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Home My WebLink AboutBUSINESS PLAN (3)i 4 ~, ~,~~~ Eel ys 70o i 1 I ~~ T ~~'~ ___~ ~~1~~~ ~~ I ~.~ ;~,. ,; L ~' ~ ~ ' , i ~ UPS ~" '~ 3800 N SILLECT AVENUE ~ ~,~, ,~ ~ ~'~ -_._.~_ + UNITED PARCEL SERVICE _______________________________ SiteID: 015-021-001168 + Manager Location: 3800 N SILLECT AVE City BAKERSFIELD BusPhone: (661) 326-8195 Map 102 CommHaz High Grid: 24A FacUnits: 1 AOV: ` CommCode: KCFD STA 66 SIC Code:4215 ~~lD EPA Numb: DunnBrad:00-699-1681 S --------------------------- Emergency Contact / Title Emergency Contact j Title MAURICE BARKSDALE / PLANT ENG SUPR RICHARD LAWTON / FACILITY ENGR Business Phone: (559) 442-2925x Business Phone: (510) 633-3974x 24-Hour Phone (559) 263-3673x~ 24-Hour Phone (510) 224-0749x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: RSs Fire Press ImmHlth DelHlth --------------------------------- ---------- ------- + Contact - -- N~~c°~u ~e,rvk~~ Phone: (510) 633-4035x MailAddr: 8400 PARDEE DR State: CA City OAKLAND Zip 94621 Owner BT OF OHIO Phone: ( ) - x Address 55 GLENLAKE PKWY NE State: GA City ATLANTA Zip 30328 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: Yes ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE~GEN PROG T - ABOVEGROUND STORAGE TANK PROG U - UST Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally submitted and believe the n~formationois t uen accurate, and complete. Signature Date ENT'D N ®U 2 g 2006 1~ ~~~~~~ ~~ ~5~ ~`~~ ~~ -1- 04/03/2006 ,• -~ UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave ~~ Bakersfield, CA 93301 Tel: (661}326-3979 FACILITY NAME IN CTI N DATE INSPECTION TIME ADDRESS . PHONE No. No. of Employees FACILITYCONTACT Business ID Number ~y ~.ccl 15-021- ~ ~po/ Section 1: Business Plan and Inventory Pn~gram ~~p-6 33' ^ Routine L~Combined O Joint Agency ^Mnlti-Agency O Complaint ^ Re-inspection C ~ \V=Vioatiolnnce~ OPERATION COMMENTS COY ^ APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE Icy ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY I ~^ VERIFICATION OF INVENTORY MATERIALS LW ^ VERIFICATION OF QUANTITIES ~^ VERIFICATION OF LOCATION ~^ PROPER SEGREGATION OF MATERIAL LV/ ^ VERIFICATION OF MSDS AVAILABILITYE C'~^ VERIFICATION OF FIAT MAT TRAINING I!Y ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~^ EMERGENCY PROCEDURES ADEQUATE ---- ~^ CONTAINERS PROPERLY LABELED II ItiY ^ F'IOUSEKEEPING L7 ^ FIRE PROTECTION ~ X006 L~./^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZAR''D••OttUS WASTE ON[ SITE: t I~ YES ^ NO EXPLAIN: ~J~ ©~1 r ~t'\l\ ~~i`~~Cf~~ ~ Qi` ~i~~Q~J QUESTIONS CARDING THIS SPECTION? PLEASE CALL US AT ~G6'I ~ 326-3979 .. ~/, ------ - - - -- - -- -----1 -------- Inspector Badge No., White -Environmental Services Yellow -Station Copy --- _ .-_ t~~.----- - -- ~< Buslness Responsible Party Pink -Business Copy '~` ` ii ,~~iw4~' j``~~ CITY OF BAKERSFIELD FIRE DEPARTMF,NT ~~ ~ s ~+~ OFFICE OF ENVIRONMENTAL SERVICES ~' y~' UNIFIED PROGRAM INSPECTION CHECKLIST `_w ~g~,0~~ 1715 Chester Ave., 3"' Floor, Bakersfield, CA 93301 FACILITY NAME_~~S INSPECTION DATE ~'I Section 2: Underground Storage Tanks Program ^ Routine ~ombined ^ Joint Agency ^Mu1ti-Agency ^ C'omplaint ^ Re-inspection Type of Tank fi~~ Number of Tanks l Type of Monitoring _CtCIYI Type of Piping ~F OPERATION C V COMMENTS Proper tank data on the Proper owner/operator data on tilt Permit tees cun-ent Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes NO '~,~ Section 3: Aboveground Storage Tanks Program TANK SIZE(S) _ Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on the with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection'? C=Compliance ,,t V=Violation Y=Yes N=NO Inspector: ~~i GAY Q[/}° Office of Environmental Services (661) 326-3979 usiness tte Responsible Party ~b'hite - rnv. Svcs. Pink -Business Cory V ` Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST ~ g _ E R S F . __~ 900 ~xtun Ave., Suite 21.0 ~~ - _ _ ~__ _ _ d..__ ~_ _ w. _ _ __~_____ _~_ _.~_ _ __._ _ _ _ - ~ FdRr Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ~~ "R'"' : Tei.: (661) 326-3979 t~ ~ Fax: (661) 872-2171 FACILITY NAME ' INSP_ CTION DA E - r 6 INSPECTION Tltty~,~ C7'' ea ~ ~ TE l fl~cE ~ sc.e.u I ~ E 7 ~ 2 ADDRESS A S ~ PHO ENO. 7~ 4 (~ -~ NO OF EMPLOYEES ~~E ~r n ~ c~ ~ - 3 - FACILITY CONTACT BUSINESS ID NUMBER ~/ ) /r 15-021- Y ~ J C> ( 4 Section 1_ ~ Business Ptan.~~nd Inventory Prograrx>t _ ^ ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation .COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ ^ BUSIn@SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ~N~ ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES pp,~,, --L~f' ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL' ^ VERIFICATION OF MSDS AVAILABILITY r ~~- Iw SAS ¢a.w~ t) ,~~}11 e~ a'~, ~ ~~^ '-~ ^ VERIFICATION OF HAZ MAT TRAINING ; . ~~ E~ (-- ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ' ,~( ~ \ -X (J, ^. CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING '1 V ~L ^ (v FIRE PROTECTION ~ vvv ___ ^ l SITE DIAGRAM ADEQUATE & ON HAND ~ ~ _,1, 6-OVIJ S'~rCJ cv~l~> CJb~ ` ~~j ~1 e c~ y / 7 ~O p-, ANY. HAZA DOUS WASTE ON SITE? YES ^ NO n ~'~' //~~ EXPLAIN: ~ • ~ n / / ~~/ O / / d,. 'r(• ~li A a ~ n ~G!/ofi ! /1 t+ " V" _'x Y QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # usiness Site ~ esponsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ._ ~~` ~T~ " CITY OF BAKERSFIELD FIRE DEPARTMENT d ~ OFFICE OF ENVIRONMENTAL SERVICES ~' •y UNIFIED PROGRAM INSPECTION CHECKLIST ~~~~~ 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 FACILITY NAME ~ n ETC, v ~t~c-.E t,- SE a-u ~ ~~ INSPECTION DATE ~ Z Section 4: Hazardous Waste Generator Program EPA ID # ~_~~ ~' 8 ~~ a 3 0 ~ S ^ Routine ~ Combined ^ Joint Agency ^hulti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number Authorized for waste treatment and/or storage ~ Reported release, fire, or explosion within 1 S days of occurrence ~ Established or maintains a contingency plan and training Hazardous waste accumulation time frames Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers are kept closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line ' Secondary containment provided Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal L=Gompttance V=Violation Inspector: ~ \C"~°~~ 7~' ' `~ Office of Environmental Services (661) 326-3979 White -Env. Svcs. Pink -Business Copy usiness ite Responsible Party - ~`.' 1 INSPECTIONS - B E R S F I L D BUSINESS PLAN & ~RrM r INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST Page 1 of 1 FACILITY NAME: ll~~~T'eD ~ p~C-Et. SEbuIGG Section 2: Underground Storage Tanks Program INSPECTION DATE: « Z~ (T(~ ^ Routine ~ Combined ^ Joint Agency ^ Multi-Agency ~. o lai t ^ Re-Inspection Type of Tank ~ ~Ci~,4less Number of Tanks Type of Monitoring V ,~~ .y Q_o~ Type of Piping ~ecss n e~ ~ ,1.~,) - OPERATION C V COMMENTS Proper tank data on file Proper owner /operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? ^ Yes o Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF?) If yes, does tank have ove~li /overspill protection? C =Compliance V =Violation Y =Yes N = No Inspector: ~~~-~ -~ _ G ~ Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services KBF-7335 Aggregate Capacity Number of Tanks BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 siness Site Re onsible Party Pink -Business Copy FD 2156 (Rev. 09/05) /y 15 -~~ ;~` ,.. . U~' a 'j2t~Ci °, I LLEC"T ~l~E . E~h}:EI<;SFIELL_?,t`ti 933L~8 '~'' ~= ~~~':~+TEh1 tiT~rT~l,3 REFt~RT L 1 : FI IEL i~L~Rh9 I hJVENT~~~R4` REF't~?i=T T I : UPdLE~L?EL? 1 ULLHCaE - 1 ~ ^0 5 ~: iiLti TC: kr~JLUh9E _ .,,2 i ~ ~~LS HEIGHT = 62.4:= IN:HES tnlr',TER 1.+t?L = I ; (GREG l~.I~,TER = U . 83 I NC'HES TEh9F~ _ ~ I . '~ DE~a F 'r '~ : UP•1LE~DED " Tip tr'C~LUh9;r = r 242 u~L~' HEIGHT = 68.9d IPl'HEti~ lrJi=B'I'ER V~:~L = l i;FiL -,~~ ., t i -~ :~ HAZARDOUS MATERIALS BUSINESS PLAN CERTIFICATION FORM For Use by Unidocs Member Agencies or where approved by your Local Jurisdiction (r Authority Cited.• H&SC ~'25503.3(c) ~~ ~ ~``~b To: Agency Name: City of Bakersfield/Bakersfield City Fire Dept. Agency Mailing Address: 1715 Chester Ave. Bakersfield, CA 93301 (~~I -;3~- 397 ~T~ ~~~p Pursuant to Section 25503.3(c) of California Health and Safety Code (H&SC), the Hazardous Materials Business Plan (HMBP) certification described below is hereby submitted for the following facility: Facility Name: United Parcel Service -Bakersfield Facility Street Address: 3800 N Sillect Ave. City: Bakersfield Date of Current HMBP: ~-~ ! o / / I certify that: (Check the appropriate box.) ^ I have personally reviewed the Hazardous Materials Business Plan currently on file with your agency and certify that the HMBP is complete and accurate. (See bottom of page for details.) or ~evisions to the Hazardous Materials Business Plan are necessary. The HMBP as revised is being implemented. A copy of the revisions is enclosed with this Certification. OWNER/OPERATOR CERTIFICATION: I hereby certify under penalty of law that, based upon my inquiry of those individuals responsible for obtaining the information reported above, I believe that the submitted information is true, accurate, and complete. I understand that a revised HMBP must be submitted within 30 days of any change in this facility's storage or handling of hazardous materials which would require updating of the HMBP. Name of Owner/Operator (Print): Doug Ray, Title: _ Distict Mgr. - 6~[.A~/t ~~~~~~' Signature of Owner/Operator: ,~_ __ _~~ ~ Date: Owl dL_1~~ ~. By checking the upper box on this form, you are certifying that: • The information contained in the HMBP most recently submitted is complete, accurate, and up-to-date; and • There has been no change in the quantity of any hazardous material as reported in the most recently submitted Hazardous Materials Inventory forms; and • The facility has not begun handling any hazardous material in a HMBP reportable quantity which is not currently listed in the Hazardous Materials Inventory; and • The HMBP most recently submitted HMBP contains the information required by Section 11022 of Title 42 of the United States Code; and • There have been no substantial changes in the facility's hazardous materials operations which would require revision of the current HMBP. UN-039 ~N~`~ ~~~ ~ ~ _ http://www.unidocs.org ~~~~ Rev. 04/30/98 i; -.- ~r East Bay District Plant Engineering Oil Spill Plan Fuel Island Bakersfield, CA Local: • Spill Plan • Contact List UPS: o Oil Response procedure (Manager at Scene) o Oil Response procedure (District Spill coordinator) o Oil SpilUhazardous substance Incident Report ,, Employee Emergency Action Steps for an Oil Spill Response Plan for Bakersfield Facility Location: Fuellsland 1. STOP THE SOURCE Emergency Fuel Shut-off Switch Located: On the exterior wall at the car wash tunnel. 2. CONTAIN THE SPILL Prevent Spill from Entering Storm Drain System or Leaving UPS Premises by Placing Containment Equipment: Place containment booms around spill. Do not allow product to leave UPS property. Do not allow product to enter storm drain. Place absorbent sheets or clay absorbent to absorb spilled product. Place used absorbents in plastic bags and process through DMP. (See Diagram on Back) Spill Kit Located: /n yellow barrel at fuel island Additional Containment Equipment Located: HazMat compliance center 3. CALL FOR HELP Contact: Operations Manager - Dave Hallett Office Telephone: Home Telephone: Alternate - Maurice Barksdale Office Telephone: Home Telephone: District Spill Coordinator - Richard Lawton Office Telephone: Home Telephone: (661) 326-1595 661-343-6008(Cell) 559-442-2925 510-557-1290 (Cell) 510-633-3974 925-224-0749 (Cel ~~ ~~ Oil Spill Response Contact List FACILITY NAME: BAKERSF/ELD Facility Spiit Coordinator Name: Garrold Meeks Office: 661-326-8195 Home: Pgr/Cell 661-345-0568 Alternate Facility Spill Coordinator Name: Maurice Barksdale Office: 559-442-2925 Home: N/A Pgr/Cell 510-557-1290 District Spill Coordinator Name: Carel+e~ ~(; ke ~.1nCQ Office: 54e-s33-~4e3s- 5~0 - 6 33 - 39'7 Home: 510-357-1502 Q~ 5 - 875 -9Y 87 Pgr/Cell 510-453-2090 ~j0- 7/5-67g~- Alternate District Spill Coordinator Name: Richard Lawton Office: 510-633-3974 Home: Pgr/C e I I 510-224-0749 Local Fire De partment Name: Office: 911 Home: Pgr/Cell Facility Engineer Name: Richard Lawton Office: 510-633-3974 Home: Pgr/Cel I 510-224-0749 District Plant Engineering Manager Name: Doug Ray Office: 510-636-2545 Home: 925-736-0304 Pgr/Cell 510-448-2623 / 510 206 9453 Region Environmental Coordinator Name: Stacey Byrem /Mark Shaffer Office: 949-452-2048 / 949-452-2049 Home: 949-509-8962 / 909-980-7001 Pgr/Cell 949-751-9240 / 909-322-6455 Corporate Reporting Name: Patrick Brown Office: 404-828-4254 Home: ( ) - - Pgr/Cell 404-808-7212 Alternate Corporate Spill Coordinator Name: Linda Lyons Office: 404-828-6766 Home: ( ) - - Pg r/Cell 727-460-5742 DATE REVISED: October 27, 2005 Local Spill Cleanup Contractor Name: MP Environmental Services Office: 1-800- 458-3036 Home: N/A Pgr/Cell N/A Alternate Loc al Spill Cleanup Contractor Name: Clean Harbors Office: 1-800-645-8265 Home: N/A. Pgr/Cell N/A Fuel Facility Repair Contractor Name: Franzen Hill Office: 800-655-3436 Home: 559-688-2977 PgriCeil NiA Alternate Fue l Facility Repair Contractor Name: Redwine Testing Office: 661-834-6993 Home: N/A Pgr/Cell N/A Tank Draining Contractor Name: Franzen Hill Office: 800-655-3436 Home: 559-688-2977 Pgr/Cell N/A Tank Testing Contractor Name: Redwine Testing Office: 661-834-6993 Home: N/A Pgr/Cell N/A Electrical Contractor Name: A - C Electric Office: 661-633-5368 Home: Pgr/Cell Alternate Electrical Contractor Name: Office: Home: N/A Pgr/Cell N/A State Water Pollution Agency Name: Office of Emergency Services Office: 800-852-7550 Home: Pgr/Cell Local Water Pollution Agency Name: City of Bakersfield Office: 661-326-3979 Home: Pgr/Cell z. SpilURelease Response and Reporting -Operations Mgmt Response Actions Page 1 of 1 Inside.uns.com ~ Site Guide ~ Search ~ ews ~ Web Central ~ Library ~ E-Mail ,. Oil Spill Response Procedures for the UPS Operations (Non-PE) Manager at the Scene Action Procedures A. Ensure the cause or source of the spill or leak is stopped in accordance with prepared facility specific Employee Emergency Action Steps. B. Ensure spill containment and control action are initiated with the personnel, equipment and containment materials in accordance with prepared facility specific Employee Emergency Action Steps. C. Determine if fire, explosion or vapor hazards exist. D. Ensure that there is no smoking in the area of the spill. E. Alert neighbors if personal danger is possible or if spill is not being totally contained on UPS premises. F. In the case of an o~ ff site or on-road spill, ensure the Oil Spill Response Plan principles, procedures and methods are properly utilized and implemented. Notification/Documentation Procedures A. Notifies the fire department (ONLY in the event of a fire or the likelihood of a fire or explosion). B. Maintains a chronological log of events and communications during the spill incident, containment and cleanup. Lists times, names, conversations, instructions given and instructions received. Takes photographs of the oil spill and the containment and cleanup activities. Maintains this log until the spill incident is closed. C. As soon as practical, records the information on the OiUHazardous Substance Release Incident Report Form and notifies the Facility Spill Coordinator or alternate. D. Contacts the District Plant Engineering Spill Coordinator or one of their alternates immediately to determine if the incident requires reporting to external agencies and to obtain assistance in evaluating the spill. Follow-up Procedures A. Performs Follow-Up with Facility and District Plant Engineering Spill Coordinators or their alternates. B. Performs training/re-training as necessary to ensure proper response to future incidents. • Bulletins • Coordinator Directory • Documents & Forms • Extended Center Issues • Manuals • Spill Response & Reporting • Reports • Support Contacts • Video List Please feel free to contact us if you have any comments or suggestions. UPS Internal Web Copyright Link Copyright ©2001, United Parcel Service ofAmerica, Inc. All Rights Reserved. Last modified: August 23, 2001 http://pe.inside.ups.com/pe/contentlEnvironlSpilUsec3-lb.htm 2/1/2006 ~pill/R.elease Response and Reporting -Plant Engineering Response Actions Page 1 of 2 Inside.uos.com ~ Site Guide ~ Search ~ News ~ Web Central ~ Libra E-Mail ~~ --- ---- - ---------._v,_ -__.._._...-___.~__ ,~_~-._._-..~r_..~-....ww....,_..~ s-.-,.~~.,.,.. Oil Spill Response Procedures for the. District Plant Engineering Spill Coordinator or Alternate Action Procedures A. IF THE OIL SPILL INCIDENT MEETS ONE OR MORE OF THE STATE OR FEDERAL REPORTING CRITERIA the District Spill Coordinator or one of their alternates immediately contacts: 1. The Region Environmental Coordinator for guidance. If unavailable, the next call should be to the Corporate Spill Coordinator for guidance. 2. The District Plant Engineering Manager 3. The Corporate Spill Coordinator (with information from the Oil Spill Incident Report). 4. The State spill reporting office. Information for determining reporting requirements can be obtained from the Federal and State Petroleum Spill Reporting Procedures templates found on the web at the Environmental -Spill Response & Reporting page. 5. The UPS Public Relations Manager, through Corporate Spill Coordinator, of any request for information from the media. Obtains name, publication or station and phone number of any reporter requesting information. a. Do not invite the media onto our premises or allow photographers to photograph or film the incident without prior approval of Public Relations Manager. b. Do not permit any press conferences to be held on our premises. B. If necessary.., the Corporate Spill Coordinator or alternate notifies: 1. Corporate Plant Engineering Manager. 2. The U.S. Coast Guard (if the oil spill has discharged or may discharge into the waters of the United States or adjoining shores). Investigation Procedures A. Ensure cleanup and removal operations are initiated in accordance with the Emergency Action Steps. B. Coordinate soil remediation/clean up activities with the Corporate Spill Coordinator. No soil removal, excavation or sampling analysis should be completed prior to reviewing the plan with the Corporate Spill Coordinator. C. Ensures all free product (oil not dissolved in water) is removed as soon as practical. D. Conducts investigation of the spill, the spill site, and the surrounding area possibly affected by the spill. Any remedial cleanup work will be managed by and/or through the Corporate Remediation Program Manager. The Corporate Spill Coordinator will notify the Remediation Program Manager of the need for their involvement if any of the following conditions exist: 1. Soil has been impacted by the release. http:llpe.inside.ups.com/pe/contentlEnviron/SpilUsec3-1 c.htm 2/1 /2006 ,, SpilURelease Response and Reporting -Plant Engineering Response Actions Page 2 of 2 2. There is evidence that surface water or groundwater have been affected by the spill. 3. Recovery of free product is required. Regulatory Procedures A. Should the State spill reporting office request an investigation, submits the information collected during the investigation to the office as soon as practical after coordinating the response with the Region Environmental Coordinator and/or the Corporate Spill Coordinator. B. Complete and submit any required follow-up reports. Follow-up Procedures A. Review the incident with respect to the following: 1. How could the incident have been prevented? 2. Were the Emergency Action Steps followed properly? 3. Was the Oil Spill Response Plan followed properly? 4. Were proper notices/reports given in a timely manner? 5. Were personnel trained to adequately respond to the incident? 6. Was the Oil Spill Response Plan for containment and cleanup adequate? B. Complete the OiUHazardous Substance Release Incident Report Follow-up: 1. Review the incident with the applicable District and Regional personnel. 2. Forward a copy of the completed Follow-up Report to the Corporate Spill Coordinator. • Buf{etins • Coordinator Directory • Documents & Forms • Extended Center Issues • Manuals • Spill Response & Reporting • Reports • Support Contacts • Video List Please feel free to contact us if you have any comments or suggestions. UPS Internal Web Copyright Link Copyright ©2004, United Parcel Service ofAmerica, Inc. All Rights Reserved. Last modified: September 23, 2004 Please feel free to contact us if you have any comments or suggestions UPS Internal Web Cop~ri hg t Link Copyright ©2000, United Parcel Service ofAmerica, Inc. All Rights Reserved Last mod~ed.• September 23; 2004 http://pe.inside.ups.comJpe/contentBnviron/SpilUsec3-1 c.htm 211/2006 Oil Spill/Hazardous Substance Release Incident Report (This form is to be faxed to the Corporate Spill Coordinator @ (404) 828-6347 (atlas 490-6347) as soon as practical after the initial response activities are complete. Complete as much information as possible but do not delay submission due to lack of information.) Incident Time: AM/PM Facility Mriemonic: Date: Name: District: Region: Address: Reported by: Dept: Phone: UPS Mgr. in charge at scene: Dept: Phone: Product Type: ^ PETROLEUM BASED ^ HAZARDOUS SUBSTANCE If product is a Hazardous Substance, Indicate Reportable Quantity: Product involved: Quantity Released: (approx. gauons or Pounds) Source: Fuel Delivery Vehicle ^ UPS Vehicle ^ UST and/or Piping ^ AST and/or Piping ^,.. Package ^ SCS Inventory ^ Other: Describe Type of surface where spill occurred: Paved ^ Unpaved ^ Was product contained on UPS premises? Yes ^ No ^ (lf no, describe below). Did product enter sewers, pipes or ditches or a body of water? Yes ^ No ^ Unknown ^ (If yes or unknown, describe below). Rprn~la+nrv Authnritias Nn+i~a~• Local Person's Phone Time: A enc : name: No: AM/PM State Person's Phone Time: A enc : ~ name: No: AM/PM Federal Person's Phone Time: A enc : name: No: AM/PM Will clean up be Contractor completed within 24 hrs? Yes ^ No ^ Contacted: Contractor Representative Phone Describe Incident, Hazard Abatement, and Remedial Activities. Use back if necessary: (State the facts accurately and carefully. Do not speculate about events which you are not certain. Do not give your opinion.) Clean up and Disposal Cost if Performed by Response Contractor: $ $ If a Mercury related spill, identify Shipper and Consignee (if known): Report Follow-un (To be filled out by the District Spill Coordinator and sent to the Corporate Spill Coordinator within one week after initial clean activities have been completed or a remediation project has begun). Clean up activities completion date: If not complete, anticipated completion date: How and why did this incident occur? (State the facts accurately and carefully. Do not speculate about events about which you are not certain. Do not give your opinion.) What steps should be taken in the future to prevent this from occurring again? Have recommendations been im lemented? Yes ^ No ^ Date: PC: Region Automotive Mgr., Region P.E. Mgr., Facility Environmental File (Including SWPPP and SPCC Plan) East Bay District Plant Engineering - ~~~~~rs-~'.