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HomeMy WebLinkAboutBUSINESS PLANI •. w.~ y, '~ ~ READY GO MARKET 3620 WILSON RD 2ND FILE' j, r ~~ ,. `, ' \, .~ ~•r , ,,,. {fir ~ i~~~' ~~ RightFax UND>rRGROUIm 3"i•DRAC,~E TANK PERMIT APP~CATI~IV p~~y a TO Opl:'RATE AN UST -~ V w~'~~'~ Ppi11BT NQ TYPE OF APPLICATIGN'(CHECK) ^ ©I'ERATE IYEW FAClLfIY ~ TRANSFER OF dIN[r~RSh11P ~Ql8k1Y:18751.%L-w?7'ilri:: P7~'a:::sd.~. - F •i.t.L _ - •• 7 _ ~ ~,~~~ r~t4lii" .~' • ' Gl~~v G •~ ~ - . ~. ~~~ ~ ~.~ . - rsv. ' ~ .. Y,,.: ~. d F _ eK L: - .. ~` ~ f.:. ;tr .414- •• '~rD'` ~~ ~ GiF1~ _ u 6'~r X33 T 0 7 ~~~ til/! ~~Q~l,/ 1Clr: ~ff~t~ ~ :~ ' CaOF~ ~ 1'G~ ~ ~ 6'6E ~ ~a - S~ $ S>6'~~ ~se-mo IcS G L~f~~R S f'r ~ ~'~~~ ~ - - m. F • ~ P OOQE ' .c-s p .. _ ; ~ I14AIE A14 , ~~.~,0 ~tfr G SdN ,P p. ~3 ~ - C 3~d9 ' rr~b, ltAn, NE NO d6r - ~y31 ~ S fJ ~ / /{f ,y S "k .-n ~ s ..r - i . N0. 'WWWE~ ' OA7EIF!>;hW~ + 0 81~6TANC~SipRED ~~ ~ PpE1H~E ~ , ' ~ ~oq~ ~ ~ 6/13/2006 11:1.7 PAGE 001/001 Fax Server 1 SIRE D~pT. ~VBl1~p~ Sei'VIrCe$ 900 ~ Ave., yte. 210 Ba~s~eld, CA 93301 TeL: (661) 326,3979 F~ (661) 852-21T1 Page 1 of 1 ^ TO OPERATI= AN EX[ST1NG FACILCTY DO you have a NAiARDO~I.S Ir1ATERIAL RESPnN E PLANT O YE9 ~' Nlp D4 you have an ..OPE 1'O 7 ~ YES Q NO ela7C ypu Rnetl eat a ~zaRDaus ~t,~~lAi~~i~l~ss P~Ae~7 o vES alr MQ POR O~FIC1/11 USE (1NLY T7is Girt lras receit+l~ u~de~sGmlr~, and rv~7Y br w~h the q~dred abrrr~d'~Gialts of the pen~iit~d axy Sher suaate, !'aced' euadfe~eral rtlans. ~7+is Jbr~t h~ bse~t conrpl~ed under pew of pes~ury, aomei to the hart gfrlgr krtawleor tc true alxd cort+el:t Z0/Z0 39tid ~ISOW 9LELL68t99 LV~ZO 900Z/9-t/80 UNDERGROUND STORAGE TANKS '; •~N ~~J~ ..t.Y.:•-.;,~~xar•..i.1~.::::.a:x;s:]wxCx'.a':•~asmaniC4~Y~%%x~tammtss:: ^s"'••'w. ?;~ ,1~ APPLICATION- ~--~ TO PERFORM ELD /LINE TESTING ~~ S8989 SECONDARY CONTAINMENT TESTING - ITANKTIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT NO. ~~ '~4 ~ T'~O ^ ENHANCED LEAK DETECTION ^ LINE TESTING ^ SB-989 SECONDARY CONTAINMENT TESTWG BAKEItSFIELD FIRE DEPT. 'w~~r~ Prevention Services ARlM T 900 TrLixtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 ^ TANK TIGHTNESS TEST TO PERFORM FUEL MONITORING CERTIFICATION ' IT -1 O TION FACILITY NAME 8. HONE NUMBER OF CONTACT PERSON ADDRESS OWNERS NAME -YC~ C~-r~ ~~ OPERATORS NAME PERMIT TO OPERATE N0. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE T S ED?. ^ Y S ^ NO ~ ~ '~-Q~ Z. Q r ' - L 3 -5~ TANK-TESTING COMPANY _ , NAME OF TESTING OMPA Y NAME PHONE NUMBE F CO TACT PERSON pp-~ MAILING ADD SS ~ ~~ _ ~ ~ ~Q ¢ GL~" U NAME 8 PHONE UMBER OF TESTER O SPECIAL INSPECTOR CERTI ATION #: DATE & TIME TEST TO BE CONDUCTED ICC #: TEST METHOD SIGNATURE OF APP - ~2 ~ DATE ~ ~ ~ ~ APPROVED BY DATE - _~. ~. ~..;,.. ~~.o...,,,,.,...~ ~IL._LI~1G & PERMIT STATEMENT saxERSFiELn FIx~ nE~r. b._ Prevention Services P~R~ 900 Truxtun Avenue, Suite 210 ~ERl4i1T NO.: ARrr. r . 111 Bakersfield, CA 93301 Tel.: (6611 326-3979 S Eax:_16fill $52-2171 ~ LOCATION OF PROJECT ~ ~ r /~ - ~ PROPERTY OWNER ^ i STARTING DATE _ r ' O C PLEfION DATE ' ~ O Il NAME ~.^ ^ ~ Y 10 PROJECT NAME r C~-~, ~ o ADDR SS c~ o ~ n PHONE NO. PROJECT ADDRESS 3C~ o`~O ~~~ s ~~ CITY ATE Gam- ZIP DE ~~309 .- CONTRACTOR ~ CA LICENSE NO. 0.XY~-Q.~ .- TYPE OF LICENSE. EXPIRATION DATE PHONE ND. 39~ ~f~ S ~ CONTRACTOR CO PANY NAME FAX NO~ ~ _ ~ ~ ~ R ADDRESS v ~ ~^\ ~ CrrY ZIP CODE G ~ ~ ~ 50 $262 Ch ' & ^ arge) Modifications - (Minimum Alarms -New . . 98 F 013125 = Permit fee FL x S ~ ^ t Over 20,000 Sq. . q. 98 00 $210 ~ ^ Sprinklers -New & Modfications - (Minimum Charge) . 98 042 = Permit fee Ft x S ~ ^ Over 5, 000 Sq. FL . q. 9$ < 10 h d i f d ection Onl ] 00 [Ins $ 93 ^ ea s) ons ( i icat Minor Sprinkler Mo y p . 98 ^ i M dif 26 $ 398 ~ icat ons o Commercial Hoods -New 8~ . 98 00 $ 36 ^ Additional Hoods . 98 $458 00 ^ Spray Booths -New & Mod cations . 98 ^ Aboveground Storage Tanks (Insta/lation/lnsp.-1 ~ Time) $165.00 82 ^ Additional Tanks $ 26.00 82 ^ Aboveground Storage Tanks (Removal/Inspection) $109.00 82 ^ Underground Storage Tanks (Installation.llnspedion) $878.00 (pertank) 82 ^ Underground Storage Tanks (Modification) $878.00 (persite) 82 ^ Underground Storage Tanks (Minor Modfiption) $155.00 ~ ~ ^ Underground Storage Tanks (Removal $675.00 (pertank) ~ Install $ 72.00 Mandated Leak Detection (testing) I uel Monit. Cert. $ 81.00 (per 82 er ent) ^ After hoary inspection fee .