Loading...
HomeMy WebLinkAboutBUSINESS PLAN 8/10/2006LDNIFIED PROGRAM INSPECTION CHECKLIST ; .SECTION 1: Business Plan and Inventory Program BASERSFIELD FIRE DEPT a Prevention Services ~/~~ ~ 9001Yuxtun Ave., Suite 210 ~w~r s 13akersfield, CA 93301 Tel.: (661) 326-3979 - Fax: (661) 872-2171 FACILITY NAME ~ ^~ 'S ,/ NSPECT ON ATE NSPECTION TIME ADDRESS ~ HONE NO. O'OF E PLOYEES -' 3~ z 3f~~~o6 FACILITYCONTACT U (NESS fD NUMBER ~ 15-021- ' 61C' ~ Section 1: Business Plan and Inventory Program ~ 3 / J ^ ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ R~ ECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND [9/ ^ BUSint?SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS / ^ L L !/ CORRECT OCCUPANCY , . ., / LLV ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION l ^ ~^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY i \ ^ VERIFICATION OF HAZ MAT TRAINING ENT~(~ iY ((JJ ,,,, / W/ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES _ C~ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ^ YES ~O DUES NS REG RDING THIS INSPECTION? PLEASE CALL US AT (861) 328-3878 Inspector (Please Print) Fire Prevention / 1" In / Shift of SdelStation q White -Prevention Services Yellow - Sla6on Copy Pink - Buaineas Copy FD2048 (Rev. 02/05) J~ L ~ r~ ..- 0 ~~` ~~~~ CITY OF RAKERSFIELD FIRE DEPARTMENT M~ OFFICE OF E)VTVIRONI~~tENTAL SERVICES y.` UNIFIED PROGRAM INSPECTION CHECKLIST ;ctr ~gti,~!'~ 1715 Chester Ave., 3~`' Floor, Bakersfield, CA 93301 FACILITY NAME -~O ~~ra rd s ~2IA + l~l~ Section 2: Underground Storage Tanks Program ^ Routine l~Combined ^ Joint Agency Type of Tank g ~ L. ~ ~'~ Type of Monitoring _ ~ I C~ INSPECT-ION DATE ~' (Q 0~ ^ Multi-Agency Number of -Tanks _ Type of Piping OPERATION C V COMMENTS Proper tank data on the Proper owner-operator data on tife Permit fees current Certification of Financial Responsibility R9onitoring 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) Tvne ~f Tank AGGREGATE. CAPACITY' Number of Tanks ___ OPERATION Y N COMMENTS SPCC available SPCC on file ~+~ith OES Adequate secondan~ protection Proper tank placardinE'labeling Is tank used to dispense MVF? If yes, Does tank have overtill%"overspill protection'? C=Compliance V=Violation Y=Yes N=NO Inspector: Office of Environmental Services (661) 326-3979 ~4'hitc - inv. Svcs. fink - F3uciness Ci~ry 3 ^ Complaint ^ Re-inspection C~~ Business Site Responsible Party ~~- - Oct 11 OB ~:31a UST SERVICES 881-3639336 p.1 ~onf~dence UST S~rv~ceS, Inc. 427 Mo~-tclair Street HnkorsPisld, Csti 93309 800-33~-A9;iU or ~F}l-G3I=3870 / rax 65;-63'_-ski ~~, FAQ C~~fER LETTER Company Ba~`nz`~.~~~~a Fn/xa~. Mdt. Div. FAX Phone t ~~1; asz-21~ 1 Date 10 111 / c s FROM: K3~li Young MESSAGE: Attached, please -fried Px'ocluc:t Line Testing insults for. k~oward':~, loca~ed at 330Q Pl~r_a. Road, Bakersfield, C71 53309, waich wa:: c_on:iuctPd b,y Douglas Yaung o^ X4/:tU/~fi Please feel frc~c to c.:~li me if you have .any gtAestions. 17'hanlc You TQTAL NUMBER OF PAGES INCLUDING TWIS GOVER SHEET: If you da not receive all pages transmit#ed, please contact us immediately_ /• ~. ~, Oct ~ 11 48 49:31 a UST SERVICES 681-393-9336 p.2 CO~IFIDE~~E UST SER1/~~~5, iNC. s» senmwr Seiwa . Bnk.rse.m. ca a»os Boo-ssssss0 or 66~-~f+3s70 = EI~TAL TEST RESULTS srtixRT iD00 / ALk:R'~.' ~.05D f TEI I.T--3 CII$TOm~R ADI]RESS: 1~iC ORDER;10565 SITE ADDRESS: Jaco Oil Co. X776 Howard's [.0. Box 82515 'T'EST DATE: 10/1Of200F 33013 Planz Roac f3Akorvf.ield, C.b. 93380 Sake:CS~xeld, CA 93309 $IT'E CON'1'ACT:Oznero Garcia PSQNB ~lOMSER:661-393-7000 TECS~xCIAN:Doug Ypung PBaNE N[3I~L~t_800-339-9930 LICENSE=941075 WA3.'F~i I>~ ~3ICKFILL: N/A DATE & TZZ~ OF X.oA.~T 1E'Cl7~L DELIVERY:6+ hour TANK 2NFOkik~A'~Z02d (inl'ETTEi)y PRDDCXL"~.' TYPE PTiI!]nUCT LEVEL.• PERCENT FQx.Y. TEST I~TflOD: L~-'rE]Z ZN TANK: T814K b~1~RZAI.' TEST DURRTIC3~- FINAL Z.El1i£ RATF3: ~Sx RES7~L'r: TANK n~raarxo~ar - itr.r.nrrs r=nr.r,cfarg. START P'12E33II1tE END FRES3UAE- TSSx LZrS'(rL'Y': FRODVCT LIN85: ~,~7E 'Y]CPE: START T~ ~ TIME• TEST` PIt3sSSiYRE FINAI, LEAK R3~ TKST ~$t,II.T: MECSAIQIE'ar• LH~1EC DETECTORS AdODF.,L = ~t:erar 2~t>rR- C73ECli VALVB PSI: SLEED OFF xa~ = x.F.AK RAIL '1`S$TSD TEST >~SCyY.'Y': TANK 3. '~A.NK 2 TAPIt 3 TANK 4 tzar IPAua super ALBFtT 1050X AI,EER-T lOSOx ALERT lOSQS ALERT 1050x T~.X LT-3 TE2 LT-3 TEI LT-3 TEI LT--3 8reaavre esesaura P~aeure 6:30Sam 5:3D~ 5. dOQm 6:45pa S:aspm S:lsp~m $.5 pa3, 55 ptri 53 psi -~ . Q02 qph -d. OOB ~h 0.805 qpn PASS PASS PASS Rad Jacket E7L:C ]~+ad .7aokgt 1:~ aTaOkat F$r Rsd Jackart ffXT X) Tbeae syyss4:ema arnd motteoda suv~at Or 4:cr~~d #hp Critaxia ae tlBEPA aOGSR parLa 28G, NPPA 329-87 and nil applicably ata H) Any fai li above may ~'°-`~.