HomeMy WebLinkAboutUST-REPORT 8/27/2007a
~~ `LUCKY 7 STORE "
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'~ UNDERGROUND STORAGE TANKS
UNIFIED PROGRAM CONSOLIDATED FORMS
APPLICATION
UST FACILITY (STATE FORM A)
TYPE OF ACTION. (Check one item only) ^ t. NEW SITE PERMIT
^ 2. INTERIM PERMIT
BAKERSFIELD FIRE DEPARTMEiNT ~~
Prevention Services ~~
s a x s n t n 1600 Truxtun Ave., Suite 401 ~~
!~'JR! Bakersfield, CA 93301
a1RTM r Phone: 661-326-3979 . Fax: 661-85 - i
Page 1 of 2 ) ~ ~ 1 ~ ~/~, ~ i
a5~ ` 1 / ~
^ 3. RENEWAL PERMIT ^ 5. CHANGE OF INFORMATION (Specify change- ^ 7. PERMANENTLY CLOSED SITE
^ 4. AMENDED PERMIT bcal use only) _- ^ ^^ -! ^ 8. TANK REMOVED 400 i
i. FACILITY/SI TE INFORMATION
USINESS NAM (Same as FACILITY AME or DBA-Doing usines As) s AGILITY ID No ~
f ~/ ~.
EAREST CROSS STREET aoi AC IT WNER TYPE
1. CORPORATION ^ 4. LOCAL AGENCY/DISTRICT'
p
~ ~.
~ /
`\ ~ ~ ^ 2. INDIVIDUAL ^ 5. COUNTY AGENCY'
^ 3. PARTNERSHIP ^ 6. STATE AGENCY'
`
~
~ ^ Z• FEDERAL AGENCY' ao2
USINESS'TYPE
T
RC G 2 4 2007
f
^ 2. DISTRIBUTOR ^ 4. PROCESSOR ^ 6.O
THER
En, p p,~
1~
OTAL NUMBER OF TANKS Is facility on Indian Reservatio If owner of UST a public agency: Give the
EMAINING AT SITE aoa Trust lands? ^ Yes o aos Name of supervisor of division, section or office
hich operates the UST. (This is the contact
arson for the tank records.) (Please print Contact person's name) ao
il. PROPERTY OWNER INFORMATION -
ROPERTY OWNER NAME - ~ aor O aoe
J _ t~
AILING OR STREET ADDRESS - aos
~ 4~ 3
~ ~ ~ °~~ c
~
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ITY t 410 STA - at O at
ROPERTY OWNER TYPE f7"~CORPOFt N ^ 2. INDIVIDUAL ^ 4. LOCAL AGENCY/ DISTRICT ~ ^ 6. STATE AGENCY
O 3 .PARTNERSHIP ^ 5. COUNTY AGENCY ^ 7. FEDERAL AGENCY ars
III. TANK OWNER INFORMATION
ANK OWNER NAME
ata
~
~ HONE
ais
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Vr rp~~
f ` ~ V
AILING OR STREET ADDRESS t ass
o~ I c.3S ~ - ~~ , 3~ ~. ~ ~~~~~T~r
ITY 41
STA E - - aye
ZIP CODE ats
ANK OWNER TYPE r CORPORA ON ^ 2.INDIVIDUAL ^ 4. LOCAL AGENCY/ DISTRICT 6. STATE AGENCY
a 3. PARTNERSHIP ^ 5. COUNTY AGENCY ^ 7. FEDERAL AGENCY azo
IV. B ARD OF E UALIZATION ST T RAGE FEE
Y (TK) HO 4 4 Call (916) 322-9669 if questions arise 421
V: PETROLEUM UST FINANCIAL RESPONSIBILITY
^ 1.SELF-INSURED ^ S. LETTER OF CREDIT ^ 9. STATE FUND & CD
INDICATE METHOD(S) ^ 2. GUARANTEE ^ 6. EXEMPTION ^ 10. LOCAL GOVT MECHANISM
^ 3. INSURANCE ^ 7. STATE FUND ^ 99. OTHER:
^ 4. SURETY BOND ^ e. STATE FUND & CFO LETTER
azz
VI. LEGAL NOTIFICATION AND MAILING ADDRESS
heck 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 az
.VII. APPLICANT SIGNATURE
ertification: I art that the information rovided herein is ue and accurate to the best of m knowled e.
IGNATURE OF APPLICANT ~ apa ATE a25 PHON az
~
.~ ~ 02 ~ ° ~ -~3
72Z
AME OF APPLICANT (print) ~~, pp ` lC az~ TITLE O APPLIC NT /~ az
TATE UST FACILITY NUMB R (For local use on) a2s 1998 UPGRADE CERTIFICAT NUMBER (For local use only) as
r"
FD 2093 (Rev. oslo5)
UNDERGROUND STORAGE TANKS
UNIFIED PROGRAM CONSOLIDATED FORMS
INSTRUCTIONS
UST FACILITY (STATE FORM A)
Complete the UST- Facility page for all new permits, permit
changes any facility information changes. This page must be
submitted within 30 days of permit or facility information changes, .
unless approval is required before malting any changes.
Submit one UST -Facility page per faality, regardless of the number
of tanks located at the site. This form is completed by either the permit
applicant or the local agency underground tank inspector. As par of the
application, the tank owner must submit a scaled facility plot plan to the
local agency showing the location of the US Ts with respect to buildings
and landmarks [23 CCR 2711(a)(8)], a description of the tank and ping
leak detection monitoring program (23 CCR 32711(a)(9)], and, for
tanks containing petroleum, documentation showing compliance with
state financial responsibility requirements [23 CCR2711(a)(1 i )].
Refer to [23 CCR 2711 ] for state UST information and permit
application requirements.
(Note: The numbering of the instructions follows the data element
numbers that are on the UPCF pages. These data element numbers are
used for electronic submission and are the same as the numbering
used in 27 CCR, Appendix C, the Business Section of the Unified
Program Data Dictionary.)
Please number all pages of your submittal. This helps your CUPA or
local agency identify whether the submittal is complete and 'rf any
pages are separated.
1. FACILRY lD NUMBER -Leave this blank. This number is
assigned by the CUPA. This is the unique number which identifies your
facility.
3. BUSINESS NAME - Entes the full legal name of the business.
400. TYPE OF ACTION -Check the reason the page is being
completed. CHECK ONE ITEM ONLY.
401. NEAREST CROSS STREET -Eater the name of the cross
street nearest to the site of the tank.
