HomeMy WebLinkAboutUST REPORT 5/12/2006
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( (UNDERGROUND STORAGE TANKS)
LUCKY 7 FOOD STORE
\ l_~71l_MT. VERNON AVENUE
FILE #
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\
RONALD J. FRAZE
FIRE CHIEF
Gary Hutton,
Senior Deputy Chief
Administration
326-3650
Deputy Chief Dean Clason
OperationsfTraining
326-3652
Deputy Chief Kirk Blair
Fire Safety/Prevention Services
326-3653
2101 "H" Street
Bakersfield, CA 93301
OFFICE: (661) 326-3941
FPlX: (661)852-2170
RALPH E. HUEY, DIRECTOR
PREVE~ONSERV1CES
ARE SAFETY SERVICES' ENVIRONMENTAL SERVICES
900 Truxtun Avenue, Suite 210
Bakersfield, CA 93301
OFFICE: (661) 326-3979
FAX: (661) 852-2171
David Weirather
Fire Plans Examiner
326-3706
Howard H. Wines, III
Hazardous Materials Specialist
326-3649
May 12,2006
Mr. Binder Dhaliwal
Lucky 7
3711 Mt. Vernon Avenue
Bakersfield, CA 93306
Re:
Failure to Perform / Submit Annual Fuel Monitor Certification
REMINDER NOTICE
Dear Mr. Chao,
Our records indicate that your fuel monitor certifications is due/past due on
06-30-06.
You will be in violation of Section 2638(a) California Code of Regulations, Title
23, Division 3, Chapter 16.
"All monitoring equipment shall be installed, calibrated, operated
and maintained in accordance with manufacturers instructions, and
certified every 12 l110nths for operability, proper operating condition,
and proper calibration."
Therefore you have 30 days to comply.
Should you have any questions, please feel free to contact me at 661 - 326-3190.
Sincerely yours,
Ralph E. Huey,
Director ofPrev1!io~ie/~es~
~(~i
By: Steve Underwood
Fire Prevention Officer
REH/SU/db
''Serving tlie Community Par ?dare 71ian}l Century"
"
RONALD J. FRAZE
FIRE CHIEF
Gary Hutton,
Senior Deputy Chief
Administration
326-3650
Deputy Chief Dean Clason
Operations/Training
326-3652
Deputy Chief Kirk Blair
Fire Safety/Prevention Services
326-3653
2101 "H" Street
Bakersfield, CA 93301
OFFICE: (661) 326-3941
FAG(: (661)852-2170
RALPH E. HUEY, DIRECTOR
PREVENTION SERVICES
ARE SAFETY SERVICES . ENVIRONMENTAL SERVICES
900 Truxtun Avenue, Suite 210
Bakersfield, CA 93301
OFFICE: (661) 326-3979
FAX: (661) 852-2171
David Weirather
Fire Plans Examiner
326-3706
Howard H. Wines, III
Hazardous Materials Specialist
326-3649
April 10, 2006
Mr. Binder Dhaliwal
Lucky 7
3711 Mt. Vernon Avenue
Bakersfield, CA 93306
REMINDER NOTICE
Re:
Guidelines for Unsubervised Disoensing
Dear Mr. Dhaliwal:
It has come to our attention that many convenience stores who sell gasoline, like
yourselves, are closing late at night. If you are using card readers and leaving
your fuel pumps on, this is defined in the California Fire Code as: "Unsupervised
Dispensing."
Unsupervised dispensing is allowed when the owner or operator provides, and is
accountable for daily site visits, regular equipment inspection and maintenance,
including any unauthorized release or spills, posted instructions for safe operation
of dispensing equipment, arid posted telephone numbers for the owner or
operator. Signs prohibiting smoking, prohibiting dispensing into unapproved
containers and requiring vehiCle engines to be stopped during fueling shall be
conspicuously posted within site of each dispenser. .
