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HomeMy WebLinkAboutBUSINESS PLAN 8/1/2008I ~ ~` J ,~'' i ~. li ~~ r~+' ~~~' i ,'~ // SBC ~SA098 '~ `r '" 3221 S. H STREET ~_ ~~ _ ~ 0 -i~ ~~y ~°~d -------1-a`~~( • ,,,, „'v, - - -~ • ~~ ~ ~, ~ ~ ~ • w ~ ~.. V r ®® • • ~~ . o , ~ o 0 0 0 0 0 ~I~- ~., _ .~ PACIFIC BELL - SA098/BKFDCAl4 Manager GRANT ARMSTRONG Location: 3221 S H ST City BAKERSFIELD SiteID: 015-021-000895 BusPhone: (661) 398-4185 Map 123 CommHaz High Grid: 12D FacUnits: 1 AOV: CommCode: BFD STA 05 EPA Numb: CAT080020514 SIC Code:4813 DunnBrad:10-340-1618 Emergency Contact / Title Emergency Contact / Title GRANT ARM STRONG / EM SITE MANAGER EMERGENCY CONTROL / CENTER Business Phone: (661) 327-6903x Business Phone: (877) 322-4722x 24-Hour Phone (800) 566-9347x 24-Hour-Phone (800) 566-9347x Pager Phone (661) 721-4747x Pager Phone ( ) - x Hazmat Hazards: RSs Fire React ImmHlth Contact JAMES STEHR EH&S Phone: (925) 823-8866x MailAddr: PO BOX 5095 3E000 State: CA City SAN RAMON Zip 94583-0995 Owner PACIFIC BELL DBA AT&T CALIFORNIA Phone: (800) 566-9347x Address PO BOX 5095 3E000 State: CA City SAN RAMON Zip 94583-0995 Period Preparer : S- I• 2 $-I• o`r TotalASTs • D = Gal ~T VE ~ DERSOR~ TotalUSTs : l . (o, 0O o Gal Certif ' d: ~~? ~ RSs : Yes ParcelNo: Emergency Directives: PROG A - HAZMAT PROG U - UST ENT'D BUG 0 ~ ,~~~~ 3ased on ;~?;~ inquiry of those individuals responsibly: fc,r ak~tatn;ng the infor ti ma on, P certify undo' pLnalty ~# law that I have perso ll na y examined and am familiar with the information submitted and believe th i e nformation is true, accurate, and complete. S ignature Date -1- 07/13/2007 ~` ~; F PACIFIC BELL - SA098/BKFDCAI4 SiteID: 015-021-000895 ~ STORAGE CONTAINER DATA (UST FORM Al Last Action Type: FACILITY/SITE INFORMATION Business Name: PACIFIC BELL - SA098/BKFDCAI4 Cross Street Pl4nz (Z04D Business Type: Org Type: Total Tanks 1 IndnRes/Trust: No PA Contact: Dsg Own/Oiler REX ABACON ICC Nbr: 5227108-UC PROPERTY OWNER INFORMATION Name EMERGENCY CONTROL Phone: (877) 322-4722x Address : ~ 0. Box So9s ~ Ro~orr- 3~0 City Sc~ ~omon State:CA~ Zip: R45ff3 Type CORPORATION TANK OWNER INFORMATION Name EMERGENCY CONTROL Phone: (877) 322-4722x Address : ~? 0. $Dx 509s' Roor+-+ 3 Eoao City Sin (~,r-,o~ Type CORPORATION BOE UST Fee# 31914 Financ'1 Resp: SELF INSURED Legal Notif state: G9- zip: q ysg3 Date:08/23/2006 Phone: (392) 589-63 x Name:ARMI D STRICKLAND Ttl:ENVIRONMENTAL ASSOCIATE State UST # 1998 Upg Cert#: 00790 -2- 07/13/2007 ,~. ;, F PACIFIC BELL - SA098/BKFDCAI4 ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-000895 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP BATTERY ELECTROLYTE F R IH L . 2475.00 GAL Hi DIESEL FUEL #2 F IH L ~ 6000.00 GAL Low -3- 07/13/2007 ~~, ;, -4- 07/13/2007 4P' .` , F PACIFIC BELL - SA098/BKFDCAI4 ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME BATTERY ELECTROLYTE SULFURIC ACID, BATTERY ELECTROLYTE Location within this Facility Unit STORED ON SITE STATE TYPE PRESSURE Liquid TMixtur~mbient SitelD: 015-021-000895 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7664-93-9 TEMPERATURE CONTAINER TYPE Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 14.00 GAL 2475.00 GAL 2475.00 GAL t~~r~.tcLVUa ~uinruiv~iv 15 %wt. RS CAS# 52.00 Sulfuric Acid (EPA) No 7664939 48.00 Water No 7732185 riE~GE~tCL H5 ~~~51~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies F R IH / / / Hi ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME DIESEL FUEL #2 Location within this Facility Unit NW SIDE OF SITE STATE TYPE PRESSURE Liquid Mixture f Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 68476-34-6 TEMPERATURE CONTAINER TYPE Ambient ~ER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 6000.00 GAL 6000.00 GAL 5500.00 GAL ruyc~tucLV~a ~.vi~irvlvr,lvlS %Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476346 171-1GtiiCL Hw 7w7r,~.71~1P~1V 1 ^7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Low -5- 07/13/2007 ;/" ~ ~~ . F PACIFIC BELL - SA098/BKFDCAl4 SiteID: 015-021-000895 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 11/19/2003 CALL 911. 9 Employee Notif./Evacuation 11/19/2003 BUILDING WARDEN DIRECTS PROCEDURES FOR NOTIFICATION AND EVACUATION IN CASE OF AN EMERGENCY. SHOUTING, HORNS, ALARMS, VOCAL, WHISTLE, AND FIRE ALARMS ARE USED TO NOTIFY EMPLOYEES TOEVACUATE. THE INSTRUCTIONS FOR EMERGENCY EXITS AND ALTERNATE ROUTES TO BE USED FOR EVACUATION ARE POSTED ON EACH FLOOR. Public Notif./Evacuation p~TT PROCEDURES PRACTICE 130 IDENTIFIES THE RESPONSIBLE EMPLOYEE TO NOTIFY THE APPROPRIATE EMERGENCY CONTACTS: LOCAL FIRE/MEDICAL PERSONNEL LOCAL ADMINISTERING AGENCY OFFICE OF EMERGENCY SERVICES PACIFIC BELL EMERGENCY CONTROL CENTER SECURITY MEDICAL FACILITY ENVIRONMENTAL MANAGEMENT SAFETY 11/19/2003 THE BUILDING WARDEN/SITE MANAGER AS BUILDING OCCUPANTS AND THE -6- 07/13/2007 T , ,. F PACIFIC BELL - SA098/BKFDCAI4 SiteID: 015-021-000895 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Emergency Medical Plan 05/31/2006 ~ EMPLOYEES OWN DOCTOR OR 911. THE IMMEDIATE SUPERVISOR OR AVAILABLE BUILDING WARDEN IS RESPONSIBLE FOR CONTACTING AN AMBULANCE OR MEDICAL FACILITY FOR AN INJURED EMPLOYEE. NEAREST EMERGENCY MEDICAL FACILITY - SAN JOAQUIN COMMUNITY HOSPITAL, 2615 EYE ST, 395-3000. -7- 07/13/2007 ~ n "1 . F PACIFIC BELL - SA098/BKFDCAI4 SiteID: 015-021-000895 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 11/19/2003 PERIODIC TESTS MADE ON UNDERGROUND TANK. EMPLOYEES ARE PROVIDED TRAINING ANNUALLY THROUGH THE TRAINING AND DEVELOPMENT CENTER TO HANDLE HAZARDOUS MATERIALS AND HOW TO READ MSDS AS REQUIRED BY THE HAZARD COMMUNICATION STANDARD. THEY ARE ALSO TRAINED ON THE '8~ OPERATING PRACTICE 130. HAZARDOUS MATERIALS ARE UTILIZED AND STORED FOLLOWING MANUFACTURER'S RECOMMENDATIONS AS WE ARE A CONSUMER OF PRODUCTS AND NOT A MANUFACTURER OF HAZARDOUS MATERIALS. 9 9 Release Containment 11/19/2003 ELECTROLYTE IS CONTAINED IN BATTERIES AND BATTERIES ARE SECURED IN A SPECIALLY DESIGNED BATTERY RACK WHICH WORK IN CONJUNCTION WITH EARTHQUAKE BRACING. DIESEL FUEL IS CONTAINED IN AN UNDERGROUND, DOUBLE WALL STEEL TANK MONITORED SENSOR BETWEEN WALLS TO DETECT LEAKAGE. ABSORBTION MATERIAL ON SITE. Clean Up 11/19/2003 THE HAZARDOUS MATERIALS/WASTE MANAGEMENT HANDBOOK REQUIRES THAT ENVIRONMENTAL MANAGEMENT, IN THE EVENT OF A SPILL OR RELEASE OF A HAZARDOUS MATERIAL AT A FACILITIES, COMPLETE A HAZARDOUS MATERIAL INCIDENT REPORT. BATTERY ELECTOLYTE IS USED IN MAINTAINING STORAGE BATTERIES THAT ARE USED FOR STANDBY POWER IN OUR CENTRAL/SWITCHING FACILITIES. THIS STANDBY POWER IS PRIMARILY TO PROVIDE COMMUNICATION SERVICES DURING EMERGENCY CONDITIONS. BATTERIES HAVE EXPLOSION PROOF CASES AND ARE MOUNTED IN REINFORCED RACKS TO ENABLE THEM TO WITHSTAND THE SHOCKS OF EARTHQUAKES. IN THE EVENT OF A SPILL OR LEAK, BAKING SODA AND SODA ASH AND/OR AN ACID SPILL KIT WITH NEUTRALIZING ACID ABSORBER STORED IN CONTAINERS IN THE BATTERY POWER ROOMS, ARE USED TO CONTAIN AND CLEAN UP BATTERY ELECTROLYTE. CONTRACTOR UTILIZED TO CLEAN UP SPILLS AND RELEASES IS SHAW ENVIRONMENTAL 1-800-537-9540. -8- 07/13/2007 T '~ F PACIFIC BELL - SA098/BKFDCAI4 SiteID: 015-021-000895 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Other Resource Activation 03/31/2006 AS OUTLINED IN HAZARDOUS MATERIALS/WASTE MANAGEMENT HANDBOOK, UNAUTHORIZED RELEASES (LEAKS AND SPILLS) OF PETROLEUM PRODUCT WILL BE REPORTED IMMEDIATELY BY THE OPERATOR OF THE UNDERGROUND TANK TO EMERGENCY CONTROL CENTER 800 - 5(o(c ^ 9 3 ~1 ANY UNAUTHORIZED RELEASES WILL BE RECORDED USING THE HAZARDOUS MATERIAL INCIDENT REPORT FORM NUMBER FR-0023, AS SHOWN IN APPENDIX III. FOR INCIDENTS INVOLVING SPILL, THE OPERATOR OF THE UNDERGROUND TANK WILL NOTIFY THE FIRE DEPARTMENT. 9 -9- 07/13/2007 F PACIFIC BELL - SA098/BKFDCAI4 SiteID: 015-021-000895 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ iJ~JCC:1d1 i1dGdLCl.`~" Utility Shut-Offs 01/30/2007 A) GAS - NONE B) ELECTRICAL - N SIDE OF BLDG POWER RM C) WATER - E SIDE OF LOT SIDEWALK D) SPECIAL - TANK MONITOR ALARM ENGINE ROOM; SPILL KIT/ABSORBANT BATTERY AREA; FIRST AID KIT POWER/ENGINE AREA E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - ALARMS MONITORED 24-HRS-A-DAY AND FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - FIRE STA ONE BLOCK E OF SITE. 01/30/2007 Building Occupancy Level 03/31/2006 15 EMPLOYEES -10- 07/13/2007 `'~ F PACIFIC BELL - SA098/BKFDCAI4 SiteID: 015-021-000895 Fast Format ~ Training Overall Site ~ Employee Training 01/18/2007 MATERIAL SAFETY DATA SHEET AVAILABLE. BRIEF SUNIMARY OF TRAINING PROGRAM: EMPLOYEES ARE PROVIDED INITIAL SAFETY PLAN TRAINING ON THE HAZARD COMMUNICATION CERTIFICATION, AS WELL AS, FUNCTION SPECIFIC BEFORE THEY BEGIN THEIR WORK OPERATIONS. THIS ALSO INCLUDES TRAINING ON THE EMERGENCY OPERATING PROCEDURES. EMERGENCY PLAN REQUIRES THAT EMPLOYEES RECEIVE ANNUAL REFRESHER TRAINING ON THE HAZARD COMMUNICATION CERTIFICATION, FUNCTION SPECIFICS, AND THE EMERGENCY OPERATING INSTRUCTIONS. SPECIFIC EMPLOYEES ARE SELECTED TO BE BUILDING OR FLOOR WARDENS FOR WHICH THEY RECEIVE ADDITIONAL TRAINING AND ATTEND THE FOLLOWING INTERDEPARTMENTAL COURSES: NETWORK SERVICES FIRST AID/CPR EMERGENCY METHODS OF PROCEDURES HAZARDOUS COMMUNICATION CERTFICATION HAZARDOUS MATERIALS/WASTE MANAGEMENT 9 r a.,. c c. Held for Future Use -11- 07/13/2007 ~~: ~. F PACIFIC BELL - SA098/BKFDCAI4 SitelD: 015-021-000895 ~ Fast Format ~ ~ Training Overall Site ~ _, t_ nciu ivi ru~.uic vac -12- 07/13/2007 ~~Lv ~`?~° '- MONITORING SYSTEM CERTIFICATION For Use By A11 Jurisdictians Within the State of California Authority Cited.• Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Reg~rlations This form must be used to document testing and servicing of monitoring equipment. A separate certification or re. op rt must be preaared for each m~nitoring_system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. General Information ~ Facility Name: - Pac Bell dba AT&T GEO PAR # SA-098 CLLC CODE: ~.3 - California Site Address: 3221 SOUTH H. STREET City: BAKESFIED Facility Contact Person: SHARON RAMIREZ Contact Phone No.: Make/Model of Monitoring System: TL 5350.VEEDER ROOT B. Inventory of Equipment TestedlCertified Check the appropriate boxes to indicate specific equipment inspected/serviced: Zip: 805-546-741fi Date of Testing/Service 7-05-07 ~~~ Tanis iD: 1280 Tank ID: ^In-Tank Gauging Probe: Model: ^In-Tank Gauging Probe: Model: ^Annular Space or Vault Sensor: Model: (]Annular Space or Vault Sensor: Model: ^Piping Sump/Trench Sensor (s): Model: ^Piping Sump/Trench Sensor (s): Model: ^Fill Sump Sensor (s}: Model: ^Fill Sump Sensor {s}: Model: pMechanical Line Leak Detector. Model: pMechanical Line leak Detector. Model: ^Electronic line Leak Detector Model; ^Electronic Line Leak Detector Model: ^Tank Overfill/High-level Sensor: Model: ^Tank OverfilUHigh-level Sensor: Model: ®Other, S eci e ui and model in Section E on Pa e 2 QOther, S ci a ui and model in Section E on P e 2 Tank lD: DSL #2 Tack ID: ^]n-Tank Gauging Probe: Model: ^In-Tank Gauging Probe: Model: OAnnular Space or Vault Sensor: Model: ^Annular Space or Vault Sensor: Model: ^Piping Sump/Trench Sensor (s}: Model: ^Piping Sump/Trench Sensor (s): Model: ^Fill Sump Sensor (s): Model: []Fill Sump Sensor (s): Model: ^Mechanical Line Leak Detector. Model: ^Mechanical Line Leak Detector. Model: ^Electronic Line Leak Detector Model: ^Eiectronic Line leak Detector Model: ^Tank Overfill/High-level Sensor: Model: prank Overfill/High-level Sensor: Model: ^Other, S eci e ui and model in Section E on P e 2 QOther, S eci a ui . t e and model in Section E on Pa e 2 Dispenser 1D: Dispenser tD: ^Dispenser Containment Sensors}: Model: ^Dispenser Containment Sensor(s): Model: O Shear Valve(s). ^ Shear Valve(s). ^Dis nser Containment Floats and Chains ^Dis nser Containment Floats and Chain s Dispenser iD: Dispenser ID: ^Dispenser Containment Sensor(s): Model: ^Dispenser Containment Sensor(s): Model: ^ Shear Valve(s). ^ Shear Valve(s). DDiS nser Containment Floats and Chains ^Dis nser Containment Floats and Chain s Dispenser 1D; pispenser ID: ^Dispenser Containment Sensor(s): Model: ^Dispenser Containment Sensor(s): Model: ^ Shear Valve(s). ^ Shear Valve(s). ^Dis nser Containment Floats and Chain s) ^Dis enser Containment Floats and Chain s 'If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. CertlfiCatlOn - 1 certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, !have also attached a copy of the report; (check a!! that apply}: ~ System set-up ®Alarm history report Technician Name (Print): JOHN CASCIO Signature: S~• Certification No.: B3S337 License No.: $8-098 Testing Company Name: TA1T ENVIRONMENTAL SYSTEMS Phone No.. X714} 560-8222 BKFDCAI4 Page 1 of 3 ;~ Monitoring System Certification Site Address: 3221 SOUTH H. STREET. BAKERSFIED, CA D, Results of Testing/Servicing Software Version Installed: 324.01 Cmm~lPty the fnllnwinv eherklict~ Date of "I"esting/Servicing: ~~-4-9~'~7 - 5 - 0 7 ~~3 ^ Yes ^ No* 1s the audible alarm o rational? ^ Yes ^ No* Is the visual alarm o erational? ® Yes ^ No* Were ail sensors visual) ins cted, functional) tested, and confirmed o erational? ® Yes ^ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their ro er o ration? ® Yes ^ No* If alarms are relayed to a remote monitoring station, is ail communications equipment (e.g. modem) ^ N/A operational? ^ Yes ^ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment ® NJA monitoring system detects a leak, fails to operate, or is electrically disconnected? if yes: which sensors initiate positive shut-down? (Check all that apply) ^ Sump/Trench Sensors; ^ Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ^Yes; ^ No. ^ Yes ^ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no ® N/A' mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill oint(s and o ratin ro rl ? If so, at what ercent of tank ca aci does the alarm tri er? ® Yes* ^ No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all re tacement arts in Section E, below. ^ Yes* ®No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ^ Product; ^ Water. If es, describe causes in Section E, below. ® Yes ^ No* Was nionitorin s stem set-u reviewed to ensure ro er settin s? ®Yes ^ No* Is all monitorin a ui ment o rational er manufacturer's s eifications? * in Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: INSTALLED NEW L4: TRANSITION 130X VEEDER ROOT 794380-208 SENSOR. INSTALLED NEW L5: P[PiNG PAN VEEDER ROOT 794380-420 SENSOR. Page 2 of 3 Site Address: 3221 SOUTI-1 H. STREET, BAKESFIELD, CA Date of Testing/Servicing: 7-5-07 F. In-Tank Gauging /SIR Equipment: ®Check this box if tank gauging is used only for inventory control. O Check this box if no tank gauging or S1R equipment is installed. This section must be completed if in-tank gauging equipment is used to perforn~ leak detection monitoring. Complete the following checklist: ® Yes ^ Na* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ^ Yes ®No* Were all tank gauging probes visually inspected for damage and residue buildup? ^ Yes ®No* Was accuracy of system product level readings tested? ^ Yes ®No* Was accuracy of system water level readings tested? ® Yes ^ No* Were all probes reinstalled property? ® Yes ^ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): ®Check this box if LLDs are not installed. Complete the following checklist: ^ Yes ^ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? O N/A (Check all that apply) Simulated leak rate: ^ 3 g.p.h.'; ^ 0.1 g.p.h?; ^ 0.2 g.p.h.` Notes: l . Required for equipment start-up certification and annual certification. 2. Unless mandated by local agency, certification required only for electronic LLD start-up. ^ Yes ^ No* Were ail LLDs confirmed operational and accurate within regulatory requirements? ^ Yes ^ No* Was the testing apparatus properly calibrated? ^ Yes ^ No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ^ N,~A ^ Yes ^ No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ^ N/A ^ Yes D No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled ^ N/A or disconnected? ^ Yes ^ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions ^ N/A or fails a test? ^ Yes ^ No* For electronic LLDs, have all accessible wiring connections been visually inspected? ^ N!A ^ Yes ^ No* Were all items on the equipment manufacturer's maintenance checklist completed? * ~n the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 Page 3 of ~ Site Address: `~~ol f S C~ i /7' %'~ S i /2 't-7 . ~9/~N7~t f iN7~/ . ~~ Date of Testing/Servicing: '~ ~~7 Monitoring System Certification UST Monitoring Site Plan .... ... ........................................... .... ... ........................................... .... ... ....... ............................ ...... .... ... ....... ............................ ...... .... ... ....... ............................ ...... ( .f~~~ l r ~s . .~ . ti .L, Date map was drawn: "7 ~~~~ Instructions If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. 4n your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used far teak detection). In the space provided, note the date this Site Plan was prepared. Page ~ of ~_ "1.9. ------ ;EPdUvR ~aLi;krt ----- r a:1/IPING PHh4 F' f F' I hJi~ SUMF F;~1=L ~1L~F.h1 JUL ~. '007 1'?:55 Pri ------ SEhJSOR ALr~krl ----- L 4:TkHhJS[TION SUMP PIPING SUr°1P FUEL HLARM JUL 5. 240? 1:55 Pf9 i:ONF I Rr•li=;T 1 GN kEF~~kT L 1 :GHEE ~~EtVTER JUL 5. 24137 12:57 PM t"IOL~E i:OMPUTER RESULT - OK C'ONF I I/MHT I iirl k£F'ORT JUL_ S. 2007 I~~:Sy F•rl rt{?GE m FF;CS [ M [ LE k1SUL.T U}' SFiC BK.FL~ Or; 14 SH-09d 4'2'21 S . N ST . SHK.EkSF 1 EL.L> > C'A .9::13134 t6I-83'~-83?0 JUL 5. 20t37 1 :12 PM SYSTEM STATUS REPORT HLL FUrtGT I OPJS NOkriHL MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Cited.• Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. General Information Facility Name: AT&T GEO PAR # SA-098 CLLC CODE: Site Address: 3221 SOUTH H. STREET Facility Contact Person: SHARON RAMIREZ Make/Model of Monitoring System: TL 5350 VEEDER ROOT B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment inspected/serviced: BKFDCAI4 Date of Testing/Service: Tank ID: 1280 Tank ID: ^In-Tank Gauging Probe: Model: ^In-Tank Gauging Probe: Model: ^Annular Space or Vault Sensor: Model: ^Annular Space or Vault Sensor: Model: ^Piping Sump/Trench Sensor (s): Model: ^Piping Sump/Trench Sensor (s): Model: ^Fill Sump Sensor (s): Model: ^Fill Sump Sensor (s): Model: ^Mechanical Line Leak Detector. Model: ^Mechanical Line Leak Detector. Model: ^Electronic Line Leak Detector Model: ^Electronic Line Leak Detector Model: ^Tank Overfill/High-level Sensor: Model: ^Tank Overfill/High-level Sensor: Model: ®Other, S eci a ui a and model in Section E on Pa e 2 ^Other, S eci a ui a and model in Section E on Pa e 2 Tank ID: DSL #2 Tank ID: ^In-Tank Gauging Probe: Model: ^In-Tank Gauging Probe: Model: ^Annular Space or Vault Sensor: Model: ^Annular Space or Vault Sensor: Model: ^Piping Sump/Trench Sensor (s): Model: ^Piping Sump/Trench Sensor (s): Model: ^Fill Sump Sensor (s): Model: ^Fill Sump Sensor (s): Model: ^Mechanical Line Leak Detector. Model: ^Mechanical Line Leak Detector. Model: ^Electronic Line Leak Detector Model: ^Electronic Line Leak Detector Model: ^Tank Overfill/High-level Sensor: Model: ^Tank Overfill/High-level Sensor: Model: ^Other, S eci a ui . t e and model in Section E on Pa e 2 ^Other, S eci a ui a and model in Section E on Pa e 2 Dispenser ID: Dispenser ID: ^Dispenser Containment Sensor(s): Model: ^Dispenser Containment Sensor(s): Model: ^ Shear Valve(s). ^ Shear Valve(s). ^Dis enser Containment Floats and Chain(s) ^Dis enser Containment Float(s) and Chain s Dispenser ID: Dispenser ID: ^Dispenser Containment Sensor(s): Model: ^Dispenser Containment Sensor(s): Model: ^ Shear Valve(s). ^ Shear Valve(s). ^Dis enser Containment Float(s) and Chain(s) ^Dis enser Containment Float(s) and Chain(s) Dispenser ID: Dispenser ID: ^Dispenser Containment Sensor(s): Model: ^Dispenser Containment Sensor(s): Model: ^ Shear Valve(s). ~ ^ Shear Valve(s). ^Dis enser Containment Floats and Chain(s) ^Dis enser Containment Float s) and Chain(s) *If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. CertlfiCation - I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the report; (check all that apply): ®System set-up ®Alarm history report Technician Name (Print): JOHN CASCIO Signature: ~ Certification No.: B35337 License No.: 88-098 Testing Company Name: TAIT ENVIRONMENTAL SYSTEMS Phone No.. 714 560-8222 City: BAKESFIED Zip: Contact Phone No.: 805-546-7416 Page 1 of 3 Monitoring System Certification Site Address: 3221 SOUTH H. STREET. BAKERSFIED, CA Date of Testing/Servicing: D. Results of Testing/Servicing Software Version Installed: 324.01 Com lete the followin checklist: 7-4-07 ^ Yes ^ No* Is the audible alarm o erational? ^ Yes ^ No* Is the visual alarm o erational? ® Yes ^ No* Were all sensors visuall ins ected, functionall tested, and confirmed o erational? ® Yes ^ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their ro er o eration? ® Yes ^ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) ^ NIA operational? ^ Yes ^ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment ® N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) ^ Sump/Trench Sensors; ^ Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ^Yes; ^ No. ^ Yes ^ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no ® N/A' mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill oint s) and o eratin ro erl ? If so, at what ercent of tank ca aci does the alarm tri er? ® Yes* ^ No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all re lacement arts in Section E, below. ^ Yes* ®No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ^ Product; ^ Water. If es, describe causes in Section E, below. ® Yes ^ No* Was monitorin s stem set-u reviewed to ensure ro er settin s? ®Yes ^ No* Is all monitorin a ui ment o erational er manufacturer's s ecifications? * In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: INSTALLED NEW L4: TRANSITION BOX VEEDER ROOT 794380-208 SENSOR. INSTALLED NEW L5: PIPING PAN VEEDER ROOT 794380-420 SENSOR. Page 2 of 3 Site Address: 3221 SOUTH H. STREET, BAKESFIELD, CA Date of Testing/Servicing: 7-5-07 F. In-Tank Gauging /SIR Equipment: ®Check this box if tank gauging is used only for inventory control. ^ Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: ® Yes ^ No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ^ Yes ®No* Were all tank gauging probes visually inspected for damage and residue buildup? ^ Yes ®No* Was accuracy of system product level readings tested? ^ Yes ®No* Was accuracy of system water level readings tested? ® Yes ^ No* Were all probes reinstalled properly? ® Yes ^ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): Complete the following checklist: ® Check this box if LLDs are not installed. ^ Yes ^ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? ^ N/A (Check all that apply) Simulated leak rate: ^ 3 g.p.h.l; ^ 0.1 g.p.h.2; ^ 0.2 g.p.h.2 Notes: 1. Required for equipment start-up certification and annual certification. 2. Unless mandated by local agency, certification required only for electronic LLD start-up. ^ Yes ^ No* Were all LLDs confirmed operational and accurate within regulatory requirements? ^ Yes ^ No* Was the testing apparatus properly calibrated? ^ Yes ^ No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ^ N/A ^ Yes ^ No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ^ N/A ^ Yes ^ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled ^ N/A or disconnected? ^ Yes ^ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions ^ N/A or fails a test? ^ Yes ^ No* For electronic LLDs, have all accessible wiring connections been visually inspected? ^ N/A ^ Yes ^ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 Page 3 of 4 Site Address: ~~~d i s c~•i /7• !f S i /?rr'7 - ~j9/cF72S't iF7~/ . ~~c Date of TestinglServicing: '~ ~~'7 Monitoring System Certification UST Monitoring Site Plan ..... .... .... .... .... .... ... ... ... ... ... ... ....... ....... ....... ....... ....... ....... . . .................................... .................................... .................................... ............................. ...... ............................. ..... .................... ...... . . . . . . . . ~ . . . . . . . . . . . ~ n.I J Z. r . . . . . . . . . .~~ i t~ . •~ ~T.r,~w.r~', TAN ~.j A^•, . • 1. . . . . %. I . . . Date map was drawn: 7 / ,~ /~ Instructions If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. Page •~ of _~ ----- SEhdS~R HLHRhI ----- L S:PIPIPJG PHN F' I P I IVC; SUI"iF' FUEL HLHRt°1 •JUL 5r~007 I'?:55 F'hl j f ----- SEPJ:B~]R HLHRhi ----- d L 4:T'RHNSITI~aN SUMP PIPING SUN1P FUEL HLHRhI " JUL 5. 2007 1'x:55 Phl CC;PJF I Rf~9HT I C+IV REPc~RT D 1 :GHEE i;EIVTER .JUL 5. '3007 12:57 F'Nl h1UDE _ ~:0t°1PUTER , RESULT = t3k: i C.U NF I RI°1HT I i=; N REF'URT D '? : Eh1CL JUL 5, 2007 12:59 Pi°t f°10DE = Fr;CS I t~l I LE RESULT = vk: SFi~: B}~:FD Ct i I ~1 SH-09d i 3'~'~ 1 S . HST . BHKERSFIELD.~H.93304 bG1-832-8370 .JUL 5. 2007 1 :12 PI°1 SY'STEf°1 STHTUS REPORT HLL FUPJGT I t7NS NORh1HL i ! i . { k ~, uNDEr~~ROUND sTORA~E TANKS BAKERSFIELD FIRE DEPT. H S R 9 P I D _. _ ~,~Re Prevention Services ARTS! T 1600 Truxtun Ave., Ste. 401 APPLICATION ~ Bakersfield, CA 93301 TO PERFORM ELD /LINE TESTING / Tel.: (661) 326-3979 S6989 SECONDARY CONTAINMENT TESTING / FdX: (661) 852-2171 TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION T Page 1 of 1 PERMIT NO. ~1 ~ ~ ~ ~ W CL~S~ ~_'~~~ ~ ~~ ^ ENHANCED LEAK DETECTION ^ LINE TESTING ^ TANK TIGHTNESS TEST ^ FUEL MONITORING CERTIFICATION SITE INFORMATION SB-989 SECONDARY CONTAINMENT TESTING _ FACILITY ~ ~~ -- - NAME & PHONE NUMBER OF CONTACT PERSON ADDRESS 3 2Z ~ S ~ ~ s~ OWNER NAME f ~C~~I~. 3E~. .4'T-~ T~ OPERATOR NAME ~ ~ C PERMIT TO OPERATE # NO. OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? YES ^ NO TANK # VOLUME CONTENTS TANK TESTING COMPANY NAME OF TESTING COMPANY ~'~~-r C-~~r SYS. NAME & HONE NUMBER OF CONTACT ERSON ~~z-s' .1~~r.~--~ J~r~.~ J~,...~_ ~ MAILING ADDRESS NAME & PHONE NUMBER OF T,E.S'TE'R_OiR SPECIAL INSPECTOR ~(~~-2-( f~C.~-~" CERTIFICATION # DATE & TIME; ~ ST TO 6 COO~DUCTED ICC # TES 3 TH~~Oc~ 4 S~IGNAT4IRE OF APP4ICAN~ DATE ~ THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD2095 (Rev. 04/07) 0~' U~ ~- ~~(ZmC'.c'-SSi^!Cs d~ j~~,2n•~ t'r t,..1?-FC-~L~ olZ/Gi.-./'4L CE-FLAK t~.//-~S vvl~SPt~tC-~ ~ Nc~ I' ~2c~~t~~;' t7EPvS~"'r-~ ,~ ~ ~~ntL c~S- Swt3v~niss~~/'_ T ~: ~_~ 1 Tait Ertdiron~nentai S~sterns UST Construction • Design • Maintenance • Compliance November 12, 2004 Certified Mail -Return Receipt Requested E-Certified 91 7108 2133 3930 8586 1332' City of Bakersfield Fire Department 2101 "H" Street Bakersfield, CA 93301 Re: SB98 Test Results 3221 "H" Street, Bakersfield Geo Par: SA-098 - CLLC: BKFDCA14 To Whom !t May Concern: Enclosed are the SB989 Test results for the above-referenced location. Feel free to call if you have any questions. Very Truly Yours, TAIT ENVIRONMENTAL SYSTEMS n .v ALAN THROCKMORTON Compliance Manager AT:clb :\tes\pacbel I\sb989\letters\bkfdca14 cc: Andy Taylor Linda Porter (Post At Site) CA Llc #588098 AZ Lic X095984 NV Llc #0049666 1863 North Neville Street • Orange, California 92865 714.560.8222 714.685.0006 Fax 3283 Luyung Drive Rancho Cordova, California 95742 916.858.1090 916.858.1011 Fax www.5B989.com e SWRCB, January 2002 Page of Secondary Containment Testing Report Form This form is intended far use by contractors performing periodic testing of UST secondary containment systems. Use the appropriate pages of this form to report results for al! components tested. The completed form, written test procedures, and printouts from tests (rf applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACII.ITY INFORMATION Facility Name: SBC Date of Testing: 11/9/04 Facility Address: 3221 "H" STREET BAKERSFIELD, CA Facility Contact: Phone: Date Local Agency Was Notified of Testing : 48 HOURS PRIOR - AT LEAST Name of Local Agency Inspector (fpresent during testing): NONE 2. '1'LS'1'li1V(x C;UN'!'KAC:'1'VK llVl,'UK1V1A'1'lUPI Company Name: TAIT ENVIRONMENTAL SYSTEMS Technician Conducting Test: ROBERT ALLEN Credentials: ®CSLB Licensed Contractor SWRCB Licensed Tank Tester License Type: A B ASB C-10 HAZ License Number: 588098 Manufacturer Training Manufacturer Com onent s Date Trainin Ex ices SUPPLIED UPON REQUEST 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Tested Repairs Made Component Pass Fail Not Tested Repairs Made ANNULAR ® ~ FILL SUMP ® ~ PIPING SUMP SUPPLY SECONDARY RETURN SECONDARY VENT SECONDARY ~ If hydrostatic testing was performed, describe what was done with the water after completion of tests: CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To the best of my knowledge, the facts stated in this document are accurate and in full compliance with legal requirements Technician's Signature: Date: 11/9/04 SWRCB, January 2002 4. TANK ANNULAR TESTING Page of Test Method Developed By: ^ Tank Manufacturer ®Industry Standard Professional Engineer Other (Specify) Test Method Used: ^ Pressure ®Vacuum Hydrostatic Other (Specify) Test Equipment Used: 4" GLYCERIN FILLED DIAL GAUGE Equipment Resolution: ~ ~ ~ ~, ~ Tank # 1 Tank # Tank # Tank # is Tank Exempt From Testing?