402. FACILITY OWNER TYPE -Check the type of business
ownership.
403. BUSINES S TYPE -Check the type of business.
404. TOTAL NUMBER OF TANKS REMAINING AT SITE -
Indicate the number of tanks remaining on the site after the requested
action.
405. INDIAN OR TRUST LAND -Check whether or not the facility
is located on an Indian reservation or other trust lands.
406. PUBLIC AGENCY SUPERVISOR NAME - If the facility
owner is a public agency, enter the name of the supervisor for the
division, section or office which operates the UST. This person must
have access to the tank recorcts.
407. PROPERTY OWNER NAME-Complete items407-412 for
the properly owner, unless all items are the same as the Owner
Inforrnaton (items 111-116) on the Business Owner/Operator
ideMificaton page.
408. PROPERTY OWNER PHONE-Owner/Operator identrfication
page, if the same.
409. PROPERTY OWNER PROPERTY OWNER MAILING OR
STREET ADDRESS-Owner/Operator identificaton page, 'rf the same.
410. PROPERTY OWNER CITY-Owner/Operator identficaton
page, if the same.
411. PROPERTY OWNER STATE-Owner/Operator identifcaton
page, if the same. -Owner/Operator identrficaton page, if the same.
412. PROPERTY OWNER aP CODE-Owner/Operator
identficaton page, rf the same.
413. PROPERTY OWNER TYPE -Check the type of property
ownership.
414. TANK OWNER NAME -Complete items 414 419 for the
tank owner unless all items are the same as the Owner Information
(items 111-116) on the Business Owner/Operator Identification page), if
`;,
3 S R S P 1 ~
Ir/R!
ARTM T
~.....~.
BAKERSFIELD FIRE DEPARTMENT ,
Prevention Services ;~
1600 Truxtun Ave., Suite 401
Bakersfield, CA 93301
Phone: 661-326-3979 • Fax: 661-852-2171
Page 2 of 2
the same.
415. TANK OWNER PHONE -0wner/Operator identrfication page,
'rf the same.
416. TANK OWNER MAILING OR STREET ADDRESS-
Owner/Operator Identification page (OES Form 2730), if the same.
417. TANK OWNER CITY-0wner/Operator identrfication page,
'rf the same.
418. TANK OWNER STATE-Owner/Operator identrfication page,
'rf the same.
419. TANK OWNER ZIP CODE-Owner/Operator identrfication
page, if the same.
420. TANK OWNER TYPE -Check the type of tank ownership.
421. BOE NUMBER -Enter your Board of Equalization (BOE)
UST storage fee account number. This fee applies to regulated USTs
storing petroleum products. This is required before your permit
application can be proms. If you do not have an account number with the
BOE or if you have any questions regarding the fee or exemptions, please
call the BOE at (916) 322-9669 or write to the BOE at Board of
Equalization, Fuel Taxes Division, P.O. Box 942879, Sacramento, CA
94279-0030.
422. PETROLEUM UST FINANCIAL RESPONSIBIUTYCODE -
Checkthe method(s) used by the owner and/or operator in meeting the
Federal and State financial responsibility requirements. CHECK ALL
THAT APPLY. If the method is not listed, check (r other) and enter the
method(s). USTs owned by any Federal or State agency and non -
petroleum USTs are exempt from this requirement.
423. LEGAL NOTIFICATION AND MAILING ADDRESS -
Indicate the address to which legal notficatons and mailings should be
sent. The legal notifications and mailings will be sent to the tank owner
unless the facility (box 1) or the property owner (box 2) Is checked.
424. SIGNATURE OFAPPLICANT-The business
owner/operator of the tank facility, or officially designated representative
of the owner/ operator, shall sign in the space provided. This signature
certifies that the signer believes that all the information submitted Is
accurate and complete.
425. DATE CERTIFIED - Enter the date that the page was
signed.
426. APPLICANT PHONE -Enter the phone number of the
applicant (person certifying).
427. APPLICANT NAME -Enter the full printed name of the
person signing the page.
428. APPLICANT TfTLE -Enter the tle of the person signing the
page.
429. STATE UST FACIUTYNUMBER -Leave this blank. This
number is assigned by the CUPA as follows: the number is composed of
the two digit county number ,the three digit jurisdicton number, and a six
digit facility number. The facil'ily number must be the same as shown in
item 1.
430. 1998 UPGRADE CERTIFICATE NUMBER -Leave this
blank. This number is assigned bythe CUPA.
FD 2093 (Rev. o9/os)
i
b
Gerardo & Robin Fuentes
P.O. Box 9245
Bakersfield, CA 93389
April 18, 2006
Gina Ham
Lucky 7 Market
2501 White Lane
Bakersfield, CA 93304
Dear Gina:
This letter is to inform you that we have formed a Corporation and that the rent checks
and any other correspondences will need to go to a new name and address effective
immediately. Gerardo and I can still be reached at our usual phone numbers.
The new name and address is as follows: , , n~_~
r _ ~' .. a .... r: ~~.
111. / ,,
Gamino Real, LP ~= t-~ 7"Y ~,F.
13061 Rosedale Hwy, Ste G, PMB 137 t~
Bakersfield, CA 93314
If you have any questions or concerns, please call Gerardo at 661-904-7087 or Robin
at 661-904-9443. Thank you for your cooperation with this change.
Regards, .
~~ ~ _
?~~~ 4.,~,,~t.~.Q.M~
~ .: _.__ _ .__..,.. ..Robin-Faerttes--_~..,_ __..__~_~ _ _ ~~:._~__.~.:_____.. ___~_ ___._
l~//tE
~II~TM T July 11, 2006
Ms. Gina Ham
Lucky 7
2501 White Lane
RONALD J. FRAZE Bakersfield, CA 93304 .
FIRE CHIEF
Re: Designated Operator
Gary Hutton,
Senior Deputy Chief i Dear Ms. Ham:
Adminisdration i
326-3650 ' On April 24, 2006, this office conducted its annual facility inspec#ion at the above-
. 1 referenced address.
Deputy Quef Dean Clason
Operations/Training ~ During that inspection, it was noted that you had no been using a Designated
326652 ; Operator which is required bylaw.
Deputy Chief Kirk Blair i This office, to ensure that you are following the provisions Title 23 of the California
Fire Safety/PreventionSarvices ; Code of Regulations, is requesting copies of your designated operator written
326-3653 , report for the following months:
2101 "H" Street April-2006, May-2006, June-2006.
