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HomeMy WebLinkAboutBUSINESS PLAN i V a ' Git"yy!! of Bakersfield ~:~'~~ CllSTJ4~ER RECEIPT' ~~~ Alper; Ki~Oiii.ER Type; l1C . Dr aar; 1 Date; . tir'~31~7 ~3 Receipt no; 216'5 Description t~uantity r~3uUnt 82 F~ ST~RA[;E TA+~!K PE~wIIT i 1. @Q ~ ~~. ~~ ~. BA~FRSFit-_E FIRE 11E~'T - LEA~4 DETECT + SST PER( !'t'TT-057 Teniier dgta"~._-_.~ Ct; CNCC~t 55623 936. Tot~i t?ndered 5~6.18~1 Total p~;ypettt 4~6.C~A Trani date; i}/~3~~7 Tipe; ~;~6;~s5 511~i4~ER tiE4T I5 i4ERE ~ PLIHS~ DO RCT i.6A~E-- YOZR PETS IPd YrIUR CAR FAR EVF.~ A FEW ~9INUTE5 1 - --- :.. _ .._-~_._~1 BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPT. a ^' ~ R 5 F r ;~~. D Prevention Services ~.~ ~ .~~ "'~ 1600 Truxiun Ave Ste 401 PERMIT NO.: TT-0597 ~PARTM~d~'r '~~,,,,,,a j Bakersfield CA 93301 ~•~'~` Tel.: (661) 326-3979 • Fax: (661) 852-2171 LOCATION OF PROJECT 6009 COFFEE ROAD • • • PROPERTY OWNER BIG COUNTRY CHERVON STARTING DATE 817/07 12:00 PM NAME SULLIVAN'S PROJECT NAME ADDRESS 6009 COFFEE ROAD PHONE NO. PROJECT ADDRESS CITY BAKERSFIELD STATE CA ZIP CODE 93312 CONTRACTOR NAME CAL-VALLEY EQUIPMENT CA LICENSE NO. 784170 A •• •- • TYPE OF LICENSE. EXPIRATION DATE PHONE NO. 832-5882 CONTRACTOR COMPANY NAME FAX NO. ADDRESS 3500 GILMORE AVE cITY BAKERSFIELD ZIP CODE 93308 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. ^ ^ ,. 00 , ^ ^ Alarms -New & Modifications - (Minimum Charge) $280 • • 4 • . ^ 98 Ft Over 10 000 Sq Ft 028 =Permit fee Sq x 98 ^ . , . . . . ~ ^ Sprinklers -New & Modifications - (Minimum Charge) $280 00 ^ 8a . ^ 98 ^ Over 10 Ft 000 Sq Ft x 028 =Permit fee Sq ^ 84 , . . . . ^ 98 ^ Minor Sprinkler Modifications (< 10 heads) $ 96.00 [Inspection Only] ^ 84 ^ 98 ^ Commercial Hoods -New & Modifications $ 470 00 ^ 84 . ^ 98 ^ Additional Hoods $ 58.00 ~ ^ 84 98 ^ Spray Booths -New & Modifications $470 00 ; 84 . ^ 98 ^ Aboveground Storage Tanks (InstallatioNlnsp.-1 ~` Time) $180.00 : 82 ^ Additional Tanks $ 96.00 ^ 82 ^ Aboveground Storage Tanks (Removal/Inspection) $109.00 ^ 82 ^ Underground Storage Tanks (Installation./Inspection) $878.00 (per tank) ^ 82 ^ Underground Storage Tanks (Modification) $878.00 (per site) ^ 82 ^ Underground Storage Tanks (Minor Modification) $167.00 ; 82 ^ Underground Storage Tanks (Removaq $573.00 (per tank) ; 84 ^ Oilwell (Installation) $ 96.00 ^ 84 X Mandated Leak Detection (Testing) i Fuel Monit.CerUS698s. Note: $96.00 for each type of test /per site (even if scheduled at the same time) $ 96.00 (per site) CHECK# 56623 $96 ^ ^ ^ 82 ^ ents $ 96.00 (per tend : 84 ^ Pyrotechnic - (Per event, Plus Insp. Fee @ $96 per hour) $ 96.00 + (5 hrs. min. standby fee /Inspection)=$576..00 ^ 84 ^ After hours inspection fee $121.00 ^ 84 ^ RE-INSPECTION(S)/FOLLOW-UP INSPECTION(S) $ 96.00 (per hour) ~ 84 ^ Portable LPG (Propane): NO.OF CAGES? _ $ 96.00 ^ 84 ^ Explosive Storage $266.00 ; Sa ^ Copying & File Research (File Research Fee $50.00 per hr) 25¢ per page . 8a ^ Miscellaneous 84 FD 2021 (Rev. 06/07) 1 -ORIGINAL WHITE (to Treasury) 1-YELLOW (to File) 1-PINK (to Customer) 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~'-~ ~~ !-/RL ARf~ 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 SITE INFORMATION FACILITY Big Country Chevron NAME 8 PHONE NUMBER OF CONTACT PERSON ADDRESS 6009 Coffee Rd. OWNERS NAME Sullivan's OPERATORS NAME Same PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? ^ YES ^ NO TANK# VOLUME CONTENTS 1 87 UL 2 91 UL TANK TESTING COMPANY NAME OF TESTING COMPANY Cal-Valley Equipment Bruce W. Hinsley 661-327-9341 MAILING ADDRESS 3500 Gilmore Ave. Bakersfield, Ca. 93308 Bruce W. Hinsley 661-327-9341 CERTIFICATION #: A25212 DATE 8 TIME TEST TO BE CONDUCTED AUgUSt 17, 2000 12:00 ICC #: SIGNATURE OF APPLICANT Lri DATE July 31, 2007 APPROVED BY / DATE ~ 0 7 FD 2095 (Rev. 09/05) ~~~ .; MON~T~RZNG SY~TFM Ci:RT'iF~CATXON ru,• Usr 13v r+lN ,Irrrisrlft•frr,rrs WrNtin rlrt• Stulr of Califurnlu trrrlrnrih Crrt•cl.• Chu~)rer (. 7, Hrulth nntlSc(Jrrl C'r:tCr: Clruplnr If, DiVi.riun ,3, Trlle 23, C(rlifbrni(r Cur(r. n~ lit',t,+rrlulir,r:s This fbnn mus, be used w document tcstine and scrvirin~ nl' manitorin~ equiptnen(, A sel~aralC trcnific~(ion or rept)r( nxt~t itiC prcn;.utie1 f_t~r citcfi mnniU?+'in~ svstCtr control. panel by th(; teehnicinn tvht, pcrl'ortttR the work, A copy of (hi; f«rm nxtsl be prot~ich'c! IC+ (hr )ante SVSfm otNner/gpCTator. Thc. owner/r~pct•atar must submit 1 copy of thts fUPnl l0 IhC Ioca1 agCncy (eguJat;n~ IJST system. tv;thin ,t) clays c,f test date. ~\. Gc~t~eral )n'P rmation F:,cilily NaniC; ~~r-.. _- .~ ..._ }}1cJk. Nn. -- -•---._, . S;t~ gddrt:,~: !~--~Z~ Co e ~ _.. city: ~~s~.1~>'rl~! -- zip: ...----- Fu~ilila Ctanlacl Acrsntt: -_.._ __, ~pntnct Ph(,nC No.: ( `) .`-- _-- M,tkelMt,(IaI of h9tinnoring System: ,~~E'~~ ~U~ .,~"~=3t'~_ Date ~f Tcstin ~lSCrvicin;;: ~_!~, f 4~ ~3. inr+efttary of Equipment TestedlCertifiet~ [;r,rck the a ro )rixtc bores r<r indicatr.. a cci~c a ui ment Ins cetetUaerriccd: __ t~'in•Tank Gau;~ine. PrpOc. MnrlCl _ 1~'rn-Tank Gau{;in~ Probe. MVdcl: jS• .4nmri8t 5pacc nr Vault $c.ncor. MpdU): ~ ~s,~~ ,Y"' ~ 1~'gnnuiar Space or Vauh Sensor. Mt,dcl: ,S~t?r SC_yJ~ ~ ~! r'iping Sr,r„p ! T,tnch 5enso:ic), Modci: - {Z bN (~'PiN;n~ Sump 1 Trcneh Scnsc,r(s). Mt,dcl: 5 .~-C~?^ - y7t 1=ill St+mp Scnu>r(s). Mode{: ~~~1)/' ~ j~"Fill Sump Sensor(s). Madcl: ,~~~ ~l~b~__ q~'MLCl,tmical Line Leak Oat~ctor, Mcxlrl; ~- j$'Mcehnnical Linc i.t:+1k Detector. Model: ._ ~7 Clccrrpmc Linc r.trak Detector. Model: U Electronic Line Lei)c Detector. Model: ^ Tank Overfill / Ni;h-I.r;vcl Scn40r, Model: _~ Q Tank OvCtfill ! High•LCVCI Sensor. Mndr,.E; _, ., _,,,._ D Other rs ci!' a ui n»ent tv,e and mnACl In Section E on Pn C 2). ^ Other (5 cif C to ment. I and mo(le) in 5aetinn G ort Pna<• ?+. ?`ank II): 1 ~_ Tan&.TD: ... _... ~• In•Tattk Gutieing P(obc. Modrl: ~,~~~ ^ IrrTank rouging Proh(:, Mcxlcl: _, „ _, _- ;~- •Ritnufar }p;tce or Vault 5enmr. Mndc1; ~~tr t~tf(,,,$~~jor- ^ Annular 5paco ar V;tttlt Sensor, _ Mt,tit;1: _. _ .._ ,--_ • f~` Piping Sump ! Trench Scnspr(s). Monet: ~~S_Ij~3Y' U T~ipin~ Sump /Trench Censor(s). _ Motict: -, „ i~' F'ill Sump ticnst,rfs). McxiCl; y, ar •- ^ Pill Stttnp Scasor(c). i~tudcl: „_ - (~$'hAcchanical Linc Leah T)rtector. Model: =~~~~ ^ Mechanical Linc Lcak Detector, _ Madcl; _ . _ , i=1 Elc~.trunic Line Gcak belcctar. Model; - ^ Electronic Linc LEak Detector. Model: _„ .._- Q Tank O~erliil I Hid+h-Lct•cl Sensor, Model: ^ Tank Ovcrt3l) / Hi;h-Level Sensor. Model; _~_ ^ QN7Cr (s r,Oif a ui nteAt 1 .1nA rnodcl in Sect;nn F nn Pa C 3). 0 Other {s ciF c ui ment t le and moctc) in Scctipn L on Ya•~e ? 1. Dispenser ID: ~-? •_ T)ispenser TT); ,,,~~_ - ~' l7isp~•nscr C:ontainmcn: Sr:nsnr(gl. ModCl~ ~r~ci+~ls S2Lt~tlY , _,- ~ Dispenser Containment SCnsor(s), MndCl: ~1N__~~'.F},f~ .,..,_ ~Shcar Yal~e(zl. ~d Shear Valve(s). U Ili. ,en>cr Cantttinn,cnt 1=!oat(s) and Cl,ain(s}. ^ Dis cnscr Contatnmettt Flont(c) a:ul Chain(:). t?tspencer [D• _~'~-! T)isPcnscr TT7; ~ /0 ~ Di~pc„s~r Cnntuii~mc:n( Sensor(s). Model: ,5~~~°Y1 f0.y' 6r Dispenser Contnintnent Sensor(s). Modei: ,,,£Ga¢rrp~f~)^ ~ Shear Valvc(c). ~ShCar Va1vC(s). [~ Dis cnscr Cc,ntainmem Ftoal(s and Chain(s). D Tas cnscr Containment Float(s) and Chnin(s) Dispenser ID: ,!~_ _ Dispenser 7D: ~~' 1)igpeuscr (;:~nutinmcnt Sensor(s). Mt)drl; ~~}SQ-}r _ $ D;SpenSCr ConlaimnCnt Scnsgr(s). 8'lncfCl: ~L+Nt~NIa7~''' _ Sit Shear \'alvel~). 6d' Shear Val~c(s), ~JD,sI?Cfl~t"r CUnlaln+,ll`nt Fingl(S) and Chain(s). 1:7 Ui6PCn5cr(a)ntainmcnt Floatts) an(1 Chain(s). "I! the. t~.,~ility e<,nt:,ins mnrC +;,:,ks c+r dispensers, Copy this fro'ITt. InctutJe inform~tian for evCty [ank and dispensrr ~t the iac.ititV C,. Certi~cntion . E ccrtifa titstt the cgaip„tenr i(IcnliCed in this daCUrnent teas inspectt:d/servicet! in accgrttnnce with the n,antrGrcwrer;r' gaidchnC.v. Attached In tlrit; CertlPcAlion is information (e-~. mtrnufaCl'urcrs' crtecktists) neCesaary to verify that this inl'unrt:diern is correct and fl Plot i'tan sitnwin~ the hyotrt n! ntoni[orinF equipment. Fnr at>ty Cquipment c+riSabTe of generating suer] repnrtq, t have arcU :tttachetf a c+)pr n('the report; (Check nfl that npyty); !$-,SysTC1m setatp ~ farm history r•eporl Tc~hnician ;vam4 (print): ~~,,~~~.~~(~_.,- Signature; rre~ l.+-. ~~ _ _ - ['cnilicntitm Nn.:.~~.5._12 ,_ ___ License. No.: ~pr_,/~~._ _, _ .._ Tc:~Etn~ Ct,nt~,;tny Namt:: ~~IL-~1~ _ `` , Ptton~ No.'l~f ~~~~..~~~.r~~..,_ SitC /1Clclrc~~: ,~~,~„.~•~C~~'. _ ~P/~._~~,_,, pole t,f TCStir,g/$Cr'viCiuu: ~ ,_~,~,;~~ D~ Monilc+ri,t~ St:S'rcm Cet•lificatiort Pa~erafl n;t,u * 1n Section E ht~low, describe how end when these deticiCrtcics evere or rvill be Corrected. E. t,'on~ments: ~~.~oYJ-~~P~ e--~-~..~~~~D~~.~~.d~rd ;'~-5~~1.~~'~!'~Ps~ Pa~±o 2 of 3 I~.i/U1 D. Results of TestinglServicing Soltwa~r version )nsTal)cd~ ~~~' QL~ h, In•T~'t;nk C;at.tgin~ / SJR Equipment: ,I~ Chcck phis box if tank gauging i~ usc[I only fr.>r invent.<+ry cnnur+l. ^ Chcck this hbx il' nn tank gauking or SIR equipmcm i~ in~urllc~.l. This srcti~,n must b~ canpleted if itt-tank gauging equipment iti uticd to pcrforln leaf: dcaectiUn mGnittJl-ft7<<. C:orn fete the follrnsin checklist: D Ycs 0 Nta"' Has all input wirin€ ~i¢cn inspected fvr proper entry and tet-trtlnBliOn, including testing for ground Faults? ^ Ycc ^ Nei" \Verc all tank gnun_ing Ltrnhes visually inspected for Ctartthge and residue buildup? ^ YC:.e ^ !vn'~ Was accuracy of s±-stem pretdttcl ICvCI ruadin~s tested? ^ 1'es ^ No" Wtt accuracy t~l'systi:nt w,tlt:r level readings tested? _ 7 1'c.~ ^ vt~'b Wcrc alI prtahcs reinstallctl properly? ^ Y~~ t:7 Nc,"' Vdcrc all itcrns C,n the ccivipmem manr,rlactut~r's maintcnancC ehccklisE comFtlctcc]? "' In [he Scetitm I-1, Iaelo~r. describe Ito-r and when these deCcic ncies were or will he corrected. ~ ~ .~. -- (i. I,,ine ~~t~ak Detect[trs (Ll:,i3): ^ Check this box if LLDs are Heir, installed, Com lets the I'olln++in checklist: Ycc ^ No°" For cquiplrrcnt start-up nr annual cquiptricnt certification, was a leak simulated to vot•il:v LL.p pcrfc,rmancc! LI VIA (Cht~c.k «!I llrur «pplr) 5irrtulated Icnk rate; ~ g,p.h.; D Q. I g.p.h ; ^ 0.2 g.p,h. Ycc CJ Nn* GVert: all l.l_ps confirmed operalicmal and accw'atc wilhiit recttlatory requirements? 1'c~ ^ Nn"' Was the tcstinr_ o-tppararns prolrcrly r:alibrated? 1'cs CJ Vo'R For mechanical LL^a, does the LI.Ta restrict product flow i f it detects a leak? ^ ;V/i1 ~_1 Y•d.ti O Nc~ ^ for eiccu•anic LLDs, dUCS the turbine ~utamatically shut off if the Lf„T~ detects a teak? ~ N/n ^ 1'c~ ^ Nn'" Fpr flNCtr'ORIC I,LDs, discs the turbine Autotnalically shut ol'1' i f any portion nl' [hc monirorim, system is disabled N/,1 c>r disconnected? ^ Ycs U N<," hoe clectrc>nic T~I.L~s, does the ttrrbinc ataomaticAlly shut off if any portion of the monitorinr~ system RtalfrtnClit,rlt 6t1 N/A or fails a test? O Ye, ^ Nr,'' Fr,r elcc•uroltic; LLUs, have all ~1000«IhIC LL'll'tnl? C(1t1nGCl1(tA$ 1}eelt visually inspCCted? ~i wn a9 Ycs ^ Nrt^' W'cre ~til items on the equipment matntfEtcturer's rnaimcnance checklist completCd? ~~ [n the Sc~~[inn Fi• Itelow, describe heL.~ stud when these defieienciec were cyr wilt tie Cr~rreeted. Ti. Comments: .. -.,.--,._._-,.-_.---•_ _~-.. .. ,.--- ~ - - 1'ttl;e 3 of3 ovol ~~~ Ca!-YQlley ~'quip~rttent 3500 Gilmdre.4ve. Bakersf=eld, CA 93308 6S.rr-327-93d1 Fr,GY# 6d1-32S-2529 VA~PORLESS MANUFACTURING, ANC. LI7T-890 Leak detector 'Vest Record Conlraotor Customer Date lion 1'r uct $~ ~"v~ ~`oo~ ~ ~e rid. 3err~r~, 8. ~ Tt:chuician S~tbme~rsible Pacmp IdeptiSeatiou Msnufactuner Model No. erial N bet Leak Detectorr Ideatfficadou Maaufactttrer Description Other Srvle Leak 17etector ~~~,~ diapt~rag~r~n-type -- Pistrna-type .r- Tamper,-ptadf seal installed? YesNo Le>ldc Detector ~ Submersible Pump Test at Dfspenselr ' ~m~ ~P pressureps~ (P~- 15) 2. Gallons per hour talc ~ t~ (para. 22) I', 3. Line presswe with pump shut off ~~g' Usi (para. 23) 4, Bteedbaek Test with ptunp off ~,5 tnl (para. 26) ~ 5. Step-tHraugh titcae to full tiow seconds ara. 30 (t ) 6. Leak detector stays in leak sc8rch position. (para.42) Y'cs ~ No LEAK DETEG`,t'4R T>E~4'T Note: Fhtab -1;~alc deactor fits best prosocol Fait - Ltsk deteetoa !Bits test proeocol 'I Pass [~ Fyu7 i l;orm 89t>C(9-t-96) +Complcte thermal e:tpansion test trcfora ~itidg teak dMcetoT. 