATIONS - g Repair all (cracksJholes/openings) in plaster in (location) __Y~~___~__~_~______________• Plastering- shall return the surface to its original fire resistive condition. (U.B.C:) , 10 Remove/repair (item & location) _ _,_. Self-closing doors shall 6e designed to close by gravity, or by the action of a mechanical device, or by_an approved smoke and ,„ heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the closing device. (U.F.C.) ~ - ExRS ~ 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) - 12 Provide a contrasting colored and permanently installed electric {fight over or near required exit (location) ______~________~____________ to clearly indicate it as an exit. (U.F.C.) , STORAGE 13 Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.) ` ELECTRICAL APPLIANCES 14 ''k Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets where needed. (N.E.C.) (U.F.C.) . ` 15~. Remove multiple attachment cords from specific electrical Convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.) OUTDOOR BURNING 18 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FlREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks. OTHER 18 f ,,+ ' 4 ~ ~ C, t..:., ~ cr ,:.. tti •. ~~ 1.1e+ -C. S" ~' t) C~ [~ %'.lf •+~'`~'~, ~ ~ r b ,_....- ~ Cr~,'3 ~ ~ .~ '" - 5~G' /~` . x„.--.- ^ ON (DATE) AN INSPECTION WILL BE MADE, IF NO COMPLIANCE HAS BEEN MADE, ADDRgNAL REGULATORY ACTION MAY BE INITUITED. ' PEReoN ttECEMNO NOTICE OF EN VN T BY C AIL P D IN A N D s~NA AFTER VIOLATIONS ARE CORRECTED, RETURN THIS NOTICE BY MAIL OR IN PERSON TO: ~ BY ORDER OFTNEFIRECNIEF DATECOMPLETEOt~ ,.. ~ ~ ~ C ~,,.'~„~~~~ ~r / ~ BAKERSFIELD FIRE DEPT. OFFICE OF-PREVENTION SERVICES ' ,1100 TRUXTUN AVE., SUITE 210 BAKERSFIELD,CA83301 ,' ' . - ~~~ wavECroRSIOwATIRtE c,F,c, Cp~pRNlp FetE CODE . u.ac. uNroRM euttaslo oooE &M.C. BAKERSF7ELDMUNIf:PAL000E NF.GA NATIONAL FBtE PROIECTgN AeeOCMT10N N.EC. NATIONAL t]ECTIeC OODE p+s swNATURE r'"'~ ~~ a~~....~. , - - . White -Customer/Original . Yellow -Station Copy Pink -Prevention Services F D 1 S 18 1 Rev. o:ro sl .~ ~ , UNIFIED PROGRAM INSPECTION CHECKLIST' .SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT Prevention Services ~,1~~ 900 Truxtun Ave., Suite 210 ~R>r~ Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAM NSPE TION ATE NSPECTION TIME n~9 Int. 7 3i n ADDRESS HONE NO . O OF EMPLOYEES ~ )) ~( II 4 FACILITY CONTACT USINESS ID NU BER 15-021- Section 1: Business Plan and Inventory Program ^ ROUTINE OMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (~=Compliance` OPERATION V=Violation l COMMENTS ^ ^ APPROPRIATE PERMIT ON HAND ^ BUSlrtt?SS PLAN CONTACT INFORMATION ACCURATE VISIBLE ADDRESS ^ ^ CORRECT OCCUPANCY - VERIFICATION OF fNVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION -L „ ^ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY - . z00(; ll!! ^ 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 ANY HAZARDOUS WASTE ON SITE? ^ YES LRVIVU EXPLAIN: - _ __ _ QUESTIO EGARD G IS INSPECTION? PLEASE CALL US AT (881) 328-3979 ns r Please Print) Fire rev ntion / 1" In / Shift of SRe/Station.A"~` 'r~f, Hass White' Prevention Services Yellow -Station Copy Pink - Busineae Copy FD2t149 (flw. 112/05) }~ ~`~~~ C[TY OF BAKERSFIELD FIRE DEPARTMENT ro OFFICE OF ENVIRONN[ENTAL SERVICES y~1 L)NIFIED PROGRAiVI INSPECTION CI~ECKI.[ST ~g~,~~'~ 1715 Chester Ave., 3~`' Floor, Bakersfield, CA 93301 FACILITY NAME S ~~' INSPECTION DATE / 3 Section 2: Underground Storage Tanks Program ^ Routine ~ombined ^ Joint Agency ^Mulfi-Agency omplaint ^ Re-inspection Type of Tank ~~~._~ Number of Tanks Type of Monitoring (~ Z-I~1/~ Type of Piping ~~ _ OPERATION C V COMMENTS Proper tank data on file Proper ownerloperator data un file Permit tees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? YeS NO Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank _ AGGREGATE CAPACITY Number of Tanks 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 V=Violation 1'=Yes N=NO Inspector: Office of Environmental Services (661) 326-3979 ~b~hitc -Env. Svcs. Pink -Business Ci~ry Business ~£'e ~e~ponsible Party i~~ + YANAKIS MOBIL _______________________________________ SiteID: 015-021-000345 + Manager.: LINA YOO Location: 800 34TH ST City BAKERSFIELD BusPhone: (661) 325-6320 Map 103 CommHaz Moderate Grid: 19D FacUnits: 1 AOV: CommCode: BFD STA 04 SIC