In addition, a sign shall be posted in a conspicuous location reading:
In case of spill or release:
1) Use Emergency Pump shut-off
2) Report the accident
3) Fire Department Telephone
4) Facility address
During the hours of operatioh. stations having unsupervised dispensing shall be
provided with a fire alarm transmitting device. A telephone not requiring a coin to
operate is acceptable. The fuel leak detection system must have a remote or
phone modem to insure off-site monitoring during hours of unsupervised
dispensing. During hours of darkness, sufficient lighting must be maintained so
that all signs associated with fueling operation are conspicuous and readable. A
gallon container of an absorbent material used for spills must be made available
to the public during hours of unsupervised dispensing. A fire extinguisher with a
minimum 2A, 2B, and 2C rating must be located on dispenser island during hours
of unsupervised dispensing,
#'r;/~tM ~~~~9f@~"
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To: Mailing List of Valued Customers
Reminder Notice Re: Guidance for Unsupervised Dispensing
April 10, 2006
Page 2
If you are currently having hours of unsupervised dispensing, you must comply with the
above-mentioned requirements. .
Starting April 15, 2006, this office will conduct random checks of all fueling stations within
the city limits for compliance. If you shut your station down after normal business hours
and are not pumping fuel, please disregard this reminder notice.
Should you have any questions, please feel free to call me at 661-326-3190.
Sincerely,
Ralph E. Huey,
Director of Prevention Services
,.
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By: Steve Underwood,
Fire Prevention Officer
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Page ~ of1-
Secondary Containment Testing Report Form
This form is intended for use by contractors performing periodic testing of UST secondary containment systems. Use the
appropriate pages of this form to report results for all components tested. The completed form, written test procedures, and
printouts from tests (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name:
Facility Address: /111.
Facility Contact:
Date Local Agency Was Notified of Testing : / /
Name of Local Agency Inspector (ifpresent during testi g):
Date of Testing:
Manufacturer
1 J 05"3
Company Name: \<t r
Technician Conducting Test
Credentials: J!tCSLB Licensed ontractor
License Type:
Date Trainin Ex ires
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3. SUMMARY OF TEST RESULTS
Component Pass Fail Not Repairs Component Pass Fail Not Repairs
Tested Made Tested Made
/;IJ;~ f IA n .Ji f .s 0 0 0 crl fig? If WlI Y- .IfJ 0 0 0
/J.~' _ fUll # 2- fa. 0 0 0 r:v)'@~~ SPill l>o)l- 0 rJ8- '.:0 0
V/l~' ,', hll flY . '0 ..' J'n
)a 0 0 0 0 '@t
f ~I~(~ ('-if) 11'1 ~ 0 0 0 0, 0:: 0 rTo.
I r~i f/ fL. n Jl...t] B- 0 0 0 0 '0 ' 0 )'0
';;lRC;:1 i\/~/~ 0 ~ 0 0 0 0 0 0
<<7 tz..tI~:~ g- O 0 0 0 0 0 0
CI/ irArh//Ie.---- ,)
g 0 0 0 0 0 0 0 i
J);Qsp,1 ~("m{, ~ 0 0 0 0 0 ;'i-';;:;:;':':>" . 0
'>::,,!2I:::, ..
fA Or 1/2- 0 $ 0 0 0 0 ,:D~~:~')' 0
I~()G I ~/ t1 g ~
0 0 0 0 0 0> 0
fJr 7P;/( /1Jo f- m=. 0 0 0 0 0 0 0
Ifhydrostatic testing was, performed, describe what was done~th the water after completion oftests:
I,~ [1\M) ;h> fe~f (7111 ~ ~/ (~-&14.e
CERTIFICA~O TECHNICIAN RESPONSIBLE FOR CONDUCTING TIDS TESTING
To the best of/whfi&e, thmJ ts S0 thi document are accurate and in full compliance with legal requirements
Technician's Signature: Date:-J] / ~?-/t>S
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I RCB, January 2002
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Page 2.....- of L
Test Method Used:
4. TANK ANNULAR TESTING A
D Tank Manufacturer D Industry Standard
D Other (Specify)
D Pressure D Vacuum
D Other (Specify)
D Professional Engineer
Test Method Developed By:
D Hydrostatic
Test Equipment Used:
Equipment Resolution:
Is Tank Exempt From Testing?\
Tank Capacity:
Tank Material:
Tank Manufacturer:
Product Stored:
Wait time between applying
pressure/vacuum/water and
startin test:
, Test Start Time:
Initial Reading (RI):
Test End Time:
Final Reading (RF):
Test Duration:
DYes
DNo
DYes
DNo
Tank #
DYes
DNo
Tank #
DYes
DNo
Tank #
Change in Reading (RF-R1):
PassIFail Threshold or Criteria:
Test Result:
Was sensor removed for testing?