1996 Vaporle~ Manuf§ctvring, IAC., presc4tt Va11oy, AT. ~~ Cal-Yalfey Equipment 35©Q Gilmore eve. Bakersf etd, CA 93308 66a-327-9341 F.4X# 66,x-315-2529 VAPOItI.ESS i1'.[ANUk'A-CI'[.i~ING, INC. LAT-$90 ,Leak ~Uetector Test ltecoxd GontracMr Gltstomer -~~b 7 6~A9' ~,~_ _'c~~. IAA! l~,~adE'~~.~~;. ~ ,,,.,~~~~ fr~~ T~clxuieian Maa~acturcr I~Socl~~ NoNo. Serial Number _d~~l aL'. E~.7~ Leak Detector Idemtffiratlan ~?lanufacturcr Description Other Style Leak Detactor ~~~J uC1~ Diaphragan-type-- „--- Pisto~a-type r~ _ Tamper-proof seal installed? Yes No 'l`est at Dyspensea< !. Operating Pump I'ressunpsi (para. 15) 2. Gallons per how rate `~ (para. 22) e 3. Lme pressure with pump shut off r ~~d psi (para. 23) 4. Bleedback Test with ptunp off ~ ry C3 _ rnI (para. 26) 5. Step-through time to fu11 flaw-- `3 seconds (para. 3Q) 4. Leak detector stays in Icalc search position. (para.42) Yes v'' Np - - _,,, I.EA,~ D.E'A~CI'UR'TEST fYote= kas. - teak dett~toT its fast prod Fail ~ Leak dctectot fa4ls test protocol PASS 6~ Fat1 Form 890C(9• (-96) *Complete thermal expensiott test befanc failing leak detector, 1996 Vaporlcss Manuk'acturing, lno., PreBCOtt Valley, A.Z ~~~' Cal-Palley Equipment 3500 Gilrnore.s(ve. Bakersfteld, CA 4330$ 66i-3,27-9341 FA.X# 661-325-529 vAPO~tL~ss MalvuF,~cTU~r+~, z~rc. ILDT-840 Leak Detector Test Record Cuatractor C~stotner Techniciaa IV~aaufacttmer Mauufactuz~er ~rG~~aC~~` Model Na_ Dcs.Gription Diaphragm-h'pe - Piston-type v Stria! Numb¢r Other Stile Leak Deter Tamper-provl'seaI ~inetaIIcd? Yes No J.eak Detector in Submersible Patnp Test at ~ispe~user 1. bpersting Pump Prt:ssure~$,~_„psi (para. IS) 2, Gallons per ktwr rate ~« d (para. 22) 3. Liste pressure wida pump shut ofl'J~„~ psi {para. 23) d, Bleedback Test with pump oi~,____.,(~S ml (pars, 26) 5. Step-through dime tq full flow ~ seconds (para. 30) 6. Leak detector stays in Teak search position, (para.42) Yes ~" No LIyAI~ DETE+CTO~R TEST Note: Piss ~ [.tek detxtar fits Dear pmtxo! 1G'alI = Leak detector 11i1a test protocol Pass~_„., Fail Fonm 890C(9-]-96) •Gorrtplcte thcrrnal axpartaion test bcforz failing It~lt dctector_ ]F46 Vapor]es:a Ma+mtdatxitring, ]nc., Prescott V8[]ty, A7, SWRCB, January2006 Spitll Bucket T~stxng Repoxt k'orm This farnt is intended fvr arse by contractors p~etforming annr~rt tesN„g of UST spi11 camQinment stnrctur~s. 73:e completed form and printords from tests Cf applicable, should be provia~d to the fcectlity ow-rer/operator for submittal to the lxa! regrrlatnry agency 1. FACILITY Il~TFORMATI(]N Facility Name: ~ '~ ~ bate of Testing: ~- Fscility Address: b0 f '~ Cr. Facility Contact: (.'hone: Dale Local Agency Was Notified of Testing Name oif Local Agency InsAec-tat' Cl~Present dtp'itg testing: . j' ~l/~' UCt~~GY~FIaa! 2. TESTING CONTRA.G~GR INFORIi'IA,TIVPI Company Natnr: a. ~ p. / Technician Conducting Test: Credeintials': SLl3 Contractor 0 ICC Service Tech. ^ SWRCB Tank Tester ^ Uther pecify) License Number(s): ~ Q z/I '7D CERTItN'[CAT)(ON OF"x'tEGHI'+iICTA,N R.E.~NSIBLE EUR CtJ1YDTJGTING Tii<I5 TES'TII~IG I hereby certify ta;ret all the irejornm>Yorr conta~aed is ,rhts report is true, accurate, and lit f.-!t compliance with !egad requirray:errts. Tcehnirian's Signature: .r~i~~ur ~ ~~~. Date: ~/,~ 7 t State taws grad regulations do not currently require testing tv be perfornned by a qualified oantractar. However, locat requirements mey lye more shingenk Coumuenta - (r'rclrude irformc>ilotr on repalre made prior to testier and recamm~etta~ed,~allow-up for failed tests) Monitoring Systern~ CeNiPicatioa Form: Addendum [or Yacuetn/PreRaw~e Interatftisl Sensors 1.G 163-I, I1ne. II I. Results of V9CUUImllPr~esspre Mo~aitoxing Equipment Testing This page should be used to document testing and servicing of vacuum and pressure interstitial sensors. A copy of this form must be included with the Monitor~g 5ystem.Certificafion Form, tvhicJa must be provided to the flank system owner/operatar. The owr-er/operator must submit a copy of the Monitoring System Certification harm to tfie local agency regulatitag UST s~+stetns writhin 30 days of test date. Mannfactux~er: j/~eY.,~p~- ~ Model: Sensor Iri Component(s)11'Ionitored by this Sensor: ~j^~ Sensor Functionality Test ]result: ,Pass; Component(s) Monitored by t>wis Sensor. Sensor Functionality Test Result: Pass; Components}Monitored by this Sensor: jri ~ Sensor Functionality Test Result: Foss; Ca:mponent(s) Mosiiorcd by this Setrsor: ,~"' I Senses Functionality Test Result: ass; Compa~ncnt(s) Monitored >ty this Sensor: .~ .~ 5ensvr Functionality Test JtesWt: Pass; Component(s) Monitored by this Sensor. ~` ~ Sensor Functionality Test Result: Pass; Components} Monitored by this Sensor. Sensor Functionality Test liesttlt: ass; Component(s) Monitored by this Scnsvr- Sensor Functionality Test .Result: ^, Pass; Components} Monitored by this Sensor; Sensc-c Pnnctiotaaiity Test Result: Q Pass; Component(s)1Vlonitored by this Sensor: Sensor Functionality Test Result: ~[ Pass; ,H_,,Qw was interslitiAi commnnisation verified? q~ .[.eak Introduced at 1~ar End of Interstitial Space,' ~ Vacuum was restored to operating levels in all intersti `~'.,.~~ System Type: ^ Pre59ut'e;-'Vacuum ^ Fail Interstitial Communication Test Result: Pass; ,Q Fai ^ fail [nterstitiai Catnmunication Test lZesult: Pass; ^Fai ^, Faii Interstitial Communication Test Result: Pass; ^Fai. ^ Fail interstitial Communication Test Result: Pass; ]~ Fai II Fail ^ Fail Interstitial C-aunmunicstipn Test Result: Pass; Interstitial Communication Test Result: ~,I'ass; ^Fai [[ t=ai ^ Fail Interstitial Comzttunication Test Result: Pass; [~ Fai ^ Fail Interstitial Communication Test Result: ^ Pass; ^Fai ^ Fail Jntsrstitial Comtnuniration Test Result: ^ Pass; ^Fai ^ Fail interstitial Cotiamuriication Test Result: [~, Pass; ^, Fai ] Gauge; ^ Visual Ias{tecticm; [] C7ther {Describe in Sec. J, Hal spaces. ^ Yes ~ No (If rto, describe in Sesc. J, betmv) .T. Coram~ents: l~`a-c~ ~, ~ ~ u. ~ ~ gat V'~Sfv,k"~ 1i~-.cu~,~ ~~j~ Ste. f-2~c ~, -~~ ~"~• If the sensor suceecs:Fullydetects a sin ulated vacuum/pressure leak introduced in the interstitial space at the furthest point from the sensor, vacuum/pressure has Seen demonstrated to be communicating throughout the interstice. JOB .CARD I Bakersfield Fire Dept. Prevention Services POST CARD AT JOB SITE ~ ~R ~ r ~ 900 Truxtun Ave #201 Bakersfield, CA 93301 Tel: (661)326-3979 j/.' r-- -y /y~~ C F.\~:U TY V.1ME ~ OWNER ^ ,~ ~~~1. ~~~p GtQ 1 lA.~ III.J ~tq ~~~~N~~~ _ Il - ~LUI2ESS _ ~ADORESS ~odq ~1>,~~~, i?d _ J'D_~?.f_ . I~fl~ sT Su~~C D Clrv zIP clrv _._ _...__-- BAKERSFIELD /J 33~~ 13aaccrs-~c~t~.. _ ~ ~- I ~33v/--- - _-. PRONE No 't PERMIT No. . s~- ~~f~ 9 .~ • 03g INSTRUCTIONS: PLEASE CALL FOR AN INSPECTOR ONLY'NHEN EACH GROUP OF INSPECTIONS WITH THE SAME NUMBER ARE READY. THEY WILL RUN IN CONSECUTIVE ORDER BEGINNING WITH NUhIBER ONE. DO NOT COVER WORK FOR ANY NUMBERED GROUP UNTIL All ITEMS IN THAT GROUP ARE SIGNED OFF BY THE PERMITTING AUTHORITY. FOLLOWING THESE INSTRUCTIONS WILL REDUCE THE NUh18ER OF REQUIRED INSPECTION VISITS AND THEREFORE PREVENT ASSESSMENT OF ADDITIONAL FEES. INSPECTION DATE INSPECTOR .lt• -. !y.`!';l ,%~^. '1= ;:T`/U~II~E ".dNQBAd %~:~ ~. , '~4~ ~ .~+R ,.1 *,. ~ . ;'x.°'14, vC' ..i..'li~.~'...'~'•r \; ,'=-~ =~°;.- -;•~~-,~~~-:' ~4 .,; ~ : ~:~~- ~ ~=~1 t,, , }~, ~ . ~ ,, , x BACKFILL OF TANK(S) SPARK TEST CERTIFICATION MANUFACTURES METHO ~0~~~(~ VS - - --... ' CATHODIC PROTECTION OF TANK(S) f _ . - -...----------- ~ t S 0 O( • . .. PIPING SYSTEw( r: { r ~... - _ v '. PRIMARY PIPING SECONDARY PIPING j TYPE OF PIPING. ^ FLEX ^ FIBERGLASS i CATHODIC PROTECTION SYSTEfv1-PIPING _ _ _ ____ DISPENSER PAN SECONDARY CONTAINMENT; OVERFILL PROTECTION; LEAK DETECTION :' ~ ` ;~" '~'"<.<"~_ -:" .. ._, !CONTINUOUS VAPOR MONITORING ENHANCHED LEAK DETECTOR TEST ~ . .... ...._ . _ r -- - _ _ _ LEVEL GAUGES OR SENSORS, FLOAT VENT VALVES ....,.---- FILL TIGHT FILL BOX(ES) PRODUCT LINE LEAK DETECTOR(S) LEAK-DETECTOR(S) FOR ANNUAL SPACE-D.W. TANK(S) MONITORING WELL(S)/SUMP(S) - H2~ TEST SPILL PREVENTION BOXES FINAL - ( ti10NITORING WELLS, CAPS 8 LOCKS FILL BOX LOCK tiIONITORING REQUIREMENTS TYPE _.-_________-... AUTHORIZATION FOR FUEL DROP CONTRACTOR . J(~~'15c`I'. IZ:~CC~?QKKa~._- --- ------ - _-.-_...------.-.__....--- -- ..-_ .-- LICENSE No..~ S~_J~L7....----.. CONTACT I`~~l IC.. ~~O.C1!J.Ot1t~'. Q i-'.. _ QOS~... ~.5~1.01Y~... _._...----_...: PHONE No. ~~~"..Q ~o_tc ©_ . fd 1743 UNDERGROUND STORAGE TANK s''y~ PERMIT APPLICATION ~$ R s P t p TO CONSTRUCT /MODIFY /MINOR MODIFICATION OF AN UST ~ F!R! ARTM f PERMIT N0. ~~ o TYPE OF APPLICATION: (Check one item only) ^ NEW FACILITY n MC11lIFICATInN [1F FAC:11 ITY 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 ^ NEW TANK INSTALLATION AT EXISTING FACILITY n MwC1R Mnl']IFICATInN OF FACILITY TARTING DATE ROPOSED COMPLETION DATE FACILITY NAME .~ XISTING FACILITY PERMIT NO. FAC ITY ADDRESS /~` ITY aP IP CODE YP O USIN SS pN q AN WNER HONE NO DD S ITY IP CODE ONTRACTOR ^~ A LICENSE NO. ICC NO. DDRESS ITY IP CODE PHONE NO. B ERSFIELD CITY BUSINESS LICENSE NO. .r ORKMANS COMP NO. INSURER BRIEF~CRIBE THE WORK TO 8E DONE _ WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE NO.OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL ^ YES ^ NO SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE ^ YES ^ NO THIS SECTION IS FOR MOTOR FUEL TANK NO. OLUME NLEADED EGULAR PREMIUM IESEL VIATION THIS SECTION IS FOR NON MOTOR FUEL STORAGE TANKS TANK NO. OLUME NLEADED EGULAR PREMIUM DIESEL VIATION (CATION DATE i FACILITY NO. i NO.OF TANKS i FEES $ The applica has received understands, and will comply with the attached conditions of the permit an r state, local and federal regulationhis form l~cyf beef completed under penalty of perjury, and to the best of my knowledge, t true and orrect. APPROVED BY: APPLICANT NAME (PRINT) `~ APPLI NT SIGNA URE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED ~ laev.oz~osl c~ O n UNDERGROUND STORAGE TANK PERMIT APPLICATION TO CONSTRUCT/ MODIFY/ MINOR MODIFICATION OF AN UST H S R H P 1 D r#!Rl ARTN T PERMIT NO. ~T ~ ~ ~ ~ p TYPE OF APPLICATION: (Check one item only) ,~' NEW FACILITY n MODIFICATION (1F FACILITY 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 ^ NEW TANK INSTALLATION AT EXISTING FACILITY n MINOR MODIFICATION OF FACILITY . TARTING DATE ROPOSED COMPLETION DATE AGILITY NAME XISTING FACILITY PERMIT N0. AGILITY DRESS ITY IP CODE PE BUS ESS PN k ~_/ .. AN WNER • HONE NO DDRESS / r~ 7' .LJ ITY IP CODE ~O/ ONTRA OR _ - .~ A LICENSE NO. s CC NO. s SS ITY IP CODE ~~~ HON O. AKERSFIELD CITY BUSINESS LICENSE NO. ORKMANS COMP NO. r NSURER ~~ BRIEFLY DESCRI E THE WORK TO BE DONE WATE FACILITY P OVIDED BY T~ DEPTH TO GRO N ATE I IL TYPE EXPECTED AT SITE NO. OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL 'YES ^ NO SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE ('YES ^ NO THIS RFCTInN IS Ft1R IIAATAR FI IFI TANK NO. OLUME NLEADED EGULAR REMIUM IESEL VIATION a 3 a ~ THIS SECTION IS FOR NON MOTOR FUEL STORAGE TANKS TANK NO. OLUME NLEADED EGULAR REMIUM IESEL VIATION FOR OFFICIAL USE ONLY APPLICATION DATE FACILITY NO. NO.OF TANKS FEES $ The applicant has r eived understands, n will comply with the attached conditions of the permit and any o cal and federal ulations. Th fo has bee comet I ed is er penalty of perjury, and to the best of my knowledge, is true correct. t i APPROVED BY: APPLICANT NAME (PRINT) APPLICANT GNAT E THIS APPLICATION BECOMES A PERMIT WHEN APPROVED (Rev. at~osl 0 n ~ SYSTEf`9 UP•J I T , ~~U.S. S1'STEr•9 LANi;LIAijE E rV~aL I S H -S ,'STENI lirtiTE.•T I PIE FORP9AT r~iOty LrLi '~~",'''!:! HH:r°1P~1: SS ~M BIG t'~~;UPdTR'~` TEY;Ai~O E,004 t'~,~FFEE ]='Li, $A}iEF'SFIELL~.i='Yt ~+_;3oLi I , ~- 1 Li I SABLEL~'°'I ~_ , ~ Li I SABLELi :=.H l r. ~..' i i f I1/ a DISABLED Tom,;;. PER TST rVEEDELi~~~RN D I :_;~ELEL! TAr+J} ANrV TST PJEELiELi WRN DISABLED LINE RE-ErVABLE METHOD PASS L I hJE TEST LINE PER Tt-~T tVEEDELi WkrV D I SABLEL! LIrVE ANt'J T .T r'JEEUEIi WRtV DISABLED PRIrVT TU '~,?OLUr°JES EtVABLELi TEt°1F' i=:+._if"1PErV ,~T I ~_: Pd VALUE 4 L!E~_~ F ,~ : 60.0 I ! STIC'; ~ ~ Y HEIGHT ~ iFF.