Code:5541 EPA Numb: DunnBrad:77-032-4494 Emergency Contact / Title Emergency Contact / Title SUNG H YOO / OWNERS BROTHER I, i ra `(ov / maf7A 9~'~ Business Phone: (661) 325-6320x Business Phone: ( 661) 33r) - ~16~6 x 24-Hour. Phone (661) 325-6320x 24-Hour Phone ( ) - x Pager Phone (661) 395-8929x Pager Phone ( ) - x ~ Hazmat Hazards: Fire ImmHlth DelHlth _ Contact LINA YO0 Phone: (661) 869-1974x MailAddr: 800 34TH ST State: CA City BAKERSFIELD Zip 93301 Owner LINA YO0 Phone: -(661) 869-1974x Address 800 34TH ST State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: ~ PROG A - HAZMAT PROG C - COMM HOOD PROG U - UST ®~ _ - _ __ 0 ~ ~ Based on my inquiry of those individuals 5V_ ~" responsible for obtaining the information, I certify ~ ~ 1 under penalty of law that I have personally ~~ DD examined and am familiar with the information submitted and believe the information is true, accurate, and complete. ~'~ -0 0 Signat re Date ENT'D J U ~ 19 2006 -1- 03/30/2006 `~ UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services ~~~ 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NA j INSP~T~ DATE INSPECTION TIME ----- _- --=---------~_QQ_S_ ------~1 ~ ~ ~----- ---------- -- ---- -- - ~I I[ Q ~---- - - ------------ ----- ADDRESS rr ((..[~~( PHO E No. of Employees FACILITYCONTACT Business ID Number Is-o21- ,~~5 Section 1: Business Plan and Inventory Program ^ Routine f~mbined D Joint Agency ^Mnlti-Agency O Complaint ^ Re-inspection ~% V \ V=V o ationnce ~ OPERAT60N LV,/ LD APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE LJ~O ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY --- - -- _ ~^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES L~' ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL L7 LI VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF HAT MAT TRAINING ~/^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES Ca' ^ EMERGENCY PROCEDURES ADEQUATE ~f- -------- -------- -- ------- ..._ ----- ----------- - --- - - - - L7 ^ CONTAINERS PROPERLY LABELED L~J ^ HOUSEKEEPING ^ FIRE PROTECTION ~^ SITE DIAGRAM ADEQUATE ~ ON HAND COMMENTS ANY HAZARDOUS WASTE ON SITE?: ^ YES ^ NO EXPLAIN: QUESTION rEGARDING THIS INSPECTION? PLEASE CALL US AT ~sC)'I ~ 326-3979 ~! .. r 1 Inspector Badge No., u ess ite Respo i Party White -Environmental Services Yellow -Station Copy Pink - eusin ss Copy ;~ ~ .a.LD F; 7` '~~ ~ CITY OF BAKERSFIEL,U F IRE DEPARTMENT ~~ OFFICE OF F:NViRONNfENTAI. SERVICES y~~0 LINTFIEU PRUC~RAM INSPECT'TON CHECKLIST ;w ~gti,,~'~ 1715 Chester Ave., 3r`' Floor, Bakersfield, CA 93301 FACILITY NAME '~4ttCl,ktS ~~~o~~~ INSPECTION DATE ~ A Section 2: Underground Storage 'T'anks Program ^ Routine ~ombined ^ Joint Agency ^Multi-Agency ~ ^ Complaint ^ Re-inspection Tyre of Tank ~[ Number of Tanks Type of Monitoring ~i.,h1 Type of Piping OPERATION C V COMMENTS Proper tank data t'm file Proper owner/operator data on the ~/ Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? YeS NO Section 3: Aboveground Storage Tanks Program TANK SIZES} _ Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on the with OES Adequate secondary protection Proper tank placarding/labeling is tank used to dispense MVF? if yes, Does tank have overtilUoverspill protection'? C=Compliance ~ V=Violation 1'=Yes J Inspector: Office of Environmental Services (661) 326-3979 White N=NO finv. Svcs. • ess Site espon le Party fink -Business C~~ny 1 ~~' '~ UNDERGROU D STORAGE TANKS BAKERSFIELD FIRE DEPT. ! ~ `' ~~R~ -" Prevention Services ARTM T 4~3U0 "['ri.lxt~.~n Ave., St.e. 2 1O AP ~LICATION .~. i ~~I}Ce'i-St1e,)ej, cA X330 ~ TO PERFORM ELD /LINE TESTING Tea.: (E-i6 l) 326-3979 / S6989 SECONDARY CONTAINMENT TESTING -• [~ ~;: (661) 852-2171 ITANMC TIGHTNESS TEST AND TO PERFORM FUEL MONI~TORINGR CIERTIFI 'ATION I ` i ~~' Paye t of i PERM17 NO ~ ~ i 3+ . , - p ^ ENHANCE[ LEAK DETECTION ^ LINE TESTING ~Ir S8~989 SECONDARY CONTAINMENT TESTING ^ TANK TIGHTNESS TEST ^ TO PERFORM FUEL MONITORING CERTIFICATlOP! _ _____ _ ~ ~ ~ ~ SITE INFORMATION ___ _ ACILITY 'NAME & PHONE NUMB ER OF CONTAOT PERSON ADDRESS " I '~ ' OWNERS NAME 'OPERATORS NAM ;PERMIT TO OPERATE NO.~ ~JUMBER OF TANKS TO BE TESTED. _,_______ lS PIPING_GQING TO BE_TESTED?___.__._ -..., __ ~ YES „ „ _,~-__C7 NO __.~_ _ _______~___; __.____.__VTT~NK # _.. __.. _..__.__~__._.. _._..___..--- yOLUME_.._ .