$122.00 ^ Pyrotechnic - (Per event, Plus Insp. Fee @ $90 per hour) $60.00 + (5 hrs. min. stand -by tee /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 84 . FD 2021 (Rev. 09lD5) 1 -ORIGINAL WHITE (to Treasury) 1-YELLOW (to File) 1-PINK (to Customer) lJN®ERGF20tJND STORAGE TANKS APPLICATION FOR PERFORM FI~EL MONITORING CERTIFICATION - ~akers~e~c~ dare ~e t. M ".', A :' ` ` ~:~~ -~ ~aawnr®n~ental Ser~ces B ~y.n X_ S P._I Er~.P ~',~ F!/t! ,_,;;,k{ 900 Truxtun Ave., Ste. 210 D'iP.~RTM~NT Bakersfield-, CA 93301 e~`*a~:,~_~' ~~~ Tel: (661) 326-3979 ~~""' Fax: (661) 852--2171. Page 1 of 1 ~~ ~ __ ~_ ~A~~ TANK # ;NAME OF TESTING C MPANY ~ ~ ~MAILI G ADDR SS 1, ~-°~ t ~- _ DATE & T~fIJME TEST TO BE CONDUC F'[~. SIGNATURE. (3Fj,APPLICANT / / -. CONTENTS u.~w ~~ ~.z~~z iDATE i ,~''~.~`~'~ THIS APPLICATION BECOMES A PERMIT WHEN APPROVED --- ~,-,- ,- -------=-fir ---- -------~ - A--- P.PPROVED 5Y (DATE -'1 ,~, . ~J ~ "~ ~~ ~ ~~_ ~ 1 j , ~ ~~ ~~ ~~ ~'~,~ ~C~ ~~~~ ~ ~ ~ TESTING COMPANY ~~~ d ~ `~O iICC # Gn~~na T' ~- 0 33f~ FtmC~-~z-2t-off B E R S F I D F/RE ARTM T Mazch 31, 2006 RONALD J. FRAZE FIRE CHIEF Mr. Chhuy Chao Ready Go Mazket Gary Hutton, 3620 Wilson Road Senior Deputy Chief Administration ~ Re: Failure to Perform /Submit Annual Fuel Monitor Certification 326-3650 Deputy Chief Dean Clason NOTICE OF VIOLATION & Operations/Training SCI~EDULE FOR COMPLIANCE 326-3652 Dear Chhuy Chao, Deputy Chief Kirk Blair Fire Safety/Prevention Services Our records indicate that your fuel monitor certifications is due/past due on 326-3653 03-15-06. You are or will be in violation of Section 2638(a) California Code of Regulations, 2101 "H" Street Title 23, Division 3, Chapter 16. Bakersfield, CA 93301 OFFICE: (661) 326-3941 "All monitoring equipment shall be installed, calibrated, operated FAX: (661) 852-2170 and maintained in accordance with manufacturers instructions, and certified every 12 months for operability, proper operating condition, and proper calibration." RALPH E. HLTEY, DIRECTOR PREVENTION SERVICES Therefore you have 30 days (Apri127, 2006) to comply. Failure to comply may fl~ sa~r sEmnces • ~rmNmeNra~ s~nces result in revocation of your Permit to Operate. 900 Truxtun Avenue, Suite 210 Bakersfield, CA 93301 Should you have any questions, please feel free to contact me at 661- 326-3190. OFFICE: (661) 326-3979 FAX: (661) 852-2171 Sincerely yours, David Weirather Fire Plans Examiner Ralph E. Huey,' 326-3706 Director of Prev ion Services Howard H. Wines, 111 ; Hazardous Materials Specialist By: Steve Underwood 326-3649 Fire Prevention Officer REH/SU/db "SerUing the Community ~F'or~l~lore ~ianA Century" w i'~ B E R S F I F/RE ~RrM r 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 flRE SAFETYSERVICES • 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, 111 Hazardous Materials Specialist 326-3649 April 10, 2006 Mr. Shhuy Chao Ready Go Market 3620 Wilson Road Bakersfield, CA 93309 REMINDER NOTICE Re: Guidelines for Unsupervised Dispensing Dear Mr. Chao: 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 defined 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: 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 trarismitting 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: ..~a~un~ r/ee CX~inmuonit~ ~ ~'~aae ~/~a~n ~e~zdu~ " 4 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 1.5, 2006, this office will conduct i`ahdom 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 CC~~ ~~ ~,r By: Steve Underwood, Fire Prevention Officer REH/db ._ ~~ f:[. t, t]): i.9 ~1 t-^'~ Ta k ID: F1 t ~5L' i F~roba ~ l ~ u G ~- M d l in-T'ank Gang Probe Model: JQ' - j ~ aug . n- a[ : ng o e : . ~ '~'1 : annular Space or `/salt Sensor. Model: ~ / Aruiular Space or Vault Sensor. Model: ~ ~ tt 7 ~ l~y'ipins Sump /Trench Sensors}. Model: ~ ~ `) ~ ` , / 00 iping Sump /Trench Sensor(s). Model: ~ J Model: 'jJ S O ~ Tilt Sump Sensor(s). Model: o ensor(s). ill Sump ~~L C1d~viecha[tical Linc L cak Detector. Model: jZ,~~ 779-~1~ k Mechanical Line Leak Detector. Model: RIBA ^ t31ec[ronic Line Leak Detector. Modes: ^ 'c Line Leak Detector. Model: ~'1'ank Overtilt 1 Hi.;h-Level Sensor. Model: i/-n (S - f Tank Overfill / ITi$tt-Level Sensor. Model: WJ to 6 ' (~ Uth~:r s~cc[ er ui ment a and model in Section E on Pa e 2 , ^ Other s eci to eat and model in Secdo~n B on P e 2 . 