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- --- - - - _ -- - -- -~~ California Highway Patrol -_ - _ 4040 Buck Owens Blvd ___ !'~ '.`- - DAKERSFIEI,D FIRE DEPT. UNDERGROUND STORAGE TANK ~ ~=' -Y~.~ Preventioan Services _. .__ - _ __ _..___ .__.~_. _ -.,- ..- .~ _ s E s s P ~ ~ n 900 Truxtun Ave., Ste. 210 Ff>~P "~ Bakersfield, CA 93301 PERMIT APPLICATION aRfrt '` Tel: (661) 326-3979 FOR REMOVAL /INSTALLATION OF AN UST ', Fax: (661) 852-2171 IPermit No: R..D37 ~ Page 1 of 1 _ SITE INF®RMATI®N SITE-_-- -,~~~~1 ~~ C~~ DDRESQS~~ C~ ~~~~ ZIP CODE FACILITY AM r ` _- - G~~ CROSS STREET TANKOWNER/OPERAT R ~ t PHONE NO. C~ ~~ 2,~5 ~ 2J APN MAILING A DR ~ ~ g CITY ~ ZI C D . -CONTRACTOR INF®RMATI®N- COMPANY~es~, ~~ ~NV t ~ n .L PHONE NO. .~ -~ LICENSE NO. ADDRESS ~ ~~ ~ CIT~~ ~ ZIP CODE INSURANCECARRIER ,,, _: - PRELIMIIVARV ASSESS WORKNIENS COMP NO. MENT INFORMATION COMPANY PHONE NO. LICENSE NO. ADDRESS CITY ZIP CODE INSURANCECARRIER WORKMENS COMP NO. COMPANY GS i S''T-i't(L PHONE NO. ,~.CTZ- '~ - ~~ ° LICENSE N0. A-, ayZ cQ~~-/ ADDRESS r~ CITY ZIP COD~+ INSURANCECARRIER (~ ~~ WORKMENS COMP No. ©pl ~.1.'"~~ -1 ~ ~~~ WASTE TRANSPORTER IDENTIFICATION NUMBER CILITY ID TIFICATION NUMBER NAME OF RINSATE DISPOSAL FACILITY L L- o Cfl~ o00 l B 1" (o ADDRESS CITY ZIP CODE SANK T[~ANSP®RTER INF®RMATI®N COMPANY /1 v _ G LL ~7 PHONE N0. a-1 --' I O~ LICENSE NO. - ---- - ----- `--- -------- - - ---- - -- ADDRESS Q~ ~~y. 1 ~S ~~ CITY-~ -- --_ .- - - - - - - - ZIP CODE ------ - -- TANK DESTINATION ~ ~/v ~~ ~H~T4~Q/'i4~ ~'~ric . TANK INF®R ATI(~IV CHEMICAL DATES CHEMICAL TANK NO. AGE VOLUME STORED STORED PREVIOUSLY STORED is lc ~ !~- ~ 12 oar ~ TNnv 2c-csCQ ~- For Official Use Only APPLICATION`DATE . _ ~.- -: _ - : FACILITY No. .. - No. OF TANKS . ; FEE $ ; - - THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE AT rACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND 70 THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT. APPLICANT NAME (PRINT) ~GG<<% pros APPLIC RE _._. APPR ~ ED BY , THIS APPLICATIOf~ WILL BECOME A PERMIT WHEN APPROVED FD 2062 (Rev. o2/os) ~„^~ y BILLING & PERMIT STATEMENT PERMIT # TT--0340 ~~~a B AEA' 8 R S F I~l~til, D d aRrM r ~`1 BAKERSFIELD FIRE DEPARTMENT Prevention Services 1600 Truxtun Avenue, Suite 401 Bakersfield, CA 93301 Phnna• F,F,1-'~7f,-474 . FaY• fiFi1-R5~-7171 • LOCATION OF PROJECT -40.4-D gl~l.CK, OW~N.s gl_VD • f~ISTR~MDVf~L (1 Tf~NIC) STARTING DATE COMPLETIO DATE ~ N pROPERTYOWNERNAME ST~TI/ D~ Cf~L1~OTZNIf~ i ~ PROJECT NAME g/-C IC1=iRS~i Fi ~D C~ I {~ ADDRESS -Q-D~{'D gL(CiG~ OWENS gl_~/D PHONE # J°1~-3~5-2936 PROJECT ADDRESS -4-0~{-D g1~l.CK. DW>/N5 gLVD CITY g~FK~FiR._S~IFiLD STATE C~C ZIPCODE~330rd • •• CONTACT NAME ~I-I-I LLI {7 M Fi NDRI N CA LICENSE # •• • TYPE OF LICENSE EXPIRATION DATE PHONE # 599-°z~~./3~g CONTRACTOR NAME WEST ST~k121/NVIIZONM>/NTi4L FAx# 559-2~~-010(0 ADDRESS 4 ~g8 WJ ~ N N I ~l/1Z ^ CITY ~12.>/S N D STATE C~ ZIP CODE ~ 3"22 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ^ ^ ^ Alarms -New & Modifications - (Minimum Charge) $280 ^ • 84 ^ 98 over 20 000 sq ft $0.028 x sq ft ^ 84 ^ , ^ 98 ^ Sprinklers -New & Modifications - (Minimum Charge) $280 ^ 84 98 ^ over 5 000 sq ft $0.028 x sq ft ^ 84 , • ^ 98 ^ Minor Sprinkler Modifications (<10 heads) $96 (inspection only) ^ 84 ^ 98 ^ Commercial Hoods (New & Modifications) $470 ~ 84 ^ 98 ^ Additional hoods $58 ^ 84 ^ 98 ^ Spray Booths (New & Modifications) $470 • 84 ^ 98 ^ Aboveground Storage Tanks (Installation/One Inspection) $180 ; 82 ^ Additional tanks $96 ; 82 ^ Aboveground Storage Tanks (Removal/Inspection) $109 ; 82 ^ Underground Storage Tanks (Installation/Inspection) $878 (per tank) ^ 82 ^ Underground Storage Tanks (Modification) $878 (per site) ^ 82 ^ Underground Storage Tanks (Minor Modification) $167 ^ 82 xp Underground Storage Tanks (Removal) 573 er tank C 3 635 ~~~~^ 84 ^ Oil well (Installation) $96 ^ ^ 84 ^ Mandated Leak Detection (test)/Fuel Monit Cert/SB989 NOTE: $96 for each type of test per site (even if scheduled at the same time) $96 (per site) ~ ^ ^ 82 ^ *Tents $96 (per tent) ^ ^ 84 ^ After hours inspection fee $121 ^ ^ 84 ^ *Pyrotechnic (per event, plus inspection fee of $96/hr) $96 + (5 hrs min stand-by fee/inspection)=$576 ~ 84 i ^ Re-inspection/Follow-up Inspection $96 (per hour) ^ ^ 84 ^ Portable LPG (Propane): # Cages: $96 ~ 84 ^ Explosive Storage $266 ; 84 ^ Copying & File Research (File Research fee $34/hr) $0.25 per page ^ 84 ^ Miscellaneous 84 * (Stand-by fee for arena & tents $40/hr) FD2021 (Rev 05/07) 1 -ORIGINAL (Treasury) 1 -YELLOW (File) i -PINK (Customer) UNDERGROUND STORAGE TANK PERMIT APPLICATION FOR REMOVAL /INSTALLATION OF AN UST (Permit No: R-03'f~ ~` f . ~- ~er,~, B ~~.EBSPI'~ ~ D FiiiE' D ;', ARTM f .~~~: `~. DAKERSFIELD FIRE DE&T. Preventi®n Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 SITE INFORMATION SITE ,~~~~`,~~ ~~~ DDRESO~~ C~ L~Lt~~ ZIP CODE FACILITY AM r ~ "'', " CROSS STREET C-~-',~ TANKOWNERlOP RA R ,, > PHONE NO. C~ ((o ~j'~S ~ ~ (- APN MAILING A DR ~ C~ ~~~~ CITY x~C.u_i'~ ZI C CONTRACTOR INFORMATION. COMPANY~e~~, fa 2.. ~N~ (~o~l ~ (1 .~/ PHONE NO. ~ --) LICENSE NO. ADDRESS ~ ~ ~ ~~ ~ CIT`t~~.,~ ~ ZIP CODE INSURANCECARRIER PRELIMINARY.ASSESS WORKMENS COMP NO. MENT. INFORMATION - COMPANY PHONE NO. LICENSE NO. ADDRESS CITY ZIP CODE INSURANCECARRIER WORKMENS COMP NO. _. . COMPANY '" ~C57 ~S''~R(1~ PHONE NO. 3,_~_ ~ - G/ ` A fd9ZNC2«"/ ADDRESS INSURANCECARRIER j ~~: Q~ ~ M ~ WORKMENS COMP No. ®Q>•c.1""~~ C _ ~j'~~ WASTE TRANSPORTER IDENTIFICATION NUMBER CILITY ID TIFICATION NUMBER NAME OF RINSATE DISPOSAL FACILITY L L. o e~~c~o($I" ~ ADDRESS CITY TANK TRANSPORTER INFORMATION ZIP CODE COMPANY /~ v G ~~ PHONE NO: a--1 -~ I O~ LICENSE NO. ADDRESS ~~ ~O~ ~ `~ a,~ CITY .~. J ZIP CODE TANK DESTINATION ~ ~„~v ~` CJfI~T~~SS/'~OC°~GS ~cJvLG TANK INFOR ATION TANK NO. AGE CHEMICAL DATES VOLUME STORED STORED CHEMICAL PREVIOUSLY STORED v f~- C~ ~ ~ 12 0~ ~ Tf~vty 2c-u4r 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) ~GGj~% errs APPLIC RE APP VED THIS APPLICATI01a VdILL BECOME A PERMIT WHEN APPROVED FD 2062 (Rev. o2los) ~ _, CALIFORNIA HIGHWAY PATROL SiteID: 015-021-000017 Manager -: -4~--~4C-6~i33~E gR~+~~ Sna~~1' Location: 4040 BUCK OWENS BLVD City BAKERSFIELD CommCode: KCFD STA 64 EPA Numb: BusPhone: (661) 864-4444 Map 102 CommHaz Extreme Grid: 23B FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title °A~32;F-Y-z" CN6RY[. SK~EXECUTIVE LT TRAVIS MITCHELL / S GT Business Phone: (661) 864-4444x Business Phone: (661) 861-4444x 24-Hour Phone (661) 864-4400x 24-Hour Phone (661) 861-4400x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact LARRY MCGUIRE Phone: (661) 864-4444x MailAddr: 4040 BUCK OWENS BLVD State: CA City BAKERSFIELD Zip 93308 Owner STATE OF CALIFORNIA Phone: (916) 657-8048x Address PO BOX 942898 State: CA City SACRAMENTO Zip 94298- 0001 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 ENT ~ UL 2 3 ZOO 7 C3ased 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 true, accurate, an ~ mplete. Signature Date -1- 07/10/2007 F CALIFORNIA HIGHWAY PATROL SiteID: 015-021-000017 ~ STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: CALIFORNIA HIGHWAY PATROL Cross Street Business Type: Org Type: Total Tanks 1 IndnRes/Trust: No PA Contact: Dsg Own/Oper JOEL CRAWFORD ICC Nbr: 5240664-UC PROPERTY OWNER INFORMATION Name ~~~ a,= (;~~~~~~,,~~ ~ Phone Address: 5~byb !