~ET _ ~/ DISABLED 1 H-PROTO[:?}L DATA FORt°lAT HEIGHT DAYLIGHT SAV I PJG TIC°lE ENABLED START DATE APR IrJEEK i SUrV START T I f 1E 2:00 AM ErVD DATE Oi_.T WEEP: E SUN ' END TIME { oo Ar~i RE-U I REi_:T LOi~AL Pk I r'JTOIJT DISABLED E URO PROTO :OL F'REF I ;~; S SYSTEt°1 SEG UR I TY COLE 000000 C'.USTOf°1 ALARt°1 LABELS DISABLED PORT SET -. `~ T I tVGS ' C.Ot°1r°t BOARD 2 C F: <;t°1i iLi i ' BAULi RATE 1200 PAR I T'I : OLiLi STOP BIT 1 STOP DATA LEP•JijTH: 7 LiATA - is OLiE Ii I SABLEL! DIAL TYPE Tti~NE ANSWER ON 1 RI rVG MODENI SETUP STR I Pd% ~ DIAL TOrVE I NTERIIAL : 3'2 REt'E I VER SETUP NO rVE AUTO Ii I AL T I t°lE SETIJF' PJO tVE RS-23'2 EfVD OF r°IESSAi;E ~ ti I SABLELi AUTO DIAL ALARM SETUP i I N-TAtV}: SETUP T 1:UNLEADED PRODUi;T i~ODE 1 THERr°1AL (:OEFF :. oor?U0 TAtVK D I At°JETER yG . 00 ' TArVK PROFILE 1 F'T FULL t1t;L 12000 FLOAT SIZE: ~.0 IN. WATER I~JARN I tVC: r~ , 0 HIGH 6JATER LIt°IIT: 3.0 MA;~, Ok LABEL VOL : 12000 O11ERF I LL L I r°1 I T '~ 0° ~ 1Ub00 HIGH PRODUi=:T 95`f~ . 11~J00 DELI VERY L I tVi I T 15F~u • 1>300 ' LOW PROLiU~?T 1000 LEH}:; ALARNI L I t°1 I T : vy I SUDDEN LOSS LIMIT: y9 TArVK TILT 0.00 PROBE OFFSET 0.U0 ~ SIF'HOrV r°IAhJIFOLDED TAPJ]{S T# : NOtVE L I tVE N1AtV I FOLDED TArV}S T#: tVOIVE LEAK t°1 I t'J F'ER I L+Li I i~ : 1'S . 1~ u I LEAK MI tJ APJr'JUAL 1 `v • 120 F'ER I OIi I C: TEST T','PE :-,TAtVDARLi ANh~JUAL TEST F~ 1 L ALiRI'1 Li I ,ABLER , PERIOLiIC TEST FAIL ~ ALARt°1 I! I SABLELi I GROSS TEST FAIL ALARP'1 Li I SABLELi ArVN TEST AIIEkAi; I PJG : OFF ' PER TEST AVERAGING: OFF TA fVK TEST rVOT I FY : OFF ~ I TNK. TST SIFHOP•J BREA};:OFF DEL I VER'1 LiELA'! 1 r°l I rV PUN1P THRESHOLD 10.00°; COr°1MUPJIi_ATIOrVS -SETUP i TEST METHOD - - - - I, LEAK - TEST CstV LiATE ALL TAPdK ~ JAN 15. 20G~ j ~ START T I h9E ': U U tit°1 TEST RATE :0.'x'0 c,AL;•HR DURATIOhJ '? HOURS ~ T 2 : F'REt°1 I U~9 i T 3 : D I ESEL ~ ~ °' ~ TST Er;RL',' STOP : Li I ,~r,FiLEI: F'ROLiUCT t'OIiE ~ F'kODUCT CODE ~3 ' THERMAL t;OEFF :.000700 THERt°lAL [ UL0450 :OEFF : LEAK TEST kEFORT FORMAT TAt'~iK DIAL°IETER 96.00 _ . TAtV}: DIAL°IETER 96.00 NOkt°lAL TANK F'ROF I LE 1 RT TAN}: FROF I LE 1 F'T FULL VOL 12000 \ FULL Vt]L 12000 I FLOAT S I EE : X1.0 I PJ , FLt]AT S I ~E : 4.0 I tV . WATER WARt'd I tV~O '? . 0 WATER WARNING '~' . 0 '~ HIGH WATER LIt°IIT: 8.0 HIGH WATER LIt"IIT: .3.0 MAX OR LAFiEL 1,'OL : 1 2000 MA;~ c]R LABEL ~~OL : 1'2'000 ~ OVERFILL L I P'1 I T 90.°~~ S. OVERFILL LIMIT 90:a 10800 10800 ~ LIi_iIJIL~ SEh•L'_~_rl' '-.ETUF' HIGH F'RODUi`,T 95.°.~ HIGH PRODUCT 95`a - - - - 1 1 X100 ~ 1 1 a 00 DEL I VER ~' L I t°1 I T 1 5y'o LiEL I 1 lER'Y` LIMIT 15"d L 1 : UP~JL STF' SUt°iF' • 1800 . 1800 TRI-STATE ti:SItVi;LE FLOAT:s I CATEi_ OR';' STF SUt"IF LOW F'kODUCT 1000 I I L(iW F'Ri]DUi=T IOUO LEA}: ALARt°1 L I t°l I T: 99 l LEAk: ALr~Rh'1 L I t°1 I T: y9 SULiLiEPV LO~;S L I N1I T : '~'~ SUDLiEtV LOSS LIMIT : 99 L ':.' : UtVL '~~TF' SUP'1F 2tVD TAtVK TILT 0.00 TritVK TILT 0.00 tdORMALL4'' CLOSEL.~ FRt]BE OFFSET 0.00 PROBE OFFSET 0.00 ~ CATEGORY OTHER SEtV'.BrjRS SIPHON t°1AfVIFOLDED TAfVKti: SIPHON i°IANIFCiLDELi TAPdKS T# : PJOtVE T# : tVONE L 3 : UfVL FILL SIJt'lF' L I tVE MA N I F~ >LDELi TA tVKS '` ~ LINE MAPV I FOLDED TAPdKS TR I -STATE I tVGLE FLOAT ) T# : PJOtVE ~ ~, T# : tVOtVE i CATEGOR:~ OTHER SEIVStrRS LEAK MIN F'ER I OD I ~' : 1 `<, LEAK t°1 I N F'ER I Oli I C : 1'S 1':-t0 120 L 4:UNL FILL SUP'1F' '2ND tVORP1ALL1' cvLOSELi LEFT}; t"1ItV AWNUAL : 1`'° LEAK, t°IItV AtVfVUAL 1%S O'ATEGOR`i OTHER SEtVS~rRsB l2U .-.. 1~'0 ~ I F'Ek I OD I i_. TEST T'YF'E ~ "~ F'ER I OD I C' TENT T'Y'PE L 5 : UPJL APJtVULAR STAPIDARD STANIiARD DUAL i1OI h~JT H`.I~Rt rSTAT I I C•ATEGOR', AtVt'~lULAR SPACE ANNUAL TEST FAIL ~ AtVNUAL TEST FAIL ALARM Li I BAWLED ALARt~•1 D I °.ABLED ~ PER I OD I ~' TEST FAIL I PER I OLi I c TEST FAIL L 6 : PRENi STF SUt°1P ALARh9 D I SABLELi ALARM U I SAEiLELi TR I -STATE ~ S I tVGLE FLOAT) ~ ~ CATEGOR`x' STF' SUI°1P ` EROS TEST FAIL °RCsSS TEST FAIL i ALARP9 D I .`BLELi I - I ~- ALARt'^1 D I ;BAWLED ` L 7:PREt°1 STF' SUN1P 2ND AtViV TEST AVERAG I hdt"a : OFF I ~ , r APJN TEST A •^ ERAG I Pdia : i rFF NORMALL:' c:CUBED PER TEST AVERAGING : OFF _ PER TEST A'~JERAi=; I NG : OFF J _ `: iBr~TEi=.CsR`~ uTHER ~EtV~~t1R.-~ TAN}~; TENT tVOT I F'Y : L>FF TANK TEST tVOTIF, OFF T Nh: TST S I F' HOPV BREA}`:: <?FF I TNK TST S I PHOtV BREAK :OFF i L 8 : PREt°1 FILL SUt°1P ' ' TR I -STATE (S I tdijLE FLOAT ? UEL I VERY LiELA1c' 1 M I PJ DEL I11ERY DELA'f 1 ICI I IV CATEGOR''i OTHER SENSORS F'Ut°iP THRESHOLD 1 G . OU%o BUMF THRESHOLD 1 U . 00`u i L 9 : F'RENt FILL SIJt°1F' '~NLi '. - ,- --- -- NORt°1ALL'Y' i_`LOSED , - - -- - - I C.;ATE%('rR`i' . OTHER SENSORS - ~ UUTPUT-RELA'.' SETUP, ' L10:FREh•1 AhJhJULAR - - ~ DUAL F'U I PJT HYDRC}STATIC: R 1 : UNLEADED CATEC~OR'Y ANNULAR SF'AiE --- T ~'F'E L2~:DISF' 7-$ ~ FUf°1P C:UtVTRUL OUTPUT TRI-STATE ~SINi3LE FLOAT} TANK #: 1 i`ATEUOR:' DISPENSER FAtV L I 1 : Li I ESEL STF SUP'1P TRI -STATE + S I tV~aLE FLOAT } I PJ-TAN}: ALARMS ~ ~ATEi~~RY : STF' SUMP T l :LEA}; ALARt°i L'~'S:LiISP 7-S 2ND ' NURMALL'Y i~LOSED L I t~U I D SEt'•JSUR ALMS L 12 : D I ESEL FILL SUP'1F 2f''JLi CATEuUR'; OTHER SE t'~lS~_~R S L 1 : F UEL ALARt°l NORt°IALLY CLOSED ~ ~ ~ L E :FUEL ALARt°l i_ ATEuUR1{ OTHER SEf•JSCiR~~ L 1$ :FUEL ALARM L20:FUEL ALARf"1 L'~'G:LiISF' 9-10 L22:FUEL ALARt°1 TRI-STATE iSINiaLE FLOATi L2a:FUEL ALARt°1 L 13 : Li I E SEL FILL SUJ°1P GATEuUR.' D I SPEtVSER PAhJ L26 : FUEL ALARM TRI -STATE { S I fVuLE FLOAT :i l L2s3 : FUEL ALARM CATE~aCiR'f OTHER SENSORS ! L 1:SENSUR OUT ALARM L 6:SENSOR OUT ALARP'i L'~'7:UISP y-10 2ND L18:SENSOR OUT ALARM tVURMALL'i' CLOSED L20 : SENSOR OUT ALARM L14:DIESEL FILL SUt°1F" 2t'•JD CATEGOk': OTHEk SENSORS L22:SENSOR OUT ALARM tVORt°IALL'! i~LOSED L24:SENSOR OUT ALARt"1 CATEC;UR1' OTHER SEPJSORS L'~b:SEi'JSOR OUT ALARM L2$:SENS0R OUT ALARP'1 L'2$:DISP ll-1't L 1:SHORT ALARt°1 TRI-STATE +SINC;LE FLOAT? L E:SHURT ALARM L 15 : D I ESEL At'JNULAR C.ATE~aORY : D I SFEtdSER F'AtV L l $ :SHORT ALARI°1 DUAL FO I t'JT H'fDRUSTAT I C L20 : SHORT ALARt°1 CATEiaOR`~' ANtVULAk SPACE L22:SHURT ALARM L2~3:SHORT ALARt°l L'~'S:UISP 11-12 '?tVD L26:SHURT ALARt°1 NORNtALL'r CLOSED L28:SHORT ALARtUt L 1 i; :VENT 13Of~; i ATEuUR'! OTHER SEPJSORS L 5: H I GH L I i:JU I D ALARt°1 TRI-STATE i:SINi;LE FLOATS L 5:LOW LIQUID ALARP9 iATEi~UR'! OTHEk SE(VStiR, R 2 : PREN1 I Ut'1 T'~ PE F'UC°iF ivOC'dTROL OUTPUT L17:VENT FO„ 2tVD TAfVk: # : '? NORf°IALL'Y C'LOSELi i i_'ATEC;URY C>THER SEfVSORS ItV-TANK ALARMS I ~ ~ T 2 : LEAI; ALARM L 18 : D I SF' 1-2 ~ i L I 4~U I Li SENSOR ALN1S TRI -STATE { S I tVt ALE FLOAT i ~ , L 1 : FUEL ALARf°1 C:F~TEL;uk', DISPENSER PACV ~ PUMP' SENSi?R SETUP' ' L 6:FUEL ALARt°i - - - - - - - - - - - - L 18 : FUEL ALARf°1 L20:FUEL ALARM S 1 : UNLEADED L~'2 : FUEL ALARf°1 L 15 : D I SF' 1-~ '2NLi TAfV}: #' 1 L2a:FUEL ALARM NORf^9ALL;' t'LOSED D I SFEPJSE C°1i.5DE : L2b :FUEL ALARM C:ATEC;Uk''f OTHER S,EhJt~ORS STAtVDARLi L2$:FUEL ALARM ~ L 1:SENSOR UUT ALARP9 S 2:F'REt°IIUf°1 L 6:SENSUR OUT ALARf°1 TAtVK #: '2' L1$:SENSOR OUT ALARf°1 L20:DISF .3-~ DISPENSE f^9OLiE : L~ 0 : SE NSUR OUT ALARf°1 TRI -STATE { S I MULE FLOAT i STANDARD L22:SENSOR UUT ALARf°l CATEi,URY LiISPENSER F'At'•J L24:SENSUR UUT ALARP9 S 3 : D I ESEL L'26 : SENSOR OUT ALARt°1 TAtVK # : '3 L2$ :SEtVSUR UUT ALARM Li I SPEfVSE f°10DE : L 1 : SHORT ALARM L'am'] :DISP '3-4 'ttVLy I STACVDARD L 6:SHURT ALARM tVOkt°lALL4' CLOSED L 18 : SHORT ALARM i..ATEi:a0R1' OTHER SEJVSUR S I L'~D : SHORT ALARM L22 : SHORT ALARf°1 i L2~J:SHURT ALARM L2E:SHURT ALARM L'22:DISP 5-E L28:SHURT ALARM TRI-STATE tSINC~LE FLUATi L10:HIUH LIQUID ALARM i~ATECaUR~' DISPENSER PAPJ LIO:LUW LIQUID ALARM R 3 : Li I ESEL ` T';F'E: ' L'2'3:DISP 5-t 2fVLi FUt°1F' C.ONTRUL t>UTFUT tVORt°IALL'Y ~_'LC+S ED • TACVK. ~ : 3 SEtVStifRS CATEC~UR': OTHER ~ SMARTSEhJSi1R SETUP I !V-TAN}: ALARt"iS s 1 : UNL F'RODUi'T T 3 : LEA}: ALARPI C:ATEuOR'Y VAt SEfV FOR P UN1P # LIuUIU SEtdSOR ALh~9S ~ R 1:UiVLEAUEL1 L11:FUEL ALARM ~ VOLUt°lE: 2UU.0 iaALLONS L 18 : F UEL HLARf°1 I ~ kEL I EF VALVE : : hJO L2G:FUEL ALARM L~'~' :FUEL ALARP'1 ~ ~' :'vAPOR L I PdE L2a:FUEL ALARM i_`ATEGOR'Y Vr;i:' SEtVSOR I L'am' 6: F UEL ALARI°1 i F UMF' # L28:FUEL ALARM j R 1:UPJLEAUEU L11:SENSOk OUT ALARI°1 VOLUME: ~OG.u uALLOtSJS L18:SEtVSOR UUT ALARM RELIEF VALVE: : NO L2U:SENSOR OUT ALARM L~2:SENSOR OUT ALARM 3:UtVL VENT L'~4:SENSOR OUT ALARM UATE~aOR;' VAC SEt'JSOR L'tti :SENSOR OUT ALARt°1 PUMP # L'L'8 :SENSOR OUT r=7LiiRt°1 R 1 : UtVLEhLiEU L11:SHORT ALAkt°1 ~ VOLUNtE: 6U.U ~~ALLOtVS L 18 : SHORT ALARt°1 RELIEF VALVE : tVO L20:SHORT ALARM L2~:SHORT ALARI°1 s 4:F'REN1IUt°1 PRODUi'T L2a:SHORT ALARM ~ rATEuOR;' VAi; SENSOR L~6:SHORT ALARM PUMP #: L28 : SHORT HLFiRt°1 R '~ : PREh'l I UNl L1G:HIGH LIG:~UIU i=1LrtRt'^1 VOLUME: '~'i~0.~~ iFiLLC~PdS L 10 : LOW L I ~[U I D ALARt°1 RELIEF VAL't~E : NQ R 4 :OUERF I LL s 5: PREi°l I UI°t VEfdT T';PE: i`HTEuOR:' VAi: SENSOR STAIVUARU PUMP # i tVORMALLY OPEN ~ R '=' : PREM I Uh9 ~ VOLUNIE : 50 . U iaALLOtV S RELIEF V;~LVE : : tVt} 1 IV-TANK HLr~kt°1S ALL :OVERFILL ALARt°I ~ E : U I ESEL F'ROLiUC_'T ALL:HIi3H F'RiiUUCT ALARt"1 'ATE~aOR1" VAC' SEPdSOR ALL : MA>; PRODU~'T ALARM F'Ut°1P # R 3:UIESEL VOLUME : '?OU . U %;ALLC,~NS RELIEF VALVE: NO s 7 : U I ESEL \1E IVT GATE~aOR`i 5:~i=ii' SENS{!R - PUt°iP # : R 3 : Li I ESEL ' ~ VOLUt°lE: 40.U %;ALLOtSJ RELIEF VALVE: PJO s t3:ATM CATEuQR', ATt°l F' SEPdSti1R ~, ; -- -- ~~Et'll-~~,_+R HLHRP9 ----- L1S~:UISF' 1-' + LiICF'EtdSER Ftifd FUEL HLHRf'1 t°JHR 6. 2006 1 :32 Pt°1 ----- SEfdSOR HLHRt°1 ----- L~'O:DISP 3-4 UISFEtVSER F'Ht~J FUEL HLHRi'1 t°1HR E.. 2006 1 :33 F't^9 UISPEPd~Ek Fr;PJ FUEL HLr I L'L''?:UISP 5-6 I D I JFEN JER PHt'J 1 FUEL HLHRt^'J ~ MHk 6 r '006 1:34 F'P'1 ----- SEPJS~,R HLHRt°1 ----- L28:UISP ] 1-1'2 DISPEf•iSER FHfd FUEL HLHRf1 t°1HR 6. 'L'UO6 1 :34 PM SEPdSC}R' HLHRt°1 L't6:UISF' y-10 UISFENSER F'HN FUEL HLHRM MHk 6. 2006 1 :35 F't"1 SENS~.+R HLHRt°1 L 1 : UPdL STF' :~UP'1F' STF' :3Ut°1P FUEL HLHRP9 t°iHR 6. '2006 1 :35 FM L 6:F'RENI STF' SUt°1F' + STF SUMP ~ ! FUEL HLHRM t°iHR 6. 'L'O06 1:36 F't"1 ----- SEfJSOR HLHRt^9 ----- ~ L 1 I: U I ESEL STF S Ut'~1F STF ~~_~hiF FUEL HLHRt°1 NIHR b. L'U06 1::36 Ft°i ' SEP~JSOR HLHRNi ` L10:PREt°1 HfJPJULHR H(VPJULHR SF'H'E ' HIt;H LI~tUIU HLHRt^'J (''IHR 6, 'L'OUT; 1:38 F'F9 ----- SEPJ`tiOR HLHRt°i ----- L 5 : UtVL HN(~iULHF? HfVPJULHR t~FHC:E HItaH LIuUIU HLHRNI MHk 6, 2006 1 :38 F't°1 ~- ---- t~EPJ~=t>R tiLr~Rt^9 ----- L15:UIESEL ~fJfVUL~R L 15 : Li I ESEL HNNULHR ~ ~ HC'J('JULHR SF'H~ E HtdhJULHR :~F'H+.:E I HIU`H LIwiUIU HLHRt"1 LOI,J LI[~JUILi t=~L~tRM MHR G, 20U6 1::iLi F'N1 ` MHk 6. 2006 1:36 F't^'1 ~ ----- SEPJSOR HLHI<<?°t ----- L10:FREM H(VPJULF;R Ht'd(VULHR SF'Ht~E LOW L I ilU I Ls HLHRP^1 ~ t°1HR 6. 2006 1 :37 F't°1 ----- SEf4SOR HLHRt^9 ----- L 5 : UP•!L HNNULHR H(VfdULHR SPHCE LOI~J L I «U I U HLHRNi MHR b. 2006 1:3? PNl $IC_, t:OUt'JTR'Y TE;~,H~'O 6005 COFFEE kIi . BH}:;ERSF I ELU . CH y330>3 MHR 6. '006 1 ::37 FN1 j N`lSTE(°1 STHTUS REPORT I L 5: LOW L I~ U I Li HLHRt^'1 -- L 10:LOW L I i-;tU I Li r=3LHRt"1 i L 15 : LOW L I +~U I D HLHRt°i + -- I L'?3:UISF' S-6 2PJU OTHER SEN:~ORS i FUEL HLHRNI + MHR 6. 2006 1:40 F'f°1 --SEfJ~~CiR tiLtiR(°l ----- L27:UISP G-10 2ND OTHER SENSORS FUEL HLHRNI N1HR 6r '?006 1:40 F'M ----- SENSE+R HLHRt°1 ----- L2y:UISF' 11-i'L' 2PJU OTHER SEtVSOR'S ` FUEL HLHRt^9 , MHk 6, 2006 1 :40 F't^1 i SEfd_t~R HLHRt"1 j LL"~:DISF' 11-1'~ 'L'tVD CSTHER SEtdSORS FUEL HLHRM MHk G. 20Li6 1:40 Ft°1 ----- SEPd~;UR RLRRt°l ----- L16:VENT BC1~, UTHER ~Erd~URS FUEL RLRRf^9 N1RR 6. 2UU6 1 :4U Fr°i ----- E:ErV:OR RLRRr^'1 ----- L25:LiISF' 7-8 '~r'dLi UTHER SEP•JNUR:3 FUEL RLRRM r°1RR 6. 2UU6 1 :4U F'r°l i LI'~:IiIE~EL FILL ~Ut"1F' 2NLi i {iTHEk EEPJStJkF FUEL RLRRr^1 t°1RR 6, '2U06 1:42 F'M Fi I u ~'UUNTR't' TE?Ri_'Cf 6UUy ~'UFFEE RLi . I3Rk:ER ~F I ELLi , i_'R 9330 B ' i r°1RR 6, 2r u6 1:4.3 F'M ----- SEPJSu'~R RLRRf^9 ----- L21:LiI~F' 3-4 'AND UTHER SErV~URS FUEL RLRRP'i MRR 6, 2UU6 1 :4U Pt^9 ----- SEPJ:~UF.' RLRRf^9 ----- L19:LiISF' 1-'~ 2PJLi UTHER 5Er'•J~URN FUEL RLRRM MRR 6. '?0U6 1:41 F'r°1 ~EIVS~:iR RLRRr"1 ~ ----- E:EN~~UR RLRRNI ----- L 7:F'REM ETF' E,I_It°1F' 2t'JLi UTHER SENSUR FUEL RLRRr°J r°iRR 6. 