Bakersfield, CA 93301 f
OFFICE: (661) 326-3941 ' Please send copies to my attention by August 1, 2006 at the following address:
/ FAX: (661)852-2170 j '
(A~ ~ Steve Underwood, Fire Prevention 4ff'icer .
•'V ~ 1 Bakersfield Fire Department
~ 900 Truxtrun Avenue, Suite 210
RALPH E. HLTEY, DIRECTOR ~ Bakersfield, CA 93301
PREVENTION SERVICES
~~"''~""`~ 1 Failure to comply will result in another site visit inspection and Notice of Violation.
900 Truxtun Avenue, Suite 210 ~
Bakersfield. CA 93301 i
OFFICE: (661) 326-3979 I Should you have any questions, please feel free to call me at 661-326-3190.
FAX: (661)852 2171 ~ -
f _ Sincerely, _
David Weirathsr - - - -
Fire Plans Examiner ( Ralph E. Huey,
325-3706 ; ~ DIRECTOR OF PREVENTION SERVICES
Howard H. Wines, ill ~
Hazardous Materials Specialist
326-3649 I
! By: stave Underwood,
Fire Prevention Officer
REH/SU/db -
' Designated Underground Storage Tank {UST) Operator
Monthly Visual Inspection Checklist
Facili Name:
~ -Date: ~- 6 O
Facili Address: p ~ t-~,
Ci - e (d C Z• Code: ~ p
Desi Hated UST erator Conductin the ection: •.wGt Gf •
International Co Council Cert•fi anon #: ~Z° Ex iration Date: ~ / i 3 / D
Si nature: Phoae: -- 3 Z Z
v vc i i - - v ~ vec_ rv @ rvo. rvw =Hoc Anoucame
Item MONITORING PANEL /ALARM HISTORY Y N NA
1 Monitorin s tem is owered on and in ro er o satin mode,
2 Monitorin s stem is not currentl showin an alarms or warnin s. ' ~ ~
3 Alarm history report /log for the.previous month is available, and has been reviewed by the
Desi Hated UST erator. (Attach a co o the alarm histo re ort /lo to this orm i availabble. ~
4 Each alarm for the revious month-has been res onded to a ro riatel . ~~
5 Sensors located in tank-to containment su shave not alarctted in the ast month.
Sa _ List all tank-top sumps where alarms occurred in the past month:
Note:.Sumps where an alarm l~at occurred in the past month must be inspected unless a qualifred service technician responder/ to, and
properly addressed, the cause ojthe alarm. Attach documentation verifying appropriate service to this report.
I sum ins ection is re aired, rewrd results in item 6, beto-+~
U5T SYSTEM INSPECTION •
_
6 Tank-top containment sumps are free of water, debris, and hazardous substance. Sensors are located properly.
Note: Visual ins ection o sum s fs onh~ r Fred in sum s where an alarm has occurred in the ast month or which there is no service record.
Y N - Y N
Sum Location: Sum Location:
Sum Location: Sun: Location:
Sum Location: Sum Location:
7 Sill containment structures are free of water, debris, "and hazardous substance.
Y N NA Y N NA
Tank 1-Contents: N L ~/ Tank 3-Contents: ~P L
Tank 2 -Contents: i/ Tank 4 -Contents:
8 Under-dis enser containment areas are free of water, debris, and hazardous substance. Sensors are Located ro erl .
Y N NA Y N NA
_ Dis enser / / 2 ~ Dis enser 9 / ! 0
Dis etuer 3 / 4 ~l Dis enser 11 / 12
Dis enser S / 6 Dis enser 13 / 14
Dis enser '7 / 8 Dis enser 1 S / l6
PAPERWORK WSPECTION Y N NA DATE DONE
9 Monitorine s stem certiftcation has been co feted within ast 12 months.
10 Second containment tests have been co feted within the re aired timeframe. J
1 1 Sill containment structur"e bucket) testin was com feted within the ast ear. Y:
12 Tank tiehtness testine was co feted within re aired timeframe. ~/
~13 Line ti hmess testin was com feted within re aired timeframe.
14 Other re aired testin maintenance was com feted within re wired timeframe. (List test/maintenance items beloti~~.l
Test/Maintenance:
Test/Maintenance:
Test/Maintenance:
FACILITY EMFLOYEE .TRAINING Y N NA
1 S All facilit em to ees have received the re aired on-the-'ob trainin within the ast ear. _
16 All facilit em to ees hired within the ast 30 da shave received the re aired on-the-'ob trainin .
Dote: Any answer o,C "N" should be explained in the comment section on the following page, aad will require
follow-up action. "
Page 1 of 2 ~ September 2004
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Personal Printer/Fax/Copier/Scanner
Log for
Apr 26 2006 12:27PM
Last Transaction
Date Time Tvpe Identification
Apr 26 12:27PM Fax Sent 8522171
Duration Pages Result
0:48 1 OK
- Designated Underground Storage Tank (UST) Operator
Monthly Visual Inspection Checklist
r
Facili Name: (,~ ~ Date: ~ S- .~..~'
Facili Address: ~'(`~ `fit I {=~
Cit r =~ ~ Zi Code:
Desi Hated UST O erato Conductin the Ins ection: ~
International Co Council Cert'fi ation #: ~ Ex iration Date: 2„ / / p
Si nature: Phone; - - ZZ
1~ l~ ~/ ~ ~ ' Y = Yes, N = No, NA =Not Applicable
Item MONITORING PANEL /ALARM HISTORY Y N NA
} Monitorin s stem is owered on and ut ro er o eratin mode.
2 Monitorin s stem is not currentl showin an alarms or warnin s.
3 Alarm history report /log for the previous month is available, and has been reviewed by the
Desi Hated UST O erator. (Attach a co o the alarm histot re ort /lo to this orm i available. J
4 Each alarm for the revious month has been res onded to a ro riate! .
5 Sensors located in tank-to containment sum shave not alarrtted in the ast month.
Sa _ List all tank-top sumps where alarms occurred in the past month:
Nate: Sumps where an alarm bas occurred in dre past month must be inspected unless n qualified service technician responded ro, and
properly addressed, the cause of the afar»r. Attach documentation verifying appropriate §ervice to dris report.
l sum ins ection is re uired, record results in lien: 6, below.
UST SYSTEM INSPECTION
6 Tank-top containment sumps are free of water, debris, and hazardous substance. Sensors are located properly.
Note: Visun/ins ection o sum s is onJv re uired in sum s where nn alarm has occurred in the nsr month or whi~li there is no service retard.