~'~c.K owes 8~~~ City ~r},Cc:rzsF',~z.~, cA X3308' State: Zip: Type TANK OWNER INFORMATION Name 1'a LRT T/YT TT7T T ~~„ ~ -r~~.~~u- S'~`-p7~ ar=- CAU~~`o2,~~1~ P one Address: City State: Zip: Type (661) 861-4444x (661) 861-4444x BOE UST Fee# UNKNOWN Financ'1 Resp: SELF INSURED Legal Notif Date:05/02/2000 Phone: (366) 180-48 x Name:JERRY BARREN Ttl:SERGEANT State UST # 1998 Upg Cert#: 00702 -2- 07/10/2007 F CALIFORNIA HIGHWAY PATROL ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-000017 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE E F P IH G 36317.00 FT3 Hi FUSEE TRAFFIC F S 8000.00 LBS Hi MIDGRADE UNLEADED GASOLINE F IH DH L 10000.00 GAL Mod DEGREASER F IH DH L 75.00 GAL Mod WASTE OIL F DH L 240.00 GAL Low ANTIFREEZE F DH L 156.00 GAL Low MOTOR OIL F DH L 160.00 GAL Min -3- 07/10/2007 -4- 07/10/2007 F CALIFORNIA HIGHWAY PATROL SiteID: 015-021-000017 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: ~ Grid: NE CRNR OF OFFICE CAS# 74-98-6 STATE T TYPE T PRESSURE TEMPERATURE CONTAINER TYPE ~GaS I Pure I Above Ambient Ambient FIXED PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 36317.00 FT3 31000.00 FT3 t1AGH.ttLVU.7 1~V1~lYV1V1;1V1 ~ $Wt. RS CAS# 100.00 Propane Yes 74986 ti[jL,[jtcL [-1~~L' ~a1~1t;1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FUSEE TRAFFIC Days On Site 365 Location within this Facility Unit Map: Grid: CARPORT E SIDE OF BLDG CAS# 10042-76-9 ~SolATdE ~ TYPE ~~PRenSURE TEMPERATURE ~~ CONTAINER TYPE Mixture ~ Ambient I BOX AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average LBS 8000.00 LBS 5500.00 LBS tiEiGLiCCLVU.7 1..V1°lYV1VI;1V 15 owt. Rs cAS# 73.00 Strontium Nitrate No 10042769 6.00 Potassium Perchlorate No 7778747 t1HGKCCL H. 7~7r+.7.71~1~1V-15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Hi -5- 07/10/2007 F CALIFORNIA HIGHWAY PATROL SiteID: 015-021-000017 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MIDGRADE UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: 40FT FROM E EDGE OF OFFICE 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 12000.00 GAL 10000.00 GAL 5000.00 GAL ilri/~ti.[CLVVJ l.Vl"!t'V1V L~1V1J %Wt• RS CAS# 100.00 Gasoline No 8006619 L1ti4ti[CL KJ J~JJ1.1L~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~ /^1/111~R1 R/'111 1~TT 11RT ~ /VTTT\IT /Vwr qtr a.r AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 75.00 GAL I 60.00 GAL r1tlL.iriRLlJ l1J COMPONENTS °sWt. RS CAS# 100.00 Degreaser No 71556 !'1tiL~riRL L-lJ JP~J JI~IP~IVIJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -6- 07/10/2007 ~ix1~ ~l~xr~ rx~55uxE 'TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient METAL CONTAINR-NONDRUM F CALIFORNIA HIGHWAY PATROL SiteID: 015-021-000017 ~ ~ Inventory Item 0002 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 OF ASM SHED CAS# 221 Liquid TWaste ~ Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum ( Daily Average 55.00 GAL 240.00 GAL 100.00 GAL r1t~~EUCL~ua 1;V1~lYV1Vt;1V l5 °sWt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 riAY,KKL H5.5L571~1L'~1V'1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 156.00 GAL 45.00 GAL t1E~GHICL V U .7 l: V1~lY V1V J;1V 1 w7 °sWt. RS CAS# 100.00 Ethylene Glycol No 107211 r1E1GE1KL L~~ 51;5~1~11;1V1J TSecret RS BioHaz RadioactivejAmount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -7- 07/10/2007 Liquid TMixture ~ Ambient~E ~ AmbientT~E ~PLASTCICTCONTAINERE F CALIFORNIA HIGHWAY PATROL SiteID: 015-021-000017 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: S WALL ASM SHED CAS# Liquid TMixture TAmbient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 160.00 GAL 100.00 GAL r~~titcLUUS winr~iv~iv'1'S %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 til-jGl]itiJ A~~~~~1Y1r;1V'15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -8- 07/10/2007 F CALIFORNIA HIGHWAY PATROL SiteID: 015-021-000017 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 12/11/2000 IN THE EVENT OF A HAZARDOUS MATERIAL SPILL, THE BAKERSFIELD FIRE DEPT AND POLICE DEPT WOULD BE NOTIFIED. THE SHIFT SUPERVISOR WOULD NOTIFY THE DIVISION COMMANDER. 9 Employee Notif./Evacuation 03/29/2006 NOTIFICATION WOULD BE MADE TO THE FRONT DESK OFFICER. HE WOULD THEN NOTIFY ALL ON-SITE PERSONNEL TO EVACUATE, USING THE PUBLIC ADDRESS SYSTEM. EVACUATION ROUTES ARE POSTED THROUGHOUT THE BLDG. THE MAPS DIRECT EMPLOYEES TO A SAFE LOCATION AT THE FRONT OF THE BLDG. EMPLOYEES ARE ACCOUNTED FOR BY THEIR SUPERVISORS. Public Notif./Evacuation PUBLIC EVACUATION WOULD BE COORDINATED WITH BAKERSFIEL OUR DISPATCH CENTER. ALL AVAILABLE EMPLOYEES FROM THIS UTILIZED AS DEEMED NECESSARY BY THE SHIFT SUPERVISOR. 12/11/2000 D POLICE DEPT THROUGH OFFICE WOULD BE Emergency Medical Plan 03/29/2006 THE OFFICE HAS AN EMPLOYEE PROTECTION PLAN THAT ADDRESSES MEDICAL EMERGENCIES. IT IS POSTED IN 7 AREAS ON THE SITE. IN THE EVENT OF MEDICAL EMERGENCY, OUR DISPATCH CENTER DEPT. MERCY, MEMORIAL, AND KERN MEDICAL ANY EMERGENCY OCCURRING ON THIS SITE. WILL DISPATCH AMBULANCE AND THE FIRE CENTER ARE ALL CAPABLE OF HANDLING A MAJOR -9- 07/10/2007 F CALIFORNIA HIGHWAY PATROL SiteID: 015-021-000017 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 03/29/2006 EMPLOYEES ARE REQUIRED TO REMAIN WITH THEIR VEHICLES DURING REFUELING. USED OIL IS CONTAINED IN A METAL ABOVEGROUND, DOUBLE-WALLED, OIL RECOVERY SYSTEM THAT I5 EPA APPROVED. MOTOR OIL IS STORED IN 55-GAL METAL DRUMS AND 1-QUART PLASTIC CONTAINERS. ANTIFREEZE IS STORED IN 1 GAL PLASTIC CONTAINERS. OIL AND ANTTFREEZE IS STORED IN 1-GALLON PLASTIC CONTAINERS. OIL AND ANTIFREEZE IS STORED IN A METAL BLDG. 9 9 Release Containment 03/29/2006 EMPLOYEES HAVE BEEN TRAINED TO USE THE EMERGENCY SHUT-OFF SWITCHES IN THE EVENT A SPILL OCCURS. CALTRANS CAN BE CONTACTED FOR EQUIPMENT AND MATERIAL TO MINIMIZE THE SPREADING OF A SPILL. Clean Up 03/29/2006 ALL SPILLS THAT REQUIRE CLEAN-UP WILL BE HANDLED BY QUALIFIED COMPANIES THAT HAVE CONTRACTS WITH THE STATE OF CALIFORNIA. Other Resource Activation 10/16/2006 AN UNDERGROUND TANK LEVEL MONITORING SYSTEM AND LINE LEAK DETECTION SYSTEM WAS INSTALLED DURING 1994. A MEASURING PROBE WILL BE LOCATED WITHIN THE TANK TO MONITOR THE LIQUID LEVEL AND VOLUME. THE PROBE WILL BE CONNECTED TO A MONITORING CONSOLE LOCATED AT THE NE CRNR OUTSIDE OF THE BLDG. THE TLM WILL ALSO HAVE THE CAPABILITIES TO PERFORM TANK INTEGRITY TESTS, HIGH LEVEL ALARM, AUTOMATICALLY ALERT A REMOTE MONITOR AND MEASURE THE WATER LEVEL IN THE TANK. -10- 07/10/2007 F CALIFORNIA HIGHWAY PATROL SiteID: 015-021-000017 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~JC C: Ld1 11dGdL l.l~ Utility Shut-Offs 12/21/2006 A) GAS - FRONT OF OFFICE B) ELECTRICAL - FENCED AREA SE CRNR OF OFFICE C) WATER - SIDEWALK 5FT E OF E EDGE OF BUCK OWENS BLVD D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 11 FIRE EXTINGUISHERS. FIRE HYDRANT - E EDGE OF BUCK OWENS BLVD 150FT N OF ENTR TO SITE. 01/26/2007 Building Occupancy Level 03/29/2006 140 EMPLOYEES -11- 07/10/2007 la F CALIFORNIA HIGHWAY PATROL SiteID: 015-021-000017 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/16/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEE TRAINING HAS BEEN DEVELOPED FOR THE TYPES OF HAZARDOUS SUBSTANCES USED AND THE COMMON HAZARDS ASSOCIATED WITH THEM. EMPLOYEES ARE REQUIRED TO READ THE AREA SOP AND EOP COVERING BLDG EVACUATION, DISPENSING GASOLINE, GAS PUMP EMERGENCY SHUT-OFF SWITCHES. THEY ARE INSTRUCTED IN THE LOCATION OF ELECTRICAL, NATURAL GAS, AND PROPANE GAS SHUT-OFF CONTROLS AND THEIR OPERATION. THEIR TRAINING INCLUDES THE CLEAN-UP OF SMALL SPILLS AND PROCEDURES FOR NOTIFICATION OF RESPONSIBLE AGENCIES IN THE EVENT OF A MAJOR SPILL. rayc ~ _~ , t_ rac.LU tvi r u~.uLC V.7-C nciu l.vi r uLUie u~~ -12- 07/10/2007 Y'y1 __~7 CALIFORNIA HIGHWAY PATROL SiteID: 015-021-000017 Manager (.,,,q 2rZ`l -v1~-Gv~~26 Location: 4040 BUCK OWENS BLVD City BAKERSFIELD CommCode: KCFD STA 64 EPA Numb: BusPhone: (661) 864-4444 Map 102 CommHaz Extreme Grid: 23B FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title MARTY MAPLES / EXECUTIVE LT TRAVIS MITCHELL / SGT Business Phone: (661) 864-4444x Business Phone: .