'I' I.a u(' D: r l~+eWl ~ ( Tank ID: t 1+~In-Tank Gauging Probe. Model: 1N! l~ (S - (_ _ ^ In-T'ank Csau$ing Probe• Model: C~Arututar Space or'/ault Sensor. Model: y o7 O ^ Annular Space or Vault Sensor. Model: l~'1'ipiag Swnp i Tre;ich Sensors}. ModeL• ~ ^ Piping Sump /Trench Sensor(s). Model• i~=i11 S[unp Sensor(s~.). Model: a2 ~ ^ Fill Sump Sensor(s). Model: L" ivle::hanical Lute Leak Detector. Model: "J79{-K't-`T' ^ Mechanics! Line Leak Detector. Model: ^ L-'•lectronicl.ineLeakDetector. Model: ^ ElectronicLineLeakDetettor. ModeL: ( t~Tun[c Ovrrfill / Hi;h-Level Sensor, Model: 1/1'1 t`4'Lr - + ^ Tank Overfill /High-Level Sensor. Model: i_7 Odl~r (specify equipment a and model in Section E on Page 2). ^ Other (specify equipment and model in Secilou B on E e 2 . L' is et[ser ID: ~ ~ ' Dis eraser ID: '~ o ~ ly llispenser Contaiiunent Sensor(s). Model: ~G t ispenser Containment Sensor(s). Model: G9 i l~5heaa• Valve(s). L'! Shear Valve{s). ` i7 llist~enser Conrainmen[ Floa s and Chains . Bis eraser Containment Floats and Cl-si s . Dispe[v:er ID: t3 ~"y Dispenser ID: 19'`Dispettser Contaitment Sensor(s). Model: t~U t ^ Dispenser Containment Sensor(s). Model: t"~Shrar Valve(;). ^ Shear Valve(s). i] 1)isp~ns~r Containment Float(s) and Chain(s). ^Dis eraser Containment Floats and Chains . ~ Dis~e[[ser ID: $-~ Lp Dispenser ID: j' L9'~ispenser Contai[mient Sensor(s). Model: ~~ / ^ Dispenser Containment Sensor(s). Model: ~ Jhesu Valve(s). ^ Shear Valve(s). ~OI)ispenser Contaittn.tent Floa s and Chain s). ^ is eraser Containment Floats and Chains . - ~~ - ---- - - Y 6S MONITORING SYSTEM CERTIFICATIQN For Use By All .)urtsdictions Within the State of California _ -luthority Cire& Chapter 6 7, Health and Safety Code; CFrapter 16, Division 3, Title 23, California Code o}Regalations `i'bis form must be used to document testing and servicing of monitoring equipment. A separate certificatiat~ Q~repart must a ,prepare for each monitoring system control panel by the technician who performs the work. A copy of this form must be pravidod to the tank system owner/operator. The owner/operator must submit a Copy of this form to the local agency regulating UST systems Within 3U days of test date. ~. General Information Facility Name: t~ f•~) ~- Bldg. No.: Sits Address: ~CooZO tv 1<~ 5e>~ ~ city: ~tR-k~RS F~~t-~ zip:. 33~ ~ !=a[:ility Contact Person: `Contact Phone No.: (_~ ivla:a;Model of Monitoring System: t3~a~.-~7!` '~5"~v~ Date of Testing/Servicing: ~ ~~/ ~~ ti. inventory of Equipment Tested/Certified i:l[ck ~lte appropria[e hoses to indicates eeific a ui n[ent ins ected/serviced: "1 f tine facility contains more tanks or dispensers, copy tins form. Include ittfnrmation for every tank and dispenser at the facility. t',. l.Zi'C1f1Ct1t10ri - I certify that the equipment identified to this document was iaspected/serviced in ateordaat:e with the gnanufactttrers' g[[idelutes. Arts~ched to this Certification !s Information (e..g. raanufat:turers' checklists) necessary to verify that Was ~nformatiott is curreci and a Plot Plan showing the layout of monitoring equf meat FQr any equi ent capab of generating such reports, I have also artached a copy of the report; (check all rF.at ap ly). l!d"System set-up t':,chniciatt Name (I~rint): rQ-r4~c~~ ~Cp~ Signature' C=.LrC1t1C:i~IlOn No.: _ t~0 ~ ~~ - l .ot ~ ~ License. No.: d r~~lOl lro ~ - UT ' `l'estino Company^~N/azne: RICH ENVIRONMENTAL Phone No.; (~¢~_} 392-$(~? t Sitr ~\tidreSS: J l!/~~ w~~ •~x~ ~~ ~~SFI~~~ ~ Date of Testing/Servicing: ~_/ fy/ '~ ~ I Page I of 3 i 031ut I~loni.l.orin6 System Certification ,_ y~ S >t~. ~I~.esults of Testing/ServicinJg / ;,.;~h~are Version L~stalled: `~ ` ~ ! t'arnnle[e the i'ollowins± checklist: L es ^ o Is the audible alarrn o erational? Yes O o _ Is the visual alarm o etational? ~ c:s ^ o" Were all sensors visual ins ected futlctionall tested and confin-ned o erational? [~' Yts ^ o Were all sensorssnstalled at lowest point of secondary containment and positioned so that other equipment ~~ill not interfere with their ro er o eration? _ 1_l Yes o ^ If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modeir.) ... ~ tV' IV/A operational? _ ~'~s ^ ~ o For pressurized pipii~ systems, does the turbine automatically shut down if the piping secondary gontainmene ^ N/A monitoring system detects a leak, fails tv oper~, or is electrically disconnected? )f yes: which sensors initia[e positive shut-down? (Check all that apply) Sump/Trench Sensors; ^ Dispenser_Coyytainment Sensors. Did ou confirm ositive shut-down due to leaks apd sensor failure/disconnection? 