Y N Y N
Sum Location: Sum Location:
Sum Location: Sunz Location:
Sum Location: Sum Location:
~ S il} containment structures are free of water, debris, and hazardous substance.
Y N NA Y N NA
Tank 1 -Contents: ~ L - '~ Tank 3 -Contents: 5 •C~1' t-
Tank 2 -Contents: ~(~ _ Tank 4 -Contents:
8 Under-dis enser containment areas are free of water, debris, and hazardous substance. Sensors are located ro er] .
Y N NA Y N NA
Dis enser I / 2 / Dis enser 9 / 10
Dis enser 3 / 4 / Dis enser 1 / / 12
Dis enser S / 6 Dis enser l3 / ! 4
Dis enser 7/ 8 Dis enser 1 S/ I b
PAPERWORK INSPECTION Y 1\' NA DATE DONE
9 Monitorine s stem certification has been tom leted within ast 12 months.
10 Secondar containment tests have been tom leted within the re uired timeframe. ~f
1 1 Sill containment structure bucket) testin was tom leted within the ast ear. E/
12 Taal: tiehtness testing was tom leted within re uired timeframe. ~
13 Line ti htness testin was tom leted within re uired timeframe. ~%
14 Other re uired testin /maintenance was tom leted within re uired timeframe. (List test/maintenance items beloti~~.)
Test/Maintenance:
Test/Maintenance:
Test/Maintenance.•
FACILITY EMPLOYEE TRAINING Y N N
15 All facilit em to ees have received the re uired on-the-'ob trainin within the ast ear. --
16 All facilit em to ees hired within the ast 30 da shave received the re uired on-the-'ob trainin 1/ ~
Note: Any answer of "N" should be explained in the comment section on the following page, and will require
follow-up action.
Page 1 of 2 September 2004
Designated Underground Storage Tank (UST} Operator
Monthly Visual Inspection Checklist
Facili Name: ~ G ~ ~ ~ .Date: ..-- p
Facili Address: p '
Ci ; ~ t- -•-.P Z' Code: ~ O
Desi Hated UST O erator Conductin the ection;
International Co Council Ce 'fi anon #: «. Ex iratian Date: / - /
Si nature: - Phone: -~ ~- ~' Z.
' - Y ~ Yes, N o No, NA = Not A livable
Item MOMTORING PANEL /ALARM HISTORY Y N NA
1 Monitorin s tem is owered on and in ro er o ratio mode.
2 Monitorin s tem is not current) sbowin an alarms or warnin s.
3 Alarm history report /log for the previous month is available, and has been reviewed by the
Desi Hated UST rator. Attach a co o the alarm histo re ort /lo to this orm i available.
4 Each alarm for the revious month has been re onded to a ro riatel .
5 Sensors located in tank-to containment su shave not. alarrrted in the ast month.
Sa _ List alI tank-top sumps where alarms occurred in the past month:
Note: Sumps where an alarm has occurred in the post month must be inspected unless a qualified service technician responded ro, and
properly addressed, the cruse ojtbe alarm. Attach documentation verifying approprfate ?erviee to this report.
! sum ins ection is re aired, rernrd resulu fiat item 6, belox:
UST SYSTEM INSPECTION
6 Tank-tap containment sumps are free of water, debris, and hazardous substance. Sensors are located properly.
Note: Yisual ins coon o sum s is only fired in rum s where an alarm has occurred in the ast month or whidr there is no service record.
Y N - Y N
Sum Location: Sum Location:
Sum Location: Sum Location:
Sum Location: Sum Location:
7 Sill containment structures-are free of water, debris, and hazardous substance.
Y N NA Y N NA
Tank 1-Contents: („ - Tank 3 -Contents: ~ -
Taak 2 -Contents: L .- V' Tank 4 - Contents:-
8 Under-dis eraser containment areas are free of water, debr is, and hazardous substance. Sensors are located ro rl .
Y N NA Y N NA
Dis eraser 1 / Z Dis eraser 9 / 10
Dis e-uer 3 / Q Dis eraser !! / 12
Dis eraser S / 6 ~ Dis eraser 13 / 14
Drs eraser 7 / 8 Dis eraser !S / 16
PAPERWORK INSPECTION Y N NA DATE DONE
9 Monitorine s stem certification has been co -feted within ast 12 months.
t 0 Seconda containment tests have been com feted within there ' ed timeframe.
11 Sill containment structwe bucket) testis was co feted within the ast ear,
12 Tank ti htness testine was co feted within re aired timeframe. c/
13 Line ti tress testis was co feted within re aired timeframe.
14 Other re aired testi maintenance was co feted withia re aired timeframe. List test/main[enance items belotiv.)
Test/Maintenance:
Test/Maintenance:
Test/Maintenance:
FACILITY EMPLOYEE TRAINING Y N NA
15 All facilit em to ees have received the re aired on-the-'ob trainin within the st ear.
16 All facili em to ees hired within the ast 30 da have received the re aired on-the-`ob trainin .
C
hole: Any answer of "1\*" should be explained in the comment section on the following page, and will require
follotir-up action.
Fage I of 2 September 2004
DESIGNATED {USA OPERATOR
MONTHLY VISUAL INSPECTION CHECKLIST
---- ~..~
UNDERGROUND STORAGE TANK
Page 1 of 2
H 8 R_3 F_1. D
P~~ts
AQf/ T
Bakersfield Fire Dept.
Environmental Service
900 TYuxtun Ave., Ste. 210
Bakersfleld> CA 93301
Tel: (661)326-3979
Fax.: (661) 852-2171
FACILITY NAME: GATE:
FACILITY ADDRESS: ' ` (~-~
CITY: r- ~ lZ ~ ZIP CODE: 3~(J
DESIGNATED UST OPERTOR CONDUCTING THE INSPECTION: ~ ~ ~ r~ I~ ~ ~\
INTERNATIONAL CODE COUNCIL CERTIFICATION #: t"~, ~ g~ ~3~ ~£XPIRATION DATE: ' 2 !' ~l Q b
I SIGNATURE: PHONE NO: (6*il~ } J?. q "'~ Z Z `_
~~
Y =Yes; N = No: NA =Not Appiicat3e
ITEM MONITORING PANEL !ALARM HISTORY Y N NA
1 Monitoring system is powered on and in Proper operating nmde.
3 Ann tdstory reporf/log for the previous rrgr-tt1 is available. and has t>e~ reviewed by the
4 Ead- alarm for the previous month has been responded to appropriatey. 1~
List all tank-top sumps where stenos axumed in the past month:
Note: Sumps where an alarm has oxumad ro the past month must be inspected unless a qualified service technk~an responded to, and propeAy
addressed, the cause of the alarm. Attach documentation verirytng appropriate service ro this report.
