Loading...
HomeMy WebLinkAboutUNDERGROUND STORAGE TANKj (UNDERGR6UND~TORAGE TANKS) FILE # ' ; i MERCY HOSPITAL ~,~~ -- - 400 OLD RIVER ROAD ' .~-; f - -- ~, ~~`~ FROM :BSSR,INC FAX NO. :6615882786 Dec. 30 2005 11:57AM P2 • ~ ~ SI:CC)NDARY SYSTEM CEiiTE€+~CA'~'ioh ~ E3i`.if iJATE ~" ~ -~ ©~' FACYLITY ~ ~ ~~'~~. '~~ ~~~ ~'ACILYTY Ai]-i1RESS ld~ ~ (1,~"r 1~~. ~7 ' - -- i.JS'~ Annular Space /' ' Tank 1 'R'ank 2 Tank 3 Tank 4 Start Time initial Pressure End'i'i~ne Final Pressure Cgxtii'ftcation ~~ x'17 ~ (Signstetre) ~ ~ ~ ~ ~. Secondary moping .~'•¢} vt f~ ~ - . Line 1 ~'°'~ ` Line 2 ~ ~ r~ Lirie 3 ~ sine 4 S tart 'i' i me - a ~; ~ oL / : O O ~ ~* y y i.J~~tl~si Pressure ~ ~'~.~ ~ ~ ~ r ' ~ j ~ • J L End Time ~ ~:=~C7 ' ~~'~' ~ ~ ~ ~ . ~`Inal Pcesswee .~"~~ [ ~~" 2 l ,S. Certlflrstian . (Signature) ~ ~'Y/v~.-! ~ '~ . ~ '7T74 /1 ~ -~ j ~ ~ Page 1 oir ~. yl~ ~~ , ~' ~~ `r _ 3 S~'Con~~ay G:~.Gs ~~: f ~Q ., FROM :BSSR,INC .: FAX N0. :6615882786 Dec. 30 2005 11:57AM P3 . ~ ~ sECO~A~~r s~xsTE~r cEnT~~c~~xor~ ~ :~~~ DATE~~-~ i~- ice' PACIL~'1"~' ~D ~r~d¢ ( ,~~~G~G~ . FACILITY ADDRESS Lr.~-~,~ ,r~/~ ~~ r~ rr~ .Q_7 UST Annular Space Taa~k Tank T T 3 Tank 4 Start Tim~,e ~nitia~ Prere End Time Final Pressure Certification ~ (Signa#ure) . Secondary ~p~ Lune 1 s~ Line 2 ~l `` Llne 3 ~ 3 `~ Line 4 Start Time ,:3 : p ~ 3 : ~ a ~ = l~ Initial ~Pre$sure ~ ~ ~3 S ~l ~.5 ,~ l ~ j Final Pressure ~' l ~ .5 d ~~ ~ 5'~ Certification (Siff) ~ ~ ~ FROM :BSSR,INC .~ FAX N0. :6615882786 Dec. 30 2005 11:58AM P4 SECONDARY SYSTF,M CERTIFICATION FORM DATE ~`~ , FACII,XTY ID ~~jr~~~-( ~~ ca~r.~~S I FACILITY ADDRESS ~~ ~CC~ Old ~ ~ v~~ d~ r?- Turbine Samps .',~~~~~ ~ ",~~ ~. Sutap 1 Sump 2 Sump 3 Sump 4 Start Tare '~_ : ~' ~uitial Height of VYater ~~ ~„ ~, Time ~.=~ ~ = ~.~ ~ . Water Hoig6t - 32, 'l`ime .~ ;' ~'~ . star Height w , 3 ~ L., +i ~ 411 / / ~ A ~IP water height ~ ~• 2 Certilicatiaa t (Sig~ ure) Overfill Buckets Overfllll ~ Overfiil2 overP~iil3 4verf~114 Start 1'lnte ~ ~({ a 3 .~ 3 ~ Initial I<ieight of Water "~ .$~'~ t~ ,~~"-,a'` ~~~ Q Water Fleight , ~ ~ ,~j % ~ 3 2, J • 6 I Time ` ~ ~ : 23 ; ~`~, . Water Height .~`, (~+ ~'. ~- ~r Certification (Signature} ~ '~'1 ~ °~7~1 ~ , . 6 ~ f!" •, FROM :BSSR,INC ~~.~" ~R , ~ a ', j ?~.<gr~c:r5 ... ~, f' ; k ~ f ~ SIIM ~ :.~.~K 1'E.57 ^E'Fr~F~T • ~ j TEST STf~RTED 3: t.7`'Ah) i , TEST STARTCO ;7.719.x288" i' ENiS TIML 3:3?.'Phi ,• ~!.3a RHTE 12!19,x2005 - . Ef_VD LL~4fEL_ ,,,. 7.324 IN `, • ' "~ '!'HRI'~WCN,_!} 0-6T87 IN' . ~ . 1 ~ TEt~r RE~:C+L7 ppSSEi~ ! I '~~•~~ T ~-'- ' TEST Sr~,RTEp 3:;~ Pht STP,,7TFj7 1'7!lGx7~tQS QEG ~f ' ~F. r.:Jn T; MELJ£l. 5.5847 IN •f ' fNA DATE i~i3;t~ phq ' 19!2805 .~~ : skin !" r tc! L ~- ~=~6 tN !_EAK THRFS!dOLA ' 6.80? ~N' - F. ` i.Gr 4Efi(.!~.1' T~~'REASF:p ;~ <f rf i i :~ ~~ i• I. M~ ~ C~T7 ! O ~~ ^ ~~i .'FY ! E GlS~ 'SeSa 17 Ta .... i~ ~ ?rCT GT4R'1"Cn ~~"~Ir+ pYi ! '=~ •, -TG'c'r GT RTFf! ? rl9.x?Ba '~ Ff~~ TT~etC .3"5y p y f+ f ~,tF+ ~r~-~ "`.Fu¢C`cuf9i'R4 Sri~Ap7.Tf`l..