(661) 861-4444x 24-Hour Phone (661) 864-4400x 24-Hour Phone (661) 861-4400x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact LA~2ftY y-~G('u~i2..E Phone: (661) 864-4444x MailAddr: 4040 BUCK OWENS BLVD State: CA City BAKERSFIELD Zip 93308 Owner STATE OF CALIFORNIA Phone: (916) 657-8048x Address PO BOX 942898 State: CA City SACRAMENTO Zip 94298 -0001 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 ENT"p FEg 2 2 2007 Based on my inquiry of those individuals responsible for obtaining the information, !certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and com lete. Signature Date \i -1- 01/26/2007 r~ ~1~ F CALIFORNIA HIGHWAY PATROL SiteID: 015-021-000017 ~ STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: CALIFORNIA HIGHWAY PATROL Cross Street Business Type: Org Type: Total Tanks 1 IndnRes/Trust: No PA Contact: Dsg Own/Oper JOEL CRAWFORD ICC Nbr: 5240664-UC PROPERTY OWNER INFORMATION Name TRAVIS MITCHELL Phone: (661) 861-4444x Address: City State: Zip: Type TANK OWNER INFORMATION Name TRAVIS MITCHELL - Phone: (661) 861-4444x Address: City State: Zip: Type BOE UST Fee# UNKNOWN Financ'1 Resp: SELF INSURED Legal Notif Date:05/02/2000 Phone: (366) 180-48 x Name:JERRY BARREN Tt1:SERGEANT State UST # 1998 Upg Cert#: 00702 -2- 01/26/2007 r, q F CALIFORNIA HIGHWAY PATROL SiteID: 015-021-000017 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE E F P IH G 36317.00 FT3 Hi FUSEE TRAFFIC F S 8000.00 LBS Hi MIDGRADE UNLEADED GASOLINE F IH DH L 10000.00 GAL Mod DEGREASER F IH DH L 75.00 GAL Mod WASTE OIL F DH L 240.00 GAL Low ANTIFREEZE F DH L 156.00 GAL Low MOTOR OIL F DH L 160.00 GAL Min -3- 01/26/2007 -4- 01/26/2007 F CALIFORNIA HIGHWAY PATROL SiteID: 015-021-000017 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: NE CRNR OF OFFICE CAS# 74-98-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TPure ~-Above Ambient Ambient FIXED PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 36317.00 FT3 31000.00 FT3 - HAZARDOUS COMPONENTS oWt. RS CAS# 100.00 Propane Yes 74986 I11'iGtiRL HJ .7 P~~J .71"1L',1V 1 a7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies. F P IH / / / Hi ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FUSEE TRAFFIC Days On Site 365 Location within this Facility Unit Map: Grid: CARPORT E SIDE OF BLDG CAS# 10042-76-9 STATE T TYPE ~~ PRESSURE TEMPERATURE ~- CONTAINER TYPE Solid I Mixture I Ambient ~ Ambient I Rnx AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 8000.00 LBS 5500.00 LBS iu-aueac~l~vuo ~.vl•1r viV r~lVtJ %Wt- RS CAS# 73..00 Strontium Nitrate No 10042769 6.00 Potassium Perchlorate No 7778747 rlt'~L~tiiCL 1'iJ JL~J J1.1P~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Hi -5- 01/26/2007 F CALIFORNIA HIGHWAY PATROL SiteID: 015-021-000017 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MIDGRADE UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: 40FT FROM E EDGE OF OFFICE CAS# 8006-61-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixtur~Ambient. ~ Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 10000.00 GAL 5000.00 GAL t1E',Gt1ttLVUS ~:vl~irvlvt;1v15 %Wt. RS CAS# 100.00 Gasoline No 8006619 t~.~t~ttL tiaa~aai~i~ivla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEGREASER Days On Site 365 Location within this Facility Unit Map: Grid: SW CRNR ASM SHED CAS# STATE TYPE -~-~ PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture I Ambient ~ Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 75.00 GAL 60.00 GAL riEiGH.ttL V U ~ ~vl~irvly ~1v l a ~Wt. RS CAS# 100.00 Degreaser No 71556 t11~GHKL HaJ~.7,JiY1L' 1V 1.~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / ~ Mod -6- 01/26/2007 F CALIFORNIA HIGHWAY PATROL SitelD: 015-021-000017 ~ ~ Inventory Item 0002 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 OF ASM SHED CAS# I 1221 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 240.00 GAL 100.00 GAL HAZARDOUS COMPONENTS °sWt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 riHGF~tC.lJ 1~JJr,~J1~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME ANTIFREEZE Location within this Facility Unit MAINT SHED 100FT S OF GAS PUMP STATE TYPE PRESSURE Liquid Mixtur~mbient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 107-21-1 TEMPERATURE CONTAINER TYPE Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 156.00 GAL 45.00 GAL IlE1GHKLVU.7 LV1"lYV1V~LV1.7 owt. Rs cAS# 100.00 Ethylene Glycol No 107211 riHGl-1LCL 1-~.7~rJ5J1~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -7- 01/26/2007 r t, F CALIFORNIA HIGHWAY PATROL ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME MOTOR OIL Location within this Facility Unit S WALL ASM SHED STATE TYPE PRESSURE Liquid Mixture Ambient SiteID: 015-021-000017 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER .TYPE _ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 160.00 GAL 100.00 GAL ruj~tatcl~~ua wl~irulvl;tvla °sWt . RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 t11~GKKL A551',Jw71~1L'1V1A TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -8- 01/26/2007 .. f F CALIFORNIA HIGHWAY PATROL SiteID: 015-021-000017 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 12/11/2000 IN THE EVENT OF A HAZARDOUS MATERIAL SPILL, THE BAKERSFIELD FIRE DEPT AND POLICE DEPT WOULD BE NOTIFIED. THE SHIFT SUPERVISOR WOULD NOTIFY THE DIVISION COMMANDER. 9 Employee Notif./Evacuation 03/29/2006 NOTIFICATION WOULD BE MADE TO THE FRONT DESK OFFICER. HE WOULD THEN NOTIFY ALL ON-SITE PERSONNEL TO EVACUATE, USING THE PUBLIC ADDRESS SYSTEM. EVACUATION ROUTES ARE POSTED THROUGHOUT THE BLDG. THE MAPS DIRECT EMPLOYEES TO A SAFE LOCATION AT THE FRONT OF THE BLDG. EMPLOYEES ARE ACCOUNTED FOR BY THEIR SUPERVISORS. Public Notif./Evacuation PUBLIC EVACUATION WOULD BE COORDINATED WITH BAKERSFIELD OUR DISPATCH CENTER. ALL AVAILABLE EMPLOYEES FROM THIS UTILIZED AS DEEMED NECESSARY BY THE SHIFT SUPERVISOR. 12/11/2000 POLICE DEPT THROUGH OFFICE WOULD BE Emergency Medical Plan 03/29/2006 THE OFFICE HAS AN EMPLOYEE PROTECTION PLAN THAT ADDRESSES MEDICAL EMERGENCIES. IT IS POSTED IN 7 AREAS ON THE SITE. IN THE EVENT OF A MAJOR MEDICAL EMERGENCY, OUR DISPATCH CENTER WILL DISPATCH AMBULANCE AND THE FIRE DEPT. MERCY, MEMORIAL, AND KERN MEDICAL CENTER ARE ALL CAPABLE OF HANDLING ANY EMERGENCY OCCURRING ON THIS SITE. -9- 01/26/2007 Fi 4 F CALIFORNIA HIGHWAY PATROL SiteID: 015-021-000017 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 03/29/2006 EMPLOYEES ARE REQUIRED TO REMAIN WITH THEIR VEHICLES DURING REFUELING. USED OIL IS CONTAINED IN A METAL ABOVEGROUND, DOUBLE-WALLED, OIL RECOVERY SYSTEM THAT IS EPA APPROVED. MOTOR OIL IS STORED IN 55-GAL METAL DRUM5 AND 1-QUART PLASTIC CONTAINERS. ANTIFREEZE IS STORED IN 1 GAL PLASTIC CONTAINERS. OIL AND ANTTFREEZE IS STORED IN 1-GALLON PLASTIC CONTAINERS. OIL AND ANTIFREEZE IS STORED IN A-METAL BLDG. Release Containment 03/29/2006 EMPLOYEES HAVE BEEN TRAINED TO USE THE EMERGENCY SHUT-OFF SWITCHES IN THE EVENT A SPILL OCCURS. CALTRANS CAN BE CONTACTED FOR EQUIPMENT AND MATERIAL TO MINIMIZE THE SPREADING OF A SPILL. 