1~Yes; ^ No. :~yc; Q o For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. ne ^ N/A mechanical overfill p~_evention valve is installed), is the- overfill warning alarm visible and audible at the tv11: fill point(s) and o eratin ro erl ? If so, at what ercent of tank capacity does the alarm trigger? ~O l C:) l~es~` No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced s and list the manufacrarer name and model for all replacement parts in Section E, below. r3 Y ~' No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that applyi ^'. Product; ^ Water. if es describe causes in Section E below. _ ~ ^ o Was monitorin stun set-up reviewed to ensure proQer settings? Attach set up reports, if applicabl_e_ ~'es ^ ° Is all monitoring equipment operational per manufacturer's speciftcations? " In Jection 1J below, describe how and vr~~en these ttenciencies were or wtti tte correctea. L. 01"r1IT1ZZltS_ ., Page 2 0~3 03 f Ot F. In-Tank Gauging /SIR Equipmem: 1 2~CO$ S ^ Chcck this box if tank gauging is used only for inventory control. O Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging egtupmetrt is used to perform leak detection monitoring- Cmm~lete the f~iinwina checklist: Yes ^ o Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ~ Yes ^ o Were all tank gauging probes visually inspected for damage and residue buildup? ~ Yes ^ ~ o Was accuracy of system product level readings tested? Yes ^ o Was accuracy of system water level readings tested? Yes ^ ~ Were all probes reinstalled properly? ; Yes O o Were all items on the equipment manufacturer's maintenance checklist completed? f * r_ .t.., c,,...:,... v ti°i,.... a.,e««:t.e ~.,........a ..,t.e...~.eoe anr,..e,.«.se ..,~«e ,.« ,u:ti s.e ..,...«....asa G. Line Leak Detectors (LLD): ^ Check this box if LLDs are not installed. Cmm~tete the fnllnwino checklistr Yes ^ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? ^ N!A (Check all thar apply) Simulated leak gate: 1$'3 g.p,h,, ^ 0. I g.p.h , ^ 0.2 g.p.h. ^ Yes o Were all LLDs confirmed operational and accurate within regulatory requirements? Yes ^ o Was the testing apparatus properly calibrated? l Yes ^ o For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ~ ^ N/A ~7 Yes ^ o For electronic LLDs, does the turbine atttomatically shut off if the LLD detects a leak? LAN/A Yes ^ o For electronic LLDs, does the twbine automatically shut ofi'if any portion ofthe monitoring system is disabled C~YN/A or disconnected? ^ Yes ^ o For electronic LLDs, does the turbine automatically shut off if arty port[on of the monitoring system malfunctions l~N/A or fails a test? ^ Yes ^ o For electronic LLDs, have all accessible wiring connections been visually inspected? ~ I~N/A Yes ^ o Were all items on the equipment manufacmrets maintenance checklist completed? •~ to true ~ecnon xi, netow, aescrtne now ann when these aet><etencies were or wut pe correccea. IH. Comments: ~7~"~ ~~~4'Y1 "`~ / ~U ~DI~ 5~L Y1') LC.D :S ~r4'~L-~D ~ ~-~ A ~,4 ~ 'e 7~ "7--~v~-t ,,4^>~a Qr~ = ~~r~ i~ ~r7{i, wt 7d ,__~t~s Page 3 of 3 03101 onitoring System Certification Site Address: J ~ ~O wt~ itorin~ ~i t~to SS ---~~ FrF'.i~ , G9 9~3~ ~}' -- ---------- --- 5~ _-----~- ------------- - --- ~ ---- ---------- ---------- ------E~~--- '~ -- --- Q ---- -----~ - -- ---------- -c ~--------~ W------------------------------~~_:~ ~ Date map was drawn: ~ / % y/ ~(p Instructions if you already have a diagram that shows all required information, you may include it, rather than this page, with your Monutoring Systf:m Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank alznular spaces, sumps, di~:penser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used for leak detect;on}. In the space provided, note the date this Site Plan was prepared. Page of ~~, o~ ; y- 1 zfo5S r--~_ --~-- -- 5643 BR40KS CT BAKER3F:CSLA,CA.~33d8 OFFTCE(661)392-A667 & FAX (661)392-0621 M8~.IiAlQ~CJT~ z~S_sA DSTBCTQR '3'fi8T W/0#: Faa j.1 i ty Name • ~ ~ of L Fac~.lity Address: ~G'%~~ f,Jl~~ ~ l`~jt~2SF/~C~~~,R ProcluCt Line 'T`ype (Pressure, Suction, Z3ravity) ~~s5~ . PRC-DIICT LEAK DETECTOR TYPE TEST TRIP PASS SERIAL ]NFIMBER HELOw PSI OR L/D TYPE ~~ ~~~ 98RIAL # U~'IZ~A-DA-bG~ NO j~~05/ FAIL uh+-'~7 L/D TYPE R~i~ Y$B PASB SERIAL # ~-~ K n0~ ~ ~l iQ T f `~'•' 1 L/A TYPB_~D ~ Y$S P ~ BSRTar• # Vn Ktlvrv ~'' ~/~ Dl~s~~ L/D TYPE YgS PASS SERIAL # NO FAIL 1 certify the above tests were conducted on this date according to Red ~facket Pumper field test apparatus testing procedure an limitations. They Mechanical Leak Detector Test pass / fail is determined by using ~ a lour flow threshold trip rate of 3 gallon per hour or less at 1D PSZ. 2 «cknowledge that all data collected is true a:~d correct to the best i of my knowledge. /~~ i Tech: /-rv~RCaJ i S ign«ture : Date : 3 ~/y_~`' j i :.