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HomeMy WebLinkAboutBUSINESS PLAN (5)s cu a 8 ~W a ~ ~ ~z FW a~ ~x o~ oW wx ~v ~~ i xo I NM _ :. _ ;_ L _ 4 _ _ _ _ __ _ _ BAKERSFIELD FIRE DEPT. Prevention Services (~'~ FIRE PREVENTION INSPECTION B EFiRE I D 900 Truxtun Ave., ste. 210 ~/~ Bakersfield, CA 93301 '{ Tel.: (661) 326-3979 ~ Fax: (661) 2-2171 DISTRICT BLOCK NO. DATE ~,~ ~ EE ('~~_f FACILITY ADDRESS ~ ~ \ ~ CITY, STATE, ZIP c` 1' f ` ~ G 4` ~4 _ t S ~ t..~ t'J C h-e '1 FACILITY NAME [' `,~ , L' ~ MANAGER'S NAME FAC~L~ ~ HO ~ NO.~ ~^ i BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO. ~ BILL TO: (IF DIFFERENT FROM A80VE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE ^ YES ^ NO CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS CHECKED BELOW No. 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) COMBUSTIBLE WASTE /DRY VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its I safe disposal. (U.F.C.) COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N.E.C.) (U.F.C.) 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) EXTINGUISHERS 5 Provide and install (amount) _____ approved (type 8 size) __________________ portable fire extinguisher to be immediately accessible for use in (area) _ .F.C.) -------------------------- g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at le n .~ar}a~I/ each use, by a person having a valid license or certificate. (U.F.C.) 1 t1 ~~~ I 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to SIGNS fire escape. (U.F.C.) g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the correct address of the building. (B. M.C.) (U.F.C.) g Repair all (cracks/holes/openings) in plaster in (location) _____________ , plastering FIRE DOORS/ ________________________ shall return the surface to its original fire resistive condition (U B C ) FIRE SEPARATIONS . . . . 10 Remove/repair (item & location) _____________________________________________________ . Self-closing ____ doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the closing device. (U.F.C.) EXITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) ______________________________ to clearly indicate it as an exit. (U.F.C.) STORAGE 13 Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.) 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets ELECTRICAL APPLIANCES ~ where needed. (N.E.C.) (U.F.C.) 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.) OUTDOOR BURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FIREWORKS 17 Vi- tions of Section 7802 U.F.C. or 8.49.0 40 of the Bakersfield Munici al Code B.M.C. re ardin fire w orks. OTHER 18 I 1 _ ~~ ~ ~ ~ C Off) - Q \ ~ ~ C..C I ` ~~ ^% 1 r- _ '~ r-, ~ CJC7~J ~ ~-/ - - - ~ Sun. ~SCtol .S c ~... O/` \.~tr~~ ,~_~. S ~r~ r l ~ r ~--, O` '• cv r wi~F~ r`a C o-~ n 5~~~ ~°~ w ~~~+c:tlt` '\~ 't.. 1 CUSTOMER: ~ v ~^ LEGEND: ~` ~$igria~ure) (Please Print Name Legibly, Title) V C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE ~K ~ B.M.C. BAKERSFIELD MUNICIPAL CODE ~ ~l -1 ~ INSPECTOR: - AP NO.: li?E.t,/ N.F.P.A. NATIONAL FIRE PROTECTION (Signature) t ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) 'r~0810812006 08:52 6613252529 CAL VALLEY PAGE 02 ~F: MOIVITQRING SYST~)'.V~t (=LRT~'ICATI~N For Use r,~y A!E Jurisdictions Within the State of California Authority Cited • C.haprer 6 7, Neaith mur• ,Safety Code; Cit¢ptrar ft5, DivLoion 3, Tltle 23, California Code of Regulation r This form must be Used to doCuntent lusting and servicing of monitoring ecluipmcnt. A s orate cCrtifit8ttiari or report m_ use o~pared !'or •ach Inonitorin s stem opt I noel by the technician who performs tho work. A ropy of this farltt must be provided ro the tank ~ystcm t>wner/operator. The awnertope,•ator roust submit a copy ~f this form to the 1aca1 agency rcgufating US7 systems within 3Q -days of Icst dart. A. General Infol'Imation Facility Name: ~j' 7il,c ttddrC55: ~~~~r ~Q~..r-~-B7'.` ~}y' • ' I31flQ_ N4.:~.--~_ Q}~ City: ~- eYl' Faciiit; Contact Person: ~- ZIP= -~` Contact phone No-: ( •}- ~takclMt,dcl of Monitoring System: CrJ p~ ---- -~~~ Da[c of TestinglServicin~: ~ ll r~s Ii. Inventory of Equipment Teste[UCertified Check Ehe q ra riate bpXes to indicate saec;[tc e ...:..................~~„__-- , Tanl< ID; ~~~ ~In-Tank Gauging Frubc, i] Annular Space or Vault Sensor. ~ Pipin~SumplTrcnch5cngor(s). ~:1 F"ill Sump 5ensor(g). ~ Mcchnnicai Line Lcak Defector. ~] Ltct:tfonic Line I..Cak Detector. U Tank Overfill t Hich-Levu Sensor ^ Onc~r (s cif ui mcni t and Tank ID• L ~ in•Tank Gauging probe. ^ Annular Spnce or Vault Sensor. ~ Piping Sump /Trench 5ensor(s]. ^ Fiit Sump Sensor{s). i\Qcch,lnicnl Linc L&1k Dctex:[ar. :] I:it-c;[rani~ Linc Leak Detector, ^ Tank pvcrl'iil / Iiigh.Levcl Sensor. ^ Other tS if a ui men[ t e and , Dispenser 14: Dispenser Containment Scnsor[e), ~ Shau' Va)vc(s). Model: Mode); Model: ~sI)! ~~` Model: Model; _ ~ ~" Model: Model; ndcl in Section >; an Pnr+e 2t Model: _~~~~ Mcdci: Model: Model; '-` Model: Modth - Modci: odel in section E on Paec 21 MndcJ: t)igpcn.