HomeMy WebLinkAboutBUSINESS PLAN 2005 to present
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UNIFIED PROGRAM INSPECTION CHECKLIST ;;'
~
BAKERSFIELD FIRE DEPI'
Prevention Services
900 Truxtun Ave.. Suite 210
Bakersfield. CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
~~~,','';'':' ~.,~~Ii;.V.l?r'...'JIlI',O.i;1.\WJ:~,,';i:,"~l'..;;' i;c<:(f.Ji':";';"::'- -, !-"j' :,;;."~~,:,,.~~,,',,; :~:;!;-"':,,'7'::'.):'.: ':;">~'l.> .,,' ~'Ii""""~""", ~ ....,,<..'.... ..f~'>:;" '/.' roo. .-,.'~', ";.-;_'- ~ "".:" _~~',:l"";',~ :_:n.' ~'..j :
SECTION 1: Business Plan and Inventory Program
ADDRESS
NSPECTlON TIME
o OF EMPLOYEES
FACILITY CONTACT
USINESS ID NUMBER r 1/ J
15-021- :7 I'
o ROUTINE
Section 1: Business Plan .nd Inventory Program
lA"'" COMBINED '0-'- JOINT -AGEN-CY-------O- MUL TI-AGENCy-'O'COMPLAINT
ORE-INSPECTION
C V (C-COmPliance)
V=Violalion
OPERATION
COMMENTS
ApPROPRIATE PERMIT ON HAND
Business PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
ENTD MAY 3 0 2007
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
VERIFICATION OF HAl MAT TRAINING
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
HOUSEKEEPING
FIRE PROTECTION
[J"" 0 SITE DIAGRAM ADEQUATE & ON HAND
ANV HAZARDOUS WASTE ON SITI\' ,I ...4~ 0 NO
EXPLAIN: t}l(l~ t)~-~t~ "^- t..\)tl
Ins
White - Prevention S.rvic....
Y.llow - Station Copy
Pink - Business Copy
FD2049 (Rev. 02/05)
-:/
~
INSPECTIONS
BAKERSFIELD FIRE DEPT.
Prevention Services
900 Truxtun Ave., Ste. 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
BUSINESS PLAN &
INVENTORY PROGRAM
UNIFIED PROGRAM INSPECTION CHECKLIST
Page 1 of 1
FACILITY NAME:
INSPECTION DATE: 7;/ '3r/fJ )
Section 2: Underground Storage Tanks Program
D Routine ~mbined
Type of Tank
Type of Monitoring
~~oCY 0 M".i-Ageocy
Number of Tanks
..- 1-lU.... Type of Piping
'3 Complaint
@JllF
D Re-Inspection
OPERATION C V COMMENTS
Proper tank data on file ~
Proper owner / operator data on file ~
Permit fees current /'
Certification of Financial Responsibility /'
Monitoring record adequate and current /'
Maintenance records adequate and current /'
Failure to correct prior UST violations /
Has there been an unauthorized release? DYes o No /
Section 3: Aboveground Storage Tanks Program
Tank Size(s) ,gO~<3~ c;t;o
Type of Tank
Aggregate Capacity
Number of Tanks
v,
OPERA TION Y N COMMENTS
SPCC available ./
SPCC on file with OES v'
Adequate secondary protection V
Proper tank placarding/labeling V
Is tank used to dispense MVF?) 1/
If yes, does tank have overfill/ overs pill protection? V
C = Compliance
cr;L~
Business Sit~sponsible Party
Inspector:
Questions regarding this inspection? Please call us at (661) 326-3979
White - Prevention Services
Pink - Business Copy
KBF-7335
FD 2156 (Rev. 09/05)
'~:;-"'~'-=~ .,is-
WHITEWATER CAR WASH-7991 WHITE LN
SiteID: 015-021-001521
Manager : RENE REYES
Location: 7991 WHITE LN
City BAKERSFIELD
BusPhone:
Map : 123
Grid: 16C
(661) 324-8455
CommHaz : Moderate
FacUnits: 1 AOV:
CommCode: BFD STA 09
EPA Numb:
SIC Code:7542
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
EDWIN BENYAMINI / SITE MANAGER JULIO SICAL / GENERAL MANAGER
Business Phone: (661) 832-7348x Business Phone: (661) 832-7348x
24-Hour Phone (661) 827-8580x 24-Hour Phone (661) 204-7083x
Pager Phone ( ) x Pager Phone ( ) x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Period
Preparer:
Certif'd:
ParcelNo:
to
Phone: (661) 832-7348x
State: CA
Zip 93309
Phone: (661) 802-7348x
State: CA
Zip 93309
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
Contact : RENE REYES
MailAddr: 7991 WHITE LN
City BAKERSFIELD
Owner
Address
City
BAKERSFIELD MANAGEMENT GROUP INC
7991 WHITE LN
BAKERSFIELD
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
PROG T - ABOVEGROUND STORAGE TANK
PROG U - UST
" ~ 1t}\}1
t.~\'\) S t ~ i.
o~~/WJ'7
Date
-1-
07/16/2007
'.- '1'
F WHITEWATER CAR WASH-7991 WHITE LN
S 0 G CO
SiteID: 015-021-001521 ,
(UST FORM A)
T RAE NTAINER DATA
Last Action Type:
FACILITY/SITE INFORMATION
Business Name: WHITEWATER CAR WASH-7991 WHITE LN
Cross Street :
Business Type: Org Type:
Total Tanks : 3 IndnRes/Trust: No PA Contact:
Dsg Own/Oper : JIM R ALBRITE ICC Nbr: 5248968-UC
PROPERTY OWNER INFORMATION
Name : ~-EH€1!d:i , ( Phone: (661) 832-7348x
Address: Bcll.,U1 ~ rje.rp!I1MI /J I
City : State: Zip:
Type : CORPORATION
TANK OWNER INFORMATION
Name : - JULIe -SICl\.L ( Phone: (661) 832-7348x
Address: CJ.u'~U fJ-ery14MI'f.-J I
City : State: Zip:
Type : CORPORATION
BOE UST Fee# :
Financ'l Resp: STATE FUND & CFO LETTER
Legal Notif :
Date:07/23/2002 Phone: (843) 195- x
Name:EDWIN BENYAMINI Ttl:CEO
State UST # : 1998 Upg Cert#: 00855
-2-
07/16/2007
'~~ 3'
F WHITEWATER CAR WASH-7991 WHITE LN
f= Hazmat Inventory
p== MCP+DailyMax Order
SiteID: 015-021-001521
By Facility Unit
Mobile Containers at Site
1
,
,
DailyMax IUnitlMCP
217.00 FT3 Min
Hazmat Common Name...
IspecHazlEPA Hazards I Frm I
HELIUM NON-FLAMMABLE
P
IH
G
-3-
07/16/2007
\\ "
F WHITEWATER CAR WASH-7991 WHITE LN
f= Hazmat Inventory
f== MCP+DailyMax Order
SiteID: 015-021-001521 1
By Facility Unit ,
Fixed Containers at Site 9
DailyMax lunitlMCP
12000.00 GAL Mod
12000.00 GAL Mod
12000.00 GAL Mod
500.00 GAL Low
1500.00 GAL Min
55.00 GAL UnR
55.00 GAL UnR
Hazmat Common Name...