>f sump inspection Is required recorpresufis in item 6, below.
UST SYSTEM INSPECTION
Tank-top containment sumps are free o(water, debris, and hazardous substance. Sensors are located properly.
Note: Visual inspection o/sumps is orNy required in sumps where an alarm has occurred in the past mor-th ror which there is no service record
Sump location: Sump location:
Sump location: Sump Location:
Su-rrp location: Sump location:
T SpNI containment stnscdsres are free of water. debHs, and hazardous substance.
Y N NA Y - N NA
Tank 1- Contents: ~,/~ L ._.~ . '+,/ Tank.3 -Contents: S P ~ ~L-Ci
Tank 2 -Contents: l ~. ~/ Tank 4 -Contents:
8 Undend~ rmer eorrtainment areas ar e free of water debris and hazardous substance. Sensors era located ro
Y N NA Y N NA
Dispenser 112' Dispenser 9110
Dispenser 3/4 Dispenser 11h2
Dispenser 518 Dispenser 13/14
Dkpenser 7l8 Dispenser 15118
PAPERWORK INSPECTION
--
9 Monitoring system certification has been completed within oast t2 months.
10 Secondary containment tests have been completed within the reouired timeframe: ~
11 Spilt containment structure (lxulcetl testing was compteted withinthe osst veer.. V
12 Tank tightness testing was completed within reguired timeframe.
13 Line tightness testing was corndeted within reguired timeframe. ~
14 .Other required testindmaintenance was completed within required timeframe. Ust test/maintenance it
TesUMaintenance:
Test/Maintenance:
FACILITY EMPLOYEE TRAIMNG zY N N
15 All (edit em have received the wired on 'ob trainin :within the st ear.
16' Altfecii' em ees bleed within the ast 30 da s have received the Lired on- b lrainin .
Notts Any snswsr of "N" should b• •xpissin~d in th• comment section on the following pao~, and wilt rsquirs follow-u
action.
TAI!( - HAIi~RBFIFL~D FIRYy DEP?.
- . _ pt+eveat~an Services
•~~ go0 ~ikwctun Ave., see. aia
PERMIT APPLIGAT1rJN `~~ a~i~K ~ meld, CA 93301
TO CON'~RtJCTaN$TALLNE~NTANI( (NEWFAtXIRYI! '~ T'~1.: (6G1) 3~5-3979
NEINYANK IN8'1'ALLATION (DINING FACILITY) r "~+, ~: (661j 852-2171
Moal~~cATIOa~aMOOI~+caTlow-Facxc~tY f{
TN19 iECT10N IS FOR MOTOR iUEt
r~eacno. um~ tE~EO wut pEMaxe es~ vwtroN
T~ a~++~ ~~~t ou~wra,~~i Nk anecik~dc+o~adidwa e1ld~ penMtrmrd a-yodYe,rarlR lavl and~isdarar
~ 11Fr:,r6.e~A~tre~,co~eroaw.d~p~j'Q~P"rJ~Ylam+~orbeeesrofm7'r.IaavraEdc+~r~
~ r j
novwove~ e+~: APFwcn-1r wwQ ~rann>
~K`G,~rrY'1 ~'~'~"r s~or~rua ~~ rte/
TFN.S Ai'PWCATpN A P6RMiT' WIZEN APPRpVEp ~ ~ /~ ~
~IwITRa ~ ,~,~ ~., ors
T..de ne wnn~ ~nwT~nv. ~ New T~Y1[ IYSTAI_l I ME1N>:ACILJTY s NEW TANK INSTALLATION / EXfBTil~ft3 FACILITY
E R S F I
F/RE
ARTM T
RONALD J. FRAZE
FIRE CHIEF
Gary Hutton,
Senior Deputy Chief
Administration
326-3650
Deputy Chief Dean Clason
Operations/Training
326-3652
Deputy Chief Kirk Blair
Fire Safety/Prevention Services
326-3653
2101 "H" Street
Bakersfield, CA 93301
OFFICE: (661) 326-3941
FAX: (661) 852-2170
RALPH E. HUEY, DIRECTOR
PREVENTION SERVICES
FIRE SAFETY SERVICES • ENVIRONMENTAL SERVICES
900 Truxtun Avenue, Suite 210
Bakersfield, CA 93301
OFFICE: (661) 326-3979
FAX: (661) 852-2171
David Weirather
Fire Plans Examiner
326-3706
Howard H. Wines, III
Hazardous Materials Specialist
326-3649
July 11, 2006
Ms. Gina Ham
Lucky 7
2501 White Lane
Bakersfield, CA 93304
Re: Designated Operator
Dear Ms. Ham:
On April 24, 2006, this office conducted its annual facility inspection at the above-
; referenced address.
During that inspection, it was noted that you had not been using a Designated
Operator which is required bylaw.
This office, to ensure that you are following the provisions Title 23 of the California
Code of Regulations, is requesting copies of your designated operator written
report for the following months:
April-2006, May-2006, June-2006.
Please send copies to my attention by August 1, 2006 at the following address:
Steve Underwood, Fire Prevention Officer
Bakersfield Fire Department
900 Truxtrun Avenue, Suite 210
Bakersfield, CA 93301
Failure to comply will result in another site visit inspection and Notice of Violation.
Should you have any questions, please feel free to call me at 661-326-3190.
Sincerely,
Ralph E. Huey,
DIRECTOR OF PREVENTION SERVICES
By: Steve Underwood,
Fire Prevention Officer
REH/SU/db
UNDERGROUND STORAGE TANK BAI~RSFiELD FIRE DEPT.
