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HomeMy WebLinkAboutUST-COMPLIANCE 8/9/2007{ N h~1 ~O N O 7a O H [ H 7 ~ H H °zb c r~ H '. j`~ . J r i i ;- tr ~' ~~~~ Owner Statements of Designated Underground Storage Tank (UST) Operator and Understanding of and Compliance with UST Requirements Facility Name: Jungle Color Int'1. dba Texaco Minit Stop Facility ID #: 015-021-000855 Facility Address: 2900 Union Avenue, Bakersfield, CA 93305 (C~tY) Reason for Submitting this Form (Check One) X Addition of Designated Operator Facility Phone #: 661-395-1161 ^ Update Certificate Expiration Date Designated UST Operator(s) for this Facility ALTERNATE 3 (Optional) Designated Operator's Name: Jessica L. Meyers Relation to UST Facility (Check One) Business Name (If different from above): Confidence UST Services. Inc. ^ Owner ^ Operator ^ Employee Designated Operator's Phone #: 800-339-9930 ^ Service Technician x Third-Party International Code Council Certification #: 5313857-UC Expiration Date: June 30, 2009 ALTERNATE 4 (Optional) Designated Operator's Name: Relation to UST Facility (Check One) Business Name (If different from above): ^ Owner ^ Operator ^ Employee Designated Operator's Phone #: ^ Service Technician ^ Third-Party Intemational Code Council Certification #: Expiration Date: ALTERNATE 5 (Optional) Designated Operator's Name: Relation to UST Facility (Check One) Business Name (If different from above): ^ Owner ^ Operator ^ Employee Designated Operator's Phone #: ^ Service Technician ^ Third-Party International Code Council Certification #: Expiration Date: I certify that, for the facility indicated at the top of this page, the individual(s) listed above will serve as Designated UST Operator(s). The individual(s) will conduct and document monthly facility inspections and annual facility employee training, in accordance with California Code of Regulations, title 23, section 2715(c) - (f). Furthermore, I understand and am in compliance with the requirements (statutes, regulations, and local ordinances) applicable to underground storage tanks. NAME OF TANK OWNER (Please Print): Thomas Yoon SIGNATURE OF TANK OWNER: DATE: August 9, 2007 OWNER'S PHONE #: 661-395-1161 NOTE: I) SUBMIT THIS COMPLETED FORM TO THE LOCAL AGENCY (NOT THE STATE WATER RESOURCES CONTROL BOARD) BY JANUARY 1, 2005. THE LOCAL AGENCY LIST IS AVAILABLE AT: www.waterboards.ca.QOV/ust/contacts/cupa a~ sy html. 2) NOTIFY THE LOCAL AGENCY OF ANY CHANGES TO THIS INFORMATION WITHIN 30 DAYS OF THE CHANGE. November 2004 ~: Owner Statements of Designated Underground Storage Tank (UST) Operator and Understanding of and Compliance with UST Requirements Facility Name: Jungle Color Intl. dba Texaco Minit Stop Facility 1D #: 015-021-000855 Facility Address: 2900 Union Avenue, Bakersfield, CA 93305 (City) Reason for Submitting this Form (Check One) ^ Change of Designated Operator Facility Phone #: 661-395-1161 X Update Certificate Expiration Date Designated UST Ouerator(s) for this Facility PRIMARY Designated Operator's Name: Douglas M. Young III Relation to UST Facility (Check One) Business Name (If d~erent from above): Confidence UST Services, Inc. ^ Owner ^ Operator ^ Employee Designated Operator's Phone #: 800-339-9930 ^ Service Technician x Third-Party International Code Council Certification #: 0878646-UC Expiration Date: September 22, 2008 