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2007 RESULTS
~1 ~. ,~ r .. _. /~ h ~~ i. AIRPORT BUS OF BAKERSFIELD - ~ ~~ LDEN STATE ~ ~~, ~~ ~ t , ~,_ -1800 GO - - -°---_ --- ~; ~; - .. .- r ~~1~ ~ ~ ~~1~'b0~ 133 w ~~ ~~ r~ i 1 ~--f S UNDERGROUND STORAGE TANKS -- APPLICATION TO PERFORM ELD /LINE TESTING / SB989 SECONDARY CONTAINMENT TESTING (TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT NO. ~ a~ 13 BAKERSFIELD FIRE DEPT. ~,~~~ Prevention Services ARlAI ! 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 ^ TANK TIGHTNESS TEST ^ TO PERFORM FUEL MONRORING CERTIFICATION ^ Cathodic Protection Testing SITE INFORMATION FACILITY Coach America NAME 8 PHONE NUMBER OF CONTACT PERSON ADDRESS 1800 Golden State Ave. OWNERS NAME Same OPERATORS NAME Same PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? ^ YES ^ NO TANK# VOLUME CONTENTS 1 Diesel TANK TESTING COMPANY NAME OF TESTING COMPANY Cai-Valley Equipment Bruce W. Hinsley 661-327-9341 MAILING ADDRESS 3500 Gilmore Ave. Bakersfield, Ca. 93308 Bruce W. Hinsley 661-327-9341 cERTIFICATION #: 1064437-UT DATE 8 TIME TEST TO BE CONDUCTED Aprii 17, 2007 08:00 ICC #: SIGNATURE OF APPLI T ~ * DATE February 8, 2007 APPROVED BY DATE ~ ~© ` FD 2095 (Rev. 09/05) ~' - 5WRCB, Jartuaty 2002 Page ~ of ~ Secondary Co~atainment 'Vesting Report Form ~'hfs form fs i~te+~der! for rise 6y cvrrtractors perJ6rrrrfng,pertudiciasting of UST secondary co+tta~>:mertt systems. f1s~ fhe appro,Priate pages ofthisjorm to rgavrt rrsulls for all ovrnprlnetll,4lested, The compfetedjonrt, written test,ptocedur2s; and prirttoutsfrottr tests (ifapplkableJ, should he provfdedto the jaCflfty owrterlapertatorjprsrt8mittel io the focwl ~egulalpry trgency. L FACILITX INFOIZNIATION Faciiit Name: Date of Testing: Faoility Aaat~s,~: ~~ Facility Contact: ~.~.r~! Phone: Date Local Agency Was Notified of Testing : _ Name of Local AgeneY Inspector (if vresetrt durfn.~ rertenrrJ: 2. TESTING CQNTR.4,GTQR INFORMATION Compaaiy Naras: Technician Conducting Vest: CredetttiaLs: CSLI# Licensed Contractor U SWltCI3 Licensed Tank Tester License License Number: '~ 70 141anufa rer ~'i'A~A~II~ Manuf~ctuzer Com ttcn s ate T ' i Ex tree 3. SUMM~RIC ~F'~'~ST RESUL7,'S Campoocnt Fans Nait Not Repairs Compoaeat Tested Made Pass Fail Not 7"ested RCpAfrs Made u u u u u u i~ u u u u u u u u u u u u u +J u u u u u u u u u u u u u -i ~ u u u u u u u u u u u u u u u u u u u u u u u u u u iJ u u u u u u u +.~ u u u u u u u u u u u u u u u u u u u ~.~ If hydt+astatic testing was performed, dcscaibe what was done with the water after completion of tests: __ CEti;TIFICATIUN OF TECHNICIAN RESPONSIBLE FOR CONUUC'I'ING THIS TESTING ,T'o tJis 6ese of my lc*torrlGdSe~ the fads mated irr [lt$e riDCturtP.tet rtt'E accrttate and fit full c~ompfiatrce wtttr legal t~rrireavtwis TechniciaQ'S Signature: Drite: ~~/p SWRCB, January 2002 .page ~_ of _ Test Method Developed $y: U Tadk Manufactu rer ¢i Industry stanclatd U Professional Engine+cr LI Other (~,pec~) Test Method Usad: U Pressutti yQ Vacuum ~J Hydrostatic U Other (S eci ) Test Lquipm;ent Used: Equipment Resolution: Tanlt ~ Tsutk # Tank # Tank ~ is Tank Eacempt From Testittg7' U Xcs Nv U Yes U No U Yes U No U Yes u Nv Tank Capacity- Task Material: 'Bank Mamtfacttner. Product Stored: ~ ~ Z Wait time between applying lxressurelvacuum/waterond start' test Test Stazt Time: Initial Reading Cam): _ ,,.,, ~ -- - - - Test End Time• ~ FiIIR1 Readlrtg QtF): Teat Duration: Change in Reading (RF-R~): ~. i?asslFaii Tltreslaold ar Criteria: ~ 2 T}eSt R~uit: QQ Foss l1 Fnt[ U Pass U Fail U Pnsa IJ Fail U Plats U Fail Was ae[tsOr rcnaDVe~ Fbt testing? p9,Yes U No U NA u Yes UNo tJ NA UYp U No U NA UYes UNo IJ NA Was sensor properly replaced and N Yes U No U NA ~~ Yes U No iJ NA u Xes u No U NA U Yes U No U NA veril wCd functional after Destine? - - _ ~ .- COtl1AllC11tS -- (include rnjyrmutian on repairs n+ade prior to lestin~and recorri~nende~d ~ollow-upfor~iled rests) t Secondary containment systetns where the o4ntinuons monitoring atdomaticaiiy rnouitors boti~ the ptirnary and secondary Gantaittmertt, suc8 as syeidms tkat are hydrostatically cnaaitored or tinder constant vacuum, are ea[Campt flnm periodic containment testing. {Califorttis Cale ofRegttlations, Title 23, Section 2b37(ax6)} sw>~cs, ]anuaty 2002 Test Method Ckveloped sy: Test Method Usod_ Test Equipment Used: At . Piping Material: Piping Msutufacltarcr: piping Diameter: Length afPiping Rub: - Product Stored: Method and location of piping-run isplation: Wait terns betwcen applyirt; Qressurclvacenunlwaterend sta~tin~test: Test Start Time: _ Initial Resaing (R,): - - Test End Time: ~'inat Resdiog (RF): Test Iauration: - - - Chanse in Readiue t'R~R,1: U Piping 1Vlanul'actm~cr U Other (SP~~Y) Pnysstu+e U c?ther (Sl:ec(/Y) Ieg inn Pipl F ~~ r~ g; + to J ~a~~ ~ of. 'E TESTING _ Industry Standard U Profersiona) Engineer U Vacuum C1 Hydrostatic ~tten # j piriiek Rue # J Piping Raa # ~:noGna: Text Resulk ass u JN'a!I u Ytss u Fall u Pass U'I?QII U Press U trap tLbTA]lril'II~5 - (igclude i~orrncaiort on repairs mdrde prior to testi~rg arrd r~cor»~xenrled folldw-upyfor failed tests) SWRCB, )astuaay 2002 Page ,~ of 6. ,PIPIlVG SUMP T1~^T,[NG Test Method Developed liy: U 5orrip Mattufactuner ~ lindustry Standard U Professional >rrtgincer U Other (Specify) Test Method Z3sod; U 1'reasiue U Vacewm yQHydrostatic Test F,quipment Used: uiptrient Resolution: Sump Sump # Samp # Sump # Sump biametcr: Suzttp Depth: •~ Sump Material: Height from Tank Tap to Tap of Hi est Pi in Penetratioa: '' l Icigltt from rank Top to Lowest Electrical Penetration. « Canditiott of sunup prior. to testing: Patties of Sump Teslad~ Does tuxbiAe shut down when Xcs ~No U NA sump sensor detects 1 iquid (Moth U Yes U No U NA U Xes LI Na U NA U Yes La No U NA redact attd water ?' '~ubine shutdown response time _ _ _ _ Is system progxamxned for fail-safe ~ U Ycs U Nd U NA U Xts 1J No U NA u Yee U No U NA. iJ Ycs I! No 1..1 NA shutdown? Was fail;-safe verified tv be i l?~ U Yes U No U NA. u Yes U No U NA U Yes U Na U NA U Yea U Na U NA o t oaa Wait time Uetween $pplyiag _ pressureJvatmurtt/water and slatting test: ( Q Teat start rime: Initial Kcaairag (ix~): Test >rnd 'Citne: ~, Final Reading (Rr): Test Duration: Change in Reading (R~R~): .., + PasslFail Threshold ar Criteria: 't'eal: I+tcault: U~,1~ss u its U Paesa b~ F1rM U ~ U Firlu U Pass U »~# Was sensor removed for testing? Q(Yes tJ No U NA U Yea U Na U NA la YeS U No U NA U Y~ U No LI NA was sensor p+npexly rcplaoed and ~CYes U No U NA U Ycs U Na U NA U Yes U No U NA U Yes U Tie U NA veriticd functional after testis 7 Com anertts -- (include ' orrnatiO+t on repairs prude prtar to tesrt~s~ a,ul recommended jolfow-u~ jar failed tests) ' If the etttine depth vi` the sump is not Uestad, specify bow much was tested. If the answer to ~ of t>he pions indicated with art asterisk (•) is "X*1O" or "NA^, the entire sump must be tested. (See SWRCB >rG-l64) $WRGB, January 2002 ?. r~sc Merhoa Dcvekoped $y. Test Method Used: Tort ui ment U~ i117C Msnu#'acturer. UDC BOttOrn to 'iping Penetrattor Ul7C Bottom to tricat Penetration 'UIiC arior tv YorgOn or utx: rested' r ~, goes hu'biee strut down when UDC sensor dotects Iiquid {both I,J Yes ~No U NA U Yes l~No U NA U Yes U Na U NA U Yes U No U NA roduct and water 7` '(titrhirte shutdown age time ~/ .sr Is system prog~rarnmed for f'ai (- * ~ Yes U No U NA U Yes IJ No U NA tJ Yes U No U NA U Yes U Nn U NA safe shutdown? Was fail-safe verified to be ` D Yes U No U NA U Yes U tVo U NA U ltcs I.i No L,I NA U Yes Li No U NA _ operational? ~ Wait tirxr~ between applying pFessurelvacuum/wateratid start' test Test Start Time: r ~ . ~ ~. a . , e ~ ~ 7 _ _ Tes# Result; paw. ' 'a;l Fail Pala U Pill U IPaas U Fail V Paso IJ F~siT Was sensor removed for testing? p~Yes tJ No U NA I,~Yes U No U NA U Yes U No U NA U Yee U No IJ NA Was sensor properly replaced and ~~"CS U No L! NA utY~ U No U NA t.,l Ya5 U No U NA U Ycs IJ No U NA verified functional after testing4 7~'(( Ct]mtmleuts ~~irclude ~rjarnrelian ors repairs tirade ~ri~r tv teuing, Qnd rt'cwrsnrerdadfallow-up forPalledtests) _ _ _ r If the entire depth of title UDC is not tested, specify how much was tested. if tfre answer to u~X of the questions indicated with an asterisk (") is "Nt7" or:`NA", the entire LJDC must bo tested. (See SWRCB IaG• t60} Page _j of. U UDC Manufacturer U Other (Spe~c3T'1 +.J. rr~essrrte U Other (Specilyl T~ S'tS ytt Industry Staedard U Vacututr tJ ProFessiona] Engineer rmertt Resolution: # ~ ~+ /rr ~, tea., ....