9 9 Clean Up 03/29/2006 ALL SPILLS THAT REQUIRE CLEAN-UP WILL BE HANDLED BY QUALIFIED COMPANIES THAT HAVE CONTRACTS WITH THE STATE OF CALIFORNIA. Other Resource Activation 10/16/2006 AN UNDERGROUND TANK LEVEL MONITORING SYSTEM AND LINE LEAK DETECTION SYSTEM WAS INSTALLED DURING 1994. A MEASURING PROBE WILL BE LOCATED WITHIN THE TANK TO MONITOR THE LIQUID LEVEL AND VOLUME. THE. PROBE WILL BE CONNECTED TO A MONITORING CONSOLE LOCATED AT THE NE CRNR OUTSIDE OF THE BLDG. THE TLM WILL ALSO HAVE THE CAPABILITIES TO PERFORM TANK INTEGRITY TESTS, HIGH LEVEL ALARM, AUTOMATICALLY ALERT A REMOTE MONITOR AND MEASURE THE WATER LEVEL IN THE TANK. -10- 01/26/2007 ~: F CALIFORNIA HIGHWAY PATROL SitelD: 015-021-000017 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~7~JCC;1d1 ridGdLU~ Utility Shut-Offs 12/21/2006 A) GAS - FRONT OF OFFICE B) ELECTRICAL - FENCED AREA SE CRNR OF OFFICE C) WATER - SIDEWALK 5FT E OF E EDGE OF BUCK OWENS BLVD D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - 11 FIRE EXTINGUISHERS. FIRE HYDRANT - E EDGE OF BUCK OWENS BLVD 150FT N OF ENTR TO SITE. 01/26/2007 Building Occupancy Level 140 EMPLOYEES 03/29/2006 -11- 01/26/2007 ~~ ,. F CALIFORNIA HIGHWAY PATROL SiteID: 015-021-000017 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/16/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEE TRAINING HAS BEEN DEVELOPED FOR THE TYPES OF HAZARDOUS SUBSTANCES USED AND THE COMMON HAZARDS ASSOCIATED WITH THEM. EMPLOYEES ARE REQUIRED TO READ THE AREA SOP AND EOP COVERING BLDG EVACUATION, DISPENSING GASOLINE, GAS PUMP EMERGENCY SHUT-OFF SWITCHES. THEY ARE INSTRUCTED IN THE LOCATION OF ELECTRICAL, NATURAL GAS, AND PROPANE GAS SHUT-OFF CONTROLS AND THEIR OPERATION. THEIR TRAINING INCLUDES THE CLEAN-UP OF SMALL SPILLS AND PROCEDURES FOR NOTIFICATION OF RESPONSIBLE AGENCIES IN THE EVENT OF A MAJOR SPILL. Ydy C G nciu i.Vi r u~u.LC Vic . 1 J L . iLG 1\A iVt L' IA VtA1G V~7G -12- 01/26/2007 Jan. 11. ZVU/ 3:3UrIVl West Star environmental, lnc. IVo.3Uy~ r• I/I W~ T~11~ E ~ EN~A-~~~C. 4fi88 W. , S1E 101, Fxl3'SNO, CA. 93723 (559) 2 378/FAX (55~~ 277-0106 e. #A-HAZ605142 ~ GATE: January 11, 2007 i YO: UST Inspector ` COMPANY: ENVIRONMENTAL HEALTH DEPARTMENT FAX #: 661-552-2171 i i I=RON: J~tLCIx ~#l~ NUMBER OF PAGES (INCLUDES COVER SHEET):1 REFERENCE: CALIFORNIA HIGHWAY PATROL NEW OWNER OPERAtOR i j West Star Environmental Inc. is nqw the new Qwner Operators for the following California Highway Patrol site and wilt be doing all of ifs monthly inspections: Bakersfeld Area Office - 404Q Buckowens Bakersfield, CA 93308 if you have any questions or concerns please fee! free to girre me a call at ~ (S59) 277-9378 x 3Qip or you may contact Ligaya Reyes-Ibanez from the CHP at (916) 375-2936. Thank you, Monica If there are any problems with the receipt of this fax please contact Monica ~ 559-277-9378 x301Q. i` i^ - ~, -~ Prevention Services UNIFIED PROGRAM INSPECTION C~IECKLIST ~? e_ E_R_s_F , 90o Truxtun Ave., suite 210 _. D r--~ _ --~-- --~ - ~ FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program i "RrM r Tel.: (661) 326-3979 i1 ~ Fax: (661) 872-2171 FACILITY NAME C ~ INSPECTION DATE ZI INSP;~ON TIME - ~ 1 z1 a ~ ADDRESS ~~ ~ ~ ~ ~.ck ~~ er, s ~ I v PHONE NO. NO OF EMPLOYEES FACILITY CONTACT USINESS ID NUMBER 15-021- Section 1. Business Plan a-nd invent~r~r Program ~ , ^ ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-IN SPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSInBSS PLAN CONTACT INFORMATION ACCURATE , .r : i"1 ~ ~1_ ~ 1 ~,,,1 ~+ x~ 2006 ~ ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ~ ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION )( If t l ~ ~/ ^ PROPER SEGREGATION OF MATERIAL O ^ VERIFICATION OF MSDS AVAILABILITY (~ ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES O ~. 4 r ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ~I ^ HOUSEKEEPING ~ ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN 1 YES ~ NO I / ~ ~L~ rcnr-nui;~ r QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 j9 ~ ~---- ~' `l Inspector ( lease Print) Fire Prevention / 1s` In /Shift of Site/Station # Business Site / onsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 (IlleennU , s, _ t ~~LD pj '~~~ CITY OF BAKER5FIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES •y UNIFIED PROGRAM INSPECTION CHECKLIST '_t~,`~ gti~O 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME G N 1~ INSPECTION DATE ~~~ ~- i ~ a ~ Section 4: Hazardous Waste Generator Program EPA ID #__('~ L d ~ 0 c 3 ~ ~ 1 .~' `~ ^ 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 IS days of occurrence Established or maintains a contingency plan and training Hazardous waste accumulation time frames ~. ~., ~f-v *. a Containers in good condition and not leaking d ^ '4i1 s--f'dt n31 ~'n ~, ks k Containers are compatible with the hazardous waste Containers are kept closed when not in use Weekly inspection of storage area Ignitablelreactive 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 ~.~-{~ d 1 d ~ S-1-e r ~ ~~`~ w$ M~ti 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 WwS ~~~ Inspector: Office of Environmental Services (661) 326-3979 BuSines 'te Responsible Party White -Env. Svcs. Pink -Business Copy ~ ~, INSPECTIONS BUSINESS PLAN & INVENTORY PROGRAM - UNIFIED PROGRAM INSPECTION CHECKLIST ~.~ _ B D E R S F I L D F/RE Ali<TM T FACILITY NAME: ~ ~-~' Section 2: Underground Storage Tanks Program INSPECTION DATE: i Z Z v ^ Routine ,~ Combined ^ Joint Agency ^ Multi-Agency ^ Complaint ^ Re-Inspection Type of Tank ,,.~ "' ~~r as Number of Tanks Type of Monitoring .~ Type of Piping 6`~ss~t, ~ ~ 4~ tl~t nc OPERATION C V COMMENTS Proper tank data on file Proper owner /operator data on file Permit fees current Certification of Financial Responsibility ~J Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? ^ Yes ~ No Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank Aggregate Capacity Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF?) If yes, does tank have overfill I overspill protection? C =Compliance V =Violation Y =Yes N = No Inspector: ~~~~'' ~~ `'~ Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services 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 Business Site Re Bible Party Pink -Business Copy KBF-7335 FD 2156 (Rev. 09/05) 1> : ~,'. I ~` ,~ BHk;Ek ~F 1 ELD 'HP ~, S'r' ~TEf°1 ETr~TUE kEF'~+kT ~r `' HLL FUP~J!TIti1P~J, f•J~~~kf°1HL I f~l+JEhJTGk',' kEF'URT s ,~ . T 1 : UNLEriLi ~ ULLi=1t=,E = 3a3y i3~L. TG IIULIJf°lE = bl3? i_;hLS HEIc;HT = 6U.5E IhJGHE STk: HEIGHT= 6U . 5t, I P•Ji~HEE 6JrTEk 11UL = D GtiLS WtiTEk = U , r U I fVi~HES TEf°1F' = t~ . 