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VIKING FREIGHT 6100 DISTRICT BLVD. _ _ .; Jti FEDEX FREIGHT WEST SiteID: 015-021-000870 Manager CHRIS SEMANOVICH BusPhone: (661) 837-0995 Location: 6100 DISTRICT BLVD Map 103 CommHaz Extreme City BAKERSFIELD Grid: 29B FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code:4231 DunnBrad:15-385-6562 Emergency Contact / Title Emergency Contact / Title SCOTT BIS HOP / SAFETY DIRECTOR CHRIS SEMANOVICH / T ERMINAL MGR Business Phone: (408) 268-9600x Business Phone: (661) 837-0995x _ 24-Hour Phone (800) 845-4647x 24-Hour Phone (800) 587-4647x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact CHONG LEE Phone: (408) 268-9600x MailAddr: 6411 GUADALUPE MINES RD 2185 State: CA City SAN JOSE Zip 95120 Owner FEDEX Phone: (408) 323-4561x Address 6411 GUADALUPE MINES RD 2185 State: CA City SAN JOSE Zip 95120 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK PROG U - UST ENT'D J U ~: 2 ~ X007 Cased on my ino,uiry of those individuals nsible #or obtaining the information, I certi#y respo under penalty of law that I have personally mined and am familiar with the information oxa . submitted and believe the information is true, accur~':.- and complete. ~q 'ynature Date -1- 07/11/2007 F FEDEX FREIGHT WEST SiteID: 015-021-000870 ~ STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: FEDEX FREIGHT WEST Cross Street Business Type: Org Type: Total Tanks 1 IndnRes/Trust: No PA Contact: Dsg Own/Oper CAL VALLEY ICC Nbr: 1064437-UC PROPERTY OWNER INFORMATION Name CHRIS SEMANOVICH Phone: (661) 837-0995x Address: City State: Zip: Type TANK OWNER INFORMATION Name CHRIS SEMANOVICH Phone: (661) 837-0995x Address: City State: Zip: Type BOE UST Fee# 010318 Financ'1 Resp: STATE FUND & CFO LETTER Legal Notif Tank Owner Mailing Address Date:04/06/2000 Phone: (240) 845-61 x Name:CHONG LEE Ttl:SUPERVISOR ENVIRON. OPERATIONS State UST # 1998 Upg Cert#: 00785 -2- 07/11/2007 F FEDEX FREIGHT WEST SiteID: 015-021-000870 ~ ~ 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 L 550.00 GAL Hi DETERGENTS DH S 4800.00 LBS Mod DIESEL FUEL F IH DH L 12000.00 GAL Low WASTE MOTOR OIL F DH L 550.00 GAL Low GEAR OIL F DH L 110.00 GAL Low TRANSMISSION FLUID F DH L 110.00 GAL Low ANTIFREEZE F DH L 100.00 GAL Low WASTE ANTIFREEZE F DH L 75.00 GAL Low MOTOR OIL F DH L 550.00 GAL Min -3- 07/11/2007 -4- 07/11/2007 F FEDEX FREIGHT WEST ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME PROPANE Location within this Facility Unit SE CRNR OF PROP STATE TYPE PRESSURE _ Liquid TPure Above Ambient SiteID: 015-021-000870 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 74-98-6 TEMPERATURE CONTAINER TYPE Ambient FIXED PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 550.00 GAL 550.00 GAL 300.00 GAL - ru~~ARDOUS COMPONENTS %Wt. RS CAS# 100.00 Propane Yes 74986 t~~xtcL y.~a~~~ri~ivl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0007 COMMON NAME / CHEMICAL NAME DETERGENTS Location within this Facility Unit TRUCK MAINT SHOP STATE TYPE PRESSURE Solid TMixtur~mbient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7681-52-9 TEMPERATURE CONTAINER TYPE Ambient BOX AMOUNTS AT THIS LOCATION Largest C4800100rLBS Daily4800100m LBS I Daily4000r00e LBS titaatitcLVUa 1.V1~lYV1V~1V 15 %Wt. RS CAS# 35.00 Sodium Hydroxide No 1310732 10.00 Tetrasodium Pyrophosphate No 7722885 IIHGKKL H.7 .7L~J.7P7r,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Mod -5- 07/11/2007 F FEDEX FREIGHT WEST SiteID: 015-021-000870 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DIESEL FUEL Days On Site 365 Location within this Facility Unit Map: Grid: UST FUEL ISLAND CAS# 68476-34-6 Liquid TMixtur~ Ambient~E ~ AmbientT~E ~ UNDER GROIUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 6000.00 GAL tiHGHKLVUJ 1~~J1~lYV1VL'1V1J °sWt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 t1AGHKL AJJ.C~JJ1~1L",1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME WASTE MOTOR OIL Location within this Facility Unit SHOP Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE Liquid TWaste Ambient TEMPERATURE CONTAINER TYPE Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 550.00 GAL 550.00 GAL 300.00 GAL i1Y+l~L-liCLVUJ 1.V1~lYViV~1V 1J %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 ril-iGHiCL HJ JI;JJL~11;1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -6- 07/11/2007 F FEDEX FREIGHT WEST ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME GEAR OIL Location within this Facility Unit TRUCK MAINT SHOP STATE TYPE PRESSURE Liquid Mixtur~mbient SiteID: 015-021-000870 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 64742-57-0 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 110.00 GAL 75.00 GAL ti.[~GAttLVU~ ~Vi~irViv~ivla oWt. RS CAS# 100.00 Lubricating Oil (Petroleum-Based) No 8020835 t~~sitcL s-~a a G ~ ~ri~ly l 5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0009 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME TRANSMISSION FLUID Days On Site 365 Location within this Facility Unit Map: Grid: TRUCK MAINT SHOP CAS# 0 Liquid TMixture ~ AmbRent~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 110.00 GAL 55.00 GAL r1.t14t1LCLV V J ~.vl•1rv1vl~1V 1 S oWt. RS CAS# 100.00 Transmission Fluid (Petroleum-Based) No 0 11HGti[CL HJ JL~J J1.1L' 1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -7- 07/11/2007 F FEDEX FREIGHT WEST SiteID: 015-021-000870 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: SHOP CAS# 107-21-1 Liquid TMixture ~mbient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Con55~00rGAL Daily 100100m GAL ( Daily A30r00e GAL -• n~.~r~tu~w~ ~VrirViv~ly 1 ~ oWt. RS CAS# 100.00 Ethylene Glycol No 107211 nta~Hru~ r-~aa~~al~i~ivla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0008 COMMON NAME / CHEMICAL NAME WASTE ANTIFREEZE Location within this Facility Unit TRUCK MAINT SHOP STATE TYPE PRESSURE Liquid Waste ~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 107-21-1 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION - Largest Container Daily Maximum Daily Average 55.00 GAL 75.00 GAL 55.00 GAL - t1AGlittLVUS 1.V1~lYV1VJ:S1V1J °sWt. RS CAS# 30.00 Ethylene Glycol No 107211 ri1~GHKL 1.1J JJ;Ab1~11;1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -8- 07/11/2007 F FEDEX FREIGHT WEST SiteID: 015-021-000870 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: SHOP CAS# Liquid TMixture ~mbRent~E ~ A~PeRATURE ABOVEOGROIUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 550.00 GAL 550.00 GAL 350.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 t1HGHKL HS~~~~1~1L'1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -9- 07/11/2007 F FEDEX FREIGHT WEST SitelD: 015-021-000870 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 04/27/1999 ~ TERMINAL HAS SET WRITTEN PROCEDURES FOR EMERGENCY NOTIFICATION OF COMPANY AND EMERGENCY PERSONNEL AND AGENCIES. TERMINAL HAS DESIGNATED EVACUATION AND GROUPING PROCEDURES. Employee Notif./Evacuation WORD-OF-MOUTH AND PUBLIC ADDRESS SYSTEM. MEETING AREAS. 