Was sensor properly replaced and
verified functional after testin ?
D Pass D Fail
DYes DNo DNA
D Pass D Fail
DYes DNo DNA
D Pass D Fail
DYes DNo DNA
D Pass D Fail
DYes DNo DNA
DYes DNo DNA
DYes DNo DNA
DYes DNo DNA
DYes DNo DNA
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 ~econdary
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)}
tfRCB, January 2002
i'
Test Method Developed By:
Test Method Used:
Piping Material:
Piping Manufacturer:
Piping Diameter:
Length of Piping Run:
Product Stored:
Method and location of
i in -run isolation:
Wait time between applying
pressure/vacuum/water and
startin test:
Test Start Time:
Initial Reading (RJ):
Test End Time:
Final Reading (~):
Test Duration:
Change in Reading (RF-Rj):
PassIFail Threshold or
Criteria:
Test Result:
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Page_of_
5. SECONDARY PIPE TESTING
o Piping Manufacturer I!rfndustry Standard 0 Professional Engineer
o Other (Specify)
llH'fessure 0 Vacuum 0 Hydrostatic
o Other (Specify)
tI (IS 511/ I e... Equipment Resolution: zy-- tIj--
~
..4-
B"'Pass 0 Fail
-h.
/''2.''
:2 5 .p..#-
c"a.~o /I~
-+VV b,-.. Sv~i> h.
U"h>c....
'1.;-
~sC;.l/,~
../....u" \.0,...--.. ,""""" (>
tJOL
I ~ H.-I, I-t
I S- YJ.-1,..... <)
!O!cu A~
""""'-
........
6-
-6-
-6-
~
.g.-Pass 0 Fail
@--Pass 0 Fail
~ass 0 Fail
Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests)
, RR.CB" January 2002
Test Method Developed By:
Test Method Used:
Piping Material:
Piping Manufacturer:
Piping Diameter:
Length of Piping Run:
Product Stored:
Method and location of
i in -run isolation:
Wait time between applying
pressure/vacuum/water and
startin test:
Test Start Time:
Initial Reading (RI):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (Rf-R,):
PasslFail Threshold or
Criteria:
Test Result:
Page~of t
5. SECONDARY PIPE TESTING
~iping Manufacturer 0 Industry Standard
o Other (Specify)
Mressure 0 Vacuum
o Other (Specify)
o Professional Engineer
o Hydrostatic
Equipment Resolution:
~'e.seJ Piping Run #
Piping Run #
Piping Run #
~) Art.eQ1
,
t(}1n I V\
1'1-
.e--
.a Pass 0 Fail
o Pass 0 Fail
o Pass 0 Fail
o Pass 0 Fail
Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests)
"
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Test Method Developed By: 9"Sump Manufacturer D Industry Standard D Professional Engineer
D Other (Specify)
Test Method Used: D Pressure D Vacuum iY"fIydrostatic
D Other (Specify)
Test Equipment Used: \1\ c.o-O"\ r5-5TS Equipment Resolution: . '" -<.) I
Sump # "Di-es.e. I Sump # ~1 Sump # 0,( Sump # i::j t'v l
Sump Diameter: ?c. II '-56 II ?G. '/ <6~
Sump Depth: 4B'I 48" 'II!' , It%'''
Sump Material: p,2P ~r> Ft?f> ~lLjJ
Height from Tank Top to Top of 1:2 If /2" 1211 lb q
Highest Piping Penetration:
Height from Tank Top to Lowest r '2- " /'2- '( IZ, 1-/ 1]0
Electrical Penetration:
Condition of sump prior to testing: 1 QV_J. ~ oucJ G:.t'XJJ r.. /
Portion of Sump Tested' ...... 11 .JJ Ro+h.m ~/f 1&IIo~ ha 1.f1 Io,,-/lh Lit
Does turbine shut down when
sump sensor detects liquid (both i7les DNo DNA 0'Y'es DNo DNA g;y es DNo DNA pyes DNo DNA
product and water)?"