Prevention Servsces
PERMIT APPLICATION = :' : I 900 Tru~ctun Ave., Ste. 210
TO CONSTRUCT-INSTALL NEW TANK (NEW FACILITY) I ~lRt Bakersfield, CA 93301
NEW TANK INSTALLATION (E)fiSTING FACILRYy / /t>r ~ Tel.: {661) 326-3979
MODIFICATION / 8 MINOR MODIFICATION - FAGtl7Y ~ Tr$x: (661j 852-2171
PERNR llp. , ( 1 1 1 ~ ~! ~ Papo 1 of 1
TYPE OF APPLICATION:. NEW TANK INSTALL I NEW FACILITY .es NE1N TANK INSTALLATION r EXISTING FACILITY
C=ec< o,:~ ::~.-: 0-:1 ? ~ MODIFICATION OF FACILITTY ec MINOR MODIFICATION OF FACILITY
ARTING GATE
~`' l
~ ROPOSED COMPLETION OWTE
6
~, S
aoo6 r ~~ Do
AGILITY NAME T-
_
Xc STING FACILITY PERMIT ND,
P
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ILST~~ [ ~I `~~~ ~ ~:~~+~JL.GY'a~>G ~ ~ ~~v`~ I
PE OF BUSINESS ,~ k
Lyv~V21'1 f,e.c~c~ S-Ear-e -~- aS S-Ea{01'1
ANK OWNER HONE NO
DRESS
O c
~_ J ~e-rs~~lle~~ 17 r.
eskers .std c.A-
P CODE
33~~ .
~TRA~C(TOR~ O.n .-~~/"U~~pq. Np.
P CO E
NONE N0. ERSFlELD CITY BUSINESS LICENSE NO. O COtiIP NO. NSUi~R
BRIEFeL~Y DESCRIBE THE W ORK TO 8E DONE
FYI. f- 2 h36iJ D ~ ~~S6~a. 1 vU We~autt~ EN~t-S r'e tisv-
~D,l S~. f~I.err, Tb (4~n1 r 1._, t
,~ i[Q,~7.e
' 1 A
,
-7
WATER TO FACILltY PROVIDED BY
OEPfN TO GROUND WATER SOIL TYPE EXPECTEDAT SRE
NO.OF TANKS TO BE INSTALLED ARE THEY FOR MOTpR Fl1EL ~1Li PREVENTK~! CONTROL ANO OOIAJfER MEASURES PLAN ON FlLE
.eS YES C NO .eS YES d NO
TANK NO.
-;ss src-~~ :s =ca xox ~~c-o.^, -:;_= s-c~ac-s -axis _
~TANKNO. ME LEADED GULAR REMIUM ~~ ESEL 1MTKNJ
FOR OFFICIAL USE ONLY
APPLICATION DATE FACILITY NO. NO.OF TANKS FEES f
The oppliamtt hos raceive4 aderstmrdsti and will comply wide fke auoched oanditions ojthe petxtit and mry other state, local andjedero!
regvlario+es. Tleis jorm 1~ been canrplettd eereder penalty ojpetyeery, and to floe best ojmy beowhadge, is tree and eomcL
// i
APPROVED BY: APPLK'ANT NAME IPRINT) APPLICJWi
THIS APPLICATION t3ECOME3 A PERMIT WHEN APPROVED
FD 2086 (Rtw. 99/05)
z•d 966L 689 SSS Ii~H-uazueu~ eI0=60 90 6Z ueyi
Apr 28 48 12:27p
_ -~
p.1
Dt:sygnated ~3ndergxourtd Storage 'l'ank (C3ST} 4peratar
1Vlonthty ~Jistt~~ Inspection Checklist
~.aCill Marne: ~StC' ~.
FsfCili Address: •S ~; " '
. _... • '
t-tc
City "` ~ fa -
-,, -
C_. ......... ~,
Zr Gode:_
7?esi sated UST O orator Coteduetin the l cction: '` ~ f^ , ~
lnrcruatioaatl Co Cotutcii Ce 'fi t%on #. E iration T}a!¢~ ~ f ~ ~ ! C?
Si nstute: phnnr: ~- - ~ • ~ ~
tiyt _ _ ~_ Y ~ ~lS, N ~ 1v0. jVA +~ Tr4t R Float
tem _ MOMITORINtx ~'E]L ! AY.ARM 1~IS'X'ORX Y N NA
..............
l Monittz~t s itm is ovytrcd oa and in er o , tnt made.
2 M4S1~itOYiu 3 m 1.4 pot Cut7eutl S 8n ali~rms OT W$tII171 5. •
3 Alarm 3ustory report /lag for thc.prtvinitt- xz~nth is stvsiiabiq and hss been re,niewod by fife
Desi Hated UST racar_ .4rtaeh a co a rJre 0~trtm Iristo re per /!a to this or7rr + avlti/able.
4 EaGl1 alatm iqr [hc rcvious rti+7Rtft bas bCen~r onc~td to a o ria[Uv, ~/
S Sensors located in tank- cantaitvYtent s s hd'VC uor atarrtlcd ip the ast rraonttt.
Sa .Lis't all fork tAp surttp,€ where alarms oeCUtret~ Jr the past neonth:
Note: Srrnrps where an 4frrrm Mss accnn~d in the past mairlli mus[ bl fnspeaed wilcrs s qualified servr~ne iseCkni~rtrn reypondod ro, nod
property urldrersewC life omre o~tlre alarnt attach doCrrM+Jirttdori vtrifj+irrg Opprapriate seredee to rhfs rrprxr.
I s~ uvs etion iJ aired, ~etorN rtsuhs br item d b~iaW_
u'sx SYS mtSPEGTJtoN
6 Tanit-top contaitttneni sumps arc frse ai water, deb-is, and 3tazardous substasscc, Setuors are latatpd properly.
-'} Nare_ f isuut in dap Q srm s is onty rr enret~ +n srr s ~~r rtR aJnrwr Jms 4tcvrred !e flee qsr naaarla nr whteh 11rer~:s no ierv:te rc~vrnd.
Y N Y N
$um L47CtrtiD~rt: S3trrA 1.pC4tion:
5,....., l.,n.. r:.,n . c .~.,. r ~~,..:,,_ . f
7 S il! CvutainrnCnt structures arc fret of water,
X
Tank I -' Carrterrts; ~ r /
_ Tarilt 2 -Contents- - ~/
$ EJndcr-dis enser contairxmrlftt 87ca5 ate free of
Y
Uis enser 1 / 2 ti/
Dis rarer 3 f 4 ~,/
Dfs enser 316
Dis user 7/8
PAPERWpI
9 Mpnitorix~4 s tt:tn certtficatioa has bee
t Q Sccondarv containtnrnt tests have betn
1 i Sill ct>,ntaitunent structure backct tea
12 Tank tightness tes[7;tx~ was C feted w
i 3 Lino ti moss tcst~r- was co feted w,'
I~ Oti~cr rr aired trsrirA tt7aintetrance was
TesrlMa intertQr.te:
TaOf/Mn i a ~awnHro
arc
!~
DATE DQ,'~E i
c aired timeiiargr:, u 1
hip the ast car. 'r'
fe. d"
e'
ilea ritrrefratrie, I,Grst tesdmuin[etranceiterx~ 6e1o
lraeaLir~r sn~>alLO xa~ax>~Irl~rc x 1\ ,Va
1.5 Afi taaility employe€s have received the required on-#~t=~h ttaininoti within the past ~teax•, .•
E G RIl facility employees hired within the past 30 daYS !ya!be teatived the reouited on-tbt-lob tYainin4.