•.• ~' C~ _ FAX N0. :6615882786 _ ...: _ .. ~i . `i ~, ~ ~s5s= r, ry f".P, i .~ ,. ~S"SR T~TF'R ~~1 SS~.~777 .",.. ' ;21191Z~~5'°• :~L!MP I.rAVC T~'.T REpnRT .~' '.33 4~Yr`~h. .;~d i. ': F_riT STP.itTF'p g$5-:.:.-- ~T STf+R~` 6 .1211~.:.Iht ' + ArfZ~ - - ~' g:5f~ A~1 f ti gun ~f{T,. ••' 7.~?:: It, 'i ~Nf7 i_~L)EL_ f? p.A92 XN L r. ALl TH1~' .SN4L.. PA55ED ' YESt RE:5111.T '~:, ~' .. •'~ Dec. '30 2005 11:58AM P5 4Pf3 ~~,~ i?.YUF.~ RD. ~~it,~k sFI~'L,~ '•'A, R9SR 7!'~TFf? ~ ? ri ~9l~giK ~ ~ G`ifnn ~ r"et1 7ccT ~,ra:zlZT ~~• p..~t,1~!e r. n. T .!).7 •~.. ~•CCT rY p ~:} R TFSCT ,Ci7At2TE~ ,'7i~9!"'~+?`~ , c K ~-4;nE^~!(~!. n r~, tea;. w UNDEFaI'GRONND STORAGE TANKS BAKERSFIELD FIRE DEPT. ~-~R~ Prevention Services AlrTY T 900 Truxtun Ave., Ste. 210 ~a~ APP IC TION ~ Bakersfield, CA 93301 TO PE OR ELD /LINE TESTING Tel.: (661) 326-3979 S698 SEC NDARY CONTAINMENT TESTING Fax: (661) 852-2171 /TANK ESS TEST AND TO PERFORM FUEL MONITOR'I'NG CERTIFICATION ,' Page 1 of 1 PERMR N0. ~' L''"" ~ ~ ~J ^ ENHANCED LEAK DETECTION ^ LINE TESTING ~SB-989 SECONDARY CONTAINMENT TESTING ^ TANK TIGHTNESS TEST ^ TO PERFORM FUEL MONITORING CERTIFICATION ~... ., ,. I F R N FACILITY , 1 l ~fJ.,i, NA E & PH NE NU 1 ER OF CONTACT PERSON ) X11 ADDRESS 1 1 ~ O1~ ~ 1 1 1L ` ~ /~ ~~ (-~ OWNERS NAME OPERATORS NAME ~ p 5 PERMIT TO OPERATE N0. ~ j ~ ~ "~ J I -~ ~ `7 L25 NUMBER OF TANKS TO BE TESTED PIPIN IN T B TE T D9 YE ^ N C TE T O d ~ o ~ r~ s ;, • _ TANK,.TESTING COMPANY NAME OF TESTI COMPANY^7 / NAME & P ONE NUMB R OF CONTACT PERSON -7 MAILING ADDRESS ~~ NAM PH NE NUMBER O TESTER OR SPECIAL INSPECTOR 1 ~ ~ CERTIFICATION #: DATE 8 TIME TE T TO E CONDUCTED ICC #: TEST METHOD SIGNATURE OF PPLIC T _ DATE APPROVED BY DATE `~ ~ J? FD 2095 (Rev. 09/05) :~ F/RE ARTM RONALD J. FRAZE FIRE CHIEF Gary Hutton, Senior Deputy Chief Administration 326-3650 Deputy Chief Dean Clason OperationsJTraining 326-3652 Deputy Chief Kirk Blair Fire Safety/Prevention Services 326-3653 December 1, 2005 Mercy Hospital Southwest 400 Old River Road Bakersfield, CA 93311 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. 2101 "H" Street Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Bakersfield, CA 93301 Health 8~ Safety Code) of the new law mandates testing of secondary containment OFFICE: (661) 326-3941 components upon installation and every 36 months, thereafter, to insure that the FAX: (661) 852-2170 systems are capable of containing releases from the primary containment until they are detected and removed. Our records indicate that your facility is due prior to December 31, 2005. RALPH E. HUEY, DIRECTOR PREVENTION SERVICES 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 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, RALPH .HUEY, Director of Prevention Services Steve Underwood Fire Prevention Officer SU:db ~J~~ri~ f~a ~~csai~ ~ ..~J~Lo~te ~! r~a~z ~.~~~ ~i~eis~`rr~