Turbine shutdown response time ,
Is system programmed for fail-safe liil"Yes DNo DNA [?Yes DNo DNA g-Yes DNo DNA ~es DNo DNA
shutdownf
Was fail-safe verified to be ~es DNo DNA eWes DNo DNA cfYes DNo DNA uYes DNo DNA
operational? · I
Wait time between applying
pressure/vacuum/water and starting ~ lS "1I/'rv
IS-M,lt. S IS-tv'-.ns t S- IV'-,l"\. ~
test:
Test Start Time: If: to ';9..,... If) :.~~ 9.'2sA- 9Y24v- 10 ~ ~l ,/~D 7
Initial Reading (R(): r-.LJ 'J I .y'f S;, "1 G:. L/ :;-'7\(..'( 2./80 "2.1810 ;. ;q c; ,,}.79b
Test End Time: Is- H.1. It ItJ!7l..JA. //)!ft> q:~~ <1. '51 A-fA. 1/:1)1 Jf '. 11-
Final Reading (Rf): ~?G.o/ s: ~,,'-f z..lllo L.J~ "3 . 7 ~/. ?7Qr
Test Duration: 1~""'1l ~ I <: ~ ~C /5" A)1 '11 (, 15".- ::. <. l) flvl '"'- I)~,~
Change in Reading (Rf-R,): .e-:- -e- -,eo- 'f': ,;)0 ";l .:fj- - .-fro (
Pass/Fail Threshold or Criteria: . eJeJ 1- . ", ,0"'-. Ii-" " ~:.{ -.002- --.l>j)"l.
.vo"Z..,;: 'a;.-:..,QU'l-
Test Result: o Pass ~i1 ~ass o Fail 8'1>>.., i";:" '.' S. Pass D Fail
.ass, ~1ii!O Fad'
Was sensor removed for testing? bIZt Y es DNo DNA 8'1'es DNo DNA /}j(yes DNo DNA ~Yes DNo DNA
Was sensor properly replaced and }l!i es DNo DNA CilXes DNo DNA ~Yes DNo DNA c)4.- Yes DNo DNA
verified functional after testing?
6 PIPING SUMP TESTING
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iWRCB, January 2002
Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests)
~11(') tt!-r~/;;;l;::i h%~ tr't;:;j- fp_ fnfe.t
1 If the entire depth of the sump is not tested, specify how much was tested. If the answer to ill!Y ofth&"questions indicated with an
asterisk (*) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG-160)
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NRCB, January 2002
page~ofL
7. UNDER-DISPENSER CONTAINMENT C TESTING
Test Method Developed By: D UDC Manufacturer 81D.dustry Standard D Professional Engineer
D Other (Specify)
Test Method Used: D Pressure D Vacuum Erffydrostatic
D Other (Specify)
.- 5 or- > T)
, ~
UDC#
UDC Manufacturer:
UDC Material:
UDC Depth:
Height from UDC Bottom to Top
of Hi hest Pi in Penetration:
Height from UDC Bottom to
Lowest Electrical Penetration:
Condition ofUDC prior to
testin :
Portion ofUDC Tested
Does turbine shut down when
UDC sensor detects liquid (both
roduct and water)?
Turbine shutdown response time
Is system programmed for fail-
safe shutdown?"
Was fail-safe verified to be
o erational?
Wait time between applying
pressure/vacuum/water and
startin test
Test Start Time:
Initial Reading (R():
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF-R1):
PassIFail Threshold or Criteria:
Test Result:
Was sensor removed for testing?
Was sensor properly replaced and
verified functional after testing?
1.'i{( Z '1 tl
Z-'" ?-(/
C:.oooi ~oct
a)14,.,....... tot q , &A~k"'l
~Yes DNo DNA 0'Yes DNo DNA
"3 $l ? 'e&
ErYes DNo DNA i1'"Yes DNo DNA
B"Yes DNo DNA B"'Yes DNo DNA
~
co.'