~,L~. Damage Materials Program Contingency Plan Local: • Emergency phone list • Facility contact • Site plan UPS Center Business Team Environmental Roles and Responsibilities Facility: Bakersfiled Date: 2/15/2006 Program Responsibilities Primary Person Alternate Person Oil Spill Facility Spill Coordinator Oil Plan (Manager for Primary & PE Representative for Alternate) D. Hallett Maurice Barksdale Response and Facility S ill Coordinator -Home Tele hone 510-557-1290 Fuel Storage Facility Spill Coordinator -Work Telephone 661-326-1595 559-442-2925 Mgmt responsible for Fueling - training, spill kit D. Hallett Maurice Barksdale su plies, TLS350 monitoring console o eration Dail Stage II va or recove ins actions Steve Barta Maurice Barksdale Fuel Dro \ Carwashing & Fueling Dave Hallett Ter Lemster Fuel Drop - addl res nsible receivers See Fuel Drop List Damaged Materials Mgmt responsible for DMP -training, supplies, followu ,hazardous waste dis osal, dum star audits Craig Hill Program Addl M mt responsible for DMP Gabe Duran (DMP) Emergen Contact Chain of Command See UPS Emergency Response Plan Binder & Emergency Contact -Home Telephone DMP Contingency Plan (Pasted in DMP Area) RMP Preload RMP Local Sort Weekl storage audits monthly in ID DMP Monthly & Checklist Lester S rague Craig Hill Waste shi menu -sign manifests, veri contents Dave Hallett & Craig Hill Waste shipments - addl persons to sign manifests See Manifest List posted in DMP Drum Area Lead AM hourl res onders See UPS Emergency Response Plan Binder & Addl AM res onders in Section 3 -Designated Responder Lead PM hour) res onders Addl PM responders Water Related Issues Mgmt responsible for stormwater training, periodic ins actions ollution revention radices Dave Hallett Maurice Barksdale M mt res onsible for stormwater ermit com liance Mgmt responsible for carwash training, chemical m mt, ollution revention radices, drainage Mgmt responsible for wastewater permit com liance Asbestos Mgmt responsible for asbestos release reporting and training N/A Automotive Mechanic/Local Mgmt responsible for automotive pollution prevention practices, recordkeeping Jerry Bernardi Waste Recycling of bags, cans; cardboard, paper, pallets, PE Re resentative for the facili Management batteries, lamps; waste reduction See Alternate Spill Courc~inator Center Business Team Mgmt responsible for meeting agency inspectors, completing in ui re orts See Facility Spill Coordinator Environmental Mgmt res nsible for audit corrections Management Mgmt res onsible to u date environmental files Manager responsible for: 1. compliant operations 2. integrating procedures into operating plan 3. properly trained people 4. general understanding 5. communicating spills/inspections/inquiries to PE UPS EB PE Telephone: 559-442-2925 Fax: 559-442-2929 Email: mbarksdale@ups.com Damaged Materials Program Contingency Plan Bakersfield Facility Bakersfield, CA Company name: United Parcel Service Facility address: 3800 N. Sillect Ave. Bakersfield, CA. 93308 Phone number: Day (661) 326-1595 Evening (661) 326-1595 EMERGENCY COORDINATORS Primary emergency Coordinator: Dave Hallett Coordinators Home address: Bakersfield, CA Coordinators work phone number: (661) 326-1595 Coordinators emergency phone number: (661) 343-6008 (Cell) Secondary emergency Coordinator: Coordinators home address: Coordinators work phone number: Coordinators emergency phone number: Maurice Barksdale Fresno, CA (559) 442-2925 (510) 557-1290 (Cell) LOCAL EMERGENCY CONTACTS Fire Department Police Department Hospital Electric Co. Gas Co EPA Region 9 911 /(661) 324-4542 911/(661) 327-7111 911 /(661)-632-5000 (800) 611-1911 (800) 611-1911 (415) 947-8000 Chemtrec Emergency Response (Information) (800) 424-9300 Clean Harbors (Spill Response Contractor) (800) 645-8265 MP Environmental(Sludge CleanoutlSpill Alt.)(661) 393-1151 Poison Control Center (800) 876-4766 "Current Business plan, and chemical inventory is on file with County of Kern. The facility's Emergency Coordinator will follow the "Emergency Response" Chain of Command. The Region Environmental Coordinator or alternative shall notify the local CUPA and State OES in the event that a hazardous material incident occurs." ~ b Referonec OrlqInm tmsnap provMaO tY UnNeA Parcel SarNU, PIOM Erpinsertnµ M bosemoM fealiam aro approdmaN. /'--- /~~ `~ LEGEND - - - SEWER LINES STORM LINES ~ SEWER LINES ~ ^ STORM LINES ~i MANHOLE g FIRE HYDRANT ""v'~- SURFACE WATER FLOW DIRECTION Q1 CLOSED GARBAGE DUMPSTER Q2 HAZARDOUS WASTE CONTAINER O3 WASTE OIL. FRESH OIL, ANTIFREEZE-WASTE & FRESH, AND BATTERY STORAGE PARTS CLEANER ® UNDERGROUND STORAGE TANK 05 FUEL ISLAND © WASH AREA /WASH TUNNEL [~7 CLARIFIER o N too Apprmc Scale (lest) Figure 1 Site Location Mao UnitedParce/Service 3800 N. Si//ectAvenue Bakersf/e/d, Ca/ifornia ERM 02iYAS (~, UNIFIED PROGRAM CONSOLIDATED FORM ~ FACILITY INFORMATION ~ - I 1 BUSINESS OWNER/OPERATOR IDENTIFICATION ~~~ Pa a of ,: T. `IDE1~iTIFIC~TION ,.:.. >: FACILITY ID # 1• BEGINNING DATE Ioo• ENDING DATE lol. (Agency Use Only) O1/O1/OS 12/31/05 BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3. BUSINESS PHONE 102. United Parcel Service 661.326.8195 103. BUSINESS SITE ADDRESS ~ 3800 N Sillect Ave CITY loa. C~' ZIP CODE los. Bakersfield 93308 DUN & BRADSTREET 106• SIC CODE (4 digit #) 00-699-1681 4215 COUNTY Alameda BUSINESS OPERATOR NAME 109. o. BUSINESS OPERATOR PHONE United Parcel Service ~ ~ S / ~ L]~ ~ ~~' .''~-~.T- 2 ~~ Z IL BUSINESS OWNER::: . OWNER NAME 111 OWNER PHONE 112• BT of Ohio N/A OWNER MAILING ADDRESS 113. 55 Glenlake Parkway, NE /e CITY 114. STATE 115. ZIP CODE ,11 Atlanta GA 30328 If~~ ;. III;; E1~TYIItONMENTAI COL~ITACT,;; CONTACT NAME 117. CONTACT PHONE Caroline Arguelles 510.633.4035 CONTACT MAILING ADDRESS 119. C/O United Parcel Service 8400 Pardee Dr. CITY 120. STATE 121. ZIP CODE 122. Oakland CA 94621-1412 -PRIMARY-' IV. EMERGENCY CONTACTS -SECONDARY- ' <: NAME 123. 4?ae1+-6tr~eia /~1 4 / Q s ~ ~ (~S C~ la ~ ~ lza. NAME ~ '~ ~ ~"'` +~l ~ , Z G -z. i , -„c , 1 ~sfles ~ c r~ TITLE lza. Plant Engineering Supervisor TITLE ~ iz9. or. ~ ~ ~ ~ ~~• n,~-~ BUSINESS PHONE 12s. 559 442 2925 BUSINESS PHONE 130. Sr ~ ~ ~' ~ . . 3 3 - i ~ -( 24-HOUR PHONE* 1z6. 131. 24-HOUR PHONE* //~ ~ •s_cg~c~ nnc~ r~ a- J•~ ~IX 3 ,. ~ ~C~ /~ F- ~~~ -~ 22~ 'd ~~ PAGER # 127• PAGER # 132. Same As Above Same As Above ADDITIONAL LOCALLY COLLECTED INFORMATION: 133. Property Owner: 5~,~ ,~~1 ~' • C ~N ~-c-J ~~'( //'/d~/ c.~S Phone No.: J`~Cl/ ~~ 3 ~ -~f'D ~S' Billing Address: ~~fOL? /~1rQd~E. E - ~) ~f,/< , ©otC~,~r~D, GA ~~f G vl Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. SIGNATURE OF OWNER/OPERATOR OR DESIGNATED REPRESENTATIVE DATE 134. NAME OF DOCUMENT PREPARER 135. . k =.:. // `L (.~•~~IJ~LLLj NAME OF SIGNER (prird) ~ 136. TITLE '^F SIGNER 137. ~AGG /2 ~__=~. ,ENG~~faF/j~~ ~cF,l1- /1?G~ ucc wsuuuiviu on next page. ~ _ UPCF hwf2730 (1/99) -1/2 http://www.nnidocs.org Rev. 04/17/00 UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS ACTIVITIES Page 1 of _ I. FACILITY IDENTIFICATION FACILITY ID // 1• EPA ID //(Hazardous Waste Otily) Z• (Agency Use Only) CAD982403065 BUSINESS NAME (Same as Facility Name or DBA -Doing Business As) 3• United Parcel Service - ~ S / II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, please submit the Business Owner/O rator Identification age (OES Form 2730). Does our facili .. If Yes, lease com fete these ages of the UPCF... A. HAZARDOUS MATERIALS Have on site (for any purpose) hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases (include liquids in ASTs and USTs); or the applicable Federal threshold ®yES ^ NO a. HAZARDOUS MATERIALS INVENTORY quantity for an extremely hazardous substance specified in 40 CFR Part -CHEMICAL DESCRIPTION (OES 2731) 355, Appendix A or B; or handle radiological materials in quantities for which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or 70? B. UNDERGROUND STORAGE TANKS (USTs~ UST FACILITY (Formerly SwRCS Form A) 1. Own or operate underground storage tanks? ®YES ^ NO 5. UST TANK (one page per tank) (Formerly Form B) 2. Intend to upgrade existing or install new USTs? ^YES ®NO 6. UST FACILITY UST TANK (one per tank) UST INSTALLATION -CERTIFICATE OF COMPLIANCE (one page per tank) (Formerly Form C) 3. Need to report closing a UST? ^ y~ ®NO ~. UST TANK (closure portion -one page per tank) C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs) Own or operate ASTs above these thresholds: ---any tank capacity is greater than 660 gallons, or ^YES ® NO s. NO FORM REQUIRED TO CUPAs ---the total capacity for the facility is greater than 1,320 gallons? D. HAZARDOUS WASTE 1. Generate hazardous waste? ®YES ^ NO 9, EPA ID NUMBER -provide at the top of this page 2. Recycle more than 100 kg/month of excluded or exempted recyclable RECYCLABLE MATERIALS REPORT (one materials (per H&SC §25143.2)? ^YES ®NO ]0. per recycler) 3. Treat hazardous waste on site? ONSITE HAZARDOUS WASTE ^ YES ® NO I1. TREATMENT -FACILITY (Formerly DTSC Forms 1772) ONSITE HAZARDOUS WASTE TREATMENT - UNTr (one page per unit) _ (Formerly DTSC Forms 1772 A,B,C,D and L) 4. Treatment subject to financial assurance requirements (for Permit by ^YES ® NO 12 CERTIFICATION OF FINANCIAL Rule and Conditional Authorization)? . ASSURANCE (Formerly DTSC Form 1232) 5. Consolidate hazardous waste generated at a remote site? REMOTE WASTE !CONSOLIDATION ^ YES ® NO 13. SITE ANNUAL NOTIFICATION (Formerly DTSC Form 1196) 6. Need to report the closure/removal of a tank that was classified as ^yES ®NO la HAZARDOUS WASTE TANK CLOSURE hazardous waste and cleaned onsite? . CERTIFICATION (Formerly DTSC Form 1249) E. LOCAL REOUIItEMENTS ]s. (You may also be required to provide additional information by your CUPA or local agency.) UN-020UPCF - 3/15 vvww.nnidocs.org Rev. 01/16/02 ''• UNIFIED PROGRAM CONSOLIDATED FORM TANKS UNDERGROUND STORAGE TANKS -FACILITY (One page per site) Page _ of TYPE OF ACTION ^ 1. NEW PERMIT ^ 3. RENEWAL PERMIT ®5. CHANGE OF INFORMATION ^ 7. PERMANENTLY CLOSED STfE 400. (Check one item only) ^ 4. AMENDED PERMIT (Specify change) ^ 8. TANK REMOVED ^ 6. TEMPORARY SITE CLOSURE I. FACII,ITY/SITE INFORMATION BUSINESSNAME(SameasFACILITYNAMEorDBA-Doing Business As) 3. FACILITY United Parcel Service - ,E,Q.S ~.L >) ID# 1" NEAREST CROSS STREET ao1. FACILITY OWNER TYPE ^ 4. LOCAL AGENCY/DISTRICT* aoz. ~(~~ ~~~ S` ~ 1 f J' ®1. CORPORATION ^ 5. COUNTY AGENCY* BUSINESS ^ 1. GAS STATION ^ 3. FARM ^ 5. COMMERCIAL ao3. ^ 2. INDIVIDUAL ^ 6. STATE AGENCY" TYPE ^ 2. DISTRIBUTOR ^ 4. PROCESSOR ®6.OTHER ^ 3. PARTNERSHIP ^ 7. FEDERAL AGENCY* TOTAL NUMBER OF TANKS 404• Is facility on Indian Reservation 405. * If owner of UST is a public agency: name of supervisor of division, section or 406• REMAINING AT SITE or trust lands? office which operates the UST. (This is the contact person for the tank records.) ^ Yes ®No N ~ - ~; PROPERTY OWNER INFORMATION PROPERTY OWNER NAME 407• PHONE aos. BT- OH LLC 510.633.4035 MAILING OR STREET ADDRESS aov. 55 Glenlake Parkwa NE CITY 410" STATE 411. ZIP CODE 412. Atlanta GA 30328 PROPERTY OWNER TYPE ®1. CORPORATION ^ 2. INDIVIDUAL ^ 4. LOCAL AGENCY /DISTRICT ^ 6. STATE AGENCY 413• ^ 3. PARTNERSHIP ^ 5. COUNTY AGENCY ^ 7. FEDERAL AGENCY III; 'TANK. OWNER. INFORMATION _, TANK OWNER NAME a1a. PHONE a15. United Parcel Service 510.633.4035 MAILING OR STREET ADDRESS 416• C/O UPS -Plant Engineering Dept. 8400 Pardee Dr. CITY a1~. STATE a1a. ZIP CODE alv. Oakland CA 94621 TANK OWNER TYPE ®1. CORPORATION ^ 2. INDIVIDUAL ^ 4. LOCAL AGENCY/DISTRICT ^ 6. STATE AGENCY azo. ^ 3. PARTNERSHIP ^ 5. COUNTY AGENCY ^ 7. FEDERAL AGENCY IV BgARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER .... .. .... . TY (TK).J~ 44- 0 3 3 6 0 2 Call (916) 322-9669 if uestions arise 421. V. PETROLEUM UST I'INANCIAL RESPONSIBILITY ,. ,.. _. INDICATE METHOD(S) ®1. SELF-INSURED ^ 4. SURETY BOND ^ 7. STATE FUND ^ 10. LOCAL GOVT MECHANISM 422 ^ 2. GUARANTEE ^ 5. LETTER OF CREDIT ^ 8. STATE FUND & CFO LETTER ^ 99. OTHER: ^ 3. INSURANCE ^ 6. EXEMPTION ^ 9. STATE FUND & CD VL LEGAL'NOTIFICATION AND MAILINGADDRESS Check one box to indicate which address should be used for legal notifications and mailing. Legal notifications and mailings will be sent to the tank owner unless box 1 or 2 is checked. ^ 1. FACILITY ^ 2. PROPERTY OWNER ®3. TANK OWNER 423. VII. APPLICANT SIGNATURE Certification: I certify that the information provided herein is true and accurate to the best of my knowledge. SIGNATURE OF APPLICANa' .. D f. TF aza. pHONE a25. 3_. a~ --~ 6 5~ ~ 63 L -ZS' ~.~ NAME OF APPLICANT (p~(i' : a26. TITL ON :-:`rPLIGANT 4z~• STATE UST FACILITY NUMB (Agency only) 428" 1998 UPGRADE CERTIFICATE NUMBER (Agency use only) 42v. (See Data Element I, above. UPCF Hwfwrc-a (1/99) -1/2 http://www.unidocs.org Itev. 02/16/00 UNIFIED PROGRAM CONSOLIDATED FORM TANKS UNDERGROUND STORAGE TANKS -TANK PAGE 1 (Two pages per tank) Page _ of` TYPE OF ACTION ^ 1. NEW PERMIT ^ 4. AMENDED PERMIT ®5. CHANGE OF INFORMATION ^ 6. TEMPORARY TANK CLOSURE 430. (Check one item only) ^ 3. RENEWAL PERMIT ^ 7. PERMANENTLY CLOSED ON SITE (Specify reason) (Specify reason) ^ 8. TANK REMOVED BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3. FACILITY ID: l United Parcel Service -Bakersfield LOCATION WITHIN SITE (optional) 431. L TANK DESCRII~TION (A scaled plot plan wifll the location oPtha [TST system itwluding butlditigs :md Iaitdmurks shall be stibmitted,to the local ageneq`.) TANK ID # 43z. TANK MANUFACTURER a33. COMPARTMENTALIZED TANK ^ Yes ®No 434. 01 y6'I Owen Corning If"Yes," complete one page for each compartment. DATE INSTALLED a3s. TANK CAPACITY IN GALLONS a36. NUMBER OF COMPARTMENTS ~~ (YEAR/MO) jl ~~j~7 10,000 N/A ADDITION AL D SCRIPTION (For local use only) 438. II. TANK CONTENTS 439. TANK U5E PETROLEUM TYPE 4ao. ® 1. MOTOR VEHICLE FUEL ®] a. REGULAR UNLEADED ^ 2. LEADED ^ 5. JET FUEL (If checked, complete Petroleum Type) ^]b. PREMIUM UNLEADED ^3. DIESEL ^6. AVIATION GAS ^ 2. NON-FUEL PETROLEUM ^ lc. MIDGRADE UNLEADED ^ 4. GASOHOL ^ 99. OTHER: ^ 3. CHEMICAL PRODUCT COMMON NAME (from Hazardous Materials Inventory page) 44l ~ CAS# (from Hazazdous Materials Inventory page) 442. ^ 4. HAZARDOUS WASTE Gasoline 800619 (Includes Used Oil) ^ 95. UNKNOWN III. TANK CONSTRUCTION TYPE OF TANK ^ 1. SINGLE WALL ^ 3. SINGLE WALL WITH EXTERIOR ^ 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443. (Check one item only) MEMBRANE LINER ^ 95. UNKNOWN ® 2. DOUBLE WALL ^ 4. SINGLE WALL IN A VAULT ^ 99. OTHER TANK MATERIAL -primary tank 1. BARE STEEL ®3. FIBERGLASS /PLASTIC ^ 5. CONCRETE ^ 95. UNKNOWN .444. (Check one item only) ^ 2. STAINLESS STEEL ^ 4. STEEL CLAD W/FII3ERGLASS ^ 8. FRP COMPATIBLE ^ 99. OTHER: REINFORCED PLASTIC(FRP) W/]00%METHANOL TANK MATERIAL -secondary tank ^ 1. BARE STEEL ®3. FIBERGLASS /PLASTIC ^ 8. FRP COMPTII3LE W/l00% METHANOL 95. UNKNOWN 445. (Check one item only) ^ 2. STAINLESS STEEL ^ 4. STEEL CLAD W/FIBERGLASS ^ 9. FRP NON-CORRODABLE JACKET ^ 99. OTHER REINFORCED PLASTIC (FRP) ^ 10. COATED STEEL ^ 5. CONCRETE TANK INTERIOR LINING ^ 1. RUBBER LINED ^ 3. EPOXY LINING ^ 5. GLASS LINING ^ 95..UNKNOWN 446. DATE INSTALLED 447. OR COATING ^ 2. ALKYD LINING ^ 4. PHENOLIC LINING ®6. UNLINED ^ 99. OTHER Check one item onl OTHER CORROSION ^ 1. MANUFACTURED CATHODIC 3. FIBERGLASS REINFORCED PLASTIC 95. UNKNOWN 448. DATE INSTALLED 449. PROTECTION PROTECTION ^ 4. IMPRESSED CURRENT ^ 99. OTHER (IfAp licable) ^ 2. SACRIFICIAL ANODE SPILL AND OVERFILL YEAR INSTALLED 450. TYPE 451. OVERFJLL PROTT~~C~~T~~I ~FQUIPMENT: YEAR INSTALLED 452. (Check all that apply) ®1. SPII,L CONTAINMENT ®1. ALARM yY{/.FR~ ®3. FILL TUBE SHUT OFF VALVE ® 2. DROP TUBE ®2. BALL FLOAT ^ 4. EXEMPT ® 3. STRIKER PLATE >1V. TANh LEAK DETECTION (A dzscription oftlie rttotiiiozng p;agram shall be submitted to tine local agency.) IF SINGLE WALL TANK as3. IF DOUBLE WALL TANK OR TANK WITH BLADDER asa. (Check all that apply) (Check one item only) ^ 1. VISUAL (EXPOSED PORTION ONLY) ^ 5. MANUAL TANK GAUGING (MTG) ^ 1. VISUAL (SINGLE WALL IN VAULT ONLY) ^ 2. AUTOMATIC TANK GAUGING (ATG) ^ 6. VADOSE ZONE ®2. CONTINUOUS INTERSTITIAL MONITORING ^ 3. CONTINUOUS ATG ^ 7. GROUNDWATER ^ 3. MANUAL MONITORING ^ 4. STATISTICAL INVENTORY RECONCILIATION ^ 8. TANK TESTING (SIR)+BJENNIALTANK TESTING ^99. OTHER V. TANK'CLOSURE iN~'OR1I~IATION / PERIVIA NENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (YR/MO/DAY) 455' ESTIMATED QUANTITY OF SUBSTANCE REMAINING a56. TANK FILLED WITH INERT MATERIAL? a57. gallons ^ Yes ^ No UPCF hwfwrc-b ()1/99) -1/4 http://www.unidocs.org Rev. 02/16/00 ~~ UNIFIED PROGRAM CONSOLIDATED FORM TANKS tTNDERGROUND STORAGE TANKS -TANK PAGE 2 Pa a of VI. <PIFING CQNS'I'R~JCTION::(Citeck ol]'.ttiat apply2 =. UNDERGROUND PIPING ABOVEGROUND PIPING SYSTEM TYPE ®1. PRESSURE ^ 2. SUCTION ^ 3. GRAVITY 458. ^ 1. PRESSURE ^ 2. SUCTION ^ 3. GRAVITY 459. CONSTRUCTION! ^ 1. SINGLE WALL ^ 3. LINED TRENCH ^ 99.OTHER 460. ^ 1. SINGLE WALL ^ 9S. UNKNOWN 462. MANUFACTURER ® 2. DOUBLE WALL ^ 95. UNKNOWN ^ 2. DOUBLE WALL ^ 99. OTHER 46t• MANUFACTURER 463. MANUFACTURER ^ 1. BARE STEEL ^ 6. FRP COMPATIBLE W/]00%METHANOL ^ 1. BARE STEEL ^ 6: FRP COMPATIBLE W/100%METHANOL ^ 2. STAINLESS STEEL ^ 7. GALVANIZED STEEL ^ 2. STAINLESS STEEL ^ 7. GALVANIZED STEEL ^ 3. PLASTIC COMPATIBLE WITH CONTENTS ^ 95. UNKNOWN ^ 3. PLASTIC COMPATIBLE W! CONTENTS ^ 8. FLEXIBLE (HOPE) ^ 99. OTHER ® 4. FIBERGLASS ^ 8. FLEXIBLE (HOPE) ^ 99. OTHER ^ 4. FIBERGLASS ^ 9. CATHODIC PROTECTION ^ 5. STEEL W/COATING ^ 9. CATHODIC PROTECTION 464. ^ 5. STEEL W/COATING ^ 95. UNKNOWN 465. VII.. PIPING LEAK DE..TES`j'~Q~T::CGheokall:~tapplY}:(~;deSCnpliogofthemotutonngprog;ani:shallbSSgtiYnftCCdtothe:lodalagericy:} __ ;: UNDERGROUND PIPING SINGLE WALL PIPING 466. PRESSURIZED PIPING (Check all that apply): ^ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT-OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS. ^ 2. MONTHLY 0.2 GPH TEST ^ 3. ANNUAL INTEGRITY TEST (0.1 GPH) CONVENTIONAL SUCTION SYSTEMS ^ 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): ^ 7. SELF MONITORING GRAVITY FLOW ^ 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): ]0. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) ~'a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ® b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION ^c. NO AUTO PUMP SHUT OFF ~. 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION ^ 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM ^ 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) ^ 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF AUDIBLE AND VISUAL ALARMS ^ 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR RESTRICTION ^ 16. ANNUAL INTEGRITY TEST (0.1 GPH) ^ 17. DAILY VISUAL CHECK 'VIII.DTSPENSI?~. DISPENSER CONTAINMENT 468. ^ 1. FLOAT MECHANISM THAT SHUTS DATE INSTALLED ^ 2. CONTINUOUS DISPENSER PAN SE SINGLE WALL PIPING 467• PRESSURIZED PIPING (Check all that apply): ^ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS. ^ 2. MONTHLY 0.2 GPH TEST ^ 3. ANNUAL INTEGRITY TEST (0.1 GPH) ^ 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS (Check all that apply) ^ 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM ^ 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): ^ 7. SELF MONITORING GRAVITY FLAW (Check all that apply): . ^ 8. DAILY VISUAL MONITORING ^ 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSLRIZED PIPING (Check all that apply): ]0. CONTINUOUS TTJRBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) ^ a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ^ b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION ^c. NO AUTO PUMP SHUT OFF ^ 11. AUTOMATIC LEAK DETECTOR ^ 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM ^ 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) ^ 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF AUDIBLE AND VISUAL ALARMS ^ 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) ^ 16. ANNUAL INTEGRITY TEST (0.1 GPH) ^ 17. DAILY VISUAL CHECK ~'ON'fA)EI~I1viENT . ............. OFF SHEAR VALVE NSOR+AUDIBLE AND VISUAL ALARMS ® 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER+ ATT°mzT' ntm ytictTn* 7- ~. O~VNS12/OPIERATOR SIGNAT(1RE ~~~ ,~-Ld I certify that the information provided herein is true and accurate to the best of my knowledge. SIGNATURE OF OWNER/np?:RATOR _,.,.___ ~ , ~ DATE. 3 ~U/ -a~G - NAME OF use TITLE OF OWNEP'OFE;- - .