~ ^Yes ^ No Yes ^ No Yes No Yes No Tank Capacity: 6,000 Tank Material: STEEL /GLASS Tank Manufacturer: MODERN Product Stored: DIESEL Wait time between applying pressure/vacuum/water and startin test: 1 HOUR Test Start Time: 10:00 Initial Reading (R,): -7 Test End Time: 11:00 Final Reading (RF): -7 Test Duration: 1 HOUR Change in Reading (RF-R~): 0 Pass/Fail Threshold or Criteria: 0 ' Test Result: ® Pass ^ Fail ^ Pass ^ Fail ^ Pass ^ Fail ^ Pass ^ Fail Was sensor removed for testing? ®Yes No NA Yes No NA Yes No NA Yes No NA Was sensor properly replaced and verified functional after testin ? ®Yes No NA Yes No NA Yes No NA Yes No NA COmmentS - (include information on repairs made prior to testing, and recommended follow-up for failed tests) Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. {California Code of Regulations, Title 23, Section 2637(a)(6)} SWRCB, January 2002 5. SECONDARY PIPE TESTING Page of Test Method Developed By: ^ Piping Manufacturer ®Industry Standard Professional Engineer Other (Sped) Test Method Used: ®Pressure Vacuum Hydrostatic Other (Sped) Test Equipment Used: 4" GLYCERIN FILLED DIAL GAUGE Equipment Resolution: i' _ ~ Piping Run # SUPPLY Piping Run # RETURN Piping Run # VENT Pipiug Run # Piping Material: PLASTIC PLASTIC FIBERGLASS Piping Manufacturer: WESTERN WESTERN SMITH Piping Diameter: '/4" 1" 3" Length of Piping Run: 30' 30' 25' Product Stored: DIESEL DIESEL DIESEL Method and location of i in -run isolation: Wait time between applying pressure/vacuum/water and startin test: 15 MINUTES 15 MINUTES I S MINUTES Test Start Time: 9:05 9:05 11:15 Initial Reading (R~): 5 PSI 5 PSI 5 PSI Test End Time: 10:05 10:05 12:15 Final Reading (RF): 5 PSI 5 PSI 5 PSI Test Duration: 1 HOUR 1 HOUR 1 HOUR Change in Reading (RF-R,): 0 0 0 Pass/Fail Threshold or Criteria: 0 0 0 Test Result: ® Pass ^ Fail ® Pass ^ Fail ® Pass ^ Fait ^ Pass Q Fail COII1111eritS - (include information on repairs made prior to testing, and recommended follow-up~or failed tests) ?. _ .. SWRCB, January 2002 Page of 6. PIPING SUMP TESTING Test Method Developed By: Sump Manufacturer ®Industry Standard ^ Professional Engineer Other (Specify) Test Method Used: Pressure Vacuum ®Hydrostatic Other (Sped) Test Equipment Used: TEMPSONIC ., , -- . . TEST UNIT - Equipment Resolution: . ~ . ,, , I . ~ -,. ~ ~ ~ , ,~ , Sump # -_ Sump # Sump # Sump # Sump Diameter: 31" Sump Depth: 49" Sump Material: FIBERGLASS Height from Tank Top to Top of Highest Pi in Penetration: 16" Height from Tank Top to Lowest Electrical Penetration: 12" Condition of sump prior to testing: GOOD Portion of Sump Tested' ABOVE PIPING Does turbine shut down when sump sensor detects liquid (both roduct and water)?~ Yes No ®NA Yes No NA Yes No NA Yes No NA Turbine shutdown response time N/A Is system programmed for fail-safe shutdown?; yes No ®NA Yes No NA Yes No NA Yes No NA Was fail-safe verified to be o erational?~ Yes No ®NA Yes No NA Yes No NA Yes No NA Wait time between applying pressure/vacuum/water and starting test: 15 MINUTES Test Start Time: 10:10 / 10:25 Initial Reading {R,): 0 / 0 Test End Time: 10:25 / 10:40 Final Reading (RF): .0005 / .0005 Test Duration: 15 MINUTES Change in Reading (RF-R,): .0005 / .0005 Pass/Fail Threshold or Criteria: .0020 / .0020 Test Result: ®Pass ~ Fail ^ Pass- C] Fail D Pass ^ Fail Q Pass l7 Fail . Was sensor removed for testing? ®Yes No NA ^ Yes No NA Yes No NA Yes No NA Was sensor properly replaced and verified functional after testin ? ®yes No NA p Yes No NA Yes No NA Yes No NA COmmerits - (include information on repairs made prior to testing, and recommended follow-up for failed tests) ~ If the entire depth of the sump is not tested, specify how much was tested. If the answer to ~ of the questions indicated with an asterisk (*) is "NO". or "NA", the entire sump must be tested. (See SWRCB LG-160) _ - .. ' ~ SWRCB, January 2002 8. FILL RISER CONTAINMENT SUMP TESTING Page of Facility is Not Equi ed With Fill Riser Containment Sum s Fill Riser Containment.Sumps are Present, but were Not Tested Test Method Developed By: Sump Manufacturer ®Industry Standard ^ Professional Engineer Other (Spec ~) Test Method Used: Pressure Vacuum ®Hydrostatic Other (Sped) Test Equipment Used: TEMPSONIC TEST UNIT ,~. ~~ Equipment Resolution: ~" ` a~ ' Fill Sump # Fill Sump # Fill Sump # Fill Sump # Sum Diameter: 31" Sump Depth: 49" Height from Tank Top to Top of Highest Pi ing Penetration: NA Height from Tank Top to Lowest Electrical Penetration: 12" Condition of sump prior to testin GOOD Portion of Sum Tested ABOVE COLLAR Sum Material: FIBERGLASS Wait time between applying pressure/vacuum/water and startin test: I S MINUTES Test Start Time: 9:02 / 9:17 Initial Reading (R,): 0 / 0 Test End Time: 9:17 ! 9:32 Final Reading (RF): 0 / 0 Test Duration: 15 MINUTES Change in Reading (RF-R,): 0 / 0 Pass/Fail Threshold or Criteria: .0020 J .0020 Test Result: ®Pass ^ Fail ^ Pass ^ Fail ^ Pass ~ Fail ^ Pass ^ Fail: Is there a sensor in the sump? ®Yes No ^Yes No ^Yes No ^Yes No Does the sensor alarm when either product or water is detected? ®Yes No NA ^Yes No NA ^Yes No NA ^Yes No NA Was sensor removed for testing? ®Yes No NA ^Yes No NA ^Yes No NA ^Yes No NA Was sensor properly replaced and verified functional after testin ? ®Yes No NA ^Yes No NA ^Yes No NA ^Yes No NA COmmerits - (include information on rears made prior to testing, and recommended follow-up for failed tests) RTLLING & PERMIT STATEMENT PERMIT # TT-01.1-i~W '~t~ B AL:~ E R S F 1 D -~. ~ F/RE ~~ ~~yy ARTNE~'`T :.~ BAKERSFIELD FIRE DEPARTMENT Prevention Services 1600 Truxtun Avenue, Suite 401 Bakersfield, CA 93301 Phone:661-326-3979 • Fax:661-852-2171 L1 . LOCATION OF PROJECT 3221. S ~ I JET ~ • Sg~ g~ ~1.~0'~{~~O'4 STARTING DATE Z1./O'Q-/D'4 COMPLETION DATE ~~~-~{-/~-4- PROPERTY OWNER NAME PRO]ECTNAME ~fkCl~lCF~~LI_/~TJF.-T ADDRESS PHONE# PROJECT ADDRESS 3221 5 H- .ST cm STATE ZIP CODE • • CONTACT NAME Tc.Og FiRT ~L-LFi N CA LICENSE # i • • TYPE OF LICENSE EXPIRATION DATE PHONE # ~24-SAD-g2.~2 CONTRACTOR NAME T~F(TENVlT2.ONM~NT~4l..SY.sTEMS FAX# ADDRESS X01 N {~fk12K.G~ NT>/12 DT2. ^/ crrv S~ N T~ ~ N~ STATE Cl-~ ZIP CODE J° 2 j O~ All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ^ © ^ 50 ^ ^ Alarms -New & Modifications - (Minimum Charge) $262 ' 84 . ^ 98 over 20 000 sq ft $0.013125 x sq ft ^ 84 ^ , ^ 98 ^ Sprinklers -New & Modifications - (Minimum Charge) $210 ^ 84 ^ 98 ^ over 5 000 sq ft 042 x sq ft $0 ^ 84 , . ^ 98 ^ Minor Sprinkler Modifications (<10 heads) $93 (inspection only) ^ 84 ^ 98 ^ Commercial Hoods (New & Modifications) $398.26 ^ 84 98 ^ Additional hoods $36 ^ 84 ^ 98 ^ Spray Booths (New & Modifications) $458 ^ 84 ^ 98 ^ Aboveground Storage Tanks (Installation/One Inspection) $165 ~ 82 ^ Additional tanks $26 ; 82 ^ Aboveground Storage Tanks (Removal/Inspection) $109 ; 82 ^ Underground Storage Tanks (Installation/Inspection) $878 (per tank) ^ 82 ^ Underground Storage Tanks (Modification) $878 (per site) ^ 82 ^ Underground Storage Tanks (Minor Modification) $155 ^ 82 ^ Underground Storage Tanks (Removal) $675 (per tank) ^ 84 ^ Oil well (Installation) $72 ^ ^ 84 px Mandated Leak Detection (test)/Fuel Monit Cert/56989 NOTE: $79 for each type of test per site (even if scheduled at the same time) $79 (Per site) CH-K. #~~40~ ; .~j9^ ^ 82 ^ *Tents $93 (per tent) ^ ^ 84 ^ After hours inspection fee $122 ^ ^ 84 ^ *P rotechnic y (per event, plus inspection fee of $90/hr) $62 + (5 hrs min stand-by fee/inspection)=$527 ^ 84 ^ Re-inspection/Follow-up Inspection $93 (per hour) ^ 84 O Portable LPG (Propane): # Cages: $66 ~ 84 ^ Explosive Storage $249 ~ 84 ^ Copying & File Research (File Research fee $34/hr) $0.25 per page ^ 84 ^ Miscellaneous 84 * (Stand-by fee for arena & tents $40/hr) FD2021 (Rev 05/07) 1 -ORIGINAL (Treasury) 1 -YELLOW (File) 1 -PINK (Customer) PACIFIC BELL - SA098/BKFDCAI4 SiteID: 015-021-000895 Manager GRANT ARMSTRONG Location: 3221 S H ST City BAKERSFIELD CommCode: BFD STA 05 EPA Numb: CAT080020514 BusPhone: (661) 398-4185 Map 123 CommHaz High Grid: 12D FacUnits: 1 AOV: SIC Code:4813 DunnBrad:10-340-1618 Emergency Contact / Title Emergency Contact / Title GRANT ARMSTRONG / EM SITE MANAGER EMERGENCY CONTROL / CENTER Business Phone: (661) 327-6903x Business Phone: (877) 322-4722x 24-Hour Phone (800) 566-9347x 24-Hour Phone (800) 566-9347x Pager Phone (661) 721-4747x Pager Phone ( ) - x Hazmat Hazards: RSs Fire React ImmHlth Contact JAMES STEHR EH&S Phone: (925) 823-8866x MailAddr: PO BOX 5095 3E000 State: CA City SAN RAMON Zip 94583-0995 Owner PACIFIC BELL DBA AT&T CALIFORNIA Phone: (800) 566-9347x Address PO BOX 5095 3E000 State: CA City SAN RAMON Zip 94583-0995 Period I to ,lz 31 0~ ~~ ~® ~~ TotalASTs : D = Gal R S N Preparers ~~ TotalUSTs : ~ _ (oooa Gal Certif ' d: ~,:> yi~~ RSs : Yes ParcelNo: Emergency Directives: PROG A - HAZMAT PROG U - UST ~N~p ~ ~T~ ~ ~ - SOOT E3ased on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. 2~~ d Signature Date -1- 01/30/2007 F PACIFIC BELL - SA098/BKFDCAI4 SiteID: 015-021-000895 ~ STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: PACIFIC BELL - SA098/BKFDCAI4 Cross Street Business Type: Org Type: Total Tanks 1 IndnRes/Trust: No PA Contact: Dsg Own/Oper REX ABACON ICC Nbr: 5227108-UC PROPERTY OWNER INFORMATION Name EMERGENCY CONTROL Phone: (877) 322-4722x Address: City State: Zip: Type CORPORATION TANK OWNER INFORMATION Name EMERGENCY CONTROL Address: City Type CORPORATION BOE UST Fee# 31914 Financ'1 Resp: SELF INSURED Legal Notif Date:08/23/2006 Name:ARMI D STRICKLAND State UST # . Phone: (877) 322-4722x State: Zip: Phone: (392) 589-63 x Tt1:ENVIRONMENTAL ASSOCIATE 1998 Upg Cert#: 00790 -2- 01/30/2007 F PACIFIC BELL - SA098/BKFDCAI4 ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-000895 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP BATTERY ELECTROLYTE F R IH L 2475.00 GAL Hi DIESEL FUEL #2 F IH L 6000.00 GAL Low -3- 01/30/2007 -4- 01/30/2007 F PACIFIC BELL - SA098/BKFDCAI4 SiteID: 015-021-000895 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ I COMMON NAME / CHEM CAL NAME BATTERY ELECTROLYTE Days On Site SULFURIC ACID, BATTERY ELECTROLYTE 365 i i hi hi ili i id G Locat on w n t s Fac ty Un t t r : Map: STORED IN FAC CAS## 7664-93-9 STATE Liquid T TYPE Mixtur~ PRESSURE Ambient ~ TEMPERATURE Ambient CONTAINER TYPE OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 14.00 GAL 2475.00 GAL / 2475.00 GAL t1AGH.tCLVU~ 1:V1~lYV1V~1V1b %Wt. RS CAS# 52.00 Sulfuric Acid (EPA) No 7664939 48.00 Water No 7732185 nt~~.ytcL t~a5~~~in~xvla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies F R IH / / / Hi ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME DIESEL FUEL #2 Location within this Facility Unit NW SIDE OF LOT STATE TYPE PRESSURE Liquid TMixture~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 68476-34-6 TEMPERATURE CONTAINER TYPE Ambient -~ER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum , Daily Average 6000.00 GAL 6000.00 GAL 5500.00 GAL ru~~siecLVUa ~vrirui~~ivla %Wt. RS CAS# 100.00 Diesel Fuel No. 2 No 68476346 I3HGHKL 1-~AJ~J~1~1~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Low -5- 01/30/2007 F PACIFIC BELL - SA098/BKFDCAI4 SiteID: 015-021-000895 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 11/19/2003 CALL 911. Employee Notif./Evacuation 11/19/2003 BUILDING WARDEN DIRECTS PROCEDURES FOR NOTIFICATION AND EVACUATION IN CASE OF AN EMERGENCY. SHOUTING, HORNS, ALARMS, VOCAL, WHISTLE, AND FIRE ALARMS ARE USED TO NOTIFY EMPLOYEES TOEVACUATE. THE INSTRUCTIONS FOR EMERGENCY EXITS AND ALTERNATE ROUTES TO BE USED FOR EVACUATION ARE POSTED ON EACH FLOOR. Public Notif./Evacuation SBC PROCEDURES PRACTICE 130 IDENTIFIES THE RESPONSIBLE EMPLOYEE TO NOTIFY THE APPROPRIATE EMERGENCY CONTACTS: LOCAL FIRE/MEDICAL PERSONNEL LOCAL ADMINISTERING AGENCY OFFICE OF EMERGENCY SERVICES PACIFIC BELL EMERGENCY CONTROL CENTER SECURITY MEDICAL FACILITY ENVIRONMENTAL MANAGEMENT SAFETY 11/19/2003 THE BUILDING WARDEN/SITE MANAGER AS BUILDING OCCUPANTS AND THE -6- 01/30/2007 F PACIFIC BELL - SA098/BKFDCAI4 SiteID: 015-021-000895 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Emergency Medical Plan 05/31/2006 ~ EMPLOYEES OWN DOCTOR OR 911. THE IMMEDIATE SUPERVISOR OR AVAILABLE BUILDING WARDEN IS RESPONSIBLE FOR CONTACTING AN AMBULANCE OR MEDICAL FACILITY FOR AN INJURED EMPLOYEE. NEAREST EMERGENCY MEDICAL FACILITY - SAN JOAQUIN COMMUNITY HOSPITAL, 2615 EYE ST, 395-3000. -7- 01/30/2007 F PACIFIC BELL - SA098/BKFDCAI4 SiteID: 015-021-000895 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 11/19/2003 PERIODIC TESTS MADE ON UNDERGROUND TANK. EMPLOYEES ARE PROVIDED TRAINING ANNUALLY THROUGH THE TRAINING AND DEVELOPMENT CENTER TO HANDLE HAZARDOUS MATERIALS AND HOW TO READ MSDS AS REQUIRED BY THE HAZARD COMMUNICATION STANDARD. THEY ARE ALSO TRAINED ON THE SBC OPERATING PRACTICE 130. HAZARDOUS MATERIALS ARE UTILIZED AND STORED FOLLOWING MANUFACTURER'S RECOMMENDATIONS AS WE ARE A CONSUMER OF PRODUCTS AND NOT A MANUFACTURER OF HAZARDOUS MATERIALS. 9 Release Containment 11/19/2003 ELECTROLYTE IS CONTAINED IN BATTERIES AND BATTERIES ARE SECURED IN A ' SPECIALLY DESIGNED BATTERY RACK WHICH WORK IN CONJUNCTION WITH EARTHQUAKE BRACING. DIESEL FUEL IS CONTAINED IN AN UNDERGROUND, DOUBLE WALL STEEL TANK MONITORED SENSOR BETWEEN WALLS TO DETECT LEAKAGE. ABSORBTION MATERIAL ON SITE. Clean Up 11/19/2003 THE SBC HAZARDOUS MATERIALS/WASTE MANAGEMENT HANDBOOK REQUIRES THAT ENVIRONMENTAL MANAGEMENT, IN THE EVENT OF A SPILL OR RELEASE OF A HAZARDOUS MATERIAL AT SBC FACILITIES, COMPLETE A HAZARDOUS MATERIAL INCIDENT REPORT. BATTERY ELECTOLYTE IS USED IN MAINTAINING STORAGE BATTERIES THAT ARE USED FOR STANDBY POWER IN OUR CENTRALjSWITCHING FACILITIES. THIS STANDBY POWER IS PRIMARILY TO PROVIDE COMMUNICATION SERVICES DURING EMERGENCY CONDITIONS. BATTERIES HAVE EXPLOSION PROOF CASES AND ARE MOUNTED IN REINFORCED RACKS TO ENABLE THEM TO WITHSTAND THE SHOCKS OF EARTHQUAKES. IN THE EVENT OF A SPILL OR LEAK, BAKING SODA AND SODA ASH AND/OR AN ACID SPILL KIT WITH NEUTRALIZING ACID ABSORBER STORED IN CONTAINERS IN THE BATTERY POWER ROOMS, ARE USED TO CONTAIN AND CLEAN UP BATTERY ELECTROLYTE. CONTRACTOR UTILIZED TO CLEAN UP SPILLS AND RELEASES IS SHAW ENVIRONMENTAL 1-800-537-9540. -8- 01/30/2007 ;m F PACIFIC BELL - SA098/BKFDCAI4 SiteID: 015-021-000895 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Other Resource Activation 03/31/2006 ~ AS OUTLINED IN SBC HAZARDOUS MATERIALS/WASTE MANAGEMENT HANDBOOK, UNAUTHORIZED RELEASES (LEAKS AND SPILLS) OF PETROLEUM PRODUCT WILL BE REPORTED IMMEDIATELY BY THE OPERATOR OF THE UNDERGROUND TANK TO SBC EMERGENCY CONTROL CENTER 866-492-6836 ANY UNAUTHORIZED RELEASES WILL BE RECORDED USING THE HAZARDOUS MATERIAL INCIDENT REPORT FORM NUMBER FR-0023, AS SHOWN IN APPENDIX III. FOR INCIDENTS INVOLVING SPILL, THE OPERATOR OF THE UNDERGROUND TANK WILL NOTIFY THE FIRE DEPARTMENT. -9- 01/30/2007 F PACIFIC BELL - SA098/BKFDCAI4 SiteID: 015-021-000895 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~JC l:1d1 I1dGdl lla Utility Shut-Offs 01/30/2007 A) GAS - NONE B) ELECTRICAL - N SIDE OF BLDG POWER RM C) WATER - E SIDE OF LOT SIDEWALK D) SPECIAL - TANK MONITOR ALARM ENGINE ROOM; SPILL KIT/ABSORBANT BATTERY AREA; FIRST AID KIT POWER/ENGINE AREA E) LOCK BOX - NO' Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - ALARMS MONITORED 24-HRS-A-DAY AND FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - FIRE STA ONE BLOCK E OF SITE. 01/30/2007 Building Occupancy Level 03/31/2006 15 EMPLOYEES -10- 01/30/2007 F PACIFIC BELL - SA098/BKFDCAI4 SiteID: 015-021-000895 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/18/2007 ~ MATERIAL SAFETY DATA SHEET AVAILABLE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE PROVIDED INITIAL SAFETY PLAN TRAINING ON THE HAZARD COMMUNICATION CERTIFICATION, AS WELL AS, FUNCTION SPECIFIC BEFORE THEY BEGIN THEIR WORK OPERATIONS. THIS ALSO INCLUDES TRAINING ON THE EMERGENCY OPERATING PROCEDURES. SBC EMERGENCY PLAN REQUIRES THAT EMPLOYEES RECEIVE ANNUAL REFRESHER TRAINING ON THE HAZARD COMMUNICATION CERTIFICATION, FUNCTION SPECIFICS, AND THE EMERGENCY OPERATING INSTRUCTIONS. SPECIFIC EMPLOYEES ARE SELECTED TO BE BUILDING OR FLOOR WARDENS FOR WHICH THEY RECEIVE ADDITIONAL TRAINING AND ATTEND THE FOLLOWING INTERDEPARTMENTAL COURSES: NETWORK SERVICES FIRST AID/CPR EMERGENCY METHODS OF PROCEDURES HAZARDOUS COMMUNICATION CERTFICATION HAZARDOUS MATERIALS/WASTE MANAGEMENT rayc ~ nciu ivi r u~.uic vac -11- 01/30/2007 a F PACIFIC BELL - SA098/BKFDCAI4 SiteID: 015-021-000895 Fast Format ~ Training Overall Site _, r_ nc.i.u .L Vi ru~..uic vac -12- 01/30/2007 ,~j t. `LARGER DMD JONATHAN Manager JOYCE HANCE Location: 2901 H ST City BAKERSFIELD CommCode: BFD STA Ol EPA Numb: SitelD: 015-021-002382 BusPhone: (661) 327-7306 Map 103 CommHaz High Grid: 19C FacUnits: 1 AOV: SIC Code:8021 DunnBrad: Emergency Contact / Title Contact Emergency / Title JONATHAN LARGER / DMD ~X1"~" 1 S"~° _ `~ j ~h~~~~ VI/~py ~,~- / OFFICE MANAGER Business Phone: (661) 327-7306x Business Ph ne: (661) 329-2306x 24-Hour Phone (661) 342-4508x 24-Hour Phone (661) 833-0405x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact ::U'"c~m0~~~v~ G~Y~er' Phone: (661) 327-7306x MailAddr: 2901 H ST State: CA City BAKERSFIELD Zip 93301 Owner JONATHAN LARGER DMD Phone: (661) 327-7306x Address 2901 H ST State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: FROG A - HAZMAT ~NT'~ ~' ~~ ~ 3 ~QQ7 [3ased on my inquiry of those individuals responsible for obtaining .the information, I certify under penalty of law that f have personally examined and am familiar with the information submitted and believe the information is true, ccurate, and , m ete. nn -7 mil- ~-0 / gnature Date -1- 01/31/2007 F'GARGER DMD JONATHAN SiteID: 015-021-002382 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP NITROUS OXIDE F P IH G 973.00 FT3 Hi OXYGEN F IH DH G 502.00 FT3 Low rA"`~"'~-L'T"L"' R L 5.00 GAL M].ri -2- 01/31/2007 -3- 01/31/2007 F`GARGER DMD JONATHAN SiteID: 015-021-002382 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME NITROUS OXIDE Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE NE CRNR OF BLDG CAS# 10024-97-2 STATE T TYPE PRESSURE TEMPERATURE CONTAINER TYPE ~GdS I Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 486.00 FT3 973.00 FT3 973.00 FT3 -'- riAGP.KIJVU~ LGL~LYVIV~1V15 %Wt. RS CAS# 100.00 Nitrous Oxide No 10024972 til-~GHK11 f~JS~~JL~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE NE CRNR OF BLDG CAS# 7782-44-7 ~GaSATE TYPE PRESSURE ~~ TEMPERATURE ~~ CONTAINER TYPE ~ TPure Above Ambient I Ambient I PORT. PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 251.00 FT3 502.00 FT3 251.00 FT3 nt~[~t~ttt~vV~ I.VL~LYVlV~lV17 %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 ritiGL-1tC1! L-~JJ~~51~L~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -4- 01/31/2007 ~~ Z--S_p 'GARGER DMD JONATHAN ~~ ~ ~ ~ ~y SiteID: O1 F ~ Inventor tem 0003 Facility Unit: Fixed Cont ' COMMON N / CHEMICAL NAME WASTE FIXER Location withi .this Facility Unit Map: ~ Gri DARKROOM UNDER CAB* ET STATE TYPE Liquid TWaste Largest Container 5.00 GAL SURE t ~i HIS LOCATION Maximum 5.00 GAL .-021-002382 ~ ers t Site ~ ys On Site 365 CAS# CONTAINER TYPE PLASTIC CONTAINER Daily Average 5.00 GAL oWt. ~ qua « r~iv~iv~l~5 RS CAS# Silver No 7440224 .~ i -~-- tiHGE~tCL L~.7 a J1~1~1V 1 J TSecret RS i az Radioactive/Amount Hazards NFPA USDOT# MCP No o No/ Curies / / / Min \` -5- 01/31/2007 F'GARGER DMD JONATHAN SiteID: 015-021-002382 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ r~yvlluy 1VV1.1111:d1~1V11 ~c~. til ~ 11 ~i~ ~-s _, ,~ L~ul~J1Vy GG 1VV 1.11 ~ L~Vdl:Udl..l Vll ~C7 Qu~S1L'1~ t LLU111~ 1VV 1..11 ~ L' VdC.:Udl..l Vll .emergency rneaical Ylan ~~~ `ill -6- 01/31/2007 F"GARGER DMD JONATHAN SiteID:"015-021-002382 ~ ~ Mitigation/Prevent/Abatemt Overall~Site ~ ~ Release Prevention Rel 1 ~ G~ ~S ~ ~ ~ ~~ O S e~ t Cl~~ vl.ilCl 2CCbVUiI.:C HLl.1VdL1U11 -7- 01/31/2007 n F~GARGER DNID JONATHAN SiteID: 015-021-002382 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .~%- a~ c ~. i a .~/rla c~~ u~ Utility Shut-Offs ~1~~~ ~ - ~-s~e~~ wall ate- b~~ld`,~ ,„ ~, ~1'r~~r~,'UCQ,`rC~t~ ~`1`~G'C.~- GU~SI C~,Ce G~ IoU~Ih~SS ~ T~~Q d~~U~~) 5 ~ ~~~r 3-- ~a r_ p ~,~ Gy ~'~' `~-~ ~v 15~~~ 1, r~4 , O~ YJus~~ ~S S D U11. l.Lllly VI.a~U~J 0.111:y LC V C1 /~ ~pl~eeA -8- 01/31/2007 A~ .. F~GARGER DNID JONATHAN SiteID: 015-021-002382 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training ~ ~~~ CIY~ ~ ~~~ ~ d ~ °l-B~ CQ'`~ir rdyC ~ nciu tvi. ru~uic vac ~ Held for Future Use -9- 01/31/2007 ~` ,~ 2006 UST FINANCIAL RESPONSIBILITY KERN COUNTY ,.. .. ;. A enc Site Locatiori.'_. Site Ci Site Con4act .- ..::' Bakersfield Fire Department 1918 M STREET BAKERSFIELD Sharon Ramirez Bakersfield-Fire-Depar-tment 3221-S-H-SIRE-E-T _ BAKERSFIEL-D Sharon-Ramirez Kern Count Environmental Health Y 925 JEFFERSON STREET DELANO Sharon Ramirez Kern County Environmental Health 1021 CALIF ST OILDALE Sharon Ramirez s €~ ~y~l AT&T Services, Inc. 11. 1` 308 5. Akard Street, Room 900 Dallas, TX T5202-5399 May 19, 2006 Ray Rodriguez Fire Prevention Environmental Jfficer Bakersfield Fire Dept 900 Truxtun Ave., Room 200 Bakersfield, CA 93301 RE: Certification of Financial Responsibility -Underground Storage Tanks Pacific Bell Telephone Company recently revised its Certification of Financial Responsibility cover form for its Certification of Financial Responsibility packages filed earlier this year. Enclosed is the revised form(s) with a list of the applicable underground storage tanks. Please file these forms with the Certification of Financial Responsibility packages previously filed with your office. If you have any questions regarding this matter, please call me at 214-464-1917. Thank you for your assistance. ' ~J GL~ ~ ~~~~ Cheryl Allen Manager AT&T Environmental Management For Stale Use Only State of California State Water Resources Control Board Division of Clean Water Programs P.U. Box 944212 Sacramento, CA 94244-2120 CERTIFICATION OF FINANCIAL RESPONSIBILITY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM E~. I am reyuired to demonstrate Financial Responsibility in the required mnounts as specified in Section 2807, Chapter I8. Div. 3. Title 23, C'CR: ^ 500,000 dollars per occurrence ^ 1 million dollars annual aggregate or AND or ®1 million dollars per occurrence ®2 million dollars annual aggregate B. Pacific Bell Telephone Company hereby certifies that it is incompliance with the requirements of Secaion 2807, (Nmceuflmtk Owmr or O)nrann) Article 3, Chapter 18, Division 3, Title 23, California Code of Regulations. T1ie mechanisms used to demonstrate financial res onsibili as re aired 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 Ceitificate of Gateway Rivers Insurance $1,000,000 Per 12/31/2005 - Yes Yes Insurance Company Occurrence & 12/31/2006 76 St. Paul Street, Suite 500, $2,000,000 Burlington VT 05401-4477 Annual Aggregate Note: If you aze using the State Fund as any part of your demonstration of financial responsibility, your execution and submission of this certification also certifies that ou are in com liance with all conditions for aztici anon in the Fund. D Facility Nmne Facility Ad<U~ s Pacific Bell Tele hone Com an See Attachment Facility Nmne Facility AdrU~s Facility Namc Facility Ad<U R.a Facility Namc Facility Ad,trcYs Facility Namc Facility Addars Facility Namc Facility Addms Facility Namc Facility AdtUu+'s e nf'Lmk Ovma nr Opaa Dale Nmne xtxl Title of'i'mtk Own r or Opcnlnr $ Daniel V. James, Assistant Treasurer Si,~tanur ~tf W nm.. or N iary tc C.ILLJL -, a ~N, ~~ ~^~ `~~~'~ C~ (~, Nmrn~ of W itn~s. nr Nmary Caroline F~anari Submit original to local UST regulatory agency. Keep a copy at each UST facility. (Instructions on Reverse) UN-049 - 1/2 www.unidocs.org 01/29/02 .,. + SBC - SA098 _________________________________________ SiteID: 015-021-000895 + Manager :.SHARON RAMIREZ Location: 3221 S H ST City BAKERSFIELD BusPhone: (661) 398-4185 Map 123 CommHaz High Grid: 12D FacUnits: 1 AOV: CommCode: BFD STA 05 SIC Code:4813 EPA Numb: CA7'UgoO ZDS/y DunnBrad: 10-340-1618 Emergency Contact / Title Emergency Contact / Title SHARON RAMIREZ / SITE MANAGER EMERGENCY CONTROL / CENTER Business Phone: (818) 908-6044x Business Phone: (877) 322-4722x 24-Hour Phone (866) 49.2-6836x 24-Hour Phone (866) 492-6836x Pager Phone (661) 677.-3447x Pager Phone ( ) - x Hazmat Hazards: RSs Fire React ImmHlth Contact JAMES STEHR Phone: (925) 823-8866x MailAddr: 2600 CAMINO RAMON 3E000 State: CA City SAN RAMON Zip 94583-0995 Owner SBC Phone: (866) 492-6836x Address PO BOX 5095 3E000 State: CA City SAN RAMON Zip 94583-0995 Period ~~I /o ~ to 12~ 31/Ob TotalASTs : (,~ = Gal Preparer : ST SK DERSU~I TotalUSTs : ~ _ ~~~~ Gal Certif'd: /l RSs: Yes ParcelNo: {/ Emergency Directives: PROG A - HAZMAT PROG U - UST Based on my inquiry of those indivldu~lf~ responsible for obtaining the inf®rrnnatlon. I c~rti~ enalt of lava that I ha~® por~pn~lly under p i f ration examined and am famlllar with the .n Q subu ate and comp) Ve the lnformat-on Is true, acc G~~ pat ~gnature ~N M~~" ~ ~ ~0~6 -1- 03/31/2006 a ~ .: FILE THIS DOCUMENT IN THE HAZARDOUS MATERIALS PLANS PROGRAMS PERMITS BINDER Q p~`/ !AN 16 2005 e_.. - F ,, ~ ~ ,~T ~,..y%.j~. ~/ ~ r ~-. ~ .~- SECTION 2 ~~3~~g ATE Hazardous Materials Annual Inventory YEAR 2005 SBC - SA098 (Facility Name and ID) 3221 S. H STREET (Facility Address) BAKERSFIELD (Facility City) KERN (Facility County) Maintain this Hazardous Materials Inventory On Site, Until Updated. POST THIS DOCUMENT ON SITE SO IT WILL BE AVAILABLE IN THE EVENT OF A GOVERNMENT AGENCY INSPECTION, SITE ASSESSMENT OR AUDIT. ENT ~ ~ e ~ 7 Zoos ,(~U ~ ~3~~ b~0 oo!~ 5~ al ~~ Revised by Matthew Hopwood 10/23/2003 UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION Page of I. IDENTIFICATION FACILITY ID# 1 BEGINNING DATE 100 ENDING DATE 101 01 /01 /2005 12/31 /2005 BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BUSINESS PHONE 102 S g C SA098 661-398-4185 BUSINESS SITE ADDRESS t03 3221 S. H STREET CITY 104 CA ZIP CODE 105 BAKERSF I ELD 93304 DUN BRADSTREET 106 SIC CODE (4 digit #) 107 10-340-1618 4813 COUNTY 108 KERN BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 LINDA PORTER 818-908-6044 II. BUSINESS OWNER 111 OWNER NAME OWNER PHONE 112 SBC 866-492-6836 OWNER MAILING ADDRESS 113 P.O. Box 5095, Room 3E000 CITY 114 STATE 115 ZIP CODE 116 SAN RAMON ~ CA 94583-0995 III. ENVIRONMENTAL CONTACT (CONTACT NAME 117 CONTACT PHONE 118 i Environmental Management, attn: James Stehr 925-823-8866 CONTACT MAILING ADDRESS 119 2600 CAMINO RAMON, RM 3E000 CITY 120 STATE 121 ZIP CODE 122 SAN RAMON CA 94583-0995 PRIMARY IV. EMERGENCY CONTACTS SECONDARY 123 NAME NAME 12a LINDA PORTER EMERGENCY CONTROL CENTER jTITLE 124 TITLE 129 Site Manager 24 HR EMERGENCY SERVICE BUSINESS PHONE 125 BUSINESS PHONE 130 818-908-6044 877-322-4722 24-HOUR PHONE 126 24-HOUR PHONE 131 866-492-6836 (866-I WANT EM) 866-492-6836 (866-I Want EM) PAGER# 127 pAGER# 132 805-671-3447 ADDITIONAL LOCALLY COLLECTED INFORMATION: Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. SIGNATURE OF OWNER/OPERATO DATE 134 NAME OF DOCUMENT PREPARER 135 11/11/2004 RHL DESIGN GROUP, INC. -AGENT FOR SBC OF SIGNER (print) Steve Skanderson 136 (TITLE OF SIGNER Project Manager 137 UPCF (1/00 revised) 167 OES FORM 2730 (1/99) iJNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or area) ADD DELETE X REVISE 200 Page of I. FACILITY INFORMATION BUSINESS NAME SBC SA098 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 NORTHWEST SIDE OF LOT EPCRA ^ YES ~ No 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID# 1 14 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ~ No 206 PETROLEUM HYDROCARBON If Subject to EPCRA, refer to instructions COMMON NAME 207 DIESEL FUEL N0.2 EHS ^ Yes ~ No 208 CAS# 209 68476-34-6 If EHS is "Yes", all amowts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 II-COMBUSTIBLE LIO HAZARD MATERIAL 211 TYPE (Check one item ^ a. PURE XO b. MIXTURE ^ c. WASTE 212 RADIOACTNE ^ Yes ~ No CURIES 213 PHYSICAL STATE ^ a. SOLID ^X b. LIQUID ^ c. GAS 214 Ch k i l LARGEST CONTAINER 6 ~~~ 215 ( ec one tem on y) s FED HAZARD CATEGORIES ~ a. FIRE ^ b. REACTNE ^ c.PRESSURE RELEASE ~ d. ACUTE HEALTH ~ e.CHRONIC HEALTH 216 (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 UNITS* ^X a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 221 DAYS ON SITE: 222 (Check one item only) 365 STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i. FIBER DRUM m. GLASS BOTTLE o. RAIL CAR CONTAINER X b. UNDERGROUND TANK £ CAN •. BAG n. PLASTIC BOTTLE p. OTHER 02 c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO 1. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ~ a• AMBIENT ^b. ABOVE AMBIENT ^c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a• AMBIENT ^b. ABOVE AMBIENT ^c. BELOW AMBIENT ^d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# 1100 226 DIESEL FUEL NO. 2 227 ^yes ^ No 228 68476-34-6 22s Z <1 230 NAPHTHALENE 231 ^yes ^X No 232 91-20-3 233 3 234 235 ^1'es ^X No 236 I ~ I' 237 4 238 239 nY ,,,0 240 ^Yes 241 5 242 243 ^Yes ^X No 244 245 If more hazardous components are present at greater than 1 % by weigh[ if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Stgn Here UPCF (1/99) 169 OES Form 2731 r UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION One page per material per building or area) ADD DELETE X REVISE 200 Page of I. FACILITY INFORMATION BUSINESS NAME SBC SA098 3 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL 202 STORED IN FACILITY EPCRA ^ YES 0 No -- 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY [D# _) ~ _1 2 E4 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ~ No 206 SULFURIC ACID, BATTERY ELECTROLYTE If Subject to EPCRA, refer to instructions COMMON NAME 207 BATTERY ELECTROLYTE EHS ^ Yes ^X No 208 CAS# 209 7664-93-9 If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requved by CUPA) 210 CORROSIVE HAZARD MATERIAL 211 TYPE (Check one item ^ a. PURE ~ b. MIXTURE ^ c. WASTE 212 RADIOACTfVE ^ Yes ~ No CURIES 213 PHYSICAL STATE ^ a. SOLID ^X b. LIQUID ^ c. GAS 214 LARGEST CONTAINER ~ 4 215 (Check one item only) FED HAZARD CATEGORIES ^ a. FIRE ^ b. REACTIVE ^ c.PRESSURE RELEASE ^X d. ACUTE HEALTH ^ e.CHRONIC HEALTH 216 (Check all that apply) AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 UNITS* ^X a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 221 DAYS ON SITE: 222 (Check one item only) 365 STORAGE a. ABOVE GROUND TANK e. PLASTIC/NONMETALLIC DRUM i . FIBER DRUM m.GLASS BOTTLE o. RAIL CAR CONTAINER b. UNDERGROUND TANK E CAN '. BAG n. PLASTIC BOTTLE X p. OTHER 18 a TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO 1. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE ^X a• AMBIENT ^b. ABOVE AMBIENT ^c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a• AMBIENT ^b. ABOVE AMBIENT ^c. BELOW AMBIENT ^d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# 1 28-52 226 SULFURIC ACID 227 ^yes ^ No 228 7664-93-9 229 2 48-72 230 WATER 231 ayes ^X h1o 232 7732-18-5 233 3 234 235 ^es L"J"'o 236 ~l 237 4 238 239 ^es ~qo 240 241 5 242 243 ^yes ^X No 244 245 If more hazardous components are present at greater than 1 % by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the requved infom~ation. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (1/99) 169 OES Form 2731 APS 1 BUSINESS NAME SBC BKFDCA14 SA098 BUSINESS ADDRESS 3221 S. H STREET 12 IS 7 ~8 9 A SITE MAP BAKERSFIELD DATE 3/16/2004 ZIP CODE 93304 PREPARED BY: ~ , ~ ~~ ~_a 1LYW[Clyd CnROUP IIdC.' DRAWING SCALE NOT TO SCALE NORTH SYMBOL LEGEND O ELECTRICAL PANEL SHUT-OFF O NATURAL GAS SHUT-OFF OW WATER SHUT-OFF ~ Y PUMP G RESIDENTIAL OFF SHUT TMA TANK MONITORING ~~ ALARM O TELEPHONE D T \~~ ~~~~~~~~~~~~~~~~ ~ EXT INGUISHER FIRE I ~ STORM DRAIN 1- DRIVEWAY D SANITARY SEWER ~- L- INTERSTITIAL SENSOR / I ~ W E S STAGING AREA EVACUATION/ /~~ ~~~~ _ SENSOR IN ~" ~ MSDS OCATION D MSDS EACH SUMP L 6,000 GALLON O (,~ ~ FIRE HYDRANT UNDERGROUND DIESEL TANK AND PIPING = -~ FENCE COMMERCIAL I OVERFILL ALARM J ~ = Q ERE EMERGENCY RESPONSE AND ~ I z EQUIPMENT/ABSORBENTS N ~ ~ RESIDENTIAL / ° v O ABOVEGROUND ` of ~ O STORAGE TANK ~ ENGIN ROOM TMA ~ I~ ~~ UNDERGROUND o ` ` - l STORAGE TANK / ~ ,~ / / O MOTOR OILS & LUBRICANTS (COMBUSTIBLE LIQUIDS) `/ O BATTERY ELECTROLYTE ~ I (CORROSIVE LIQUID) SBC BU LDING SBC BUILDING (1 STORY PORTION) (2 STORY PORTION) O GASOLINE I (FLAMMABLE LIQUIDS) 3 O DIESEL FUEL (COMBUSTIBLE LIQUIDS) ° O NITROGEN (COMPRESSED GAS) E S O PROPANE _ _ _ _ (FLAMMABLE LIQUID) AC ACETYLENE (COMPRESSED GAS) O ANTIFREEZE/COOLANTS PLANZ ROAD O WASTE OIL (FLAMMABLE LIQUID) FIRE PULL BOX g I C I D E ~ F I G ~ H ~ I ~ J ~ K L I M APS 2 BUSINESS NAME SBC BKFDCA14 SA098 BUSINESS ADDRESS 3221 S. H STREET 1 12 ENGINE POWER 4 ROOM Ti A` ROOMO ERE B F 5 MAP OT 17 8 1ST FLOOR PLAN BAKERSFIELD MDF 9 A I B I ~ I o l E I F I~ I H NORTH O ~ OSP STORAGE ~ OUTSIDE PLANT LUNCH STORAGE ROOMLFS sTOR. CON R/R Ow R/R STOR. MECH. OSP O OFFICE ELECT. OFFICE ~ DATA NET ROOM MSDS DATE 3/1 /2004 ZIP CODE 93304 J K L M PREPARED BY: ds'ESIGN GROUP INC." DRAWING SCALE NOT TO SCALE SYMBOL LEGEND O ELECTRICAL PANEL SHUT-OFF O NATURAL GAS SHUT-OFF OW WATER SHUT-OFF EMERGENCY PUMP SHUT-OFF TMA TANK MONITORING ~~ ALARM TO TELEPHONE FIRST AID KIT FIRE EXTINGUISHER STORM DRAIN SANITARY SEWER E S STAGING AREA EVACUATION/ MSDS HMMP, AND MSDS LOCATION FIRE HYDRANT ~-->F FENCE ERE EMERGENCY RESPONSE EQUIPMENT/ABSORBENTS O ABOVEGROUND STORAGE TANK I'- ~I UNDERGROUND - J STORAGE TANK O MOTOR OILS & LUBRICANTS ', (COMBUSTIBLE LIQUIDS) i O BATTERY ELECTROLYTE (CORROSIVE LIQUID) O GASOLINE (FLAMMABLE LIQUIDS) O DIESEL FUEL (COMBUSTIBLE LIQUIDS) O NITROGEN (COMPRESSED GAS) O PROPANE (FLAMMABLE LIQUID) AC ACETYLENE (COMPRESSED GAS) O ANTIFREEZE/COOLANTS O WASTE OIL (FLAMMABLE LIQUID) FIRE PULL BOX APS 3 BUSINESS NAME SBC BKFDCA14 SA098 BUSINESS ADDRESS 3221 S. H STREET 2 L~ MECH. EQUIPMENT ROOM SWITCH ~ STOR OFFICE F BLDG ~- - - -L SERV R/R B ~ C ~ D I E ~ F G ~ H 2ND FLOOR PLAN DATE 3 1 2004 BAKERSFIELD ZIP CODE 93304 J I K NORTH L I M PREPARED BY: ' ° ~ YDDESIL'ild Gaoue I>dc. =: , ' J DR AWING SCALE NOT TO SCALE SYMBOL LEGEND O ELECTRICAL PANEL SHUT-OFF ~ O NATURAL GAS I, SHUT-OFF OW WATER SHUT-OFF EMERGENCY PUMP SHUT-OFF TMA TANK MONITORING ~~ ALARM OT TELEPHONE FIRST AID KIT FIRE EXTINGUISHER ~ STORM DRAIN SANITARY SEWER E S STAGING AREA EVACUATION/ MSDS HMMP, AND MSDS LOCATION FIRE HYDRANT ~~ FENCE ERE EMERGENCY RESPONSE EQUIPMENT/ABSORBENTS O ABOVEGROUND STORAGE TANK I~ ~I UNDERGROUND STORAGE TANK O MOTOR OILS & LUBRICANTS (COMBUSTIBLE LIQUIDS) O BATTERY ELECTROLYTE (CORROSIVE LIQUID) O GASOLINE (FLAMMABLE LIQUIDS) O DIESEL FUEL (COMBUSTIBLE LIQUIDS) O NITROGEN (COMPRESSED GAS) O PROPANE (FLAMMABLE LIQUID) AC ACETYLENE (COMPRESSED GAS) OA . ANTIFREEZE/COOLANTS O WASTE OIL (FLAMMABLE LIQUID) FIRE PULL BOX CO LOCATION AREA ., - -~ 7 Tait Environmental Systems UST Construction • Design • Maintenance • Compliance April 26, 2006 CERTIFIED MAIL -RETURN RECEIPT REQUESTED signature g 1 3408 2133 3931 0051 2415 Signature Confirmation: ~ Confirmation # i Bakersfield Fire Department 900 Truxtun Avenue, Room 200 Bakersfield, CA 93301 RE: AT8~T/SBC Sites 8~ CLLC Codes: 3221 So. "H" Street, Bakersfield Geo Par: SA-098 CLLC: BKFDCAI4 To Whom It May Concern: Enclosed are the following forms, dated March 29;°2006, for the above-referenced facility. We originally sent this to your office on April 11, 2006. We did not receive notification that these documents were received, so we are resending them again. • Monitoring System Certification • Spill/Overfill Containment Form Feel free to call if you have any questions. Very Truly Yours, TAIT ENVIRONMENTAL SYSTEMS ALAN THROCKMORTON Compliance Manager AT:clb Enclosure :\tes\pb2006\letters\kern\Bakersfield fire_bkfdcal4 resent CC: Cheryl Allen Armi Strickland Sharon Ramirez (Post At Site) DUSTO CA Lic #588098 • AZ Lic #095984 • NV Lic #0049666 1863 North Neville Street Orange, California 92865 714.560.8222 714.685.0006 Fax 11280 Trade Center Drive Rancho Cordova, California 95742 916.858.1090 916.858.1011 Fax www.taitenvironmental.com MONITORING SYSTEM CERTIFICATION ` ~:' For Use By All Jurisdictions Within the State of California Authority Cited:- Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulation This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. Generallnformation Facility Name: AT&T/SBC Site Address: 3221 SO. "H" STREET GEO PAR # SA-098 CLLC Code: BKFDCAI4 City: BAKERSFIELD Zip: Facility Contact Person: SHARON RAMIREZ Contact Phone No.: Make/Model of Monitoring System: VEEDER-ROOT TLS-350 B. Inventory of Equipme~rt TestedlCertified Check the appropriate boxes to indicate specific equipment inspected/serviced: (805) 546-7416 Date of Testing/Service: 3/29/06 Tank lD: 1280 Tank ID: ®In-Tank Gauging Probe: Model: 847390-107 ^In-Tank Gauging Probe: Model: ®Annular Space or Vault Sensor: Model: 794390-420 ^Annular Space or Vault Sensor Model: ®Piping Sump/Trench Sensor (s): Model: 794380-208 ^Piping Sump/Trench Sensor (s): Model: ®Fill Sump Sensor (s): Model: 794380-208 ^Fill Sump Sensor (s): Model: ^Mechanical Line Leak Detector. Model: ^Mechanical Line Leak Detector. Model: ^Electronic Line Leak Detector Model: ^Electronic Line Leak Detector Model: ®Tank Overfill: Model: 790091-001 ^Tank Overfill/High-level Sensor: Model: ^Other, S eci a ui . e and model in Section E on Pa e 2 ^Other, S eci a ui . e and model in Section E on Pa e 2 Tank ID: Tank ID: ^In-Tank Gauging Probe: Model: ^In-Tank Gauging Probe: Model: ^Annular Space or Vault Sensor: Model: ^Annular Space or Vault Sensor Model: ^Piping Sump/T'rench Sensor (s): Model: ^Piping Sump/Trench Sensor (s): Model: ^Fill Sump Sensor (s): Model: ^Fill Sump Sensor (s): Model: ^Mechanical Line Leak Detector. Model: ^Mechanical Line Leak Detector. Model: ^Electronic Line Leak Detector Model: ^Electronic Line Leak Detector Model: ^Tank Ove~lUHigh-level Sensor: Model: ^Tank Overfill/High-level Sensor: Model: ^Other, S eci a ui a and model in Section E on Pa e 2 ^Other, S ecif a ui a and model in Section E on Pa e 2 Dispenser lD: Dispenser ID: ^Dispenser Containment Sensor(s): Model: ^Dispenser Containment Sensor(s): Model: ^ Shear Valve(s). ^ Shear Valve(s). ^Dis enser Containment Float s) and Chains ^Dis enser Containment Floats and Chain s Dispenser ID: Dispenser ID: ^Dispenser Containment Sensor(s): Model: ^Dispenser Containment Sensor(s): Model: ^ Shear Valve(s). ^ Shear Valve(s). ^Dis enser Containment Floats and Chains ^Dis enser Containment Floats and Chain s Dispenser lD: Dispenser ID: ^Dispenser Containment Sensor(s): Model: ^Dispenser Containment Sensor(s): Model: ^ Shear Valve(s). ^ Shear Valve(s). ^Dis enser Containment Float(s) and Chain(s) ^Dis enser Containment Float s) and Chain s *If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification - I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the report; (check all that apply): ®System set-up ®Alarm history report Technician Name (Print): RUBEN BECERRA Signature: ~~`i~'~----___._ Certification No.: 006-OS-0042 License No.: `6'$8098' Testing Company Name: TAIT ENVIRONMENTAL SYSTEMS Phone No. (714)560-8222 R •• Monitoring System Certification Site Address: 3221 SO. "H" STREET, BAKERSFIELD Date of Testing/Servicing: D. Results of Testing/Servicing Software Version Installed: 324.01 f mm~lPtp the fnllnwin4 checklist: 3/29/06 ® Yes ^ No* Is the audible alarm o erational? ® Yes ^ No* Is the visual alarm o erational? ® Yes ^ No* Were all sensors visual] ins ected, functional] tested, and confirmed o erational? ® Yes ^ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their ro er o eration? ® Yes ^ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) ^ N/A operational? ^ Yes ^ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment ® N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) ^ Sump/T'rench Sensors; ^ Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ^Yes; ^ No. ® Yes ^ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no ^ N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill oint s and o eratin ro erl ? If so, at what ercent of tank ca aci does the alarm tri er? 90% ® Yes* ^ No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all re lacement arts in Section E, below. ^ Yes* ®No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ^ Product; ^ Water. If es, describe causes in Section E, below. ® Yes ^ No* Was monitorin s stem set-u reviewed to ensure ro er settin s? ®Yes ^ No* Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: Tank also equipped with flapper valve on drop tube. Insert VR Probe Number as a check boz for each tank under section B Replaced 420 Annular Sensor for same type sensor. Page 2 of 3 Site Address ' 3221 SO. "H" STREL~, BAKERSFIELD F. In-Tank Gauging /SIR Equipment: Date of Testing/Servicing: 3/29/06 ® Check this box if tank gauging is used only for inventory control. ^ Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Com lete the followin checklist: ® Yes ^ No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ® Yes ^ No* Were all tank gauging probes visually inspected for damage and residue buildup? ® Yes ^ No* Was accuracy of system product level readings tested? ® Yes ^ No* Was accuracy of system water level readings tested? ® Yes ^ No* Were all probes reinstalled properly? ® Yes ^ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): ® Check this box if I,LDs are not installed. Complete the followinE checklist: ^ Yes ^ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? ^ N/A (Check all that apply) Simulated leak rate: ^ 3 g.p.h.'; ^ 0.1 g.p.h.Z; ^ 0.2 g.p.h.Z Notes: 1. Required for equipment start-up certification and annual certification. 2. Unless mandated by local agency, certification required only for electronic LLD start-up. ^ Yes ^ No* Were all LLDs confirmed operational and accurate within regulatory requirements? ^ Yes ^ No* Was the testing apparatus properly calibrated? ^ Yes ^ No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ^ N/A ^ Yes ^ No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ^ N/A ^ Yes ^ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled ^ N/A or disconnected? ^ Yes ^ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system ^ N/A malfunctions or fails a test? ^ Yes ^ No* For electronic LLDs, have all accessible wiring connections been visually inspected? ^ N/A ^ Yes ^ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: ite Address: 3221 SO. "H" STRI~ BAKERSFIELD ~ of Testing/Servicing: 3 ' Z ~ - 0,6 Monitoring System Certification UST Monitoring Site Plan -sue °~m n~ ov ei G~1 l . O O . . . . . . . . . . . . . . 5~n~ • 5'e~soR- . . ~,P;ruj . . . . . . . . . . . . . R'C'6 ~156fL Date map was drawn: ~ ~ z 9 ~ ° ~ Instructions If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring. tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. Page ~ of ill Bucket Testing Report Fo~ This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form aid printouts f -om tests (f applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. FACILITY INFORMATION CLLC: BKFDCAI4 GEO PAR: SA-098 Facility Name: AT&T/SBC Date of Testing: 3/29/06 Facility Address: 3221 SO. "H" STREET, BAKERSFIELD Facility Contact: SHARON RAMIREZ Phone: 805-546-7416 Date Local Agency Was Notified of Testing : 48 HOURS Name of Local Agency Inspector (if present during testing): BAKERSFIELD FIRE 2. TESTING CONTRACTOR INFORMATION Company Name: TAIT ENVIRONMENTAL SYSTEMS Technician Conducting Test: RUBEN BECERRA Credentials: ®CSLB Contractor ®ICC Service Tech. SWRCB Tank Tester Other (Sped) License Number(s): A B ASB C-10 HAZ License Number: 588098 3. SPILL BUCKET TESTING INFORMATION Test Method Used: ®Hydrostatic Vacuum Other Test Equipment Used: MARKER VISUAL Equipment Resolution: w~~... _~..__ __ u__ .,~_, --_ ~_.w_ x__ ~_ Identify Spill Bucket (By Tank Number, Stored Product, etc.) 1 #1280 2 3 4 Bucket Installation Type: Direct Bury ® Contained in Sump Duect Bury Contained in Su Duect Bury Contained in Sum Direct Bury Contained in Su Bucket Diameter: 12" Bucket Depth: 11" Wait time between applying vacuum water and start of test: 5 MINUTES Test Start Time (TI): 11:30 AM Initial Reading (RI): 6" Test End Time (TF): 12:30 PM Final Reading (RF): 6" Test Duration (TF - TI): 1 HOUR Change in Reading (RF - R~): NONE Pass/Fail Threshold or Criteria: PASS ,. ;Test Result: _ ~ Pass," Fail , Pass Fail >Pass Fail Pass Fail Con lmerits - (include information on repairs made prior to testing, and recommended follow-up for failed tests) i CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby ce-tify that all the infonnation contained in this report is true, a~u-~ and in full compliance with legal reguiremenlS Technician's Signature: tF-"•`~"~_.~~) '"'~' Date:i3/29/06, • r COMMUNICATIONS SET UP SBC B];FU CA14 SA-098 3221 S. H ST. BAKERSFIELD.CA.93304 661-832-8370 MAR 29. 2006 11:35 AN1 INVENTORY REPORT T 1:DIESEL #11280 I VOLUME = 4864 GALS ULLAGE = 1152 GALS 90o ULLAGE= 550 GALS ~; TC VOLUME = 4704 GALS '. HEIGHT = 72.16 INCHES !: WATER VOL = 0 GALS !. WATER = 0.00 INCHES TEMP = 67.3 DEG F * ~ ~ ~ ~ END ~ ~€ ~ ~ ~ S`lSTEM SETUP MAR 29. 2006 11:35 AN1 i SYSTEM UNITS U.S. ': SYSTEt~9 LAhlGUAGE ENGLISH SYSTEM DATEiTIME FORMAT MO N DD YYYY H H : I~1M : SS kM SBG BKFD CA14 SA-098 3221 S. H ST. BAKERSFIELD.CA.93304 661-832-8370 SHIFT TIME 1 7:30 AN1 SHIFT TIME 2 DISABLED. SHIFT TIME 3 DISABLED SHIFT TIME 4 DISABLED TANK PER TST NEEDED WRN DISABLED i TANK ANN TST NEEDED WRN DISABLED i LINE RE-ENABLE METHOD PASS LINE TEST LINE PER TST NEEDED WktV DISABLED LINE ANN TST NEEDED WRIV DISABLED i PRINT TC VOLUMES '~, ENABLED TEMP CONiPENSATION VALUE {DEG F ?: 60.0 STICK HEIGHT OFFSET DISABLED H-PROTOCOL DATA FORMAT HEIGHT DAYLIGHT SAVING TIME DISABLED RE-DIRECT LOCAL PRINTOUT DISABLED EURO PRi~TOCOL PREF I ~, S CUSTOM ALARM LABELS DISABLED FORT SETTINGS: COMM BOARD 1 { F:~CMOD i BAUD RATE :-1200 PARITY ODD STOP BIT 1 STf1F DATA LENGTH: 7 DATA RS-232 SECURITY CODE x**~*~ DIAL~TYPE T4tVE ~. ANSWER ON : 1 RING MODEM SETUP STRING DIAL TONE INTERVAL: 32 RECEIVER SETUP: D 1:CALL CENTER 18669023262 RGVR TYPE: COMPUTER PORT N0: 1 RETRY NO: 3 RETRY DELAY: 3 CONFIRMATION REPORT: ON D 2:EMCG 18006172075 RCVR TYPE: FACSIMILE PORT N0: 1 RETRY N0: 3 RETRY DELAY: 3 CONFIRMATION REPORT: OFF AUTO DIAL TIME SETUP: D 1:CALL CEtVTER DIAL ON DATE APR 26. 2004 DIAL TIME DISABLED RECEIVER REPORTS: D 2:EMCC DIAL ON DATE APR 26. 2004 DIAL TIME DISABLED RECEIVER REPORTS: Job # hkf~1C,(~ ~ _ Page ~, of • Y • • . t1 RS-232 END OF MESSAGE DISABLED AUTO DIAL ALARM SETUP D 1:CALL CENTER IN-TANK ALARMS ALL:LEAK ALARM ALL:HIGH WATER ALARM ALL:PERIODIC TEST FAIL LIQUID SENSOR ALMS ' ALL:FUEL ALARM ALL:HIGH LIQUID ALARM i ALL:LOW LIQUID ALARM { R 2:EMec j I N-TAtVK ALARMS ALL:LEAK ALARM ALL:HIGH WATER ALARM ALL:PERIODIC TEST FAIL LIQUID SENSOR ALMS ALL:FUEL ALARM ALL:HIGH LIQUID ALARM ALL:LOW LIQUID ALARM Job # ~~K~f~('(~ ~ IN-TANK SETUP T 1:DIESEL tJ12t~0 PRODUCT CODE i THERMAL COEFF :. 004500 TANK DIAMETER 95.75 TANK PROFILE 1 PT ' FULL VOL : 6016 FLOAT S I ZE : 4.0 I tV . WATER WARNING 2.0 HIGH WATER LIMIT: 2.0 MA}: OR LABEL VOL: 6016 OVERFILL LIMIT 90%0 5414 HIGH PRODUCT 95% 5715 DELIVERY L I N1 I T 70% 4211 LOW PRODUCT 2000 LEAK ALARM LIMIT: 24 SUDDEN LOSS LIMIT: 50 TANK TILT 0.00 PROHE OFFSET 0.00 SIPHON MANIFOLDED TANKS Ttt : NONE LINE MANIFOLDED TANKS T#: NONE LEAK MIN PERIODIC: 0%a 0 LEAK MIN ANNUAL O 0 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF FEk TEST AVERAGING,: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERI' DELAY 1 MIN PUMP THRESHOLD 10.001 LEAK TEST METHOD TEST CSLD : ALL TANK Pd = 95% CLIMATE FACTOR:MODEF~ATE REPORT ONLY: DISABLED TST EARL' STOP : D ISf=,BLED LEAK TEST REPORT FC>RMAT N{3T~MAL LIQUID SEPJSOR SETUP L 1:ANNULAk SPACE SENSOR TRI-STATE SSINGLE FLOAT} CATEGORY :ANNULAR SPACE L 2:FILL SUMP SEIVSOR TRI-STATE SINGLE FLOAT} CATEGORY OTHER SENSORS L 3:PIPING SUMP SENSOR TRI-STATE (SINGLE FLOAT) CATEGORY PIPING SllMP OUTPUT RELAY SETUP k 1:OVERFILL ALARM TYPE: STANDARD NORMALLY OPEN IN-TANK ALARMS ALL:OVERFILL ALARM Page ~ of -. C~ ALARM HISTORY-REFO~;T SOFTWARE REVISION LEVEL VERSION 324.01 SOFTWARE# 346324-100-8 CREATED - 03.11.10.17.15 S-MODULE# 330160-00~-A SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS CSLD I ALARM HISTORY REPORT. ~ ----- SYSTEM ALARM ----- PAFER.OUT MAR 6. 2006 1:~2 PM PRINTER ERROR ! MAR 8. 2006 11:50 AM j BATTERY IS OFF NOV Z0. 2003 8:U0 AM SYS SECURITY WARNING MAY 10. 2004 8:41 AM ~ * ~ ~ ~ END ~ * ~ ~ ~ Job # bXf(}~Q ~ ALARM HISTORY REPORT ---- I N-TANK ALARM ----- T 1:DIESEL #1280 SETUP DATA WARNING APR 26, 2004 3:45 FM .OVERFILL .ALARM APR 13, 2005 10:14 AM LOW PROIjUCT ALARM APR 13. 2005 10:14 AM APR 13. 2005 10:13 AM MAY 14. 2004 9:21 At°1 HIGH PRODUCT ALARM APR 13. 2005 10:14 AM INVALID FUEL LEVEL APR 13. 2005 10:13 AM APR 26. 2004 3:45 Pt°1 i PROBE OUT APR 13. 2005 10:17 AM APR 13. 2005 10:12 AM j APR 26. 2004 3:29 PM DELIVERY NEEDED APR 13. 2005 10:14 AM APR 13. 2005 10:12 AM MAY 14. 2004 8:55 AM PERIODIC TEST FAIL JUL 28. 2004 8:39 PM JUL 3. 2004 12:19 HIM JUN 24. 2004 4:04 PM CSLD INGR RATE WARN NOV 9. 2004 11:34 AM OCT 23. 2004 10:39 AM x ~ ~ * END ~ ~ ~ ----- SENSOR ALARM ----- L 1:ANNULAR SPACE SENSOR ANNULAR SPACE FUEL ALARM APR 13. 2005 10:11 AM FUEL ALARM MAY 14. 2004 9~O~i AM FUEL ALARM MAY 4. 2004 2:1 Ee PM * ~ ~ ~ ~ END ~ ~€ ~ ~ ALARM HISTORY REPORT ----- SENSOR ALARNI ----- L 2:FILL SUMP SENSOR OTHER SENSORS FUEL ALARM APR 13. 2005 10:11 AM FUEL ALARM NOV 29. 2004 11:34 AM FUEL ALARM MAY 14. 2004 9:15 AM ~€~.~*~END~ ~~x* Page ~ of ALARM HISTORY REPORT ----- SENSOR ALARPI ----- j L 3:PIPING SUMP SENSOR PIPING SUMP FUEL ALARM APR 13, 2005 10:12 AM i FUEL ALARM MAY 14. 2004 9:03 AM FUEL ALARM MAY 5.' 2004 2:27 PM ----- SENSOk ALARM ----- L '~ :FILL SUMP SEtVSOk OTHER SENSORS FUEL ALARM MAR 29,-2006 11:41 AM ----- SENSOR ALARM ----- L 2 :FILL S UMF SE tVSOR OTHER SENSORS FUEL ALARM MAR 29, 2006 11:41 AM SENSOR ALARM SbC BKFD CA14 SA-098 3221 S. H ST. BAKERSFIELD,CA.93304 661-832-8370 MAR 29. 2006 11:36 AM i I' SYSTEM STATUS REPORT ALL .FUNCTIONS NORNIAL L 3:PIPING SUMP SENSOR FIPING SUMF FUEL ALARM MAR 29, 2006 11:41 AM CONFIRMATION REPORT: D 1:CALL CENTER MAR 29. 2006 11:43 AM MODE = COMPUTER RESULT = OK SBC BKFD CA14 SA-098 3221 S. H ST. FiAKERSFIELD,CA.93304 661-832-8370 MAR 29, 2006 11:45 AM SYSTEf°1 STATUS REPORT tiLL FUrdCT i CiiV~: cVUMI°iAI. yob # b~~~c~.14 ---- ItV-TAtdK ALARM ----- T 1 :DIESEL tt 1280 DELIVERY NEEDED MAR 29. 2006 11:46 AM ---- IN-TANK ALARM ----- T I:DIESEL ;31280 PROBE OUT MAR 29, 2006 11:46 AM ---- IN-TANK ALARM -- T 1:DIESEL it1260 HIGH PRODUCT ALARM -MAR 29, 2006 11:40 AM ---- I tV-TAtVK ALARM ----- T 1:UIESEL 111280 MAX PRODUCT ALARM MAR 29, 2006 11:46 AM ----- SENSOR ALARtH ----- L 1:ANNULAR SPACE SENSOR ANNULAR SPACE SEtVSOR OUT ALARIH .MAR 29, 2006. 11:53. AM Page ~ of ----- SEIVSOR ALAkt°1 ----- L 1:ANNULAR SPACE SENSOR ANNULAR SPACE FUEL ALARM MAk 29. 2006 11:56 HM ~,.,CONF I RMAT I ON REPORT 1D 1:CALL CENTER MAR 29, 200 11:58 AM MODE = COMPUTEk RESULT = OK i SBC BY,FD CA14 SA-098 . 321 S. H ST. '' FiAKERSF I ELD . CA .933014 661-832-8370 MAR 29. 2006 12:13 PM ~~ .. t:= -_.. i SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL Job # hkf~~q ~4 • Page~of~ ,~ -, " UNDERGROUND STORAGE TANKS ~.--- $AKERSFIELD FIRE DEPT. ' b E R S P I n prevention Services ~- ~~~.n,~ ~.~~~: ~ :- ~ FIR! R fM f 900 Truxtun Ave. , Ste. 210 APPLICATION Bakersfield, CA 93301 TO PERFORM ELD /LINE TESTING ~ Tel.: (661) 326-3979 / SB989 SECONDARY CONTAINMENT TESTING FaX: (661) 852-2171 /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION Page 1 oi' PERMIT NO. ^ LINE TESTING ^ ENHANCED LEAK DETECTION ^ SB-989 SECONDARY CONTAINMENT TESTING ~ ^ TANK TIGHTNESS TEST (~ 1~1 TO PERFORM FUEL MONITORING CERTIFICATION ~'~ SITE INFORMATION AGILITY ~~ NAME & PHONE NUMBER OF CONTACT PERSON DDRESS ~ Z Z J S . ~ S`~j'-f~ Q~ ~ - WNERS NAME S3 c- ~ T PERATORS NAME ofJ ~Gt~'l ~ r~ Z PERMIT TO OPERATE NO. UMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? O YES NO TANK # V O L U ME CONTENTS l ' / ~` , lJ.•IJL~ /LiO.S~.. ,. ,.'..TANK TESTING COMPANY; AME OF TESTING COMPANY ~!U ! C~un~-N~°t / S S Tom/ N,A/~ME & PHONE N1UMBER OF CONTACT/PERSON /'T~ /1 OG%~J~I/!G/7'~/l~ 7~~ s ~ - ~j AILING ADDRESS / AME & PHONE NUMBER OF TESTER OR SPECIAL INSPECTOR ~e T~-~e~- irv ~. ERTIFICATION #: ATE & TIME TES TO BE CONDUCTED o~ ~ ~ oo~ ICC =: EST METHOp v~~~o,-- IGNATURE OF APPLICANT ATE 2~ZJ ~Q T APPLICATION R~ECOMES A PERMIT WHEN APPROVED PPROVED BY ATE FD2106 ~ . ., „~;,.,,; v.~r. .^..t .~.~.~ ,,,.,~ tl:`y-v y-,.. r:i-. 5.,.~..,.. .:..ti~m^~"-"'`'^'*-.v'~~^A+-•"_-~w":~.: ,ii-/""~..~%..- :.-r~F~:.*1 ~~~~~1:+`°'' -~t+r."'""'"`~-.""+„'~ ~'.'ry,."`..'y'-~.z,n.3e--s'^+I,.,, ,~1-:~'~J {_ _~ ~~ Bakersfield Fire Dept. UNIFIED PROGRAM INSPECTION CHECKLIST ~~' Enironmentat Services ~ 1715 Chester Ave SECTION 1 Business Plan and Inventory, Program Bakersfield, CA 93301 ~, Tel: (661)326-3979 FACILITY NAME INSP CTIO DATE INSPECTION TIME 5~ ~a a~fl-~---- - -------- ------- -- ---- ADDRESS t~ (t PH NE No. No. of Employees FACILITYCONTACT Business ID Number 15-02 t - ,,,, ,~ Section 1: Business Plan and Inventory Program ^ Routine LU.c:ombined ^ Joint Agency ^Mutti-Agency ^ Complaint ^ Re-inspection C V \V=V'oatolnncel OPERATION COMMENTS ~^ APPROPRIATE JPERMIT ON HAND L~' ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ~^ VISIBLE ADDRESS Ci' ^ CORRECT OCCUPANCY I.`Y ^ VERIFICATION OF INVENTORY MATERIALS --~-j- --- -- ------ .,~ - ---- ---------------------- --------- -------- -- - ---- --- ---- ----...-._.._......---- ---- - -._.... _...... __ ..._ -.._ LY ^ VERIFICATION OF QUANTITIES LW ^ VERIFICATION OF LOCATION ®! ^ PROPER SEGREGATION OF MATERIAL L4/ ^ VERIFICATION OF MSDS AVAILABILITYE L'Z/ ^ VERIFICATION OF HAT MAT TRAINING LU/ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ---- --- ~^ EMERGENCY PROCEDURES ADEQUATE C9-~^ CONTAINERS PROPERLY LABELED y--/ ---- - --- --- --- ---- ---_ ._-~ - - - ------ ------ --- _-- - -- - --- _-- -- LY/ ^ HOUSEKEEPING LT ^ FIRE PROTECTION ^~ ^ SITE DIAGRAM ADEQUATE ~ ON HAND i ANY HAZARDOUS WASTE ON SITE?: ^ YES ^ NO EXPLAIN: QUESTIONS^REGARDING THIS INSPECTION? PLEASE CALL US AT ~B6'I) 3X)-3979 .-, ., - Inspector Badge No., Business Site Res nstble arty White -Environmental Services Yellow -Station Copy Pink -Business Copy --. ~f~~r., ..~ ~. 1 ~ x ~~ `~, '.~ J CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3~`' Floor, Bakersfield, CA 93301 FACILITY NAME S ~ C.. Section Z: Underground Storage Tanks Program INSPECTION DATE ~J t~ 4' ^ Routine ~ombined ^ Joint Agency ^MuIti-Agency ~ ^ Complaint ^ Re-inspection Type of Tank ~ rJt-C S Number of 1 anks Type of Monitoring r± ~.~ Type of Piping nl~~_ OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit fees current Certification ~f Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations q 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/laheling [s tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N-NO ~~ Inspector: Office of Environmental Services (661) 326-3979 Business Site Resp nsible Part white - f-nv. Svcs. Pink -Business Copy UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION HAZARDOUS MATERIALS BUSINESS PLAN CERTIFICATION FORM 2007 I Pursuant to Section 25503.3(c) of California Health and Safety Code (HSC), the Hazardous Materials Business Plan (HMBP) certification described below is hereby submitted for the following facility: Facility Name: Pacific Bell sao9a / BKFDCA14 Facility Street Address 3221 S. H STREET City: BAKERSFIELD Zip: 93304 I have personally reviewed the Hazardous Materials Business Plan currently on file with the CUPA dated 12/1/2006 and certify that: (Check one.) The Hazardous Materials Business Plan is complete and accurate and no revisions are necessary* (See below for details); or ® Revisions to the Hazardous Materials Business Plan are necessary. The following new or revised form(s) and/or information are enclosed to reflect the necessary changes: Business Activities form Business Owner/Operator Identification form ENT~~ ~ f Hazardous Materials Inventory form(s) ~ N ~ ®2007 ~~ Site Map form Emergency Response Plans and Procedures Employee Training Program *By checking the top box on this form, you are certifying that: a) The information contained in the annual inventory forms most recently submitted to the administering agency is complete, accurate, and up-to-date; and b) There has been no change in the quantity of any hazardous material as reported in the most recently submitted annual inventory forms; and c) No hazardous materials subject to the inventory requirements are being handled that are not listed on the most recently submitted annual inventory forms; and d) There have been no substantial changes in the facility's hazardous materials operations which would require revision of the current HMBP; and e) The most recently submitted annual inventory forms contain the information required by Section 11022 of Title 42 of the United States Code. OWNER/OPERATOR CERTIFICATION: I hereby certify under penalty of law that, based upon my inquiry of those individuals responsible for obtaining the information reported above, I believe that the submitted information is true, accurate, and complete. I understand that a revised HMBP must be submitted within 30 days of any change in this facility's storage or handling of hazardous materials which would require updating of h~BP. Signature of Owner/Operator: ~ ~/G~-.- Title: Project Manager-Agent for AT&T Name of Owner/Operator (print) Steve Skanderson Date: JAN 4 ~Q07 Return all forms to: Bakersfield Fire Department 900 Truxtun Avenue, Suite 210 Bakersfield CA 93301 66 I -326-3979 Business Plan Certification 2007 _~~ ~ SA098 UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION ~ ____ I. IDE FACILITY ID# ~~~ F-- ---- ~ BUSINESS NAME (Same as FAC[LITY NAME or DBA -Doing Business As) Pacific Bell SA098 BUSINESS SITE ADDRESS ~- 3221 S. H STREET i ICITY I BAKERSFIELD __ UN _BRADSTREET 10-340-1618 KERN 1 BEGINNING DATE 1/1/2007 Page of ~ -------- 100 ENDING DATE 101 ~ 12/31 /2007 I 3 BUSINESS PHONE 102 BKFDCAI4 661-398-4185 103 104 ZIP CODE - ---- -- - -105 ' CA 93304 ~! -^--- - -~ ~oV~ 106 SIC CODE (4 digit #) 107 BUSINESS OPERATOR NAME Grant Armstrong ', __ II. BUSINESS OWNER DOWNER NAME -------- -------- -- - Pacific Bell Telephone Company d/b/a AT&T California jOWNER MAILING ADDRESS P.O. Box 5095, Room 3E000 ~,ciTV ------------------- San Ramon III. ENVIRONMENTAL CONTACT 94583 11s CONTACT NAME 117 CONTACT PHONE 118 Environment Health & Safety, attn: James Stehr (925) 823-8866 CONTACT MAILING ADDRESS P.O. Box 5095, Room 3E000 119 - - 120 STATE 121 lZ[P CODE j CITY - i- --- ----- 122 - - -' j San Ramon CA i 94583 ~ ~I PRIMARY IV. EMERGENCY CONTACTS SECONDARY INAME 123 NAME --~------------- -- --- - 128 ' Grant Armstrong ~ EMERGENCY CONTROL CENTER (TITLE EM Site Manager 124 TITLE 24 HR EMERGENCY SERVICE 129 ', (BUSINESS PHONE 125 661-327-6903 BUSINESS PHONE ~ 877-322-4722 130 ~ 24-HOUR PHONE 126 24-HOUR PHONE 800-566-9347 (800 KNOW EHS) 800-566-9347 (800 KNOW EHS) ~PAGER# -~- -- - __- 127 PAGER# --~---~---~ - 131 j 132 ~ 661-721-4747 ADDITIONAL LOCALLY COLLECTED INFORMATION: I Property Owner: _Pacific Bell Telephone Company d/b/a AT&T California __ Phone No.: _ 800-566-9347__ __ ____-__ _ Billing Address: P.O. BOX 5095' Room 3E000 San Ramon CA 94583 -- -1- -~- --------------- - --- -- --- --- - -- -- ----- ~ Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am !familiar with the information submitted and believe the information is true, accurate, and complete. j I SIGNATURE OF OWNER/OPERATOR OR DES( ATED R ESENTATIVE I~A 5 '~~~ NAME OF DOCUMENT PREPARER 135 - _ ~~ - RHL DESIGN GROUP, INC. -ENVIRONMENTAL D I, EPT_ i NAME OF SIGNER (print) 136 - TITLE OF SIGNER 137 ~, i i_ Steve Skanderson ~ Project Manager, Agent for AT&T ~ 4813 _ _ ~' -- -------- 108 109 ~USINESS OPERATOR PHONE 110 -----~---- 661-327-6903 - -------------- - - ' --- 111 OWNER PHONE -- --- -- ------ -- - -112 ' (800) 566-9347 I. 113 j 114 STATE 115 ZIP CODE CA UN-020UPCF - 5/IS www.unidocs.org Rev. 01/16/02 1\ .;~ ~~ _ , ~ at~t ~_„.f- December 20, 2006 AT&T Services, Inc. 30B S. Akard Street, Room 900 Dallas, TX T5202-5399 Ralph Huey Director of Prevention Services 900 Truxtun Ave., Ste 210 Bakersfield, CA 93301 RE: Certification of Financial Responsibility -Underground Storage Tanks Dear Ralph Huey, Enclosed please find a copy of our annual State of California Certification of Financial Responsibility and a Certificate of Insurance to demonstrate the financial responsibility of AT&T/Pacific Bell and/or its affiliate company for its underground storage tanks. Also enclosed please find a list of the AT&T/Pacific Bell sites that are covered by insurance and that. have underground storage tanks on the premises in your area of jurisdiction. I can be reached at 1972) 978-9677 if you have questions regarding this matter. Thank you for your help complying with this requirement. ,. ~ Jul' Khdryan- anager AT&T Environmental Management Attachment: Certification of Financial Responsibility List of insured sites with tanks Certificate of Insurance ,=w~ ~~y.i P~ar~;l S~ion:;nr e>h th.