2UU6 1:4'x' Pr°1 ----- SEPJ:~UR RLRRI°1 ----- L 2 : UPJL TF' SUr°1F' '?rVL~ UTHER EErVSURE FUEL RLRRM N1RR 6. '?UU6 1 :42 F'r^9 L 9 : F'REt°1 FILL S IJr°1F' 2 hJli ~ ~ UTHER SErV~URS FUEL RLRRN'J r°1RR 6. 2UU6 1:41 F'M ----- EErV.r-_t+~'+R i=iLRRP9 ----- L 14 : D I EEL FILL EUP9F' 2t+JLi UTHER SEt'•JSUR:~ FUEL RLRRr°1 MRR 6. '?UU6 1:41 FNl ----- SEPJ:~UR RLRRP'1 ----- L 7:F'REh'1 ~~TF' ~Ur°iF' 2P•JD UTHER SEN~CiR. FUEL RLRRr^9 _ t°lRR 6, 2UL16 1:41 F'r°1 ----- SEPJSUR RLRRP'1 ----- L 4 : UfVL FILL 51Jr°1F' '2NLi UTHER SEN~URS FUEL RLRRr^1 r°1RR 6, 2UU6 1 :4'2 FP'1 ~- S4'STE!°1 ETRTU REF'URT. L ':FUEL RLRRM L 4 : FUEL RLRRt°1 L 5:HI~~H LIuUIIi RLRRr°1 L ? :FUEL RLRRh'i L ~ :FUEL RLRRr°1 L10:HIuH LIuUILi RLRRr^1 L 12 : F UEL RLRRh9 L14:FUEL RLRRM L1~:HIi_,H LIC-iUILi RLRRf°1 ' L16:FUEL RLRRNI L 19 : F UEL RLRRNI L21:FUEL RLRRt"1 L23:FUEL RLRRr°1 L2G:FUEL RLRRr°1 L27:FUEL RLRRr°1 L29:FUEL RLRRM ~- ' $ I r;_ C:.UUNJTR', TEXAr_- 600y COFFEE RL? BAKERSFIELU.CA 43;108 '. tWAR 6 • 2006 1 : 43 F't^1 SYSTEI°1 STATUS REF'URT L '~' : FUEL-ALARI°1 L 4:FUEL ALARI°t L 5: H I GH L I GU I L~ ALARI°I L 7 : F UEL ALARI°1 L '3 : F UEL ALARI°i L10:HIGH LIQUIL? ALARP'1 L 1 '? :FUEL ALARNI L 14 : F UEL ALARt"1 L15:HIGH LIr~UII~ ALARI°i L 16 : F UEL ALARI°1 L 1 y :FUEL ALAkt^1 L21 ~: FUEL ALARI"1 L'~3 : F UEL ALARI°I L'am' 5 : F UEL ALARI"1 L':' 7 : F UEL ALARh1 L 2 y :FUEL ALARI°1 ---- IN-TAN}; ALARM ----- T 2 : PREt°1I Ut°1 'i B I [_; C,t~Ut'JTR`! TE?~,ACt? C~11ERF I LL ALARNI ~ ~ 600y CUFFEE R.Li . MAR 6. '~uU6 1:46 F'M ', BhKERSFIELL?,C:A 93308 I ' t°lAR 6. '?006 1 :47 Pt"1 ---- I fV-TAN}; ALARI^9 ----- T 1 : UtVLEALiED HIGH PRt~L?UCT ALARNI MAR 6. '006 } :45 Pf'9 . ---- I tV-TAtV} ALARM ----- T 1 : UNLEALiED U+JERF I LL ALARM MAR 6, 2006 1 :45 Pt°1 ---- I tV-TAPd}; ALARNI ----- T 2 : F'REM I UN1 '' HIGH F'R~.~L?U'T ALARI°1 t°1Ak 6. '2006 I :46 F't°1 T ] : UhJLEAUEI? I NilECVTUR'^~~ I tVi='REASE I NC:kEASE START h'lAR 6 r 2006 1:44 F't°1 tlt3LUP9E = yu93 GALS ~ HEIGHT = 68.03 IPJi~HES UJATER = 0.00 I t'JCHE~~ TEMP = 56.6 liEG F IICREASE ENL? N1AR 6. '006 1:46 Ft°i Vt}LUME = 1 } 4;t8 i;ALS HEIGHT = 87.07 ItVC:HE: WATER = 1.55 INCHES TEMP = 56.7 L?EG F GRUSS I hJi=:REASE= ::'346 TC tVET I tV[~kEASE= :'351 i i SYSTEt°1 STATUS REPi~RT T '~' : UVERF I LL ALARI°1 - - - T ,' :HIGH F'RL?L?Ur_ T ALARI°1 L ~' :FUEL ALARI°1 L 4:FUEL ALARI°1 L 5:HIGH LIGUILi ALARNI L 7:FUEL ALARNI L y:FUEL ALARNI L10:HI[;H LIuUIP ALARM L 12 : F UEL ALARI•'1 L 14 : F UEL ALARI°t L15:HIGH LI4~UIL? ALARNI L16:FUEL ALARM L1G:FUEL ALARM L21:FUEL ALARI°1 L23:FUEL ALAkt"1 ~ L25:FUEL ALARP9 L'27 : F UEL ALARI"1 L2y:FUEL ALARI°1 RELH`1 UUTF'UT TEST MHR 6, '006 1 :4?, Ft°1 j II k 4 : UUERF I LL ~ B I ij C•UUtVTRY TE;*:HC'U T`. FE : BOGS C:UFFEE RD . bTr~tVDnRD BH}`:ERSF I ELD. C'H 53308 tVURMHLL'', UFEt'J ~ ~ T '~ : F'REt°J I Ut"I ~i I tVVENTUR'Y I NCREHSE tNHR 6. 2006 1:48 PA9 ; I tVCREH ~E STHRT I tV-THNh: HLHRNt HLL : UUERF I LL HLHkt°1 ~ MHR 6. ' X006 1:45 PM HLL : H I C~H F'RULiU~'T HLHRt°1 HLL:MH;~, FRcs'LiUi_'T r=OLHRh9 ~ ~;YSTEM `,.-'THTU~ REFURT VULUt°lE = SG03 iuHL _ _ _ _ _ _ _ _ _ _ _ _ HEIGHT = 6?.41 It'~Jt:HES T ' : UUERF I LL HLHRt°1 WHTER = O . SO I N~_ HEE' TEMF = 56.5 DEG F T '':HIGH F'RS+LiU~'T HLHkt°1 L 2:FUEL HLHRt°i ~ IfVL:REHSE EtVD MHR G. '2006 1:48 F't°1 L 4:FUEL HLr~Rt'9 VULUME = 115,34 i_HLS L S:HIGH LI+~UILi HLHRt°1 HEIGHT = 88.14 INC'HE5 WHTER = G . ?8 I IJGHE:B RELH'Y UUTFUT TE~:T L 7:FUEL HLHRM TEt°1F = 56.8 DEG F N1HR 6. '~'OO6 1 :4? FP9 L S:FUEL HLHkt°1 GRUS~; INCREHSE= 2531 R 4 : UUERF I LL L 10 : H I GH L I GU I D HLHRt°1 T~ : (VET I tVC:REHSE= 2537 TYFE: STHtVDHRD ; L 12' :FUEL HLHkt°1 NURN)HLL.' UFEN L 14 : F UEL HLHRP~t ~ i IN-THtVk: HLHRM~ I L15:HIGH LIG~UID HLHRNi HLL:UUERFILL HLHRt°1 HLL :HIGH F'RUD Ui.:T HLHRM ,' L 16 : F UEL HLHRt"1 HLL:MHt; F'RUDUCT HLHRt•t L 1 S :FUEL HLHRt°1 I I i L'~ 1 : F UEL HLHW~9 L2:3:FUEL HLHRt~9 -- I L25:FUEL HLHRP9 i L27:FUEL HLHRt°t L25:FUEL HLHRh9 __1 I ,~, ~~, w w u. ~~ is. a <~ <7 , .~ ~. ~ ice' i~ t~, ~ ,._~ .~ ;_., ~_~ " ~~ u~ w I <x a .a a r, ~~ 7 ~: ,:L <x :Z u,u?u~mino~~~~ W it ~ ~ I~ T ~ ~ ~ ~~. ~ z ~ ~ ~ ~ ~ ~ ~T~ C~.1 T r7 O LL'1 E-' lx ice' F-' f=1 LK CK ~ L7,' Ck ~ L~' L7,' ~ Lam` 47,' Lk' W ~ Lk CK 1=4 ~`` 417 <S ~ ~ eL i~ : L L i~ ~ <:L t~ <~ `T <-L =I =Z tL ~ W i-I O E-" I lX .-7 .--1 ,_, .-1 .-1 ,-, .-] .-1 •--' ~-1 .-1 ,__) ,-] ,~ ,~ .-7 4X W II II II II II II II II t7e: W ~ ~~ _n. w =T ~-L .-7 'T ~-L ~l <-S <L .-1 ;;L ~T <-L -T <L ~T .~ 1-=1 w H f1, W C~.1 I ~. :~ r~ W ...7 z u. '-' ~ _ .a .a = .a w = a .a = .a .a .~ a .a w .a ik w ~ s ~ '~ w W I ~•• ry W W '' ~ W W i ry W W '` M1 W W W W W W W ~ ~..J ~l ~ `~ iv' i.' il] '.il h '-' ~ ~ ~. ~ ~ .-~ ~ ~ '-' ~ ~ ~ ~ ~ ~ ~ H z W W .a .-1 H i/' T' W ~n I S w w S w w S w w S [1. w w G. w w G-. W ~ s ':? ~~ 2 t~ CK .. ~ :S `~ i3 W W.u. [~ p t. tom: tJ? f C~.l CJ ~' if] C~ iT O CJ '~7 LL7 '.il T -+ ~'7 LL7 C- iT `- --~ .a .-] o\' F-' F ~ ,~ :x ;~ itl r'.l nl r..l t11 'J .-1 ~ r", W Q <~ W uCl '.17 Q7 ~ I E-' .-] .-1 .-1 .-1 .-1 .._1 .-1 .-1 .-1 .-1 ..] .-1 .-.] .a ._.1 .-1 '-' H ~ ~ Q'' H 2 3 3 H T '~ :FREE°1 I UP'1 VOLUME = 113~G i;ALS ULLAGE = 68U iaALu 9D%« ULLAi.,E= D GALS TC VOLUME = 11344 GALS HEIiaHT = 85.8' INCHES WATER VOL = '?1 GALS WATEk = 1 .00 I tdCHES TEP'IP = 56.8 UEG F T 3:liIESEL VOLUME = 8936 GALS ULLAGE = 3064 GALS 91]°o ULLAijE= 1864 GALS TC VOLUt°1E = 894? ~~ALS HEIGHT = 61.95 IhdCHES WATER VUL = 25 GALS WATER = 1.12 INCHES TEMP = 57.1 LiEG F ~ * ~ ~ ENLi x ~ ri T 2 : PREP°1I Uf~1 HIi_~H PRODUCT ALARM] Mf"rR EJ r ryUU~ 1 ~ 7 Pt''~ ---- I tV-TAt'~~}: ALARt`9 ----- T '? : F'REM I Uf°1 O11ERF I LL ALARM MAR 6, '~DD6 1 : ~'~ PrMI I I BIC~ t'OUfVTR,' TEXA~'ti> 6009 COFFEE RD. BA};ERSFIELD.CA 93308 ~ ~t°1AR 6. ''OL 6 1:50 FP9 BIG 'UUNTR'i' TEf~;AC-tit 6DD9 ~'OFFEE kD . BA}:ERSF I ELLi , i_ A 53:308 t°lAR 6. '~'U06 1 :4~3 Pt°i S.~STE(°1 STATUS REF'CiRT L '':FUEL ALARP'1 L 4 : F UEL ALARt°t L S:HIGH LIuUILi ALARt^'1 L ? :FUEL ALARt"1 L 9:FUEL ALARt^9 L10:HIGH LIuUILi ALARM L 1:' :FUEL ALARt°1 L14:FUEL ALARt'1 L15:HIti:H LIi~UILi ALARt°1 L 16 : F UEL ALARf^9 L 19 : F UEL ALARt°1 L21:FUEL ALARt~9 L'~'3:FUEL ALARM L'?S:FUEL ALARt°i L'~? :FUEL ALARt^'1 L':'9:FUEL ALARt°t - I T 1 : Ut'JLEALiEI:~ ' '~+OLUME = 9865 GALS ULLAGE _ '~' 135 GAL S 9D"•3 ULLAGE= 935 C~ALS TC VOLUf°tE = 9888 GALS HEIi;HT = ?3.55 Itdr'HES WATEk VOL = 0 GALS WATER = U.OG INi=HES TEN1P = 56.6 LiEia F T '.' : F'REt^9I UP'1 t10LUN1E = 10490 GALS ULLAGE = 1510 i;AL 9U', ULLAGE= 310 GALS TC VOLUt°lE = 10513 GALS HE I ~:~HT = ?8.39 INCHES WATER VOL = 47 i~ALS WATER = 1.?D INCHES TEMP = 56.8 LEG F T 3 : Lr I ESEL VOLUME = 8937 GALS i ULLAi=~E = 3063 GALS 90%6 ULLAGE= 1863 GALS ' Ti. VOLUt°lE = 8949 GALS HEIGHT = 66.96 I PJCHES WATER VOL = 25 ijALS WATER = 1.1'? IfJCHES TEN1P = 57.1 DEia F f ri ~€ it ai ii EtVLi ~ ie ~i i~ I iVVENTOR'i REPi.SRT _ --- ~I S'lSTEM STATUS REPORT T ~ :OVERF ILL ALARf°l - L ? :FUEL ALARt^'1 i L 4 : FUEL ALARt°1 L S:HIi;H LIGIJIIi ALARt•1 L ? :FUEL ALARF9 L 9:FUEL ALARt°1 L10:HIGH LICIUID ALARf^'i L 1 '~' :FUEL ALARt°1 L 14 : F UEL ALAkt^'1 L15:HIGH LIG~UILi ALARM ' L 16 : FUEL ALARt°1 L 19 : FUEL ALARt^9 L'am' 1 :FUEL ALARt^1 L'~'3:FUEL ALARf"1 j L'~'5:FUEL ALARf^9 ~, L2? : FUtL ALARt°t L'am' 9 ' i= i i'rL ALARI°1 BIG 'UUt'JTR'r' TE:~~.Hi:tr 6Ut]9 i_'iiFFEE RD. B~}::ERSF I ELD, Cri 93308 B I i; t'trUNTR`. TE?;rC'Cr 6009 t;UFFEE RD. Fir=1};EREFIELL~.i'f~ 93308 t°1HR 6. '?006 1 :50 Pt°1 `lSTEt°1 ;ThTUE~ REF'4RT ' T '~' : trVERF I LL HLr;kt°t L '~' :FUEL hLHRNI I L 4 : FUEL NLrkt°t ~ L 5:HIGH LIQUID r~LrRP'1 L 7:FUEL tiLtRt"1 L '~ :FUEL r~LrRP•1 ~ L10:HIGH LI~tUID r;LHRM L 1 '~' :FUEL r~LriRt°1 L 14 : FUEL tiLr;RP'1 L15:HIGH LIQUID tiLr;Rt"1 L 16 : FUEL HLtiRh'1 L 15 : F UEL rtLHRt"1 L21:FUEL HLHRt'9 L''<3:FUEL riLtyRN1 L'~'S:FUEL ALARP'I L'~'7:FUEL r;LHkt°1 ~~ L'29:FUEL rLF;Rt°t BIG i=rU UhJTR ;' TE:tiCtr 6009 C:GFFEE RD . BA}tERSFIELD.i~ri 93308 t°1riR 6. 2Ci06 I :50 Pt°I S'~~STEM STrTUS REPt;RT T '2 : t7VERF I LL r=3Lr;Rt°1 L 2:FUEL r~Lr~;Rt°1 L 4 : FUEL ~LrRt°1 ! L 5: H I ~= H I_ I ~_iU I Li HLriRt°1 L 7:FUEL r;L~F'P'1 L 9:FUEL r'-;Lr=iRN1 L1U:HIGH LIi=QUID rLrRf•'1 I L 1 '~ :FUEL rLrikh9 L 14 : FUEL ryLtiRt"I L15:HIiaH LIC-~UIIi r;LHRt°1 L 16 : FUEL r~LNkt°1 L 19 : FUEL ~Lrikt°1 L'' 1 : FUEL riL~;RP9 L'23 : FUEL NLHRNi i ' L'25 : F UEL ALtikt°1 L'27:FUEL ~LHRP1 L'?9:FUEL HLr';kt'1 ~I N1HR 6. '2006 1:51 PP'1 :~.'E:TENI ;_T~TUS REF't]RT Tom' : ii1+'ERF I LL rLr;R~'1 L '~ :FUEL r=iLHRM L 4:FUEL rLtiRt'1 L 5: H I i_aH L I GLI I D r~LrRt°i L 7 : FUEL rLr~RN1 L 9:FUEL rLi~R't°1 L10:HI~:H LIi=iLiID rLi~kt°1 L 1 '~' :FUEL i~Lr;RP•1 L 14 : F UEL tiLHRt'1 L15:HIGH LIi~UILi r~Li~R!°1 L 16 : F UEL r~Lt~RN1 L 19 : FUEL r~LARt°1 L'< 1 : F UEL F~L~RM L'3:FUEL r~LhRt°i L'~'S:FUEL r~Lr;Rt~9 L'?7:FUEL r~LF;RNI L'~9:FUEL r~LHRh'1 T '~ : F'REf°1 I UN1 I t'JVEtVTirR`f I t'J~:R'Er7~E I N~'REHSE ThRT t°lAR 6. 'L'UU6 1 :49 F'M ~IOLUf°lE = 10421 i=,HLS HEIi~HT = 77.83 IP~Jt'HE5 Wr~TER = 1 .76 I Nt'HEE TEMP = 56.8 DEG F I NC -RENSE END t°1HR 6, 2006 1:51 F't°1 VULUNiE = 11276 GHLS HEIGHT = 85.38 INi~HES 6JHTER = 1 .54 I tV~_ HE5 t TEt°1P = 56.8 DEG F GRCiSS I PJ~'REi~ ~E= 855 Tip, tVET I tVC:RENSE= 857 ~ T 3 : L:+ I ESEL - I NVEtVTti3R'.' I rVi_'REr~SE _ ! I hJi='REUSE STr~RT + MHR 6,~OU6 1:51 F'r°1 B I i=~ Ct~UIVTk a' TE;;t-t~'0 6UU9 t'UFFEE RD. ~- - - VULUME = 5941 iryLS Bi~)~;ERSF I ELIJ , CH 933 U8 i HE I i; HT = 6? . U 1 INCHES WHTER = Ci.91 IrVCHES ~ TEMF = 5? . U LiEi, F ! r"1tiR 6, '~'uU6 1:51 F'P'1 B I U C:C} U PdT R`: TE, ;HC~, i ' j 6UU9 Ci~FF EE kL~. ~ I NC?REHSE ENLi BF;KERSFIE LD,+.'H 933u8 I"1r~R 6, '~UU6 1:53 PM S:'STEr"1 STi~TUS REF?}kT j - - - - - - - - - - - - j VULUNiE = 11564 UF~LS L 2 : FUEL hLr~Rr°1 ~ I r"1€~R ~, ~ uu6 1:5'x' Fr"r HE I UHT = 6Li . 4? INCHES WATER = 1 . X37 INCHES L 4 :'FUEL HLriRt°1 ~ TEMF = 5? . U DEi3 F L S:HIUH LIi~UILi i~Lt=tRr°1 ki~~ ;~i~.-~TEr°1 REF'G''RT STi-iTU;~ I - - - - URU,~~-'S ItVi='REi~SE= ~E2U L ? :FUEL ALHkM T 3 : LiUERF I LL ~LhRt'9 TC tVET I rVi= REi~SE= 't6~'3 ~~ L 9:FUEL ALtiRh'1 L '? :FUEL r~LHRr°1 L1U:HIuH LIuUIDr;L~iRr°l L ~1:FUEL f-tLrRN1 L1'?:FUEL r~;LriRt9 L 5:HIiaH LIi~UILi iLtikr"1 L 1 ~ :FUEL ~tLARM L ? :FUEL tiLr~RP'1 - L15:HIuH LIi~UIU r~LtiRt°1 L 9 : FUEL riLi~Rr°1 L 16 : FUEL rLr'kP^1 L1u:HIUH LIuUILi tiL~RM ~ + T 'L' : F'REr"1 I UP9 L 19 : F UEL r~Lt3Rr"J L 1 '~' :FUEL ~L~Rt"1 I t'JVEr'JT~?k`. I r'dCREti:~E L21:FUEL i-iLfRN1 L14:FUEL ~Lt-iRN1 Ir'JCREiSE STHRT N1tR 6, 2LIUt=, 1:51 Fr°l L'~3:FUEL HLt~Rh9 L15:HIGH LI4~UID HLFRt"i VuLUr°1E = 9393 i_hLS L'~5:FUEL ALARr'9 L 16 : FUEL r~L~R("1 HE I UHT = 7U . 13 I tVCHES I,JHTER = u . 94 I N~ .HES Lt? :FUEL r~LHRh1 ~ L 15 : FUEL I i~Lr=ikM TEt"1F' = 56.3 LIEU F L'39:FUEL rLr~kN1 Lt1:FUEL ~ r~Lt~Rh9 ~ I tVC'REHSE Er'JLi L'?3:FUEL tiLrRr"1 r"1Hk ~. '~'UU6 1:56 Fr"1 j L25:FUEL r~LtiRr"i VOLUr"JE = 956x7 C,HLS ~ ! HEIGHT = ?1.52 IrV~'HES L27 : FUEL NLriRh^t ; WATER = U . Uu I NL': HES TEt"JP = 56.9 DEG F L'~'9:FUEL ALARt"1 ~ CaRi~SS I rVCREASE= 194 TC NET I PJCREASE= 1 94 ---- I tV- TAN}; ALARh9 ----- T 3 : Li I ESEL HIiaH FROLiU<<T rLt-ikr°1 N1AR 6, 2006 1:51 Fr"i ---- I rV-TArV}; ALARt"1 ----- T 3 : Li I ESEL C7VERF I LL ALARP'1 , MAR 6, 20U6 1:5c F'r•'1 ----- SEPJSuR ALARr°1 ----- L 5 : Ur+JL Ar'•JNULAR ArVIVULAR SPACE LUW L I G1U I L+r`;LARNI r"lAR 6, L'UU6 1 :52 Ft"1 BIG i=x31_1 r'JTR'Y TE;Ai'G 6L1u9 Cc}EPEE RU . i BA}tiERSF I ELL+, CA 933u8 + S:iSTEt"1 STATUS REFC>RT ALL FUNCTIOP•1S_NORt°lAL _ _~ JOB CARD POST CARD AT JOB SITE IIY1b Tel: (661)326-3979 F,\%1liTY NAhIE ^ ~ !J~ ..1L f, ' OWNER ~J,1! ~ [,J./i1 1t/-f~`, `t~ • ' a ADDRESS 1 ~ L 1~ v V~. \ Py ~~`~•~ ~~ o,DDRESS I l: ~ -._ ~!!/ !~I.I~~ 1 KV UM . .. ... ~ 004 f~ ~-~-~u. (~ _ ...._.L~O..~ _ ._ t~ _~~ _ ~u~,~~.() 4'ITY ZIP CITY ZIP BAKERSFIELD a 33 ~ ...__ _ . ~~~ _-.. _ . _ _~.3.3._a~ ..