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HomeMy WebLinkAboutUNDERGROUND STORAGE TANK #2~ % ~~` 'I~ I r ' yT. ~ i l~l L. :~ ~ i ((UNDERGROUND STORAGE TANKS) FILi?,.#~'~~e. `!, DAY-N-NIGHT MARKET ', 355 CHESTER AVENlJE _~ ; Ivooloc __ ~r_____.._--t ~ - ,. .,,~~` - ~--- .~ ~, ~` ~~: ~\ :~ .~~ ,,. i ;~ ~, __ _ _ ---- - ~~s~y MONITORING SYSTEM CERTIFICATION For Use By A!1 Jurisdictions Within the State of California A:irhority Cite& Chapter 6 7, Health and Safety Code; Chapter 1 t5, Division 3, Title 23, California Code ofRegulations This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be oreaare for each monitoring system contr9l pTnel_ by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. General Information Facility Name: ~~f ~i t1s~~kT M(~~1C.~~'" Bldg. No.: Site Address: 3S~ C!~-~c,S'T~.,2 RLI~- City: ~A~[.EQS~T~I~ Zip: ~3~~ _ Facility Contact Person: Contact Phone No.: (~,,,J Make/Model. of Monitoring System: ~L ~~~~(~_._.- Date of Testing/Servicing: ~/~/~~ B. Inventory of IJquipment Tested/Certified INSPECTOR ON-SITE: NO NAME: ~~~,,~, t--~*~~-,,~D ('heck rhr annrnnriare hnYec rn indicate snrcific emrioment insoectedlserviced: Tanlc IU: 21/(~~~Z 8~ Tanlt lA : ~fZC,.rn~UtR Q '~` In-'tank Gauging Probe. Model:, IflftCal , ^~In-Tank Gauging Probe. Model: ('f1A C~ 1. ^ Annular Space or Vault Sensor. Model: ^ Annular Spaco or Vault Sensor. Model: ^ Piping Sump /Trench Sensor(s). Model: ^ Piping Sump /Trench Sensor(s). Model: ^ Fill St,rnp Sensor(s). Model: ^ Fill Sump Sensor(s). Model: ^ Mechanical Line Leak Detector. Model: ^ Mechanical Line Leak Detector. Model: ~ Electronic Line Leak Detector. Model: y~~~tY3T' ~ Electronic Line Leak Detector. Model: ~1F-f~r'L~~_ ^ Tank Overfill / High-level Sensor. Model: ^ Tank Overfill % High-Level Sensor. Model: ^ Other (s ecif e ui ment t e and model in Section E on Pa e 2 . ^ Other (s eci a ui ment a and model in Section E on Pa e 2 . Tank ID: Tank [A: ^ In-Tani< Gauging Probe. Model: ^ Jn-Tank Gauging Probe. Model: ^ Annular Space or Vault Sensor. Model: ^ Annular Space or Vaui[ Sensor. Modet: ^ Piping Sump/ Trench Sensor(s). Model: ^ Piping Sump /Trench Sensor(s). Model: ^ Fill Sump Sensor(s). Model: ^ Fill Sump Sensor(s). Model: ^ Mechrulical Line Leak Detector. Model: ^ Mechanical Lint: Leak Detector. Model: ^ Electronic Line Leak Detector. Model: ^ Electronic Line Leak Detector. Model: O Tank Overfill /High-Level Sensor. Model: O Tank Overfill /High-Level Sensor. Model: O Other (specify equipment type and model in Section E on Page 2). ^ Otlier (specify equipment pe and model in Section E on Page 2). Dispenser ID: i~o~ Dispenser ID: L2I Dispenser Containment Sensor(s). Model ^ Dispenser Containment Sensor(s). Model: $l-'Shear Valve(s). 'Shear Valve(s). is enser Containment Floats and Chain s). Dis enser Containment Floats and Chains . Dispenser !D: Dispenser ID: © Dispenser Containment Sensor{s). Model: ^ Dispenser Containment Sensor(s). Model: ^ Shear Valve(sj. ^ Shear Valve(s). ^ Dispenser Containment Floats} and Chain(s). ^Dis enser Containment Floats and Chains . Dispenser ID; Dispenser ID: ^ DispenserContainmenrSensor(s). Model: ^ DispenserContainment Sensor(s). Model: ^ Sonar Valve(s). ^ shear Valve(s). ^Dispenser Containment Float(s) and Chain(s). CJ Dis enser Containment Floats and Chain s). *If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. CertlflCtltiOri - 1 certify that the equipment identified in this document was ins}~ected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify ihatthis information is correct and a Plot Plnn showing the layout of monitoring equipment. For any equipment capable of generating such reports, 1 have also attached a copy ol'the report; (check att that apptyJ System set-up ti~larm history report Technician Name (print): S'CFL>~w ~ (~~' [~~ Signature: ~~`~ _ Certification No.: _Ao18~ 31 License. No.: ~a ~ l a ~ (r•~-_l.