__ __ _... CONTENT$______ ! ~._ _.___ 1 __ ._ _._~ ___________________._T__ ~ _..______ ~ I i ~ ~ -- - i P9 3 i ~~ TANK TESTING COMPANY ~ r -- - - NAME OF TESTING ~0 PANY !NAME & PHONE NUMBER OF CONTACT PERSON RAILING ADDRESS -~~~L U _ . _._._ ._ ._ ~''~ ~ -____'~~~~.+ - ~ -- _~ 9330 _ _ _ ____ __ ';NAME & PHONE NUMBE1i OF TESTER OR SP_E_ AL INSP CTOR ----I,~ERTIFICATIUN u ~ ~ r - . --_ 3 .~t~2a-~'1~ i ©Sb3Siaq- o~5Q3S.t a _ DAT TIME TEST TO Bf~ CONDU~ED ~ ~CC~#: EST ETHUD 1 SIGNATURE OF APPLICANT ~~~_ DATET /b_- ~ ~6-J___-__~ _~ _____, 'APpROVE~ 6Y___.._._.._~_~__ ._... IS .A4?P.~.ICsAT.IGN.9~CQMES_A P._EFIMIT ~lF1EN AP_PRQY(;~ ______._.-.. __~_.___._.__-; DATE n• FD2106 s a WNiFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILIT`r NAtiIE ~iS~~O ~1 TINSPECTION DATE ~ INSPECTION TIME PHONE No. No. of Employees ADDRESS __Sc_~ _ 3~_f!~ __sT~ - ----.---- ---_..__.._ --------_.----.---- ---------- ~9__ !9__Zy_- ~.- - -_- . ---- - FACIUTYCONTACT t3usiness ID Number 15-021- Section 1: Business Plan and Inventory Pn~gram ^ Routine ~ Combined ^ Joint Agency ^Mutti-Agency ^ Complaint ^ Re-inspection C V ~ V=moo atonnce l OPERATION ^ APPROPRIATE JPERMIT ON HAND --y ----- ------------------------------------------ ....------------. lY' ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ---1------ ------------- ----------- - ---- -- ---° -----...- -- - -. _... _ _ ------- LW ^ VISIBLE ADDRESS -~-,-T --------------------------------_._...._.._. ....._..------...._ L`Y ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES (~^ VERIFICATION OF LOCATION ,,,/ ^ PROPER SEGREGATION OF MATERIAL C3 ^ VERIFICATION OF MSDS AVAILABILITYE f ^ VERIFICATION OF FIAT MAT TRAINING LJ ^ VERIFICATION OF ABATEMENT SUPPLIES-AND PROCEDURES ~^ EMERGENCY PROCEDURES ADEQUATE O ^ CONTAINERS PROPERLY LABELED ----- ~ - ------...A__. .....,.._._ ~^ HOUSEKEEPING - ^ IvFIRE PROTECTION Q/^ SITE DIAGRAM ADEQUATE ~ ON HAND l~_y_S~i~.---L~lc~S--- Scs~-SAC....---- --........------.. ANY HAZARDOUS WASTE ON SITE: OYES L~ NO EXPLAIN: QUESTION GAROING HI INSPECTIONS PLEASE CALL US AT (6t)~) 32G-3979 /-1 Inspector Badge No., While -Environmental Services VeNow - Ststbn Copy Business Si a nsibte Party Pink • Business Copy .~ .;. . I~~~tit.D FI,p ~--~5 F ~\ CITY OF BAKERSFIELD FIRE DEPARTMENT O ~`~ ~ °~ OFFICE OF E:NVIRONMEN"1'Al. SERVICES j~ y--` UNIFIED PROGRAM INSPECTION CHF,CKLIST =w ~R~,~-'~ 1715 Chester Ave., 3~`' Floor, Bakersfield, CA 93301 FACILITY NAME ~1y^0 S ll! lp ~t l L Section 2: Underground Storage Tanks Program INSPEC'1•(UN DATE~~C 3 ^ Routine F~ Combined ^ Joint Agency ^Molti-Agency ^ Complaint ^ Re-inspection Type of Tank Q(~F Number of Tanks •3 Type of Monitoring ~ (.A,l Type of Piping Q(,t) F OPERATION C V COMMENTS Proper tank data on file Proper ownerloperator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes NO ~ Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispcnsc MVF? IFyes, Does tank have overfill/overspill protection'? C=Compliance V=Violation Y=Yes N=NO Inspector: Office of Environmental Services (661) 326-3979 u<'hitc - f'nv. Svcs. Pink -nosiness C~~py Busine Responsible Party UNDERGROUND STORAGE TANKS ,~ APPLICATI®N TO PERFORM ELD /LINE TESTING SB989 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION ~,.~~..,` =A ~~~Y~;/ _ Ft~r ~~~ A R fl1#~lT BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave. , Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 PERMIT NO. WI T~ ^ ENHANCED LEAK DETECTION ^ LINE TESTING ^ SB-989 SECONDARY CONTAINMENT TESTING ^ TANK TIGHTNESS TEST ~ TO PERFORM FUEL MONITORING CERTIFICATION I - RITPINF(1RMAT1(1N '.~ AGILITY tr~s 3y~ m~ AME PHONE NUMBER OF CONTACT PERSON ~ ~~ - 3~--~~ DDRESS ~~ ~~~ ~ °1330 ~ WNERS NAME PERATORS NAME PERMIT TO OPERATE NO._~ NUMBER' OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? ^ YES ^ NO TANK # VOLUME _ CO TENTS 1~K N X I a ~o~ s 3 ~ ~ t~ °~ ~ - -- -- ---- - ~ _- -- - -- - - -- - - - -- TANKSESTING COMPANY' - --- i -a NAME F TESTING CO PANY, - -- - NAME & PHONE NUMBER OF CONTACT PERSON (o l01- 3 -~ 9.q~ MAILIN ADD SS d. 1510'1 9330a.- NAME & PHONE NUMBER OF TESTER OR SPECIA INSPECTOR ERTIFIGATION #: ATE & TIME TEST TO BE CONDUCTED ,R.EPit+,~ 1- o2ooio ,OD CC #: 5~~90"1~-lll EST METHOD IGNATURE OF AP IC T DATE p ~a ,r~~ 1 .1,~ ~..~~~ - -O ~~ - . '-~` t~. `~'.~ ~ ~ ~~ - ~ PPROVED BY DATE _ FD2106 ~~ T. '. ._ _ .