GASOLINE, UNLEADED
GASOLINE, UNLEADED PLUS
GASOLINE, PREMIUM
WASTE OIL
MOTOR OIL
POLISH
WASTE OIL FILTERS
-4-
07/16/2007
r;~: "Y'
F WHITEWATER CAR WASH-7991 WHITE LN
f= Inventory Item 0001
= COMMON NAME / CHEMICAL NAME
HELIUM NON-FLAMMABLE
SiteID: 015-021-001521 ,
Facility Unit: Mobile Containers at Site,
Days On Site
365
Location within this Facility Unit
STORE AREA E WALL
Map:
Grid:
CAS #
7440-59-7
[STATE I TYPE ~ P~ESSURE ---r TEM:r;'ERATURE -,
=Gas __pure ~mblent ---1 Amblent ~
AMOUNTS AT THIS LOCATION
Daily Maximum
217.00 FT3
CONTAINER TYPE
Cylinder
Largest Container
217.00 FT3
Daily Average
217.00 FT3
%wt. I
100.00 Helium
HAZARDOUS COMPONENTS
~
No
CAS # I
7440597
ZARD MEN
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies P IH / / / Min
HA
ASSESS
TS
-5-
07/16/2007
'\'
F WHITEWATER CAR WASH-7991 WHITE LN
f= Inventory Item 0002
= COMMON NAME / CHEMICAL NAME
GASOLINE, UNLEADED
SiteID: 015-021-001521 ,
Facility Unit: Fixed Containers at Site 1
Days On Site
365
Location within this Facility Unit
UST W SIDE OF LOT
Map:
Grid:
CAS #
8006619
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
12000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
12000.00 GAL
Daily Average
12000.00 GAL
%Wt. I
100.00 Gasoline
HAZARDOUS COMPONENTS
~
CAS#a006619I
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
HAZARD ASSESSMENTS
p= Inventory Item 0003
= COMMON NAME / CHEMICAL NAME
GASOLINE, UNLEADED PLUS
Facility Unit: Fixed Containers at Site,
Days On Site
365
Location within this Facility Unit
UST W SIDE OF LOT
Map:
Grid:
CAS #
8006619
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
12000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
12000.00 GAL
Daily Average
12000.00 GAL
%Wt. I
100.00 Gasoline
HAZARDOUS COMPONENTS
~
CAS# I
8006619
A ES T
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
HAZARD SS SMEN S
-6-
07/16/2007
F WHITEWATER CAR WASH-7991 WHITE LN
f= Inventory Item 0004
= COMMON NAME / CHEMICAL NAME
GASOLINE, PREMIUM
SiteID: 015-021-001521 9
Facility Unit: Fixed Containers at Site 1
Days On Site
365
Location within this Facility Unit
UST W SIDE OF LOT
Map:
Grid:
CAS #
8006619
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
12000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
12000.00 GAL
Daily Average
12000.00 GAL
Z
%Wt. RS CAS #
100.00 Gasoline No 8006619
HA ARDOUS COMPONENTS
TSecret, RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
HAZARD ASSESSMENTS
p= Inventory Item 0007
F= COMMON NAME / CHEMICAL NAME
WASTE OIL
Facility Unit: Fixed Containers at Site 9
Days On Site
365
I)
I
Location within this Facility Unit
LUBE SHOP PIT
Map:
Grid:
CAS #
221
STATE - TYPE
Liquid Waste
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
ABOVE GROUND TANK
Largest Container
500.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
500.00 GAL
Daily Average
500.00 GAL
Z 0 MP NENT
%Wt. RS CAS #
100.00 Waste Oil, Petroleum Based No 0
HA ARD US CO 0 S
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
-7-
07/16/2007
Ie '\"
'I
F WHITEWATER CAR WASH-7991 WHITE LN
f= Inventory Item 0006
= COMMON NAME / CHEMICAL NAME
MOTOR OIL
SiteID: 015-021-001521 ,
Facility Unit: Fixed Containers at Site 9
Days On Site
365
Location within this Facility Unit
LUBE DEPT
Map:
Grid:
CAS #
8020835
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
OTHER - SPECIFY
Largest Container
1500.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
1500.00 GAL
Daily Average
1500.00 GAL
%Wt. RS CAS #
100.00 Motor Oil, Petroleum Based No 8020835
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
HAZARD ASSESSMENTS
f= Inventory Item 0001
= COMMON NAME / CHEMICAL NAME
POLISH
Facility Unit: Fixed Containers at Site 9
Days On Site
365
Location within this Facility Unit
CAR WASH
Map:
Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
OTHER - SPECIFY
Largest Container
55.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
55.00 GAL
Daily Average
55.00 GAL
%Wt. I
HAZARDOUS COMPONENTS
G
CAS #
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / UnR
HAZARD ASSESSMENTS
-8-
07/16/2007
'.' i,
"
F WHITEWATER CAR WASH-7991 WHITE LN
f= Inventory Item 0008
= COMMON NAME /. CHEMICAL NAME
WASTE OIL FILTERS
SiteID: 015-021-001521 ,
Facility Unit: Fixed Containers at Site 1
Days On Site
365
Location within this Facility Unit
Map:
Grid:
CAS#
STATE - TYPE
Solid Waste
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-METALLIC
Largest Container
55.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
55.00 GAL
Daily Average
55.00 GAL
%Wt. I
HAZARDOUS COMPONENTS
G
CAS #
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / UnR
HAZARD ASSESSMENTS
-9-
07/16/2007
D
~
\
F WHITEWATER CAR WASH-7991 WHITE LN
I
p= Notif./Evacuation/Medical
Agency Notification
SiteID: 015-021-001521 ,
Fast Format 9
Overall Site 9
OS/29/2007
IF A LEAK IS SUSPECTED PER THE INVENTORY RECORD OR THE AUTO STICK II, THE
FOLLOWING PROCEDURES WILL BE PERFORMED WITHIN 24 HOURS: CHECK AND RECONCILE
INVENTORY RECORDS AT SITE AND AT MAIN OFFICE; VISUALLY CHECK ALL DISPENSER
PANS FOR LEAKS; VISUALLY CHECK ALL TURBINE SUMP AREAS FOR GASOLINE; STICK
AND CHECK TANK SECONDARY CONTAINMENT CAVITIES FOR GASOLINE OR WATER; AND
CHECK CALIBRATION OF ALL DISPENSER METER.
IF FUEL IS FOUND IN THE SECONDARY CONTAINMENT OF THE TURBINE PIT AREAS OR
THE SECONDARY TANK, BAKERSFIELD MANAGEMENT GROUP INC WILL HIRE A CONTRACTOR
TO DETERMINE WHERE THE FUEL IS COMING FROM, AND REPAIR. IF A PRECISION TANK
TEST IS DEEMED NECESSARY TO DETERMINE IF A LEAK EXISTS, THEN TOWER ENERGY
GROUP WILL HIRE A CONTRACTOR TO DO SO. THE CONTRACTORS AT ITS DISPOSAL ARE:
TANKNOLOGY, 8900 SCHOAL CREEK BLVD 200, AUSTIN, TX 78757 800-666-2176. IF A
LEAK IS FOUND AND HAS RELEASED GASOLINE INTO THE GROUND OR GASOLINE IS FOUND
IN THE SECONDARY CONTAINMENT OF THE PIPING OR TANK SYSTEM, BAKERSFIELD
MANAGEMENT GROUP INC WILL REPORT THE OCCURRENCE TO THE RESPONSIBLE LOCAL
AGENCY WITHIN 24 HOURS. IF CLEAN-UP IS NECESSARY, BAKERSFIELD MANAGEMENT
GROUP INC WILL EMPLOY AN ENGINEERING FIRM TO DETERMINE EXTENT OF
CONTAMINATION. ENGINEERS AVAILABLE ARE: PARKER ENV 925-439-1024.
BAKERSFIELD MANAGEMENT GROUP INC WILL EMPLOY THE ENGINEERING FIRM TO DO SITE
EVALUATION, CLEAN-UP PROPOSAL AND CONTACT ALL NECESSARY PARTIES TO CLEAN UP
Employee Notif./Evacuation
07/12/2006
IF A SPILL OCCURS, THE FOLLOWING AGENCIES WILL BE CONTACTED: EDWIN
BENYAMINI, OWNER, 310-877-9395. RENE REYES, SITE MANAGER, 832-6348 OR
827-8580. EMERGENCY 911. OFFICE OF EMERGENCY SERVICES 800-852-7550. CITY
OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 326-3979.
Public Notif./Evacuation
07/12/2006
THE SITE MANAGER OR ASSISTANT SITE MANAGER ARE RESPONSIBLE FOR CONTACTING OR
NOTIFYING THE PROPER AUTHORITIES IN THE EVENT OF AN UNEXPECTED RELEASE OF
HAZARDOUS MATERIAL. THE CHAIN-OF-COMMAND AT THE FACILITY, TO-ASSURE THAT
THE PROPER AUTHORITIES HAVE BEEN NOTIFIED, WILL BE AS FOLLOWS:
SITE MANAGER, EDWIN BENYAMINI
ZONE MANAGER, JULIO SICAL
-10-
07/16/2007
'"
~,
F WHITEWATER CAR WASH-7991 WHITE LN
I
p= Notif./Evacuation/Medical
Emergency Medical Plan
SiteID: 015-021-001521 ,
Fas t Format 9
Overall Site "I
07/12/2006
IN THE EVENT OF A RELEASE OF HAZARDOUS MATERIAL, ALL MEDICAL EMERGENCIES
WILL BE TAKEN TO: MERCY SOUTHWEST, 400 OLD RIVER RD.
-11-
07/16/2007
^
J' Ij
F WHITEWATER CAR WASH-7991 WHITE LN
I
p= Mitigation/Prevent/Abatemt
Release Prevention
SiteID: 015-021-001521 ,
Fast Format 9
Overall Site 9
07/12/2006
ALL HAZARDOUS MATERIALS WILL BE KEPT IN SEALED, LABELED, PLASTIC CONTAINERS.
CONTAINERS SHALL NOT BE STACKED OR MIXED WITH OTHER CHEMICALS. ALL
EMPLOYEES HANDLING HAZARDOUS MATERIALS WILL BE REQUIRED TO ATTEND BI-ANNUAL
SAFETY MEETINGS AND WILL BE PROVIDED WITH SAFETY EQUIPMENT, SUCH AS, SAFETY
GOGGLES AND RUBBER GLOVES.
Release Containment
07/12/2006
IN THE EVENT OF HAZARDOUS MATERIAL RELEASE, AFFECTED AREA WILL BE SECTIONED
OFF WHILE CLEAN-UP IS TAKING PLACE. SUCH CLEAN-UP CONSISTS OF SPREADING
ABSORBENT MATERIALS, SUCH AS, KITTY LITTER ON AFFECTED AREA AND DAMMING UP
STREET GUTTERS AND STORM DRAINS TO PREVENT FURTHER CONTAMINATION. CALL
EMERGENCY 911 IF NECESSARY.