~T Testing Company Natne: RICH ENVIRONMENTAL Phone No.: ~ 661 } 392-8687 SiteAcldress: 3~~SN~~~rF'P ~~, t'~gy¢QS~,~ ClA Date of Testing/Servicing: 'S/1~/QZ~_ Page I of _r 03101 Monitoring System Certification l cis ~~ D. Resutts of Testing/Servicing SoRware Version Installed: 1 l.u •~ '~- Yesy ^ o~ !s the audible alarm o erational? Yes O ° Is the visual alarm operational? •1~Yes ^ ° Were all sensors visually ins eeted, functional) tested, and confin-ned o erational? Were all sensors installed at lowest point of secondary containment and positioned so that other equipment wi I I not interfere with their proper operation? ^ Yes ^ ° if alarms are relayed to a remote monitoring station, is atl communications equipment (e,g. modem) '~-N/A operational? ^ Yes ^ ° For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment '~-N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply} ^ Sump/Trerich Sensors; ^ Dispenser Containment Sensors. did you confirm positive shut-down due to leaks and sensor failure/disconnection? '~-Yes; ^ No. Q Yes O ° For tank systems that utiliae the monitoring system as the primary tank overfill warning device (i.e, no 'FAN/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating roperly? If so, at what arcent of Yank capaci does the alarm trigger? ^ es -{moo Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all re lacement arts in Section E, below. ^ es '®"No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ^ Aroducr ^ Water. if es, describe causes in Section E below. . {~` Yes ^ ° Was monitorin s stem ter-u reviewed to ensure ro er settin s?Attach set u re orts, if a livable z~Yes ^ ° Is all monitoring equipment operational per manufacturer's specifications? '~ In Section L below, describe how and when these det5ciencies were or will be corrected. - E. Comments: Page 2 of 3 0310f - - `~ S ~~ F. In-Tank Gauging /SIR Equipment: -~ Check this box if tank gauging is used only for inventory control. ^ Checl< this box if no tank gauging or S[R equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. 0- Yes ^ o Has all input wiring been inspected for proper entry and termination, including tasting for ground faults? ~ ^ Yes ^ o Were all tank gauging probes visually inspected for damage and residue buildup? ^ Yes ^ o Was accuracy of system product level readings tested? ^ Yes ^ o Was accuracy of system water level readings tested? ^ Yes ^ o Were all probes reinstalled properly? p Yes ^ o Were all items on the equipment manufacturer's maintenance checklist completed? >n the aecnon n, uelow, aescrlue now anu Wuen tnese uenclencles were ur wul ue currectcu. G. Line Leal< Detectors (LLD) Cmm~lete the (nllnwiuo rherklict• O Check this box if LLDs are not installed. -Yes O No' For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? ^ N/A (Check a/! Thal apply) Simulatod leak rate: ~3 g,p,h., ^ 0. 1 g.p.h , 0 0.2 g.p.h. Yes O o Were all LLDs confirmed operational and accurate within regulatory requirements? Yes Q o Was the testing apparatus properly calibrated? O Yes ^ o Fot• mechanical LLDs, does the LLD restrict product flow if it detects a leak? N/A ~ Yes ^ o For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ^ N/A ~- Yes ^ o For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled O N/A or disconnected? Yes O o For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions ^ N/A or fails a test? Yes ^ o For electronic LLDs, have all accessible wiring connections been visually inspected? ^ N/A 'Yes © o Were all items on the equipment manufacture>'slnaintenance checklist completed? n ......,~~„wl 11, vuvrr, uwtl luc uvn' 'slew rv11C11 UIC'JC uC11GenC1e5 Were Or WI11 De COr'reCIBQ. H. Comments: Page 3 of3 031Q1 /~ spy •Monitoring System CertffYcation Form: Addendum for Vacuum/Pressure Interstitial Sensors LG 163-1, Tnc. II I. Results of VacuumlPressure Nlotiltoring Equipment Testing • This page should be used to document testing and servicing of vacuum tu2~ ptessure interstitial sensors. A copy of this form must be included with the Monitoring 'System Cerification Form, which must be'•pxovided rto the tank system ownerloperator. The owner/operator