~r ID: ~X f~'• 17i~pcnycr' Contnlnmcnt Stncor(s). Modci; ~5licar Vaivc(s). C) Uic CnscrContaln[ncnt Flaat(s} itrtd Chain(; Dispenser ID: „~ - ~Dispcnser Containment Sensor(s). Model: ~ Shear Valve(s), ^Dispenser Containment Ftoat(s1 noel rhnh+~, the f)rcility contains mare tanks or dispensers, Copy this Form Tank ID: ^ In-Tank Gnu~+ing Frog. 4 Annular space or Vault Sensor. ^ P,pi++$Su„rp/TrcnchStnsor(s)- Q Fitt Sump Sensnr{s). >? Mechanical Line Leak Detector. D Electronic Linc Leak Dctoc[or, ^ Tank Qverfil) !High-Level Sensor, Q [3rher x xif ui mcnt t c and Tank I4: ^ !n-Tank Gauging Probe. d Annular Spnce er Vault Sensor. ^ Piping Strmp /Trench Sensor(s). ^ Fiil Sump Scissor(s), 4 Mcchanicnt Linc Leak 4e[eetor. ^ lrleccnonic Line Ltak Detector. q Tank Ovcrtill /High-(,cvel Sensor, d Other fc,xv-~F.1 ~.,..:.............-- -..., Model: _ _ MoJcl: -`^ _ Model: `- Model: h~odel: Models yodel in Seceinn F_ on Faee 21 Madct; _- Madel: Model; _ Model: -- ~- Modcl: Modal: Mtxlcl: iodel in Stction L on pa~c 2y Dispenser ID: ~~ - ~. Dispenser Contaimntnr 5ensnn(s)- Modch ,Shear Valve(s). ^ Dis cnser Containment Float(s) and Chain(; Dispenser jD: _ ^ Dispenser C.oltlainment Sensor(s)- Model; 4 Shear Valve(s). D Dis .cnser Containment Flont(s) and Chninrs Dispenser ID: _ ^ bispcnscr Containment Seesar(s}. ^ shear Valve(s}, ^ Dis nser Containment Floats alt, c inf Model: _ --•-•••.. ormdUan for every tank and dispcngtr al Ute fat+lrty. ~. CeYt]!flCr7tit}n . I Certify that the equipment identified in this document was inspected/serviced in accorrlanec with the nu,nufactUrete' guidelines_ Attached to this Certification is information [e.f{, m:tnnfac[urars' checklists} necessary to verify that this infnrrn:ttiah is correct and a Plot Flan showittl; the layout of monitoring equiPatettt. For any cgalpment capable ofgenerating such rcl„n•LC, f Have also attached a cope of the re rt, {c#ack aU that apply): ^ 3yst2m set-up ^ Alat•tn history report TCChnician Name (print); ' Signature: _~~ ~• Certification No,: ~~~~ f~~Y^ ~-~--..- L.icense. Np,; p Tcstin~ Company Name: -- Site t3dclrcws; ~~~~` ~,/~ F'hone No.:~~~ ~,'~ ~~,,,_ -~~-~--~~~ Date of Tcsting/ServicinL; .~ ./ff fQtd' MottitOrine 5ystetn Ct:rtiFication page I of 3 n~ml It 08/0812006 08:52 6613252529 CAL VALLEY n' CAL-VA~LEI' E4UIPMENT 3600 GI~MORE AVE. BAKERS~IELD, CA 93308 (669)327-9341 FAX: (661)325-2629 CONTRACTpR'S LIG.#784170 A HqZ To: ~ Faac ~~~ Att: _ ~i Frven: ,~-,~ PAGE 01 ~esw DaUe: ~NCLUDiNG CQ1I~R Re: CC: ^ Urgenx ^ For Revirew . ^ Please Com.raeet! ^ Please Re ply 4 Please Recycle Comments: ~~ ~~ ~~/5~ ?' TF CITY OF BAKERSFIEI,D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAA'( INSPECTION C.HECKI.IST 4w ~a~,rrr~ 1715 Chester Ave., 3~d Tloor, Bakersfield, CA 93301 ~/ ~~. FACILITY NAME 6~~~C-t0 N~D/~A ~P/~121NSPECT[ON DATE_ 7- ~ =0 3 ADDRESS ?,1Z~_G~• ;~-(~ A/C PHONE NO. 3Z7 - ~(Z~'Z FACILITY CONTACT ULY=S FtU t> <'r BUSINESS ID NO. 15-21 U- no ot~ INSPECTION TIME L~~? r N NCIMBER OF EMPLOYEES__,~_ Section 1: Business Plan and Inventory Program ^ Routine Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials ~k~ss~ ' ~~ ~-( Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers property labeled w?c5'([= ~tL -L~'Z- Housekeeping 6~~- - S'(q2 - /~O V~` Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any' hazardous waste on site?: Yes ^ No Explain: ~ D IL ~; - ~t~C~,S Questions regarding this inspection? Please call us at (661) 326-3979 Whirr - Fnv. Svcs. Yellow -Station Copy Pink -Business Copy - mess ~ ~eJ Responsi le Party Inspector: ~f - G `~ .~~ ~ ' 1, s UNIFIED PROGRAM INSPEC r=~~N CHECKLIST ~` ~~~, ~. :_:~ . _~:.... ~.._ . __ : ,. sRrr SECTION 1: Business Plan and Inventory Program ~~ BAKEIItSFIE1f.D FIgiE DEPT Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY-NAME ~, NSPECTION DATE INSPECTION TIME ~ ~/`3~C I /: yS ~ a ADDRESS ~ ~ f HONE NO. O OF EMPLOYEES . ~ ~ FACILITY CONTACT USINESS ID NUMBER 15-021- / ( ~ d ., Section 1: Business Plsn and Inventory Program ^ ROUTINE MBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ~. ^ APPROPRIATE PERMIT ON HAND ~-- ^ BUSIfI@SS PLAN CONTACT INFORMATION ACCURATE ~'i ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ~j ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND "PROCEDURES ~~ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ^ NO EXPLAIN: - _ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (881) 326-3979 ~on~ ~,4/L7~~ ~ Inspector (Please Print) Fire Prevention / 1n In / Shift of Site/Station k White -Prevention Sarvieas Yellow -Station Copy Pink - Buainesa Copy FD2049 (Rw. 02/~5~ ~~ ~: ~ ;i~~` `~'~ ~ CITY OF BAKERSFIELD FIRE DEPARTMENT e ~ `°~~ OFFICE OF ENVIRONMENTAL SERVICES ~ y~~ UNIFIED PROGRAIVi INSPECTION CI~ECKLIST ~ _t~ ~Rti,,!'