DYes DNo DNA
DYes DNo DNA
DYes DNo DNA
DYes DNo DNA
DYes DNo DNA
DYes DNo DNA
/c;>#-?,.., :>
f
-r--".<:.IU'l... J. - . <>0 "L-
WPass 0 Fail
ia"Yes D No DNA
~Yes DNo DNA 8"Yes DNo DNA
o Pass D Fail
DYes DNo DNA
DYes DNo DNA
o Pass 0 Fail
DYes DNo DNA
DYes DNo DNA
Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests)
..//1,,, 1\ OJ) V d
_ - JJ...& ~,4 iV<E'l"'v'S V'i,p" IL
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IP 0 e f ~ f' 1'1 ~ ",J ,
I If the entire depth of the UDC 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 UDC must be tested. (See SWRCB LG-160)
~
<-, '. NRCB; January 2002
PageLof~
8. FILL RISER CONTAINMENT SUMP TESTING
Facility is Not Equipped With Fill Riser Containment Sumps D
Fill Riser Containment Sumps are Present, but were Not Tested D
Test Method Developed By: D Sump Manufacturer D Industry Standard D Professional Engineer
D Other (Specify)
Test Method Used: D Pressure D Vacuum D Hydrostatic
D Other (Specify) \
Test Equipment Used: Equipment Resolution:
Fill Sump # Fill Sump # Fill Sump # FillSump #
Sump Diameter:
Sump Depth:
Height from Tank Top to Top of
Highest Piping Penetration:
Height from Tank Top to Lowest
Electrical Penetration:
Condition of sump prior to
testing:
Portion of Sump Tested
Sump Material:
Wait time between applying
pressure/vacuum/water and
starting test:
Test Start Time:
Initial Reading (RJ):
Test End Time:
Final Reading (Rp):
Test Duration:
Change in Reading (Rp-R():
Pass/Fail Threshold or Criteria:
Test Result: D Pass D Fail D Pass I D Fail D Pass D Fail D Pass D Fail
Is there a sensor in the sump? DYes DNo DYes DNo DYes DNo DYes DNo
Does the sensor alarm when
either product or water is DYes DNo DNA DYes DNo DNA DYes DNo DNA DYes DNo DNA
detected?
Was sensor removed for testing? DYes DNo DNA DYes DNo DNA DYes DNo DNA DYes DNo DNA
Was sensor properly replaced and DYes DNo DNA DYes DNo DNA DYes DNo DNA DYes DNo DNA
verified functional after testing?
Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests)
9. SPILL/OVERFILL CONTAINMENT BOXES
Facility is Not Equipped With Spill/Overfill Containment Boxes 0
Spill/Overfill Containment Boxes are Present, but were Not Tested 0
Test Method Developed By: . II Spill Bucket Manufacturer 0 Industry Standard
o Other (Specify)
Test Method Used: 0 Pressure 0 Vacuum
o Other (Specify)
-S15
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'RlSWRCB, January 2002
Bucket Diameter:
Bucket Depth:
Wait time between applying
pressure/vacuurnlwater and
startin test:
Test Start Time:
Initial Reading (RJ):
Test End Time:
Final Reading (RF):
Test Duration:
Change in Reading (RF-R():
PassIFail Threshold or
Criteria:
Test Result:
Page L-o{;'l;"
o Professional Engineer
. Hydrostatic
Equipment Resolution: :1::-. c>b 1
Spill Box # rz;!
Spill Box # 9 (
Spill Box # .'
Spill Box #
~
~o{.)'~ .+-- ..C;(.j ~
- O. (f)'L - O~()OL
II Pass 0 Fail
o Pass 1\1 Fail
o Pass 0 Fail
~Pass 0 Fail
Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests)
V I csc\ -- Sp'II\ bv{'\.:d:- ~<",Js .\.t-, be- ..t"'~ ~0" 'it- +0 -F';'::;-'
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LaseiGrade
COMPUTER TESTING
Computer Test Report
International Code Council
Computer Exam Report
DATE: 10/14/2005
EXAM TITLE:
CA Underground Storage Tank Service Technician - UT (CUT)
NAME: BERLINGERI, TODD WAYNE
EXAMINATION RESULT: PASS
LOCATOR: BEKT0013
Congratulations! You have passed the
CA Underground Storage Tank Service Technician - UT (CUT)
Your ICC certificate and wallet card will be mailed to you
within six weeks after the end of the month in which you passed
the exam. .