8 LaEG F as x :+E ~: EIVLi ~: x ~a UNIFIEt~ PROGRAM INSPECTION CHECKLIST: ~~~~ SECTIf~N 1: Business Plan and Inventory Program ~ ~ BASERSFIELD FIRE DEPT Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA,93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY Nf),yAE NSPEC TI D ATE TIME NSPECTION ' f ( ~ ~ ~ I /J ~r t ADDRESS HONE NO. O OF EMPLOYEES © w FACILITY CONTACT USINESS ID NUMBER _ 15-021- ,. Section 1: Business Plan rind Inventory Program ^ ROUTINE MBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS APPROPRIATE PERMIT ON HAND ' ^ BUSin@SS 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 R EDURES ^ EMERGENCY PROCEDURES ADEQUATE ~ ~" ®~ 2DD6 [ Oj~,IU ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ~( ^ v \ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? '.LEES ^ NO EXPLAIN: -L.~iQ~? `~ O : ~ ~~- ~,~LS 7S U .~~ .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL U8 AT (881) 328.3978 ~A•r~ti ~dLz,~ ~ ~- ,mod 9s Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Statian. # usiness Site/Sc ool Site Responsible Party (Please Print) White -Prevention Servieea Yellow -Station Copy Pink - Suainesa Copy FD2W8 (Rev. 02/05) . y , .- `.~ /! 4LD ~°~_~(r ~~ 1"~~~ CITY OF BAKERSFIELD FIRE DEPAR'T'MENT F b~ OFFICE OF I~,NVIRONMENTAL SERVI~:ES ` ., y~'I UNIFIED PROC:RAIVI INSPECTION CHECKLIST ,wF'' ;R~,r~s 1715 Chester Avc., 3"' Floor, Bakersfield, CA 93301 FACILITY NAME ~Ulw~~ ~i~~a ~ INSPECTION DATE__1:~Z. ~~2 Section 2: Underground Storage Tanks Program ^ Routine ~'ombined Type of Tank Type of Monitoring _ ^ Joint Agency ^Mulfi-Agency Number of "('anks _ Type of Piping J OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit tees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? YeS ~~ o 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: FYI d ~ ~i~/LZ/~ Office of Environmental Services (661) 326-3979 1~'hitc - F?nv. Svcs fink -Business C'~~py ^ Complaint ^ Re-inspection X695 usiness Site Responsible Party i ~ ~~' + CALIFORNIA HIGHWAY PATROL ___________________________ SiteID: 0 5- 2 - 017 + Manager Location: 4040 BUCK OWENS BLVD City BAKERSFIELD J ~ t BusPhone: (661) Map 102 CommHaz High Grid: 23B FacUnits: 1 AOV: CommCode: KCFD STA 64 SIC Code: I EPA Numb: DunnBrad: ~-_- fSRf--r,~~~=____________________ =~ ~ Emergency Contact / Title Emergency. Contact / Title / EXECUTIVE LT/ TRAVIS MITCHELL / SGT Business Phone: (661) 864-44~1xN`/ Business Phone: (661) 861-4444x 24-Hour Phone (661) 864-4400x 24-Hour Phone (661) 861-4400x Pager Phone (661) 843-9241x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact Phone: (661) 864-4444x MailAddr: 4040 BUCK OWENS BLVD State: CA City BAKERSFIELD Zip 93308 Owner STATE OF CALIFORNIA Phone: (6 - Address PO BOX 942898 State: CA City SACRAMENTO Zip 94298-0001 Period to Preparers Certif' d: ParcelNo: TotalASTs: _ TotalUSTs: _ RSs: No Gal Gal Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG U - UST ENT Q ~q p~ ~ ~ zoos Based on my inquiry of those irfdlvi~u~l~ responsible for obtaining the informatlan, I Certify under penalty of law that I hav® personmlly examined and am famili with the inforrYlation submitted and bQlie~ yd~ informatiory is t e, accurate, anyi cp le / / /l - / Y ~ _~~~ ~~ gnature D -1- _ 03/29/2006 Bakersfield Fire Dept. ' UNIFIED PROGRAM INSPECTION CHECKLIST Enironmental Services 1 T15 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 j Tel: (661)326-3979 FACILITY NAME ' + INSPECTION DATE INSPECTION TIME -----h_~~~~~ c 4~ t ~ _ _ tt~t~h~~--------- ~T r~ ` ----- - --- --- -- --- -- - ADDRESS PHONE No. No. of Employees FACILITYCONTACT Business ID Number 15-021- Section 1: Business Plan and Inventory Program ^ Routine '..Combined ~ Joint Agency ^Mutti-Agency O Complaint ^ Re-inspection C V \V=Vioatonncel OPERATION COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE LR ^ ~/ISIBLE ADDRESS ~^ CORRECT OCCUPANCY I ^ VERIFICATION OF INVENTORY MATERIALS Ld ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE V!1 ^ VERIFICATION OF HAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ICY ^ HOUSEKEEPING -- - -- - - ^ ^ FIRE PROTECTION lU ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE: ^ YES ^ NO EXPLAIN: QUESTIONS EGARDING IS PECTION? PLEASE CALL US AT 1;66~~ 326-3979 1 Inspector Badge No., Business Site Responsible Party White -Environmental Services Yellow -Station Copy Pink • Business Copy I ,~++w4~' '~~~~ CITY OF BAKERSFIELU FIRE DEPAR'CMENT `6 ~ ~ ro; OFFICE OF ENVIRONMENTAL SERVICES ~~ y~` UNIFIED PROGRAM INSPECTION CHECKLIST ,`:.w ~g~,0+~+ 1715 Chester Ave., 3~`' Floor, Bakersfield, CA 93301 .iii FACILITY NAME ~ tt~t'~oct~t ~ ~Ih~tt)1~~r.~. ~'t~~ ~ INSPECTION DATE ~ O ' 1 U 'C7 ~ Section 2: Underground Storage Tanks Program 9 ^ Routine f~ Combined ^ Joint Agency ^Minti-Agency' ^ Complaint ^ Re-inspection Type of Tank ltd F Number of Tanks Type of Monitoring AT(Q Type of Piping ~1liJ [Y OPERATION C V COMMENTS Proper tank data on the Proper owner/operator data on the Permit tees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks ____ OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overtill/overspill protection'? C=Compliance ~ V=Violat' m Y=Yes N=NO Inspector ~ Office of Environmental Services (661) 32G-3979 white - rnV. Svcs Pint: - t3u~incss C~~Py Business Site Responsible Party FROM :BAKERSFIELD CHP FAX N0. :661-327=0704 Apr. 27 2006 07:45AM P2 ~. MONIT~RTNG S"YSTE CERTIFICATION >ior 1Is6 liy All Jurisdictions il~iihlh the State of California Authorily (:itecllc Chapter 6 7, Health and Safely Coale; Chapter 16, Division 3, !'it a 23, California Code ojRe~ulations This farm must be used to document testing and servicing of monitoring equipment. A separate certifteation ar report must he P red for.each„~r -oniterln,,gJgxstem control panel by the technician who perfat'tlns the wrack. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy cif this form to the local agency regttlatutg US'1" systems within 30 aays of test sate. ~`~ N Z,D O" A. Genetral Information Facility Name: CHP BAKERSFTBLTI _ _ Site Address: 440 $IJCK C+INFNS BLVD. City: BAKERSFIELD Bldg. No.: Zip: 9330$ Faeitity Contact Person: JCiI-IIV LTRVANQ - __ -- _- - _-- .....: _. Cont1-Ct Phone No.: ( 661. ~ .864-4444 lVlake/Model pf Monitoring System: V'>EDER R(R?T {Tl.~ti-;iSU) Date of Testing/Scrvicing: dl _ /-23 _[06 __ A. inventory of Equipment TeetedlCertified Chrelc tee app~gprtnte Ilrosce to tAlliplte sveetttc. eautuacnt tnepectedlscrvttxd: ~rtiak 110- UNLEADBD - - - Tgwtt ID- . Q9 In-Tank Gauging Pmbe. M i; VEFDFiR RDDT (TLS-350) ^ Jti=T augmg Pro Model: ^ Annular. Space or Vault Settsor. Medal. . ______- __ _ ____ ^ Annular Space or Vault Sensor. Model: Piping Sutnp 1 Trench Sensor(s). Model: VET1]FiR RDDT ('TL.S 350) ^ l~lping Sump /Trench Sensor(s). Model: _- - - ^Fil] Sump Setsor(s). Model: ^ Dill Sump Senscrr(s). Model: _ ~ ® Mechanical Line Leak Detector. Model: ^ ]Mvl!echanival Line Leak Detector. Model: __ _____ _ _- ^ Biecnonic Line Leak Detector. Model: ~~~~ ^ Plr3ctmnic Line Leak Dotoctor. Model: ~~ ® Tank Ove~ll /High-Lavol Sensor. Model: ~- ©'~$nk Overfill /High-Level Sensor. hiadel: Other ui rnent t e and model in Section E on Pa e 2 , er s eci a ui ent and model in Section E on Pa e 2 . 'E'xn4 tt): '!'atrlc ll): _ _ _ ~ ~~~--~ ~ - M ^ In-Tank Gaugittg Frobe. Model: _ Model: ^ 1n-Tank GauginS ProboW Annular Space or Vault Sensor. Model: ~t~nular Space yr Vault Sensor. Model: Piping Sump /Trench Sensor(s). Model: p'i p`irtg Sump /Trench Sensor(s). Model: hill Sump Sensor(s). Model: txlll Sump Sensor(s). Model: Mechanical Line Leak Detector. Model: ^ N+techanical Lina Leak Detector. Model: Electronic Line Leak Detector. Model: _~......._.,....._..,-,._,.