__ PHONE No PERhl1T No. r S ~]yl~ 3g INSTRUCTIONS: PLEASE CALL FOR AN INSPECTOR ONLY'NHEN EACH GROUP OF INSPECTIONS WITH THE SAME NUMBER ARE READY. THEY WILL RUN IN CONSECUTIVE ORDER BEGINNING WITH NUMBER ONE. 00 NOT COVER WORK FOR ANY NUMBERED GROUP UNTIL ALL ITEMS IN THAT GROUP ARE SIGNED OFF BY THE PERMITTING AUTHORITY. FOLLOWING THESE INSTRUCTIONS WILL REDUCE THE NUMBER OF REQUIRED INSPECTION VISITS AND THEREFORE PREVENT ASSESSMENT OF ADDITIONAL FEES. ~ . INSPECTION DATE INSPECTOR ~~~( ~ - ' ~ } ~ ~ ~ ~ ~ • • * - e~S :1I,:;f ft:-i.. :'C. ~:~li r.~! 'O! .. .r ... ... ... ... .: ..... v~.. y .; ' J.V~~:.'~ - .Kl`I R ~ ; ~ ~1`S.~• ~n.vSF .f :.; +1~ .'Y .. . BACKFILL OF TANK(S) ._ .---_ ...... . .. .....ca.--~-rg~ ------------- _----..-------- -1- -9 ~---. ._-~- ------ ------- ----..-~ SPARK TEST CERTIFICATION OR MANUFACTURES METHOD . 1 CATHODIC PROTECTION OF TANK(S) ~~ S t b ~e ac . ... '.': - - - : - - PIPING-SYSTEIVE - - --, . ~:;`='; ~ ~ . : _ . , -. :. -:. r...., ...... ..., _.. ...- . I PRIMARY PIPING ~ ~ l ~ C _.._ ._ ....._...._._... . __-- SECONDARY PIPING ._.. _ .. _ .__.. ~/'~ ._----- -.___ TYPE OF PIPING. O FLEX BERGLASS ~A.~<:5(Ati~'f"r\ ~ CATHODIC PROTECTION SYSTEM-PIPING - -- -- - -_-`- DISPENSER PAN r~,~ O . SECONDARY CONTAINMENT -OVERFILL-PRO TECTION LEI~1K DEF •~lON ' ~":``T" ;`';; : ~`~~:'~, , , ~.~ .. ..... CONTINUOUS VAPOR MONITORING j _._..- -~----- ~.. p ,ro b - -- -- ENHANCHED LEAK DETECTOR TEST .. .... -- -._....._:.. .... !~ 1..-~~~_b_~..... . - .. -. LEVEL GAUGES OR SENSORS, FLOAT VENT VALVES '~,,, ~ ,b FILL TIGHT FILL BOX(ES) PRODUCT LINE LEAK DETECTOR(S) 3~~.. o~ _ LEAK DETECTOR(S) FOR ANNUAL SPACE-D.W. TANK(S) - MONITORING WELL(S)/SUMP(S) - H2o TEST ` SPILL PREVENTION BOXES h ,. ~ ~ ©/ FINAL tiIONITORING WELLS, CAPS & LOCKS .. .;... FILL BOX LOCK ~~ ~ F ' cc~~ ...7.r_~ ~rp - - - - - . _. ..... _ MONITORING REQUIREMENTS TYPE _ Cf, ,~ t~Sr 3S AUTHORIZATION FOR FUEL DROP ~~S CONTRACTOR ... St1P~c,~.... Ice,~-----.--._----.----....------..------_...._...---------.___....__ LICENSE No. __~~~_=l~_l ~ _-.. CONTACT _ ~4,CIlC, , ... ~~ _- PHONE No. -_~_~-~ ".4~_6_b~ • ., fd1743 Bakersfield Fire Dept. o Prevention Services ~~R~ 900 Truxtun Ave #201 ~Rrr r Bakersfield, CA 93301 03/02/2006 17:21 9094767114 SHIRLEY ENVIRONMENTL PAGE 03/04 ~~~~ ~~ 3755 Nr 8S u Hess Center Driv® Tucson, AZ 85705 P ra xa i r derv i Ces, In ~. rel: two) ss~Ze Fax: (520}293-1908 NEW CONS7RUC17ON ENHANCED LEAK DETECTION (NCIELD) FINAL TEST RESULTS TEST SUMMARY QA Review: Test data and hNormatlon h~ been r~-viewed and conforms to ELO pnocedurE~s and protocol. The minor leaks detected during the button-up phase of the test in the tl7 Tank sump and the Die$el Tank sump vrere repaired by oontract~r and re-tested tight 6eforo the end of tguting event. No further detections were made; ail systems tested pass. Aevfewed By: grew t3urk 2/20/2006 Signature: ~,r~ 1 1 ~ ~~~ / _ . :Attached Leak Log described Issues encountered and repaired during test duration 3 of 3 ~ 38419P~C DA Final DB LEAK LOG Job# 3 4 8 19NC swo r, 60003861 Sfte: 8i Count Texaoo Cllent: Shlrtey Environrnerdal C1krttCoafact Sandra Mathews SIOO AQQrOSS: 009 Cctfee Rd. Bakertetd, CA 93306 Cordxf:t N 2ti20951-4770 ComPlf~ed By: Log A~REF? Total t)etJectec! l+eal~s 6 _ g -~ ~' t~ .,.fFi~ ii: ~Y~.Y.` - ri - ,s3 _ _ ~.ye^; _ ~.r,i: ;r.~~- ~,la~ ••:i .ri_ :. ' '\ - -.• 'Se • , ~ ~- ~~ b ~ ` • ``C >?° :i: aRa -' ~ ~ }`>'~:;5.~., y~ n ~ _;~ ?d: ~ _ is ~ r~i,` a4Y.^ _u~ S ..r. ~e'._- l ~<~ s ' '~ ~'f - - k i ~'; .~~ia .F. fy. ~ r % x .i _ _ - -aw :: ._t:. ~j fie., G~ ~~'ti~ wS %;! - g•- a .fa' 4 ~= `` ~ " -:. ~ ee l y''~' ~ ~ 7 1( ~ ~ ^ : , , . {., : ~'~ ~1, ,. ~~.. ~ll i i,S.ly±laa r i ~.~ ~ ~~'~ ~ .a `3~_. ya .h ' Y~tr v found a leak fn the diesel TS in the r9ser cap where a vapor bucket 218x06 t would tae. Also found a leek in a a 0850 tanks 8U sum s 0 0 iu to the 87TS or} the va or TEE. 2~~08 28 04:X; tarkS 8U contractor making repairs an the slim U 0 leaks 4\ ~~ (9 ? w N N m (9 lD ' m ' lU b 1--a 1-+ s~ ~ '~ m { m z 0 z 3 m z --+ r D m m A (9 A b;i/bL/'Lk7bb 1/: L1 7by4/b/114 51-I1KLtY trvVlKUlvrItIVIL rHUG uuuy J . M~ ~~ Praxalr $grvices, Inr.. 3765 N, Business Camter Drive Tuc9on, AZ BSTOS Praxair Services, Iris. Tel:(B00)3948829 fax: (520)393-1306 NEW CONSTRUCTION ENHANCED LEAK DETECT{ON (NCELD) FINAL TEST RESULTS Client Date: 2/1213008 Site Info; Job NO: 38419NC Shirley Environmental PO Box 606 Pewaukee, W{ 53072 Big Country Texaco 6009 Coffee Rd, Bakelrfield, CA 9330$ YSTE NI S ATU - Pass ai{) Product 15ystem Slxe Tank PROOUt:T PIPING Prlena ) VENT PIPING (Priimary ) 87 12,000 Pass Psss Pass 91 12 ODO Pass Pass Puss Diesel 1 000 Pass Pass Patss va or Recove Pass Under Dispenser Containment (UDC) 6. Pass I Declare under penalty of perjufy tfiat tlf~ inFOrtnation contained in this report is b'ue and correct to tfie best of my knowledge Tester: Jim Cook ~.~~ Signature: ~~. State Lic. ~: 03-1639 Date: 2112R00B ~~,.. 1 of 3 384191NC-logbook.xls (HMMP) HAZARDOUS MATERIALS MANAGEMENT PLAN (UNIFIED PROGRAM CONSOLIDATED FORM) APPLlCAT10N BUSNESS OVVNB2/OPE~iATOR DBYifK.ATION FORM (HAZARDOUS MATERIALS FACILITY INFORMATION) B , E, R, S_F..,1 D FIRE ~,Rrr r BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661)852-2171 Page 1 of 2 1.' FACILITY IDENTIFICATION. 1 FACILnY ID NO. t Year Beginning - zoo6 too Year Ertding z-31- 20 tot BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) 3 BUSINESS PHONE toe o~ti n e SITE ADDRESS tos ~~ CITY toa CA IP 2 3 ~ / ) 0 ,os DUNN & BRADSTREET tos 7 7 - o ys.~a 3 SIC CODE (4 Digit #) ~ s , toi couNTY ~ ~ toe OPERATOR NAME / ~ ~ ~ v ~ to9 v OPE TOR PHONE ~6 6 l - q~1D -7 b tto _.. IL OWNER INFORMATION OWNER NAME ttt S~ 1 ~~,~ L L c- OWNER PHONE 661- 3 Z7 ~oo~ tt2 OWNER MAILING ADDRESS ~ lsb~ 1 ~ ~' s sue, t~ 22 i tto CITY tta STATE n5 IP ne ~s~" ~. ~~ 330 III.: ENVIRONMENTAL CONTACT CONTACT NAME tti Sh~-~a ~~,~~ CONTACT PHONE 6~1-,~2~- ~'ooX EX tie CONTACT MAILING ADDRESS ~'~' 119 /Sb s7, Sv;te 22Z CITY t2o a 1~e~F~L~@ STATE tzt ~ ZIP 933 0 t22 - PRIMARY _ Iv. EMERGENCY CON TACTS -SECONDARY- ' NAME 123 n~ ~l s 1l ~ NAME ~ s .ll aa 128 , ~ ,~ N ~ ~ l ,~ TITLE 124 TITLE 129 S7 a es, ,vt BUSINESS PHONE 125 BUSINESS PHONE 130 _ 327- Soog ~ 24-HOUR PHONE 126 24-HOUR PHONE 131 - Sys -~~Co 66~ ~ go0-7yy~ PAGER NO. 127 PAGER NO. 132 133 V. CERTIFICATION Cert~cation: 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 in this inventory and believe the information is true, accurate, and complete. SIG~R&OF IGNER 136 DATE t34 NAM OF DOCUMENT ?REPARER 135 ` ~R MES ~ ~ ©Jw N N T .; JRE ~ .. T3 137 TITLE OF OWNERIOPERATOR t38 C L L/ ~n>?stbe~ A ,~ Ilk ~ FD 2142 (Rev. 09/05) (HMMP) . HAZARDOUS MATERIALS MANAGEMENT PLAN UNIFIED PROGRAM CONSOLIDATED FORMS CHEMICAL DESCRIPTION FORM HAZARDOUS MATERIALS INVENTORY hC NEW ADD ^ DELETE ^ REVISE 200 a e..R s._P_3. ,..n F/RB ~A~r r BAKERSFIELD FIRE DE~YI'. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 rGn2 `orm Rer maters(, per burldirg. ar area. Paoe1 of 2 `` I. FACILITY INFORMATION r DBA - Dang Business As) BUSINESS NAME (Same as FACILITY NAME o T A/ / _ CHEPAICAL LO ATION 201 CHEMICAL LOCATION 20 ~ 0 ee ~ ~, elf C~ 33 CONFIDENTIAL (EPCRA) ^ Ye: ` FACILITY ID No. 1 MAP No. (optional) 203 GRID NO. (optional) II. CHEMICAL INFORMATION CHEMICAL NAME 205 ~ TRADE SECRET ^ Yes '~'~ '~S /"V ~ COMMON NAME ~~ EHS' ^ Yes ^ No L :" CAS No. 209 'If EHS is'Yes; all amounts below must t t in Ibs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire thief) 2 TYPE 211 21 CURIES 21 ^ p PURE ^ m MIXTURE ^ w WASTE RADIOACTNE: ^ Yes G No i LARGEST CONTAINER 211 PHYSICAL STATE ^ s SOLID l~LIQUID ^ g GAS 214 ` ~ OQO / FED HAZARD CATEGORIES ~ FIRE ^ 2 REACTNE u 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 21 (Check all that aPPIY) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219- STATE WASTE 22 AMOUNT DAILY AMOUNT / r~ ©O a U DAILY AMOUNT ~ QO ~ CODE 221 222 ^ UNRS ga GAL ^ d CU FT ^ Ib LBS ^ N TONS DAYS ON SRE If EHS, amount must be in Ibs. 22 STORAGE CONTAINER (cnec>< all foal appry) ^ a ABOVEGROUND TANK ^ f CAN ^ k BOX ^ p TANK WAGON 8~b UNDERGROUND TANK g CARBOY ^ I CYLINDER ^ q RAIL CAR ^ c TANK INSIDE BUILDING ^ h SILO '' u d STEEL DRUM ^ i FIBER DRUM ^ n PLASTIC BOTTLE ^ e PLASTIClNONMETALLIC DRUM C j BAG C o TOTE BIN STORAGE PRESSURE ~ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 22 STORAGE TEMPERATURE L5~ a AMBIENT ^ as ABOVE AMBIENT ~ ba BELOW AMBIENT ^ c CRYOGENIC 22 %WT HAZARDOUS COMPONENT EHS- CAS # . 1 226 227 ^ Yes ^ No 228 2 ' 230 231 ^ Yes a No 232 2 3 234 235 ^ Yes ^ No 236 23 4 238 239 ~ Yes ~~ No 240 241 5 242 243 =Yes ~ No 244 24 .III SIGNATURE . PRINT NAME 8 TITLE OF AUTHORIZED COMPANY REPRESENTATNE NATURE DATE 2 ~ ~P~ ~N~ ~ 3 -~_~.~ FD 2144 (Rev. 09/05) 0 (HMMP) . HAZARDOUS MATERIALS MANAGEMENT PLAN UNIFIED PROGRAM CONSOLIDATED FORMS CHEMICAL DESCRIPTION FORM HAZARDOUS MATERIALS INVENTORY B B..R.$..P I n iF/R6 ARTAI T BAKERSFIELD FIRE DEFT. ANEW ~ ADD ^ DELETE ^ REVISE 200 Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 iGne form per matedai. per building. ur area. Paae1 of 2 ,.. I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or OBA -Doing Business As} C VnJ ~ CHEMICAL LOCATION 201 CHEMICAL LOCATION ~ 20 // C~ Ip ~ Q 1 C o F,Fee ~ kQ/I, ,p~„~ C CONFIDENTIAL (EPCRA) O Yee N FACILITY ID No. ~ MAP No. /optional) 203 GRID NO. (optional) If. CHEMICAL INFORMATION CHEMICAL NAME 205 2 / ' R TRADE SECRET ^ Yes ~ No Ul.~~ N r COMMON NAME 207 EHS' C Yes ^ No CAS No. 209 '!f EHS is'Yes; all amounts below must t t in Ibs. FIRE CODE HAZARD CLASSES (Complete ii requested Dy local fire duet) 2 TYPE 211 RADIOACTNE: ^ Yes Flo 21 CURIES 21.'? p PURE ^ m MD(TURE ^ w WASTE LARGEST CONTAINER 2151 PHYSICAL STATE ^ s SOLID 5~1 LIQUID ^ g GAS 214 ' / DO /~ FED HAZARD CATEGORIES Sd 1 FIRE ~ 2 REACTNE C 3 PRESSURE RELEASE G 4 ACUTE HEALTH ~ 5 CHRONIC HEALTH 21 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE 22 AMOUNT DAILY AMOUNT ay DAILY AMOUNT ~ oo CODE o00 ~ 221 222 ^ UNITS l5rga GAL ~ ^ cf CU FT ^ 1b LBS ^ to TONS DAYS ON SfTE tt EHS, amount must be in Ibs. 22 STORAGE CONTAINER (Cnecx au tnef apply) ^ a ABOVEGROUND TANK ^ f CAN ^ k BOX G p TANK WAGON b UNDERGROUND TANK g CARBOY ^ I CYLINDER ^ q RAIL CAR ^ c TANK INSIDE BUILDING ^ h SILO ' ~ ^ d STEEL DRUM ^ i FIBER DRUM ^ n PLASTIC BOTTLE ^ e PtASTICJNONMETALLIC DRUM ^ j BAG L o TOTE BIN 22 STORAGE PRESSURE @~ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ?2 STORAGE TEMPERATURE G/ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC %WT HAZARDOUS COMPONENT . EHS. CAS # .. 1 ~ 228 227 ^ Yes ^ No 228 22 2 230 231 ^ Yes ^ No 232 2 3 234 235 ^ Yes ^ No 236 23 4 238 239 ^ Yes No 240 241 5 242 243 -Yes No 244 24 III S NATURE . . PRINT -~ME 8 TITLE OF AUTHORIZED COMPANY REPRESENTATNE UR DATE 2 ~J,9~ e~ ~~~h 3 ~7-0~6 FD 2144 (Rev. 09/05) (HMMP) HAZARDOUS MATERIALS MANAGEMENT PLAN APPLICATION . FOR SECTION DISCOVERY AND NOTIFICATION (FORMS) - B ,_ E R, 9 _P I D f~Rt ARTM T BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA.93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 INSTRUCTIONS Page 1 of 2 1- To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. :: ' SECTION: I: FACILITY IDENTIFICATION ' ' BUSINESS NAME (Same as FACILnY NAME or DBA -Doing Business A5) G C vlv-~n. ADDRESS (For local use only) C C F - X133 O~ -I~ o I~6 x~ F l FACILITY ID NO. ~ SECTION 11.1`: DISCOVERY AND NOTIFICATIONS A LEAK DETECTION AND MONITORING PROCEDURES: /+ ~,N2 VSt/ A VEE/JEQ ~7 7GS 3s-a ~-eafr ~fi7~2c~-t/v~lSySYryM 1T IS CL.¢~Q )'r,~lLy I`0''(-A~ phOr~)-Ew) 1W OV25ysyf/y , 7"/e~e. g~.e n®sy~ N~er~ ~ 7~e y'GS 3,lo ANn gae kepd- MoN~°~17, jj,c~, ~aandews ~~~ /vv7E~ ALvr~y I.v;f~i 7`/,e A~t~o~ 7Ak~v ~ Con.n c B. EMPLOYEE AND AGENCY NOTIFICATION: ~IQ.~N k S v ~ ! I ~q,J - ~p (o ~ - 3 4 s _(! zQ~O ~ TH7/0./ /y Cl n / 1//- IE,yercuP~vcr~ - Tjw S~ll~~Aa - ~fol-goo-7~~t~ - pnesro~eNy .S'hAn,o,v Tle~e,J~ -G6l-33o-oaG3 Rep ~ ~00-85z-7S~s'o - OES ~Or+- MFiJon, 5r;)~s~ JH.aES f./ yov~vw... l~6/-330-oz(ol_ %2e~~G /'!6~ (o(pl - 326- 39 7~ ~ 6 ~ ~ Fug, ,uoN ~MEaceu~ S ',Ils C. ENVIRONMENTAL RESPONSE MANAGEMENT: 57'pne MA~/R4En IS Res~nNbwlw ~ Rehv>?-~/~Il Sp/IG ~` Co~,~~, , ~ Op~r~~~ NGri, ~- We Co~ovv> A/nlrs /yo,v>//y ~ E,/svtie w~ q•~ ~nJ Cvw~(aww~ D. EMERGENCY MEDICAL PLAN: ~~y~GBu~V p~llUe NVle2ws Ij~1Q~ rJ0SY2cI R3'f ~(,/yro,l /Q~-o~/y INS /~ /D~~/~ /(//~otlt~1, / ~ d.