~ 1715 Chester Ave., 3"i Ftoor, Bakersfield, CA 93301 FACILITY NAME ~f~; A2f~ /~o~/t'IAl!/Z INSPECTION DATE ~ '~ ~ ~ ~~ Section 2: Underground Storage Tanks Program ^ Routine ~ombined ^ Joint Agency ^ Multi-Agency ^ Complaint ^ Re-inspection Type of Tank J''iw cf ~~r~G/ Irv ~ ~ ~~ P r Number of Tanks .~ Type of Monitoring ~ J'k~rczf~,Type of Piping ~duGl~ c,v/1/< OPERATION C t% COMMENTS Proper tank data on file Proper owner operator data on file Permit fees current (.~ Certification of Financial Responsibility Monitoring record adequate and current ~GGtrY~ ~ ~ ~~ ~ ~yjdv~.~ Maintenance records adequate and current (/ `~S f c 2 , Failure to correct prior UST violations Has there been an unauthorized release? YeS No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Tvne of Tank AGGREGATE CAPACITY Number of Tanks J~ OPERATION Y N COMMENTS SPCC available SPCC on file ~+~ith OES Adequate secondary protection Proper tank placarding%labeling Is tank used to dispense MVF? Ifyes, Does tank have overfill%overspill protection'? C=Compliance V=Violation Y=Yes N=NO Inspector: ~Q~N ~~~ Office of Environmental Services (G61) 326-3979 - siness Site Responsible Party \vhitc - Fnv. Svcs. Pink - &~sincss Copy ~. ,p: ;.~ .: -- $.':-c .:.. ~+-_~. ~f'~*r.~;~ b- - - -sue . ~-~ _ r . :~ d=~ a ~_ T H I riRi F~;}+.:}Li f•'1tiRT ' 3401 Su CHESTER " , B~IiERSF I ELU i'N .53;304 661-83'~~.-5y00 FEB 13'. '006 1'2 '23 Ft°1 ., i J 1` JTEM ET~T Uti REF'uRT HLL FUlVCTIc}fV;~ PJCiRI°iHL I h~VEtVTUR't' REI/~tiyRT T 1 : Uf•JLEHLiELi 't1trLUN1E = 6314 iaHL:~ ULLHi~E = 3686 GHLS 90s•~ ULLH[;E= 2686 GHLS TC t,+t}LUf°lE = 6'~y3 GALS HEIGHT = 57.98 INCHE~, l:.I~TER V~~L = 0 G~rLE WHTER = O.OG INCHEti~ TEf"1P = 64 , 8 DEi= F T '? : F'REhI I Ut•'1 I.+t}LUt°lE = 3428 GALS ULLHGE = 65?2 iFiLS 90°4 ULLr~i;E= 5572 GHLS TC VULUf°lE = 3414 GHLS HEIGHT = 36.0'2 INCHE, WATEk VuL = 0 GHLS ~ lrJtiTER = 0.00 I tVi~.HE:~ ~ TEMP = 65 . ? IiEG F EhlD * ii ~ x x 09/05/2006 07:54 6613252529 CAL VALLEY PAGE 02 \1 ~~ cAi. vaLL~r Ec~u1~n~NT 3540 Gilmore Ave 6akers~kl, Ce t~Q~B 80~F~27 A349 Fax BB1-3~5•Z529 111RPRJ~SSED CUJ~I7~NT CA7HdD1C FRDT~'CTJOAI CER77l~#CA}"IION vaT~: - -f~~ CONTACT: PHONE: lnstaHatlan tsate• - MDUrs:D i~~V~ Ad~~~stment: ~„~ SITE: ~:~ ~?ayr,~c~ Made! #~ __ ~~r-S ,(~'~.~ ~~ Serial ~• d ~~~alQ S7 :Dares: ~ Flne: -- 1 Strstdure to Soil Pohl R~adings I+ar Previously installed Systems {Systgrn OFF Yank Number TarNc Size Fuss T FhUduct Line Vent Llne S or E End of Ta Center Dfi Tank N or W End ~ T ElectronFa Conduit ok o - ~: ~ ~ ~ ~ a R~tw+e tD Soli Potetftial lt~dings Iron previously Installed Systems {System On ) Tank Tank Fuel Rrndud Pent S Dr f= Center N or W Eledrttnlc Number Size T Line Line End of Tan of "tank End of Tan Conduit S /r/ 2/ --p. 8~6 . d0 • D 2 2 ~ 6 ~ s !hereby oertify that the minimum system potential regnMemerlt5 for irrtpr+e5sed Curn~rlt Cathadia Protedlon: Have Been Met ~„~ Hare Plot Bean Met for the systems referenced a~iyove: taken in acCVniange with the minimum standaMs Of the NatiDrlal AssociatiDn Df CDnosion Engineers and as done to comply with EPA at~d Sts#e pirecEivas TechntcFan Per~rming Test • _. ~~ ~_ ~-- -- SWRCB, January 2402 Thiara Food Mart 2045 Page 1 of 7 _ : Secondary Containment Testing Report ~'orrn 77iis form is intended for use by contractors peg forming periodic testuajg of UST'seeondary containnsenr syste-ns• Use the appropriate pages of this form to report results for all cornpone~s tested. The completed fo»n. written test procedures, end prittta~ts from rests (if applicable), should be provided 1o the facility owner/operator for submittal to the loco! regulatory agency. 1. FA.CII~ITY )CNFDRMATION Facility Name: Thiara Food Mart Date of Testiung: 10/14/05 Facility Address: 3401 South Chester, ]3ahtcrsfield Wpb 117121 Time: 9:44 Facility Contact: Sataaxt~ Ploone: 661-832-5050 Date Local Agency Was Notified of Testing : 10/11/45 Name of Local Agency Inspector (:f present during te'.stin~: 2. TESTING CUI~TTRACT~K urrviciv~.P-iic~rti Company Name: Franaen-Hill Carp 1140 North 7 Street 'Tulare, CA 93274 Technician Conducting Test: Joe Pulu Credentials: x CSI.>3 Licensed Contractor SWRCB Licensed Tank Tester License 'Type: A,13,C-ti1/D40 HAZ License Number: 304147 1Vlanufactnr_er Training Manufacturer Co ven s Datc Train! E Tres Environ. 1'i in and Testin Total Containment Pipixng and Testixt C 3. SUII C®mponent Pass ~-~~ .