~~~ swRC~, January 2002 Page G of, $. !FILL RISER CONTAI[NMEN'z' SUMP TESTING t'aciii is Not u; d With Fill Riser Containment Snm Fit! Riser C`ontain~ment Sumps are Present, irut were Not 7estod U Test Method >rjc„elapcd ~y, U Sump Manufacturer 1J irad~ry Standard U Pmfrssionai !Engineer U tJtha- (Spec fy) Test Method Used: Test irquiptncnt Used: U Pr+essuir -- UOther {Specify) FI@ Sump # Fit! t.,r Yacuum U Hydrostatic uipnoont Resolution: v~ # >•iu sum 1° ~r Fiil Height fz+om Tank Tvp to Top of Highest Pi~i~peaetration: Fieig~tt from Tank Tap to Lowest $ietirical Pcnetratiaa: Condition of sump prior to testin~_ Potion of Sump Tested Sump Material: wait t;me tctwcen applying pressurclvacuum/wxterend 'I('cat Ru811dfi: U Pasa l! II'tt+fl~ LI Pasa U Rail U Pass U Fait U Pasa tJ Fa$L~ Is there a scnsar in the s ? U Yes U No U Yes U No U Yes 1J No iJ Yes U No I7oos dac sensor $larm when either product or water ;s U Yes U No tJ NA U Yes U No U NA U Yea U Nv U NA I.J Yes U No U NA detected? Was sensor removed for testirtg7 U Yee U No U NA U Yes U No U NA U Yes U No W NA U Yes U No U NA Was sensor properly rtptaced and 1.1 YES U No U NA U Yes tJ No U NA U Yes U Na U NA U Yes U No U NA verified functional after'taGSti ? Com>4nents include infornratio~ vn repairs made prior to iesrirtg and rec~omTnended fallow-uplor felled tests) swRC$, ranuary 2ooz 9. SF~>LLOVERFII,L C~I~i'FAITIMENT FOXES Facility is Not F.gai~pad With 5pill!Overf~]I Containment Saxes rJ Spi]UOverf ]I Cotttsirtment Bows are Present, but were Not Tested U Test Metlsod Developed sy: U Spill Bucket Manufacturer )SI Indu.~try Standnnd U Othex (Spacffy} 'Ptst Method Used: U Fressurr a Vacuum IJ Other (SP~ffY) Test Equipment ilsed; 7' ~. r ..... "r c._ a~-S Eauinraen Bucket Diameter. BuGlfet 1~eptl]: Watt time between applyit2~ pressure/vacuutxf/water and staitin~test: Test Start Tirnc: _ _ Initial Ilveading {)ttr Test land Tune: Piraal Reading (R,x): Test Durations: Char~gc ire heading (RF-Rt): PasslFail ThreshoId or n)sax # ~~ h 180x # 'Tea! 1Firean~iE: k'ass U Page ~ of U Profcssiona{ Engitacer ,l~ Hydrostatic R~csvlution; ~ ~ Baz # SpIQ litvx # L1 )P~s 1~ Fail ~ !J )pass U Fail _ + U Peas L! Fs{I (~'OII1tAat'.ia1k3 --~ (include informalFOrr on repairs mode prior to testing, and recanrmended falfyw-e~p far failed t¢s1s) (;Ur~Cli USA 1800 GrSLDi=N STATE AUE BAKERSFIELD CA 93:102 Q4r17r2007 1.225 AM SUMP LEAK TEST REPORT I UDIC TEST STARTE6 11:iF~ HM TEST' STARTED 94r17t2B87 BEGIN LEUEL 5,4058 Ik !"ND TIME 11:25 AM END DATE 64r17r20Q7 END LEUEL 5.~+0b6 IN LEAK THRESHOLD 6.~B2 IN TEST REa~ULT PASSED 2 UDC ~5T STARTED 11:1© AM TEST STRIATED i~4r17 B£GIh~1'^[~UEL 6. IN END TIME'~..,_ 1:25 AP1 E.NQ OATS ' ~ ., @4r17r2097 1=ND L 4157 I N LE RESHOLD 9. IN 9T RESULT D c~:+H~:i; usA 1800 G©LDEN STATE AUE BAKERSFIELD CA 93301 {~4.~1Tl2GJk~7 12: a6 rZ1'I SUMP LEAK TEST REPOP,T ;~ UDC ' TEST STAP.TED 11:3 M BEST S RTED 04/ < 7 BEGIN LE .249$ IN END TIME 12 = ~6 Af9 ENU DATE 84 r~g07 AND L 6.22 N LE HRE$HaLR 8.002 SST RESULT FAILkP 2 UDC LEST STARTED 11=36 7ARTED ~14r 007 BEGIN L 'L .795 IN END TIME 11;46 AM END DRT 7r18B7 END L 6. IN K THRESHOLD 0.892 EST RESULT ~AILEU COflCH USA 1E~69 GOLDEN STATE AUE 3AKERSFIELD CA 933t0J. c~gr17r2097 10:95 AP9 SUMP LEAK TEST REPORT L''Si. $TP TE.~T STARTED 5:50 AM TEST STARTED F4r17r2097 BEGIN LE~JEL 5.530F, IN END TIME it~:05 AM END DATE @q,r17/20Q? END LEUEL 5, S,-ygg IN LEAK 71iRE&HCIID 9.902 IN tF'ST RESULT PASSED DS1. SB ~T srART~D '?; ~ n~ T - E STARTED 0~~ r2ga', L3EGI FUEL .57:9 I ^~ ENQ TI 1+3; Fir r: . END DATE k>~17f2y0: END LE 6. S7kI9 I~• LEA RESNOLD .8e2 In RESULT R~SFo GOArt~ USA 1509 GOLDEN STATE AVE ?RKERSFIELD CA 93391 Gar;.7r20@~ 1@: 24 AM SUMP LEAK TEST RFf'QRT bSL STP TEfiT STARTED 1@; 0S qM TEST ST~1aTED 04r17r2007 BEGIN LEUEL 5.5395 IN END TIME 10:24 AM END BATE 84/17/2007 END LEUEL 5.5393 IN LEflK. THRESHOLD ~. F~B2 IN TEST RESULT PASSED DSL SE GT STAi2TED 10=@'J AM T ,. STARTED EEG I~t•IEUEI 04r17~10Q7 END 7I 6.8798 I N 1®:24 END 9RTE 04r ~gg7 ENO LEUEL .8707 IN TEAK T ~D 902 ULT ~a cr)HC>~ ~JSA >,s~99 G~JLDFN STATF A4~E f~AK,EI?SFIELD CR 9.>,: 9.l 0~Ir1,?/2C~i0i 9:45 R sUl".P LEAK TEST REPL~RT I'}CAL STP $T STARTED '~:' fiP TE STARTED g4r r2$0i BEGI UEL x,5505 Its END TIM °. 45 AM £ND DATE ~ 04r17r28@r ENb LE '~ .5307 IN r_EAK RE5HOLD 002 IN T>= RESULT E:D ~~L ss 11'ST STHfiTED a~30 AM TEST STARTED 04r17f2007 BF_GIN LEUEL 6.8'TI1 IN END TIME 9:45 AM END DATE 04ri7r2807 END LEVEL 6.S71q IN LEAK THRESHOLD k~.062 IN TEST RESULT PRSSE4 t1ACH i.ISfl 1806f GOLDEN STATE AUE SAKERSFIELD CR 93201 @~r17r~997 9:49 AM F~LARM REPOP,T g4/17~260r 9:~9 AM FOOTER DOWN ~4r1.7l2907 9a 49 AI! P041ER UP 1S$F? FOI.u'eN STATE. NUF ,.,. ..pM FUfM1i' l-E4Y . ~ L'ORL"tf U5R l 1£300 GOLDEN STf~TE AUE ~' BAt'SERSFIELD~,R ' 93301 ~'~r••.fi• 04r 1 r r2+,b7 12:95 Pr3 ALRit~1 REPORT ' N4r17r2@87 f2: 8S PM .. P(?4dEP. UP 04i17r2r~7 12:05 p:~1 POWEP• DLtWN C>>ACH U f~ 18F38 GCLDEN STATE AUE BAKkRSFIELp 3'R ~~t7ACl-I USA 93381 1890 GCLDEN STATE AVE ~4r17/~87 12. @'~ PM 3HK.ERSPIELD CR '33:u1 RLARt? REPiIRT ~4/17r2[tr]7 2=4i PMI 8~17r20g7 12:89 PM PpWER UP SUMP LERK TEST P.EPLIRT 2 uDC 9ar17r2887 12:87 PM PObIER bpWf~l TEST STARTED 2 ~ 27 Ply TEST STRR'TED 94r17r2Q~7 " BEGIN LE~~EI. 4.466a IN ENL` TIME 2:42 PM ENb URTE Q4r17/2987 kND LEU6L ++.4665 IN LEflK THRESHL~LD 0.002 IN TEST RESULT PRSSED 2 UDL" i TARTED 2s2 TEST 8 ED 3a4r17r 7 8EGIN LEVEL 4 1 IN END TIME 242 PM ~~Ip DATE Qar 2087 END Le3~ 4. zaa N I_FA f2ESHOLD A-002 T RESULT PASSE F/IPE ARTM f Ronald J. Froze Fire Chief Gary Hutton Kirk Blair Dean Clason Deputy Chiefs HOWARD H. WINES, III . DIRECTOR PREVENTION SERVICES 1600 Truxtun Ave., Suite 401 Bakersfield, CA 93301 VOICE: (661) 326-3979 FAX: (661) 852-2171 February 27, 2007 IVI'i~. David Dwight ` Coach America -Airport Bus of Bakersfield 3'33 East 69~' Street Lang Beach, CA 90805 RE: Rescission of Prior Approval for Use of the Fire Lane 1717 Golden State Avenue, Airport Bus of Bakersfield l~vh`. Dwight: This letter hereby rescinds the prior conditional approval granted in our letter of October 12, 2006, a copy, of which is attached herewith. The basis of the rescission is that the driver was observed to have not remained at the vehicle at all times while parked in the fire lane. 't`herefore, Airport Bus of Bakersfield is prohibited from any further u'se of the fire lane, pursuant to Section 15.64.140 of the Bakersfield Municipal Code, also attached. Thank you for your immediate attention to this matter. SiMCerely, t°toward H. Wines, III Director of Prevention Services afrachements 13 F'/RF October 12, 2006 wRr~ r Coach America, Airport Bus of Bakersfield 3333 E. 69`h St. Long Beach, Ca 90805 Attn: Dave Dwight Ronald J. Fraze Fire Chief Dear Mr. Dwight: Gary Hutton ~ This is to inform you that your request to use the Fire Lane for loading and Senior Deputy Chief unloading will be approved under the following conditions: Administration 326-3650 • Stopping for loading and unloading only. Deputy Chief Dean Clason I • Driver to remain with vehicle at all times. Operations/Training • Any violation of condition 1 or 2 may be grounds for revoking 326-3652 waiver of Fire Lane right of way. Deputy Chief Kirk Blair ~ • When traffic is too heavy, you must keep the Fire Lane clear. In Fire Safety/Prevention Services ~ this case, do not use the Fire Lane. 326-3653 • Any significant increase in terminal traffic will require a reevaluation of this approval. • This approval is subject to reevaluation on an annual bases and PREVENTION SERVICES Ralph Huey, Director requires a request in writing, from you, to our office in January ~ 900 Truxtun, Suite 210 Startin in 2008 g Bakersfield, CA 93301 VOICE (661) 326-3979 Please confirm your agreement with the terms written above in writing to the FAX (661) 852-2171 Bakersfield Fire Prevention Office. You may simply sign this letter and return it to: Prevention Services, 900 Truxtun Ave, St 210, Bakersfield, CA 93301. Attn: David Weirather. i Sincerely, Ralph Huey Director ~~ cx~l By: David A. Weirather Fire Plans Examiner "Serving the Coaanunity For More Than A Century" Bakersfield INlunicig~al Code Up Previous Next i~iain Search Print iVo Frames ~- -, r ~'~` " "fTitle 15 BUILDINGS AND CONSTRUCTION II. Miscellaneous Regulations ~ Chanter 15.64 UNIFORM FIRE CODE II. Deletions, Additions and Modifications 15.64.140 Section 901.4.2.1 added-Fire lanes. Section 901.4.2.1, Firelanes, is added to the Uniform Fire Code to read as follows: Fire lanes shall be