__.._.....T _. ~ _ t~lectronic Line Leak Detector. Model: Tank Overfill / I•Iigh-Level sensor. Model: 'Cork Over-fill / Hibh-Level Sensor. Model: ,_„ Others c' a ui ent a and model in Section E on e 2 . t`)tter s c' ui inept a and model in Section B on 2 . Dispenser .ID, ~ Dispenser ID: DispanserContalnment Sensor(s). Model' YEGDT~ItROOT(TLS-35o} ^ t j lispenger Containment 5ertspr(s). Model: ,-,.--,_, _ Shear VBIVe(S). i d p~iP,aY Valve(s). Dis nser Can mmen oa s an am s . eraser Containment s n s Dispenser lD- Dis enscr 1D- Dispenser Containment Sensor(s). Model: iirpenser Containment Sensor(s). Modal: Shear Valve(s). '~Flesr Valve(s). Di sin' Con n s . ~~'- ispenser W- ^ ~lspenser Containment Sensor(s). Model: Dispenser Containrt-ent Sensor(s). Model: ^ ~lspenser ID- Shcar valvo(s). shear Yalve(s)..--__--_-_ Dispenser Containment Float(s) and Chain(s). [~ltpenser Containment Float(s) and Chain(s). • If the facility contains more tanks or dispensers, eoov this form. Inciude inf ormation for every tank and dispenser at the'faeility. C. Certification - T certify that the equipment identified in this document'was inspected/serviced~in accordance with the ~,~nufacKurers' guidelines. Attached to this Ccrtiticarion is information (e.g. manufacturers' checklists) necessary tp verify that this information is correct and a Plot Plan showing the layout of monitoring equipmei~#. Frig any equipment capable of gcncvating such reports,l have also attached a copy of thv roport; (check att that apply): ^ System Set=up ^ Alat~rtstory report ~'echnician Name (pt7int): ~ Signditure: ~ ---~_ Certification No.: $922 __~_ Licettee. No.: r 5142 -_~'~ Tenting Company Name: West Star l;nvironrnen#al phone Number: (559)277-9378 Site Address: 4$88 W. Jennifer, Suite 1t1~ / Fresno, CA 93722 0t / 23 / U6~ _ .....~u...:r,..-..-..,....,....,T._,l7att; of Testing/5etvicing: Man-torin~ Systole Certi~ctition Page 1 of 4 03te1 FROM :BAKERSFIELD C11P D, Reams of Testipg/Servicing FAX NO. :661-327--0704 Apr. 27 2006 07:46AM P3 Software VerRion Installed: Complete the follow in checklist: Yes NA* Is a au t c arm o erattana . es s e vts a arm o erat~ona es Noy ere a . sensors vtsua ms Bete , uncttona test , an con trme operation ($I Yes Na~~ a ere a sensors tnsta a at awest point o secon ary cotttainroent an postttone so at o er equipment wt net Interfere with their proper operation? [] Yes Na* I a arms are re aye to a remote monttorin~ station, is al oammuntcations equipment e.g. ma em) operational? ND, Far pressurize piping systems, does the turbine automatically shut down i t e piping secon ary containment ® yes manilaring system detects a leak, fails too crate, ar is elechically disconnected? if es: which sensors initiate ®Dispenser Containment Sensors /Trench Sensors l ) ~ S~utn h t d Ch k ll that i i ? N/A . y p ; a~,p ve s u - ec pos t own ( a ®Y ^ es; No. Did au confirm sitivc shut-down due to leaks and sensor failureldisconnection? No* Far tanks that utilize the system as the tan . overfi warming device (i.e. nv mechanical overfill preventiom valve ® Yes NIA installed), is the overfll wamninb alarm visible ante audible at the tank fill point(s) and vpetating properly? If so, at what percent of tank capaaii does the alarm tri ~t'2 94 ^ Yesa Na' W~ ~Y monitoring equipment broken7lfyes, identify sptx;ific sch,~r!3, probes, or other equipment replaced and list the manufacturer name and model for all laccilhcnt its in Section E below. ~ Yeti* No* as i ut oun tnst a any secon ary cantatame~Yt syystems esign as ry systems. ec a tat app y Produc ^ Water. If es describe causes m Section E below. - . es No° proper settings? Attac set up reports, i app i e a9 monitoring system set-up reviewe to ensure (~]Xes No* Is al] monitoring equipment oper~ional per maratiifacturcrs specifications? "` In Section E below, describe how and when these deficiencie:~ wert~ ter will he corrected. ~. Comments: TESTED 87 FILL, ]BUCKET ALL PASSED. Pale 2 of 4 113101 FROM :BAKERSFIELD CHP FAX N0. :661-327-0704 Apr. 27 2006 07:46AM P4 f~' In-Tank Gaining/SIR Equipment: ®Cireck this box if lank gauging is useu uuq -~~ ~~~.4,.~.,~J ~........-• [~ Check this box if no tank ganging ar S.Tit equipment is Installed. This section must be completed if in-tank gaugirn;g equipme»t is used to perform leak detection monitoring. plete the following checklist: es No* as Input wlring een ma of proper es No• Were all tank gauging probes visually inspects es U N o' was accuracy or es No' Were ail rates tti es NQ' Were a items on G. I,fne Leak Detectors (LL.D) : Cl Check this box if LLDs are not installed. Com late the f llowiu checklist: ~ Y ~ ~°* Fos equipment start-up or annual equipment Certitlne~tian, was a leak simulated to verify LLD perftyrmance7 es ^ NIA (Check ull that apply) Simulated leak rate: ~ 3 ~;:p.h.; [] 0.1 g.p.h. ^ O.Z k.p.h. (~ es f> No Were all LLDs cnnfirtncd operatsonal and accurate within regulatory requirements? Yes No• Wag the testi a status ro erl calibrated? ~ Yes ° d°es the LLl) restrict product flow if it detects a leak? For mechanical LLDs , ~ yeS S For electronic LLAs, does the turbine automatiitstlly shut off if the LIi) detects a leak? N A !~ Q Yes ~'~" ~ N!A For electronic LLDs, dons the turbine automatcisliy shut off if any portion of the monitoring system is disabled ~ e ~ Yes ~A ctron{7 LLDs, does the turbine autornatiCtdly shut off if any portion of the monitoring system malfunctions x e~ o ®N . s r ~ 'Yes . NIA For electronic LLDs, have all at:ceasihle wiring Cbnneetions been visually inspected? Y'es No* ere a Items on t equtpment menu scturer's i~natntenance c ec tat comp etc . t' )n the Section A, below. describe bow and when tllcse de~efienci~ were or will be corrected. I3. Commenta• Page 3 of 4 osro, FROM :BAKERSFIELD CHP FAX N0. :661-327-0704 Apr. 27 2006 07:47AM P5 Monitoring System Ccrti Ccation. UST Monitorin, Site Plan Site Address: 4040 BL7CK OWFNS BLVD. ._..~~-----~---~.....__.__..._~~---~----~.-~,_~,.__..r _-.....~_.---~-----~----~- ---~._..._~__.~._--~----.-.-.~~_w~.-----~~~__..~ _.--~-------,----~---_.r~_ -------`_._..~___..~~---T^-----~ --"~~-----~-----~ -----~----._,r_~._,_.__ --------------- ---~-----~--....___._~.__~~...._,r--_..-----T_..___._..,,_....~_~~ -~----~-~------~ --~._...._.,.---..._..,___.._ _._~.._~,----- --,_......._~_.r..r__...__..__~ .....r.~_._~..,......_,__.~_...--------....,^....__~_.._~_........_--------~-^-~--~----------- ......,__~.~.r__~~~--------~-~.,__.rr.~~_._.....__,.....~-----~.,_._., r..___r...,-- ...-~--_...._---..,.r~__..r.___..._~.___..~~_ ~~--------------~~__.r_.__..~.r__~...... --,.....Y__~~_.,__~_..__~.~.___~,r.~__.-~_~_......---_.,._.._,_~.~.~__~.~_-._.....-- ----~._.---~-~---~~.__~,~.r~--M----~-~----w~__~.._~---~-------.__~.~.-- .~._---.~.,_._~,r..___.._~~_~._......