-?': (Agency use onij, ^ 4. DAILY VISUAL CHECK 469. ^ 5. TRENCH/LINER MONITORING ~// ^ 6. NONE N~ 470. `w ~y /J ~ .472. ~J~'. ' _ Cam' ~/C ~ ~ J iration Date (Agencv use only) 475. UPCF hwfwrc-b (I/99) - 3/4 http: //www.unidocs.org Rev. 02/16/00 ,. UNIFIED PROGRAM CONSOLIDATED FORM TANKS UNDERGROUND STORAGE TANKS -TANK PAGE 1 (Two pages per tank) Page of_ TYPE OF ACTION ^ 1. NEW PERMIT ^ 4. AMENDED PERMIT ®5. CHANGE OF INFORMATION ^ 6. TEMPORARY TAI3K CLOSURE 430. (Check one item only) ^ 3. RENEWAL PERMIT ^ 7. PERMANENTLY CLOSED ON SITE (Specify reason) (Specify reason) ^ 8. TANK REMOVED BUSINESS NAME (Same as FACILITY NAME or DBA-Doing Business As) 3. FACILITY ID: ! United Parcel Service -Bakersfield LOCATION WITHIN SITE (Optional) 431. I. TANK D~SCRTPTION' (A scaled p1oYplan t~~it}tlte locatidn oPthe UST system including buildings and ]andmarksshall he submitted t~o the local agency:) TANK ID # 432. TANK MANUFACTURER a3s. COMPARTMENTALIZED TANK ^ Yes ®No 434. A~Y- 02 Owen Corning If"Yes," complete one page for each compartment. DATE INSTALLED 435. TANK CAPACITY IN GALLONS a36. NUMBER OF COMPARTMENTS 437. (YEAR/MO) ~ ~ $`~ 10,000 N/A ADDITIONAL D SCRIPTION (For local use only) 43s. __ _. Il TANK CONTENTS 439. TANK USE PETROLEUM TYPE 4ao. ® 1. MOTOR VEHICLE FUEL ®1 a. REGULAR UNLEADED ^ 2. LEADED ^ 5. JET FUEL pfchecked, complete Petroleum Type) ^ lb. PREMIUM UNLEADED ^ 3. DIESEL ^ 6. AVIATION GAS ^ 2. NON-FUEL PETROLEUM ^ ]c. MIDGRADE UNLEADED ^ 4. GASOHOL ^ 99. OTHER: ^ 3. CHEMICAL PRODUCT COMMON NAME (from Hazardous Materials Inventory page) 441. CAS# (from Ha~rdous Materials Inventory page) `142• ^ a. HAZARDOUS wwsTE Gasoline 800619 (Includes Used Oil) ^ 95. UNKNOWN III. T`ANK:G'ONSTRUCTION TYPE OF TANK ^ 1. SINGLE WALL 3: SINGLE WALL WITH EXTERIOR ^ 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443• (Check one item only) MEMBRANE LINER ^ 95. UNKNOWN ® 2. DOUBLE WALL ^ 4. SINGLE WALL IN A VAULT ^ 99. OTHER TANK MATERIAL -primary tank ^ ]. BARE STEEL ®3. FIBERGLASS /PLASTIC ^ 5. CONCRETE 95. UNKNOWN 444. (Check one item only) ^ 2. STAINLESS STEEL ^ 4. STEEL CLAD W/FIBERGLASS ^ 8. FRP COMPATIBLE ^ 99. OTHER: REINFORCED PLASTIC (FRP) W/100% METHANOL TANK MATERIAL -secondary tank 1. BARE STEEL ®3. FIBERGLASS /PLASTIC ^ 8. FRP COMPTIBLE W/100% METHANOL ^ 95. UNKNOWN 445. (Check one item only) ^ 2. STAINLESS STEEL ^ 4. STEEL CLAD W/FIBERGLASS ^ 9. FRP NON-CORRODABLE JACKET ^ 99. OTHER REINFORCED PLASTIC (FRP) ^ 10. COATED STEEL ^ 5. CONCRETE TANK INTERIOR L1NING ^ 1. RUBBER LINED ^ 3. EPOXY LINING ^ 5. GLASS LINING ^ 95. UNKNOWN 446. DATE INSTALLED 447. OR COATING ^ 2. ALKYD LINING ^ 4. PHENOLIC LIMING ®6. UNLINED ^ 99. OTHER Check one item onl OTHER CORROSION ^ 1. MANUFACTURED CATHODIC ®3. FIBERGLASS REINFORCED PLASTIC ^ 95. UNKNOWN 448. DATE INSTALLED 449. PROTECTION PROTECTION ^ 4. IMPRESSED CURRENT ^ 99. OTHER (IfA licable ^ 2. SACRIFICIAL ANODE SPILL AND OVERFILL YEAR INSTALLED 450. TYPE 451. OVERFII,L PROTECTIO EQUIPMENT: YEAR INSTALLED 452. (Check all that apply) ®1. SPILL CONTAINMENT ®1. ALARM i~E~ 3. FILL TUBE SHUT OFF VALVE ® 2. DROP TUBE _ ®2. BALL FLOAT ^ 4. EXEMPT ® 3. STRIKER PLATE IV. TANK LEAK>DETECTION (-~ des4ription aftbe monitoring prov,~atu shall'be subittilted to the local agency.) IF SINGLE WALL TANK as3. IF DOUBLE WALL TANK OR TANK WITH BLADDER 454. (Check all that apply) (Check one item only) ^ 1. VISUAL (EXPOSED PORTION ONLY) ^ 5. MANUAL TANK GAUGING (MTG) ^ 1. VISUAL (SINGLE WALL IN VAULT ONLY) ^ 2. AUTOMATIC TANK GAUGING (ATG) ^ 6. VADOSE ZONE ®2. CONTINUOUS INTERSTITIAL MONITORING ^ 3. CONTINUOUS ATG ^ 7. GROUNDWATER ^ 3. MANUAL MONITORING ^ 4. STATISTICAL INVENTORY RECONCILIATION ^ 8. TANK TESTING (SIR)+BIENNIALTANK TESTING ^99.OTHER V TANK CLOSURE INFORMATION / PERMA _,.. NENT CLOSURE llV` PLACE ESTIMATED DATE LAST USED (YR/MO/DAY) 455. ESTIMATED QUANTITY OF SUBSTANCE REMAINING 45ti. TANK FILLED WITH INERT MATERIAL? 457. gallons ^ Yes ^ No UPCF hwrwrc-b (1/99) - 1/4 http://www.tmidocs.org Rev. 02/16/00 t Material on Site East Bay District Bakersfield Building ID s 1 2 3 Date 02/03/2005 4 5 6 7 8 9 14 11 12 13 14 15 16 17 s Common Nsme 191 .i+~~ on~a Chemical Neme 181 CAS # 1101 ~ r~~a .a. a Memfacto n I ~. L eii_n (51 Mep s WI ~ Gdd i 171 ` f I ~x 1Y"` ~ tt wod'Typ ~ _..... ..i --. ~` ~ 05 U (~2'. ! „ ~w.'~r ~~, oN~ ~ Waste (Year rr oa ii i I I F c 1231 ~ c,o ~0~ s ~` (2a1 v _!~i l2t! 1251 DaYS<a+Slte f20) Sute Waste Code 1191 1 ACETYLENE ACETYLENE 7486.2 PRESSURIZE 727 <10 8.76 365 2 ANTIFREEZE EHYLENEG 707211 PLASTIC DR 110 1 110 366 3 ARGON ARGON PRESSURIZED CYLINDER 365 4 ARGON/CARBON DIOXIDE ARGOWCAR BON DIOXIDE PRESSURZED CYLINDER 365 5 BATTERIES BATTERIES 7664919 OTHER 600 300 50 8500 365 6 BLAST AWAY DETERGENT SURFACT 8018459 ~ NON-METALLIC DRUM 365 7 BLUE MAGIC DETERG ENT SURFACTAN T BLEND NON-METALLIC DRUM 365 8 DIESEL BLEND OF 68476748 UST 365 9 DURALITH GREASE PETROLEU 84747884 METALLIC DRUM 365 10 EXXON BUSGAURD C NG OIL LURICATING OIL STEEL DRU 55 2 55 11 GASOLINE BLEND OF 8006619 UST 700 765 70000 ~ 365 12 HYDRAULIC OIL BLEND OF 84742525 - METALLIC DRUM 385 13 INSTAPAK A POLYM 101688 PLASTIC CONTAINER 365 14 INSTAPAK B ~ POLYM SBB75 PLASTIC CO NTAINER 365 15 JE7 ENGINE OIL II BLEND OF HYDROCARBO N ~ METAL CAN 365 18 JET HYDRAULIC OIL SKYDROL LD-4 METAL CAN 365 17 LUBRICANT ~ PETROLEU 64741884 METALLIC D 55 <7 55 365 18 MOTOR OIL BLEND OF MIXTURE - METALLIC D 250 <25 450 365 19 NITROGEN NTROGEN 7727378 PRESSURIZED CYLINDER 365 20 OXYGEN OXYGEN 7782447 PRESSURIZE 154 70 125 385 27 PARTS CLEANER MINERAL SP 8052413 METALLIC DRUM 365 22 PROPANE PROPANE PRESSURZED CYLINDER 365 23 SHELL OMALA 680 BLEND OF HYDROCARBON METALLIC DRUM 365 24 SHELL TURBO 220 BLEND OF HYDROCARBON METALLIC DRUM 365 25 TRANSMISSION OIL BLEND OF HYDROCARBO N METALLIC D 65 <5 55 365 26 7UNG OIL NNG OIL METALLIC DRUM 365 27 VW DETERGENT SURFACTAN T BLEND NON-METAL LIC DRUM 365 28 GEAR OIL METALLIC D 55 1 55 365 29 COMPRESSED NATUR AL GAS 365 30 385 32 365 33 34 W7 UBED ANTIFREEZE 968 3 968 1760 365 342 W2 USED BATTERIES 365 W3 USED OIL 7875 4 1875 8250 385 221 W4 USED JET OIL ~ 365 W5 USED PARTS WASHER (Alkotal 365 W6 USED BRAKE CLEANE R/FLUID - 365 W7 USED OIL FILTER 365 WB PAINT WASTE W9 ALKALINE BATTERIES W[0 MISC 900 VARIES 500 2306 365 W71 W12 W (~ Q V v O m m a7 O Q L!) V m m r- m tD m v J T~ 'V m 117 m N cv 1s, .; 5ignifiCan2 Material on Site Earl ~Y Os~l eunouas to a 1 ~K-~1't-~ ~ t E ~-1~ 2 3 4 5 6 7 8 9 10 11 12 13 14 75 K .Copiunen Mamo (4) .. ~CFrerilic~ll dame (6) .. CAS @ (S8) HfAXS. A hlanufactwe CtiGNta) : - I.neatioa~ tS) t6ap i! {8) Grid a3 (7) T:ontaiinneM ~letharJ.tTyya ~ ~uentiliesl:': Ihtyc.0aiiy A {~) Umils.{27}, ~)S.~'i'a110ms Ave Daly fool (2d) A13x3n ; '(Y~ Vessrd (2T). MYaale FYear {~) Days on Stla }ZO) ,1 ACfIY[~NE ACE?YLENE - 74-~J5-2 r~ b~'} ~`t S~~P PAt~SUR2ED CYLItJD:F i Z L C U r~ ~ Z, ~ 3 f5 2 kF)i{FRE>:ZF EHYiENEGLYCO~ tC721T ~ES ~j~d{~ ~ ~ ~f11.- 1 ~0 35b 3 ARGOtd D.R00:7 ~ ~ PFcFSSUF.IZ~6CIUNDER ~5 4 AR(~M:C:ART30.V DIOxID_ ARGON!"„ASh3~N IXOXfilE ~/ ,, L ice/ L~~ ~ ~ PRESSVRI~O CYLINR.:A U 1 Q -\ 9&5 LiAT1ERiE5 Bt~rTi'RIES 7o5GB39 GS ~~Il~ e 5'(~'` OritER ~~ 6 8l?ST AWf.Y OEfE'RC~t77 $URFACT}Jii BLEt:J 47!6455 r.l~~ FICN•.A1EigLLIC DRLU.1 36S ? GLUE AtAGIC 0.=7E12GENi SUP.FRC7AIJT BLF?~)D SID tdf)Ni.SEfkI1RC DRUhS ~~ 8 OIESEi BLEND OFKYDROCARBOM 6&lid3d6 P.>!~ W^T 355 1? D'JRALXiii GREfSE Pr=TRDLEUM LUBRICatJT 6d74t864 N ~ 67ETAL! l^ DTUI~S 36; l0 GFSOIlNE BLE>t0 OF HYG:~CCFRBOiV BOO~6T9 U W r~k Fh2Tet' w •t UST 35b 1S HYDRkUllCCXi BLENDOFHYOFcOGAR£Dt: 6:7C2;:~75 ['~:~~ A1E'iALUCORUM ~5 T2 RISTAPAKk Fi1Y11EfHYLENE T9S69e ;J'O p1hSTI000H7A4t4ER ~r i5 INSiAPkKH POLYtAETHYLEtPE 569:5 ~ FLASi1000NrP.ItttR Sec 14 }Er ENuItiE OILII BLENDOFHYDROCARr'fDN, O bSE7AL CA`J ;,6c 75 .I-THYDRAiJ_iCOIL ~ S.rYDR71 LD-a ;O fdETP.I CAN ~ t6 LUSRICRNf FE7RCLEUAILU3Rt~ANi 64i4i834 +~ /7. WaE11'!<7f A SCOT -AETSyLIC DRUV. ~`j (y(~lr r' ~7 3S5 17 IA070ROIL BLENDO.~HYOf7tJGARa~R hStk11lRc ~~ ~~ ~C~ A1ET'ALLI" rA~UA1 `d.~j~ ~L ~ 3g5 78 NIrROG_A NITROGEN 772?37fr Mf+7 - PRESSU4lZEOCYi1HGE'1 3„~j- 19 OXYGEN O7CYCiY 1762447 c) T ~ Q~'~" OP ~ PRESS:1R12EOCYURDEP. ` 1~~ CU F'r ~.5~ j$c 29 PARTS~EANEA b1U[c72FL SPIRITS 89574.5 tJ,fJ MEPaLU" ORUL1 ?,~ el PROPANE PROPANE 1~~ PZESa^U.RIZEOCYUMDET2 335 22 SHEIi OMASJa869 BLEND OF h'Y4IROCARBOfJ CIO IdEIxLUC DAUlA 56'5 29 SK4L TURBO 710 61EtJ00: H)'OhYJ;.,kR6D`2 -W k h1E7ALLl^ DRUII ;~ 2d TRANS-SISS+CIV IXL BLEtID OF HYGt30CARBON y V •7 L~ titT~ U.£TALLIC DRUt! l., S 315 zs ruNC aL Tu»,: o_ 1L ~ >,1ESALLIC G4U/A ~g ~ W~`DEIERGENi SURFaC7ANTBLE!+D NON1dETD.LU~ DTN.IS gvg z7 GFkR a_ `{~~ ~~ ~ S"r wL. ~;;. 2s CotiPRCSSED ltv.TURAt c~S rii c2 ~~ `e9 .12 ~L - ~tiZ. ~ ~ / ~r.roTas tie L 395 3~ 361 31 350' fir, i 34 3?.~ ~5 v.'1 Us^EDxR'TIFRcF2f 1~ 4 d o c. t o ~, K? USED GATTERIES 22 ~bJ { ss >n~ USEDOIL >5 SLR' . a c~~c, a.. _ ass ,•~d I,srD,leTaL sup; ass UNIFIED PROGRAM CONSOLIDATED FORM TANKS UNDERGROUND STORAGE TANKS -TANK PAGE 2 Pa a of VI FIPINCs'CONS`RTJCTIONfC'heekall'tltataPF1Y) UNDERGROUND PIPING ABOVEGROUND PIPING SYSTEM TYPE ®1. PRESSURE ^ 2. SUCTION ^ 3. GRAVITY 458. ^ 1. PRESSURE ^ 2. SUCTION ^ 3. GRAVITY 459. CONSTRUCTION/ ^ 1. SINGLE WALL ^ 3. LINED TRENCH ^ 99. OTHER 460. ^ 1. SINGLE WALL ^ 95. UNKNOWN 462. MANUFACTURER ®2 DOUBLE WALL ^ 95. UNKNOWN ^ 2. DOUBLE WALL ^ 99. OTHER MANUFACTURER 461. MANUFACTURER 463. ^ 1. BARE STEEL ^ 6. FRP COMPATIBLE W/]00%METHANOL ^ 1. BARE STEEL ^ 6. FRP COMPATIBLE W/100% METHANOL ^ 2. STAINLESS STEEL ^ 7. GALVANIZED STEEL ^ 2. STAINLESS STEEL ^ 7. GALVANIZED STEEL ^ 3. PLASTIC COMPATIBLE WITH CONTENTS ^ 95. UNKNOWN ^ 3. PLASTIC COMPATIBLE W/ CONTENTS ^ 8. FLEXIBLE (HOPE) ^ 99. OTHER ® 4. FIBERGLASS ^ 8. FLEXIBLE (HOPE) ^ 99. OTHER ^ 4. FIBERGLASS ^ 9. CATHODIC PROTECTION ^ 5. STEEL W/COATING ^ 9. CATHODIC PROTECTION 464. ^ 5. STEEL W/COATING ^ 95. UNKNOWN 465. ,:.: __ _ VII: ;EIPI~?G I:EAK. DE7'ECTIDN: (Checkall:ihat aunlvT (A descnnlsonofNe mo,utoane nrneram shalllse sut;nutted io:the7ooal aeertav.) SINGLE WALL PIPING 466. PRESSURIZED PIPING (Check all that apply): ^ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT-OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS. ^ 2. MONTHLY 0.2 GPH TEST ^ 3. ANNUAL INTEGRITY TEST (O.I GPH) CONVENTIONAL SUCTION SYSTEMS ^ 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL, PIPING INTEGRITY TEST (0.1 GPI SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): ^ 7. SELF MONITORING GRAVITY FLOW ^ 9. BIENNIAL INTEGRITY TEST (0. I GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) "~t . a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ® b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION ^c. NO AUTO PUMP SHUT OFF ~11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION ^ 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM ^ 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) ^ 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF AUDIBLE AND VISUAL ALARMS I ^ 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR RESTRICTION ^ 16. ANNUAL 1NT'EGRITY TEST (0.1 GPH) ^ 17. DAILY VISUAL CHECK > VIII. nrsr~NSr DISPENSER CONTAINMENT 468. ^ 1. FLOAT MECHANISM THAT SIIUTS DATE INSTALLED ^ 2. CONTINUOUS DISPENSER PAN SE SINGLE WALL PIPING 467. PRESSURIZED PIPING (Check all that apply): ^ 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUT OFF FOR LEAK, SYSTEM FAILURE, AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS. ^ 2. MONTHLY 0.2 GPH TEST ^ 3. ANNUAL INTEGRITY TEST (0.1 GPH) ^ 4. DAILY VISUAL CHECK CONVENTIONAL SUCTION SYSTEMS (Check all that apply) ^ 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM ^ 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): ^ 7. SELF MONITORING GRAVITY FLOW (Check all that apply): ^ 8. DAILY VISUAL MONITORING ^ 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): ]0. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) ^ a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ^ b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION ^c. NO AUTO PUMP SHUT OFF ^ 11. AUTOMATIC LEAK DETECTOR ^ 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM ^ 13. CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply) ^ 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUT OFF AUDIBLE AND VISUAL ALARMS ^ 15. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) ^ 16. ANNUAL INTEGRITY TEST (0.1 GPH) ^ 17. DAILY VISUAL CHECK ~ONTAINhIEN'f OFF SHEAR VALVE NSOR + AUDIBLE AND VISUAL ALARMS ® 3. CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FO DISPENSER + ht~l)~{,& m y c' T e i ^vd~€° 1.'K. OWN~R/OP~RATOIi SIGN.~TUI2E ~,`~"~g~/,t> I certify that the ittformationprovided herein is true and accurate to the best of my knowledge. SIGNATURE OF OWNER/OPERATO~? J DATE ~! ~G NAME OF OWNER/OPERATOR (p t): l __ .r.. _ _ ~ I TITT F ~F n!.?tINF_.R/OPER.9(Y'OF (Agency use Approved By (Agency use only) 474. UPCF hwfwrc-b (1/99) - 3/4 http://www.tmidocs.org ^ 4. DAILY VISUAL CHECK 469. ^ 5. TRENCL~ULINER MONITORING ~ R ^ 6. NONE ~~ 470. . ..___ 472. ~w!~~ .`hGIP. +. piraUon ate t+gency use o y 475. Rev. 02/16/00 • UNIIi~D PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION (une er rtuteriat r twildi a ^ADD ^DELETE ^REVISE ~ Page ~ ~f I. FACILITY INFORMATION `"+ BUSINESS NAME {Same as FACILITY NAME or DBA -Doing Business As) 3 United Parcel Service CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL ~ automotive shop EPCxA ® YES ^ NO °F y„~<:. <>:~.~ 1 MAPIt` (optional) ~ GRIDA` (optional) ~ FACILITY ID ~' .'~:w ' ~ ~< .,..~.,.. x,:- II. CHEMICAL INFORMATION CHEMICAL NAME ms TRADE SECRET ^ Yes ®No ~ If Subject to EPCRA, refer to inswctions COMMON NAME ~ EHS* ^ Yes ® No ~ Chevron Automatic Transmission Fluid Dexron III _ CAS# ~ *If EHS is "Yes", all amounts below must be in lbs. Mixture FIRE CODE HAZARD CLASSES.(Complete ifrequired by CUPA) 210 HAZARDOUS MATERIAL 211 TYPE {Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE RADIOACTIVE ^ Yes ®No 212 CURIES 213 PHYSICAL STATE zt4 (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS LARGEST CONTAINER 55. 215 FED HAZARD CATEGORIES 216 (Check all that appty) ^ a. FIRE ^ b. REACTIVE C c. PRESSURE RELEASE ^ d. ACUTE HEALTH D e. CHRONIC HEALTH MOUNT zti IL AVERAGE AILY AMOUNT 21g MA U ANNUAL WASTE AMOUNT z19 STATE WASTE CODE ~ ~ ~ ~ ~ UN1TS* ®a. GALLONS gl b. CUBIC FEET ^ c. POUNDS ^ d. TONS 221 ' DAYS ON SITE: 365 ~ (3teck one item onl) # If EHS, amount must be in nds. STORAGE _ CONTAINER ^ a. ABOVE .GROUND TANK _^ e. PLASTIC/NONMETALLIC DRUM I^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ~^ ti. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ® d. STEEL DRUM ^ h. S1L0 ^ L CYLINDER ^ p. TANK WAGON ~. . STORAGE. PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ ¢. BELOW AMBIENT 224 STDRA(3E TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC zzs %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS ~ i > 80 ~ lubricating base oil 2n ^ Yes ^ No ng zz9 2 ~ distillates, hydrotreated heavy paraffinic z31 ^ Yes ^ No. 232 64742547 z3i 3 ~ solvent dewaxed heavy paraffinic 235 ^ Yes ^ No z~ 64742650 2~1 4 ~ hydrotreated light parafftnic 23v ^ Yes ^ No 2ao 64742558 eat s zaz solvent dewaxed light paraffinic gas ^ Yes ^ No xaa 64742569 gas ar o.ure v~+ruvvs a..upwcurs ars prsreu~ ^~ grea~sr wau ago v~ wagur a um-cxavogeiue, or v.i~u o7 wugac u cucmogeax, aaacu aaamooL sveess a paper eapiurwg ax requucu uu~.nw~+w. LOCALLY COLLECTED INFORMATION UPCF (1/99) 6 OES Form 2731 ', . UNIFIED PROGRAM CONSOLIDATED FORM I#AZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cxE~cAL DESCU~PTTOrr - oa er material boil or area) []ADD ^DELETE ~tEVISE 200 Pagef""~ of. -- 1 I. FACILITY INFORMATION -- BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ,. United Parcel Service _ CHEMICAL LOCATION ~ ~ ~• 201 CHEMICAL LOCATION CONFIDENTIAL ~ Automotive Shop EPCRA ® YES ^ NO . x~..w. `-~'"= --~> _w :~°' 1 MAPM (optional) ~ GRx>~ (optional) 204 FACILITY ID~1 II. CHEMICAL INFORMATTON CHEMICAL NAME ~ TRADE SECRET ^ Yes ®No ~ If Subject to fiPCRA, tefa a instructions COMMON NAME 2°' Exs* ®Yes ^ No ~ Delco lead acid Batteries CAS# ~ *If EHS is "Yes", all amounts below must be in lbs. 7664939 FIRE CODE HAZARD CLASSES (Complete if required by CuPA) -- 210 HAZARDOUS MATERIAL 211 TYPE (Check one item only) ®a. PURE ^ b. MIXTURE ^ c. WASTE RAD)OAGTIVE ^ Yes ®No 212 CURIES 213 PHYSICAL STATE (Check one item only) ® a. SOLID ^ b. LIQUID ^ c. GAS 21a LARGEST CONTAINER 50 215 FED HAZARD CATEGORIES 216 (Check all that apply] ®a EIRE ®b. REACTIVE ^ c. PRESSURE RELEASE ®d. ACUTE HEALTH ^ e. CHROMC HEALTH AVERAGE DAILY AMOUNT zn MAXIMUM DAILY AMOUNT 2l8 ANNUAL WASTE AMOUNT 219 S'T'ATE WASTE CODE 2m 300 6~ ~~ UNrI'S* ^ a. GALLONS ^ b. CUBIC FEET' ®c. POUNDS ^ d. TONS z21 DAYS ON SITE: 365 ~ Chock one item on) * If EHS, amount must be in ounds. STORAGE _ _ _.-... . CONTAINER ^ a. ABO.YE GROUND TANK ^ e. PCASTICMONMEfALLIC DRUM .^ i. FIBER.D[tUM ^ m: GLASSBOTTLE ^ q. RAILCAR . ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ®t. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ 1. CYLINDER ^ p. TANK WAGON y3 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ?24 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ C. BI7.OW AMBII~IT ^ d. CRYOGENIC 225 9bWT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS fl 1 zzb liquid content-acid z27 ®. Yes ^ No zzs 7664939 229 2 ~ plate content-lead ~1 ®Yes p No z32 7439921 x33 3 234 235 ^ Yes ^ NO 236 237 4 236 239 ^ Yes ^ No zao gal S zaz 2a3 ^ Yes ^ No zaa gas u more h+traroaos eomPontnls are present at pater than 1% b~ wei6ht r<nop-rarciaogenic, or 0.1% b~ wdght if cardaogen(c, attach addil3oual sheets of paper capluring the regnlrM ldormatlon. ' ADDTfIONAL LOCALLY COLLECTED INFORMATION UPCF (1/99) OES Form 2731 ~ ._ UNIFIED PROGRAM CONSOLIDATED FORM tore material r huildl or area) ^ADD 7ELETE ^REVISE zoo Page_ `ot_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As} 3 United Parcel Service CHEMICAL LOCATION m1 CHEMICAL LOCATION CONFIDENTIAL ~ automotive shop ~~ ®YES ^. NO ILITY ID FA r ~zz ~; ~ ~ ' `-~~.~~~ ~; 1 MAPdI (optional) 203 GRID1/ (optional) ~ > C . ~ < ;sv~,; ~~<. ~ N ~_ II. CHEMICAL INFORMATION CHEMICAL NAME ~ TRADE SECRET ^Yes ®No ~ acct lene ~ If Subject to El'CRA, refer to ittswctions COMMON NAME ~ EHS* ®Yes ^ No ~ ace ]ene cAS~ ~ *If EHS is "Yes", all amounts below must be in Ibs. 74862 FIRE CODE HAZARD CLASSES (Cotr~pkte if required by CUPA) - 210 - HAZARDOUS MATERIAL TYPE (Check one item only) ®a. PURE ^ b. MIXTURE ^ c. WASTE 211 RADIOACTIVE ^Yes ®No zlz CURIES zu PHYSICAL STATE (Check one item only) ^ a. SOLID ^ b. LIQUID ®c. GAS 214 / LARGEST CONTAINER 8.76 ~It.~/KJU~ ` 215 FED HAZARD CATEGORIES z16 (Check all that apply) ®a- FIRE ^ b. REACTIVE ® c. PRESSURE RELEASE ®d. ACUTE HEALTH ^ e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2I7 MAXIMUM DAILY AMOUNT ?18 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 2N1 ~~~ ~z~ UNITS' ^ a. GALLONS ~ b. CUBIC FEET ~ c. POUNDS ^ d. TONS ZZi DAXS ON STTB: 365 222 Check one item o ) * If EHS, amount must be in a33nds. STORAGE _ _,.__.___.__-- CONTAINER ^ a. ABOVE GROUND T. ANK. 0-e. PIASTICII~IONME'TALLIC.DRUM _^ i~ FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR _ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d, STEEL DRUM ^ h. SILO ®l. CYLINDER ^ p. TANK WAGON y3 STORAGE PRESSURE ^ a. AMBIENT ~b. ABOVE AMBIENT ^ c. BELOW AMBIENT ~ 22d STORAGE TEMPERATURE ®a. AMBIENT . ^ b. ABOVE AMBIENT ^ c BELOW AMBIENT ^ d. CRYOGENIC Zu %WT HAZARDOUS COMPONENT (For mixture or waste olily) EHS CAS ~ i 95-99 ~ acetylene m ®Yes ^ No zzs 74862 229' 2' ~ acetone z31 ®Yes ^ No z32 6764E z;3 3 23a 235 ^Yes ^ No 236 z37 4 23s z39 ^Yes ^ No 2ao zai S 2az 243 ^Yes ^ No z44 2es 3t mtaro Luardous eamponeats are present of pester Ilan 1% by might B nootaiclaogettic, or 0.1 % by height V carciaogeak, attach additional sleets of paper tapturing the regnSred informWioo. ADDITIONAL LOCALLY COLLECTED MFORMATION UPCF (1/99) HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cI~MICAL nESCRIrT~oN 6 OES Form 2731 ' UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS. INVENTORY - cxEMicA1 nESCRrnTiort ' (ati matcrial r buildi a area ^ADD ELETE ^REVISE 20Q Page of. I. FACILITY INFORMATION BUSINESS NAME (Same as FACILTI'Y NAME or DBA -Doing Business As) 3 United Parcel Service ~ - CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL ~ automotive shop EPCRA ® YES ^ NO %- ~` ~ #F :mss%'`: ~, ~ " 1 MAP!{ twtio~ul> ~ GRID# (optional) ~ FACILITY ID // ~~;s, :. ~~ . . , . ~~_ :~::<k II. CHEMICAL INFORMATION CHEMICAL NAME ~ TRADE SECRET ^ Yes ®No ~ ox en If Subject to EI'CRA, refer to itawcuores COMMON NAME 207 EHS= ^ Yes ®No ~ ox en CAS# ~ *If EHS is "Yes", all amounts below must be in ]bs. 7782~,~ FIRE CODE HAZARD CLASSES (Cortiptete it required by CUPA) 210 IiAZARDOUS MATERIAL TYPE (Check one item only) ®a. PURE ^ b. MIXTURE ^ c. WASTE itt RADIOACTIVE ^ Yes ®No zt2 CURIES 2t3 PHYSICAL STATE (Check one item only) ^ a. SOLID ^ b. LIQUID ®c. GAS 214 LARGEST CONTAINER 125 2t5 FED HAZARD CATEGORIES ~ 216 (Chedt all that apply) ®a. FIRE ^ b. REACTIVE ®c. PRESSURE RELEASE ^ d. ACUTE HEALTH ® e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 21'1 MAXIMUM DA IL Y AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 2211 y ' i 22t DAYS ON SITE: 222 UNTrS= ^ a. GALLANS ®b. CUBIC FEET ^ c. POUNDS ^-d. TONS 365 Cbeck wre item onl) _ >f EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVE GROUND TANK ^e.-PLASTIC/NONMETALLIC.DRUM . ^ is-FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAILCAR __.. . b. I7NDERGROtJND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK HVSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ b. SILO ®L CYLINDER ^ p. TANK WAGON ~3 STORAGE PRESSURE U' a. AMBIENT ~b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c BELOW AMBIENT ^ d. CRYOGENIC 2zs . 9bWT HAZARDOUS COMPONEIV'I' (For mixture or waste only) EHS CAS ~ 1 2z6, 2rl ^ Yes [] No 228 229 2 230 23I ^ Yes ^ No 232 233 3 234 235 ^ Yes ^ NO 236 137 4 238 239 ^ Yes ^ No 240 241 $ 242 243 ^ Yes ^ No 244 2es Y rnat'e OaiaCnalK Components Ice present at ~eatcr than 1% 6~ rreigLt K non-acclnogenic, or 0.1% 62 wcigyl if carcLageok, attaeb nnaitlo¢u sheets a papa capturing we rcgartta twa'mauan. t ADDITIONAL LOCALLY COLLECTED INFORMATION ~ LTI'CF (1199) r QES Form 2731 ~~ ~. UNff+TED PROGRAM CONSOLIDATED FORM HAZARDOUS TERIALS .HAZARDOUS MATERIALS INVENTORY - CHEIVIICaL vESCRirTroN (one a e rtnaterial r.buildin or area) ^ADD ^DELETE ^REVISE 20o Page, , of " I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As} 3 United Parcel Service CHEMICAL LOCATION tot CHEMICAL LOCATION CONPIDENTIAL ~ automotive shop EPCRA ® YES ^ NO ''-`~`"~' #."^" t MAP# (optional) ~ GRID# (optional) 204 FACILITY ID # - '~y '~~ : z x II. CHEMICAL INFORMATION CHEMICAL NAME 2os TRADE SECRET ^ Yes ®No ~ If Subject to &PCRA, refer to instrtxtions COMMON NAME ~ EHS* ^ Yes ®No 2os Mobil Lube 75W -90 CAS# ~ *If EHS is "Yes", all amounts below must be in lbs. Mixture FIRE CODE HAZARD CLASSES (Complete if required by CuPA) 210 HAZARDOUS MATERIAL TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE 211 RADIOACTIVE ^ Yes ®No 212 CURIES 213 PHYSICAL STATE (Check one Itetd only) ^ a. SOLID ®b. LIQUID ^ c. GAS 214 LARGEST CONTAINER 55 215 FED HAZARD CATEGORIES 216 (Check all that apply) ^ a. FIRE ^ b. REACTIVE ®c. PRESSURE RELEASE ^ d. ACUTE HEALTH ^ e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAX~Y AMOUNT 218 ANNUAL WASTE AMOUNT 2t9 STATE WASTE CODE ~ ~1 UNITS+ ®a. GALLONS ^ 6. CUBIC FEET ^ c. POUNDS ^ d. TONS ZZt DAYS ON SITE: ~ Check one item o + If EHS, amount ffatst be in ounds. 365 STORAGE CON2'AIN.E.R D.a ABOVE ,GRQUNI2 TANK ^-e:-PLAS-TIC/NONM$TALLIC DRUM [] I.--EIDER DRUM (gym. GLASS BOTTLE ^ q. RAIL CAR . ^ b. UNDBRGROUND TANK ^ f. CAN ~ ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY (] k. BOX ^ o. TOTE BIN ® d. STEEL DRUM ^ h. SHA ^ 1. CYLINDER ^ p. TANK WAGON , ~ STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ~ ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT . HAZARDOUS COMgONBNT (For mixture or waste otily) EHS CAS # t > 80 ~ lubricating base oil ~ ^ Yes ^ No 22s - 229 2 230 291 ^ Yes ^ NO 232 233 3 234 233 ^ Yes ^ No 236 237 ¢ 238 239 ^ Yes ^ No 240 2A1 3 2a2 243 ^ Yes ^ No 244 245 If mare hazardous etanponenis are present at greater than 1% byweight U nou-carcinogenic, or 0.1% by weight if carcinogwtc, attacL additional aluets of paper capturing the requ4td ln[orimatlon ADDITIONAL LOCALLY COLLECTED INFORMATION . ~ If EPCRA Please Si Her UPCF (1199) 6 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - c~lvucAL DESCRirTioly (otn a e er material r buildin or area) ®ADD ^DELBTE ^REVISB ~ Page of ' I. FACILITY INFORMATION BUSINESS NAME (Same as PACII.ITY NAME or DBA -Doing Business As)• 3 United Parcel Service CHEMICAL LOCATION 2A1 CHEMICAL LOCATION CONFIDENTIAL 2oz Automotive Shop ~~~`'` ' ® YES ^ NO w~~~<: ~sz}~~z f~`:. 