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HomeMy WebLinkAboutBUSINESS PLAN0 L Q N ~ ~ MI L. ~ } OI S riI M rl ~~ ~\ 34TH ~TR~ET ARCO SiteID: 015-021-000481 Manager CHANG BOK KIM BusPhone: (661) 322-5268 Location: 1102 34TH ST Map 103 CommHaz Moderate City BAKERSFIELD Grid: 19C FacUnits: 1 AOV: CommCode: BFD STA 04 EPA Numb: SIC Code:5541 DunnBrad:00-648-2657 Emergency Contact / Title Emergency Contact / Title CHANG BOK KIM / STORE MANAGER JUNG YE KIM /~ Business Phone: (661) 322-5268x Business Phone: (661) 322-5268x 24-Hour Phone (661) 703-0759x 24-Hour Phone (661) 703-0759x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact BONG KANG Phone: (661) 322-5268x MailAddr: 2604 OAK CREST CT State: CA City BAKERSFIELD Zip 93311 Owner BONG KANG Phone: (661) 322-5268x Address 2604 OAK CREST CT State: CA City BAKERSFIELD Zip 93311 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~ A~t<S ~,~;~s~C-~ f "` ~O~ PROG U - UST ~ ~ ~.. .ptr~ - ~-C-s ~ ,~ U- i ~~~ ~~ b} Qased on my inquiry of-those individuals responsible for obtaining the information, I certify ~ ZQO7 EN°T'~ MAY ~ U under penalty of law that I have personally C examined and am familiar with the information submitted and believe the information is true, accurate, and complete. , !'~ _ i"~ ~" ~~ ~uDi~ Signature `~ ; - Date ' l< ~ ~./ -1- 01/24/2007 ~? ~ fig ~? ~''_.. F 34TH STREET ARCO SiteID: 015-021-000481 ~ STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: 34TH STREET ARCO Cross Street Business Type: Org Type: Total Tanks 3 IndnRes/Trust: No PA Contact: Dsg Own/Oper ICC Nbr: PROPERTY OWNER INFORMATION Name JUNG YE KIM Phone: (661) 322-5268x Address:. City State: Zip: Type TANK OWNER INFORMATION Name JUNG YE KIM .Phone: (661) 322-5268x Address: City State: Zip: Type BOE UST Fee# Financ'1 Resp: SELF INSURED Legal Notif Business Mailing Address Date:10/01/2001 Phone: (661) 322-5268x Name:CHANG BOK KIM Tt1:OWNER State UST # 1998 Upg Cert#: 00740 -2- 01/24/2007 T T1 :'r~_ F 34TH STREET ARCO SiteID: 0.15-021-000481 ~ ~ 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 12000.00 GAL Mod GASOLINE F IH DH L 12000.00 GAL MOd GASOLINE F IH DH L 12000.00 GAL Mod -3- 01/24/2007 pia TT _ -4- 01/24/2007 r ' ~;-?: a 6, _ F 34TH STREET ARCO ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME GASOLINE Location within this Facility Unit UST STATE TYPE PRESSURE Liquid TMixture Ambient SiteID: 015-021-000481 ~ 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 12000.00 GAL 12000.00 GAL 10000.00 GAL HAZARDOUS COMPONENTS °sWt . RS CAS# 100.00 Gasoline No 8006619 t1E1GLittL 1~J51;551~1~1V1J 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: UST CAS# 8006-61-9 ~E O R E T~E I Liquid T Mixture~ Ambient ~ Ambient - ~ER GRO UND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL ~ 12000.00 GAL 10000.00 GAL tit~Gl-~tCUVUJ w1~1r~1vL'ilvla ~Wt. RS CAS# 100.00 Gasoline No 8006619 t1HGHKL 