~~~..r~_,_._..r----~----------~~_~~.._ Date map was drawn: ~_~ [natruct~~uus if you already l~xvE a diagram that shows all required 1nFormtztan, you may include it, ratt~.er d= this page, with your Monitoring System Certification. On your site plea, show the general layout of tanks and piping. Clearly identify locations of the following cquipment, if. installed: monitoring system control panels; sensors monitoring tank. annular spaces, sumps, dispenser pans, spill containers, or ntber seconcld;ry containment areas; mechanical or electronic line leak detectors; and in-tattle liquid level probes (if used 1'or leak detcCtion}. In the space provided, note the date this Site Plan was prepared. page ~ of 4 nsmo FROM :BAKERSFIELD CHP FAX N0. :661-327-0704 Rpr. 27 2006 07:47AM P6 wES'~'S'~"~R ENYIROIVMEN`1~AL INC. 4688 W: jettrulfer, Suite 101 ~reano, CA 93722 (559} z77-9378 / Pax (~'~9) 277-01Q6 Luense Na. 60514: A-Flax SOURCE INFORMATION' FACILITY PARAMETERS Qr]1~` I1~14C AfL$ A$$>tesa District Inst-ector Phase II System Type CHP HAKFRSFIELD Balance X 40d08UCKOWL+NSi3LVU_ 13AKL~RtiF1E[.D,C;A /A ASSiSt Hirt Phase I System Tyler Hasstech Permit# EVR OPW Healy ~.•..,M ~,p, Paint 4thor oaxlal -- -- Manifolded? Yes No operating Parameters Number of Naaxles Served by Tank #1 ~ Numlil#r of Nazales Served by ~`ank #3 Number of Nozzles Served by Tank #x Number of Nozzles Served by Tank ~ Total Number of Nozzles 2 .. ype o auger anameter ec amca igi a DIGITAL bate o4 last Calibration: ~ lf2i/Us i rogen ow a 1.66 Calculated Time: 3MiN S9Str(: Actual: 4M1N Pass Pall iource Test Results and Comments TA.. NIA t . Product Grade 2. Actual TanK Capacity, gallons 3. Gasoline Volume 4. Ullagc, gallons (#2 - #3) 5 • Initial Pressure, Inch, H2U ~• Pressure After 1 Minute, Inches H2O '7, Pressure After 2 Minutes, inches,1I2~ $. Pressure After 3 Minuses, inches, HZU 9. Pressure After 4 Minutes, inches H2U 10. Final Pressure After 5 Minutes, inches, H2O 11. Allowable Final Pressure a. x 3 TOT !l7 .. 1,000 1541 t tr,ose ~~oo t .97 1.!44 ;9I 1;91 1.91 1,~5 est on ucte JASQN ESQUEIaA est .ornpany: (Nest Star Environt~tint3l a o est. 1/23/QG Tester Certi~catian # Lion # . Ignature .~• BA1iER.BFIELD * BAY AREA * FRESNU " LUS AtVt~.C~'L1N~S * IV)fODESTO * SACRAMENTO FROM :BAKERSFIELD CHP FAX N0. :661-327=0704 Apr. 27 2006 07:47AM P7 WEST S~'l~R EIWIRDNMRi=1d~"~t1L INC. 4688 W. Jennifer, Suite 10'iy ~resna, CA 93722 (SS9) 277978 !Fax~~B58) 277-07b6 Licensb f1o, 605 42 A-Maz SOURCE INFORMATION FACiL1lTY PAR,AMFTERS CDF Name and Addreas Crrn Bn[ctttsFCtt,~ District Insprsetor Pl>,s-se .Il< SystcFrln '.If~pe balance X 4040 AUC:K. UW h:NS F3E.VI 1. FiAKh"R5fiF1J),C.A /A A:~sisl flirt ~, ~I~asc I System TY~e Ilassbech Permit ~ E.O. 1VR. (JPW Point Healy Utller oaxi.al Mani1'dlded? Yes No Test Unit Back Pressure: 20CFH _Oi1... I~CFH .03 ] OOCFH . ~ 2 Date of Last Calit,ratinn: 11/21/05 Leak Check* OK Pass Fail t,rce es esa an ommen a t~lorzle CXrade I s7 2 87 - Dyn~ImicBnekPreasi,re, ]w.racr~s H2o __ CFH CFH CFH .02 _~ .bo .02 .2Ci .66 _ ~t eat un u y. eat Company: West Star Environmrsntal ate ;n, eat f - tl23/06 ~Fifl Ce .~ _ O 1Y111A Otl: TC5t(CT ex't1 CSt10t] 0140 .. BAKFR.SFIELD'P BAY AREA * Ir'kII~~N4 * LOS Al'VQELEB * MODESTO * 3ACRAMTt,NTO Fine ~Rrr r Mazch 31, 2006 RONALD J. FRAZE FIRE CHIEF ~ ! Mr. John Urbano Gary Hutton, i California Hwy Patrol Senior Deputy Chief ~ 4040 Buckowens Blvd. Administration 326-3650 Re: Failure to Perform / submit Annual Fuel Monitor Certification Deputy Chief Dean Clason NOTICE OF VIOLATION & Operations/Training SCIi~IIULE FOR COMPLIANCE 326-3652 Deputy Chief Kirk Blair ~ Deaz John Urbano, Fire Safety/Prevention Services 326-3653 Our records indicate that your fuel monitor certifications is due/past due on ' 01-31-06. 2101 "H" Street You aze or will be in violation of Section 2638(a) California Code of Regulations, Bakersfield, CA 93301 i Title 23, Division 3, Chapter 16. OFFICE: (661) 326-3941 FAX: (661) 852-2170 "All monitoring equipment shall be installed, calibrated, operated and maintained in accordance with manufacturers instructions, and certified every 12 months for operability, proper operating condition, RALPH E. HL1EY, DIRECTOR and proper calibration." PREVENTION SERVICES FlRE SaFErr SERVICES • ENVIRONMENTAL SERVICES '. Therefore you have 30 days (April 27, 2006) to comply. Failure to comply may 900 Truxtun Avenue, Suite 210 ' result in revocation of your hermit to Operate. Bakersfield, CA 93301 OFFICE: (661) 326-3979 Should you have any questions, please feel free to contact me at 661- 326-3190. FAX: (661) 852-2171 David Weirather Sincerely yours, , Fire Plans Examiner 326-3706 Ralph E. Huey, Director of Pre ntion Services Howard H. Wines, III Hazardous Materials Specialist 326-3649 By: Steve Underwood Fire Prevention Officer REH/SU/db "Serving the Community For~l~lore 7~ianA Century" UNDERGROUND STORAGE TANKS APPLI~ATI~N TO PERFORM ELD 1 LINE TESTING I SB989 SECONDARY CONTAINMENT TESTING RANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMR N0. ~ "' ~ J ~A;K~It~FI~I.I) FIIZL I3~F'i`. B ' ~s~~ IareQe>~~®n Se>~aices ~AItT~ 1I 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 TANKNC,EFD NEAK~DETECTION ~ TO PERFORM FI IFI MONITORING CERTIFICATION ^ SB-989 SECONDARY CONTAINMENT TESTING SITE INFORMATION FACILITY f ^ ` 'IJC~.I ~ NAME ~ PHONE NiJfi~3ER OF CONTACT PERSON ADDRESS 4040 ~~ vc~ OWNERS NAME OPERATORS NAME PERMIT 70 OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? ^ YES ^ NO ~wu .v IMIVK n \i I IIIU - ~vic~E f`A ITC I C ..R~~0.T~ ` ~~ TANK TESTING COMPANY NAME OF TESTING COMPANY l~Q..s~ ~ NAME & PHON NUMBER OF CONTACT PERSON ue o ~• Z1`1.9 l MAILING ADDRESS ~Fb~$ UJ ev~,n ~~~ e5 Q3~ZZ NAME lt< PHONE NUMBER OF TESTER OR SPECIAL INSPECTOR Q l~ ~ ~~ • ~ CERTIFICATION #: „ , 1 P--t • •~-~~Z . DATE & TIME TEST TO BE CONDUCTED t• t2.OCo ~ ICC #: Z~{(o~jZo•~-c 'El,3a-5•uT TEST METHOD SIGNATURE OF APP ICA ~ DATE Z,1 , oS APPROVED BY DATE ~ ~ ~ "Z "• ©6 ~~~ /~ FD 2095 (Rev. 09/05) v~'~, ' ~• - ~ ~ Jan. ar 9. 2006 4PM nvironmental, Inc. No. 6256 P, 1/1 ~c.ac. e~ E TAR ~P~i~ Dare: !~ •~• b~~ EN NM NT~~ Requested By: Susan Ramanoff {AI Fs - RUCTIO - SERVLCE Telephone: 5 54-277"9378 x3010 4880 W. 7enr ~4 Si7E lOL Fp rn, G. 93722 (555) 37sL~Lssv~ .77-Dine C ~f Fax: 559'277"0106 INSPECTIQN REQUEST F~tiiity Details APCD Permit# `J'~~t' (' ~ t Facility Name: ~~LClZ(7... t~i G[^. ~.~~ Contact Name: q-~l Facility Address: g'O~t'~ ~jUIG~~-~-'~C~'1~ ~jI~I~ Telephone: Io(ni • ~0¢-4 4~ CitylState/Zip fJ~r p~~i o bra Oy ~ . ~ Fax: {~C`pl • ~j~-1' b'~ t~ - „ Schedule Type: -.. ' Facility Start-up ~~.+_, Routine Compliance Cancellation `__ j Reschedule `,__~ Retest Air Poiution C:ontrot Dist. Environ mental Health Dept. Attaention: V t~1~ ! ~ Attention: ~V~ C~, Phone Number: ~?~.~qp Phone Number: (d{ . ~~~ • ~7~ X,~ Fax Number: _ ~~~ . t,~pbZ Fax Number: ~{p (• ~1(0 ' 4~ ~ Co t: Test Time: ~1~ ~ ~ 1 Test Time: ~ • ~ ~. a7 L ~° ___ ^ TP201.1B -Static Torque ~ Annual Monitoring ^ TP201.1 CID -Drop Tube ,~ ~ TP 201.3 Leak Decay (ST30) ~ ^ TP 201.38 Leak Decay {ST38) -- - ^ TP~01.3C Pipe Connections Test Q TP201.4 Bach Pressure (ST27) :~ r ^ TP201.5 Air to Liquid Ratio z° ^ TP201.6C Liquid Removal ' -` ~ VR101B :Inspector acknowledgement: rt. Confirmation t#: Comments: ^ Spill Buckets Only ^ SB989 ^ Mechanical Leak Detector Test ^ Pressure Line Test ^ Cathotic Prptector ^ Integrity Tightness inspector acknowledgemen#_ ~~Q~ 1~-7.4~ •~sp~pr_ Confirmation #: Testsr Information .. ^CustomerAcknowlsdgement []On Account ^APCD Acknowledgement ^COD ^EHDAcknowledgement ^ RightFax 2/13/2007 9:16 . ~ _ ~s 5 ';~ / 't ~\ UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING / SB989 SECONDARY CONTAINMENT TESTING !TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT NO. ~ 1 - ~~~ PAGE 002/002 Fax Server SAKERSFIELD FIRE DEPT. Bay Bas P EI.D FARE Prevention Services F~4RTMF T 1600 Traxtun Ave., Ste. 401 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 ^ ENHANCED LEAK DETECTION LINE TESTING ^ SB~89 SECONDARY CONTAINMENTTESTING ^ TANK TIGFiTIdFSS TEST TO PERFORM FI lBi MONITORINA CFRTIFICATION SITE'INFORMATION FAC1Lf1Y I i ~ 1 ~'`~ NAME O/N,E N MBER OF CONT CT PERSQN a "~ lJ ~!