~- I ~,I 1~. ~~5 $I ~ .~~T.RONM NT~L 5643 BROOKS CT SARERSFIBLD,CA.93308 OFFICE(661)392-$689 & FAX (661)392-0621 ME~j~'t('AL LEAK DETECTOR TEST w/o#: Facility Name• ~oB~L Facility Address: Product Line Type (Pressure, suction, Gravity) r R~s`Jt~ PRODIICT LEAK DETECTOR TYPE TEST TRIP PASS s$a=AL rnr~assR BELOW PSI OR L/D TYPE ~~ ~ ~~~_ SgRTLT• # ~$ DTO Io~`~ FAIL ~~m ~~ L/D TYPE Fzfz~ J~K~T ~S ,pl ~~~~ SERIAL # Say ~' NO ~/ FAIL L/D TYPE YSS PASS SERIAL # NO FAIL L/D TYPE YES PASS 38RIAL # HO FAZL i certify the above tests were conducted on this date according to Rad Jacket Pumps field test apparatus testing procedure an limitations. The Mechanical Leak Aetector Test pass / fail is determined by using a low flow threshold trip rate o~ 3 gallon per haur or less at 10 PSI. I acknowledge that all data collected is true and correct to the best of my knowledgLe~.~~ ~ Tech: ~~[ k~ J Signatur Date: ~~ `~'~~ ~: h --~ - ---- - --~- - --- 11Y-1 HIYA .'~L1 UY ---.. REi~DY 130 t°IUBIL SYSTEM SETUP - - - - - - - - - - - - 3f120 t~~ I LSON RD - - - - - - - - - - - - Bii}iEFe.;F I £LD Gr^, 93309 MAR 14 . 2006 3 : 18 PM T 1 :UNLEADED tEl-B3;~-6507 PRODUCT CODE 1 THERMAL COEFF :. 000700 t°IHR 1Q. 1u06 3:18 PM TANK DIAMETER 113.75 SYSTEM UNITS TANK PROFILE t PT U,S. FULL VOL 15023 SYSTEM LANGUAGE S.`S'TEt°I STATUS REPORT ENGLISH - SYSTEM DATEiTIM£ FORMAT FLOAT SIZE: 4.0 IN . 8496 HLL FUNCTIONS NURhIAL MON UD YYY~'. HH;~IM:SS ~I WATER WARNING 2.p kEADY GO MOEIL HIGH WATER LIMIT: 3.0 3620 WILSON RD BAKERSFIELD CA 93309 MAX OR LABEL VOL: 15023 661-833-6507 OVERFILL LIMIT 90i 13520 SHIFT TIME 1 4:00 AM HIGH PRODUCT 95% SHIFT TIME 2 DISABLED 14271 SHIFT TIME 3 DISABLED DELIVERY LIMIT l0i SOFTWHRE R)~VISIOPd LEVEL SHIFT TIME 4 DISABLED 1502 b'ERSIvN 15.01 SOFTWnREtt 346015-100-8 TANK PERI4 IG WARNINGS LOW PRODUCT 500 c:REHTED - 97.i0.23.08.5c DISABLED LEAK ALARM LIMIT: 99 TANK ANNUA WARNINGS SUDDEN LOSS LIMIT: 50 NO :;OFTWHkE MODULE DISABLED ~ TANK TILT 0.00 SYSTE°! FEATURES : I C WARNINGS L 1 NE PER I O PERI~aDIC IN-TANK TESTS DISABLED NWNIFOLDED TANKS HIVNUAL IN-TANK TESTS LINE ANNUAL WARNINGS Ttt: NONE DISABLED f'w~w1UfV I CAT I U NS SETt1P _ ~ - pR I IVT TC VOL ES LEAK MIN PER I OD i C : l 0~0 - - - - - - - - ENABLED 1502 PORT SETTINGS: TEMP GOMPENSHTION LEAK MIN ANNUAL !Oi VALUE (DEG F )~ 60.0 1502 NONE FoulvD STICK HEIGHT OFFSET DISABLED RS-'?32 SECURITY DAYLIGHT SAVING TIME PERIODIC TEST TYPE CODE 000000 ENABLED STA NDARD START DATE APR WEEK 1 SUN ANNUAL TEST FAIL START TIME ALARM DISABLED -2:00 AM j END DATE PERIODIG TEST FAIL RS-'?3' END OF hlES:iHGE ~ OCT WEEK 6 SUIV ALARM PISAHLED DISABLED END TIME 2:00 AM GROSS TEST FAIL ALARM DISABLED SYSTEM SEL'URITY ANN TEST AVERAGING: OFF CODE 000000 PPR TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY I5 MIN «- ~ 5 S ~'-~~_ ,. i "i' ~~ :1=~kErr I Uhi FROLiUCT CODE 2 THERh1;~L COEFF :.000700 TANK D I HI~IETER 1 13.75 TANA: PROFILE 1 PT FULL V(}L 10074 FLiiAT S I ZE : 4.0 I N . 8490 WHTEk WARNING 2.0 HIGH 6JATER LINIIT: 3.0 I°iAX OR LABEL VOL : 10074 OVERFILL LIMIT 90% 9066 HIGH PRODUC'P 95% 9570 DELIVER:' LIMIT lOf 1007 LObI PRODUCT 500 I.EAk: AI.ARfM L I M I T: 99 SUDDEIV LOSS LIMIT: 50 TANK T I I.T 0.00 MANIFOLDED 'Ti=~P:I:i. .L 3t: fJO1VE LEA}: hl I N PERIODIC : 10~ 1007 LE~k: hl I ;~ ANI•JUAL 10% 1007 PERIODIC TEST TYPE STANDARD HNIVUAL TEST FA I L ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED DROSS TENT FAIL ALARM DISABLED ANPI TEST AVERAGING: OFF PER TEST AVERAGING: OFF THNK TEST IVOT I F`i : OFF TNK TST SIPHON BREAK:OFF DELIVER:' DELAY 15 MIN T 3:DIESEL PRODUCT CODE 3 THERMAL GOF.FF :.000450 TANK D I AI°IETER 1 13.75 TANK PRUFILE 1 PT FULL VOL.: 5037 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING 2.0 iiIGH WATER LIMIT: 3.0 hIAX OR LABEL VOL: 5037 OVERFILL LIMIT 90% 4533 HIGH PRODUCT 95% 4785 DELIVERY LIM[T 10 503 LOW PRODUCT 500 LEAK ALARM LIh1IT: 99 SUDDEN LOSS LIMIT: 50 TANK TILT O.OG MANIFGLDED TANKS Ttt : NONE LEAK MIN PERIODIC: 10% 5 D'3 LEAK MIN ANNUAL 10!: 503 PERIODIC' TEST T`!PE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TE~~'T FA I L ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFI': OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY 15 MIN - - ="'= ~ a 1 IvL - - - - TEST ANNUALLY: ALL TANK FEB WEEK 1 MON START TIME 1:00 Ahl TEST RATE :U.20 GAL.