provided at all (A, B, E, F, H, I, M, R-1, R-2.1, R-2.2, R-2.3 occupancies) and/or complexes when such buildings are more than one hundred and fifty (150) feet from the curb line of a public street in order to provide emergency access or as determined by the Fire Chief to meet emergency access needs of the facility. Fire lanes shall provide a minimum turning radius of twenty-five (25) feet and adequate to accommodate 'the apparatus in the city of Bakersfield Fire Department. Access way grade should not exceed seven percent (7%), but can be adjusted by the Chief to special situations as long as emergency access is not denied or significantly impeded by grade changes. Fire lanes shall be identified in such a manner so as to leave no doubt as to their existence and intended purpose. Signs shall be posted one-hundred (100) feet apart along a red painted curb and shall be maintained in good condition by the property owner. When deemed necessary by the Chief additional markings maybe required to ensure clear intent of the fire lane. (Ord. 4107 § 1 (part), 2003: Ord. 3913 § 1 (part); 1999) ~i Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST'; A__ >: a_s F_,_ _0 90oTruxtun Ave., suite 210 ~- _ ___ _______~_, ~__ _T ___ ~; FARE Bakersfield, CA 93301 ~~' ARTM T SECTION 1: Business Plan and Inventory Program !! Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPEC ION DATE INSPECTIOt~TIME ~) )~ rl'o +iLT O~ ~P Kr.e~s-~ l E •- ~ 2 I y d 6 ADDRESS ~ PHONE NO. ~~ - ~~ NO OF EMPLOYEES 7 ~ gj ~ (~e.rl k~~a ~ / FACILITY CONTACT BUSINESS ID NUMBER !, ~/ 15-021- Section 1: Business Plan and inventory Program ^ ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS C ~ (] i7 ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES j'~ ^ EMERGENCY PROCEDURES ADEQUATE V V ^ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SIT/E? /~ ~~ ES ^ NO EXPLAIN: ~ c S-~!~ d~. ~ „6~/Yi~~l ~R! ~ ~ o~ ~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1S1 In /Shift of Site/Station # Business Sit /Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 .. ~ tP4~` `r~'`~ CITY OF BAKERSFIELD FIRE DEPARTMENT w d ~~ cA~ FACILITY NAME ~ ~ •~2,poK--~- 3 ~ s o-~ ~~-ELDINSPECTION DATE Section 4: Hazardous Waste Generator Program ^ Routine ~ Combined ^ Joint Agency EPA ID # ~~~ ~ b©~ ~ 5.S ^ Multi-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number Authorized for waste treatment an ore Reported release, fire, or explosion within 15 days of occurrence Established or maintains a contingency plan and training Hazardous waste accumulation time frames Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers are kept closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line Secondary containment provided Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal C=Compliance V=Violation Inspector:... ~~n G~~~-----~-'-~'-"~ Office of Environmental Services (661) 326-3979 White -Env. Svcs. ~ OFFICE OF ENVIRONMENTAL SERVICES .ti • ~ UNIFIED PROGRAM INSPECTION CHECKLIST '~"' 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 ~ ~~~ Busin ss Site Responsible Party Pink -Business Copy ~. ti INSPECTIONS BUSINESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST • B E R S F I L D F/l{t E ~RrM r FACILITY NAME: pt ~~Po+Zt' L~i~s a.fr ~Air,E~e.S-~ ~,~d Section 2: Underground Storage Tanks Program ^ Routine Combined ^ Joint Agency ^ Multi-Agency Type of Tank Number of Tanks Type of Monitoring !Au&P S~l-4 ~ Type of Piping vr-kn/~6 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 INSPECTION DATE: rZ" / G ^ 1 omplaint ^ Re-Inspection OPERATION C V COMMENTS proper tank data on file Proper owner /operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? ^ Yes ~ No Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank Aggregate Capacity Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF?) If yes, does tank have overfill I overspill protection? C =Compliance V =Violation Y =Yes N = No Inspector: Questions regarding this inspection? Please call us at (661j 326-3979 White -Prevention Services (~l ' ~ %f~~ Business ite Responsible Party Pink -Business Copy KBF-7335 FD 2156 (Rev. 09/05) AIRPORT BUS OF BAKERSFIELD SiteID: 015-021-000145 Manager MARY K SNYDER Location: 1800 GOLDEN STATE AVE City BAKERSFIELD BusPhone: (661) 861-8066 Map 102 CommHaz Extreme Grid: 24B FacUnits: 1 AOV: CommCode: BFD STA O1 EPA Numb: SIC Code: DunnBrad:95-298-4207 Emergency Contact / Title Emergency Contact / Title HARRY KAUBLE / SHOP SUPERVISOR SAM DULIN / SAFETY Business Phone: (661) 861-8066x Business Phone: (818) 838-0030x 24-Hour Phone : (800) 900-3011x 24-Hour Phone (800) 900-3011x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact MARY K SNYDER Phone: (661) 327-2157x MailAddr: 1800 GOLDEN STATE AVE State: CA City BAKERSFIELD Zip 93301 Owner COACH USA Phone: (800) 642-3287x Address : 3333 E 16TH ST State: CA City LONG BEACH Zip 90805 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK PROG U - UST ENT A~lG Q ~ ~~Q7 i3ased an my inquiry of those individuals responsible for obtaining the information, f certify under penalty of law that 1 have personally examined and am familiar with the information submitted and believe the information is true, accurate, and rnplete. ~~ ~~ Signature Hate -1- 06/29/2007 F AIRPORT BUS OF BAKERSFIELD SiteID: 015-021-000145 ~ STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: AIRPORT BUS OF BAKERSFIELD Cross Street Business Type: COMMERCIAL Org Type: CORPORATION Total Tanks 1 IndnRes/Trust: No PA Contact: Dsg Own/Oper BRUCE HENSLEY TCC Nbr: 1064437 PROPERTY OWNER INFORMATION Name SAM DULIN Phone: (818) 838-0030x Address: City Type CORPORATION Name SAM DULIN Address: City Type CORPORATION State: Zip: TANK OWNER INFORMATION Phone: (818) 838-0030x State: Zip: BOE UST Fee# 009350 Financ~l Resp: STATE FUND Legal Notif Property Owner Mailing Address Date:05/25/2000 Name:DAVID G DWIGHT State UST # Phone: (225) 669- Ttl:GENERAL MANAGER 1998 Upg Cert#: 00754 x -2- 06/29/2007 F AIRPORT BUS OF BAKERSFIELD SiteID: 015-021-000145 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE E F G 350.00 FT3 Hi ACETYLENE E F P IH G 290.00 FT3 Hi DEGREASER F IH DH S 110.00 GAL Mod DIESEL L 12000.00 GAL Low WASTE OIL F DH L 250.00 GAL Low GEAR OIL F DH L 110.00 GAL Low ANTIFREEZE L 55.00 GAL Low WASTE ANTIFREEZE F DH L 55.00 GAL Low FREON G 2981.96 FT3 Min MOTOR OIL F DH L 250.00 GAL Min MOTOR OIL F DH L 250.00 GAL Min GREASE F DH S 55.00 GAL Min -3- 06/29/2007 _4_ 06/29/2007 F AIRPORT BUS OF BAKERSFIELD ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME PROPANE Location within this Facility Unit N WALL MAINT SHOP STATE TYPE PRESSURE _ Gas TPure Above Ambient SiteID: 015-021-000145 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 74-98-6 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 350.00 FT3 350.00 FT3 350.00 FT3 t1HGHttiJVUa I:VlYit'ViVL'1VlJ %Wt. RS CAS# 100.00 Propane Yes 74986 tl!-~GE~tCL HJJL" J51~1tS1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Hi ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME ACETYLENE Location within this Facility Unit W WALL CTR BLDG INSIDE STATE TYPE PRESSURE _ Gas Pure Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 74-86-2 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Coi$Ol00rFT3 Daily 290100m FT3 I Daily 180r00e FT3 i11-iG1~LCLVU.7 ~.V1~lYV1VL"1V1,7 %Wt. RS CAS# 100.00 Acetylene Yes 74862 nrj~tLtci~ r~~ 51,~al~i~ivla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -5- 06/29/2007 F AIRPORT BUS OF BAKERSFIELD SiteID: 015-021-000145 ~ ~ Inventory Item 0012 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEGREASER Days On Site ZEP DEGREASER 365 Location within this Facility Unit Map: Grid: N WALL MAINT SHOP CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid. TMixture ~mbient ~ Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 110.00 GAL 110.00 GAL 110.00 GAL ru~~tjrcLVUa trvl~irvlv~ivl~ ~Wt. RS CAS# 100.00 Degreaser No 71556 tu~~HxL r~~~rJ~~ln~ly l a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DIESEL Days On Site 365 Location within this Facility Unit Map: Grid: E SIDE FUEL ISLAND CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 6000.00 GAL titiGEittLVUw7 ~:vl~lr~lvlJlyl.7 %Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 riL-~GKKL 1-1 7~7r,.7a1~1~1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -6- 06/29/2007 F AIRPORT BUS OF BAKERSFIELD SiteID: 015-021-000145 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: NE CRNR BLDG OUTSIDE CAS# 221 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION - Largest Container Daily Maximum I Daily Average 600.00 GAL 250.00 GAL 1100.00 GAL tlta~rjttLVU~ wl~lrvlvlily l a °sWt . RS CAS# 100.00 Waste Oil, Petroleum Based No 0 riAGF~itL H~~t5~J1~1L~1V 1 7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0013 COMMON NAME / CHEMICAL NAME GEAR OIL Location within this Facility Unit NE CRNR BLDG OUTSIDE STATE TYPE PRESSURE Liquid Mixture ~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 64742-57-0 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.5.00 GAL 110.00 GAL 55.00 GAL riHG1~iCLVUJ l.Vl"lYV1VL"1V1.7 oWt. RS CAS# 100.00 Light Machine Oil No 8020835 I11~GHtCL 1-~.7~JL' JJ1~11;1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -7- 06/29/2007 F AIRPORT BUS OF BAKERSFIELD SiteID: 015-021-000145 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: NE CRNR BLDG INSIDE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 150.00 GAL 55.00 GAL 220.00 GAL nt~Gl-~tCLVUJ 1:V1~lYV1Vl;1V1J %Wt. RS CAS# 100.00 Ethylene Glycol No 107211 ritiGtiKL HJJL' JJ1~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0009 COMMON NAME / CHEMICAL NAME WASTE ANTIFREEZE Location within this Facility Unit NE CRNR BLDG INSIDE STATE TYPE PRESSURE Liquid TWaste ~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 107-21-1 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-NONMETA~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 150.00 GAL 55.00 GAL 220.00 GAL rtt~L~tutLV U.7 1. V l•lt' V1V JJ1V 1 J oWt. RS CAS# 30.00 Ethylene Glycol No 107211 L12iG~tiRL HJ JP~J J1~11=,1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -8- 06/29/2007 F AIRPORT BUS OF BAKERSFIELD SiteID: 015-021-000145 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FREON Days On Site FREON 134A & 22 365 Location within this Facility Unit Map: Grid: NW CRNR BLDG INSIDE CAS# 75-71-8 ~GasATE ~ TYPE ~AboveSAmbEent TEMPERATURE CONTAINER TYPE Pure I ~ Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 745.49 FT3 2981.96 FT3 1490.98 FT3 - HAZARDOUS COMPONENTS ~Wt. RS CAS# 100.00 Dichlorodifluoromethane No 75718 riliGt~YCL 1-~, Sb~J~1~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min ~ Inventory Item 0010 COMMON NAME / CHEMICAL NAME MOTOR OIL 10-40 WT Location within this Facility Unit N WALL MAINT SHOP STATE TYPE PRESSURE Liquid TMixtur~ Ambient AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 250.00 GAL 250.00 GAL 250.00 GAL HAZARDOUS COMPONENTS %Wt. 100.00 Motor Oil, Petroleum Based HAZARD RSI CAS# No 8020835 AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8020835 TEMPERATURE CONTAINER TYPE Ambient ABOVE GROUND TANK -9- 06/29/2007 1 ~ F AIRPORT BUS OF BAKERSFIELD SiteID: 015-021-000145 ~ ~ Inventory Item 0011 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 40 WT 365 Location within this Facility Unit Map: Grid: N WALL MAINT SHOP CAS# 8020835 Liquid TMixture ~mbient~E ~ AmbientT~E ABOVE GROIINDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 250.00 GAL 250.00 GAL 250.00. GAL riAGHtCLVUJ 1:V1~lYV1V~1V1J °sWt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 r1H~Hx1~ x~ a r~ a ~lnl;ly l a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0007 COMMON NAME / CHEMICAL NAME GREASE Location within this Facility Unit CTR OF SHOP STATE T TYPE ~~ PRESSURE Solid I Mixture I Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 64742-52-5 = TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL ril-1GHICLVU~ 1:V1~lYV1VL"1V1w7 oWt. RS CAS# 100.00 Heavy Machine Oil No 8020835 t1EiGHiCL H.7.71~,~a1~1J;1V l5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / j / Min -10- 06/29/2007 F AIRPORT BUS OF BAKER5FIELD SiteID: 015-021-000145 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 04/26/2006 ~ SUPERVISOR WILL CALL 911 OR FIRE DEPT HAZMAT TEAM WHEN HAZARDOUS SPILL OCCURS. SUPERINTENDENT OF MAINTENANCE AT THE CORPORATE OFFICE WILL BE NOTIFIED. Employee Notif./Evacuation 04/26/2006 SUPERVISOR ON DUTY ENSURES ALL EMPLOYEES ARE EVACUATED TO THE FRONT PARKING AREA. SUPERVISOR WILL TAKE ROLL CALL TO ENSURE ALL EMPLOYEES ARE ACCOUNTED FOR. Public Notif./Evacuation 12/08/1998 PUBLIC EVACUATION SHOULD NOT BE NECESSARY DUE TO LOW LEVEL OF HAZARDOUS MATERIALS, BUT WILL COORDINATE WITH LOCAL RESPONSE TEAM AND FIRE DEPT. Emergency Medical Plan 11/15/2000 SAN JOAQUIN MEDICAL CENTER, 2615 EYE ST, 395-3000. -11- 06/29/2007 F AIRPORT BUS OF BAKERSFIELD SiteID: 015-021-000145 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/26/2006 ~ STORAGE TANKS TESTED ANNUALLY. STORAGE CONTAINER WILL BE MONITORED FOR SIGNS OF LEAKS. TRAINING OF EMPLOYEES. Release Containment 04/26/2006 EVACUATION OF NON-ESSENTIAL PERSONNEL FROM AREA OF SPILL. SPILL WILL BE ISOLATED INTO AS SMALL AN AREA AS POSSIBLE. MATERIAL WILL NOT BE ALLOWED TO ENTER THE SEWAGE SYSTEM. Clean Up 04/26/2006 LEAK WILL BE PLUGGED. SPILLAGE WILL BE ABSORBED WITH ABSORBENT MATERIAL AND REMOVED AS HAZARDOUS WASTE. IF FUEL TANK LEAKING, LITTLE OIL CO 942-4422 WILL BE CALLED TO PUMP TANK. DISPATCHER ON DUTY WILL NOTIFY LOCAL AND STATE AGENCIES ABOUT SPILL. ~,_ v~iici cccavut~.c ra~..~..ivat,ivii -12- 06/29/2007 F AIRPORT BUS OF BAKERSFIELD SiteID: 015-021-000145 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~7~JCC:1d1 ridGdl-C1~ Utility Shut-Offs GAS - SW CRNR BLDG ELECTRICAL - SW CRNR BLDG WATER - S END OF PROP OUTSIDE FENCE 02/28/2007 Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - S END OF PROP W OF GATE FRONT OF YARD. 01/24/2007 Building Occupancy Level 15 EMPLOYEES 03/30/2006 -13- ~ 06/29/2007 . -. F AIRPORT BUS OF BAKERSFIELD SiteID: 015-021-000145 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 04/26/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: 1) ALL NEW EMPLOYEES WILL BE TRAINED IN THE PROPER HANDLING OF HAZARDOUS MATERIALS DURING THEIR FIRST WEEK OF EMPLOYMENT; 2) ALL EMPLOYEES ARE REQUIRED TO PERIODICALLY READ THE MSDS SHEETS; 3) PERIODIC SAFETY MEETINGS WILL BE CONDUCTED WHICH INCLUDES HAZARDOUS MATERIALS; 4) SUPERINTENDENT OF MAINTENANCE WILL TOUR ALL LOCATIONS AND DISCUSS HAZARDOUS MATERIALS WITH EMPLOYEES; AND 5) ALL EMPLOYEES WILL BE REQUIRED TO KNOW THE EMERGENCY RESPONSE PLANS AND rayc ~ nciu ivi ru~uic Vcc nC1lA 1VL rul. ulC V.7'C -14- 06/29/2007 B E R S F I F/ICE ~RrM Ronald J. Froze Fire Chief D October 12, 2006 Coach America, Airport Bus of Bakersfield 3333 E. 69~` St. ~ Long Beach, Ca 90805 Attn: Dave Dwight Dear Mr. Dwight: ~' ~ r ~,6,~R„-„S~a~- I $ °° -` -Gary Hutton _ ` Senior Deputy Chief Administration 326-3650 Deputy Chief Dean Clason Operations/Training 326-3652 Deputy Chief Kirk Blair Fire Safety/Prevention Services 326-3653 PREVENTION SERVICES Ralph Huey, Director 900 Truxtun, Suite 210 Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 852-2171 This is to~inform you-that your request to use the Fire Lane for loading- and unloading will be approved under the following conditions: • Stopping for loading and unloading only. . • Driver to remain with vehicle at all times. • Any violation of condition 1 or 2 may be grounds for revoking waiver of Fire Lane right of way. • When traffic is too heavy, you must keep the Fire Lane clear. In this case, do not use the Fire Lane. -• ` :Any significant increase in terminal traffic will require a reevaluation of this approval. • This approval is subject to reevaluation on an annual bases and requires a request in writing, from you, to our office in January starting in 2008 Please confirm your agreement with the terms written above in writing to the Bakersfield Fire Prevention Office. You may simply sign this letter and return it to: Prevention Services, 900 Truxtun Ave, St 210, Bakersfield, CA 93301. Attn: David Weirather. Sincerely, __ ~~ ~ ~f~ ~o~i4d~ Ralph Huey Director ~~~~ By: . David A. Weirather .. .. ,,. Fire Plans Examiner ~ - ~ ~•--». "Serving the Community For More Than A Century" ,. + AIRPORT BUS OF BAKERSFIELD __________________________ SiteID: 015-021-000145 + Manager MARY K SNYDER BusPhone: (661) 861-8066 Location: 1800 GOLDEN STATE AVE Map 102 CommHaz High City BAKERSFIELD Grid: 24B FacUnits: 1 AOV: CommCode: BFD STA Ol SIC Code: EPA Numb: DunnBrad:95-298-4207 Emergency Contact / Title Emergency Contact / Title HARRY KAUBLE / SHQP SUPERVISOR SAM DULIN / SAFETY Business Phone: (661) 861.