1~JJ1;.7~1~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -5- 01/24/2007 n ~~. ,w- F 34TH STREET ARCO SiteID: 015-021-0004$1 ~ ~ 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: UST CAS# 8006-61-9 Liquid TMixtur~mbient~E ~ AmbientT~E ~UNDEROGROIUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 12000.00 GAL 12000.00 GAL Il 10000.00 GAL 111yLa1-l.CCLVUJ l.Vl"lYV1VP,1V1J °sWt. RS CAS# 100.00 Gasoline No 8006619 iltiGti[CL tiJ JLiJJl"1r,1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / ~MOd -6- 01/24/2007 n~ F 34TH STREET ARCO SiteID: 015-021-0004$1 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 11/28/2000 ~ CALL 911. Employee Notif./Evacuation 11/28/2000 PA SYSTEM OR BY VOICE. Public Notif./Evacuation 11/28/2000 IN THE EVENT OF HAZARDOUS MATERIALS RELEASE OR POTENTIAL RELEASE, IT IS THE EMPLOYEES RESPONSIBILITY TO INSURE THE SAFETY OF OTHER EMPLOYEES AND THE GENERAL PUBLIC. EMPLOYEES WILL NOTIFY PUBLIC VIA PA SYSTEM OR BY VOICE. Emergency Medical Plan 11/28/2000 NEAREST HOSPITAL, MEMORIAL HOSPITAL, 327-1792. -7- 01/24/2007 r,.r' , F 34TH STREET ARCO SiteID: 015-021-0004$1 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 11/28/2000 THE FACILITY HAS BEEN CONSTRUCTED AND IS MAINTAINED WITHIN LOCAL, STATE AND FEDERAL REGULATIONS OR LAWS. PREVENTION OF A RELEASE IS ACHIEVED THROUGH INVENTORY RECONCILIATION, ANNUAL TANK TESTING, MAINTENANCE OF FACILITY EQUIPMENT AND EMPLOYEE TRAINING. 9 Release Containment 11/28/2000 IN THE EVENT OF A RELEASE, EMPLOYEES HAVE BEEN INSTRUCTED TO RESPOND QUICKLY SO THE EXTENT OF THE RELEASE CAN BE MINIMIZED. EMPLOYEES HAVE BEEN INSTRUCTED TO IMMEDIATELY STOP THE RELEASE (IE TURN OFF THE POWER, CLOSE THE VALVE, ETC) AND USE ABSORBANT TO CONTAIN THE RELEASE AND PREVENT ITS SPREAD TO CRITICAL AREAS SUCH AS STORM DRAINS OR ADJACENT PROPERTIES. Clean Up 11/28/2000 BASED ON THE SIZE OF THE FACILITY AND EMERGENCY EQUIPMENT AVAILABLE ON SITE, ONLY SMALL RELEASE CAN SAFELY BE ADDRESS. A LARGE RELEASE CAN ONLY BE ADDRESSED WITH~ASSISTANCE FROM EMERGENCY RESPONSE PERSONNEL AND/OR A CLEAN UP CONTRACTOR. V1.11C1 2CC5VUlC:C L-~C:l.1Vdl.1V11 -8- 01/24/2007 F 34TH STREET ARCO SiteID: 015-021-0004$1 ~ Fast Format ~ ~ Si:te Emergency Factors Overall Site ~ J~JCC:1d1 IldGdL U5 Utility Shut-Offs 12/03j1991 A) GAS - CONSOLE AND CIRCUT BREAKERS B) ELECTRICAL - BEHIND REGISTERS C) WATER - JEWETT AVE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 11/28/2000 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - M ST 1/2 BLOCK W. ,~ 1.7U11lAllly VVVIAj.J0.111..y LCVC1 -9- 0l/24/200~ ~~,.i~_ ~s= . F 34TH STREET ARCO SiteID: 015-021-000481 3 Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/28/2000 ~ WE HAVE 9 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: EACH EMPLOYEE, DURING INITIAL EMPLOYMENT AND ANNUALLY THEREAFTER IS INSTRUCTED IN THE BASICS OF HAZARDOUS MATERIALS HANDLING AND EMERGENCY RESPONSE. THE TRAINING PROGRAM CONSISTS OF, AT A MINIMUM, THE FOLLOWING AREAS: 1) HAZARD COMMUNICATION STANDARD. 2) METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS. 3) PROPER USE OF SAFETY EQUIPMENT. 4) RESPONDING TO EMERGENCIES. 5) EMERGENCY EVACUATION PROCEDURES. 6) PROCEDURES FOR COORDINATION WITH LOCAL EMERGENCY RESPONSE ORGANIZATIONS. THE FACILITY MANAGER IS RESPONSIBLE FOR ADMINISTERING THE TRAINING PROGRAM AND INSURING THAT EACH EMPLOYEE HAS BEEN TRAINED IN HAZARDOUS MATERIALS PROCEDURES. DOCUMENTATION OF THIS TRAINING IS MAINTAINED AT THE FACILITY AND IS AVAILABLE FROM THE FACILITY MANAGER. ' rayc c nciu l.v~. ru~.ulc vac -10- 01/24/2007 F 34TH STREET ARCO SiteID: 015-021-000481 ~ Fast Format ~ ~ Training Overall Site ~ riela =or r•uture use -11- 01/24/2007 7 1 1~liJ111 C ~.'~ CORRECTION. NOTICE '"' c BAKERSFIELD FARE DEPARTMENT ;•~° ~ 1 ~r Location ~ j ~ ` ~ ~ T~'~ ~-C' :ilk ,~. t..3,-.:!", c~ :~. i.:+: ,,c •a ~ 1t h ~~ ~'-.:. t~ . .. 'b ~ ~~ .,. Sub Div Bllc . Lor You, are hereby required to make the following corrections at the above location: Ces. fIo . ~ ~• _`;.~~ • , . ~ ~~; ~ ~_ .; ., _ .~o::~~.N-,~- F tr ~su.G4~ ~~/a~:v~: :1.s :lac ~.~~'~ :~•~~~:.>Jr`..: .~LuS ~~~'~ TKO. ~ ~~ :of' .^i:{C r,~-~.~.;v,j" ~ . • . -,; ,~ . ~,, ~ - ,• K Completion Date for Corrections - ~~ ' ' ~~ r • :.: r~ _ •~i.:. . TIISpCC~Of • Deft(s) _ Pif(s) ~ EXHIBIT forT.V: ~97g R~thanne Esparza, CSR # 7125 oa~e: J n~ Z7 ~ ., w+aress. J • ~, ~.~ ., C`1RRECTION NOTE BAKERSFIELD FIRE DEPARTMENT N_ 6 9 0 jpCatxOn . Sub Div.. ~ ~ a- ~~~~ ~ Blk. . Lot_ You are hereby required to make the following corrections at the above location: Cor. No r ~ c. r 1~ ti r c r ~ ~ e of -Fo l'c~ ~ ~~ ~ ~ ~- ~ g ~ Completion D t.e for Corrections Date 8 InspecEor 326-3979 C~RECTION NOTE BAKERSFiELD FIRE DEPARTMENT N_ 6 9 7 LOCatiOn ~ n C ~ Tt (~,Q , Sub Div. f ~ ~ ~ 3 ~ ~ ~ - Blk. .Lot You are hereby required to snake the following corrections at the above location: cor. xo I ~ ~cp. ~ tYr~n~al Wlatti~eha.nc~. r h L. ct! ~ Ci S Uk r ~ c Z3 ~ d ~ c~st_ c~u~ ~m~ (~~~ ~ ~. 3fl Completion Date for Correctio Da te~ Inspector 326-3979 IfBF-7171 - C~tRECTION NOTI~E BAKERSFIELD F1RE DEPARTMENT. ~ ~:~ ~` =9 Completion Date for Corrections ~ _ Date ~ 1 ~` ~I~spectot - 326-3~9 Locatio t Sub Div. l ! ,, n~,~ ~j ~` Cp - Blk. .Lot You are hereby required to snake the following corrections at the above location: CORRECTION NC~ICE Bakersfield Fire Dept. ice of Envllrottntentrat Serivic 1715 Chester Ave. Bakersfield, CA 93301 Date: To: Title: Business Name: Address: Zip Code: Business Phone: 24 Hr. Phone: Correct All Violations checked below Location of violation Requirement Hazardous Waste 1 Remove 8 properly dispose of Har'czardous wa~e iaa. 2 Provide containers wth tight fitting lids for storage 8 proper labeling & accumulation dates Signs 3 Provide 8 maintain appropriate address numbers on a contrasting background visible from street CBMC, UFC Maintenance Records 4 Provide up to date