1`otc: Any anS+Ner a! "i`I" should be explained in the comltitYl~trt sectipn an the toIla~ring page, sad wvill require
follow-up action.
Pageti 1 of Z Septcmbrr 2W4
California UST Inspector Certification
As of November. l , 2005, a total of 412 persons had obtained ICC UST Inspector Certificates. We
~, recommend that, when an UST inspector signs UST facility inspection reports, the inspector also include
his or her ICC UST Inspector Certificate numbers Other ICC California UST programs: Designated UST
Operators - 3592; UST Service Technicians - 787; UST Installers with a California address -545.
UST Program Contact: Laura Chaddock (Ichaddock at7waterboards.ca.4ov; 916-341-5870).
ICC Certified UST Inspectors
Upon request from the local agencies, the State Water Board instructed the ICC to temporarily remove
the list of certified UST Inspectors from their website. Apparently, some test centers required inspectors
to provide their home addresses when they took the exam. This personal information was then passed
along to ICC and placed on the website as contact information. Currently, the ICC is working on posting
the list without home addresses. In the interim, please call the ICC at 1-888-422-7233, ext 33815 to verify
an inspector's status. To minimize to amount of calls to the ICC, please check their website regularly to
see if the ability to search for a certified UST Inspector has been restored.
UST Program Contact: John Elkins (ielkinsCa~waterboards.ca.oov; 916-341-5668).
Single-Walled UST Survey
On September 22, in cooperation with the CUPA Forum Board, we sent to the primary UST contact at
each local agency a survey to gather information on the number of UST facilities with single-walled UST
systems (SW tanks with SW piping, SW tanks with DW piping, and/or DW tanks with SW piping).
Additionally, information was requested on the number of SW UST systems that serve as the only fueling
location for large rural geographical areas. We later extended the deadline to respond to December 1,
2005, with the understanding that agencies that have not responded by then will be recorded as not
having any single-walled USTs. We expect to provide summary information to the UST Issue
Coordinators later in December.
UST Program Contact: Terry Snyder (tsnvderCa~waterboards.ca.aov; 916-341-5385).
Department of Toxic Substances Control
RCRA LQG Identification lists
While there is no definitive list of all RCRA LQGs available, DTSC can provide a two-part Excel spread
sheet that will go a long way in helping you identify the RCRA LQGs in yourjurisdiction. This fist was
culled from manifest submitted to DTSC between July 1, 2004 and June 30, 2005. If you are interested in
receiving this type of information, please send a note to Mickey Pierce (moiercena dtsc.ca.oov) with
RCRA LQG in the subject line or message.
The Unified Program Section is interested in your comments and suggestions regarding the
monthly newsletter. Please provide comments and suggestions to cuaaCa~calena.ca.aov,
Cal/EPA Unified Proaram Home Pape
December 2005 Unified Program Newsletter
IN THIS ISSUE:
Cal/EPA New Staff, Departed Staff 8 Hiring Staff
SWRCB New State Water Board Staff
New Monitoring System for AB 2481 UST Systems
California UST Inspector Certification
ICC Certified UST Inspectors
Single-Walled UST Survey
DTSC RCRA LQG Identification lists
New Staff, Departed Staff & Hiring Staff
We are very happy to announce that Loretta Ransom, our new Staff Environmental Scientist, started in
our office on December 12, 2005. Loretta comes to us from the Department of Toxic Substances Control
where she has been a scientist and supervisor for many years. Throughout her career, Loretta has also
worked with the Department of Justice, the Department of Health Services, and the Integrated Waste
Management Board. Her extensive background in the environmental sciences and justice will help us
with the Unified Program development into the future.
Dennis Karidis has left the Unified Program and taken a position with the Sacramento County
Environment Health Department. He's now part of the Sacramento CUPA. Dennis' enthusiasm and
expertise will be sorely missed.
The Unified Program will be recruiting for Dennis' now vacant position. The position description summary
is as follows:
The Environmental Scientist conducts evaluations of CUPA programs through out the state, writes draft
and final evaluation reports, provides technical assistance to CUPAs, develops and presents training
for CUPAs, assists in Unified Program regulatory development or revision, responds to questions from the
public, and other governmental agencies, participates in, and often leads, workgroups and
committees developing program improvements or on special projects, writes reports as assigned on
various topics, and prepares correspondence as necessary.
Please visit htto://www.sob.ca.gov/ under menu item Employment to determine eligability. The position
notification is at htto://www.sob.ca.aov/Emolovment/more info.cfm?recno=252910. For additional
information, please contact Jim Bohon at 916-327-5097 or jbohon(a~caleoa.ca.oov.
State Water Resources Control Board
New State Water Board Staff
We are pleased to announce that Mr. John Elkins has accepted a position with the State Water Board
UST Program's UST Leak Prevention Technical Unit. John has been an Environmental Specialist with the
Sacramento County for 4 years, and recently served as the lead program staff for the County's UST
Program. John brings to the State Water Board his knowledge of the UST regulatory requirements,
hands-on experience with UST installation, leak detection, and compliance inspections. The local agency
perspective and UST expertise he brings to the State Water Board will be valuable. Please join us in
welcoming John, who can be reached at Llkins anwaterboards.ca.gov; or 916-341-5668.
New Monitoring System for AB 2481 UST Systems
On November 17, 2005, the Franklin Fueling Systems SCM was added to LG-113. This is a vacuum-
based monitoring system acceptable for use on USTs installed on or after July 1, 2004. The system will
be marketed as "Incon TS-SCM" and "EBW AS-SCM". A table showing all of the monitoring systems that
have been listed in LG-113 for use on USTs installed after July 1, 2004 can be found on the "Hot Topics"
section of the UST Program web page (htta://www.waterboards.ca.oov/ust/).
UST Program Contact: Scott Bacon (sbaconC~waterboards.ca.aov; 916-341-5873).
