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i ~~ . _ ;_ =, ~ 34TH STREET CAR WASH SiteID: 015-021-000301 Manager STEVE FRENCH BusPhone: (661) 323-9071 Location: 920 34TH ST Map 103 CommHaz Extreme City BAKERSFIELD Grid: 19A FacUnits: 1 AOV: CommCode: BFD STA 04 SIC Code:7542 EPA Numb: DunnBrad:04-862-5399 Emergency Contact / Title Emergency Contact / Title STEVE FRENCH / ON-SITE MANAGER EDWIN BENYAMINI / DIRECT MANAGER Business Phone: (661) 323-9071x Business Phone: (661) 323-9071x 24-Hour Phone (661) 889-0263x 24-Hour Phone (310) 877-9395x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact ELYAS BABADJOUNI Phone: (661) 323-9071x MailAddr: 920 34TH ST State: CA City BAKERSFIELD Zip 93301 Owner ELYAS BABADJOUNI Phone: (661) 323-9071x Address 920 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 H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK ~~/~ ' PROG U - UST ~ /~/ ~U ~' [~a act on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am fiamiliar wit h the information submitte a b liave the information is true, ac ~ , , co late. Igr1 re Date -1- 06/29/2007 ~ 34TH STREET CAR WASH SiteID: 015-021-000301 ~ STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: 34TH STREET CAR WASH Cross Street Business Type: COMMERCIAL Org Type: INDIVIDUAL Total Tanks 2 IndnRes/Trust: No PA Contact: Dsg Own/Oper STEVE FRENCH ICC Nbr: 5246060-UC PROPERTY OWNER INFORMATION - Name EDWIN BENYAMINI Phone Address: City State: Zip: Type INDIVIDUAL (661) 323-9071x TANK OWNER INFORMATION Name EDWIN BENYAMINI Address: City Type INDIVIDUAL Phone: (661) 323-9071x State: Zip: BOE UST Fee# UNKNOWN Financ'1 Resp: SELF INSURED Legal Notif Tank Owner Mailing Address Date:04/26/2000 Phone: (166) 190-71 x Name:ELYAS BABADJOUNI Tt1:PRESIDENT State UST # 1998 Upg Cert#: 00720 -2- 06/29/2007 ~~ 5 F 34TH STREET CAR WASH SiteID: 015-021-000301 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP CAL SODA JO 303 E IH DH L 55.00 GAL Ext UNION CARBIDE ACETYLENE E F P IH G 112.00 FT3 Hi SUPREME UNLEADED GASOLINE F IH DH L 12000.00 GAL Mod PREMIUM UNLEADED GASOLINE F IH DH L 8000.00 GAL Mod HEAVY DUTY WHITEWALL CLEANER IH S 900.00 LBS Mod WHITE POWDERED DEGREASER IH DH S 900.00 LBS Mod HEAVY DUTY COMPOUND R IH DH S 900.00 LBS Mod AMMONIA SOLUTION IH L 330.00 GAL Mod USC HIGH SUDS IH DH L 220.00 GAL Mod USC SPPED OFF IH DH L 220.00 GAL Mod MINERAL SPIRTS SOLVENT F L 55.00 GAL Mod AQUA AMMONIA IH L 55.00 GAL Mod BLUE FOAMING CONDITIONER IH DH L 55.00 GAL Mod CHERRY WAX IH DH L 55.00 GAL Mod WASTE OIL F DH L 720.00 GAL Low TRANSMISSION FLUID F DH L 224.00 GAL Low UNION CARBIDE OXYGEN F IH DH G 150.00 FT3 Low ANTIFREEZE DH L 110.00 GAL Low MOTOR OIL F DH L 1009.00 GAL Min AW68 HYDRAULIC OIL DH L 55.00 GAL UnR WASTE OIL FILTERS F DH S 55.00 GAL UnR -3- 06/29/2007 -4- 06/29/2007 F 34TH STREET CAR WA5H SiteID: 015-021-000301 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CAL SODA JO 303 Days On Site 365 Location within this Facility Unit Map: Grid: EXT NW FENCED AREA CAS# 7664-93-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TMixture ~mbient ~ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 55.00 GAL 20.00 GAL nt~~tuu~vua wrirvlvl;ly 1 a %Wt. RS CAS# 20.00 Sulfuric Acid, Spent No 7664939 14.00 Hydrofluoric Acid Yes 7664393 til-~GE~ttL 1~~~t;5~1~11;1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Ext ~ Inventory Item 0014 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME UNION CARBIDE ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: W BLDG MIDDLE CAS# 74-86-2 ~GasATE ~PureE -~AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Co112100rFT3 Daily M12100m FT3 I Daily 112r00e FT3 ruyc~ru~LV ~~ ~.vl~lrv1v1J1v 1 a %Wt• RS CAS# 100.00 Acetylene Yes 74862 il[-1Gt~iCL HJ JP~J JI~IP~IVIJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -5- 06/29/2007 F 34TH STREET CAR WASH SiteID: 015-021-000301 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SUPREME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: SE CRNR SPLIT TANK CAS# 8006-61-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~Ambient ~ Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 12000.00 GAL I11iG[-1[CLV U.7 1.V1~lYV1VL' 1V 1 .7 •°sWt. RS CAS# 100.00 Gasoline No 8006619 riL-~GEitCL H.7 ~7 L" a ~J1~1L" 1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0019 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: SE CRNR SPLIT TANK CAS# 8006-61-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 8000.00 GAL 8000.00 GAL 8000.00 GAL nr~c~rucLV~~ ~vrirvtvr~lvt~ oWt. RS CAS# 100.00 Gasoline No 8006619 i~c~ti.RL ria ar~a~1~1~1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -6- 06/29/2007 F 34TH STREET CAR WASH SiteID: 015-021-000301 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME HEAVY DUTY WHITEWALL CLEANER Days On Site 365 Location within this Facility Unit Map: Grid: INT NW MECHANIC RM CAS# 131-07-32 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixture ~mbient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 LBS 900.00 LBS 500.00 LBS HAZARDOUS COMPONENTS oWt. RS CAS# 100.00 Sodium Hydroxide No 1310732 - i']1-~GE~iCL L~aSr,~~1~11J1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Mod ~ Inventory Item 0008 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WHITE POWDERED DEGREASER Days On Site 365 Location within this Facility Unit Map: Grid: W BLDG N END CAS# 111-76-2 ~SolAidE TMixture~mbient~E ~ AmbientT~E DRUM/BARRELENONMETA~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 LBS 900.00 LBS 900.00 LBS rlr~c~rucl~vvJ ~.v!•1rvlvrlvlJ - °sWt. RS CAS# 4.00 2-Butoxyethanol No 111762 10.00 Sodium Metasilicate No 6834920 r1tiL~tiRL ~iJ JP~J J1.11~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Mod -7- 06/29/2007 F 34TH STREET CAR WASH SiteID: 015-021-000301 ~ ~ Inventory Item 0009 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME HEAVY DUTY COMPOUND Days On Site 365 Location within this Facility Unit Map: Grid: W BLDG N END CAS# 1310-73-21 ~SolidE TMixture ~mbient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 LBS 900.00 LBS 900.00 LBS t1HGL-1CCLVU~ 1:V1~lYV1VL"1V1J %Wt. RS CAS# 35.00 Sodium Hydroxide No 1310732 riHGHtCL H.7.7L" .7.71~1L" 1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH DH / / / Mod ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME AMMONIA SOLUTION Location within this Facility Unit LAUNDRY RM & OUTSIDE Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 1336216 Liquid TMixture ~ Ambient~E ~ AmbientT~E DRUM/BARRELENONMETAL~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 330.00 GAL 330.00 GAL r1LiL.itiCCLV V O l.Vl•!t'V1V L' 1V 1 J oWt. RS CAS# 100.00 Ammonia Solution, Conc. Less Than 20a No 1336216 17tiL~Hl.CL t1w 7.7 L' J~1.1L'1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Mod -8- 06/29/2007 F 34TH STREET CAR WASH SiteID: 015-021-000301 ~ ~ Inventory Item 0010 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME USC HIGH SUDS Days On Site 365 Location within this Facility Unit Map: Grid: W BLDG N END CAS# 64-17-51 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Con55100rGAL Daily 220100m GAL I Daily 110r00e GAL nHZARDOUS COMPONENTS %Wt. RS CAS# 2.00 Ethanol No 64175 riHGH2CL H. 7J.C~.7~71~1tS1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Mod ~ Inventory Item 0011 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME USC SPPED OFF Days On Site 365 Location within this Facility Unit Map: Grid: W BLDG N END CAS# 111-76-21 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE ~ Liquid TMixtur~ Ambient ~ Ambient DRUM/BARREL-METALLIC I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 220.00 GAL 220.00 GAL racaurucLV~a ~.vi•trvlvr~lvta - %Wt• RS CAS# 10.00 2-Butoxyethanol No 111762 ru~uru~l.