~ U.5_ UIY~>>^i~ 1anm ,<. ~^'-~ . State of California Fa State Use Only ~:~' Statc of Water Resources Control Board ~ r°;'~. Division of Financial Assistlnce '~ ; . ~ _" P.O. Box 9.14212 L,~~, a , ~ Sacramento, CA 94244-2120 ~~ ' ' (!ns[ructions on reverse side) ~;w,8`"°'" CERTIFICATION OF FINANCIAL RESPONSIBILITY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM A. I am requited to demonstrate Financial Responsibility in the requimd amounts as specified in Section 2807, Chapter 18, Div. 3, Title 23, CCR: 500,000 dollars per occurrence ~ I million dollars annual aggregate or AND ! million dollars per occurrence ® 2 million dollars annual aggregate B. Pacific Bell Telephone COfnDanV dba AT&T Califomia hereby cerSfies that it is in compliance with the requirements of (Name of Tank Owner or Operator) -Califomia-Code-of-Regulations, T-itle-23; Di~rston aaer i8, Article 3, Section 2807. The mechanisms used to demonstrate financial responsibility as required by Section 2807 are as follows: C. Mechanism Mechanism Coverage Coverage Corrective Third Pally T e Name and Address of Issuer Number Amount Period Action Comp Certificate of Insuranc Gateway Rivers Insurance 409-1UST001 $1,000,000 per 12!3112006 - YES YES Company occurrence and 12/31/2007 76 St. Paul St., Suite 500 $2,000,000 Burlington VT: 05401-4477 annual aggregat Note: If you are using the State Fund 2s any part of your demonstration of financial responsibility, your execution and submission of this certification also certifies that you are in compliance and shall maintain compliance with ~!! conditions /or participation in the Fund. See instructions. D. Facility Name Facility Address Pacific Bell Telephone Company dba AT&T California See Attached Facility Name Facility Address Facility Name Facility Address E. Signature of Tank Owner or Operator Date Name and Title of Tank Owner or Operator . 12/20/2006 Sherri L. Bazan, Assistant Treasurer Signature of Witness or N a Date Name of Witness or Notary ~,~w 12/20/2006 Diana Jimenez CFR (Revised OS/Ofi) FILE: Original -Local Agency Copies - FacilitylSite(s) _ air.?~-e.:.~.r..`.a=iirie"~°'~,AZ _ . c'P'_ -mom:., ___ . '`~~i•:= =:~:_~'_ =-c = t ~ cxs~:.._~._x... ;.;7~'.ai:•::`aaw...._e:~ ~•::: _.5r_. (1' ~ .n= *' ~-~~~'~'"~ ,''=;=>xay;=rte^xs ": ^iSSUE DATE 1Z/31/2006 ` ' , t , , ;.. .=~ 'qua srar:.~. u _ _ ', • r -rc c _ _ - .•r.. ~--:.~~ _ __ ~ .~3 .. ____u'°1Fr.'r-.::^~ 4 _.-^_.__ .v..:._.._ ............. ..,.^-r....._i~T ..... ._.._crw~ s.::+. _ PRODUCER THIS CERTIFICATE IS ISSUED A9A PIA77ER OF DVFORMATION ONLY AND CONPfiRS NO RIGFI'IS UPON THE CERTIFICATE BOLDER TNLS CERTIFlCATE DIRECT DOES NOT MIEND, EXTEND OR ALTER Tx6 COYERAGE AFFORDED BY THE POLTCUS BELOW COMPANIES AFFORDING COVERAGE conlrANY LETTER A GATEWAY RIVERS INSURANCE CO. COMPANY INSURED LE77xR B conitANY Pacific Bell Telephone Company dba AT&T California LETTER C 175 E Houston Street . conlrANY San Antonio, TX 78205 LErrER D comPANv LETTER rtc~mamna •rctm ~~'r-~nnac "•~`c-~-„~a.+''_o"~ zv=r_-~O.-"•~•~xr._..c .cam, ._: '~"Q~_: "'"_'T~ ~:wmasmmr T. - !.71MM91}1iFtRiL'flCS.ACI1L:Cl)ts:.-~ oeo~s~ ...>'_v. ~~'~{ " ~-• - _ r '' ~ b'' ° Y°a? a _ . . •:v_: _.a'n: i2 9 a ~ s. ..:~_, t sa. ~cx ' ~k -~ .. :b.~s•~._3=._..... _. ~'~-=-~=~5 _ _, v o. ~ , t rra9 . _... ~ _ ~ • i i4:aS2i: a .aRnS ?a._. ~E = _ 7'HTS 1470 CERTetIf 78AT 2HE POLICffi OP HISUBANCE LSTED BELOW HAVE BEEN 133USD TO TIIC 4vSURED NAMED ABOVE POA THE POLICY PERIOD INDICATED. NOTWITBSTANDING ANY REQUHUiFfENT, TEAM OA CONDITION OF ANY CONTRACT OR OTHER DOCUM1IENT WITH RSSPEC770 WHICH TB14 tBRTIFICATB MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFUADHb BY THE PCILICIE9 DESCRIBED HEREON IIi SUBJECT TO ALL THB TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLTC LTAUIS SHOWN AfAY HAYS BEEN REDUCED BY PAID CLAPIS. CO MHOB INSVAANC6 POLICY NUMBER POLICY 6FP. lpLICY BXP. LIMITS 1TR DATC DATE MMlD GENERAL AGGREGATE COMM. GENERAL LWBDIEY PROD-COMP/OPAC4 CLAMS MADE ^ OCC ~ PEAS.6 ADV. HVJORY OW NLR'S 8 CONTACT'S PROT GCS OCCURASNC6 PIRFD DAMAGE pia PIKE) D~IA E7CP_ Baru AU70 LIABILITY ~ ~ ~ COMBDVPD STNGLE ANY AUTO LDTH7 ALL OWNED AUTOS HODH.Y HiJUAY SCHEDULED AUTOS fr~lEASO~I HIRED AUT09 BODD,Y W.NRY NON-OWNED AUTOS ouACCInDm GARAGE LIABILITY PROPERTY DMLIGL EXCESS LIABILITY EACN OCCURRENCE UMBAEI.U FORM ACGRHCATB. OTHER THAN UMBRELU FOAM - ~ _ .. Sf~'' _.}~„~9°..~yfS7$E. A OTHER 409-1UST001 12/31/06 12/31/07 $1,000,000 PerOcctlITence EnvlronmentRt impairment LlabLLlty for Underground and Above Ground 52,000,000 Annual Aggregate Storage Tanlo DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLE5/SPECIAL ITEMS As pertains to the covered location(s) referenced in the attached Iist. .._._.. _...T _.._ ....---~......_.,,---.__. --_ ._ .. HA R'R~.,m. _ ."~~ :~~,~ ''_'~'~:~... ~. ~-'- 1eA.7~0. '.e' m is _ ~Ti7~ State Of California ~ SHOULD ANY OP THE ABOVEDEEC'AD)ED POLICIES BE CAtiCELLED BEFORE THE State Water Resources Control Board IDLPDIATION DATE TREREOP, THE tSSIfHx; COMPANY WILL ENDGVOR TO DIVISIOn Of Clean Water Programs P.O. Box 944212 MAa w DAYS WRITTEN NOTICE To THH CER7IFlCA7E xOLDER NAMED TO THH ^` LEFT, BUT PA¢UAE TO MAR SUCH NonCE SBALL IMPOSE NO OBLIGATION OH Sacramento, CA 94244-2120 c~ LIABdITY OF ANY KIND UPON THL COMPANY 17S AGENrS OR REPRESENTATIVES, Certificate no: 06-153 with attached Endorsement Replacing: New AVTROAIZHD°cwccENTATIVE ~: ~ ~~ ~I/t C/ ' ~a,:,o,:~f-: :f'~:s~~~'z~~_~„-s~~,~... ;.. ...._s;~'n~` mml,.. = ~x,~ .`L :•._ ~~„'~1~3'» "~nw . ~s s:lrisklwardltemplaccord.doc Endorsementto Certificate of Insurance 06-]53 ao ~>~, zso.oT ibl 121 ATBT California CERTIFICATE OF IIISURAHCE Name: [name of each covered location] See attached list. Address: [address,of each covered location] See attached list. Policy Number: 409-1UST001 Endorsement (if applicable}: Not Applicable Period of Coverage: 12/31/2006 -12/31/2007 Name of Insurer: Gateway Rivers Insurance Company Address of Insurer: 76 St. Paul Street, Suite 500, Burlington VT 05401-4477 Address of Insured: per Certificate of Insurance Certification: 1. Gateway Rivers Insurance Company, the "Insurer," as identified above, hereby certifies that it has issued liability insurance covering the following underground storage tank(s): See attached list of sites. for taking corrective action and/or compensating third parties for bodily injury and property damage caused by either sudden accidental releases ornon-sudden accidental releases or accidental releases; in accordance with and subject to the limits of liability, exclusions, conditions, and other terms of the policy; arising from operating the underground storage tank(s) identified above. The limits of liability are $1,000,000 each occurrence and $2,000,000 annual aggregate, exclusive of legal defense costs, which. are subject to a separate limit under the policy. This coverage is provided under.policy number 409-1UST001. The effective date of said policy is 12/31/2006 to 12/31/2007. 2. The Insurer further certifies the following with respect to the insurance described in Paragraph 1: a. Bankruptcy or insolvency of the insured shall not relieve the Insurer of its obligations under the policy to which this certificate applies. b. The Insurer is liable for the payment of amounts within any deductible applicable to the policy to the provider of corrective action or a damaged third-party, with a right of reimbursement by the insured for any such payment made by the Insurer. This provision does not apply with respect to that amount of any deductible for which coverage is demonstrated under another mechanism or combination of mechanisms as specified in 40 CFR 280.95-280.102. c. Whenever requested by a duector of an implementing agency, the Insurer agrees to furnish to the director a signed duplicate original of the policy and all endorsements. d. Cancellation or any other termination of the insurance by the Insurer, except for non-payment of premium or misrepresentation by the insured, will be effective only upon written notice and only after the expiration of 60 days after a copy of such written notice is received by the insured. Cancellation for non-payment of premium or misrepresentation by the insured will be effective only upon written notice and only after expiration of a minimum of 10 days after a copy of such written notice is received by the insured. e. The insurance covers claims otherwise covered by the policy that are reported to the Insurer" within six months of the effective date of cancellation ornon-renewal of the policy except where the new or renewed policy has the same retroactive date or a retroactive date earlier than that of the prior policy, and which arise out of any covered occurrence that commenced after s:lrisklwo rdllemplaccord.doc the policy retroactive date, if applicable, and prior to such policy renewal or termination date. Claims reported during such extended reporting period are subject to the terms, conditions, limits, including limits of liability, and exclusions of the policy. I hereby certify that the wording of this instrument is identical to the wording in 40 CFR 280.97(b}(2) and that the Insurer is licensed to transact the business of insurance, or is eligible to provide insurance as an excess or surplus lines insurer, in one or more states. ' Signature of authorized representative. of.Gateway_Rivers_7nsurance Co. _ _ _ _ _ __ _ _ _ _ _ _ .. .. _. _ _ Type name: Robert Bourdon Title, Authorized Representative of Gateway Rivers Insurance Co: Insurance Off cer Address of Representative: 76 Saint Paul Street, Suite 500, Burlington, VT 05401 s:irisk\word\templaccord.doc 2007 Financial Assurance -All CA USTs as of 10/27/06 Affiliate: Pacific Bell Telephone Company dba AT&T California ' County • ; ; Tank Type TANK CLA55 i' ~~ ,'v ~' V i~= 1245 29300 N. ROADSIDE DR. AGOURA HILLS LOS ANGELES 351 , „ 1000 „ 0 D , „ ,, C Main UST _ _S ,__ ~ _ ~ KC229 33133 AGUA DULCE GYN. RD. _~ L..__.._......_._ _..-_.~.__._~ AGUA DULCE ~ LOS ANGELES _ 1569 ; 1011 _ I D _._....~... _ ~ C ~_~__~~_~ Main UST ~S ..._._ ..~...._ ~- T _. .`•03004 2100 CENTRALAVE _........-...._.._.. ALAMEDA ALEMEDA 1040 3000 ; ; D C Maln UST S _,_._._._.. i ._..._- ----...__...__-_----------- ,020115 1612 SOLANO AVE ------...._..___----------- ---- ALBANY ALEMEDA -_. _..__.._._.... 1 2 81 _ ___°_ __.__~ 1 5000 .-..._-----..__... D _. ...-..--------.-_ ~ C Mafn UST -' = ' S E1101 X21 S~FIRST ST_ ALHAMBRA LOS ANGELES ___ __ _ . _ _ 354 ________ 1 10000 ___ D __ __ C Main UST S ~ ':E1101 121 S. FIRST ST. ALHAMBRA LOS ANGELES E1101-0002 ~~_ 10000 w ~~ , ~,_ •___...••_ jD1257 j2249 W;VICTORIADR ALPINE SAN DIEGO 1610 ' 2005 1 ) D C Main UST S i __ _._-_______. CA100 217 N LEMON ST. iCA100 I______'__._._._._._._-- 217 N LEMON ST. "CA101 3502 W ORANGE ~~ ~ _____ ~~_ ___ ANAHEIM ANAHEIM ____ ANAHEIM ORANGE ORANGE ORANGE _ __. __- -•-----• 1710 1711 1658 --•-------- 302541 _ 30254 6016 __ _ ------- D i.._.__.____-- D D ___ _ _ __ _ C -.----...--_- _-- C ___, C Main Main Main UST UST UST ___ .. S ~ S S 1 ' __...___ ---------_--•-- ....._.~ CA158 _ _ _•,..._ -._. _, 3031 E. LA PALMA _ ~ ANAHEIM ~~_-~_._.._.____..__-._.. ORANGE __~_~ 1650 ~_- _-__ _____._. 4030 ___~y 1~~p ~'^ ___~~ -~-~- _ _ _ __ _ ~ ~~ C~_ -~-- - ~ _ Mam UST ._._..__._.__...._... S -- CA215 i200 CENTER S7'. PROMENADE ANAHEIM ORANGE ~ 'f708 1500 D t C Main UST S ---- CB388-__. 7295 COLUMBUS~DRIVE -______ __-------------_ ANAHEIM ORANGE _.___.___.._ 1685 ---.._.__..~._ , 3000 --------- + D --~----------•-- C Main UST --.... _..~ ••_,•_____S •_._,._., INF001 1 U~ W. 20TH ST ANTIOCH CONTRA COSTA 173 1 4000 ____ __.__ ; D _. .~_,_, C Matn UST 8 ~ NF280 855 POLOAVE APTOS ~~~ SANTA CRUZ 71 1 2000 : D C Maln UST _ ~ 5 ;E5100 ,15 E. ALICE STREET ARCADIA LOS ANGELES _ _ M1539 ~ _______ 10063 _ ; D _ __ ____ C J Main UST S TE001 ;1300GSTREET ARCATA HUMBOLDT _ __ _ 311 _____ ~1000 i D _ _ __ C _ Main UST ___ __ _ _ _ ___ S ~__~__ ~LB148__~9129_MAGNOLIAAVENUE T~____ ARLINGTON RIVERSIDE _____ 1591 6016 _ D _____ ___ C Main UST S 'SE253 1225 N. HALCYON RD ARROYO GRANDE SAN LUIS OBISPO 1159 2005 D C Main UST _ _ S_ 4 ~SE006 6220 ATASCADERO AVE ~-_.-...._....-__.._~.___-.-...._.._-._..._-.._..-..___._______-_...._.._..__ ATASCADERO _________ .-_....._._.___._.____._~ SAN LUIS OBISPO 1109 ._______________ 2005 ___________.____ D _..._._.._....____ C ..___...._____.__...._ Main UST S ....._........._._....._.._....I ,1125 LINCOLN WAY ~TB005 AUBURN PLACER 1005 2000 D C Main UST S j _ .. _ ___..____......-----....___._~.._.._..__.... ~$E162 ~~ ;133 SAN RAFAEL ST AVILA BEACH SAN LUIS OBISPO ._._..r..______ 1160 ______ 520 _ D _~-_--_ C Main UST .••.,.••_• _.__..___. ~ S j _ 004.1918 M STREET ~__ ^_ BAKERSFIELD _ KERN 1139 20149 D C Main UST ____ _ __ __ _ ___ 5 1 ~ SA 3221 S. H STREET ____ _ _ BAKERSFIELD KERN 1280 60161 D C Main UST _____ S IL 102 311 E. BALBOA BALBOA ORANGE _______ _1588 ~ 20051 _ ___ D _ _ _ ____ _ - C ~~ _~ Main UST S ;SE161 2053 10TH STREET BAYWOOD PARK ~ SAN LUIS OBISPO SE181- 3~ 2319 D C Main UST S : UE197 FREMONT RD ....._.__..----- ---------__.__-._..y..-_-..._~_----.---- 4 6931 ATLANTIC BLVD E BEAR VALLEY .__.~._.~._._...~__._.._._..._. BELL CALAVERAS _158 ~ E 2000 -~ _ ~__D~ _ - _ _ _ _ _C _ ~ ~~ - ~~ C-Y~ ~~ Main UST -,.____•. _.,__, _•_., _ _ _ S _ _ `~ ~ S - _-_ _ '• . , 210 NF009 9575 LOVECREEK BEN LOMOND LOS ANGELES SAMA CRUZ 2104-0002! 1278 96541 1000 __ _ D D C Main i M UST U T S ..___~ ] a n S iTC054 935E 2ND ST Q2002 12116 BANCROFT WAY BENICIA BERKELEY SOLANO ALAMEDA 1236`: 1133~ 4000? _~.~_ 8021 D ~ D C C Main Main UST UST S - ---- -- S iH2100 ,490 N. FOOTHILL RD. BEVERLY HILLS . LOS ANGELES ~.____ 15b7; _______ 2~0793 1 ___ ___ D C Main UST _ _______. S ,; 'SE191 172 WENDY WAY BRADLEY MONTEREY _._,_ ___ 1155; . ___ r ~ 1003 __ -__ _ D _ _ _ ____. C Main UST _-_„_ -_ _ S ;DA103 .301 E. STREET _ BRAWLEY IMPERIAL 320: 1500 _ _ D C Main UST __-. __, _. _,- S 2450RANGE_______________-____, !CB157 ~ BREA_-----_---- . ______ ORANGE _~~" ~-_'1738 8 1 ___...~._.___ _. -._ -C_~~. Main UST -...-.~--S._~.._~.._` -._- ~.-.__ WFU04 ;645 2ND STREET -- _.__ BRENTWOOD CONTRA COSTA 1138' 2006 D _ . C Main UST S ~CA106 17701 ARTESIA BUENA PARK ORANGE 1545 10000~ D C Maln UST S _..______y._...._..___._.___._~_.____....__..__ !C8622 189250RANGETHORPE BUENAPARK ORANGE ~___~ 1606L ____w ___.•_20074r _ __ ~,D __, _____ C____ Maln UST _ ___- ______ __.- -_ S _; ~K3100 '280 E. PALM AVE. BURBANK lOS ANGELES 1523 10000 , D C Main UST S ;K3123 ---__..._-._. 300 1 THORNTONAVE. J.-_- BUF2BANK~ LOS ANGELES _ 1703 1 8000 D C T -- ---- ~ ~ Main UST _ __-S-_- -_ i r ;P3006 _ _ _ j1480 BURLIIVGA MEAVE ~ BURLINGAME ~ ~ SAN MATED ____ T1198 10054 - D C Main UST S 6 1358 _ __ _ ! 4885 LAS VIRGENES ROAD v CALABASAS LOS ANGELES __ 1697 _ ~ 10000 D C Main UST _ S _ __ _ 81433 _ ~ 2360_0 PARK SORRENTO T'~ - CALABASAS LOS ANGELES 1687 12000 D C Main UST _ _ ___ _ - ___ S _ _ DA213_ 100 W_. SHERIDAN _ _ -~ CALEXICO J ~- ~ IMPERIAL _ _ _1661 ~~ ~ __ _ 2005 D __ _ -T _ __ __C _ ~ Main UST - . S 81100 {22012 &22018VANOWENST. _ _ __ CANOGAPARK - ~ LOS ANGELES __ 1712 15000 D _ C Main UST ____ -S j ;DB118 ~_.___..~ NE019 ~3368HARDING ..__.._.._ ____._______. SNU COR JUNIPERO ST CARLSBAD __ CARMEL SAN DIEGO MONTEREY 1704 __._.______ 1172 __ ~8000 . 5076 ~~+--D^~ _.____ D _ _ _ ___ ~~ C - __.---_-__-- C Main Main UST UST _____S_..____- S - ..-1 jNE023-___ 6 W.-CARMEL VLY RD CARMEL VALLEY MONTEREY 1156 1002 D _ _ C Main UST S IKC574 _______ 28618 THE OLD ROA D • ______ CASTAIC LOS ANGELES 1692 , 10152 D ~ C _ _ Main UST ~ ___ S______ _. - ~~~- ISE026 _ __ _____ ~6513TH STREET _ ~~ ______ __ CAYUCOS ~ _ SAN LUIS OBISPO ______ _ ~~ -1283 __ __ ~- 1500 ___~_ D _ _ __ ____ C ~ Main US7 , S H2115 2010 CENTURY PARK EAST CENTURY CITY LOS ANGELES 1531 8000 D C Main UST S `TA 1 01 t_-...---------- 518 W. 4TH STR EET -------- - CHICO BUTTE ~ 4 132 12000 D C Main UST S - iUG004 ------....______ -•------ - 515 KING ST .------------------ CHOWCHILLA MADERA . 1286 500 1 D C Ma(n UST S D3101 420 THIRD _ CHULAVISTA SAN DIEGO 1618 6016 D ----- C Maln UST S i !D3236 1090 APACHE CHULA VISTA ~ SAN DIEGO 1536 1 5000 ~. D C ------------- Main UST ~- R~ S € tW1202 ------------ 8191 HIGH ST ------ - CLAYTON CONTRA COSTA 1136 2005 ! ; D C Main UST S ' L iTD058 ---------------...__---------- - 14902 PALMER AVE ---------------------------__ CLEARLAKE LAKE __...------------ _ 348 ~ ~ -•--__~ 1 2000 ~ .__.._-_.._- 1 D ___ -~ T _-------------- __ _ _ C_ _ Main UST ___-•_ _ _.._____ _ _ _ S _ _ i ~ S8008 r------- ;525 E. SHAW A_VE _ q------- CLOVIS FRESNO 1065 ..._M___~. ~ 10000 _ D C _._._ Main UST S ____-_.__~ iSD006 X198 E. DURIAN ST COALINGA FRESNO 304 T 1000 D C Main UST S ! ~A1101._ . :608_E: COMPTON BLVD . CO MPTON LOS ANGELES _ 1 A1 1 -0002 0 100 OOt _ D _ _ C ~ Main UST _ - N S W1004_ _ __ _ _ __ _ 1171.4COLFAX - - - ~~ _ _ _ __ _ CONCORD~_-- - __._ CONTRA COSTA . _ _ __ . ____ _-__1030! ~ ~~ •~ __ ___ _ __ 10063 -~ _ D _ -~~+ ._._._ _.._y _ C _ ~~- Main UST __ __ __ _ .. __ ___ __S _ __ - i W 1201 : 1611 CLAYTON RD CONCORD CONTRA COSTA 1043, 200001 D C Main UST S TA023 1 1314 MARIN ST CORNING TEHAMA 877! 1000~i D C Main UST S ' LB124 j <511 JOY _ 02FO D WP CORONA __ ^ RIVERSIDE 1555 '~ 5013 _ rV~~ D ~ _ _~~ C '~~~ ~~ Main UST _ _ _ _ _ _ ~~-~ ~~ S ~ ~ ~LE129 _ _j D3186 _ j i LE103 __ 43 R ROAD NE ORTB 756 Orange Ave. 1786 -96 ORANGE AVE ~_^ CORONADELMAR Coronado COSTA MESA~~_ _ ORANGE San Di o ORANGE __ 1547 ~ ~~ 1744 4 189 ____ 6000 - 75000 ~ 8000 D D D C C C Main Main Main UST UST UST ---__-_..S-.-...-.-.-„-. S __ _ S ~ jH4113 3847 CARDIFF ^ CULVER CITY LOS ANGELES _ __ 1601 ___ ~ 8022 __ D^^ C Main UST _ _ ~ "•~- ~~-~S j W 1134 _ 590_SAN_RAMON VALLEY BL_ _ DANVILLE _ _-- CONTRA COSTA 1265 _ 4030 D C Main UST S W1386 3900 BLACKHAWK PLAZA _ _ _ -_ - DANVILL_E -~ CONTRA COSTA _ __ _ ~ ~ ~ 353 _ ___ ~• 1015 2 _ __ __ _ ^ - D _ _ __ _ _ C Main UST _ _ -.. _ _,,.,,,. _.___ S ( M6149 3020 DELMAR HEIGHTS _ DEL MAR ' ~ SAN DIEGO __.._ 1670 _ -10152 _ _ D _ ~C Main UST __ _ :, S !SA149 925 JEFFERSON STREET _ ~~ _ __ DELANO ~_ KERN 337 1D00 D C _ Main UST 4 __ _ _ S _ _ - 1D1107 ----------- 120 SOUTH LINCOLN --..._------------------------------ EL CAJON ------_. __.- SAN DIEGO D11070001 ------ _ 60001 __-. _ D - C Main UST S .._ .- ... 1 D A122 763 STATE STREET EL CENTRO IMPERIAL .- 1540 _ -__ 4000 _ ------ - D _ _ __ C - - T Main UST . .. . -----.-.....-... S ~ _ _ _ ~A5110 ~ X -- -- ___ 201 S. DOUGI.AB S7. ~~- EL SEGUNDO .__ M LOS ANGELES 958 __ 10000 D _ _ .__._ C ~ ~ Main UST _____ ___ _ _ _ ~S .__..... _-__...._ W2038 1 iLE140 4849 APPIAN WAY 23011 EL TORO EL SOBRANTE EL TORO CONTRA COSTA ORANGE _ _ 7115 _1734 _^ ___ _ 4011 ~ 15D00 _ D_ _ _ _ -D _C _ __ C~ ~- Main Main UST UST I _ S _ __ __ S I jD8274 SEBAY DRIVE , 119 RO ENCINITAS SAN DIEGO _ _ . _ 1888 12000 __ D _ __ __ C Main UST S UG010 ~ D6108 _ _ 1812 COLEY AVE ~~- 146 S0 BROADWAY __ _ _ _ _ -' ESCALON E_SC_ONDID_O _ ____ - SAN JOAQUIN SAN DIEGO 1277 _________1649 10001 ___ __8047 D ______D___ _ C _ ___ C___ ~ ~- - - Main Mafn UST UST ___ _ ~_• _ • • S _~ _ - ~~ •-~S ;D6651 __ 1 - iTE008• 2NDAND BROADWAY - 1818 F STREET ESCONDIDO _ --- EUREKA SAN DIEGO HUMBOLDT ___ 16_74 ~__ 313 1203_2 , 6000 _ D _ - •D __~ __ C _ __ C Main Main UST UST ___ _ S ____ _ y S 00001 31 CALIFORNIA AVE 79 FAIR OAKS SACRAMENTO 1223 15023 D C Main UST S ,__..__~ ,TC033 _ 738 WEBSTER. ~......_ ^.- y" FAIRFIELD SOLANO 1310 ~ SOQO _ ~ C : Main UST ._•._•,-•-_ _____.-..__ S . __-_ D®413 717 STAGE COACH LANE ___.-____....---....__ FALLBROOK SAN DIEGO ........__...... _ 1895 _------- . 6000 ._..__ __. D ..........._ .._._-.. C Main UST _ . .. ... S NF031_- 6206 HWY___9 _____^_~_~^_~ _ FELTON ~_-'~---~ SANTA CRUZ _ ~~--- 1274- ----" 1000y D_...__. _...._.__C..____. Main UST _.r..__S..._•__,••_ iKD100 ! LB 132 i----------- 233 A STREET _ ~ FILLMORE _ 16816 ARROW FONTANA - ---- VENTURA SAN BERNARDINO _~ KD100- L6132-U3 2500 10152 • D D ~ C C -- ---- ° Main Main UST UST _ S __'_ _-_ _.__ ~. S ~- ;TE015 ____ -_......------.-_--_-------~-- 832 L STREET FO RTUNA -~~ HUMBOLDT - -----°___. 1288 .._._._- 1000 ---- D -- - G Main UST S !P5003 _ _ 36789 FREMONT BLVD FREMONT ~ ALAMEDA 1060 10000 _ ? _ D _ __ !~C Main UST _ __ _ ~~ S- -~ P5025 4073 ADAMS AVE FREMONT ALAMEDA 122 1 25018 ; D C Main UST S I S6025 ;14451455 VAN NESS AVE. ~~ FRESNO FRESNO _ 1085 25381 D _ _ ~ C ^ Main UST __ S I S8026 14781 E. TULARE ST FRESNO FRESNO _ ___ _ ~ 1069 ~~ ~ 3008 __ _ __ __ . b_ -~ _ __ -~ -~ - • C ~ - Main UST _ S I +SB052 420W SIERRA AVE FRESNO ~• FRESNO _ ___ ~•~~1108 ~~ _ .___ 5076 __ D~ ' _ _ _ __ __ _ '~ C ~_ Main UST _ ~ -.....S...::=~Y.- ~ ISBR29 _ 4309 N. POLK AVE FRESNO T ~ FRESNO 1177 ~ 3009 _ _ D C Main UST ~ S iC8107__ (143 EASTAMERIGE ____ ___ FULLERTON_ __ ORANGE CB1070002 _10000 D C Main UST _ _ _ S_ _____ ~ - Y • ~ ^ CA111 13062 EUCLID ST GARDEN GROVE ORANGE _ 1642 10063 D C Main UST __ __ _ _S _ _____! - (A516fi ___ 16208 S. VERMONT AVE. GARDENA , LOS ANGELES ___ 15Q7 10000 , D C Maln UST S _ ~A5188 _______ ~ 17200 VERMONT GARDENA LOS ANGELES _ 1562 20000 ) D ____ ~,-_ C Main UST __ ^' S __ IA5188 17200 VERMONT GARDENA LOS ANGI=LES 1563 -20000 D __ C ~ Maln . UST _ ___~ ~ ~ T ST K2107__ ,124 S. ORANGE ST. GLENDALE . LOS ANGELES 1614 ~ ~~•- ~ i-__._._~0152 ---~ D- •~ ~ ~~~- - ••~~~ - -C - ~ _ - Main UST S ' . lTBR01 _ _ ___-._____.___._ ______ _ ___ 23397 STATE HWY 49 GRASS VALLEY ~ NEVADA _ _ __ - - ~ 806 I 1000 _ _ _ _ -~ D ~ _ _ _ _ _ __ __ -~~~ ~ C Maln UST _ ____ _ ~ - S •-`_......i PC083 ti__-__..__ A5102 jb25 KELLY AVE.. HALF MOON BAY .__-_ 12722 BIRCH HAWTHORIVE SAN MATEO LOS ANGELES _ 2074 ---_____ 1622 4000 8022 D D C _.;._..._.._.._ C Main Main UST ~ UST S ---..._._._.._.-..._._. S JP5008_-__ __ i1129B3TREET_ ~ HAYWARD_ ALAMEDA 1273 80 21 D --~~•~--C --- Main UST M- - _-~S - - -~~~- IP5032 ~ _________ _-__- __ ! 1680 DEPOT CT HAYWARD ~ ALAMEDA ____ 1188 _ 5075, _ D~ T _ ~ C Main ~ US7 __ _ __ _ _ S ~ ': J, P5096 X ~___ jTD124 _ _ 221 W INTON AVE FiAYWARD 247 EAST STREET -_ HEAlDSBURG - _ _ ~ ~ ALAMEDA SONOMA 1293 857 35039, 1000 D ~_ 0 ~ ? C C Main Main UST UST _ _ _.__.__ S _ • . __ i S ) 4W6185_ L6233 . _ _ _ - _•_~____ 1540 SYCAMORE AVE_ __ HERCULES ____ _______ 268408ASELINE •- _ ~~ HIGHLAND! ~~ CONTRA COSTA S _ _ _ _ ~_~_~ ~_ 1116 - ~ _ __ __2005, _____ D ____C _ ___ Main i UST T _ __ _ _ _ S_~~ ~-~~ _ S ANBERNARDlNO _~1726 __ 8000; D C Ma n US __ _ ~ ~ NE037 540 SALLY STREET HOLLiSTER SAN BENITO 1222 2500; D C Main UST S IH3102 _ 1429 N. GOWER ST. _____ Hol~ood ~ LOS ANGELES ~ 1741 _ 20000 _ D _ C Main UST __ ___ __ _ _ S JE2105 ! __ _ _-_~_ 6822 SANTA FE AVE. V " HUNTiNGTON PAR K LOS ANGELES E 21 0 5-U3 ___ 10000 ____ __ -D-~ _ __ _______ C ~ Main UST S ._....__.._____, i WC_135 ! _ __ ...__.._____._.._--~---~.__-------_ .__._._T 35_0 ALAMEDA DEL PRADO IGN_ACIO ~ MARIN _ . . ~ ~. 1299 _ - -4000 ~-~~ D - _ ___ _ -} ~ C ~ + Main UST _ ___.._ _._.-.. - S - ILD3102 i 1288 PALM IMPERIAL BEACH SAN DIEGO _ ~ 1621 5011 _ D __._ _ _ ~ ~C ~ Main UST _ S - ~ iA2104 X L ~M~_ M 301 LABREAAVE. ~ INGLEWOOD _...._......_ _ . .._....-.--__---------------- - ----- - LOS ANGELES 1635 10037 D C ~ Main UST _ _ _ _ .- , _,_ ~ S •~ f UE011 ; . .. .. ---------- ---_____ -_ ----- 115 Church St ZONE AMADOR ._._....------~--- 1308 ----••--------- 1000 --....__.------- D ----.___.___.__ C Main UST ._ . ............._.......__... S ; --_ - _ ---._ ILC392 .______-- 2350 MAIN STREET IRVINE --------_.____.~_---------..____ ._._.~.____~ ORANGE _ 1594 .._.„_..----__. 15023 __.________ D _ C ______.._..- Main UST __ _ _ S _ ___ .. _ ~ ~ LC392 f 2350 MAIN STREET IRVINE ORANGE LC392U3 [) N Main UST i S ;LE159 .__._ ___ 49181RVINE CNTR DRIVE______ IRVINE _____ ~ _ ORANGE LE159-0002 10000 D N Mafn UST _ S ~ LE584 39 BUNSEN IRVINE ORANGE 1716 _ 8021 D C Main UST S !UE016 I SECOSTREET JAMESTOWN TUOLUMNE _ ___ 1284 500 D C Main US7 _ _ __ ___ -•S !TDU50 X 3775 MAIN ST KELSEYVILLE ~~ LAKE 346 1000 D C Main UST S ISD024 X 1431 MARION STREET KINGSBURG ______ FRESNO _~ 308 ~ ~ 1000 D C Main UST ~ ~~ S ~ K1111 J 4815 OAK GROVE LA CANADA LOS ANGELES __ _-_-_,.. 1725 _ _ 5000 _ __- 0 ___._ _____ C Main UST . _._ .^ _ , S ~_..----.-... 'K1113 _I -M _____ _ ^________ ._----- --- - - --- - -- ------ 2320 FOOTHILL BLVD. LA CRESCENTA -~ LOS ANGELES ____ __ ~ 1548 ___----i _ 80_ 00~ -------- ~ D _ _ _ _ _____ _ C ~_ ____ Main UST S ~j IM2128 ~ 7569 GIRARD LAJOLLA SAN DIEGO 1550 5062 D C Main UST S _~ i _ D3116 ! ~---------_-- 4711 SPRING L'A MESA ------------------------------------- ------------------------- SAN DIEGO D3116-U1 J ---------- 10369' ---------3 D ------------- ~ C -------...___._. Main UST ._,_ S ...................~ LE287 ;D1197 ---------- 24421 ALISO CREEK RD LAGUNA NIGUEL _ ______ 9580 LAKEVIEW RD LAKESIDE ~~~ _ ~ ---------- -----_ ._____-__ ~~~' ORANGE SAN DIEGO __ ____1566! - 718; __, 6016 2000' _._.~_..L __ _ D_ -- -DT ~ ___ M _ _____ C ____ _ C ___.. Main Main UST UST S_ _._____S ,-___....J iW3006 !TD122 7 KING STREET LARKSPUR CANTO PEAK RD LAYTONVILLE MARiN MENDOCINO 4731 _ 497 40001 1986) D _ . D_ _,..-._.. C _._..,..-_. C......,.__.._ Main Main UST UST S S _ fSD027 ~ _KC138____, _ 126~HEINLEIN _ ~ ___ _ LEMOORE __ _ 9550 PEARBLOSSOM HWY.~_ • LITTLEROCK_~ _-~ ~~ KINGS LOS ANGELES . __ ~ ~ 1289.~` ____~1689i 20007 ______ 8000~~ .-__ . ___ D ..__. D ,•. C_„_____ _ C _____ Main Main UST UST _ _ S _ ____ _S _ ._-._ ^.~.--..____~~~.r____- 1PE016 2388 SECOND ST _ ____ LIVERMORE ALAMEDA 1051 400 ~ _D - C Main UST S ~a - _ rv_- i UE020 _ 124 W. ELM ST LODI SAN JOAQUIN 1214 ____ _ ~ ~ 800 D C ___ _ __ ~ - - Main UST S __ ._ ~._~ iA4104 125624 WALNUT ST. LOMITA LOS ANGELES 9717 E 5000 D 1 C Main UST S iT6043 IWALNUTSTREET LOO MIS PLACER _ __ _ 1306 1 1000 _ 1 -D C Maln UST S i P6004 161 N. SAN ANTONIO AVE IA3101 ;10600 S. VERMONT AVE. ~^ _ LOS ALTOS LOS ANGELES SANTA CI.ARA LOS ANGELES 98 1510 4000 6000 1• D D _ ._ ~ ~ C ~ _.___~C_______ Main Main UST UST S j _.-.___,_S.._-_-. ~A3102 6900 S. VERMONTA VE . LOS NGEL E A S LOS ANGELES __ _ _ 1 15 8 _ __ T 12 0 0 0 _ D ; ^ C Main UST _••_ S _ _ _ _ _ _ E3100 3434 4TH STREET _ W - _ _ _ ___ _ _ _ _ LOS ANGELES ~ LOS ANGELES _ _ _ _ _ 1600 _ _ _ __ _ 10063 _ _ _ ~ D! ______ -_ _ C _ Main UST -.... ____..•,..S.•.__.• iE3103 '~ 16135 E. WHIT7tER BL D~ ~~ V LOS ANGELES LOS ANGELES ~' 1617 10063 0 ~ _ C Main UST S ._ _ _ _ G1100 ~ f 2445 DALY STREET '~'~ LOS ANGELES _ .~ LOS ANGELES _ _ _ 1_528 ~ ~ _ 10000 ___ Q _.___ C Main UST .S I G1101____- 1207 NiAVENUE 56 __________ r LOS ANGELES __ LOS ANGELES 15_3.0 _ _ ^ T _ ___ 6000 ___ D_ _ C Main UST S G1125 ,1255 N. VERMONT AVE. LOS ANGELES LOS ANGELES 1524 10000 D C Main UST ~ S -_~ ~. G2917 ~~ 720 8 740 RAMPART - LOS ANGELES LOS ANGELES 412 12000 D ~~ C Main UST : S __.._....._...._.... . . _ G2124 [111 N. UNION AVE. LOS ANGELES LOS ANGELES 1508 10000 _ ~ D ______..r.~ C Main UST . . __.! S i G3100 1433 S. OLIVE ST. LOS ANGELES LOS ANGELES 1807 25381 D C ... Main UST S .. .......... !G3108 !420 _._L _ S. GRAND AVE. ~_~_ LOS ANGELES LOS ANGELES ._.--------_-- 1609 ----------- 25500 ---------- D -._.._....~._.._._ _ C Main UST _ ___ _ S _ _ __ _ G3108 y420 S. GRAND AVE. _ LOS ANGELES LOS ANGELES 1608 •~ 25500 ~~ D~ _ ~~ -~ C w Main UST 5 ~ ~ ~ G4100 1501 8 495 E. VERNON AVE. G4101 1 900 81904 S. GRAND LOS ANGELES ~ LOS ANGELES LOS ANGELES LOS ANGELES ___ _~_~ 1509 ~ 1538 _ 10000 Y~ 10000 __D D ~~ _ ____ _ "~__C ~ _ C Main Main UST UST _ '._~_ _.S__~_ __ S . t _ _ ______ 1H1113 3233 W.-VERNON AVE. _ __ __ LO3 ANGELES ~ LOS ANGELES 1584 ~ ~ ~~~4060 _ ~~ i7 ~ __ __ ~ • ~ C Y Main UST S H1113 3233 W. VERNON AVE. ;H1116 1935 W. ADAMS BLVD. _ LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES _ _ _ 1565 1520 1 4000 8000 ; _ 0 ~ ; D _ _ ~ C C Main Main UST UST _•_ S_ _ _ • _ I S H4100 666 S. LA BREA 1-------._._-- --------------.._.._.