Clean Up
OS/29/2007
FOR A MAJOR GAS SPILL: TURN OFF GASOLINE EMERGENCY SHUT-OFF SWITCH AT CHECK
STAND; SURVEY SITE FOR INJURIES; MAKE SURE NO ONE IS SMOKING OR CAR ENGINES
ARE OPERATING AROUND AREA OF GAS SPILL; CONTAIN SPILL WITH ABSORBANT
MATERIAL TO KEEP SPILL FROM SPREADING (KITTY LITTER), SHORE UP OR DAM ANY
DRAINS OR SEWERS THAT THE SPILL MAY IMPACT; CALL FIRE DEPT 911; CALL
BAKERSFIELD MANAGEMENT GROUP INC 832-7348; CALL OFFICE OF EMERGENCY SERVICES
800-852-7550; AND NOTIFY BY PERSONAL VISIT ANY NEIGHBORING RESIDENCE,
BUSINESS, OR SCHOOLS THAT COULD BE AFFECTED BY A PRODUCT SPILL.
FOR A MINOR GAS SPILL: CONTAIN SPILL WITH ABSORBANT MATERIALS (KITTY
LITTER) AND DISPOSE OF MATERIAL IN ACCORDANCE WITH STATE AND FEDERAL LAWS AT
PROPER DISPOSAL SITES.
-12-
07/16/2007
.,
;:. '..
F WHITEWATER CAR WASH-7991 WHITE LN
I
p= Mitigation/Prevent/Abatemt
Other Resource Activation
SiteID: 015-021-001521 ,
Fas t Format 9
Overall Site 9
-13-
07/16/2007
.,' ',< '~
F WHITEWATER CAR WASH-7991 WHITE LN
I
f= Site Emergency Factors
Special Hazards
SiteID: 015-021-001521 ,
Fast Format 1
Overall Site 9
utility Shut-Offs
GAS - OUTSIDE BLDG BETW BREAK RM & EQUIP RM
ELECTRICAL - BACK OF EQUIP RM NEAR ENTR TUNNEL
WATER - FLOWER BED NEXT TO DETAIL CANOPy
OS/29/2007
Fire Protec./Avail. Water
01/09/2007
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS.
NEAREST FIRE HYDRANT - CRNR CERNON WY & NAIR AND IN FRONT OF BURGER KING.
Building Occupancy Level
04/04/2006
70 EMPLOYEES
-14-
07/16/2007
t ~~ ,
F WHITEWATER CAR WASH-7991 WHITE LN
I
f= Training
Employee Training
SiteID: 015-021-001521 ,
Fast Format 9
Overall Site ,
OS/29/2007
MSDS SHEETS ON FILE AT FRONT DESK AND IN THE OFFICE.
BRIEF SUMMARY OF TRAINING PROGRAM: NEW HIRE EMPLOYEES ARE REQUIRED TO
ATTEND AN INITIAL SAFETY TRAINING PROGRAM WHICH CONSISTS OF: METHODS FOR
SAFE HANDLING OF THE HAZARDOUS MATERIALS USED; FAMILIARIZE THEM WITH CAL
OSHA HAZARD COMMUNICATION STANDARD; CORRECT USE OF EMERGENCY RESPONSE
EQUIPMENT AND SUPPLIES AVAILABLE AT YOUR BUSINESS; PREVENTION, MINIMIZING
AND CLEAN-UP PROCEDURES FOR A HAZARDOUS MATERIAL SPILL; EMERGENCY EVACUATION
PLAN AND NOTIFICATION OF PROPER AUTHORITIES AND MEDICAL AGENCIES; PROCEDURES
TO COORDINATE WITH AND ASSIST LOCAL EMERGENCY PERSONNEL; AND WHO AND HOW TO
CONTACT FOR IMMEDIATE ASSISTANCE IN THE EVENT OF AN ACCIDENT INVOLVING
HAZARDOUS MATERIAL.
.. ALL PREEXISTING EMPLOYEES MUST ATTEND A BI-ANNUAL REVIEW SAFETY MEETING HELD
AT THE BEGINNING OF THE YEAR AND THE MIDDLE OF THE YEAR.
Page 2
Held for Future Use
-15-
07/16/2007
1\ ;;.. ,~;
F WHITEWATER CAR WASH-7991 WHITE LN
I
f= Training
Held for Future Use
SiteID: 015-021-001521 ,
Fast Format 9
Overall Site 9
-16-
07/16/2007
~
j.
WHITEWATER CAR WASH-7991 WHITE LN
Manager : RENE REYES
Location: 7991 WHITE LN
City BAKERSFIELD
CommCode: BFD STA 09
EPA Numb:
1r&'35'
SiteID: 015-021-001521
BusPhone:
Map : 123
Grid: 16C
(661) 324 - 8455
CommHaz : Moderate
FacUnits: 1 AOV:
SIC Code:7542
DunnBrad:
Emergency Contact
EDWIN BENYAMINI
Business Phone:
24-Hour Phone
Pager Phone
/ Title
/ SITE MANAGER
(661) 832-7348x
(661) 827-8580x
() x
Hazmat Hazards:
Contact : RENE REYES
MailAddr: 7991 WHITE LN
City BAKERSFIELD
Owner
Address
City
Emergency Contact
JULIO SICAL
Business Phone:
24-Hour Phone
Pager Phone
/ Title
/ GENERAL MANAGER
(661) 832-7348x
(661) 204-7083x
() x
Fire Press
ImmHlth DelHlth
Phone: (661) 832-7348x
State: CA
Zip 93309
Phone: (661) 802-7348x
State: CA
Zip 93309
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
BAKERSFIELD MANAGEMENT GROUP INC
7991 WHITE LN
BAKERSFIELD
Period
Preparer:
Certif'd:
ParcelNo:
to
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
PROG T - ABOVEGROUND STORAGE TANK
PROG U - UST
Based on my inquiry f th .
resgonsible for obtaining t~e intgr~at:~~i~i~~r~;S
un er penalty of law that I have' I y
examrned and t. '. personally
submitted and ~~lie~~II;~~ ":"l~h the .info~mation
accurate, and complete. rn ormation IS true,
~e( gist.
\A~(j) \
tNi'D M A,( 2 9 2007
-1-
04/30/2007
If:-
r!'
F WHITEWATER CAR WASH-7991 WHITE LN SiteID: 015-021-001521 ,
STORAG CON AINE DATA (UST FORM A)
E T R
Last Action Type:
FACILITY/SITE INFORMATION
Business Name: WHITEWATER CAR WASH-7991 WHITE LN
Cross Street :
Business Type: Org Type:
Total Tanks : 3 IndnRes/Trust: No PA Contact:
Dsg Own/ Oper : JIM R ALBRITE ICC Nbr: 5248968-UC
PROPERTY OWNER INFORMATION
Name : JULIO SICAL Phone: (661) 832-7348x
Address:
City : State: Zip:
Type : CORPORATION
TANK OWNER INFORMATION
Name : JULIO SICAL Phone: (661) 832-7348x
Address:
City : State: Zip:
Type : CORPORATION
BOE UST Fee# :
Financ'l Resp: STATE FUND & CFO LETTER
Legal Notif :
Date:07/23/2002 Phone: (843) 195- x
Name:EDWIN BENYAMINI Ttl:CEO
State UST # : 1998 Upg Cert#: 00855
-2-
04/30/2007
l>
F WHITEWATER CAR WASH-7991 WHITE LN
f= Hazmat Inventory
f== MCP+DailyMax Order
SiteID: 015-021-001521 1
By Facility Unit 9
Mobile Containers at Site 9
Hazmat Common Name...
SpecHaz EPA Hazards
DailyMax
MCP
HELIUM NON-FLAMMABLE
P
IH
G
217.00 FT3 Min
-3-
04/30/2007
..
'7;.