~~ MONITOR SYSTEM CERTIFICATION For Use ey All Jurisdictions Within the State of California Authority Ciied: Chapter 6, 7, Health and Safety Cade; Chapter 16, Division 3, Tdle 23, Catifomia Code of Regulations This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitorino svstem 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 Infotmation Facility Name: Yoo's 34th Street Mobil Bldg. No. Site Address: 800 34th Street City: Bakersfield, CA Zip: 93301 Facility Contact Person: Lena Contact Phone No. (661) 330-7686 Make/Model of Monitoring System: Gitbarco EMC S/N 80247178805003 Date of Testing/servicing: 10 t 11 I os B. Inventory of Equipment Tested/Cert~ed !`hn.-L IAn ~ a u h.~vu~ ~..:nA:naln u....:.......n! in~nnnle.il~en.irnA• Tank ID: T-1 Su er Tank ID: T-2 Plus x In-Tank Gauging Probe. Modef: Gitbarco x In-Tank Gauging Probe. Modek Gitbarco x Annular Space or Vault Sensor. Model: D79439D-409 x Annular Space or Vault Sensor. Model: 0794390-409 X Piping Sump/7rench Sensor(s). Model: D794380-208 x Piping Sump(rrench Sensor(s). Model: 0794380.208 Fill Sump Sensor(s). Model: Fill sump Sensor(s). Model: X Mechanical Line Leak Detector. Model: R/J 116-056 x Mechanical Line Leak Detector. Modef: R/J 116-056 Electronic Line Leak Detector. ~ Model: Electronic Dne Leak Detector. Model: x Tank Overfill !High-Level Sensor. Model: PA026509661100 x Tank Overfill /High-Level Sensor. Model: PA02650960100 DlSpenSef Containment $en50r(S). Model: Dispenser Containment Sensor(s). Model: Shear Valve(s). Shear Valve(s). x Dispenser Containment Float(s) and Chain(s). x Dispenser Containment Float(s) and Chain(s). Other s ec' a ui ment a and model in Section E on Pa e 2 . Other s ec a ui ment a and model in Section E on Page 2 . Tank ID: T-3 Re ular Tank ID: x In-Tank Gauging Probe. Model: Gitbarco In-Tank Gauging Probe. Model: X Annular Space or Vault Sen50r. Model: 0794390-409 Annular Space or Vault Sensor. Model: x Piping Sump/T'fench Sensor(s). Model: D794380-208 Piping Sump/Trench Sensor(s). Model: Fill Sump Sensor(s). Model: Fill Sump Sensor{s). Model: X Mechanical Line Leak Detector. Model: RIJ 116-056 Mechanical Line Leak Detector. Model: Electronic Line Leak Detector. Model: Electronic Line Leak Detector. Model: x Tank Overfill /High-Level Sensor. Model: PAO2s50sso1oo Tank Overfill /High-Level Sensor. Model: Dispenser Containment Sensor(s). Model: Dispenser containment sensor(s). Model: - Shear Valve(s). Shear Valve(s). x Dispenser Containment FIOat(S) and Chaln(5). Dispenser Containment Float(s) and Chain(s). Other s ec" a ui ment a and model in Section E on Pa e 2 . Other (s eci equi ment a and model in Section E on Page 2 . C. Certification -1 certify that the equipment idenified in this documem was inspededlserviced in accordance with the manufacturer's guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verity that this information is correct and a Plot Plari showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a co y of the report; (check all that apply) : ~ System set-up ^ Alarm history report Technician Name (print): Michael Moore 5249074-UT CertlLic. No. ooso5o5D8 signature: `~ t~e~ Testing Company Name: Redwine Testing Services, Inc. Phone No.: (800) 582-fi368 Page 1 of 3 Monitor System Certfication Site Address: 800 34th Street, 6akersfield, CA Date of Testing/Servicing: 10 / t t / O6 D. Results of TestinglServicing Software Version Installed: Gilbarco EMC ;r 80247178805003 Comolete the following checklist Yes No* Is the audible alarm o erafional? N/A x Yes ^ No* Is the visual alarm o erational~ x Yes No* Were ail sensors visual) ins ected, functional) tested, and confirmed o erational? x Yes No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their ro r o eration? Yes No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? ~ N/A X Yes No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment ^ N!A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive sFtut-down? (Check all that apply) ~ Sump/wench Sensors: ^ Dispenser Containment Sensors. Did ou confirm ositive shut-down due to leaks and sensor failure/disconnection? Yes; ^ No. x Yes No* For tank systems that utilize the monitoring system as the primary tank ovefill warning device (I.e. no mechanical ^ NIA ovefill prevention valve is installed), is the ovefill