03/31/2006 PREPLANNED EVACUATION ROUTES AND ___ Public Notif./Evacuation 04/27/1999 NOTIFICATION THROUGH EMERGENCY RESPONSE AGENCIES AND TERMINAL PERSONNEL. Emergency Medical Plan 04/20/2006 TERMINAL HAS SET PROCEDURES WITH SOUTHWEST URGENT CARE. -10- 07/11/2007 F FEDEX FREIGHT WEST SiteID: 015-021-000870 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/27/1999 ~ ALL PERSONNEL ARE TRAINED IN HOW TO PREVENT LEAKS AND SPILLS. TRAINING INCLUDES MONTHLY AND YEARLY UPDATES. Release Containment 04/27/1999 FACILITY HAS SPILL ABATEMENT GEAR LOCATED AT BOTH SHOP AND DOCK LOCATIONS. ALL PERSONNEL TRAINED IN SPILL PREVENTION EQUIPMENT USE. Clean Up 04/27/1999 ALL PROCEDURES COORDINATED BY TERMINAL MANAGER AND/OR BY DIRECTOR OF SAFETY AND TRAINING AND/OR ENVIRONMENTAL MANAGER. Other Resource Activation -11- 07/11/2007 ,a F FEDEX FREIGHT WEST SiteID: 015-021-000870 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~JeC:ld1 riclGcLLU~ Utility Shut-Offs 04/20/2006 A) GAS - OUTSIDE AT ST SW OF OFFICE B) ELECTRICAL - DOCK WALL BET OFFICES S SIDE C) WATER - ST NEXT TO GAS SHUT-OFF D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/31/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS AND INTERIOR SPRINKLER SYSTEM. FIRE HYDRANT - SW ENTR TO PROP FRONT OF MAIN OFFICE AND TWO ALONG W FENCE PROP LINE. Building Occupancy Level 44 EMPLOYEES 03/31/2006 -12- 07/11/2007 e 'r' F FEDEX FREIGHT WEST SiteID: 015-021-000870 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/16/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ARE TRAINED IN HAZARDOUS MATERIALS HANDLING, SPILL RESPONSE, AND CLEAN-UP. MONTHLY MEETINGS DISCUSS NEW SUBJECTS AND ALL EMPLOYEES RECEIVE YEARLY RETRAINING COURSES. rays ~ Held for Future Use Held for Future Use -13- 07/11/2007 UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD !LINE TESTING i SB989 SECONDARY CONTAINMENT TESTING (TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMfr NO. -[`-T `- Q ^ ENHANCED LEAK DETECTION ^ TANK TIGHTNESS TEST ^ LINE TESTING ~/RL ARTS ! ® TO PERFORM FUEL MONRORING CERTIFICATION BAKERSFIELD FIRE DEPT. Preveatioa Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 ^ SB-989 SECONDARY CONTAINMENT TESTING ^ Cathodic Protection Testing SITE INFORMATION FACILITY Fed Ex Freight NAME 8 PHONE NUMBER OF CONTACT PERSON ADDRESS 6100 District Blvd. OWNERS NAME Same OPERATORS NAME Same PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? ^ YES ^ NO TANK# VOLUME CONTENTS 1 Diesel TANK TESTING COMPANY NAME OF TESTING COMPANY Cal-Valley Equipment Bruce W. Hinsley 661-327-9347 MAILING ADDRESS 3500 Gilmore Ave. Bakersfield, Ca. 93308 Bruce W. Hinsley 661-327-9341 CERTIFICATION #: OO6-OJ-1178 DATE 8 TIME TEST TO BE CONDUCTED .January 1O, 2007 08:00 ICC #: SIGNATURE OF APPLICANT t~ DATE December 5, 2006 APPROVED BY DATE 8 FD 2095 (Rev. 09/05) r CAL-VA~I^EY EQUIPMENT 3500 GILMORE AVE. BAKERSFIELQ, ~CA 93$Q$ (661)327--9341 FAX: 061)325-2$28 Ca~NTRACT~]R'S L1C_#784170 A Him T._~ ~ ~ I~ C~~ Pram: >`ax: ~r~ r~~ 1 ~ Pte: asp: ,.P.cJ.2 ~A Lr~9~ n~t+e: IIdGtUf]fNG CON~R 1~: ~ c~ f7 Ue~errt D For Review C1 >'lea~e Carr+ment ^ Please Reply C] P'lea~s~ Recycle Comm~nfs: -~ ~ C,~- Spx~ Bucket '~'~sting Repaart Form SW1tCl3, January20Q6 Thy form is intendeda6r use by contractors perfarmir;g anmral resrixg ofUST spill conwfrepe~tr strrtctta~es. Tl~ eamsprieredfornt and prfntot~s fmm tests rf a9~kcable), alAVrtld bo pravicded to ilia jaclJlly owner/operator for.s~rb~reirral ro rAe local reguturary , . ~. FACII~IITX INFO1tMATIQN Facility l+Jatne• .~- ~~ Facility Address: ~ ~~ Facility Catttact: Fhone: Date I.acal Agency Vvas Notified a~'Testing Nance ofLocaI AsencvInsoecmr Ir'fr„»~a~ duriro rad,,,oM Z. TESTING CQNTRAGTIJR INEQItMA'1'tON Compmrty Name: ~, Tec}mician Caaducting Test: ~ ~ - Credeatials': ~CSLB Contractor O 1CC Service Tea. ^ SWRCB Tank Tester ^ Qtlxer (,~ lfy) Lioratse Nt~ber(s): ~ C>c~T~'ICATION OF T1~CANICiAN R1rS]Pa-NSIBLE FUR CONAUCTIIVG THISI 'x'ES'I'RrTG I kereby re>tffy thQr old the !n, fortimd~an contm'ned in rllds r~eirr rs true accurate, alyd iR full eoalrce wit# legmf nequirertre+rr's. Technician's Si~aature: ~~/' 'r f ,~ /O ~ ~ -~ ~ State ~ws and regulations da not evmently require Ecsting tv be performed by a qualifod cantractar. However, local requirements maybe imore stringent. ~. •••••••_ ~.,«.~ -- ~,~e . _ ton an re~orrrs nraa~e prior to teslirrg, rnrd recommreraded,~ollow~-rr,~ for failed tests) ~ONY'X'ORING STitSTE~ CERTIFx~A.TION For flee $y All Jurisdirtiass I~rkin the Stare of California Arulrority Cited: Chanter G.7. Nealrh and Safety Cade; Chapter 16, Division 3. Title 23. Ctrlifnrrua Code of RA$ulativn.s This form must i>e used to dacutnent testing and servicing of monitoring equipment- A,.~onarate certifitatian or re~t~ t be arepared I'or each rnonitorine system control panel by the technician who perfprgls the work. A Gopy of this form trntst be provided l0 the tank system ownc~aperatar. The nwtter/operator must sttbt~7,it a Dopy of this form to the local agdrtcy regulating t1ST systems. within 30 days attest date. A.. General ZI7t~'ormatian Facility NamC: ~,~ ,~X /~~q/f/" Bldg. No.: Site Address: ~~,a~'G]F d/1~ City:~~{,~~ Zip: __„_,,,, Facility Contact Perspri: Contact Phone No.. MakelMcxlcl of Monitoring system: ~ RQOC. _ Date of Testin /Servicin / /D /47 S g~ ~~- $. ~Itventory of Equiplnent'~esl'edlCcrtiiied C'hcck the apprlwriAta boxes to Indintt sat:cific eauioment ittanetted/serviced: Tank !D: ~ 'l'ank !D: _ - ~ In-Tank Gauging Prvbc. Model: ^ In-Tank Gauging Frobe. Model: ~ Annular Space or Vault Sensor. Mode[: _ +i~C S!lrLfftf ^ Anmarar Space ar Vault sensor. Model: 0) Piping Sump /'Trench sensor(s)- Model: ,~rwArf ~lkfir' ___. D Piping Sump / Trench Sensor(s). Jvtodcl: 1B Fitl Sump Sensor{s). Model; Sa~IM~„Flit ^ Fi1] Sump Sensor(s). Model: ^ Mechanical Line Leak Detector. Model: ^ Mechanical Line Leak Dettxtor. Mgdci: ^ K lecu~onic Line leak Detector. ModcJ: ^ Elcctrnnic Line Leak Detector. Made]: ^ Tank Qvc~ll / Higlt-Level $cnser. Model: _ . ^ Tank Overfill /Nigh-Level Sensor. Model: ~._._, ^ other ei c ui ment t and model in Section E on Pnite 2). O Other is ecif a ui ment„ty~ anrtrm~rirl in .Srrrinn F. nn F:,OP 71, Tank ID• Tank ID- Q In-Tank Gauging Probe. Model: C] In-Wank Gauging Probe. Modc1: ^ AnntTlar Space or Vaul: Sensor. Model: ^ Annular Space or Vault Sensor. Model: ^ Piping Sump t Trench 5ensor(5}. Model: _ ~^ Piping Sump / Trcaah Sensor(s}. Model: ^ Fill Sump Sensor(s). Model: __ . CI }TIT Sump Scnsnr(s). Model: 4 Mechanical 4.inc Le.1k Detector. Model: ^ Mechanical Line Laak Detecror. Mode): __ U F)cetronic Line Leak Detector. Model: _ ^ Electronic Line i.cnk Detector. Model: ^ Tank Qvc~ll !High-Level Scneer. Model: O Tank Overfill /High-Level Seasor_ Model: _ _ ^ Other (s if ui ment t e and model in Section E on Pa e 2 . ^ Qther (s eci ui meat t and model in Section $ en P. ~e 2 . Dispenser ID• 1 __ Dispenser ID- Qf Dispenser ContainmentScnsor(sl. Model: Slsl~(~..,4'fdlf'+Y O DiepcnscrContaimnentSensnr(s). Model: ® shear Vxtve(s). Q Shear Valve(s). O pis cnser Con[ainmcnr Floats antl t'harn(5}. U Dis easel- Containment Float s) and Chain(s). Ditper~5er ID: __ I3ispenser ID: _ ^ DispeascrContainment Sensor(s). Model: _ ^ Dispenser Containment sensor(s). Model; _ C7 Shear Valve(s). d Shear Valve(s). ^ D;s cnser Containment Flont(s) and t".hain s . ^ Die cnser Containment Flaar(s) And Chains _ . Dispenser i.I]; Dispenser ID- _ _ . ^ Dispenser Containment Scnsor(s)_ Model: ^ Dispenser Containment Sensor(s)_ Mmict: ___ Ct Shear Valvr<(s). d Shear VaJvc(s). ^fJis cnser Containment Float s) and Chain 5}. ^Dis cnser Camainmcnt Floats and Chain s)- i *II [ne tacilny cantatns more tanxs or uisprnscrs. copy this TOrm. InctuAe infarmation For every Bank and <lispenscr al the facility. i G. Ct'rtiifiCetiOn - 1 certify that the equipment identiiied in this dncurrrent was htspeetodfst?rvieed in accordance with the mannfacturcrs' gulclelines. Aetaclred to tttls Certification ~ infotntrttion (e.g.'n~nuracturers' theektists) nece~sary'to verify thrt this lnfot'tnation is carrcct and a Flot Plan showing the layout oT moniMring equipment. For aay equipment capable of generating such reports, I have also attached a copy pf the reptrrt; (cRerk all e1,Rt ap !y): ®•System Set-up ~. A[a;rmt history report ~ Technician Ntame (print): ld~~~a~+~j~ 7' $ignaturc:.