~ Ha a~aarlJ;lvla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Mod -9- 06/29/2007 p 34TH STREET CAR WASH SiteID: 015-021-000301 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MINERAL SPIRTS SOLVENT Days On Site 365 Location within this Facility Unit Map: Grid: W BLDG N OUTSIDE CAS# 8030306 Liquid TMixture ~mbient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL tir~~titcL~u~ wlnrviv~lvl~ %Wt. RS CAS# 100.00 Mineral Spirits No 8030306 riF~GHKL 1-~~~~7~1~1t;1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Mod ~ Inventory Item 0016 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME AQUA AMMONIA Days On Site 365 Location within this Facility Unit Map: Grid: MIXED THAT DAY INTO 10 DRUMS CAS# 7664-41-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient DRUM/BARREL-NONMETA~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 20.00 GAL t~1t~Gt~ru~vuJ wrlrvlvl:,iv1J %Wt. RS CAS# 26.00 Ammonium Hydroxide No 1336216 IlEiGHKL H. 7.7L" ~JJ1~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Mod -10- 06/29/2007 F 34TH STREET CAR WASH SiteID: 015-021-000301 ~ ~ Inventory Item 0017 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME BLUE FOAMING CONDITIONER Days On Site 365 Location within this Facility Unit Map: Grid: W BLDG N END CAS# 25155-30-0 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TMixtur~ Ambient ~ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL t1HG1~tCLVUS w1~irU1VL"lvla %Wt. RS CAS# Sodium Dodecylbenzene Sulfonate No 25155300 2-Butoxyethanol No 111762 ril-1GtiLCL H.7.7JJ.7J1~1r,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Mod ~ Inventory Item 0018 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CHERRY WAX Days On Site 365 Location within this Facility Unit Map: Grid: W BLDG N END CAS# 7732-18-5 Liquid TMixture ~ AmbRent~E ~ AmbientT~E DRUM/BARRELENONMETAL~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.OO~GAL 55.00 GAL 110.00 GAL rlt'~L.iti1CLVUJ l.Vl•!t'V1V L'1V1J oWt. RS CAS# 2-Butoxyethanol No 111762 Gas Oil No 64741442 ruyc~rs~L ria J1JJJ1.11J1.v1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Mod -11- 06/29/2007 F 34TH STREET CAR WASH SiteID: 015-021-000301 ~ ~ Inventory Item 0023 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: SE CRNR CAS# 221 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste -~ Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 720.00 GAL 720.00 GAL 360.00 GAL - t1t~~Httl~uu~ ~vlnruivl,ly l a %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 t1E~L,EIKL Lj~SJ;~J1~1L'1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0021 COMMON NAME / CHEMICAL NAME TRANSMISSION FLUID DEXTRON ATF Location within this Facility Unit NE CRNR Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 0 Liquid TMixture ~mbient~E ~ AmbientT~E ABOVEOGROIINDRTANKE_~ AMOUNTS AT THIS LOCATION Largest Co224100rGAL Daily 224im0u0m GAL I Daily A12r00e GAL tltiaEitClJVUJ l.ul°!t'V1VJ~,1V 1 S %wt. Rs cAS# 100.00 Transmission Fluid (Petroleum-Based) No 0 I1L~GHtCL Hw 7.7 L' .7.71~1J;1V 1 .7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -12- 06/29/2007 F 34TH STREET CAR WASH SiteID: 015-021-000301 ~ ~ Inventory Item 0013 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME UNION CARBIDE OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: W BLDG MIDDLE CAS# 7782-44-7 STATE ~T~' TYPE T PRESSURE ~~ TEMPERATURE ~- CONTAINER TYPE ~ ~GaS I Pure I Above Ambient I Ambient I PORT_ PRESS_ CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 150.00 FT3 150.00 FT3 150.00 FT3 HAZARDOUS COMPONENTS °sWt. RS CAS# 100.00 Oxygen, Compressed No 7782447 ILtiGti.RL Hw 7.7 L' Jw71°181V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low ~ Inventory Item 0022 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ANTIFREEZE Days On Site HAVOINE ANTIFREEZE/COOLANT & EXTENDED LIFE ANTIFREEZE 365 Location within this Facility Unit Map: Grid: SW CRNR CAS# Liquid TMixture ~AmbRient~E ~ AmbientT~E DRUM/BARRELENONMETAL~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 110.00 GAL 55.00 GAL L1L1LJ1"~itLV V V L.V1•lr V1V P~1V 1 S %Wt. RS CAS# 100.00 Ethylene Glycol No 107211 1zc~c~rucL ri ~~~~~1•lrt~ta TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH j j / Low -13- 06/29/2007 F 34TH STREET CAR WASH SiteID: 015-021-000301 ~ ~ Inventory Item 0020 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site HAVOLINE 5W30, 1OW30, 1OW40 AND 15W40 365 Location within this Facility Unit Map: Grid: SE CRNR CAS# 15W40 NE CRNR 8020835 Liquid TMixtur~ Ambient~E ~ AmbientT~E ABOVEOGROIINDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 300.00 GAL 1009.00 GAL 503.00 GAL • tu~~r-u<~vu~ ~vinrvlv~ly 1 °sWt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 t1f1GE~ttL 1-~SJL" JJ1~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0012 COMMON NAME / CHEMICAL NAME AW68 HYDRAULIC OIL Location within this Facility Unit W BLDG MIDDLE STATE TYPE PRESSURE Liquid TMixture ~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 64742-65-0 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS ~Wt. RSI CAS# t1EiGLitCL H.7J~~7~J1~1L'1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / UnR -14- 06/29/2007 F 34TH STREET CAR WASH SiteID: 015-021-000301 ~ ~ Inventory Item 0024 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL FILTERS Days On Site 365 Location within this Facility Unit Map: Grid: CAS# ~SolidE TWaste ~mbRentURE ~ A~PeRATURE DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL ,- HAZARDOUS COMPONENTS ~Wt. RSA CAS# ru~~titcL ~a a G ~ ~ri~ly 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR -15- 06/29/2007 F 34TH STREET CAR WASH SiteID: 015-021-000301 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 10/21/1998 ~ CALL 911. Employee Notif./Evacuation 08/01/2006 VERBAL AND CALL 911. EMPLOYEES WILL BE TOLD TO EVACUATE TO MEDI ALERT BLDG ADJACENT TO CAR WASH. Public Notif./Evacuation 10/10/2000 RESPONSIBILITY FOR NOTIFICATION OF PUBLIC AGENCIES, INCLUDES BAKERSFIELD HEALTH, POLICE, AND FIRE DEPT. EVACUATION FROM THE PREMISES WILL BE BY VOICE COMMAND AND ALL PEOPLE AND/OR EMPLOYEES WILL BE TOLD TO MEET IN THE MEDI ALERT PARKING LOT ADJACENT TO 34TH STREET CAR WASH. Emergency Medical Plan 03/30/2006 MINOR INJURIES - BUSINESS HEALTH NETWORK, 6401 TRUXTUN AVE, 326-7536 MAJOR INJURIES - HALL AMBULANCE SERVICE, 1001 21ST ST, 327-9000 -16- 06/29/2007 F 34TH STREET CAR WASH SiteID: 015-021-000301 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 08/01/2006 ~ STANDARD GAS STATION SAFETY EQUIPMENT. ON PUMPS: SHUT-OFF, VAPOR SHIELD, ETC. ALL OTHER MATERIALS STORED IN SAFETY-SEALED CONTAINERS. Release Containment TO CONTAIN WITH SAND AND OR KITTY LITTER. 10/21/1998 Clean Up 10/21/1998 DEPENDING ON SIZE OF SPILL, EITHER AIR OUT OR SHIP TO HAZARDOUS DUMP SITE. v~..iici iccwui~.c t]1..1.1V0.1.1V11 -17- 06/29/2007 F 34TH STREET CAR WASH SiteID: 015-021-000301 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~~JCV1A.1 nCL C.aiu~ Utility Shut-Offs 08/01/2006 A) GAS - NW CRNR MECH RM EXT B) ELECTRICAL - E WALL SHOP RM INT C) WATER - W SIDE O ST (METER BOX) ADJ TO SIDEWALK D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 12/22/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - NW CRNR 35TH & O ST. Building Occupancy Level 03/30/2006 40 EMPLOYEES -18- 06/29/2007 J r c F 34TH STREET CAR WASH SiteID: 015-021-000301 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/31/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: INITIAL AND REFRESHER TRAINING OF THE HAZARDOUS MATERIALS WILL BE TAUGHT AND SUPERVISED BY MARTY TRAHAN. THIS TRAINING WILL BE MANDATORY FOR EMPLOYEES WHO HANDLE THESE MATERIALS AND ALL OTHER EMPLOYEES WHO WANT TO ATTEND. rayC a RClu Zvi ru~..uic v5c nciu ivl.. ru~uic u~c -19- .,- 06/29/2007 FIRE .PREVENTION INSPECTION a E R S F I L D P/RE ARrM T EAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 852-217 J~ DISTRICT BLOCK NO. DATE ~ ~ ~' -1 ~ b f b U EE FACILITY ADDRESS ~~ ~ ~ ~'~` [~~L ~+ - CITY, STATE, ZIP ~ \, ~ ~~ C` ~ ~ ~ J Y ~ I S + ~ jJ' FACILITY NAME ~ ~ ~~' Z.A,y~~ ~ FACI TY P MANAGER'S NAME BUSINESS OWNER'S NAME AND ADDRESS ~ CITY, STATE, ZIP N R'S P ONE N ~. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCC TYPE OCC LOAD NO. OF FLOORS 7 HIGH RISE BLDG RISER DATE ~ ^ YES ^ NO I CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS CHECKED BELOW No. COMBUSTIBLE WASTE/DRY 1 Remove and safety dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its safe disposal. (U.F.C.) COMBUSTIBLE STORAGE 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.C.) g Re-charge all fire extinguishers. Fire extinguishers shall be servic t~l~st dn~~a~ y~ar rafter each use, J by a person having a valid license or certificate. (U.F.C.) 1 ~ 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (doorlwindow) to SIGNS 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.) g Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. Plastering FIREDOORSI FIRE SEPARATIONS shall return the surface to its original fire resistive condition. (U.B.C.) 10 Remove/repair (item & location) _________________ _____ _______________~' _____. Self-closing doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and heat sensitive device. Seff-closing doors shall have no attachments capable of preventing the operation of the closing device. (U.F.C.) EXITS 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 light 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.) 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets ELECTRICAL APPLIANCES 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.) oUTDOORBURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FIREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Co e C. re ardin fireworks. d OTHER 18 ~ s , © ~"~ ~ °..~~ <°"' ~ ~'..,. ..i ~ 1 5 CX W c ~ S ~, ~ ,~ ~ ,, ~ ~~ cam- ~.. Y fi 2.. Z-- ~ ~/ J~~p~\ ~ ' ' i` - i ~ CUSTOMER: ~ , n ~,~ LEGEND: ` C.F.C. CALIFORNIA FIRE CODE (Signature) (Please_Print Name t_egibly, Title) U.B.C. UNIFORM BUILDING CODE ~~ ~ ~ . INSPECTOR: g AP NO.: "`~ - y B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION (Signature) ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (ReV. 09/05) .~_- _, a „_ ._~ F 34TH STREET CAR WASH Manager STEVE FRENCH Location: 920 34TH ST City BAKERSFIELD CommCode: BFD STA 04 EPA Numb: SiteID: 015-021-000301 BusPhone: (661) 323-9071 Map 103 CommHaz Extreme Grid: 19A FaCUnits: 1 AOV: SIC Code:7542 DunnBrad:04-862-5399 Emergency Contact / Title Emergency Contact / Title STEVE FRENCH / ON-SITE MANAGER EDWIN BENYAMINI / DIRECT MANAGER Business Phone: (661) 323-9071x Business Phone: (661) 323-9071x 24-Hour Phone (661) 889-0263x 24-Hour Phone (310) 877-9395x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact ELYAS BABADJOUNI Phone: (661) 323-9071x MailAddr: 920 34TH ST State: CA City BAKERSFIELD Zip 93301 Owner ELYAS BABADJOUNI Phone: (661) 323-9071x Address 920 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 H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK PROG U - UST ,-.:, ~h qty inquiry of those individuals onsibl® for ntataining the Information, I certify resp under penalt pf lew that I have personally ine am famllfar with the information E'N~ exam it d and believe the information is true, F~ D ~ ~no~ U c r , and c mplete. t.3! -o~ Signature Date -1- 01/24/2007 ~ 34TH STREET CAR WASH SiteID: 015-021-000301 ~ STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: 34TH STREET CAR WASH Cross Street Business Type: COMMERCIAL Org Type: INDIVIDUAL Total Tanks 2 IndnRes/Trust: No PA Contact: Dsg Own/Oper STEVE FRENCH ~ ICC Nbr: 5246060-UC ROPERTY OWNER INFORMATION Name EDWIN BENYAMINI Phone: (661) 323-9071x Addre City I State: Zip: Type INDIVIDU~L_,._,, _ _ TANK OWNER INFORMATION Name EDWIN BENYAMIN Phone: (661) 323-9071x Addres City State: Zip: Type INDIVIDUAL BOE UST Fee# UNKNOWN Financ'1 Resp: SELF IN ED Legal Notif Tank O e Mailing Address Date:04j26/2000 Phone: (166) 190-71 x Name:ELYAS BABADJOUNI Ttl:PRESIDENT State UST # 1998 Upg Cert#: 00720 C~~ ~ /' a~~ a~ J pu n c ~S -2- 01/24/2007 '34TH STREET CAR WASH SiteID: 015-021-000301 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ - -. Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP CAL SODA JO 303 E IH DH L 55.00 GAL Ext UNION CARBIDE ACETYLENE E F P IH G 112.00 FT3 Hi SUPREME UNLEADED GASOLINE F IH DH L 12000.00 GAL Mod PREMIUM UNLEADED GASOLINE F IH DH L 8000.00 GAL MOd HEAVY DUTY WHITEWALL CLEANER IH S 900.00 LBS Mod WHITE POWDERED DEGREASER ~ IH DH S 900.00 LBS Mod HEAVY DUTY COMPOUND R IH DH S 900.00 LBS Mod AMMONIA SOLUTION IH L 330.0.0 GAL Mod USC HIGH SUDS IH DH L 220.00 GAL Mod USC SPPED OFF IH DH L 220.00 GAL Mod MINERAL SPIRTS SOLVENT F L 55.00 GAL Mod AQUA AMMONIA IH L 55.00 GAL Mod BLUE FOAMING CONDITIONER IH DH L 55.00 GAL Mod CHERRY WAX IH DH L 55.00 GAL Mod WASTE OIL F DH L 720.00 GAL Low TRANSMISSION FLUID F DH L 224.00 GAL Low UNION CARBIDE OXYGEN F IH DH G 150.00 FT3 Low ANTIFREEZE DH L 110.00 GAL Low MOTOR OIL F DH L 1009.00 GAL Min AW68 HYDRAULIC OIL DH L 55.00 GAL UnR WASTE OIL FILTERS F DH S 55.00 GAL UnR -3- 01/24/2007 -4- 01/24/2007 F'34TH STREET CAR WASH SiteID: 015-021-000301 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CAL SODA JO 303 Days On Site 365 Location within this Facility Unit - Map: Grid: EXT NW FENCED AREA CAS# 7664-93-9 Liquid TMixture 1 Ambient~E ~ T~PeRATURE DRUM/BNARRELENONMETAL~ AMOUNTS AT THIS LOCATION - Largest Container. Daily Maximum Daily Average 55.00 GAL 55.00 GAL 20.00 GAL r~~r~tcLVUS ~:Vi~irVlv~lvl5 oWt. RS CAS# 20.00 Sulfuric Acid, Spent No 7664939 14.00 Hydrofluoric Acid Yes 7664393 ru~~~tcu t~aa~~~inr~iv 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Ext ~ Inventory Item 0014 COMMON NAME / CHEMICAL NAME UNION CARBIDE ACETYLENE Location within this Facility Unit W BLDG MIDDLE Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 74-86-2 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container ~ Daily Maximum I Daily Average 112.00 FT3 112.00 FT3 112.00 FT3 riAGAttLVUJ 1:V1~lYV1V~1V1a %Wt. RS CAS# 100.00 Acetylene Yes 74$62 t1E~GHKL HJ.7L" .7u1~1L" 1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -5- 01/24/2007 ~-34TH STREET CAR WASH SiteID:. 015-021-000301 ~ ~ Inventory Item 0001 Facility Unit: Fixed .Containers on Site ~ COMMON NAME / CHEMICAL NAME SUPREME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: SE CRNR SPLIT TANK CAS# 8006-61-9 Liquid TMixtur~ Ambient~E ~ AmbientT~E I UNDER GROUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 12000.00 GAL 12000.00 GAL 12000.00 GAL t1HG1-1CCL V U .7 l.. V1~lY V1V 1~,1V 1.7 %Wt. RS CAS# 100.00 Gasoline No 8006619 ntjatucl~ tiJ JJ;JJI~1J;ly 1 a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0019 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED GASOLINE a Days On Site 365 Location within this Facility Unit Map: Grid: SE CRNR SPLIT TANK 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 8000.00 GAL 8000.00 GAL I 8000.00 GAL L1L~[.IL11<LV V J ~.vl•lrvly lJly l J - %Wt. RS CAS# 100.00 Gasoline No 8006619 rlti[~ti1.CL HJ JL~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- 01/24/2007 F 34TH STREET CAR WASH ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME HEAVY DUTY WHITEWALL CLEANER Location within this Facility Unit INT NW MECHANIC RM STATE TYPE PRESSURE Solid TMixture ~mbient SiteID: 015-021-000301 