1 MAP>Y uonal 2D3 GR1D# o tional ~ FACILITY ID >Y ,f€ ~ ~` ,rte II. CHEMICAL INFORMATION . CHEMICAL NAME ~ TRADE SECRET ^Yes ®No ~ ~ If Subject Io EPCRA, refer m instnicGons COMMON NAME ~ ~ EHS* ®Yes ^ No Waste Anti-freeze CAS!{ ~ *If EHS is "Yes", all amounts below must be in lbs. NlA FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL 211 TYPE (Check one item only) ^ a. PURE ^ b. MIXTURE ®c. WASTE RADIOACTIVE ^Yes ®No 212 213 CURIES PHYSICAL STATE 21a (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS 215 LARGEST CONTAINER 968 Fl.b HAZARD CA'T'EGORIES 216 (Check all that apply) ®a• FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d_ ACUTE HEALTH ® e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 21'1 MAXIMUM DAILY AMOUNT 21s ANNUAL WASTE AMOUNT 219 STATfi WASTE CODE ~ 3 968 1760 342 UNTTS* ^ a. GALLONS ^ b. C[TBIC FEET ®c. POUNDS ^ d. TONS 221 DAYS ON SITE: ~ 365 Qtt:ck one item o * tf EHS, atnounc tttust be in ounds. STORAGE _ CONTALN)It ^.a, ABOVE. G120UND TANK ®e. PLASTIC/NONMETALLIC DRUM [] is FIBER DRUM .^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ L CYLINDER ^ p. TANK WAGON y~3 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 21A STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT '^ G BELOW AMBIENT ^ d. CRYOGEMC zzs %W'1' HAZARDOUS COMPONi3NT (For mixture or Waste only) LHS CAS # 1 50 ~ ethylene 227 ®Yes ^ No x2s 75-85-1 ~ 2 230 231 ^Yes ^ NO 232 233 3 234 235 ^Yes ^ No .xis 237 4 238 239 ^Yes ^ NO ?AO 2a1 5 za2 u3 ^Yes ^ No aaa gas trmae lauatdmn oompaaeota are pt~esent at gater than 1% b1 weigh 1! ¢m•cucinogmle, or 0.196 67 weight if carctmogen6e, attach sddttlanal slxda ul F~ ~P~~S t6e regatred Intoamattoe. I IwnrrloNAL LOCALLY COLLECTED INFORMATION MAXIMUM DAILY AMOUNT CONVERTED TO FOUNDS: 968 UPCF {1199) 6 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION _ , _ (ane a e ei material r buildn or area) ^ADD ^DELETE ^REVISE ~ Fage r of _' " I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 United Parcel Service CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL ~ alitolzlotive shop EPCRA ® YES ^ NO ~ ~~~ ~<~ ; 1 MAP/>' (optionap 203 GRID1/ (optionap 204 PACILITY ID /l ,4, . fy~ ~ ~;. II. CHEMICAL INFORMATION CHEMICAL NAME ~ TRADE SECRET ^ Yes ®No ~ lubricatin 011 If Subject to EYC1tA, refer to iasWCtions COMMON NAME 20'1 E~* ^ Yes ®No 2oa Exxon Bus curd CNG oil CASH ~ *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 219 HAZARDOUS MATERIAL 211 TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE RADIOACTIVE ^ Yes ®No 212 CURIES 213 PHYSICAL STATE 214 (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS LARGEST CONTAINER 55 215 FED HAZARD CATEGORIES 216 (Check alt that apply) ®a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 2 55 UNIT5* ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 221 DAYS ON SITE: ~ Check one item 6nl) * If EHS, amtwnt must be in ounds. 365 -STORAGE _ _ -- _. CONTAINER ^ a. ABOVE GROUND TANK [] e: PLASTICINONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSB7E BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ® d. STEEL DRUM ^ h. SILO ^ 1. CYLINDER ^ p. TANK WAGON ~ STORAGE PRESSURE ®a AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ?lA STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c, BELOW AMBIENT ^ d. CRYOGENIC 225 %WT HA7~RDOUS COMPOPIENT (For mixture or waste otily) EHS CAS # 1 226 227 ^ Yes ^ NO 228 229 2 230 231 ^ Yes ^ No 232 233 3 234 23s ^ Yes ^ NO 2.36 237 4 23s z39 ^ Yes ^ No 240 241 5 242 1A3 ^ Yes ^ No 2A4 2ts It more hazardous components aro present at grcater than 1% by weight ifnon-carciuogeutc, or 0.1% by weight if earchwgenk, atfach add'4imal sbeeta o[ papa capturing the regidred inroimadon. ADDITIONAL LOCALLY COLLECTED INPORMATION ~ If EPCRA Please S' n Here UPCF (1/99) 6 OES Form 2731 ... _ UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cI~MICAL nESCRIPTioN (one a er material r buildn or area) ^ADD ^DELETE ^12EVLSE ~ Page ` of~ I: FACILITY INFORMATION BUSINESS NAME (Same as FACILTfY NAME or DBA -Doing Business As) 3 United Parcel Service CHEMICAL LOCATION 2D1 CHEMICAL LOCATION CONFIDENTIAL ~ fuel island EPCRA ® YES ^ NO ~:: <~~y`~; 1 MAP/f (optional) ~ GRID// (optionap 204 PACILTTY ID N O i 7 ~~: ~:: 2 0 0 0 1 '~3 9 4 7 4 y~ : II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRAD$ SECRET ^Yes ®No ~ blend Gf h droearbon If Subject to EPCRA, refer to instrvctions COMMON NAME ~ ~ EHS* ®Yes ^ No asoline CASX ~ *If EHS is "Yes", all amounts below must be in lbs. 8006619 FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE 211 RADIOACTIVE ^Yes ®No 212 213 CURIES PHYSICAL STATE (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS 21a 215 LARGEST CONTAINER 10,000 FED HAZARD CATEGORIES 216 (Check all that apply) ® a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 21a ANNUAL WASTE AMOUNT 219 STATE WASTE CODE ~ 165 700 ~'i DAYS ON SITE: ~ UNITS• ®a. GALLONS . ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365 Check one item o • If EHS, amount must be 1n ounds. STORAGE _ .... _..._ . CONTAINER ^ a. ABOVE GROUND TANK D e. PLASTIC/NONMETALLIC DRUM . ^ i. hIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ~ b. UNDERGROUND TANK ^ L CAN ^ j. BAG ^ n. PLASTIC BOTTLE ®r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ 1. CYLINDER ^ p. TANK WAGON ~ STORAGE PRESSURE ®a. AMBIENT ^ b. AEOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ a BELOW AMBIENT ^ d. CRYOGENIC 225 CWT IiAZARDOU& COMPUNENT (For mixture or waste only) EIIS Ct1S # 1 85, 95 ~ hydroearbon/gasoline ~ ®Yes ^ No z2s 8006619 r29 2 <5 z3o benzene 231 ®Yes ^ No z3z 71432 ?33 3 <25 ~ Toluene z35 ®Yes p No 236 18883 z37 4 z3a Xylene z39 ®Yes ^ No uo 2at 5 242 ~ 243 ^.Yes ^ No 2A4 245 T<more hazardous eomponents are present st greater than 196 by vretghi if genic, or 0.1% by weight if careinogmic, attach additional sheets of papa eaptarhag tba regnlred imfozmatlow ADDITIONAL LOCALLY COLLECTED INPORMATION ~ __ _If BPC1tA. Please Sion Here UPCF (1/99) 6 OES Form 2731 '~ UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cHEMtcAL nESCiurrioN ' one a material r lxuWi a atea ^ADD ^DELETE iREVISE Zoo Pagc. ~ of I. FACII,I'I'Y INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 United,. Parcel Service ." . CHEMICAL LOCATION aBl CHEMICAL LOCATION CONFIDENTIAL ~ aUiOmOtlVe 51101) EPCRA ® YES ^ NO .~~M;~ ~~~" 1 MAP/i topeonal) ~ GRIDN (optional) z(N FACILITY ID N ~.~. v ~=~ t II. CHEMICAL INFORMATION CHEMICAL NAME ~ TRADE SECRET ^ Yes ®No ~ lubrieatin base oil ~ tt subjccr m srcRA, rcfcr to insWCtiom COMMON NAME zm Exs* :~ Yes ~ No ~ MobT7e SHC 50 s thetic cAS~ ~ *If EHS is "Yes', all amounts below. must t>e im Ibs. NIA FIRE CODE HAZARD CLASSES (Complete if.reyuired M Cupe) zto HAZARDOUS MATEWAL TYPE (Check one item Doty) ^ a. PURE ®b. MIXTURE ^ c. WASTE 211 RADIOACTIVE ^ Yes ®No zt2 CURIES 113 PHYSICAL STATE zla (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS LARGEST' CONTAINER 55 115 FED HAZARD CATEGORIES 216 (Check all tltat apply) ^ a. FIRE ^ b. I2EAC'rIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ^ e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MA7CIMUM DAILY AMOUNT Its ANNUAL WASTE AMOUNT 219 STATE WASTE CODE ~ c 1 JJ~ JNI7'S* ~ a. GALLONS ^ b. CUBIC FEET C. c: POUNDS ^ d. TONS z2t DAYS ON STTE_ 365 ~ 4~teck Doe item on) • If EHS, atnouat aaru be in Quads. iTORACE :ONTAINER [] a. ABOVE GROUNp TAME ^ e. PLASTIGNONMETALLICbRUM , i_F-7F3ER D Ri1M GIASSBOTTLE..,.....:-L1-q. RAILCAR- -- ® m. -" ---- - _ __- _ --. ^ b..'UND~IFG-ROUND_TANK ^ f:-CAN _...- _..-- ---- ~ j. BAG ~ n. PLASTIC BOTTI,~ ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ® d. STEEL DRUM ^ h. SILO ^ L CYLINDER ^ p. TANK WAGON ~ FORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 221 'ORAGE TEMAERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ e BELOW AMBIEZ`1T ^ d. CRYOGENIC 213 9bWT HAZARDOUS COMPONENT (Far mixture or waste only) EHS CAS < 15 zxs hydrotreated distillate rn ^ Yes ®No 1za 64742547 ~ < 15 ~ solvent 23I ^ Yes ~ No .232 64:742650. 233 > SS ~+ lubricating base oil 23s ^ Yes ®No 136 mixture ~ 23B ~ 139 ^ Yes (] No aao 14I 241 243 ^ Yes ^ HO 244 245 to aanraons campauentt are preseal tat gater than 1% ty wdgtd if marwcinogeaiy or Oa% M weght i(ea~inogeaie, attach addrttooal sheets d -~ caP~t the rM~ ~~,~ LOCALLY COLLECTED `F (1J99) OES Form 2731 UNII'IED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION (one c er maurial r buildin or area) ®ADD ^DELETE ^REVISB ~ Page of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) s United Parcel Service CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL ~ automotive shop EPCRA ® YES ^ NO -~'~-`. .~ 3` ~'4-: ~ 1 MAPS (optional) 203 (`iRID# (optional) 2~ FACII,TTY ID ~ , x-> . . II. CHEMICAL INFORMATION CHBMICAL NAMB ~ TRADE SECRET ^ Yes ®No 206 blend of h drocarbon If subject to EPCRA, refer ro inshvetiont COMMON NAME zm EHS* ^ Yes ®No ~ .Motor oil Chevron Delo 15-40 CAS# 209 *If EHS is "Yes', .all amounts below must be in ]bs. mixture FIRE CODE HAZARD CLASSES (Compleu if required by CUPA) 210 HAZARDOUS MATERIAL TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE 211 RADIOACTIVE ^ Yes ®No 2i2 213 CURIES PHYSICAL STATE (Check one item only) ^ a. SOLID ®b. LIQUID _ ^ c. GAS 214 21s LARGEST CONTAINER 450 FED HAZARD CATEGORIES 216 (Check all that apply) ®a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ^ e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE ~ _ ~ ~ ~ ~'~ 221 DAYS ON STfE: ~ UNTTS* ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365 Chedt one item o • If EIIS, amount must be in ounds. STORAGE _ _ ... _ - -. - _.. - ___ . -- --..~ __ . _ .__... -- _ --EON-TAINEI~ - -- :®-a: ~BtJVE-fiROUND"TrYTIIC-"-j]-e: Pt:P;STICINONM6TALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ b. SILO ^ I. CYI.IIdDER ^ p. TANK WAGON 713 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 22f STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ G BELOW AMBIENT ^ d. CRYOGENIC 225 961NT HAZARDOUS COMPONENT (For ritixtiire or waste only) EHS CAS # 1 226 refined petroleum distillates 2z1 ^ Yes ®No 22s mixture 229 2 230 base oil! additives 2s1 ^ Yes ®No z3z 64741884 ~ 3 234 zinc alkyl dithrophosphate z1s ^ Yes ®No 236 68649423 2~ 4 zee hexane 239 ^ Yes ®~ No 240 110543 241 S 2A2 243 ^ Yes ^ No 244 7As ulnoee hatarrtons eamponeals are present at gater than 196 bl weight if a~, or Ql% M weight I(carainogcniic, attach addgianal ahem a[ paper eapturh~ the regntred information. I ADDITIONAL LOCALLY COLLECTED INFORMATION UPCF (1199) W Please Si Here OES Form 2731 ._ -; . UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MA.'I`ERL4LS HAZARDOUS MATERIALS INVENTORY - c~MICAL DESCRirTlorl (one material r t»Llai or area QADD ^DELETE ^REVISE ~ Page ofI I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Unitt,d ParcP,l,~--,°rvi.~e, ~ CH$I4IICAL LOCATION ~ ~ 20l CHEMICAL LOCATION CONFIDENT'IAL ~ Automotive Shop EPCRA ® YES ^ NO £<..-: ~ >~;s: ~ MAP# (wb~al) ~ GRID# (~~ 20a FACILITY ID # <; ~ ~ *x%= II. CHEMICAL INFORMATION CHEMICAL NAME ~ TRADE SECRET ^ Yes ®No ~ Eth lene Gl col a sut,;at 1a EpCxA, refer to instructiotu COMMON NAME ~ EHS* ^ Yes ®No ~ Anti-freeze cAS# ~ *If EHS is "Yes", all amatnts below must be in Ibs. 107211 FIRE CODE HAZARD CLASSES (Coaglcte if regeircd 6Y NPA) 210 HAZARDOUS MATERIAL TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE 211 RADIOACTIVE ^ Yes ®No 212 CURIES 213 PIIYS[CAL STATE (Check ate item only) ^ a. SOLID ®b. LIQUID ^ c. GAS 21a LARGEST CONTAINER 110 215 FED HAZARD CATEGORIES zt6 (Check all that apply) ^ a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ~ d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 21& ANNUAL WASTE AMOUNT zt9 STATE WASTE CODE 220 1 110 221 DAYS ON SITE: ~ UN1TS* ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365 'Check art: item + If EHS, atnutlnt must be in twrds. irORAGE ~NTAlNER ^ a. ABOVE GROUND TANK. ~) e. PLASTiC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAILCAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j: BAG ^ n. PI,ASTTC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO Q L CYLINDER ^ p. TANK WAGON ~ TOIdAGE PRESSURE ®a AMBIENT ^ b. ABOVE AMBIENT ^ e. BELOW AMBIENT 22a TORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CIEYOGENIC 22S 96WT HAZARDOUS COMPONENT {Far mixture or waste only) EHS CAS # 8.i`-~5 ~ Ethylene Glycol m ^ Yes ®No z2s 107211 ~ <5 ~ diethylene glycol z3I D Yes ®No xsz 111466 ~ <5 ~ hydrated inorganic acid, sodium salt z3s O Yes ®No 2)s proprietary ~'- <S ~ , water 239 ^ Yes ®No 2ao 7732185 gal za2 2a3 ^ Yes ^ No ua 2as Dare bmrdaa eamponenb art present at pester than 196 b~ wdgbt it naotateiootenic, or 0.196 b7 wetgpt td nrcbaostofc, attach addtlanal sheds at paper capfnritq the requ6ed lntamMiao. lD1TI0NAL LOCALLY COLLECTED INFORMATION ~ If EPCacn rlease Si Here ?CF (1/99) 6 ~ OES Form 2731 UNII'IED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - c~NUCaL nESCRIrTION (one a e ertnaterial rbuildin or area) •^ADD ^DELETE ^REVISE ~ Page,•' o~ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILI'T'Y NAME or DBA -Doing Business As) 3 United Parcel Service CHEMICAL LOCATION 20l CHEMICAL LOCATION CONPIDENTIAL ~ behind wash tunnel EPCRA ® YES ^ NO ~:~%.ii ~~`'~"" >~ ::.:' ~~y"' t MAPi<// (optional) 203 GRID// (optional) 204 FACILITY ID ii r ~h ` ~::: $~:- .: ~„. II. CHEMICAL INFORMATION CHEMICAL NAME ~ TRADE SECRBT ^ Yes ®No ~ If Subject to BPCRA, refer to instructions COMMON NAME ~ EHS* ^ Yes ~ No ~ misc. acka a enerated wastes lab ack hazardous waste drum CASE/ ~ *Tf EHS is "Yes", all amounts below must be in lbs. FIRE CODE IiAZARD CLASSES (Complete if required by CuPA) 210 HAZARDOUS MATERIAL 21t TYPE (Check one item only) ^ a. PURE ^ b. MIXTURE ®c. WASTE ' RADIOACTIVE ^ Yes ®No 21z CURIES 213 PHYSICAL STATE 214 (Check one item only) ®a. SOLID ^ b. LIQUID ^ c. GAS LARGEST CONTAINER S00 215 FED HAZARD CATEGORIES ztc (Check all drat apply) ®a. FIRE ®b. REACTIVE ^ c. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2t7 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 2t9 STATE WASTE CODE 220 varies 900 2306 varies 221 DAYS ON SITE: ~ UNITS' ^ a. GALLONS ^ b. CUBIC FEET ®c. POUNDS ^ d. TONS 365 Check one item onl • If EHS amount must be in ounds. STORAGE CONTAINER ^ a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i, FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAILCAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ® d. STEEL DRUM ^ b. SILO ^ 1. CYLINDER ^ p. TANK WAGON 2y3 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 ~ WT .HAZARDOUS COMPONENT {For mixture or waste only) HHS CAS /t 1 ~ mixture will vary ~ ^ Yes ^ No 22s 229 2 230 23t ^ Yes ^ No 232 z33 3 234 235 ^ Yes ^ NO 236 237 4 23e 239 ^ Yes ^ No 2ao ut 5 2t2 243 ^ Yes ^ No 2A4 gas U more hazardous components are present at greater Wan 1% by weight U non-carciaogmie, or 0.1% b~ weight it carr~geaic, attach addltltwal sheets ~ papa capturing the required intormatlon. ADDITIONAL LOCALLY COLLECTED INFORMATION ~ i If EPCRA Please S' Here UPCF (1/99) 6 OES Form 2731 UNII+'IED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZ.AR.DOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION (one r material r buildi or area) ADD ^DELETE ^REVISE ~ Page _ ~ _ of I. FACILITI' INFORMATION BUSWESS NAME (Same as FACII.ITY NAME oz DBA -Doing Business As) 3 United Parcel Service CHEMICAL LOCATION ?Al CHEMICAL LOCATION CONFIDENTIAL ~ Automotive Shop EPCRA ^ YES ^ NO ~~pp~-:.?~ ~+rS~S~: ~.~. z««aa..;{ 1 MAP# (optional) ~ GRID# (optional) 204 FACILITY ID # _ A<; ' ~ v1r II. CHEMICAL INFORMATION CHEMICAL NAME ~ TRADE SECRET ^Yes ®No ~ ]f Subject to EPCRA, refer to instructions COMMON NAME 207 ~ EHS* ®Yes ^ No Waste Motor Oil CAS# ~ *If EHS is "Yes", all amounts below must be in lbs. N/A FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 Class 3B combustible HAZARDOUS MATERIAL 211 TYPE (Check one item only) ^ a. PURE ^ b. MIXTURE ®c. WASTE RADIOACTIVE ^Yes ®No 212 2t3 CURIES PHYSICAL STATE (Check one ittml only) ^ a. SOLID ®b. LIQUID ^ c. GAS 214 215 LARGEST CONTAINER 1875 FID HAZARD CATEGORIES 2t6 (Check atI that apply) ®a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE ~ 4 1875 8250 221 UIZITS• ^ a. GALLONS ^ b. CUBIC FEEL' ®c. POUNDS ^ d. TONS 221 DAYS ON SITE: ~ Check one item o • if EHS, amount must be in s. 365 STORAGE _ _ _ ,.. _ _. ._ .... CONTAINER ®a. ABOVE..GROUND TANK ^ e: PLASTTC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR , ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ . r. OTHER ^ c. TANK INSmE BUHDING ^ g. CARBOY ^ k. BOX ^.o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ L CYLINDER ^ p. TANK WAGON ~3 STORAGE PRESSURE ® a AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC z25 %WT HAZARDOUS COMPONENT (For mil~ture or waste only) EHS CAS I` 1 100 ~ waste oil zn ®Yes ^ No zza N/A ~ 2 z3o 231 ^Yes ^ No z32 233 3 234 gas ^Yes ^ NO 236 29'1 4 238 239 ^Yes ^ No 2to 241 S 2a2 ?A3 ^Yes ^ No 244 gas a. aaurn araaruvus wmpo~rnv are presets as greaur roan sx al rragas u ~uamgente, or wale ~ wagm rc caranogemr, attsca •aatttamu aneeta or paper saptming tae regttlrtu lnrormation. ~ LOCALLY UPCF (1199) OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION (one page per matcrial per building or area) ^ ADD ^ DELETE EVISE 200. Page _of I. FACILITY INFORMATION BUSINESS NAME iiSame as FACIL[T,y NAME or DBA -Doing Business As) ~,~/ 3. ' ' ~ ,~~ L~~,r~~~ r ~k ~ S rr~cr,'-- - ~K~~i~ L1~ CHEMICAL LOCATION 201. CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz. ^YES ^NO FACILITY [D # t:' 1. MAP # 203- GRID # zoa. /Agency Use Only) II. CHEMICAL INFORMATIO N zos. CHEMICAL NAME TRADE SECRET ^ Yes ~o z°6. ./ 1' ~l ~I (/~; S If Sulgoct to EPCRA, refer to instructions COMMON NAME zoo- ..//~A ~~ ~l~~r~ V~l,)0[,t S '{~ZAI~3J(S (.~)H'-Si ~ rFO~ .1~i'/rA.-~~ zoa. EHS` ^ Yes,~No CAS# ~ A~, zo9. ~*~~~+ ~ S ~ ~ ~1+T/ C~~ ~" ~~~ ~~ ~~" •If EHS is "Yes; 'all amounts below must be in lbs. 5 FIRE CODE HAZARD CLASSES (Compete if requ'ved by local agency) 2I0. HAZARDOUS MATERIAL ^ a. PURE ~b. MIXTURE ^ c. WASTE 211. k l RADIOACTIVE ^ Yes [~o z[z. 213. CURIES one item on y) TYPE (Chec PHYSICAL STATE (Check one item only) ~ a. SOLID ^ b. LIQUID ^ c. GAS 21a. 2 t5. LARGEST CONTAINER ~,S G%3ZLE~N~ S' FED HAZARD CATEGORIES 216. (Check all that apply) ~a. FIRE ~b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ^ e. CHRONIC HEALTH ERAGE DAILY AMOUNT 2f7. MAXIMUM DAILY AMOUNT zls. ANNUAL WASTE AMOUNT zlv. STATE WASTE, CODE 220. 221. ITS• ^ a. GALLONS ^ b. CUBIC FEET ~c. POUNDS ^ d TONS DAYS ON SITE zz2. ~ ; Check one item onl ~ If EHS, amount must be in ands. ' STORAGE CONTAINER ^ a. ABOVEGROUND TANK ^ e. PLASTICMONMETALLIC DRUM ^ i. FIBER DRUM ^ m GLASS BOTTLE ^ q. RAIL CAR ^ b: UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ~d. STEEL DRUM ^ h. SILO ^ L CYLINDER ^ p. TANK WAGON 223. STORAGE PRESSURE ^ a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224. STORAGE TEMPERATURE ^ a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225. WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 226. (/~'/~.~.~ , lull 71~ .F. GJf L t. V A~ ~ , 2z~. ^ Yes ^ No zza. z2v. 2. 230. 23t. ^ Yes ^ No 232. 233. 3, 234. 235. Yes ^ No 236. 237. 4. z3a. z3v. ^ Yes ^ No zao. 241. g. 2az. za3. ^ Yes ^ No zaa. gas. It more haardoas compoamts are present at greater than 1•/. Dy weight if rron-nrcSnogmk, or 0.1 •/. by weight it arciaogeaic, athc6 additional sheets of paper apturing the required ioforvtalioa ADDITIONAL LOCALLY COLLECTED MFORMATION za6. nOT Hazard Class: If EPCRA, Please Sign Here. UN-020UPCF - 7/15 www.unidocs.org Rev. 01/16/02 ~ry d. EMERGENCY RESPONSE PLAN --, ;, TABLE OF CONTENTS Section Policy I. Pre-Emergency Planning and Coordination With Outside Parties/Emergency Services Agreement II. UPS Leaking Package Response Procedure Site Security and Control III. Designated Responder Training IV. Non-Responder Training V. Decision Tree and Response Sheets VI. Decontamination Checklist VII. _ ... Chain of Command VIII. Health Surveillance/Medical Treatment IX. ~.-. Emergency Action Plan Appendices A. Emergency Evacuation Plan ~ I''E!-C,r~ ti'1 MA-(~ B. Emergency Evacuation Plan Pre-work Communication Meeting (PCM) C. Evacuation Drill Critique D. UPS Hazardous Materials/Emergency Response Training Roster {,~/~ `~~ ~~ S ~ T~, E. Hearing Impaired/Physically Challenged X. Response Critique and Follow-up XI. Personal Protective Equipment (PPE), and Response Supplies XII. Hazardous Material Spill Response/Disposal Procedures On-Road/Customer Locations XIII. Medical Waste Disposal Program ~1~~"~~ ~ l~ (Plant Engineering Manual 08A-161-i) I ~ _ _ ~... _ } i Revised January 2004 ~e~Harbo ~~~,.~. January 10, 200b Ms. Stacey Bryem Regional Environmental Coordinator United Parcel Service 25201 Paseo De Alicia Laguna Hills, CA 92653 Dear Ms. Byrem: Clean Harbors Environmental Services is providing this letter as confirmation that the corporate account agreement remains in place and that Clean Harbors continues to provide on demand emergency response services to United Parcel Service locations. Clean Harbors continues to maintain sufficient staff and all necessary equipment, materials and supplies necessary to meet your needs. Clean Harbors Account Managers and Field Services staff maintains routine contact with UPS locations in this region. Clean Harbors Emergency Response Contact Number (1-800-OILTANI~ remains unchanged and may be utilized 24 hours a day, 7 days per week. During business hours the number automatically routes the caller to the appropriate service center. After hours this number connects the caller with staffwho contacts the appropriate on call staff. Services provided to United Parcel Service in California are managed by the following Clean Harbors Service Centers: San Jose West Sacramento Los Angeles Long Beach Clean Harbors does anticipate the ability to provide emergency response services from our San Diego Service Center in the near future. Clean Harbors would like to take this opportunity to thank you for your business. Your business and the confidence you place in Clean Harbors are very important to us and greatly appreciated. We look forward to working with you and continuing to build a long term relationship. Sincerely, ~O.