~Ma4s.~.tiir~'~, Certification No.: ~.~5`-at/'~S' _ _ License, NO.: ~l%6~_ _ i Testing; Company Name:.~~ ri7 t Site Addicss: ~,~00 D-'.S'l'YtiG~~~ ~~~_$~J ~. Date afTestinglServicing: _L11~~ Page ! of 3 u~n-1 Monitoring System Certifiration ti D. Results oiFTestinglServieing Sofiwai~e Version Installed. ~p0 , , _ Complete the l'OllOwin~ checklist: ~ Yes ©No* 1iS the audible alarm o rational? Y..es ~• No* Is the visual alarm eratipgal? y ~ Ycs ^ No• Wcre all sensors visuatl ins led, iunctionaq to&ted, and confirmed eratioaal? ~ Ycs ^ No* Wtrc all sensors ins~llcd at lowest point of secondary containment and positioned so that ol'hCr equipment will not interfere with their ro r o ration? ^ Ycs O No'" If alarms sre relayed tp a remote monitoring station, is all communications equipment (e.g. rnodcm) 1~ N/A operational? ^ Yes q No* For pressurized piping syscem~5, does the turbine autgmatically shut down if the piping secondary containment ' 1~- NlA monitoring system detects a leak, fails to operate, pr is eleCC[ica]ly disconnected? 1;f yes: which sensors initiate positive shut-down? (Check utl shat applly) ^ Sumpl'Trench Sensors; Q Dispenser COntainrncnt Sensors. Did ou confirm ositive shut-down dut to leaks and sensor failurcldisconnectivn? ^Ycs; ^ No. ^ Yes ^ No* Far tank systems that utilize the monitoring system as the primary tank overfill warning device (i.c. no ~ NIA mechanical overfill provt'ntion valve is installed), is the overfill warning alarm visible and audible at the tank C11 Oint(s) and o ratin ro rl ? If so, at what ercent of tank ca acit does the alarm tri er? ~ ^ Ycs* ~ No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, Or other equipment replaced and list fire manufacturer Hartle and mode] for all re iaccntent arts in Section E, below. ^ Yes ~ No Was liquid found inside any secondary containment systems designed as dry systems? (CJrfck ull that crpply) ^ Product; ^ Water, if s, describe causes in Section E, below. ~ Ycs ^ No* Was monitorin s stem set-u reviewed us ensure ro er settin ?.Attach set u rE rrs, if a licable ~~ • 1'eS : D No* is all tltOttitorr ui~ -t p „t:; ;tiara) trannfacturer's s c~:i~cations?" ..-- . . ~ ,.,. . i+ G; F. T.ln-Teak Gauging / SIlt equipment; ~ Check this box if tank ,gauging is used only for inventory control. ^ Check tlt'rs box if no tank gauging or SIR Equipment is installed. This section must be cotnp~eted if in-tank gauging equipment xs used to perfortrt Ieaic detectaon m~nitoting. Com let e the follpwin checklist: ~ ' ^ YCS ^ No" I-Ias all input wiring bees inspected For proper ontry and tCrtninatiQn, including testing for ground faults? ^ Yes ^ Noy Were all tertk gauging probes visually inspected for damage and residue buildup? ^ Yes ^ No* Was accuracy of system product levee readings tested? ' ^ Yes ^ No* Was accuracy of system water )Eve) readings [ested? ^ Yes ^ No* Were aI! probes reinstalicd properly? ^ Yes ^ Nog WerE all items on [hE equipment manufaEturer's maintenance checklist completed? M In the Section I-C, below, describe haw arttl when these deticienei¢s were or will be corrected. G. Line Leak Uetectars (i:,LD): ~ Check this box if LLDs are rtot installed, ^ Yes ^ Noy' For equipment Start-up or annua) equipment certifcation, wes a Iealt simulated to verify I.I.D pcrformanrc? ^ N!A (Check all that apply} Simuiated leak rate' ^ 3 g.p.h.; ^ 0.1 g.p.h ; ^ Q.Z g.p.h. ^ Yes ^ No* Were aq LLDs confirmed operational and accurate: within regulatory regt+irsrncnts? ^ wp~. C7 Neax WAS.[hr!e,tirlg8pp?ratvSpMp:rlyrxlE*s's:ed? .. .... . ... ~. .'. ....... . . ^ Yes ^ No' For mechanical LLbs, dots the LLD restrict product flow if it dctocts a teak? ~ ' ^ N!A ^ Yes O No* For electronic LLDs, does the turl~ine automatically shu[ off if the LLD detects a Icak? ^ N!A ^ Yes ^ No* For clectrgrtiC LLDs, does the turbine automatically Shut off if any portioo of the monrtorin g system is disabled ^ NIA ordisconnected? ^ Yes ^ No* 1=or ete;ctmnit: LLDS, does the turbine automatically shut off if any portion of the monitdrin~ system malfunctions ^ NIA or fails a test? la Yes ^ No' For elc~tronic LLti7s, have ali accessible wiring eottncctions been visually inspected? ^ N!A • ^ Yes ^ Non Ware all items on the equipment manuFactursrr s maintenance checklist completed? ' ~ ' * 1n tt,e Section N, below, describe how and when these deficiencies were or wilt be cnrreeted. H.. Cpttnrnents:.~t~c.C ~h Palpe 3 of 3 ~ ~ awn[ o , ATOnitoring System Certification .. .. ..... - .. US's' Me~niitorrng Site flan Site Addrtss: ~ L'~- .. ~ r ~~ o~ ...._...... a ~~•l1sw~. ...... :::::::::::::::::: ;::::::::::: :::::'::::I~::~::;::': ::::::::::::.::::: ::::;a~~~:::.:::::;::~:~ :::::::::: ono Dale map was drawn: ~ /~ ~ i l InBtruCtions If you already have a diagra[t[ that shawl all requi:tcd informa4~on, you nnay include it, rather kltau this page, wish your iV,[onitorirtg System Certification. Qn your site plan, siadw fhc general layout of tanks and piping, Cleariy identify Iocations of the following equipment, if installed: monitoring system control panels; sensors [monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secoAtlary containment areas; rnee~ani al or electronic litre leak detectors; and in-tank liquid level probes {if :aced for Leak dctECtion}. ]:n the spa.cc provided, ndte the datr this Site Dian was Wreparcd. , Page or~ n5lnn _ 'f ~' i FEDEX FREIGHT WEST Manager CHRIS SEMANOVICH Location: 6100 DISTRICT BLVD City BAKERSFIELD SiteID: 015-021-000870 BusPhone: (661) 837-0995 Map 103 CommHaz Extreme Grid: 29B FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code:4231 DunnBrad:15-385-6562 Emergency Contact / Title Emergency Contact / Title SCOTT BISHOP / SAFETY DIRECTOR CHRIS SEMANOVICH / TERMINAL MGR Business Phone: (408) 268-9600x Business Phone: (661) 837-0995x 24-Hour Phone (800) 845-4647x 24-Hour Phone (800) 587-4647x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact CHONG LEE Phone: (408) 268-9600x MailAddr: 6411 GUADALUPE MINES RD State: CA City SAN JOSE Zip 95120 Owner FEDEX Phone: (408) 323-4561x Address 6411 GUADALUPE MINES RD State: CA City SAN JOSE Zip 95120 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK PROG U - UST ENT'D F E B 2 6 2007 Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of la~v that I have personally examined and am familiar with the information submitted and believe the information is true, accura nd complete. Z °7 ature Date -1- 01/31/2007 F FEDEX FREIGHT WEST SiteID: 015-021-000870 ~ STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: FEDEX FREIGHT WEST Cross Street Business Type: Org Type: Total Tanks 1 IndnRes/Trust: No PA Contact: Dsg Own/Oper CAL VALLEY ICC Nbr: 1064437-UC PROPERTY OWNER INFORMATION Name CHRIS SEMANOVICH Phone: (661) 837-0995x Address: City State: Zip: Type TANK OWNER INFORMATION Name CHRIS SEMANOVICH Phone: (661) 837-0995x Address: City State: Zip: Type BOE UST Fee# 010318 Financ'1 Resp: STATE FUND & CFO LETTER Legal Notif Tank Owner Mailing Address Date:04/06/2000 Phone: (240) 845-61 x Name:CHONG LEE Ttl:SUPERVISOR ENVIRON. OPERATIONS State UST # 1998 Upg Cert#: 00785 -2- 01/31/2007 7 ~ F FEDEX FREIGHT WEST SiteID: 015-021-000870 ~ ~ 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 L 550.00 GAL Hi DETERGENTS DH S 4800.00 LBS Mod DIESEL FUEL F IH DH L 12000.00 GAL Low WASTE MOTOR OIL F DH L. 550.00 GAL Low GEAR OIL F DH L 110.00 GAL LOw TRANSMISSION FLUID F DH L 110.00 GAL LOw ANTIFREEZE F DH L 100.00 GAL Low WASTE ANTIFREEZE F DH L 75.00 GAL Low MOTOR OIL F DH L 550.00 GAL Min -3- 01/31/2007 -4- 01/31/2007 2• F FEDEX FREIGHT WEST SiteID: 015-021-000870 ~ ~ 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: SE CRNR OF PROP CAS# 74-98-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TPure ~-Above Ambient Ambient FIXED PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 550.00 GAL 5.50_._00 GAL 300.00 GAL 11liGtittLVU.7 1.V1~lYV1VJ;1V 1J %Wt. RS CAS# 100.00 Propane Yes 74986 - ruit,t~icl.