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 131-07-32 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 LBS 900.00 LBS 500.00 LBS ti1~GE~KL V U .7 lr V 1~1Y V1V L" 1V 1 J °sWt. RS CAS# 100.00 Sodium Hydroxide No 1310732 t1HGHKL L~JJJ;JJ1~1L'1V1J TSecret RS BioHaz Radioactive/Amount- EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Mod ~ Inventory Item 0008 COMMON NAME / CHEMICAL NAME WHITE POWDERED DEGREASER Location within this Facility Unit W BLDG N END STATE TYPE PRESSURE Solid TMixture ~mbient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 111-76-2 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 LBS 900.00 LBS 900.00 LBS t1HGHKLVU.7 lrVl°lYV1VL'1V 1.7 owt. Rs cAS# 4.00 2-Butoxyethanol No 111762 10.00 Sodium Metasilicate No 6834920 riHGl-~t'CL 1-~ J.71;J.J1~1L' 1V 1-b TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Mod -7- 01/24/2007 F 34TH STREET CAR WASH SiteID: 015-021-000301 ~ .Inventory Item 0009 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME HEAVY DUTY COMPOUND Days On Site 365 Location within this Facility Unit Map: Grid: W BLDG N END CAS# 1310-73-21 ~SolidE Mixture I AmbRent~E TEMPERATURE DRUM/BARRELEMETALLIC Ambient AMOUNTS AT THIS LOCATION Largest Container Daily Maximum- Daily Average 55.00 LBS 900.00 LBS 900.00 LBS tit~lGtlttLVU~ ~v1~1rv1vtSlvia %Wt. RS CAS# 35.00 Sodium Hydroxide No 1310732 t1L~GHKL r~aa~~7l~i~1v1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH DH / / / Mod ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME AMMONIA SOLUTION Location within this Facility Unit LAUNDRY RM & OUTSIDE Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 1336216 STATE TYPE PRESSURE Liquid TMixture~Ambient TEMPERATURE CONTAINER TYPE _ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average i 55.00 GAL 330.00 GAL 330.00 GAL IlEiGlitCLVU.7 L.vl~irvlv~lvl~ %Wt. RS CAS# 100.00 Ammonia Solution, Conc. Less Than 20% No 1336216 ntiGtitCL s-~~ ~~~~i~i~ly 1 a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ - Curies IH / / / Mod -8- 01/24/2007 F 34TH STREET CAR WASH ~ Inventory Item 0010 COMMON NAME / CHEMICAL NAME .USC HIGH SUDS Location within this Facility Unit W BLDG N END STATE TYPE PRESSURE Liquid TMixtur~mbient SiteID: 015-021-000301 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 64-17-51 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 220.00 GAL 110.00 GAL. riE~GHKLV U J 1=1~1~1r~lvr lv l b oWt. RS CAS# 2.00 Ethanol No 64175 tiHG[~tcL rjJJ~Jal~irlvla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Mod ~ Inventory Item 0011 COMMON NAME / CHEMICAL; NAME USC SPPED OFF Location within this Facility Unit W BLDG N END STATE TYPE PRESSURE Liquid Mixture ~mbient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 111-76-21 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 220.00 GAL 220.00 GAL nt~Gt'1ttLVU~J ~.vrlrvlvJJlvta ~Wt. RS CAS# 10.00 2-Butoxyethanol No 111762 r1HGa`iiCL H JJI;J.71~11;1V 1 ~.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Mod -9- 01/24/2007 F'34TH STREET CAR WASH ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME MINERAL SPIRTS SOLVENT Location within this Facility Unit W-BLDG N OUTSIDE STATE TYPE PRESSURE Liquid TMixture ~ Ambient SiteID: 015-021-000301 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8030306 TEMPERATURE CONTAINER TYPE _ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 55.00 GAL 55.00 GAL t1HY,HKLVUS L:V1~1YV1VL'1V1~ %Wt. RS CAS# 100.00 Mineral Spirits No 8030306 t1AGL-~KL HJJJ;JJI~IJ;1Vl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Mod ~ Inventory Item 0016 COMMON NAME / CHEMICAL NAME AQUA AMMONIA Location within this Facility Unit MIXED THAT DAY INTO 10 DRUMS Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7664-41-7 STATE TYPE PRESSURE Liquid TMixture ~mbient TEMPERATURE CONTAINER TYPE _ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL I 20.00 GAL ru.c.t~tcLVUa ~.vl~lrviv~lvl~ %Wt. RS CAS# 26.00 Ammonium Hydroxide No 1336216 t1.[~GHtCL H.7JJ;J.71~1L"1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Mod -10- 01/24/2007 F 34TH STREET CAR WASH SiteID: 015-021-000301 ~ ~ Inventory Item 0017 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME BLUE FOAMING CONDITIONER Days On Site 365 Location within this Facility Unit Map: Grid: W BLDG N END CAS# 25155-30-0 I ..Liquid TMixtur~ Ambient~E ~ AmbientT~E DRUM/BARRELENONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL I 55.00 GAL ruyc,r~LV~~ L,vllrvlv~ly 1 a %Wt. RS CAS# Sodium Dodecylbenzene Sulfonate - No 25155300 2-Butoxyethanol No 111762 17t1L~riRL ti. 7JL' .7.7P'1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Mod ~ Inventory Item 0018 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CHERRY WAX Days On Site 365 Location within this Facility Unit Map: Grid: W BLDG N END CAS# 7732-18-5 Liquid TMixtur~Ambient~E ~ AmbientT~E DRUM/BARRELENONMETAL~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL I 110.00 GAL i Lea[~tuc.LV V J l.. V1•lr V1V Lily 1 J %Wt. - RS CAS# 2-Butoxyethanol No 111762 Gas Oil No 64741442 ritiuriRL ri~ J.7P~J~J1.1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Mod -11- 01/24/2007 F 34TH STREET CAR WASH SiteID: 015-021-000301 ~ ~ Inventory Item 0023 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: SE CRNR CAS# 221 Liquid TWaste ~mbient~E ~ AmbientT~E ABOVEOGROIINDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum ~ Daily Average 720.00 GAL 720.00 GAL 360.00 GAL nr~us-u~ivvJ ~.vrirvlvnlvlS %Wt. ~ RS CAS# 100.00 Waste Oil, Petroleum Based No 0 IlHL~HiCL L~iJ JL' JJl"1L' 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards -NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0021 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME TRANSMISSION FLUID Days On ,Site DEXTRON_ATF 365 Location within this Facility Unit Map: Grid: NE CRNR ~ CAS# 0 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 224.00 GAL 224.00 GAL 112.00 GAL iu~uruu~vvo ~.vi•irvivnty 1 S oWt. RS CAS# 100.00 Transmission Fluid (Petroleum-Based) No 0 n1-~L~tiRL L'iJ J~.+J J1•1~1V 1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / /./ Low -12- 01/24/2007 F'34TH STREET CAR WASH SiteID: 015-021-000301 ~ ~ Inventory Item 0013 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME UNION CARBIDE OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: W BLDG MIDDLE CAS# 7782-44-7 STATE T TYPE PRESSURE -~ TEMPERATURE ~ CONTAINER TYPE ~ ~GaS I Pure Above Ambient I Aml~i Pnt I PORT _ PRF.~~ _ C`YT.TTTT)F.R I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 150.00 FT3 150.00 FT3 150.00 FT3 HAZARDOUS COMPONENTS oWt. RS CAS# 100.00 Oxygen, Compressed No 7782447 l1tiL~tiRL HJ JL' JJ1"1Pa1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low ~ Inventory Item 0022 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ANTIFREEZE Days On Site HAVOINE ANTIFREEZE/COOLANT & EXTENDED LIFE ANTIFREEZE 365 Location within this Facility Unit Map: Grid: SW CRNR CAS# Liquid TMixture ~ AmbRent~E ~ AmbientT~E DRUM/BARRELENONMETAL~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 110.00 GAL 55.00 GAL HAZARDOUS COMPONENTS - °sWt . 