- Nip T Nelone~f /1~s~llr .... .._ SECTION 11.2: ~ RELEASE RESPONSE PLAN A.HA7ARDASSESMENTANDPREVENTIONMEASURES: AEI FM~J~td~ /9ne 75ca1:~ /~ Stir/ dFF a0wen, // A(~ru~sau I.~ 0`/~ dF 3 wM'yJ ~/ n/ ~,Qib4/w~ ON .r/'7/97~vw pY10pJa- M~ZA,SdK.~RI R~ 7A~i.J B. RELEASE CONTAINMENT AND/OR MITIGATION: S~ ~ II /`s v~~g.~,V vs ,wy R ~scbu,~/~"~ fi /L PA lS S~GI.k.Q~/ d- $Y/~ I~ !S ~-Lea.-~ , lNA~re n~~->~en~aL i~ 2e~~/~ 4y MP ~NVlr~e>ur+~eN>al ~ovx-ve.~oon, C. CLEAN-UP AND RECOVERY PROCEDURES: ~~p~ pA.ocenu~t~i Arie ~~ ~>~p1`~ a- Go M/a,~(a~~ ~vn- Sec,,m~~ A~e~ ~ cleati.~ Sr,lls, d- pisp~s~~- os wASy~• FD 2169 (Rev. os!os) Page 2 of 2 SECTION 11.2: RELEASE RESPONSE PLAN-CONT. UTILITY SHUT-OFFS (LOCATION OF SHUT-0FFS AT YOUR FACILITY) NATURAL GAS/PRO ANE: P I3 ( ^ ) ELECTRICAL J V ~ / ~ ~ 7 WATER: ~ w w O SPECIAL: PRNATE FIRE PROTECTIONNVATER AVAILABBIUTY: l A PRNATE FIRE PROTECTION: ~~ 1 ~ Q L/~ F //t2 /~-' )[ 7/ ~/lf V~~'~'J d "~ l s ~~ ~~Z/"5 L' k~ /~~ne' ~)°"~/wl~J~~Xf ~ ws th z Sn l.e, y Avr.~/t B. WATER AVAILABILITY (FIRE HYDRANT): ~Jne ~` ,~~~L JB~~ ~O `'~ ~~~ s~~-~-~ `~ c 1 t ,I L it v W `/ ~ ~ C~rt,N~~+r Q'~ Ld} C QL;~ dL s2.Aw i~ D ,SECTION III. TRAINING NUMBER OF EMPLOYEES: 8 % o i ti MATERIAL SAFETY DATA SHEETS ON FILE: ~N ~)Nn~ A-f Sq~ CAV>~i~v BRIEF SUMMARY OF TRAINING PROGRAM: (~wtp1~,,~,r~ qn,e ~n~ar'~~Q o,.~ S~~Le /-,~ol,~, sy~~G.e, cle~..~ ~p~ ' ~n2vekr~o>" ~ d Co,~>g~~~~' of l~l~z Aaoo~s M~re~~(,1 ~oc~te~ Af Fr~ir~~ . See E~A;~,~' •~ ,t C ~ }' 7rr.~tNin/b ~QGOpoS CERTIFICATION. Bas on my inquiry of those individuals responsible forobtaining the information, 1 certity under penalty of law that I have personally exam ned ,dam familiar with the information submitted and believe the information is taste, accurate, and complete. SIG T OF NER / OPERATOR OR DESIGNATED REPRESENTATIVE DATE 477 3 -3 -06 M SIG ER (print) 478 TITLE OF SIGNER 479 ~,~j Mrs ~ ~/ S~e~t~ ~I vv FD 2169 (Rev. ostos) (HMMP) HAZARDOUS MATERIALS MANAGEMENT PLAN UNIFIED PROGRAM CONSOLIDATED FORMS CHEMICAL DESCRIPTION FORM HAZARDOUS MATERIALS INVENTORY JEW ^ ADD ^ DELETE ~ REVISE 200 a s. R._s... F_3. n rfrlr~B ARTAI T BAKERSFIELD FIRE DE'T. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: .(661) 326-3979 Fax: (661) 852-2171 One form per material. per bui)drrg. or area. Paoe1 of 2 `` I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) R 2. CHEMICAL OCATION 201 _ CHEMICAL LOCATION 20 oO ~ ~ Q~~~ l CONFIDENTIAL (EPCRA) C Yee . FACILITY 10 No. 1 MAP No. (optionae) 203 GRID NO. (optionar) 11. CHEMICAL INFORMATION CHEMICAL NAME 205 S t71°/tE~~ NL~gnE~ ~oGN TRADE SECRET ^ Yes E+100 COMMON NAME 207 EHS' G Yes ^ No C~ nv a . CAS No. 209 'tf EHS is'Yes,' all amounts below must t c in tbs. FIRE CODE HAZARD CLASSES (Complete it requested by local fire chief? 2; TYPE 211 21 CURIES 21 ='? U p PURE ^ m MIXTURE C w WASTE RADIOACTNE: G Yes G No ' I ~ ' L~ S LARGEST CONTAINER 2151 I LIOUID g GA PHYSICAL STATE u s SOLIO !i 214 /~ DOII V ~~L FEO HAZARD CATEGORIES ~ FIRE ~ 2 REACTNE ~ 3 PRESSURE RELEASE ~ 4 ACUTE HEALTH ~ 5 CHRONIC HEALTH 21 (Check all that aPPIY) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE 22 AMOUNT DAILY AMOUNT / O 0 l U DAILY AMOUNT DO O CODE 221 222 D UNITS Er 9a GAL Q c( CU FT D Ib LBS 'J to TONS DAYS ON SRE K EHS, amount must be in Ibs. 22 STORAGE CONTAINER (meek au tnel appry) ^u a ABOVEGROUND TANK ^ t CAN ^ k BOX v p TANK WAGON b UNDERGROUND TANK ~ g CARBOY U I CYLINDER u q RAI L CAR c TANK INSIDE BUILDING D h SILO '' G d STEEL DRUM ^ i FIBER DRUM ~ n PLASTIC BOTTLE 0 e PLASTIClNONMETALLIC DRUM ^ j BAG L' o TOTE BIN STORAGE PRESSURE 0~ a AMBIENT d as ABOVE AMBIENT O ba BELOW AMBIENT 22 22 STORAGE TEMPERATURE Ui' a AMBIENT G' as ABOVE AMBIENT ~ ba BELOW AMBIENT ^ c CRYOGENIC %WT HAZARDOUS COMPONENT : EHS. CAS # . 1 226 227 C Yes G No 228 22 2 230 231 ^ Yes a No 232 23 3 234 235 C Yes ^ No 236 23 4 238 239 a Yes !~ No 240 241 5 242 243 =Yes :~ No 244 24 IIL SIGNATURE . PRIM NAME 8 TI E OF AUTHORIZED C Y REPRESENTATNE SIG TL NATURE DATE 2 [ / Es /T ~O~tiy ~ "~ `~~ ~~ FD 2144 (Rev. 09/05) (HMMP) HAZARDOUS MATERIALS MANAGEMENT PLAN (UNTIED PrtOf'RAM CONSOLIDATED FORM] BUSINESS ACTIVITIES PAGE (HAZARDOUS MATERIALS FACiLI T Y INFORMATION) B. _, ,_~ _R„ S, F _I D F/RE ARTAI T BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 FaY: (661) 852-2171 Page 1 of 1 I. FACILITY IDENTIFICATION FACILITY ID # (For Office use only -please leave blank) 3 EPA ID # DBA /FACILITY NAME ,a ,tJ~i2 ~Q~A ~0 ` II. ACTIVITIES DECLARATION DOES Your Facility ... If Yes, Please Complete ... 12 i A. HAZARDOUS MATERIALS • CHEMICAL DESCRIPTION FORM 13 1. Have on site (for any purpose) hazardous @~es ^ No • HAZARDOUS MATERIALS MANAGEMENT PLAN materials at or above 55 gallons for liquids, Mini mum required Dlanning elements: 500 pounds for solids, or 200 Cu. ft. for CyFes ^ No Emergency Response Plan compressed gases (include liquids in ASTs and ~ Mraining LISTS)? Prevention B. REGULATED SUBSTANCES (RSl 131 1. Have on site RS at greater than the threshold ^ Yes ^ No CHEMICAL DESCRIPTION FORM planning quantities established by the California RISK MANAGEMENT PLAN (RMP Submit to USEPA) Accidental Release Prevention program • CONSOLIDATED COMPLIANCE PLAN (CaIARP)? Incorporating CaIARP Program Elements C. UNDERGROUND STORAGE TANKS (USTsI ^ ~ UST FACILITY FORM 13 1. Own or operate Underground Storage Tanks? l9 No Yes • UST TANK FORM (One Per Tank) 2. Intend to upgrade existing or install new USTs? ^ Yes No UST FACILITY FORM 13 • UST TANK FORM (One Per Tank) • T INSTALLATI N FORM On Per T nk D. TANK CLOSURE /REMOVAL '` • ST 2. Need to report closing an UST that held hazardous ^ Yes t9 o U TANK FORM (Closure section -one per tank) materials or 3. Need to report the closure /removal of a tank that ^ Yes li3~No • UST TANK CLOSURE FORM was classified as hazardous waste and Leaned on- site? E. ABOVEGROUND PETROLEUM STORAGE TANKS CASTS) ^ Yes ~'No • HAZARDOUS MATERIALS MANAGEMENT PLAN 1. Own or operate ASTs above these thresholds; • Incorporating Federal Spill Prevention Control and any tank capacity is greater than 660 gallons or the Countermeasure (SPCC) Elements pursuant to 4o CFR Part 112. total ppacity for the facility is greater than 1,320 F. HAZARDOUS WASTE ^ Y L~N • EPA IO NUMBER - Provide on this page T i EPA ID N h 1. Generate hazardous waste? es o o obta n umber, please p one (916) 32a-1781 2. RecyGe more than 100 kglmo of recyclable ^ Yes o RECYCLING FORM materials at the same location it was generated? 3. Recycle more than 100 kg/mo of recyclable ^ Yes o • RECYCLING FORM materials at an off-site location different from the point of generation? 4. Treat Hazardous Waste on site? ^ Yes No • TP FACILITY FORM • TP UNIT FORM (One per unit) 5. Subject to Financial Assurance requirements? ^ Yes ^ No • CERTIFICATION OF FINANCIAL ASSURANCE 6. Consolidate Hazardous Waste generated at a ^ Yes No • REMOTE WASTE I CONSOLIDATION SITE NOTIFICATION FORM remote site? NOTE: If you checked YES to any part of Sections IIA - IIF above , then in addition to the forms requested above, please Submit BUSINESS OWNER/OPERATOR IDENTIFICATION FORM (FD2089) FD 2143 (Rev. 09105) HMMP) BAKERSFIELD FIRE DEPT. HAZARDOUS MATERIALS MANAGEMENT PLAN Prevention Services ~..; ,,.. .. a _ E- x_s F, ! n 900 Truxtun Ave., Suite 210 SITE & FACILITY DIAGRAM ,;R r T Bakersfield, CA 93301 Tel.: (661) 326-3979 Page 2 oft ~ Fax: (661) 852-2171 ~ SITE DIAGRAM FACILITY DIAGRAM L___ _-__._.._ .._.. __. Business Name: _.. ~J-~- CovNy~.~_- ~Te~~c-o _..-_ _- .__.. _. _ . Business Address: ~.~oq.. C.a~.~ee. C~Z~-~ __~-gk~?s.F~e~ , G~. __ - x'33 °~ - _- I i ai ~I U c ~LAwHd,o L/i~v~q f a K t-uel U57 FLHriq iat/~o l~.k ~~ usY ILK "~Ue,~ ~ V~/ S N 0 D E ~~ v~ ` L Qc,~~ ,E = Flec7n~c. Skit e FF S = E M132tEdcy 5~~~' eFF please indicate direction of North w~ warps si-ut of~ FP= E'Le~T~.~~l P~-uEl F = ~)nE >C~T1>uGuu~ra.s ~_ _ __ _ . _ H = F12e Nyav3ay cn ~~~n ~o.....,~,~ ~-i.l HMMP) HAZARDO SITE O Page 2 0. ~ ~ _----- ~i Busi Busi .~ u ~ ~ i o r _ a s ~. LL d ~° Ll US MATERIALS MANAGEMENT PLAN BAKERSFIELD FIRE DEPT. SITE DIAGRAM FACILITY DIAGRAM FACILITY DIAGRAM Name: '~ Address: ~0~ ~ . ~' p.FFeje.__ (aD...._ ~JRk~e~s.~r4f,~Q, ~ . `~3 3 a~' ~J9re Kwu L,at S c~ p e w ~ p © J 3 © --> LL N ~ `~ b © L U a LL~ n fw o ._~ i Prevention Services B.. E. R_ $., F. I. D 900 Truxtun Ave., Suite 210 FIRE ~Rrr r Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 ///~ / ///!~i _ L~4E~~ Re N n~ N ~ = ~~ y ~ ~l ~ = ~lecrn~cal Sb~' o F~ ~/~ tZ'~, W . iuarEtti 5 trl a FF ' / ~J~ .S = LMt24ENtr -~~ O~1F A ~I E~p,~.yRICyL P~N~I. N O R T H ~~2r Nyn~Please indicate direction of North S1 = ) z K ~LpMHAb~C L16tui~ Fv~eL T~~1k5 HMMP) HAZARDOUS MATERIALS MANAGEMENT PLAN ~:~ .~; . - SITE & FACILITY DIAGRAM Page 2 of 2 Tel.. (661) 326 3979 Fax: (661) 852-2171 BAKERSFIELD FIRE DEPT. Prevention Services S _- E- R... S, F, I. D 900 Truxtun Ave., Suite 210 F/R! Bakersfield, CA 93301 Derr r } _. _-_ ~ ~ SITE DIAGRAM 1=ACILITY DIAGRAM f Business Name: _ ~1.~,- _ Cov~u7n~.-_ 7e~~c.~_. _ . - -. _ . Business Address: C f i t I I i i 1 ~1 Z ~I I ~ 1 .- _ _ ~. _ FLAwlId .E y~wq ~t K ~~~,~ usY I z k~"~ pus y ~~ -- - o N D L) V~ L e4~~ ~ = ELecYa~c. SI-„~" e FF W, WgyFn Slwt vFF F = F 1~ lE~> ~Nrd-u1~+,s _ _.. _ _ ~.} = FIaC Nyprwar ~j = E HIsR,SEdCr Sl~vt oFF Please indicate direction of FP= F'Le.~Tti~~l F~it~El C?~ ~I ~~- - State of Califomia For State Use Only State of Water Resources Control Boarc1 Division of Financial Assistance P.O. Box 944212 Sacramento, CA 94244-2120 (Instructions on reverse side) CERTIFICATION OF FINANCIAL RESPONSIBILITY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM A. lam required to demonstrate Financial Responsibility in the Required amounts as specified in Section 2807, Chapter l8, Div. 3, Title 23, CCR: ^ 500,000 dollars per occurrence ^ I million dollars annual aggregate ' or AND or er occurrence ~ 2 million dollars annual a ate re i ('J I million dollars gg g , p /I '~ hereby certifies that it is in compliance with the requimments of Section 2807, B. (Name or Tank Owner or Operator) Article 3, Chapter 18, Division 3, Title 23, Califomia Code of Regulations. The mechanisms used to demonstrate financial responsibility as required by Section 2807 are as follows: C. Mechanism Mechanism Coverage Coverage Corrective Third Party T e Name and Address of Issuer Number Amount Period Action Com G~ErJ ~E~~~~ Eat t)ct,.a.~~, /- OL LI~~~C;H 2'too Dv,~l~ ~e ~` ~~ X33$)®~ /~ 'Ovi7, voU Z - 0 ~S~Z 1 P) z~ o~ha,~ ) 6 to ,~, .sr~~~ ~N~ ye~ yes Note: If you are using the State Fund as any part of your demonstration of financial responsibility, your execution and submission of this ceR~cation also certifies that you are in compliance with all conditions for participation in the Fund. D. Facility Name Faality Address ~ it; Cap , a 7~ g ~ Q 600 C ~ ~ C ~+ „ ~. ~ A a ~ , Facility Name Facility Address Facility Name Facility Address E. Signature ner or r r Date Name and Title of Tank Owner or Operator ~- _ 3 ~ _ oC ~ ..., /rw ~v l~~ N - ~ReS~r~ ,Jf' S g t re o or Notary Date Name of Witness or Notary 3-~-Q` JA~~ ~ Q~~~ CF evi 4195) FILE: Original -Local Agency Copies - Facility/Site(s) UST MONITORING PROGRAM EMERGENCY RESPONSE PLAN Page 1 of 1 This monitoring program must be kept al the UST location at alt times. The infomralion on this monitoring program are conditions of the operating permit. The permit holder must notify the Office of Environmental Services within 30 days of any changes to the monitoring procedures, unless required to obtain approval before making the change. Required by Sections 2ti32(d) and 2ti41(h) CCR. Bakersfield Fire Dept. Environmental Services ~~R~ 1715 Chester Ave ~>~err t Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME l1. 0 FACILITY ADDRESS ~0© 'e C~ 33DcY IF AN UNAUTHORIZED RELEASE OCCURS. HOW WILL THE HAZARDOUS SUBSTANCE BE CLEANED UP9 NOTE: IF RELEASED HAZARDOUS SUBSTANCES REACH THE ENVIRONMENT, INCREASE THE FIRE OR EXPLOSION HAZARD, ARE NOT CLEANED UP FROM THE SECONDARY CONTAINMENT VvITHIN 8 HOURS. OR DETERIORATE 7HE SECONDARY CONTAINMENT, THEN 7HE OFFICE OF ENVIRONMENTAL SERVICES MUST BE NOTIFIED WITHIN 24 HOURS. (15E f~~.5p~.gtfu~' /o Coriyei~v Svt~SlAwc~~ IZ~MOdQ Crorvy~i,v,r~/E''~ fIQi5~0/C.