/ ~ L ADDRESS y lC ~ e OWNERS NAME ~ ~ e rf1'G OPERATORS NAME PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? ^ YES ^ NO T ANK # VOLUME CONTENTS TANK TESTING COMPANY, NA E OF T STI COMPA /J N~ NE NUMB~~R OF CONTACT PE SO n ~r~ /{ NAME & PNON MBER OF TESTER OR SPECIAL INSPECTOR ~ , CERTIFICATION #: DA & 71ME TEST TO BE CONDUCTED r ~~ ICC #: L ~- TEST METHOD SIGNATURE OF AP IC NT . DA APR ~ r .O.N' 6 C,O.ME . A RERM.IT W N APP ~ ~ ; , APPROVED BY DATE ~ '2 ~ d .~- .1 a FD 2095 (Rev. 09/05) -~~r~~l Received Time Feb, 13. 9:11AM - ~~ ~ ~ ~ Memory TX Result Report (Feb. 14. 2007- 3.13PM) ~ ~ ~ ^" 1) West Star Envi ronmental, Inc. 2) Date/Time: Feb, 14. 2047 3:11PM File Page No. Mode Destination Pg(s) Result Not Sent ---------------------------------------------------------------------------------------------------- 5699 Memory TX 16618522171 P. 3 OK ---------------------------------------------------------------------------------------------------- Reason for error E. 1) Hang up or line fail E. 2) Busy E. 3) No answer E. 4) No facsimile connection E. 5) Exceeded max. E-mail size DATE: February 14, 2007 TO: COMPANY: Bakersfield Fire Department Fire Prevention FAX ~: 661-852-2171 FROM, MOH(C[L axgedb/!L•*q. NUMBER OF PAGES (iNd.UDES ODVER SHEETJ: 3 REFERENCE: CHP Bakersfield Monitoring Certif"icatioe AppBcation As per our conversation, here is a Dopy of the cherAc that I will be over nighting to you tonight along with a ropy of the application that Sue faxed rarer to me yesterday. Can you please keep us on your ached We for tomorrow? Please let me know ASAP due to the fact that we have three other sites sdieduled around Phis one. 1Y we are not able to do testing at the facility on Buckowens we wlll have tp cancel alt of our testing, so I need to know right away. Thaelc you! If you have a+ry questions or concerns please feel free to gire me a cell at 559-277-9378x3010 Fax 559-277-0106 Monica FAX COVER LETTER .~14w .~ (~) i - / `- / ' ~\'~ ~o wreu+.+norvn~ NICK ADAMITZ COptCOUNCIL• CALIFORNIA UST SERVICE TECHNICIAN ' The individual named hereon is CERTIFIED in the category shown, having been so certified pursuant to successful completion of the prescribed written examination. ' Expiration date: November j~0, 2008 ~ No. 5296325-UT (~l ~~ / Not valid unless signed by certlFlcate holder. ICC cerdJlcatfon attests to Immpetent knowledge of codes and standards. f _.- .. ~ 1 ~:, ~:~! NICK ADAMITZ urrEnrurwr+~u ' CALIFORNIA UST SYSTEM OPERATOR `~EC011~'" The individual named hereon Is CERTIFIED in the category shown, having been so certlFled pursuant''to successful completion of the prescribed written I examination. I1 Expiration date: November~2008 No.5246325-UC ~ $ 1 Not valid unless signed by certiFlcate holder. ICC certijlcatlon attestr to competent lotowledge of codes and standard i Ir 'rat ~ , ,~ +. ,y a ~. W E~S` ,TAR EN 4NMENT~ INC. SALES -` C~ 4688 W. ]ENTJ (559) 7 ~: i ~~ S~ 101, ~. -SERVICE vo, Ca. 93723 ~77-0106 FAX COVER LETTER DATE: February 14, 2007 TO: COMPANY: Bakersfield Fire Department Fire Prevention FAX #: 661-852-2171 FROM: JIV~m~uca NUMBER OF PAGES (INCLUDES COVER SHEET): 3 REFERENCE: CHP Bakersfield Monitoring Certification Application As per our conversation, here is a copy of the check that I will be over- nighting to you tonight along with a copy of the application that Sue faxed over to me yesterday. Can you please keep us on your schedule for tomorrow? Please let me know ASAP due to the fact that we have three other sites scheduled around this one. If we are not able to do testing at the facility on Buckowens we will have to cancel all of our testing, so I need to know right away. Thank you! If you have any questions or concerns please feel free to give me a call at 559-277-9378 x 3010 Fax 559-277-0106 NMonica ~~ R~Feb. 14. 2007 3:12PM West Star Environmental, Inc.l2/o0z Fax Se~No. 5b99 P. 2/3 ~~ UNDERGROUND STORAGE 7ANICS SA~LRSFIFrLD FIRS bFPT. ~ 8 k S R ~ PIRA Preventiv>Q. Services APRLICATION , ieoo >z wve_, sue. <FO1 Bakersfield, CA X3301 ~ PERFQRN! B.D / UNETESTllVCY 11eL: ($61) 326~97~ l S@989 SEC.ANbAI~(GQNTAINMENT TESTING ~,~ ~ 1 !TA[~1C TIGIC[NESS TE3r ANa Ta ~oRan ( )852-2171 FUEL NONIT1DRRdG G~RTIFICATION i ~~ PERAAIT Np. . ElJIiANCi;D LEAK OETECi'lON ~UNE TES'IIIVG ^ 3889 SECONDARY CONTAIPINlH~ff TESTING • ^ 7AAN[ nr_HruC.ec 1'6CY ~ x, ocornniu e~ ~e~ ~en~~rnnauu•. .~.~er~ew•..,•~...~ _ SfFI'IFEFO RJtiAAT1 N FACILfFY _ , 1 ~ ` /vhf NA>f9E NE N R DF NT w PERS~N f ADDRESS 01NNER5 NAM$ ~ ~ ~ GFERATOR$ NAME NImABER F S D BE TESTED ' ~ • r 'Q~ pF_Rfi01? TO OPERATE qt0, 3pIN6 GOING TO TFb? N ANK ;!R LUMH C r C OFT TI • ~ 'SANK TESTING COINPAI~1~ /J N~E P!E F~1 R OF CQ (~C~/ i( T /r~ ADD i NAhAE & pN0 MBER OF I ~ Elt OR &PECIAL ItEiPECTOR CERT7FIC,ATIpN ~: B TIJIIIE TEST 70 SE CONDUCTEp ~ ICC $: TEST JiAETH00 SIGMATURB QF AP CANT ~R OAT _p~~.F1M~ I~ EN' AR APPROVED BY DATE ~gi° FD 2095 {FibV. 09W5) ~R.r~e !1 Received Time Feb. 13. 9:11AM VYEST STAR ENVIRONMEhiTAL, INC. Sales ServiceTestiny Bakersfeld Fire Dept. DATE; 02l14lb7 REFEREASGE: Testing i:'errnit GHP AMdUNT: 81.bb .., ~..., nj'~~ (}Q ,., O~~UJ~ r~ CHECK # 52097 T f) .A 0 ~.., W ti m UNITED 3ECUriITY BANK N.A. ~ ~ ~ Q 9 21b1 West S1~aw Avenue . WEST STAR ENVIRONMENTAL,.INC. ~ Fresno, Calitornls sa711. SALES SERVICE TESTING ~ 9Q-4149f1211 ~ ~ ~ ¢, 4688YV. Jennifer, Sulfa 1U1 Fresno, California 93722 ~ 52097 - . ~ (b59) 277-9378 ~, Eighty-One and 001140 ~ .a DATE AMOUhIT 02!14!07 $"`***'~*""~"81.04 ~ PAY Bakersfield Fire Dept o°poeR '1600 Truxtun Ave.. sbe 401 °F~ Bakersfield, CA. 93301 0 UTHORIZED S6(3NATURB ' ..._ . _...... _._ . _ ___...---•- - -•--._..._ ................. .. .... ............... rn II^0~~47q'711" 1:i~Z~4L4~51; DOL Li'S19~11' ... .. ...--~~ W W 1. .Feb. 14. 2007 3:12PM West Star Environmental, Inc. ~ No.5b99 P. 1/3 ' ~ .~ ~1 W E~ TAB 1 NMENT IN (559) -9378559) 7-0106 FAX COVER LETTER DATE: TO: February 14, 2007 COMPANY: Bakersfield Fire Department Fire Prevention FAX #: 661-$5~-Z171 FROM: LCD t ~~5~`I J ~ 7 ~ " ~~ ~7 ~ ~(~ d ~ d NUMBER OF PAGES (INCLUDES COVER SMEET): 3 REFERENCE: CHP Bakersfield Monitoring Certification Application ' As per our conversation, here is a copy of the check that I will be over- nighting to you tonight along with a copy of the application that Sue faxed over to me yesterday. Can you please keep us on your schedule for tomorrow? Please let me know ASAP due to the fact that we have three other sites scheduled around this one. If we are not able to do testing at the facility on Buckowens we will have to cancel all of our testing, so I need to know right away. Thank you! If you have any questions or concerns please feel free to give me a call at 559-Z77-9378 x 301Q Fax 559-Z77-4106 Monica Sy4LES - STRUCTIQ -SERVICE 96$8 W. J , SSE 101, F , C.~-. 93723