maintenance records on monitoring device and leak detection equipment Title 23 CLR Inventory 5 Verification of inventory materials 8 abatement supplies & procedures (H8S) Extinguishers 6 Fire extngushers recharged, oonspicious, locatlon 8 properfy mounted tJ C : #10) MSDS and HazMatTraining 7 Verification of MSDS availability & Haz Mat Training (H8S) Proper Owner Operator Data 8 Financial Responsibility, Tank Information, Piping Information, Emergency Contact Info. CCR 23 Other 9 On ! ! an inspection will be made, if no compliance. Person receiving correction notice Signature After violations are corrected return this notice by mail, or in person, to: Environmental Services by: Data Completed: 1715 Chester Ave Inspector I for . Bakersfield, CA 83301 (861) 326.3878 FD ? ~~ CO . RECTION NOTIC BAKERSFIELD FIRE DEPARTMENT :'~~=~ Locatio ~2®~ Sub Div..~~L'~t. ~ ~ ~ - ~' - Blk. .Lot You are hereby required to make the following corrections at the above location: Cot. No ,` (ti tw.~l /1 / ~~ P ~S a ,~ ~(~ ~ '~ ~( dl R,Q Ol'~ q ~~ ~~~ ~ r4 s2 c4 ~ -` C 2D Completion Date for Corrections. ~ ~( ~ z~~F-s Date ~~~~ ~~~ ~ Inspector 326-3979 f' e'~ E R S F I L D /R~ February 5, 2003 i "' ' ' '' ~RrM r Mr. Chang 8ok Kim 34`" Street Arco 7408 Indian Gulch Street Bakersfield, CA 93313 CERTIFIED MAIL RE: Failure to Repair or Remove Underground Storage Tanks CORRECTIVE ACTION ORDER FIRE CHIEF RON FRAZE Dear Mr. Kim: ADMINISTRATIVE SERVICES 2to1 'H• streec Your one year temporary abandonment expired on October 15.2002. You have failed eake~sneld. CA 93301 to comply with this offices corrective action order of October 2, 2002. You are VOICE (661) 328-3941 FAX (681)395-1349 wired to both make the neC re airs and install turbine containment sum or ~ ~ P Ps have the underground storage tanks removed from the ground. You have failed to SUPPRESSION SERVICES I comply and as a result this office will initiate further enforcement action. 2101 "H' Street sakerstleld, CA 933°1 j On or about October 15, 2001, your UST facility was temporarily closed for required VOICE (661)326-3941 FAx (ss1) 39s13as I interior lining inspection. As a result of this testing, it was discovered that the UST i turbines had leaked and released gasoline into the environment. Correction action PREVENTION SERVICES orders have been issued by this officer, under separate cover, requiring the I ~a~cn~nvicES•EMrwo""r"r""a"""' investigation of the fuel release. 1715 Chester Ave. L;akersfleld, CA 93301 V01CE (681)328.3979 On November S. 2001, you attended an office hearing to discuss the necessary FAX (881)328-0578 requirements [O reopen the UST fueling operation at your store. This office required, at a minimum, that turbine sumps be installed on UST's to protect the environment PUBLIC EDUCATION 1715 Chester Ave. from any future turbine leaks. As of this writing, no permits for the repair or removal nakerstield, ca 93301 of the UST's have