~yA~t vz ~~,Yte DESCRIBE THE PROPOSED METHODS AND EQUIPMENT TO BE USED FOR REMOVING ANO PROPERLY DISPOSING OF ANY HAZARDOUS SUBSTANCE. I US~9 ~~,Sorcb~-~`1 !S S7vn+e~P is ~,~ Rv>/~on,aaQ S~n.va-~ Cv.r/-/~i~. (Jw~i L ~PM~v~ ~ay (~vr;iG~,~l /~~Lq~ Wry-sy~ /~gvlel, 3.DESCRIBE THE LOCATION AND AVAILABILITY OF THE REQUIRED CLEANUP EQUIPMENT IN ITEM ABOVE. ~On~9 /^~S%t~ S70>L~e ~,v ~~ ~S'~'oKa~~ ROOM DESCRIBE THE MAINTENANCE SCHEDULE FOR THE CLEANUP EQUIPMENT: G`.e~avp ~~v~~Owrrnly w~~ 4 ~ ~~pl~c,~ /~S ovess~~ y /~Fte•L vs ~e, LIST THE NAME(S) AND TITLE(S) OF THE PERSON(S) RESPONSIBLE FOR AUTHORIZING ANY WORK NECESSARY UNDER THE RESPONSE PLAN: NAME TITLE ~2r~~/~C .Sy~~r/.~..~ .~f7ht~ M~N144k'~'(J JIbH~s ~~pvu, Nt~rc S~un.l. /ono l.~r~' ~,~ Sl~llfl~a ~n es ro~e,/7~' - UST MONITORING PROGRAM WRITTEN MONITORING PROCEDURES Page 1 of 1 This monitoring program must be kept al the UST location at aU times. The information on this monitoring program are conditions of the operating permit. The permit holder muss notify the Office of Environmental Services within 30 days of any changes to the monitoring procedures, unless required to obtain approval before making the change. Required by Sections 2632(d) and 2641(h) CCR. I-/RI ~Rrr r Bakersfield Fire Dept. Environmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME FACILITY ADDRESS 00 ~F~ e. ~D ) :~~, ~. ~ 33 ~ DESCRIBE THE FREQUENCY OF PERFORMING THE MLONITORING: j Jam) TANK i - 1 ~ ~^ (~/vG /ON /'''VK~aI~~ // Dll~ /~ /~1~ /J PIPING ~~ Ci'V ~ ~ev u J~ F(1N~- / /, xl / ~~ WHAT METHODS`A/ND EQUIPME ,IDENTIFIED 8Y NAME AND MODEL. WILL BE USED F R PERF RMING HE MONITORI TANK V ~L ~~ n~00y7 r `'7~'LS 3L~RO PIPING ~~6 ~t2 ''(,~0 / [ t'S ~L~~/ DESCRIBE THE LOCATION(S) NhiERE THE MONITORING HALL BE PERFORMED (FACILITY PLOT PLAN SHOULD BE ATTACHED): ~no~y Cov,vr~Z _ S~L>,s A~I~a LIST 7HE NAME(S) AND TITLE(S) OF THE PEOPLE RESPONSIBLE FOR PERFORMING 7HE MONITORING ANDAJR MAINTAINING THE EQUIPMENT: NAME TITLE ~'R9n~k Sv f l/l/a~ S7'srlio.v ~~~~GEn . Slf~~a ~~~f ~~SY OPEtu~o~t REPORTING FORMAT FOR MONITORING: ~ .y (' TANK N 4~ II'LjVY3f! N5 (7 d ~I>~ OT" ~. ~ Are PIPING '[?i V ~Su~f Iw lvN ~ L 3, 0 DESCRIBE THE PREVENTIVE MAINTENANCE SCHEDULE FOR THE MONITORING EQUIPMENT. NOTE: MAINTENANCE MUST BE IN ACCORDANCE WITH THE MANUFACTURER'S MAINTENANCE SCHEDULE BUT NOT LESS THAN EVERY 12 MONTHS. ~fuNVgL ~n~el/-e:,lya7,~.~ f~Ip)vr. .~el2v,~e Cl4// DESCRIBE THE TRAINING NECESSARY FOR THE OPERATION OF UST SYSTEM, INCLUDING PIPING, AND THE MONITOR _ EQUIPMENT: ~M~1~rJ~ Goes tbl(.av4 ~ ~- "N~ Ew+~loy.~e'` ~vLpluj Ll.,9rj - E~l>~~' ~' ,~_... CITY OF BAKERSFIELD ~~R~ OFFICE OF ENVIRONMENTAL SERVICES . ~ . ARfM T 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UST Tank -1 Page __._ of TYPE OF ACTION ~ NEW SITE PERMIT ^ J RENEWAL PERMIT ^ 3 CHANGE OF INFORMATION (State type of change) ^ 7 RERMANENTLY CLOSED ON SITE Check one Clem ony as or DBA ^ 4 AMENDED PERMIT euatneta Aa) ^ d TEMPORARY SITE CLOSURE ~~ FACILITY 10 N r ^ 8 TANK REMOVED 429 t LOCATION (gplkfrra!) --~--- i 1. TANK DESCRIPTION IANR IU ~ •JY ~ANR M1wIVUrAV IUritrt 477 -- COMPARTMENTALIZEDTANK ^ Yea a32 ®,ir~, If 'Yea', complete one form for each compartment. late onh) II. TANK CONTENTS TANK USE 437 VEHICLE FUEL TYPE 438 ~i MOTOR VEHICLE FUEL I ^ to REGULAR UNLEADED { ^ T LEADED ^ 5 JET FUEL (I( marked, complete Vshlde Fuel Type) i ^ iD PREAAIUM UNLEADED ~ DIESEL ^ 11 AVIATION FUEL ^ T USED OIL I ^ to MIOGRADE UNLEADED ^ 4 GASOHOL ^ 99 OTHER ^ 3 CHEr.:::. L PRODUCT ^ 4 IiAZARDOUS WASTE COMMON NAME (from Hazardous AAateriab Inventory page) CAS N (from Hazardous Materials Inventory page) 440 :79 ^ 95 Uf+n.' 1WN ~ I ill. TANK CONSTRUCTION TYPE OF TANK ^ t SINGLE WALL ^ 3 SINGLE WALL WITH ^ S INTERNAL BLADDER SYSTEM 4N Check one A^m ordy ~2 DOUBLE WALL EXTERIOR MEMBRANE LINER ^ 95 UNKNOWN ^ 4 SINGLE WAIL IN A VAULT ^ 99 OTHER TANK MATERIAL (primary tardc) ^ t BARE STEEL ^ 4 STEEL CLAD W! FRP ^ 5 CONCRETE ^ 95 UNKNOWN 442 Check ono item only ^ T STAINLESS STEEL ~3 FIBERGLASS ^ 8 FRP COMPATIBLE W/100% METHANOL ^ 99 OTHER TANK MATERIAL. (secondary tank) ^ 1 BARE STEEL ^ 4 STEEL CLAD W/ FRP ^ 8 FRP COMPATIBLE Wlt00% METHANOL ^ 95 UNKNOWN 141 Check one item oNy ^ 2 STAtNlES3 STEEL ~3 FI8ERGLASS ^ 9 FRP NON-CARRODIBLE JACKET ^ 99 OTHER ^ S CONCRETE ^ 10 COATED STEEL INTERIOR LINING OR r;v,AnNG ^ 1 RUBBER LINED ^ 3 EPOXY LINING ^ S GLASS LINING ^ 95 UNKNOWN 444 ~ Check one Bsm only ^ T ALKYD LINING ^ 4 PHENOLIC LINING ^ 8 UNLINED . ~99 OTHER ~~ OTHER CORROSION PROTECTION IFAPPUCABLE ^ i MANUFACTURED CP ^ 3 FIBERGLASS REINFORCED PLASTLC ^ 93 UNKN %v/ 445 Ctrock ohs item ony ^ T SACRIFICIAL ANODE ^ 4 IMPRESSED CURRENT ~'99 OTHER SPILL AND OVERFILL SPILL CONTAINMENT INSTALLED (YEAR) OVERFILL PROTECTION EQUIPMENT INSTALLED (YEAR) ~~~ 448 447 Check all that appy DROP TUBE ~ Yea ~ ,1,r ^ No 448 L^1 1 ALARM rt v STRIKER PLATE bo Yea ^ No 449 1~2 BALL FLOAT ^ 3 FILL TUBE SHUT OFF VALVE ' N. TANK LEAK DETECTION ~'. IF 91Nt31.E WALL TANK (Check atl tlul sppy): IF DOUBLE WALL TANK (Check one item ony): 450 i i] V Sl1Al ( Y) U ( G) ^ B UAL (S L ALL N LILT O ) t I EXPOSED PORTION ONL •^ S MANUAL TANK GA GING MT VIS LNG E W I VA NLY 2 AUTOMATIC TANK GAUGING (ATG) ^ 8 VAOOSE ZONE yaI 9 CONTINUOUS INTERSTITIAL MONITORING 7 CONTINUOUSATG ^ 7 GROUNDWATER ~ I '~ 4 STATISTICAL INVENTORY RECONCIl1ATtON (SIR) ~ ^ 99 OTHER 81ENNIAL TANK TESTING V. TANK CLOSURE INFORMATION /PERMANENT CLOSURE IN PLACE .STIMATEO GATE LAST USED (YR/MOIDAY) 431 ESTIMATED QUANTRY OF SUBSTANCE REMAINING oat ^ Yss ^ No 45J 43T GA9 TANK FtlLEO WITH INERT MATERIAL? form 8 CITY OF BAKERSFIELO '` OffiCE OF ENVIRONMENTAL SERVICES • 1713 Ch~star Avg., Bakanfl~ld, CA 93301 (803) 328-3979 UST • TANK PAGE 2 ...- ~-~ _-. Page ~- OI ABOVEGROUND PIPING INFORMATION Sv$TEM TYPE ~ ^ t SUCTION 2 PRESSURE ^ 3 GRAVITY CONSTRUCTION ^ t SINGLE WALL ~ I ^ 2 DOUBLE WALL MATERIALS A CORROSION ' PROTECTION UNDERGROUND PIPING INFORMATION 434 I U t SUCTION -i ^ 1 SINGLE WALL 430 ~2 DOUBLE WALL ~2 PRESSURE ^ 98 UNKNOWN ^ 99 OTHER. ^ t MARE STEEL ^ 8 FRP COMPATIBLE W/ 100% METHANOL ^ 2 STAINLESS STEEL ^ 7 GALVANIZED STEEL ^,, J~PVC COMPATIBLE WITH CONTENT9 ^ 93 UNKNOWN l,y,~ FIBERGLASS ^ 8 FLEXIBLE ^ 99 OTHER ^ S STEEL W/COATING ^ 9 CATHODIC PROTECTION 433 ABOVEGROUND PIPING INFORMATION ~ UNDERGROUND PIPING INFORMATION PRESSURIZED PIPING (Check atl that apptyx ..~ --~~ r~~,-~ ~JI ^ 1 ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST y~(,(gl AUTO PUMP SHUT OFF FOR LEAK. SYSTEM fAll URE, AND SYSTEM DISCONNECT)ON • AUDIBLE Alm VtS11AL ALARMS ^ 2 MONTHLY 0.2 GPH TEST ^ 3 ANNUAL INTEGRITY TEST (0.1 GPH) ^ a DAILY VISUAL CHECK CONVENTIONAL SUCT iON SYSTEMS (Check ee that apply): ^ 5 DAILY VISUAL MONITORING OF PUMPING SYSTEM ^ 8 TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYS'•t!1~8: ^ 7 SELF MONITORING GRAVITY FLOW (Ch..:..stl that appy} ^ 8 GAILY VISUAL MONITORING ^ 9 BIENNAL INTEGRITY TEST (O.1 GPH) SECONDARILY CONTAWEO PIPING PRESSURIZED PIPING li.hedc atl that appyx ', ^ 10 ,COON/TINUOUS TURBINE SUMP SENSOR ~1'} AUDIBLE AND VISUAL AlAR1NS AND (check one) L~Ya/AUTO PUMP SHUT OFF WHEN A LEAK OCCURS (1Yb AUTO aUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION ~NO AUTO PUMP SHUT OFF 1 t AUTOMATIC LEAK DETECTOR ^ 12 ANNUAL INTEGRRY TEST (0.1 GPH) I SUCTION/GRAVITY SYSTEM: ^ 13 CONTINUOUS SUMP SENSOR +AUOtBLE ANO VISUAL ALARMS EMERGENCY GENERATORS ONLY (Chsdt aq lhet apply) ^ 14 CONTINUOUS SUMP SENSOR TWI HDUT AUTO PUMP SHUT OFF + AUDIBLE AND VISUAL ALARMS ^ t S AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) ^ t8 ANNUAL INTEGRITY TEST (0.1 GPH) ^ 17 DAILY VISUAL CHECK ^ 3 LINED TKENCH ^ 93 UNKNOWN ^ 3 GRAVITY 455 ^ 99 OTHER 1$4 ^ t BARE STEEL ^ 6 FRP COMPATIBLE W/ 100% METHANOL ^ 2 STAINLESS STEEL ^ 7 GALVANIZED STEEL ^ 3 PVC COMPATIBLE WITH CONTENTS ^ 93 UNKNOWN d FIBERGLASS ^ B FLEXIBLE ^ 99 OTHER ^ S STEEL W/ COATING ^ 9 CATHODIC PROTECTION d56 PRESSURIZED PIPING (Check all that apply): 1 ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST 1~(II ~ AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION • AUDIBLE AND VISUAL ALARMS ^ 2 MONTHLY 0.2 GPH TEST ^ 3 ANNUAL INTEGRITY TEST (0.1 GPH) CONVENTIONAL SUCTION SYSTEMS: ^ 4 GAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRRY TEST (0.1 GPH) SAFE SUCTION SYSTEMS: ^ 5 SELF MONTORING GRAVITY FLOW: ^ 8 BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDAF'~Y CONTAINED PIPING PRESSURIZED PIPING (Check all that ap(:~c 7 CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE ANO VISUAL ALARMS AND (Check one) ^ a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ~b AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION ^ c NO AUTO PUMP SHUT OFF ^ 8 AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) ^ 9 ANNUAL INTEGRITY TEST (0.1 GPH) EMERGENCY GENERATORS ONLY (Check atl that apply) ^ 10 CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF * AUDIBLE AND VISUAL ALARMS ^ 1 t AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) ^ 12 ANNUAL INTEGRITY TEST (O.t GPH) ^ 13 GAILY VISUAL CHECK __ ____ VIJL_DISPEI CONTAINMENT t__I 1 FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE ~3 CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER Yes ^ No =(2 CONTINUOUS ELECTRONIC SENSOR +AUDIBLE AND VISUAL ALARMS + AUDIBLE ANO VISUAL ALARMS ( ^ 4 GAILY VISUAL CHECK fq tlM best of my knowledge. ~~-7-0~ TOR uss Form B ~~ ARTS T TYPE OF ACTION Check one item ony . C[TY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UST Tank -1 Page _ of ~1 NEW SITE PERMIT ^ 1 RENEWAL PERMIT ^ S CHANGE OF INFORMATION (State type of change) ^ 7 RERMANENTLY CLOSED ON SITE - BUSINESS NAME (Sams as FACILITY ^ • AMENDED PERMIT ^ 8 TEMPORARY SITE CLOSURE ^ 8 TANK REMOVED 429 or DBA • Going Business As) 3 FACILITY ID N t LOCATION (Cptlonaq / i ~~9 ~Fi`:c-.c .~ .~.r~,rE.cy ~ 933a~s ,., 1. TANK DESCRIPTION ~ r+rvn w + a.w rnrvn mnrvurr~w urctr[ a,yr I COMPARTMENTALIZED TANK ^ Yes ~'NO 412 ~ Y~Jv~~ If •Yes', complete one tans for each compartment. I ; ADDITION!.: TANK USE 417 (~t MOTOR VEHICLE FUEL (If marked, compote Vehkk Fuel Type) ! ^ 2 USED OIL ^ 7 CHER::.:. L PRODUCT ^ 4 HAZARDOUS WASTE ^ 95 Uf •n. " 1WN tree ony) I1. TANK CONTENTS 41e VEMIGIE rUEI TYPE I~'ta REGULAR UNLEADED ^ 1D PREMIUM UNLEADED ^ 2 LEADED ^ to MIDGRADE UNLEADED ^ 3 DIESEL ^ 4 GASOHOL COMMON NAME (from Hazardous Materials Inventory page) III. TANK CONSTRUCTION 438 ^ 5 JET FUEL ^ 6 AVIATION FUEL ^ 99 OTHER +39 CAS N (from Hazardous Materials Inventory pays) 440 TYPE OF TANK ^ 1 SINGLE WALL ^ 3 SINGLE WALL WITH ^ S INTERNAL BLADDER SYSTEM 441 ~ Check one irm only ~'2 DOUBLE WALL EXTERIOR MEMBRANE LINER ^ 95 UNKNOWN ^ 4 SINGLE WALL IN A VAVLT ^ gg OTHER TANK MATERIAL (primary tank) ^ t BARE STEEL ^ 4 STEEL CLAD W/ FRP ^ 5 CONCRETE ^ 95 UNKNOWN 442 Check one item ony ^ 2 STAINLESS STEEL ~1 FIBERGLASS ^ 8 FRP COMPATIBLE W/100% METHANOL ^ 99 OTHER TANK MATERAL (secondary tank) ^ 1 BARE STEEL ^ 4 STEEL CLAD W/ FRP ^ 8 FRP COMPATIBLE W/t0096 METHANOL ^ 95 UNKNOWN 443 Check one item only ^ 2 STAINLESS STEEL 1 q~ 3 FIBERGLASS ^ 9 FRP NON-CORRODIBLE JACKET ^ 99 OTHER ^ S CONCRETE ^ 10 COATED STEEL INTERIOR LINING OR COATING ^ 1 RUBBER LINED ^ 3 EPOXY LINING ^ S GLASS LINING ^.95 UNKNOWN 444 Check one !tem ony ^ 2 ALKYD LINING ^ 4 PHENOLIC LINING ^ b UNLINED X99 OTHER ~~ OTHER CORROSION ^ 1 MANUFACTURED CP ^ 3 FIBERGLASS REINFORCED PLASTIC ^ 95 UNKNOWN 445 PROTECTION IF APPLICABLE Check one Item only ^ 2 SACRIFICUIL ANODE ^ 4 IMPRESSED CURRENT ~J9 OTHER ~~ SPILL AND OVERFILL SPILL CONTAINMENT INSTALLED (YEAR) es~S- OVERFILL PROTECTION EQUIPMENT INSTALLED (YEAR) u70 t~ 448 447 Check all that appy DROP TUBE ~ Yes ^ No 448 b~i ALARM STRIKER PLATE Yea ^ No 449 tf1 2 BALL FLOAT ^ 3 FILL TUBE SHUT OFF VALVE N. TANK LEAK DETECTION ~ ' IF SINGLE WALL TANK (Ctxck sU tMt appy): IF DOUBLE WALL TANK (Check one item ony): 450 i ^ 1 VISUAL (EXPOSED PORTION ONLY) ^ b MANUAL TANK GAUGING (MTO) ^ 8 VISUAL (SINGLE WALL IN VAULT ONLY) ^ 2 AUTOMATIC TANK GAUGING (ATG) ^ b VAOOSE ZONE ~ 9 CONTINUOUS INTERSTITIAL MONITORING ^ 1 CONTINUOUS ATG ^ 7 GROUNDWATER j ^ 4 37ATI371CAL INVENTORY RECONCILIATION (SIR) ~ ^ 99 OTHER BIENNIAL TANK TESTING V. TANK CLOSURE INFORMATION /PERMANENT CLOSURE IN PLACE ESTIMA7E0 DATE LAST USED (YRIMO/OAY) 4bt ESTIM11TE0 QUANTITY OP SUBSTANCE REMAINING 452 OAS TANK FILLED WITH INERT MATERIAL? 