100.00 Ethylene Glycol RSI CAS# No 107211 HAZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Low -13- 01/24/2007 F°34TH STREET CAR WASH SiteID: 015-021-000301 ~ ~ Inventory Item 0020 Facility Unit:_Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site HAVOLINE 5W30, 1OW30, 1OW40 AND 15W40 365 Location within this Facility Unit Map: Grid: SE CRNR CAS# 15W40 NE CRNR 8020835 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 300.00 GAL 1009.00 GAL 503.00 GAL tu~~xtcL~uS ~vi~irvlvr:iv~l~ %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020$35 t11~GEiKL L-~~.7~J51~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0012 COMMON NAME / CHEMICAL NAME AW68 HYDRAULIC OIL Location within this Facility Unit W BLDG MIDDLE STATE TYPE PRESSURE Liquid TMixture~Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 64742-65-0 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS - ~ , %Wt RSA CAS# tiEiGtl[CL H.7 w7L'.7w7P'1L'1v1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / UnR -14- 01/24/2007 ~~ F~34TH STREET CAR WASH SiteID: 015-021-000301 ~ ~ Inventory Item 0024 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL FILTERS Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE ~ Solid TWaste Ambient ~ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS sWt. RSA CAS# - HAZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR -15- 01/24/2007 F 34TH STREET CAR WASH SiteID: 015-021-000301 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 10/21/1998 ~ CALL 911. Employee Notif./Evacuation 08/01/2006 VERBAL AND CALL 911. EMPLOYEES WILL BE TOLD TO EVACUATE TO MEDI ALERT BLDG ADJACENT TO CAR WASH. Public Notif./Evacuation 10/10/2000 RESPONSIBILITY FOR NOTIFICATION OF PUBLIC AGENCIES, INCLUDES BAKERSFIELD HEALTH, POLICE, AND FIRE DEPT. EVACUATION FROM THE PREMISES WILL BE BY VOICE COMMAND AND ALL PEOPLE AND/OR EMPLOYEES WILL BE TOLD TO MEET IN THE MEDI ALERT PARKING LOT ADJACENT TO 34TH STREET CAR WASH. Emergency Medical Plan 03/30/2006 MINOR INJURIES - BUSINESS HEALTH NETWORK, 6401 TRUXTUN AVE, 326-7536 MAJOR INJURIES - HALL AMBULANCE SERVICE, 1001 21ST ST, 327-9000 -16- 01/24/2007 ~ 34TH STREET CAR WASH SiteID: 015-021-000301 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 08/01/2006 ~ STANDARD GAS STATION SAFETY EQUIPMENT. ON PUMPS: SHUT-OFF, VAPOR SHIELD, ETC. ALL OTHER MATERIALS STORED IN SAFETY-SEALED CONTAINERS. Release Containment TO CONTAIN WITH .SAND AND OR KITTY LITTER. 10/21/1998 Clean Up 10/21/1998 DEPENDING ON SIZE OF SPILL, EITHER AIR OUT OR SHIP TO HAZARDOUS DUMP SITE. V1.11C1 1CC .7VU1 l~C ClIr L~LVQI,.y V11 -17- 01/24/2007 .. ~ 34TH STREET CAR WASH SiteID: 015-021-000301 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~JCC1d1 ridGdLUS Utility Shut-Offs A) GAS - NW CRNR MECH RM EXT B) ELECTRICAL - E WALL SHOP RM INT C) WATER - W SIDE O ST (METER BOX) ADJ TO SIDEWALK D) SPECIAL - NONE E) LOCK BOX - NO 08/01/2006 Fire Protec./Avail. Water 12/22/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - NW CRNR 35TH & O ST. Building Occupancy Level 03/30/2006 40 EMPLOYEES -18- 01/24/2007 . . ~. ~ 34TH STREET CAR WASH SiteID: 015-021-000301 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/31/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUNIlKARY OF TRAINING PROGRAM: INITIAL AND REFRESHER TRAINING OF THE HAZARDOUS MATERIALS WILL BE TAUGHT AND SUPERVISED BY MARTY TRAHAN. THIS TRAINING WILL BE MANDATORY FOR EMPLOYEES WHO HANDLE THESE MATERIALS AND ALL OTHER EMPLOYEES WHO WANT TO ATTEND. ruy~ ~ nciu iui ru~.uic ucc nc.LU tvi ru~uic u5C -19- 01/24/2007 ~~~'` `-~ Prevention Services UNIFIED PROGRAM INSPECTION CF~ECKLIST'' B ~ R 5 F t o 9ooTruxfunAve., Suite 210 '- ~- - -~ FIRE ~ ~~~ ~ Bakers$eld, CA 93301 SECTION 1: Business Plan and Inventory Program "RrM r Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ,-y ~ ~ ~~ `~~ ~', r ~~' INSPECTION DATE ti 2Z ~ INSPECTIO~ME I PI^~ ADDRESS ~ ~o ~ ~ ~~ `t PHONE O. Z `9b~ NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 15-021- D Section 1': Sus-mess Plan. and' inventory Pr©gratn ^ ROUTINE COMBINED- ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION ~~ - ' C V ~ C=Compliance OPERATION V=Violation MENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION 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 .( ,1 ^ FIRE PROTECTION ~® ^ SITE DIAGRAM ADEQUATE & ON HAND _` ANY HAZARDOUS WASTE ON SITE? AYES ^ NO EXPLAIN: ~ ~"~~' C5 \~ ~ S ~ l ~¢ l--S nar-aura QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326-3979 Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site/Station # Busines~de / Responsible Party (~lease~nn White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155- (Rev. 09/05 ~'~~ ~, ~0,~~`~ ~T•~~" CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES ~' •y UNIFIED PROGRAM INSPECTION CHECKLIST `tt~"~gti A 1715 Chester Ave., 3~d Floor, Bakersfield, CA 93301 FACILITY NAME .~~'~ ~ ~ C~~ r'`~4~~ INSPECTION DATE ~- '~ a-~ Section 4: Hazardous Waste Generator Program EPA ID # C~Z- 0O ~ 1 4 ~ ~ ~ ^ Routine ~ Combined ^ Joint Agency ^Muiti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number Authorized for waste treatment an or storage Reported release, fire, or explosion within 15 days of occurrence Established or maintains a contingency plan and training Hazardous waste accumulation time frames ~~Q-~~ ~~~" ~~S ~'>l Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers are kept closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line Secondary containment provided Conducts daily inspection of tanks Used oil. not contaminated with other hazardous waste Proper management of lead acid batteries including labels N Proper management of used oil filters Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal c;=t/ompuance v=vrolatron Inspector: ~~ L~.- 4 Office of Environmental Services (661) 326-3979 White -Env. Svcs. Pink -Business Copy Business Site Responsible Party alb a`.~ p~1~ INSPECTIONS BUSINESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST u~ B E R S F I L D F/li<E ARTM T FACILITY NAME: 3 ~ s~' ~g' ~°~s Section 2: Underground Storage Tanks Program INSPECTION DATE:12, Z~ ~~~ ^ Routine ~ Combined ^ Joint Agency ^ Multi-Agency ^ Complaint ^ Re-Inspection Type of Tank I'7`~ Sfi~~~ Clad _ Number of Tanks ~-- Type of Monitoring Gi ~L~c. ~ Type of Piping ~¢~sSu.Q~ it ~~.~^~ ~z5~. L OPERATION C V COMMENTS Proper tank data on file Proper owner /operator data on file Permit fees current Certification of Financial Responsibility Monitorin record ade uate and current g q v.. Maintenance records adequate and current M~ SS% J JNo~Oc.n.~a~ Failure to correct prior UST violations Has there been an unauthorized release? ^ Ye~~ No Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank 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 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 I overspill protection? C =Compliance V =Violation Y =Yes N = No Inspector: C ~ G/1-1~ Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services Aggregate Capacity Number of Tanks Business Site Responsible Party Pink -Business Copy KBF-7335 FD 2156 (Rev. 09/05) ., ~~ J. + 34TH STREET CAR WASH ________________________________ SiteID: 015-021-000301 + Manager STEVE FRENCH BusPhone: (661) 323-9071 Location: 920 34TH ST Map 103 CommHaz Extreme City BAKERSFIELD Grid: 19A FacUnits: 1 AOV: CommCode: BFD STA 04 SIC Code:7542 EPA Numb: DunnBrad:04-862-5399 + - .~ - - - - -• - - - - - - - - - - - - - - - - - - - -• - - - - - - - - - - - - - - - -• - - - - - T - -.r - - - - - - - - - - - - - - - - - - - - - + +_______________________________________ ___~e n Ls_iyt 1~====_________________+ ~ Emergency Contact / Title Emergen y Contact / Title STEVE FRENCH / ON--SITE MANAGER EDWIN / DIRECT MANAGER Business Phone:. (661) 323-9071x Business Phone: (661) 323-9071x 24-.Hour Phone (661) 889-0263x 24-Hour Phone (310) 877-9395x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact ELYAS BABADJOUNI Phone: (818) 402-9422x MailAddr: 16421 TUDOR DR ~ State: CA City ENCINO Zip 91436 Owner ELYAS BABADJOUNI Phone: (818) 402-9422x Address 16421 TUDOR DR State: CA City ENCINO Zip 91436 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG U - UST Based on my inquiry of those individuals responsible for 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 4rue, accurate, and com e. y- ~,4_ o~ ~~_ v' Signature Date ENl ~ SAY ~ 1 zoos -1- 03/30/2006 UNIFIED PROGRAM INSPECTION CHECKLIST ' ~4.., ,..:1,'pfe-D'~."51i?'