~StS~. ~~~ Kathleen M. Gordon Account Manager (909) 725-2588 "People and Technology Creating a Better Environment" UPS EMERGENCY RESPONSE PLAN DAMAGED PACKAGE PROCEDURE DESIGNATED RESPONDER ANNUAL CERTIFICATION Bakersfield CENTER 0181 / 0186 / 0191/ 0360 Vigil EHP CODE INSTRUCTOR 12/08/05 Social Security Number Employee Name Shift / Area Initial Date of Training (12 Hour) Annual Date of Training (4 Hour) Current Date of Medical Evaluation Respirator Training Type /Model Management 1033059 Bryan Pearson Preload 11/13/03 " 11!12/04, , 01/13/04 inactive 0029748 Gabe Duran Packa a 11/13/03 11/12/04, .: 11/17/03 inactive 0025922 Craig Hill Package 10/29/92 06/01 /05 06/08/04 Non -SCBA Facility Hourly 0026677 Lester S vague Preload 10/29/92 06/01 /05 06/15/04 Non -SCBA Facility Codes for EHP: 0181 -Respiratory Protection 0186 -Initial 12 Hour Training 0191 - 4 Hour Recertification 0360 -Damaged Materials Program The certification form must be maintained in Section III of the center's Emergency Response Plan Safety Manual Vo. XIV. (Blue Book) - ~. r, UPS EMERGENCE RESPONSE PLAN CHAIN OF COMMAND CENTER: BAKERSFIELD 8-Dec-05 AUTHORIZED TO EVACUATE THE FAC/LITYAND NOTIFY THE OUTSIDE RESPONDER f~AME ~, ,; ::`. ; . - 'SI1lO~V ? ,. , _ :` ~ BUS{N ~'SS P~HO, E, -:.. ~4M7= PHON~. ,.' .. 1 Kevin Casanova Division Manager 559 442-2920 559) 259-9444 2 Garrold Meeks Center Manager 661 326-8195 (661)345-0568 3 Dave Hallet Center Manager (661) 326-1595 661 343-6008 4 5 DESIGNATED RESPONDERS MANAGEMENT) N E ~!OSITtON,~„ ~ . ~ ~ CANTER! OPERATION;,; 1 B an Pearson Supervisor -Preload 9330 / Preload 2 Gabe Duran Supervisor -Package 9331 /Package 3 Craig Hill Supervisor -Package 9330 /Package 4 DESIGNATED RESPONDERS (HOURLY EMPLOYEES) NAME - '_' .. POSITION: , ~ CENTER I OPERATION 1 Lester Sprague A.M. Clerk 9331 / Preload 2 3 4 5 6 7 8 9 ARE THERE ANY OHER FED/STATE AGENCIES WITH WHICH EMERGENCY RESPONSE ACTIVITIES ARE COORDINATED? NAME OF AGENCY: 911 AGENCY CONTACT PERSON: 911 OUTSIDE RESPONDER: M P Environmental Services, Inc. EMERGENCY PHONE NUMBER: 1 (800) 458-3036 CONTACT PERSON: Wendy Cox PHONE NUMBER: 1(661)393-1151 stc i iUN VII -chain of Command r EMERGENCY RESPONSE PLAN DESIGNATED RESPONDER TRAINING SECTION III -Designated Responder Training Rev_ 01/04 t~ J EMERGENCY RESPONSE PLAN DESIGNATED RESPONDER TRAINING This training will be given to employees designated to respond to, clean up, and dispose of, leaking hazardous packages and other potentially hazazdous materials. Areas of Training 1. UPS Emergency Response Plan 2. Common Physical Hazazds 3. Potential Health Hazards 4. Biological Hazards 5. Hazazd Communication/MSDS 6. Hazazdous Material Labeling 7. Health Surveillance 8. PPE (don-doff, hands on, and decontamination) 9. Hypothetical Spill Response Scenarios 10. Reporting 11. DMP Certification 12. UPS Bloodborne Pathogen Post Exposure Protocol Length of Training UPS has designed a 12-hour workshop for Designated Responders. The Designated Responders also receive respiratory training and health surveillance as outlined in the UPS Respiratory Protection Program (orange manual -01890235 09/01) in the training/health surveillance section. Designated Responder Refresher Training Each responder is required to attend an annual recertification workshop. Only 24-hour trained instructors are certified to teach the recertification workshops. Training Documentation A facility list of Designated Responders should be maintained in this section of the plan which includes: • facility name, • employee name, • work shift, (sort) • date of initial 12-hour training, • date of current recertification training, and • date of current medical evaluation. SECTION III -Designated Responder Training Rev. 01/04 -19- :- - EMERGENCY RESPONSE PLAN Each facility will be required to maintain the most current CHSP Training Roster(s) on each responder which includes their signature, verifying their acknowledgement of training. The initial proficiency certification for each responder should be maintained in their center file. - 20 - SECTION 111- Designated Responder Training Rev. 01 /04 EMERGENCY RESPONSE PLAN CHAIN OF COMMAND SECTION VII -Chain of Command Rev. 01/04 s. .~ rt EMERGENCY RESPONSE PLAN CHAIN OF COMMAND Non-responding employees who encounter a leaking package shall notify their immediate supervisor. Non-responder supervisors shall notify a Designated Responder of the spill occurrence. The Designated Responder first notifies his or her supervisor of the spill incident, then, using the Decision Tree and Response Sheets, follows the guidelines in the UPS Leaking Package Response Procedure. If the spill incident is beyond his/her capabilities, the Designated Responder notifies his/her supervisor who assesses the situation and decides if an outside responder is necessary. The supervisor follows the chain of command and notifies his/her manager, or the most senior management person who is both on site and listed on the facility Chain of Command. The most senior management person becomes the facility. coordinator. The facility coordinator, who assumes management control of the situation, shall be responsible for notifying the outside responder and/or the fire department and all other functions as required by the various parts of this plan. The facility coordinator may request or designate another management person to initiate the call to the outside responder. Until the arrival of the outside responder at the UPS facility, the facility coordinator shall direct and coordinate all emergency evacuation and/or response activities. Once the outside responder arrives, the senior emergency response official shall become the incident commander in chazge of the Incident Command System (ICS). The central command post of the ICS shall be located at the guard shack for the facility, or a prearranged location agreed upon by the facility coordinator and the outside responder. The facility coordinator shall promptly brief the incident commander concerning the spill incident circumstances and current status (including the identity of the chemical spilled, the results of the head .count of employees at the assembly point; any injuries, or need for emergency medical assistance). The incident commander shall thereafter be responsible for directing and coordinating all emergency response and/or cleanup activities. The facility coordinator shall assist and cooperate with the incident commander. The ICS shall remain in effect until the incident commander orders it discontinued and determines that it is safe for our employees to return to the building. Each facility must maintain a Chain of Command form which identifies: Designated Responders (employees), Designated Responder management, and management authorized to evacuate the facility and notify the outside responder. Each management employee and all Designated Responders must be trained thoroughly concerning the Chain of Command. SEC710N VII -Chain of Command - 25 - Rev. Q1/04 +~ 'i= rr Mercury Spill for Guidance Plant Engineering • Corporate Environmental Affairs, Health and Safety and Legal will guide and/or manage all Mercury and Acutely Hazardous spills • Districts and Regions must report to Corporate for immediate assistance • Primary Corporate PE Contacts - Patrick Browne - Atlas 490-4254 - Cell 404-808-7212 - Karl Vollberg - Atlas 490-7985 - Cell 678-575-5821 Region and/or District Operations and H&S Do's: ~ If notified of Mercury or Acutely Hazardous Substance Spill/Damaged Package Release DO: - Call PE Immediately- District or Region Env. Coordinator - Notify Corporate H&S - Alexi Carli (490-6266) - Assist Facility in securing area containing damaged package Page 1 of 3 Rev 01/24/05 :~ «~ ~. -Ensure UPS Responder does not move package to other portion of building - Gather as much package information as possible Region and/or District Operations and H&S Don t's: • If notified of Mercury or Acutely Hazardous Substance Spill/Damaged Package Release Don't: -- Contact Outside Response Contractor unless 100% sure they are qualified to respond - Attempt to manage a clean up/remediation - Report incident to outside agencies - Dispatch H&S consultants or contractors to site Page 2 of 3 Rev 01/24/05 Response to Mercury Acutely Hazardous S ill Page 3 of 3 Rev 01/24/05 Champion Precision Testing, Inc. P. O. Box 6398, Bakersfield, CA 93386 (661) 363-7400 Fax (661) 363.7474 Lic # 8481._50 TS 1000 Mechanical Leak Detector Test Data Sheet Site .Name ~ t~ ~ },:;~ i1 kS ~..~-Gc;= Date ~~ ~~~`~ Address f ~ ~%~~ J ~ GGCe-T t11;'~~. J~~ !<~>~' s ~i[e~t--1~ ~~ ~' G Test Information Product Leak Detector Model Serial Number Line PSI Seating PSI Slow Flow PSI Flow Rate 10 PSI Resiliency Pass or Fail Cornments: This letter certifies that the leak detector test(s) were performed at the above referenced facility according to the equipment manufacturers procedures and limitations and the results as listed are to my knowledge true and correct. The mechanical leak detector test pass/fail is determined using a low flow threshold trip rate of 3 gph at 10 PSI. Inspected By; ContractorChampion Precision Testing~Inc Technician ~°7~ ~ ~.~ t__ /Lt I C~~~%~ Signature ~~~_ ~ = ~ -~--..--~ Service Technician Number O ~ "7 ~ ~ Y ~ -- ~, Date ~1~~~~ - Time /p~,~~ Rwision star S1'STEt°t S~ETLIF` - - AUTi~ DIAL 'T T P9E SETUF LIPS ''800 S I LL.EC'.T AL+E . FEB 8. 2006 8:39 AP9 BA}ERSF I ELIa. CA '~33p8 D 1 : FRESN~~ UFS 661 -:~26-1595 DIAL CAN DATE FEB 8. x'006 8:38 AN1 SYS,TEt°1 UNITS t?C:T 3, 2L~p5 DIAL TIME DISABLED U S SY'STEt`9 LANGUAGE RE(:.E I U'ER REFi?RTS : ENGLISH S',`STEt°1 STATUS REFs;RT - _ _ _ _ -- _. _ _ _ _ _ ~YSTEt°t DATF.<<TINtE FU~Rt°1AT P9UN DD Y'Y'`,'Y' HH : ~•it~9 : SS xNl ALL FLINC:'TIsJtVS NGRh'lAL UF`~ IhJI?EtVTCaRY REF(~RT 3860 SILLECT AI+E. BA}ERSFIELD.GA 93308 661-326-1595 T i: LINLEAI!ED 1 ~'C?LUN1E - 6685 i;ALS SHIFT T I r'lE 1 DISABLED LILLAGE = 3G~3 GALS SHIFT TIME 2 : DISABLED SHIFT T I t°lE 3 : DISABLED RS~-'?'3'L ti~ECUR I T'~' TC 110LUN1E = 666 u^ALS HEIGHT = 59.16 I NC:HES SHIFT TIME 4 : DISAELED C-t~DE GOOppp 61IATER 1ft~L = 1 3 GALS WATER = 0.83 I INCHES TAN}: FER I 4D I C I,~IARN I NGS TEh'1F = a1 .8 DEG F DISABLED TAN}; ANtdIiAL 6JARNINGS • a - T '=` ' '? DISABLED LINE FER I DD I C I:JARN I NGS RS-?;;~~ END QF P'IES ,,AGE UNLEADED ' DISABLED DISABLED ~+QLLINIE = 6^59 GALS ULLAGE = 2969 GALS LINE ANNUAL I,,IFr';'.~INGS AUTt~ DIAL ALARP9 SETUF' TG Ut~LUME = 6755 GALS DISABLED - - - - - - - - - - - - HEIGHT = 59.?~~ ItVCHES 4~IA'TER 1.+~~L = 12 GALS ~ F'RINT TC I~ULUMES D 1:FRESNi~ UFS I,JATER = 0.81 I NC:HES ENABLED TEf~1F = 6p .'~ DEG F TEP9F i::t~P1PENSAT I CaN LI4~LI I D SENSt~R ALMS l+ALUE {DEG F `: 60.0 ALL:FUEL HLARPi ST 1 C:} HEIGHT t~FFSET ALL : SE NSCiR CUT ALARM UFS DISABLED ALL:SHC~RT ALARr9 '3800 SILLECT A\•+E. BA};ERSFIELD..CA 933U8 H-FRUTt~CCaL DATA FC+RNIAT 661-326-1595 HEIGHT DAYLIGHT SAI~+ I fJG T I t°lE FEB 8.. 2006 8:38 ANl ENr'1BLED START DATE GSLD TEST RESULTS AFR 6JEE}: 1 SUN _ _ _ _ _ _ _ _ _ _ _ _ START 't I ME FEB 8. 2006 8:38 AP'1 '~ : GO AM END DATE i~CT WEE}; 6 SUN END T I N1E T 1 : UNLEADED 1 : Op ANl FRi7BE SERIAL NUM 13~~226 RE-DIRECT LC:CAL FRINTCsUT 0 . ? GAL.: HR TEST DISABLED I-'ER: FEB S. 2GG6 PASS 'T '2 : UNLEADED F'Rt~BE SERIAL NLII°1 13'2'22'3 D . '2 GALi HR TEST t"ER : FET S. '2006 FASS UF'S Ct~MP9UNICATIC}NS 'tiETLIp 3^oUp SILLEC'T AI+E. - - - - - - - - - - - - BAk.ERSF IELD . i~A 93308 661-3'~6-1595 Fs.?RT SET'T I NGS FEB 8. 2L1U6 8:38 AM CCaP'1Nl B~~ARD 1 f F;;N1t~D ;' LIi~LIID STATUS BAUD RATE 2400 - - - - - - - - - - - FAR I T1' G~LaD FEB S. 2U06 8:38 Af9 STUF BIT : I STOP DATA LENGTH: ~ DATA DIAL T1'FE TONE AN,~6JER ON 1 RING L 1 : UNLEADED 1 SUN1F SENSt)R NC~RNIAL RECE I t,+ER SETUF L 2: UNLEADED 1 ANtVULAR SENSC+R PIC~RNIAL D I:FRESN~J UF~ 1-559-~ia2-<92a Ri_~\.+R T'z''F'E : FAC'S I Nl I LE L 3: 1 INLEADED 2 APJNULAR F'C~RT Nth : 1 SENSOR NORt°lAL RETRY N~ : 5 RETRY" DELAY : 3 ~.y ~_•ONF I RNIAT I ON REF'C>RT : CafJ I N _'TAiV}; SETUF T •L :UNLEADED =' - _ _ _ _ _ PROL?UCT CODE U L I GU I D TENSOR SETUF _ _ _ _ T 1 : UNLEADED 1 THERh'lAL COEFF : , 000700 _ ,_ - - - - _ _ PRODUCT CODE LI TANk: DIAMETER . 42.00 1:UNLEADED 1 SLINIP L THERh1AL COEFF :.0 00700 TAtVK PROFILE ' ='0 PTS ~ . TR I -STATE (SINGLE FLOAT TAN}: D I NtETER 9~ . 00 F LILL G OL 87 4 INCH VOL 97.38 9559 LATE OR1 STP SUMP ~ TAIVK PRi,F I LE ~ 0 PTS , 8 INCH 1+OL S'' 9258 FULL \+UL 87.4 INCH l+'OL : '~7'~L~ 9559 , 78 . ? I NC:H \+OL 8873 L '~ : I INLEADED 1 ANfJLILAR 82.8 INCH 11t~L , ' 9'358 ? 3.6 INCH G+OL Q I N~ :H \+OL 69 841 + ^r 9 I 0 ., , .. TR I --.~+TATE (SINGLE FLOr',7 ? ~ 7ti . ~ INCH VtlL 887'8 . 4 INCH 1~+ZL b4 ~ 7~~5 + CATEGORY : AIVNULAR SF~i,E 73 . ~, INCH L+t~L : 8417 . 59 8 INCH VOL 6770 69.0 INCH 110E 64.4 INCH L+C~L 7910 7157 . 55 . ? INCH 1~'t~L 6154 59.8 INCH VOL 6770 50.6 INCH I;OL 0 I NC•H \.+OL 46 5516 4864 ~ L 3: Ut'4LEAL:QED ANfVULAR 55.3 INCH t+OL ' 6154 . 41 4 I tVCH VOL 4212 TR I -STATE (S I Nu'L>~ FLOAT } 50.6 I Nr H l+ OL 5516 . 8 INCH 1.+c~L 36 8573 C~ATEu0R4' ANNULAR SPACE 46.0 INCH G+DL 4864 , 2 INCH G+OL : 3'2 2957 41 .4 INCH VOL ' 421 ? . 6 INCH I,+t~L 27 23 ; 0 36.6 INCH VOL ' ' ' 3513 . 0 INCH I1OL 23 1818 3 3' . 3 INCH t+OL 27 6 INCH ti+OL 2957 2370 . 18.4 INCH 1,+OL : 1',1 1 . ?3 0 INCH t+c~L 1818 13.8 INCH l~~+L 854 . 18 4 INUH VOL ': 1311 ~•2 INCH VOL : 469 . ' x13.48 T NCH VOL 854 4.6 INCH VOL 168 9.2 INCH VOL 469 ' 4.6 INCH t1i~L 168 FLOAT SIZE : 4.0 I N . 8496 .OAT SIZE: 4.0 IN. FI 8496 WATER WARNING 2.0 . ~ HIGH 4JATER LIMIT: 2.5 E;•'.TERNAL INPUT SETUF I,JATER t~,IARN I hIG H T G H 4JATER L I Nl I T: 2 . L 2.5 t°lA?~ OR LABEL 110E : 97'3~tl - - - - - - - - - - - - NONE OVERFILL LINtIT 40„ N1A?; OR LABEL 110E : 9728 HIiaH PRODUCT 8755 95a:~ Ol1ERFII..L LIh9IT 91.; 9241 HIGH FRODUC:T 8755 95ra DELI 11ER`. LIMIT 15°,; . 9241 1459 L?EL I VER4' L I N1I T 15°~ LOW PRODUCT 1459 145`? LEA}; ALARM L I I°l I T: 30 I.OW PRODUCT 1459 SUDDEN LOSS LIMIT : 90 LEAK ALARP9 L I N1I T : 30 TANK TILT 0.00 SUDDEN LOSS LINtIT: 90 I°tAPJIFOLDED TANKS OUTPUT RELAY SETUF TAtVK TILT 0.00 Ttt : NONE - - - - - - _ - P9ANIFOLDED TANKS R 1:SENSOR ALARM Ttt . NONE LEA}; Ni I N FER I i~D I C : 0~a T1'F'E ' 0 STANDARD NORt°1ALLY' CLOSED LEAK N1I N FER I OD I C : U°~~ LEA}; MIN ANNUAL ~„> 3F'" 0 ' `43` LIi:~LIID SENSOR ALP9S LEA},: P'1I N AhJNUAL 'L5.°:~ ALI.:FUEL ALARM . 243'' ~ FERTt.DIC TEST TYPE ALL:SENSOR OUT ALARt°i ~TANL?ARD ALL:SHORT ALARM PERIODIC TEST T`i'PE ANNUAL TEST FAIL STA NDARD ALARN9 DI SABLED ANNUAL TEST FAIL ALAFT9 D I SABL ED F'ER I OD I C TEST •FA I L . ALAkt••I DI SABLED PERIODIC TEST FAIL i;ROSS 'T'EST FA I L ALNRt°l DISABLED ALARP'1 DI SABLED GR+~~SS TEST FAIL ALARM DISABLED AhdtV TEST A1IERAG I NL: : OFF SOFT4JARE REV I S l OtV LEVEL F'ER TEST A1IERAG I NG : OFF VERSION 17.05 ANN TEST AVERAGING: OFF TANK TEST NOTIFY': t~FF SOFT6JARE# 346017-100-F F'ER TEST AVERAGING: OFF CREATED - 99.06.01.20.40 TANk: TEST NOTIFY': OFF TNK TST SIPHON BREAK:t~FF S-NiODULEtt 330160-002-A TIV} TST SIPHON BREAK :OFF DELI1•+ERY DELAY 15 P9IN SYSTEM FEATURES: PERIODIC I N-TANK TEST: ANNUAL IN-TANK TESTS DELI VERY DELAY' 15 MIN CSLD LEAK TEST P9ETHOD TEST C:SLD : AI.L TANK P d = 9 5?,~ CLIP9ATE FACTOR :MODERATE LEAK 'TEST REPORT F+:sRf°lAT - ENHAPJcYED I N-TANK D I AGNG~ST I C~ FULLEST FER I OIL I G TEST - PASSED EACH 1°IONTH: FE1 1 . 2Q06 7: ~i5 PNl P}cS713E DIAGNOSTICS TEST LENGTH 7'~ HOURS T 1 : PROBE TYPE t°?„~ i JAN '~'.' 'L006 1 1:49 F't°t STARTING VDLUNIE= 6319 SIrRIAL NLIN1BEk 1322'6 TEST LEhJGTH 73 HOURS FERGENT VDLUNIE = b~,p ID C•HAN = OxCD00 STARTING I~OI.LIN9E= 6134 TEST T~'PE = CSLD GRADIENT = 35~.5Up0 PERCENT VOLUh9E = 63.1 TEST Tl'FE = CSLD NUN1 SAP9FLES = 'gip AUi_~ 3L1. 2005 8:49 Pt°1 TEST' LENGTH 5L"I Ht~!_IRti. C00 1407.1 C:01 '0758 , 9 FEI3 1 . '006 4 : E.5 AM START! NG VDLUNIE= 5123 i`.p'~ 20758.3 C03 20?58.8 TEST LENGTH 7 2 HOURS PERCENT VOLUP9E = 52 , 7 ~^.04 20758.€, C05 20?58.4 STARTI N~~. I+OLCIt•9E= 6099 TEST TYPE = Cti,LD COG '0755.1 C07 20758.6 PERCENT 11OLLIME = 62.6 C09 20759..0 C09 20758.3 TEST TYPE = CSLD C10 2'0758.4 C11 4287'3.1 MAR 20. 2005 12:21 AM C:12 23232.4 C13 ''2818.1 TEST LENGTH 60 Hi?URS C14 22806.9 C15 '22784.1 N1AR 14. 2005 8:"t0 Pi°1 STARTING t~'i~,LUME= 5991 C16 '?2687.7 C•17 '?2699.3 TEST LENGTH 65 HL URS PERCENT VOLUME _ 61,6 C1S 42874.4 STARTING VOLUME= 5856 TEST T`i'FE = CSLD FERCEtVT VOLLIt~'tE = 60,2 SAt°iPLES READ =^Ob977297 TEST T4 PE = CSLD SAMPLES USED =206964603 SEI' 28r 2005 5: ••?5 Ff°i TEST LENGTH 64 HOURS APR 6. '005 12:'t8 Pt°1 STARTING 'u+OLUf°lE= 5438 ~ ~' TEST LENGTH 44 HOURS FERC_'EPIT VOLUf°1E = 55.9 STARTING VC+LLINtE= 615't PEST T1`FE = CSLD FERGENT 11OLI.It°1E = G3.2' TEST TYPE = CSLD AFR 4. 2005 6:12 AP'1 TEST LENGTH 42 HC?URS ` h9AY 11, ^005 1'2:20 PNi STAR`I'ItVG 11OLUN1E= 6311 TEST' LENGTH 5l Hi.SCIRS F'ERi~:ENT VOLUME = 64.9 I tV--TANK DIAGNOSTIC STARTING V+~LLIh9E= 7'2y9 TEST TYPE = t~SLD _ _ - - PERCENT VOI.UP'lE = 75.0 PROBE DIAGNOSTICS TEST TYPE _ i:SLD T 2: FRt>BE TYPE I°tAGI ` OC:'T 13. 005 1 : Ll4 FM SERIAL NUN•IBER 1322'23 TEST I.ENGTN 50 HOURS I D CHAN = Qxt.000 JUtV 17. 2005 1:12 FNi STARTING 1rOLUME= 6397 GRADIENT = 351.~3UU TEST LENGTH 61 HOURS PERCENT VOLUh9E = n5.7 STARTI tVG 1.+OLUN1E= 4929 TEST T1'F'E = CSLD NLIh'1 SANIFLES = ',i'0 PERCENT itt>LUP9E = 49 , 6 ~_ 00 1396 ~Q i:'O1 0897 , 1 TEST T't'FE = CSLD h'lA1' 8. '?005 7'-27 ANl C: p'2 '?0997 , 2 G03 2Q997.6 TEST LEPJi3TH ,39 HOURS i~04 '20997.3 G05 '2089? • U TAPJK LEAK TEST HISTORY STARTI Nip 1.+~LUME= ba0y C06 20997.9 G07 '208x7.9 FERGENT 1,.+OLUME = 96,4 COB :?0997.'3 C09 20897.4 T '?:UNLEADED 2 TEST TYPE = CSLD C.IO 20897.2 C11 42999.2 C1'~' 23594.0 C13 2'~?16.7 LAST GRt>SS TEST PASSED: C14 23269.? C15 23138.3 AFR 4.. '?UU3 3:04 FM ~ IVO1+ '?8. 2005 9:04 Ah9 C16 2'3283.0 C17 23;308.5 STARTING '~lOLUME= 3904 TEST LENGTH 84 HOURS C18 43000.1 FERt::ENT 1?OLCIME = 39.1 STARTING 1,+OLUh1E= 5'245 TEST T'fPE = STANDARD 53.9 PERCENT VOLUME _ SAh'1PLES READ ='?069683OU X TE,T T4 FE = C•~~LD SANiFLES USED =2D6958597 LAST ANNUAL TEST PASSED: .TUN 19. '005 1' "?5 AP9 NO TEST PASSELi TEST LENGTH 'i6 HOURS TANK LEA}: TEST HISTOR"Y. STARTING 1~OLUME= 5990 FULLEST ANNUAL TEST F'ASS PERCENT 1+OLUN1E = 61.6 T 1:LINLEADED 1 TEST TYPE = CSLD NO TEST PASSED LAST GROSS. TEST PASSED: LAST FERIOLiIt: TEST F'ASS: DEC. 10, 2005 11:46 FN1 NO TEST PASSED FEB 8. 2016 7:'?2 Ah9 TEST LENGTH 72 HOURS TEST LEtVGTH 70 HOURS STARTING VOLUME= 6371 LAST ANNUAL TEST PASSED: STARTING VOLUME= 5756 PERCENT 1+OLUN•lE = 65.5 PERCENT 1iOLLIh9E = 59,'2 TEST TYPE = CSLD IVO TEST PASSED TEST TYPE = CSLD _ FULLEST AfJNUAL fiEST PASS NCI TEST PASSED FULLEST PERIODIC TEST PASSED EACH h9ONTH LAST PERIODIC. TEST PASS: FE13 8. 2pCib 7 : c'? , Ah'1 JAN 22. 2006 8:49 FN1 TEST LENGTH 50 HOCIRS ~ TEST LENGTH 7.3 f•it?LIRS STARTING VOLUME= 5475 ti,TART I NG VOLUh'1E = 6395 FERGENT VDLUNIE = 56. ~~ FERGEPIT b+i~LUME = 65. 7 TENT T1'FE = i`SLLi 'TEST TYPE = CSLD .IUL 10. 2005 1:'~7 At°1 TEST LENi;TH 6E~ HOLiRS .TART I NCB 1+'OLLIME= 5644 P'ERC'ENT VDLUNIE = 59.0 TEST TYPE-= CSLD JUL 1 U . 2005 1:37 Ar'1 ALARM H I STOR`! REFCaR'P TEST LEfJGTH 48 HOURS ALARPI HISTORI' REPORT STARTIiVC: 1?OLUN1E= 6251 ____ , - S1 STEM ALARr1 ____ - FERCENT U`OLUME = 64.3 F'r'aPER OUT ---- I N-TANK ALARt°1 ----• TEST T~'PE = CSLD i:aCT 21 , ^0+J4 1 ? : 25 FNi PRINTER ERROR T '?:UNLEADED '2 AUG 13. 2UL15 10 : 1 S PNi OC`f 21 . 2004 1 ^ : 25 BATTERI' I S OFF FN1 HIGH 6JATER ALARM TEST LENGTH 38 Ht~URS JAN 1. 1996 8:00 ANl N1AR '2. 2005 10:':'.b Art STARTING; LrOLUr1E= 5451 S'YrS SECI_IRIT1' I~IARNI NG FERGENT L+OLUME = 56.0 ' .1UL '21 ~ 2005 9:35 AM OItERFILL FiLARi°1 P'E = CSLD TEST TY OCT 6. '2005 1 :O1 PN1 APR 29. '005 9:55 ANi ~~EP 24. 2005 11 :16 ANl 1°lAR ?, 2005 10:1'r AN1 TEST LENGTH '~9 Ht~URS LOW PRODUCT ALARr'i STARTING U't}LUr1E= 6909 FEB 13. c004 1:57 Ar'1 PERCENT t10LUNiE = 71 .0 JUL 25 r '?003 '? : 29 AN1 TEST T1'FE = CSLT~ JUL 3. 2003 4:37 AP1 c~i'T 15. '005 9:39 Pf°1 ~ '~ ~` '` ~` EiVD ` ~` ~` ~" ~ HIGH PRODUCT APR '29, 2005 ALARM 9:58 AI°t TEST LENGTH '='9 HOURS N1AR 2, 2005 10:1? ANl STARTING lr'OLUN1E= 6930 DEC: 4, 2003 4:09 Ft°1 FERGENT 1.+OLUN1E = 71.2 TES`Ta TkpE = CSLD PROLE OUT . - - 5EF ??. 2004 10:52 At°i tVCr1? 19 r 2005 1 1:14 Art OCT 14 r "?003 10:27 Ai°1 TEST LENGTH 54 HOURS HIGH 4JATER 6JARNING. STARTING 1?OLUP1E= 5641 MAR 2. ?005 10:28 ANi PERCENT VOLU("lE = 58.0 TEST TY~FE = CSLD ` ALARM HISTORY' REPORT DELIVER1i NEEDED LrEC 10. '2005 1 1:46 PNi ---- I N-TANK ALARt°t ----- FEB 13. '004 JUL '?5. '003 1 :57 2.`8 Art AM TEST' LENGTH 69 HOURS JUL 3. '2003 4:35 AN1 STARTING 1?OLUN1E= 6374 T 1:UNLEADED 1 PERCENT \?OLUME = 65.5 N1A:~ PRODUCT ALARM TEST T'fPE = CSLD HIGH I.JMTER ALARM SEF 6. 2002 1 : 1 1 FNt ~: ~ ~ ~ * END ~ ~ ~ ~ ~ t°iAR 2. 2005 11:1'3 Ah'1 N1AY' 13. 200'2 2:''3 FN1 OC=T '='~i. 2001 2:03 FNl t~VERFILL ALARM AFR 29. 2005 9:56 AM PERIODIC TEST FAIL MAR 2r 2005 10:15 AN1 APR 9. 2003 2:11 FN1 JLIL 25, 2003 1:15 PM AFR 4. 2003 7:2; PM APR 4. 2Q03 12:20 PM LOt,J PROL'aUCT ALARi°1 ALIG 19. 2005 <:41 Ar1 JAN '29. 2005 1:35 Pt°1 Nth CSLD IDLE T I N1E CSLD DIAGNt~STICS FEB 13. 2004 i:20 At°i OCT 15. '?004 8:00 AM OC'T S . X004 8 : i_10 AN1 - - - - - - - - - - - - HIGH PRODUCT ALARt°1 OCT 2. ~,l!74 8:00 AM T 1:l1NLEADED 1 AFR `~9.. 2005 9:59 ANl F'Rf.3BE SERIAL NUt'1 132`c'26 PRO)E OUT CSLD INGR RA JLIL 11. 2L104 TE 4JARN ?:36 At°1 PEI; 8 ^006 7:22 AN1 SEF 27.. 2004 10:59 ' ANl AUG 4~ '?003 6:13 AN1 , TEST RATE: 0.00 GAL.~HR JUL '28.. 2004 1 2:'22 FNl °"~~~' '?6, 20CC~ 2:06 Ai°t 'TOTAL TESTS: 24x'80 HIGH 6JATER tn1ARN1NG Tt~TAL T I N1E : 50.5 HRS N1AR 2. '005 1 1:13 ANl ALARt°1 H I S'TORY' REPORT A4~E t?CaLUr'tE: 5175 GALS Ft?S REJECTS : 0 THRUPUT EST: 12845 GALS DELIVER4' NEEDED ~"---- ~ a!_;NSt~R L 1:UPJLEADED ALARt°1 1 SUMP - DISPENSE STATE: IDLE AUG 18. '?005 '2:40 AM STP SUN1F JAtV 29, 2005 1:35 PNl FUEL ALARM FEB 13. 2004 1:20 AM OCT 18, 2005 '':18 PM T '? : LitVLEADED 2 PERIL>DIC TEST FAIL ' FUEL ALARM OCT PROLE SERIAL NLIP1 13~'~'~3 AFR 6. ?004 1:35 PNi 3. 2005 3 :'2~ 1 FM FEET 8. '2'006 7:22 AM NO CSLD IDLE TIr1E - FUEL ALARM JUL 31 , 2005 9:43 A N1 TEST RATE: 0.03 GAL,~HR OCT 15. 2004 8:00 ANl TOTAL TESTS: 33.80 . OCT 8, 2004 8:00 AN1 TOTAL T I N1E : 70.2 HRS OCT 2, '2004 8 : 0!] At°1 AIDE ~JG~LUNIE: 5756 GALS PCati REJECTS: 0 CSLD ItVGR RATE 6JARN THRUPUT EST: 10608 GALS JUL 19, 2003 10:35 Art DISPENSE STATE: IDLE JUL 17. 2003 '?:'38 Fr•1 MA:% 26, X003 2:06 Art ~) ALARP9 H I STt~R1' REFf~RT UFS ;,800 S I LLECT AI?E . ---- I hJ-TAhJK T' 1 : UNLEADED ALARP9 ----- 1 - SENSt?R ALARNI - -- BAKERSF I ELD . t.'A 93308 HIGH 4JATER ALARNI L '' : UNLEADED 1 ANNULAR 661 '326-1595 FEB 8. 2006 10:25 ANl ANNULAR SFAC:E FEFi 8.006 10:04 ANl FUEL ALARNI TLIL 21 . 2005 9:57 ANl FLIEL ALARM Jl_IL 21. 2005 9:45 AP'i SYSTEM STATUS REFt~RT _ _ - _ _ _ _ _ _ _ _ _ SENSt~R C'LIT ALARNI ALL FUNt~TIG+NS Nt~Rt°lAL I°lAR ?. 2005 1 1:08 AN1 I tV1~'ENT4'~R ~~ REFC:RT ---- I N-TAN}: ALARNI ----- T 1 : UNLEADED 1 HIGH WATER WARIdING T 1:LINLEADED i FEB 8r 2006 10:'5 AM Vt7LLIN1E = 8468 GALS ULLAGE = 1160 u'ALS TG t1s?LUN1E = 8454 GALS HEIGHT = 74.09 I NC.HES WATER i?t7L = 168 GALS 4JATER = 4.61 INCHES ?~ ~ ~: END ~ ~ :~ ~ ~ TEr9P = 6'2.3 DEG F .~ - ~ T '_:LNLEADED _ - ---- IN-TANK ALARM ----- ~~ULUh'lE = 7853 GALS T 2: UNLEADED 2 ULLAGE = 18"5 GALS HIGH 4JATER ALARNI TL`. 