F WHITEWATER CAR WASH-7991 WHITE LN SiteID: 015-021-001521 ,
f= Hazmat Inventory By Facility unit 9
p== MCP+DailyMax Order Fixed Containers at Site ,
Hazmat Common Name... IspeCHazlEPA Hazards I Frm I DailyMax lunitlMCP
GASOLINE, UNLEADED F IH DH L 12000.00 GAL Mod
GASOLINE, UNLEADED PLUS F IH DH L 12000.00 GAL Mod
GASOLINE, PREMIUM F IH DH L 12000.00 GAL Mod
WASTE OIL F DH L 500.00 GAL Low
MOTOR OIL F DH L 1500.00 GAL Min
POLISH DH L 55.00 GAL UnR
I'
-4-
04/30/2007
l'
("
F WHITEWATER CAR WASH-7991 WHITE LN
f= Inventory Item 0001
= COMMON NAME / CHEMICAL NAME
HELIUM NON-FLAMMABLE
SiteID: 015-021-001521 1
Facility Unit: Mobile Containers at Site 9
Days On Site
365
Location within this Facility Unit
STORE AREA E WALL
Map:
Grid:"
CAS #
7440-59-7
[STATE I TYPE ~ P~ESSURE ---r TEM:r;ERATURE -I
=Gas __pure ~mblent ---1 Amblent ~
AMOUNTS AT THIS LOCATION
Daily Maximum
217.00 FT3
CONTAINER TYPE
Cylinder
Largest Container
217.00 FT3
Daily Average
217.00 FT3
lrWt.1
100.00 Hellum
HAZARDOUS COMPONENTS
~
CAS#7440597I
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies P IH / / / Min
-5-
04/30/2007
;-
F WHITEWATER CAR WASH-7991 WHITE LN
f= Inventory Item 0002
F= COMMON NAME / CHEMICAL NAME
GASOLINE, UNLEADED
SiteID: 015-021-001521 1
Facility unit: Fixed Containers at Site 9
Days On Site
365
Location within this Facility Unit
UST W SIDE OF LOT
Map:
Grid:
CAS #
8006619
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
12000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
12000.00 GAL
Daily Average
12000.00 GAL
%Wt. I
100.00 Gasoline
HAZARDOUS COMPONENTS
~
CAS#S006619I
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
HAZARD ASSESSMENTS
f= Inventory Item 0003
F= COMMON NAME / CHEMICAL NAME
GASOLINE, UNLEADED PLUS
Facility Unit: Fixed Containers at Site 9
Days On Site
365
Location within this Facility Unit
UST W SIDE OF LOT
Map:
Grid:
CAS #
8006619
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
12000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
12000.00 GAL
Daily Average
12000.00 GAL
%Wt. I
100.00 Gasoline
HAZARDOUS COMPONENTS
~
CAS # I
8006619
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
-6-
04/30/2007
F WHITEWATER CAR WASH-7991 WHITE LN
p= Inventory Item 0004
F= COMMON NAME / CHEMICAL NAME
GASOLINE, PREMIUM
SiteID: 015-021-001521 ,
Facility Unit: Fixed Containers at Site 9
Days On Site
365
Location within this Facility Unit
UST W SIDE OF LOT
Map:
Grid:
CAS #
8006619
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
UNDER GROUND TANK
Largest Container
12000.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
12000.00 GAL
Daily Average
12000.00 GAL
%Wt. I
100.00 Gasoline
HAZARDOUS COMPONENTS
~
CAS # I
8006619
ARD AS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Mod
HAZ
SESSMENTS
f= Inventory Item 0007
= COMMON NAME / CHEMICAL NAME
WASTE OIL
Facility Unit: Fixed Containers at Site 9
Days On Site
365
Location within this Facility Unit
LUBE SHOP PIT
Map:
Grid:
CAS #
221
STATE - TYPE
Liquid Waste
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
ABOVE GROUND TANK
Largest Container
500.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
500.00 GAL
Daily Average
500.00 GAL
%Wt. RS CAS #
100.00 Waste Oil, Petroleum Based No 0
HAZARDOUS COMPONENTS
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
-7-
04/30/2007
F WHITEWATER CAR WASH-7991 WHITE LN
p= Inventory Item 0006
= COMMON NAME / CHEMICAL NAME
MOTOR OIL
SiteID: 015-021-001521 ,
Facility Unit: Fixed containers at Site 9
Days On Site
365
Location within this Facility Unit
LUBE DEPT
Map:
Grid:
CAS #
8020835
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
OTHER - SPECIFY
Largest Container
1500.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
1500.00 GAL
Daily Average
1500.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS #
100.00 Motor Oil, Petroleum Based No 8020835
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
f= Inventory Item 0001
1== COMMON NAME / CHEMICAL NAME
POLISH
Facility Unit: Fixed Containers at Site 9
Days On Site
365
Location within this Facility Unit
CAR WASH
Map:
Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
OTHER - SPECIFY
,
AMOUNTS AT THIS LOCATION
Daily Maximum
55.00 GAL
Largest Container
55.00 GAL
Daily Average
55.00 GAL
HAZARDOUS COMPONENTS
~
CAS #
%Wt.
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / UnR
-8-
04/30/2007
F WHITEWATER CAR WASH-7991 WHITE LN
I
f= Notif./Evacuation/Medical
Agency Notification
SiteID: 015-021-001521 1
Fast Format 9
Overall Site 9
07/12/2006
IF A LEAK IS SUSPECTED PER THE INVENTORY RECORD OR THE AUTO STICK II, THE
FOLLOWING PROCEDURES WILL BE PERFORMED WITHIN 24 HOURS:
1. CHECK AND RECONCILE INVENTORY RECORDS AT SITE AND AT THE MAIN OFFICE.
2. VISUALLY CHECK ALL DISPENSER PANS FOR LEAKS.
3. VISUALLY CHECK ALL TURBINE SUMP AREAS FOR GASOLINE.
4. STICK AND CHECK TANK SECONDARY CONTAINMENT CAVITIES FOR GASOLINE OR
WATER.
5. CHECK CALIBRATION OF ALL DISPENSER METER.
IF FUEL IS FOUND IN THE SECONDARY CONTAINMENT OF THE TURBINE PIT AREAS OR
THE SECONDARY TANK, BAKERSFIELD MANAGEMENT GROUP INC WILL HIRE A CONTRACTOR
TO DETERMINE WHERE THE FUEL IS COMING FROM, AND REPAIR. IF A PRECISION TANK
TEST IS DEEMED NECESSARY TO DETERMINE IF A LEAK EXISTS, THEN TOWER ENERGY
GROUP WILL HIRE A CONTRACTOR TO DO SO. THE CONTRACTORS AT ITS DISPOSAL ARE:
TANKNOLOGY, 8900 SCHOAL CREEK BLVD 200, AUSTIN, TX 78757 800-666-2176. IF A
LEAK IS FOUND AND HAS RELEASED GASOLINE INTO THE GROUND OR GASOLINE IS FOUND
IN THE SECONDARY CONTAINMENT OF THE PIPING OR TANK SYSTEM, BAKERSFIELD
MANAGEMENT GROUP INC WILL REPORT THE OCCURRENCE TO THE RESPONSIBLE LOCAL
AGENCY WITHIN 24 HOURS. IF CLEAN-UP IS NECESSARY, BAKERSFIELD MANAGEMENT
GROUP INC WILL EMPLOY AN ENGINEERING FIRM TO DETERMINE EXTENT OF
CONTAMINATION. ENGINEERS AVAILABLE ARE: PARKER ENV 925-439-1024.
BAKERSFIELD MANAGEMENT GROUP INC WILL EMPLOY THE ENGINEERING FIRM TO DO SITE
Employee Notif./Evacuation
07/12/2006
IF A SPILL OCCURS, THE FOLLOWING AGENCIES WILL BE CONTACTED: EDWIN
BENYAMINI, OWNER, 310-877-9395. RENE REYES, SITE MANAGER, 832-6348 OR
827-8580. EMERGENCY 911. OFFICE OF EMERGENCY SERVICES 800-852-7550. CITY
OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 326-3979.
Public Notif./Evacuation
07/12/2006
THE SITE MANAGER OR ASSISTANT SITE MANAGER ARE RESPONSIBLE FOR CONTACTING OR
NOTIFYING THE PROPER AUTHORITIES IN THE EVENT OF AN UNEXPECTED RELEASE OF
HAZARDOUS MATERIAL. THE CHAIN-OF-COMMAND AT THE FACILITY, TO ASSURE THAT
THE PROPER AUTHORITIES HAVE BEEN NOTIFIED, WILL BE AS FOLLOWS:
SITE MANAGER, EDWIN BENYAMINI
ZONE MANAGER, JULIO SICAL
-9-
04/30/2007
F WHITEWATER CAR WASH-7991 WHITE LN
I
f= Notif./Evacuation/Medical
Emergency Medical Plan
SiteID: 015-021-001521 ,
Fast Format 1
Overall Site 9
07/12/2006
IN THE EVENT OF A RELEASE OF HAZARDOUS MATERIAL, ALL MEDICAL EMERGENCIES
WILL BE TAKEN TO: MERCY SOUTHWEST, 400 OLD RIVER RD.
-10-
04/30/2007
F WHITEWATER CAR WASH-7991 WHITE LN
I
p= Mitigation/Prevent/Abatemt
Release Prevention
SiteID: 015-021-001521 ,
Fast Format ,
Overall Site 9
07/12/2006
ALL HAZARDOUS MATERIALS WILL BE KEPT IN SEALED, LABELED, PLASTIC CONTAINERS.
CONTAINERS SHALL NOT BE STACKED OR MIXED WITH OTHER CHEMICALS. ALL
EMPLOYEES HANDLING HAZARDOUS MATERIALS WILL BE REQUIRED TO ATTEND BI-ANNUAL
SAFETY MEETINGS AND WILL BE PROVIDED WITH SAFETY EQUIPMENT, SUCH AS, SAFETY
GOGGLES AND RUBBER GLOVES.
Release Containment
07/12/2006
IN THE EVENT OF HAZARDOUS MATERIAL RELEASE, AFFECTED AREA WILL BE SECTIONED
OFF WHILE CLEAN-UP IS TAKING PLACE. SUCH CLEAN-UP CONSISTS OF SPREADING
ABSORBENT MATERIALS, SUCH AS, KITTY LITTER ON AFFECTED AREA AND DAMMING UP
STREET GUTTERS AND STORM DRAINS TO PREVENT FURTHER CONTAMINATION. CALL
EMERGENCY 911 IF NECESSARY.
Clean Up
07/12/2006
FOR A MAJOR GAS SPILL:
1. TURN OFF THE GASOLINE EMERGENCY SHUT-OFF SWITCH AT THE CHECK STAND.
2. SURVEY FACILITY FOR INJURIES.
3. MAKE SURE NO ONE IS SMOKING OR CAR ENGINES ARE OPERATING AROUND THE AREA
OF THE GAS SPILL.
4. CONTAIN THE SPILL WITH ABSORBENT MATERIAL TO KEEP SPILL FROM SPREADING
(KITTY LITTER). SHORE UP OR DAM ANY DRAINS OR SEWERS THAT THE SPILL MAY
IMPACT.