%HR DURATION 2 HOURS LEAK TEST REPORT FORMAT ENHF,NGED L[~IUID SENSOR SETUP L I:UNL STP TRI-STATE (SINGLE FLOAT} CATEGORY STP SUMP L 2:PREM STP TRI-STATE (SINGLE FLOAT) CATEGORY STP SUMP L 3:DIESEL STP TRI-STATE (SINGLE FLOAT) CATEGORY STP SUMP L 4:UNL FILL TRI-STATE (SINGLE FLOAT) CATEGORY MONITGk WELL L S:PREM FILL TRI-STATE (SINGLE FLOAT) CATEGORY MONITOR WELL L 6:DiESEL FILL TRI-STATE (SINGLE FLOAT) CATEGORY MONITOR WELL L 7:UNL ANNULAR TRI-STATE tSINGLE FLOAT) CATEGORY ANNULAR SPACE L B:PREM-DIESEL ANNULAR TRI-STATE (SINGLE FLOAT) CATEGORY ANNULAR SPACE t2Ce SS ^~ ALAk.I°l H I STORY REPORT ---•-- IN-TANK ~1LARhl - T 1 : urvLEHDED SETUP DATA WARfOI NG FEB '7. 30[13 6:21 Phl OVERFILL ALHkM JAN ly, 200b 9:13 Ph1 JUL d. 2005 10:36 ANl MAY 'Gtl. 2D05 7:27 AM HIGH PRODUi~T HLr3Rhl P1AR 14. 200b 11:27 AM IIVVHLIL FUEL LEVEL SEP 2, X005 5:47 PM PRc?BE OUT I°1Hk ! 4. 20D6 11:26 AM DELIVER`! NEEDED f°IAR 3. 2006 4:34 PM GCT '21 . 2005 12:50 Phl OCT i5. 2005 2:25 PM hiAX PRODUCT ALARM t°1AR 14, ?006 11 :27 HM WH 8z:{t 9ooz 'bt aHw Wad'IH ,LCf140ad XHW ALARM HISTORY REPORT ----- SENSOR HLARM ----- WH b~:ti 9002 'bi aHW L 1:UNL STP .Lf10 3H0~{d ~ STP SUMP • SENSOR OUT ALARM WH gam:{1 9002 'b! aHW MAR 14. 200b 11:33 HM WEH1H ,L.'~.f1Q02Id HDIH FUEL ALARM "13531Q:6 Z MAR 14. 2006 10:13 AM _____ waH'I~J 7{NH.L-NI ---- FUEL ALARM MAR 15. 2005 12:07 PM .La0d3a 1~a0.LSIH W:~H"Ia OUTPUT RELA4' SETUP R 1:UNL STP TYPE: STANDARD NORC'WLLY CLOSED LI~dUID SENSOR ALMS L 1:FUEL ALARM L 4:FUEL ALARM L 7:FUEL ALARM R :PLUS STP T`IPE: STAIvIDF+RD NORMALLY CLOSED F•-i~SS i. r -, . ~_.; ~ "~~ * ~ ~ ~ END '~ ~ * x * '' . ALARM HISTORY REPORT ;~ } ~ k END ~ ~ ~ x ALARM HISTORY REPORT ----• I N-TANK ALARM -•----- - 'T 2 ~ PREM I 11h1 HIGH PRODUCT ALARi°t NIAR 14. '006 11 :29 AM FEB 7. 2003 6:48 PM PROBE UUT MAR la, 2006 11:28 AM DELIVERY NEEDED SEP 8. 2003 6:36 PM P1AX PRODUCT ALARM MAR 14, 200b 11:'?9 AM LI~IUlD SENSOR ALMS L 2:FUEL ALARM L 5:FUEL ALARM L 8:FUEL ALARM R 3:DIESEL STP TYPE: STANDARD NOR!°IALLY CLOSED LIb1UID SENSOk HLMS L 3:FUEL ALARM L 6:FUEL ALARM L B:FUEL ALARM R 4:OVERFILL ALARM TYPE: STANDARD NORMALLY OPEN ~ IN-TANK ALHRMS ALL:OVERFILL ALARM ALL:HIGH PRODUCT ALARM ALARM HISTORY REPORT -- SYSTEf°I ALARM ----- PAPER OUT NOV 14, 2005 8:15 AM PRINTER ERROk NOV 14. 2005 B:14 AM BATTERY IS OFF JiiN 1 . 1946 8:00 AM ----- SENSOR ALARM ----- L 2:PREM STP STP SUMP FUEL ALARM MAR 14, 2006 1:38 PM SENSOR OUT ALARM P9AR i4. 2006 11:32 AM FUEL ALARM MAR 14, 2006 J0:17 AM xx~~~'END~~~~x .ARM HISTORY REPORT --- SENSOR ALA~1 ----- Tti!-3 : D I ESEL STP S.TP SUMP SENSOR OUT ALARM M'4R 14. 2006 11 :32 AM FUEL ALARM M'AR 14. 2006 10:16 AM FUEL ALARM fFC:7' 3. 2005 10:21 PM ~. HLtikhl HISTORY REPORT ----- SENSOR ALARM ----- L. 4:UNL FILL hlOld 1 TOR WELL wEN~OR OUT ALARIw MAR 14. 2006 11:32 AM FUEL ALAT~1 MAR 14. 2006 10:25 AM FUEL ALARhI MAR 15. 2005 12:08 PM EIVD ALARhi HISTORY REPORT --•--- SENSOR ALARM ----- L 6:DlESEL FILL MONITOR WELL ' SENSOR OUT ALARM MAR 14. 2006 11:33 AM FUEL HLARM MAR 14. 200b 10:2? AM FUEL ALARM MAR I5. ?005 12:11 PM * END ~ * x ~ ~ ~. ALARf°I H 1 STORY REPORT ----- SENSOR ALARP1 ----- ~ ALARM HISTORY REPORT L 5:PREM FILL MONITOR WELL ----- SENSOR ALARM ----- SENSOR OUT ALARhI L B:PREM-DIESEL ANNULAR IHAR 14. 2006 11:33 AM ANNULAR SPACE ' SENSOR OUT ALARM FUEL ALAF.NI MAR 14. 2006 i1:33 AM f~IAR 14. 2006 10:21 HM , FUEL ALARM FUEL ALARM MAR 14. 2006 10:18 AM MHR 15. 2005 12:09 PM FUEL ALARM MAR 15. 2005 12:09 PM ~, to ~ a END ~ * * * * ~ a . ~~*x~END~~*~~ `1 ALARM HISTORY REPORT --•--- SENSOR ALARIN --- L 7:UNL ANNULAR ANNULAR SPACE SEN~iOR OUT ALARM MAR 14. 2006 11:33 HM FUEL ALARIM hlAk 14. 2DOb 10:19 AM FUEL ALARWf ' h1AR 15, . 20105 1'? ~ 05 FM 1 1zv5S ~_ ~. Z ~a 5S MONITOR CERT. FAILURE REPORT SITE NAME: V ~ ~ ~r L DATE: ~ ~ ~~~ U ~ ADDRESS: .3 dab I,,1 r~ 3er•~ R17'rEClnviclAN: d7~T~"~''`~ +`~ CITY: ~+4~~s~ ~~L~ ,~ ~ ~33`'7SIGNAT THI; FOLLOWING COMPONENTS WERE REPLACED/REP TRED TO COMPLETE TESTING. REPAIRS: LAftOR: 1y ~~ PAP:TS INTALLED• ~X - I v - Gets _ NA11~: TITLE: SiG;yATURE• TIiE: ABOVE•NAMED PERSON TAKES FULL RESPONSIBILITY OF NOTIFYING THI; APPROPRIATE PARTY TO HAVE CORRECTIVE ACTION TAKEN TO REPAIR THE; ABOVE LISTED PROBLEMS AND NOTIFYING RICH ENVIRONMANTAL FOR ANS' NEEDED RETESTING. THIS ALSO RELEA.S.ES RICH ENVIRONMENTAL OF ANS' FINES OR PENALTIES OCCURiNG FROM NON-COMPLIANCE. A C+3PY OF THIS DOCUMENT HAS BEEN LEFT ON-SITE FOR YOL"R COPIVIENENCE. ~~' ,~r...: i;, l a,~ n,:iry 2DU3 Page o£ + ~ 5~ Secondary Contailnt~tex~t Testing Report Form 7"l,;s. iv,-m is inrendad for ure !ry conlrat:tors performir;g portadtc tastlr{g of US?"sacondary coritalrpnant systems- Usa tlsa ai?oropriare pages of this form to report results for al! components tested The completedfortrt, written test procedures, and pr.ntours from tests (if applicable), should be provided to the facflity owner/operator for suhneittal to the local regstlatory agency. 