-8066x Business Phone: (818) 838-0030x 24-Hour Phone (800) 900-3011x 24-Hour Phone (800) 900-3011x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact Phone: (661) 327-2157x MailAddr: 1800 GOLDEN STATE AVE State: CA City BAKERSFIELD Zip 93301 Owner COACH USA Phone: (800) 642-3287x Address 3333 E 16TH ST State: CA City LONG BEACH Zip 90805 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif' d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK PROG U - UST A JOINT INSPECTION WITH PREVENTION SERVICES AND ENGINE COMPANY IS REQUIRED. PLEASE GIVE THIS OFFICE AT LEAST 5 DAYS NOTICE PRIOR TO SCHEDULING THIS INSPECTION. Based on my inquiry of those individuals responsible for obtaining the information, I cortify +ander penalty of law that I have personally examined and am familiar with the information >ubmitted and believe the information is true, accurate, and complete. ~%~ ~ -~ ~- aoo6 tiignatur Date ENr~ ASR ~.~ Zoos -1- 03/30/2006 .r UNIFIED PROGRAM INSPECTION CHECKLIST ~' 23M)s ::, ^.yrsM~A. VY!'?APs1.L:f'd4+3a'~... K+'h: e• 6 ..- ',;' ~n , f .-,- ~:..y.: ~...~. •.¢ .. - . .~ , .~,.. S:a. .SECTION 1: Business Plan and Inventory Program BASERSF1tElLD FIRE DEPT a Prevention Services ~IR~ 900 Tnixtun Ave., Suite 210 sRrr Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILI Y NAME NSPECTION DATE NSPECTION TIME ~~ 2 s ~ ll I~-z3~ 7.'~ ADDRESS Q ~ HONE NO. ~~ r ~ O OF EMPLOYEES FACILITY CONTACT USINESS ID NUMBER Section 1: Business Plan and Inventory Program ^ ROUTINE MBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION '~ ~ C V ~ C=Compliance OPERATION V=Violation COMMENTS ~/^ APPROPRIATE PERMIT ON HAND . ^ BUSirlt?SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~^ CORRECT OCCUPANCY ^ ^ VERIFICATION OF INVENTORY MATERIALS VERIFICATION OF QUANTITIES __ CAIT-n ~~ QOc U /L~-_ ^ (/ VERIFICATION OF LOCATION ^ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY ~' ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND R CEDURES ^ VVV EMERGENCY PROCEDURES ADEQUATE _ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ^ NO EXPLAIN: _ _ _. QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (881) 328-3979 Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station p Business Site/School Site Responsible Party (Please Prht) White - Prwention Services Yellow -Station Copy Pink -Business Copy FD2W9 (Rw. 0?/OSj .-- • `~ ~t~5' `~~~\ CITY OF BAKERSFIEL~D FIRE DEPARTMENT ~~ ~ F °+~ OFFICE OF ENVIRONMENTAL SERVICES y~' UNIFIED PROGRAM INSPECTION CHECKLIST \~=„w ~g~,~~'~~ i 715 Chester Ave., 3"' Floor, Bakierstield, CA 93301 .~~i FACILITY NAME ~ 27 buS ~ ~i4Xfe~S~~ INSPECTION DATES-~ Section 2: Underground Storage 'Tanks Program ^ Routine ~s~rrfbined ^ Joint Agency ^hulti-Agency ^ Complaint ^ Re-inspection Type of Tank .~~Jot~j>- ~,¢i ~ Number of "yanks J Type of Monitoring ~u7v s ~~ GI~.1R Type of Piping ~~~ ~ ~.~!( OPERATION C V COMMENTS Proper tank data on the Proper owner/operator data on the Permit tees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior' UST violations 0~-- Has there been an unauthorized release? Yes ~ 1,Y1--~ NO --~-~ Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overtill/overspill protection'? C=Compliance V=Violation Y=Yes N-NO Inspector: /~/~ l ~ra¢fL7,4 Office of Environmental Services (661) 326-3979 white -I=nv. Svcs. Pink - t3usiness C~~Pv ~`~~~ Business Site Responsible Party ~r..^!-. ~ ~~ ~. "~4 - -- dtf -- n!,a i'L=!: ^.E1 LJ !t__= Tvii_~aCiJ -.. ' y' 'rt i'e.i ~!-i~t~v S4~tci3 S .fiL!L1~1 '11f!iE i'3l~tE ~f fi [vim i-1 ~?r•:E!:~=!=It~~~ f:y _~?~~i i Ni'~f•'•. 1 F~9 il~y~ {4 t ; ~~I~`7E~ ~~F~3~~s r ! ! , 1r~1E~.~~~ gai !r P~~i: 1{~1r''~.~3~'i; gal -nii,•L• LrLL~!1?E: ,:~=:=i~5'.li:~~ gaI .~ ~~ \\\ '~~ .~ UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and inventory Program • Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME --~'~~'~~r~ U.s2S---fly .~~~F~_~.1~.- ADDRESS ---1 soo C~Is~~,_ ~i~..~,--------- FAC IL ITYCONTACT - -- -- ----_ _-__ _- ---------- __ ._la~los~_--- --a----~ " PHONE No. No. of Employees ________________ ________ ~i_~ra66'_--_ ~ Business ID Number 15;021-go© +YS ~/ Section 1: Business Plan and Inventory Pn~gram C~ Koutine ^ Combined ~ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection 1r1 u C V \V=Voatolnnce~ OPERATION COMMENTS ^ CST APPROPRIATE PERMIT ON HAND --,,-J------------------- -------------------------------- ---------- ---------...-._...-.._------ --- -- _ _..-.._...---~ ------ .-_.._.- ._--- U ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE 13d ^ VISIBLE ADDRESS -/----- --------------------------------._-------------_.._---..._-.I__.----------_-..---__._.- ---------- L'~ ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS Ly ^ VERIFICATION OF QUANTITIES L7 ^ VERIFICATION OF LOCATION L!f ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE ~^ VERIFICATION OF HAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE --- ---- - ---- - - -- - - - - ^ CONTAINERS PROPERLY LABELED ~ 1-o.~D,e~--- ~?fa+~ _ 01 ~ _ Cs~v~\c~a v~ fir'-- ^ ^ HOUSEKEEPING ~^ FIRE PROTECTION ' ---f-- ---- -- -------- - -- -- ---- ----- --- ---- - ---- -- ---- ------- ---------- --- ---- ----- -------- LJ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE: LN YES ^ NO EXPLAIN: ~~g.1 Q Os ~ T_~ct-Q+TP A-y~T• ~S~e~~ • QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~6G'I ~ 326-3979 eA _ Q :~ l ------_-~'~ _'_sL.._ __._-__-_._.__-__.-_.- -__23 -- Inspector Badge No.,. White -Environmental Services Veflow - Statbn Capy Business Site Responsible Party Pink -Business Copy ~.;,i - For State Use Only State of California State Water Resources Control Board Division of Clean Water Programs P.O. Box 944212 Sacramento, CA 94244-2120 CERTIFICATION OF FINANCIAL RESPONSIBILITY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM A. I am required to demonstrate Financial Responsibility in the required amounts as specified in Section 2807, Chapter 18, Div. 3, Title 23, CCR: ^ 500,000 dollars per occurrence ®1 million dollars annual aggregate or AND or ®1 million dollars per occurrence ^ 2 million dollars annual aggregate B. CUSA CC, LLC dba Airport Bus of Bakersfield hereby certifies that it is in compliance with the requirements of Section 2807, (Nanre ol'tank Owner or Operator) Article 3, Chapter 18, Division 3, Title 23, California Code of Regulations. The mechanisms used to demonstrate financial res onsibili as re uired b Section 2807 are as follows: C. Mechanism Name and Address of Issuer 'Mechanism Coverage Coverage Corrective Third Party T e Number Amount Period Action Compensation Insurance Policy American International ST1956631 $1,000,000 per 10/30/2005 to Yes Yes Specialty Lines Insurance occurance and 10/30/2006 Company $2,000,000 annual aggregate Note: If you are using the State Fund as any part of your demonstration of financial responsibility, your execution and submission of this certification also certifies that you are in corn Hance with all conditions for artici ation in the Fund. D. FaeilityName Facdaynadress Ai ort Bus of Bakersfield 1800 Golden State Ave., Bakersfield, CA 93301 Facility Name Facility Address Facility Name Facility Address Facility Narne Facility Address Facility Name Facility Address Facility Name Facility Address Facility Name Facility Address ~"' Signature o O cr or Operator ~ to a 6c,~ ~ ~ 3 O~ Name and Title of Tank Owner or Opemtor Dave Dwight, Vice-President/General Manager Si m o Witness or [ary Date t,3'~~ Name of W imess or Notary Carol Cooper, Administrative Assistant St~rfnit original to local UST regulatory agency. Keep a copy at each UST facility. (Instructions on Reverse) UN-049 - 1/2 www.uuidocs.org 01/29/02 lug ~`~ 05 01: 31p Coach USR Los Fingeles 56z 634 6503 p. z .a?. - ~, NOT>/: >Cfi'ective July 1, 19)5, C:~lifolrni:~ Small [3uxinesses and California Busnncsscs with 500 employees or Ics~ mast demonstrate at least $5,000, exctusivc of the UST Cteauup Fend, busilncsscs with over 500 employees must demonstrate at least $10,000_ (Chap. 6.751x[&SC, Sect. 25299.32) The Chief I• financial Officer or the owner or operator must sign, under penalty of gerjuty, a letter 'worded L-'XACTLY as follows or you may complete tl~is letter by filling in the blanks wiCh appropriate infozmation: :L.E"TTER ~'><tOM Ckf><E~ ~]INANCIrAL O7E'~CYCER I' am the Chii;f F'inancial Oificcr for CUSA CC, Y,LC 3333 F 69th St. Loriq Beach, CA 90805 (f'tusinCtt~ name. buslncss adArcac, and correspondettCCaddress oCowner or openlor) This lettcz is in support of the use oftl~c Unederground Storage x'unk Clcaaup k'und to demonstrate financial responsibility for taking corrective action ancUor compensating third parties for bodily ' injury and property damage caused by an unauthorised rclcase of petroleum i.zt the :unount of al lc;ast $ ~ dDD -per oeeurretace aril $ s, Du•__ ~___., annual aggregate coverage. ( ollar Amount) (Dollar Amount) Underground storage tanks at then following facilities aze assured by this letter: G(j,~ CC', r.rr, 3333 E F9th_St I.ong Beach, CA 90805 and 12776 Foothill R]vd.. Sy]mar,,~CA 91342 (Name ~tl t~ddn:x5 c~fcneh facility ibr which linunci~l rcx~onsibiliry is being dernorwtrated.) and 1800 Golden State Ave. ,Bakersfield, C11 93301 and 498 Lambert St. ,O~ard, CTS 93030 _~ 1. Arzlount o'f annual aggregate coverage being a_tisurcd by this lettcr ........................