5. CALL THE LOCAL FIRE DEPT 911.
6. CALL BAKERSFIELD MANAGEMENT GROUP INC 832-7348.
7. CALL OFFICE OF EMERGENCY SERVICES 800-852-7550.
8. NOTIFY BY PERSONAL VISIT ANY NEIGHBORING RESIDENCE, BUSINESS, OR SCHOOLS
THAT COULD BE AFFECTED BY A PRODUCT SPILL.
FOR A MINOR GAS SPILL:
1. CONTAIN THE SPILL WITH ABSORBENT MATERIALS (I.E., KITTY LITTER).
2. DISPOSE OF MATERIAL IN ACCORDANCE WITH STATE AND FEDERAL LAWS AT PROPER
DISPOSAL SITES.
-11-
04/30/2007
F WHITEWATER CAR WASH-7991 WHITE LN
I
p= Mitigation/Prevent/Abatemt
Other Resource Activation
SiteID: 015-021-001521 ,
Fast Format 9
Overall Site 9
-12-
04/30/2007
F WHITEWATER CAR WASH-7991 WHITE LN
I
p= Site Emergency Factors
Special Hazards
SiteID: 015-021-001521 ,
Fast Format 9
Overall Site 9
Utility Shut-Offs
A) GAS - OUTSIDE BLDG BET BREAK RM & EQUIP RM
B) ELECTRICAL - BACK OF EQUIP RM NEAR ENTR TUNNEL
C) WATER - FLOWER BED NEXT TO DETAIL CANOPY
D) SPECIAL - NONE
E) LOCK BOX - NO
01/09/2007
Fire Protec./Avail. Water
01/09/2007
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. .
NEAREST FIRE HYDRANT - CRNR CERNON WY & NAIR AND IN FRONT OF BURGER KING.
Building Occupancy Level
04/04/2006
70 EMPLOYEES
-13-
04/30/2007
'-
" ,
F WHITEWATER CAR WASH-7991 WHITE LN
I
f= Training
Employee Training
SiteID: 015-021-001521 ,
Fast Format 9
Overall Site 9
07/12/2006
MSDS SHEETS ON FILE AT THE FRONT DESK AND IN THE OFFICE.
BRIEF SUMMARY OF TRAINING PROGRAM: NEW HIRE EMPLOYEES ARE REQUIRED TO
ATTEND AN INITIAL SAFETY TRAINING PROGRAM, WHICH CONSISTS OF:
1. METHODS FOR SAFE HANDLING OF THE HAZARDOUS MATERIALS USED.
2. FAMILIARIZE THEM WITH THE CAL OSHA HAZARD COMMUNICATION STANDARD.
3. CORRECT USE OF EMERGENCY RESPONSE EQUIPMENT AND SUPPLIES AVAILABLE AT
YOUR BUSINESS.
4. THE PREVENTION, MINIMIZING AND CLEAN-UP PROCEDURES FOR A HAZARDOUS
MATERIAL SPILL.
5. EMERGENCY EVACUATION PLAN AND NOTIFICATION OF PROPER AUTHORITIES AND
MEDICAL AGENCIES.
6. PROCEDURES TO COORDINATE WITH AND ASSIST THE LOCAL EMERGENCY PERSONNEL.
7. WHO AND HOW TO CONTACT FOR IMMEDIATE ASSISTANCE IN THE EVENT OF AN
ACCIDENT INVOLVING HAZARDOUS MATERIAL.
ALL PRE-EXISTING EMPLOYEES MUST ATTEND A BI-ANNUAL REVIEW SAFETY MEETING
HELD AT THE BEGINNING OF THE YEAR AND THE MIDDLE OF THE YEAR.
Page 2
Held for Future Use
-14-
04/30/2007
~
.,,", -., \'
F WHITEWATER CAR WASH-7991 WHITE LN
I
f= Training
Held for Future Use
SiteID: 015-021-001521 ,
Fast Format 9
Overall Site 9
-15-
04/30/2007
f --.....- '
~-
--;:. ~
',-
+ WHITEWATER CAR WASH ================================= SiteID: 015-021-001521 +
Manager : .~~t?s~e:s BusPhone: (661) 324-8455
Location: 7991 WHITK-LN Map : 123 CommHaz: Moderate
City BAKERSFIELD Grid: 16C FacUnits: 1 AOV:
CommCode: BFD STA 09 SIC Code:7542
EPA Numb: DunnBrad:
+==============================================================================+
+=======================================+======================================+
Emergency Contact ,/ Title Emergency Contact / Title
~KE t:~" Beta'l(),..t',.h / SITE MANAGER JULIO SICAL / GENERAL MANAGER
Business Phone: (661) 832-7348x Business Phone: (661) 832-7348x
24-Hour Phone : (661) 827-8580x 24-Hour Phone : (661) 204-7083x
Pager Phone () x Pager Phone () x
+---------------------------------------+--------------------------------------+
I Hazmat Hazards: Fire Press ImmHlth DelHlth I
+----------------------------.~------------------------------------------------+
Contact: gULIO CI~b~trNe ~eiE5 Phone: (661) 832-7348x.
MailAddr: 7991 WHITE LN State: CA
City : BAKERSFIELD Zip : 93309
+-;~~~-----~~~~~~~-~~~hi~t\~~-~~-M~-~f~ln0~h~~~~-~~~-~~;-~;;~~-----+
A<;ldress: 12121 WILOIIIRE BLVD P.),&~q~l/0n;+-e- LY\1 State: CA (,(,f-eDc?"73"1t""
Clty :-:L05 kHGELBS- ~\e\c\ e-h '1~1 Zip : 90025
+----------------------,--------------------------------------------------------+
Period to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
+-------------------------------------,ra--------------------------------------+
Emergency Directives: 6--td ..- &5 !f!'1lJ
PROG A - HAZMAT IIAII lit f!,S1 ~/A?J5
PROG H - HAZ WASTE GEN /VIJVII""" If
PROG T - ABOVEGROUND STORAGE TANK
PROG U - UST
Based on my inquiry of those individuals
responsible for obtaining the information, I certify
unde~ penalty of law that I have personally
exammed and am familiar with the information
sub iUe and believe the information is true
acc ate, nd complete. , ' ·
/
1
~(t)i
~D\
r\ <)cp?l 'a- i. ~
Lf;oD l ~ ~
If,1DV
ENTV J U
L 1 2 2006
, Date
+==============================================================================+
-1-
05/30/2006
-.-.t"-
.
.,
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield. CA 9330 I
Tel: (661)326-3979
FA:'LlT~:=-1J)l~ _
ADDRESS
Business ID Number
15-021-
Section 1: Business Plan and Inventory Program
o Routine
mbined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
C V
~
( C=Compliance )
V=Violation
OPERATION
COMMENTS
ApPROPRIATE PERMIT ON HAND
--.--..-r-----.---..-.------~------~------- -----------.----.-------.. -....- -.------.....-...--------..- - .. ---- -----..-
\0/' 0 BUSINESS PLAN CONTACT INFORMATION ACCURATE
--ti/6-~~~SIBLE -:,~RESS------------------ -- ---------..---------:.- . - ------.---
-~- .. CORRECT- OC~~PANC~------------------n---------.--- ---.....- 1------------- -. -..-- - -- - -------- .---.----- -
~- VERIFICATIO~- OF-~~~NTORY :TE~IAL;--------------- --+.----.------ - __m__ --. .------.------- - -- -..- .. --------.. -
~--- VERI~~~~ON OF ~:~NT~;~~-----m----------- ------------ _n_____ -- ---------- -.-------- -- ---------..-.----.-----
~- -~ERIFI~A;;ON OF _~~~I~~--m----------..-- ___m __________m____ --..-.--...------ .____.m___ -.. .m_.___m._
-------/--------------------.----------------------------------- I- --- -----------..----. --.-- - .-..----..-.. -----. .-- --. -- --... --. .--.-...-- ..-
~ PROPER SEGREGATION OF MATERIAL
--_...-/~._______._______~-_.---.--- ...__..___________.__....______ __ ___.__..._______.. ...........__ __.. .. _m____nn_____ _______ _____ __.___......n._
~ 0 VERIFICATION OF MSDS AVAILABIUTYE
-~-V~~;I~~TION OF-H-~--M~T ~~~~I~~--- ____m_____.____H._ ___u_____________u___ -- . __unu__u_._m_u_______ n -------
g?O-~-RIFICATIO~~-~~~TE~;~;U-;~;~~-~~D- ;~~~~~~~~-I---m-------- -- ___~--m---u.. - ..-----..-- . ..______.u
- -~-~~~RGENC~- PR~CED~;~--~DEO:TEn-----_----n------- _____.______________n____ -- _u_____u _nn__________.______ -.. .._mm_ u
--~----C~~TAI~~~~-~~~~;~~~-~-~~~~~-------m----------.-- _____+______________u___u________ - 'U'" - --- ---- .... --- -- .-----
--~-------- ---- _n___~________ ________ _____ - --1----- _______.__ n_______
~ 0 HOUSEKEEPING 1
-~-- -~~~-~R;~~;;~~ ---------------- u__ -- __h_ ------ ----------- ------- -- -- _________u ____u____ -------
-~--- SI~~[;;_;~~~M-A~~~~~~~ -&-ON -H;~-~- ---- ----- -------- ..--.--- --.--- ----- -- - -------- -- -- - -----.-------.--- . ..--------
I
...n ______..._
-
EXPLAIN:
Q)os-k 0 (I
~YES (] No
"'cJ ~L ~~O P
ANY HAZARDOUS WASTE ON SITE?:
White - Environmental Services
Yellow . Station Copy
QUmZ~NG T. IS
Inspector
PECTION? PLEASE CALL US AT (661) 326-3979
I
Badge No.,
~
.