__------.._..___.._.._ LOS ANGELES _ __....___ _---~------ LOS ANGELES _ ____1527 ~'+- 8_0001 ___._ ___ D_ ~ ~- _ _ C _ _ ^ '~ ~ Main UST _ _-___S - _-__ _; . H5103 7323 SUNSET BLVD. LOS ANGELES LOS ANGELES 1719, 10000 D C Maln UST . __,_~S__•._~I ! H5110 8075 MELROSE AVE. LOS ANGELES LOS ANGELES 1549; 100001 D C Main UST S ____ !A2105____ 8530 AIRPORT BLVD_____•_ LOS ANGELES ~ ------- LOS ANGELES A2105-U2 -_.__.___~ _ 10000' i __ D --- N ---------------- _ __ _~_____ S ___ _ _ G21 i 7 720 & 740 RAMPART ;-----------.__...___.._...___..___.. __ .___ LOS ANGELES LOS ANGELES G2117U002 ~ 10000; D N S _--__ .-_ . i G2124 111 N. UNION AVE. UG027 221 SO. E STREET ____ ------~~~_~__ LOS ANGELES MADERA_ T LOS ANGELES MADERA ____M____ G2124- 470 ..~~.___~. 100001 300 ~ ~._.__._.__. D 0 D ______.___._ N C Main UST -------------......i ____ _ S _ _ I _ ~- _S _ ~ _~- - ~ -~ ~~ - iWF018 ~515E.STREET MARTINEZ CONTRA COSTA 1067 4030 D C Main UST S !TB044 1421 FSTREET _ _ MARYSVILLE YUBA 899 5000 D C Main UST _ S j _ !TD059 ?625 HOWARD ST _ _ _ MENDOCINO ' ^ ~-~ MENDOCINO 1224 517 D C Main UST _ S P3071_ __ 2950 SANOHILL RD W MENLO PARK SAN MATED _ 1150 3008 ~ D C Main UST ~- S ~ UG034 ;44018TH STREET' MERGED MERGED 1044 ~__ ~ 6000 D _ C Main UST _ _ - S ~~ ~ IW3012 300E BLITHEDALEAVE MILL VALLEY MARIN _ __ _ ~ 1257 ___ _ 5000 _ __ _ T D ~ ^ _ ___ __ __ _ ^ C Main UST _ _ S _ _ ___ ~P2003 110 MAGNOLIA AVE ~_ -__ _ MILLBRAE ~~ SAN MATED _ _ __ ~ ~• _ 98 ___ ~- 3000 __ __ __ _ _ D - __ __ _ _ __ -- C ~ Main UST _ __ ___ S __ . -; ~ N2148 176 CARLO ST MILPITAS SANTACLARA 1203 10000 -D C Main UST S _r_ __~ ~~._.--t°__ jLEOCX_ 27826 CENTER DRIVE ~ MISSIONVIEJO ORANGE ._.__. ___._.___1612 ._-- _____-__5076 _____0•_ -- __-.__C___"_-- Main UST -----_....---._._.....~ S STREET .102513TH UG041 MODESTO STANISLAUS 9050 100 00 D C Main UST S _ __ _ _ _ _ _ _ _, __ %UG042 ;27283RD ST _ -...___._ ___ ___ „___ MODESTO ~.___._v ___..______ - STANISLAUS _ 873 ___ _ _ _ ___ _ 1500 _ _ __ -~ D ~~ ___ __ _ _ __ ___ ~~ ~ C Main U5T _ S ._. . ~NE044 '401 FRANKLIN ST _~ F--- ---- MONTEREY _ MONTEREY .___ 1315 10000 M _._ ___ D .... _.~..._~. _._______._. C m___._..____ _ Main UST .__...._ .__... . . _-.•__ S .•,.__. -___ •~~ , KD263 •400 MINOR. ST MOORPARK VENTURA 1581 4073 D C Main UST S iSE050 _ 1788 MAIN STREET _______ _____ - - MORRO BAY _ _____ SAN LUIS OBISPO _•______ _ 1107; ~ ________ . 1003 ___ __ D_ _ ___ _ .__ _ _ C _ _ - _- - ~ Maln UST ___ ___ S ___ _ _ 1305 HOPE ST rP6006 MOUNTAIN VIEW SANTACLARA 1007 r 1 0000 D C Maln UST S T0003 71300 CLAY ST NAPA __._. SACRAMENTO 1056,r . •~~ 5039 _ ~. D ____. _ _ ~~ C ~ Main UST S -__-- • i M3105 716 HIGHLAND_- NATIONAL CITY LOS ANGELES 1737 20001 D C . Main UST S ._ ! _ ---_--__-- _ ______ SPRING ST _ ':T8057 x305 -•-----_--.... NEVADACIT`( LOS ANGELES ---____-_ 608. _.__---•- ___ ___200~ --••_ ____-- D . .._.......__ ......__.. .C__.____. Main UST .............. ._•_..._. ._ .... 5 _ --_ - - TBi)58 9051 OLD HWY 80 __________ NEWCASTLE SACRAMENTO _--_ ____ 211 _ ~_1000[ ____ _. ___ ~ D __ _ _ C Main UST S iKC116 24705 NEWHALL AVE. _ _ NEWHALL ~ ~ SACRAMENTO 1534 1 10000 D C Main UST S ' !UB012 ~8441 CRAIGHURST DRIVE N. HIGHLANDS NAPA 1237 ( 80~ D - C Main UST S ..__ ___ 182100 17744 LAIVKERSFItM BLVD. ~ 8 _ _ _ N. HOLLYWOOD SAN DIEGO _______ 1570 __ _15000 ___ __ D ~ D ____ ___ __ ~_ C~ _ ~ C ~ ~ Main UST S 210111270 811272 MAGNOLIA BL. ~ N. HOLLYWOOD NEVADA _ 1579 ~~~~r 10152 __.. _ 1_x_ ~ _~, _ ~~ ~w - Main UST ___S _____ ~U6008 12594 RIO LINDA BLVD~~~ _ N. SACRAMENTO ~ PLACER . 1211 15000 D C Main UST S U6429 i 4752 ARCO ARENA BLVD. N: SACRAMENTO LOS ANGELES 1202 ~ 3000 D C Main UST N_. __ S. __ 63210 i8707SHIRLEYAVE_ NORTHRIDGE LOS ANGELES ___ _ 1596 __.___ 10152 __. _ D ______ __ ____ C Main UST _._ S _ .__. __._________._ Q1002 1687 FR'ANNKKLIN ST _T______ OAKLAND ALAMEDA ,__.____ 144 __ 5470 W__ ___~ D _ C ~~ Main UST _ __ S _ ~ ~ ~ _ _ _ __ Q1002 1587 FRANKLIN ST ~~~ ~,~._ _ __._ OAKLAND '~ __ ALAMEDA __._ 140 _~~.. 7370 D~ _.. 0 ~ C _~__...r_ Main UST __ _ ._ ~ S ~~~ _ ; ._._..---........ ~Q1002 ___ 1687 FRANKLIN ST__.__ ~ + _ OAKLAND ___ ____ ~~V ALAMEDA 141 _ 737 ~ _D ~-~ C ~T•~ -~-~ Main US7 S .. i !Q1002 1587 FRANKL{N ST OAKLAND ALAMEDA 14_2 ~ _ 7370 __. r _D___ .t _.. C _........---_____.. Main UST _ _ S _ ;Q1002 _ 1587 FRANKLIN ST_~~ ~ ._ Q2003 479 45TH ST ~~ r~ ~ ..... ---~__.___~ OAKLAND OAKLAND ~~ ____. ALAMEDA ALAMEDA __ _____ _~ 143 1091 ~~~ _ _ __,_ • 7370 _ 6000 ] D _ _D_ ~ ~ C _ C ~~M ~ _ Main Main UST UST _ S ? S Q3002 8925 HOLLY ST OAKLAND ALAMEDA 148 8000 D ~ C Main UST S 1 _ Q3005____12112 FRUINALEAVE OAICLAND ALAMEDA 150 5080 D C . _ Main UST __.... S.. _..... , ___..___..___._. Q3015 12810 MOUNTAIN BLVD _____..__...._y._____..____._._____.~_...__ ............._. _.,_________ ~___ OAKLAND __ ~ ._..___Y...~__.. ALAMEDA ~--~~-~--~~~-151 ___.._.... ...___.~2~0 ____ _____p........_. _..._ ..~..~ _ ____ . _.._.__C ~ ~ ......r~._._____ Main UST .___....._..S..._...........i WF020 1301 STAR ST OAKLEY CONTRA COSTA 1 164 2000 D C Main UST _J__,._, S __ _ TD070 13713 BOHEMIA HIGHWAY __ OCCIDENTAL _._. SONOMA _____ _ 993 500 _ D ~ C -Main UST _ S ~D6123. _2225 MISSION AVE OCEANSIDE SAN D1EG0 1582 12000 D C Main UST _.._ 5. . _ i' ___._______..__ `SA013 11021 CALIF ST _~__~_____• OILDALE ~ KERN 1035 3000 D ,___ ____. C Matn UST ,„.,,_ _ . .___.. ... i ~ S .._~........_.Y.______.._~__..~._._r.~_ ~:KD103 ;202 W. OJAI _ OJAI VENTURA ....._______ 1709 ~~....__ 20~ _ _.,__~_._ _ D ________.___. C Main UST __ __ __ _ .... S --...____ ---.-.-._. .-~ CA296 E4245CHAPMAN- ~_....__~.,__.____ ORANGE RANGE ___f 1733 ___. 14152 j_...,._~...._ • D __._____._._._. C ain ST _ _ _ _ _ _ ___. S_........w 101 i25250RANGE-OLIVE 08 ORANGE ORANGE ______ • ~ ~ ~ 1791 __ _ ~ 8000 j._ _ ._..1 ~ D! _.._......_.__.__..._.. C Main UST ..._......._._ ..............._.: S , 06191 :911 E CHAPMAN ORANGE ORANGE __ _ ~ ~ ~ ~1532 ~ .w ~ 6016 __ _~ __3 D ___._.. _.__•._„ _ _C. _ ~ ~ Main UST ___ ._ S _ i ~ ~ ~ ~ ~~~~ ;08620 1901 E. KATELLA , ORANGE ORANGE 15351 40001 D C Main UST S ~? ;D3179 1670 CACTUS RD _ _ ~M2131 2825 GARNET OTAY MESA ~_ ~'~_ PACIFIC BEACH ~ SAN DIEGO SAN DIEGO 1706t 1537 ___ ~~ _ A000 6000j _ _ ~~ ~D ~ y D _ ___ • w~~C ~ ~ C Main Main ~ UST UST _ ~_~~_~ ~~_~~~~ S~~~~~•~ ~"~_~~ Y S ' ~~ _,__ M2132 _ 1075 HORNBLEND ,~_~___~_ -- PACIFIC BEACH 724j 1030! ____ , D __ C _ __ _ _ S ~ r ~P2019 325 REINA DEL MAR ~_____ _ - - PACIFICA SAN MATED ,_ _______ - 1200"' ~ ___ _ _ 4030 w' -- __D r ----------~- C ..Y_..~~_. Main UST _ _ : ~~ ~~~ •~S •_.._..._... -"°'"""" X901 E. PALMDALE BLVD KC132 I?ALMDALE LOS ANGELES 1543! 10000 ~ D C Main UST S ' ____.___ __ ,KCW35, i37241_N^47THSTREETEAST __ P1007 X345 HAMILTON AVE ,,._...___......_ ._.._.._. PALMD_ALE .•____ ________ PALO ALTO ____~~ tOSANGELES SANTA CLARA 15925 1287 4013 _ 10152 ~~ D D __ C __ _ _ C__ ~~ • ' ~ -Main Main UST UST S S ~ i P1052 i 3350 BIRCH ST . PALO ALTO SANTA CLARA M 1027 10000 D C Main UST S _ _ ,TA083 _ i772ELLIOTROAD_ _ ._ ._ __ _ PARADISE~______ _,___ BUTTE _ _~ _______._. 170 _5000 ~ __ D__ ___ ~ ~ _ _ ___C _ __ ~ Main UST _ ~_~_'~~~~ S ~~ iA1102 115706 PARAMOUNT BLVD. PARAMOUNT LOS ANGELES A1102-0003 6000 D C Main UST S ~,K1104___;600 E,GREEN ST.~________ K1105 1615 N LAKE AVE. PASADENA ___ PASADENA LOS ANGELES LOS ANGELES 1616 1568 10152, __ 3005 D __.___ D C C Main Main UST UST .__.._.._ .S „ _• _•_..•; S K1205 _ 177E COLORADO BLVD___ _ _ PASADENA __ _____ _ __ LOS ANGELES _ __.~ _1641 _ _ 4036 D - C Main UST _ ~_ ~S ~ 73015TH STREET ____, _____ 3E087 PASOROBLES SAN LUISOBISPO 1291 7000 D C Main UST S _ LB150 X4821 PEDLEY _._. 25 ~ _._____ PEDLEY __~ RIVERSIDE _._ ____ __ 1739 _______ ____ fi000' _____ ___ __ ___D _ . ..__ __ C ~ Main UST _ __ _~~ S _,._ ~ E_RT_Y ST_ _ __ _ LIB iTD076 ~ 1 __.__ ~ ~ PETALUMA SONOMA 1104 6016! D _ C Main UST S _ _ WF028 }355 CENTRAL AVE PITTSBURG CONTRA COSTA 1269 30001 ~D C Main UST _ _ . • _ ~ ~~ ~ S 06114__.__.;.1102. E:YORBALINDA_________.__ PLACENTIA __._____,_____ ORANGE ) __ __ ___1597 _____ 5076 ___D_,__.._ .....____C._._____. Main UST S........ ~ 178082 ;2970 BEDFORD AVE _ ~__~ ~ ~ PLACERVILLE ______ EL DORADO __~1303t ~_ _3000 D C Main UST _' .....___.._.S_. , __. { 120 RAY ST PE069 PLEASANTON ALAMEDA 1169 4073: D C Maln UST S ILLOW ROAD r4658 W _..._,___.__ PE161 PLEA A S NTON ALAMEDA 7 11 0 4011: D C Main . UST S + . _ • PE380 j4400BLACKAVE PLEASANTON ALAMEDA 1192 2000 D C Main UST S TD191 532750 EUREKA HILL ROAD POINT ARENA AFB MENDOCINO 493 __ 1030: _____D _~ __~C_____ Main UST _ _ . S _ ..I ~SD035 ((149 N. HOCKETT ST PORTERVILLE TULARE 1290 4000 D C Main UST ~ S I 'sDB121 14010 MIDLAND RD POWAY SAN DIEGO 1735 15000 D C Main UST S iDB150 8325 TENTH RAMONA SAN DIEGO _ 728 2000 D _ C _ _, . Main UST S iD8190 ~___-____~ _~__ f 11865 RANCHO BERNARDO RANCHO BERNARDO SAN DIEGO _ ___ 16fi6 800 0-- O __ ___ _ C Main UST S __ ; - M2420 9554 TWIN TRAILS DR ~ RANCHO PENASQUITOS SAN DIEGO 949 - 8000 _ T D ~' C Main UST ___ ~ .__.•___5 • _ ~ D3171_ ~ E2966JAMACHAROAD RANCH05ANDi EGO SAN DIEGO 994 ___200~~ _D _ ____C____ _ Main UST ___._„S_. DB099' ______ '5928LINEADELCIELO _ ___ _ RANCHOSA_NTAFE_____ ~ SAN DIEGO •DB0990002 ~ __ __~____2500 _ _ 1____•_D_._. C Main UST 5 `LER23 130161 AVENTURA RANCHO ST A ORANGE 1668 6000 D C Main UST : s ' TA103 x1638 PINE ST _ REDDING SHASTA 1096 ~ 10152 _ Dy - C • Main UST ,.•• .•_••__ ___.___.- S TAR20_ 12225 HARTNELL AVE REDOING SHASTA 908 2000 ~ D~ ! ~ ~ _ ~__ 1 _____ C ____ Main UST _ _ __ •~• •~• ~ S •v ' ~P3056 ;83200 ' 1121 JEFFERSON AVE __ 6827 8~ 6843 RESEDA BLVD _ _ _ ___ REDWOOD CITY ~____ ___ ~ _ RESEDA ~ SAN MATED LOS ANGELES ____ __ _ 1275 1571 __ _ _ ' _ 4000 ; 8022 __ _ _ ''y D~- - ] DYw ~ _ _ i• C _ _ ~! C -- - Main Main UST . US7 S 6 S '~ . ~ ~~~ _ ~~ ~ ~ _ w ~ ~ ~~-~ _ _ _.•_ •_•_„•__• iLB146 IW2030 495 S. RIVERSIDE ~ 2105 MACDONALD ANE RIALTO RICHMOND SAN BERNARDINO CONTRA COSTA 165T 1268 ~ 6033 8016 D~ ~ D ••~C -C Maln Mafn UST UST __ S _~ _ S I ,UBR01 . , .. 6700 7TH STREET - - ~ RIO LINDA SACRAMENTO 1304 Z000 . D C .. . . _ . Main UST _ _ _ S -..........•.- .-.•...•......-. ;LS149 _.__•-- --------___- 3580ORANGE RIVERSIDE -------~-~---~____. RIVERSIDE ______....1625 ___T 1 6010 1---- p.____ __ C .. ___ __ ._ Main UST S „ L6469 16'991 VAN BUREN BLVD RIVERSIDE RIVERSIDE ___ 1738 ] 6000 ~wD ___ C Main UST _••____• S•_...:_.•._ =T6068 ` ' (5115 HIGH ST 2 ROCKLIN PLACER ___ __ __ 19 ~ -•• 1 3000 D C __ -`~ Main ~ US7 S ' ~ 1 D351 ~__..._.-..____..- !5 10 COMMERCE BLVD --._ _ _ . ... . ROHNERT PARK _ SONOMA 869 2000 D C Main UST . S i tTD78T .._. . _ _. __ ._..__..___-___~___.__ 6000 STATE FARM DR ._.___ __ _._..___._.._____-- ROHNERT PARK . SONOMA -_----..__---.__. 1175 ..____----_-_-- 4010 --..__.__--.- D ---••------••---- C Main UST --.----.....- .....-_..._._. . S • . !'E9100 n------- UA010 __ ;7840 E. GARVEY BIVD^ ;1423 J STREET ~ _ ROSEMEAD -__- SACRAMENTO LOS ANGELES SACRAMENTO _ 1602 ~ _____ 1092 6000 20000 _ ' D T D~ _ ~ C~ C Main Main UST UST _____ _ _ _ _ _ ~S _ _ _ I • ~ • ••• ~~ S • __ _ UA010 _ _ ~ ~ - 1423_J STREET _ _ __ ____ __ __ _ _ ~ ' '~• ~ SACRAMENTO __ SACRAMENTO 1093 20000 _ __ ___ D - _ _ _ _ _ _ ~•'~• - C~ ~ •• Main UST _ _ __ _ _ ~' ~ 8 UA090 1423 J STREET _ _ _ _ _ ~ SACRAMENTO SACRAMENTO 1094 20000 D C Main UST S ~UA018 3809 FLORIN RD ~~ __ SACRAMENTO ~"' 'S SACRAMENTO 1308 ~ 6000! D __ C -' _ Main UST _ __ _ _ _~~ _F S _ • ` 'UB010 U6 10 ' 3524 MARCONI AVE 3 CO M SACRAMENTO SACRAMENTO 1113 ______ 8154 ~ D C Main UST _ _ ___ S ' 0 ..._._..__-._.._._ 524 AR NI AVE ..__.__-__.._.__._._._._..___ .__ SACRAMENTO . SACRAMENTO 1185; 10070 D C Main UST S ~UBOF9 __.-__ _.._.._____ 3601 KINGS WAY . _____-._.~..--.------...____-- SACRAMENTO ____ SACRAMENTO -_---_.______..._~ 1120 ._.____-----1 ~~ 22080! ------._._.__ _ D _ _-----_...__.._ C ^ Main UST _ _ __ _ _ ~~ ~ S •• 100019 3333 BRADSHAW RD SACRAMENTO _ SACRAMENTO 1144 6016 D C Main UST S !UC54i 3675TSTREET SACRAMENTO SACRAMENTO UC541-Z! _ ~~ 8000 _ D ~~'C Main UST S 1NE073 I_...._...._.._........ ;NE074 . 340 PAJARO STREET .._.....---.....------------------.....----___...._.-... 3 SPRECKELS BLVD SAUNAS SAUNAS------..__...._....__.._.. MONTEREY MONTEREY NE073U002' •._ _..•..--1163 80_00 -".---~-517~ D ~ ~••._'_..p__..__. C .__....__C _-__-• Main Main UST UST __ _____ _ _ ~ .S.. ~; --- ---- 5....._..--_~ 1NE720 33 SAN JUAN GRADE RD SAUNAS MONTEREY _ .i 1270; .__._r._.-._. 30001 ..~-...._..._.~ D ._......_.__..._..y. C Main UST S UE033 231 BELLVIEW ST SANANDREAS CALAVERAS 163C '~' ~ 10 00! D C Main UST S ____ ' P2011 __.._ _ ______W____ 1101 SAN MATED AVE --------_ .~__ _____~_____ 8AN BRUNO - SAN MATED __ _ - ~ 1278' _ _ _ _ • • - 15000r I ____ _ _ D _ _ _ _____ -~ • C ~ Main UST _ _ S : P3057 537 LAUREL ST ~ __ _ ___ SAN CARLOS ~ ~' ~~ SAN MATED __ _ -^ ^~ 1182 ~.. _ - 6016; -- _._------ D ---__._-.-.-....___ C Main UST __.. : S ~ ~ !LE176 ______~_ ALLE DE LOS MOLINOS 401 C SAN CLEMENTE ORANGE 17001 10152] D I _ C Mafn UST .. . - •. . .__ ... S ~M1119 _ 4569 COL_LE_GE AVE _.. . _. - ~. SAN D1EG O ~~ SAN DIEGO _ _.'_•._.1647~ ~~'- 50761 D _ _ _ _ C Main UST _ __ .; ~- ~S : M9121---- • _ . _...-._._._ 4042 37TH STREET _. _ _ SAN DIEGO ----•-~-~-----~• SAN DIEGO ^-~~•-•--1583 -•--8018j ~-- D -~__ _.___._C ._._.._.. Main UST ... • ~ ~ S M1133 3704TENNYSON SAN D1EG0 SAN DIEGO 1659 5076; D C Main UST __ __ __ _ _ S ~M1136•~- __-_~._T M1136 ; _ _ 650 •ROBINSON AVE __._ ___. ._--__._.._._._._._._..._.._.._...-._..r.~.... 650 R081NSON AVE _ _ SAN DIEGO ~'- .._..~.._._...--___....._. SAN DIEGO SAN DIEGO SAN DIEGO ~ 1631 { 16271 375 .. ____.120001 _ D ._.___._._. D __ C _.._.__ C Da Da UST UST _ _ _ __ _ __.._ _ ' S. ~~ _~_•~_•! .1 ~~•• • - S ~ t M1138 650 ROBINSONAVE --_ _ _._ .---_ .__--- -- SAN DIEGO _ _ SAN DIEGO 1632! 375' D _ C Da UST __ _ _ Sf ,._.._...._. M1136 ; _.__ - -----.__ - 650ROBINSONAVE - __- __-_______-__ SANDIEGO SAN DIEGO r -~--~-~-1633 ---~--375 -~-~-D------ _ _ - -•~ C ~y- Main UST `_~ ~~~~S ~~ __ ':M1136____x -_.__________ 650ROBINSONAVE __ SAN DIEGO SAN DIEGO _ _~ _1628 _ 12000 _____D , , C - Main UST ___•___S ____.••.~ M1136 ' AVE 650 ROBINSON SAN DIEGO SAN DIEGO 1630 12000 D C Main UST S ! ;M1136 1 . __•_•_ _ _ • 650 ROBINSON AVE ^_____ ~____ SAN DIEGO SAN DIEGO 1629 12000 D C Main UST S M11A1.-._, ] 3680 UNIVERSITY AVENUE _~ SAN DIEGO~_- _ ;-~ SAN D1EG0 _ ,-M11AL-1 _ _ ••'• ~ 12000 _ _ _ -•~ _.D_,•.,. __ ~-.,....._C..... ~~ Main UST __ .__S _ ._, IM2110 9341 REGENTS RD SAN DIEGO SAN DIEGO _ 1685 12000 D C y M Main UST __.____S _. _Y ~! ~ iM2151 '7847 LINDA VISTA ~~~ __ SAN DIEGO ~ SAN DIEGO _ M21510001 _ 15000 __ 4D C Main UST . S ... !M2200 !9059 MIRA MESA SAN DIEGO SAN D1EG0 1552 8047 D C Main UST _ ~ S iM2288 7337 TRADE STREET SAN DIEGO SAN DIEGO _ ~ T1656 _ 20304 D C Main UST ___ __ __ ___ S '~~ ~ ' ;M2288 __ 7337 TRADE STREET ~ SAN DIEGO MT SAN DIEGO 1655 20304 D _ V C Main UST S iM2288_ 7337 TRADE STREET SAN DIEGO SAN DIEGO 1653 E0304 D C______ _ Main UST ~JS '-~-' M2288 7337TRADE STREET _SAN DIEGO SAN DIEGO _ ____ _ - ' ~ • 1654 ____ _ 20304 D _ __ C Main UST S __- M2414 . ~~ , __~_ -____ 7650 CONVOY CT ' _ . _.__.______.__ SAN DIEGO SAN DIEGO _ __ _ _ _ 1743 ~ _ ~ ~~ 2000 __ _ ~ D _. v _ '~^ C'~ T Main UST ._,_____ _..____ 8 1 FM3106 111 25 NINTH SAN DIEGO SAN DIEGO M 3106U3 15023 D C Main UST T S ~ ;M3107 _ ~~___ _ _, 14890 MARKET _ SAN DIEGO SAN DIEGO _ '1664 ~ 6000 D _ C Main • UST _4. _^ ~ S~ ~ M3122 - ~R1009 ____ __ ~2228,SAIPAN _ ~V________ _~ '555 PINE STREET ~ _ SAN DIEGO ~ SAN FRANCI8C0~~~~ SAN DIEGO SAN FRANCISCO ____ 1554 - 11'11 4000 18000 D V D _ __ C _ _ C Main Main .UST UST _ _ ~__ _ _S__' _'_ _ ~ ~~~ ~~ S ~ - ~ :81009 555 PINE STREET SAN FRANCISCO SAN FRANCISCO 1112 15000 D ~ C Main UST _ _ _ , _.,,. __S, __,..~ !81024 611 FOLSOM ST SAN FRANCISCO SAN FRANCISCO ~ 1124 17583 ___. D C Mafn UST _ _ S _ ~ ~ • 181024 611 FOLSOM ST SAN FRANCISCO SAN FRANCISCO 1123 1 7583 D T _ Maln UST 5 ;82002 ------ _ _ 3899TH AVE ---------------- _ __ ______ SAN FRANCISCO ~ ~ SAN FRANCISCO ___ ___ __ _ 1114 __ ___ _ . ~ ~ 5078 ___ _ __ __ ~ D __ _ _ _ ~C ~ Main UST S .. i .__. _ ..__ r 82009 r--------- -- 2345 PINE ST _ W SAN FRANCISCO SAN FRANCISCO ___._.._.__ 1086 ! 10152 x ~ _ • ~~D ~C Main UST . ..---...._ . __ S ,^ . . _ !83003 1•M000PPIN ST 5AN FRANCISCO SAN FRANCISCO __~.~_ 1261 .- -- 12000 - D ---___. C Main UST .. __..__.. _..._.........., S ___ rR3006- _____ 1515 19TH AVE ._ }~^ _ SAN~RANCISCO SAN FRANCISCO __ _ ~~~~~ 1205 __ 8000 ____ __ D _ __. ~ C ~ ~ Main UST S ~ i 84004 13333 25TH ST _ SAN FRANCIS•CO'~~~ SAN FRANCISCO 1132 601 6 D C Main UST _ _ __ _ _ _ S ~ ~ i E1103 ~N1011_, ~ 105 NO. SAN GABRIEI 95ALMADENAVE SAN GABRIEL SAN JOSE lOS ANGELES SANTACLARA _ 152 ~ '1014 5 60001 2 000 0 D t D C r C ~ Main Maln UST UST _ ____ _. __ _ __ _ _ S S t ! N1011 I N1011 1 r~--•--•-•--- N1178 __1 ;95 ALMADEN AVE 95 ALMADEN AVE fi----- 2211 JUNCTION AVENUE T~~~ _ __ SAN JOSE ~__~_ ~ _ SAN JOSE ~ ~________~_~ SAN JOSE SANTA CLARA SANTA CLARA SANTA CLARA _ ___ __ 4 1015 1016 ...__._._ 1095 ______ _ _ 20000 20000 6016 D D ~_____._.... D C C ._._..__._._ C Main Main Main UST UST UST ________ ___ _ _ _ _ _ S ~ i S .___......___.._.._..__. S 1 !N1178 ~ _ 2211 JUNCTION AVENUE _ SAN JOSE SANTACLARA _____ 1677 '100 00 ..~__.. D ____.____R_ C Main UST __.___._...___._.{ S I N2022 1 1615 FOXWORTHY RD SAN JOSE SANTA CLARA _ __ _ ~ 1008 _ ~~ 10074 _ __ D _____ -___ _ C Main UST S ; N2049 ! 20 SHENADO PLACE SAN JOSE SANTA CLARA 1018 10063 D C Main UST ____-. _-.___._.__ S ~ _ ~N2113 ~ _ 6801 ALMADEN RD ~~~~ ~ SAN JOSE SANTA CLARA 1006 10063 D __ .= C ~ Main UST _ ~ ~' S ~ ~ ~ ~ -- N2151 1 _ ,_ 155 S WHITE RD ~ _,~~_ SAN JOSE ~ SANTA CLARA 110 10000 Y D ----- C Main UST _. _ _ . , . ~ S ;N2158 3880 SAN FELIPE RD SAN JOSE SANTA CLARA 1 210 6016 D C Main UST S N2218 205 BAILEY AVE SAN JOSE SANTA CLARA ___ ____ _ n 1693 _ __ ___ ~ ~ 15000 ____ _ ___ ~~ ~D _ ___ ~ ~C~ Main UST __ _ S _ _.. IN4004 6245 DIAL WAY SAN JOSE ~! SANTA CLARA 10021 10063 D C Main UST S INE087 ____ 110 3RD ST ____ _~ Y____ SAN JUAN __ ___ SAN BENITO _1227 _ 1000 D C Main UST _ S __.__ r LES12 25762 CAMINO DEL AVION SAN JUAN CAPISTRANO ORANGE _ ____ 17021 ___ _ 10000 ___ ; D _ ___ _ ______ C Mafn UST ____ S 103055 jDB151 15125 HESPERIAN BLVD 225 NO LAS POSAS RD SAN LEANDRO SAN MARCOS ALAMEDA SAN DIEGO 12621 ~~ 1589! 6016; 50761 __ D_ _ D ~ _ C __ C Main Main UST UST ___..._ . S S P3007 _ ~__ _ 23 28TH AVE __ __ _ _ _ 3AN MATED _ _ _ SAN MATED 11451 --. _ -- - 6016 D ~ -. ~_ C . _ . Main UST S `A4109 425 W 5TH ST SAN PEDRO LOS ANGELES 1515F - Y . _ .. _-8047, ~ v--D---- . _ ~ C . y- Main UST _ S ^ _ _ `W3084 . ____. ____.__ 2000 BAYHILLS DR ~ BROADMOO D ~_____~__ SAN RAFAEL _ _- MARIN 103~9' 1 _ _ __ _ - ~~30001 ~ 0 ~_ D__ _ ~ _ ~w ._ C Maln UST __. _..__ . _._._.._ ___ ___S ___ _ ~ ~ • S~ ~ ~ - i W 1050. ~.____.._._.. W 1206 R R 9768 _~----__....__~_._.__.__. 39 BETA COURT SAN RAMON ~~_ SAN RAMON CONTRA COSTA CONTRA COSTA 1298 _____..._-___a 129 ~ 800 _...L 20001 D ~__~w._.1 D ' C _ ._ C ~ ~ ~ Main Main UST UST _ _ _ _ _ , ~ ~~ ~~~ • ~- 5~~ ~ ~ ~~ ~ ~ W 1245 W1245 _..Y__--___ ;03288 2600 CAMINO RAMON 2600 CAMINO RAMON _._.__._._.--- ._._~._~___, 3930 BEYER SAN RAMON SAN RAMON SAN YSIDRO _ CONTRA COSTA CONTRA COSTA SAN DIEGO _ ____ 7 ^_ _~ _ 1'141' ~~957 _._.~..__---- 1613 _ __ ~! 20003 _~_~_... 100001 --_-_~._ 2005 D__ _ _ ~_ ~~~D ~ ~~ D ___ __ _ __ _ _•_~~_ C -_•_ ~ ~~ - C _ .._-..----_-____ C Main Main Main UST UST UST _ _ _ _ _ ; S - S .. -------...._....._.; S ~••~•~~__,. """~"- CA345 W_1STSTREET 17 51 SANTA ANA - - ORANGE 1638 5076 D -. -_C-- _ - - Main UST i S -__........_........ -- _ -_- ~ ~C 116 _____----• _ . 507 N BUSH__-- - - - -- -_- ---____-- SANTA ANA -- _^ --__- - ORANGE . __....__._.. 1560 ._.._.__ --12079 _- _---__ ___- __- -- D-- . _ -- - -- .....--_._C_.._.... _ Maln UST . - _....___..._5..._.._.._..1 ... ~LC717 _ ----. -- --- - - ---- 3220 BRISTOL ST __ - - - SANTA ANA ____~ . ORANGE . .,_.._.._..._ 644 - 10000 - _ _ ____ D _____ C_F_ Main UST M~S _____r r._._._._...... ~ N4003 N4050 ~ ___M____ i 1717 BELLOMY ST ~- 17U0 SPACE PARK DR _ SANTA CIARA ~ SANTA CLARA SANTA CLARA SANTA CLARA _____...._.~ 1128 1207 8022 2500 0 D D _ C__ C Main Maln UST UST S -~ ______ S _ _ i ;N4050 1700 SPACE PARK D R SANTA CLARA SANTACLARA _ ~- ~~ 1208 _ 12000 _ D C_~ ~ Main UST __ -,_--_._ _S __ NF101 _ _ _ _ __ _____ 709 CENTER ST - ________ SANTA CRUZ ~ SANTA CRUZ 1010 ~~ 8000 _ _~ D _,_ , _ C_ Main UST S ___ NF102 3640 CAPITOLA RD SANTA CRUZ SANTA CRUZ •~~ 1230 fi016 D C Main UST S w~. ~~._...._.. ~TD086 ._.~_ 516 THIRD STREET __ ___ ~ _-~ SANTAROSA_ ________ ~ SONOMA ~.--- 1017 20000 D --_--- C Main UST --- ____S..-.___ TD214 ....--- ...-._..... 478 LOS ALAMOS RD . ----~---------------------.~..-.._._.___ SANTA ROSA_ ._ -- ----.___ .__._____ SONOMA 868 ' _~ 1000 . 1 D _" C Main UST ________ S _ _ _ i ED1149 8865CUYAMACA . - - SANT EE SAN DIEGO 760 ; 3000 ~ D , C Main UST S 1 ~ ICD264 10609 TELEGRAPH RD. ' _ SATICOY VENTURA _ ~~ '1718 5000 D ~~C ~ Main UST _ ___ ~ S ~ i KC575 . iTE033 _ _ 20660 PLUM CANYON RD 0 4 Ml S/0 SCOTIA SAUGUS '-~~~-'~ SCOTIA LOS ANGELES HUMBOLDT 1_500 ~ 317 4089 'V 1 2000 ' D _ ~ _ D _ ___ C __ ___ C Main Main UST UST . ~~~5~~_ i - -- ---'. S TD096 r._____._._ 85109 j 7430 80DEGA AVE T_____`~_______~_~ 44 80 KESTER AVE. _____ SEBAST'OPO! `__^._._ ~_ SHERMAN OAKS SONOMA LOS ANGELES "-~ 869 _~~ _ ~~ 1526 __ 2000 _-- 10152 __ _ _ ~. D ~.-_____._ D _ C -___________ C Main Main UST UST __ --,___S____,.__ S I 185109 4480 KES TER A V E . SH ERMA N OAKS LOS ANGELES 85109-0002 10000 . D N S +76070 ` _ _ _ ___ __ _ _ __ _ _ 4191 SUNSET LANE ~~ ~ . _ _ ______ SHINGLE SPRINGS _ EL DORADO 1302 4021 1 D C Main UST S i _-._-._.._____.... KD738 .____....__-___...._._ ._-________.__ _.._ 111. x2692 LOS ANGELES AVE. .__._____.__._..___._-...__-_.. _..- SIMI VALLEY VENTURA _.._._..._...._____ 893 ._____._.._^ 5000 ,______.__._- ' D ...._.__.____-_..__. C Main UST _____ _ __ __ S - ~ ~ ~` ^KD138 ___ iKC146 ..._.._-.__.._ _ - KC146 , 72692 LOS ANGELES AVE. ~18211SOLEDADCYN.RD. : r----------,_..____._.-_..___.._-._. 18211 SOLEDAD CYN. R D . ^,_,~._ SIMI VALLEY SOLEMINT _.._-------------------- SOLEMINT VENTURA LOS ANGELES LOS ANGELES KD138U3 1599 _~_...____. KC146= ~~^ _ 3008 ~__...___._ 10000 ~~ D_ ___. ~D _ ~______..... D _ - N_ ~ _ CN __._--- -_.-___. • N Maln ~ UST ~ S " S . -_----:---.-...-...--.i ' S ;TC021 _ _ __ __ 17021 CEDAR AVE _ ~ _ _ SONOMA SONOMA _ _ 870 _ 1500 D _ __ _ ___ C Main UST __ : _ W~ S • • (E2106 9420 LONG BEACH BLVD. SOUTH GATE LOS ANGELES ~ ~ 1648 12032 _ D ~ T C Main UST N S K1106 ___.--------- _ 1415 MISSION ST.- _ ~----------------___-._.._--------_-. _ S THP A N OU AS DE A _- LOS ANGELES _ K'(106UOOi 10000 D 3 C Main UST ' S IUE042 345 N. SAN JOAQUIN ---------__.._.__.__~ STOCKTON SAN JOAQUIN _ 1052 _____ 25000; - " ~D ~ __ _ ~1~~ C ~~ Main UST _..........------------ S ~UE046____ - 907 LINCOLN RD _ ~~ STOCKTON SAN JOAQUIN ,___ ___ 1171 __ 4041! _ _. D _ __ _ ~~ T- C - ~ Maln UST S ~ I P6011 234 CARROLL ST ~ ~ SUNNYVALE SANTA CLARA ___ '~ 1100 _ 101521 D _ _ _ ' - C ~~ Main UST _„___ . ._•__•_,•_ ___ _ S _ __ -a - ~ ~ P6022 W3176^_; 1140 N. MATHILDA AVE _ __ -- 1165 T18URON BLVD~_~- ~ SUNNYVALE_ _ TIBURON_ _ ~~ SANTA CLARA MARIN 1063 483 ~~ 4013 20001 L_ D ~~-D __ C_ __ __ ' ~ C - ~ Main Main U5T UST _ ____ _S __ ____; S - ~ 1. ~ iA4210 : 1307 CRAVENS BLVD. _ _ _ TORRANCE LOS ANGELES _ _ _ ~ 1623 12001 _ ____ D _ __ _ ~ !C -~ Main UST _ ____ ~ ~ S-~~~-~- ~UE058_-_._ 10 E. 12TH STREET TRACY ~~- SAN JOAQUIN 1232 _ 10152 D C Main UST S :76082 10022 SPRING STREET TRUCKEE NEVADA ~~ 609 1000 D C Main UST _~ _ _ 5 T ~ ~ i SD054 ~ 140 N. L STREET TULARE TULARE 1292 2000 D C Mafn UST ____ __ S 'UG063 ~..________.._ 325 N. CENTER ST ~_ .._...-...._._._._ ____ TURLOCK ._.._~ STANISLAUS _ y UG063-1 _ 5013 _ __ D ~ _ ______ `~ C ~ Main UST __ _ __ _ _ _ _ _ S ' ~ ~ iLE118 1971 IRVINE TUSTIN ~ ORANGE t 1705; 60001 D C Main UST I §~ ~~ ~ ;LE440 _ 1452 EDINGER _ _ ~ ~ Tt1STIN ORANGE 1626 5874 D C Maln UST _ .• _ 8 ITD100 _ _ _ _ 305 W. STEPHENS_ON _ _ ~ ^- V' _ UKIAH _ ___ ~~ MENDOCINO __ _ _ ~- ~ ~_~ 979 _ 0 2000 D - I _ __ _ C ---- Main UST _ __ _ __ _ ~~_~_ ~__ S ~ -- P5006 118 E. STREET ~ UNION CITY ALAMEDA _ ~ 7220j _ ^ 10000 -------- - D ---- C Main UST S '• ~TC285 1, T 340 ELIZABETH ST _ ____ VACAVILLE SOLANO ____ _ 1195` ~-~ 500 0 D - - C ~~' Main UST S TC011_ T 730CAROLINAST _....__..--~----___..__._...._--.___.--- VALLEJO ----- - - -- SOLANO 124 7 10000,E D C Maln UST S ~DB423 ' 28523 COLE GRADE RD • - -------- - VALLEY CENTER SAN DIEGO --_-_---------I 1673 ----------- 6016 -------_ D _._._.___.._ C Main UST __ _ _____ S ~ ! ;64107 j 6803 CEDROS AVE 814709 V VAN NUYS LOS ANGELES 1699 15023 D C Main UST _ _ __ ____ S 64115 __~ 6920 -6930 VAN NUYS BL -' VAN NUYS LOS ANGELES 1578 ~. 6016 D C - Main UST _ _ . _ . _S ~ - KD 152 739 E. SANTA CLARA ST. VENTURA VENTURA 1721 10152 D C Main UST _ 5 iKD157 X 4220 E. MAIN ST. __,___ VENTURA VENTURA _____ 17 42 10000 ~_ __ D C Main UST -- . _ _ _ _ S ) SD057 217 W. ACEQUTA ST ___________. VISALIA TULARE ___ ___ _ -1061 _ ~ 4512 ____ _ D _ __ _ _ ~ -C Main UST _.-_____„-._. _.-_______ S ._ _- D6109~ ~W1035 2341NDIANA _~____~~ 1755 LOCUST ST _ __ __ __ VISTA _,_,__ ~_ WALNUTCREEK SAN DIEGO YOLO 763 ~~__ 904 10152 ,~. 10000 ___ D ~ D _____ ___~ CM_ C Main Main UST UST _^ __ ______, __~..-_. S__.__•_._ S i UA020 ~ UAOHS 1 917 JEFFERSON BLVD _ 3900 CHANNEL DR ~____ _ ______•____ WEST_SACRAMENTO __ _ WEST SACRAMENTO _ CONTRA COSTA SANTA CRUZ -.-_-.__-___ _ 10_09 1161 ____ , ___ _ __ 2000 6392 ____ •____ _ _ D D __ _ _ __C _ _ _ _ C Main Main UST UST -__ _ _S • _,_-_____S, _.... -,. .I ~y ~~ LNF11~~ 7__j340 ROPRIGUEZ ST _.-- 4TD121 _.__j0 6.5 MI S!E WILLITS _ ~ WATSONVILLE ~^_ WILLITS __ _ -~ ' - YOLO MENDOCINO 1157 - 4030 D _-__ 496 2000 D - C C Main Main UST UST ._...,_ S _. ; _ S - !7DU16 f?02 MADDEN ~ WILLITS MENDOCINO 2000; D 494 C ~. Main UST __~_ S_ _. _ __ __ ___ t _ ...-- •-- ~A4207 _ _.1418 BROAD_ST^ _~, _ _ _ _ _ WILIv11NGTON LOS ANGELES _ _____ -1----~--- D M _ 16_34__ 1203 ~-- -~ ---_ _ __-- __C_ Main UST _ __ S ~ ~ ~ ~~ ~~ ITF039 ;629 LINCOLN AVE WOODLAND YOLO 2 i 1228 4030 D C Main UST S ~ `CB227 119451 YORBA LINDA YORBA LINDA ORANGE 1598'_._____..5076 _ D C Main UST S iCB444 j24875CORBITPLACE YORBALINDA ORANGE 1 20321 D 15671 : ~ C Maln UST S __.________, ...._.. _ UG080 !TURTLEBACK DOME __ ------_._ YOSEMITE __ MARIPOSA _____ . _____._.__• _ ~._..._--------..__.~ 484 ~ ~ - 3000; D __ _ ..-----•C - Maln UST ______._ __.._._ S_ _ __ ~UG081 =.SENTINAL DOME ""'- -__-• "I'Ai~~ ~j3i~p ' ' _ ~ YOSEMITE --- _--.