must submit a copy of the Monitoring System Certification Form to the local agency regulating UST systems within 30 days of test date. Model: System Type: Pressure; ^ Vacuum Manufacturer: Sensor ID • Component(i) Monitored by this Sensor: Sensor punctionality Test Result: ^ Pass; ^ Fail Intrsstitiai Communication Test RCSUIC ^ Pass; ^ Fail Component(s) Monitored by this Sensor: ' ' Sensor Functionality Test Result: II Pass;' ~ ^ Fail Iatetst9tial Comm~~uicatioa Test Result: ^ Pass; ^ Fait• Component{s).Monitored by tills Sensor: Sensor Functionality Test Result: ^ P ass; •~ Fail Interstitial Communication Test Result: ^ Pass; ^ Fail Component(s) Monitored by this Sensor: SensorFunctionaiity Test Result: ^ Pass; ^ Fail Tnteastitial ~,,,mt,;;;~ANnn Test Result: [] Pass; ^ Fail ' 'Component{s) Monitored by this Sensor: • Sensor Functionality Test ResulC ~] Pass; ^ Fai! Interstitial Communication Test Resuli: ^ Pass; ^ Fail Component(s) Monitored by thir.Sensbr: ' Sensor Functionality Test Result: ^ Pass; ^ Fail Interstitial Communication Test lZesult: ^ Pass; ^ Fail Component(s) Monitored by•this Sensor: • Sensor Functionality Test Result: ^ Pass; ^ Fail Interstit9al Communication Test Result: ^ Pass; ^ Fail Component(s) Mottltored by this Sensor: SensorFucu;tionallty Test Result: ^ Pass; f ] Fail TntGrstitial Comna~utieation7est Result: f] Pass; ^ Fall Component(s) Monitored by this Sensor: S~,sor Functionality Test Result: ~} Pass; ^ FaiJ •' Interstitial Co*+•~*n~~n+eatiou Test Result: ^ Pass; ^ Fail Cgmponent(s) Monitored by this Sensor: • ' ' Sensor Functionality Test Result: f ]Pass; [~ Fai] Interstii3al Couintutucation Test Result: ^ Pass; ,^ Fail How was Interrtltfal commwnication veriFied? .^ LeakTntroduced~atFarEndofIntu•s8tialSpace;° [] Gauge; ^ Vis~alInspection; ,^ Othcr(DescribeinSec.J,below) Vacuum was restored to operating levels in a!i interrtitial rpacer: ^ yes, ^ No {;f'no, describe in Sec. ! belawJ J'. Comments: __ NOtJ ~. o~ -n+~ ~~.N~~.s •• ~3-~ Page of ~ If ti1C SCIISOr Saeeessfuliy detects a simulated. vacuumlpressure leak introduced in the intesatitial space at tho furthest point from the sensor, vacuum/pressure has bees desaonsflratcd to be Conuuunicating throughout the iatnt•Bt1Ce, ~S~~, Monitoring System Certification UST Monitoring Site Plan Site Address: 3S5 CN~~~2 fli )~ ~~F.~~~F3~i [l 4 C'A _ ~? ~j~ y -vA ~.~. X ---------------------------~-- ------ - ~.,t"SP~s-~_~~o?~--- -------------------------- - ------- -- f~=Ec.oFtT ~ ~atiA-z.N - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ -~ ~ ~~ Q2 - - - - - - - - - - - - - - - - - - - - - - - - - ~ - - - - - - - - -------------- --- ------------------------------- c --- ---- -------- --------- ~..~.~.~- -L.--~ --------- - --------------=--- ---==---- ~~~~~'~'~"at --------- - -- - ----------- - - ~ -- -~- --M - -_------_ Date map was drawn: S / I ~/~ Ins'~uctions If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used for leak detection}. In the space provided, note the date this Site Plan was prepared. Page of os-oo 1~5q~ 5643 B~i.OQ~S ~°P 8;~1C~8S1+'X~LD,~A,.933O8 a~'Pxca~ (ssa.} 392-s687 & g,~c (6s1) 39~•-062x. MECFL~'h*'~CAT• ZF~7t II~'1"~~''C'TDR ~'~~''gT in1U '~R ~~~x~m W/O~a Fac;l.l.ity Aadx`~r3s ; 35~ CNEs~-.2 R~'~.~A~c.~~Fs~~ , CA• ~33~D'~ Pro~:lue>: z,~.t1e Type ressixre &uak:lozt, c3~•av~,t:y) PR(:IZ3UCT L~A.K D~TECTOk~ `I'~?,p~ TL"ST TRxP PA88i s~~ix,~z, zaura~~R a~~,ow Psz oa T,/A TYPZ; II~EIZf~f~T' X'Ts •i!•9 g 3EZ2I•AI, # ~iO ~ F.AIL~ Q t L/~ TYPE U~FArr~ . tt ' E O ;J ' ` I f Dlr~1?C {-EC sR12TAL # N ~ FATL L/1] `YY'PE-__`....~,~,-....;, Y83 PASS S}ZI2TAL #_. -~ PTO BAIL @~>:~Z~ #~.._-~.,,,, ,NO BAIL; Z ::ertify t}ze abo»F: teats were cdnducted on tkzis date accoxding ~o .Red, ,:taa&ei kum}~a fa.c1+9 Cest a,pzar~xaL-uS testing Px'oceduxe an limitatiane, Tka,_~ Mechan.ica]. Leak Detectox Test pass / Pail is fl~termined, by using a lour flow thresho).d trip rate of 3 gal~.om pex kzaux or less at 10 I~SI. Z .5icknawledge L-l~at a, ). Z. data r_olleet®d ie .true azzd aoxraeA to tkie laaet of ri•}~ knowledge. Tech : ~,j,-~..