+...-'; 4r aaki.o~, ctaaoic ..ith all rwgpla#.ety ',.~..wT..~ ?we7'+~+ici a ~~~ D~Cr: M.ir:uiaeL~r~~~CC•rt4iication No. Douglas ~ Yaung t1fX /O~lD-~ Alert:2004440 TES: LT-3,489 CONFIDENCE UST SERVICES, INC. 417 MoMClair Street, Bakersfield, CA 93309 8003393930 or 661-6313870 :FINAL TEST RESULTS: ALERT 1000 / ALERT 1050 / TEI LT-3 "CUSTOMER ADDRESS: WORK ORDER:10565 ~ SITE ADDRESS: J.aco::OiT Co.:_._. ._,._ ...-.._ - .. _.,. _ . _ _. _.#-776 Howard.~.s - _.. ._.. _. - -P 0 ~ "Box 82515.---- ' --- - TEST .DATE: =0/10/2006 3,300 Planz Road - - Bake.rsf.ield, CA _93.380.- _ Bakersfield, CA 93309 -SITE. CONTACT:Omero-Garcia PHONE NUMBER:661-393-7000 TECHNICIAN:Doug Young PHONE NUMBER:800-339-9930 LICENSE:901076 WATER IN BACKFILL:N/A DATE & TIME OF LAST FUEL DELIVERY:6+ hours TANK INFORMATION.-- TANK 1 TANK 2 TANK 3 TANK 4 (WETTED) - PRODUCT TYPE: TOTAL GALLONS: PRODUCT LEVEL: PERCENT FULL: TEST METHOD: WATER IN TANK: TANK MATERIAL: P.S.I.@ BOTTOM- TEST DURATION- FINAL LEAK RATE: TEST-RESULT: '- "'~:3'r, _.`~ TANK INFORMATION~ (ULLAGE)U/F ONLY • ULLAGE GALLONS:.:' START PRESSURE: END PRESSURE: TEST RESULT: PRODUCT LINES: LINE TYPE• _ START TIME END TIME TEST PRESSURE: FINAL LEAK RATE: TEST RESULT: MECHANICAL LEAK DETECTORS~ MODEL: SERIAL NUMBER: CHECK VALVE PSI: BLEED OFF ml: LEAK RATE TESTED: TEST RESULT: _ Regular Plus Super _- _ - ALERT 1050X ALERT 1050X ALERT 1050X ALERT 1050X TEI LT-3 TEI LT-3 TEI LT-3 TEI LT-3 Pressure Pressure Pressure 6:30pm 5:30pm S:OOpm 6:45pm 5:45pm S:iSpm 55 psi 55 psi 55 psi -0.002 gph -0.008 gph -0.006 gph PASS PASS PASS Red Jacket FXT Red Jacket FXT Red Jacket FRT Red Jacket FXT A) These systems and methods meet or exceed the criteria in USEPA 40CFR parts 280, NFPA 329-87 and all applicable state odes. B) Any fai li d above may require further action, check with all regulatory agenxncies. Technici s ure: Date: Manufacta d/or ertification No. Douglas M Young III /Q-/D-OG Alert:2004040 TEI: LT-3, 089 -~ 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 monitoringwstem 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 this date. A. General Information Facility Name: #776 Howard's Market Bldg. No.: Site Address: 3300 Planz Road Facility Contact Person: Omero Garcia City: Bakersfield Make/Model of Monitoring System: Veeder-Root TLS 350 B. Inventory of Equipment Tested/Certified (.Leek We appropriate boles to iu cafe specific equipment iospected/serviced: Zip: 93309 Contact Phone No.: 661-393-7000 Date of Testing/Servicing: 8/10/2006 Tank ID:_12000 gal. Regular [X] In-Tank Gauging Probe. Mode1:847390-107 ^ Annular Space or Vault Probe. Model: ^ Piping Sump /Trench Sensor(s). Model: ^ Fill Sump Sensor(s) Model: ^ Mechanical Line Leak Detector. Model: [X] Electronic Line Leak Detector. Model: WP~~o U Tank Overfill /High Level Sensor. Model:79a390-707 ^ Other (specify equip. type and model in Sec. E on Pg. 2) Tank ID: 12000 gal. Super [x] In-Tank Gauging Probe. Model:847390-~07 ^ Annular Space or Vault Sensor. Model: ^ Piping Sump /Trench Sensor(s). Model: ^ Fill Sump Sensors(s). Model: [] Mechanical Line Leak Decector. Model: ~] Electronic Line Leak Detector. Model:wP~~o U Tank Overfill /High Level Sensor. Mode1:~7390-107 ^ Other (specify equip. type and mod el in Sec. E on Pg. 2) Dispenser ID: 7 n Dispenser Containment Sensor(s). Model: 7943so-208 [7 Shear Valve(s). ^ Dispenser Containment Float(s) and Chain(s). Dispenser ID: 3 Lx] Dispenser Containment Sensor(s). Model: ~x] Shear Valve(s). ~sasso_2oa ^ Dispenser Containment Float(s) and Chains(s). Tank ID: 12000 gal. Plus [x] In-Tank Gauging Probe. Model: sa739o-to7 ^ Annular Space or Vault Sensor. Model: ^ Piping Sump /Trench Sensor(s). Model: ^ Fill Sump Sensor(s). Model: ^ Mechanical Line Leak Detector. Model: U Electronic Line Leak Detector. Model: V1-P~~~ U Tank Overfill /High Leval Sensor. Model: 79x390-107 ^ Other (specify equip. type and model in Sec. E on Pg. 2) Tank ID: ^ In-Tank Gauging Probe. Model: ^ Annular Space or Vault Sensor. Model: ^ Piping Sump /Trench Sensor(s). Model: ^ Fill Sump Sensor(s). Model: ^ Mechanical Line Leak Detector. Model: ^ Electronic Line Leak Detector. Model: ^ Tank Overfill /High Level Sensor. Model: ^ Other (specify equip. typs and model in Sec. E on Pg. 2) Dispenser ID• 2 U Dispenser Containment Sensor(s). Model: 79a3so-2os [X] Shear Valve(s). ^ Dispenser