1?OLLIr9E = 7838 GALS FEB 8~ '?006 10:25 AM HEIGHT = 68.51 INCHES 4JATER l~t~I. = 323 GALS ` WATER = 7.16 INCHES TEN1F' = 62.5 DEG F ALAP.NI H I tiTC:R1~ REPORT ----- SENSOR ALARP9 ----- IfV-TANK ALARNI ----- L 3 : UNLEADED '? ANNULAR T :? : UNLEADED `' ---- I N-TANK ALARI°1 ------ ANNULAR SPACE P'1A'~ FRODUGT ALARNI T 2 : UNLEADED '? FUEL ALARM FEB 8 . 2006 10:06 Ah'1 HIGH 4JATER LJARN I NG JUL 21. '2005 9:47 AP'1 FEB 8. 't006 10:25 ANi SENSOR OUT ALARM P'lAR 2: 2005 11 :08 Ar'1 -~--- SENSt~R ALARNI -~--- FLIEL ALARP9 1_, . 2' :UNLEADED 1 ANNULAR N1AR 2~~005 10:'6 ANl APJIVULAR SPACE FUEL ALARP'1 FEB 8. 2006 10:35 ANl , UFS LIPS 3800 tiILLEGT AVE. '3000 SILLEGT Al?E. IaAKERSFIELDrGA 93308 HAKERSFTELD.CA 93308 C61-3'~6-1595 661-326-1595 FEE 8. '006 11:14 AM FEE 8. 200a 10:25 ANi - SENSOR ALARNI ----- - -- SEhdSOR ALARNI ----- 3 :UNLEADED '< ANNLILAR L L 1 : UNLEADED 1 SLIP9F S~;STEM STATUS REPORT ANNULAR SPACE STP SUMP - ~ ALL FLINGTIONS NORMAL ± FUEL ALARNI FEB 8. ?006 10:35 Ah9 FUEL ALARNI FEB 8. '2'006 10:14 AM I NL~'ENTORY REPORT T 1:UNLEADED 1~41LUr'1E - 6627 GALS ULLAGE = 3101 GALS TG ~+OLUN1E = 6618 GALS HEIGHT = 58.72 INCHES 6JATER 4+DL = 0 GALS Ct; NF I RI°lAT I t~N RF:POR'T : ~-'t}NF I RP9AT I t~N REFt~RT (,,IATER = 0.00 INCHES D 1:FRESNO UFS D i:FRESNO UFS 'TEN1F = 61 .9 DEG F FEb 8: '2006 10:36 AM FEB 8. 2006 117:15 Ar9 P'lt}DE = FAGS I P'l I LIr h1t~DE = FAGS I f°1 I LE ' ` RESULT = OK RESLILT = OK T '~ :UNLEADED ' Vt~LUN1E = a?07 GALS ULLAGE = 30'~ 1 GALS TG \?OLUN1E = 6703 GALS HEIGHT = 59.33 I NC•HES - 4JATER G~`t±L = 1 '2 GALS 4JATER = 0.7q I PJGHES TEr9F = 60.9 DEG F UF'S 3800 S I LLE['T Al?E . BA?:ERSFIELL~.CA y33iib 661-`32'6-1595 ( ) 1 UFS 380L1 S I LLEGT ALOE . BAKERSF I ELD r i::A 933013 661-:326-15'?5 FEB 8. '?006 10:45 At°i S1'STEI~i STATUS REFC?RT ALL FUN~.TIi?PdS NORMAL ----- SENSOR ALARf°1 ----- L 1 : UNLEADED 1 SUh9F STF SUP'1F SENSOR GUT ALARM FEB d 3~ '?OU6 10:48 At°1 ----~- tiENSGR ALARM ----- L 2 : UNLEADED 1 A(VNUZ.AR ANNULAR SFA~.E SENSOR GUT ALARP9 FEB 8. 200E, 10:4t~ AP9 ----- ti,ENSQR ALARM ----- L 3: UNLEADED 2 ANNULAR ANNULAR SFA~E SENSOR GUT ALARt°1 FEB 8. 2006 10:48 ANl - I N-TA(V}; ALARM ----- T 1 : LINLEADED 1 CAL+ERF I LL ALARh'1 FEB 8 . :?006 1 CI : 06 AP9 ----- I N-TANk ALARP9 -- T 1 : UILEADED I HIGH FRGLaUCT ALARM FEB R, 2000 10:06 AP9 - - I tV-TA(V}: F-1LARM ----- T 1 : UNLEADEDi 1 (°1A~ FRGDLi~.^..T ALARt°1 FEB 8. ti00C 10:06 AP9 ---- I N-TANK ALARh9 ------ T •~:UNLEADED ~~11ERF I LL ALARh'1 FEB > '?006 10:06 Ah9 ---- IN-TANK ALARM ----- T 't :LINLEADED '? HIGH FRGDUGT ALARh'1 FEB 8, 2u~6 lO:Ob AM l~J MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Citecl: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3,-Title 23, California Code of Regulations This Form must be used to, document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each monitoring, system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy of this form to the Local agency regulating UST systems within 30 days of test date. A. General Information Facility Name: ~ ~S ,~/-~K~~'~5 ~i~E=L~~ .Service Station No.: '-' Site Address: ~ `~~ ~ ~ < < ~~~7- !9 ~~ ~ City: ~ j,~.4~::~'S j~~~? ~ Zip: ~° ~ :~ ~ Facility Con[aci Person: l2lia;zy2, ~c~c `~7A;2kS2uiC ~ Contact Phone No.: ~ ~ (- 5 `Z /o - i j `2 j Make/Model of Monitoring System: ~/'~-1~'~ ~c7-' '~ .-~5~ Date of Testing/Service: ~/s/~sr B: FIri~entory of Equipment Tested/Certified Check the annrnnriate hnxes to indicate specific equipment inanerted/cervicerl~ Tank ID: - ~((/~'~~ , Tank ID: n-Tank Gauging Probe: Model: ~ ^In-Tank Gauging Probe: Model: [annular Space or Vault Sensor. • Model: ~q4- ~ -ya ^Annulaz Space or Vault Sensor Model: Q'~ping Sump/Trench Sensor (s): Model: ~ ~~~ ~ ~s ^Piping Sump/Trench Sensor (s): Model: ^FiII Sump Sensor (s): Model: ^Fill Sump Sensor (s): Model: C~techanical Line Leak Detector. Model: i /~ -o'~ ~ 1ZS ^Mechanical Line Leak Detector. Model: ^Electtpnic Line Leak Detector Model: ^Electronic Line Leak Detector Model: ^Tank Overfill/High-level Sensor: Model: ^Tank Cwerfill/High-level Sensor: Model: ^C+ther, S ci a ui and model in Section E on Pa e 2 ^Other, S e ui . t e and model in Section E on Pa e 2 Tank 1D: - Gc w ~.~C j~-p Tank ID: p~Tank Gauging Probe: Model: ~~- ^In-Tank Gauging Probe: Model: C~mmlar Space or Vault Sensor: Model: ?~'4-- c,> ~c ^Annular Space or Vault Sensor Model: ^Piping Sump/Trench Sensor (s): Model: ^Piping Sump/"I'rench Sensor (s): Model: pFill Sump Sensor (s): Model: ^Fill Sump Sensor (s): Model: ^Mechanical Line Leak Detector. Model: ^Mechanical Line Leak Detector. Model: ^Electrotuc Line Leak Detector Model: ^Electronic Line Leak Detector Model: ^Tank Overfill/High-level Sensor:' Model: ~ ^Tank Crverfill/High-level Sensor: Model: ^Other, S c' ui and model in Section E on Pa e 2 • ^Other, S ec' ui a and model in Section E on Pa e 2 Dispenser ID: '3 4 Dispenser ID: [~spenser Containment Sensors: Model: ~-~,~i•z-ov~-`~ ^Dispenser Containment Sensor(s): Model: p-gCear Valve(s). ^ Shear Valve(s). ^Dis enser Containment Float(s) and Chain(s) pDis enser Containment Float(s) and Chain(s) Dispenser ID: ~ p .¢- ~ l Dispenser 1D: Cc}H"ispenser Containment Sensors: Mode1:~33c Lr'i'_-ea~Z._. ^Dispenser Containment Sensor(s): Model: C413fieaz Valve(s). ^ Sheaz Valve(s). ^Dis user Containment Float(s) and Chain(s) ^Di nser Containment Float s) and Chain(s) Dispenser ID: Dispenser ID: '(dispenser Containment Sensors: Model; ^Dispenser Containment Sensor(s): Model: ear Valve(s). ^ Sheaz Valve(s). ^Dis enser Cont<linmen[ Float(s) and Chain(s) ^Di nser Containment Float(s) and Chain(s) * If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at this facility. C. Certification - I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring equipme t. For any equipmen capable of generating such reports, I have also attached a copy of the report; (check all t1{at apply): ~ystem set-up ~~ affirm history r orb Technician Name (Print): ~~~ , rJ ~ ~ .dL /L~~ef' Signature: ~~---rte ~s~ Service Techmctan No.: ~3~~7~~f ft j' -~c.'~ Certification No.: y~ to - c~~~ - t ~i~i~ License No.: yp --~Vo~ B'Y~r ~Z' Testing Company Name: Champion Precision Testing, Inc Phone No.: (661) 3E3-74 0 Pare 1 of 3 03101 Monitoring System Certification Site Address: mgt: ~s 5: LL ~~'~` ,c? ~ ~- ~,~,~~-;~~~y~Date of TestinglServicing: 'Z~~ f o ~ D. Resatlts of Testing/Servicing Software Version Installed: i ? • ~6j Comnlete the following checklist: C!}~es ^ No* Is the audible alarm o rational? CgYYe ^ No* Is the visual alarm o rational? es ^ No* Were all sensors visuall i cted, functionall tested, and confirmed o rational? es ^ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their ro r ration? es ^ No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) ~ ^ N/A operational? C~}'4`es ^ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment ^ N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) C~umpfTrench Sensors; Q~ispenser Containment Sensors. Did you confirm positive shut-down due to leaks and sensor failure/disconnection? pis; ^ No. ^ Yes ^ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no L~N~A mechanical overSll prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill int(s) and o ratin ro rl ? If so, at what rcent of tank ca aci does the alarm tri er? ????% ^ Yes* ~ o Was any monitoring equipment replaced? ff yes, identify specific sensors, probes, or other equipment r laced and list the manufacturer name and model for all re lacement arts in Section E, below. ^ Yes* o Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ^ Product; ^ Water. If. ,describe causes in Section E, below. es ^ No* Was monitorin stem set-u reviewed to ensure ro r settin s? es ^ No* Is all monitorin ui ment rational r manufacturer's s cations? * In Section E below, describe how and when these deficiencies were or will be corrected. E. Comments: P<Zg~ ;far-' 3 - Site Address: -~ $~~ 5~ LL~~=:~( ~"G~~~ ~j~rt~y~s-~~c.~:J Date of Testing/Servicing: Z~~d lc~ ~- F. In-Tank Gauging /SIR Equipment: ^ Check this box if tank gauging is used only for inventory control. ^ Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Cmm~lete the fnllmvinu checklists Yes ^ No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? Yes ^ No* Were all tank gauging probes visually inspected for damage and residue buildup? Yes ^ No* Was accuuacy of system product level readings tested? Yes ^ No* Was accuracy of system water level readings tested? es~ p No* Were all probes reinstalled properly? Yes ^ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): ^ Check this box if LLDs are nat installed. Cmm~lete the fnllnwinu checklist: p'~es ^ No* For equipment start-up or annual equipment ce cation, was a leak simulated to verify LLD performance? ^ N/A (Check all that apply) Simulated leak rate: p"3 g.p.h.'; ^ 0.1 g.p.h.Z; ^ 0.2 g.p.h.Z Notes: 1. Required for equipment start-up certification and annual certification. 2. Unless mandated by local agency, certification required only for electronic LLD start-up. Yes ^ No* Were all LLDs confirmed operational and accurate within regulatory requirements? Yes ^ No* Was the testing apparatus properly calibrated? (~~es ^ No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ^ N/A ^ Yes ^ No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ~/A ^ Yes ^ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled ~NlA or disconnected? ^ Yes ^ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system C~T/A malfunctions or fails a test? ^ Yes ^ * For electronic LLDs, have all accessible wiring connections been visually inspected? N/A Yes ^ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 o3ioi ite Address: --~ ~ J ;;~ _S;C~~-~:l ,~e~(f ~c~, ~K,~o~S~~+~ u7 Date of Testing/Servicing: Z ~' p ~ Monitoring System Certification UST Monitoring Site Plan ....... C~ ~ .................. j'."....... ~. v~. ~. ~. .......................... .. . -.~` .Y..... . ~~ . . ~. ........~ ..:................ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . It i.~ ,toy ........ .... . .... .......................... ... r ' ~r . ~. . .-. "S ~~ . . }~'?. p . 3 i Y~ ................................................... ................................................... ................................................... Date snap was drawn: ~- / ~ / ~ ~ . Instructions If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps., dispenser pans, spill containers, or othei secondary containment areas; mechanical or electronic line leak detectors; and in- tank liquid level probes (if used for leak detection}. In the space provided, note the date this Site Plan was prepared. -Page of os~oo CHAMPION PRECISION TESTING, Inc. P. 0. Box 6398 Bakersfield, CA 93386 (661) 363-7400 Fax (661) 363-7474 th G~ February 20 , 2006 ti 0~' Re. UPS at Bakersfield ~~' ` Enclosed please find the Test Results as follows for the above-referenced site. If you have and further questions, pl [X] Monitor Certification [X] Spill Buckets [X] Leak Detectors [ ]Secondary Containment [ ]Tank Test [ ]Line es ~, [ ]Cathodic Protection [ ] TP201.5 A/L [ ] TP 201.6C / TP 201.6 [ ]Other: Thank you. Sincerely V~~,l~ Amy Vath CPT, Inc. Scheduling [ ] TP201.3 [ ] TP201.4 [ ] TP 201.38 [ ] TP 201.1 C/D [ ]TP201.1B SWRCB, January 2002 Page / of_~ Secondary Containment Testing Report Form -Spill Buckets "Phis 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 ? he completed form, tivrltten test procedures, and printuuls from tests (if applicable), shozrld be provided to the facility ownerioperator fur submittal to the local regzrlatory agency. Z. FACILITY INFORMATION Company Name: Champion Precision Testing, Inc. Technician Conducting Test: fj ~ v t ~, ~ , ; a ,;~,~ 5eivice Tech #: ~; ~ ~ aS' ~ ~ • ~ ~ Credentials: X CSLB Licensed Contractor ,®'SWRCB Licensed Tank Tester ~ ._ i4~cr9 License Type: D-40 .. License Number: 848150 Manufacturer Training Manufactwer Coui orient(s) Date Trainin Ex ices 3. SUMMA]~X OF TEST RESULTS Component Pass Fail Not Tested Repairs Made Component Pass Fail Not Tested Repairs Made ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ D ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ U 0 ^ ^ ^ ^ ^ ^ U 0 ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ If hydrostatic testing was performed, describe what was done with the water after completion of tests: CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To the best of my linawlerlge, the fru~s stated in this document are accurate and in full eompliarzce with legal requirements ,,,~ r Tecluucian's Si htre~ ~~ ~~ ~~ ~ "? %~ gna .~ .G ,-~2 `-G~~==~'~ --~..-~. Date: ~~l c 2. TESTING CONTRACTOR INFORMATION SWRC;l3• January 3(lQ2 ~. SP1LL/OVEI2.FILL CONTA[PT111[ENT 130XES - acilih~ is yot L-'quipped With SnilUOvertill Containment Boxes i`~ -- ~?3II~ ___ ~s SpilllGvertill Containment Boxes are Present. but were Not Tested :a __ _ J _ -- ~- 1 Test i~tethod Developed 8y: '~ Spill Bucket tYlanutacturer [~ lndustrv Standard _ Prvtessional Engineer _ '~ Other (Specify) Test Method Used: ^ Pressure .Vacuum :~vdrostatic Other.("Specify) ~ 1 Test Equipment Used: , ,Z ~;,, ~~ ~ rii ~4:-«vA.~i Y:~:n df~' `.Af v:j~~j~~.. r_.~~~r'S•...y~_f?Id_ .4J~-. 1. ZFif i.. ~~GA ~, 4~~p L ,~,~ „ ~ . ,:. ;~ ~ Spiii Sox # Spill Box # Equipment Resolution G> ~~ `t J i~k~._y Y. f .'iJ R ,2 ~i4' { -~~:~:a; ..; _. ;.':. :i~ Spill Box # ". ~ , Spill Sax # Bucket Diameter: . -Z. / z. ~l~uck~et Depth:. ~ ~ ~ Wait time between applying pressure,'vacuum/water and startin ~ test: .1 ~ ~ rJ ~ ~~ !I. ' ~ Test Start Time: ~ i ~ `~ 'I In.itiai Readin ; (Rr): ~ 'I 'l'ost End Tirne: ~~ •- ~ ~ ~, ~ ~ Final Readinb (.RF): ;~ '- Test•Duration: t/• . ~ /r~, l i Chance iii Reading (RF Rr): ~S j PassiFail Threshold or Criteria: ~ ,~.cr; " r ~c t'l y'' . ~~c:~~,"'~ ~ ~ ~~- ~" V' i ~ I `Pest Result: ass V Fail Pass ^ Fail ~ G Pays ~ F1iil ~ ~ Pass ;:i F;iii Com><nents - !`include infvrmativn nn repairs made prior to testing, and recommended follow-up for tailed tes~sJ _ _ T rte/ ~. J UNITED PARCELiSERV/ICE SiteID: 015-021-001168 Manager 'J1M ~C~ ~ ~ BusPhone: (661) 326-8195 Location: 3800 N SILLECT AVE ~ Map 102 CommHaz High City BAKERSFIELD Grid: 24A FacUnits: 1 AOV: CommCode: KCFD STA 66 EPA Numb: SIC Code:4215 DunnBrad:00-699-1681 Emergency Contact / Title Contact / Title Emergency MAURICE BARKSDALE / PLANT ENG SUPR 1~ R~H~D /LAWTON / FACILITY ENGR Business Phone: (559) 442-2925x Business Phone: (510) 633-3974x 24-Hour Phone (559) 263-3673x 24-Hour Phone (~ 22~0'7~'J'x Pager Phone ( ) - x Pager Phone (~-j qty ,~~ x ~~ Hazmat Hazards: RSs Fire Press ImmHlth DelHlth Contact :.NICOLE MCNAIR Phone: (510) 633-4035x MailAddr: 8400 PARDEE DR State: CA City OAKLAND Zip 94621 Owner BT OF OHIO Phone : ( ) ~~~ - - x - , Address 55 GLENLAKE PKWY NE State: 'GA City ATLANTA Zip 30328 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: Yes ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK PROG U - UST ENTb F E ~ ~ 8 2007 3ased on my inquiry cf those individuals responsible for obtaining the i f n ormation, I certify under penalty of law that I have personall examined and a y m familiar with the information submitted and believe the inf a ormation is true, ccurate, and complete. Signature i------ ~_ 7/Q~ ate -1- 02/20/2007 '--_l ma'r'` S. 1 F UNITED PARCEL. SERVICE SiteID: 015-021-001168 ~ STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: UNITED PARCEL SERVICE Cross Street Business Type: Org Type: Total Tanks 2 IndnRes/Trust: No PA Contact: Dsg Own/Oper DAVID MARTIN ICC Nbr: 5246124-UC PROPERTY OWNER INFORMATION Name I C TON Phone : ( 510 ) ~3~3~r'% 4x Address : ~4S _ `~(~ /_~/_, City fjU State: Zip: (!i ~(/ ~~~ Type CORPO~TION TANK OWNER INFORMATION Phone: (510) State: Zip: i~3"~3 9'y~x _ f~ 3l~ -- ~~-1 S Name RI~A1~ I.~PtWTON Address: ~~ City Type CORPO TION BOE UST Fee# 033602 Financ'1 Resp: SELF INSURED Legal Notif Date:10/27/1992 Name:JOE DUNWOOD State UST # . Phone: ( 2) Tt1:HAZ MAT SPEC 1998 Upg Cert#: 00819 x -2- 02/20/2007 F UNITED PARCEL SERVICE SiteID: 015-021-001168 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE E F P IH G 727.00 LBS Hi UNLEADED GASOLINE F IH DH L ~U~ OL~J 7 9 0 3: 0 0 d GAL Mod UNLEADED GASOLINE L 00 PV~~Z!?J784~ GAL Mod WASTE MOTOR OIL L f 1875.00 LBS Low WASTE ANTIFREEZE E F DH L 968.00 LBS Low LEAD ACID BATTERIES E S 600.00 LBS Low OXYGEN F IH DH G 154.00 FT3 Low ANTIFREEZE L 110.00 GAL Low AUTOMATIC TRANSMISSION FLUID F DH L 55.00 GAL Low MOTOR OIL ~ F DH L (,~~2,30.00 GAL Min LUBE OIL F DH L 55.00 GAL Min LUBRICATING OIL F DH L 55.00 GAL Min LUBRICATING OIL F DH L 55.00 GAL Min WASTE DEBRIS S 900.00 LBS UnR WASTE DEBRIS S 720.00 LBS UnR -3- 02/20/2007 -4- 02/20/2007 ~ _ ~ ~' F UNITED PARCEL SERVICE ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME ACETYLENE Location within this Facility Unit AUTOMOTIVE SHOP STATE TYPE PRESSURE _ Gas TPure Above Ambient SiteID: 015-021-001168 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 74-86-2 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Cont8ai76rLBS Daily M2~im0u0m LB~ Daily AlOr00e LBS t1AGF1KLVUS 1:V1~lYV1V~1VlJ sWt. RS CAS# 99.00 Acetylene Yes 74862 1.00 Acetone No 67641 riHGKtCL H b.7L" aa1~1~1V l TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0015 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: FUEL ISLAND CAS# 8006-61-9 Liquid TYPE PRESSURE TEMPERATURE CONTAINER TYPE TMixtur~ Ambient ~ Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 8060.00 GAL 79,3.00 GAL 7903.00 GAL riEiGlitCLVU~ 1.V1~lYV1V~1V1J %Wt. RS CAS# 100.00 Gasoline No 8006619 riH,(~YatCL H~ J.7~.7.71~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -5- 02/20/2007 _ m- F UNITED PARCEL SERVICE SiteID: 015-021-001168 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: FUEL ISLAND CAS# 8006-61-9 Liquid TMixture ~ Ambient~E ~ AmbientT~E r~ EROGROIUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average ~~~ 0 ~ 0 ~-8~@~6~--9 0 GAL J~~ ~ ~~ J 7-6].3--~ 0 GAL 7 8 4 3. 0 0 GAL - ru~t;tatu~uua ~ui~iruiv~ly l %Wt. RS CAS# 100.00 Gasoline No 8006619 r1L~GHICL H ~~~JJ1~1L'1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod ~ Inventory Item 0013 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: AUTOMOTIVE SHOP CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste Ambient ~ Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1875.00 LBS 1875.00 LBS 4.00 LBS rujc~s~tcLUUa ~vi~irviv~ivl~ %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No rues-uc~ s~a ar.~ai~i~ly1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -6- 02/20/2007 F UNITED PARCEL SERVICE ~ Inventory Item 0007 COMMON NAME / CHEMICAL NAME WASTE ANTIFREEZE Location within this Facility Unit AUTOMOTIVE SHOP SiteID: 015-021-001168 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste ~mbient ~ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 968.00 LBS 968.00 LBS 3.00 LBS r1HC~xtcl~vv~ ~vlvirvivl;iv l ~ °sWt. RS CAS# 50.00 Ethylene Yes 75851 nx~rjtcL taa~~~al~i~ly 1 a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME LEAD ACID BATTERIES DELCO LEAD ACID BATTERIES Location within this Facility Unit AUTOMOTIVE SHOP Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7664939 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixtur~Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Con50100rLB5 Daily 600100m LBS I Daily 300r00e LBS I1HGE~ilCLVU~ 1.V1~1rUlV~1V 1.7 •°sWt . RS CAS# Acid Liquid HCN Yes 7664939 Lead No 7439921 nt,ar~tclJ t~~~~a~l~ilJty 1 a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -7- 02/20/2007 T,.- T F UNITED PARCEL SERVICE SiteID: 015-021-001168 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site . 365 Location within this Facility Unit Map: Grid: AUTOMOTIVE SHOP CAS# 7782-44-7 ~GasATE T TYPE PRESSURE TEMPERATURE CONTAINER TYPE I Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co125100rFT3 Daily 1j54?OOm FT3 ~ Daily A70r00e FT3 ru~~xtcL~ua wlnr~lv~ivl~ %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 tif~L,i1tC1J L~J ~t5JJ1~1tS1V-1"7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA iJSDOT# MCP No No No No/ Curies F IH DH / / / Low ~ Inventory Item 0011 COMMON NAME / CHEMICAL NAME ANTIFREEZE ETHYLENE GLYCOL Location within this Facility Unit AUTOMOTIVE SHOP STATE TYPE PRESSURE Liquid Mixture ~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 107211 TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 110.00 GAL 110.00 GAL 1.00 GAL 1"LHGEiKLV U.7 l.Vi~lYV1V L' 1V 1 J oWt. RS CAS# 95.00 Ethylene Glycol No 107211 t1HGHtCL 1'1. 7.7~.7.71~1t!,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPP, USDOT# MCP No No No No/ Curies / / / Low -8- 02/20/2007 •~ F UNITED PARCEL SERVICE SiteID: 015-021-001168 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME AUTOMATIC TRANSMISSION FLUID Days On Site CHEVRON AUTOMATIC TRANSMISSION FLUID, DEXRON III 365 Location within this Facility Unit Map: Grid: AUTOMOTIVE SHOP CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 55.00 GAL 5.00 GAL r1~~HtcLVU~ ~vlYlrvivlJivl~ %Wt. RS CAS# 80.00 Lubricating Oil (Petroleum-Based) No 8020835 Heavy Paraffinic Petroleum No 64742547 Dewaxed Heavy Paraffinic Solvent No 64742650 Hydrotreated Light Paraffinic Distillate No 64742558 SOLVENT NAPHTHA (PETROLEUM) LIGHT AROMATIC No 64742569 riAGH"tC11 A 551'~5~l~1J;1V"1"~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0010 COMMON NAME / CHEMICAL NAME MOTOR OIL CHEVRON DELO 15-40 Location within this Facility Unit AUTOMOTIVE SHOP Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 450.00 GAL 2x0.00 GAL 25.00 GAL 4 .~~ nt~c~t-~ivua ~.ui~irviv~iv t ~ %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 nt~,c,r-~rcL rj~ ~~a5i~ir.lvla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -9- 02/20/2007 ~ l • 1 ~ F UNITED PARCEL SERVICE ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME LUBE OIL MOBIL LUBE 75W-90 Location within this Facility Unit AUTOMOTIVE SHOP STATE TYPE Liquid TMixture ~- Largest Container 55.00 GAL SiteID: 015-021-001168 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 1.00 GAL ti!