~~ Data : ~1 ~~ ~~ T- p•. C .. ~~s~y SWRCB, January 2006 Spill Bucket Vesting Report Form Phis form is intended for use by contractors performing annual testing of (IS`T spill containment structures ~T7te completed form aril printoutsfrom.tests (if applicable), should be provided to thejacility:owner/aperatorfor submittal to the !Dent regulatory agency. 1. FACILITY IlVFORMATIOIV ~`. Facility Name: ~(~ N Z ; - H Date of TGS~ng: ~ fA'~ Facility Address: CN'"' s . ~ 3~m Facility Contact: Phone: Date Local Agency Was Notified of Trsting : ~- Name of Local AgenayTnspxtor (ifpresent during testing: S'T~V ~s T'G+CTTA7!'~. /"~PII~T'Y`ri ,- /'+Tl1D TI~TT.l17?M A'f`Tl1~T Company Name: Z N sit 'T"A ~- ~ • .Technician Gbnducting Test: ~~j ~ . Credentlalsi: CSLB Contractor,. SWRiCB Tank Tester. Other (S~ieci License Number(s): t.J.T . CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING TFIIS TESTIIYG !hereby certify that all the lnjormation contained in this report is true, accurate; and !n full compliance with legal requirements Technician's Signature:1 . DStG: ~ ~ ~ ~ I ~~ ~ State laws and rcgulsdons do not currently require testing to bo performed by a qualified eotstr&CteT. l;Iowevcr, local rrt~uiresneate maybe mor0 Sttingcnt. ' c.: ornmetltS - (tnclude information on repairs made prior to testing, and recommended follow-up for failed tests) • :ESSURE L JIVE i.EAK SETUP I:REG PE TYPE; STEEL NE LEfVGTH: 40 FEET IUTDOWN RATE: 3.0 GPH INK: NONE IUSOR : NON-VEfVTED 2:PLUS PE TYPE :' STEEL NE LENGTH: 40 FEET UTDOWN RATE: 3,0 GpH NK : NOrVE NSOR: NON-VENTED AR1~1 H I STORY REPORT ._~ IN-TANK ALARM ----- i:REG ETUP DATA WARNING CT 26. 2006 9:16 AM IIGH PRODUCT ALARhi ICT 26. 2006 9:I6 AN1 ~]ELiVERY NEEDED o4 AM LIAR 31 . 2007 8 FEH ~6' ?007 5:45 PM JAN 9. ~M HISTORY REPORT - I N-TANK ALARI°1 ----- :PLUS PRODUCT ALARM 28. 2007 10:55 PM I VERY N]~EDED 12. 2007 2:17 PM SYSTEM 6;ETUP MAY 14. 2007 11:24 AM SYSTEM UNITS U.S. SYSTEI°1 LANGUAGE ENGLISH SYSTEM DATE/TIh1E FORMAT MON DU YYYY HH : M1~1: SS xM DAY AND NIGHT i°1KT 355 CHESTER AVE BAKERSFIELD CA SHIFT 7' I h1E l : D I SABLED SHIFT T I ME 2 U I SABI.ED SHIFT TIME 3 DISABLED SHIFT TIME 4 DISABLED TANK PERIODIC WARNINGS DISABLED TANK ANNUAL WARNINGS UTSAHLED LINE PERIODIC WARNINGS DISABLED LINE ANNUAL WARNINGS DISABLED PRINT TC VOLUhIE~ ENABLED TEMP COMPENSATION VHLUE (DEG F 7: 60.0 STICK HEIGHT OFFSET DISABLED PRECISION TEST DURATION HOURS: 12 DAYL I CdHT SAV I IVG T I ME ENABLED START DATE AAR WEEK 1 SUN START TIME 2:00 AM END DATE OCT WEEK b SUN END TIME 2:00 AM SYSTEM SECURITY CODE : 000000 IN-TANK SETUP -_,, _-- T 1:REG PRODUr.T CODE i THERMAL COEFF :.000700 TANK D I AI.IETER 95.00 TANK PROFILE 1 PT FULL VOL 995b CAFO CONDUCTIVE BOOT:yES WATER WARNING HIGH WATER LIMIT: 2.0 3,0 h1AX OR LABEL VOL: OVERFILL LIMIT 9950 g0; HIGH PRODUC'T' • 8955 55i DELIVERY LIMIT 9452 l0i • 995 LEAKP~}LARMTLIMIT: 5g9 SUDDEN LOSS LIMIT: 5p ,lap Vf7Lw7lGR nva. BAKERSFIELD CA I°lAY 14, 2007 11 :26 AM PRESSURE LINE LEAK TEST RESULTS C4 1 : REG 3.0 GALiHR RESULTS: LAST TEST: MAY 14.2007 11:0]AM PASS NUh1BER OF TESTS PASSED PREY 24 HOURS 56 SINCE MIDNIGHT ll 0.20 GALiHR RESULTS: NO 0.20 DATA AVAILABLE 0.10 GALiHR RESULTS: N4 O.10 DATA AVAILABLE G 2 :PLUS '._ 3.0 GALiHR RESULTS: LAST TEST: MAY 14.2007 10:53AM PASS NUMBER OF TESTS PASSED PREY 24 HOURS 15 SINGE MIDNIGHT : 1 0.20 GALiHR RESULTS: NO 0.20 DATA AVAILABLE 0,10 GAL: HR RESULTS: NO 0,10 DATA AVAILABLE ALARM HISTORY REPORT ----= SENSOR ALARM ----- 0 1:REG PLLD SHUTDOWN ALARM hiAY l4. 2007 10:4? AM GROSS LINE FAIL MAY 14. 2007 10:47 RM PLLD SHUTDOWN ALARM MAY 13. 2007 9:44 Phi COMMUNICATIONS SETUP PORT SETTINGS: NONE FOUND RS-232 SECURITY CODE 000000 RS-232 END OF MESSAGE n ~ ~n ni vn HAKERSF I EI.D` G~ s < L~ MAY 14. 2007 11:26 AN. LEAK TEST REPORT T 1:REG PROBE SERIAL Nlll~f 1021 TEST STARTING TIME: MAY 6. 