Your name as it appears above on this notice will be printed on your
certificate and wallet card. It is very important that you notify
LaserGrade and ICC of any changes in your name and/or address.
Ice requires a change of address in writing. Please fax your change
of address to ICe at (562) 692-2845 or ~ail it to:
ICC Certification Services
5360 Workman Mill Road
DO NO-r~OSEmISJEREPORT
Sincerely,
LaserGrade
LaserGrade Computer Testing
POBox 87245
Vancouver, WA 98687-7245
800-211-2754 or 360-896-9111
www.lasergrade.com
Applicant Locator: BEKT0013
Testing provided by: LAS93302
Inland Flight Training Center LLC
1701B Skyway Drive Suite 110
Bakersfield, CA 93308 '
661-399-37780
~.
RONALD J. FRAZE
FIRE CHIEF
Gary Hutton,
Senior Deputy Chief
Administration
326-3650
Deputy Chief Dean Clason
Operationsffraining
326-3652
Deputy Chief Kirk Blair
Fire Safety/Prevention Services
326-3653
2101 "H" Street
Bakersfield, CA 93301
OFFICE: (661) 326-3941
FPlX: (661) 852-2170
RALPH E. HUEY, DIRECTOR
PREVENTION SERVlCES
FIRE SAFETY SERVICES. ENVIRONMENTAL SERVICES
900 Truxtun Avenue, Suite 210
Bakersfield, CA 93301
OFFICE: (661) 326-3979
FAX: (661) 852-2171
David Weirather
Fire Plans Examiner
326-3706
Howard H. Wines, III
Hazardous Materials Specialist
326-3649
December 1, 2005
Lucky 7
3711 Mt. Vernon Avenue
Bakersfield, CA 93306
FINAL REMINDER NOTICE
RE: Necessary Secondary Containment Testing Requirements by
December 31,2005 of Underground Storage Tank (s) Located at
the Above Stated Address
Dear Valued Customer,
Over the last six months this office has continued to send reminder notices regarding
secondary containment testing.
Code requires that all secondary containment systems must be tested 6 months post
construction and every 36 months there after.
Senate Bill 989 became effective January 1, 2002, section 25284.1 (California
Health & Safety Code) of the new law mandates testing of secondary containment
components upon installation and every 36 months, thereafter, to insure that the
systems are capable of containing releases from the primary containment until they
are detected and removed.
Our records indicate that your facility is due prior to December 31, 2005.
Those sites that have not been tested and have not pulled a permit prior to December 31,
2005, will have their permit to operate revoked.
This office does not wish to take such action, which is why we will continue to send monthly
reminders.
Contractors are already booked several weeks in advance. I urge you to schedule your
testing date as soon as possible to avoid possible revocation of your permit to operate.
Should you have any questions, please feel free to call me at (661) 326-3190.
Sincerely,
RALP E. HUEY, Director of Prevention Services
--rUimD
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1
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. UNDERGROUND STORAGE TANK
\~i~:'{A:<.~;:~~'::~:~,,,~;,, ~ .:: _ "~""': >', i
APPLICATION
TO PERFORM LINE TESTING I TANK TIGHTNESS TEST
ISB989 SECONDARY CONTAINMENT TESTING I ELD
PERMIT NO. I -r T -Q::l.i '$ I
o TANK TIGHTNESS TEST 0 LINE TESTING
FACILITY
BAKERSFIELD FIRE DEPT.
Prevention Services
900 Truxtun Ave., Ste. 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
Page 1 of 1
SB-989 SECONDARY CONTAINMENT TESTING 0 ENHANCED LEAK DETECTION
ADDRE1
OPERATORS NAME
fB, \'V
OWNERS NAME
r; 't
'1)\'\ AU Lv \'\ l-.
01-1 )'tLlWltL
1-
NUMBER OF TANKS TO BE TESTED
TANK NO.
PERMIT TO OPERATE NO,
IS PIPING GOING TO BE TESTED
CONTENTS
~ () i> ti. tv-.
q/
Il-
DYES 0 NO
VOLUME
s-K
CERTIFICATION NO.
FD2064 (Rev. 02105)
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~~, ~
'i!1f"r,~.