warning alarm visible and audible at the tank fill point(s) and o ratio ro ed ? If so, at what ercent of tank ca act does the alarm tri eR 90 %. Yes x No' Was any monitoring equipment replaced? tf yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for alt re lacement arts in Section E below. Yes - X No' Was liquid found inside any secondary containment systems designed as dry systems? (Check al! that apply) ~ Product: OWater. If es, describe causes in Section E, below. x Yes No` Was monitodn s stem set-u reviewed to ensure ro er settin s? Attach set u re orts, if a licable. Yes No* Is all monitorin a ui ment o erational er manufacturer's s ecificafions? m aecnon c oerow, aescnoe now ana wnen mese aencrencres were or wiu be corrected. E. Comments: Category Form S!N Tri Page 2 of 3 03/01 Monitoring System Certification Site Address: 800 34th SVeet, Bakersfield, CA Date of Testing/Servicing to / 11 / 06 F. In-Tank Gauging /SIR Equipment: ~ Check this box if tank gauging is used only for inventory control. ^ Check this box if no tank gauging or SIR equipment is installed. This section must be completed'rf in-tank gauging equipment is used to perform leak detection monftoring. xurrYes~c ~'No* 1 1Has'all~in ut wirin been ins cted for ro er ent and tennination, inGudin testin for round faults? x Yes No* Were all tank au in robes visual! ins fed for dama a and residue build ? x Yes No" Was accura of s stem roduct level readin s testetl? x Yes No` Was accurac of s stem water level readin s tested? x Yes No* Were all robes reinstalled roe ? x Yes No` Were all items on the a ui ment manufacturer's maintenance checklist com leted? - to me ~ecaon n, oerow, descnce now and wnen mere dencrerrcres were or wrn ce correcred. G. Line Leak Detectors (LLD): ^ Check this box if LLDs are not installed. x Yes No' For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? ^ N!A (Check all that apply) Simulated leak rate: ^ 3 g.p.h.; ~.1 g.p.h.; ~.2 g.p.h x Yes No* Were all LLDs confirmed o erational and accurate within re ulato r uirements? x Yes No' Was the tesfing apparatus properly calibrated? x Yes No' For mechanical LLDs, does the LLD restrict product flow'rf it detects a leak? ^ N1A Yes No' For eledrohic LLDs, does the turbine automatically shut off'rfthe LLD detects a leak? xO N/A Yes No* For electronic LLDs, does the turbine automatically shut off'rf any portion of the monitoring system is disabled N1A or disconnected? Yes No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system maHunctions Q N/A or fails a test? Yes No' For electronic LLDs, have all accessible wiring connections been visually inspected? O N!A Yes No' Were all items on the a ui ment manufacturer's maintenance checklist com leted? - m me secaon n, oerow, descnoe now and wnen mese aencrencres were or wut ce corrected. H. Comments: Page 3 of 3 03/01 onitoring System Certit"ication UST lvlon~,toring Site Plan Site Address: 1 ~-7 i - ~j `6'r?O 3~I 'R.. S`T~~ ~ "C'" AAA td~t ~ ~[~ 6 S ~.~I~, l ~ l `7~1 c_u,.~~ti~.i ~~ (~ ~. ~1 ~i :?i O 1 . . . . , . . ~~~~ . . . . . . . ... . .~. . . .~. . -J , j~ . ~. ~~ ~, ~~, . ~ ,~ . !~ .~ ,- :. 'mod ~~{~ ~~,~~~~`.~ Sa~...J . ~~ ............ ......... ... .. .. .. . ~...,;.o ......~ ........... ..................... . . .~ ~-~ . O .S~ .. ..........~ ... .........~ ... .. .. . -~~ d r~ - ', . . . . . . . . . . . . . . . . . ~ . < . . . . . . . . . .~ . . . . . . . . . . . . . . . . . . . ~ . . . . ~. . . . . . . . . .~ . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . 6 Date IIla~ W85 drawn. _~ ~ L ~~ Instructions If you already have a diagram that shows all required information? you may include it, Q-ather than this page, with your Monitoring System Certification. On your site plan, sh<aw the general layout of tanks and piping. L'lea.r;r identify locations of the following equipment, if installed: monitoring system control panels; sensors n~onitc~ring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used for leak detection j. In the space provided, note the date this Site Plan was prepared. SWRCB, January 2002 Page of Secondary Containment Testing Report Form This form is intended for use by contractors performing periodic testing of UST secondary containment systems. Use the appropriate pages of this form to report results for all components tested. The