~ r ~. ZMARY O Fail Nat Tested F TEST Repairs Made INSULTS Cpmponent Pass Fail Not Repairs Tested Made / ~"~ • ~ / ~' Q r , ~` S ~ . t/'~ ~ L~~ 3 ~ y 1f hydrostatic testing was performed, describe what was done with the water after completion of tests: CERTIFICATION OF TECIINICIAN Iik:SkONISiBLE F'OR CONDUCTING TI;HS TESTIrIG Ta the best ojray knowledge, ilre facts stated in this docunrcht acre arecurate and i~ full carrrplirrsce with legal regrctreeients Technician's Signature: DaterY/r„` ,S SWttCB, January 2002 ~ Page 2 of 7 Thiara Foad Mart 2x05 4. TANK AN1~T[TLAIL TESTING Test Method Dcveloped By: Tank Mamtfacturer, Irdusiry Standard Ymtessumal ~ngincer Other (SPeaifY) Teat Method Used: Pressure Vacuum Hydrostatic Other (~P~~~ Test Pquipment Used: Equipment Resolution: Tanl~, # Tank # Tank # Tank # Is Tank Exempt From Testing?` Yes Na Yea No Yes No Yes No Tank Capacity: Tank Material: Tank Mamifacturer. Product Stored: Wait time between applying pmessurclvaeuum/water and startin best: Test Stark Time: Initial Reading (R,): Test End Tirnc: Final Reading (RF): Test puration: } Change in Reading (RF-R,): FasslFail Threshold ar Criteria: Test:ltesttlt: ~ ~ ~ ~. to i~~9 ~ . ~.C71 Fail ^ Pass. nTail : ..,~ ~p p$~ ...o.:~>tir ~ ~ ~F'ass ~ ^)F'sil Was sensor removed far testing? Yes Na NA Yes Na NA -Yes Na NA Yes Na NA Was set>so~r properly replaced and Yes No NA Yes No NA Yes No NA Yes No NA verified functional aver testi ? Ct)t7ptnents - include in or~nation on re trs made riar to testin ,_and recommended llow-u railed tests '~ ~' ~v 'Secondary containment systems where the corltittuaus monitoring automatically monitors bout the primary and secondary containment, such as systems that are hydrostatically monitored or under canstam vacuum, are exempt from periodic cantainntcnt testing. {California Code of Regulations, 'I"itte 23, Section 263?(a)(G)} SWRCB, January 2002 Page 3 of 7 Tltiara Food Mart 2005 5. STCONDAatY F1PE TESTA~G Test Method Developed ~sy: Piping Manufacturer Industry Standard 1'irotcssionat r+ngsneer other CsPeCi~Y1 Test Method Used: Pressure Vacuum Hydrostatic Other (SD~.fY~ Test equipment Used: F.gnipmesrt Resolution: Piping Run # Piping Run # Piping Rust # Piping Run # Piping Material: Piping Manufacturer. Piping Diameter: Length of Piping Run: Product Stored: Method and location of i in -run i9oiation: Wait tirr~ between applying pressure/vacuum/water and StartlA tC5t: Test Start Timc: Initial Leading (It,): Test l~nd Time: Final Reading (Rr): TCSt DUratiorl,: Ghange in Reading (R~,-Itr): Pass/Fail Threshold or Criteria: Test Result: ~ ~ l] Pass: D Fail ~ lPasl.. 0 Fail ~ ^~,,Pass. Ci'Fail. . . Q~Ipass. D Fail COmxment8 -- (include information on repairs made prior to teating:.and recommended fallow-u~nrjailed tests 1 ~~. 1q~+1 ~~ ~f1 / ~ S"I~' C~~~,~.~GYT ~rc,G~1i i- /~ ~0~~./c ,jF1~i4^+ ~f~ L3r„~raT`S~ ~-~~+rbt~3~C I ~ r - ~ ~' ~,,,.~te e Q ~o .r3~2e-.~-~e~biP~ r ~s~ PrC/J~/L ~ rs a'r„ .vim ~~ ~ ~( ~~'r' ~~ ~ t CG[dC2~1~,- 3 ~ Z/ ~'.~.~ ft9G ~ ~c/.41 / ~-4 ~' T. `c~ +~ ~..y Q 4D . ,;. -_. .._.~ SWRCB, January 2402 Thiara Food Mart 2005 Test Method Developed By: Test Method Used: 6. PIPING SUMP Sump Manufacturer Other (Sped) Pressure nsS.e. rv..,,..;fi,l Industry Standard Vacwm Page ~l o£ 7 professional Engineer Test Equipment Used: ~ Equipment Resolution: Sump # Sump_# Sump # Sump # Sump Diameter_ ~ ~ ~R ~ ~____'.. ~ Suxnp Depth: ~ ~`~' ~ ~.~ ' i Sump Material: , • f -, tl t FIeight from Tank Top to Tap of ' r ~ ~ f Z ~ t Penetration: Hi hest Pi ------ Height $nrr- Tank Top to Lowest ~, ~~ ,., ~ ~ ~ I~lectrical Penetration: ..... Condition of sump prior td testing: G/~ iG ../ C, ya Portion of 5~unp Tested ~ ~ .r{. Does turbiune shut dawn when sump sensor detects liquid (bath Yes No NA Yes No NA Yea Na NA Yes No NA roduct and water ?~ Turbine shutdown response time "-` ,$' G ~ ,5.. ~ `~ Is system programmed for fail-safe ` Yes No NA Yes No NA Yes No NA Yes No NA shutdown? Was fail-safe verified to be i yes Na NA Yes No NA Yes No NA Yes No NA o erational7 ...-.- Wait tirrlc betvveefa applying pressure/vacuum/water and starting ~ ~~ , ~ ~'`~ ~ t7~ + ~ ~ test: Test Start Time: {I ~9' S / ~~ Initial Reading (Rt): ~ Test Ena Time: , ~ S Final Reading (RP): Test Duration: ~ d~*+ ~ `~" []'.Y'~ Change in heading (RF~R~): .~ ~' PasslFail Threshold ar Criteria: ~ p L ~ D Test Result:., .. ~ ~ ~~Pass'~ .l7 Fail. Pass 0 )Fgi!' : . `l]- Psss . fl Fail ^ .Pass CS Fail Was sensor rer~ved for testing? c No NA Yes No NA Yes No NA Yes No NA Was sensor pmpcrly replaced and a No NA Y No NA Yes No NA Yes No NA vtrif ed functional after testis ? - (rnctude infarmatian on repair's made prior to testing,_and ~,,, S, r '7" /~ T s _,~f awe , rtr~ ~"r~,.N~ d S7+E~1~S~.voe ~~~L~2 -5'rQ-~ .?~1~ x~= ~l T,c~/~e , ~ ,~,~ ~~~~~ ~~ pie.-Tir ,~-_.A / ~~c.Q rT .n r.'~,~rsl~ ' If the entire depth of the sump is zwt tested, specify how much wastested. If the answer to ~y of the qua„tions indicated with an asterisk (") is "NO" or "NA", the entire sump must be tested. (See S~'ttltCl3 LG-160). t~ SWRCB, January 2002 Thiara Food Mart 2005 7. Test Method Developed Br Test Method Used: Test Equipment Used: r riage 5 of 7 ~D~3FEI~'SER Ct~NT. UDC Manufacturer Other (Spec) Pressure other (Specify) Vacuum iJDC # UDC Fleight from L'DC Bottom to To] of Hi hest Pi in Penetration: Height from UDC Bottom to Lowest ).electrical Penet<ation: Condition of UDC prior to testin Portion of UDC Tested Does turlainc shut down when UDC sensor detects liquid (Uoth roduct and water ?