•----................................ $ s~ DDa 2. Total tangible assets ............................•----•---•---..................... $ ~~/ 73 ~ ZS~ 3. 1'otalliabilities .......................... .. $ 2 L/.~ 7~,~ 4, Tangible net worth (subtract line 3 fFOln line 2. Line 4 must be at least 10 times line 1) ...... $~ S?~ S"o j I hereby certify that the woa'di>at; of this lettor is idcntiesl Co the wordinb speci:ticd in subsection 2808.1(d)(1), - Chapter 1-8, Division 3, 'Title 23 of the California Code of Regulations. __ _ . . l declare under penalty ofporjury that the follooing is true and correct to tite best oPmy knowlzdge and belief. ~~ E.cocuted at ~ ~_ ' (1'laat of Execution) ___.. Received Time Au.25. 2:17PM y~ UtiTnir•R r~:viSCn.tr~5 ,~ - ,~ AIRPORT BUS OF BAKERSFIELD SiteID: 015-021-000145 Manager MARY K SNYDER BusPhone: (661) 861-8066 Location: 1800 GOLDEN STATE AVE Map 102 CommHaz High City BAKERSFIELD Grid: 24B FacUnits: 1 AOV: CommCode: BFD STA Ol SIC Code: EPA Numb: DunnBrad:95-298-4207 Emergency Contact / Title Emergency Contact / Title HARRY KAUBLE / SHOP SUPERVISOR SAM DULIN / SAFETY Business Phone: (661) 861-8066x Business Phone: (818) 838-0030x 24-Hour Phone (800) 900-3011x- 24-Hour Phone (800) 900-3011x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact Phone: (661) 327-2157x MailAddr: 1800 GOLDEN STATE AVE State: CA City BAKERSFIELD Zip 93301 Owner COACH USA Phone: (800) 642-3287x Address 3333 E 16TH ST State: CA City LONG BEACH Zip 90805 Period to TotalASTs: = Gal Preparers ~ TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT. PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK PROG U - UST d ors r~ty in~ulry of those individuals ENT'D F E B 2 8 2007 Base r o~teinln~ the information, I Certify bl f e o responsi w that I have personally f l a under penalty p examined and am familiar with the information submitted and believe the information is true, accurate, and complete. 2~^0 ~ - Date Signatu -1- 01/24/2007 ;. F AIRPORT BUS OF BAKERSFIELD SiteID: 015-021-000145 ~ STORAGE CONTAINER DATA (UST FORM A) Last Action .Type: FACILITY/SITE INFORMATION Business Name: AIRPORT BUS OF BAKERSFIELD Cross Street Business Type: COMMERCIAL Org Type: CORPORATION Total Tanks 1 IndnRes/Trust: No PA Contact: Dsg Own/Oper BRUCE HENSLEY ICC Nbr: 1064437 PROPERTY OWNER INFORMATION Name SAM DULIN Phone: (818) 838-0030x Address: City State: Zip: Type CORPORATION TANK OWNER INFORMATION Name SAM DULIN Phone: (818) 838-0030x Address: City State: Zip: Type CORPORATION BOE UST Fee# 009350 Financ'1 Resp: STATE FUND Legal Notif Property Owner Mailing Address Date:05/25/2000 Phone: (225) 669- x Name:DAVID G DWIGHT Ttl:GENERAL MANAGER State UST # 1998 Upg Cert#: 00754 -2- 01/24/2007 F AIRPORT BUS OF BAKERSFIELD SiteID: 015-021-000145 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE E F G 350.00 FT3 Hi ACETYLENE E F P IH G 290.00 FT3 Hi DEGREASER F IH DH S 110.00 GAL Mod DIESEL L 12000.00 GAL Low WASTE OIL F DH L 250.00 GAL Low GEAR OIL F DH L 110.00 GAL Low ANTIFREEZE ~ L 55.00 GAL Low WASTE ANTIFREEZE F DH L 55.00 GAL Low FREON G 2981.96 FT3 Min MOTOR OIL F DH L 250.00 GAL Min MOTOR OIL F DH L 250.00 GAL Min GREASE F DH S 55.00 GAL Min -3- 01/24/2007 _4_ 01/24/2007 F AIRPORT BUS OF BAKERSFIELD SiteID: 015-021-000145 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: ---- N WALL MAINT SHOP CAS# 74-98-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION --- ----~ Largest Container Daily Maximum Daily Average 350.00 FT3 350.00 FT3 350.00 FT3 nt~~tucLVU~ ~vrirvlv~ivi~ %Wt. RS CAS# 100.00 Propane Yes 74586 t1HGLjtCL 1~.75L" JJ1~1L'1V 1"~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Hi ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME ACETYLENE Location within this Facility Unit W WALL CTR BLDG INSIDE STATE TYPE PRESSURE _ Gas Pure _~Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 74-86-2 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER. AMOUNTS AT THIS LOCATION -• Largest Container Daily Maximum Daily Average 180.00 FT3 290.00 FT3 180.00 FT3 t1t,GtitCLVUA lrV1~lYV1V1S1Vl~ oWt. RS CAS# 100.00 Acetylene Yes 74862 t1HGHtCL A7J~J.71~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -5- 01/24/2007 c F AIRPORT BUS OF BAKERSFIELD SitelD: 015-021-000145 ~ ~ Inventory Item 0012 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEGREASER Days On Site ZEP DEGREASER 365 Location within this Facility Unit Map: Grid: N WALL MAINT SHOP CAS# ~SolidE TMixture ~mbRent~E ~ AmbientT~E METALOCONTAINRTNONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 110.00 GAL 110.00 GAL 110.00 GAL r~G.ytcLVUJ ~VrirVivr,ivlJ °sWt. RS CAS# 100.00 Degreaser No 71556 ti1~GHKL F'..J5~JJ1~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME DIESEL Location within this Facility Unit E SIDE FUEL ISLAND Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixtur~mbient ~ Ambient ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000_.00 GAL 12000.00 GAL 6000.00 GAL t1EiGLiKLVUJ 1.V1~lYV1VL'1V1J %Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476302 riEiG1.1tCL 1~1. 7.7~JJ1~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -6- 01/24/2007 J; , F AIRPORT BUS OF BAKERSFIELD ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME WASTE OIL Location within this Facility Unit NE CRNR BLDG OUTSIDE SiteID: 015-021-000145 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 221 STATE TYPE PRESSURE Liquid TWaste -~mbient TEMPERATURE CONTAINER TYPE Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 600.00 GAL 250.00 GAL 1100.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 t1E~GL-1ttL A~SL'~JJ1~1L1V 1-._i TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0013 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME GEAR OIL Days On Site 365 Location within this Facility Unit Map: Grid: NE CRNR BLDG OUTSIDE CAS# 64742-57-0 LiTAid Mixture AmbRent~E AmbientTURE CONTAINER TYPE qu~ T ~- ~ DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 110.00 GAL 55.00 GAL !'1HGKKLVUJ 1.V1~lYV1Vr;1V1a %Wt. RS CAS# 100.00 Light Machine Oil No 802085 ri1~GH.tCL H.7 JL' .7 ~71~1L" 1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -7- 01/24/2007 F AIRPORT BUS OF BAKERSFIELD ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME ANTIFREEZE Location within this Facility Unit NE CRNR BLDG INSIDE SiteID: 015-021-000145 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# Liquid TMixtur~Ambient~E ~ AmbientT~E DRUM/BARRELENONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 150.00 GAL 55.00 GAL 220.00 GAL riHGAKLVUJ 1.V1~lYV1V1;1V1J %Wt. RS CAS# 100.00 Ethylene Glycol No 107211 rlr~~t~cu ~aa~a~l~i~iv l5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0009 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: NE CRNR BLDG INSIDE CAS# 107-21-1 Liquid TWaste PRESSURE TEMPERATURE CONTAINER TYPE Ambient ~ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 150.00 GAL 55.00 GAL 220.00 GAL riEiGEihCLVUw7 1.V1~lYV1VJ;1V 1.7 %Wt. RS CAS# 30.00 Ethylene Glycol No 107211 riHGHtCL 1-1A w7L" .7.71~1L' 1V 1 iJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -8- 01/24/2007 F AIRPORT BUS OF BAKERSFIELD SiteID: 015-021-000145 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FREON Days On Site FREON 134A & 22 365 Location within this Facility Unit Map: Grid: NW CRNR BLDG INSIDE CAS# 75-7~.