Containment Float(s) and Chain(s) Dispenser ID• 4 U Dispenser Containment Sensor(s). Model: 79x380-208 (~ Shear Valve(s). ` ^ Dispenser Containment Float(s) and Chain(s). Dispenser ID: 5 Dispenser ID: 6 [X] Dispenser Containment Sensor(s). Model: 749380-2os [x] Dispenser Containment Sensor(s).. Model: 79x380-208 U Shear Valve(s). U Shear Valve(s). - ^ Dispenser Containment Float(s) and Chain(s) ^ Dispenser Containment Float(s) and Chain(s). contains more tanks or dispensers, copy every at C. Certification - I certify that the equipment identified in this document was inspected/services in accordance with the manufacturers' guidlines. Attached to this Certification is information (e.g. manufacturers' checklist) necessary to varify that this information is correct and a plot plan showing the layout of monitoring equipment. For eq 'pment capable of generating such reports, I have attached a copy of the report; (check all that apply) Q Sys ~ Alarm history report Technician Name (print): Douglas M. Young III Signature: Certification No: A32755 License No: 8049oa Testing Company Name: Confidence UST Services, Inc. Phone No: 800-339-9930 Site Address: 3300 Planz Road ,Bakersfield, CA 93309 Date of Testing/Serviclrig: at~on00s ' D. Results of Testing/Servicing Software Version Installed: 14.01 Complete the following checklist: [~ Yes ^ No* Is the audible alarm operational? x Yes No* Is the Visual alarm operational? x Yes No* Were all sensors visually inspected, functionally tested, and confirmed operational? x Yes ^ No* Were all sensors installed at the lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? Yes No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) x N/A operational? x Yes ^ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary ^ N/A containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initate positive shut-down? ^ Sump/Trench Sensors[X]Dispenser Containment Sensors Did you confirm positive shut-down due to leaks and sensor failure/disconnected? [X] 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 visual and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capasity does the alarm trigger? 9p ^ 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 replacement parts in Section E, below. ^ Yes* ^ No Was liquid found inside any secondary containment systems designed as dry systems? ^ Product; ^ Water. If yes, describe causes in Section E, below. x No* Was monitoring system set-up reviewed to ensure proper settings? Attach set-up reports, if applicable. x 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: F. In-Tank Guaging /SIR Equipment: U Check this box if tank guaging is used only for inventory control. ^ Check this box if tank guaging or SIR equipment is installed. This section must be completed if in-tank guaging equipment is used to perform leak detection monitoring. Complete the following checklist: U Yes ^ No* Has all input wiring been inspected for proper enter and termination,including testing for ground faults? x Yes No* Were all tank guaging probes visually inspected for damage and residue buildup? x Yes No* Was accuracy of system product level readings tested? x Yes No* Was accuracy of system water level readings tested? x 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 LLD's are not installed. Complete the following checklist: Lx] Yes ^ No* For equip. start-up or annual equipment certification, was a leak simulated to varify LLD performance? (Check all that apply) Simulated leak rate: Lx]3 g.p.h.: ^o.l g.p.h.; ^0.2 g.p.h.; (X] Yes ^ No* Were all LLD's confn~ned operational and accurate within regulatory requirments? x Yes No* Was the testing apparatus properly calibrated? ^ Yes No* For machanical LLD's, does the LLD restrict product flow if it detects a leak? x N/A [~ Yes No* For electronic LLD's, does the turbine automatically shut off if the LLD detects a leak? ^ N/A ^ Yes No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is ^ N/A disabled or disconnected? [~ Yes No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system ^ N/A malfunction or fails a test? U Yes' ^ No* For electronic LLD's, have all accessible wiring connections been visually inspected? ^ N/A Cx] Yes No Were all items on the equipment manufacturer's maintenance checklist completed? * In the section I~ below, describe how and when these deficiencies were or will be corrected. H. Comments: HOWARDS I°t I N I P'IARKET 3300 PLANZ RD. BAKERSFIELD.CA 93309 661-831-0606 AUG 10. 2006 8:31 AN1 SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL INVENTORY REPORT T 1:PLUS VOLUME = 4059 GALS ULLAGE = 7941 GALS 90% ULLAGE= 6741 GALS TC VOLUME = 3966 GALS HEIGHT = 35.67 INCHES WATER VOL = o GALS WATER = 0.00 INCHES TEMP = 92.7 DEG F T 2:REGULAR VOLUME = 8365 GALS ULLAGE = 3635 u^ALS 90% ULLAGE= 2435 GALS TC VOLUME _ (3174 GALS HEIGHT = 63.11 INCHES WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP = 92.6 DEG F T 3:PREMIUM VOLUME = 1816 GALS ULLAGE = 10184 GALS 90~ ULLAGE= 8984 GALS TC VOLUME = 1765 GALS HEIGHT = 20.04 INCHES WATER VOL = 0 GALS WATER = 0.00 INCHES TEMP = 99.7 DEG F EIVD SYSTEM SETUP _ _ _ _ _ - - - - - - - COMMUNICATIONS SETUP AUG 1 D. 2006 8:31 AM - - - - - - - - - - - - SYSTEM UNITS U.S. SYSTEhi LANGUAGE ENGLISH SYSTEM DATEfTIME FORMAT MON DD 'tYYY HH :hiM : SS xM HOWARDS MINI MARKET 3300 PLANZ RD. BAKERSFIELD.CA 93309 661-831-0606 SHIFT TIME 1 DISABLED SHIFT TIME 2 : DISABLED SHIFT TIME 3 DISABLED SHIFT TIh1E 4 DISABLED TANK PERIODIC WARNINGS DISABLED TANK ANNUAL WARNINGS DISABLED LINE PERIODIC WARNINGS DISABLED LINE ANNUAL WARNINGS DISABLED PRINT TC VOLUMES ENABLED PORT SETTINGS: COMM BOARD 3 (RS-232} BAUD RATE 9600 PARIT't NONE STOP BIT 1 STOP DATA LENGTH: 8 DATA TEMP COMPENSATION VALUE (DEG F }: 60.0 STICK HEIGHT OFFSET DISABLED H-PROTOCOL DATA FORMAT HEIGHT PRECISION TEST DURATION HOURS: 12 DAYLIGHT SAVING TIME ENABLED START DATE AFR WEEK 1 SUN START TIME 2:00 AM END DATE OCT WEEK 6 SUN END TIME 2:00 AM RE-DIRECT LOCAL PRINTOUT DISABLED SYSTEM SECURITY CODE 000000 AUTO TRANSMIT SETTINGS: AUTO LEAK ALARM L I f°i I T DISABLED AUTO HIGH WATER LIMIT DISABLED AUTO OVERFILL LIMIT DISABLED AUTO LOW PRODUCT DISABLED AUTO THEFT LIh1IT DISABLED AUTO DELIVERY START DISABLED AUTO DELIVERYf END DISABLED AUTO EXTERNAL INPUT ON DISABLED AUTO EXTERNAL INFUT OFF DISABLED AUTO SENSOR FUEL ALARh1 DISABLED AUTO SENSOR WATER ALARM DISABLED AUTO SENSOR OUT ALARM DISABLED RS-'232 SECURITY CODE 000000 RS-232 END OF MESSAGE DISABLED IN-TANK SETUP T 1:PLUS PRODUCT CODE 1 THERMAL COEFF :.000700 TANK DIAMETER 96.00 TANK PROFILE 1 PT FULL VOL 12000 FLOAT SIZE: 4.0 IPJ. 8496 WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 12000 OVERFILL LIMIT 90i 10800 HIGH PRODUCT 95i 11400 DELIVERY LIMIT 10% 1200 LGW PRODUCT 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 50 TANK TILT .- 1.30 MANIFOLDED TANKS Ttt: NONE LEAK MIN PERIODIC: 10% . 1200 LEAK MIN ANNUAL 10% . 1200 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARth DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNY, TST SIPHON BREAK:OFF DELIVERY DELAY 1 MIN T 2:REGULAR PRODUCT_CODE 2' THERMAL COEFF :.000700 TANK DIAMETER 96.00 TANK PROFILE 1 PT FULL VOL 12000 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING 2,p HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 12000 OVERFILL LIMIT 90f 10800 HIGH PRODUCT 95i 11400 DELIVERY LIMIT 101 1200 LOW PRODUCT 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 50 TANK TILT .- 1.10 MANIFOLDED TANKS T#: NONE LEAK MIN PERIODIC: l0i 1200 LEAK MIN ANNUAL 10~ • 1200 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY 1 MIN T 3:PREMIUM PRODUCT CODE 3 THERMAL COEFF :.000700 TANK DIAMETER 96.00 TANK PROFILE i PT FULL VOL 12000 FLOAT SIZE: 4.0 IN. 849E WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 12000 OVERFILL LIMIT 90% . 10800 HIGH PRODUCT 95% 11400 DELIVERY LIMIT 10~ 1200 LOW PRODUCT 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIthIT: 50 TANK TILT .- 0.90 MANIFOLDED TANKS Ttt: NONE LEAK MIN PERIODIC: l0i 1200 LEAK MIN ANNUAL l0i 1200 FERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TAtdK TEST NGT I FY : OFF TNK TST SIPHON HREAK:OFF DELIVERY DELAY 1 MIN --... o LEAK TEST METHOD WPLLD LINE LEAK SETUP L-INE LEAK LOCKOUT SETUP TEST ON DATE ALL TANK JAN 1. 2007 START TIME 12:OU AM TEST RATE :0.10 GALiHR DURATIOfd 2 HOURS LEAK TEST REPORT FORMHT NORMAL W 1:91 PIPE-TYPE: STEEL LINE LENGTH: 50 FEET 0.20 GPH TEST: DISABLED SHUTDOWN RATE: 3.0 GFH 0.10 GFH TEST MMiDD DATE ??? 0 TANK: NONE LOCKOUT SCHEDULE DAILY START TIME: DISABLED STOP TIME : DISABLED LIQUID SENSOR SETUP L 1:DISF.1 TRI-STATE (SINGLE FLOAT) CATEGORY DISPENSER PAN W 2:87 PIPE TYFE: STEEL LINE LENGTH: 50 FEET 0.20 GPH TEST: DISABLED SHUTDOWNd RATE: 3.0 GPH 0.10 GPH TEST MNIr~DD DATE ??? p TANK: NONE W 3:89 PIPE TYPE: STEEL LINE LENGTH: 50 FEET 0.20 GPH TEST: DISABLED SHUTDOWN RATE: 3.0 GPH 0.10 u^PH TEST MM.~DD DATE ??? 0 TANK: NONE L 2:UISP.2 TRI-STATE (SINGLE FLOAT) CATEGORY DISPENSER PAN L 3:DISP.3 TRI-STATE (SINGLE FLOAT) CATEGORY DISPENSER PAN L 4:DISP.4 TRI-STATE (SINGLE FLOAT) CATEGORY DISPENSER PAN L 5:DISP.5 TRI-STATE (SINGLE FLOAT) CATEGORY DISPENSER PAN L 6:DISP.6 TRI-STATE (SINu^LE FLOAT) CATEGORY DISPENSER PAN OUTPUT RELAI' SETUP R 1 :OVERFILL ALAkt°1 TYPE: STANDARD NORMALLY OPEN I N-TANK ALAR(°1S ALL:OVERFILL ALARI°1 ALL:HIGH PRODUCT ALARM ALL:MAX PRODUCT ALARM WPLLD LINE DISABLE SETUP W 1:91 LIQUID SENSOR ALMS ALL:FUEL ALARM W 2:87 LIGtUID SENSOR ALMS ALL:FUEL ALARM W 3:89 LIQUID SENSOR ALMS ALL:FUEL ALARM ALARM HISTORY REPORT ----- SENSOR ALARM ----- L 1:DISP.1 DISPENSER PAN FUEL ALARM AUG 4. 2006 2:54 PM FUEL ALARM AUG 10. 2005 I1 :53 A(°1 FUEL ALARM FEB 28. 2005 11:39 AM ALARM HISTORY REPORT ----- SENSOR ALARM ----- L 2:DISP.2 DISPENSER PAN FUEL ALARhI AUG 4. 2006 2:54 PM FUEL ALARM AUG 10. 2005 11:54 AM FUEL ALARM AUG 3. 2005 9:40 AM * ~ * END * ~ ALARM HISTORY REPORT ----- SENSOR ALARM ----- L 3:DISP.3 DISPENSER PAN FUEL ALARhI AUG 4. 2006 2:54 Pf°1 FUEL ALARM AUG 10. 2005 11:54 AM FUEL ALARM FEB 28. 2005 11:23 AM ~€ ~€ ~ ~€ ~ END ~ t ~€ ALARM HISTORY REPORT ----- SENSOR ALARM - L 8: OTHER SENSORS END * ~€ ~€ ~ ~ ALARM HISTORI' REPORT ----- SENSOR ALARM ----- L 1:DISP.1 D I SPENSER PAIV FUEL ALARM AUG 4. 2006 2:54 PN1 FUEL ALARM AUG 10. 2005 11:53 AM FUEL ALARM FEH 28. 2005 11:39 AM ALARM HISTORY REPORT ----- SENSOR ALARM ----- L 6:DISP.6 DISPENSER PAN FUEL ALARM AUG 4. 2006 2:55 PM FUEL ALARM AUG 10. 2005 12:04 PM FUEL ALARM AUG 3. 2005 9:40 AM ~ * ~ * * END * * * ~ ALARM HISTORY REPORT ----- SENSOR ALFIRM ----- L 7: OTHER SENSORS ALARM HISTORY REPORT ----- SENSOR ALARM ----- L 4:DISP.4 DISPENSER PAN FUEL ALARM AUG 4. 2006 2:55 Phl FUEL ALARhi AUG 10. 2005 12:04 PM FUEL ALARM AUG 3. 2005 5:40 AM * * * ~ * END ~ * ~ ~ ALARM HISTORY REPORT ----- SENSOR ALARM ----- L 5:DISP.S DISPENSEk PAN FUEL ALARM AUG 4. 2006 2:55 PM FUEL ALARM AUG 10. 2005 12:04 PM x ~ ~ ~ ~ END ~ ~ * * * ~ ~ END * * * x ALARM HISTORY REPORT SENSOR ALARM L 2:DISP.2 pISPEtVSER PAN FUEL ALARM 2:54 PM AUG 4. 2006 FUEL ALARM AUG 10. 2005 11:54 AM FUEL ALARM AUG 3. 2005 9:40 AM ~€ ~ ~ * END ~: x -- SENSOR ALARNI ----- L 2:DISP.2 DISPENSER PAN ----- SENSOR ALARM ----- FUEL ALARM L 1:DISP.1 AUG 10, 2006 9:07 AM DISPENSER PAN FUEL ALARM AUG 10. 2006 9:03 AM ----- SENSOR ALARM ----- " L 5:DISF.5 DISPENSER FAN WPLLD LINE LEAb: ALARM FUEL ALARM W 1:91 AUG 10. 2006 9:09 AM WPLLD SHUTDOWN ALM AUG 10. 2006 9:03 AM ----- SENSOR ALARIN ----- L 6:DISP.6 WPLLD LINE LEAK ALARM DISPENSER PAN W 2:57 FUEL ALARM WPLLD SHUTDOWNV ALM AUG 10. 2006 9:10 AM AUG 10. 2006 9:03 AM ----- SENSOk ALARM ----- WPLLD LINE LEAK ALARM L 3:DISP.3 W 3:89 DISPENSEk FAN WPLLD SHUTDOWN ALM FUEL ALARM AUG 10. 200E 9:03 AM AUG 10. 2006 9:11 AM -- SENSOk ALARM ----- H©WARDS MINI MARKET L 4 : D I SP . 4 3300 PLAIVZ RD . DISPENSER PAN BAKERSFIELD.CA 93309 FUEL ALARt°1 661-831-0606 AUG 10. 2006 9:06 AM AUG 10, 2006 9:25 AM SYSTEM STATUS REPORT W 1:WFLLD SHUTDOWN ALNi SWRCB, January 2006 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/operator for submittal to the local regulatory agency. 1 _ FACii.iTY INFORMATION Facility Name: #776 Howard's Date of Testing: 8/10/2006 Facility Address: 3300 Planz Road ,Bakersfield, CA 93309 Facility Contact: Omero Garcia Phone: 661-393-7000 Date Local Agency Was Notified of Testing : 7/10/2006 Name of Local Agency Inspector (if present during testing): Steve Underwood 2_ TF.STiNG CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Douglas M. Young III Credentialsl: X CSLB Contractor X ICC Service Tech. X SWRCB Tank Tester ^ Other (Sped) License Number(s): CSLB #804904 ICC #878646-UT Tester # 901076 3. SPII.L BUCKET TESTING INFORMATION Test Method Used: x Hydrostatic ^ Vacuum ^ Other Test Equipment Used: Lake Test Equipment Resolution: 0.0625" Identify Spill Bucket (By Tank Number, Stored Product, etc. 1 Regular 2 Plus 3 Super 4 Bucket Installation Type: ^ Duect Bury x Contained in Sump ^ Direct Bury x Contained in Sump ^ Direct Bury x Contained in Sump ^ Direct Bury ^ Contained in Sum Bucket Diameter: 14.00" 14.00" 14.00" Bucket Depth: 14.00" 14.25" 14.50" -Wait time between applying vacuum/water and start of test: 30 min. 30 min. 30 min. Test Start Time (TI): 10:15am 10:15am 10:15am Initial Reading (RI): 13.50" 13.90" 14.25" Test End Time (TF): 11:15am 11:1 Sam 11:15am Final Reading (RF): 13.50" 13.90" 14.25" Test Duration (TF - TI): 1 hour 1 hour 1 hour Change in Reading (RF - R~: 0.00" 0.00" 0.00" Pass/Fail Threshold or Criteria: 0.0625" 0.0625" 0.0625" Test Result: X Pass ^ Fail X Pass ^ Fail X Pass ^ Fail ^ Pass ^ Fail Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) CERTIFICATION OF TECIINICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the informatio contained in this report is true, accurate, and in full compliance with legal requirements. Technician's Signature: Date: 8/10/2006 State laws and regulations don urrently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING J S8989 SECONDARY CONTAINMENT TESTING RANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION BAKERSFIELD FIRE DEPT. a $ g s p' n Prevention Services F/R~ DE ARlM ~ T 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 PERMIT NO. ~~~ V `~ ~ - ~ ENHANCED LEAK DETECTION UNE TESTING SB-989 SECONDARY CONTAINMENT TESTING TANK TIGHTNESS 1 E51 .e] 1 v r~rcrvr~rv~ r - - SITE INFORMATION NAME 8 PHONE NUMBER OF CONTACT PERSON FACILITY ~~~ C1wG ADDRESS C 30 ~ Y OWNERS NAME OPERATORS NAME PERMIT TO OPERATE NO. --- - -- - --- NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? Ps YES ~s NO TANK # VOLUME CONTENTS TANK TESTING COMPANY NAME OF TESTING COMPANY NAME & PHONE NUMBER OF CONTACT PERSON -1 G - Cx n ~ o u e,r vi . a, r l MAILING ADDRESS - ~ Uy S ( ~ ~ NSPECTOR R SPECIAL I BER OF TESTER O NAME S PHONE NUM CERTIFICATION #: C J~ ' 1 i lfc ~ 2.I.1' '" 2- - 2.1- DUCTED DATE 8 TIM TEST TO ~ C ICC #: TEST METHOD ~ ~ ~ ~l- - UT ~ 0 2cx~~ ~ o SIGNA RE OF APPLICANT ~, 1 ~~ ~ O _p A BEEOMES A_ ERM W ~N APR DYED APPROVED BY DATE rn manna gee.. no/n~1 SWRCB, January 2002 Page 1 of "1 _ 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 (f applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Howard's #776 Date of Testing: ~? ~-~ :,~ ~.~ ~; Facility Address: 3300 Planz Road, Bakersfield, Ca. 93309 Facility Contact: Jaco Oil Phone: i -~E,; ~ ~;~ ~~,~,~, Date Local Agency Was Notified of Testing : ~.~ 43 ~.-~ r~ Name of Local Agency Inspector (f present during testing: 2. TF,STING CONTRACTOR INFORMATION Company Name: Sunset Mechanical Technician Conducting Test: Ken Brus Credentials: ~ CSLB Licensed Contractor G SWRCB Licensed Tank Tester License Type: C-36 C-10 License Number: ~~~ ~~ ~ y anufacturer - - - _ Manufacturer Training Com onent s) ~~. ~ _.~ Date Trainin Ex Tres Incon TS-STS Ins ection Equi ment 1/12/08 Veeder Root Monitoring System 6/12/06 AO Smith Secondary Pi ing 6/19/06 ICC Cal. UST Service Tech 12/21/06 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Tested Repairs Made Component Pass Fail Not Tested Repairs Made ~. ~ ' ® ^ .^ ^ ~. Y ® ^ ^ C1 G. ~ ~~_ ~ ^ ^ ^ C ~ ~a ~ ^ ^ LV - ~* ry ~ ^ ^ ^ ^ ^ ^ ^ ~ ~ c f~ ^ ^ ^ ^ ^ ^ ^ _ F z ~ 1 ~ ^ ^ ^ ^ ^ ^ ~ ~ ~ ~ ~1 ^ ^ C ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ n if hydrostatic testing was performed, describe what was done with the water after completion of tests: Wa~~C ~!`,~ _t~`iUru't~, t.~~S .~`~x.Wt~'~«-C 'tns~c. ~t.3 ~~t1 C t c~r.t iAasaC rfS~ I;~tx.~,~- ,4NL` /C'EO' C>i<,;6''<,~'^ [Y CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To the best of my knowledge, t/:e facts stated in t/:is document are accurate and in full compliance with legal requirements Technician's Signature: .%~"~..-~~~°"-"' Date: r °' 4 ~ °~?~ __ SWRCB, January 2002 Page ^ of "'t 4_ TANK ANNiJLAR TESTING Test Method Developed By: ^ Tank Manufacturer ^ Industry Standard ^ Professional Engineer ^ Other (Sped) Test Method Used: ^ Pressure ^ Vacuum ^ Hydrostatic ^ Other (Sped) Test Equipment Used: Equipment Resolution: - - - Tank # Tank # (Tank # Tank # Is Tank Exempt From Testing?~ ,l~ Yes ^ No AYes ^ No !~ Yes ^ No ^ Yes ^ No Tank Capacity: (^` ~q ~ ~ ~?'C~ t 2 ~ DC+c+ Tank Material ~~ ~ ~~ e ~ ~ ~ ~ ~; ~~ ;.. Tank Manufacturer: t'~n~,a~ .q „- Product Stored: ~~. <• _ r Wait time between applying pressure/vacuum/water and startin test: Test Start Time: Initial Reading (R,): ~ •~ Test End Time: Final Reading (RF): y Test Duration: ' Change in Reading (RF-R~): Pass/Fail Threshold or Criteria: 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 testing? ^ yes ^ No ^ NA ^ 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) ~ 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 (Specify) Test Method Used: ^ Pressure ^ Vacuum ^ Hydrostatic ^ Other (Sped) Test Equipment Used: Equipment Resolution: - - - ----- J Piping Run # Piping Run # Piping Run # Piping Run # 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 starting test: Test Start Time: Initial Reading (R,): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R,): Pass/Fail Threshold or Criteria: Test Result: ^ Pass ^ Fail ^ Pass ^ Fail ^ Pass ^ Fail ^ Pass ^ Fail COmmerits - (include information on repairs made prior to testing, and recommended follow-up for failed tests) SWRCB, January 2002 6. PIPING SUMP TESTING Page _~ of °7 Test Method Developed By: ^ Sump Manufacturer ^ Industry Standard ^ Professional Engineer ^ Other (Spec fy) Test Method Used: ^ Pressure ^ Vacuum ^ Hydrostatic ^ Other (Sped) Test Equipment Used: Equipment Resolution: - - - ----- ~~ Sump # Sump # Sump # Sump # Sump Diameter: Sump Depth: Sump Material: Height from Tank Top to Top of Hi hest Pi ing Penetration: ~ ~ Height from Tank Top to Lowest Electrical Penetration: ' Condition of sump prior to testing: Portion of Sump Tested Does turbine shut down when sump sensor detects liquid (both roduct and water)?i ^ Yes ^ No ^ NA ^ Yes ^ No ^ NA ^ Yes ^ No ^ NA ^ Yes ^ No ^ NA Turbine shutdown response time 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 C No ^ NA Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (R,): Test End Time: Final Reading (RF): Test Duration: Change.in Reading (RF-R,): Pass/Fail Threshold or Criteria: 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 testing? ^ Yes ^ No ^ NA ^ 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) i6V~ ~ t,V~'GL ~Y~~i~dil ~ If the entire depth of the sump is not tested, specify how much was tested. If the answer to a_y of the questions indicated with an asterisk (*) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG-160) SWRCB, January 2002 7. UNDER-DISPENSER CONTAINMENT (UDC) TESTING Page ~' of ~_ Test Method Developed By: 8,' UDC Manufacturer Industry Standard ^ Professional Engineer ^ Other (Sped) Test Method Used: ^ Pressure ^ Vacuum [$'Hydrostatic ^ Other (Sped) Test Equipment Used: =t,J~:~y `~ cy`-1 Equipment Resolution: T . ~~ ~ •• - - - I' UDC # ( UDC # ~ z. UDC # _ UDC # __ _ _ _ UDC Manufacturer: - ~,.,,--, ,~~-, c;~ -rep-- ~ cam. ~-~ . UDC Material: ~ ~ C ~ ~ ~--- ~ r UDC Depth: ~ -• ~j -• ~ ~ ~ Height from UDC Bottom to Top of Hi hest Pi ing Penetration: n., ~r~-T~;~- -, c~, ~, o,~ .Height from UDC Bottom to Lowest Electrical Penetration: ,~„ ~ 3.r.5'bni $cs;Td~.r ~, Ca Condition of UDC prior to testing: i 6 ~' ~o~r C,' Portion of UDC Tested ,a . Does turbine shut down when UDC sensor detects liquid (both roduct and water)?` P9 Yes ^ No ^ NA ~ Yes ^ No ^ NA a^ Yes ^ No ^ NA L~ Yes ^ No ^ NA Turbine shutdown response time '~ •~~ 5•.:~; . ~' 3~~ 'Lc~ . ~' 3 O Sc~ . -+` ~ f, ;»~. , Is system programmed for fait- 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 ~l Yes ^ No ^ NA ~ Yes G No ^ NA Wait time between applying pressure/vacuum/water and starting test IS v~n ~w S -ti ~ tv is •'~- i w (S ~+r i 5 to ~w ! ~~ ::n r ~• Test Start Time: 11;~~/se~', r:~,y."`• i{:c~-~ a~n it_Y`' (1;'it`" iii P{; ' ~ °~``, Initial Reading (R,): y. ~ '!~s ? '' c~._,s r• ? - ~~~~' ' 2.93tx'; ' c~ ' ~ -r S- TestEndTime: 11.1 ~"°`^ tl;ty c Vii'{::y~-,.. 1~"~~- Z ~~~ 'n``'' 2: `~`~•- Final Reading(RF): L1~3'1`es~ • E,.«~i~?' -Z~ •^~~= - ~.`)3e~' `''G •.` Z-5i C•. Test Duration: l5 ~~~~ - i5 ~ iS r.~~w . 15zr,.n,. /S .H ~~ . :,~ Change in Reading (Rr-R,): _.. ac"`~ ~' - .ek~~ ` °..t'~Ck'S '- f.z~c;i ~ +. ,~'~e~c-~ 3 -. Pass/Fai I Threshold or Criteria: ~ . ~ ~? ~ " '_` . o ~2 ' ~ .:'~~ -j. ~ •a+? ` ~' ~ o ~ ~ '- i' ~~= Test Result: ~ Pass ^ Fail ~ Pass ^ Fail ©Pass ^ Fail ;K7 Pass ^ Fail Was sensor removed for testing? ~ Yes ^ No ^ NA ®Yes C No ^ NA ~ Yes ^ No ^ NA ~7 Yes ^ No ^ NA Was sensor properly replaced and verified functional after testing? ~ Yes ^ No ^ NA 8 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 UDC is not tested, specify how much was tested. If the answer to a~ of the questions indicated with an asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB. LG-160) SWRCB, January 2002 8. FILL RISER CONTAINMENT SUMP TESTING Page G of '-7 Facility is Not Equipped With Fill Riser Containment Sumps ^ Fill Riser Containment Sumps are Present, but were Not Tested ^ Test Method Developed By: ^ Sump Manufacturer ®Industry Standard ^ Professional Engineer Other (Sped) Test Method Used: ^ Pressure ^ Vacuum ®Hydrostatic ^ Other (Sped) Test Equipment Used: ~ ~ Qv ~ ~ _ ~ ; ~, - ~ Fill Sump # i Fill Sump # ~? _ __ _ Equipment Resolution: ± • ~o^ =' -- - Fill Sump # 3 Fill Sump # - = - Sump Diameter: - - - ~ ~' ~ y` •• - r - Sump Depth: ' • '~ Height from Tank Top to Top of Hi hest Pi in Penetration: ~'! ~~ I"~~ l~l~ Height from Tank Top to Lowest Electrical Penetration: ~~- l d _ . i t Condition of sump prior to testing: ~~~~. *,, F. ~, c+ r Goc+,~ Portion of Sump Tested ~ '~~ ~ {- L© =- ~ z.~ ' -Sump Material: l=-r c:C~ ~ ~ :c Cp lta ~~ ~ t~ ~'i.a~~ Wait time between applying pressure/vacuum/water and startin test: r 5 `.. , .,... ,.,, , „" ~ S i 5 :a ..~ . Test Start Time: ! ) ,,,,.._ ~ ~ , Initial Reading(R,): -~- 3C:~y. '' ~. ~-a3~ ~ ~ .~•~.~-,= Test End Time: ~ ~ • ~l ~ '~'^ ~ ; ~}t`i ~" 5--. a • y ~'-,.. Final Reading (RF): '7. 3E>i 4 •' ~. 037 -' '' .° +c'-~ Test Duration: I iv -. ~ r ' Change in Reading (RF-R,): ~-. c,r>e~3 ' - +. cic'~ ^'? ''' t. e~'~ ' Pass/Fail Threshold or Criteria: "?` ~ ~ ~~. ' • "~ • ~ n? " " -~ .. ~ Test Result: ~ Pass ^ Fail ~` Pass ^ Fail ~ Pass ^ Fail ^ Pass ^ Fail Is there a sensor in the sump? ~ Yes ^ No L~' 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? >31 Yes ^ No ^ NA ~ Yes ^ No ^ NA ~ Yes ^ No ^ NA ^ Yes ^ No ^ NA Was sensor properly replaced and verified functional after testin ? ID 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) SWRCB, January 2002 9_ SPTT.T./nVF.RFTT.T, CONTAINMENT BOXES Page ~ of Facility is Not Equipped With Spill/Overfill Containment Boxes ^ Spill/Overfill Containment Boxes are Present, but were Not Tested ^ Test Method Developed By: l~ Spill Bucket Manufacturer ^ Industry Standard 0 Professional Engineer ^ Other (Sped) Test Method Used: i'': Pressure ^ Other (Specify) ^ Vacuum (Hydrostatic Test Equipment Used: 'Tr,, ,A ~~ ~::_ __ __ __- __ III Bucket Diameter: j>,~ -~~ - ~; c Spill Box # 1 1 'L "° Spill Box # ~ I ~ ~ " Equipment Resolution: t . ~~ _L '-- Spill Box # ' ~ Spill Box # 1 ~ " ' Bucket Depth: ~I .Z °- 1 ~ '- 1 ~ Wait time between applying pressure/vacuum/water and startin test: f 5 `~ ~~ ~ <j ,.~,~, r,,, ; ) 5 ,;,,, , ,,~,, , Test Start Time: _ t ~; S~~ ~` ~"~ j ~ ; S ~ p <~ ~ i 2 : ~ y ' 's'° Initial Reading (R,): Z , ~- .~ ., =~. ~{ v' .- • ; -~ '' Test End Time: 1 ; ~ a t= -~ (; ~, ~} ~ ~""~ (: (~'~ ~' ~%'~ Final Reading (RF): ~" ~~, ~~ '- ~ " ~p ~g~? r 3 ~3° ~ " Test Duration: j ~ ;•~ , ~ , j ~ ~.,~ , y`, . (, ' Change in Reading (RF-R,): ~ • ~' ~~:~ 3 " Pass/Fail Threshold or Criteria: ~, -.. - ~ ~~ ' { ~c~n .. '- ~.. csa y Test Result: Is1 Pass ^ Fail ~ Pass ^ Fail .® Pass ^ Fail ^ Pass ^ Fail COmmerits - (include information on repairs made prior to testing, and recommended follow-up for failed tests) -- ':: ~>- 3 - ,~.. - _ .. -. ~ `- S _ - _ ~ rY - C r ::t ~~.~~.r ;~~ C - . ~ _ ' ~ _ ~ `l y ~ ":.} ~ ~ E,.,kJ ~ i fries ! .. *k$-E l t-F 4 ~ . t ~~~ ~ l - -WI - f ` " j iL i - ~ t ~: T - - - i _ ~ 'r r ~i A~ C~ F n~~i. ._. , -r~-r.~ ~_ . _ i. _ ._ ~ - ~ e~E1: _ . __ - _. -... t._.. _~ - ~ - - 1 ':r~.~:,.:.:~ ... ._ _ ; _ _ •.i 'y i.: iii :n~~,iC __ ~ 'Y!"lfc •-L ' jt!L~ ' - - _ Y r4 r t - . ~- ~ -~ M , r_ ., lri~ - -r c, ~ r.~~ ~y f -; - __ •;, ... r r,+ - - 4_• - '- _ - ~`~i TTY'; f.-. - - -r °'?~ ~, ~r f ~ItF~ ~~~c' --- ~- ._ ih: - _ - _ - -_ - ~ ~, I,fv.n 4 y~. T.. -.C- .~ irk -Tl+T ^r r. -~ r _. `-; , ,1 ~ r''-_ rr '-.~. r B Fine ~erM r December 1, 2005 RONALD J. FRAZE Howard's Mini Market FIRE CHIEF ~ 3300 Planz Road Bakersfield, CA 93309 Gary Hutton, FINAL REMINDER NOTICE Senior Deputy Chief Administration ~ RE: Necessary Secondary Containment Testing Requirements by 326-3650 December 31, 2005 of Underground Storage Tank (s) Located at Deputy Chief Dean Clason the Above Stated Address Operations/Training 326-3652 Dear Valued Customer, Deputy Chief Kirk Blair Over the last six months this office has continued to send reminder notices regarding Fire Safety/Prevention Services ~ secondary containment testing. 326-3653 Code requires that all secondary containment systems must be tested 6 months post construction and every 36 months there after. 2101 "H" Street ~ Senate Bi11989 became effective January 1, 2002, sectioh 25284.1 (California Bakersfield, CA 93301 Health & 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 Those sites that have not been tested and have not pulled a permit prior to December 31, PREVENTION SERVICES 2005, will have their permit to operate revoked. FlRE SaFErv SERVICES•ENNRONMENTALSERVICES 900 Truxtun Avenue, Suite 210 This office does not wish to take such. action, which is why we will continue to send monthly Bakersfield, CA 93301 reminders. OFFICE: (661) 326-3979 FAX: (661) 852-2171 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. David Weirather Fire Plans Examiner ~ Should you have any questions, please feel free to call me at (661) 326-3190. 326-3706 Sincerely, Howard H. Wines, III RALPH E. HUEY, Director of Prevention Services Hazardous Materials Specialist 326-3649 Steve Underwood Fire Prevention Officer SU:db