~.'
.'
".:
"
~', .
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME---Ulk)tt_W(,l~r ClL, Wa"
INSPECTION DATE~L3/~
Section 2: Underground Storage Tanks Program
o Routine ~ombined 0 Joint Agency 0 Multi-Agency
Type of Tank ---I1.JJF<:S Number of Tanks
Type of Monitoring e (.../1t\ Type of Piping
3D Complaint
DwP
ORe-inspection
OPERA TION C V COMMENTS
Proper tank data on file \.I /
Proper owner/operator data on file V /
Permit fees current /
V
Certification of Financial Responsibility V /'
Monitoring record adequate and current V /
Maintenance records adequate and current /
V
Failure to correct prior UST violations L- /
Has there been an unauthorized release? Yes No 1/
-
I
I
I,
Section 3:
Aboveground Storage Tanks Program
TANK SIZE(S)12);,lr;t) ~"L'L O~( Il}cuk
Type of Tank -Ll L {LlJ.
AGGREGATE CAPACITY ~on
Number of Tanks '
OPERATION Y N COMMENTS
SPCC available ,";"f
.'
SPCC on file with OES
Adequate secondary protection
Proper tank placarding/labeling
Is tank used to dispense MVF?
If yes, Does tank have overfill/overspill protection?
Inspector:
Office of Environmental Services (805) 326-3979
White - Fnv, Svcs.
Pink - Business Copy
C=Compliance
Y=Yes
N=NO
,'"
'i
MONITORING SYSTEM CERTIFICA TION ..~
For Use By All Jurisdictions Within the State of California
Authority Cited: Chapter 6.7, Health and Safety Code; Chapter /6, Division 3, Title 23, California Code of Regulations
This form must be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for each
monitoringsvstenl control panel by the technician \vho performs the work. A copy of this form must be provided to the tank system owner/operator.
The owner/operator must submit a coPY of this form to the local agency regulating UST systems within 30 days of test date.
A. General Information
Facility Name: Whitewater Carwash '
Site Address: 7991 White Lane'
Facility Contact Perso'n: Julio
Make/Model of Monitoring System: Gilbarco EMC
Bldg. No.:
City: Bakersfield, CA Zip: 93309-7685
Contact Phone No.: (661) 343-1706
SIN 50132702705001 Date of Testing/Servicing: 12/7/2006
B. Inventory of Equipment Tested/Certified
Check the appropriate boxes to ipdicate specific equipment inspected/serviced:
Tank 10: T-1 Unleaded Tank 10: T-2 Plus
[gJ In-Tank Gauging Probe. Model: Gilbarco [8j In-Tank Gauging Probe. Model: Gilbarco
[gJ Annular Space or Vault Sensor. Model: LS-3 o AnDllJar Space or, Yal,llt Sensor._ .; ModeL.~ - " . ~' .- . .
, .'
[gJ Pipirig'Sullip / Trench-Sensof(s). '~ModeCLS-3 o Piping SUlilp / Trench Sensor(s). Model:
o Fill Sump Sensor(s). Model: o Fill Sump Sensor(s). Model:
o Mechanical Line Leak Detector., Model: o Mechanical Line Leak Detector. Model:
o Electronic Line Leak Detector. Model: o Electronic Line Leak Detector. Model:
o Tank OverJiJI/ High-Level Sensor. Model: PA6202650960200 o Tank Overtill/ High-Level Sensor. Model: PA6202650960200
o Other (specify equipment type and model in Section E on Page 2). o Other (specify equipment type and model in Section E on Page 2).
Tank 10: T-3 Super Tank 10:
o In-Tank Gauging Probe. Model: Gilbarco o In-Tank Gauging Probe. Model:
o Anilular Space or Vault Sensor. Model: o Annular Space or Vault Sensor. Model:
o Piping Sump / Trench Sensor(s). Model: o Piping Sump /Trench Sensor(s): Model:
o Fill SumpSensor(s):" Model: o Fill Sump Sensor(s). Model:
o 'Mechanical Line Leak Detector. Model: o Mechanical Line Leak Detector. Model:
o Electronic Line Leak Detector. Model: o Electronic Line Leak Detector. Model:
o Tank Overfill! High-Level Sensor. Model: PA6202650960200 o Tank Overfill! High-Level Sensor. Model:
o Other (specity equipment type and mod~1 in Section E on Page 2). o Other (specify equipment type and model in Section E on Page 2).
Dispenser 10: T-1 N/A Dispenser 10: T-2 N/A
o Dispenser Containment Sensor(s). Model: o Dispenser Containment Sensor(s). Model:
o Shear Valve(s). o Shear Valve(s)
o Dispenser Containment F1oat(s) and Chain(s). o Dispenser Containment Float(s) and Chain(s).
Dispenser 10: T-3 N/A Dispenser 10:
o Dispenser Containment Sensor(s). Model: o Dispenser Containment Sensor(s). Model:
o Shear Valve(s). o Shear Valve(s).
o Dispenser Containment F\oat(s) and Chain(s). ,0 Di~pens.er Containlllent.f:loat(s) and Chain(s). -- -
..
Dispenser 10: Dispenser 10:
o Dispenser Containment Sensor(s). Model: o Dispenser Containment Sensor(s), Model:
- o Shear Valve(s). o Shear Valve(s).
o Dispenser Containment F\oat(s) and Chain(s). o Dispenser Containment Float(s) and Chain(s).
. .
*It the lacillty contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility.
c.
Certification - I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers'
guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is
correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also
attached a copy of the report; (check all that apply): ~ System set-up ~ Alarm history report
iYl~ vMA~
532878 A HAZ
Phone No.: (661) 834-6993
Date of Testing/Servicing: 12/7/2006
Signature:
License. No.:
Technician Name (print): Michael Moore
Certification No.: 5249074-UT 006050508
Testing Company Name: Redwine Testing Services, Inc.
Site Address: 7991 White Lane, Bakersfield, CA 93309-7685
Page 1
of
3
Monitoring System Certification
D. Results of Testing/Servicing
Software Version Installed: Gilbarco EMC SIN 50132702705001
C
h f II
h kr
omplete t e 0 OWIlll! c ec' 1st:
DYes o No* Is the audible alarm operational? ,
I:8J Yes o No* Is the visual alann operational?
~ Yes o No* Were all sensors visually inspected, functionally tested, and confinned operational?
I:8J Yes o No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will
not interfere with their proper operation?
DYes 0 No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g., modem)
I:8J N/A operational?
~ Yes 0 No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment
0 N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate
positive shut-down? (Check all that apply) ~ Sump/Trench Sensors: 0 Dis~e~s~r_~ontainment Sensors.
---~- -- -- ---Did-you confitln poSitive shU1:cIownatle"to leaks and sensor-failure/disconnection? ~ Yes; 0 No.
~ Yes 0 No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e., no
0 N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank
fill point(s) and operating properly? Ifso, at what percent oftank capacity does the alarm trigger? 90%
o Yes* ~ No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced
and list the manufacturer name and model for all replacement parts in Section E, below.
~ Yes* 0 No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)
o Product; 0 Water. If yes, describe causes in Section E, below.
~ Yes 0 No* Was monitoring system set-up reviewed to ensure proper settings? Attach set up reports, if applicable
DYes ~ No* Is all monitoring equipment operational per manufacturer's specifications?
"" In Section E below, describe how and when these deficiencies were or will be corrected.
E. Comments: Category Form SIN
T -1 Unleaded Tri State Piping Sump LS-3
Tri State Piping Sump LS-3
Gilbarco In Tank Gaging Probe PA6202650960200 073159
T-2 Plus Tri State Piping Sump LS-3 Fail
Tri State Annular LS-3
In Tank Gaugeing Gilbarco Prot5e- ' P A62 02'650 9602Cfo -073132
T-3 Super Tri State Piping Sump LS-3
Tri State Annular LS-3 Fail
In Tank Gaugeing Probe PA6202650960200 073133
Dispensers have no sensor in UDC, 5 day fix it or ticket or fine by Fire Marshal
Page
2
of 3
Monitoring System Certification
F. In-Tank Gauging / SIR Equipment:
o Check this box if tank gauging is used only for inventory control.
o Check this box ifno tank gauging or SIR equipment is installed.
This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring.
Complete the following checklist:
[8J Yes 0 No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults?
I2.?J Yes 0 No* Were all tank gauging probes visually inspected for damage and residue buildup?
I2.?J Yes 0 No* Was accuracy of system product level readings tested?
[8J Yes o No* Was accuracy of system water level readings tested?
[8J Yes 0 No* Were all probes reinstalled properly?
I2.?J Yes 0 No* Were all items on the equipment manufacturer's maintenance checklist completed?
* In the Section H, below, descr_ib~~,:~nd when_~hes~~:_fic~ncies ~ere or will be co~rected.