2007 2:00 AI.1 HEIGHT = 52.3 JfVC WATER 0.0 INCi TEriP = 75.1 F TEST LENGTH = 2,0 I STRT VOLUME = 5554.4 PERCENT VOLUME 55, LEAK TEST RESULTS 0.20 GALiHR TEST IIVVL LEAK TEST T00 SHORT SEG 1 DELIVERY h1IX EF SEG 2 DELIVERY M1X Eli SEG 3 DF.LlVERY MIX Eh *~**~END*~*~ DAY APJU NIGHT I°1KT~ 355 CHESTER AVE BAKERSFIELD CA h1AY 14. 2007 11 :26 Ahl LEAK TEST REPORT T 2:PLUS PROBE SERIAL. NUM 1025'e TEST STARTING TIME: MAY 6. 2007 2:00 AM HEIGHT 43.1 INCF WATER 0.0 iNCh TEMP 75.3 F TEST LENGTH = 2.0 h STRT VOLUME 4339.7 G PERCENT VOLUME 43. LEAK TEST RESULTS 0.20 GALiHR TEST INVL I LEAK TEST TOO SHORT ,aEG 1 DELIVERY MIX ER SEG 2 DELIVERY MIX ER SEG 1 TEST MIX ERROR ~ * * * ~ EIVD * * ~ ~ ALARM HISTORY F.EPORT -- SENSOR ALARM --- +a 2:PLUS PLLD SHUTDOWN ALARM MAY 14, 2007 10:42 AM GROSS LINE FAIL MAY 14. 2007 10:42 AM HIGH PRESSURE WARN /~s~y MONITOR CERT: FAILURE REPORT SITE NAME• p~Y II N~C 2r-( i' M ~~iLSC'~ DATE: ~ 1 1~ ~,~~- ADDRESS• 3S~ CH~ST~ Q Av~ • TECHNICIAN: ~T'E-iJ~J ~l~bZT THE FOLLOWING COMPONENTS WERE REPLACED/REPAIRED TO TESTING. REPAIRS; Np t~ ~, LABOR: N ©N ~. PARTS'INTALLED: NON NAME:. TITLE: THE ABOVE NAMED PERSON TAKES FULL RESPONSIBILITY OF NOTIFYING THE APPROPRIATE PARTY TO HAVE CORRECIxVE ACTION TAKEN TO REPAIR THE ABOVE LISTED PROBLEMS AND NOTIFYING RICH ENVIItONMANTAL FOR ANY NEEDED RETESTING. THIS ALSO RELEASES RICH ENVIItONMENTAL OF ANY FINES OR PENALTIES OCCURING FROM NON-COMPLIANCE. A COPY OF TffiS DOCUMENT HAS BEEN LEFT ON SITE FOR YOUR CONVIENENCE. ~~s~y UNDERGROUND STORAGE TANKS ,~. APPLICATION TO PERFORM ELD /LINE TESTING ! S8988 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION BAKER3FIELD FIRE DEPT. f~R~ Prevention Services ~e~err r 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 ~"C~ Tel.: (661) 326-3979 ~-~ Fax: (661) 852-21'71 PaOe 10(1 ~^~ !~ „ . ly.J(~ PERMIT NO. ~ 1 G ^ ENHANCED LEAK DETECTION ^ LINE TES`T~(>^i..--- _ ^ SB-989 SECONDARY CONTAINMENT TESTING 111 r-i ~T~'- r~~1 FACILITY NAME 8 PHONE NUM ER OF CONTACT PERSON ADDRESS 1. - .. ,l ~J OWNERS NAME OPERATORS NAME PERMIT TO OPERATE NO. NUMBER OF TANKS TO eE TESTED P I T T T 7 d ' ^ TANK:TESTING COMPANY .,.. . NAME OF ST1N COMP, NY ~ NAME & PHONE NUM ~ OF~ NTACT PERSON ~ C MAILING AD ~ 53 ~ ~ ~ ~ ~ 3 NAME 8 PHONE NUMBER OF TESTER OR ECIAL INSPECTOR CERTIFICATION #. DATE & TIME TE TO BE CONDUCTED -~ -o~ ~ oa ~~ ICC #: 5 a-cp ! a~P TEST METHOD SIGNATURE OF APPLICANT ~ DATE ,_U APPROVED BY DATE FD 2095 (Rev. 09105) l~S`~~/ BILLING 8~ PERMIT STATEMENT ~'IRd PERMIT NO.: AAA// T B,A.KERSFIELD FIRE DEPT. Pxevention Services gpp'IYuxtun Avenue, Suite 210 13akerst'ield, CA 93301 - LOCATION OF PROJECT ~ t , I` 4 ,~ / ( • - PROPERTY OWNEA . ~~ ^ STARTWG DATE ~- / ~~~~ET~ 1 ~' I 6 ~~~ _ ~ PROJECT NAME n/~ fl r I _ MORESS PHONE N0. a-~a O PROJECT ADDRESS 355 c~s~e. r ClrY (~ STATE ~ ~ zIP CODE ~ ~~ CONTRACTOR • CA LICENSE N0. ' .• .' . TYPE Of LICENSE EXPIRATION DATE PHONE N0. CONTRACTOR COMPANY NAME ,/ l PAX N0. ADDRESS ~ ~ CnY ZIP CODE ~ ~~~ ^ lmum Char e) & Modific ti n Ml N Af $262 50 ~ • f • ~ g n ew a o s - ( arms - . 98 FL Over 20 000 S S FL x 013125 = Permit feA ~ ^ , q. q. . 98 O Sprinklers -New & Modfcations - (Mlnlmum Char e) $210 00 ~ g . 98 ^ Over 5 000 S FL FL x 042 = Permit fee S ~ , q. q. . sa ^ Minor Sprinkler Modifications (< 10 heads) $ 93 00 [Inspection Only) ~ . 98 ^ Commercial Hoods -New 8 Modifications $ 39826 ~ • 98 ^ Addltlona/ Hoods 00 33ti ~ . 9a ^ Spray Booths -New & Modifications $458 00 ~ . 98 ~ Aboveground Storage Tanks (Installation/Insp: 1° Time) $165.00 82 ^ Addit/ona! Tanks $ 26.00 82 ^ Aboveground Storage Tanks (Removat/Inspection) $109.00 82 ^ Underground Storage Tanks {InstallationJlnspec~Ion) $878.00 (perlank) 82 ^ Underground Storage Tanks (Mod'rfication) $878.00 (persite) 82 ^ Underground Storage Tanks (Minor Modification) $155.00 82 ^ Underground Storage Tanks (Removal] $&75.00 (pertank) 84 ^ Oifwefl (Installation) ~- $ 72.00 84 Mandated Leak Detection (Testing I Fuel Monit. Ce . $ 81.00 (per site) 82 ^ Tents - ` ~~~ $ 93.00 (per tenQ 84 ^ AfierhoursinspecSon fse $122.00 84 ^ Pyrotechnic - (Per event, Plus Insp. Fee ~ $90 per hour) $ 80.00 + (5 hrs. mtn. stand -by fee AnspecSon) _ $510.00 84 !a RE-1NSPECTION(SJ /FOLLOW-UP INSPECTION(S) $ 93.00 (per hour) 84 ^ Portable lPG (Propane): NO.OF CAGES? $ r~.pp 84 ^ Explosive Storage $249.00 B4 ^ Copying 8 Ffle 12esearCh {File Research Fee $33.00 per hr) 25¢ per page ' 84 ^ Miscellaneous ~ 84 ~ - oatclraAL WNlTE (to 7reaaury) ~-YELLOW (to Flle) FD 2021 (Rev. 09/05) 1-ptNK (to Customer} SESSIONS 9521 W. Fritz Lane Bakersfield, CA 93307 ' (661) 833-9501 Fag (661) 396-0569 License #844326/ Haz November 15, 2006 Day & Night Market 355 Chester Avenue Bakersfield, CA 93301 Attn: Mr: Chicol Shin Re: Day & Night Mazket 355 Chester Avenue Bakersfield, CA 93301 An impressed-current cathodic protection system .was installed at this location on November 16, 1998. It was tested on September 5, 2006 by Farwest Corrosion Control Co. and did not pass. A new system was installed on November 14, 2006 and is comprised of four, three-inch diameter by sixty-inch long graphite anodes, Asbury 218E recazburized backfill material, as well as miscellaneous electrical fittings. The system was retested with these results. On Off East Tank -1017mv -287mv West Tank -1077mv -287mv Rectifier Settings and Output Output Volts D.C. 22 Amps 2.0 Setting Coarse B Fine 4 'The above structure-to-soil potentials were measured with a digital voltmeter connected between the underground storage tanks and a saturated copper- copper sulfate reference electrode in direct contact with the earth. Structure-to-soil potential measurements for each tank exceed the recognized NACE International criteria of -850 millivolts and 300 my shift for full cathodic protection. This system is operating as designed and the structures are receiving the required protective current. This survey was conducted in accordance with the procedures described in the NACE International Standard Recommended Practice RP0285-95, Corrosion Control of Underground Storage Tank Systems by Cathodic Protection and American Petroleum Institute (API) Recommended Practice 1632, Cathodic Protection of Underground Petroleum Storage Tanks and Piping Systems. Thank you for the opportunity to assist you in this phase of your corrosion mitigation program. Should you have any questions or concerns please do not hesitate to contact us at any time. Respectfully, A ~1 Juriana Sessions Professional Engineer: Robert Paul, P.E. Address: 2243 Aspen Mirror Way, Ste. 204, Laughlin, NV 89029 Signature: `' Registered Professional Engineer No. Corrosion 111 ~ <~~~";~r Expiration Date: 3/31/2008 ~ P,~o© c' -~ ~.. ('~.' ~ No. 111 ' ~' ~ i ~t,~ ~ r,, q~E OF' G[1~"~/i' B E R S F I D F/ICE ~RrM r RONALD j. FRAZE FIRE CHIEF Gary Hutton, Senior Deputy Chief Administration 326-3650 Deputy Chief Dean Clason Operations/Training 326-3652 Deputy Chief Kirk Blair Fire Safety/Prevention Services 326-3653 2101 "H" Street Bakersfield, CA 93301 OFFICE: (661) 326-3941 FAX: (661) 852-2170 RALPH E. HUEY, DIRECTOR PREVENTION SERVICES FIRE SAFETY SERVICES • ENVIRONMENTAL SERVICES 900 Truxtun Avenue, Suite 210 Bakersfield, CA 93301 OFFICE: (661) 326-3979 FAX: (661) 852-2171 David Weirather Fire Plans Examiner 326-3706 Howard H. Wines, III Hazardous Materials Specialist 326-3649 October 5, 2006 Chi C. Shin Day-N-Night Market 355 Chester Avenue Bakersfield, CA 93301 NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE Re: Failed Cathodic Protection Test and 30 Dav Extension For Repairs Dear Mr. Shin: Per our telephone conversation on Friday, September 18, 2006, this gffice has agreed to give you a 30 day extension for necessary repairs to your cathodic protection system. It is further understood that by November 1, 2006 you will have pulled a permit and secured a licensed, qualified N.A.C.E. Certified Engineer to design a cathodic protection system. At the time of your first Notiee of Violation, as a courtesy, ,this office provided you with a list of certified N.A.C.E. engineers who could design a cathodic protection system for you. To avoid further