1. FACILITY ~NFURMATION F~aciliey Name: W1 ~31~ Date of Testing• / J(,, jz~ciiiry Address: 3Cv~U •L~7 ~ L ~~>J `;Zp `$A'~~L`~l~i.-i7 G4~3~d acitiey Contact_ Phone• ~L)elCe Local Agency Was Notified of Testing : '~ ~;aitie of Local Aocncy Inspector (tfpresent a4rring ; 2. TESTING C4NTRACTGIR INFORMATION ~'ompany Name: R.TCH ENVIRONMENTAL ~ 1'eJuiician Conducting Test: f}PrRe-•~ k~~ . t': edentials: ~~ CSLB Licensed Contractor ^ SWRCB Licensed Tank Tester License Type. C611D4Q I.iceaseNvmber. 849850 ~~~~,~~ Training J l~lanufacture~' dam ene a) Date'IYs9nin E iras INC4N INCON TS-STS __.. 3. SUMMARY OF TRST RES~JLTS Cornpo~~ent . Pass Fail Nat Tested •Repairs' Made Component Pass Fall Not T ted Repairs' MAde ~ t~,~ t,- F I ~-~. ~Pl ~C. Kok D D ^ ^ . ^ D 0 ~nl.-~ via-Q~,C - c~ D 0 0 D D ^ 0 •DirSRL FIC.L ltt ~X ^ ^ ^ ~ ~ ^ ^ ^ ^ - ^ o a a ^ ^ ^ a --- o ^ a a ^ ^ ^ o ^ ^ ^ ^ ^ ^ ^ o Ii' hydrostatic testing vas perfgrmed, describe what was done with the water aRei' cotuplctian of tests: _ RECYCLE AND R$USED~~ CERTIFICATIUN OF TECHNICIAN RESPON3IBI.E FOR CONDUCTING THIS TEST]iNG 2 ~ th a aesr of my knn;~vledge, tke facts stated i» t/:ls da~carenent one acYarrrate and !n• jlull compliance wick legs! r,eyutnnrenrs 1'zclui;ci:~ri's SignaturE;: Date; ~ -1~ ~~ W RCH, January 2002 9. SPII,L/OVE}ZFILL CONTA.II~IMENT BOXES 1 ?,~~5 Page of Facility is Not Isqui ed With S i!1/Overfill Containment Boxes ^ SpiIll~verftll CottEFUntnem Bmtes are Present, but were Nat Tested ^ Test Method Developed By: p Spill Bucket Manufacturer 0 Industry Standard ^ Professional Engineer ^ Other (Specify) Test Method Used; ^ Pressure Q Vacaam ^ Hydrostatic ^ Other ec~) ,t Test Equipment Used: 111 Sc~p{_ t ~~ Equipment Resohrtion: . . . ~7 Spill Box # Flt,l_ $'~' 8pill Boz #t>~ g( Spil[ BoY # F[[(r . _ , . ~! Spitl Box # Bucket Diameter. ~ a '' l a " ~ d '' ~a '' Bucket Depth: j+~ ' ' /~(" l / ' ' /4 " Wait time between applying pressure/vacuusn/water and starting test: 'l'est Start Time: I p rn 1 ~ jD. 4S,¢-+, j ~ rn r r..~ j0:4Sr4~-~ j ~ .~-~~.~ jO;~IS~i, ~~ ~ ~ ~ I , /D. y5r~n-. Initial Reading (Ri}; ~ f ~ ~ c~ '• g' " ja '~~/ ~t Test End Time: ~ I : ~ 5 ,A-rn I 1 % y S,R-~ I : `~ S tA-w- j 1: ~I ~ -4.y/ I Fins! Reading f RF): " 18 " $` ~ r / O ~/'~ r ~ Test Duration: oU ~QV`/Z ~~ l ~/d ,1J1~ Change in Iteadittg (RF-RI}: U t ' O t' D 'r O " Pass/Fail Threshold or Criteria: V ; r ~ , ~ ~ ~ ~ ~ ~ ~ 'Vest lEiesttlt: Pass ^ Fail p Fail 6'$ass C] Fail [i'Pass ^ Fai] ~O mtule]ats - (iru:lude information on repairs made prior to testtY~ aAd recorrrmended follow-up for failed tests) SWRCB, January 2602 9. srxts/ovExFl[LL COIVTA~MTJ!i'T BoxEs ~ z(~5S Page of _~ Facility is Not Equipped With SpilUOyerfill Contaituneat Boxes ^ Spi WOverfill Co~unment Boxes are Present, but were Not Tested. ^ . - _.„ . Test Method Developed By. ^ Spill Bucket Manufactum [J Industry Standard Q Professional Engineer ^ Other (Sped) Test Method IJsed: 0 Pressure t7 Vacuum ^ Hydrostatic ^ Other (Specjfy) Test Equipment Usk: Equipment Resolution: a Spill Boz # ~lt-~- Spill Box # Spill Boz it Spill Box # Bucket Diameter. ~ 02 ' ` '.Bucket Depth: r ~ ' Wait time between applying pressure/vacuumlwater and start test: , ~ `,,~ l ! - Test Start Time: ~ D ; `(~fl'irt Initial Reading (R~, ~ '~ot i ~ Test End Time: : ySt4'~+ Final Reading (Rr): r~a t ~ Test Duration: Change in R~eadiag (RFRr): b r ~ Pass/Fail Threshold or Criteria: t , U 'Z'est Result: Gass ^ Fail ^ Pass ^ Fail ^ Pass ^ Fall iJ Pass ^ Fail COmmeIIts - {include inforanation on repairs made prior to testtrtg, Ord recommendedfolla~-~-~ for failed tests) !t? ~ sS SB989 .TESTING FAILURE REPORT SITE NAME2` ~ D~~ L DATE: ADDRESS: c~~ ~,J IC St>>J ~D TECHNICIAN• ~~?