been applied for, nor any indication of your intent to communicate VOICE (881) 3283898 LO this Office. FAX (88f) 328-0578 FIRt3 INVESncIATION Therefore. prior to March 1.2002. you are hereby ordered to comply with the 17c5 ChesterAve. requirements to both repair the leaking turbines and install turbine containment sumps, Bakersfield, cA 93301 or else have the existing UST's removed. VOICE (881)326-3951 FAX (861) 328.0576 If you have any questions, please feel free to call me at 661-326-3190. TIiAININa DIMS{ON 5842 VIGOrAve. Sincerely. Bakersfield, CA 93308 VOICE (881) 399-x697 Ral h E. Hue FAX (881) 399-5783 p y Director of Prevention Services by: Steve Underwood Fire InspectorBnvironmental Code Enforcement Officer Office of Environmental Services cc: Allen Shaw, Deputy City Attorney II SB U/dc ".~cr~~v~ G'~e ~isrvnu~~ ..~'~ Soso ~~~os~ .~~ ..~ ~~iu~G„ ~ .. IBFJl71 _ <+ ;' .C ~i CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT ~~ jpcatiOn Sub Div . Blk. . Lor ' You are hereby required to snake the following corrections at the above location: Date Inspector 326.3979 Completion Date for Corrections ~'~ -~ ~G,~s 14Qca ! t o9: 3`~ ~5-~-~ ~ i/~~/g..s lY~`t' 8~~ ~/~, ice ~ woes . ~-` ~a:d- G~•~ `NBC ~- ,,,,~~., ~~ S~l~, ~e wAs c,(ASi~~~cn' ~~ ~ `f-~.1k I~.w~ .6ae~ ~.~-~ r • P/R! ~AR~M FIRE CFIIEF RON FRAZE r October 2, 2002 Mr. Chang Bok Kim , 34`~ Street Arco 7408 Indian Gulch Street Bakersfield, CA 93313 .: ~ . =~ CORRECTIVE ACTION ORDER RE: Failure to Repair or Remove Underground Storage Tanks ADMINISTRATIVE SERVICES 2101 'H' Street t3ekersneld, CA 93301 VOICE (861) 328,9941 FAX (881)395.1349 SUPPRESSION SERVICE8 z1o1 'H- street Bakersneki, CA 93301 VOICE (681) 3283941 FAX (681)395.1348 PREVENTION SERVICES rwE s~rtn senviees • tHrworrExru sumeEs 1715 ChesterAve. eakersneld, cA 93301 volcE (661) 3z6-s9ze FAX (681)326-0578 Pusuc EDUCATwN 1715 Chester Ave. Bakersfield, CA 93301 VOICE (881) 3283698 FAX (861)328.0578 FIRE INVESTIQATION 1715 ChesterAve. Bakersfield, CA 93301 VOICE (881)3283951 FAX (881)328-0578 TRAwINO avlsloN 5642 VkxorAve. Bakersfield, ca 93306 VOICE (861)399-4897. FAX (881)399.5783 Dear Mr. Kim, Effective October 15, 2002, your one-year Temporary Abandonment period for the underground storage tanks (USTs) will expire. At that time, you shall have either made the necessary repairs and installed the turbine containment sumps or have removed the USTs from the ground. Failure to comply will result in enforcement action being initiated by this office. On or about October 15, 2001, your UST facility was temporarily closed for required interior lining inspection. As a result of this testing, it was discovered that the UST turbines had leaked and released gasoline into the environment. Corrective Action Order(s) have also been issued by this office, under separate cover, requiring the investigation of the fuel release. On November 5, 2001, you attended an Office Hearing