G. Line Leak Detectors (LLD):
o Check this box if LLDs are not installed.
c
It h fll
h kl'
omple e t e 0 owmg c ec' 1St:
DYes 0 No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance?
0 N/A (Check all that apply) Simulated leak rate: 0 3 g.p.h.; 0 0.1 g.p.h; 0 0.2 g.p.h.
DYes 0 No* Were all LLDs confirmed operational and accurate within regulatory requirements?
DYes 0 No* Was the testing apparatus properly calibrated?
DYes 0 No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak?
0 N/A
DYes 0 No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak?
o N/A
DYes 0 No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled
0 N/A or disconnected?
DYes 0 No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions
0 N/A or fails a test?
DYes 0 No* For electronic LLDs, have all accessible wiring connections been visually inspected?
o N/A
0 Yes o No* Were all items on the equipment manu{acturer's maintenance checklist completed?
"" In the SectIOn H, below, describe how-and when -these deficiencies were or will be corrected.
H. Comments: Did not test LLD's on 1217/06 at Fire Marshal's request
Page
3
of 3
Monitoring System Certmcation
UST l\fonitoring Site Plan
Site Add.ress:
'-'i;), r:' , I i "'-1:"'""" 'I \ -\ - -Jo Li..
t, I '11. \/-.J,,'\:'_ ". -::'---p..'A""_ . \)J\:-t'. '" ~c..,\~'t-..... ,--' '":.t/~-AC. \ \,.
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Date map was drawn: t.1.1 7 /8.&.
..:..-40
r,'\l s ~:C
Instructions
If you already have a diagram that shows an required IP.formation, you may include it, rather than this page, with
your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly
identify locations of the following equipment, if iIlstalled: monitori...Vlg system control panels; sensors monitoring
tank: annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechapical or
electroIlic line le~1c detectors; ai1.d in-taIl..k liquid level probes (if used for leak detection). In the space provided,
note the date this Site Plan was prepared.
,
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SWRCB, January 2006
Spill Bucket Testing Report Form
Thisforl11 is intendedfor use by contractors performing annual testing of UST spill containment structures. The completed form and
printoutsji-O!11 tests Of applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: Whitewater Carwash I Date of Testing: 1217/06
Facility Address: 7991 White Lane, Bakersfield, CA 93309-7685
Facility Contact: Julio I Phone: 661-343-1706
Date Local Agency Was Notified of Testing : 12/1/06 City of Bakersfield Fire Department
Name of Local Agency Inspector (if present during testing): Inspector Steve Underwood
2. TESTING CONTRACTOR INFORMATION
Company Name: Redwine Testing Services, Inc,
Technician Conducting Test: Michael Moore
Credential s \: o CSLB Contractor X ICC Service Tech. o SWRCB Tank Tester o Other (SpecifY)
License.Number(s): _6249074-U+. V /R 006050508 . _. - -
3. SPILL BUCKET TESTING INFORMATION
Test Method Used: o Hydrostatic o Vacuum X Other
Test Equipment Used: Measuring Tape Equipment Resolution: Mark
IdentifY Spill Bucket (By Tank 1 T-I RegularFiII 2 T-I Regular Vapor 3 T-2 Plus Fill 4 T-I Plus Vapor
Number, Stored Product, etc.) Pameco Pameco Pameco Pameco
Bucket Installation Type: X Direct Bury X Direct Bury X Direct Bury X Direct Bury
o Contained in Sump o Contained in Sump o Contained in Sump o Contained in Sump
Bucket Diameter: 10" 10" 10" 10"
Bucket Depth: 12" 12" 12" 12"
Wait time between applying 5 Min 5 Min 5 Min 5 Min
vacuum/water and start of test:
Test Start Time (T,): 2:00 PM 2:00 PM 2:00 PM 2:00 PM
Initial Reading (R,): 3-3/4" 1-7/8" 3-3/4" 2-3/4"
Test End Time (T F): 3:00 PM 3:00 PM 3:00 PM 3:00 PM
Final Reading (RF): 3-3/4 " 1/78" 3-3/4" 2-3/4"
Test Duration (TF - TI): I Hr 1 Hr I Hr I Hr
Change in Reading (RF - RI): No No No No
Pass/Fail Threshold or Pass Pass Pass Pass
Criteria:
Test Result: X Pass . 0 Fail - X Pass O-Fail X Pass o Fail X Pass o Fail
Comments - (include information on repairs made prior to testing, and recommendedfollow-upforfailed tests)
CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
1l1ereby certify that all the information contained in this report is true, accurate, alUl in fulJ compliance with legal requirements.
Technician's Signature:
tn~ vtMll)A;
Date:
I t.- - ?' -, i~::' ,~~
, State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements
may be more stringent.
I ' '.
SWRCB, January 2006
Spill Bucket Testing Report Form
Thisform is intendedfor lIse by contractors pelforming annual testing of UST spill containment structures. The completedform and
printol/ts pam tests (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency.
1. FACILITY INFORMATION
Facility Name: Whitewater Carwash I Date of Testing: 12/7/06
Facility Address: 7991 White Lane, Bakersfield, CA 93309-7685
Facility Contact: Julio I Phone: 661-343-1706
Date Local Agency Was Notified of Testing : 12/1 /06 City of Bakersfield Fire Department
Name of Local Agency Inspector (if present during testing): Inspector Steve Underwood
2. TESTING CONTRACTOR INFORMA nON
Company Name: Redwine Testing Services, Inc.
Technician Conducting Test: Michael Moore
Credentials I: o CSLB Contractor X ICe Service Tech. fl SWRCB Tank Tester o Other (SpecifY)
License Number(s):. .. 6249074-UT V /R 006050508 - < . - -
3. SPILL BUCKET TESTING INFORMATION
Test Method Used: o Hydrostatic o Vacuum X Other
Test Equipment Used: Measuring Tape Equipment Resolution: Mark
Identify Spill Bucket (By Tank 1 T -1 Regular Fill 2 T-l Regular Vapor 3 T -2 Plus Fill 4 T-l Plus Vapor
Number, Stored Product, etc.) Pameco Pameco Pameco Pameco
Bucket Installation Type: X Direct Bury X Direct Bury X Direct Bury X Direct Bury
o Contained in Sump o Contained in Sump o Contained in Sump o Contained in Sump
Bucket Diameter: 10" 10"
Bucket Depth: 12" 12"
Wait time between applying 5 Min 5 Min
vacuum/water and start of test:
Test Start Time (TI): 2:00 PM 2:00 PM
Initial Reading (Rj): 3-3/4" 2"
Test End Time (T F): 3:00 PM 3:00 PM
Final Reading (Rr): 3-3/4 " 2"
Test Duration (T r - TI): I Hr 1 Hr
Change in Reading (Rr - Rj): No No
Pass/Fail Threshold or Pass Pass
Criteria:
Test Result: - -- X Pass o Fail X Pass o Fail 0 Pass o Fail o Pass o Fail
Comments - (include information on repairs made prior to testing, and recommendedfollow-up forfailed tests)
CERTIFlCA TlON OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING
J Itereby certify tltat all tlte information co/ltained in this report is true, accurate, alld ill full compliance witlt legal requirements.
Technician's Signature:
tyl"J.,J) VJ1AJ/)AJ
Date:
I 2. --q-0 L.
I State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements
may be more stringent.
. ,
:::~~~~~';.'ili:1M:~~~~~1.\fl::m1:@~~;;:;;'t~:.":;'~
BAKERSFIELD FIRE DEPT.
Prevention Services
900 Truxtun Ave., Ste. 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
.'
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD I LINE TESTING
I S8989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM FUEL
MONITORING CERTlFICA TIOr-!
Page 1 of 1
PERMIT NO_ I
o ENHANCED LEAK DETECTION 0 LINE TESTING 0 SB-989 SECONDARY CONTAINMENT TESTING
o TANK TIGHTNESS TEST ~ TO PERF<:)R~l F(jELlvl();N.II9RIP~G."~EFlTI~i(;~!I()t:'l __ _ .... '. . .' . . _'.' '." _
! .';,i.e..V;::.;;:......-.;;. :.:.i..."Z}i;;'i::;jej;';""jj;;ibI:~"";;;:' ,.tit-; :;;;:~:0;~x..;jM';j;:~i@f;:slmE;iIN'[0RM'ifTIQNttjsp;:'ijE-jJj{Hjf':jji@:;~;j;jJ:;Ji:i';;tWj:;S:i!.~d:;:;:::-;;; :ry;];:?).; . .-; ..,-.,.... '.' i..t..,........;\
:,..FACILlTY I 1"\ _ [t.JL. ::::I _ _ (\ INAME &. PHONE NUMBER OF CONT ACT PERSON
W~UAV-- LoJL4J%Jt ,/ i 9/AP;Al I..tJlc]- 843- 17010
ADDRESS ~
i 19q) iIII~d~! /3~Jd-d) M- Q3301
OWNERS NAME
!PERMIT TO OPERATE NO,
lOPERATORS NAME"
i
NUMBER OF TANKS TO BE TESTED _____~S PIPING GOING TO BE TESTED? ----,bLL~'L---- 0 NO _________________________j
; TANK # \ VOLUME ! CONTENTS .. . i
~---------I----------.--- I _..~OZ-----..----------i-.---------u::iI-.---.-------~'
I I !
! ~ ! 10 K i To'
I 3 ! IOK- ; .