-~GHKLVU.7 1.V1~lYV1V1;1V 1.7 %Wt. RS CAS# 80.00 Lubricating Oil (Petroleum-Based) No 8020835 t1HGHKL HJ J1;J,71~11:i1V1A TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0008 COMMON NAME / CHEMICAL NAME LUBRICATING OIL EXXON BUSGAURD CNG OIL Location within this Facility Unit AUTOMOTIVE SHOP STATE TYPE Liquid TMixture Largest Container 55.00 GAL Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 2.00 GAL ru-~~titcl~vuJ ~.vl~lrvlv~lylJ %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 YlEiGtitCL L-1J.7t',.7J1~1r,1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min PRESSURE Ambient -10- 02/20/2007 PRESSURE -~mbient F UNITED PARCEL SERVICE ~ Inventory Item 0009 COMMON NAME / CHEMICAL NAME LUBRICATING OIL MOBIL SHC 50 SYNTHETIC Location within this Facility Unit AUTOMOTIVE SHOP SiteID: 015-021-001168 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 1.00 GAL tiHGEiKLV V J ~Vl~lrvlvL' lv 1 %Wt. RS CAS# 15.00 Hydrotreated Distillate, Heavy Paraffin No 64742547 15.00 SOLVENT NAPHTHA (PETROLEUM) LIGHT AROMATIC No 64742650 85.00 Lubricating Oil (Petroleum-Based) No t1HGE~KL E~J J~J~1~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0012 COMMON NAME / CHEMICAL NAME WASTE DEBRIS WITH LEAD Location within this Facility Unit BEHIND WASH TUNNEL STATE TYPE PRESSURE Solid Waste ~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container -Daily Maximum Daily Average 500.00 LBS 900.00 LBS 500.00 LBS HAZARDOUS COMPONENTS %Wt. RS CAS# HAZARD AS Sr~aai~i~ivl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR -11- 02/20/2007 F UNITED PARCEL SERVICE ~ Inventory Item 0014 COMMON NAME / CHEMICAL NAME WASTE DEBRIS WITH LEAD Location .within this Facility Unit SiteID: 015-021-001168 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TWaste -Ambient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 LBS 720.00 LBS 720.00 LBS HAZARDOUS COMPONENTS ~Wt. RS CAS# t1E~GAbCL F~~51'~~ 71~11'~1V 1~~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR -12- 02/20/2007 F UNITED PARCEL SERVICE SiteID: 015-021-001168 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 04/03/2006 ~ CALL 911 AND IN CASE OF A SPILL UPS WILL NOTIFY: 1) BAKERSFIELD FIRE & HAZMAT DIVISION - 326-3979, 2) OFFICE OF EMERGENCY SERVICE - 800-852-7550, 3) CHEVRON - 209-268-4369. Employee Notif./Evacuation 03/06/2000 CALMLY EXIT BY FOLLOWING THE PATH TO THE EMERGENCY EXIT DOOR INDICATED ABOVE. ASSEMBLE AT THE FENCE OR PROPERTY PERIMETER DIRECTLY IN FRONT OF THE EXIT DOOR. IMMEDIATE SUPERVISOR WILL TAKE ATTENDANCE OF ALL EVACUEES AND PROVIDE FURTHER INSTRUCTION ON HOW TO PROCEED. Public Notif./Evacuation 04/03/2006 IN CASE OF EMERGENCY PUBLIC WILL BE NOTIFIED BY WORD-OF-MOUTH, TO EVACUATE BLDG. Emergency Medical Plan 03/06/2000 HAVE AN EMERGENCY PHONE LISTING FOR LOCAL POLICE, FIRE, AMBULANCE, HOSPITAL. -13- 02/20/2007 F UNITED PARCEL SERVICE SiteID: 015-021-001168 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/03/2006 ~ DOUBLE WALL TANK, DOUBLE WALL PIPING IN WHICH EACH ARE MONITORED BY A LEAK DETECTOR. EMERGENCY SHUT-OFF SWITCH IS ALSO LOCATED AT THE FUEL PUMPS. Release Containment 04/03/2006 OUR FUEL SYSTEM CONSISTS OF A DOUBLE-WALL TANK, DOUBLE-WALL PIPING IN WHICH EACH ARE MONITORED BY A LEAK DETECTOR. EMERGENCY SHUT-OFF SWITCH IS ALSO LOCATED AT THE FUEL PUMPS. ~:iea.n up ~~ G~~ CGn~,~~~ I~~~-ec~ tea-- ~ -~-v~e1 i~s 1~.~1 ~ I-~~n ~ M. ~-e~.~~G 1 ~ 1~5v2 -~ ~-- S ~ eel, I~a~MS ~~ 5 ~ ~- ~ ~ ~ ~' `~ V1.11C1 1<C .7-VIAL IBC 1'iC:L1 VCl l.1V11 -14- 02/20/2007 F UNITED PARCEL SERVICE SitelD: 015-021-001168 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ a~J C C.: l d 1 IldG dL U.S." Utility Shut-Offs A) GAS - SIDE OF MAIN BLDG ACROSS FROM FUEL PUMPS B) ELECTRICAL - R SIDE INSIDE DOOR C) WATER - AT ST L DRIVEWAY AT ENT D) SPECIAL - FUEL DISPENSERS EMER SHUT-OFF E) LOCK BOX - NO 11/28/2006 Fire Protec./Avail. Water 11/28/2006 PRIVATE FIRE PROTECTION - SPRINKLERS, MONITORED FLOW ALARMS, HAND AND HOSE EXTINGUISHERS. FIRE HYDRANT - 3-WAY PUMPER CONNECTION AT L DRIVEWAY ENT. Building Occupancy Level 185 EMPLOYEES 03/06/2006 -15- 02/20/2007 ,, F UNITED PARCEL SERVICE SiteID: 015-021-001168 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11j28/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE TRAINED ON MSDS BY READING THE MSDS FOLDER WHICH IS LOCATED ON SITE IN THE AUTO SHOP. (~~•~~5 /; n/, Ic~~ Gn,~~~~ ~IrLC.. rayc c. Held for Future Use nciu ivi L•u~.uic vac -16- 02/20/2007 '~ HAZARDOUS MATERIALS BUSINESS PLAN CERTIFICATION FORM For Use by Unidocs Member Agencies or where approved by your Local Jurisdiction nnAuthority Cited: Health aRnd Safety Code ~25503.3(c); 19 CCR ~2729.5(c) To: Agency Name: 1.~~ Q ~ '/~`~~~~~~ ~ Agency Mailing Address: P-/1 tle_ Pursuant to Section 25503.3(c) of California ealth and afety Code S ,the Hazardous Materials Business Plan (HMBP) certification described below is hereby submitted for the following facility: Facility Name: l~l Facility Street Address: cityfixtl~~-ie LC~ Date of Current HMBP: Z (ZZ 1C~, I certify that: (Check the appropriate box.) ^ I have personally reviewed the Hazardous Materials Business Plan currently on file with your agency and certify that the HMBP is complete and accurate. (See bottom of page for details.) If this facility is subject to Federal Emergency Planning and Community Right to Know Act (EPCRA) reporting requirements, I have submitted the following documents with this Certification Form: Unified Program Consolidated Form (UPCF) Business Activities page; UPCF Business Owner/Operator Identification page with current signature and date; Hazardous Materials Inventory Statement page(s) with an original signature, photocopy of an original signature, or signature stamp on each page for all Extremely Hazardous Substances (EHS} handled at or above their Federal Threshold Planning Quantity (TPQ) or 500 pounds, whichever is less. or Revisions to the Hazardous Materials Business Plan are necessary. The HMBP as revised is being implemented. A copy of the revisions is enclosed with this Certification along with a signed Unified Program Consolidated Form (UPCF) Business Owner/Operator Identification page and UPCF Business Activities page if the HMBP revision include changes to the Hazardous Materials Inventory Statement. OWNER/OPERATOR CERTIFICATION: I hereby certify under penalty of law that, based upon my inquiry of those individuals responsible for obtaining the information reported above, I believe that the submitted information is true, accurate, and complete. I understand that a revised HMBP must be submitted within 30 days of any change in this facility's storage or handling of hazardous materials which would require updating of the HMBP. Name of Owner/Operator (Print): you ~ Title: Plv~ F,G'„~,~~,,~.~ ~,rr, ~ ~ Z Signature of Owner/Operator: ~ ~ Date: 2/zz~o7 By checking the upper box on this form, you are certifying that: • The information contained in the HMBP most recently submitted is complete, accurate, and up-to-date; and • There has been no change in the quantity of any hazardous material as reported in the most recently submitted Hazardous Materials Inventory forms; and • The facility has'not begun handling any hazardous material in a HMBP reportable quantity which is not currently listed in the Hazardous Materials Inventory; and • The most recently submitted HMBP contains the information required by Section 11022 of Title 42 of the United States Code; and • There have been no substantial changes in the facility's hazardous materials operations which would require revision of the current HMBP. UN-039 -1/1 www.unidocs.org Rev. 07/24/06 Employee Emergency Action Steps for an Oil Spill Response Plan for Bakersfield Facility Location: Fuellsland 1. STOP THE SOURCE Emergency Fuel Shut-off Switch Located: On the exterior wall at the car wash tunnel. 2. CONTAIN THE SPILL Prevent Spill from Entering Storm Drain System or Leaving UPS Premises by Placing Containment Equipment: Place containment booms around spill. Do not allow product to leave UPS property. Do not allow product to enter storm drain. Place absorbent sheets or clay absorbent to absorb spilled product. Place used absorbents in plastic bags and process through DMP. (See Diagram on Back) Spill Kit Located: In_ye/low barrel at fuel island Additional Containment Equipment Located: HazMat compliance center 3. CALL FOR HELP Contact: Operations Manager - Alternate - Jim Perez Office Telephone: (661) 326-8195 Home Telephone: 661-340-8329(Cell) Maurice Barksdale Office Telephone: 559-442-2925 Home Telephone: 510-557-1290 (Cell) District Spill Coordinator - Nicole McNair Office Telephone: 510-633-4035 Home Telephone: 510-453-2090 (Cell) '- ~ Oil Spill Response Contact List FACILITY NAME: BAKERSFIELD Facility Spill Coordinator Name: Jim Perez Office: 661-326-8195 Home: N/A Pgr/Cell 661-340-8329 Alternate Fac ility Spill Coordinator Name: Maurice Barksdale Office: 559-442-2925 Home: N/A Pgr/C e I I 510-557-1290 District Spill Coordinator Name: Nicole McNair Office: 510-633-4035 Home: N805-234-4313 Pgr/Ce I I 510-453-2090 Alternate District Spill Coordinator Name: Carlos Medina Office: 510-633-3974 Home: N/A Pgr/C e I I 678-296-92 71 Local Fire De partment Name: Office: 911 Home: Pgr/Cell Facility Engineer Name: Carlos Medina Office: 510-633-3974 Home: Pgr/Cel I 678-296-9271 District Plant Engineering Manager Name: Doug Ray Office: 510-636-2545 Home: 925-736-0304 Pgr/Cell 510 206 9453 Region Environmental Coordinator Name: Stacey Byrem Office: 949-452-2048 Home: 949-509-8962 Pgr/Cell 949-751-9240 Corporate Re porting Name: Patrick Brown Office: 404-828-4254 Home: N/A Pgr/Ce I I 404-808-7212 Alternate Corporate Spill Coordinator Name: Linda Lyons Office: 404-828-6766 Home: N/A Pgr/C e I I 72 7-460-5742 DATE REVISED: February 20,2007 Local Spill Cleanup Contractor Name: MP Environmental Services Office: 1-800- 458-3036 Home: N/A Pgr/Cell N/A Alternate Local Spill Cleanup Contractor Name: Clean Harbors Office: 1-800-645-8265 Home: N/A Pgr/Cell N/A Fuel Facility Repair Contractor Name: Redwine Testingl Office: 661-834-6993 Home: N/A Pgr/Cell N/A Alternate Fuel Facility Repair Contractor Name: R.L. Stevens Office: 510-889-0908 Home: N/A Pgr/Cell N/A Tank Draining Contractor Name: Redwine Testingl Office: 661-834-6993 Home: N/A Pgr/Cell N/A Tank Testing Contractor Name: Redwine Testing Office: 661-834-6993 Home: N/A Pgr/Cell N/A Electrical Contractor Name: A - C Electric Office: 661-633-5368 Home: Pgr/Cell Alternate Electrical Contractor Name: Office: Home: N/A Pgr/Cell N/A State Water Pollution Agency Name: Office of Emergency Services Office: 800-852-7550 Home: Pgr/Cell Local Water Pollution Agency Name: City of Bakersfield Office: 661-326-3979 Home: Pgr/Cell Damaged Materials Program Contingency Plan Bakersfield Facility Bakersfield, CA Company name: Facility address: Phone number: United Parcel Service 3800 N. Sillect Ave. Bakersfield, CA. 93308 Day (661) 326-1595 Evening (661) 326-1595 EMERGENCY COORDINATORS Primary emergency Coordinator: Jim Perez Coordinators Home address: Bakersfield, CA Coordinators work phone number: (661) 326-8195 Coordinators emergency phone number: (626) 252-2789 Secondary emergency Coordinator: Maurice Barksdale Coordinators home address: Fresno, CA Coordinators work phone number: (559) 442-2925 Coordinators emergency phone number: (510) 557-1290 (cell) LOCAL EMERGENCY CONTACTS Fire Department Police Department Hospital Electric Co. Gas Co EPA Region 9 911 /(661) 324-4542 911/(661) 327-7111 911/(661)-632-5000 (800) 611-1911 (800) 611-1911 (415) 947-8000 Chemtrec Emergency Response (Information) (800) 424-9300 Clean Harbors (Spill Response Contractor) (800) 645-8265 MP Environmental(Sludge Cleanout/Spill Alt.)(661) 393-1151 Poison Control Center (800) 876-4766 "Current Business plan, and chemical inventory is on file with County of Merced. The facility's Emergency Coordinator will follow the "Emergency Response" Chain of Command. The Region Environmental Coordinator or alternative shall notify the local CUPA and State OES in the event that a hazardous material incident occurs." I~l[()~C)R~NG SYS'~EiVI CER']C~IC~TI~41~ For LTSe By fltl Jurisdictions N%ithin the Stale of California _~luthority Cited: Chapter 6.7, Health and Safety (ode; Chapter 16, Division 3, Title Z3, California Code of Regulations This form mast be used to document testing and servicing of monitoring equipment A seaarate certifiation or report must be prepared for each monitoring system control panel by the technician who performs the work. A copy of this form ttmst be provided to the tank systeru owner/operator. The owner/operator must submit a copy of this form to the Ioral agency regucating U5T sastems within 30 days of test date. ~. General Inforneatiotra Facility Name: r3.~K~( S~ /~~ r~ [.~ ~ 5 Service Station Na.: - Site Address: ~ Q ~0 5r ~ L ~c:-T` ~ ~ ~ City: TJA-Kc.-~72S F/~~ A Zip: ~ s 5c~ ~ Facility Contact Person: /~ t c. G ~-~~ Contact Phone No.: ;5" i a ~- c~'3 r ~ 0`3 ~' MakelIbiodel of iVionitoring System: V R - 3 ~ Date of Testing/Service: Z / ~ 7 / y? B. Inventory of Equiipenent Tested/Certified check ttte atotoronri~ boxes to indicate specific egnipmtent inspeeted/serviced: . Tank ID: l - rt r-= ~ ~A- s~ ~ Tank ID C~fn-Tank Gauging Probe: Model: - pIn-Tank Ganging Probe: Madei: QAnrtular Space or Vault Sensor. Model: o - ' v7 ~~~' SQa~ m' Vault Sensor Model: [wiping Stuup/I'rench Sensor (s}: ModeL• -7~~3~~ 2~ l~I'iping Sump/Trench Sensor (s): iVlodei: pFill Stomp Sensor (s}: Model: pFill Sump Sensor (s}: MadeL• C~i(ileehanical Line Leak Detector: Model: ! (&., ---~. CIMec1>anica! Line Leak Detector. Model: pElectronic Line Leak Detector Model: pEIecironic Line Leak Detector tviodel: IDTank OverfilUHigh-level Sensor: Marcel: prank Overfill/Aigh-level 5ensor_ Model: pother, S ui and model in Section E oa Pa Z pother, S and tnodec in Section E on Pa e Z Tank ID: '2.. - Lt rt, t ~`~ ,~ Tank ID: L?~n-Tank t;rauging Fmbe: Model: ~L( ~;- - ^ln-Tank Cr~iging Probe: Model: p~innular Space or Vault Sensor: Modes: `75'~~ ~ - ~c pAnnnlar Space or Vault Sensor Model: pPiping SumpfTrench Sensor {s): Model: QPiping Sump/Trench Sensor (s): ModeL- pFili Sump Sensor (s): Model: ^Fill Sump Sensor (s): Iviodel: L7Mechanical Line Leak Detector. Model: pllriechanical Line Leak Detector. Modes: OElectranic Line Leak Detector Model: pElectronic Line Leak Detector Model: prank C+verfill/Higlz-level Sensor. Model: prank C?verfilllHigh-levee Sensor: Model: pother, S ecafy and model in Section E on Pa e 2 pother, S and nrodet in Section E on Pa e 2 Dispenser ID: 3 ? Dispenser iD: Qbispenser Containment Sensors: Model: 7 "3L2 i.Z -~~ 1 QDispenser Containment Sensor(s): 141odei: t~hear Valve(s). p Shear Valve(s). pDi Containment Floats} and Chain(s) pDis enser Containment Float(s) and Chain(s) D i~enser ID: ~ ~ Dispenser ID: ~ L3Dispenser Containment Sensors: Model: ~-;"z+`z--~~7 QDispenser Containment Sensor(s): M~iel: ~ l~hear Valve(s). p Shear Valve(s). pDi r Containment Float(s) and Chain{s) pDi Containment Float(s) and Chain(s) Dispenser ID: Dispenser ID: C`~Dispenser Containment Sensors: Model:33 ~-z ~ z -c:c~ ~ pDispenser Contaiffitent Sensor(s): Model: C'rShear Valve(s). ^ Shear Naive(s). pDi miser Containment Float(s) and Chain(s) pDi user Containment Float(s) and Chain(s) °°Tf the facility contains more tanks or dispensers, copy this form Include ineformation for every tank and dispenser at this facility. C. ivBTtl~ICatIdII - i certify that the equipment identified is this document was inspected/serviced in accordance with the manufacturers' gttidelines_ Attached to this Certification is information (e.~ manufacturers' checklists) necessary to verify char this information is corrert and a Ptot Ptan showing the layout of monitoring egnipm For any equipment capable of geaeraling such reports, I hove also attached a rn4y of the report; (check all shad applyj: G.3'Svstem set-up ~Aldrm history Ce'~'Ort Technician Name (Prinz): Alvin L. lOlii6uftl Signature: /~;~~..,E~/.~ Beryls: Technician No_: _ 0878949-UT Certification No.: ~~ Z? ~~~ License No.: 848150 Testing Company Name: Champion Prevision Testing, Inc Phone No.: (66I} 363-7400 . laloaA#lasrfis~~, 9ysteraa ~ertt'~~s?#t~as Site Address: ~~~o S~LL~C:-7` ~~'~~ ~Ji1-k.~~3ZST-/~`t_~ Date of Tesdng/Servicing: =~~~-?/~"7 19. Results of 1Cesting/Servicing Software Version Installed: j ~~. C3 S Cnn~nlata the frdinminn nkanlrliat• C~!'Yes ^ No* Is dte andilile alarm a 'coal? C~'"Yes ^ No* Is the v-sual alarm nal? Yes ^ No* Were all sensors vx futzctionall and oottfirmed rational? C~'Yes ^ No* Were al! sensors installed at lovr+eat point of secondary containment and positioned so that other equipment wil! not iitttetfene with their lion? C'1'Yes ^ Na* If alarms Are relayed to a tenlote monitoring station, is ail communications equipment (e.g. modem) ^ NIA operational? C~Yes ^ No* For pressarized piping systems, does the twrbirte automatically shot down if the piping secondary containment ^ N/A monitoring system detects a leak, fails to operate, or is eletnrically disconnected? f yes: which tensors initiate positive shut-down? (Check all that apply) p~Sutnp/Tt~nch Sensors; C'IDispet~ser Containment SenSBrS. Did you confirm positive shut-down due to Leaks and sensor failure/disconnection? L~Yes; ^ No. ^ Yes ^ Na* For tank systems that uti}ize the monitoring system as the primary tank overfill warning device (i.e. no p'N/A mechanical overflII prevention valve is installed), is the overfill warning alarm vistbfe and audible at the tank Eill in s and refit, 1 ? If so at what ett:ettt of tank ci does the alarm tri r? ??77% D Yes*. - ~ No Was Any monitoring equipment r+eplaced7 if yes, identify specific sensors, pm6es, or other equipment laced and li8t the ngsn~ttfacturer t~tttne and model for all lacemem in Section E, below, ^ Yes* Nn Was liquid found inside arty Secondary containtttent systems designed as dry systems? (Check all that apply) ^ Protin ^ Water. ff descti>ie Muses in Section E below. Yes ^ No* Was rnonitotin set reviewed to ensorre se ? ^'rYes ^ No* IS alI monitarln . mem tional manufacturer's cations? * In Section E below, de9crllfe hmv and tpvlten these deficiencies were or will be corrected. F.. Camment.4: ~{1 gc :~ a C' 3 Sil.e Address: ~$a~ SiLC.~cC ,4,~y~' ~,~.%~St5 T=l~CL7 Date of Testing/Servicing: ~~Z?I~ F, l.n-Tank Gauging /SIR Equipment: ^ Check this bos if tank' gauging is used only for inventory control. ^ Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. ('mm~lrfr fhn rnltnwino rhPrktiat~ C~l~ Yes ^ No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults'l Yes ^ No* Were all tank gauging probes visually inspected for damage and residue buiIdup7 ides ^ No* Was accuracy of system.product level readings tested? Yes ^ No* Was accuracy of system water level readings tested? Yes ^ No* Were all probes reinstalled properly? Yes ^ No* Were all items on the equipment manufacturer's maintenance checklist completed'1 ~ In the Section A, below, describe how and when these deficiencies were or will be corrected. G. Line Leek Detectors (LLD): ^ Check this box if LLDs are not installed. t-'mm~l~t~ thr fnltmvino rhrrkliat~ Yes ^ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance'? ^ N/A ((.heck al! shat apply) Simulated leak rate; Q'~g.p.li.'; ^ 0.1 g,p.h.'; ^ 0.2 g.p.h.' Notes: 1, Required for equipment start-up certification and annual certification. • ..- 2, Unless mandated by local agency, certification required only for electronic LLD start-up, Yes ^ No* Were all LLDs confirmed operational and accurate within regulatory requirements? Yes D No* Was the testing apparatus properly calibrated? Yes p No* For mechanical LLDs, does the LLD restrict product flow if it detects a [eak? ^ N/A ^ Yes p No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a Leak? C~NIA ^ Yes ^ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled ~N/A or disconnected? ^ Yes ^ No* For electronic LLDs, does the turbine automatically shut off if any portion of the utoniloring system . p'~!/A malfunctions ar fails a test? ^ Yes ^ No* For electronic LLDs, have alI accessible wiring cannections'been visually inspeeted'1 Yes ^ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Sectit-n A, below, describe how and when these deficiencies were or will be corrected. H. Comrnents: Page 3 of 3 o3a-i Monitoring System Certification UST Monitoring Site Plan ~j Site Address: _`_~~~ vF~ _ySi C.(_c:: cT ~}5~~---i- ~-'~=~C~LS ~/G-C -1}_---_7 ~g ~_-.---------- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~~~ ~ ~ ~ . i Q~~ i) . !~. . . . ......... .... .r-. ......... .. .. ......... . . '~'. .S . . . . . . . . . ~ ~ . . ~S, . ; f'S - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ ~i : . . . ~;~. . . . c~ f . . . . . . . . . . ..................................................... ............................ ..................................................... ::: ~°s:: ~: ~,~ :5~~wiz ::::::::::::::::::::::::::::::::::::: ..................................................... ..................................................... ..................................................... ..................................................... ..................................................... ..................................................... ..................................................... i?ate map was drawn- __ Z~Z~ ~ ~~7 Instructions If you already have a diagram that shows al[ required information, you may include it, rather than this page, with your 1~ionitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of die following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (iF used for teak detection). [u the space provided, note the date this Site P}an was prepared. Page of os/oo SWRCB, January 2UU6 Spill Bucl~et `Testing Report Form This form is intended for use by contractors performing annual testing of UST'spill containment structures. The completed fornr and printouts from tests (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. FACILITY INFORMATION Test Method Used: [s] Hydrostatic Q Vacuum ^ Other Test Equipment Used: Caldwel .. . l Level Change Indicator ,... A Equipment Resolution: .0025" identify Spill Bucket (By Tank Number, Stored Product, etc_) l `~'~'«~'~~ 2 ~"'~~-~A--~~~ 3 4 Bucket Installation Type: Bfiirect Bury ^ Contained in Sum irect Bury ^ Contained in Sum ^ Direct Bury ~ Contained in Sum D Direct Bury ^ Contained in Sum Bucket Diameter: t Z j Z Bucket Depth: 1 R.: j°~ Wait time between applying vacuum/water and start of test: 3.~ e~ e~ Test Start Time ('I'I): ~533~% U~ .~ Initial Reading (RZ): ~s Test End Time (TF): ~~oo ~~, ~ v Final Reading (RF): ~ ~ Test Duration (TF - Tr7: '/-z v„r Viz, Lt ,~ Change in Reading (Rfi-RI): ~/j ' Pass/Fail Tlueshold or Criteria: `~~ ~~ tl~, yw' ~ ~~~ 1/~ ~ Y' ~ ' .. ~..:::, .. ~:;:::.. ....:. .::..:: ;#;~F::.?:?41"~4'~i#r: .. ... :`'iii..'~ai!i<~%_il'•:~~`i~3:Y .. i`''~; ~ ~ .. ~'[ ~~ ~~'y"i .... ..~. ~i i'4E{'~~ i ~~~~%~i;;::;i<iii: ~...~.~'"~.i::.' ii•,`•.: ... Q• .... ......~.. ....... Caanrieerits - (include information on repairs made prior to testing, and recommended follow-up for failed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING f hereby certify that all the information contained in this report is true, accurate, and in full compliance tivith legal requirements. Technician's Si afore: r Date: Z Z71a~7 _Stare laws_and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. 