completed form, written test procedures, and printouts from tests (f applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACII.TI'Y INFORMATION Facility Name: Yoo's 34"' Street Mobil Date of Testing: 10-11-06 Facility Address: 800 34~' Street, Bakersfield, CA 93301 Facility Contact: Lena Phone: 661-330-7686 Date Local Agency Was Notified of Testing : 9-28-06 Name of Local Agency Inspector (fpresent during testing): Steve Underwood 2. TESTING CONTRACTOR INFORMATION Company Name: Redwine Testing Services, Inc. Technician Conducting Test: Michael Moore Credentials: X CSLB Licensed Contractor ^SWRCB Licensed Tank Tester License Type: ~ A HAZ Manufacturer License Number: 532878 Manufacturer Training Com onent(s) Date Training Ex fires Gilbarco EMC Veeder-Root 7-07 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Tested Repairs Made Component Pass Fail Not Tested Repairs Made Super Pameco Fill X ^ ^ ^ ^ ^ ^ ^ Pameco Vapor X ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ Plus Pameco Fill X ^ ^ ^ ^ ^ ^ ^ Pameco Vapor X ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ Regular Pameco Fill X ^ ^ ^ ^ ^ ^ ^ Pameco Vapor X ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ If hydrostatic testing was performed, describe what was done with the water after completion of tests: and reused. CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONIDUCTING THIS TESTING To the best of my knowledge, the facts stated in this document are accurate and in full compliance with legal requirements Technician's Signature: `~~~°' Date: l a ~ /) 'a ~ SWRCB, January 2002 9_ SPTi.T./nVF.RFTT.T, ('nNTAINMEN'T BOXES Page of Facility is Not Equipped With SpilUOverfill Containment Boxes ^ SpilUOverfill Containment Boxes are Present, but were Not Tested ^ Test Method Developed By: ^ Spill Bucket Manufacturer ^ Industry Standard ^ Professional Engineer x Other (Specify) Pameco Test Method Used: ^ Pressure ^ Vacuum ^ Hydrostatic Lake Test X Other (Sped) Water Test Equipment Used: Measuring Tape Equipment Resolution: - _ = - - - =- _ -; _ -- -=--„ -__ _ _: - -- -gig-.~ - ~.~ ~~ Spill Box # 91 Fill Spill Box # 91 Vapor Spill Box # 89 Fill Spill Box #89 Vapor __- __ - _ Bucket Diameter: 12" 12" 12" 12" Bucket Depth: 10" 10" 10" 10" Wait time between applying pressure/vacuum/water and 5 Minutes 5 Minutes 5 Minutes 5 Minutes starting test: Test Start Time: 9:00 AM 9:00 AM 9:00 AM 9:00 AM Initial Reading (R~): 2-3/4 2-1/2 2-1/2 2-3/4 Test End Time: 9:30 AM 9:30 AM 9:30 AM 9:30 AM Final Reading (Rr): 2-3/4 2-1/2 2-1/2 2-3/4 Test Duration: 30 Minutes 30 Minutes 30 Minutes 30 Minutes Change in Reading (RF-Ri): No No No No Pass/Fail Threshold or Criteria: Pass Pass Pass Pass Test Result: X Pass ^ Fail X Pass ^ Faii X Pass ^ Fail X Pass ^ Fail Comxtflents - ("include information on repairs made prior to testing, and recommended follow-up for failed tests) SWRCB, January 2002 Page of 9. SPILL/OVERFILL CONTAINMENT BOXES Facility is Not Equipped With SpilUOverfill Containment Boxes ^ SpilUOverfill Containment Boxes are Present, but were Not Tested ^ Test Method Developed By: ^ Spill Bucket Manufacturer ^ Industry Standard ^ Professional Engineer x Other (Specify) Pameco ' Test Method Used: ^ Pressure ^ Vacuum ^ Hydrostatic Lake Test X Other (Sped) Water Test Equipment Used: Measuring Tape r- _ _ _- -_- _ _- Spill Box # 87 Fill Spill Box # 87 Vapor Equipment Resolution: --_ - - , _m,_,~~-. ~~ Spill Box # Spill Box # Bucket Diameter: 12" 12" Bucket Depth: 10" 10" Wait time between applying pressure/vacuum/water and starting test: 5 Minutes 5 Minutes Test Start Time: 9:00 AM 9:00 AM Initial Reading (R~); 2-3/4 2-1/2 Test End Time: 9:30 AM 9:30 AM Final Reading (Rr): 2-3/4 2-1/2 Test Duration: 30 Minutes 30 Minutes Change in Reading (RF-R~): No No Pass/Fail Threshold or Criteria: Pass Pass Test Result: X Pass ^ Fail X Pass ^ Fail X Pass ^ Fail X Pass ^ Fail COrrxnDetats - (include information on repairs made prior to testing, and recommended follow-up for failed tests) ~~ ~ ~ REDWINETESTING SERVICES, INC. O. BOX 1567 BAKERSFIELD, CA 93302-1567 RH (661) 834-6993 Fax (661) 836-3177 Email: redwinetestC~prodigy.net Tank and Pipeline Compliance Experts License No. A-532878HAZ Testing • Installation • Removal • Closure HG No. 415 Monitor and Cathodic Protection Testing RG No. 5761 MECHANICAL