enforcement action, which could include ', revocation of your Permit to Operate; you musf have a permit pulled and a time table for completion by November 1, 2006. Should you have any additional questions, please feel free to call me at 661 - 326-3190. Sincerely, RALPH E. HUEY, DIRECTOR OF PREVENTION SERVICES ~ ~'': ~~ By: Steve Underwood, Fire Prevention Officer REH/SU/db 3500 GILMORE AVENIIE_ _ BAKERSFIELD, CA 93308,6206_ - 661-327-9341 FAX: 661-325-2529. = Cont. Lic. #784170 A HAZ - Bakersfield-Fire Department - - - - - - Environmental Services - -- - 900 Truxturi-Ave. Ste. 210 ~ .. _ - Bakersfield; Ca._93301_ - _ ~ - --- Attn: Steve Underwood-- -- -- - ~-- _ --- - =---~- -- - :_ This report pertains to the work performed at Day & Night Market located at 355 Chester Ave: Bakersfield, Ca. - - I performed cathodic protection testing at this location. and determined that the system- potential requirements for Impressed Current Cathodic Protection have not been met.. - The po-tential readings for the product Fines and the South- end of the 91 UL tank failed to=meet the_minimurn requirements for Impressed Current Cathodic Protection taken in accordance with the minimum standards of the National Association of Corrosion Engineers: - Sincerely ---- ~ - - ~c Hinsley _~ - - - rr ~,a \1, B F/RE A~ T RONALD J. FRAZE FIRE CHIEF Gary Hutton, Senior Deputy Chief Administration 326-3650 Deputy Chief Dean Clason Operations/Training 326-3652 Deputy Chief Kirk Blair Fire Safety/Prevention Services 326-3653 2101 "H" Street Bakersfield, CA 93301 OFFICE: (661) 326-3941 FAX: (661) 852-2170 RALPH E. HUEY, DIRECTOR PREVENTION SERVICES FIRE SAFETY SERVICES • ENVIRONMENTAL SERVICES 900 Truxtun Avenue, Suite 210 Bakersfield, CA 93301 OFFICE: (661) 326-3979 FAX: (661) 852-2171 David Weirather Fire Pians Examiner 326-3706 Howard H. Wines, III Hazardous Materials Specialist 326-3649 August 24, 2006 Chi C. Shin Day & Night Market 355 Chester Avenue Bakersfield, CA 93301 Re: Failed Cathodic Protection Test NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE Dear Chi C. Shin: On July 24, 2006, this office witnessed a required three year cathodic protection certification of your underground storage system. During that-test, your cathodic protection did not pass the minimum potential requirements necessary to protect your tanks from corrosion. Accordingly, you must have your cathodic protection system repaired to meet current code requirements. You, therefore, are required to have a certified corrosion specialist that is certified (N.A.C.E'.) to initiate and repair your system. Currently, your system is not working and is not protecting your tanks and piping from corrosion. Enclosed, please find a list of corrosion specialists who are certified to do the repair work. Your cathodic protection system is part of your leak detection system and is a condition of your Permit to Operate. Therefore, prior to September 24, 2006, you must have your system repaired and re-tested. Failure to comply will result in revocation of your Permit to Operation. Should you have any questions, please feel free to call .meat 661 - 326-3190. Sincerely, RALPH E. HU Y, DIRECTOR OF PREVENTION SERVICES i ~~~~~ By: Steve Underwood, Fire Prevention Officer REH/SU/db Enclosure Jl `~ F FARWEST ~w~ CORROSION ~~ww ~ e - CONTROL _ , T= COMPANY ConiractorY License p248232 Counosion COntROL ©~ ~ PuoaacEs © Company Wayne Newlen Western Region Sales i 4114 Armour Ave. Bakersfield, CA 93308 ~, TelepAone 661.323.2077 Mobile 661.979.6109 Fax 661.323.2647 Email wnewlenC~farwst.com www.farwestcorrosi on.com ~~~~~~1~s~~1~~~8~~~ ~~~~~~~q ~1.