to discuss the necessary requirements to re-open the UST fueling operation at your store. This office required, at a minimum, that turbine sumps be installed on the USTs to protect the environment from any future turbine leaks. As of this writing, no permits for the repair or removal of the USTs have been applied for, nor any indication of your intent communicated to this office. Therefore, prior to October 15, 2002, you are hereby ordered to comply with the requirements to both repair the leaking turbine(s) and install turbine containment sumps, or else have the existing USTs removed. If you have any questions, please call me at (661) 326-3979. Sincerely, Ralph E. Huey Director of Prevention Services By: Steve Underwood Fire Inspector /Environmental Code Enforcement Officer Office of Environmental Services SBU/hw «~~~~ f/~ ~osyv~u~iztL~ .~SOSk ,,iG~ar~..~T/~a~ .~ ~enNe*e%~~" ~' ~•UNDERGROUNQ STORAGETANI~SP,~CTION ;; . ,.,. 5~.iw1(I>!Fi*s~'ri'i'~Pim.~ww!r~44"7.'+uxrtlU'I~i4?w:'W':B'JlWE~17ti44,iY!5N!UCI!1!tl!ICY.i ~i3ii;iW!p!NICI!Ci!! ~i~a!!zui!NiiuU;i4Jii4iii0tl!Bii!NJ!llJAi§Y:!F!!PtltlU!~IhiItlIB ~PoAtlYA~a'WB!pyWlpiyt!piyiplp6G;~ ~. s ~- _. .. '~~• • '~~-.~•Baker-sf~eld Fire Dept. ~I,• ~''~a;""°~"'~'~~'~ Hazardous Materials Division •~ IIX ~~~ Bakersfield, CA 93301 ~iY ~. • •, \ ... FACILITY NAME ~ ~.._ .S A Qc.t~ BUSINESS I.D. No. 215-000 ~~( FACILITY ADDRESS ~ I P] ~_ ~ti ~ Sf CITY ~ep _ 1~ fir( ZIP CODE 43323 Fq~CILITY PHONE No. ~ O ~ l~ INSPECTION DATE TIME IN TIME OUT ~~<< P-ea,oc ~ ` ~~ ~~^ INSPECTION TYPE: late /q Oste /fY,'q Inat pate ~%S ROUTINE / FOLLOW-UP ~ s~ 2 ~° OiDb REQUIREMENTS yes no Na ye: no rva yes ra n/a 1a. Forms A a B Submitted ~/ ~/ t b. Form C Submitted 1 c. O Fees Pakl / d 1 d. State Surcharge Pakl e/ 6/ 1 e. Statetnant of Financial ResportsibUUy SubmiKed ,/ 1 f. Written Contrail Exists behereerr Owner 3 O to UST Za. Valid O Pemut / V 2b. A Written Routine Monitoring Procedure r y 2c. Unauttwrized Release Response Plan ~/ r/ ~/ 3a. Tank I Test in Last 12 Months y% v 3b. Pressurized Piping Integrity Test in Last 12 Months ~ / / 3c. Suction P htness Test in Last 3 Years, / 3d. Gre ' Flow Piping Mness Test h last 2 Yeare C%~ •~ ~ 3e. Test Results Sutunkted Within 30 Oays •:a~ •, • ~ / / 3f. ,...., jai Visaed MonR of Sucton Product P yv ,/ 48. Manual Inventory ReconciUation Each Month / .r ~ 4b. Amual In Reconciliation Statement Subm~ted ' " irr v 4c. Meters Calibrated Annually ~ v, 5. W Manual Tank Ga in • RecoMs for Small Tanks / r 8. Month Statistical Invent RaconcUiatiat Results • ' ems- ~ ~„~ 7. Monthly Automatk; Tank Gauging Results ~ 8. Ground Water Monitoring ,~ 9. Vapor Monitoring .. ~~ / ~ / / 10. Continuous Interstitial MonRori for Double-Welled Terns ~ v • 11. Mechanical Urte Leak Detectors ' ( ; ~- / v' 12. Electronic Line Leak Detectors / r 13. Cattinuous Piping Monitoring in;Sumps / ~ 14. Automatic Pump Stwt-otT Ca~abilily ~ 15. Annual Maintenarx~/CalUxation -L~k Detection EqulpntentL~.TeI~ / ~ 16. Leak Deteilion E ui and Test Methods Elated In Lt3-113 Series c~ 17. Written Records NCaintalned on Site ` ./ / !