LEAK DETECTOR TEST WORK SHEET W/O#: Facility Name: Yoo's 34th Street Mobil Facility Address: 800 34th Street, Bakersfield, CA 93301 Product Line Type (Pressure, Suction, Gravity) Pressure PRODUCT LEAK DETECTOR TYPE TEST TRIP PASS SERIAL # BELOW PSI OR 3 GPM FAIL T-1 UD TYPE Red Jacket YES YES PASS Super SERIAL # 116-056 NO FAIL T-2 UD TYPE Red Jacket YES YES PASS Plus SERIAL # 116-056 NO FAIL T-3 UD TYPE Red Jacket YES YES PASS Regular SERIAL # 116-056 NO FAIL L/D TYPE YES PASS SERIAL # NO FAIL I certify the above tests were conducted on this date according to Red Jacket Pumps field test apparatus testing procedure an limitations The Mechanical Leak Detector Test pass /fail is determined by using a low flow threshold trip rate of 3 gallon per hour or les at 10 PSI I acknowledge that all data collected is true and correct to the best of my knowledge. Tech: Michael Moore 5249074-UT Signature: ~ Date:10-11-06 ,~l :, r i ~~n`pp~~RR p~j g~//'~!~pp ~~,pp ~+-yg~ ppp~~r ppp~~ ~~++ ,/~~+~u ,. ~4$' g~ g~ VlV LIEf1GRV~'a.IBtlD Sio~l"lGE TAfVKJ .f -~ ~ ~~~~YA~oA/A8 ~~ ~A`se ~~'~'~,~R~` 9a0 Tre~xtun hve., Ste. 210 APPL~CA°~~~ . ~~~ Bakersfield, ca g3~a1 t0 PERFORM EL.D / L9NE TEST6NG - Tel.: (661} 3ZG-~~ l~ { SB989 SECONDARY CONTfi.INMENT TEST3NG h aX; (661} 852-2171 %TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORItV€1 CERTfF~CAI-IC3N Page 1 oi' PERMIT NO- ^ ENHANCED LEAK CETECTIOPd ^ LINE TESTING ^ SB-989 SECONDARY CONTAINMENT TESTING ^ TANK TIGHTNESS TEST ~ TO ?EhFOP,h'i FUEL tv'EONITORING CER7IFICATIGV _ } ~ ~ ~-~ l~ SITE I~dFGRNih T IGtJ 'FAGILITY i~~'~~~t d ' ~ NAME ~ ~.~I-~ONE ;~Cif9Dls`R p~iF C:CahdTACT PERpS tdN ~°0s .~{-I~ G~7LUPiYti-fA.~ C9t{Df'~J~- `7l'00 f~ ADDRESS ~+.~0 J~JLy~ l--rt -! ~3C~ r 'OWNERS NAiv1E 90P~RATORS 4~tA~1lE _ i€3ER~?iT tsar C=PER:aTE e:C. ~p-~.... ~ ~ t ~ A48ER OF TANKS ~ ,__--- TA ~J E: ~ ____--- : __,----- V O L l1 M E ____ ____-_--_ ~ ,__ _- _C O N T E t~ T S ------ ( t~ ~ I ~~ I ----------___------__---------------1---------------- - ---------__------------ TANfC ~ tSTlP~~ CO?V[PPtP~(Y NAME c~F TESTING CL~R1iPANY rt~i,~~~E= & rs~~`ONE 3~4RJP<;EER OE GONTAGT PERSO~a I MA{LIN ADD SS ~ ~. _ ~ sio`1 9330~- NAI19E & PHONE NUIL75ER OF TESTER OR SPECIA INSPECTOR !CERTIFICATION ~: }`)'~ ~;c ~u-e.~ 6~ ~'~yts~.e., Cn ~ l - s? 3 , - Cg ~ R 3 ~ ©0 (P ®~ ~' .S~ ~ DATE & TIME TEST TO 8E CONDUCTED iICC ~~ TEST METHOD 5[GNATURE OF AP iCANT ~~ ~~~ ;~~ ;DATE ~ _~ ~MD ~ BY FD2i0S E R S F I F/RE ~RrM r RONALD J. FRAZE FIRE CHIEF Re: Guidelines for Unsupervised Dispensing Gary Hutton, Senior Deputy Chief Administration 326-3650 Deputy Chief Dean Clason Operations/Training 326-3652 D April 10, 2006 Mr. Sung If Yoo Yankis Mobil 800 34th Street Bakersfield, CA 93301 REMINDER NOTICE Dear Mr. Yoo: It has come to our attention that many convenience stores who sell gasoline, like yourselves, are closing late at night. if you are using card readers and leaving your fuel pumps on, this is defined in the California Fire Code as: "Unsupervised Dispensing." Deputy Chief Kirk Blair Fire Safety/Prevention Services 326-3653 2101 "H" Street Bakersfield, CA 93301 OFFICE: (661) 326-3941 FAX: (661) 852-2170 Unsupervised dispensing is allowed when the owner or operator provides, and is accountable for daily site visits, regular equipment inspection and maintenance, including any unauthorized telease or spills, posted instructions for safe operation of dispensing equipment, and posted telephone numbers for the owner or operator. Signs prohibiting smoking, prohibiting dispensing into unapproved containers and requiring vehicle engines to be stopped during fueling shall be conspicuously posted within site of each dispenser. In addition, a sign shall be posted in a conspicuous location reading: In case of spiN or release: RALPH E. HUEY, DIRECTOR PREVENTION SERVICES FIRE SAFETY SERVICES • ENVIRONMENTAL SERVICES 900 Truxtun Avenue, Suite 210 Bakersfield, CA 93301 OFFICE: (661) 326-3979 FAX: (661) 852-2171 David Weirather Fire Plans Examiner 326-3706 Howard H. Wines, III Hazardous Materials Specialist 326-3649 1) Use Emergency Pump shut-off 2) Report the accident 3) Fire Department Telephone 4) Facility address During the hours of operation, stations having unsupervised dispensing shall be provided with a fire alarm transmitting device. A telephone not requiring a