~ ~. T. CONUTE ARAGON Pf;toipe (3140 634-499 - ~A~ (314D) 634-131 CA. STATE LIC. NO. C10-684718 UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING / SB989 SECONDARY CONTAINMENT TESTING (TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT NO. T~~' ` ~ 9 D ~~~t ARl~ f 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 ^ ENHANCED LEAK DETECTION ^ LINE TESTING ^ SB-989 SECONDARY CONTAINMENT TESTING ^ TANKTIGHTNESS TEST ^ TO PERFORM FUEL MONITORING CERTIFICATION ~ CW`boGC+'C hv'ol,ccnb-~ tel~i'-~. SITE INFORMATION FACILITY Day & Night Market NAME & PHONE NUMBER OF CONTACT PERSON ADDRESS 355 Chester Ave. OWNERS NAME Same OPERATORS NAME Same PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED 1S 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 BI'UC@ W. Hinsley . 661-327-9341 CERTIFICATION #: DATE 8 TIME TEST TO BE CONDUCTED .JUIy 24, 2006 12:00 ICC #: SIGNATURE OF APPLIC T ~_~~ DATE July 20, 2006 APPROVED BY DATE "`~ FD 2095 (Rev. 09/05) 04!12!2006 10:20 6618363177 REb>niINE TESTING S'~CS ;;: UND~GROUND S'T'ORAGE TANKS ~'i:• r~Tlp~~ aG g~'"'~(r~~W ASN9:!.Y1Y11_F.r•-1T. '1~71.'!+`a.~~T: SpRsetlg :~l y:c ~~ t DESIGNATED (UST) C3PERA'TOR FJ1R~'i AND UNDERSTANDING OF AND COMFi..IANDE WIi"H a`F tJST REQUwREAIIENTS ~,~~ PAGE 02!02 g~gERSFILLD FIRE DEPT p)reveatian Se>rvviitc~es 90Q '1'zuxtun Ave., Ste. 2 ].0 Bakersfield, C,A 933Q1 Tel.: (661y 3~6-3979 Fax: (651) $52-2],7.1 :FAG1LTf`Y!lAhl{E::,-~-~y- .. tASr.' • -.. •Fi~lirt~i~i~:; _ _ ; .. -~--=~ a ~ ,_ .~. ' ~} . 'FAGIL•IT't'lk'~i~I~S`$: ~~": 't~Y° `~~.t)'W. . 1t1~ ~ ~ ~tlti~;'ForiYl' ` -. - ~ ~c~;;era~ ms~y:. n" S1.t6in •,4~~o tOt; ~ - ' -,: . ~, t- '~~ ... .., ' _ rr,, }' ~~E~ .,;.: , tshati .bf t~gignat~ii ~lptsrdtt`1P ' ? !~ ','; . o ~. a o ~ e' ~fic 0n a ' _ ~.. ;~ ~ ~. Jipir nPa r C ti: i~e a - CJ •~,~n DESiGNA7~D UST pPERATOR(S~ FCIRTHI5 FACtLfTY . Designated OperaUOra Name: ~~M~ j_ _ ~ ~7J. Relation to UST Fadltty: (Cheata~e) l 131slrress Name (Mditferentfrom aCove): R ~ W1~l. `.~' ar~lC~~ C ~ _ _ oy~ i~ Ovmer i~ Operator ^ EmP xL 5en~lte 79chnirian }!4, Thrtl PeA~I Designated Operators Phone ~: ~lo{" ~ 2 ~ (oq 9~ - - Intemafional Code Cpur~sAl Cmstiticaron #: ,',5~ t{ ~ ~ - Fatpbation Data: ~ a ~ t ~ ~ ~ (~ ALTERNA'f~ 1 (Dptlonaq Designated ORerator's Name: ~ ~~ ~. 1 ltrnt~ Reiatlon to U5T FaCil7ty: (check one) fipm above): 9t15ine93 tJeMe (ff dlRbrent ^ Oovnet Cl Operator iceT hMCian T R4 S ^ ~ Employee TTiMParty l R~d~tntG.~e -h4 Se_rvtc.e~ ~~t1- r e ec , Oesignatetl Operators Phone ~: (p _ ~ _ ~~ hltemaliorral Code GouncB CertiflcaGoo ~: ~a ygat~q ~ t~G Expiration Date: ~ _ 1 ~ 8 b ALTERNATE 2 (Oplionall . , - -- De$tpnaEed Operators Name; Refatian to UST FaGn1Y. (check cxrel . Dl Owner ^ 01>aratar ^ Employee 8uslness Name (tf pritferenf 11'Om abov8)r ^ ServiGg Tethtiician ^ Third Parly DQ,algnAte6 Operator's Phono ;k Irnematbnal Code {Al1rlCil CeniFCall4n #: F-xpfrat'bri DBtB: NOTES TtlE LOCAL REGULATORY AGENCY MUST 6E NOTIFIED OF /IN~Y CHANGE.-~.., TO TMIS INFORMAiTON WITHIN 3tl BAYS QF THE CHANtsE. F/RE ARfM RONALD J. FRAZE FIRE CHIEF Gary Hutton, Senior Deputy Chief Administration 326-3650 Deputy Chief Dean Clason Operations/Training 326-3652 Deputy Chief Kirk Blair Fire Safety/Prevention Services 326-3653 2101 "H" Street Bakersfield, CA 93301 OFFICE: (661) 326-3941 FAX: (661) 852-2170 RALPH E. HUEY, DIRECTOR PREVENTION SERVICES flRE SAFETY SERVICES • ENVIRONMENTAL SERVICES 900 Truxtun Avenue, Suite 210 Bakersfield, CA 93301 OFFICE: (661) 326-3979 FAX: (661) 852-2171 David Weirather Fire Plans Examiner 326-3706 Howard H. Wines, III Hazardous Materials Specialist 326-3649 May 15, 2006 Chi C Sin Day-N-Nite Market 355 Chester Avenue Bakersfield, CA 93304 I~MINDER NOTICE Re: Deadline for Three .Fear Cathodic Protection Certification Dear Chi C Sin: Our records indicate that yolar` three year cathodic protection certification is due on 07-25-06. This test is part i~f your leak detection system as stated in Section 2635 2(a) of the California Code C1~ ~2egulations, Title 23, Division 3, Chapter 16 Underground Tank Regulatit~fls. Please make every effort to Rave this completed by the above-mentioned date. Failure to comply may result in further enforcement action. Should you have any questlt~tts, please feel free to call me at 661-326-3190. Sincerely, Ralph E. Huey, Director of Prevention Services 1 z By: Steve Underwood, Fire Prevention Officer REH/SU/db