/ 18. Reported Changes in Usage/Coriditions to OperatinglMordtorirp , Procedures of UST system within 3o Days ,~ ~ ,~ 19. Reported Unauthorized Release Wthin 24 Hourc 20. Approved l~„Sfi•System Repaks and Upgrades ,/ ~ ~ / 21. Records Showing Cathodic Protection 1 nspectiort _ ,. 22. Secured Monitoring Wails 23. Drop Tube ~ RE-INSPECTION D E RECEIVED BY: INSPECTOR: ~~ ' OFFICE TELEPHON o. ~p ` ~ Skift~ bc>tit1~- ,. /1. /L~ ~~1 ~•F~c=~\ ~ . _.~...-~.3'~ .6.c . FD 1669 f .- r .~ _ FACILITY LABORATORY TEST METHOD PRELIMANARY C02 RECIEPT_ HAICERBFIEI.D FIRE DEPARTi~N'T 3Z E1~IVIRONM~ITAL SERYZCE9 1715 Ch~stor Avg., ~i~ Bak~rs~tald, CA 93301 (BOS) 326-3979 TAN1~ RE~ICVAL INBPECTZON FORM ~ sfi _PERMIT.TO OPERATE# `CONTA PERSON ~G -d~`~'n6+~1 ~ OF SAMPLES `~ _____,~ CO. ~ CONTACT PER8O- N L ~ L~ ~' Oz; PLOT PLAN ~, .. ..- ~ E..~ ~' ~ ~ .. ~ _ -~ ~ ~ ~ _ _ - y ~ OtLi~r~'o~~ ~ - _ -- ~ ~~ ~ J- _ ~ ~ ~ ~ r -w _ __ -~ ~ ~" t Ole ~~-~%~. CONDITION OF TANKS .~~14I c~~~~ rr~s~E-r~~ r-- CONDITION OF PIPING t~~J`~' I'2~5~{-~,~ CONDITION OF. SOIL i~CGro7~' S7ZLlNG%i ~` ~d~0~ COMbIENTS S cam- ~ ~.S ~1 r~ ~ ~ 6c~-~~a't-r'~'t-i~~t, c arE tt~a~craas ~e sw~ruu PEF'M'.T APPLICATION y FOR REMOVAL OF AN UNDERGROUND STORAGE I ANK B B R 8 P I D /JRL ~~rrer r BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Permit No'"~ -~ ~~ ~, !-~ Page 1 of 1 SIT E'INFORMAT ION _ _ SITE rju ~ r ~LV DDRESS / /~ •~ ~ ~ `~t ~^'~ ~ . /I C J ~7 ! 1P CODE ~ r FACILITY NAME. 1 ,~K Nn Z G~ ,~ J ~ CROSS STREET ~.e TANKOWNER/OPERATOR ~.~ ~ f~y~ PHONE NO 6'6~ ,[6 s-" Zl~ (J APN ~ZG~,~~3~.' ~ MAILING ADDRESS ., CONTRACTOR I CITY NFORMATION ZIP CODE -~ - --- COMPANY - DrL ~ ~heP ,H ~~ ll .~n~c, S~.~J PHONE NO. ' . Cdr ~'"/~Srb© LICENSE NO. 6S`72~ ADDRESS ~~~~ ~~,~` Y lrUi~ CITY lcjC~Y_+ "t'lC~ C~ ZIP CODE INSURANCECARRIER WORKMENS COMP NO. PRELIMINARY ASSESS .~ x _. MENT INFORMATION _ COMPANY ~` r -T- T PHONE N0. LICENSE NO. ADDRESS C%ls ~~ b~~, CITY ZIP CODE INSURANCECARRIER ~ l WORKMENS COMP NO. - ` - TANK CLEANING INFORMATION _ COMPANY ~• r ~ PHONE NO. _ LICENSE NO. ADDRESS `.~ f- a ~ Off. CITY ZIP CODE INSURANCECARRIER i ~ WORKMENS COMP No. WASTE TRANSPORTER IDENTIFICATION NUMBER FACILITY IDENTIF CATION NUMBER NAME OF RINSATE DISPOSAL FACILITY a Y ^ nJ ADDRESS CITY ZIP CODE TANK TRANSPORTER INFORMATION . COMPANY ~ ~ /aM~h tt~ _ PHONE NO. LICENSE N0. ADDRESS CITY ZIP CODE TANK DESTINATION e vrz~ ~ 1 ___ : TANK INFORMATION ___ TANK NO. AGE VOLUME _ __ _ _ _ CHEMICAL DATES CHEMICAL STORED STORED PREVIOUSLY STORED r r~ao ~ ~l ~ ~ d>v Z 1,a0 ~ r 3 "2 ~~ `~ For Official Use Only -- - APPLICATION DATE FACILITY No. No. OF TANKS THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT. - .FEE $ APPLI~C~ANT NAME (PRINT) APPLICANTSI NATURE APP 'VEDBY THIS