-- MARIPOSA 485f~~~ 503+ D i ----- ' ~•` C - `-- Maln UST S ~' -- - ~ ._ 1NE Sl F2EET _..._.. _ . ~._. _ SISKIYOU i70~~6tl 8j ~ Main UST ; 5 . ______ €; F ARCHITECTURE ENGINEERING ENVIRONMENTAL SERVICES L' r ~ GROUP INC. ~ 1137 Narth McDowell Boulevard, Petaluma, CA 94954-1 1 1 0 Telephone: (707) 7G5-1660 Facsimile: (707) 765-9908 I i John W. Johnson Co-President :November 21, 2006 Architect Brian F. Zita 'Bakersfield Fire Department Co-President ,Steve Underwood Architect 1715 Chester Ave, 3rd Flr Bakersfield, CA 93301 John B. Hicks , RE: UNDERGROUND STORAGE TANK WRITTEN MONITORING PLANS Vice President Regional Managers Brad A. Gubser Jesse E. Macias Roy W. Pedro Alan K. Shimabukuro ' John W. Strobel O~ces ANAHEIM, CA BELLEVUE, WA CAMAS, WA DENVER, CO MARTINEZ, CA PETALUMA, CA ROSEVILLE, CA SCOTTSDALE, AZ f www.rhldeszgn.com Dear Steve Underwood: Enclosed are the Underground Storage Monitoring Plan(s) and related documents for the AT&T/Pacific Bell facilities as listed on the attached sheet. If there are any further correspondences related to these submissions, please direct them to: AT&T Environmental Management 2600 Camino Ramon, Room 3E000 San Ramon, CA 94583 Sincerely, RHL DESIGN GROUP, INC. Steven A. Skanderson Project Manager Enclosure CC: ATBCT File SA098 Pacific Bell 3221 S. H STREET BAKERSFIELD, CA 93304 FILE THIS DOCUMENT IN THE HAZARDOUS MATERIALS PLAN, PROGRAMS, PERMITS, and PLANS BINDER SECTION 3 UST Monitoring and Response Plan with Third Party Certification for the Monitoring Equipment 2006 Pacific Bell- BKFDCAI4 - SA098 (Facility Name and ID) 221 S. H STREET (Facility Address) BAKERSFIELD (Facility City) KERN (Facility County) Maintain this UST Monitoring and Response Plan with the Third Party Certifications until replaced, and/or updated with a new plan. THIS DOCUMENT IS REQUIRED TO BE POSTED ON SITE AND AVAILABLE FOR REVIEW BY GOVERNMENT AGENCY INSPECTORS, SITE ASSESSORS OR AUDITORS. THIS IS A CONDITION OF THE UST OPERATING PERMIT. Revised 6/1/2006 I:\FWZMA7IPACBELL\FORMS\SBC Monitor Plan Merge TEMP.doc Printed: October 27, 2006 page 1 UNDERGROUND STORAGE TANK MONITORING PLAN -PAGE 1 TYPE OF ACTION ^ 1. NEW PLAN ®2. CHANGE OF INFORMATION Mni. PLAN TYPE ®MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. Mnz' (Check one item only) ^ THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): L 'FACILITY INFORMATION FACILITY ID # (Agency Use Only) _ BUSINESS NAME (Same as FACILITY NAME) Pacific Bell SA098/BKFDCAI4 M°' BusINESS SITE ADDRESS 3221 S. H STREET "'04' cffY BAKERSFIELD Mos. II. EQUIPMENT TESTING AND PREVENTIVE MAINTENANCE State law requires that testing, preventive maintenance and calibration of monitoring equipment (e.g., sensors, probes, line leak detectors, etc.) be performed at the frequency specified by the equipment manufacturers' instructions, or annually, whichever is more frequent, and that such work must be performed by qualified personnel. MONITORING EQUIPMENT IS SERVICED ® 1. ANNUALLY Moa. ^ 99. OTHER (Specify): Mop. III. MONITORING LOCATIONS This monitoring plan must include a Site Plan showing the general tank and piping layouts and the locations where monitoring is performed (i.e., location of each sensor, line leak detector, monitoring system control panel, etc.). If you already have a diagram (e.g., current UST Monitoring Site Plan from a Monitoring System Certification form, Hazardous Materials Business Plan ma ,etc. which shows all re uired information, include it with this Ian. TV. TANK.IVIONITORING MONITORING IS PERFORMED USING THE FOLLOWING METHOD(S): (Check all that apply) M1° ® 1. CONTINUOUS ELECTRONIC MONITORING OF TANK ANNULAR (INTERSTITIAL) SPACE(S) OR SECONDARY CONTAINMENT VAULT(S) SECONDARY CONTAINMENT IS: ®a. DRY ^ b. LIQUID FILLED ^ c. PRESSURIZED ^ d. VACUUM Mi ~' PANEL MANUFACTURER: Veeder Root M'Z~ MODEL #: TLS-350 Plus M13. LEAK SENSOR MANUFACTURER: Veeder Root M'a' MODEL #(6):794390-420 MjS ^ 2. AUTOMATIC TANK GAUGING (ATG) SYSTEM USED TO MONITOR SINGLE WALL TANK(S) PANEL MANUFACTURER: M1e' MODEL #: M ~ ~ IN-TANK PROBE MANUFACTURER: M'x' MODEL #(S): M ~"' LEAK TEST FREQUENCY: ^ a. CONTINUOUS ^ b. DAILY/NIGHTLY ^ c. WEEKLY Mz°' ^ d. MONTHLY ^ e. OTHER (Specify): Mzi. PROGRAMMED TESTS: ^ a. 0.1 h. ^ b. 0.2 h. ^ c. OTHER S eci Mz g•P• g•P• ( P fY)~ z. Mzl. ^ 3. INVENTORY RECONCII.IATION ^ a. MANUAL PER 23 CCR §2646 ^ b. STATISTICAL PER 23 CCR §2646.1 Mza. ^ 4. WEEKLY MANUAL TANK GAUGING (MTG) PER 23 CCR §2645 TESTING PERIOD: ^ a. 36 HOURS ^ b. 60 HOURS Mzs. ^ 5. INTEGRITY TESTING PER 23 CCR §2643.1 TEST FREQUENCY: ^ a. ANNUALLY ^ b. BIENNIALLY ^ c. OTHER (Specify): Mz e. Mz~ ^ 6. VISUAL MONITORING DONE: ^ a. DAILY ^ b. WEEKLY (Requires agency approval) ^ 99. OTHER (Specify): Mzx. V. PIPE MONITORING - MONTI'ORING IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) M,o. ® L CONTINUOUS ELECTRONIC MONITORING OF PIPING SUMP(S)/TRENCH(ES) AND OTHER SECONDARY CONTAINMENT SECONDARY CONTAINMENT IS: ®a. DRY ^ b. LIQUID FILLED ^ c. PRESSURIZED ^ d. VACUUM M"' PANEL MANUFACTURER: Veeder RDOt M32. MODEL #: TLS-350 M33. LEAK SENSOR MANUFACTURER: Veeder Root M34' MODEL #(S): 794380-208 Mis. WILL A PIPING LEAK ALARM TRIGGER AUTOMATIC PUMP i.e., TURBINE SHUTDOWN? ( ) ^ a. YES ®b. NO Mee. WILL FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ^ a. YES ®b. NO M37. ^ 2. MECHANICAL LINE LEAK DETECTOR (MELD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FL OW WHEN A LEAK IS DETECTED MELD MANUFACTURER(S): Max' MODEL #(S): Mse, ^ 3. ELECTRONIC LINE LEAK DETECTOR (ELLD) THAT ROUTINELY PERFORMS 3.0 g.p.h. LEAK TESTS ELLD MANUFACTURER: Mao' MODEL #: Mai. PROGRAMMED IN LINE TESTING: ^ a. MINIMUM MONTHLY 0.2 g.p.h. ^ b. MINIMiJM ANNUAL 0.1 h. g~P• Maz' WILL ELLD DETECTION OF A PIPING LEAK TRIGGER AUTOMATIC PUMP SHUTDOWN? ^ a. YES ^ b. NO Mas. ' WILL ELLD FAILURE/DISCONNECTION TRIGGER AUTOMATIC PUMP SHUTDOWN? ^ a. YES ^ b. NO Maa' I ^ 4. INTEGRITY TESTING TEST FREQUENCY: ^ a. ANNUALLY ^ b. EVERY 3 YEARS ^ c. OTHER (Specify) Mas. Mae. ^ 5. VISUAL MONITORING DONE: ^ a. DAILY ^ b. WEEKLY* ^ c. MIN. MONTHLY &. EACH TIME SYSTEM OPERATED"• Mai. • Requires agency approval "• Allowed for monitoring of unburied emergency generator fuel piping only per HSC §252x LS(b)(3) ® 6. SUCTION PIPING MEETS EXEMPTION CRITERIA PER 23 CCR §2636(a)(3) ^ 7. NO PRODUCT OR REMOTE FILL PIPING IS CONNECTED TO THE UST(s) ^ 99. OTHER (Specify) M4N. hwfwrc-d (9/24/04) -1/4 n UNDERGROUND STORAGE TANK MONITORING PLAN -PAGE 2 vI DISPENSER MONITORING- MONITORING OF AREAS BENEATH DISPENSER(S) IS PERFORMED USING THE FOLLOWING METHOD(S) (Check all that apply) Msn. ^ 1. CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT (UDC) PANEL MANUFACTURER: Mst' MODEL #: Msz. LEAK SENSOR MANUFACTURER: Mss. MODEL #(S): Msa. WILL DETECTION OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND VISUAL ALARMS? ^ a. YES ^ b. NO M55. WILL A UDC LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? ^ a. YES ^ b. NO MSF. WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? ^ a. YES ^ b. NO M57. ^ 2. MECHANICAL CONTINUOUS MONITORING (e.g., FLOAT AND CHAIN ASSEMBLY) IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK MANUFACTURER: M58' MODEL #(S): Msv. ^ 3.VISUAL MONITORING DONE: ^ a. DAILY ^ b. WEEKLY MFO' ® 4. NO DISPENSERS ^ 99. OTHER (Specify) Mai. VII. ENHANCED LEAK DETECTION ^ 1. WE HAVE BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT WE MUST PERFORM ENHANCED LEAK M70 DETECTION (ELD) FOR THE UST(S) COVERED BY THIS PLAN. PER 23 CCR §2644.1, ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED VIII. TRAINING `~ , REFERENCE DOCUMENTS MAINTAINED AT FACILITY (Check all that apply) Mxo. 1. ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN (Required) 2. ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT (Required) 3. ® THE FACILITY'S BEST MANAGEMENT PRACTICES (Required as of January 1, 2005) 4. ^ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 5. ^ CALIFORNIA UNDERGROUND STORAGE TANK LAW 6. ^ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS -MANUAL AND STATISTICAL INVENTORY RECONCILIATION" 7. ^ SWRCB PUBLICATION: "WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND STORAGE TANKS" 99. ^ OTHER S eci Mxi. ( P fY)~ Personnel with UST monitoring responsibilities are familiar with all of the above documents relevant to their job duties and can access those documents when needed. By January 1, 2005, this facility will have a "Desigtated UST Operator" who has passed the California UST System Operator Exam administered by the International Code Council (ICC). By July 1, 2005, and annually thereafter, the "Designated UST Operator" will train facility employees in the proper operation and maintenance of the UST systems. This [raining will include, but is no[ limited to, the following: - Operation of the UST systems in a manner consistent with the facility's best management practices. - The facility employee's role with regard to the leak detection equipment. - The facility employee's role with regard to spills and overfills. - Whom to contact for emergencies and leak detection alarms. For facility employees hired on or after July 1, 2005, the initial training will be conducted within 30 days of the date of hire. IX. COMMENTS/ADDITIONAL INFORMATION ....... Please use this section to include any additional UST system monitoring-related information (e.g., additional information required by your local agency): Mxs. X. PERSONNEL' RESPONSIBILITIES AS OF JANUARY I, 2005, THE "DESIGNATED UST OPERATOR" IDENTIFIED IN SECTION III OF THE CURRENT UST OPERATING PERMIT APPLICATION - FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION EQUIPMENT COVERED BY THIS PLAN TITLE 23 CCR § 2715(c), AND WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS OF THE FACILITY'S UST SYSTEMS IN ACCORDANCE WTI'H 23 CCR § 2715(c). XL OWNERLOPERATOR SIGNATURE CERTIFICATION: I certify that the information provided herein is true and accurate to the best of my knowledge. OWNER/OPERATOR SI ATURE REPRESENTING DATE: Mvi. ®Owner M90. /~° ~_ ^ operator October 27, 2006 OWNER/OPERATOR NAME nnt): Mvz. OWNER/OPERATOR TITLE: Mv3. Steve Skanderson Project Manager, Authorized Agent for AT&T (Agency Use Only) This plan has been reviewed and: ^ Approved ^ Approved With Conditions ^ Disapproved Local Agency Signature: Date: Comments/Special Conditions: hwfwrc-d (9/24/04) - 2/4 UNDERGROUND STORAGE TANK RESPONSE PLAN -PAGE 1 (one form per facihty> R01. TYPE OF ACTION ^ I. NEW PLAN ®2. CHANGE OF INFORMATION L FACILITY INFORMATION FACILITY ID # (Agency Use Only) BUSINESS NAME (Same as FACILITY NAME) Roz. Pacific Bell SA098BKFDCAI4 BUSINESS SITE ADDRESS R03. C]'T'Y Roo. 3221 S. H STREET BAKERSFIELD II SPILL CONTROL AND CLEANUP METHODS This plan addresses unauthorized releases from UST systems and supplements the emergency response plans and procedures in the facility's Hazardous Materials Business Plan. - If safe to do so, facility personnel will take immediate measures to control or stop any release (e.g., activate pump shut-off, etc.) and, if necessary, safely remove remaining hazardous material from the UST system. - Any release to secondary containment will be pumped or otherwise removed within a time consistent with the ability of the secondary containment system to contain the hazazdous material, but not greater than 30 calendaz days, or sooner if required by the local agency. Recovered hazardous materials, unless still suitable for their intended use, will be managed as hazazdous waste. - Absorbent material will be used to contain and clean up manageable spills of hazardous materials. Absorbent material may be reused until it becomes too saturated to be effective. It will then be managed properly. Used absorbent material, reusable or waste, will be stored in a properly labeled and sealed container. - Facility personnel will determine whether or not any water removed from secondary containment systems, or from clean-up activity, has been in contact with any hazardous material If the water is contaminated, it will be managed as hazardous waste. If the water has a petroleum sheen (i.e., rainbow colors), it is contaminated. A thick floating petroleum layer may not necessarily display rainbow colors. Water (hazardous or non-hazazdous) from sumps, spill containers, etc. will not be disposed to storm water systems. - We will review secondary containment systems for possible deterioration if any of the following conditions occur: 1. Hazardous material in contact with secondary containment is not compatible with the material used for secondary containment; 2. Secondazy containment is prone to damage from any equipment used to remove or clean up hazazdous material collected in secondary containment; 3. Hazardous material, other than the producUwaste stored in the primary containment system, is placed inside secondary containment to treat or neutralize released producUwaste, and the added material or resulting material from such a combination is not compatible with secondary containment. III. SPILL CONTROL AND CLEAN-iJP EQUIPMENT PERIODIC MAINTENANCE: Spill control and clean-up equipment kept permanently on-site is listed in the facility's Hazazdous Materials Business Plan. This equipment is inspected at least monthly, and after each use, and supplies are replenished as needed. Defective equipment is repaired or replaced as necessary. EQUIPMEN'T' NOT PERMANENTLY ON-SITE, BUT AVAILABLE FOR USE IF NEEDED: Com lete onl if a licable EQUIPMENT LOCATION AVAILABILITY Shaw Environmental R10' 1-800-537-9540 ~0' 24/7 R30. Rl I. R21. R31. R12. R22. R32. R13. R23. R33. R14. R24. R34. Rls. RZS. R35. IV. RESPONSIBLE PERSONS THE FOLLOWING PERSON(S) IS/ARE RESPONSIBLE FOR AUTHORIZING ANY WORK NECESSARY UNDER THIS RESPONSE PLAN: NAME Rao• TITLE Rso. Environmental Manager AT&T Environment Health & Safet NAME Ral• TITLE Rsi. NAME Raz. TITLE Rsz. NAME Rai. TITLE RS3. V. INDIRECT HAZARD DETERMINATION This information is required only when the presence of the hazardous substance can not be verified directly by the monitoring method used (e.g., where liquid level measurements in a tank annular space or secondary piping are used as the basis for leak determination). THE FOLLOWING STEPS W[LL BE TAI:EN TO DETERMINE THE PRESENCE OR ABSENCE OF HAZARDOUS SUBSTANCE IN THE SECONDARY CONTAINMENT iF MONITORING INDICATES A POSSIBLE UNAUTHORIZED RELEASE: R60. hwfwrc-e (9/24/04) - 1/4 UNDERGROUND STORAGE TANK M1 RESPONSE PLAN -PAGE 2 .~ VI. LEAKINTERCEPTION AND DETECTION SYSTEM ,..: .. . _. This information rs required only for motor vehicle fuel UST systems constructed per the Alternate Construction Requirements of 23 CCR §2633, and only if the Leak Interception and Detection System (LIDS) does not meet the volumetric requirements of 23 CCR §2631(d)(1) through (5) (i.e., when accounting for rainfall and backfill material, the secondary containment volume is less than 100% of primary tank volume for a single UST; or in the case of multiple USTs in shared secondary containment, 150% of the largest primary tank volume or 10% of aggregate primary tank volume, whichever is greater). ATTACH AN ADDITIONAL PAGE TO THIS PLAN CONTAINING THE FOLLOWING INFORMATION: - The volume of the LIDS in relation to the volume of the primary container; - The amount of time the LIDS shall provide containment related to the time between detection of an unauthorized release and cleanup of the leaked substance; - The depth from the bottom of the LIDS to the highest anticipated level of groundwater; - The nature of the unsaturated soils under the LIDS and their ability to absorb contaminants or to allow movement of contaminants; - The methods and scheduling for removal of all hazazdous substances which may have been discharged from primary containment and are located in the unsaturated soils between the rim containment and oundwater, includin the LIDS sum . VII. REPORTING AND RECORD KEEPING We will reporUrecord any overfill, spill, or unauthorized release from a UST system as indicated in this plan. Recordable Releases: Any unauthorized release from primary containment which the UST operator is able to clean up within eight (8) hours after the release was detected or should reasonably have been detected, and which does not escape from secondary containment, does not increase the hazard of fire or explosion, and does not cause any deterioration of secondary containment, must be recorded in the facility's monitoring records. Monitoring records must include: - The UST operator's name and telephone number; - A list of the types, quantities, and concentrations of hazardous substances released; - A description of the actions taken to control and clean up the release; - The method and location of disposal of the released hazardous substances, and whether a hazazdous waste manifest was or will be used; - A description of actions taken to repair the UST and to prevent future releases; - A description of the method used to reactivate interstitial monitoring after replacement or repair of primary containment. Reportable Releases: Any overfill, spill, or unauthorized release which escapes from secondary containment (or primary containment if no secondary containment exists), increases the hazazd of fire or explosion, or causes any deterioration of secondary containment, is a reportable release. Reportable releases are also recordable. Within 24 hours after a reportable release has been detected, or should have been detected, we will notify the local agency administering the UST program of the release, investigate the release, and take immediate measures to stop the release. If necessary, or if required by the local agency, remaining stored product waste will be removed from the UST to prevent further releases or facilitate corrective action. If an emergency exists, we will notify the State Office of Emergency Services. Within five (5) working days of a reportable release, we will submit to the local agency a full written report containing all of the following information to the extent that the information is known at the time of filing the report: - The UST owner's or operator's name and telephone number; - A list of the types, quantities, and concentrations of hazazdous materials released; - The approximate date of the release; - The date on which the release was discovered; - The date on which the release was stopped; - A description of actions taken to control and/or stop the release; - A description of corrective and remedial actions, including investigations which were undertaken and will be conducted to determine the nature and extent of soil, ground water or surface water contamination due to the release; - The method(s) of cleanup implemented to date, proposed cleanup actions, and a schedule for implementing the proposed actions; - The method(s) and location(s) of disposal of released hazardous materials and any contaminated soils, groundwater, or surface water. - Copies of any hazardous waste manifests used for off-site transport of hazazdous wastes associated with clean-up activity; - A description of proposed methods for any repair or replacement of UST system primary/secondary containment systems; - A description of additional actions taken to prevent future releases. We will follow the reporting procedures described above if any of the following conditions occur: - A recordable unauthorized release can not be cleaned up or is still under investigation within eight (8) hours of detection; - Released hazardous substances are discovered at the UST site or in the surrounding area; - Unusual operating conditions are observed, including erratic behavior of product dispensing equipment, sudden loss of product, or the unexplained presence of water in the tank, unless system equipment is found to be defective and is immediately repaired or replaced, and no leak has occurred; - Monitoring results from UST system monitoring equipment/methods indicate that a release may have occurred, unless the monitoring equipment is found to be defective and is immediately repaired, recalibrated, or replaced, and additional monitoring does not confirm the initial results. Record Retention: Monitoring records and written reports of unauthorized releases must be maintained on-site (or off-site at a readily available location, if approved by the local agency) for at least 3 yeazs. Hazazdous waste shipping/disposal records (e.g., manifests) must be maintained for at least 3 years from the date of shipment. VIII. OWNER/OPERATOR SIGNATURE CERTIFICATION: I certify that the information provided herein is true and accurate to the best of my knowledge. OWNER/OPERATOR SIG RE DATE x~o. ~ October 27, 2006 OWNER/OPE TOR NAME (print) R~~' OWNER/OPERATOR TITLE a~z. Steve Skanderson Project Manager, Authorized Agent for AT&T (Agency Use Only) This plan has been reviewed and: ^ Approved ^ Approved With Conditions ^ Disapproved Local Agency Signature: Date: hwfwrc-e (9/24/04) - 2/4 ACIFIC BELL/AT&T MAP# 1 BUSINESS NAME AT&T BKFDCA14 SA098 BUSINESS ADDRESS 3221 S. H STREET i 13 14 15 I6 17 ~$ 9 A SITE ~IAP BAKERSFIELD COMMERCIAL AND RESIDENTIAL C D B DATE 9/20/2006 ZIP CODE 93304 PREPARED BY: $DESFGN Q'IIROUP INC. DRAWING SCALE NOT TO SCALE NORTH SYMBOL LEGEND O ELECTRICAL PANEL SHUT-OFF O NATURAL GAS SHUT-OFF WO WATER SHUT-OFF RESIDENTIAL SHUT-OFF TMA TANK MONITORING L~ ALARM TO TELEPHONE D T \~~~~~~~~~~~~~~~~~~ ~ INGUISHER FIRE EXT STORM DRAIN ~ DRNEWAY D SANITARY SEWER I I ~ SENSORITIAL /~~~~~~~ ~ W E S EVACUATION% SENSOR IN ~ MSDS LOCATION D MSDS EACH SUMP 6,000 GALLON O (n ~ FIRE HYDRANT UNDERGROUND DIESEL TANK AND wPING = ~'~ FENCE OVERFILL ALARM i = J Q ERE EMERGENCY RESPONSE N ~ F - O f z EQUIPMENT/ABSORBENTS / °~ ~ U O ABOVEGROUND </ o STORAGE TANK ~ ENGIN TMA R O O I~ ~~ UNDERGROUND o M ~_~ O ` - - STORAGE TANK ~ ^ N O MOTOR OILS & LUBRICANTS (COMBUSTIBLE LIQUIDS) O BATTERY ELECTROLYTE (CORROSIVE LIQUID) SDC BUILDING 58C BUILDING (i STORY PORTION) (2 STORY PORTION) O GASOLINE (FLAMMABLE LIQUIDS) Y 3 O DIESEL FUEL _ (COMBUSTIBLE LIQUIDS) ~ c LE O NITROGEN vuT (COMPRESSED GAS) E S O PROPANE _ _ _ _ (FLAMMABLE LIQUID) AC ACETYLENE (COMPRESSED GAS) O ANTIFREEZE/COOLANTS PLANZ ROAD O WASTE OIL (FLAMMABLE LIQUID) O FIRE PULL BOX FC FLAMMABLES CABINET ~ EMERGENCY PUMP E F ~ G H J I K I L I M -~-~' ~~$c'~ ~_ ROUTINE MONITORING PROCEDURES Section 2632 (d)(1) Title 23 CCR, Chapter 16 UNDERGROUND FUEL STORAGE TANK Facility Name: Pacific Bell (BKFDCAI4, SA098) Facility Address: 3221 S. H STREET, BAKERSFIELD Telephone: 661-398-4185 Tank Owner Name: AT&T Tank Owner Address: 2600 Camino Ramon Room 3E000 San Ramon CA 94583 Telephone: (866) 492-6836 AT&T Tank ID# 1280 UST Installed: 6000 -gallon double wall composite tank Containing Diesel Fuel for the Emergency Generator. Piping Installed: Double Wall "Western Fiberglass, Co-Flex, UL971" non-metallic flexible piping system for the product supply and return lines. The aboveground piping is single wall welded steel. A. The Frequency of Performing the Monitoring: Monitoring is performed continuously on the: • Double wall UST Interstitial space and its two sumps. • Monthly inspections of the TLS panel will be performed by AT&T personnel to ensure proper operation. • Monthly inspections of the aboveground fuel piping will be performed by AT&T personnel to ensure proper operation. • The Designated Operator will perform monthly inspections of the tank system. • For those locations where only new piping and/or sumps have been placed a secondary tank testing (SB989) test will be performed at installation. Subsequent testing will be at six month and every 36 months thereafter. B. The methods and equipment used to perform continuous monitoring are: • VEEDER ROOT Fuel Tank Monitoring System Model # TLS-350 Plus with CSLD • Internal site-fax modem with printer • 0.1 GPH magnetostrictive in-tank volumetric probe Model # 847390-107 • Floating liquid sensors in the: 1. UST Interstitial space sensor Model # 794390-420 2. Piping sump sensor Model # 794380-208 3. Fill sump sensor Model # 794380-208 • Electronic Tank Overfill Alarm Model # 790091-001 I:\IIAZMA7~PACBELUFORMSVSBC Monitor Plan Merge TEMP.doc Printed: October 27, 2006 page 2 C. Locations where monitoring is performed: (see the plot plan for physical location) Continuous monitoring and leak detection are performed: • In the interstitial space of the double wall UST • In the primary tank (by volumetric test) • In the piping sump • In the fill sump D. 1. The Environmental Site Manager is responsible for performing the following: • Operational monitoring On site record keeping, Note: Onsite records are maintained on a white board mounted in the facility. And label "Facility Information Center" and contains the UST Routine Monitoring & Response Plan, Hazardous Material Business Plan and other environmental records and permits. • The reporting of any discrepancies and alarms with the monitoring system, UST, piping, and associated hardware. 2. AT&T -Environmental Management Control Center (EMCC) (California & Nevada region) at (866) 492-6836 is responsible for all maintenance and repairs to the UST monitoring system, UST, piping, and all associated hardware. E. Reporting format: A site fax modem with auto-dial for up to 8 phone numbers is installed to fax alarms and warnings 24 hours a day to AT&T -Environmental Management Control Center (EMCC) for alarms received by the TLS-350s. All on-site alarm are printed by the TLS-350 and maintained on site in the UST record box. AT&T -Environmental Management Control Center uses computers with Internal Environmental Management software program for accessing/polling all facilities with Veeder Root TLS-350's daily, 7 days a week; for all: (1) inventory, (2) all alarms, (3) all warnings, (4) in tank leak detection, and (5) all sensors leak alarms, performing set up and programming changes, and system diagnostics with all data being stored in our database. • AT&T will response to all alarms in a timely manner. t:\HAZMA7IPACBELL\FORMS\SBC Monitor Plan Merge TEMP.doc Printed: October 27, 2006 page 3 F. Preventative maintenance, calibration, certification to manufacturer's specification and repair for the UST monitoring system and associated hardware are performed on a minimum annually. AT&T -Environmental Management Control Center directs, manages, and schedules all maintenance and repairs for the California and Nevada region's, UST's, piping, associated hardware, and UST monitoring systems preventative maintenance, calibration, certification and repairs. • Currently AT&T -Environmental Management Control Center (California & Nevada region) has an annual contract with Tait Environmental Systems, 701 North Parkcenter Drive, Santa Ana, CA 92705, Phone (714) 560-8222 or fax (714) 560- 8237 to perform Calibration and field services. Secondary Containment testing will be performed every 36 months in accordance with the California Code of Regulations, Title 23, Division 3, Chapter 16, Section 2637. G. Training: AT&T Hazardous Materials/Wastes Management Handbook, Section 20 Titled "Underground and Aboveground Storage Tanks" describes the methods and procedures company employees follow for underground and aboveground storage tank and monitoring systems. UST and the Veeder Root TLS-350 monitoring system operating instructions are on- site. On-site training is performed on initial start-up of the UST monitoring system and refresher training is performed on an as needed basis. Training includes this Underground Storage Tank Monitoring Plan and the Operating manuals for electronic monitoring equipment. UST facility employee training will be completed by the Designated Operator for new employees within 30 days of the hire date. Annual refresher training will be conducted every 12 months thereafter. 1:\HAZMAT\PACBELL\FORMS\SBC Monitor Plan Merge TEMP.doc Printed: October 27, 2006 page 4 ~~~~ UST RESPONSE PLAN (Section 2632(d)(2) Title 23 CCR, Chapter 16) UNDERGROUND FUEL STORAGE TANK Facility Name: Pacific Bell (BKFDCAI4 SA098) Facility Address: 3221 S. H STREET BAKERSFIELD A. An unauthorized release of any hazardous substance (unleaded gasoline, diesel fuel) from the primary containment into the secondary containment (interstitial space, fill sump, piping sump, and piping vault) will be removed within 8 hours after the release has been detected, or contact our petroleum maintenance service contractor to remove the product from the secondary containment, and request additional time (as needed). Removal methods are by hand/electrical pump for small quantities and by vacuum truck for large quantities. Small quantities of any hazardous substance will be placed into steel drums. Large quantities will be placed into a vacuum truck tank. In the event of a release outside the secondary containment, the fire department will be contacted immediately calling 9-1-1. In the event of anon-emergency release the Bakersfield Fire Department will be notified at 661-326-3979. An AT&T authorized vendor will perform removal and disposal of any hazardous substance. Spill Kits containing Absorbent pads are located on site in the BATTERY AREA for immediate Reponses to any release. B. Name(s) and title(s) of the person(s) responsible for authorizing any work necessary under the response plan: Primary Contact: AT&T Environmental Management Control Center Secondary Contact: OICC: Emergency Control Center 24 hours/day, 7 Days/Week Executive Contact: Michael Oliver Title: Sr. Manager AT&T Corporate Environmental Management 1:\I-IAZMAT\PACBELL\FORMS\SBC Monitor Plan Merge TEMP.doc Printed: November 20, 2006 Phone Number: (866) 492-6836 (8 a.m. - 5 p.m.) Phone Number: 877-322-4722 Phone Number: 214-464-3702 page 5 ~ ~ti ~ j . ~.~. Inspection Checklist for -- Standby Generator Tank Systems (EGT) Unburied Diesel Fuel Supply and Return Piping Conduct a visual inspections of all unburied piping each time the Standby Generator Tank System (EGT) is operated, but no less than monthly Facility Name (CLLC): Facility Address: Date of inspection or Generator Run: =Satisfactory NA =Not Applicable X = Repair or Adjustment Required C =See comments under Performed By: Remarks /Recommendations. * = Send a copy of reports that have Contact Phone No. comments to the EMCC. Supply Piping - No leaks at unions, valves, fittings, couplings and connections inside and/or outside the building. Return Piping - No leaks at unions, valves, fittings, couplings and connections inside and/or outside the building. Supply Piping supports secure to building, walls, ceiling, concrete pads. Return Piping supports secure to building, walls, ceiling, concrete pads. Supply Piping properly fastened, bolted to piping supports. ,Return Piping properly fastened, bolted to piping supports. If existing, unburied Supply and Return Piping Secondary Containment sensors checked for active alarms and/or not operational status? If existing, Supply and Return piping from the Day Tank to the Engine - No leaks at unions, valves, fittings, couplings and/or connections? If existing, Day Tank(s) pump(s) - No leakage, or drips around the pump(s) flanges, split lines, connections, or hoses. Rupture basin clean and dry. If existing, Engine/Generator room/containment sensor or piping vault sensor checked for active alarm or not operational status? * Remarks /Recommendations: Prepared by Andrew Taylor Maintain this form on site with the Engine run log 925 823 6161 for a minimum of three years. Revised 04/01/2004 ~ae~ .