coin to operate is acceptable. The fuel leak detection system must have a remote or phone modem to insure off=site monitoring during hours of unsupervised dispensing. During hours of darkness, sufficient lighting must be maintained so that all signs associated with fueling operation are conspicuous and readable. A gallon container of an absorbent material used for spills must be made available to the public during hours of unsupervised dispensing. Afire extinguisher with a minimum 2A, 2B, and 2C rating must be located on dispenser island during hours of unsupervised dispensing: To: Mailing List of Valued Customers Reminder Notice Re: Guidance for Unsupervised Dispensing April 10, 2006 Page 2 of 72 To: Mailing List of Valued Customers Reminder Notice Re: Guidance for Unsupervised Dispensing April 10, 2006 Page 2 If you are currently having hours of unsupervised dispensing, you must comply with the above-mentioned requirements. Starting April 15, 2006, this office will conductrahdom checks of all fueling stations within the city limits for compliance. If you shut your station down after normal business hours and are not pumping fuel, please disregard this reminder notice. Should you have any questions, please feel free to call meat 661-326-3190. Sincerely, Ralph E. Huey, Director of Prevention Services By: Steve Underwood, Fire Prevention Officer REH/db .~ ,~;., , ;~:~, . ~~~' ,. yy~;; I I t4.{ ~j~;+`: ~~ax t 1i t~ ~~ ~+ ~i; ~ ~ ~ .°-..L-y~f% gr/ a f;7r~('~ ~ ~ LL y~~,'!`yr~ ~`~ `f ~' ~ P t. ~ i( `~ ~'~~ak ~ ~ T~x~lc ~~ a~~~g. P~ ~ ~ ~ ~~44~.J/~,,, i ,ems//~%//~ ///~// ~' .r-~- ~a~4;ty ~.. M t ~~~ ~~ ~ ~A Y ~ C/ p? 1 T ... „ j r. i ~,°~ . ~ ~~ ~~ ~ ?~ i ~~!!++ ma~yy,~,,, 9ti [Y1!$I . f~~ ~ . ~ f /'fi`r-, ~~~ ~ 1~yj'`~~`~~ ~ ~. yM~ i k ., ~5~~/81~6~ ~~~ _. I ~ ~, 1~ "~ n.~i~ f~~s~ ~~~ ~'` ~ . Lg .. ..• ~';~, . qqµ/ ~~~~~~~ ~l~yt ~~~~~ 1f° ~ t ~ ~- ~~ ;~ _ ~- F ~ ~~~~~ YAW: r HEM ~..~ - . ~ yp G',.~1/ ~ ;~ `P'te>' ~~ 1~~~ -~ ~ ~~~RA~t $~s~SA~iAE'~ 1 ..'~b 4 9 ~ _r , V, t ^~. ~ . ~'~v~f. ~ `~.d'$6~d~t~~~8 , _ a C' ~ ~ `a~ ~u`~ ~ i ~ 1 ~ i~ ~ ~ r, 1 ~, ~~J ~. ,~i~li '' ' ~tbe j ~ , ~. ~~'~i a. 4 $u; ~, i. y ~ i ~ ~ ^ ~., . g ~~ ~~A6r~.~ ~~~1r' ~ - r~~t. gg ` t L f. '~ '.; . f a~ . ~ Nl~~lSp~ I ~ - ~~ i- _ ~„?' 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F ~_ , ~.<: ,.k; Zj: het; , r'~ r' ~.-, r~ ~ ~~ ~~ ~r9S S ~~ ,`,~ //_~f~~~ ~ ~~~- ~~~~ s~r~~~ ~.~~ ~~ ~~ ~ ~~~ ~~ $~EI~~I' ~~~ ~~~ ~ C9"I~A°t'~49~Y r ~~~~ 3 ~~ ~~ ~ UNDERGRQUND STC ~3AGE TAiVKS ~~~=~~~.~~~T~orv U i't.RFORM E1,0 /LINE TES Fli :c;~ SE3989 SECONDARY CONTAINrrENT TESTING 'l-ANK TIGHTNESS TEST AND TU PERFORM FUEL PaC.NIiiOR~ING~ CFERTIFI~ATION ~.I j ; f ; ; , . PERMIT NO. ..Y:.,$..~ r. prr~x I~~r~ Y I3AK~RSFIELD FIRE IJEP'I'. k'r~:vention Services I'f t;:ltlli ~~~.'~~ ~fi '~ .1. i,li:1~;~5IiC'lil. ~:r~ Sa:~a(J 1 = ayr ... ^ ENNf;,NCE(~ LEAK DETECT!O?. ^ i.ir-rE ' ~ STirJG. ~s~~~o~•r SECONDARY CONTAINMENT TE ~ ~ ~' ~~`~ ^ TANK TIGHTNt:SS TEST ^ f C> ,~i iir~0~ti,~ t~Uii;, Phijf l¢l OS~~1PK3 (;EViYli 1r_ i. ~',;;,f; _ }1 i G,'iiE 1tJFORMATIOIJ _ .._......_ __ .^._-r--~-----.._...__. . FA~;i~ITY i NAPdE & Pi;ONE ~lUt.18Er, OF CONTACT PERSON ,i J ~ ~- ,~1.e.t,-~" ~'Yl-o-Q,~.-~--... ~,,`~~t~--- Co c~ 1- 3 3~ - ~ 4 ~ ~ _ __ . _ _______ .. i ~. `~ Iuss, __ ,ivLF~S NAME _.____.+_. OPERATORS NAM ~ _____ ~~ PERMIT TO OPERATE t~C ---- - t` ~SN18EA OF TANKS TO ~E_TESTE _ ~ i~ f ~ ti~G GOING TO 8E TESTEL? "~% ~ ~ NG ----_..^Tg_yK;~N VOLUME `. CONTENTS .- ~ , ..~ ~ 1 ~~ _.__ __ ' ~--_. ___.____.__.._r.._ ------.__.___._ _____._._ _ _ _._._..___..__ ~_ -_ 3 ~~ 1 1 j TANK TESTING COMPANY NAME 01-TESTING ~0 PANY / _ NAM~E(8 PHOriE ti ~~)t~~ ;? ~f c ~~r~7ACT.PERSON2/( c, ~.'G~c-l.."'~~~!-- __.. _ Ci-_~>.,?J~'tCt!J ~~'~ ......~ ... _ _ ._..1-~'~~"*--' •,,,6 t~ ~.~~£.~ ., _. LG ~a. ~_~.~sl.? 'l°..! ~_ ~ ...__._ . AiA~I'NG ADDRESS NAtvIE; & PHONE NUMBER OF TESTER OR SPE AL i^1SPtCTOR Cr;P~ ' ~ "-'~ ____,_ ~ y V ~__.__._. ___._..-_ .. -___ O ~ r _ .---- DAT } T~ IM TE57 TO BE OOND ~~1.-.._~ Ca_ ~ ~~Od.~...-___........_.~..___ _ _..-_-~S_ ~~ ("~ ~ ~ C~ .~ 0 ~ / 3 TEST ETn~:. C 6G& ED !CC k. . __~_. _ . --- s~_. _.___G _ _ _ . _.. _ ___------ . SIGNATURE OF APPLICANT DATE _.. __. TH.lS APPI.-GaTIQN BECOMES .A P~F~Mt~C N1MEN APP~QY~~ ~. ,: ~::%;,~~. ~! ~ D S Y ~ UA i c {~ t ~ y g ` r ;~ . ~~ t. • ~ ~~ _.__..-rDC1~~