~ Turbiae shutdown re nse timC is system programmed far fail- sSfc shutdown? Was fail-safe vexitied to be o erational7~ Wait time between applying pressure/vacuumlwatcr and startin test Test Start Time: Initial Readin 1~, Test lend Time: ./v - ~•~ ~-~/ c/ ~> .ore-Y ~iC Y Yes No NA Xes No NA ~ ~ Yes No NA Yes No NA Yes No NA Yes Na NA 3~JNZrt.~ ~d~ I ~// it i s //'/.~ Professional Engimeer Resolution: ? UDC Yes No NA ~ Xes No NA Yes Na NA Yes No NA Yes No NA Yes No NA k'inal Rcadin F : ~ - Test Duration: ~ ~~ •'.~/ ~+ ~`-^~ Chan a in Readm RF-Rt : '~ -fir Pass/Fai1 Threshold or Criteria: - ~ ~- _~ 4-.-~- Test Resort: ~ ~ ~ ass ., ~ ~[] Fail Pass ~ 0 Fail .: . ' ~ ~ Pass'.. l7 p'ail ij Paffis . a Fail Was sensor removed for tcstin ? Y No NA a ...... No NA Yes 1Vo NA Yes No NA Was sensor properly replaced and Yes Nv NA ~ No NA Yes Na NA Yea No NA verified functional after teatin . Com[1[1e10t3 - (i:tclade in}ormatian an repairs made prior to t¢stin :and recornmend¢d otlow-u railed rests ' If the entire depth of the LTpC is not tested, specify how much was tested. If the answer to ~ of the questions iuditated with art asterisk (~) is "NO" or "NA", the erttire UDC must be tested. (See SVVIZGB LG-160) SWRCB, January 2002 Thiara Food Mart 2005 13. Faeilit is Not Equipped With dill -~ - Fill Riser Containment Sumps are Test Method Developed IIy: Test Method Used: Test Eauiument Used: t front Tank Top tp Top of st Pi ' Penetration: t fratzt `far+k Top to T..owest ical Penetration: '~tion of sump prior to Wait tune between applying pressure/vacunrnlwater and startxn test: Test Start Time: Initial Readin i Test Lod. Time: ~. Final lteadin (RF •- T__a T__-a.... Pass/Fail Threshold or Csitezia ~~~ ~~r~ Industry Standard vacuum Fill Sump # FYII 5_ump # lL~. RISER COi1iTAIP 3er Containment S s sent, but wEro Not Tested Sump Manufacturer Outer fSpecijY} Pressure dther (Specify) Fill Page 6 of 7 Profieasional Engineer Hydrostatic Resolution: # Fill Sump # Test Result: Is there a sensor in the sump? Does the sensor alarm when either product or watez is detected? ^ ~l?ass Yes Yes ~: ^ Fail No No NA O' f'ess Yes 1'es ~ ^.Fail No No NA ~C1:~Pass : ^'Fail Yes No Yes No NA ^ Pl~ss Yes Yes . ^)a'ail Na No NA Was sensor renyovcd for testing? Was sensor properly replaced and verified functional after testis ? Yes Yes No Na NA NA Yes Yes No NA No NA Yes No Yes No NA NA Yes Yes No NA No NA Cnm[lle~t5 - (inclr<de information on repairs made prior to resting, acrd recommended fallow-up f orfaited tests) __ COmme~nts - (include information on repairs wade prior to testing, and recommended ollaw-u or ailed Tests Signature of Company Representative - Datc : /~~iy/~..~ S~VRC~, January 2002 Page 7 of 7 ~_, .S 1- + THIARA FOOD MART ____________________________________ SiteID: 015-021-001284 + Manager SATNAM SINGH Location:-3401 S CHESTER AVE City BAKERSFIELD CommCode: BFD STA 05 EPA Numb: BusPhone: (661) 832-5900 Map 103 CommHaz Moderate Grid: 19C FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title SATNAM SINGH /.OWNER/OPERATOR KETTAR SINGH / Business Phone: (661) X32--=SaS~ Business Phone: (661) 832-5900x 24-Hour Phone (661) 3pj~--r7:1'.~px 24-Hour Phone (661) 843-7101x Pager Phone (661) 3-63----7y,gg:: Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact SATNAM SINGH Phone: (661) 832-~050~ MailAddr: 3401 S CHESTER AVE State: CA City BAKERSFIELD Zip 93304 Owner SATNAM S INGH Phone : ( 6 61) 8 3 2 -5O:~'d. Address 3401 S CHESTER AVE State: CA City BAKERSFIELD Zip 93304 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT PROG U - UST Based on my inquiry of those individuals r©sponsibie for obta,rnng 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, ac ur te, and comple ~la~ r~ ~ L 6 6 Signature Da e ~~ ~ ~;~ ~ 6 2006 E ~o~~ ~ ~~ 5550` t______________________________________________________________________________+ -1- 04/03/2006 E R S F I F/I~E ~I I~TM RONALD J. FRAZE FIRE CHIEF Gary Hutton, Senior Deputy Chief Administration 326-3650 Deputy Chief Dean Clason Operations/Training 326-3652 Deputy Chief Kirk Blair Fire Safety/Prevention Services 326-3653 2101 "H" Street Bakersfield, CA 93301 OFFICE: (661) 326-3941 FAX: (661) 852-2170 RALPH E. HLTEY, DIRECTOR PREVENTION SERVICES FIRE SAFETY SERVICES • ENVIRONMENTAL SERVICES 900 Truxtun Avenue, Suite 210 Bakersfield, CA 93301 OFFICE: (661) 326-3979 FAX: (661) 852-2171 David Weirather Fire Plans Examiner 326-3706 May 15, 2006 Mr. Satnam Singh Thiara Food Mart 3401 S. Chester Avenue Bakersfield, CA 93304 REMINDER NOTICE Re: Deadline for Three