~ u, ~. Environmental Management West Region SBC Services, Inc. P.O. Box 5095 Room 3E000 San Ramon, CA 94583-0995 866.492.6836 Phone 800.450.0241 EMCC FAX 925.973.0584 Fax http://em.sbc.com August 24, 2006 Bakersfield Fire Dept Office of Prevention Services Attn: Jeannie Loven 900 Truxtun Avenue, Suite 210 Bakersfield, CA 93301 SENT VIA DHL 17563746653 RE: CUPA Tank Forms for 3221 S H Street, Bakersfield (SA098) Dear Linda Ortiz: Enclosed is the CUPA Tank Forms for the SBC facility located at 3221 S H Street. This is being submitted to correct the information of the size of the tank at this location. According to the Permit to Operate, the tank size is 5,000 gallons. The tank size should be 6,000 gallons with tank ID number 1280. Please update your records accordingly. I would also like to request a new permit that reflects the correct tank size. Please mail the new permit to our mailing address at: AT&T Environmental Health & Safety Attn: Armi Strickland 2600 Camino Ramon, Room 3EOOOI San Ramon, CA 94583 If you have any questions, I can be reached at (925) 823-8963 or by email ad3275@att.com . Sincerely, ~- 1 Armi D. Strickland Staff Associate Cc: Julie Khdryan Sharon Ramirez Site File Enc: CUPA Tank Forms _ UNIFIED PROGRAM CONSOLIDATED FORM ,,~; ,,~ ~ TANKS UNDERGROUND STORAGE TANKS -FACILITY (One page per site) Page _1_ of I TYPE OF ACTION ®1. NEW PERMIT ^ 3. RENEWAL PERMIT ®5. CHANGE OF INFORMATION ^ 7. PERMANENTLY CLOSED SITE 400. (Check one item only) ^ 4. AMENDED PERMIT (Specify change) ^ 8. TANK REMOVED ^ 6. TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3. FACILITY _ 1 ID~ PACIFIC BELL dba AT&T SA098 NEAREST CROSS STREET 401. FACILITY OWNER TYPE ^ 4. LOCAL AGENCY/DISTRICT* ao2. Planz Rd ®1. CORPORATION ^ 5. COUNTY AGENCY* BUSINESS ^ 1. GAS STATION ^ 3. FARM ^ 5. COMMERCIAL 403• ^ 2. INDNIDUAL ^ 6. STATE AGENCY* TYPE ^ 2. DISTRIBUTOR ^ 4. PROCESSOR ®6. OTHER ^ 3. PARTNERSHIP ^ 7. FEDERAL AGENCY* TOTAL NUMBER OF TANKS 404. Ls facility on Indian Reservation a05. * If owner of UST is a public agency: name of supervisor of division, section or office 406. REMAINING AT SITE or trust lands? which operates the UST. (This is the contact person for the tank records.) ^ Yes ®No II. PROPERTY OWNER INFORMATION PROPERTY OWNER NAME ao~. PHONE 408• PACIFIC BELL dba AT&T (SA098) (877) 823-9833 MAILING OR STREET ADDRESS ao9. 322] S. H Street CITY 410. STATE a11. ZIP CODE 412. Bakersfield CA 93304 PROPERTY OWNER TYPE ®I. CORPORATION ^ 2. INDNIDUAL ^ 4. LOCAL AGENCY /DISTRICT ^ 6. STATE AGENCY a13. ^ 3. PARTNERSHIP ^ 5. COUNTY AGENCY ^ 7. FEDERAL AGENCY III. TANK OWNER INFORMATION TANK OWNER NAME 414 PHONE 415. AT&T Environmental Health & Safet (877) 823-9833 MAILING OR STREET ADDRESS 416. PO BOX 5095, ROOM 3E000 CTI'Y 417. STATE 418• ZIP CODE 419• SAN RAMON CA 94583-0995 TANK OWNER TYPE ®I. CORPORATION ^ 2. INDNIDUAL ^ 4. LOCAL AGENCY/DISTRICT ^ 6. STATE AGENCY 420• ^ 3. PARTNERSHIP ^ 5. COUNTY AGENCY ^ 7. FEDERAL AGENCY IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER TY TK H 44- 0 3 1 9 1 4 Call 916 322-9669 if uestions arise az1. V. PETROLEUM UST FINANCIAL RESPONSIBILITY INDICATE METHOD(S) ®l. SELF-INSURED ^ 4. SURETY BOND ^ 7. STATE FUND ^ l0. LOCAL GOVT MECHANISM 422. ^ 2. GUARANTEE ^ 5. LETTER OF CREDIT ^ 8. STATE FUND & CFO LETTER ^ 99. OTHER: ^ 3. INSURANCE ^ 6. EXEMPTION ^ 9. STATE FUND & CD VI. LEGAL NOTIFICATION AND MAILING ADDRESS Check one box to indicate which address should be used for legal notifications and mailing. 423. Legal notifications and mailings will be sent to the tank owner unless box I or 2 is checked. ^ 1. FACILITY ^ 2. PROPERTY OWNER ®3. TANK OWNER VII. APPLICANT SIGNATURE Certification: I certify that the information provided herein is true and accurate to the best of my knowledge. S TURE OF QPPLI T ~ DATE 42a. PHONE a25. yr,,,~; ~~ 08/23/06 (925) 823-8963 N E OF APPLIC T (print) ~ 426• TFI'LE OF APPLICANT - azz Armi D. Strickland Environmental Associate UPCF Hwfwrc-a (1/99) - 1/2 http://www.unidocs.org Ree. 02/16/00 ,~. UNIFIED PROGRAM CONSOLIDATED FORM ~ ~ ,4 ,~ TANKS UNDERGROUND STORAGE TANKS -TANK PAGE 1 (Two pages per tank) Page _3 of 4 TYPE OF ACTION ^ 1. NEW PERMTT ^ 4. AMENDED PERMIT ®5. CHANGE OF INFORMATION ^ 6. TEMPORARY TANK CLOSURE 430. (Check one item only) ®3. RENEWAL PERMIT ^ 7. PERMANENTLY CLOSED ON SITE (Specify reason) (Specffyreason) ^ 8. TANK REMOVED BUSINESS NAME (Same as FACILITY NAME or DAA -Doing Business As) 3. FACILfCY ID: l' Pacific Bell dba AT&T SA098 LOCATION WITHIN SITE (optional) 431• I. TANK DESCRIPTION (A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local agency.) TANK ID # a3z. TANK MANUFACTURER 433. COMPARTMENTALIZED TANK ^ Yes ®No a3a. 1280 Modern Weldin If "Yes," complete one page for each compartment. DATE INSTALLED (YEAR/MO) 435• TANK CAPACITY IN GALLONS a36. NUMBER OF COMPARTMENTS 437• 2004/MAY 6,000 ADDITIONAL DESCRIPTION (For local use only) 438. II. TANK CONTENTS TANK USE 439. PETROLEUM TYPE 440• ® I. MOTOR VEHICLE FUEL ^ la. REGULAR UNLEADED ^ 2. LEADED ^ 5. JET FUEL (If checked, complete Petroleum Type) ^ lb. PREMIUM UNLEADED ®3. DIESEL ^ 6. AVIATION GAS ^ 2. NON-FUEL PETROLEUM ^ ]c. MIDGRADE UNLEADED ^ 4. GASOHOL ^ 99. OTHER: ^ 3. CHEMICAL PRODUCT COMMON NAME (from Hazardous Materials Inventory page) 441 • CAS# (from Hazardous Materials Inventory page) ~2• ^ 4. HAZARDOUS WASTE (Includes Used Oil) ^ 95. UNKNOWN III. TANK CONSTRUCTION TYPE OF TANK ^ I. SINGLE WALL ^ 3. SINGLE WALL WITH EXTERIOR ^ 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443. (Check one item only) MEMBRANE LINER ^ 95. UNKNOWN ® 2. DOUBLE WALL ^ 4. SINGLE WALL IN A VAULT ^ 99. OTHER TANK MATERIAL -primary tank ®1. BARE STEEL ^ 3. FIBERGLASS /PLASTIC ^ 5. CONCRETE ^ 95. UNKNOWN 444. (Check one item only) ^ 2. STAINLESS STEEL ^ 4. STEEL CLAD W/F7BERGLASS ^ 8. FRP COMPATIBLE ^ 99. OTHER: REINFORCED PLASTIC (FRP) W/100% METHANOL TANK MATERIAL -secondary tank ^ 1. BARE STEEL ^ 3. FIBERGLASS /PLASTIC ^ 8. FRP COMPTIBLE W/100% METHANOL ^ 95. UNKNOWN 445. (Check one item only) ^ 2. STAINLESS STEEL ®4. STEEL CLAD W/FIBERGLASS ^ 9. FRP NON-CORRODABLE JACKET ^ 99. OTHER REINFORCED PLASTIC (FRP) ^ 10. COATED STEEL ^ 5. CONCRETE TANK INTERIOR LINING ^ 1. RUBBER LINED ^ 3. EPOXY LINING ^ 5. GLASS LINING ^ 95. UNKNOWN 446. DATE INSTALLED 447. OR COATING ^ 2. ALKYD LINING ^ 4. PHENOLIC LINING ®6. UNLINED ^ 99. OTHER Check one item onl ) OTHER CORROSION ^ 1. MANUFACTURED CATHODIC ^ 3. FIBERGLASS REINFORCED PLASTIC ®95. UNKNOWN 448. DATE INSTALLED 449. PROTECTION PROTECTION ^ 4. IMPRESSED CURRENT ^ 99. OTHER (If A licable) ^ 2. SACRIFICIAL ANODE SPILL AND OVERFILL YEAR INSTALLED 450. TYPE 451. OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452. (Check all that apply) ®1. SPILL CONTAINMENT 2004 ®I. ALARM 2004 ®3. FILL TUBE SHUT OFF VALVE 2004 ® 2. DROP TUBE 2004 ^ 2. BALL FLOAT ^ 4. EXEMPT ® 3. STRIKER PLATE 2004 IV. TANK LEAK DETECTION (A description of the monitoring program shall be submitted to the local agency.) IF SINGLE WALL TANK as3. IF DOUBLE WALL TANK OR TANK WITH BLADDER a5a. (Check all that apply) (Check one item only) ^ 1. VISUAL (EXPOSED PORTION ONLY) ^ 5. MANUAL TANK GAUGING (MTG) ^ I. VISUAL (SINGLE WALL IN VAULT ONLY) ^ 2. AUTOMATIC TANK GAUGING (ATG) ^ 6. VADOSE ZONE ®2. CONTINUOUS INTERSTITIAL MONITORING ^ 3. CONTINUOUS ATG ^ 7. GROUNDWATER ^ 3. MANUAL MONITORING ^ 4. STATISTICAL INVENTORY RECONCILIATION ^ 8. TANK TESTING (SIR) + BIENNIAL TANK TESTING ^ 99. OTHER V. TANK CLOSURE INFORMATION / PERMA NENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (YR/MO/DAY) 455. ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456. TANK FILLED WITH INERT MATERIAL? 457. gallons ^ Yes ^ No UPCF hwfwrc-b (1/99) - 1/4 http://www.unidocs.org Rev. 02/16/00 UNIFIED PROGRAM CONSOLIDATED FORM ' TANKS ~~ "' ~ _ - ~, UNDERGROUND STORAGE TANKS -TANK PAGE 2 Pa e4of4 VI. PIPING CONSTRUCTION (Check au that apps > UNDERGROUND PIPING ABOVEGROUND PIPING SYSTEM TYPE ^ i. PRESSURE ®2. SUCTION ^ 3. GRAVITY 458. ^ I. PRESSURE ®2. SUCTION ^ 3. GRAVITY 459. CONSTRUCTION/ ^ 1. SINGLE WALL ^ 3. LINED TRENCH ^ 99. OTHER 460. ®l. SINGLE WALL ^ 95. UNKNOWN 462. • .. ^T• ^^~ ®2. DOUBLE WALL ^ 95. UNKNOWN ^ 2. DOUBLE WALL ^ 99. OTHER MANUFACTURER WeSteTD Flber 18SS 461' MANUFACTURER WeStEl'I] Flber IaSS 463. ^ 1. BARE STEEL ^ 6. FRP COMPATIBLE W/100% METHANOL ®I. BARE STEEL ^ 6. FRP COMPATIBLE W/100% METHANOL ^ 2. STAINLESS STEEL ^ 7. GALVANIZED STEEL ^ 2. STAINLESS STEEL ^ 7. GALVANIZED STEEL ^ 3. PLASTIC COMPATIBLE WITH CONTENTS ^ 95. UNKNOWN ^ 3. PLASTIC COMPATIBLE W/CONTENTS ^ 8. FLEXIBLE (HDPE) ^ 99. OTHER ^ 4. FIBERGLASS ®8. FLEXIBLE (HDPE) ^ 99. OTHER ^ 4. FIBERGLASS ^ 9. CATHODIC PROTECTION ^ 5. STEEL W/COATING ^ 9. CATHODIC PROTECTION 464. ^ 5. STEEL W/COATING ^ 95. UNKNOWN 465. VII. PIPING LEAK DETECTION (Check all that a pl) (A descri Lion of the monitoring program shall be submitted to the local agcnc .) UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING 466. SINGLE WALL PIPING a67. PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply): ^ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST W[TH AUTO PUMP ^ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT-OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS. AUDIBLE AND VISUAL ALARMS. ^ 2. MONTHLY 0.2 GPH TEST ^ 2. MONTHLY 0.2 GPH TEST ^ 3. ANNUAL INTEGRITY TEST (0.1 GPH) ^ 3. ANNUAL INTEGRITY TEST (0.1 GPH) ^ 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS (Check all that apply) ^ 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING ^ 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): ^ 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) ^ 7. SELF MONITORING SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): GRAVITY FLOW ^ 7. SELF MONITORING ^ 9. BIENNIAL INTEGRITY TEST (0.1 GPH) GRAVITY FLOW (Check all that apply): ^ 8. DAILY VISUAL MONITORING ^ 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) ALARMS AND (Check one) ^ a. AUTO PUMP SHUT' OFF WHEN A LEAK OCCURS ^ a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ^ b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM ^ b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION DISCONNECTION ^c. NO AUTO PUMP SHUT OFF ^c. NO AUTO PUMP SHUT OFF ^ 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT ^ 1 I. AUTOMATIC LEAK DETECTOR OFF OR RESTRICTION ^ 12. ANNUAL INTEGRITY TEST (0.1 GPH) ^ 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM SUCTION/GRAVITY SYSTEM ^ 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS ^ 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) EMERGENCY GENERATORS ONLY (Check all that apply) ® 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF ^ 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF AUDIBLE AND VISUAL ALARMS AUDIBLE AND VISUAL ALARMS ^ ] 5. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT ^ I5. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) OFF OR RESTRICTION ^ 16. ANNUAL INTEGRITY TEST (0.1 GPH) ^ 16. ANNUAL INTEGRITY TEST (O.l GPH) ^ 17. DAILY VISUAL CHECK ^ 17. DAILY VISUAL CHECK VIII. DISPENSER CONTAINMENT DISPENSER CONTAINMENT 468. ^ 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE ^ 4. DAILY VISUAL CHECK 469. DATE INSTALLED ^ 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS ^ 5. TRENCH/LINER MONITORING ^ 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR ^ 6. NONE DISPENSER + AUDIBLE AND VISUAL ALARMS IX. OWNER/OPERATOR SIGNATURE 1 certify that the information provided herein is true and accurate to the best of my knowledge. SIG URE OF Oy(NER/O -~ nw G~ DATE: OHIZ3/OE) 470' NA E OF OWNER/OPE ATOR (print): ATIIII SIPICIC11RC1 TTTLE OF OWNER/OPERATOR: SI1ff ASSOCIaIt: 472' UPCF hwfwrc-b (1/99) - 3/4 http://www.unidocs.org Rev. 02/16/00 UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING / SB989 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING. CERTIFICATION BAKERSFIELD FIRE DEPT. R S P I D prevention Services Flit! ARfAI 1 900 TrLlxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of ~~ ~~ PERMIT NO. '~ ^ ENHANCED LEAK DETECTION ~,.^ LINE TESTING ^ SB-989 SECONDARY CONTAINMENT TESTING ^ TANK TIGHTNESS TEST ! ~)1LSF/ TO PERFORM FUEL MONITORING CERTIFICATION ~"'~ SITE INFORMATION AGILITY ~.. .5 ~C ~~ ~ l NAME & PHONE NUMBER OF CONTACT PERSON Oc ~or~ rJ ! - S DDRESS ~ ~.~ I ~-1 5,~~ WNERS NAME _ 58 c ~ ~ PERATORS NAME ~ ~~~r~eZ ERMIT TO OPERATE NO. UMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? ^ YES NO TANK# VOLUME CONTENTS a~~ ~~ sue. ... 'TANK TESTING.COMPANY AME OF TESTING COMPANY AME & PHONE NUMBER OF CONTACT PERSON AILING ADDRESS t ~~~~ /~~ S7'. ®~E'G7ieJ~r~°, r//~ Z AME & PHONE NUMBER OF TESTER OR SPECIAL INSPECTOR ERTIFICATION #:_ ATE & TIME TES TO BE CONDUCTED z o ~ ~ OD CC =: EST METHOD ~/e~l~~o7-- IGNATURE OF APPLICANT ATE Z~Z~ ~~ r APPLICATI QECOMES A PERMIT- WMEN APPROVED PPROVED BY ATE FD2106 ~`~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 --------__..---- - ~ ~ INSP CTI~OIf~ ATE INSPECTION TIME ~ - - (ham - - ----- - -- ------ ---..-..-----~ -------------------- ADDRESS - -- ------------- ~~ ----~~-- --~~.~__~.oT_- ~___-~ --- --------------- ------- No. of Employees PH NE No _ 3~ _' `ll _S __ _ ~ _ --- FACILITYCONTACT Business ID Number 15-021- Section 1: Business Plan and Inventory Program ^ Routine LWC:ombined D Joint Agency ^Multl-Agency O Complaint ^ Re-inspection C V \V=VoaPlonncel OPERATION ~^ APPROPRIATE JPERMIT ON HAND --1--`------------------------ ------------------._.-.-.. L~' ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ~^ VISIBLE ADDRESS Ll ^ CORRECT OCCUPANCY I LY~ ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES L~~-'/^ VERIFICATION OF LOCATION L1Y ® PROPER SEGREGATION OF MATERIAL LYE ^ VERIFICATION OF MSDS AVAILABILITYE LV ^ VERIFICATION OF I"IAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES LU/ ^ EMERGENCY PROCEDURES ADEQUATE - ------- ------ - ---- ----------- _ _ ------ ------------- ---- __ ---._..-I- ._.. (~~^ CONTAINERS PROPERLY LABELED ~ ,y-,---~------ -- -- ---- ---- - ----------- --- ------ ---- _-- -- ~---- LY~ ^ I"~OUSEKEEPING L~' ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE 8c ON HAND i COMMENTS ANY HAZARDOUS WASTE ON SITE: ^ YES ^ NO EXPLAIN: QUESTION ~EGARDING THIS INSPECTION? PLEASE CALL US AT (GF)1~ 3ZG-3979 -~ - I Inspector Badge No., Business Site Res onslble arty White -Environmental Services Vellow • Station Copy Pink • Business Copy ~• ~t~~' ''•~ ~ CITY OF BAKERSF[ELD FIRE DEPARTMENT ~6 ~ ~ ro OFFICE OF ENVIRONMENTAL SERVICES ~~' y~` UNIFIED PROGRAM INSPECTION CHF,CKLIST \~_w ~R~,,+++' 1715 Chester Ave., 3r`' Floor, Bakersfield, CA 93301 ,.~~~ FACILITY NAME S,~ ~ INSPECTION DATE 3 a4 Section 2: Underground Storage 'Tanks Program ^ Routine ~ombined~ ^ Joint Agency ^Minti-Agency (^ Complaint ^ Re-inspection Type of Tank ~~. _ Number of ~ anks Type of Monitoring - [~ ~~ Type of Piping ~~ OPERATION C V COMMENTS Proper tank data on the Proper ownerloperator data on the 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 overtillioverspill protection'? C=Compliance , V=Violation Y=Yes N=NO 4 Inspector: Office of Environmental Services (661) 326-3979 Business Site Resp nsible Par ~ \~'hitc -Env. Svcs. Pink -Business Copy \ '~ ~_T 1 Tait Environmental Systems UST Construction • Design • Maintenance • Compliance April 11, 2006 CERTIFIED MAIL -RETURN RECEIPT REQUESTED Signature Signature Confirmation: _ confirmation:91 3408 2133 3931 0099 0244 Bakersfield Fire Department 900 Truxtun Avenue, Room 200 Bakersfield, CA 93301 RE: AT>3~T/SBC Sites >~ CLLC Codes: 3221 So. "H" Street, Bakersfield Geo Par: SA-098 CLLC: BKFDCAI4 To Whom It May Concern: Enclosed are the following forms, dated March 29, 2006, for the above-referenced facility: • Monitoring System Certification • Spill/Overfill Containment Form Feel free to call if you have any questions. Very Truly Yours, TAIT ENVIRONMENTAL SYSTEMS G'G'~~ ALAN THROCKMORTON Compliance Manager AT:clb Enclosure :\tes\pb2tm6\letters\kern\Bakersfield fire_bkfdcal4 CC: Cheryl Allen Armi Strickland Sharon Ramirez (Post At Site) DUSTO CA Lic #588098 • AZ Lic #095984 • NV Lic #0049666 1863 North Neville Street Orange, California 92865 714.560.8222 714.685.0006 Fax 11280 Trade Center Drive Rancho Cordova, California 95742 916.858.1090 916.858.1011 Fax www.taitenvironmental.com .~z '~... __ MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Cited:- Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitoring system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. Generallr~fonmation Facility Name: AT&T/SBC Site Address: 3221 SO. "H" STREET Facility Contact Person: SHARON RAMIREZ GEO PAR # SA-098 CLLC Code: BKFDCAI4 City: BAKERSFIELD Zip: Contact Phone No.: Make/Model of Monitoring System: VEEDER-ROOT TLS-350 B. Inventory of Equipment TestedlCertified Check the aoprooriate boxes to indicate specific equipment inspected/serviced: (805)546-7416 Date of Testing/Service: 3/29/06 Tank ID: 1280 Tank ID: ®In-Tank Gauging Probe: Model: 847390-107 ^In-Tank Gauging Probe: Model: ®Annular Space or Vault Sensor: Model: 794390-420 ^Annular Space or Vault Sensor Model: ®Piping Sump/Trench Sensor (s): Model: 794380-208 ^Piping Sump/Trench Sensor (s): Model: ®Fill Sump Sensor (s): Model: 794380-208 ^Fill Sump Sensor (s): Model: ^Mechanical Line Leak Detector. Model: ^Mechanical Line Leak Detector. Model: ^Electronic Lirie Leak Detector Model: ^Electronic Line Leak Detector Model: ®Tank Overfill: Model: 790091-001 ^Tank Overfill/High-level Sensor: Model: ^Other, S eci a ui a and model in Section E on Pa e 2 ^Other, S eci a ui a and model in Section E on Pa e 2 Tank ID: Tank ID: ^In-Tank Gauging Probe: Model: ^In-Tank Gauging Probe: Model: ^Annular Space or Vault Sensor: Model: ^Annular Space or Vault Sensor Model: ^Piping Sump/Trench Sensor (s): Model: ^Piping Sump/Trench Sensor (s): Model: ^Fill Sump Sensor (s): Model: ^Fill Sump Sensor (s): Model: ^Mechanical Line Leak Detector. Model: ^Mechanical Line Leak Detector. Model: ^Electronic Line Leak Detector Model: ^Electronic Line Leak Detector Model: ^Tank OverfilUHigh-level Sensor: Model: ^Tank Overfill/High-level Sensor: Model:. ^Other, S eci a ui a and model in Section E on Pa e 2 ^Other, S eci a ui a and model in Section E on Pa e 2 Dispenser ID: Dispenser ID: ^Dispenser Containment Sensor(s): Model: ^Dispenser Containment Sensor(s): 1VIode1: ^ Shear Valve(s). ^ Shear Valve(s). _ ^Dis enser Containment Float s) and Chains ^Dis enser Containment Floats and Chain s Dispenser ID: Dispenser ID: ^Dispenser Containment Sensor(s): Model: ^Dispenser Containment Sensor(s): .Model: ^ Shear Valve(s). ^ Shear Valve(s). ^Dis enser Containment Floats and Chains ^Dis enser Containment Floats and Chain s Dispenser ID: Dispenser ID: ^Dispenser Containment Sensor(s): Model: ^Dispenser Containment Sensor(s): Model: ^ Shear Valve(s). ^ Shear Valve(s). ^Dis enser Containment Floats and Chain(s) ^Dis enser Containment Float s) and Chain s "If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification - I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the report; (check all that apply): ®System set-up ®Alarm history report Technician Name (Print): RUBEN BECERRA Signature: .%-:~~~-------._.._. Certification No.: 006-OS-0042 License No.: '$809 Testing Company Name: TAIT ENVIRONMENTAL SYSTEMS Phone No.: (714) 560-8222 Monitoring System Certification Site Address: 3221 SO. "H" STREET, BAKERSFIELD D. Results of Testing/Servicing Software Version Installed: 324.01_ (`mm~lnta fhP fnllnwina chPrkliat~ ® Yes ^ No* Is the audible alarm o erational? ® Yes ^ No* Is the visual alarm o erational? ® Yes ^ No* Were all sensors visuall ins ected, functionall tested, and confirmed o erational? ® Yes ^ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their ro er o eration? ® Yes ^ No*. If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) ^ N/A operational? ^ Yes ^ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment ® N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) ^ Sump/Trench Sensors; ^ Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ^Yes; ^ No. ® Yes ^ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no ^ N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill oint s and o eratin ro erl ? If so, at what ercent of tank ca aci does the alarm tri er? 90% ® Yes* ^ No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all re lacement arts in Section E, below. ^ Yes* ®No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ^ Product; ^ Water. If es, describe causes in Section E, below. ® Yes ^ No* Was monitorin s stem set-u reviewed to ensure ro er settin s? ®Yes ^ No* Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: Tank also equipped with flapper valve on drop tube. Insert VR Probe Number as a check box for each tank under section B Replaced 420 Annular Sensor for same type sensor. Date of Testing/Servicing: 3/29/06 Page 2 of 3 Site Address: 3221 SO. "H" STREET, BAKERSFIELD Date of Testing/Servicing: 3/29/06 F. In-Tank Gauging /SIR Equipment: ®Check this box if tank gauging is used only for inventory control. ^ Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging,equipment is used to perform leak detection monitoring. (:mm~lete the following checklist: ® Yes ^ No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ® Yes ^ No* Were all tank gauging probes visually inspected for damage and residue buildup? ® Yes ^ No* Was accuracy of system product level readings tested? ® Yes ^ No* Was accuracy of system water level readings tested? ® Yes ^ No* Were all probes reinstalled properly? ® Yes ^ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): ®Check this box if LLDs are not installed. C'mm~lete the fnllnwinu checklist: ^ Yes ^ No* For equipment start-up or annual equipment certification, was a leak simulated to verify. LLD performance? ^ N/A (Check all that apply) Simulated leak rate: ^ 3 g.p.h.l; ^ 0.1 g.p.h.2; ^ 0.2 g.p.h.Z Notes: 1. Required for equipment start-up certification and annual certification. 2. Unless mandated by local agency, certification required only for electronic LLD start-up. ^ Yes ^ No* Were all LLDs confirmed operational and accurate within regulatory requirements? ^ Yes ^ No* Was the testing apparatus properly calibrated? ^ Yes ^ No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ^ N/A ^ Yes ^ No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ^ N/A ^ Yes ^ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled ^ N/A or disconnected? ^ Yes ^ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system ^ N/A malfunctions or fails a test? ^ Yes ^ No* For electronic LLDs, have all accessible wiring connections been visually inspected? ^ N/A ^ Yes ^ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: f. Site Address: 3221 SO. "H" STREET, BAKERSFIELD IVionitoring System Certification Date of Testing/Servicing: 3 - z `~ - 0,6 UST Monitoring Site Plan .. ~ ~ a}~ ouei ~1 . O O . . . . . . . . . . . . . R^~~tyf , F~ti . . ' . . . . . . . . . . . . Seu+S~- ~5e~15o~'- ~P~ . ~ R'C'6 ................ .......... ~...... _,~. .... E. ... Date map was drawn: ~ ~ z 9 ~ ° ~ If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. Page ~ of Spill Bucket Testing Report Form This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form a nd printouts from tests (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION CLLC: BKFDCAI4 GEO PAR: SA-098 Facility Name: AT&T/SBC Date of Testing: 3/29/06 Facility Address: 3221 SO. "H" STREET, BAKERSFIELD Facility Contact: SHARON RAMIREZ Phone: 805-546-7416 Date Local Agency Was Notified of Testing : 48 HOURS Name of Local Agency Inspector (if present during testing): BAKERSFIELD FIRE 2. TESTING CONTRACTOR INFORMATION Company Name: TAIT ENVIRONMENTAL SYSTEMS Technician Conducting Test: RUBEN BECERRA Credentials: ®CSLB Contractor ®ICC Service Tech. SWRCB Tank Tester Other (Specify) License Number(s): A B ASB C-10 HAZ License Number: 588098 3. SPILL BUCKET TESTING INFORMATION Test Method Used: ®Hydrostatic Vacuum Other Test Equipment Used: MARKER VISUAL Equipment Resolution: Identify Spill Bucket (ey Tank Number, Stored Prnduct, etc.). 1 #1280 2 3 4 Bucket Installation Type: Duect Bury ® Contained in Sump Direct Bury Contained in S Direct Bury Contained in S Direct Bury Contained in S Bucket Diameter: 12" Bucket Depth: 11" Wait time between applying vacuum/water and start of test: 5 MINUTES Test Start Time (TI): 11:30 AM Initial Reading (RI): 6" Test End Time (TF): 12:30 PM Final Reading (RF): 6" Test Duration (TF - TI): 1 HOUR Change in Reading (RF - RI): NONE Pass/Fail Threshold or Criteria: pASS .Test Result: '; ~~Pass ~ Fail Pass: Fail Pass Fail Pass Fail .~ Con lmeIIts - (include information on repairs made prior to testing, and recommended follow-up for failed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the information contained in this report is true, accurate, and in full compliance with legal requirements Technician's Signature: ~ -., "~,' Date:_3/29/06 "~ °..-r> .4 COMMUNICATIONS SET UP SBC BKFU CA14 SA-098 3221 S. H ST. BAKERSFIELD.CA.93304 661-832-6370 MAR 29. 2006 11:35 AM INVENTOR'! REPORT T 1:DIESEL #11280 VOLUME = 4864 GALS . ULLAGE = 1152 GALS 90% ULLAGE= 550 GALS TC VOLUh1E = 4704 GALS HEIGHT = 72.16 INCHES !, WATER VOL = 0 GALS i WATER = 0.00 INCHES TEMP = 67.3 DEG F ~ ~ ~ ~ ~ END ~ ~ ~ * ~ SYSTEM SETUP MAR 29. 2006 11 :35 F1M ~ SYSTEM UNITS U.S. SYSTEM LANGUAGE ENGLISH SYSTEM DATE~`TIME FORMAT MON DD YYYY HH:MM:SS xM SBC BKFD CA14 SA-098 1.3221 S. H ST. BAKERSFIELD.CA.93304 661-832-8370 SHIFT TIME 1 7:30 AM SHIFT TIME 2 DISABLED. SHIFT TIME 3 DISABLED 1 SHIFT TIME 4 DISABLED TANK PER TST NEEDED WRN- - DISABLED TANK. ANN TST NEEDED WRN ~; DISABLED LINE RE-ENABLE METHOD PASS LINE TEST LINE PER TST NEEDED WRN ~ DISABLED LINE ANN TST NEEDED WRN DISABLED PRINT TC VOLUMES { ENABLED TEMP COh1PENSATION VALUE tDEG F is 60.0 STICK HEIGHT OFFSET DISABLED ': H-PROTOCOL DATA FORMAT i. HEIGHT DAYLIGHT SAVING TIME DISABLED RE-DIRECT LOCAL PRINTOUT DISABLED EUR4 PROTOCOL PREFIX S CUSTOM ALARM LABELS DISABLED PORT SETTINGS:. COMM BOARD 1 t F XMOD 7 BAUD RATE 1200 PARITY ODD STOP- BIT 1 STOP DATA LENGTH: 7 DFtTA RS-232 SECURITY CODE ~~~~~~ DIAL~TYPE TONE ANSWER ON 1 R I NG MODEM SETUP STRII+JG DIAL TONE INTERVAL: 32 RECEIVER SETUP: D 1:CALL CENTER 18669023262 ', RCUR TYPE: COMPUTER `; PORT N0: 1 RETRY N0: 3 RETRY DELAY: 3 CONFIRMATION REPC>RT: ON D 2:EMCC 18006172075 RCVR TYPE: FACSIMILE PORT NO: 1 RETRY N0: 3 RETRY DELAY: 3 CONFIRMATION REPORT: OFF AUTO DIAL TIME SETUF: D 1 :CALL CE(VTER DIAL O (V DATE APR 26. 2004 DIAL TIME DISABLED RECEIVER REPORTS: D 2:EMCC DIAL ON DATE APR 26. 2004 DIAL TIME : DISABLED RECEIVER REPORTS: Page ~ of RS-232 END OF MESSAGE DISABLED AUTO DIAL ALARM-SETUP- _ D 1:CALL CENTER IN-TANK ALARMS ALL:LEAK ALARM ALL:HIGH WATER ALARM ALL:PERIODIC TEST FAIL LIQUID SENSOR ALMS ! ALL:FUEL ALARM ALL:HIGH LIQUID ALARM ALL:LOW LIQUID ALARM { R 2:EMCC IN-TANY. ALARMS ~ ALL:LEAK ALARM ALL:HIGH WATER ALARM ALL:PERIODIC TEST FAIL i LIQUID SENSOR ALMS ALL:FUEL ALARM ALL:HIGH LIQUID ALARM ALL:LOW LIQUID ALARM IN-TANK SETUP LEAK TEST METHOD T 1 :DIESEL # 12130 TEST CSLD ALL TANK ~ PRODUCT CODE 1 Pd = 95% THERMAL COEFF :.004500 CLIMATE FAGTOR:MODET~ATE ' TANK DIAMETER 95.75 ' TANK PROFILE 1 FT REPORT ONLY: FULL VOL : 6016 DISABLED FLOAT SIZE: 4.0 ItJ. TST EARLY STOP:DISF;BLED ' WATER WARNING 2.0 ~, LEAK TEST REPORT FC)RN1AT NORMAL HIGH WATER LIMIT: 2.0 MAX OR LABEL VGL: 6016 OVERFILL LIMIT 90°rd 5414 HIGH PRODUCT 951 5715 DELIVER`. L I M I T 70 a ~ 4211 LOW PRODUCT 2000 LEAK ALARM LIMIT: 24 f LIQUID SENSOR SETUP SUDDEN LOSS LIMIT: 50 _ _ _ _ _ _ _ _ _ _ _ TANK TILT 0.00 ~ PROBE OFFSET 0.00 ~ L 1:ANNULAR SPACE. SENSOR ' ~ TRI-STATE (SINGLE FLOAT}- ; SIPHON MANIFOLDED TANKS CATEGORY ANNULAR SPACE 3 T#: NONE LINE MANIFOLDED TANKS T#: NONE L 2:FILL SUMP SENSOR TRI-STATE (SItJGLE FLOAT} ~ LEAK MIN PERIODIC: 0%o CATEGORY OTHER SENSORS 0 LEAK MIN ANNUAL : 0% 0 L 3:PIPING SUMP SENSOR TRI-STATE (SINGLE FLOAT} CATEGORY PIPING SUMP PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARNI DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF OUTPUT RELAY SETUP PER TEST AVERAGING,: OFF - TANK TEST NOTIFY: OFF R 1:OVERFILL ALARM TYPE: TNK TST SIPHON BREAK:OFF STANDARD NORMALLY OPEN DELIVERY DELAY 1 MIN PUMP THRESHOLD 10.001- IN-TANK ALARMS ALL:OVERFILL ALARM Job # J~K-Cr~C~ I ~ Page ~ of SOFTWARE REVISION LEVEL VERSION 324.01 SOFTWARE# 346324-100-8 CREATED - 03.11.10.17.15 S-MODULE# 33C~16D-002-A i SYSTEM FEATURES: PERIODIC IIV-TANK TESTS ANNUAL IN-TANK TESTS CSLD ALARM HISTORY kEPORT ' -----.SYSTEM ALARM ----- PAPER OUT MAR 6,'2006 1:22 FM PRINTER ERROR MAR' 8: 2006 11:50 AM ~ BATTERY IS OFF NOV 10. 2003 8:U0 AM SYS SECURITY WARNING MAY 10, 2004 8:41 AM ~ ~ * ~ * END ~ i~ ALARM HISTORY REPORT i ---- I N-TAtdK ALARM ----- T 1:DIESEL #1280 SETUP DATA WARNING APR 26, 2004 3:45 PM OVERFILL ALARM APR 13. 2005 10:14 AM i LOW PROTjUCT ALARM APR 13. 2005 10:14 AM APR 13. 2005 10:13 AM MAY 14. 2004 9:21 AI°1 HIGH PRODUCT ALARM APR 13, 2005 10:14 AM INVALID FUEL LEVEL APR 13, 2005 10:13 AM APR 26. 2004 3:45 FM PROBE OUT APR 13. 2005 10:17 AM APR 13. 2005 10:12 AM APR 26. 2004 3:29 PM ''~ DELIVERY NEEDED APR 13, 2005 10:14 AM APR 13. 2005 10:12 AM MAY 14. 2004 8:55 AM PERIODIC TEST FAIL JUL 28. 2004 8:39 PM JUL 3. 2004 12:19 AM JUN 24, 2004 4:04 PM CSLD INCR RATE WARN NOV 9, 2004 11:34 AM OCT 23, 2004 10:39 AM ii * * * END ALARM HISTORY REPO>~T ----- SENSOR ALARM ----- L 1:ANNULAR SPACE SENSOR ANNULAR SPACE FUEL-ALARM APR 13. 2005 10:11 AM FUEL ALARM MAY. 14, 2004 9:0 4 AM FUEL ALARM MAY 4, 2004 2:11 PM ALARM HISTORY REP~7RT ----- SENSOR ALARM ----- L 2:FILL SUMP SENSOR OTHER SENSORS FUEL ALARM APR 13. 2005 10:11 AM FUEL ALARM NOV 29, 2004 11:34 AM FUEL ALARM MAY 14. 2004 9:15 AM ~€ ~€ * ~€ END x ~ ~ ~ ~€ Job # b~~C~ ~Q ~ Page ~ of ALARM HISTORY REPORT ----- SENSOR ALARM ----- L 3:PIPING SUMP SENSOR .. PIPING SUMP FUEL ALARM APR 13..2005 10:12 AM FUEL .ALARM MAY 14. 2004 9:03 AM FUEL ALARM MAY 5. 2004 2:27 PM ---- IN-TANK ALARM ----- T 1:DIESEL #1280 DELIVERY NEEDED MAR 29. 2006 11:46 AM ---- IN-TANK ALARM ----- T 1:DIESEL #12$0 PRONE OUT MAR 29. 2006 11:46 AM ~ ~ ~ * ~ END * ~ ~ ~ ~ SHC BKFD CA14 SA-09$ ~ 3221 S. H ST. BAKERSFIELD.CA.93304 '661-$32-8370 MAR 29. 2006 11:36 AM SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL ----- SENSOR ALARM --- L 2:FILL SUMP SENSOR OTHER SENSORS FUEL ALARM MAR 29. 2006 11:41 AM -- SENSOR ALARM ----- ~, L 2:FILL SUMP SENSOR OTHER SENSORS FUEL ALARM MAR 29. 2006 11:41 AM ----- SENSOR ALARM --- j L 3:FIPING SUMP SENSOR PIPING SUMP FUEL ALARM MAR 29. 2006 11:41 AM CONFIRMATION REPORT:- - D 1:CALL CENTER MAR 29. 