-8 ~GaSATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE TPure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 745.49 FT3 2981.96 FT3 1490.98 FT3 r1~GHtcl~vua ~v1~irVivl,ivl5 %Wt. RS CAS# 100.00 Dichlorodifluoromethane No 75718 t1E~GKttL 1~5 7 t; 7 J1~1J;1V 1 7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min ~ Inventory Item 0010 COMMON NAME / CHEMICAL NAME MOTOR OIL 10-40 WT Location within this Facility Unit N WALL MAINT SHOP STATE TYPE PRESSURE Liquid TMixtur~mbient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8020835 TEMPERATURE CONTAINER TYPE Ambient ABOVE GROUND TANK. AMOUNTS AT THIS LOCATION Largest Co250100rGAL Daily 250100m GAL I Daily 250r00e GAL riHGKtCLVUD 1..V1~lYV1VL'1V1.7 %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020885 t1L-~GHKL L-1J ~Jr,5~1~1r,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -9- 01/24/2007 F AIRPORT BUS OF BAKERSFIELD SiteID: 015-021-000145 ~ ~ Inventory Item 0011 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 40 WT 365 Location within this Facility Unit Map: Grid: N WALL MAINT SHOP CAS# 8020835 Liquid TMixtur~mbient~E ~ AmbientTURE CONTAINER TYPE ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 250.00 GAL 250.00 GAL 250.00 GAL - nr~~r-ucL~ua t_:vinrulv~iv 15 °sWt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 YLEiGtitCL 1~.7 b G.7.71~1~1v 1 a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0007 COMMON NAME / CHEMICAL NAME GREASE Location within this Facility Unit CTR OF SHOP STATE TYPE ~ PRESSURE Solid TMixture I Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 64742-52-5 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL ru~sc~rucLV~~ ~.vi•1rv1va1v1S %Wt- RS CAS# 100.00 Heavy Machine Oil No 8020$35 L1tSL~L~i1CL ti~ 7 iJ Liw7 J1•1L'1v 1w7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -10- 01/24/2007 F AIRPORT BUS OF BAKERSFIELD SitelD: 015-021-000145 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 04/26/2006 ~ SUPERVISOR WILL CALL 911 OR FIRE DEPT HAZMAT TEAM WHEN HAZARDOUS SPILL OCCURS. SUPERINTENDENT OF MAINTENANCE AT THE CORPORATE OFFICE WILL BE NOTIFIED. Employee Notif./Evacuation 04/26/2006 SUPERVISOR ON DUTY ENSURES ALL EMPLOYEES ARE EVACUATED TO THE FRONT PARKING AREA. SUPERVISOR WILL TAKE ROLL CALL TO ENSURE ALL EMPLOYEES ARE ACCOUNTED FOR. Public Notif./Evacuation 12/08/1998 PUBLIC EVACUATION SHOULD NOT BE NECESSARY DUE TO LOW LEVEL OF HAZARDOUS MATERIALS, BUT WILL COORDINATE WITH LOCAL RESPONSE TEAM AND FIRE DEPT. Emergency Medical Plan SAN JOAQUIN MEDICAL CENTER, 2615 EYE ST, 395-3000. 11/15/2000 -11- 01/24/2007 F AIRPORT BUS OF BAKERSFIELD SiteID: 015-021-00015 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/26/2006 ~ STORAGE TANKS TESTED ANNUALLY. STORAGE CONTAINER WILL BE MONITORED FOR SIGNS OF LEAKS. TRAINING OF EMPLOYEES. Release Containment 04/26/2006 EVACUATION OF NON-ESSENTIAL PERSONNEL FROM AREA OF SPILL. SPILL WILL BE ISOLATED INTO AS SMALL AN AREA AS POSSIBLE. MATERIAL WILL NOT BE ALLOWED TO ENTER THE SEWAGE SYSTEM. Clean Up 04/26/2006 LEAK WILL BE PLUGGED. SPILLAGE WILL BE ABSORBED WITH ABSORBENT MATERIAL AND REMOVED AS HAZARDOUS WASTE. IF FUEL TANK LEAKING, LITTLE OIL CO 942-4422 WILL BE CALLED TO PUMP TANK. DISPATCHER ON DUTY WILL NOTIFY LOCAL AND STATE AGENCIES ABOUT SPILL. Other Resource Activation -12- 01/24/2007 F AIRPORT BUS OF BAKERSFIELD SiteID: 015-021-000145 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .~Nc~.ia.L nac.aiu~ Utility Shut-Offs 04/26/2006 A) GAS - SW CRNR BLDG B) ELECTRICAL - SW CRNR BLDG C) WATER - S END OF PROP OUTSIDE FENCE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/24/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. ,FIRE HYDRANT - S END OF PROP W OF GATE FRONT OF YARD. Building Occupancy Level 03/30/2006 15 EMPLOYEES -13- 01/24/2007 . . F AIRPORT BUS OF BAKERSFIELD SiteID: 015-021-000145 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 04/26/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: 1) ALL NEW EMPLOYEES WILL BE TRAINED IN THE PROPER HANDLING OF HAZARDOUS MATERIALS DURING THEIR FIRST WEEK OF EMPLOYMENT; 2) ALL EMPLOYEES ARE REQUIRED TO PERIODICALLY READ THE MSDS SHEETS; 3) PERIODIC SAFETY MEETINGS WILL BE CONDUCTED WHICH INCLUDES HAZARDOUS MATERIALS; 4) SUPERINTENDENT OF MAINTENANCE WILL TOUR ALL LOCATIONS AND DISCUSS HAZARDOUS MATERIALS WITH EMPLOYEES; AND 5) ALL EMPLOYEES WILL BE REQUIRED TO KNOW THE EMERGENCY RESPONSE PLANS AND rays ~ Held for Future Use nCiu iui ruuuiC u5c -14- 01/24/2007 -~--Y-~ a ~-'~ Z 1V,~t~~TrC}RIl~I~ SXS~'E1VI CER'T~F~CATX~N Far iJsC ,lly All Jsrirdictioirs We thin the State of California Atethority Cited. Chapter 6~ 7, lileatth attd safr'ty Cade: Chapter 16, Division 3. Title 23, CaL fornia Code elf Regtctatiorts This facet least be aced to document testing and servicing of nnprritoring egtt4pmerut. ~ sr'r-aratc certification ar t must be d far each ntonic~n¢ ,lyratetn canttyl pa,~ by the ttxlmician who petfornns the wait. A, wpy of this feet least be provided tp the tank system ownerfoPerawr. The oamtxloperator must submit a copy of this form to the lxal agency regttIsting LIST systems within 3D days of test date- A. Gerielral Taefattro~tatron FacSlity NamC: site Address: 1 ~0 d Gobi -S't~.73P Ave. Cty: Bldg. No.- Zip: Facility Cortt2tct Person: _ _-- Catlett Phone ~O•= (~~ MalaelNlodel of Mrnritoring Systctn: ~~W ~~,.~ , _ -- Date of Testinglserviciag: ~l~~ B. ~nventary of Equipment TestedlCertified Tank ID• Tank II}: ~ Ia-Taut t~iaugatg Probe. Model' D In-Teak Gauging Probe. Model: $) Annular Space Or Vault Sensor. Model: --_ D Annular apace tx Vault Sensor. Madd: _- ~ Piping Sump I Trench Sensor(s). Model: ~ S Q Piping Suing I Tench Sensor(s). Model: O >rili Sump Sesesor(s). Modal: Q Fll Sump Scasrn'(s). Model: ® Mechanical Llac LcS1r Deterxgr_ Model: t] Mechanical Line Leak Detector. Model: Q 6lacdronic !.into Leah Detector. Madd: -- -- O Electremic Line Leak Detet*ar. Model' O Tank Ovatlll I Liigh-Lewd Sensor. Model: Q Tank Ovafitt !Nigh-Lere1 Srnaar. Mpdd: -__ ^ t~dter u' and rnodtd in Se#ion E on 2 . D t7flrer ui t t and model in Sediat B on P 2 . TankID: Tsnk)<A: A In-Tank Gauging Probe Mold: d In-~'snl: Ganging Probe. Modal: Q Annnlsr Space or Vaali Sensor_ Model: _ _- _ O Annular Space or vault Sensor. Model: O Piping 3att~f /Tt+eadt 5ensor(sk Model: ©Piping Sump 1 Trench Scnsorts~ Model:. -___ Q Fi@ Sump 5erasor(sy. Model: O Fill Sump 5crtscsKs). Model: D Mechanical Line Leak Detector. Model: d Mechanical G,rtc C,mk Detector. Model: O Eleettnnie Line Leak Detector. Model: ^ Electronic line Leak Detector. 141odc1_ fl Tank Overfll ! Higtr-l:evd Sensor. Model: Q Tank Overfill Illigh-Clue! SCitnpC. Model: O 01her s ai t and model is Section E on p D Qdttr eei ui t and noodrl in Section E oe Pa 2 ldispeaver ID: 1 DL+~te®er ID: ® Dispenser Conminmestt Sensor(s). Model: ~??~`S~? i~ ~ 0 Dispenser Gbntainment Sensaa(s). Model: ® Shear Naive(s). Q Shear Valve(s). a bi ser Coatainrrxrtt Float s and Chains ^ Dis ser Containment 8 attd Gain s lSlapeoser In• Iflapent:a• ID: - _ _ -- IID Dispearscr Corlminment Scnaer(s}. Model: O Dispenser Containment Sensor{s). Model: ~ Shear Valve(s)_ D Shear Valve(s}. O Di rAer Cwtrtiartreet sand C9taln s . O Di scr iotdaitrmettt Float s and (Stain B Disgorger 7D. Ar)R1. d DispcnserCdntainntcnt Satsar(s). Model: O DispenserCvntainment Sensor(s}. Madd: O Shmr Vslve(s~ O Shy valve(s). O i err Corttainttmtt Irl a and Cheia s . D IAS sot Containment FI sand Chain s •Lf the facility contains miu:ra tanks ar dispensers, o4py this Form. 7ndude information far every tank and dispenser at the facility. ~. Ce>'tlf3CStiOri -)( eatBtSr that fhr: egtdpaoent idetttitied is this docvrrteat was inapertRdlactwiocd la aorordenae with the nxettaCa~t`ertt' gniddlnra. Armed to thts CertiScadoQ is iddorrttatiort (e.g- tttattaiseturars' r#rtclrHats} teceessery to verb t>.at tbie iefertuatiae la correct tend a Plot Plena showing the laygat of uiortitsrirrg equipment. For any egaiPAnent capable of g~yerating aneh reports, I nave also attached a copy of the rcepot't, fdeedi• au tJMaeaPlrljrl: ^ System setrup l7 Alanm hlstoiry rtpot;t Terrht>itian Name (glint): ~~1r'it.Gir Lt/. /~~,sf _ Signatnr+~ ~r~ /~ ~..r ~fsat~r Certification No. 3~'~'~" ~` --- - - Llccase. No. Y~7~ ~ _ _ Testing Costtpany Marne; ~~-^ l/~JP~~,~,~fi Phone Na.•t ~~l -~ ~~~^~•.~ fir! Site Address: /~DO_~a/ _ ~f~~ J~LdC- 1~ P~l~,~s~~r.• Date of7l'eat9ttg/5ervicing: ~l~S~a6 rage 1, dF3 t~1ea MouitbK'inq 3ptda'in Certalication D. Rrsn~~ o~ ~'e~ting!Servicin$ 5oitwanG version Insxat]cd: rirwn~e tLn fe-nnmin~ .!Lwelere!! 1S Xea D Na* Is the audible alarm ratiartat? Xes ~ No* Is the visual alarm tiotrsl? 6i. Yes D Na* WerE alI sensors visual in ected, funccianali tented, and confirmed eratianat7 O Yes ~ l~To* Were all sestlsbra installed at Iowest point of secondary cottminmettt and positioned Ro that other equipment will trot imtetfem with their eradon? A Yes O No* 1g alarms ar+e relayed W a ranote monutarirtg station, is all communications equipment (e.g. modem) !Id NIA operational? D Yes ~ No* Tar prossurized piping systems, does the wrbirie autaunatixally shut dawn if the piping secondary containment D NiA monitoring system detects a leak, fai As to aperane, or is electrically discbnrtected? If pes: which sensors irritant positive r~hui-d~own7 fCI~.