Year Cathodic Protection Certification Dear Mr. Singh: Our records indicate that your three year cathodic protection certification is due on 07-10-06. This test is part of your leak detection system as stated in Section 2635 2(a) of the California Code of Regulations, Title 23, Division 3, Chapter 16 Underground Tank Regulations. Please make every effort to have this completed by the above-mentioned date. Failure to comply may result in further enforcement action. Should you have any questions, please feel free to call me at 661-326-3190. Sincerely, Ralph E. Huey, Director of Prevention Services r /~ By: Steve Underwood, Fire Prevention Officer Howard H. Wines, 111 Hazardous Materials Specialist 326-3649 REH/SU/db April 10, 2006 Mr. Satnam Singh Thirara Food Mart 3401 S. Chester Avenue Bakersfield, CA 93304 RONALD J. FRAZE REMINDER NOTICE FIRE CHIEF Re: Guidelines for Unsupervised Dispensing Gary Hutton, Senior Deputy Chief Dear Mr. Singh: Administration 326-3650 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 Deputy Chief Dean Clason your fuel pumps on, this is defined in the California Fire Code as: "Unsupervised Operations/Training Dispensing." 326-3652 Deputy Chief Kirk slain Unsupervised dispensing is allowed when the owner or operator provides, and is Fire Safety/Prevention Services accountable for daily site visits, regular equipment inspection and maintenance, 326-3653 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 2101 "H" Street containers and requiring vehicle engines to be stopped during fueling shall be Bakersfield, CA 93301 conspicuously posted within site of each dispenser. OFFICE: (661) 326-3941 FAX: (661) 852-2170 In addition, a sign shall be posted in a conspicuous location reading: In case of spill or release: RALPH E. HUEY, DIRECTOR 1) Use Emergency Pump shut-off PREVENTION SERVICES 2) Report the accident FIRE SAFETY SERVICES • ENVIRONMENTAL SERVICES 900 Truxtun Avenue, Suite 210 3) Fire Department Telephone Bakersfield, CA 93301 4) Facility address OFFICE: (661) 326-3979 FAX: (661) 852-2171 During the hours of operation; stations having unsupervised dispensing shall be David Weirather provided with a fire alarm transmitting device. A telephone not requiring a coin to Fire Plans Examiner operate is acceptable. The fuel leak detection system must have a remote or 326-3706 phone modem to insure off-site monitoring during hours of unsupervised dispensing. During hours of darkness, sufficient lighting must be maintained so Howard H. Wines, III that all signs associated with fueling operation are conspicuous and readable. A Hazardous Materials Specialist gallon container of an absorbent material used for spills must be made available 326-3649 to the public during hours of unsupervised dispensing. Afire extinguisher with a minimum 2A, 26, and 2C rating must be located on dispenser island during hours of unsupervised dispensing. 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 meat 661-326-3190. Sincerely, Ralph E: Huey, Director of Prevention Services ,, ~-~.. ` LC, ~~ ; By: Steve Underwood, Fire Prevention Officer REH/db B E R S F I D F/ICE April 7, 2006 ~RrM r Mr. Satnam Singh Thiara Food Mart 3401 S. Chester Avenue Bakersfield, CA 93307 RONALD J. FRAZE Re: Failure to take Permit fdr Secondary Containment Testing FIRE CHIEF Due December 31, 2005 Gary Hutton, ~ 1~TOTICE OF VIOLATION Senior Deputy Chief Administration AND SCHEDULE FOR COMPLIANCE 326-3650 Deaz Mr. Singh: Deputy-Chief Deari Clason Operations/Training Our records indicate that you hive received several reminder notices regazding 326-3652 necessary secondary containment testing. Our records also indicate that you have failed Deputy Chief Kirk Blair- to perform this necessary test. Fire Safety/Prevention Services 326-3653 You are in Violation of Section 263(a) California Code of Regulations, Title 23, Division 3, Chapter 16. 2101 "H" Street Bakersfield, CA 93301 "Secondary containment testing shall be tested by 12-31-02 OFFICE: (661) 326-3941 ~ and every 36 months thereafter." FAX: (661) 852-2170 Therefore prior to Apri130, 20175 you shall perform the necessary secondary containment testing. Failure to comply will result in revocation of your permit to RALPH E. HUEY, DIRECTOR operate. PREVENTION SERVICES FIRE SAFETY SERVICES • ENVIRONMENr/LL SERVICES Should you have any questions; please feel free to contact me at 900 Truxtun Avenue, Suite 210 661 - 326-3190. Bakersfield, CA 93301 OFFICE: (661) 326-3979 FAX: (661) 852-2171 Sincerely, David Weirather Ralph E. Huey, Director of Prevention Services Fire Plans Examiner 326-3706 Howard H. Wines, III Hazardous Materials Specialist ~ By: Steve Underwood 326-3649 Fire Prevention Officee SU/db J~ ~a ~ ~nnsr~ssi~ ~o~ `~1~~ ~1~sa `S~~G~Uessf.~.~ .... ~ /~s°° UNDERGROUND $7~ORAGE TANK PERMIT APPLICATION ~ CON91Rl~CTaNSTALL NEW TANK (NEW F/IdLRY j / s .~ NEW TANK INSTAW1TIpN (EIOSTiYt;i FApLITY)1 YDDIF7G710N 1 S MINOR MOOIpCATION - FACI[!T~ PER~trr No. TYPE OF APPLICATION: O NEW TANK fNSTALI !NEW FAC~fTy ChscK oas Itsm an O MODIFICATfOb OF FAi~Lf1y NO ~~-,~ ~- laalc~ ___-~ Ot~ F'(~rt~ M ~ ty 1 n ATL~ - F-u.E.LlJ (s- ~~ S~,h-~ s, N ~ ~ ~ ~ BAI~RSFIELD FIRE D$PT. Pe~ev'efntlon 8efl~cea 900 Nuxtun Ave., Ste. 210 $akersDeld, CA 93301 Tel.: (661j 326••3978 Fax: (661j 852-2171 PeQ~ 1 d t TANK INSTALLATION / ExI3TINp FACiLRY R MOOIFlGITION OF FACILITY ~lsnwe~vAC,1m vFwrr>r0 'Ifs' 9 ~30V rp • '~ s4~ ~~ ~t ~3obC ~.. ~. . - • ~3~.z~ . 801E TYPE E1~TE0 AT 91TE A,iE THEY FOA MOTtg! FUEL 901LC Pf~IE#ITgN Cp~ppC MD OOUHIER 1N61-SUNf6 pLJ1N ON F~ ~ YES O ND f7 TES ^ NO T7k ~+pt~,r Mot ne~ia~ m~d..,(l ooniplJ, w„A ,hr aid czu,Cnroo a(-Ne versa aa~d - nR~gaac ThltJorm ARS helm me~hrdrna~rpenn/ry ofAeyury, m1d Io dis best ~~Y+mrowlE~. Is hde mdcoren/oeel AndJe~( T~~n'1 S1r~~-~ T>~ APPGCATiON BECOMF$ A PERMIT WHEN APPIZpyt:1J FDZ086 ~s..aMq December 1, 2005 RONALD J. FRAZE FIRE CHIEF Gary Hutton, Senior Deputy Chief Administration 326-3650 Deputy Chief Dean Clason Operations/Training 326-3652 Thirara Food Mart 3401 S. Chester Avenue Bakersfield, CA 93304 FINAL REMINDER NOTICE RE: Necessary Secondary Containment Testing Requirements by December 31, 2005 of Underground Storage Tank (s) Located at the Above Stated Address Dear Valued Customer, Deputy Chief Kirk Blair Over the last six months this office has continued to send reminder notices regarding Fire Safety/Prevention Services secondary containment testing. 326-3653 Code requires that all secondary containment systems must be tested 6 months post construction and every 36 months there after. 2101 "H" Street Senate Bill 989 became effective January 1, 2002, section 25284.1 (California Bakersfield, CA 93301 Health 8~ Safety Code) of the new law mandates testing of secondary containment OFFICE: (661) 326-3941 components upon installation and every 36 months, thereafter, to insure that the FAX: (661) 852-2170 systems are capable of containing releases from the primary containment until they are detected and removed. Our records indicate that your facility is due prior to December 31, 2005. RALPH E. HUEY, DIRECTOR Those sites that have not been tested and have not pulled a permit prior to December 31, PREVENTION SERVICES ~ 2005, will have their permit to operate revoked. FlRE SAFE7YSERVICES • ENVIRONMENrALSERVICES 900 Truxtun Avenue, Suite 210 This office does not wish to take such action, which is why we will continue to send monthly Bakersfield, CA 93301 reminders. OFFICE: (661) 326-3979 FAX: (661) 852-2171 Contractors are already booked several weeks in advance. I urge you to schedule your testing date as soon as possible to avoid possible revocation of your permit to operate. David Weirather Fire Plans Examiner Should you have any questions, please feel free to call me at (661) 326-3190. 326-3706 Sincerely, Howard H. WIneS, III }ZALPHFi1 HUEY, Director of Prevention Services Hazardous Materials Specialist _ _ _ ~ 326-3649 ~ ' Steve Underwood Fire Prevention Officer SU:db r ,.. r~.. =~, UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING / S6989 SECONDARY CONTAINMENT TESTING. !TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION BAKERSFIELD FIRE DEPT. Prevention Services piR~ ARTN f 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 PERMIT NO. ~~ ` ~~ ^ ENHANCED LEAK DETECTION ^ SB-989 SECONDARY CONTAINMENT TESTING Irv _ V IHIVR IlUrlI rvCJJ ICJI ~v r~~.~ v...... ..~~......... ... .... _ __. .. .. ._. ..._ N FACILITY ~ NAME 8 PHONE NUMBER OF CONTACT PERSON ADDRESS OWNERS NAME OPERATORS NAME PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? ^ YES ^ NO TA K # V L E CONTENTS .. TANK 7`ESTING COMPANY NAME O TESTING COMPANY NAME 8 PHONE NUMBER OF CONTACT PERSON MAILING ADDRESS ~. (1 J `~~ ~ O NAME 8 PHONE NUMBER OF TESTER OR SPECIAL INSPECTOR . U Cp ~-~ C TIFICATION #: DATE 8 TIME TEST TO BE CONDUCTED _v l o0 ICC #: TEST METHOD SIGNATURE OF APPLIC rn DATE APPROVED BY DATE ', in_.. nn~nc~ ~ v ~.v..v ~. .... ..... ....~ .. - =-~ ,. ~II~LING & PERMIT STATEMENT -; PERMIT NO.: BAKERSFIELD FIRE DEPT. Prevention Services P/RS g00 Truxtun Avenue, Suite 210 ARTY r Bakersfield, CA 93301 Tel.: (6611 326-3979 S Fax: (6611 852-2171 ~ LOCATION OF PROJEC l ~~(~~ - ~ ~ PROPERTY OWNER STARTWG DATE ~ ~ COMPLETION DATE ~ ~Q NAME i ~ ~ VWv~G~- PROJECT NAME ADDRESS 3 o S PHONE NO. PROJECT ADDRESS ~ w n E - \ _ ,~ CfTY~ STATE ~ ~ ZIP CODE o •' CONTRACTOR NAME CA LICENSE NO. ' •' TYPE OF LICENSE. EXPIRATION DATE PHONE NO~~~ ' CONTRACTOR COMP NAME 0 FAX NO. ~Q /_ V / ~O ((! ~L . ADDRESS ~~ ~ CffY ~ ZIP CODE O • • ~ J 262 50 • ~ ' ^ Alarms -New & Modifications - (Minimum Charge) . $ 98 013125 =Permit fee FL S ~ ^ Over 20,000 Sq. FL x . q. 98 210 00 ~ ^ Sprinklers -New & Modifications - (Minimum Charge) . $ 98 ' 042 =Permit fee FL S ~ ^ Over 5,000 Sq. Ft. x . q. i 98 d j ction Onl 00 I s $ 93 ~ ^ s) Minor Sprinkler Modifications (< 10 hea y n pe . [ 98 26 $ 398 ~ ^ Commercial Hoods -New & Modifications . 