.d9s:i~+f!:`l c ~..:,*1!'n ~+_ i .i ,. _ .. ... ,;.:: .w ,. 3... .SECTION 1: Business Plan and Inventory Program H~IRERSFIELD FIRE DEPT a Prevention Services qRt 900 Trtixtun Ave., Suite 210 ~Rrr ~ Bakersfteld, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~/, NSPECTION DATE INSPECTION TIME ~j ADDRESS ' 3 ~ HONE NO. ~ O OF EMPLOYEES z/L .E q cf 23 Z FACILITY CONTACT USINESS i NUMBE 15-021- ~~ C Section 1: Business Plsn and Inventory Program ~~ O'~~~ ^ ROUTINE OMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V C=Compliance ( ) OPERATION V=Violation - --------------- COMMENTS ----~-------~-~--~---------~-----...---------------------~--- }{//{ --- -.._--- ^ - APPROPRIATE PERMIT ON HAND 1 ' 1 / ^ BUSIf1t3SS PLAN CONTACT INFORMATION ACCURATE ~^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ~~^ VERIFICATION OF QUANTITIES ^ ^ ^ VERIFICATION OF LOCATION PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY ~n'T+n ~ „ . , w . '{~ I U ,1 LI~1~I--`~)-~A ~~ ^ VERIFICATION OF HAZ MAT TRAINING ~' ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES '-B~ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE 8 ON HAND ANY HAZARDOUS WASTE ON SITET ^ YES ^ NO EXPLAIN: QUESTIONS REGGARDING THIS INSPECTION? PLEASE CALL US AT (881) 328-3979 ~~iYle ~/ CAA~Ze4- !~ `~ Inspects (Please Print) Fire Prevention / 1" In / Shift of Slte/Station k White -Prevention Services Yellow - Station Copy Pink - Business Copy FD2049 (Rev. 02/05) ~~+w4~` "''~ ~\ CITY OF RAKERSFIELD 1~ IRE DEPARTMENT 6 ~ ~ ro OFFICE OF ENVIRONNiENTAI. SERVICES y~` UNIFIED PROGRAM INSPECTION CHECKLIST .~ ~tyE~~ti,,d 1715 Chester Ave., 3~`' Floor, Bakersfield, CA 93301 FACILITY NAME ~LI ~ ~r~~7 ~~~.- u~~S~z. INSPECTION DATE~~~~ Section 2: Underground Storage Tanks Program ^ Routine ^ Combined ^ Joint Agency ^Multi-Agency ~ ^ Complaint ^ Re-inspection Type of Tank ,emu 8- G+!i,~Gt! Number of "Tanks Type of Monitoring f~,t l~6 1 Type of Piping ~.~~1 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 cun•ent Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes N 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 Y=Yes N=NO Inspector: ~ dhdR> ~t~-~/~e~~~ Office of Environmental Services (661) 326-3979 white - f-nv. Svcs. Business Site Responsible Party Pink -Business Copy 34TH . ~_~i=i}-; I::Iri'.-_ H . 92n :3aTH ;~T . B~};EF':~F I ELL1, Cti . 933i 11 O1 -~3-06 ~ ' S8 F'P'1 ~4'STEI°i ~~T~TU~ REF•CF'T' tiLL FU}V~ :T I CihdS hdt>Rf°1~L I I Pd1.tENTC}k'~! kEPL'+kT T 1:UNLEHDELi ULLHC~E = 449;1 iahLS 90%w ULLhiaE= :3'x'93 C;hL Ti=' t~GLUf°lE _ ?5U5 UtiLS HEIi~HT = ?6.?1 INi::HE WhTEk t1UL = 0 U~;LS I;,I;TEk = U . U0 INCHES TE(°iF' = 60.3 UEi>> F i ' T '? : F{3l.JEk FFdE(9I Uf°i ' Vi~LUI°lE - 18:35 ~_,;L'. ULLi~GE - 6165 GF~;LS 90:5 ULL€=ti_E= 5;365 i~~L:_~ TC t1C~LUI°IE = 1833 ia;=tL HE I iaHT = 35.86 I hJi='HE:_, 4JrTEk 11C;L = U C:AL, 4JrTEk = 0.00 I PJCHE_: TEMF = 61 .8 LIEU F x :~ ~ EI~ILi * x x x ri .~ ~'`'~~~UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmentsl Services 1715 Chester Ave Bakersfield, CA 93301 -r..i. raa ~ Iona on~n . ~.. ice,.., .,..,...., ~.., ... ,FACILITY' 4AME INSPECTION DATE i INSPECTION TIME r 1 ~ ~ ~,. i ~ : ~ ~~ ~~ AGGRESS ~ PHONE No. j No. of Employees j FACILITYCONTACT - Business ID Number 15-021- ~p / Section 1: Business Plan and Inventory Program ^ Routine '~ Combined ^ Joint Agency ^MultI-Agency ^ Complaint ^ Re-inspection C' V IV=Vioatonnce~ OPERATION ILY ^ APPROPRIATE PERMIT ON HAND ~/" ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE CD/ ^ VISIBLE ADDRESS ~~,/ ^ CORRECT OCCUPANCY L~-i ^ VERIFICATION OF {NVENTORY MATERIALS Q ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION (~^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE -,,-f------------ ---------------------._._.__-...._.._.....--- la ^ VERIFICATION OF HAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ~^ CONTAINERS PROPERLY LABELED ~^ HOUSEKEEPING ----------.------- -----~-------- D ^ FIRE PROTECTION ^ SITE DIAGRAM ADEOUATE ~ ON HAND COMMENTS ANY HAZARDOUS WASTE ON SITE: ^ YES ISI~ NO EXPLAIN: QUESTION EGARDIN T INSPECTIONS PLEASE CALL US AT ~66'I ~ 328-3979 _.. V Inspector Badge No., White -Environmental Services Yellow = Stalbn Capy Pink • Business COPY 1'~~~~ti1.D Fl'pc~' ~ ~~w ~\ CITY OF BAKERSFIEI.D FIRE DEPAR'T'MENT Q /////' ' I~ ~ °~ OFFICE OF E:NVIRONR1ENTAl. SERVICES ~m y.` UNIFIED PROC:RAM INSPECTION CHF,CKL.IST ~~ , , ~ wE'~~~,~~'~ 1715 Chester Ave., 3~`' Floor, Bakersfield, CA 93301 FACILITY NAME ~.~ fI~ 5T c~~CL C.t)aS~\ INSPECTION DATE ~l " 3 G~ C3 Section 2: Underground Storage Tanks Program ^ Routine ~] Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection Type of Tank dCU FC s Number of Tanks 2 Type of Monitoring Ci (,-1~ Type of Piping t~kt)1= OPERATION C V COMMENTS Proper tank data on file Proper oWnerloperator data on file Permit fees current Certification ot• 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 NU `~ 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? Ifyes, Does tank have overfill/overspill protection'? C'=Compliance V=Viola 'on Y=Yes N=NO lnspeccoi•• Office of Environmental Services (661) 326-3979 Business Site Responsible Party White - fnv. Svcs. Pink -Business Ci~~y ,_P + 34TH STREET CAR WASH ________________________________ SiteID: 015-021-000301 + Manager STEVE FRENCH BusPhone: (661) 323-9071 Location: 920 34TH ST Map 103 CommHaz Extreme City BAKERSFIELD Grid: 19A FacUnits: 1 AOV: CommCode: BFD STA 04 SIC Code:7542 EPA Numb: DunnBrad:04-862-5399 - -------------------------------------- Emergency Contact / Title Emergency Contact / Title STEVE FRENCH / ON-SITE MANAGER EDWIN BENYAMINI / DIRECT MANAGER Business Phone: (661) 323-9071x Business Phone: (661) 323-9071x 24-Hour Phone (661) 889-0263x 24-Hour Phone (310) 877-9395x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact ELYAS BABADJOUNI Phone : {8~ 8~ -4 ^ ? -.Q.4 a~:~ ~ ~ MailAddr: °~ ~. d - 3 4 } ~ ~ } , State : CA ~ ~3-`~ `1 City . -E~A~9 (3 a., a.e1 c~ Zip .~ ~' q 3 3 C ~ 1~- ------------ ------------------ ----- ------- Owner ELYAS BABADJOUNI ~ ~ Phone: -(-~ -8-)- - . Address ~G^ ~~ TrmnR nD ~j ~p ~ 3 ~} ~~-1, State : CA ~b 1 313- City ~~ ~~ ~~ ~ Zip . -= ~- , Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: l ~ PROG A - HAZMAT " PROG H - HAZ WASTE GEN PROG U - UST Based on my inquiry of those individuals responsible for obtaining the information, 1 certify under pena o law that I have personally examen d nd a familiar with the information mi a and b lieve the information is true, ac ur, and co plete. Date ~ ~p~\ ~~~~ 5`~,,~\ ~ ~'~ ~ ~~ w ~I~~,~ r~~l~ ~ ~ ~~~~ -------------- ------------------------------------ -1- 07/24/2006 `~ ~ B F/RE A R rM T April 10, Zoos Mr. Edwin Benyanini 34th Street Carwash 920 34th Street Bakersfield, CA 93301 RONALD J. FRAZE REMINDER NOTICE FIRE CHIEF Re: Guidelines for Unsupervised Dispensin4 Gary Hutton, Senior Deputy Chief Dear Mr. Benyanini: Administration 326-3650 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 Deputy Chief Dean Clason your fuel pumps on, this is defined in the California Fire Code as: "Unsupervised Operations/Training Dispensing." 