~ ria alJaalil~,lvl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DETERGENTS Days On Site 365 Location within this Facility Unit Map: Grid: TRUCK MAINT SHOP CAS# 7681-52-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixtur~Ambient ~ Ambient BOX AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 4800.00 LBS 4800.00 LBS 4000.00 LBS raraurucLV V O ~.vi•irvlv~ly 1 S %Wt. RS CAS# 35.00 Sodium Hydroxide No 1310732 10.00 Tetrasodium Pyrophosphate No 7722885 r1C~utiiCL tiJ JL' w7 J1.1P~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Mod -5- 01/31/2007 F FEDEX FREIGHT WEST SiteID: 015-021-000870 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DIESEL FUEL Days On Site 365 Location within this Facility Unit Map: Grid: UST FUEL ISLAND CAS# 68476-34-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 12000.00 GAL 12000.00 GAL 6000.00 GAL riAG.'~KLVU~ 1:V1~lYV1VL"1V1~ %Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 t!a'~GH2tL HJ J1;J~1~1L'1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME WASTE MOTOR OIL Location within this Facility Unit SHOP Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste ~mbient Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container _ Daily Maximum Daily Average 550.00 GAL 550.00 GAL 300.00 GAL riHG1-~SCL V U .7 1. V S~lY V1V J;1V 1 b %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 t1f~GtitCL 1-1. 7.71;~JL~1L" 1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -6- 01/31/2007 F FEDEX FREIGHT WEST ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME GEAR OIL Location within this Facility Unit TRUCK MAINT SHOP STATE TYPE PRESSURE Liquid TMixture ~ Ambient SiteID: 015-021-000870 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 64742-57-0 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 110.00 GAL 75.00 GAL t1E~GE~ICLV U.7 1:V1~lYV1V I;1V 1 J %Wt. RS CAS# 100.00 Lubricating Oil (Petroleum-Based) No 8020835 riAGHKL EiSJriJb1~1~1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0009 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME TRANSMISSION FLUID Days On Site 365 Location within this Facility Unit Map: Grid: TRUCK MAINT SHOP CAS# 0 Liquid TMixture ~mbient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Con55100rGAL Daily 110100m GAL ( Daily A55r00e GAL nt~Gti.1tUVU~J I..VP7YVIVL'1V1w7 °sWt. RS CAS# 100.00 Transmission Fluid (Petroleum-Based) No 0 I1hlGtitCL HJ ~JL' a7J1~1L' 1V 1 ~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -7- 01/31/2007 F FEDEX FREIGHT WEST SiteID: 015-021-000870 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: SHOP CAS# 107-21-1 Liquid TMixture T Ambient~E ~ AmbientT~E DRUM/BNARRELEMETALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 100.00 GAL 30.00 GAL •-•-•• ri1~GHKLVUA lLV1~lYV1Vl,1V1J %Wt. RS CAS# 100.00 Ethylene Glycol No 107211 ri!-~GKKL 1~.7.7L' JJ1~11;1V 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0008 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE ANTIFREEZE Days On Site .365 Location within this Facility Unit Map: Grid: TRUCK MAINT SHOP CAS# 107-21-1 Liquid TWaste ~mbient~E ~ AmbientT~E DRUM/BARRELENONMETAL~ AMOUNTS AT THIS LOCATION Largest Con55in0e0rG~ Daily M75im0u0m GAL I Daily A55r00e GAL ritiGHCCLV U~7 1.V1"lYV1VL" 1V 1.7 %Wt. RS CAS# 30.00 Ethylene Glycol No 107211 riEiGHK1J HJbL" ,'S1~11=,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -8- 01/31/2007 F FEDEX FREIGHT WEST SiteID: 015-021-000870 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: SHOP CAS# Liquid TMixture f AmbRent~E ~ AmbientT~E ABOVEOGROIINDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 550.00 GAL 550.00 GAL 350.00 GAL rl[~~r~tu~uu5 wl~irulv~lvla %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 t1F~GEIKL A~~1~;SS1~i1;1V'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -9- 01/31/2007 F FEDEX FREIGHT WEST SiteID: 015-021-000870 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 04/27/1999 ~ TERMINAL HAS SET WRITTEN PROCEDURES FOR EMERGENCY NOTIFICATION OF COMPANY AND EMERGENCY PERSONNEL AND AGENCIES. TERMINAL HAS DESIGNATED EVACUATION AND GROUPING PROCEDURES. Employee Notif./Evacuation 03/31/2006 WORD-OF-MOUTH AND PUBLIC ADDRESS SYSTEM. PREPLANNED EVACUATION ROUTES AND MEETING AREAS. Public Notif./Evacuation 04/27/1999 NOTIFICATION THROUGH EMERGENCY RESPONSE AGENCIES AND TERMINAL PERSONNEL. Emergency Medical Plan 04/20/2006 TERMINAL HAS SET PROCEDURES WITH SOUTHWEST URGENT CARE. -10- 01/31/2007 F FEDEX FREIGHT WEST SiteID: 015-021-000870 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/27/1999 ~ ALL PERSONNEL ARE TRAINED IN HOW TO PREVENT LEAKS AND SPILLS. TRAINING INCLUDES MONTHLY AND YEARLY UPDATES. Release Containment 04/27/1999 FACILITY HAS SPILL ABATEMENT GEAR LOCATED AT BOTH SHOP AND DOCK LOCATIONS. ALL PERSONNEL TRAINED TN SPILL PREVENTION EQUIPMENT USE. Clean Up 04/27/1999 ALL PROCEDURES COORDINATED BY TERMINAL MANAGER AND/OR BY DIRECTOR OF SAFETY AND TRAINING AND/OR ENVIRONMENTAL MANAGER. V1~11C1 1CC .7VU1 l:C liC:L1VGLL1V11 -11- 01/31/2007 ,, F FEDEX FREIGHT WEST SiteID: 015-021-000870 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards Utility Shut-Offs 04/20/2006 A) GAS - OUTSIDE AT ST SW OF OFFICE B) ELECTRICAL - DOCK WALL BET OFFICES S SIDE C) WATER - ST NEXT TO GAS SHUT-OFF D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/31/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS AND INTERIOR SPRINKLER SYSTEM. FIRE HYDRANT - SW ENTR TO PROP FRONT OF MAIN OFFICE AND TWO ALONG W FENCE PROP LINE. Building Occupancy Level 03/31/2006 44 EMPLOYEES -12- 01/31/2007 -, s _ -~- F FEDEX FREIGHT WEST SiteID: 015-021-000870 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/16/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ARE TRAINED IN HAZARDOUS MATERIALS HANDLING, SPILL RESPONSE, AND CLEAN-UP. MONTHLY MEETINGS DISCUSS NEW SUBJECTS AND ALL EMPLOYEES RECEIVE YEARLY RETRAINING COURSES. ra.yc ~ Held for Future Use nciu ivi ru~uic vac -13-. 01/31/2007 y Prevention Services UNIFIED PROGRAM INSPECTION CHECKLISTrv E_R 5._F___,_ 9o0TruxtunAve., Suite 210 B.._ ._ D ----~--- - _.._.~~___~.;.~- - ____..~ ___.- ~____.~ _ Fine Bakersfield, CA 93301 ARTM r Tel.: (661) 326-3979 SECTION 1: Business Plan and Inventory Program ~; ~ Fax: (661) 872-2171 ., FACILITY NAME INSPECTION D TE INSPECTION TIME ~ E'er ~ I Zf 1 ~ 4~ `~ -- ADDRESS PHONE NO. O OF EMPLOYEES 6 t~ b Lv X37 -aS9 S FACILITY CONTACT BUSINESS ID NUMBER 5.021 _ g 70 Section ~: Business Pla>ra and inventory Pr©gra>~n ~ ~ '~~ ^ ROUTINE ~ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ ~ APPROPRIATE PERMIT ON HAND C (.- ~ 1 m f w j~ ~@' ^ BUSIfIeSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY E T'D ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES O ^ VERIFICATION OF LOCATION Ol ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^~ CONTAINERS PROPERLY LABELED SS G~, )~v~. 