AL'I'N:KIVA"i'N; 7 (/lnfinnnl) Designated Operator's Name: Jennifer A. Davis Relation to UST Facility (Check One) Business Name (Ifdifferent from above): Confidence USI'Services, Inc. ^ Owner ^ Operator ^ Employee Designated Operator's Phone #: 800-339-9930 ^ Service Technician x Third-Party International Code Council Certification #: 5252886-UC Expiration Date: March 15, 2009 AL 1 EK1VA I E L (UptlO/tal) Designated Operator's Name: Edward=Mitchell _ Relation to UST Facility. (Check One) . .:. . Business Name (Ijdifferenffrom above)` Co-ifrdence USI'Services, Inc_ .;. ~ Owner ^ Operatoi ~ ^ Employee Designated Operator's Phone #: 800-339-9930 ^ Service Technician x Third-Party International Code Councit Certification #: 5258845-UC .. Expiration Date: May 15, 2008 I certify that, for the facility indicated at the top of this page, the individual(s) listed above will serve as Designated UST Operator(s). The individual(s) will conduct and document monthly facility inspections and annual facility employee training, in accordance with California Code of Regulations, title 23, section 2715(c) - (fj. Furthermore, I understand and am in compliance with-the requirements (statutes, regulations, and local ordinances) applicable to underground storage tanks. NAME OF TANK OWNER (Please Print): SIGNATURE OF TANK OWNER: DATE• ~~~`7 ~. ~v~~ PHONE #: 661-395-1161 ~_ NOTE:.1) SUBMIT ,THIS COMPLETED FORM TO_ THE LOCAL AGENCY (NOT THE STATE WATER RESOURCES CONTROL BOARD) BY JANUARY 1, 2005. THE LOCAL AGENCY LIST IS<AVAILABLE AT: www.waterboards.ca.~~ov/usdcontacts/cups aavs html. 2) NOTIFY THE LOCAL AGENCY OF ANY CHANGES T_ O THIS INFORMATION WITHIN 30 DAYS OF THE CHANGE. November 2004 l ~/RE wRTM T May 12, 2006 Mr. Young Choi Minit Stop Market 2900 Union Avenue Bakersfield, CA 93305 RONALD J. FRAZE FIRE CHIEF NC~7'ICE OF VIOLATION & SCHEDULE FOR COMPLIANCE Gary Hutton, Senior Deputy Chief Re: Failure to Replace Em.erpencv Shut-Off Siqn Administration 326-3650 Dear Mr. Choi: Deputy Chief Dean Clason An annual inspection was conducted at your facility on April 18, 2006. During that C+perations/Training inspection, it was pointed out that your emergency shut-down sign was missing. 326-3652 Deputy Chief Kirk Blair You assured me that this weiuld be corrected as soon as possible. A follow up Fire Safety/I'revenrion Services visit was made on May 11, 2006 to check for compliance, the sign is still missing. 326-3653 You are in violation of Sectitlri 5201.5.3 of the California Fire Code (2001 Edition). 2101 "H" Street "Emergency shutdovVn device shall be provided for all fuel Bakersfield, CA 93301 dispensers. Emergency shut down devices for exterior fuel OFFICE: (661) 326-3941 dispensers shall be Iccated within 75' of, but not less than 25' FAX: (661) 852-2170 from dispensers. Such devices shall be distinctly labeled as EMERGENCY FUEL SHUT DOWN RALPH E. HUEY, DIRECTOR Therefore prior to June 2, 2046, you shall make the necessary repair. Failure to PREVENTION SERVICES comply may result in revocafi6n of your Permit to Operate. FIRE SAFETY SERVICES • ENVIRONMENTAL SERVICES 900 Truxtun Avenue, Suite 210 Should you have any questit~ris, please feel free to call me at 661-326-3190. Bakersfield, CA 93301 OFFICE: (661) 326-3979 Sincerely, FAX: (661) 852-2171 David Weirather Fire Plans Examiner 326-3706 Howard H. Wines, III Hazardous Materials Specialist 326-3649 Ralph E. Huey, Director of Prevention Services ~ (' By: Steve Underwood, Fire Prevention Offi+~er REH/SU/db 3~~~ MINIT STOP SiteID: 015-021-000855 Manager YOUNG CHOI Location: 2900 UNION AVE City BAKERSFIELD BusPhone: (661) 395-1161 Map 103 CommHaz Moderate Grid: 20C FacUnits: 1 AOV: CommCode: BFD STA 04 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact - / Title YOUNG CHOI / PRESIDENT / Business Phone: (661) 395-1161x Business Phone: ( ) - x 24-Hour Phone (661) 319-1121x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact YOUNG CHOI Phone: (661) 395-1161x MailAddr: 2900 UNION AVE State: CA City BAKERSFIELD Zip 93305 Owner JUNGLE COLOR INTER Phone: (661) 395-1161x Address 2900 UNION AVE State: CA City BAKERSFIELD Zip 93305 Period to TotalASTs: _ ~ Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~ PROG U - UST ~ ~i1 (, VV Based on my .inquiry of those individuals responsible for ohtaining the information, I certify under penalty of la~v that I have personally , EN examined and am familiar with the information tion is true i f d b li th i ' /t n~ T f-1 P' 1 , n orma eve e tted an e subm ~ 2007 accur te, and complete. c: ~ ~,_, ~-o-~ Sign. ture Date -1- 02/05/2007 F MINIT STOP SiteID: 015-021-000855 ~ STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: MINIT STOP Ll62M®R Cross Street PAciF~c 5T Business Type: CTpS t-STORE Org Type: Total Tanks IndnRes/Trust: No PA Contact: Dsg Own/Oper ICC Nbr: PROPERTY OWNER INFORMATION Name TD'1 o M AS moo ~ Phone : (6`1) ~ 36 - S~f ~x Address : 6 3208 wt LL~avl SQu ~~ City j3 AKEI2s~'-EL~D State: C/~ Zip: Type CORPORATION TANK OWNER INFORMATION Name Th o M A S `rood Phone : ( ) - x Address: City State: Zip: Type CORPORATION BOE UST Fee# UNKNOWN Financ'1 Resp: SELF INSURED Legal Notif Business Mailing Address Date:10/10/2000 Name:THOMAS YOON State UST # Phone: (661) 3 - Ttl:OWNER 1998 Upg Cert#: 00888 x -2- 02/05/2007 F MINIT STOP SiteID: 015-021-000855 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP REGULAR UNLEADED F IH DH L 15000.00' GAL Mod PREMIUM UNLEADED F IH DH L 5000.OO~GAL Mod -3- 02/05/2007 -4- 02/05/2007 F MINIT STOP SiteID: 015-021-000855 ~, ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME REGULAR UNLEADED Days On Site 365 Location within this Facility Unit Map: Grid: SPLIT TANK CAS# 8006-61-9 Liquid TMixture ~ Ambient~E ~ AmbientT~E I UNDEROGROIINDRTANKE AMOUNTS AT THIS LOCATION Largest Container ~ Daily Maximum ~ I Daily Average ~ 15000.00 GAL 15000.00 GAL 15000.00 GAL ruyc,ru~LV V J t.Vl"!t'V1V I;1V 1 J oWt. RS CAS# 100.00 Gasoline f No 8006619 nric~rLrcL s-~JJr,JJl~iL'1V1"a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED Days On Site 365 Location within this Facility Unit Map: Grid: SPLIT TANK CAS# 8006-61-9 Liquid TMixture ~ Ambient~E ~ AmbientT~E UNDER GROUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container ~ Daily Maximum I Daily Average 5000.00 GAL 5000.00 GAL 5000.00 GAL ru-~c~rucLVV~ ~.v1~1rv1vJ;1VtD °sWt. RS CAS# 100.00 Gasoline No 8006619 I11iGL•it'CL HJ.71;.7J1~1r.1V-1-.7~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -5- 02/05/2007 F MINIT STOP SiteID: 015-021-000855 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 10/11/2000 ~ CALL 91.1 AND HAZARDOUS MATERIALS DIVISION, FIRE DEPT AT 326-3979. ~ Employee Notif./Evacuation 09/04/1991 THE CLERK ON DUTY WILL CALL THE FIRE DEPT-(911:) TAKE THE PROPER PROCEDURES ~ AND REMOVE ALL CUSTOMERS AND EMPLOYEES FROM THE PREMISES. Public Notif./Evacuation 10/11/2000 VERBAL. Emergency Medical Plan 10/11/2000 NEAREST HOSPITAL, MEMORIAL HOSPITAL,-420 34TH ST, 327-1792. -6- 02/05/2007 F MINIT STOP SiteID: 015-021-000855 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention- 07/24/2006 ~ IN THE EVENT OF A GAS OR OIL SPILL, WE WILL POUR KITTY LITTER ON THE SPOT AND REMOVE CONTENTS AND PUT IN A BAG AND REMOVE. Release Containment 10/11/2000 OVERFLOW PROTECTION ON TANKS. Clean Up CALL AN OUTSIDE CONTRACTOR. 10/11/2000 Other Resource Activation -7- 02/05/2007 + + 2 F MINIT STOP SiteID:-015-021-000855 ~ Fast Format ~ ~ Site Emergency Factors. Overall .Site ~ especial t-iazaras Utility Shut-Offs 02/05/2007 A) GAS - REAR OF BLDG B) ELECTRICAL - DELI AREA C) SPECIAL - GASOLINE PUMPS FRONT OUTSIDE WALL R OF DOOR ~, D) LOCK BOX - NO Fire Protec./Av_ail._Water ~) Wa°~er ~aace~s L.cft aNa ~;1ht ~d~ ~ QL~~ B) Fire Ex~~"' u'cher~ ~ ~irov-t doer ~ Wal~ww~ ~ S~~raq~¢. ~rrol~n Building Occupancy Level 2 EMPLOYEES 03/31/2006 ~.Y:. -8- 02/05/2007 . ~. • ~. F MINIT STOP SitelD: 015-021-000855 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 07/24/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. r BRIEF SUNIIKARY OF TRAINING PROGRAM: MY WIFE AND I RUN THE STORE; WE-TRAIN IN EMERGENCY PROCEDURES. rayc ~ _, , t_ llclu 1Vl L'UI..LLLC V.7G i1c1U 1VL PLLI. ULC IJaC -9- 02/05/2007 -- MONITOR SYSTEM CERTIFICATION . ~~ s For Use By_All Jurisdictions VJdhin the State of Caldomia Authority Cited: Chapter 6.7, Health and Safety Code: Chapter 76, Division 3, Tdle 23, Calrfomia Code of Regulations ..a: fi M raruxt must be txeoared This form rrnist be used to document testing and serviang of monitoring equipment. A sect for each monitorino svstem txmtrol panel by the techniaan who performs the work. A copy of this term must be provided to the tank system owneNoperator. The ovmer/operator must submit a copy of this form to tt1e local agency regulating UST systems within 30 days of.test date. A: General Information _ &dg. No. Facility Name: Texaco aty: Bakersfield, CA _ Zip: - 93305-345ri Site Address: 2900 Union Avenue Contact Phone No. (667) 395-1161 Facility Contact Person: Thomas Yoon pate of Testingi5ervicing: 11 ! 17! os MakelPAodel of Monitoring System: Gitbarco Model ~ PA02620100020 Serial iG A0470726605001 - B. Inventory of Equipmertt Tested(Certified 'k the approprate poxes co marcare w~w~•• ID: T-1 Regular In•Tank Gauging Probe. Model: Annular Space or Vautt Sensor. Model: _ Piping Sumplfrench Sensor(s). Model: _ Fill Sump Sensor(s). Mcdet: Mechanical Line Leak Detector. Model: _ Electronic Line Leak Detector. Model: Tank Overfill! High-Level Sensor. Model: Dispenser Containment Sensor(s). Model Shear Valve(s). Dispenser Containment Float(s) and Chain(s). <ID: In-Tank Gauging Probe. Model: Annular Space or Vautt Sensor. Model: Piping Sttmp/Trench Sensor(s). Model: Fill Sump Sensor(s). Model: Meehantcal Line Leak Detector. Model: Electronic Line Leak Detector. Model: Tank Overfill /High-Level Sensor. Model: Dispenser Containment Sensor(s). Model: Shear Valve(s). Dispenser Containment Float(s) and Chain(s). Tank ID: r-2 rremmm - MwffiI. rco ~ - In-Tank Gauging Probe. - Model: rco PA028697144000 Annular Space or Vault Sensor. Model - '.592000010 Piping Sump/Trench Sensor(s). - M°del. Fill Sump Sensor(s). - _ Mechanical Line Leak Detector. MOB- - _ _ Electronic Line Leak Detector. Model: _ ?651200100 Tank OverfiN 1 High-Level Sensor. - Model: _ idreau Dispenser Containment Sensor(s). Model: - Shear Valve(s). - Dispenser Containment Float(s) and Chain(s). E on Pa e 2 . Other (spe - equi ent a and model in Section E on Pa a 2). Tank lD: Model: In-Tank Gauging Probe. _ - Annular Space or Vault Sensor. k'~l' - Piping SumplTrench Sensor(s). M°del. - Fill Sump Sensor(s). MO~I" - Mechanical Dne Leak Detector. Model: . Elearonic Line Leak Detector. rdodel: Tank Overfill 7 Higb-Level Sensor. M°del- Dispenser Containment Sensor(s). Model: Shear Valve(s). Dispenser Containment Float(s) and Chain(s). 1 E On Page 2). ~-_ Other specify - ment a and model in Section E on Pa a 2). C. Certification - I certify that the equipment identified in this document was inspectedlserviced in accordance vritkt the manufacturer's guidelines. Attached to this Certification is information (e.g. manufardtirers' checklists) necessary to verify That this information is cerred and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports. I have also attached a co~ysY ~m seP-up (check a!1 that apply) : LLI,]II Alarm history report Cert./Lie. No. 562080899 Signature: Technician Name (print): Michael Moore/Jim Albiffe - t l~A ~~~~ Testing Company Name: Redwine Testing services Inc. Phone No.: f aoo) 5az~3sa - Page 1 of 3 Monitor System Certification Date of TestinylServiang: t 1 1 17 105 Ste Address: 2900 Union Avenue. Bakersfield, CA D. ResuKs of TestinglServicing Software Version Installed: Gilbarco SM A04700726605001 Model # PA0262050020 r~„=.,. a„u ,...........-- - - - - Yes No' Were all sensors visua In Yes No' Were all sensors installed at lowest point of secondary containment and Positioned so that other equipment vril! no interfere with their r o ration? Yes No' ff alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? ~ NIA n secondary containment Yes No` For pressured PIPin9 systems, does the turbine automatically shut down if the pipi g ^ NIA monitoring system detects a leak, fails to operate, cr is electricaly disconnected? if Yes: whrch sensors initiate positive shut-down? (Check al! that apply) ~ SumprTrench Sensors; ~ Dispenser Containment Sensors. Did ou confirm ositive shut-down due to leaks and sensor failureldisconnection? Yes: ^ No. Yes L. No' For tank systems that utilize the monitoring system as the primary tank overrll warning device (I.e. no mecharrical ^ N/A overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and o ratio ro ed If so, at what rcent of tank ra a ' does the alarm tri er'? 90 %. Yes x No' Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for a0 re lacement arts in Section E. below. Yes x No° Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ~ o...n„~~ f-lwater. If ves, describe causes in Section E, below. j ^^^ .^,~ro ryes U No' Is all mOmtOnn w ureu~ v =, a.,..,,...• ..• •~~------ ` to Section E below, describe tww and when these deficiencies were or E. Comments: G3%Ot Page 2 of 3 Monitoring System Certification t t ~ t7 ~ a5 pate of 7esting/Serviang Site Address: 2900 Union Avenue, Bakersfiekt. CA Check Nis box "rf tank gauging is used only for inverrtory control. ^ Check Nis box'rf rro tank gauging or SIR equipment is install F. 1n-Tank Gauging /SIR Equipment: This section must he completed if in-tank gauging equipmenf is used to perform leak detection monitoring. H. Comments: o~rot Page 3 of 3 G. Line Leak DetectOB (LLD): ~ Check Nis box rf LLDs are not installed. onitoring System Certitcation C SrI' M1lonitoring Site flan Site Address: {~ ~ ~~ ~ ~ 3o r~ _ ~.ci.is~ U~~ow 3t{.j~ ~x~c-o ~~jcaLcvs ~`__.--t--- -- • r.. t ~ ~~ ~ ~ . ~ ~ . .;. . ~ . . ` .__._- w- . . . . . . •~+\ n . J ~ . _ _ .~ti _ ~ t . . ~ J i iJ ~ ~i + .~ i . - • ~' i J~ ' ~ ~~ . ' 1 .I ~ I. .~ I ~ I S I I ' i ~' E . f . -a . . ~ . . . . . . . . Y J~ ~ ~~ ~ ~ 1 ~ ~ _ . ~ ~ - . ti ~ - . ..~/ l" Date map was drawn: ~,L / •t? / 0=$ Instructions If you already have a diagram that shows all rectuired infonT~ation, you may include it, rather than this page:. with your Monitoring System Certification. Ori ~ our siie plan, she•~ the general layout oi' tanks and p!p~n'~ C'iear identify locations of the following equipment, if installed monitoring system control panels, sensors ~norutor~~:ir tank annular spaces, sumps, dispenser pans, spill wntair;ers, of other secondary containment areas, mechani~~~ ~_ electronic line leak detectors; and in-tank liquid level probes (if' used for leak detection). In the space prov~deci. note the date this Site Plan was prepared $WR~B, January 2002 , Pale of Seconda~y~ Containment 'besting deport Fornn This form is intended for use by contractors ptrformirg periodic testang of UST secvndmry conrairn^.ent r.gems. ::`se the appropriate pages of this form to report results fnr all components rested The compie~tsd forr-e, wrtrren rest proccd+lru, or.c prttitouts from te.tts ((f applicable), should be provided to the fociliry ax~ter/operator for rubmirrat ro riu loco! re;I+~a~ary agcnw Y. k'ACILI'I'1r INFOR~iA'i~ON Facili Namc: _~ ,. .mate of Tc6tinx: 1l - 1-l ~~S-_ Facility Address: '.L~ CUO t ~' Facility Contact: "-C'ov~-o..s Dace Local er~y was Notified of Namc of Local A~cctcy Irapcctor (~f z ~ I Phone: (~ (- ~~ 5 - 1 ~ ~ l i; (~3`DS t du tast~n ): G CON'I'I~ICTOR INFOR~4A.TION Company Namc: 'Lcoilw.'„~ ~ ~~ Technician Conducting Tear ~ ~~ A\ Crzdentlals: CSLB Licenaod Contractor License Type: Manufacu 7 \i~~T 1., 1.V SWRCB Licensod Tank Teucr an ~ r. License Number: 9 ~ _- ~in~tR t,~r,~r r it~niae T Componc^t(s} Date _i ra rr^•g E~ucs --~~~, CERTYPtCATION OF'I~CFIPIICLAN RESPON918LE F'UR CUh`DUCTING THIS T1/STiNG To tht best of my knowlsdgs, the faess statsd its thu document art accurais and in fuU cornpliancr with legal re®utnmsrs:s T Tecbtrician'a Signatorc If hydrostatic testing was petformod, detaeribe what was dor+t with the water after cornpicuon of tca!~ RECYCLE At~'D RELS Page of __ SWRCB, January 2002 g. Sp~,,J,/OVP;KI''1Li~ l.Vlr a rui Facili is Not E ui With S il!lOverfill Containment Bones SpilUOvcrfill Gontai>rament Boxes arc Present, but were Not Tested Test NiethQd I}eveloped >sy: Sptll Bucket Manu~cttirer Other (Specify) ~-' ~ t-`-~ Test Method Used: Pres~'re Other (Specify) ~c,'Te-~ Test Bquipment Ls`sed: Bucket Taia-neter: Bucket 17epth: Wait time between applying presaure/vacuumlwater and startiti test: Test Start Time: Znitisl IZeadiDg (Rt)= Test End Time: Final Reading (RF): Test Duration: Change in Reading (RP-R~)~ Vn~/Fail Ti~reshold o8 Industry Standard Professional Engineer ~/acuuna Hydrostatic Resolution; Spill Box # Spill Sox # Spill Box # S~1 Box # d« ~b~` ~6 t Z" t `` iz ~ iZ +~ .5 ~~ r -f t! l ~o pv'V~ .L 3 0 4~~ ~-- -------- i~~ ~GS 5 ~ ~.,.. ~ S ~~_ s d< 3s ~~ L! 3~ w• ~ r- '(/L b ~~sy ~ 1it,.~ ~--~ t L o ~ 1nti ~ ~~ ---- t z-l~ `~' t,v~. J ~ L ~~ 0.S ~ I,~ ~ r. ~ S ~ ~~ / ~r !~ 3 c, "vin ~ ~, ------- 5 COmnae~ts - include in rrnation on repairs made tint to testing, and recommended follow-u railed tests ~~ ~~ ~~ ~ ~~ ?~ 9~v T _ ~~ ~ _ _~~L~~: ~~_. See. _ s ¢ ~r _ p `~ ~f.~ }'i=~`t1~112 _3 ~ =~ tl L { ~~J ~~1~v ~~~ ^~~ L f ~~~V~ ~ %'`' V / ~~i _ p; / + p, 0.~ .~v9~~Jri-°~~~:5./~~'F~?~I.::SStl?AL;!V~~C~e~2}_C ji€Y'v ._ ' ~p-2~.i~ e'a:~ir_?5 C~ ~~il Tfl r~t~ifP~?j,~7 s 3~_ C ~ / Z.'.-. v-- ~Lj~f ~v7-/ ~-~ Q=. _ . 1 :':'~'.. .. v . - .-.-n~' ~. _.. __. :.~ J=! ._., !::'i\ . _,'.I_ _.... li`!~ _ t_ .._v....: _.. ~'i ~Vi.=-'.~y '.~.~Vi`i n....., _.. C... ...~ ~ ,, __: -- - ~~ - /~ ~~ r d~ et+~ /VaCJ ~~V/V l1/ ._ -~ -. -S -- - .. -, _ _ -_____ _ -__ __-___- - _- .._ _ _____ r is Q :F:7; 2i~iilaC ^:=.'-73=_SS , }~ ~j ~ ~ Lf ~~~E ~ ~3-tQeyti ~ii3?t~o~R :~ TES l ~;?vR S~ 7 ~ Ei~~r~=r•TC~ `mac. c_.~, -- - yr k' ! 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Q _ f~i ~ a'"' .:erf~Caif~te __ _ ~~- .~2 ~ f ~ ~: . ti~icerre) ;4'. - _ _ . .t ~-: _ Lr~ ~ ! &~ffE.4 ~: i~' ,;~: ~,, ;cY. ~'= <. ~. .~,; `fit,' ,~" ie?. _ ~4 ~ :": -~{ 1~'' - '':~: :; ~:; ,::<: ~;_- .t, ..,, r,`= :. f` :'-i ~~ ~'" =,,, . 1'.r ::.~:: ;~; ~; .,; ':~y .... :~;~: SECONDA'~'Y~"~ST~M CERTIFfCA7CION ~'I~RM _._;~ lu-~~-E-G~ _..-..'~~~~il1~ 1~~~~15 -7a7 r~ ~`!~~ l ~ t'1 ((•f "/1 (f~! `.~ ." 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J ~_ ~_! :... `ANK TESTING ~O~+1PAN~ _ - -. _.._.. - -- NAF.!! ..: TES'!N,;.CO`~~pAp;y -_..... .~ i Y4 r MAC ~~c Aeuia ~ sew l! t.,~ -~C ~ ;, _, ass , - NAh!E s PHONE NUMBER OF 7ESi ER OH SPEC ~A. !NSPEC70R DA'E & T;ME TEST TO BE CONCOCTED !~'~ ~' bSJ3Sl 3~ ! lo- ~ +~~c~obe+r ~~ aaoS ~ eo ~ ~•~ ~ - -- -T ~ -~` I f . ES METHGD - ~ ~"~T'.t~E _ .{P C t T ~ I ~/ So~y~?4t~ -~''"" ~_(`~L-G/` RU Ar. H~S ~~~d"~ DATE `rL' , ,- APF.IC~A"ripr~ E~~GOMES A P~F+..:,11-!` .: r+.- a.r;/R~~f~G UNDERGROUND STORAGE TANKS ~ F i3AKEIZ~FIELD FAZE DES. H ., B~®~~ I ` ~~ ~evention services ~9Itf7~~ 900 Truxtun Ave., Ste. 210 ~~~~fC~~'®~ ~ ~ ' Bakersfield, CA 93301 TO PERFORM ELD /LINE TESTING ' '°' Tel.: (661) 326-3979 / S6989 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND TO PERFORM FUEL Fax: (661) 852-2171 MONITORING CERTIFICATION Page 1 of ? AA ~ T ' V ~~ PERMIT NO . ^ ENHANCED LEAK DETECTION ^ LINE TES TING ^ SB-989 SECONDARY CONTAINMENT TESTING ^ TANK TIGHTNESS TEST ~ TO PERFORPA FUEL MONITORING CERTIFICATION ~i~._ - - FACILITY ___ SITE INFORMATION ;NAME & PHONE NUMBE - R OF CONTACT PERSON l~ l~ I - ~ (~- S~i~ q !ADDRESS _ a9 6 o urn~.~. C ,d ~.iee ~ ~~~1 CA a 3 3 n~ OWNERS NAME ~ . U ~ I ;OPERATORS NAME PERh71T TO OPERATE NO. li. ~lU F TANKS TO B TESTED IS PIPING GOING TO BE TESTED? ^ YES ^ NO ~ TANK# VOLUME i CONTENTS i I I i i I i ~ ~ i i I ~ 'TANK TESTING COMPANY -. =- .- . =- -- - - p ---' /~ ~IAM~1 O\~ ~ `.~-CJ PIAME & PH_ ONE NUMB~R O AC~IvI S~3~~~'7~ TIAME &~N~ NQMBE_ R1NOF TESTER OR SP~IAL~ ~P~CTOfR~o~ ERTIFICATION #: DATE ~ TIME TEST TO B'E CONDUCTED t/o t/P J ~` I ~ICC #: tTEST METHOD i2,,a0~.S' 1,~oPrn i 5a~9~~~- uT SIGNATURE OF AP (CANT .~ ~~ ;DATE ~ r ~3 ^D APPROVED BY r, /(;,, / /,v /~,.v.>r I DATE Jrl ]/r c FD2106 E R S F I FIRE ~A R rM T RO?~ALD J. FR.AZE FIRE CHIEF Gary Hutton, Senior Deputy Chief Administration 326-3650 Deputy Chief Dean Clason Operations/Training 326-3652 Deputy Chief Kirk Blair Fire Safety/Prevention Services 326-3653 2101 "H" Street Bakersfield, CA 93301 OFFICE: (661) 326-3941 FAX: (661) 852-2170 D April 10, 2006 Mr. Young Choi Minit Stop 2900 Union Avenue Bakersfield, CA 93305 REMINDER NOTICE Re: Guidelines for Unsupervised Dispensing Dear Mr. Choi: It has come to our attention that many convenience stores who sell gasoline, like yourselves, are closing late at night. If you are using card readers and leaving your fuel pumps on, this is defned in the California Fire Code as: "Unsupervised Dispensing." Unsupervised dispensing is allowed when the owner or operator provides, and is accountable for daily site visits, regular equipment inspection and maintenance, including any unauthorized release or spills, posted instructions for safe operation of dispensing equipment, and posted telephone numbers for the owner or operator. Signs prohibiting smoking, prohibiting dispensing into unapproved containers and requiring vehicle engines to be stopped during fueling shall be conspicuously posted within site of each dispenser. In addition, a sign shall be posted in a conspicuous location reading: In case of spill or release: RALPH E. HUEY, DIRECTOR PREVENTION SERVICES FlRE SAFETY SERVICES • ENVIRONMENTAL SERVICES 900 Truxtun Avenue, Suite 210 Bakersfield, CA 93301 OFFICE: (661) 326-3979 FAX: (661) 852-2171 David Weirather Fire Plans Examiner 326-3706 Howard H. Wines, III Hazardous Materials Specialist 326-3649 1) Use Emergency Pump shut-off 2) Report the accident 3) Fire Department Telephone 4) Facility address During the hours of operation;- stations having unsupervised dispensing shall be provided with a fire alarm transmitting device. A telephone not requiring a coin to operate is acceptable. The fuel leak detection system must have a remote or phone modem to insure off=site monitoring during hours of unsupervised dispensing. During hours of darkness, sufficient lighting must be maintained so that all signs associated with fueling operation are conspicuous and readable. A gallon container of an absorbent material used for spills must be made available to the public during hours of unsupervised dispensing. Afire extinguisher with a minimum 2A, 2B, and 2C rating must be located on dispenser island during hours of unsupervised dispensing: 't ~. To: Mailing List of Valued Customers Reminder Notice Re: Guidance for Unsupervised Dispensing April 10, 2006 Page 2 of 72 To: Mailing List of Valued Customers Reminder Notice Re: Guidance for Unsupervised Dispensing April 10, 2006 Page 2 If you are currently having hours of unsupervised dispensing, you must comply with the above-mentioned requirements. Starting April 15, 2006, this office will conduct random checks of all fueling stations within the city limits for compliance. If you shut your station down after normal business hours and are not pumping fuel, please disregard this reminder notice. Should you have any questions, please feel free to call me at 661-326-3190. Sincerely, Ralph E. Huey, Director of Prevention Services ~~ ~ L 1. ~-` By: Steve Underwood, Fire Prevention Officer REH/db