326-3652 Deputy Chief Kirk Blair Unsupervised dispensing is allowed when the owner or operator provides, and is accountable for daily site visits, regular equipment inspection and maintenance, Fire Safety/Prevention Services including any unauthorized release or spills, posted instructions for safe operation 326-3653 of dispensing equipment, and posted telephone numbers for the owner or operator. Signs prohibiting smoking, prohibiting dispensing into unapproved 2101 "H" Street containers and requiring vehicle engines to be stopped during fueling shall be Bakersfield, Ca 93301 conspicuously posted within site of each dispenser. OFFICE: (661) 326-3941 ~ 1n addition, a sign shall be posted in a conspicuous location reading: FAX: (661) 852-2170 In case of spill or release: RALPH E. HUEY, DIRECTOR PREVENTION SERVICES 1) Use Emergency Pump shut-off 2) Report the accident FlRE SAFETY SERVICES • ENVIRONMENTAL SERVICES 900 Truxtun Avenue, Suite 210 3) Fire Department Telephone Bakersfield, CA 93301 4) Facility address OFFICE: (661) 326-3979 FAX: (661) 852-2171 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 David Weirather operate is acceptable. The fuel leak detection system must have a remote or Fire Plans Examiner phone modem to insure off-site monitoring during hours of unsupervised 326-3706 dispensing. During hours of darkness, sufficient lighting must be maintained so Howard H. Wines, III that all signs associated with fueling operation are conspicuous and readable. A Hazardous Materials Specialist gallon container of an absorbent material used for spills must be made available 326-3649 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 r ".~ 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 conduct random 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 ~'- .~:~C~ C By: Steve Underwood, Fire Prevention Officer REH/db UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD I LINE TESTING / S6989 SECONDARY CONTAINMENT TESTING (TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT NO. ~ I "~~ N~ ^ ENHANCED LEAK DETECTION ^ TANKTIGHTNESSTEST BAKERSFIELD FIRE DEPT. R; I D H ~ Prevention Services ' ARfAI ! 900 Truxtun Ave., Ste. 210 ~. Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 ^qG LINE TESTING la TO PERFORM FUEL MONITORING CERTIFICATION ^ SB-989 SECONDARY CONTAINMENT TESTING ^ Cathodic Protection Testing SITE INFORMATION FACILITY 34th Street CarvvaSh NAME & PHONE NUMBER OF CONTACT PERSON ADDRESS 92O 34th St. OWNERS NAME Same OPERATORS NAME Same PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? ^ YES ^ NO TANK# VOLUME CONTENTS 1 87 UL 2 91 UL TANK TESTING COMPANY NAME OF TESTING COMPANY Cal-Valley Equipment Bruce W. Hinsley 661-327-9341 MAILING ADDRESS 3500 Gilmore Ave. Bakersfield, Ca. 93308 Bruce W. Hinsley 661-327-9341 CERTIFICATION #: OOC-OrJ-~ ~ 78 DATE & TIME TEST TO BE CONDUCTED OCtOi)er 9, 2006 0$:00 ICC #: SIGNATURE OF APPLIC T ~~ ` DATE Sept. 25, 2006 APPROVED BY DATE FD 2095 (Rev. 09/05) M4N~ITUR~N~G SYST~~ CERTIF~~~~OIY For Use 8y All Jurfsdretionr Withivt she State of Callfarnra Authotrty Ciled: Chr:pter b.7, NeaUla and Safety Cate: Chapter i6~ Division 3, ~Stle 23. Califo»tFa Cods ajRegulatForts This fottn must be used Lo ddctrment testing and servicing of monitoring equipment. Asea-state Certification ar resort must be tzwat»d for each atx-nitotirtg_svstem control jtanel by the technician who ptrfornas the work. A copy of this form must Ire provided to the tank syshem ownerJaperator. T'he owner/opercator must subtrot a copy of this harm to the local agency regulating UST systems within 30 days of test date. A. Gera Faq)ity Name Site Addross: Ig. Na ~F~ p'acility Contact person: Congta Phone No.. !~ MabelModel of Mottitoring System: LZ/11r~a~`GO x/9'7 C Bate of TestingfScrvicing: ~1~10!~' B. Inwentery of Equtipmneat TestedlCeclif~td Tank Ib: f ?l / !J~-,- m In-Tank Gauging probe„ ® Annular Space a Vault Sensor. ® Pipomg Sump / Tnateh Scatsatts). 4 Fi115nmp Scasor{s). ~i Mechanical Lipt:l..¢akDetector_ Q Electnottic t;ane t.tak Detector. O Tank Overfill /High-Lever 5ensoor htodcJ: ; Mpdcl; ~ Model: Model: . lw[odel: Mpdcl: - aM modd Tank lA: D 1n-Tank Gauging Probe. O Annular SPaoe or Vaalt Sensor. O PipingSnmp /Toroth Sensor(s). D FIl SumpSensar~a). Ca Mechani~l L.rine Leak Deterlnr. D FlaxmniG Line teak DCOCtpT. d Tank t7vcrf"ill /High-bevel 3at6at: d Other (specify eauivmeret lose and Model: Model: Model; Model: Model; Hfodet: Model: '1'sQlt 1b- ~ t/L Tank tp: _-- Ig' In•Tatik Cain Probe. Mudd: +sA. _ p In-Tank Gauging Probe. Model: ®' Amaular Space: tit Vault Sensor. Model: S'l~! rtw ~~oY D Annular Spec or Vauh Seaserr Model: ~ PipingSump /Trench Sc~tsot(s). 144eadeL• Sl.(h11?SE'~25o1' O Piping Sump 1'Tn-nth S~sor(s). Model: D Fill Sump Sensar{s). Model: ~ Mechanical Lim !( ~ Detecterr Model; O Fil l Sump 5ensor(s}. Model; ___ D M h i , _ ec an cal La ne teak Detector- Model: O Biextmnie Line Leak Ddedor. Mold: O E1cCtroiric Line Lt:ak Deteexor_ Mold: O Task Overfill J Hilt-L>;vel Sensor. Model: D Tank Overfill I Iiiglt-Level Sensor. Mod~cl D Others 'f ni alt and meadei itt Sxtion E on P 2}. O Other ui t and model in Sextimt 6 sat Pa 2 . plspenset' ID; '~ iAispenger Ib: bispenser Containment Stxtsor(s). Model: ~AraGr ~t~ E O Dispenser Containment Senson(a)_ Model: 5hmr V$Ive(s). D Shear Valve(s)_ D bis Srtr Containment FI s and Chain s . O Dis set Containnteni Fl sand Caiaio P . bispenscr Im: r ~: Gil. Iispenser Coinaiatmeat 5ensor{s). Model: ~ D Dispcn9cr Containnteat Sensor(s). Model: ~ Shear Valve(s). D shear Valve(s). O Di set CantaiamOttt k7 s and Chaitl 3 , D bi act Coatainmen! Flo A artd (Mains . 1)rspeiwer II/: Dispenser ID: O bisparisar Containment Sensor(s). Model: O Dispenser C(Ttttaitimelat Seaiseir{s). Model: ~--- O Shear Valve(s). O Shy Valve{s~ ODi set Cantainabertt FI sand Chains . O Di set Containment Float s and Chains . ~If the facility oontaias moss tanks or dispensers, e:opy this form. tnclude inFOrtttatiem for every tank and disptxset at the Facility. C. Certifeatio>a -I certlty thse the mgoipment Ideeitifred in Ibis document wgy inspededtservloed is accordance with the rnanut'actarers' gaiidelines. Attaditd to this Ccrtinratieia Is itdarmstion (msg. ~' ~~;~) neeassary tv rer'g`3' that tills irifottttalion is eorr'eCt shd a Plot Nan Sirosvigg the laJont nf' i111o.iitoring egnfprnent. For sod agoipm¢trt aipable of genierating 9acit ~For'ctr Y have st6n atfaclial a copy of the re ; (dbcck all tlmt ~tty)s Q System get-tip ©Alarrtf h9storY report Technician Natnc (P~int):~1,~C~._ ~ 2i ~ - 5igttature: e..+aa..~- ---~ y' Certification Na: 6-Y{»S License. No: d Ttsting Conrtpa~oy~,N,t,~: Site Address: r ~` Phone No.:~ 6~~ ~~ ,r,~~~ ,_.. Date of Testingl5ervicing: ~~/A"~ , Page I of 3 03A91 Manittrring $ystmtt CertiRlicatiion D. results ~ ~est3n~l'S~ervi~cang SoiLware Version Installed: ,~,~ 0~ ate the fallow in circcWist- Yes 0 No's Is the audible alarm o liana]? Yes ^ No* is the visual alarm operational? ~. Yes D No* Were ail sensors visual i ed, funetianal tested, and confirmed tional7 dl} Yes ^ No* Were all Sensors Itt5t8lkd at loixest paint of seccmdary tdtttainment attd positioned sa that a~tlxr equipment wiill not ittaarfere witty their tion4 Q Yes ^ No's if alarms are t+elayed to a retx~olc monitgrin$ Stdtivn, is all communications equipment (e.g. modem) 1ffi N/A Operatilan8l? O Yes No* For pt+essnrized paging SyStCtns. does tlae tur#fine autamaticaIIy shut down iE the piping secottdary containment ^ NIA monitoring system detects a leak. fails to operate, or is electriplly disaottnected? IF yGS: which sensors initiate positive shut-down? (Check all that apply] l'~,SumplTnench 5ensora; ^ DiapensCr ~ontaimnent StnBOTS. Did ou oon6rm ' 've shnt-down due m leaks sensor failureldisoormectian7 Yes; ^ Na. ^ Yes ^ Na* For tank systems that utilize the monitoring system as the primary tank oveafill roaming device f i.e. no 11d N1A mechanical avc1filI prevention valve is insrallcd}, is the ovpfill warning alarm visible and audible at the tank fill ' nt s and i 1!f so, at what rtt of tank does the alarm tri er? °~ 4 Yes' ®No Was any monitoring equipment e+eplaced? If yes, idetltify Specific sensors,. probes, or Qther oc#uipment replaced and list tha ~nanufacttlt+Cr name and model t'or all laeement in Sa:aon 1=, below. D Yes* !