1Jrw,-•3 U~~. ~-~ ~ la~ r ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? YES ^ NO ~ EXPLAIN: q ~.,~ ,1 'll ~ ~/1 1 "" rcnr-oui~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # 'Business Site / esponsible Party (Please Print White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ~`4 ~'e ~~ y~~~~ FACILITY NAME ~ D ~X Section 4: Hazardous Waste CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3~d Floor, Bakersfield, CA 93301 INSPECTION DATE f Z- ~ O ~ Generator Program EPA ID # ^ Routine ~ Combined ^ Joint Agency ^Multf-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number Iv o W w tib . ~ v ,.~ L~..,, Authorized for waste treatment an or storage Reported release, fire, or explosion within 15 days of occurrence ~J Established or maintains a contingency plan and training Hazardous waste accumulation time frames V Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers are kept closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line Secondary containment provided Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste Proper management of lead acid batteries including labels ~ 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 ~=~,ompuance v-v~oianon Inspector: ~ ~~ ~- ~~ ~- Office of Environmental Services (661) 326-3979 White -Env, Svcs. ._-- Bu ' ss to Responsi le Party Pink -Business Copy INSPECTIONS BUSINESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST FACILITY NAME: ~f ED E k ~ % B E R S F I L D F/RE Ali<TM T Section 2: Underground Storage Tanks Program INSPECTION DATE: ~ )y a~ ^ Routine ~ Combined ^ Joint Agency ^ Multi-Agency ^ Complaint ^ Re-Inspection Type of Tank ~ W 5~..1 .tea ~ 1.~- Number of Tanks Type of Monitoring $-"C ~}~ Type of Piping sue,-I-,o,,, ,n ~ OPERATION C V COMMENTS Proper tank data on file Proper owner /operator data on file Permit fees current ~` a G~yt (~ows~ ~ r ~1.~~ Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? ^ Yes -~ No Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank Aggregate Capacity Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF?) If yes, does tank have overfill /overspill protection? C =Compliance V =Violation Y =Yes N = No Inspector: ~~G'~-C~~`" ~ ~ e~ Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services usiness Site sp nsible Party Pink -Business Copy 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 KBF-7335 FD 2156 (Rev. 09/05) tiI}:;If'Ji~ FREIi~HT 61iJLi LiINTkIt'T BL'+.1Li. Br~k:ER'JF I ELLi . Cr . LiEiv 14. 20Ut 1 :58 F'P'1 _,,-. - J :' JTEP'1 ~THTIJ ~ REF~~.iRT' tiLL FLI(VC'T I t~fV , NCiRMhL b, , I N~iENTiJR'' REF'CiRT T 1 : r~ I EE:EL ~ VCiLUf°lE - 6924 i:,HL:J: ULLr'iiE = 5U7b i:;HL~= 9U."•t IJLLHGE= 3870 Carl TC lltiLUf°lE = 6'~L17 t,nLE HEIU'HT = 61 .3o IPJi~HES frdriTER t1i+L = '='4 i;HLS 4JtiTER = 1.24 If'Ji_:HE TEt°1P - 75.2 UEi~ F x x x x *: Ef'JLi ~. ~ * * ~ s m + FEDEX FREIGHT WEST =____---___________________________ SiteID: 015-021-000870 + Manager Location: 6100 DISTRICT BLVD City BAKERSFIELD CommCode: BFD STA 09 EPA Numb: BusPhone: (661) 837-0995 Map 103 CommHaz High Grid: 29B FacUnits: 1 AOV: SIC Code:4231 DunnBrad:l5-385-6562 Emergency Contact / Title Emergency Contact / Title SCOTT BISHOP / DIR OF SAFETY CHRIS SEMANOVICH / TERMINAL MGR Business Phone: (408) 268-9600x Business Phone: (661) 837-0995x 24=Hour Phone (800) 845-4647x 24-Hour Phone (800) 587-4647x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact Phone: (408) 323-4561x MailAddr: 6411 GUADALUPE MINES RD State: CA City SAN JOSE Zip 95120 Owner FEDEX Phone: (408) 323-4561x Address 6411 GUADALUPE MINES RD State: CA City SAN JOSE ~ Zip 95120 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN PR~O~G U - UST ~H S ITE'CO~AINS UNDERGROUND STORAGE TANKS. REQUIRED. PLEASE GIVE THIS OFFICE AT LEAST 5 SCHEDULING THIS INSPECTION. Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accur , and complete. y~~~~~ ature ~ Date A JOINT INSPECTION IS DAYS NOTICE PRIOR TO ENT~AP~2p2 ~~6 -1- 03/31/2006 RPR. 17.2006 3:23PM FED EX N0. 737 P, 2 1V,~QN1'Y'O ~ G SYSTEIV~ C~RTIF'IC.~~~ON _ Pot Use ~ All Jurisdictions Within flea State of CerlEfo~rua Asthority Cued Chapter d.7, Health asi~d Se}fary Code; Chaplrr 16 Division 3, 7'krle Z3, Cal ~mia Cade of Regcelutioscs This form must be used to docuaaeax testing a ~J for eacb_momtopng system co~tto'L'Qatiel by 1 system ownetlogeratot: The owner/operator days of teat darn. A. C enera! Ita~armaavn Faci)ityN'atn~ ~G~ mod' s~ address: ~1aQ 17j's tv,'~7 1 Facility Contact Persona: MakeJMode:l of Monitoring S~+steae: ~~~ $. Inventory a~ Egnipmemt Tested/ setvicFag of monitoring equfPtnent_ n ~w•+ara6e rrTti~mtion or tenon nrntst be vtena~ texhaician who performs the ~wotlr. A coPY of this farm must lee provided to the tank ut submit a copy of this ftxm to the local agency r+egttlating UST sysaxms witltitt 30 Cry: G2, P/Y' ~.np: _ Catltact Phone No.: ' 1]ate of TestimglServicltlg; ~A~` ~~ ~'• 14G fG V WGFS au •uuo~w a TankID; • f I I Tankw: Q ~n-Tank Crangmg penbe: Model: ^ la-Tank Gauging Ftotx. Modal: ~ Annular Space as vault Seasar_ MadeL• ,5~ ~ ~r~>t!y' O A~ular Speaa or Vanlt Sense: MadeL- Model: Sw I~^Pipi7tg Sump !Trench Sensor(s). ' . SCa.J~r ^ Piping Samp~ Tz~abS+aaso:(s}° Model: _ . ¢t ~n Sump Seasa(s). I+4odcl: ~ ~+Fi~ Q Fill Swmp Set196t(s). Model: ^ Meahanic:al Lice I.e~alcDeterta~ Model: _ I -- --- O MeeAanica[ I#ne Leak Debecto~ Model: D Electmaic Line Lcak Detector Model: p l 0 Elettronia L.uae Leak DeLeetor. Model: ~. D Teak Oval / Thigh-Level Sensor Model: f l 0 Tank OvertYit / Aigiu-Level Sensor. ~'Iode1: ^ Other ( ui t and ataodal in Seei> 'pa E ~ P 2 O Otlxet t and model in sectiaa E oa 2 . TaakID: k l TinklD: O FQ-Tank Gaugzug probe. Model: 4 1 O to-Tank Gauging Fxobe_ Modal: ., - O Anna~at-Space or'lrartlt Sensor; Model: I I 0 Annular Space or Vat~t Seaso~r Model: ^ plpiagSump /Trench Sensot(s~ Model: I I O PipingSump /~'~mch Seosgt(s). Model: ^ pill Sump Seasa(s). Model: I I O Fill Svm~r Sensor(s). Model: D Mechanical Line Leak l?e~tectoAr. MOde1_ p l O Merhs¢i[al xitu~ Ixak Demctfn. Model: O EdcctNnic Lint Leak bettaor. Mold: ~ O P,lteh+onie Line Leak betectas: Modal: D 'Tank Dvedzll /High-Level Sensor. Model: I I d Teak Over511 / FAgb-Level Sdasor Mode1_ ^ Other ( and model iu Sae~ bat l3 ost l'a 2 O Other cad Aaodel in Section B a~¢ 2 . ID- f l l Disp~er ID• ~ Cbntainn~eM Seosar(s~ Mudd: CcrJ I~,.D S'~tlY` ^ Dispenser Comrainmeat Sensor(s}. Model: ~ shear valve(s). I D shear valve(s). O aer containment Fi 8 and chin s , O ni Contain sad gain s . ]bispenser m• I I . Dispenser ID: O Dispanacir Ca~anriurar~t Sa+sor(s). ModeL• I I O Llispeaser Ce,uteiua~oaeaa. Seasar(s). Model: o shear valve(s)_ t I a shear val~ne(s). ^ Di set containment 1?lost s and Chain s . I ^ set Cog~taia:ooaellt Fl sand Chain s Denser IP: I I Di:ae ID• O Dispenser Qorta~mmeat Sensor(s). Model: I I ©Dispenser Containment Seasor(s~ Modal: F]Di "r'.antsinr' • s and Cn~ s L "`r ~~ - O Coatsriament s and Chain s . ;11i tl7e tawhty cAntsatt5~ morztantCG 4r 4w5penSC~r&, c C. Ceacatonl - ][ ca`tt`y tiaaR ehe ee~dipn gaide~es.. Atfac6ed roo tL:is Cetrt-Sc~tion Kwcxbpt and s ]Plot Flan sllorrilog thelaTont attaebed a copy a[the , (check ell the 'Y'e~cimicialt Nance (ptfrrt~: ~~...'tr! C~catia~n No.: ~06-d .S J 17' 8' Te:stiag companyxa~:~L....~~- Site Address` 111 Q _ DiStY :!_'T~.~1!/ ~ouitaaln~S~stem CertiG~cdorr I'/ tltl$ fiDR~ TnCI11dE 1ntOr'mallca ~ GVlry' hank and dlbp®Ser at thG FAC$itY. C ~P.Dtl~ed JII LMS ~OC~t RZ<S iaRpectedlservioed lza a0~8~"C altYR R>te mamd~ehlreis~ in[ormsban (rg, matmPacdtrers' cheddists) ncoessaty to verily tlt$t this ion is swmtoeing eq For ~D' egospment capable a#gesx~~ng such e+epnzts, I Lm,al9o ~Pplr): O 5~ ~et-np ^ lanatt>o3~sto~ry zepart, a'!., rl~~.. S~nawre: ~r - - - - - lyiceaase.l~io - ~~~~o ~' I ~~1~/~P~~,~~~ Pkto~ooeNo._(~6~ 3Z~935~~ l~a~~,. ;~~' "'~~ C'A. D~atc of Tesciag~Setvicing: ~~ ~~~ Page l of 3 - `APR. 17.2Q06 3:24PM FED EX ~ N0. 