2006 11:43 AM MODE = COMPUTER RESULT = OK SHG HKFD CA14 SA-09$ 3221 S. H ST. HAKERSFIELD.CA.933D4 661-$32-$370 MAR 29. 2006 11:45 AM SYSTEM STATUS REPORT hLL FUf~JG i i viva Nuist°{~L Job # b~.'fdC~.l4 ---- IN-TANK ALARM ----- T 1:DIESEL #12$0 HIGH PRODUCT ALARM MAR 29. 2006 11:4$ AM i I 1 i ---- IN-TANK ALARM ----- T 1:DIESEL #12$0 MAX PRODUCT ALARM MAR.29. 2006 11:48 AM ----- SEtVSOR ALARM ----- L 1:ANNULAk SPACE SENSOR ANNULAR SPACE SENSOk OUT ALARM .MAR 29. 2006 11:53 AM Page ~ of ----- SENSOR ALARt°1 ----- L I:AtdNULAR SPACE SENSOR ANNULAR SPACE FUEL ALARM MAR 29. 2006 11:56 AM -~..CONF I RMAT I ON REPORT ~D i:CALL CENTER MAR 29. 2006 11:58 AM MODE = COMPUTER RESULT = OK SBC BKFD CA14 SA-098 ~ 3221 S. H ST. BAKERSFIELD.CA.93304 661-B32-8370 MAR 29. 2006 12:13 Pty ~ ,. i ~= -~... SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL Job # ~f C~CQ Page~of~ '~ .~ i k j UNDERGROUND STORAGE TANKS $AKERSFIELD FIRE DEPT. H >r R 9 P I n prevention Services ~4RfM ! 900 Truxtun Ave:, Ste. 210 APPLICATION Bakersfield, CA 93301 TO PERFORM ELD /LINE TESTING Tel.: (661) 326-3979 / SB989 SECONDARY CONTAINMENT TESTING Fax: (661) 852-2171 (TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION Page 1 of 1 PERMIT NO. ~ ~ `~" • ^ ENHANCED LEAK DETECTION ^^~ LINE TESTING ^ SB-se9 SECONDARY CONTAINMENT TESTING ^ TANK TIGHTNESS TEST (" ~i/ TO PERFORM FUEL MONITORING CERTIFICATION SITE INFORMATION AGILITY ,~ S13C ~~T ~ NAME & PHONE NUMBER OF CONTACT PERSON .ylar~rJ / - S _G DDRESS ~ a Z ~ S , ~ S7~ e~ WNERS NAME _ SS c i T- PERATORS NAME o~ ~~ rr~ Z ERMI7 TO OPERATE NO, UMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTEDI ^ YES NO TANK # V OL U ME CONTENTS l ' / ~ U~l/ / to 5~ . " ~ '-.TANK TESTING;COMPANY- ,. . AME OF TESTING COMPANY r av ~ S ~i AME & PHONE NUMBER OF CONTACT PERSON /4~t1 ocr~T I'Y!d/~~! 7/% S6" 7 - 6 AILING ADDRESS AME & PHONE NUMBER OF TESTER OR SPECIAL INSPECTOR 8e T~-~r Div ~ ERTIFICATION #: ATE & TIME TES TO BE CONDUCTED CC = ~ EST METHOD lGNATURE OF APPLICANT ATE Z.~~~ ~o T APPL.ICATI© BECOME A PERMIT WM ~N APPROVED PPROVED BY ATE FD2106 .. .. .. ._ .. _._... .~.. X74"r v. M • • ' ~ „@ _ ~ s .s ,~2!' r ~ ::: ~. ~w/y~ /y~F{{w . ~!t~ ;'ir" :~ •S•r:': !m _ ~. .~.: b T. m,.':: :?.s:~,, a, ~.",'~`~~.fY,-~~i57 ''~YiX ~•,./':: ' • . ~~ ~ i • m 8L: EL r49 . ~ ~ `ls •~; w o.a f !• _ _.t~ ~`.ads:~ r = _ •• 'S30 .Q02'... _ ' :.•pwtr.• ti q.~ ctl: •'.~ . . . ' t • i 2. m to E 'Z , } - - ' ~~,^- ~-'.?~>~ ~. , 'p ] ' ~ '~~~''C. 't}~ ~o ~°am ~: .. ' ' .._.. ..... .:( Cis .. _ _. .. •~ -• ~ ~~•'• :x{:,f~ :.i,;i;• . . ~f,~ }n•nv A.7AO p,v .. .. ~ yC.JO +. : ry lam, •~•,;~~~ , ( . . .1i f} °s _'o.3n +e .~ 7'~ ;~ . . ~ .~ ,. ~:'t.~4.::~ >' y.~j f"'~ S:ft. .. > 'i •, ' . C'j ' {t m,.m, /'o.'e 'e°.o '.est. >,+ k.0.J.9. ~~n t . . . . • ... (~)~ D.y~„ , t ,fi`~, o a~o.m. N m.. ~ .. .j, y } i ~ is ~ i .. .. . . • ~ ~ .. .. ' ' ~ - i~ .. ,,~~ ' UNDERGROUND STORAGE TANK SYSTEM OWNER STATEMENTS OF DESIGNATED UST OPERATOR AND UNDERSTANDING OF AND COMPLIANCE WITH UST REQUIREMENTS For use by Unidocs Member Agencies or where approved by your Local Jurisdiction Authority Cited: Title 23, Div. 3, Ch. 16 California Code of Regulations (CCR) FACILITY NAME FACILITY PHONE Pacific Bell Telephone Company (661) 327-6903 dba AT&T California SA098 FACILITY SITE ADDRESS . CITY 3221 S. H Street Bakersfield REASON FOR SUBMITTING THIS FORM (Check One): ^ Change of Designated Operator ®Update of ICC Certification Expiration Date(s) PRIMARY DESIGNATED UST OPERATOR FOR THIS FACILITY DESIGNATED OPERATOR NAME: Phll HOIbrOOk RELATION TO UST FACILITY (Check One) BUSINESS NAME(Ifdifferentfromabove): Talt EnVICOnmental SyStemS ^ Owner ^ Operator ^ Employee DESIGNATED OPERATOR PHONE: (714) 920-8236 eXt. ^ Service Technician ® Third-Party INTERNATIONAL CODE COUNCIL CERTIFICATION NO.: 5252931 _UC EXPIRATION DATE: 10~30~2008 ALTERNATE 1 DESIGNATED UST OPERATOR FOR THIS FACILITY(Optional) DESIGNATED OPERATOR NAME: See Attached LISt Of Alternates RELATION TO UST FACILITY (Check One) BUSINESS NAME (tfdifferentfrom above): Tait Environmental Systems ^ Owner ^ Operator ^ Employee DESIGNATED OPERATOR PHONE: ( )See Attached ext. ^ Service Technician ®Third-Party INTERNATIONAL CODE COUNCIL CERTIFICATION NO.: See Attached EXPIRATION DATE: See Attached ALTERNATE 2 DESIGNATED UST OPERATOR FOR THIS FACILITY (Optional) DESIGNATED OPERATOR NAME: RELATION TO UST FACILITY (Check One) BUSINESS NAME (If different from above): ^ Owner ^ Operator ^ Employee DESIGNATED OPERATOR PHONE: ( ) ext. ^ Service Technician ^ Third-Party INTERNATIONAL CODE COUNCIL CERTIFICATION NO.: EXPIRATION DATE: ALTERNATE 3 DESIGNATED UST OPERATOR FOR THIS FACILITY (Optional) DESIGNATED OPERATOR NAME: RELATION TO UST FACILITY (Check One) BUSINESS NAME (Ifdifferentfrom above): ^ Owner ^ Operator ^ Employee DESIGNATED OPERATOR PHONE: ( ) ext. ^ Service Technician ^ Third-Party INTERNATIONAL CODE COUNCIL CERTIFICATION NO.: EXPIRATION DATE: I certify that, for the facility indicated at the top of this page, the individual(s) listed above will serve as Designated UST Operator(s). The individual(s) will conduct and document monthly facility inspections and annual facility employee training in accordance with California Code of Regulations, Title 23, Section 2715(c) through (f). Furthermore, I understand and am in compliance with the requirements (statutes, regulations, and local ordinances) applicable to underground storage tanks. TANK OWNER NAME: ~aSOn Weller TANK OWNER TITLE: Manager, EH&S OWNER PxoNE: (214) 464-3131 TANK OWNER SIGNATURE: DATE: ~~- aq ^'U'~ INSTRUCTIONS Report the name(s) of the Designated UST Operator(s) as registered with the International Code Council (ICC). ICC certification information is available on-line at: www.iccsafe.org/e/certsearch.html. Search for "California UST System Operators: ' Submit this completed form to the local agency that regulates this facility's USTs. Unidocs member agency jurisdictions and contact information are listed on-line at: www.unidocs.org/members/whoregulateswhat.html. Contact information for other local agencies within California is available at: www.swrcb.ca.gov/ewphome/ust/contacts/docs/local_agency_list.xls. 23 CCR §2715(a) requires that you notify the local agency of any changes to this information within 30 days of the date of change. UN-062 -1/390 www.unidocs.org 09/22/05 ~v ~ .~~ Yl `UNIFIED PROGRAM INSPECTION CHECKLIST~E B e R s F, D y _._ __ _ - ~.____...~. _ _ ~ _~.. __.._-__-._ -_ . _ F/RE SECTION 1: usiness Plan an Inventory P ogram ~~ r ~,n~1~,~i ~~O -SA~~~1~~~K~.~ t~ Prevention Services 9001Yuxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fa Y: (661) 872-2171 FACILI NAM d-~^ INSPE ION SATE 3 t5 ('~ 7 INSPECTION TIME ADDRESS ~ r PHONE NO. NO OF EMPLOYEES ~• FACILITY~CONTACT BUSINESS ID NUMBER 15-021- ~~ 0 Section 1. Business Plan. and Inventory Pirog~am ^ ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS W ^ APPROPRIATE PERMIT ON HAND ~^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS QV ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~oY ~^ VERIFICATION OF LOCATION ~``~~~ . ``~ ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ,- rCb~e ~ ~ r f e ~ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN ^ YES ^ NO GARDINC~;TFI~ INSPECTION? PLEASE CALL US AT (667) 326-3979 Inspector (Please Print) Fire Prever~hort % 1~' In /Shift of Site/Station # Busir'~s White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09105 i INSPECTIONS BUSINESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST B E R S F I L D F/RE ABTM T INSPECTION DATE: Page 1 of 1 FACILITY NAME: ~ ~ ~~ Section 2: Underground Storage Tanks Program ^ Routine ^~' Combined ^ ~Jnint Agency ^ Multi-Agency ~ Complaint ^ Re-Inspection Type of Tank ~ Number of Tanks Type of Monitoring Type of Piping ~~ 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 ~ljl6o Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank Aggregate Capacity Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF?) If yes, does tank have overfill /overspill protection? C =Compliance V =Violation Y =Yes N = No Inspector: Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Busi ess Site Responsible Party Pink -Business Copy KBF-7335 FD 2156 (Rev. 09/05) w• n MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitoring system control panel by the technician who perfom~s the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator rrnrst submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. Generallnformation Facility Name: PAC BELL dba AT&T CALIFORNIA Site Address: 3221 SOUTH H STREET GEO PAR # SA098 CLLC Code: BKFDCA 14 City: BAKERSFIELD Zip: 93304 Facility Contact Person: GRANT ARMSTRONG Contact Phone No.: Make/Model of Monitoring System: VEEDER ROOT TLS350 B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment inspected/serviced: 661)327-6903 Date of Testing/Service: 3/15/07 Tank ID: TANK # 1280 Tank ID: ®In-Tank Gauging Probe: Model' 847390-107 ^In-Tank Gauging Probe: Model: ®Annular-Space or Vault Sensor: Model: 794380-420 ^Annular Space or Vault Sensor Model: ®Piping Sump/Trench Sensor (s): Model: 794380-208 ^Piping Sump/Trench Sensor (s): Model: ®Fill Sump Sensor (s): Model: 794380-208 ^Fill Sump Sensor (s): Model: ^Mechanical Line Leak Detector. Model: ^Mechanical Line Leak Detector. Model: ^Electronic Line Leak Detector Model: ^Electronic Line Leak Detector Model: ®Tank Overfi1L~~^'' '°«°' ~°^°°r: Model: 790091-001 ^Tank OverfilUHigh-level Sensor: Model: ^Other, S ecif equi ,type and model in Section E on Pa e 2 ^Other, S ecif a ui a and model in Section E on Pa e 2 Tank ID: Tank ID: ^In-Tank Gauging Probe: Model: ^In-Tank Gauging Probe: Model: ^Annular Space or Vault Sensor: Model: ^Annular Space or Vault Sensor Model: ^Piping Sump/Trench Sensor (s): Model: ^Piping Sump/Trench Sensor (s): Model: ^Fill Sump Sensor (s): Model: ^Fill Sump Sensor (s): Model: ^Mechanical Line Leak Detector. Model: ^Mechanical Line Leak Detector. Model: ^Electronic Line Leak Detector Model: ^Electronic Line Leak Detector .Model: ^Tank Overfill/High-level Sensor: Model: ^Tank Overfill/High-level Sensor: Model: ^Other, S ecify e ui a and model in Section E on Page 2 ^Other, S ecify e uip, type and model in Section E on Page 2 Dispenser ID: Dispenser ID: ^Dispenser Containment Sensor(s): Model: ^Dispenser Containment Sensor(s): Model: ^ Shear Valve(s). ^ Shear Valve(s). ^Dispenser Containment Floats and Chain(s) ^Dis eraser Containment Float(s) and Chain(s) Dispenser ID: Dispenser ID: ^Dispenser Containment Sensor(s): Model: ^Dispenser Containment Sensor(s): Model: ^ Shear Valve(s). ^ Shear Valve(s). ^Dispenser Containment Float s) and Chain(s) ^Dis enser Containment Float(s) and Chain(s) Dispenser ID: Dispenser ID: ^Dispenser Containment Sensor(s): Model: ^Dispenser Containment Sensor(s): Model: ^ Shear Valve(s). ^ Shear Valve(s). ^Dis enser Containment Float(s) and Chain(s) ^Dis enser Containment Float(s) and Chain(s) *If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification - I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the report; (check a[l that apply): ^D System set-up Alarm history report Technician Name (Print): ADOLFO AGUILAR Signature: f! , Certification No.: A20066 License No.: 588098 Testing Company Name: TAIT ENVIRONMENTAL SYSTEMS Phone No.: (714) 560-8222 Monitoring System Certification Site Address: 3221 SOUTH H STREET, BAKERSFIELD, CA Date of Testing/Servicing D. Results of Testing/Servicing Software Version Installed: 324.01 Complete the following checklist: 3/15/07 ® Yes ^ No* Is the audible alarm o erational? ® Yes ^ No* Is the visual alarm o erational? ® Yes ^ No* Were all sensors visually inspected, functionally tested, and confirmed o erational? ® Yes ^ No* Were all sensors installed at lowest point of secondary contairunent and positioned so that other equipment will not interfere with their ro er o eration? ® Yes ^ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) ^ N/A operational? ^ Yes ^ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment ® N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) ^ Sump/T'rench Sensors; ^ Dispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? ^Yes; ^ No. ® Yes ^ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no ^ N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill oint(s) and o gratin ro erl ? If so, at what ercent of tank ca aci does the alarm trig er? 90% ^ Yes* ®No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all re lacement arts in Section E, below. ^ Yes* ®No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ^ Product; ^ Water. If es, describe causes in Section E, below. ® Yes ^ No* Was monitoring system set-u reviewed to ensure ro er settin s? ®Yes ^ No* Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: SITE ALSO HAS FLAPPER VALVE SET AT 95%. Page 2 of 4 Site Address: 3221 SOUTH H STREET, BAKERSFIELD, CA Date of Testing/Servicing: F. In-Tank Gauging /SIR Equipment: 3/15/07 ® Check this box if tank gauging is used only for inventory control. ^ Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Comnlete the following checklist: ® Yes ^ No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ® Yes ^ No* Were all tank gauging probes visually inspected for damage and residue buildup? ® Yes ^ No* Was accuracy of system product level readings tested? ® Yes ^ No* Was accuracy of system water level readings tested? ® Yes ^ No* Were all probes reinstalled properly? ® Yes ^ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): ®Check this box if LLDs are not installed. Complete the following checklist: ^ Yes ^ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? ^ N/A (Check all that apply) Simulated leak rate: ^ 3 g.p.h. ~; ^ 0.1 g.p.h.2; ^ 0.2 g.p.h.Z Notes: 1. Required for equipment start-up certification and annual certification. 2. Unless mandated by local agency, certification required only for electronic LLD start-up. ^ Yes ^ No* Were all LLDs confirmed operational and accurate within regulatory requirements? ^ Yes ^ No* Was the testing apparatus properly calibrated? ^ Yes ^ No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ^ N/A ^ Yes ^ No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ^ N/A ^ Yes ^ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled ^ N/A or disconnected? ^ Yes ^ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system ^ N/A malfunctions or fails a test? ^ Yes ^ No* For electronic LLDs, have all accessible wiring connections been visually inspected? ^ N/A ^ Yes ^ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: SUCTION SYSTEM. Page 3 of 4 onitoring System Certification ~~,c ~e" ~6~ USTj~ Monitorin Site Plan Site Address: ~ ~ ~ 3! 7 ~ ~Du+~--n' ~~~l't~_ G ~~/~,~it ~~ .. . ................................................ .. :~:::::::::::: ~ ::::::::::::::::: ::::::::::::s:: :~::::::::::::~~~~a,~ :::::::::::::::: :::::::::::: :: . .,... . ..... ............................. ............ .. ~ E .it, ::::::::::::::::::::G::::::~::::: :::::::::::. :: :~ ::::::::::::::::::'::::::1::::: ::::::~::::: :: . ................................................ .. . ...........................................,..... .. :::::::::::::: :. o: ~ ::::~ ~.: .::::::::::: . . . . . . . . . . . . . . . i . . . . . . . . . . . . . . . . . . . . . i . Date map was drawn: ~ ~~~~. Instructions If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. Page ~ of ~ osioo Page _of 9. Spill Bucket Testing Report Form This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form and printouts from tests (f applicable), should be provided to the facility owner%perator for submittal to the local regulatory agency. FACILITY INFORMATION Facility Name: PAC BELL dba AT&T CALIFORNIA Date of Testing: 3/15/07 Facility Address: 3221 SOUTH H STREET, BAKERSFIELD, CA Facility Contact: GRANT ARMSTRONG Phone: (661) 327-6903 Date Local Agency Was Notified of Testing : 2/14/07 Name of Local Agency Inspector (f present during testing): STEVE UNDERWOOD TESTING CONTRACTOR INFORMATION Company Name: TAIT ENVIRONMENTAL SYSTEMS Technician Conducting Test: ADOLFO AGUILAR Credentials: ®CSLB Contractor ®ICC Service Tech. ^ SWRCB Tank Tester ^ Other (Specify) License Number(s): CSLB = 588098 ICC = 5238610-UT SPILL BUCKET TESTING INFORMATION Test Method Used: ®Hydrostatic ^ Vacuum ^ Other Test Equipment Used: VISUAL /MEASURED AND MARKED Equipment Resolution: _~ _ ~. a ~. _.F ,_ .u „_, ~ . , _ .. ~ . o ~.. _.~.. _ ~ ~_f r,_~ ~ ~~ Identify Spill Bucket (By Tank Number, Stored Product, etc. 1 # 1280 2 3 4 Bucket Installation Type: ^ Direct Bury ®Contained in Sum ^ Direct Bury ^Contained in Sum ^ Direct Bury ^Contained in Sum ^ Direct Bury ^Contained in Sum Bucket Diameter: 10" Bucket Depth: 11" Wait time between applying vacuum/water and start of test: 15 MINUTES Test Start Time (T~): 11:30 Initial Reading (RI): 5.0" Test End Time (TF): 12:30 Final Reading (RF): 5.0" Test Duration (TF - T~): ONE HOUR Change in Reading (RF - R~): -0- Pass/Fail Threshold or Criteria: _ -0 Test Result: ®Pass Q Fail ^ Pass ^ Fail ^ Pass ^ Fail , ; ^ Pass : ^ Fail Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the informatio~ntained in this report is true, accurate, and in full compliance with legal requirements. Technician's Signature: Date: 3!15!07 ~ State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. i EI'•J~~~L } :H ~~ I'yirJ L!I.i ':i: •'inir', F1l i , {"Ji"! ::-.._ ;r~i " } '-, H 1 =~'t-i I F`T T 1 f°iE L' t :_ r ~L LF.L} :-,H I F'f `I'II°lE ~ : L! I :=•hYLtL:~ ~:H I F' T '1` I I •lE ~; : L:~ 1.=.i=iBLEL? T'?=;f'•J}: PEF' 'T_7 PJEEI!EL:~ l.:iF:i'i Li I; ~~£ILE:L} lr;f'•J}: ~r'•ifJ T[_:'T I'JEELiEL! I:,i)='r'•! L! I _;r,EiLEL~ 1_II'•JE kE-EPd~J_,LE f•'1)/THULi L I r'JE F'Ek T'.=~T fdEF.LiELi I:.}kl'd L I i'iErhJP•J T:=:T r•JEIDELi I;:I};'r•J L! I t~hIJLEU E I'JrEII_EU 'tJrr'IP Gt~I°1F'EP•J:=,hT1'_;f'•J :.T I ~::?}: HE I ~_~H'T -;FF:_iET L:~ 1 ~,~;FJI:EI:~ H -1-'}'' +T':_'~.." .iL L;h l , y F'~:~ F'I"i~'I HE I CaHT' L!~4`I.1 ~_:HT `:=,r;'':: i hii;: 1' 1 f°1E L~ ! F.~FIL.ED h`E-Ii 1 F'EL'T I_t:'~='r;L PF' I hJ 1't; i_IT L:~ 1:=~~EIL.Eli EI_IF;4; FF'~_'''1'':}~_''_'L. 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I`1r;}: I `_~ . x`1-10 ; I 1 : ~ ~ ~;I"1 :>f'(FIkf'1HTI;PJ F.'Ei='C:~F';': I"1'_iLiE = Frii:' ;; I I"1 I LE . ~. _' 1 FI :_:'i . r;LL Fl..itii_'"i'I!:>Pd; I''!''++lr'i`ir~L - - 9 _~h'- _ _ _. E1~1ta-;~-:F'11=1:1!.i_ri. `_+:_~;I Iq rii_1_ FI_J(sli_;l i'"~P•i:3 (.,J,_;}='i"1r~L - T 1 : l:~ I E~:Ei. i11 '~ _ I.IL.L.i-iGF: = 9f=1~` i~r=iLi 9U:>=. ULLri_~E= :~ciL i_~i=tL TC 'L.I_II"lE _ ~U'~'_' ir=iL~ i;E 1 GNT = `r 4 . E,i; I PJi:'HE'.=_; l.lrTER = u . 0LI I hA:H'E=; .. ~I 'dL:; ~ x . ~~ y TEST DATE: 3/15/07 CLIENT: SA098 BKFDCAI4 PAGE ~ OF J 3221 SOUTH H STREET, BAKERSFIELD, CA 93304 _ AT&T Services, InC. Environment, Health & Safety P.O. Box 5095, Room 3E000 San Ramon, CA 94583 at&t VIA CERTIFIED MAIL 7006 2150 0004 3957 1660 April 13, 2007 Steve Underwood, Inspector Bakersfield Fire Department Prevention Services 900 Truxtun.Ave., Suite 210 -- - - -- Bakersfield, C.A 93301 - - - RE: Inspection on 3/15/07 at Pacific Bell dba AT&T - 3221 S. H Street, Bakersfield AT&T Insp. # 3365 Dear Mr. Underwood, Pursuant to the Inspection referenced above, the status of the corrective action required is noted below: • Emergency batteries for lighting (need replacement). As of April 13, 2007, the batteries have been replaced, as confirmed by Grant Armstrong, Environmental Site Manager. Having completed the item noted above, we consider AT&T's corrective action requirement fulfilled. If you have any questions or need additional information, please contact me at (925) 824-5783. Sincerely, Ka farasigan _ En ironmental.Manager _ _ _ _ cc: Andy Taylor/File Grant Armstrong KM:sb S~ }; \ ~ ~. MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitorine system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of test date. A. General Information ~ 15 ~~ Facility Name: ~~~ J (~; L $.+;1 r D g ~ >'{-"~~'1"~ Bldg. No.: SA - 098 Site Address: 3ZZ ~ ~. (-~ s~ City: ~~~,~'h~/~/ Zip: ~.330Y Facility Contact Person: .~ -' Contact Phone No.: (~! ) 3 ~~ - 601 Make/Model of Monitoring System: ~p - p f 'BLS ~a;,f~ Date of Testing/Servicing: 3 / /.~/p~ B. Inventory of Equipment Tested/Certified Check the appropriate boxes to indicate specific equipment inspected serviced: Tank ID: 'Ttxn (~ >~ ~ Z QQ Tank ID: ®In-Tank Gauging Probe. Model: $K 40 - lD~ ^ In-Tank Gauging Probe. Model: O Annular Space or Vault Sensor. Model: ~~So - y~ ^ Annular Space or Vault Sensor. Model: ® Piping Sump /Trench Sensor(s). Model: ~~~ - 7~Q ^ Piping Sump /Trench Sensor(s). Model: ® Fill Sump Sensor(s). Model: ~c/~~~ ~ Zng ^ Fil] Sump Sensor(s). Model: ^ Mechanical Line Leak Detector: Model: ^ Mechanical Line Leak Detector. Model: ^ Electronic Line Leak Detector. Model: ^ Electronic Line Leak Detector. Model: ® Tank Overfill / u:°'- r A~•°' .,o.. Model: ~Q009~-00 ~ ^ Tank Overfill /High-Level Sensor. Model: ^ Other (s eci a ui ment a and model in Section E on Pa a 2). ^ Other (s eci a ui ment a and model in Section E on Pa e 2 . Tank ID: Tank ID: ^ In-Tank Gauging Probe. Model: ^ In-Tank Gauging Probe. Model: ^ Annulaz Space or Vault Sensor. Model: ^ Annular Space or Vault Sensor. Model: ^ Piping Sump /Trench Sensor(s). Model: ^ Piping Sump /Trench Sensor(s). Model: ^ Fill Sump Sensor(s). Model: ^ Fill Sump Sensor(s). Model: ^ Mechanical Line Leak Detector. Model: ^ Mechanical Line Leak Detector. Model: ^ Electronic Line Leak Detector. Model: ^ Electronic Line Leak Detector. Model: ^ Tank Overfill /High-Level Sensor. Model: ^ Tank Overfill /High-Level Sensor. Model: ^ Other (s ecify e ui ment a and model in Section E on Pa a 2). ^ Other (s eci a ui ment a and model in Section E on Pa a 2). Dispenser ID: Dispenser ID; ^ Dispenser Containment Sensor(s). Model: ^ Dispenser Containment Sensor(s). Model: ^ Shear Valve(s). ^ Shear Valve(s). ^ Dis enser Containment Float s} and Chain(s). ^Dis enser Containment Floats} and Chains . Dispenser ID: Dispenser ID: ^ Dispenser Containment Sensor(s). Model: ^ Dispenser Containment Sensor(s). Model: ^ Shear Valve(s). ^ Shear Valve(s), ^ Dis enser Containment Float(s) and Chains . ^Dis enser Containment Float(s) and Chain s). Dispenser ID: Dispenser ID: ^ Dispenser Containment Sensor(s). Model: ^ Dispenser Containment Sensor(s). Model: ^ Shear Valve(s). ^ Shear Valve(s). ^Dis enser Containment Float(s) and Chain(s). ^Dis enser Containment Float(s) and Chains . *If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. CertifiCatiori - I certify that the equipment identified in this document was inspected serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating s ports, I have also attached a copy of the report; (check all that appl ): ~ System set-up J~ Alarm history report Technician Name (print): ,~~o [ ~ ;~; i i,,~ Signature: Certification No.: _ /~~f ~~~ License. No.: , 5~'~Q Testing Company Name: ~ (~,°~- ~~rj/~~»-~ ~/y / ~11~ ~J+'1~ Phone No.:~~~ ~~ 0 ' ~Q~ Z Z Site Address: /~~ ~,/j/ ~~~~~~//G ~~~ ,ry ~~,~~ ; ~ L Date of Testing/Servicing: 3 I /S I_~ Page 1 of 3 03/01 Monitoring System Certification _, D. Results of Testing/Servicing Software Version Installed: j Z ~ . Q Complete the following checklist: ~l Yes ^ No* Is the audible alarm o erational? ~ Yes ^ No* Is the visual alarm o erational? @~ Yes ^ No* Were all sensors visually inspected, functionally tested, and confirmed o erational? (~ Yes ^ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their pro er o eration? ,® Yes ^ No* If alarms are relayed to a remote- monitoring station, is all communications equipment (e.g. modem) ^ N/A operational? ^ Yes ^ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment ~ N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) ^ Sump/Trench Sensors; ^ Dispenser Containment Sensors. Did you confirm ositive shut-down due to leaks and sensor failure/disconnection? ^Yes; ^ No. ~ Yes ^ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no o ~0 ^ N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill oint(s) and o erating ro erly? If so, at what ercent of tank capaci does the alarm trigger? ^ Yes* ~ No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all re lacement arts in Section E, below. ^ Yes* ®No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ^ Product; ^ Water. If yes, describe causes in Section E, below. Yes ^ No* Was monitorin system set-u reviewed to ensure ro er settings? Attach set u re orts, if a licable ~ Yes ^ No* Is all monitoring equipment o erational per manufacturer's specifications? * In Section E below, describe how and when these deficiencies were or will be corrected. v a.e. 6 E. Comments: Sire ~d-!So as ~/avv~/ i/a(y~.~- .~'~ ~$r<3-~s-o~ ~S/ Page 2 of 3 03/01 F. In-Tank Gauging /SIR Equipment: ~ Check this box if tank gauging is used only for inventory control. ^ Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: f~ Yes ^ No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ,® Yes ^ No* Were all tank gauging probes visually inspected for damage and residue buildup? ® Yes ^ No* Was accuracy of system product level readings tested? ~ Yes ^ No* Was accuracy of system water level readings tested? ® Yes ^ No* Were all probes reinstalled properly? ~l Yes O No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): Complete the following checklist: ® Check this box if LLDs are not installed. ^ Yes ^ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? ^ N/A (Check all that apply) Simulated leak rate: ^ 3 g.p.h.; ^ 0.1 g.p.h ; ^ 0.2 g.p.h. ^ Yes ^ No* Were all LLDs confirmed operational and accurate within regulatory requirements? ^ Yes ^ No* Was the testing apparatus properly calibrated? ^ Yes ^ No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ^ N/A ^ Yes ^ No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ^ N/A ^ -Yes ^ No* For electronic LLDs; does the turbine automatically shut off if any portion of the monitoring system is disabled ^ N/A or disconnected? ^ Yes ^ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions ^ NJA or fails a test? ^ Yes ^ No* For electronic LLDs, have all accessible wiring connections been visually inspected? ^ N/A ^ Yes ^ No* Were al] items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: ~'1G-~i ~a ~ ~1.~ G'V'!'~o.,~ Page 3 of 3 o3io1 .. :~ I, Monitoring System Certification ~~,~ ~C" ~or1 UST MoLnitorin Site Plan Site Address: 6~~~ ~ _3~ Z ~ ~DC~+I, ~, ,~`T-Yc~.~- i ~L~t ~~S`~%t /~ ..................................................... . ................................................ .. . . .~pu.c.; L; c. ~ e 4+ ~B%~" . . . . . . . . . . . . . . . . . . . . . . . . . . . :~ :::::::::::::,4.~-~-~::::::::::::::::: ::::::::~::: :: . ................................... .........:.. .. ~~~i~'~ :~:::::::::::: .t. :::~:::::::::::: :::::::::::: :: :::::::::::::::::::: ~ ::-' : ^t ::::: :::::::::::: ::::::::::::::::::::j::::::~::::: :::::::::::: :: ;.~ ::::::::::~::::::::: ::::::I::::: :::::::::::: :: ,~ . ....................f..... ..... ............~~~ ::::::::::::::::::::'::::::I::::: :::::::::::: :: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . ~• . i . Date map was drawn: ~ /~/~. Instructions If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. Page ~ of ~ os/oo SWRCB. 3anuary 2006 Spill Bucket Testing Report Form This form is intended for tsse by contractors performing annual testing of UST spill containment structures. The completed form and printouts from tests (if applicable j; should be provided to tiie facilir)~ owner/operator for submittal to the local regulatory agenc}-. 7-15.0 PA. 1. FACILITY INFORMATION ~ e,.,~,~~- z~~~'~r' tg k l- `~ ~',~rl~ Facility Name: ` C~ ~ Date of Testing: - /,S ~-~ Facility Address: ~ f ti Facility Contact: ~M ~ Phone ~' d Date Local Agency Was Notified of Te g : ~' , ~. l~j~c-~7 Name of Local Agency Inspector (if present during testing): ~ .l^ ~~ ~.E' 2. TESTING CONTRACTOR INFORMATION Company Name: Qr4` ~n vtl'0 ~. Technician Conducting Test: ~ ~f' Credentials: CSLB Contractor C Service Tech. SWRCB Tank Tester Other (Specify) License Number(s): (p .. 3. SPILL BUCKET TESTING INFORMATION Test Method Used: Hydrosta is Vacuum Other Test Equipment Used: (J~f a Equipment Resolution: Identify Spill Bucket (By Tank Number, Stored Product, etc.) 1~l Z ~~ 2 3 4 Bucket Installation Type: Duect B _ Co a Direct Bury Contained in Sum Direct Bury Contained in Sum Direct Bury Contained in Sum Bucket Diameter: ~ p Bucket Depth: Wait time between applying vacuum/water and start of test: 5 ,',~ Test Start Time (TI): s ~ Initial Reading (R~): ~ti Test End Time (TF): ~ Z!3 Final Reading (RF): tr Test Duration (TF - T~): ~° Change in Reading (RF - R,): Pass/Fail Threshold or Criteria: r~ S. D Test .Result: a Fail Pass Fail Pass Fail Pass Fail Col]]melltS - (include information on repairs made prior to testing, and recommended follow-up for failed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the information contained in this report is true, accurate, and in full compliance with legal requirements. 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I.1LT = ~:~}:; ;_:tl:., Lei ~.'t 1.! t_~r-i; `1 ;_i-i-11'a_I P9riF' f F ~tifiJ'r i I :.~ riY`l ~-;LL FLip.yC'i~i~:!I'1.=, IVt:iRi"ii=;L .-_:,~~-_ !-'}.;F"l.i :..ril4 ,=Sri-!J`~:=~ i-,r,l-c_~-__rQ ~Li_ F'IJhd~:T]~=?h•J= ('•J~;>RPIhL ':1U°:: I_II.Li;GE= __~LI iriL 7`t' ,.'_.LUI°JE = FiJ'''~ UAL:=~ HE1+:~hT = 'ra.t,~. If'•JC:HE:. i::IHTErt `~ r~?L = .. I i C,r=;L:.. +;:1r=;TE:F' - l:~ . LICi (p~J~;HE=~ T i= h dL~ x ~ x TEST DATE: 3/15/07 CLIENT: SA098 BKFDCAI4 PAGE :~ OF 3221 SOUTH H STREET, BAKERSFIELD, CA 93304