$ Nv Was Squid ~auttid iaside any secotdary «mtainment systems designed as dry systems? (Check alt that aPplY) O Produ ~ C7 Water. II , describe causes itt Section E. 6ekrw. Xes Q Na'" Was manitori s set reviewed to enaurc ro r settin ?Attach set u n tts, if lieable }Yes ^ No* Is all rr~titarin ui ment tioml trtanufacturer's s -trmtivns? * Io Section E , describe l5ot- sad molten these ~iictettctes were or rout oe aorreccca E. ~olaurnents: A~~ ~li-~ ~~fr~~,~vM ~h 7~i t? r~:i~'G~r~'~~" Cd~7~"l~~~l~il' Page 2 d3 WlOl F. ~3tw-Tank Gaugis~tg !SIR Equipirtexst: ~-Q~eck -his box if tank gauging is aced only for inventory wntrot. ~] Check this box if na tank gsr}giitg or Slit equipment is installed. This section must be torinpleted if in-tattle gauging tsquiptttent is used to iterfaix~n leak detection tttonitatiittg, ^ Yes ^ Na" Has all imput wiring lyeen ntspc~d far proper entry and termination, itrohrditfg testing for ground faults? O Yes ^ No* 1Vd~ all tank gauging probes visually inspected for damage and rtsidue buildup? O Xes ^ No* VYas accuracy oP system product le~rc! readings bested? Q Yes D No'* Was accuracy of system water level readings tested? D Xes D I~io# Wea+e all probes reinstalled pt+opedy7 ^ Yes i7 No' were sI1 items an the equipment tmm~ttfacturer's mainterta:tce checklist cornpletsd? * in the S ectlo~n H, below, describe how and adeen tht~e,dtxidcttdes were or will be rnrret-red. C.s. Line Leak Detectors {LLD): ^ Checlt this box if IZ.Ds are not installed. Yes ^ No* For equipment start-up or armval equipment certification, was a leak simulated tQ verify 1.I.b peTfonnance? 4 N/A {t~re+ck all that apply) Simulated leak rate: ~$ 3 g.p.h.; ^ O.I ~p-h : Ca 0.2 S-ph. ~ Ye-t ^ No* Were alI LLDs ovnfirtned operational and acauate within regulatory requirements? ~ Yes ^ No" Was the leafing apparatus properly calibrated2 ~ Yes ^ No* Nor mecttaAica] LLDs, does the LLD restrict product flaw if it detects a Icak? ^ N!A ^ Yes ^ Nax Far eledtt+nuio LLbs. does rite turbine autamatic~Ily shut ofl' i F the LLU detects a Icalc? N!A ^ Yrs D No* f+ar electran'te Li,.ps, loess the turbine automatit:ally shut off if atry portion o{ rite monitoring systtwm is tlisabl~ ~ IVlA or discvnneCted7 ^ Yes ^ Na* For electronic LLDs, does the turbine aottxnatically shut att'if any portion of tilt: ttlonitoring system tnaIfunetinrts gi NIA ar fails a d~tT D Yes ^ No* Four electmuic I,L,17s, have all accessablc wiring connections been visually inspected? @k N!A ~' Xes D No* Were all items on the equipment manufacturer's maintenance checklist completed? ' in the B elton ~ below, descrr"he hoar ctrl wlxeo the9c defidertciea were or wilt be corrected. ~. Comments: IP'age 3 0[ 3 a3aut onitoring SyspeQ- G4rtificatiowt LTST 1V~ nxtolrin Si ~~n Site Address- ~ ~ ~ ~' ~ ~'~ - Date trap was draws: ~~~ Instrnctiens If you already have a diagxam that shows ail required information, you nay include it, rather than this page, with yowr Monitoring System. Certification. On your site plan, show the genexal layout of tanks and piping. Cleanly identify bcations of the following equipment, if installed: monitoring sysfiem control panels; sensors taonitarlxig tank annular spaces, snmips, dispenser pans, spill c:onts~iners, ax other secondary contaazument areas; mechanical or sleettvnie Iine leak deteat~rs; aid in-tams ligwid Icvel probes (af used for leak detection). In the space provided, note the date xhis Site lalan was prepared. Page ~ of ~ 05145 ~AP4~ESS 1VIA,lYi]FACTU~NG, INrC. LQ'T'~$9D Leak Detector 'r'est Reeord GontcaCfiOr tamer ,~ .rrocation~- - P n Submersible Puxlnp Identiflcatiun Manufacturer M eI No. ,~e~ial Number Leak Detec#tyr Identification 1Vlarntfacttger Destxip~ ether StYlc Leak Detector ~~i' fi Diaphragm-type Fiston•iype l~- Tamper-proof seal installed? SCes _ Nom Leak Deteeto~r in Submersible Pump Test at dispenser I . C1perating Ptunp F1'cssnre ~~~ si (para. i S) 2. Gallons per hour rate ,.>~ ~ (para. 22) 3. Lima pressure with pump shut off ~~nsi (para. 23) 4. Bleedback Test with pump oi'if ~'~ ml (para. 26) S. Step-dvroagh time to full flow ,~ seconds (para_ 30) G. Leak deodctor stays in leak search pasitian. (para. 42) Yes v' No LEAK DETECTpR TE$1' Note: PASS =Leak dctectq~ Hts tese protocat Fa91-teak detector fails test protocol Puss Fail Form 890C (9-1-9b) #Cotnplete thermal expansion test before fading IeaIC detector. 1990+ V'aporless Martufacturiwg, Inc.. Prescott Valley, AZ ~AX'URL~SS MANUF,ACT~ItiNG, INC. • CDT-890 Lcnk Detector Test Record G:rmraetar t>>~~t~anur nape Pmduct 1~-9-fJ~ 9~a 3~~~rs~~~ 5~~~~ TecBnicaari Subrttersible Puu~p Idegtiticatian Mauu~entrrr MadeI No. Sew Number _ ~ ~" x.eak Detector Identi~icatfon 1~[anuihcturer Descriueian Clther Style Leak Dctector -,~%~ t'~ Diaphragmstype Piston-type L.~ Taa3per-proof seal installed? Xes No Leak betee#or in Submersible Farnp Test at Dispenser 1_ Qpcrating Ptartp Pressttre~'g_~7si {para. 15) 2. Gallons per hour rate _ '„~. ~ _ (para. 22) 3. Line pressure with pump shut off' ~g Psi (para. 23) 4. Bleedbacle Test with pump off~_m1 (para_ 26) ~. Step-thrar~g]r time to full flow, .~ _ seconds (para. 3Q) 6. Leak detector stays in leak searchposztion. (para. 42) Xes ~ No LEAD DETECTOR TEST Nate: pass -Leek detects Errs teat gtotacaf trait ~ Lce& detector flits teat pnvtowt Pass Fail Form 894C (9-1-95) '~Carrtplete themtal expansicttt test before failing leak detector_ 1996 Vaporless Manufacturing, Inc., Prescott Valley, AZ . a ~ i ., SWRC~, Jsnnary21~6 9p~~1 Bucket 'Testing Report Farm 77tfs farrrr fs intended for use by ~rrtrarrors perfornri~g aqua! testing of (1ST'spill cortaiunnent strt,~tro~es The conrpietcd fa~rn and printards from tests (ifappficabte), should be provfc~ed to the, fare7fiy o,wnerfoperdtrrr for submittal to the It~e®t regulc~vry ugermcy. >~. 1F~1,Gitx.1C1'Y AKFORMATION ~aeility Name: "~Z,I . Ste- C~a~`t..l~ f'L, Date ofTesiin~: 1~-- s~~t; 1'awility aaares~: ~ ~ ~. .~ ~ >"aciiity Contact: Phone: Date Local Agency Was Notified of Test~g Name ofLor~i A>x~acv Insoectar (ffnrese>g durirrQ testireel: Z. ~ ~ES'!"ING Ct3NTRACTOR II~FU1EtMA' C y Name: ,y, Tcchrticiati Conducxing Test: _ 1, , _ ~ ~~ Cr+ede~tials': ~CSI.I3 Contractor ©ICC Senrioe Tech.~ d SWRCB Tank Testur'Q Other Lioanse Number(s): 7f~51/ 7D ,~ CELtTi1E7CA,'1flON D>? TECFi<IYICiAN RESI'ONS}'B~.E F'U~2 CG]VAUCTxMG T]F17S TE.~'xIVG l,ejrereby certify Rriet mfL the ia, fae'peridoer c~oisteidned ie lkLr repetY is tare, ~crurate, atuf irr hell eorrrpa[lance wQfle legd r~egrrireerterrts. Technician's Signature: dcc«. -~.-~ .,/ Daf~:~e7 ~' ~_~ ' State laves and regulationts do not ewteotly rc:quvc testing to be performed by a qualified opatraCtvr, However, local requirements maybe more shingant Canl,~ments - (irrclude ir~ormatiprt oh repa,~rs,node, r~ i~ to t~ rnttl recvmrnerrdedjS'allow ~p jor, failed tests) A~19 aRT •'Wpq ,. ,,,~ +~ ~1 c 7 C.~G aooAl~s: ~ ~ ~ air, fir: taut CAL-VALL,>I;Y 1~OIT 3340 6ila~otit® Avg >atsfield, ~ 93~gS Far8s1~1-325-2539 ~: tlc ~a.z~ . 1D~ 06' ~ c~~aan~sr+wr~l}~r; ~-~~~ _ ~t ~ I~ur+ lint w ~ e~ ~~Ie~WS~tessllit4e,t8f~.~iFSlyby0.415~A31S.wP~4®lswY~c~vAra~tR~r~pp~.loo~l~llp~q~mrrAet~®etefDer. oa~anrsaeoe~e~a~riNetac~t ~taeta.ym~v~etot~. 1 declare under penalty of >?e~u~Y that ! am $ ileeitsed Tank tester In the Stela of Callfiomla and that the Jntormatlon contalrtod In thla~ vapor! !s true and correct to tl~e feat of my knowledge. ..~, --~--~