LaseiGrade
COMPUTER TESTING
Computer Test Report
International Code Council
Computer Exam Report
DATE: 10/14/2005
EXAM TITLE:
CA Underground Storage Tank Service Technician - UT(CUT)
NAME:BERLINGERI, TODD WAYNE
EXAMINATION RESULT: PASS
LOCATOR: BEKT0013
Congratulations! You have passed the
CA Underground Storage Tank Service Technician - UT (CUT)
Your ICC certificate and wallet card will be mailed to you
within six weeks after the end of the month in which you passed
the exam.
Your name as it appears above on this notice will be printed on your
certificate and wallet card. It is very important that you notify
LaserGrade and ICC of any changes in your name and/or address.
ICC requires a change of address in writing. Please fax your change
of address to ICC at (562) 692-2845 or mail it to:
ICC Certification Services
5360 Workman Mill Road
DO NOT~OSE'ml~ERt~T
Sincerely,
LaserGrade
LaserGrade Computer Testing
POBox 87245
Vancouver, WA 98687-7245
800-211-2754 or 360-896-9111
www.lasergrade.com
Applicant Locator: BEKT0013
Testing provided by: LAS93302
Inland Flight Training Center LLC
1701B Skyway Drive Sui~~ 110
Bakersfield, CA 93308
661-399-37780
UNDERGROUND STORAGE TANK
BAKERSFIELD FIRE DEPT.
Prevention Services
900 Truxtun Ave., Ste. 210
Bakersfield, CA 93301
Tel.: (661)326-3979
Fax: (661) 852-2171
PERMIT APPLICATION
TO CONSTRUCT I MODIFY I MINOR
MODIFICATION OF AN UST
PERMIT NO. ~ D@
TYPE OF APPLICATION: (ChecK one item only)
o NEW FACILITY
o MODIFICATION OF FACILITY
Page 1 of 1
o NEW TANK INSTALLATION AT EXISTING FACILITY
bMINOR MODIFICA I OF FACILITY
ROPOSEDCOMPLETION DATE 10
XISTI G ACILlTY PERMIT NO:
. . .
SOIL TYPE EXPECTED AT SITE
NO. OF TANKS TO BE INSTALLED
ARE THEY FOR MOTOR FUEL
DYES DNO
SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE
o YES 0 NO
APPROVED BY:
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
VIATION
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FEES $
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(Rev. 02/05)
FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 "H" Street
Bakersfield. CA 93301
VOICE (661) 326-3911
FAX (661) 852-2170
SUPPRESSION SERVICES
2101 "H" Street
Bakersfield. CA 93301
VOICE (661) 326-3941
FAX (661/852-2170
PREVENTION SERVICES
fiRE SAfETY SERVICES' ENVIRONMENTAL SERVICES
900 Truxtun Ave., Suite 210
Bakersfield. CA 93301
VOICE (661) 326-3979
FAX (661) 852-2171
FIRE INVESTIGATION
1715 Chester Ave.. 3'd Floor
Bakersfield, CA 93301
VOICE (661) 326-3951
FAX (661) 852-2172
TRAINING DIVISION
5642 Victor Ave.
Bakersfield, CA 93308
VOICE (661) 399·4697
FAX (661) 399-5763
December 10, 2004
Mr. Binder Dhaliwal
Lucky 7
3711 Mt. Vernon Avenue
Bakersfield, CA 93306
REMINDER NOTICE
Re: Necessary Compliance Deadlines for UST Owners/Operators
Dear Mr, Dhaliwal:
The purpose of this letter is to remind you about three compliance deadlines for UST
Owners/Operators. These are as follows:
1) January 1,2005 deadline for submitting declaration statement
designating:
(a) Owner/Operator understands and is in compliance with
all applicable UST requirements, and
(b) Owner identifies the designated UST Operator
for each facility owned,
(c) Owner/Operator passes and submits proof of International
Code Council Test.
2) EVR upgrade requirements on spill buckets are due April 1, 2005.
3) Secondary Containment Testing on all secondary systems. Code
requires re-testing 36 months from date of last test which was in 2002.
Should you have questions regarding these compliance deadlines, please feel free to
call me at 661 - 326-3190,
Sincerely,
;t~
Steve Underwood
Fire Prevention Officer
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