~ ~~~ CITY: ~j,4K~ RSA! p,L1~ ~ ~ `~33~ `/ SIGNATURE: _ - THI; FOLLOWING COMPONENTS WERE REPLACED/REPAIRED TO COMPLETE TESTING. REp'AIRS: ,/l/U~ LA,~~OR: ./~~~ PAF:TS INTALLED: /~~^-~ NAPvIE: TITLE: SIG:~TATLIRE• TAI: ABOVE NAMED PERSON TAKES ~F[7LL RESPONSIBILITY OF NOTIFYING . THIS, APPROPRIATE PARTY TO HAVE CORRECTIVE ACTION TAKEN TO REPAII2 THIS; ABOVE LISTED PROBLEMS AND NOTIFYING RICH ENVIRONMENTAL FOR ANIt NEEDED RETESTING. THIS ALSO RELEASES RICH ENVIRONMENTAL OF AN7t PINES OR PENALTIES OCCURING FROM NON-COMPLIANCE. A C~~PY O£ THIS DOCUMENT HA9 (BEEN LEFT ON-SITE FOR YOUR COrdVIENENCE. . (2.r~--`~- I~~il..~.ir~~ & PERMIT STATEMENT ~ sAKER$FIELD FIRE DEFT. Prevention 8ervicea JR/~t 9001Yuxrizn Avenue, Suite 210 PERMIT NO.: ',`~ r BakersfLeld, CA 93302 "~'~~'" T.1 . fGA 1 ~ enc _aoee c a.,.,. r~ic i ~ Qfin ni ~i ~OCA710N OF PROJECT ~ h V ~N~ Gam' $1'AR7ING Dti: E ~ LETION DATE ~ y ~(~ ~- _ NAFAE ;^ ^ O S Y 1 rRO~ecT NAMt ~~~~ - ~ ' ADD SS U PFioNE ND. PkOJtCTADORESS ~~~ ~?U _` ~ ~~ C ATE LP D~~O CONTRACTOR Ate ~ ~ CJ~ UCENSE 1~. ~ . TYPE OF LICENSE EXP~RA170N DATE ... PMONE N0. 39 a- 8~'fa S '7 CUNTRACl'OR COMPANY NAME I ~7 .~ ~i'D~ ~ _ ~ ~' ~ 1 i j ACDR~35 YC~ C[TY 21P WOE q33~~ X262 50 Mi i C difi ti N ^ ~ ~ mum n harge) ca ons -( Alarms - ew 8 Mo . 20 000 S FL O Oi3125 = PermJ! fee FL x S ^ i ver q. , . 4 ~ ^ M~i difi i kl & M ti Ch S N $210 00 ~ ~ i ~- ^ r mum ers - o ons - ( arge) pr n ew ca 5 000 S FL O . FL x 042 = Pemtd fee S 98 ~ I ver , q. . ~ ~ ^ r Modifications {< 10 heads) rinkl Minor S 00 [Inspect+on OnfyJ S 83 ~ p e . 98 ^ New ~ Modifications erci ds m l H C $ 39826 ~ - o m oo a 98 ~^ Additional Hoods 00 S 36 ~ ~ ' . 9B --- ^ Modifications ra Booths New 8 S $458 00 ~ ~ y p - ~ . 98 ^ (Aboveground Store Tanks (InstallatioNlnsp: 19Time) $165.00 ~ ^ AdditJonal Tanks $26.00 ~ ^ ( Aboveground Storage Tanks (Removabinspecxion) $109.00 ~ ~ ~ ^ Underground Sto a Tanks (InsfallatlonJlnspecXiDn) $878.00 (perfank) 82 ^ ,Underground Story a Tanks (Modification) $878.00 (persite) ~ 62 ^ Underground Storage Tanks {AAirwr Moddlgtlon) $955.00 ~ ^ Underground Storage Tanks {Removal] $675.00 (per tank) ~ 8k Ins $ 72.00 ~ ~ ~ t - Mandated Leak Detection (Testing) I uel Monit. CeR $ 8'1.00 (per » r en0 ~ e+t ^ Afterhoursinspecfion fee ;!2200 - ~ ^ Pyrotechnic - (Per event, Plus Irup. Fee ~ $90 per hour) ~ $ 60.00 + (5 tus. min. stand -by tee Ansper~On) =$610,00 ~ ^ RE-JNSPECTJON(SJ / FOLLOYKI,JP INSPECTION(S) ;83.00 (per hour} ~ ^ Portable LPG (Propane): NO.OF CAGES? $66.00 ~ ^ Explosive Storage . $249.00 t34 ~ ^ Copyin & File Research {File Research Fee $33.00 per hr) 25¢ per' page ' ~ ^ Miscellaneous ~~ : sn FO 2(7¢1(Flew. osros7 _ar~ UIVUERGf20UND STORAGE TANKS ~, $AKII''R~SI'jFI.D FIR$ DF~T. ~" Pt@iFC11~lOII ~1 V~C68 r: ~ /Ef~ 9001~uxtun Ave., Ste. 210 ~i't~LICATION '°~ ~ Bakersfield, CA 93301 70 PERFORM ELD 1 UNE TESTING ~~~~ Tel.: (661) 326-3979 ! S8989 SECONDARY CONTAINMENT TESTING • ~ 1i gg; (~ 1 } 852-2171 !TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION Pape 1 of 1 PEkivti!' NO. lL~-l L-NrWidCED LEAK DETECTION ^^ LINE TESTING ^ SB-B89 SECONDARY CONTAINMENT TES7~+tG I I 'fA1JK TIf_HTNFCS TEST 1 1 TA P~RF(1RfiA FI IFI LAAAlITf1RtNP. ('.FRTICICCTifIIJ i=N,CILII'Y _ V NAbA HONE NUMBER OF CONTACT PERSON aDDRESS !_ ~~ OWNERS NAME ~l~U• - cv G?E~'.TURS NAM£ PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED 1 GOI TA Z ~ Y R~ I 3 --- 5 • TANK.TE3TING CQMPANY ~_,.,~... ;F NAME OF TESTING OMP Y ~ NAME PHONE NUMB F CO TACT P RSON ~~ !NAILING ADD S$ G,y t/X,~ t" ^ ~ ~~ ~ (~r NAME S PHONE UMBER OF TESTER O SPECIAL INSPECTOR CERTI TION #: DAVE A TIME TEST TO BE CONDUCTED - p Cn SIGiVATURE OF APP ~ c = O Gct,w~ ~ ~~! ICC *: DATE ~ ~ TEST METNOQ ~ ~ APPROVED BY DATE FD 2095 (Rev. Op/05) . 1' B December 1, 2005 RONALD J. FRAZE Ready Go Market FIRE CHIEF 3620 Wilson Road Bakersfield, CA 93309 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 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 systems are capable of containing releases from the primary containment until they FAX: (661) 852-2170 are detected and removed. Our records indicate that your facility is due prior to December 31, 2005. E R S F I F/RE ~1 R TM RALPH E. HLTEY, 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 i Those sites that have not been tested and have not pulled a permit prior to December 31, 2005, will have their permit to operate revoked. This office does not wish to take such action, which is why we will continue to send monthly reminders. 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. Should you have any questions, please feel free to call me at (661) 326-3190. Sincerely, RALPH E. H//i,,J//E//Y, Director of Prevention Services --i/~~0~ Steve Underwood Fire Prevention Officer SU:db