~C atI Hutt ap1dY1 0 Sumpfi'tetrah Setrsars; Q I.?ispensa Cotr~irrmeut Sensors. Did ou ooefinm ositive shut-down doe to leaks and sensor faih~rcldisco~nnectian7 D Yes• O No. ^ Yes ^ No' For tank systsnns that utilize the motlitering system as the primary tank ave:~Frli warning device (i.e. no ~ NIA mechanical ovetfiA prevention valve is installed is the overfill warning alarm visible and audible at tine rank frEl s and a 'n If so at what of tank sit does the ahtrm tri ? '~ ^ Yes* Eli No Was any monitoring equipment replaced? TF yes. identify specitic sensors, probes, or other egmpntent replaced and bat the martufactur~er name acrd rtrodei for all lacemer~t in Section fi, below. lg Yes* O No Was liquid found inside any secondary containment systems desired ss dry aystems7 (G7,eck ail that cpplyJ 0 Product; ~ Water. xf deSeCibe causes in Section E, Iseltyuv. O~ Yes ^ No* Was manitorin set-u reviewed to ensure setti ? ,Axraelt set u if Hcable Yes 0 No" IS all manit,orin meet 'onal tnatwfacxtrm's 'fixations? . . * In Section E blow, describe how and when these d~iicitutcies were er vvr~l he emyected. [.. Comments • Wit. ~ Wa.,/'~ri t~.~l ilk :~2~..~~ ~~ ~ ~i „ S'c~P cre~f ~SP~~tse r.~t/[ ~n~~~ ~P~L~_~rt~..san~vr t'vr~~J.r/~ ct,~o _ e G;~a~ 77r~ k~a~!r.~ ~a~v~r-;~~ ~~ >~~ipl~~ Tllt~~ir~~ C~jl~trhJvrZh~',' J~ PIrD~r,.r7'~ If1~JP jir/~f' ~^17'tC~'. Pape Z d 3 t~fi/tl] f F, ~u-'auk Gauging / SIB 19:gaipmen>~ ilt tr7teck this box if tank gaugim,g is used an1Y ~+' iuvernory control. ^ Check this box if na tank ganging or SIR equipment is ittsta]led. ',['ltis section must be completed if in-tank gauging t~tlipraeTtt is used to pezi'orm leak detection monitoring. the follows checkist: ^ Yes O Na* Has all input wiring been inspected for i~t~ ~ and termination. including testing Cvr ground faults? 0 Yes ^ Na* VVete all tank gauging probes visuaIIy inspected for damage and residue buildup? ^ Yes ^ Na* was accuracy of system pt~odua level t+eadings tested? O Yes ^ No* was atxutacy of system water level reading tested? la] Yes D No# Were sll psabes reinstalled properly? ^ Yes D No* Wec~e ail items on tltie equiprnait m~afa~cdtrer's maintenance checklist oompkted? # lin the Berton 1~, below, describe Law attd when titres de#tdestcies were or wifi be corrected. G. Li~18 T.esk lbettxTors (LLA)= ^ Chuck this box if I.GDs are oat installed. .-•~,..~_ .L.. ear .... ,.ea... . ® Xes~ D~No* - -Far atlulpment start-up yr atmual equipmerR certification, was a leak simulated to vt~ify J.GD perfo~rnenoa? O N!A fCl~k alt Hoot aPP1YJ Simulated leak raft: ins g.plt.: O 0.1 g.ph ; t*i 0.2 g.p.h. Bl Xes ©Nu• Were all I.l,l:1s cottfitmed operational and accurate withizt tegttlatoty requirettuettts? ~t Yts ^ Na* Was the testing aplaa;atus ptpper~r calif~rated? ~ Xes D Na" F[rr n~chatvcal I.1~s, does the LLD t,P,stria ptndua flow if it detect a leak? a Iola D Yes C] No* Far electlonie LLDs, does the utrbine automatically shut off if the LLD detects a teak? ~ N!A O Yes O No* For clcxtratic LLL)s, does the tnriritte aotomaricauy shut off if airy portion of the manitQrinB system is disabtod $~ NfA or disconnected? O Yes C] No" For electrot»c I,LDs, does the turbine automatically shut off if any paation of the nlottitaring system ttietIfimctiotl5 jA NlA ur fails a test? O Xes Q No* Far e1¢etmrtie Li.Ds, have all accessible wiring caataectians 6ecn visually inspected? ~ N!A ~ Yes D No* Wexe all items on the equipment manufacntcrrc's mainocttattce checklist completes? w in the Sectlo~a k~, below, desCtiHe How oral when titres dextcle~es were or.n11 de mtneete0. H. Comments: P'nge 3 of 3 nuns ~pnitoring Systesl Certification TJST Moni#o>ri»tg Sipe ~~an sib Ac>dress:l$_va ~oJa~+ .S~ Awe 1~~e,~s ~~ ~Q :' :::::::::::::::::: ::::: :::;I~o~:::::: ::_:::::; I:: :::::::::::::......::::::::::::::::::::::::..~---~ :: :::::::::::::::::~71:::::::::::::::::::::::::::::: hate map was drawn: ~.~~. Iastracf~io~s If you already have a diagram that shows all required informatioq you may include it, rather than this page, with your Monitoring System Certification, ~ yow' sift plaq show the general layaat of tanks avid piping. Clearly identify locations of the following equipment, if installed: monitoring system cantpol panels; sensors motriborit-g tank annular spaces, sumps, dispenser pans, gpi11 Container, or other secondary containtuent areas; mechanical or elect*_onie lint leak detectors; and in-tdtl~ liquid let+el pcot~es (if used for leak detectian)_ izt tEte space provided, note the date this Site plan was prepas~ed- ~a its • weA -~J7QsIrI-~Y >~?IT 3340 Ea3ltt~e ~ Datac'S~i~18r dk 9335 4i~~1-3g7-931 • ~a~#61-325-25.9 a. +~ gat: Dif 5`~l ~: ~..t+t~e~r ... ~~ ~~ ~'if~+ ~~ t~& BSc l JQ--lS-i06' 4~....~.~ 1~tE COD~61+~gN ~~Bb ~li~L1= tip f~ t!aR ol+~~ssemksria~llf~yt~tr0eall~e(t8~ha,xiol~n~gyq~mro~cl~att.wvlet+v~on~or~erts~rseoemel~e~a,e~rs~atxir~naAer~re~ert~crt. " fie ~orsveerbn aavt+~r uaeu qne ~ E~vbi out. , AMA X51 ~,4Ri VCS ~1 ~ VaL O~PF, ~. GPw t~ PY-~ p,~lL 4 ~i rw r ,,...~ f declare trader panariy of perjury that f ~ a flssitwd t8rtk taster in tits State of Cafttomla and that~~~-__ the fafortnattvn contrtfrted In #hfs rapott is true:nd correct to the best bimy knowledge, ~/• ~_ VAPORL~SS M~NU~A.C'~'URING, zNC. . ~.D7'-890 Lcal~ detector Vest Record t;oniraclor Date Gt:tomer n Submersible Fnmp Identification ~attlbttEn~r Mode o. Serial Number Leak Deiectur Ideataflcatlon Mant~facivrer Qilzer_Stvle Leak T3etestor ~~~ D'gA~ Piston type v ... ~~ 'Z'anier-proof seal ins~ied? Yes No Leak Detector in Subn~ereible pump Vest at Dis~enselr 1. Operating puxrlp Pressure 2+~' psi (para. 15) 2_ Gallons per hour rate ~, p (Para. 22} 3. Lice pressare with p~ sb~ut off !3 ,,.Psi (para. 23) 4. J3Jeedback Test with ptmrp oft' 60 tnl (para. 26} 5_ Step-through time to ~I £law ~ seconds (para. 30) ti. Leak detector stays in leak search positiota. (para. 4Z) Yes ~^^ No LEAK DETkCTDlt 'I'E5T ~ Nate: Pass =Leak detector Sts test protocol Fall T E,es1t dcroctor falls East protocol Pass ~"" FSiI Form 89QC (9-1-9d} "Complete the~t~al expansion test before failing leak detector_ 1996 3Taporless Manufacturing, Inc., Pt+eacott Valley, AZ SWRCH, .~nuary 2006 Sp~~~ ~uc~et Testing Re~+ort Form ~Jris form is iru~e~rcted far arse by cor~racrors perfarming msnuaof resting of UST spilt ~antavrnme~rr sl~rro~c 7~ cvrn~afeted farms arnd prinr~p&fs fro+rt leats (rf appliceble), shorJd b@ pr'ovir~d 1o the facility owner/operr~ror,~'or ,8rrhmfntal to the local regulatorJ' ~+~3'• X. I',A,CILTI"Y INlH'QR117AT'>iON Facility Name: fly, C A„ Date of Testing- Facility Address: 44 a.~ Fadlity Contact: Phone: Hate l'.ocal Agency was NotiSed of resting Name of Local t#ges"ay Inspoctad (tfpr~sent dtu~ing restingj: z. TESTING COlv'Ji~tACI'o]lt ]fZ~TI*'aRMATION any Marne: Ca. Technician Comductitt Test: Credentials': ~CSLH Contractor ~ ICC Service Tech. ^ SWRCB Tank Tester OOther (SPacaff') License Nutuber{s p 3. SPILL $UC~' TESTING INFORMATION 'f'elt Method Used: ^ Vacuian C3 [lther Test Equipment Used: j Eq~ripmettt Resolution: Identify Spill Bucket (By Tarok Number, S1[ored PrprJlooct, etc I f~i Z ~ ~3 4 Bucket rnstallation Type: ~ D'm~ct Bury o Catttainea in Sum ©l~iurect Bury o Contained in stm~ ^ Dic+ect Bury ^ Cbtttained ion sum o Direct Bury a Contained ~ sum Becket DtAxtieter: ~ ," Bucket Depth: l~+ Wait tie between applyitlg ~racttwblwater and start of test~ 'Z'est Start Time (Tr): ~ D Initial Riding (~: p.O' ~ 'f'eat End Time (TF): ~ Final Reading (RF): , Test Duration (TF - Tr): Change in heading (RF-~; Pass/FaAI T,lu+esliold or criteria: - . 2S , ~'O11Ib1~~lt$ -- /Lliclt~71P illfnr»li~finn nay s,oar~ire nr~.~6s rirnr ~.. ~~al:s.e ...,.J ~.~r,.....,a...Es,~7 P,..1l.,..~.... ~,~ lGaJa. J •,...a~ 1 CERTIFf[: J~TION OF TECFIIYfCIA1V RL+SFOrySIBLE FQR CONDiJ[:TI~iG ~'HI3 TESTING ,~ bere8y ~rify t6~ e!! the lnfol~wsfo~ canta~Red irl this ttgport is ttwe, atczrr~e, end f+r full compltaxce with 1~ga! .t-q®rirenre+rtx Teclutiotiaa's Sigttat~e•_ ~ mot./~' pate- rd ~$~l.76' " State Zaws mrtd regulaticros do not cru~cndy noquire testing to Ue performed by a qualified c,+antracbor. H~ov~r$ver, local reyuirements may be more stringent. CAL-VALLEY EQUIPMENT 35U~ GILMORE AVE. BAKERSFIELD, CA 93308 (6fi1}327-9341 FAX: (661}325-2529 CONTRACTOR'S LIC.#78417~'A HAS ~,~ Faoc: ~ ---~ f '] ~ Pages: ~ INCLUDING COVER ~: ~~ C7 RJrgerrt ^ For Review ©Please l~oRnn.eert ^ Please Reply ^ Riease Recycle Gomrnents: