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Home My WebLink AboutUNDERGROUND STORAGE TANK-~V ~ Oui~D STORAT,E TAN~~j . 1 #1 riL ti - - - _ STINE ROAD TEXACO i (AKA TEXACO FOOD MART) 5609 STINE ROAD a ;'; f~F ,~ .~, { ~~-r-~y~ ~ ~ bh ~ .--5~ ~ ° ~~ ~: f 04126!2006 15:50 6613920621 ~- PAGE 03!04 ~~~~~ i"+ llnIGL12G~0UF1D laTORA~E TANKS ~ $d~~'';~i~ F'IRS` I~LtP1'. . ......-,~.....~.,.:..~„~,~.«.,.~..~,:~.~w.:.y.,.;~ !~!R/ Frevlentio~n $er~ilcela 'r. ~ ~~rx 90d Trtuctun Ave., Ste. 210 ~:.~~~.d~AT1C~~ ~~~ s~~seid, ca 9~~a1 1'D PEft~OFiAII 1tL01(.INE TESTII~1G ' ~ TeL: (6$1) 32G-$979 J SSgs~ SECONDARII' GONTAINNIF1i7 TESTING s Fax: (661) 852-2 ~? 1 lTAN#'C 1'IGHTN~SS 11"-~u~T W~kl7 TO PERFORIIfI FU~LaIONITORIP[G ;.Ei2TIFIGAlTON PSg91~1 F+LPrW!'r NO. ~~~~~ 1J iNEU~NCl=b I.~AK ^E'I'ECTI4N vN~ CJ 7Awl: TIGHTNESS TssT ~ TO PERKORM FUEL MONITORIti ~~ ~•- -- r•ACI~IrY ~.. S6a9~ SECONQgRY GONTA~AIMENT TE371NG k~E 8 PHONE NUiM1aER OF CONTACT PERSON I 3 '€~'yG C3L.G U ~ ~t-t v'~ ~.;L~ 1 Y1 ' • - . . r--~ I ADURCSS OWNERS NAME I QPI=ie417'ORS NAI~aF I I~~ReA1T TO OPERATE NO. ~ivU B.R OF TANKS Cd BE 7ESTEn PING G ...-~„~AL T L...~__. ~ 1 a a e d . ... ~ I ~, ri,S t, ~ c, ~q ~ 3 . __ M~ © ... _.. . ~ : ~.,. rANli:7F3nNG CQOItPANY lvA1Wr OF TSSTIN pdIPANY ~~ .... NAMG 8 PFIDNE NUMBER pF GQNTACT PERSON ....... ~YIAILING A~ A DL7e a ~ ESS 7_ - ; 3 1l u Y ~p H NwIwE o N i? ~1. P N UMBER OF TF.S7ER OR SPECIAL INSPEC70 CERTIFICA7IQN ~: ~~ . ... 1lr TEST T'O ~ CDNDUGTEU J~A1'E S T1 IGC #: TEST METHOD ~ SICyNATLtRE OF API°UCAWT _ bp'1'E ~ ('~ ~-~y --' LApPFtOVEO BY i, / , PATE F^ 2095 (Rev. 09!05} 04f26f2006 15:50 6613920621 PAGE 04f04 t 1 04/26/2006 15:50 6613920621 .f' PAGE 02/04 ~' BA~RSF~ELD FIRE D~PT~~~ ;E~~~~.li'+1~ ~ P1E~MiT STA,TENIAENT p~vent~on Services ~r^----~-~ P't~,Rwlti NO.: „T._. JJ ~ _"' ~r ..... 900 7.1uxt'uz~ Avenue, auice 210 Baloexa~ield, C.A 9$301 - _ LOCAT~Ouo>:PR0.fE fir, ~.~ ~•~. - ~j y ~ P ~~ ~~ r...- ~ aiaFTl'WS: DA7~- OOMa.~r10N.D~ t'~ ~ ?Ra~Er:7~NAME $ ~ '.. ~ ~ ! , , . AtihRE3S l r of ~riF EnQ f ` _ T . raFloJtcr.,nal~ss OPiit SPA AP ~ ~ i COnTHaOTOR MPrM1E CALICFJdSE rrt0- TYf~E OF LIr~NfiE E7~pATIQN DATA PHONE ~~~ cONYRa~CT COM ~ ANY ~ ~j'_ ~ q~.~0~0~~ .^ a00p6SS +Cth! ~P ~ 1' ^ Alarms - Nr~-v ~ ModiRcations - (Mlnfmum Charge) $26264 ^ Over Z0,40D Sq. Ft. Sg. f 1t. x A13125 = Permit >Fee ~.._. _ ~r ^ Spnnklets •• New & Modit>csf;ans - (Ntinimurrl Charge) $2'IC~:410 ^ Aver 5,004 Sq. FL Sq~ ~ x .d42 = P~elxnit ties _~ f~~^^~ lVt no sprinkler MndifiCatlons (~ 10 heads) $ 9~.Cb Iirispectiorr OnIYI ` ^ Commenci.~i Hoods ~ New r~ Modifirdtions $ 3fd~;26 L.. ~ d Addifiona~! Heads $ 3f~.b4 -^ ~~ Spray Booths - New & Modifi~tiorls $458.00 la Ab !rtd Store19e Tanks (lnstaNetioMnsp -1" Tmne} $186.04 --- ^ _ Aolditional Tenlrs $ x'.00 C~ -~ Aboueground Storage Tanks (Re+naveNlnspectibn} $10900 -- -•--- a _ Undergreund Storage Tanks pr~auetionJlr~spection) $8~"a~400 (pertanlc) D Undergrauncf Store Tanks (nnodificstion) $t3'l"5,00 (pr3rsiY~e) ^ undergro~~nd Storage Tanks (Minor Modifiaat-laa-) $15500 L] -- UndergroL~nd Tanks (A~amovafj $675D0 (per•tank) O pilwell (Instellatlan) $ . Mandated Leak Detection (testing} Fug Manic Cerc $ 81:00 (persite _ C7 Tents $ .J.00 (periar-t} ^ Afifler haur& firsloecfian tee $1.00 I ^ Pyrotechnic - (Per event, Plus tn5p. Fee ~ $9t] per h0ue7 $ 801,00 + (5 his, mtn_ send -•by iee A a RE /MSPt:C77011f(S) IFOLi.Ow-UP INSPECTION(S) $ x+00 (per hour) ~ Partabie L PG (Propane): NO. aF CAGES? _ $ fi8.00 C] f=xp{osive Storage $749.00 `... ,. G7 Ca pyirsg $. File Reward ~ (file Research Fee S33,Q0 per hr) 2$¢ page I t_1 Mis^ellan~aor,s $510.00 ti'4 82 1~2 8? 82 82 t34 $4 . 84 as 84 84 84 >~ 84 Ro zat+ (ftev. o>ilOS} UNDERGROUND STORAGE TANKS AP~~I~ATIOIV 1'O PERFORM ELD /LINE TESTING / SB989 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT NO. "T'T ~ ~~~ w/R/ parr r BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) $52-2171 Page 1 of 1 ^ ENHANCED LEAK DETECTION ^ ^ SB-989 SECONDARY CONTAINMENT TESTING ^ TANK TIGHTNESS TEST ~- TO PERFORM FUEL MONITORING CERTIFICATION IT RMATI FACILITY NAME 8 PHONE NUMBER OF CONTACT PERSON ADDRESS O ~~\ ~ ~ ~ ~' ~ ~ 1 OWNERS NAME - a OPERATORS NAMF__ ____ ___.___ NUMBER OF TANKS TO BE TESTED PERMIT TO OPERATE NO. IS PIPING GOING TO BE TESTED? ^ YES ^ NO TANK# V L E CONTENTS 2. ~t5 0 o a ~r~n -`~ 1 3 00 TANK:TESTING COMPANY NAME OF TESTIN OMPANY~ NAME 8 PHONE NUMBER OF CONTACT PERSO MAILING ADDRESS Q ~~y l~ ub NAME t;< PHONE NUMBER OF TESTER OR SPECIAL INSPECTO CERTIFICATION #: DAl'E & TI E TEST TO BE CONDUCTED ICC #: TEST METHOD SIGNATURE OF APPLICANT DATE ~ ~ 3~`j Y~ APPROVED BY DATE Q FD 2095 (Rev. 09/05) ~31L:1~ ~ PERMIT STATEMENT .~" ~ - PER~i~T NO.: BAKERSFIELD FIRE DEPT. Prevention Services P/Re g00 Truxtun Avenue, Suite 210 ARTrf T Bakersfield, CA 93301 Tel. • IFiFi 11 ~2.Fi-397A S Fax' fFiFi 11 fi52-2171 • LOCATION OF PROJE~ _, 1 ~~ • ~ ~ -`~ \~. J•-11-11 • ~ • PROPERTY OWNER i STARTING DATE r^ COMPLETION DAT~ ~ V J NAME ~ ~- PROJECT NAME o ADDRESS - /d PH E N0. s- av~ PROJECT ADDRESS CnY ~ ~ STAT ZIP ODE • ~' CONTRACTOR NAME ~ CA LICENSE N0. •' • TYPE OF LICENSE. EXPIRATION DATE PHONE ~~ CONTRACT COM ANY FAX NO. ~ ~ (~3aa.-a~a~ _ _ _ ADDRESS - CITY ZIP C DE ~~: -~- - ~3 ~ ag ~~ ^ Alarms -New & Modifications - (Minimum Charge) $262.50 ~ 9$ Ft Over 20 000 Sq Ft x 013125 =Permit fee Sq ~ ^ . . , . . 98 ^ rinklers -New & Modifications - (Minimum Char e} S $210 00 ~ g p . 98 ^ Over 5 000 Sq Ft Ft x 042 =Permit fee Sq ~ , . . . 98 ^ Minor Sprinkler Modifications (< 10 heads) 00 [Inspection Only) $ 93 ~ . 98 ^ Commercial Hoods -New & Modifications 26 $ 398 ~ . 98 ^ Additional Hoods $ 36 00 ~ . 98 ^ Spray Booths -New & Modifications $458 00 ~ . 98 ^ Aboveground Storage Tanks (Instal/ation/Insp.-1~ Time) $165.00 82 ^ Additional Tanks $ 26.00 82 ^ Aboveground Storage Tanks (Remoyat/Inspection) $109.00 82 ^ Underground Storage Tanks (Instattation.llnspedion) $878.00 (per tank) $2 ^ Underground Storage Tanks (Modification) $878.00 (persite) 82 ^ Underground Storage Tanks (Minor Modification) $155.00 82 ^ Underground Storage Tanks (Remoyaq $675.00 (per tank) ~ ^ Oilwell (Installation) $ 72.00 84 Mandated Leak Detection (testing) -Fuel Monit. Cert. $ 81.00 (persite) 82 ^ Tents $ 93.00 (per tent) ~ ^ After hours inspection fee $122.00 ~ 84 ^ Pyrotechnic - (Per event, Plus Insp. Fee @ $90 per hour) $ 60.00 + (5 hrs. min. stand -by fee /Inspection) _ $510.00 84 ^ RE-INSPECTION(S) /FOLLOW-UP INSPECTION(S) $ 93.00 (per hour) 84 ^ Portable LPG (Propane): NO.OF CAGES? $66.00 ~ ^ Explosive Storage $249.00 84 ^ Copying & File Research (File Research Fee $33.00 per hr) 25¢ per page ; ~ ^ Miscellaneous : &+ FD 2021 (Rev. 09/05). • •+•+•~••• •• •••• ••+r' •.- r~--..~.~ . vC1 t nW /fin Cilu\ 1~IId1! !4n f:~~¢}nmorl --- ---------- 1 zsSv • ....r- MONITORING SYSTEM CERTIFICATION For U.re By A/1 Jurtrdlctinns Wirhitt the State oJCa/rfornia Authority ~=lted.• Chapter 6. ? Health and .5afery Code; Chapter I tS, Division 3, Title ~3, California Code ojRegulations This fomt must be used to document testing and servicing of monitoring equipment. A s, enarate certificalt'on pr report must be~gpared f~• each monitot-it~svstem control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/apetator, The owner/operator must submit a copy of this form to the local agency regulating UST systems within 30 days of tear date. " A. General Information ' Facility Name: G H~4 L1~ . ~ Bldg. No.: Site Address: ~S~ Sr/'~F ~/ City; ~ .~,~~/~!~ Zip: ~1,r,~~,_ FacSlity Contact P arson: Contact Phone No,: ( ,_ ~ Make/Model of Monitoring System: _,_~''L.~=. ~Sa Date of Testing/5ervicing; ~/ ac> /a B. Inventory ~~f Equipment Tested/Certified r'hlrl[ 1h! fnnrnnrif lY. hnilfl M Inrlir-f! •nP.rlCr Mninmlht InfMrlld/GPrvtClll: Tank ID: V~l.)L~`7 ____ Tank TD: r'? ~T !~ In-Tank Gauging Probe. Model: -- / jfl in-Tank Gauging Probe. Model: ~ Annular Space or Vault Sensnr. Model: '^I ~ ~ Annular Space or Vault Sensor, Model: ~ Piping Sump; Tteneh Sensor(s). Model: ,~ f~ Piping Sump/Trench Sensor(s). Model: ^ Fill Sump Sensor(s). Model: ^ Fill Sump Sensor{s). Model: ~ Mechanical Lino Leak Detector. _ Model: t~Q, ,)7A-Gf(.?Ci j~ Mechanical Line Leek Detector. Model: ~ ~A.~T' ^ Electronic Line L,~ak Detector Model: R Electronic Line leak Detector. Model: ~ Tank Overfill JHigh-level Sensor. Model: jzyl ~ Tank Ove~ll 1 High-Level Sensor. Model; ~~~ D Other s eci a ui ment a and model in Section E on P e 2 . O Other i e u' meet and model in Sectloo E on Pe e 2 . Tank ID: 11,'SE L Ttnk ID: _. ~ In-Tank Gauging Probe. Model; !'~11<~s / t7 in-Tank Gauging Probe. Model: Annular Space of Vault Sensor. Model: ~~, D Annulaz Space or Vault Sensor. Model; _ ~0 Piping Sump 1 Trench Sensor(s}. Model: ~~_~ ^ Pipin$ Sump /Trench Sensor(s). Model: ^ FiII Sump Sensor(s). Model: ^ fiill Sump Sensor(s). Model: J$ Mechanical Line Leak Detector. ~ C~~ Model: ^ Mechanical Line Leak Detector. Model: ^ Elecvonic Line Leak Detector. ~ ?Model: D Electranle Line Leak Detector.. Model: ($ Tank Overfill /High-Level Sensor. Model: i~~r / Q Tank Overfill /High-Level Sensor. Model: C3 Others ci a' went a and modal in Section F• on Pa a 2). ^ Other i e u' ant and model in Section E on P e2 . Dispenser ID. _[-,.. Dispenser TD: ,~ '~ >~ Dispenser Containment Sensor{s}. Model: _~I U~ ~ ~ Dispenser Containment Sensor{s). Model; `7r0~, ~, Shear Valve(s). ~$ Shear Valve(s). Dis enser Contai;tment Floats and Chains . O Dis Warr Containment Floats and Chains . Dispenser ID: ~5$`- t:.1 Dispensa' ID; ~ - Dispenser Containment Sensor(s). Model: _ ~~ ~ Dispenser Containment Sensor{s). Model: ~ Sheaz Valve(s). ,Qf Shear Valve{s). 4 Dis enser Containment Float s and Chains . ^ Di enser Containment Floats and Chains . Dispenser ID: _- I~ Dispenser ID: ¢G Dispenser Containment Sensor(s). Modal: ~~ ^ Dispenser Containment Sensor(s). Model: 1Bl^Sheaz Valve(s). :_ ^ Shear Valve(s). Obis enser Contain Went F1oai s and Chains . ^Dis enser Containment Float s) and Chain s). •If the facility contai:is more tanks or dispensers, copy this form. include information for every tank and dispenser at the facillry. C. CelrtitSCation -1 certify that the equipment identified fn this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is Information (ag. manufacturers' checklists) necessary to verify that this information is correct and a Plot Plaa 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): )jQ System Set-pp ~ rm history report Technician Name (print): ~ /~l -~ ~i/!/~`~~./ Sigtatttre: Certification No.. __ t~~~tL` f~s'- I 1 ~_ License. No.: ~" _ Testing Company Flame: ~ )G ~ t yI_/tdO~t1 Zvi ~•r>rh =_____ Phone No.:~~~L~~ " ~~ if Site Address: ,~~~~s ~'/~J~_ I~,J~N~,~re,'!`Q~~/~~.~Date of Testing/Servicing: ~I~I~ Page 1 of 3 03/Ol Monitoring System Certification ~SS~ D. Restttts of Testing/Servieing SoHware Version Installed: ~~¢~_ Cmm~tete the fntl•nwirto Checlrlish Yes ^ No' Is the audible alarm o rational? ® Yes ^ No* Is the visual alarm o ational? Yes ^ No* Were all sensors visual] ins ected, functional! tested, and confirmed o ions!? 1~ 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? D Yes ^ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) i~ N/,', operational? '~ Yes ^ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containtttent ^ N/.~ monitoring system detects a leak, faits to operate, or is electrically disconnected? !f yes: which sensors initiate positive shut-down? (Check al! that apply)~Sumpl'I'rench Sensors; ^ Dispenser Containment Sensors. Did ou confirm ositive shut-down due to leaks a,td sensor failure/disconnection? Yes; D No. )F9 Yes ^ No" For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no ^ N/~~ mechanical ove~il prevention valve is installed), is the overfill warning alarm visible and audible aj~h~ tank fill int s) and n ratin ro rl ? If so at what ercent of tank ca aci does the alarm tri er7 `7(f D Yes" ~ No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replayed and list the manufacturer name and modal 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, ff es, describe causes in Section B below. Tid Yes O No' Was monitorin s tem set-u reviewed to ensure ro er settin s? Attach set u re rts, if licable ,5a Yes ^ No+` Is atl monitorin a ui ment o rational er manufacturer's s ciiications? '~ In Section E be owe describe bow and when these deficiencies were or will be corrected. E. Comments; Page 2 of 3 o3rot 1.~5`G F. In-Tank Gauging /SIR Equipment: ~j 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 ml.tst be completed if in-tanfc gauging equipment is used to perform .leak detection monitoring. Cmm~lete fhn fnllnwino chenklinfr ^ 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? O Yes ^ No'` Was accuracy of system product level readings tested? ^ Yes ^ No' Was accuracy of system water levet readings tested? ^ Yes ^ No' Were all probes reinstalled properly? ^ Yes ^ No'' Were all items on the equipment manufacturer's maintenance checklist completed? to the Section Fl, below, describe how and when these deficiencies were or -vilt be corrected. G. Line Leak Detectors (LLD): ^ Check this box if LLDs are not instailed. (`mm~lete the fnllnwina cheekllat~ ~ Yes ^ No' Foz equipment star-up or annual equipment certification, was a leak simulated to verify LLD performance? ^ N/A (Check all that apply] Simulated leak rote: ~ 3 g.p.h.; ^ 0.1 g.ph ; O 0.2 g.p.h. Yes ^ No' Were alt LLDs conftrmed operational and accurate within regulatory requirements? Yes ^ No' Was the testing apparatus properly calibrated? ~6 Yes ^ No" For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ^ N/A ^ Yes D No" fiat 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 ~3 N/A or disconnected? ^ Yes ^ No"' For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions SO N!A or falls a test? ^ Yes ^ No' For electronic LLDs, have all accessible wiring connections been visually inspected? DO NIA ~i Yes ^ No"' Were a)1 items on the equipment manufacturer's maiittenance checklist eompieted? F !n the Section H, below, describe 8nw and when these deCecienefes were or will be corrected. H. Comments: Yage 3 of 3 03/01 zsrs~ .~-~-- Monitoring Syst~:m Certification _ q _ UST~VIvnitoring Site Site Address: ,x(10 1 ~ ! ~ ti~ !Z-~t1UJ Q/.!-1C~ .:..::..::.::::.:::..1--~.:.:.~;::::. :::..::: .................~ ........5...... ..... :::::.. b :::::::::::::::~:::::: :::::::::: . ::::: 4:c ::.~~ .::::::::::::::::::::::: ~::::::::: .... .::. ~~. ~'~ ~: ....).........f .... .............. . .~~'i Date map was drawn: J l ~U/ G ~p Instructions ]f 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 plat, 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, spit! containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used for leak detection). to the space provided, note the date this Site Plan was prepared. Page ~ of ~ osioo ~ -~ S'SG 5643 BROOKS CT BAKER3FIELA,CA.933Q8 OFFICF'(651)392-8687 & FAX (661)392--0622 Mk~~.*iTOATa ?dF+AB- D '" S?~T~.~ LSTORK SHEE'.~ W/0#: Fac ~.1 i ty Name ~ ~ ti'~`~ V QG'y Fa c a. ~. i ty Addx~ s s ~ ,~4.G~i ~ l'U ~ .~.~-_____~LC.c~~ Sr 1 ~L Proc(uct L1ite T~+pe ;Pressure,; Suction, G'ravity)_ 6i~'~~UW+C PR~~1IfUCT LEAK F]ETECTQR TYPE TEST TRIP PASS s~ztzAU AIUMBEFt BELOW PSI OR L/~! TYPE b SS A$ SERIAL # Q~,y~'~f x+70 /~ F IL ~~7 LjD TYPE b! 1 ~K. S ASB SPXc,IAL # ~ .T~Gf~" ND C~ F L/D TYPFs .[,~~ ES A$S SERIAL #~ s NQ I /~ FA J-' ~ / V Ll~7 TYPE_ 7!ES PARS $PF2xAL #~~~__.._, NO FAIL z ::ertify the ak~ovQ tes_s were conducted on this date accordirxg to ~ Fred ~~aaket Pumgs field test apparatus testing procedure an limitations. ~ Thy:: Mechanical Leak Detector Test pass j fail is determined by using a lo~~! flaw threshold trip rate of 3 gallon per hour or less at 10 PSI. I .:;cknowled.ge that all data collected is true and correct to the best of m~t~ knowledge . nn ~~ ~ r,,~ ~ i Tech• /~ !Z~_a~ I f ~-~41C/ ' S ign~;:ture : ` ~ Date : ~ r :.•. St?I•"f6JtihE RE~iT ~'IOrV LEVEL VER~;IOIV 16.05 SOFTWi=~RE# 346016-1UU-F CREA'T'ED - 9d . OB . 21 . 16.55 NO ;SOFTW;~RE MGIiULE S'i'STEhq FE(-tTURES: PEk I iiD I C: I N-Ttily}: TESTS r';rveyuAL t N-TArVA: TESTS S:`S'l~El°I SETUP h1~+-1R ;iu.~'Oi1E~ 12:46 PM- - ti'~'S'I'EP'I UNIT'S U.S• SYSTEM LANGUAGE ' EtV+;L I SH S~YSTEIh DATI=~~1' T t°lE FORMAT f°IJN LiD Y4'Y`~' NH:h~E~1:SS xht ST I IVE RD TEiHGO 5609 STINE RD BAKERSFIELD C~; 93313 661-G:,6-3766 SHIFT TIh'IE 1 5:00 AM SHIFT TIr"IEc'' DISABLED SHIFT TIME 3 DISABLED SHIFT TIME 4 DISABLED THNK: PERIODIC: WARN I IVGS DISABLED TANK AIVWUAL IJARIVINGS DISABLED LINE PERIODIC WARNIIVGS DISABLED LINE AIVIVUAL WARNINGS DISABLED F'RII'JT TC '~~OLUNIES EIVABLEIi TEhIF' COMF'ENSATIUN VALUE iDEc; F' j : 60.0 STICK HEIGHT OFFSET DISABLED H-PROTOCOL DATA FORMAT HEIGHT DHYLIGHT SAVIW% T1rhE ENABLED START DATE AFR WEEK 1 SUN START TIME :OU HN1 END DATE D~-T WEEK 6 SUIV EI'dD T 11~IE 2 : uo !,A'I RE-DIkECT LOi~AL PRINTOUT D I:3AbLED SYSTEM SE~~Uk I T`t COpE : OGOOOU COhU~lUN1CATIONS SETUP FORT SETTINGS: COMM BOARD 2 {S-SAT > BHUD RATE 9600 PARITY ODD STOP BIT 1 STOP DATH LENGTH: 7 DATA RECEIVER SETUP: NONE AUTO D I HL T I 1~1E SETUP tV01VE RS-232 SECURITY CODE 000000 RS-23"~ END OF I'1ESSHGE DISABLED AUTO DIAL ALARM SETUP r t Z.'S~,Sb ITV-TANK SETUP T 1:UNLEADED PRODUCT COI1E 1 THERMHL COEFF :.pU07U0 THNK D I HI"1ETER 95.00 THNK PROFILE 1 PT FULL VOL 12U4B FLOAT SIZE: 4.0 IN. 6496 WATER WARNING '~.U HIGH WATER LIMIT: 3.0 MAX 4R LABEL VOL: 1'048 OVERFILL LIMIT 9U•. rl U843 HIGH PRODUCT 95?: 11445 DELIVERY LIMIT 1Uh • 1204 LOW PRODUCT 500 LEAK ALARM LIMIT: 55 SUDDEN L06S LIMIT: 50 TANK TILT 0.00 MANIFOLDED TANKS T ~ : IVONE LEAK MIN PERIODIC: 10` • 104 LEAK MIN ANNUAL 10%; 1204 PERIODIC TEST TYPE G~UTCK ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST PHIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AV>:kAGI NG: UFF PER TEST AVERHGINU: OFF TANK TEST' NOT I F'Y : CrFF TNK TST SIPHOIV BREAK :OFF DELIVERY DELAY : 15 h9I N t ~- S'SG Z' °:SUPER T 3:DIESEL LEAK TEST h1ETHGD PRGDUGT CODE 2 THERh1HL i•GEFF :.000700 THIV}•'. D I HhIETER 95.00 TaN};. PRGF I LE 1 PT FULL VGL : 801E FL~JHT SIDE: 4.0 IN. $456 WATER bJHRN I NG 2 • ~ HIuH WATER LIt°IIT: 3.U i°4N?~; OR LABEL ~IUL : 8016 GVERF i LL L I hl I T 90;0 7214 HIC:H PRC7DlJC:T 95 a 7615 DELIVERY LIMIT 10% 801 LGW PRuDUf_'f 500 I.Ef;K HLARhI L I h11 T : 99 'UDDEN LOSS LIr9IT: 50 TANK TILT 0.00 Mr~N I FGLDED TANI;S Tit: NGNE LEAK 111 N PER I CiD I C : 101 801 LEAX, h1IIV AIVIVU~L IO~o sol PERIGDIC TEST TYFE 9UICK AfvtVUAL TEST FAIL HLHRtl DISABLED PERIGDIi~ TEST FAIL ALARII DISABLED ~RGF~S 'LEST FA I L ALARIW DISABLED ANtV TEST AVERAGING: GFF PER TEST AVERAGING: OFF THIVK TEST NGTIFY: GFF T tJK. TST S I PHGtV HREHK :GFF UEL I VER't' DELAY 15 !h I N PRGDUCT CGDE 3 THERINAL CGEFF :.000450 TAIVK. DIAMETER 95.00 TANK PROFILE 1 PT FULL VGL 4008 FLGAT SI2E: 4.0 IN. 8496 WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 MAX UR LABEL VGL: 4006 GVERFILL LIMIT 90% 3607 HIGH PRUDUCT 95:c 3807 DELIVERY LIMIT 15i 60! LGW PRGDUCT 300 L£AK ALARM LIhIIT: 99 SUDDEN LGSS LIMIT: 50 TANK TILT 0.00 MHNIFGLDED TANKS T#: NONE LEHK hIIN PERIODIC: 10% 400 LEAK MIN ANNUAL 10•/ aoa PERIGDIC TEST TYFE 9UICK HNNUHL TEST FA[L ALARM DISABLED PERIGDIC TEST FAIL ALARM DISABLED r,R05~s TEST FA I L ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: GFF THNK TEST NOTIFY: GFF TNK T5T SIPHON HREAK:OFF DELIVERY DELAY 15 MIN TEST ANNUHLL't: ALL TANK MAR WEEK ] WED START TIME 2:30 AM TEST RAT1= : 0.20 GAL: HR DURATIGN 2 HGURS LEF1K TEST REPORT FGRMAT ENHANCED LIQUID SENSOR SETUP L 1:87 ANNULAR TRI-STATE {SINGLE FLGAT} CATEGGRY ANNULAR SPADE L 2:92-DIESEL ANNULAk TRI-STATE {SINGLE FLGAT} CATEGORY ANNULAk SPACE L 3:87 STP TRI-STATE {SINGLE FLGAT} CATEGORY STP SUMP L 4:92 STP TRI-STATE.{SINGLE FLOAT) CATEGGRY STP SUMP L 5:DIESEL STP TRI-STATE (SINGLE FLOAT} CATEGORY STP SUMP ~ ~z- SS ~ OU"1'PUT REL~+.' SETUP R t:3" TYPE: ~`fANL~ARD IVURI'1ALL`i CLIiSED ALARM HISTORY REPORT LIQUID SENSUk ALMS ---- [N-TANK ALARM ----- L 1 :FUEL ALARIN L 3:FUEL F,LARM T (:UNLEADED R 2:92 HIGH WATER ALARM TYFE: SEP 7. 2005 2:58 PM STANDARD tVi; Rt°IALLY CLGSED UVERF I LL ALARM MAR 29. 200b 7:06 AM MAR 28. 2006 6:46 AM LIQUID SEN~;Ok ALMS MAR 26. 2006 9:29 AM L 2:FUEL ALARM L 4:FUEL tiLARI°I LOW PRODUCT ALARM JUL 22. 2005 6:29 PM R 3 : D i E:;EL MAR 3. 2005 5 : 45 FM TYPE: `'--- FEFi 9. 2005 8:27 AM STHNDARD NORMALLY GLOSED HIGH PRODUCT ALARM MAR 29. 2006 7:08 AM h1AR 28. 2006 6:48 AM LIGUIU SENSOR ALMS MAk 21. 2006 12:37 AM L 2 :FUEL ALARiW L 5:FUEL ALARIN INVALID FUEL LEVEL JUL 22. 2D05 6:20 PM R 4:REMOTE ALARM r~1R 3. 2D05 5:35 FM T`lPE: MAR 2. 2005 9:08 AM STANDHRD NORMALLY OPEN PROBE OUT SEP 7. 2005 3:47 PM SEP 7. 2005 1:51 PM IN-THNK ALi~RMS SEP 7. 2005 10:47 AM ALL:OVERFILL ALAkhI HLL:HIGH PRODUCT ALARM HIGH WATER WARNING ALL : h1A~, FRODUCT ALARhI ggp 7. 2005 2:58 PM SEP 7. 2005 9:42 AM L I GU I D SENF.;Ok HLhIS ALL:FUEL ALARM DELIVERY NEEDED ALARI°1 HISTORY kEPORT NOV 11. 2005 6:42 Wi SEP '23. 2005 8:04 AM ----- :~YSTEhI yLARhI ----- JUL 22. 2D05 4:20 PM PAPER OUT F>r8 1. ?.OOb 12:3ti PM MAX PRODUCT ALARM PRINTER ERROR SEP 7. 2005 3:31 PM FEB 1. 2006 12:36 PM SEF ?. 2005 3:05 PM BATT'ER1' IS OFF SEP 7. 2005 2:53 PM JA1V l • 1556 B : DO AM CLOCK IS INCORRECT OCT 31. 2004 1:01 AM LOW TEMP WAR NING SEP 7. 2005 14:48 AM DEC 9. 2002 12:25 PM ALARM HISTORY REPORT ---- I N-TANK ALARM - T 2:SUPER OVERFILL ALARM NOV 10. 2002 l2:31,PM OCT 1. 2002 9:20 AM NOV 29. 1995 12:22 AM LOW FRODUCT ALARM JUL 5. 2002 7:50 FM DEC 6. 2001 9:20. AM SEP !5. 2001 6:39 PM HIGH PRODUCT ALARM AUG 10, 1999 6:57 PM INVALID FUEL LEVEL JUL 5. 2002 9:15 PM DEC 6. 2001 1:47 PM SEP 12. 2001 9:52 PM PROBE OUT DEC 9. 2002 12:36 PM NOV 20. 2002 9:26 Ahl DELIVERY NEEDED AUG 24. 2004 12:06 PM JUL 5. 2002 4:32 PM DEG 28. 2001 5:47 PM ~ ~ * ~ END * * ~: ~ * END * * ~ 1 i ~ 5So HISTORY REPORT • ALARM __ -- SENSOR HLARM ---` ' HLAkh1 HISTG]FY' )2EPGRT L 3:87 STP ALARM HISTORY REPORT STp SUMP --_ _ ----- I tV TANK. ALARhI FUEL ALAS 11.06 A1"1 ----- SENSOR ALARM ----- M~ 30. 2006 T ~ : L~ ! ESEL L 1:87 ANNULAR ANNULAR SPACE ALARM .34 FIN 1• OVERFILL ALARM FUEL ALARM 7, 2005 SEP ' f°IAk 29. '2006 7:10 AM MAR 30. 2006 1 ! : 08 AM FEb 5.006 4:3b PM FUEL HLARM 8:56 AM .7FtN 14. X006 3:Q., PM FUEL ALARM SEP 7. 2005 ~ MAR 28. 2005 9:27 AM LGbJ PkODUCT HLARM DEC 14. 2045 8:56 AM FUEL ALARM SEP 1. 2604 4:35 PM SEP 9. 2004 6:56 PM NGV $, X003 4:04 PM HIu^N F'RGDUCT F+LARhI JAN 14. 2006 3:08 PM IJiJ'~ 7. 2005 3:14 HNI SEP 5. 2005 7:12 AM * ~ END ~ ~ ~ " I NUHL ! L~ FUEL LEb'EL * ~ * SEP 1. 2004 7:30 Phl JUL 3. 2002 8:24 Ahl MAR 3. 1999 8:57 HM ~ ~ ~ * ~ END PRObE OUT ' NOV Q0. 2602 2:G7 PM NGV '~0, 2002 9:26 AM DELIVERY'rVEEDEL~ DEG 14 2005 5:53 Ahi ISTORY REPORT . ALARM H 4CT 29. 2U05 ] 0:18 FV"I GC.T 12. 2U05 10:38 AM __-__ SENOR ALARM ---- L 4:92 STP hW~S PRGDUt'T HLARM , ALARM NISTGRI REPORT STp SA M P AU~3 5. 2005 1 :41 AM ' ' ' x ARM I „ 06 ~'1 l ! : L . ?8, DEt. . .002 6:30 AM ----- SENSOR ALARM ----- ~ 30. 2005 ~ MAR AUG 22. ~GO1 3:20 PM L 2:92-DIESEI. HNNULHk ANNULAR SPACE FUEL ALARM y;p5 f~"I 005 FUEL HLARM Mp,R 2B. 2 MAk 30, 2006 ll:d7 HM ALARM 1:12 P1~ FUEL ALARM 22. 2004 APR 'I hiAR 28. 200a~ 9:26 AM FUEL ALARM APR 22. 2004 1:13 PM ~i ri ;i ElVD ~ iE n * 3e I ' *xENq~~"" ~~~ *~**>'cEND*~*~~ ~ ~. s S~v ~. ALARM HISTORY REPORT ----- SENSOR ALARM ----- L 5:D[ESEL STP STP SUMP FUEL ALARM MAR 30, 2006 11:07 AM FUEL ALARM MAR 28, 2005 5:26 AM FUEL ALARM APR ~2. 2004 1:19 PM x ~ ~ ENB ~ ALARM HTSTORI' REPORT ' ----- SENSOR ALARM ----- 9 1 dTHER SENSORS ;~*~~*END~*~~~ i 2 5-sc~ MO~TITQ-R CERT. FAILURE REPORT STJC~ NAME• C 1~y_(LG-cJ DATE• ~ '~d - U~Z~ THI1 FOLLOWIN(4 COl1!IPONENTS WERE REPLAC.ED/RE ED TO TESTING. REPAIRS: ,___`_~,c.4~~,E LA'EtOR: !~11 'U 1C ~a;TS INTALLIJ.I): ~~~~ NAIi!IE; TITLE: SIG~L4TURE: THI ABOVE NAMED PF,]RSON TAKES FULL .RESPONSIBILITY OF .NOTIFYING THI; APPROPRI:I.TE PA1~T~' TO HAVE CORREt;TIVE ACTION TAKEN TO REPAIR THJi', ABOVE LIST.E.I) PROd3L:FMS ANI? NOTilu'YING RICH ENVIRONMENTAL FOR AN!~' NEEDED RTTESTING. THIS ALSO RELEASES RICH ENVIRONMENTAL OF AN'!.' FINES O.R PENALTIES OCCURING FROM I>iON-COMPLIANCE. A Ci7PY OF TI-lf.i`~ DiCICiJMF:'.!"i' 1FIAS 1QFEN LEFT ON-SITE FOR YnUR COI~~TVI.ENENCE. ---- ----- - ~ ~ i of,.,,3 _. Secondary Containment Testing .Report Form 7:?;is,furn2 is lnrendac?for use by cvrttracsors performingper9odtC tesstreg of IJS7'sacondury coretatrene¢ntsystams. Usa jflee ~j~;vrop:•iute pages of this form to report results jar al! cpmponettts tested .The completed form, ryrittee: testprncedur~ and ?r;r.roiajs from rests (:f applicable), should be provided to Lhe focili!ty owe:er>/aperatorforsttbmittal to the local r~at4ly agency. 1. FACILITI''INF(]RMAT~[~N _ = ~i;iev Name; G K-~y~~y _ ~ Date of Tes~:.~- !=riciiiryAddj•ess: ,v'~ Sr[-uE ,~Q lE ~¢ e1.~31 !-aciliry Contact.. _ Phone: i)ate Local Agency Was Notified. ofTestina N:sjt~c.of Focal Ag;~ncy Inspector ljj present during teStin~~~D~C.F` 2. TESTIl`~G COI~ITRACT{)It•Il~IFO121V~ATION ~.oi~any tVame:I2,xCH ENVTI20NMEN`k'•AL h --~ '~ ! "i•eciuiician Condttc~inaTasi: QV,1.n ] ..n.r.! ... ~ ~~ r : ede.n[iais: I3 CSLB Licer~ed Cun[racttir it C7 SWRCB Licensed Tank Tester ~~±L,icer~se Type. C 6 ~ 1 D4 Q ___. E:~~~ __ License Number: $ 49 $ 50 ~~ iylanufacturca• -- - N~~~C f~,~,~'~' ~.'7'alhlRg Cotnuo~ent~s~ Date Traia3u ~] fires _ L TNCON - INC(~N~ ~S--STS T,,~o ~ ~. :~LJMMAI2V f)F TEST REfigTT.TS ~~~~.-~~ --- ~ Compataent Pass k'ail Mot Tested •~epairs MAde Component Pass Fall Not ,r ~ Repairs ' ~ F, u. ask ~, >..~~ rJ r~ a ^ ^ .a o o ~. _ ~u-v~ ~?,_____ VIZ ~dX ~ D Q ^ ~ 0 ^ 0 0 ~~~,1 i-l~t, x ~~.E•~t y1 ~ o ~ ~ CJ ^ D 0 ^ D ^ !~ ^ 17 ^ ^ ^ D ~~ ~ a ^ a ^ o n a o ~ ^ ^ ^ ^ ^ ^ D ^ --- d D ~ D ~ ~ D ^ ^ 'I d--------- ^ ^ ~ © ^ D Q ^: . n i~ D c o ^ ^ a __ - n o a ^ ^ ^ o ^ o o D D ^ o o ~, 0 Ii' Piydrusratic testing ~+vas perfptmed, descr. ibe vrhat was done with the water after co]ztpletioa of Nests; .......,.e.._,...~-.,.. RECYCLE ARID REUSEb CEE~TIE ICATION QF TECHfV1<CiA.Pt R~SPOPiSIBLE FOR CONDUCTITIG THIS T~,STING . %'ctlie best of Bey >trto~~ledge, ~lee.facrs stated in fins do~cue>eent are accurate aced in, f2r11 corrrplianee wtlh legal ,regaJrsmerers 1 ~ClltliC!itil'S SigtlatUi'r:: Date: SWRCH, January 2602 9. SFLLLIOVERT+'n L Ct]NTAiNRTF:NT Rl1XYc;C 12` 5SG Page ~ of,-,~_ __ Facility is Not E to ed With S iil!Ovetfill Containment Bares ^ Spill/Overall Coz~~inment Boxes are Present, lout were Not Tested l7 Test Method Developed By: ^ Spi1l Bucket Manu:fa¢tw•er !J industry Standard a Professional Engineer • _ ^ Other %Spec~) ~ Test Method Usecl: G Pressure p Vaceutn C7 Hydrostatic k _ ~ _ 0 Other !Sped) Test Equipment L:sed: Equipraertt Resolution: ~ „~ Spill Boz # ~7 F Spill Boz # Sri v Spilt Boz #g lr Spill Soz #g~l/ Bucket Diameter: 'Bucket Depth: i•~ ' ~` 1 `~ ~ r ~ ~, `• j • ~ ~ / ~ t Wait rime between applying pressure/vacuumhvater and srattin test: ~ ~ ti`'ti ~'~ - '} J (~ 1^'l ~ ~ ~ ~ yet ~ ~ ,~ a ~ 1't7 __~ _ "Pest Start Time: _ U ([, __ /: /d~ J I ~ Sly /4.,} ; y ~ Initial Reading {R,j ~ S',~.( U Q.~ _ -~f ,,~ ~ ~p,-,i ~ ~!`f 5.-v ~ ~ (ref, v ~ ~,,~~ •v ~` ` Test End Time: .~ ; y~r //:O~ / b ~~~~ Final Readizzg (RF): 9g 9~ ~ 1. vvy.~ . y 9,,, 1• d) .~ >,v . 'I'esi Ir-uration; 1 ~ ~ +~ i ..•t.~ I i /.5 w» ~ wi iti ~ 1J - +~+i U _ Change iut Reading, (R~Rf): ,v , ~/~ • G~i+' • 00 v tiJ Pass/Faii Threshold or Criteria: _ -GQ~- •OU •GYJd v •GO .ti ~,-v 'd0~ ~~~ ~~•'~-/ Test i<q.esnit: ~)<'ass ^ Fail ~( Pass Cl Fail Pass o Fail I~ Pass o Fail COY1npllelLts - ine:lude in nrrncttion on r~airs made prior to testfn~, and t'ecommerrdedtfoJlow-upforded tests/ SWRCB, January2~~02 9. SPI[,LlOVERFR T, CONTAiNMF.N'T RnXF,C ECG Page ~ of Facility is Not Egtd d With ilUOverfiil Contaittmettt Boxes p SpilUOvetftll Containment Boxes ate Present, but were Not Tested ^ Test Method Developed By. O Spil! Bucket Mantufbcturer ^ Industry Standard ^ Praf~ssiona) Brtgineer O Outer (Specify) Test Method Used: ^ Pressure ^ Vaeuunt O Hydrostatic ^ Other (Specify) 'Test Equipment Used: $gniprneztt Resolu8on: Spi11 Bost # p Spill Boz # Spill Box # Spill Sox.# Bucket Diameter. ~ `~ Bucket Depth: Wait time between applying presswa/vacunmiwater and stat•tin test: ~O ~ i , J Test Start Time: j;~j Initial Reading (Rt): , y ~ ~~ Test End Time: ;ay ;y) Fiua! Reading (RF): ill -~J `'J 17~ Test Duration: n ~,~} ~, U Change in Reading (lip-R;): ~ • D ~t.v Pass/Fail Threshold ter Criteria: •~~~'~ '~~''~`~ Test Result: ~ Pass r~ Fail ^ pass D Fail D Pass D Fail. D Pass d Fail Cool meIIts - (incl»de information on repairs made prior to testdag; andrecommended follotiv-up for failed tests1 _ ~sSa INGON INTELLIGENT CONTROLS ING P. O. BQX 6a8 1't~ICGN SACO ME @4@72 :INTELLIGENT !_ONTROLS' ING 1-$@@-9$4-6266 i~. Il. fi~i~ 638 AC:O ME C14072 03r08r2@06 11:24 AM 1-i30Fi-?84-6266 SUMP LEAK TEST REPORT DSL `~!JMP '_Erih; TEST REPORT TEST STARTED 11:89 AM 41F TEST STARTED @3r@Sr2006 GIN LEVEL 1.4157 iN TEST STARTED 1~as.T,3 AM END TIME 1124 AM PEST STnF:TEG 03r08s2006 END BATE 03r08r2866 E~EGItJ LEVEL 1.4508 IN END LEVEL 1.417@ IN ?ENG TT^tE 16=48 Aht LEAK THRESHOLD @. 0@2 IN ~NG I!RTE 9.T,rkTbr2086 TEST RESULT PASSED CND LEVEL 1.4444 i#d LEAK T~iRESHOLG 0.002 IN TEST RESULT PASSED 87V TEST STARTED 11:@9 AM '~iU TEST STARTED @3r88r2@06 BEGIN LEVEL @.9964 IN TEST ;;TnRTEG 10:3.3 flt'I END TIME 11:24 RM TEST STAP,TED 03r08r20@6 END DATE 03r08r20@6 BEt_IN LEVEL .6396 IN END LEVEL 0.9951 IN ENG TIME 10.48 AM LERK THRESHOLD 0.002 IN ENG GATE 03r68r2006 TEST RESULT PAS'SE[) ENG LE!JEL 2.6378 IN LEAF:. THRESHOLG ti.e02 IN TEcT RESULT PflSSED INCON INTELLIGENT CQNTROLB INC P. 0. ~X 638 ~t•aCON SACO ME 04072 INTELLIGENT CONTROLS ING 1-800-~4-6266 GA!_O h~ ~t4r~r2 03r08f2@06 11:41 AM 1--~5'hi~-984-6266 • SUMR LEAK TEST REPORT 01r08~ 2E:Fi6 11:03 IiM DSL S!1MP !_EAI{ TEST kEPORT TEST STARTED 11:26 AM y1E TEST STARTED 03/03x2806 BEGIN LEVEL 1.4168 IN TEST STARTEG 10:45 AM END TIME 11:41 Rh1 TEST STARTED 03.r~38f'1@@6 END DATE 03r0Bx20@6 BEGIN LEVEL 1.4492 IN ENb LEVEL 1.4175 IN ENG TIME 11~0v AM LEAK THRESHOLD 0.802 IN F_NG GATE 63r08r2006 ~ TEST RESULT PACED END LEVEL 1.4450 IN LEAK THRESHOLD 9.002 IN . TEST RESULT PASSED fi7V TEST STARTED 11 26 AM 91U TEST STARTED 03r0Br2006 BEGIN LEVEL 0.9953 IN TEST STARTEG 10~4~, AM END TIME 11:41 AM TEST TARTER 93r0i~x=006 ENG DATE @3r08x20@6 GIN LE'•JEL 2.6377 IN END LEVEL 0.9965 IN ENG TItiE ii=83 AM LEAK THRESHOLD 0.802 IN ENG GHTL- 03r08r2006 TEST RESULT PASSED EN1~ I._EUEL 2.637? IN LEAK THRESHOLD 0.h~2 Ihl ' TEST t%ESULT PASSED y ~ -z SS c~ SB989 'BESTING FAILURE REPORT THI; FOLLOWING COMPONENTS WERE TE STIlVG. REPAIRS: LAI~tOR: PAI~:TS INTAI,LEI]: NAP/IE; TITLE: IG:yATURE: THI, ABOVE NAMED PERSON TAKES:FULL RESPONSI6ILTI'Y OF NOTIFYING THI: APP.ROPRLATIt', PARTY TO HAVI; CORRECTIVE ACTION TAKEN TO REPAIR THI; ABOVE LISTED PRO:I3LEMS AND NOTIFYING RICH ENVIRONMANTAL FOR ANT NEEDED RE'T.EST.iNG. THIS ALSO RELEASES RICH.ENVIRONMENTAL OF AN7' F.IN.ES OR PE:\TAL.'I'IES OCf;I;TRZNG FROM NON=COMPLLANCE. ! A C~~.PY 07~' TIiI5 DOCUMENT HA.S BEEN LEFT OlY-SITE FOR YOUR COP tViENENCT. ~I7'I: 1YANIrL',: (s 1~~ V'~-G'tJ DAT~.~ J _, .30 ' G ~i~ ~i~.il..~~iG ~ PERMIT STATE~UIENT i 3~F~i'rill iVfJ.: ~~Rr ~tlrr r %2 5Sd BAKERSFIELD FIRE DEPT. Prevention Services 900 3Yuxtun Avenue, Suite 210 Bakersfield, CA 93301 . ... FPROJE ~ LOCATION O PROPERTY OWNER l ~ ` . a I:,i:TltvG o.~7'E: COMPLETION NA~AAE ~~I.~~~~-~;E _ ,~R~SS - /d PH Ems. G J i PrtOJECr,~UURESS cmr ~ ~ srA ZIP ODE iCONTRACTORNAME(~ ~ ~~~ CA LICENSENO.• TYPEOfIICENSE EXPIRATION GATE PHONEN ~~ `CUNTR;.CT COH ~ ANY F ~• `fie ('3a~~b~a~ -__ I,:L'+UktSS ~+/ {j~/~ //J~ f/~~/~~/~ T~ CnY ZIPC OE /~ .~._ • • ^ Alarms -New & Mod~CatlDns -(Minimum Charge} $2G2.50 ~ Ft Over 20 000 S FL x A13125 = Permit fee S ~ q. , ^ i q. 98 e} rinklers -1Vew & Modifications - (Minimum Char ^ S $210 00 ~ g p 'j . 9$ u Over 5 000 Sq Ft 042 = Permit fee Sq F~ x ~ , . . I . . ~ ___ ' ~ Cl Minor Sprinkler Modifications {< 10 heads} $ 93 00 [inspection Only) ~ i I I . ~ _ __ ___ Commercial Hoods -New & Modifications '~ ^ $398 26 ~ ~ . Additional Hoods ^ $ 35 00 ~ i . f D ,Spray Booths -New & Modifications $458 00 ~ i I . 98 ___ _ u ---- Aboveground Storage Tanks (InstallatioNlnsp.-1 ~ Tune) $165.00 82 ^ i AddlfJona! Tanks S 25.00 t32 __ r ^ Aboveground Storage Tanks (RemovaAlnspedion) $109.00 82 ^ Underground Stora a Tanks (installationJlnspection) $878.00 (pertank) 82 ^ Underground Storage Tanks (Modification) $878.00 (persita) 82 C~ Underground Storage Tanks (Minor Modification) $155.00 82 ^ Underground Storage Tanks (Removal) $675.00 (per[gnk) 64 ^ r OilaveB (InstaAation) $72,00 84 I Mandated Leak Detection (testing) Fuel AAon~, Ced. $ 81.00 {persite 82 ^ _.. Tents $93.00 (pertenQ 8a i, ^_ ---- After hours inspectian fee 512200 $4 ^ Pyrotechnic - {Per event, Pfus Insp. Fee Qa $9(J per hour) $ 60.00 + (5 hrs. mfn. stand -by fee Htsspectfon) _ $510.00 f34 ^ RE-INSPECTION(S) / FOl10W-!!P INSPECTION(S) $ 93A0 (per hour) 84 ^ _ Portable LPG (Propane): NO.OF CAGES? _ $66.00 84 ^ Explosive Storage $249.00 ' 84 i-- ^ Copying & Fite Research (File Research Fee $33.00 per hr) 25¢ per page ~ 84 Miscellaneous ; ea FD 21121(Rev. 091x6) ~sso aNO1~FiGRC)UND STORAGE TANKS '~ BAKERSFIELD FIRE DEPT. ~~ ...:::..:..~..<~..:~,.,,.~,.,.,a.,~xs.~:.~Y~,:~....:~...~:,.~ w~t~ Prevention Services ItTr T 900 Truxtun Ave., Ste. 210 .=~,~w~YC~1TIO1V ~_? ~ Bakersfield, CA 93301 :"O PrfCFORM ELA 1 LING TESTING ~ Tel.: (661) 326-3979 1 Si's9tie SECONDARY CONTAlNAAENT TESTING ~ ~ Fax: (661) $52-2171 /'fAivK 7"IGHTNESS TEST AND TO PERFORM rUcL +utONITpRING CERTIFICATION Pale ~ ~ ~ PEitivlff N0. U cNi-WNCED LEAK DETECTION ^ 58-889 SECONDARY CONTAINMENT TEST~IG Lt YANK TIGH7IVESS TEST ~ TO PERFORM FUEL MONITORING CERTIFICATION i------- i=:;i.1i11 Y ~. ~ • ~ ~~ ( NAME 8 PHONE NUMBER OF CONTACT PERSON `~2 x ~G U , `~-t-~ ~~,F~~SS d. G ~ 9 ~ -t--; ~ ~---- il GWNERS NAME r, a /' ~ 1 n i u'Pcitl:TORS NA1~F 1 NUMBER OF TANKS TO BE TESTED -PIP PERiIAIT TO OPERATE NO. E i i ,_ ( t '~.- O O C1 Z. 5b00 ~ -~~ __ i 3 0 i' ~..-- -"---" - ! TANiC:7;+STlNG COIAPANY _ ~VAidc OF TES71N OMPAN NAME 3 PHONE NUMBER OF CONTACT PERSON f ivlAlL1NG ADDRESS + /~ d. Q _ (} l d d +1AI'rtE 8 PHONE NUMBER OF TESTER OR SPECEAL INSPECTO CERTIFICATION aY: + Da i E 3~ TI fE TEST TO BE CONDUCTED i ~ ~ ICC #: TESTlIAETHOD ~ SIGi~ATU F APPLICANT DATE - ~ 3 ~0 t THt$ RR~.1 j APPROVED BY ~--.. 'DATE FD 2095 (Rev. 09105) B E R S F I D F/RE ~1 RTM T 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 FAX: (661) 852-2170 RALPH E. HLTEY, 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 March 31, 2006 Mr. Long Chao Stine Road Texaco 5609 Stine Road Bakersfield, CA 93309 Re: Failure to Perfortti /Submit Annual Fuel~Monitor Certification l~OTICE OF VIOLATION & SCI-DULE FOR COMPLIANCE Deaz Mr. Chao, Our records indicate that your fuel monitor certifications is due/past due on 03-28-06. You aze or 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 1~ months for operability, proper operating condition, and proper calibration." Therefore you have 30 days (Apri127, 2006) to comply. Failure to comply may result in revocation of your Permit to Operate. Should you have any questions, please feel free to contact me at 661- 326-3190. Sincerely yours, Ralph E. Huey, Director of Pr ention41/~IServices r ~~^~IJ By: Steve Underwood Fire Prevention Officer REH/SU/db "Serving tie Community For More gran A Century"