237 P. 3 D. Rests of Testing/~e~sieing Software Yersioa Yelled: ~ ~'~ i f ~m~afp tl~a Pnllrwrina rhnri~iis~~ Yes O No* xs the audible alarm ° 'onalT Yes ^ No's Is the vi'811a1 alarm "aas17 Yes Q No* Were all sensors visttiall ` ti~ncti tested, aed confirmed, 'onial? ~. Yes ^ No* 'fNete alI seusars iustalled ~ Iowest point of secondary oontat and pasiSamed so that other eq~pment will not intex6ex+e with tl~ir r ' on? ^ Yes ^ No* I£ alarms are relayed a t~nate ~anitoring station, is all canoumwa~icatioos egydpment (e_g, modem} l~, NIA operational? ~ ~ Q Yes ^ No' For pmessurized piping s ~e,ns, does the turbine aatomaScaIIy s$ui down if the pipang seoo~mtdary coriminmeot NIA mo~ta~-g system detect a leek, fails to operate, or its eleco~iu~y diseonneetied? If yam: which se~sars initiate positive shtrt~otivn? (G7i ~ck all that apply) ^ Sump/Frettch Sensors; 0 Dispenser Contairanent Senaoxs. laid ooa6rm 'five ~ ~hut-down doe to leaks sensor faii~u,~/disoonnection7 0 Yes; O No. ^ Yes ^ No* For tank systems that t~ 'ilite the monitoring system as the primary txnolc averfiA waroitlg device (i.e. no ~, N/A meehani~cal overfill preve ~ ~on valve is installed), is the overfill warning alariuR visible acd audible at the tank fill sand If so, st what nt of fault does the slarnt ~ ^ Yes* I~ No Was any monitoring e9~ ~ mPl? Yes, ldentifY specSfic sensors, pro_tztAs, of otherr e~ptnent n~,laced cad fist the inanufatcd~x ` anal m~ea for all laaement is Section below. ^ Yes' ~ No 'OVas liquid £ntmd inside " p seooAdaty anntainm~t systems desigped as dry 5ysteaos? (Ghede ull that ~ply1© Pcodacs; ^'VV'atcr. If describe causes in Section F, below. Yes ^ No* Was monitorin s s ~-u revievted to ensure sdrin ?Attach set u , if ~ieable 6~ Yes ^ No* Is all to tioval tbsnufadnrer's s cations? - ASR. 17. 2006 3:24PM FED EX N0. 237 P. 4 . ~ I Ii ~ F. T~r1 Ta,uk Graugisng ! SIR Equipm t I ~ l~'~hecJc thus tsw~ if ta~o~ gaugng as used only sot invenco~y cc~rnl. ^ Check tins box if no tank ganging or SI~Et equipment is installed ,I ~ section mrtst be com~~t+~d iif i~ gaining equap>7ae>a-t is used to pe~#onn ieak detection monitoring. Cnannfe~n tin fnlin~~v e~arlAict± ^ Yes O No* Has all unput wizitg been in spected for proper entry sad ~x>ainatioa, i~ucluding testi~ag Tour $tOwad f:anirs? d Xes O No* Were a!1 took gauging prat es visually inspected far damage and residue buildup? O Yes ^ No* 'Gi-'as accuracy of system p~ dua level readings rested? ^ Yes ^ No* Was aoauae}r of systcmvv~ tp~ level qgs tested? ^ Y'es ^ No* Were ale probes reiasralled~ properly? ^ Yes O No* Were an items ou the equi t m~attufactener's maintenance checklist completed? * Ia the Section i3, belo`v, describe how and en these de5xae~ies were ar will be corrected. I G. Line Leak Detectors (LLD): I, tbfs box if LLDs arc not installed. -- -- ~ ^ Yes •^ Aio* Far sq~ripmcnt stamp ,~t~na1 eq~up~s-t cetti5<tc~on, +cvas ~ l~a~cY"~•~f]' L~ ~rforraauce_ ^ >*CIA (Check all that apPtY! 1 leak rata ^ 3 g.ph.; ©Q.l, gp,lt ; ^ 0.2 g.p.h. ^ Ycs ^ No* Vlrere all LI.Ds con5rme+d o,~atiamal and ~c~aate withid t+egWatory requixr,~neats7 O Xes ^ No* Was the testing apperatns plEoperly calibrated? ^ Xes ^ No* For n~ichsnic~'1 I,LDs, the LLD restrict pn~duct flow if it detects a leak? D N/A ' 0 Ycs ^ No* Farr electronic LLDs, does ~e tuxbiue antarnatic8lly shat off if the LLD detects a leaf? ^ NIA I'I W Yes a No's Fair elecbo~c LLDs, does ^ N/A or disoonnecud? ^ 'Y'es ^ No* Far electronic Y.Lris, does ^ N/A or fails a DeSt? a~aoaticaIly stint off if any portion of the automatically shut off if any portion of the system tnalfimc*ious Q Yes f ^ No"' ~ l~?or electronic LLDs, have ooanettious hem visually i~specced? Q Yes O No* Were all ittans on the equipi~eut manufacpaim?s maintenance checklist c~mplcted? * In the $eetion H, below, dcacribe how and wrier titeae detideacaes were ar wgl be corrected. ~. Go:mmeats: ~I ~, ~; Page 3~~3 a3/n7, `APR. 17. 2006 3:25PM d~iaxukoring System Certification ~--' s~ ri,daress: FED EX Il ' ~IaI~ N0. 237 P, 5 .__ . . j msp was drawn; ~~~~ Instr~cti~o~ts If you alread~- have a diagram that shows all; required infQmdati,ou, you may inchrde it: rather than this page, with your Monitoring System Cert~cation On your ~ iffi plan, shgw the general Iayotrt of tanks and piping. Clearly identify locations of the follower equipment, if installed: xq~onit~ring system cgntrol paacls; sensors manitariag tank ular spaces. sumps, dist~enser pans, spill contain , or other secovdtay containment areas; mecbtanical or electr+oaic line IeaIC ~tectap rs~ fn-tank liquid lev~ei pmbes (if II sed fer lcak detection). 7n the space provided, note the date this Site Plan ~ I Fxge ~ oi~, asroo FED EX , _ - N~. 237 P, b ~ECEiV~~ APR Y 7 2005 ;, h31,2006 SAFEEY S: RIS~f pEPT, RONALD J. FRAZE FIRE c~uEaF ! . sCatx Bishop ; ~, x~o~ ~ 1 F'e ~ Ex Frefjght wit Senior Deputy Chief ; 61 0 Y?~sltict Boulevard fi ~,~i~xtinistration ~ a3a eld, CA 9§313 a 326-3650 ~ Failure to Ferfornu /Submit Annual k'nel MomitOr Cert~cation ~- ~ • - -'Deptt[y~nef Dram ~1aso~-,-~ i ......_ ' .~ _ ~ - - - ~ - ~ ~ - Operations~/IYamitXg ~ ~ 1~~1'1"ICE OF V~Ox7ATIOl~ & 326-3632 i ~ SCl~bliiT F FOR CO1V1p)C7Iti-1~CE Deputy Chief Kirk Sisu ~ ! .I ar Mr. Bishop, Fire Safety/Prev~tiam. Services , I 326-3653 ~ xECOr~S SII[~if:~~e that ]l~7'ur f~eX ztloriita7r Ce1Zlf1CAt7tgn3 is due/pest due on ~ 0 1406. z1a1 "'Ii° Sirxeet CA 93301 Bakersfield ; Y~ are or will bt in vioi&titfn a£ Section 263 8(a) California Code of Re~xlatiaia9, , O r~CE: (661) 37_fi~3941 T 23, Divisiar~ 3, Chaipt+E~ J.6. II FAx (661) 852-2170 ~ ~~y~~.~p ~y~~~~~p},~ _i y, ~ {~p~~~ -^'~ ~~p a ~ , ap S W~ ' . . . ~l ~3lAY ~ L 7G ~b Mr ~" . N L~ ~,i.-..,r'~` aa u7 ' K ~ 1 Y V J M 4V 1 ,~ M. ~~ ~° .~ ~~ ~] ~~yy + ~. ~. .' ^y w - u ~ `. . , . ,,.~ y ~ ~Q ~ Y _ _ , . .~. 71114 yio.asa,~ua.,av4 YM1 accardaace with m~11TgCtLQe'FS 117Str11C4~.'..t ~.4 RALPH i:. ~1CJEY, DIRECTOR ~ certa every 12 motlcths for operability, proper operating condition, FRi?VENTIO11i SERV£+GFS and pr°~er °~"~~n ~.r,7~errs~mrlc~-eHwaoe~rwsanvro~s 900 Truxtun Avenue, Sine 210 ~ ~ ore you ba~ve 30 days (Apail 27, 2006) do comply. Faxlnre to wn-cply may Baleerafield, CA 93301 ~ E m revocatu~n of your Pctmit to Operate. OFFICE: (6$1)32&3979 ~ I ; FAX: (6ti1) 352 217'f Quid ~ tutus iauy' gnesti0~as, please feel Tree to contact me st 66l - 326-3190. i ' David Weir'ather ! ~ Flre Plans Examiner S i erely hours, ~ Howard M. Wines,111 Hazardous Materials $peciaiist I ! or ofl?reytntion Sea~rices ~~ . 326-3649 ~ Steve ' ficer Fire l'reveation 0% SU/db J ~ ~ ~ Ceritu " . e omm~uni ~'or~VloTe ~luxrt 6 C eTg t ~.1 ., i ~. ~APR.17.200b 3:25PM -~; " UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironnnental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY N r INSPE TIO~ GATE INSPECTION TIME ---- -~ i:~ ~ - ----- - ----- ----- -----------..------ -----_.---~ a -- --- - --------------- ADDRESS~ r iPHO No. No. of Employees ~ !~ ls~-_______ _____ __________ _______ Business ID umber FACILITYCONTAC.T 15-021- Section 1: Business Plan and Inventory Pnmgram ^ Routine ombined O Joint Agency ^Mutti-Agency D Complaint ^ Re-inspection C V ~ V=V o atonnce l OPERATION COMMENTS APPROPRIATE PERMIT ON HAND ~® L~ BUSINESS PLAN CONTACT INFORMATION ACCURATE U LJ VISIBLE ADDRESS ~" L.d~ U IJORRECT OCCUPANCY 1 ~^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES D~^ VERIFICATION OF LOCATION PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF HAT MAT TRAINING ~1' L^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~J" ^ EMERGENCY PROCEDURES ADEQUATE ~^ CONTAINERS PROPERLY LABELED I ^ HOUSEKEEPING ---j-------------------------- -..