2. TESTING CONTRACTOR INFORMATION 3. SPILL BUCKET TESTING INFORMATION Champion Precision Testing, Inc. P: O. Box 6398, Bakersfield, CA 93386 (661) 363-7400 Fax (661} 363.7474 Lic # 848150 TS 1000 viechanical Leak Detector Test Data Sheet Site Name '~k~~rt.5 f=--~~~,~ ~ f°s Date 2 /~7/~"? Address 3~s a~ S, ~L ~-t~ p ~ ~~' `~i/-l- K~~25 ~-i~~ a . ~;4, ~t 3 3~~ Test Information Product .Leak Detector Model Serial Number Line PSI Seating PSI Stow Flow PSI Flow Rate 70 PSI Resiliency Pass or Fail Ctt,G.r ~ )/~ -r~''3 ~rC~Q~° ~v53~:•~ .Z? rc{ .7 ~. /c~a~L .4SS Comments: This .letter certifies that the leak detector test(s) were performed at the above referenced facility according to the equipment manufacturers procedures and limitations and the results as listed are to my knowledge true and correct. The mechanical teak detector test pass/fail is determined using a low flow threshold trip rate of 3 gph at 10 PSI. Inspected By: Contractor Champion Precision Testing. Inc Technician f-~ L~~, ~ ~ : .<«c~t%~~ Signature /(~-~%,~.-~ ~--. Service Technician Number C~~? ~~'~ ~ - ~'~ Date Z/ L-7 /0"7 ~ Time p ~ 3 ~i:;,.~~;~,~, sin ~ ,,«<>- - ,_, t. b OF"= _'~1~'~I~,~, LIi~;=; ~ c~:_~r`It^91_IrlIt:H"rIC~P•J:J :_:~`ruF' I_;IJIi ; I LLE :T ~',,rE , ,~c tliJ .^-~ I LLE:r ..r r=;'~Jr - - - - - - - - - - - - _F;ri~E:R:~;f' .t:A '~33Uo - . IEL U _ Bi-;}F:J':= ;F'IELf.),i rt 9'J;JUiv _ __ . = - , . . 5e• t -3?6-15'=!'=, _ _ F.~?RT '.SETT t hJ~a:-: F'Er'_ ~ , ?I:ICI"r h : ~:3 r>,t°} FEn ~'t . t~Li',' ,~t : ?4 r=;1°r L.I~;_{LIIC~ :_rrATU:~ >~Aura J~r;TE ?410 .=,`,'tiTEa"i .=:TFi`ri.IS 1=:Ei~•!":~h;1' FEE; :-,?. ~'I ua? : _''a F;t'9 °~T1''F E I T 1 ST??F> -- _ _ .- -" -. _ _. ._ _ .._ DATA LEPlGTH: 7 D~Tr-; . F'Ur+h:'r [ t:~(+J:.; I'•Jr_~k~r^'IAL ~~iLi u I AL T`i'F'E T'?h1E . i FiPJ.SI.,IER ~7ht t R I tdi., I I PJt?EhlT~_F."f ,~`EP?rhT L I:IJhdLE,=1LiECi 1 UI_(r°}F' REC:E I trlrR _~ETUP L~ti~L.LIr1E - 5'~:,Ii i;iLS L ':?:IJr•ILE:r=,DEL! 1rirJPitILriR iiL.Lr`;iE - 44`8 GALS EPlS~:k PJ'~F't°IAL D I:FI~E:~~bJf:' IJF'S Ti. ,~rS;L Ut°}E _ `C t t GAL;, 1 -5~.g-44''-2'~'?9 HE C ia-iT = 4. . 51~ I [U%;h}i ;; %.`CLrR T'`i'F'E : FA~::S I I°I l LE bd~=,TEF' ^, L = I 1 ~: ~y[_~ L - : L!rli_EF',IiECi - ~r•IPIUL~,I=: ~ Fi3RT rdC? : i I,,IATEr? = 0 . ?~~~ I rdc~HE: ~ ;Ebl:OF? rd~_:~Rh'}AL. 1<'ETR"r N~? : 5 TEI"iF' = 64 .7 !:!Ei1 F k'ETR''r' L~EL.H'.` : 3 i~tihlF I I:'r1AT [ ~,b! FEF't~RT : ~?PJ < < ,. L. P•1Ll t ., ., ., "r - : I_IPJLEAI:!EL? '' Li 'o :+JEELiFR k'`~:~ri1' i Fh~}ti; 5 ',1~}LLir'lE - 5 ~ 14 C'r=tL, i -6r,r~-74:;-5:J ;":~ IIL.Lr;GE = 4414 i3r=;L.c Ri;trR T''r'I%E: C<~t°IFI_ITcI<.' Tt:; Jc:?L(.It°}E _ `_~'~'~;= i rtL.` 1 F'C?F,'T P•1'.;'' 1 HE i i ~l-iT = 49 . i r [ h1~:HE:~: F'E"Cl;'j' Nt? 6,Ir=i i'EF' `.ifiL = LI i ~nL'_I RETI~''^i' L~ELr=i~;' I,,JA'rF.R = CJ . I:1U I rd[-: HE`'ti _ G^:~`P•1F [ 12h9AT I ~Lird F'EFt;>)r`'''i : t:^FF TEbIP = 64.1 DEt F ~: .. E I+lL! ~ ~ ~ :r t FEEL ~", '~CiCi'' '''4 Ar°i-- - f I_I . - ~ F~UT''~` L:~ I mil[. 1` I [°iE .I `r~.iF' : .=:^;~S I'Et^'I Lhf••JGI_IAGE >;t'dt;L I.H '`:'tiTrh9 DHTF: T 1 f°lE Fs:?Rr'Ir,"I' r_~ I : FFCESrJs~ I,IP ; ''SSi~i=~r IIF_~ M{;~t:i DLi '.1".r4:,1' HH:Nih'1:ti.=_~ .:t~l C![riL C;~PI Cir'=iTF: -;rUi r = [ LLFi.'T' A't!E . ~~C'I' ? u'iJii5 . E'A}EF::-:F I FLG .':'A 9L= i ~~~ ?55'=1'r.~6 f_IF:= Li I AL.. T I r"h;' La I'iJr~i1=ICED 651 '2Y,- [ ~,'~F - ?~LIQ =? [ LLEi:;T i-itiE F'ECE I51ER kEI~'t?F'.T:~ . BHb;EkSr IELC?,i~r=; 9_:t~~ F'EB `.''? . 2[ti 17 ,~ . ,~4 Af:•, 6t, i -?'=6- 1555 D c7 : ~rE:EriE;F--,' 1~~?:,''1' ~ F'f^'{~ ; Li I r;I_ ~~~rd Ci;=;TE i=FLU 'CE:_'r i~'c;:~iJL`l: :;H I FT T i r"rE ! 1 :.':0 riNl Nti}'^.i -!~ . '~CfC Ir, 4 - - - - - - - - - - -- - ~;H I f''r 1' I t°lE Li [ ~~;BLEL`, T [ f°1E `~ : 4 F Ah•i ri I ~iL. ' FEL: ~ , , ?i11~17 5, ~ ~! Ar°} =,H I F"!' T' I NIE - D I :=;r=;BLEL.~ ;; F-.'E~:'h i +?Er? k:EF";:?CS'I :=~H I FT T I t^'}i, d i_~ I :HksLEi~ TA~~!} PEr<I+~DiC l.Ir~;iPdfhJ~=_ T i : IJr+JLL'r'tL`?F.1.~ 1 D I:~AE'LI/L~ F'F-.'t:iC~E. :SER I riL. bli_If°l 1 ..I';''r';'6 "crib!}' riPlP•1Lli=ii. I,,Iri,'1'd [ r+G~;:_ Li [._:AFtLED l7 .:~ i:;HL,'f-IR TEST L I h!E F'E'E' I (~L! I ~' !,aHl-;'i'~1 I f`h.~ -t F'ER : FEB '~5 . '~'Ui I ;' PAST= [:i FABLED L i tdE ArdbIUHL [,LIi=:,E;'PdI I+ha;~, Li I SF;ELED . T : [ IPIL.EAC~FCi '.? F'}2rPF' .Fr'[r=l.. hliJt°I } [.-~._: F.F.}i'd"1' .rC 1,rt}[.IIt°lE=_; C' . '~ ~_riL: 'HR 'rE:~:T %~}=}~ : ;=i~:>~ :"~ . 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I("1 I T 1 5: ~?~'~ 145` HIi~H rR?~~Cillt'FT `_+5:'£ ,3.2~J 1 L~t to Pkf7LrUC"C 1459 I?EL I l?EF,'`! L[ (ul [ T 1 5".> (459 L.E~,} ALARtH L I f~l I T: ' " :?0 • ;~I IDriEfi L _:;=,~: L If~91 I . 9i 1 TAPJ},: TIL`C CI.I_Iil L~il::i (->kt;~C;IIt_T 14Fr3 L.EA}°; F~L.ARf'( L, I f^'t i "T : :~t0 t°lAf•! I F? ALL?>rr_~ "CAPdk;S ~= (_ICiL.EPi L:•:=~:3 L I f°1I T : 91 i T# : N':•h•JE Tr;h'!}<: TILT Ci . I_iU rtAhd I Fi;LDEri Tr,t~J} LEAF: r 1 [ I'•J F'EFz i??D I C : 13°>, T#: hJt~PlE IJ L.EFi}: f°I I Pd At'dNUAL ~: ,> 2`=~' LEA}: P`1[t•1 FERI?C~1~::: ii3s 11 ~,;~:i.-, LEA}~: P•Ilfd r7f~1PJl_IAL '~_5~::' PERI?'~LiIC 'T'E:=:T T''i'PE . '`~'J~ JT F;t''JDARU Hf•!P•NJAL Tf?:.T Fri I L E'ER I t>U [ C 'I'EtiT TYPE Y-iL.r+Rt"1 L, I :~FiEI EL~ ;T r`iPJDrir:'i;! .. F'ER I s~rD I C TEST FAIL. AfJf•!I_IAL. T1=.T FAIL ALA=;RNI U I :~riBL.ED AL.ARf"} U I _AELED F'E}c' 1 t aC, I i TEr"I' Fr-; I L riLARJ"I D I ~=~~=i[3LELi ALARt°1 D I ;ABL.ED APlhd TE:~"C At,?ERA~:~ I f~lG : ts~FF iR't:y°,:_~ 'I'Et-;'C Fri I C.. F'E}? TEST F=i1.+ERiii~ I P•JG : C:FF ALr~.RNJ U I ~;F=;BI_ELi " 'rr+PJ}`: TES'C N~:~ST I F`i' : C}FF Af4f•! TE:~~ T A':?~Rr~;cl tVG: t;~FF~ FER -FES`C A~:?EI=:Ai1I PJG : t;FF' TIV}C 'CST ti I F'W?'f+J BRE AK : ~=;FF `CAh•1K 1';/3T tV?;T I F''! : C>FF' [iEL [ ~.'E'R'.' DELA'`,' 15 f°J I Pd Ti~J}; Ti~'T 1F'H~~'hJ BRE A1;::'~'FF C~EL I ~.IER'r' D;=LA'^~' 1 5 ~ h'i 1 hd Ira-T~rJt: D[r7i;r~u_rr[c: TEST G'~;LD riLL T~fd}; - - ~- .._ _ _. _ _ ._ _ _ _ "C~rd}; LEr;}: ?'EST H[`Ct;i~:',., F~;3 _ q ~;. ~ PR~;.'BE D Ir;C~P•J~''..T I i~"ti i'L [ N1F1TF I- 7C:TC>>R : N1UL.iERriTE ,-=- `C t : P Id(iEIE T'T'PE r9i~ii:~ i - :.. T 1 : Ut'•JL.Er=iL1E;Li I :=.ERIraL PJLJ{•9BER 132'~2E, ` IL? CHriPJ 0:~:~:11IJ11 Ln:=:"i' C;1~:'t~;_;::, TF:~T' PH,_;:~:EB: LEF=i}; 'I L-:t3T F:'EF'~rlt:T F~"}k'f°ir't'I' C;R~-1L~ I EfdT = ~52.5i_10i1 EPJHr+fd~_;ELi r•J~+ T'E:=~T P~;7;~ED PdUt"J ~:rP'iF'LES = '~0 LHJT ~r`ltdUhL TE'.3T PA:~~:-:F:C~ i_'li'~ 1 ? l2~ . 0 ^ i_;C13 17Q'=7 . ;~ r.Jr ~ TE:=;T Pi=t`.-~.^-QED t"'Q~1 l"tJ??.b i_115 17U'_? .iI i:'ph 1 ? i I?? , ~ r;[~'1 1 ? 02? ? F~ ILLEt 1' ~rlr•Jt Ir,L TE:3T F'~: G l 0 i ?023.0 i~ 1 1 4?S?s . l t~JC) TENT PAS:EL? iSl'~ '?2148.1 i`13 '2167.3.1 i;14 ;'111.3 C;15 2140'x'.- LFi.B'I' PEF'I~;Li[: TE:..`C Pr-;h~'ti: +=tr. '~136'?.1 t'IT 'I'mo?1..` FEl3 :~c :~'QQ? 6:50 rr't L, [+~JIJ I ["~ ;EPI:=;i;k .--;ETUP ~_:l 8 a''~ ? ~ . 8 "CEE,T LErdGTW ?? HIJUR: - - - - - - - - - - -- - :~;Tr;i=:T [ f~li_=; 'WOLUP9E= 5IJ' :~~r=if'iF`LEE: RFnLi =24[I''I~i591? PERt:EPJT ~+c~~LLfI"lE = 5'~.r~ L t :1_ifvL.E~"',DF'D 1 SUt°JP ti,~,P'1PLE;3 USED ='402?l i iit TENT TYPE = C:,~LD Tk I -:~:T~TE ~ :~J [ PIiL.E F[.i?~;T :• C'i~;TE:iSGkY TF' ti:i_!NIF' Fi ILLErJ"C F'ER I OD [ ~ TEti;T I -' : f Ir•JLE~',DEC~ I rPdP•JUL~;i F'~S'tiED Erii_'FJ N1~+PJTH "I'R I --~:Ti=;TE +: =i I PJGLE FLti SriiT ~;r,TEC+?;<:`t rtrdt'JIJI.~,1? SF'ti:;E Ji=tN 1 d, ^OC1? 1 : 1 F~r"~P9 "1'EJT LErd~,TH 131 HtirIIRS ;:"Cr;kT [ Nu V±rLI Ih9E= 6239 PERi::EPJT S.rQLUr'IE = 04. ! i_. _~ : UrJLEHL:~f~'D ~' ~rJNULriR I tV-Tr,PJ}~: D I r~_;rd:1~ST I C TEST TYPE = C:~LD TF' [ -:~T~+TE i::3 f hJi ALE Fl,t~riT } - - - - - - - - - - - - Cr'iTEGC~I-'.''r` r;P•!P•IUL~-;k' :~PAi:'E PIr<'t}E;E D I rii;I~Jf~:~T I i::S T '? : PRA rEtE TYPE Nlryi.;1 FEF.; '~F . ^00? r.: ~~~1 ~-it"i SERIi~L PdUt°1BER 13'=2'~3 TEST LErJcsTH "~ HiJIJR:=: ID C:HHPd = p~.:i;:000 ;Ti~RTlydi; 1,~rJLU~'IE= 5017' i~RADtEPJT = 351.5300 PERGF.PJT' tiC:Lllr'IE = 59.0 TEST TYPE = is=;LL+ JdUf"1 '.0rir'IF'LEtO = '~0 i":it0 1 3?'3 . 0 +~:L"I l 1? i ':'1 I .0 h'1HR 1 4. c:0[Ir 1 ~: 38 F'f"I i.'0~ i ;'190.1r i[I3 I?19Ci.0 TE;T LEPJG'I'N 55 H~~~IIRS i;04 I ? 1 90 . iJ i=;1_l5 t ? i 9Ci . 0 ST~rRT I NC; 'v+t:,Ll If"IE= 59_'5 i~QO I r' i c;9 . ~` GC7 ? t ? 189 . F'ERi::EhdT tIt}LI It"lE = E.0 , 9 ::061 I"I 9i1 . L-J i~G9 1 ? 1 ~'a , '~ TE:~,1' T'YF'E = C:SLD ~:Ip 1'71'.+0.0 CI1 4'996.0 E<:Tlrl;`PJr~L I rdF UT SETJJP C' I '~ '?:;:;'_ ~+ i~: i ^ I ':i ;F, , '3 - - - - - - -- - - -- i= 1 4 ~ l '~ i CJ . u C 1 e :' 153 i . HPF' '?9 . 2000 9:04 hP'i PJ?~f`lE t:t6 cl?64.4 i:l" _ ?5 '~a _ , '.1 9. . ~, J~ TE .'T L£:r.~TH E.2 HCrUR_ CI9 4`c''±90.9 STHRTIrJG '~JtJLUP'lE= 620:. F'ERi::EfJT tlti5t_I it°lE = 64 .4 :=,hr'iF'LF.'N REr~Li ='~4Ci~'?611-1'=1 TE'.=_~T T'i'F'F. - C:~LLi ~:rt°IF'LES I r~I=:D =:-~4i1_'6494 [ P'lr=i'Y' ;_' Ij 0 E. ~ ~~ F't"i - ~ Ni~J IR;^_ LEPdITH t,8 TE:=:T :=1Tr=if?Tl~rdi=; +~~C'"Lfft'1E= 64cf1 ' PERiSEfJ'C ti1;_)LI IP'lE = t.6. , . TEST 'C`t'PE = C:~LL; UI11'F'U'C RELrY ETLIP R t ::JEtd'tiC;F..' rL~Rr9 T4'F'E : ~TF;N1Li;=;RD PK>Rt°1F=,Li.''c' i~LI~tiED L I i.l U 1 G ~_ E rJ~:?.)Rri C.("1~ FILL :FUEL. ~,LraRr9 'riLL : =:EfVtiC:R %_il IT n'Li=1Rr'1 ayLL :JH~~~RT r=iLr;Rt°i :~t?pTt,,1,=;RE REl% I ;=; I ~::~PJ LE'i: EL St_~F"CI,.Ir4F'E~t :i46i 1 I ? - I Llil--p '-'RF.r1°ED -- J9 . Q0. 0l . '~'u . 4Ll -P'Jt:pl_ILE.'u -:_~U1 60 -1"10~'-~, SYJTE'i°t FEr-',"lII IF:Et F'ER l t~D 1 ~_' [ i+J-TF°iP•!h; 7`E:::;'1'61 r;PlP•J! hL. I r~J-"C~Pif; TE:31':~; c._a.D N1r`-'+`C' '?'_'. '?l]i J6 " : ~:r F'I"l r"iC.r~t=: h'I H i.4~'TiiR'`[' F,'EF'C; RT T ~.: I_IPdLEriDE:D ._ TE:3T' LEh1iTH 5~- Ht3U;~: ' ` =:T~RT I (dC~ Vt;LUiaE= ,•:'} ~? --- f Pj-THhIK ~L~RP'I ---"--- F F'F;:~SELi : _ L~:~:T GF~t}:';S GE ~ ` _ F`ERCEPJT l1C~LUr"iE _ ^4.4 . ?f]0;~ :~ : 04 FP'1 MFR 4 ' ° TEST T''r`F'E = t'SLD T I : UP1I.E~DED 1 t?t }LI_iI"iE= 3~I~14 T I t'•Jia :~T~k RERi:'Et•lT' 'vC~LUf`9E _ ]9.1 HIGH b•Jr1TER riL ARh1 TENT TY'F'E = w~TF;F•1L7HkLi }CT i 1 . ~Oi7b °• "~3 HP^i FEF,' 8. ~17[lF, , t t I : .: r=it"I ' TEST LEINUTH 5i, Hi_?IJR h1?;R ~ . 2~IL15 1 I : 1 ~ ''r.1"J t.F=;.:T i;hJP•ll_!~L TE:7'T Ph:-::DEL? : :~T~1F,T [ tdC, tr{_'LL4°lE= 6utJ!'a P'ET;'r'ENT t?+~Ll_IP'tE = E.'-~ . 6 t?~~ER F I LL aLr,F,'Ni I Ns=~ TL:ST P~tSSEI:~ TENT' T':'F'E = C::3LD FEE c . '?LlUi6 1 D : Q6 Hr°i HPR 2y • X005 0 : _r, ANi P'1r";Ix: '~ ?OIl5 l U : l ~ :~NI FL~>vLE~..`Cr',PJt'•JUr'rL TE:_'T F•F;t:J_ .TIJtV 1 ~ ~, ?ur Jc 10: 3~ Pf•1 `CE:_;T' LEr'•!i_:TH 41 HGURS LUI,J PR':~DUGT H LHRt"1 iJf7 TE^T P'~r:~SED :~:Tr-11<''t I fVi l?i7Ll Jh'lE= 65'3' Fll li; I o. 2QQ5 `=' : a 1 i=~r"1 " - F~ERL'Er•JT ~rt1LLtP'lE = 6?+ 8 JACd ~rJU5 29 I :.~F F'hl ? [ t?La I ~; TI;.:-, P P~~ ,; : Lr,ST F'E> . TENT T'~ FE = GSLD FEB : . 1 ' ~OU4 1 : ~! ~ F=tN1 FES 25, ~'01]~' 6 : 5i] Ah1 TEST LEh1GTH ?8 Ht;+UF,S HI~:7H F'R,?Dt!C,T i~Lr~Rh'1 START I h1G +,~t_',LLih'lE= ~~?00 N~1tr 1~ . 2UUh `' : 5y i-1t"1 FEB '~UOh 1 t] : rlr, ~t'9 F'ERi::Er+1T tl+:~LUP•IE = 59.4 ' ' TEST LEr•Jt_TFI 41 Ht_'UR:~, MFR '~9, X005 9:5y Ar°i YP'E = C=:LD TE::IT T v 'STrikT T P1G llr}L.UNiE= h094 F'ER~Efd'I' 't?t,LUNIE = 5..? I%F;??ES E ?iIIT TENT TYFE = C:SLD FEB 3. 20f7r; 1 0 : 2 r Hh'i F'ULL.EST PEF--. I t:JLr I ~_; TEST FEE .-;EF 8, 2CIU6 ^?. :_'004 '=i : 53 1r~:5~ ~P'1 ;;{~'t F'h:=SED E~GH t°l~;r~JTH: _ ~ 1 HC;UF.S 1'E T LEt~1GTH h I HIGH t•J~"fER t,Jli Rt•J I i~li:: J~r~! t I , ?00 ~ ? : 32 r,h'I ' STi-1F'TIPIi_; ii{~LUt°lE= F139 FEE 8. '~Oi]E, 10:'c5 r;(°t ' H~)iJR:_: TEST LEPJiTH o IJt°IE _ 1 FERGErJT' 't?r;,}L h: ~ P1H)r' 2 ~Q05 1 1 : i :> ANI :Tf,RT I t~li= 1it_~L,I_Ih•tE= i; '~~ _ . . TEST T'VF'E _ ~?:~LLi PERCEPIT '+?t}L.LIh9E = 65.0 LiEl-. I ~?EF:`'x` i'•JEED ECi DEG 17. 2U0~ t : ~.t9 Hf°1 HUG 1 i X0!]5 ? : 4!i Fih'1 .'tl JI+1 F ^I]Il5 I : 1 ^r F•h'1 TE:--7T LENGTH 7`3 Hall iR;;l IHf~I '~9, ^Q05 ' I ::75 ' F`r°I . Ef•J>7TH 91 HC~Uk= : TErT L :3T~RTIhJi Vt,LUh'IE= r]2'~4 FEB ~0!]4 13. ~Ci i : Ai"I _ . ITARTING l?C~L!!h'tE= t]:?I]5 PERGEhJT +,rti,LUt°lE = 64.!] TEST T1'F'E = C.~LD h1i~:'( F'I<'t:•i!I-ir'_T ra LryRt°t F'ERGEP•iT ;:?t_;Llit°lE = r,:,l.! FEB ?OOr~, ~: I fl : Or, ~;r°1 TEST "]'`i'P'E = GSLLi . .. t ~ EPJL~ ~ n t t . F'ET<: I ~5D 1 t:; 't'E::T Fr-; I L r~F~R r~ • ~OC74 1 .35 F'P'I FEI -'F . ~rt0? 6 : 5C! FiP9 L LEPJiTH ?2 H~SIIF.:S TE::~T' . ST€=+R'T i i~tt; tri_iLUP9E= F~~ 1[1 - Ph~~ ~ ?:I L? I L?LE "C 1 h1E FE1K'i_ EPJT ~Jt,LL!P'tE = 5'3.4 ' C.~ :T _ I "~~ . '~'Ot~4 <i : un f=,r°I 'iF'E - i a=LD TEST T Oi:'T 8 . 'Ui i4 3 : Cu7 AP9 t-Ji:T '? . ~t"lf_14 ~~ : Ull r7Ni JUL 30,,'~IOr=, 1^-.: _8 i-iP1 " ~ ! I ", - - - -~~ , '~'~; .~'i ICIr, ;_; : _~ r F'r°I r-i i i_`,;;;L.D I fvi_ R Rr1T E 6~Ii~Fr `J L LEP•liTH 59 Ht]LIR:_1 TES ~ ~ _ _ TE';~1T LEPJi~TH 5~'; H~J! '.',:; ..IIIL 19. ~i]Il3 l ll:'J5 fitt°I „_1Tr-iRTI Pdi; t1tiJLUh'tE= ~3r:1 . :-~T~R'T I f+lt; t/+~?LUh'lE°= 5??0 JIJL i ?, ~OI]3 :? : 31: PP'1 c i ~}L Jh'lE . I • - 'i1 = =7 F'EF -'ErdT 'ti~?":~L1 fi"IE 5' : J i°l~':' _'£i . ~'Qf]:_ : Ot~ r"iP'f TE T T;I~E = i."SLL? _ . ~. . ,,.•_ L~?(,51 TEhiF' I,Jtikr'J ! RJi FEB t~'iJ!]G 1 L : 21] HNl h'Ir=iR i 9, '(]ritj 1'~ : ~,rl r=;1`9 ! ' ''=EF' 13, '~'UU6 I :1I Z/'I°I Ht~ TE~_T LEPIGTH 5'~ UR~_ ' TENT LEP•Ji>TH 65 H~iUR .~LGP.tE= H355 :='THRT I h•Ji:; Vi_ _ ?~;7L yT'~;RT I hJi; 4 Uf°tE= 587!:r PER+= EP~JT ~~c>LUt°IE _ ~~n ,' ' , . ?t;+LUh'IE = r.0 PER~:`EPJ"C + 4 'z`>/E _ ~:SLD TE.aT T . : TENT T:'FE = i~;LD ' '~Oflr=, 5:14 r°;t"t t?i'T 9 H r,t b1GI_IR:= TE~_;T LEhJi~I , `LE.T LEtdGTH 5'~ H:'~i IF':~ :~T~RT I fVG '~+t?LI it°JE= 54'? t l Ih'tE= 6 t .0 SThRT I r`!i + ?tiL P'ERt:.Eh1T 1?i7Ll,1t"tE = F~ I,J . : ' . , PERGErdT t?tjLEINIE = c3 5 FE ~ i';7LD TENT T~ , TEST T`rPE _ C:=~Lxi r~FE' '9 . `,='IjClr, l 1 : i~I~4 Ph'I H;%UR:: '= `T i ` ' ;= ~ .. hdt]+,? 113, '?i n]r_, i "~ . •=11 F'r'l TE . LEPJ .; I H J ~ Et'JGTH 3? HC;iIF':~ TE:.T i :Tr;RT I t'dG l?~JLUI"tE= c.'+~~• ~ F'Eki ERJT t?i}Li IP'JE ~= ? i . 6 _ :'_:Tta15T I PN=~ trrJLl JP'lE- 5995. `CF:~C T`iF'E = G:=LD F'ERCEPJT +J~;LUN1E _ ~,l.a TEST T'r'F'E - G' LLi 'I'E:..'T LF'Fdi::T'H 64 Fit~IJF.':=; L?E!.: ?5. ^C?C16 ;~:~;- F't°1 ;TF;I~:'C I t'•Ji; '~?ti:~LUh'IE= ~5! CI TE:JT LEt,Ji:NTH ?9 fig?URE? I .f°tE = 5r.. 6 %'ERC`EfiT 1?G•L START I hli, `~,+i1LtJr•'!E= h~ t 1 ' ' , TEST T`'t`I~E _ ~'r_;LD PERi'EN Iis ;LI Ih'lE = b4 , ti I TE:T T'IF'F = i:~'~LD e ~LHkr'1 HI;~'r~sk•'~' k~F•~}~°r ---- iP•!-Tr~rlK RL~k'P'! - T ~:` : uhlLE~DED ' FEB ;?. '~~--1]1.16 10:25 rii"i Nlrik ^, 200 10:2'B r=iN1 ttL~ERF I LL raL~RNI JrtP! :3. 2f 10? 1 ? : 1 3 Ft°i .JUL 5, 2006 1 `? : ;:.0 Fl°! L~~l.J F'F.'s>BUCT F1LrtkP•1 FEB' 1 ~~, '2L7fi~t 1 : Fr7ri!"! .JUL '~5 . '20rJ3 '~ :29 AP'1 JUL :;. ~'1~03 ~1::a? i`~r°1 HIt,H F'Rt?UUi~T hLe='+F,'NI F E ~' o . ~ 1.1 Il E. 1 li : !] 6 f=ir" nPk ~-"~ • ?L"105 y : 5° r=ih`i !"4rtFc .~. 2105 10: t"r"'d''I F1t~BF: .~ UT FE E~ ., . ~ I"f l t 6 1 I-I : '~? ~! rr"1 FEB 8. ~U06 '~+: Fr; Ah'I REF '~'?. '.?IJL-14 1 iJ : 5.=' ~h'! H I iaH l.~J,=;TER [nlr',T~r•! I P1~ FEB uI . ?IIOF=, 1 p : _^5 ryr°i h'hR ._. _IJ05 11=1:'~cl r,l"1 L?EL I't~'EF'''! rdEEC~ED F'EB 1 : ~'UiJ4 I : U'r riP'1 .7UL r5. 2L10:0 - = NI"l JUL 3. ~QLI? 4'`5 ~~!°} h'1~;~; I~'Rt~C? U~_'T rt Lr1l?h'I FEEI 8. 211[16 10: 06 rih'1 F'Er~ 1 CiD I i' TEf_-`~T Fri i L ;Fk a ,1-100 -,~ pr,.} Pd?, i_'.~LC:~ I I:~LE T [ r°lE C~~~-T '? . ~~ur ~ 8:00 r,h'I -"' LLD t PlC~R k~TE hlry)<:rd !"lri~Y ~ F; : '?110: _ : i Ib of"1 ~Lhki'~1 Ht:~T~?r•'~~ ~:E~~w~~"r ----- '~~EPdS~:'k iaLf;kN'1 -- --- - L I : UPdL.f~i~DELi 1 :~Uh'iF' =TF' :~I it"iP FUEL HLi"kr°i Plt111 1'~, '006 ;_ : 41 PP'1 SEF ~8. '~0~', Ok4t ' ~ 1~:a~ f;r~i , ~ F~B 0, nLr=i~'.f"1 H I :~;"I'~?k'1'` kEF'~JkT i• L, ,=' : UP•tLE;~iLl1_C1 1 1y('•!('•!i iC:Fitc FUEL ~;LFi'r°1 '=;Er51:~:s;t=~ C){ IT nL.Hki"1 [=EB ;_;, 2Ltr_lf=, I r"f : 4~ F;P1 FUEL r;Li=;F-,'P~i FEB ~ ' . '~ D O r, [ i_I : •.; G~ r?l"} r'~L.riRh'1 HI:.~TCSk"z` F'i~r`t}I;'T L ;_ : ~!r'~;LZr~c~ECI :' ~haha!lL~R r~rdr•IIiLf~k' '=PryC:E E'i"T. r~LHRr~I REF' :_°. cl-10b :i'I:'-'.. i-th9 E.EPl:~;~;F' ,1 UT r;LrF'["1 FUEL ~ii_~F'r°1 FEE 8, .006 1 Ci: X14 t,h9 - I i~ r~rl~~ ~LraF.r I T l:l_IraL~~=;L?EC~ 1 1;:t1,; 5~1r ; ~ tT _ FEB ~'~. '~0p? ICI : I a rif`'! L '? : LIrdLEt',L:~ED 1 rtr',lrVt_fLAk F=il'lPdl iLi~F: :~Fi~i :E FUEL >r;Lril:'r°l FEB '~i'. ''iJCJ? 10:1'=~ ~t°I ___--- :~l;fd:=.ik ~Li=tkr"1 ----- L '~ : I ih•IL,E~;UED 1 ~iPli'•!I IL.~}? rtrdPJl_1LHR ti~F'riiT/ FUEL ~L~ikr°1 FEB W ~ . '2Ui i? 1 CI : 19 iP'I - I fd-Tr'+P1K ~L~kh9 ----- FF.B 2?. X00? 11=1 : ^0 r~P9 rC~hlF[kPl~`I'ICrr! )i'l:;F~'kT: D i : FRE:Pdt; l lF'S FivE; -'~ ='i ii a? 1 C! : -' 1 fir°l r^'1~JDE~=~F~ ~Ih'1tLE~ 0 ., L" 1 : UNLEF;L~EFi t SUMP STF' E;Uh'IP FUEL ~;LARt"[ FEB '~'7 , '~'OO^ : : ~>J F;r'1 C_'°~~PlF I Rr 1ry'1' I t?rd REr~;?i-:T FEB '?7 . 2007 S :417 ~t°i RE:~ULT = s?!:, C'~s~P1F I k:[°Ir;T I ~:Sh! F'E'F'+?RT : ri ! :FIDE:=:P1tii LIF'~'~ FEB '~ ~ 2LIC17 ~ : 44r";t"1 r'IaJD)= _ ; F~~C:~ I rl I LE L 3:Ut~lLEHDEU '_' ~it'afdULr';Ir' ~;NhIULFiR :P~i~E FUEL HLikNl F'EB '~?, '~I.n7f 9:01 hP'1 -- - - - Ira- T~rar i~iLARh'[ ----- C?t;'ERF I LL ~LF1Rt°t FEB ~ ~ 21L17 9::J9 F,f~1 ''S586n LIF'':_: :;8117 : I LLECT F11?E . B~KER:~F I ELD . ~'H 9:33uc1 FEB 2 ; . ''171? 9:41 i',P'I ;;YSTEi°1 STr'~TUS REF'~}RT T <? : t}'~~?ERF I LL r;Lr,Rh't - - _ BA},'ER~~F t ELLi . i~;=; '-13t r; FEB 't7. gun ; ' : 41 hr1 E:'iE,TEI°t :~'T~TU REF'~~~RT ~;LL FtIPa~:TIC?pJ:3 Nt,F,'P'I~;L °~cr~n :;SOU. 'ti I LLECT ~'t? E . Bh};EF.:~:F I ELU _. i_ F=; 9L;:JO {_~fj t -~J?F~-i ~9J FELL 27 , 20CI? ~~ : I Jdrii"l :'~`~TEf°t ~THTUS REFt~};'T hLL F! ING'T [ Ot'J_ N~ ~F.'t°1~L :nUl7 ti I L.LECT h~:?E . Bri]ER..FIELD,C:H 9,J317.' t~~l -02r~-I5':+5 FEE; ' r • X007 9:41 hh'i S4`~~TEP9 ,`I'HTU:~~ REP~_:~RT T '~ : ~:'ti?EF:F [ LI_ F;Li~;RI°1 - - - L. t : LItVL.E~L~ELi t ~;IJP'iP TP Sllr•iF' SEra'tivR CUT ~LrtRh'1 FEEL '~? . 2007 ,- : ~42 Hr'1 ~_ ~:='rdF I Rhi~T [ t;+ra REF?;RT : D 1 : FRE:~Nt> i IFS FL'13 - , 21JL17 'a : Or, Hh9 t°1UDE~= ~ F~~:::~ IP'1I LE RE~:IILT = ~:ih: '~>'v'EF'F I LL ~tLi=;Rt"1 FEB ~ ~ . ~'O07 9:41 r~;t°1 ----- sEra:~?R ~I-~;Rr9 ------ L ? : uraLE~r~Ei;~ 1 ~rahlliL~R ~rdhiUL~R =,PAi~E '.~ElV:~ti1R ?3UT riL~Rf°i T t :oral-.E~;c~EL; 1 F'~'UBE itl_IT FEB ''7, cOO.r 9:3c1 ~t°1 ---- I t'a-Trih•iK FiLr`rRt°i ------- 'I' 1 : UPaLEHLiED 1 HIGH 'PRt;~L31_li~T ~=tLt=',RP'1 FEB ,_'? , '21707 '? : 4 t r';ht ----- i}hl=arR ~L~iRP't ------- L : : Ur1LE~;L7EU 3 hPat'aIJLr,F F;hlhlUL~R SPACE SEtd,~~:;R >UT r=iL~iRP'1 FEB :-'7, .='~:IU7 o:a2 r,f°[ F'R4'~FE t~i.IT' T ~ : I_Ih1L.Er'-,DEL; '~ I PJtiEt~1T<~R'; I P1GF.'E~~•E • [ Ni,RE~:~E STr-1RT FEB '?? . 'Op ~ 9 : ~ , ~rl HEIGHT = 4'~ . U'~ I rli~ HE:3 WATER = 0.00 I PJ~'HE: TEN1F' = 64.1 UEi; F [ P1I:REr,:~E EP1B FEB ''R, ?pIl^ 9 : ~;G, r';P'I '~..+t7LUriE = 0"8:_' GAL: HE I iaf-IT = "7 '~'~ I fVGHE:'_ I:,Ii~TER = 7 ' 6 I tJi~ HE'. ik~JSS I (di_'RE~_E= ::=4'3U Ti; rlET I Pdi~RE~=?'tiE= 04~? T [ :I_I[~1LE~yL?ED 1 1 N11EtdTi~R'r' I fd~:RE~:E I rJC~'E~;E :_rrHR'r FEB ~'? . 'UO`7 9 : 41 i F,f°1 HF_I~:HT = 51.57 INi:'HE~~ FEB ~"~, ~'~:~U7 9: 5 ~ r'iP'1 HEICa[;T _ 15.:.0 IhdCHE'~, I;,{TER = :~ .'~ [ I h;i"'liE~ 'rEC"iF = 60.4 L?Ei; F _ T 2 : UNLE~LiEL? 2 H I t H Inlt-iTEF' lnl~-',RN I t51i - F'EB ~',' ~i 117 '? : GB r=;t°I H I ~ =H I~IHTERr`,Lr;Rr1 FEE. ~?, '1707 10: is=r',rl 'C I : Lih1LE~L.~E1:~ 1 HIGH 1~1r=;TEF GJ~~RP! ! r~li; ---- I h~!-'T~PJk: ~L~RNi -- --- N 1 i;H G51FiTER r,L~iT;'r1 FEB ~ ~ . ~Cu77 9 : S3 ri[°l RightFax 2/5/2007 12:38 PAGE 002/003 Fax Server ,. ~_ e,~ ,UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD ! L[NE TESTING E ! S8989 SECONDARY CONTAINMENT TESTING ~ ffANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION BAKERSFIELD FIRE DEPT. a A~ T R R S P~ BBL n FIRE ~ Prevention Services F AR~Mkv T 1500 Truxtun Ave., Ste. 401 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of i PERMfi N0, ~ 1 ~~0~ 1^ ENHANCED LEAK DEfECT10N^ LLINE TESTING ^ S&989 SECONDARY CONTAINMENTTESTING 1 1 73NK TIGFTfNFRC TEST 1~1 T(1 DFRF/1RAA GI IGI Adf1AlIT(1RIN(: CFRTIFICATIfIIJ .. 'I :. ~. O TO FACILITY ~~~ NAME & PHONE NUMBER OF CONTACT PERSON ADDRESS~~OG ~~1/ec v ~ ~~~~~ ~ ~,(:~ 9 33 08 OWNERS NAME ~ ps OPERATORS NAME PERMIT TO OPERATE N0. NUMBER OF TANKS TO BE TESTED f IPI I ~ ES O TANK # V L O TANK TESTING COMPANY NAME OF TE TING COMPANY C~.r.,~ ion /o/'a c ~~ ton ~.~ n NAM~y 8 PHONE NUMBER OF CONTACT PERSON C h ~,.c, ~c /~%J1 66/- 36~ - ~ 5'a6 MAILING ADDRE S ~ - ~~~~ I NAME & PHONE NUMBER OF TESTER OR SPECIAL INSPECTOR / /Yi:1.6., 4J6. 9J 9~ f S3'`T CERTIF[CAT30N ~: .,,,, ~/e .~.~~ s/~oo~ o a5 -0 5- ~3Q~ DATE 8 TIME TEST Tp 8 COND CTED O6 27 0 6 K = ~9 /~'1 ICC #~~7~''~ ~ / .. u~ TEST METHOD SIGNATURE OF APPLIC ~ /l DATE T 1 A LI. ~ ATION BEC.C1 E A RER IF 1lVN : ~ ARP , • ~ 1+~EQ~ APPROVED BY ~ DATE ~ 0 FD 2095 (Rev. 09105) RightFax 2/5/2007 12:38 PAGE 001/003 Fax Server ..,, BILLING & PERMIT STATEMENT '~ ~'~~~~~ sAKERSFIELD FIRE DEPT. ,,~ ~ s ~~. D Prevention Services ~`.. FIRE ~ 1600 TYuxtun Avenue, Suite 401 ~{RTMT PERMIT NO.: ,~~,._.~.'~ Bakersfield, CA 93301. Tel.: 16611 326-3979 . Fax: (661) 852-2177 •- LOCATION OF PRO.FECT • PROPERTY 04VNB2 STARTING DATE ~ COMPLETION DATE ~`~7...6 ~ ~."~~rO~ NAME u~~ PROJECTNAME ADDRESS 300 -tom /~ c f ~ve PHONENO. spa -G33-YD~S PROJECTADDRESS CRY STATE 21PCODE .- .- CONTRACTORNAME CA LICENSE N0. TYPE OF LIC SE EXPIRATION DATE ~~ ~i ~6ur ~5'~~SD C61 D yd io 3/ A PHONE N0. ~6i-~S,3- 7 yUb CONTRACTOR CAMPANY FAX N0. AoDRES~b, Qo,~ 6~`jg ~a~ers i e/~ ~~33~6 ,All permits must be revlelrt+~ed, stamped, and approved PRIOR TO BEGIIlfN1iNG IMORX ON TaOAT PROJECT. ~ 50 • ~ ^ Alarms - Nt~rv 8 Mod cations -(Minimum Char $262 e)~ • ^ ~ , ~ g ~ . 000 Sq Ff Over 20 013125 =Permit fee Ft x Sq ~ ^ , . . . . ~ ^ Sprinklers -New & Modifications - (Minimum Charge) 00 $210 ^ ~ . • 98 ^ 000 Sq Ft Over 5 042 =Permit fee Sq Fx x ' ~ . , . . . ^ 98 ^ Minor Sprinkler Modifications (< 10 heads} $ 93 00 [inspection Only] ^ ~ . ^ 98 ^ Commercial Hoods -New & Modifications 26 $ 398 ^ ~ . ^ Addifiona! Hoods 00 $ 36 ^ ~ . ^ 98 ^ Spray Booths -New & Modifications OD $458 ^ ~ . ^ 98 ^ Aboveground Storage Tanks (lnstarlatton/Insp.-1~ Time) $165.00 ^ 82 ^ Addibonai Tanks $ 26.00 ^ 82 ^ Aboveground Storage Tanks (Removatflnspedion) $109.00 ~ 82 ^ Underground Storage Tanks (lnsfa!latronAnspection) $878.00 (perfank) a2 ^ Underground Storage Tanks (Modification) $878.00 (persife) _ 82 ^ Underground Storage Tanks (Minor Modification) $155.00 ^ ~ ^ Underground Storage Tanks (RemovaQ $675.00 (perfank) ^ 84 ^ Oilwell (Irastallation) $ 72.00 ^ 84 C9~ Mandated Leak Detection (Testing)1 Fuel Monit.CertlS6989. Note: $81.00 foreach type offest/persr7e (even ifscheduled at the same Time) $ 81.00 (persife) ~ ^ ^ ~ ^ ents $ 93.00 (pertent) ^ 84 ^ Afterhoursinspection fee $122.00 ^ 84 ^ PyfotechniC - (Per event, Plus Insp. Fee {a~ $90 per hour} $ 62.00 + (5 hrs. min. stand -by tee /lnspection)~527.00 w 84 ^ RE-INSPEC770N(S) /FOL.LOW-UP INSPECTION(S) $ 93.00 (per hour) 84 ^ Portable lPG (Propane): NO.OF CAGES? _ $66.00 ^ 84 ^ Explosive Storage $249.00 ^ 84 ^ Copying & File Research (File Research Fee $34.00 per hr) 25¢ per page ^ 84 ^ MiscellaneoLts 84 "(Stand-Ly Fee Por Arcoa & Tents is 5t0 as Aour) ~D 2821 (Rev. 11/06) 1 - ORIGINAL UVFIITE (to Treasury) 1-`IELLOW (to Fi[a) t-PINK (to Customer)