T ~~
;,
UNDERGROUND STORAGE TANKS ~'
....ye. i.~,.r.~.i_tif/n+l~J~:Y:~.:lrb:~ri'NNxluL'xY.hfLdemlRltl~.V~Y.Y9iNiQNN1bNN.1Ltie+:.t.ltiWS'CtbYG.Nti4'' j
J
APPLICATION ~-'
TO PERFORM ELD !LINE TESTING
! SB989 SECONDARY CONTAINMENT TESTING
(TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
~~ BAKERSFIELD FIRE DEPT.
w~Rt Prevention Services
• A_ ~[Tr f 900 Truxtun Ave., Ste. 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
Pie 1 of 1
PERMIT NO. ~~ ~~
^ ENHANCED LEAK DETECTION t^ LINE TESTING ^ SB-989 SECONDARY CONTAINMENT TESTING
n TANK TI(;HTNFSS TFST IXl Tn PFRF(~RM FI1FI MONITnRINC; CFRTIFICATI(~N
SIT INF RMATI N
FACILITY ~ NAME S PHONE NUMBER OF CONTACT P~ERS~ON 3 Z ~`~
6 '
ADDRESS
~ a - ~.
OWNERS NAME
OPERATORS NAME PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED IS PIPING GOING T B T TED? ^ YES ^ NO
TANK # V E CON ENTS
~.~
TANK,;TESTING COMPANY
NAME OF TESTI COMP Y NAME 8 PHONE NUMBE OF C NTACT PERSON
~ r~' i ~ 2 -'S 7
MAILING ADDRESS
r
-
~-
NAME 8~ PHO NUMBER OF TESTER OR SPECIA INSPECTOR CERTIFICA ION #:
DATE & TIME TEST TO BE CONDUCTED
-
.~. ICC #: TEST METHOD
SIGNATURE OF APPLICANT ~r DATE j ~ 1 / ~ ~ V
APPROVED BY DATE ..... ~ ~ '-G~
/% ~ FD 2095 (Rev. 09/05)
BIB"~:ING & PERMIT STATEMENT
PERMffT NO.:
f/R~
~Rrr r
BAKERSFIELD FIRE DEPT.
Prevention Services
900 Truxtun Avenue, Suite 210
Bakersfield, CA 93301
.
LOCATION OF PROJECT ~ - •
PROPERTY OWNER
STARTING DATE ~ COMP ION DATE _` ~-~1.~ 1 \
v NAME
PROJECT NAME O ~ ADDR ~ ~ PHONE NO.
PROJECT ADDRESS ~ C ~ A ZIP CODE
• ••
CONTRACTOR NAME . _( _ ~~' NO.
~ ~' •
TYPE OF LICENSE. EXPIRATION DATE
PHQN~,NO~ ~~~ ~~ ~`
/vv~° l/.C,~, 7 7
CONTRACTOR COMPANY NAME - --- - - r_` FAX NO. / ~ ~ ~~~
ADDRESS ~ ~ t ,~ ~ ^ - CrTY /j ZIP C(}B~ ~ O
J • • ~
^ Alarms -New & Modifications - (Minimum Charge) $262
50 •
. 98
FL
Over 20
000 Sq 013125 = Pennif fee
FL x
Sq ~
^ .
, .
. 98
^ Sprinklers -New & Modifications - (Minimum Charge) $210
00 ~
. 98
^ Ft
Over 5
000 Sq FL x .042 =Permit fee
Sq ~
.
.
, . 98
^ Minor Sprinkler Modifications (< 10 heads) 00 [inspection Onlyj
$ 93 ~
. 98
^ Commercial Hoods -New & Modifications $ 398
26 ~
. 98
^ Additional Hoods $ 3ti.00 ~
98
^ Spray Booths -New & Mod cations $458
00 ~
. 98
^ Aboveground Storage Tanks (Installation/lnsp: 1~' Time) $165.00 82 -
^ Additional Tanks $ 26.00 82
^ Aboveground Storage Tanks (Remove/llnspection) $109.00 82
^ Underground Storage Tanks (Installation.llnspedion) $878.00 (pertank) 82
^ Underground Storage Tanks (Modfication) $878.00 (persite) 82
^ Underground Storage Tanks (Minor Modification) $155.00 82
^ Underground Storage Tanks (Remova>1 $675.00 (pertank) 84
^ Oitwell (Installation) $ 72.00 84
Mandated Leak Detection (Tes " g /Fuel Monit. Ce 81.00 ) 82
^ Tents $ 93.00 (per tent) 84
^ 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 84
^ RE-INSPECTION(S) /FOLLOW-UP INSPECTION(S) $ 93.00 (per hour) 84
^ Portable LPG (Propane): NO.OF CAGES? $66.00 ~
^ Explosive Storage $249.00 84
^ Copying & File Research (File Research Fee $33.00 per hr) 25¢ per page ; ~
^ Miscellaneous : ~
FD 2021 (Rev. 09/05)
1 - nRIGINAL WHITE Ito Treasury) 1-YELLOW (to File) 1-PINK (to Customer)
F/RE
ARTM
December 1, 2005
RONALD J. FRAZE Lucky 7
FIRE CHIEF 2501 White Lane
Bakersfield, CA 93304
Gary Hutton, FINAL REMINDER NOTICE
Senior Deputy Chief
Administration RE: Necessary Secondary Containment Testing Requirements by
326-3650 ~ December 31, 2005 of Underground Storage Tank (s) Located at
the Above Stated Address
Deputy Chief Dean Clason i
Operations/Training
326-3652 Dear Valued Customer,
Deputy Chief Kirk Blair Over the last six months this office has continued to send reminder notices regarding
Fire Safety/Prevention Services secondary containment testing.
326-3653
Code requires that all secondary containment systems must be tested 6 months post
construction and every 36 months there after.
2101 "H" Street Senate Bill 989 became effective January 1, 2002, section 25284.1 (California
Bakersfield, CA 93301 Health & Safety Code) of the new law mandates testing of secondary containment
OFFICE: (661) 326-3941 components upon installation and every 36 months, thereafter, to insure that the
FAX: (661) 852-2170 systems are capable of containing releases from the primary containment until they
are detected and removed.
Our records indicate that your facility is due prior to December 31, 2005.
RALPH E. HLTEY, DIRECTOR
PREVENTION SERVICES Those sites that have not been tested and have not pulled a permit prior to December 31,
FlRE SAFETY SERVICES•ENVIRONMENTAL 8ERwcES 2005, will have their permit to operate revoked.
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. Wine8, III RALPH E. HUEY, Director of Prevention Services
Hazardous Materials Specialist
326-3649
Steve Underwood
Fire Prevention Officer
SU:db
J~ ~ ~~a~ ~ ..~1'T.ose ~J11<a~ ~~~~ TD~arsfu~ r