-----...------ ------------~---__------ ------_...------- - ------------ - -.. ~~7 ^ FIRE PROTECTION _ ._ ._ Q' ^ SITE DIAGRAM ADEOUATE Sc ON HAND U ~~ i ANY HAZARDO//U!SWASTE ON SITE: / ^ YES I~ NO EXPLAIN: I~IJ/YS~f~ ~./ QUESTIONS GARD G IS SPECTION~ PLEASE CALL US AT ~66'I ~ 326-3979 Inspector Badge No., White -Environmental Services Yellow -Station Copy ----------5./~ ------ Business Site Responsible Party Pink -Business Copy ~~ FACILITY NAM ~'1 `~F ~ CITY OF BAKERSFIEL.D FIRE DEPARTMENT 1 ~ \ ~~ OFFICE OF F,NVIRONRIF.,NTAL SERVICES y~1 UNIFIED PROGRAM INSPECTION CHECKLIST ;W ~Rti,O~~ 1715 Chester Ave., 3r`' Floor, Bakersfield, CA 93301 INSPEC"1•ION DATE ~_ Section 2: Underground Storage Tanks Program ^ Routine f~Comb,}•~ed ~^ Joint Agency ^MuIti-Agency Complaint ^ Re-inspection Type of Tank '1~ IC~~`~ Number of Tanks Type of Monitoring ~ L~ Type of Piping 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 No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) 1 •~,:J~d_ 4~ l/ ~,~Q.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 i =Violatio Yes N=NO i Inspector: Office of Environmental Services (661) 326-3979 ~~'hitc - 1?nv. Svcs. ~L~/Y~Ca ~Li Business Site Responsible Party Pink -Business C~~py F/RE ARTM T March 31, 2006 RONALD J. FRAZE FIRE CHIEF Mr. Scott Bishop Gary Hutton, Fed Ex Freight West Senior Deputy Chief 6100 District Boulevard Administration 326-3650 Re: Failure to Perform /Submit Annual Fuel Monitor Certification Deputy Chief Dean Clason 1r1+~TICE OF VIOLATION & operations/Training ~ SCDULE FOR COMPLIANCE 326-3652 Deputy Chief Kirk Blair ~ Dear Scott Bishop, Fire Safety/Prevention Services 326-3653 Our records indicate that your fuel monitor certifications is due/past due on 01-14-06. 2101 "H" Street You are or will be in violation of Section 2638(a) California Code of Regulations, Bakersfield, CA 93301 Title 23, Division 3, Chapter 16. OFFICE: (661) 326-3941 FAX: (661) 852-2170 ~ "All monitoring etluipment shall be installed, calibrated, operated and maintained iii accordance with manufacturers instructions, and certified every 12 months for operability, proper operating condition, RALPH E. HLTEY, DIRECTOR and proper calibration." PREVENTION SERVICES FlRE SnFSrrSER,ncES•ENVIRONMENrALSERVICES Therefore you have 30 days (Apri127, 2006) to comply. Failure to comply may 900 Truxtun Avenue, Suite 210 result in revocation of your Permit to Operate. Bakersfield, CA 93301 OFFICE: (661) 326-3979 i Should you have any questions, please feel free to contact me at 661 - 326-3190. FAX: (661) 852-2171 David Welrather Sincerely yours, Fire Plans Examiner 326-3706 ~ Ralph E. Huey, Director of Pr ention Services Howard H. Wines, 111 i /'/~/~ Hazardous Materials Specialist ' S~ 326-3649 i By: Steve Underwood Fire Prevention Officer REH/SU/db "Sewing the Community ~'or~l~lore ~ianA Century" --~,,~ . UNDERGROUND STORAGE TANKS ,~-;~`'~~'`-'~~ BAKERSFhELD FIRE DEPT. b ~`~, ~. S P 1 ~;j.,_A - ~ ~1R~ ! - Prevention Services APPLICATION ~ Patrr~ ~ 900 Truxtun Ave., ste. 210 ` `~~. Bakersfield, CA 93301 TO PERFORM ELD /LINE TESTING ~ Tel.: (661) 326-3979 ! SB989 SECONDARY CONTAINMENT TESTING Fax: (661) 852-2171 (TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION Page 1 of 1 PERMIT NO ~''~ ^ ENHANCED LEAK DETECTION ^ L1NE TESTING ~ SB-989 SECONDARY CONTAINMENT TESTING n TANK TIGHTNESS TEST ^ TO PERFORM FUFI MONITORING CERTIFICATION FACILITY - --- SITE`.-INFORMATION NAME & PHONE NUMBER OF CONTACT PERSON ADDRESS I OWNERS NAME I OP~~RATORS NAME PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED ^ YES ^ NO TANK# VOLUME CONTENTS ~ ~ ~ -~ 1 r I ,.- TANK TESTING~COMPANY NAME OF TESTING COMPANY r NAME & PHONE NUMBER OF CONTACT PERSON _ MAILING ADDRESS O '1 v C NAME 8 PHONE NUMBER OF TESTER OR SPECIAL INSPECTOR ~ rc~.ce_ ki. h 66 -3 - 3 CERTIFICATION #: DATE & TIME TEST TO BE CONDUCTE _ 2- SIGNATURE OF APPLI ANT ICC #: TEST METHOD ©~ Y3 -v7' DATE / ~7,~ ~ O5 ! L - i APR~ICATION B.EC.OM EN E~~' '~~fEt~ APPROVED BY -- - DAT 2 /3 .~~ ` v~ FD 2095 (Rev. 09!05) 030212006 11:50 6613252529 CAL VALLEY PAGE 02 F 1V~QNITORIIYG ~~STEIVI CEI~'~'~C,A~,TI~N ~'ar Use ByAII Jurirdictiovts l~thin tl~e State afCali~orrtra Atrthariry t:ited: Chapter tf.7, Heath ctrl Scr~Sety Code; Cl~pter .l ~ ,Dfv~tian 3. TFtle 23, CQltjfor-tfa Cade of ReRulatiana ThiB form must be used m dt~acat testing and seNiCing of monitoring equiipn~:tt. A separate certification or rcuort must be o[eiaatrd for mgaitorintr sy~,b,pane! ltiy the technician vvha performs the wot9c. A copy of this #artxt must be provided to the tank system ow,tetfaperator. The oWtterlapetatnr mutt subamit s copy of dais fvrnn to the local agency regulaeuttg 1J5T systems Widtut 30 Clays tYf tttgt date. A.. Gene>r~d X1ttfOl'IIlS~Ori Fat~lityName: ~ ~J~ __ bldg. No.• Sits Address: tt9l D~ iS '~'~ ~~val. Ciry• .+~'PN`1~jy./~ T.tp: • 4 Foci Gty Cotttaet Persion• -- _ _ tYOntatt Pritrtte No.: (.._.._) I-~Ia1oelModel at' Matiiearittg System: ~~8•-•-101" rL~ .~ B D C. Date of Testing/5er+7ci~ng: ~ ~~~~i 8. ~lavetatotry of Egttip~olnent Tested/Cer•ti~ied Taa$ TA: Tents m• ® !n-Tank Gswging Probe. Modal: -- - ~~L C~ In-Tank Gauging F~obe. Model: ---- - -- ~ Annular Space otVaktlt Sensor. Madcl: ,S'1~Cel7~C StH,/)~ 0 Amular Space or'Vault Sensor. Model: O~Pipsng Sump I Tt'Catch Sensaa{s). Model: ~ SCa~1PY' O Pipiug Sump I Trmrh Schasrn{s). Model: ~ Fll Samp 3ensar(s). Model: ~~~ ~Sar Q Fitt Sump Seasat{s). Madtl: - - -- d . Meehauietel [.ins Leak Detector. Modt:1: CJ Mechanical Line IRak Aetector. Model: O Slectmni0 iiue Leak Detector. MasW: D Eleotrouic Line Leak Detector. Model: D Tank Oveafill !High-Level Sensor. Model: d Wank Ovezfill ! I4igh-Level Sensor. Model: © OtkaEx (speafy ecluiptnettt t1rpC and model lit 3etrion L 4tli PA¢e 2). Cl Other (sveCiPlr Cuuiuntent tune and model in Sedien Fs an Paee 21. Teak ID• O In-Tank t3auging Ptobc. D Atmular Space ett• Vault Satsor: 0 Piping Sump /Trench Sensor(s). O I~ill3ump Seatsot(s). C] Mechanical Line teak Detector. D F~os:ttonis Line Le~lc Detector. o Tanis oYe~n ~ wgh-t,evd sensor. Model: Model: Made!• __- ]-~(adel: B+lodd: Model: Model: __-._ Tank ID: O 7n-Teak Cisauging Pi+o6a O Aatmlar Space or Vault Sensor. D ~Pitt$ Svmnp /Trench 3cnsor(s}. d Fill Sump Settsot(s}. 0 Mechanical 4irtt? Leak Detector. O P-7ecttotuc [5ce I.c~k i)a-ccxor. O Tag1G OWSxfill /High-Lend Saiserr. O Other fsooofv eaviement tares ~d Dit9peaser III: Disptaepr IU: _ - Dispenser Ccnttaintnent Senaot(s}. Madel:.~~`~.,y~lp-~~191 ~~ a I~ispen9er Gontniament sensar(S~ Model: .. _ 1& Shear valve(s). A Shear Valve(s). O Di str Cantaineggtt F1 s and Gmin s _. - A Dispenser Containtnrt-t Floatlsl and Chainlsl. Dtspataer 1D: _ D I~ispptsw~ Containment Soitsot(s}. D Sheet valve(s). Mader: I1Nspeaser ~' O bl8p~al8et' GbntainmeM Scusor(s). Model: O Shear Valve(s). Olh sea eaerainment Pl sand Chaiu s . +If the facility oontaitis more tanks or dispensers, Dopy this fiorm Include )~: Dispenser Gotttaiutimeot Sensor(s). o slteat vai,ra,). 0 Dispenser Cantainm~nt Firmtlsl a. Dtspenser III: D I~ispeaser Gotttgin~monk Sensor(s). 0 Slltm Valve(s). ittfattttatiae For ~Y tattle Mddo~l: tut the facility. G Cei'tffsCatiol0 - I exr~ that t>Me sgadproent ldmbiGe~d in t]rls doamsent wua ioepocted/eervaeed in atxtor~dattos: taleh t]be mattress' gRidelh~x Altsched to title Certit'icadtfion is latarntstioat (e.