451 sal ^ Yaa ^ No Form 8 CITY OF BAKERSFIELO OFFICE OF ENVIRONMENTAL 9ERVICE3 ~'. l713 Ch~starAw., Bak~nAald, CA 9330! (803) 328.3979 UOT • TANK PAGE 2 __.~__. PWe __ q __. __~__ _. VI. PIPING CON3TR UCTION_(Check la I that a~ply ~ A80VEG ND PtPINO INFORMATION i UNDERGROUND PIPING INFORMATION SYSTEM TYPE ^ t SUCTION PRESSURE ^ 3 GRAVITY 434 ^ t SUCTION j ~2 PRESSURE ^ 3 GRAVITY 453 t S~GLE WALL ^ CONSTRUCTION ~ ^ 9tS UNKNOWN f ^ t S1NGlE WAIL ^ 3 LINED TKENCH LJ 99 OTHER ~ , L ~ ~BIE WALL ^ 9>a OTHER 430 ( ~2 DOUBLE WALL ^ 93 UNKNOWN ~ mn i cn~nw ..nu CORROSION - U t BARE STEEL ^ 8 FRP COMPATIBLE W/ 100% METHANOL ~ ^ t BARE STEEL ^ 0 FRP COMPATIBLE W/ 100% METHANOL PROTECTION ^ 2 STAINLESS STEEL ^ T GALVANIZED STEEL ^ 2 STAINLESS STEEL ^ 7 GALVAN12E0 STEEL ^ 3 C COMPATIBLE WITIi CONTENTS ^ 98 UNKNOWN ^ 3 PVC COMPATIBLE W17H CONTENTS ^ 93 UNKNOWN FIBERGLASS ^ 8 FLEXIBLE ^ 99 OTHER ~4 FIBERGLASS ^ 8 FLEXIBLE ^ 99 OTHER ~ ^ 3 STEEL W/ COATING ^ 9 CATHODIC PROTECTION 433 ^ 3 STEEL W/COATING ^ 9 CATHODIC PROTECTION ~ ABOVEGROUND PIPING INFORMATION ~ UNDERGROUND PIPING INFORMATION PRESSURIZED PIPING (Ctteck as Nat applyx ^ t ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST mjji AUTO PUMP SNOT OFF FOR LEAK. SYSTEM FAR LIRE, AND SYSTEM OIS(X]fVNECTION + AUDIBLE ANO VtSUA1 ALARMS ^ 2 MONTHLY 0.2 GPH TEST ^ 3 ANNUAL INTEGRITY TEST (0.1 GPH) ^ 4 DAILY VISUAL CHECK CONVENTIONAL SUCT iON SYSTEMS (Chedt a1 that appyr ^ 5 GAILY VISUAL MOMTORING OF PUMPING SYSTEM ^ 8 TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYS'•=!~~a: ^ 7 SELF MONITORING GRAVITY FLOW (Ch... •.all that appyX ^ 8 GAILY VISUAL MONITORING ^ 9 BIENNULL.INTEGRITYTEST(O.IGPFQ SECONDARILY CONTAINED PIPING PRE URIZED PIPING (i.heck a9 Nat sppty} t0 ,.C_ON/TINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS ANO {check one) L~~{,,J///5 AUTO PUMP SHUT OFF WHEN A LEAK OCCURS Ld bb AUTO SUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE ANO SYSTEAA DISCONNECTION ,.,,/ l~l c NO AUTO PUMP SHUT OFF L7~ AUTOMATIC LEAK DETECTOR (,:J 12 ANNUAL INTEGRITY TEST (0.1 GPH) SUCTIOWGRAVITY SYSTEM: ^ 13 CONTINUOUS SUMP SENSOR +AUDBLE ANO VISUAL ALARMS EMERGENCY GENERATORS ONLY (Chedt a1 That appy) ^ 14 CONTINUOUS SUMP SENSOR TF TAUTO PUMP SHUT OFF+AUDIBLE ANO VISUAL ALARMS ^ 13 AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) ^ 18 ANNUAL INTEGRITY TEST (0.1 GPM) ^ t 7 DAILY VISUAL CHECK _.....~ ..----- ° °-- .w PRESSURf2E0 PIPING (Check a8 that appy): t ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK SYSTEM FAILURE. AND SYSTEM DISCONNECTION +AUDIBI.E AND VISUAL ALARMS ^ 2 MONTHLY 0.2 GPH TEST ^ 3 ANNUAL INTEGRITY TEST (0. t GPH) CONVENTIONAL SUCTION SYSTEMS: ^ 1 GAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PtPtNG INTEGRITY TEST (O.1 GPH) SAFE SUCTION SYSTEMS: ^ 5 SELF MONITORING GRAVITY FLOW: ^ 8 BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDAF.:~' `! CONTAINED PIPING PRESSURIZED PIPING (Check a8 that apF~.c 7 CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) ^ a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ~b AUTO PUMP SHUT OFF FOR LEAKS. SYSTEM FAILURE AND SYSTEM DISCONNECTION ^ o NO AUTO PUMP SHUT OFF ^ 8 AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) ^ 9 ANNUAL INTEGRITY TEST (0.1 GPH) EMERGENCY GENERATORS ONLY (Clrock a8 that apply) ^ 10 CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF +AUDIBLE AND VISUAL ALARMS ^ 11 AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) ^ 12 ANNUAL INTEGRITY TEST (0.1 GPH) ^ 13 DAILY VISUAL CHECK Vill DISPE SER ONTAINMENT ~1SPENSER ^ t FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE 3 CONTINUOVS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER 'ONTAINMENT Yes ^ No ^ 2 CONTINUOUS ELECTRONIC SENSOR +AUDIBLE AND VISUAL ALARMS +AUDIBLE AND VISUAL ALARMS Cl a nau v VLSI tat ~HFr.K IX OWNE P OR SIGNATURE certify that Ne In ed hsteln b true 8 aecwate to Ote best of my icnowledys. SIGNATURE OF O PERATOR _ DATE 182 3 ~7~` _ _ NAME OF OW O 70R (pAnt) 483 TI F OWN R/OP TOR ~~ i i v - ~ ~i uta Foam B ,~ ;~~ ~/ ~: ~ia~ ARTAI T CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1.715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 UST Tank - 1 TYPE OF ACTION ~ NEW SITE PERMIT ^ J RENEWAL PERMIT Check one item ony ^ • AMENDED PERMIT as FACILITY NAME or DBA • Ookq Bualnssa As) ^ 3 CHANGE OF INFORMATION (State type of change) ^ 8 TEMPORARY SITE CLOSURE 7, FACILITY 10 N (-~~ Page _ of _ ^ 7 PERMANENTLY CLOSED ON SITE ^ 8 TANK REMOVED 429 1 wc:n t ivn (UPaona/l ~ - -- -- ~~r,~1 C~i~~E e ~ ~D.c~E.~PS~io-to ~ 13?G~ I. TANK DESCRIPTION IArvR IU ~r 4JV InrvM1 mnrv VrAl.IUnEK 4J1 COMPARTMENTALIZED TANK ^ Yes ~NO 432 ~ Via / ~~ It'Yea', complete one form for each wmpartment. uas II. TANK CONTENTS 438 TANK UJE 437 ' YEtitC;l_E hUEt. 1 YPE 438 MOTOR VEHICLE FUEL ^ 1a REGULAR UNLEADED ^ y LEADED ^ 5 JET FUEL (It marked, compote Vahkb Fuel Type) I ~'tp PREMIUM UNLEADED i ^ 2 USED OIL ^ 3 DIESEL ^ 8 AVIATION FUEL ^ tc M10GRADE UNLEADED ^ 4 GASOHOL ^ 99 OTHER j ^ 3 CHEf.~:,: L PRODUCT ^ 4 HAZARDOUS WASTE COMMON NAME (from Hazardous Materials Inventory page) +39 CAS N (from Hazardous Materials Inventory pays) 440 . III. TANK CONSTRUCTION I; TYPE OF TANK ^ 1 SINGLE WALL ^ 3 SINGLE WALL WITH ^ 5 INTERNAL BLADDER SYSTEM 441 i Check one it.m only ~2 DOUBLE WALL EXTERIOR MEMBRANE LINER ^ 95 UNKNOWN ^ 4 SINGLE WALL IN A VAULT ^ gg OTHER TANK MATERIAL (prkrtary tank) ^ 1 BARE STEEL ^ 4 STEEL CLAD W/ FRP ^ S CONCRETE ^ 95 UNKNOWN 442 Check one Rem ony ^ 2 STAINLESS STEEL ~ J FIBERGLASS ^ 8 FRP COMPATIBLE W/100% METHANOL ^ 99 OTHER TANK MATERW (semrWary tank) ^ 1 BARE STEEL ^ 4 STEEL CLAD W/ FRP ^ 8 FRP COMPATIBLE W/100% METHANOL ^ 95 UNKNOWN 443 Check one Rem only ^ 2 STAINLESS STEEL ~3 FIBERGLASS ^ 9 FRP NON•CORROOIBLE JACKET ^ 99 OTHER ^ 3 CONCRETE ^ 10 COATED STEEL ~ INTERIOR LINING OR COATING ^ 1 RUBBER LINED ^ 3 EPOXY LINING ^ 5 GLASS LINING ^ 93 UNKNOWN 444 Check ona !tem only ^ 2 ALKYD LINING ^ 4 PHENOLIC LINING . ^ 8 UNLINED ~9 OTHER ~~ OTHER CORROSION ^ 1 MANUFACTURED CP ^ 3 FIBERGLASS REINFORCED PUISTIC ^ 93 UNKNOWN 143 PROTECTION IF APPLICABLE CAxk one Item ony ^ $ SACRIFICIAL ANODE ^ 41MPRESSED CURRENT {~99 OTHER ~~ SPILL AND OVERFILL SPILL CONTAINMENT INSTALLED (YEAR) ~i ~ OVERFILL PROTECTION EQUIPMENT INSTALLED (YEAR) 448 447 Check all that appy DROP TUBE Yea ^ No 448 k,,~ ~G`F /ALARM STRIKER PLATE Yea ^ No 449 ~2 BALL FLOAT ^ 3 FILL TUBE SHUT OFF VALVE ... ` 11/. TANK LEAK DETECTION ' IF 91NOLE WALL TANK (Check aR that appy): IF DOUBLE WALL TANK (Check one item only): 450 ^ 1 VISUAL (EXPOSED PORTION ONLY) ^ 6 MANUAL TANK GAUGING (MTO) ^ B VISUAL (SINGLE WALL IN VAULT ONLY) ^ 2 AUTOMATIC TANK CiAUGINO (ATG) ^ 8 VAOOSE ZONE {~. 9 CONTINUOUS INTERSTITIAL MONITORING ^ 3 CONTINUOUS ATO ^ 7 GROUNDWATER j ^ 4 STATISTICAL INVENTORY RECONCILIATION (SIR) • ^ 99 OTHER BIENNIAL TANK TESTING ~ V. TANK CLOSURE INFORMATION /PERMANENT CLOSURE IN PLACE ESTIMATED GATE LAST USED (YR/MO/DAY) 451 tSTIMATED QUANTITY OF SUBSTANCE REMAINING 452 GAS TANK FILLED WITH INERT MATERIAL? 453 sal ^ Ysa ^ No Porm B ,; :,, CITY OF BAKERSFIELD _ - OFFICE OF ENVIRONMENTAL SERVICES • ' 171 S Ch~star Ava., Bakanfl~ld, CA 93301 (805) 328-3979 ~~ UaT . TANK PAD! 2 -- ---- Paw -- O1 SYSTEM TYPE ^ 1 SUCTION A [ CONSTRUCTION ~ ^ 1 SjNGIE WALL IW,,/l/DOUBLE WALL ' MATERIALS A CORROSION ' PROTECTION PIPING INFORMATION PRESSURE ^ ~ GRAVITY 434 i ^ 1 SUCTION ^ 93 UNKNOWN ^ 90 OTHER 430 ^ 1 BARE STEEL ^ 8 FRP COMPATIBLE W! 100% METHANOL ^ 2 STAINLESS STEEL ^ 7 t3ALVANIZEO STEEL ^ J PVC COMPATIBLE WITH CONTEIYfS ^ 96 UNKNOWN ^ 4 FIBERGLASS ^ 8 FLEXIBLE ^ 99 OTHER ^ S STEEL W! COATING ^ 9 CATHODIC PROTECTION 433 UNDERGROUND PIPING INFORMATION ~2 PRESSURE ^ J GRAVITY 433 ^ t SINGLE WALL ^ ] LINED TRENCH ^ 99 OTHER ~2 DOUBLE WALL ^ 93 UNKNOWN 454 ^ 1 BARE STEEL ^ 8 FRP COMPATIBLE W/ 100% METHANOL ^ 2 STAINLESS STEEL ^ 7 GALVANIZED STEEL ^ J PVC COMPATIBLE WITH CONTENTS ^ 93 UNKNOWN ~4 FIBERGLASS ^ 8 FLEXIBLE ^ 99 OTHER ^ S STEEL W/COATING ^ 9 CATHODIC PROTECTION 456 ABOVEGROUND PIPING INFORMATION ~ UNDERGROUND PIPING INFORMATION PRESSURIZED PIPING (Chock aq that appyk ^ 1 ELECTRONIC LINE LEAK DETECTOR J.0 GPH TEST Y01ti AUTO PUMP SHUT OFF FOR LEAK SYSTEM FAIL URE, ANO SYSTEM DISCONNECTION + AUDIBLE ANO VISUAL ALARMS ^ 2 MONTHLY 0.2 GPH TEST ^ ~ ANNUAL INTEGRITY TEST (0.1 GPM) ^ 4 DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS (Check aq that apptyY ^ 5 DAILY VISUAL MONITORING OF PUMPING SYSTEM ^ 8 TRIENNIAL INTEGRITY TEST (0.1 GPM) SAFE SUCTION SYS••TA~a: ^ 7 SELF MONITORING ~ GRAVITY FLOW (Ch.._'~.~q that apply): ,. . ^ 8 GAILY VISUAL MONITORING ^ 9 BIENNUU. INTEGRRY TEST (O.1 GPH) SECONDARILY CONTAINED PIPING PARE/~8~1R12ED PIPING ti,hedc aq that applyg ! LCI t0 ,C~O~TIN000S TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (check one) L~3~a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS L,~ b AUTO AVMP SMUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION i ~NO AUTO PUMP SHUT OFF 11 AUTOMATIC LEAK DETECTOR ^ 12 ANNUAL INTEGRITY TEST (0.1 GPH) SUCTIOWGRAVITY SYSTEM: ^ 13 CONTINUOUS SUMP SENSOR +AUDIBLE ANO VISUAL ALARMS EMERGENCY OENERATOR8 ONLY (Chsdc all that appy) ^ 14 CONTINUOUS SUMP SENSOR wtTMauT AUTO PUMP SHUT OFF + AUDIBLE ANO VISUAL ALARMS ^ 15 AUTOMATIC LINE LEAK DETECTOR (J.0 GPH TEST) ^ 18 ANNUAL INTEGRITY TEST (0.1 GPH) ^ 17 GAILY VISUAL CHECK V I DISP ~pNTA NMENT DISPENSER ^ 1 FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE ,qr 3 CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT Off FOR DISPENSER CONTAINMENT Ibf Yef ^ ~ ^ 2 CONTINUOUS ELECTRONIC SENSOR * AUDIELE AND VISUAL ALARMS + AUDIBLE AND VISUAL ALARMS !'~ ^ 4 DAILY VISUAL CHECK i N P OR 31 N TORE I certlry that th provided herein la Ws 8 aeewats f4 the bee( of my krwwled9e. 9tGNATUR R/OPERATOR GATE 182 3-7-0 l NA O O ERlO BATOR (prlnq 48J TITLE F OWNE~OPE OR 4t11 - - `MES ~DdN ~ /n ~G/y ermd Number ( or kfeal use Only) smelt Approved Permi! xplratbn ate PRESSURIZED PIPING (Check all that apply): 1 ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST ~ AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, ANO SYSTEM DISCONNECTION • AUDIBLE ANO VISUAL ALARMS ^ 2 MONTHLY 0.2 GPH TEST ^ 3 ANNUAL INTEGRITY TEST (0.1 GPH) CONVENTIONAL SUCTION SYSTEMS: ^ 4 GAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNUU. PIPING INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS: ^ 3 SELF MONTORING GRAVITY FLOW: ^ 8 BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDAF.:.' Y CONTAINED PIPING PRESSURIZED PIPING (Check all that apc~~: (~ 7 CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE ANO VISUAL ALARMS ANO (Check one) ^ a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS b AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION ^ e NO AUTO PUMP SHUT OFF ^ 8 AUTOMATIC LINE LEAK DETECTOR (J.0 GPH TEST) ^ 9 ANNUAL INTEGRITY TEST (0.1 GPH) EMERGENCY GENERATORS ONLY (Chock aq that apply) ^ 10 CONTINUOUS SUMP SENSOR T~ AUTO Pl1MP SHUT OFF +AUDIBLE AND VISUAL ALARMS ^ 11 AUTOMATIC LINE LEAK DETECTOR (J.0 GPH TEST) ^ 12 ANNUAL INTEGRITY TEST (0.1 GPH) ^ 13 DAILY VISUAL CHECK Form B' HMMP) HAZARDOUS MATERIALS MANAGEMENT PLAN SITE O Page 2 °' ~ ~--~--- _~ 3 ~u 4 ~ l~ t ~- ,o >y l N V FACILITY DIAGRAM ~,,,. BAKERSFIELD FIRE DEPT.. Prevention Services B _ E R , S„ F, .I. D 900 Truxtun Ave., Suite 21 fl FIRE Bakersfield, CA 93301 ~Rrr r Tel.: .(661) 326-3979 Fax: (661) $52-2171 ~ SITE DIAGRAM FACILITY DIAGRAM Name: Address: ~~~-- p9Re,,,H cot/ ~//, iii!i~ _ S t~ ~ ~ ~ o s ~ ~ -~ s ch Q _ ~ 3 -~ '~ Ll C~ a~ N `~ ~t ® ~ U ~ ysT ~ _ ~C 3 I~ ` ~ w JS i~ i n '~ o ~ 1 t _. OL.iJF' D+~ ~ i Z~tiEN~ ~ = ~t~e Ny4~~ N = ~Lec>nuaC S~ o FF ~~ ~'~. W . i,uR7E~ 5 ~1 o FF '' r FP = E~e~.7~icryl P~N~ L N O R T H ~ t~ Hy~~Please indicate direction of Norih () S7 = ) z k ~LAMNab(t L~~~co Fv~e,L Tg~ks