APPLICATION WILL BECOME A P RMIT WHEN APPROVED FD 2088 (Rev. oslos) UNDERGROUND STORAGE TANK PERMIT APPLICATION FOR REM~OVA~L OF~AN~UNDERGR~/OUND STORAGE TANK Permit N 1--1= ~`'' ~~ / BAKERSFIELD FIRE DEPT. Prevention Services a a x a r r 900 Truxtun Ave., Ste. 210 w~BL Bakersfield, CA 93301 A~~~ ~ Tel.: (661) 326-3979 ~"~ Fax: (661) 852-2171 Page 1 of 1 SITE INFORMATION SITE JI/~ ~ ~ /i _ _CU JTy' DDRESS 102 ~ ~'~t ~"" I ~ _ ! C IP CODE 0 , FACILITY NAME ~ e t~N CROSS STREET ~e ~ '~U TANKOWNER/OPERATOR ~ ON u 1iN~ PHONE NO ~61 ``~„ Z~ U U tom- APN y~~~~3~,~ ~, / MAILING ADDRESS .•y ~O O~ u r LO t.. G CITY a ~evf, I ~ ( ~~ ODE c~~~ ~ / ZIP C CONTRACTOR INFORMATION COMPANY • oI~ ~heev~~ 5~~, .~~c, ./ PHONE NO. G~6( p ~ 510 O LICENSE N0.65.y2 ADDRESS ~~p~ p~ Y ~~ CITY GcdCt~' n,e(~ C~ :-f - ZIP CODE f INSURANCECARRIER ~ ~~ ~ ~f• re ,F-Muri:ve C'p, wORKMENS COM P NO. p~D2,~2 f O PRELIMINARY ASSESS MENT INFORMATION COMPANY ~` /^ 3- J G PHONE NO. LICENSE NO. ADDRESS Oils Gt ~UV '~ CITY ZIP CODE INSURANCECARRIER ~ i WORKMENS COMP NO. TANK CLEANING INFORMATION COMPANY C• ~ ~ _7 PHONE NO. LICENSE NO. ADDRESS ITY ZIP CODE INSURANCECARRIER i ~ WORKMENS COMP No. WASTE TRANSPORTER IDENTIFICATION NUMBER FACILITY IDENTIF CATION NUMBER NAME OF RINSATE DI Y " h) SPOSAL FACILITY ADDRESS CITY ~ ZIP CODE TANK TRANSPORTER INFORMATION COMPANY ~N P6' PHONE NO. LICENSE NO. ADDRESS CITY ZIP CODE TANK DESTINATION ~ ~ VY' l TANK INFORMATION TANK NO. AGE VOLUME CHEMICAL DATES STORED STORED CHEMICAL PREVIOUSLY STORED ~ 000 ~v~~ ~ ors 2 000 ~ I 3 2 cx~0 For Official Use Only APPLICATION DATE FACILITY No. No. OF TANKS FEE $ THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT. APPLICANT NAME (PRINT) ~~- APPLICANT SI -NATURE APP VED BY it ~ ~ v- - ~ - >, ~ i- THIS APPLICATION WILL BECOME A P RMIT WHEN APPROVED FD 2088 (Rev. 09/05) ,.. ~i4 r'YS, vn f' r - _ ~ - _ f'+~ l _ ~ti. 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E • i E i `^j 141} $T~j T, i~n~it,~~t$~~ _~' U?_ - S1~I c _ I'_t'ix '~' -I_I _ ~Si T nI~,T,.,• c•tj ..~ F I~ '~T} -~i °~t~'~~ ~1-=-.~ Q ~ - lF' S7 ~ tj I I ~ r't 1 i ~I I i _ ~, CtIE7U?Y 'i_i. %tl{I 1 ~) ST i I f 17111 x: `~' ~ i' ~~ ST rx I Z Gi O r. ~i~H f'iH E ~ 'ir ~ - 51' ~~ -._~. _. r„~....r_i...J...i ~ 4 f~I I I 11 = n . ~ri ~ ~ ? ._._ . +{ ~ i i N 1 _ tirt ~ cn , c- I SOILS ENGINEERING, INC. KANGS SERVICE STATION PLATE 4400 Yeager Way 1102 34th St. Bakersfield, CA 93313 (661) 831 - 5100 Bakersfield, CA. PROJECT: 04-10879 } } coca I ~On ~^ HOSp~ la~ Map N Residential MW-1~ 12,000 Gallon UST's ~ ® ~ ~ ~ O n aved ~ ®#2 ARCO ~3 STORE Unpaved Pip'ng [--~ MW-2 g °~ w ^ ^ ~ w h ^ ^ Canopy ~ ~ o ^ Dispensers ~ MW-3 ® ~ro~os~ ~~P~- ~a~~-~~~ - ~~ Pay ~ gT~X~ MT~b'~ PP Approx. Scale ~ Monitoring Well 34th Street ~ 1" - 20' SOILS ENGINEERING, INC. KANGS SERVICE STATION PLATE 4400 Yeager way 1102 34th St. Bakersfield, CA 93313 (661) 831 - 5100 Bakersfield, CA. PROJECT: 04-10879 Plot Plan