98 $ 36 00 ~ ^ Additional Hoods . 98 458 00 ~ ^ Spray Booths -New & Modifications . $ 98 ^ Aboveground Storage Tanks (Insta/latwn/Insp.-1" Time) $165.00 82 ^ Additional Tanks $ 26.00 82 ^ Aboveground Storage Tanks (Removal/lnspeaion) $109.00 82 ^ Underground Storage Tanks (InsfallationJlnspedion) $878.00 (pertank) 82 ^ Underground Storage Tanks (Modfication) $878.00 (persite) 82 ^ Underground Storage Tanks (Minor Modification) $155.00 82 ^ Underground Storage Tanks (Removan $675.00 (per tank) ~ ^ Oilwell (Installation) $ 72.00 ~ Mandated Leak Detection (festi g) I Fuel Monit. Cert. $ 81.00 (persite) 82 ^ Tents $ 93.00 (per tent) ~ ^ After hours inspection fee $122.00 ~ ~ ^ Pyrotechnic - (Per event, Plus Insp. Fee @ $90 per hour) $ 60.00 + (5 hrs. min. stand -by fee /Inspection) _ $510.00 ~ ^ RE-INSPECTION(S) /FOLLOW-UP INSPECTION(S) $ 93.00 (per hour) ~ ^ Portable LPG (Propane): NO.OF CAGES? _ $66.00 ~ ^ Explosive Storage $249.00 ~ ~ ^ Copying & File Research (File Research Fee $33.00 per hr) 25¢ per page ^ ~ ^ Miscellaneous ' ~ ru ac i ~rtev. ua~ua~ 1 -ORIGINAL WHITE (to Treasury) 1-YELLOW (to Flle) 1-PINK (to Customer) R F/R~ A1PfM May 12, 2006 RONALD J. FRAZE FIRE CHIEF Mr. Satnam Sigh Thiara Food Mart Gary Hutton, 3401 S. Chester Avenue Senior Deputy Chief Bakersfield, CA 93304 Administration 326-3650 Re: Failure to Perform /Submit Annual Fuel Monitor Certification Deputy Chief Dean Clason Operations/Training ~+ MINDER NOTICE 326-3652 Deputy Chief Kirk Blair Dear Mr. Rafia, Fire Safety/Prevention Services 326-3653 Our records indicate that your fuel monitor certifications is due/past due on 06-16-06. 2101 "H" Street You will be in violation of Section 2638(a) California Code of Regulations, Title Bakersfield, CA 93301 23, Division 3, Chapter 16. OFFICE: (661) 326-3941 FAX: (661) 852-2170 "All monitoring equipment shall be installed, calibrated, operated and maintained iiy accordance with manufacturers instructions, and certified every 12 months for operability, proper operating condition, RALPH E. HLTEY, DIRECTOR and proper calibration." PREVENTION SERVICES ~sar~vser~s•~eoruMenirn~serances Therefore you have 30 days to comply. 900 Truxtun Avenue, Suite 210 . Bakersfield, CA 93301 OFFICE: (661) 326-3979 Should you have any questions, please feel free to contact me at 661- 326-3190. FAX: (661) 852-2171 Sincerely yours, David Weirather Fire Plans Examiner Ralph E. Huey, 326-3706 Director of Prevention Services Howard H. Wines, III Hazardous Materials Specialist . 326-3649 By: Steve Underwood Fire Prevention Officer REH/SU/db "Searing the Community For ~t~lore Sian A Century" UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING / S6989 SECONDARY CONTAINMENT TESTING (TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT NO. ~ ~ .... ~ 9 J B R 9 P 1 D ~ie~ A~ T BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 ^ ENHANCED LEAK DETECTION ^ LINE TESTING ^ SB-989 SECONDARY CONTAINMENT TESTING ^ TANKTIGHTNESS TEST ~ TO PERFORM FUEL MONrrORING CERTIFICATION SITE INFORMATION FACILITY Thiara Food Market NAME & PHONE NUMBER OF CONTACT PERSON ADDRESS 3401 S. Chester Ave. OWNERS NAME Same OPERATORS NAME Same PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? ^ YES ^ NO TANK# VOLUME CONTENTS 1 87 UL 2 91 UL TANK TESTING COMPANY NAME OF TESTING COMPANY Cal-Valley Equipment Bruce W. Hinsley 661-327-9341 MAILING ADDRESS 3500 Gilmore Ave. Bakersfield, Ca. 93308 Bruce W. Hinsley 661-327-9341 CERTIFICATION #: 006-05-~ ~ 7$ DATE 8 TIME TEST TO BE CONDUCTED July 14, 2OOB 08:00 ~ ICC #: I SIGNATURE OF APPLI T. ~~ ` ' DATE July 7, 2006 APPROVED BY DATE r FD 2095 (Rev. 09/05) 08108!2006 08:52 6613252529 CAL VALLEY PAGE 06 o~r~~ ~~n cu~~ ~amawc r~c~ow ~ri>~arroN . ~- ~s sfTr=_ ~ a ~r ~~ t PHONE: ~-~---~-- Installetiprr Date: lutgd~ ~ US 12 C ~ C wo>rrs: ? seasi ~:~ vottage: ~, : ~~. Adjus#merwt: ltN-t„_~`Course: ~~ Fine: St~C~me to Solt mat Readings For Prev~iausty tr~tattecf Systems (SYst~ Off Tank Tank ~~~~ .~-, --- ~~^~+W+~ verr[ f inn ~ :__ 3 Or E Genter- N or WV ---- ~°'" E Center Lino r :~ .,_ _. ~ N Or Move Not Been Met for fife systems referenced ai~„e: taken fn atant~ w~fr a$tion of Corrosion gngirn~rs, and as dame to com the minimum standards of the National PIY with EPA end bate Direpfv~ Tect,nldan Perforrrr' ~ -'~""`"„""' ~$ Test CAL VALLEY EQUIPMENT 3x00 C3itma~re AYe Bakertffeid, Ca t~330$ gs~~2r-I~sa~ hex sst~25.2s~9 --- ° -.,•..pa• n:~aa~ings mar Pte+riougty hailed Systigmg { SYstem On ~ Ta~ic Tank F:~ar ~~---- - - - ---- -• .....~~~~.WUr a~em PmeAtial r+egttir+ementS far impressed C,y1r7~nt Cathodic t~rotectiorl: Have Been. Met