& tneeetfscturet+,t' cheddlats) uecemary to oet9t'y that this I~ottttsNott is correct earl a Plat l?Ln sUGwing t>be htyout 0[ mooiborlnB egaitltueai Far atly egnipment'SSiPnble d geoeraftttg Veldt repmrtr, i stave aktn attached a ~ a[ the r~ , leJ~e+(c all t~ ~[i): 0 System setrttp O arm )history ~reppr!• 7eCl1tlician ~1'atioe (print): ~• Signature: ~.E~, r ,.. Certification No: DO S-- ~ ~ Iacettsc. Nty.• 't'esting Cot~atty Name: r ~ e ~" ' Phone No.- 6'd Site Addrvws• ~' '~~-,~2 i~.~ ~1/ • __~1lfL~~~t'T 11/x. 1~~~~~.~~. r,~ ._ Dace of Tosting~5ervieing: ~/ ~.S7a-6- Model: Model: Model: Mudd: Model: _- Model: ---.. Model: Mode[: Moo:tmfrtgl Systtnn Certltf~tiooo ~° I of 3 tt3At 030212006 11:50 6613252529 CAL VALLEY PAGE 03 D. Re~tlts of Tettttit~gfSe>cvitcing s~,.~ version ltasratled: Y2/-Ulf xe~ ~ D Na* Xes U No'r Were aL sensors ins fwtGtio teBtCKi and oonfilrmed tional7 Q$ Yes O Nos Were ail sensors installed at lowest paint of secondary containrnert and posicaned so that other equipment wid not iuberfet~e with their r lion? D Yes q No* IF alattos are ,+eFsyea w a rett~tate monitoring station, is aA ooamm~nicatiotts equipment (e.g. modem) ~ NIA operarional7 O xeg ©I3o'" >xor urized piping 8yatcros, does the tarbiitC automaticaFly s4ut down it? the piping secondary oontaituneet ~$ NIA monitoring system detects a leak, iaiis to operate, or is electrically diemmKSCOOd? If yes: Wbuch sensors inidttta positive shat-down? (Check all rJ2at apply) D Sun~p>'l'reach Sensors; D Dispenser Coetaittm,ptt Sensors. Did ou confirm osetive shutdown due to leaks sensaar failureJdisoomectiott7 ^ Yes• [] No. Ycs O No• Fair tank systetr~s that utilize the mvoitvcmg system as the pritttaxy tank overfill warning device (i.e. no ~, NIA mechanical overfill preverttio~n valve is installed). is the ovd8il wamittg alarta visible and audfbte at the tank fill of s amd In 7 ~~ 80. at What UCBnt of tatlilC t does the alarm tri r? 46 D Yes* I~ No was atry trronitotit~ equipment replaced? If yes, idea6fy apeciGc sensotx, probes, or other equipment replaced and list the inBIIaFa.Chiier name and tnorld fios~ aII lacement in Sectiuat }~, below. O Yess ~ I,Io Was liquid found inside arty secondary ~ltsaratio,Eydt s3rstrms designed as dry systetns7 (t'j?ieek ali char aAAP1Y10 Product; D water. If es describe causes in Section below. s ~~a SecfFon E below, describe bo~v and when t>wesc deHdeacies were or w1Q be corraCted. E. Camment~ S , rage z at ~ a~roi 030212006 11:50 6613252529 CAL VALLEY PAGE 04 ~'. Xm-xaak Gauging ! SCR >~uap3ame~at: 1~'~rec$ this boas if tank ~.uging is used Daly for invcncory opptr+ot. ^ t~eclc this box iE no tonic gauging ar SIR equipment is installed. Ztlis section must be completed if in-tank gauging equipment is used tv pe~~rm beak detection moniuating. Ci e ~ LorAO caecrursi: ^ Xes [] No* Has all input wiring been inspected for propea entry and teaQSnatio~n, including testing for ground faults? ^ Yes D No* Were all tank gauging probes visualiy inspected for damage and t+esidue buildup? ^ Yes ^ No* Was aodtracy of system lid level Headings tested? ^ Yes Q No* Wes accwracy of system water level readings tested? O Yes ^ No* Wa+e aft probes reinstalled pHaperly? D Xes O No* Were al] items an the equipment manufacturer's maintenance checklist completed? * In the S ection $, blow, dt~crlbe Iaow end when Were ddldendes were or wlli be oorrectod. G. Lime Leak Detectass (I.LD): C_mnd~ ~ ralaavins r~,nr~rliQt! ~-C~eck this box if LLDs ate not installed. D Xes D Na* For equipment start-up ar aimusl equipment eertifitation, was a leak snaulaned to verilj+ I:.LD performance? NIA (L7ieclt air that apply) Sitnulsted leak ram: O 3 gp.b.; O a-1, g.p,n : 0 0.2 g.p.la. O Yes a No* Were all i d.Ds aonfirrned opeaatioasl and accurate within regulatory regui~nents? ^ Yes D Na* Was the tenting apparatus pmperIy caL'brated? ^ Yts ^ No* Far mechanical LLDs, does the LLD restrict product flow if it detects a leak? D NIA O Yes ^ No* For electronic LLDs, does the turbine sutomaticatly ghat off if the LLD detects a leak? D NIA 0 Yes O No* For ekctraatic Idd)s, does the turbine autorrratically shut off if any portion of the rnorritwing system is disabled ^ N/A or discarn-ecbed? D Yes ^ No* Far elcaronic Lz.Ds, does tine turbine auromatically shut off if arty parCiau of the monitoring system maIfimctioes ^ N1A or fails a test? O Yea la No* Far electronic i.,L.l]a, lAave all accassibic wiring oonnectians been visually inspected? O NIA ^ Xes D No* Were all items cat tlAe egalpxnent manufacturer's rnaintenauce checklist contpletod? an sun a~vn ca, vraow, aea~ne aow ana wnen rtl~ese aenctent7es were nr vvnt ne Colh`eCLCd. H. Cottutat~ott~: Page 3 0[ 3 agNt 3/0212006 11:50 6613252529 CAL VALLEY PAGE 05 .. Monitoring System Certification ~~II Date map was drawn: ,~~ If you already have a diagra» that shows all required infonnatiar~, you may include it, zather than this page, with your Monitoring System CeKtlfication. 4n yvur site piaq show the general layout of tanks anid piping. Clearly identify locations of tb,e fallowing equipment, if installed: monitoring system control panels; sensors uonitoring #ax-k annular spaces, sumps, daspenser pans, spill containers, or other secoadary containtxtent areas; mechanical or electronic lice leak detectors; and is-teak liquid level pmot~es (ef used for leak detection). Yr~ klxe space provided, note the daOe Chia Site ,PEaa was ptepamd. Site A,ddt+ess: .~-_~~__ ...~_.. SAP ...............~, --. . Page ~ ot~,_ osra. F/RE ARTM T RONALD J. FRAZE FIRE CHIEF Gary Hutton, Senior Deputy Chief Administration 326-3650 Deputy Chief Dean Clason Operations/Training 326-3652 December 1, 2005 Vking Freight 6100 District Blvd. Bakersfield, CA 93309 FINAL REMINDER NOTICE RE: Necessary Secondary Containment Testing Requirements by December 31, 2005 of Underground Storage Tank (s) Located at the Above Stated Address Dear Valued Customer, Deputy Chief Kirk Blair Over the last six months this office has continued to send reminder notices regarding Fire Safety/Prevention Services secondary containment testing. 326-3653 Code requires that all secondary containment systems must be tested 6 months post I construction and every 36 months there after. 2101 "H" Street Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Bakersfield, CA 93301 Health & Safety Code) of the new law mandates testing of secondary containment OFFICE: (661) 326-3941 components upon installation and every 36 months, thereafter, to insure that the FAX: (661)852-2170 systems are capable of containing releases from the primary containment until they i are detected and removed. Our records indicate that your facility is due prior to December 31, 2005. RALPH E. HLTEY, DIRECTOR PREVENTION SERVICES Those sites that have not been tested and have not pulled a permit prior to December 31, ~ 2005, will have their permit to operate revoked. FIRE SaFETV SERVICES•ENVIRONMENTAL SERVICES 900 Truxtun Avenue, Suite 210 ~ This office does not wish to take such action, which is why we will continue to send monthly Bakersfield, CA 93301 reminders. OFFICE: (661) 326-3979 FAX: (661) 852-2171 ~ Contractors are already booked several weeks in advance. I urge you to schedule your testing date as soon as possible to avoid possible revocation of your permit to operate. David Weirather Fire Plans Examiner ; Should you have any questions, please feel free to call me at (661) 326-3190. 326-3706 ' Sincerely, Howard H. Wines, III 1tALPH Fj+HUEY, Director of Prevention Services Hazardous Materials Specialist i / __ 326-3649 ~ Steve Underwood Fire Prevention Officer SU:db ~Jittir~ f.Il~e ~osias~u~'>~ ~ ..~1~~ Tan ~.Ss~e~ ~S~~i~