;------------------.-----------r---.-----------------------.i---.--.------..-------~--.---. -----------------l
. I .
,-----------------..--------------------1----------.-----------------------T------------..---------..-------.. ----.---------.-----1
r; ,...~__i,~".,
::'.\-",:,:-<~::
q 3 {);L.
ICER IIFICATION #:
i Oc- to D S- Cl S- o?
iiCe#": _
! 5:2. t./er()1~ - u.T
~ [DATE / ,2..-1 0 i.o
.' PPl!..lCAl'tON: SeC-QMES A PERMrr WHEN: APPROJGED _____
!DATE .
EST METHOD
r~fg~~~~;~_r;:::::~~~::~ ~, -- "
;,:!:.::y~:~
"',,';:.--''"'<'' "-";>;.,
;\;:\":";:_U~D /~-'-,
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, ., ,,' ,.'-;,:,,' ~;'- "t '" '. .
'':c'
-_._-----,.---~
C"'..'''-'''''','',''",'_''-,_
.'}~G{3~?"~;, ':-:~',~:Y\;-{:'.~-',':':;-;: :~>iSi'/d.-: -':~_',<~~:,~;'
!,'lA.MEO~A y.
AILING ADDRESS
PO.
I.4PPROVED BY
FD2106
~~otl~:o/0~~~~~~~~~~'t~~~.mYi).1_~}i~~~~~~=1':..~,<""u"=..,,.,..._...,._M_.....~~_=""'"'~."'_~.....v"',,~v_..__...~__._.._
---- --------'--1
UNDERGROUND STORAGE TANKS
BAKERSFIELD FIRE DEPT.
Prevention Services
900 Tnpctun Ave.. Ste. 210
Bakersf!e1d, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
APPLICATION
TO PERFORM ElD tllNE TESTING
I S8989 SECONDARY CONTAINMENT TESTING
rrANK TIGHTNESS TEST AND TO PERFORM FUEL
MONITORING CERTIFICATION
Page 1 of 1
PERMIT NO. I T( -ot'6 ~
o ENHANCED LEAK DETECTION 0 LINE TESTING
o TANK TIGHTNESS TEST
o SB-989 SECONDARY CONTAINMENT TESTING
CERTIFICATION
W'~
PERMIT TO OPERATE NO.
UMBER OF TANKS TO BE TESTED
TANK #
IS PIPING GOING TO BE TESTED?
VOLUME
DYES
o NO
CONTENTS
I
10 K-
/0 K
IDK-
~
3
EST METHOD
FD2106
n,.,___".,.__.~.~__
i7 'G
~ 1'~ 'I'l!~ '?"
:II .~ "';T T'IJl:i!,\\,;m ,M__,!m~.;,:~ ~ _..:
~ -
_......_~.""'-_._-
.~ _ ,,"':l '. l _ ,.J. ._~.M~ ~._~~_.,., ."...4 .<~.
",
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
PREVENTION SERVICES
Ralph Huey, Director
900 Truxtun, Suite 210
Bakersfield, CA 93301 .
VOICE (661) 326-3979
FAX (661) 852-2171
January 4. 2007
Mr. Julio Sical
Whitewater Car Wash
7991 White Lane
Bakersfield, CA 93309
NOTICE OF VIOLATION
AND SCHDULE FOR COMPLIANCE
Re:
Failure to Perform Statistical Inventory Reconciliation (SIR)
Manual Tank Gauging at Whitewater Car Wash. 5201 Stockdale Hwv
Dear Mr. Sical:
During your annual fuel monitor certification performed by Redwine Testing
Services on Wednesday, January 3, 2007, the fOllowing violations were noted:
1. No in-tank orobes. Currently, your Gilbarco fuel
monitor device is not doing Automatic Tank Gauging
(ATG). Point-in-fact, you have no probes in any of
your tanks to do ATG. Code allows for Statistical
Inventory Reconciliation (SIR) under the following
conditions:
a. SIR shall be conducted at least once per
month in accordance with Section 2646.1
(Title 23 California Code of Regulations.
Division 3, Chapter 16 Underground Tank
Regulations) and shall be capable of
detecting a release of 0.2 gallons per hour.
In addition. a tank integrity test shall be
conducted once every two years in
accordance with Section 2643.1. SI R
analyzes inventory, delivery. and dispensing
data collected over a period of time to
determine whether or not a tank system is
leaking.
b. Each operating day, the product level is
measured using a gauge stick or other tank
level monitor. You also keep complete
records of all withdrawals from the UST and
all deliveries to the UST. After data have
been collected for the period of time
required by the SIR vendor, you provide the
data to the SIR vendor.
:7~Me~~..kY~~ ....
v,-
~.
(\:
Mr. Julio Sical. Whitewater Car Wash, 7991 White Lane. Bakersfield, CA 93309
January 4,2007
Page 2
c. The SIR vendor uses sophisticated computer software to
conduct a statistical analysis of the data to determine whether
or not your UST system may be leaking. The SIR vendor
provides you with a test report of the analysis.
d. To be allowable as monthly monitoring, a SIR method must
be able to detect a leak of at least as small as 0.2 gallons per
hour and meet the federal regulatory requirements regarding
probabilities of detection and a false alarm data must be
. submitted at least monthly.
e. The vendor, as is mentioned, is a third party firm that
specializes in sophisticated computer software to conduct
SIR. It is not the resoonsibility of your fuel suoolier.
2. All three direct bury spill buckets failed. They must be repaired/
replaced immediately.
3. You have a secondary vent line in the 91 turbine sump that is cracked. The crack
runs at least 12 inches and appears to go through the penetration fitting outside of
the turbine sump. This also must be replaced immediately.
4. When the turbine sumps were opened, two of them (#87 and #91) had free
standing water in them approximately six inches. Both sensor probes were totally
submerged and were not in alarm which indicates that the sensors are not
functioning. Since no alarm was indicated at the panel, these also must be
replaced immediately.
5. You have three exit signs where the bulbs are burned out and must be replaced.
Please have this corrected within 30 days (February 3, 2007).
It is the recommendation of this office that you install an ATG system in lieu of SIR reporting. Your
Gilbarco system is capable of adding an A TG system to its software. This would avoid SIR
requirement.
It is also recommended that your Designated Operator (who should have noticed that much water
in your turbine sumps as it appears that water has been accumulating for some time) should have
caught this with a minor visual inspection.
Also, it is recommended that your documentation (log book) for your Designated Operator be kept
next to your Gilbarco monitor device. This will insure that when an Inspector asks for it, it can be
readily available. Your book was apparently lost (could not be found during my inspection).
However. Redwine Testing Services (I was told) brought out a replacement copy.
,~~
i~
Mr. Julio Sical, Whitewater Car Wash, 7991 White Lane, Bakersfield, CA 93309
January 4. 2007
Page 3
Lastly, documentation, all contractors who perform fuel monitoring certifications are required by law
to affix a tag/sticker for every component that is tested and certified. During my inspection. no
stickers were affixed to any of your UST components. In the future, please look to see that any
repair work or certifications that are done have a tag or sticker affixed.
Items 1 through 4 need immediate attention. Failure to comply may result in revocation of your
Permit to Operate. Item 5 must be corrected within 30 days, February 3,2007.
Should you have any questions, please feel free to call me at 661 - 326-3190.
Sincerely,
"J -,l f CIJkD' 7,'
\JM.. . )
\'
Steve Underwood,
Fire Prevention Officer
SU/db
cc: Redwine Testing Services, Inc.
1lfII!k ~- \'
REDWINE TESTING SERVICES, INC.
P.O. BOX 1567 .
\
BAKERSFIELD, CA 93302-1567
PH (661) 834-6993
Fax (661) 836-3177
EmaiJ: redwinetest@prodigy.net
Tank and Pipeline Compliance Experts
Testing · Installation · Removal. Closure
Monitor and Cathodic Protection Testing
liCense No. A-532878HAZ
HG No. 415
RG No. 5761
MECHANICAL LEAK DETECTOR TEST
WORK SHEET
W/O#:
Facility Name:-'Whifewatei' Carwash
Facility Address: 7991 White Lane, Bakersfield, CA, 93309-7685
_.__."...._~
Product Line Type ~:.~.~~~~) Suction, Gravity) Pressure
PRODUCT LEAK DETECTOR TYPE TEST TRIP PASS
SERIAL # BELOW PSI OR
3 GPM F .AIL.
T-1 UD TYPE FT Petro (YES) ~&/
.......... -_.,,"'~~
Regular SERIAL # 10190 NO 0.1 FAIL
92 mil .....co,,.
T-2 UD TYPE FT Petro (:YES' (~~
Plus SERIAL # 10190 NO 0.1 FAIL
93 mil -~..---..~-... '-"-~"--'-
T-3 UD TYPE FT Petro ( YE_SY , PASS J
"-<-....,- -...;...,............-
Super SERIAL # 10190 NO 0.1 FAIL
- 93 mil
UD TYPE YES PASS
,-;;; ,...0.. -_ SER'IAL# . - NO
. . - -. . FAil.
I certify the above tests were conducted on this date according to Red Jacket Pumps
field test apparatus testing procedure an limitations
The Mechanical Leak Detector Test pass 1 fail is determined by using a low flow
threshold trip rate of 3 gallon per hour or les at 10 PSI
I acknowledge that all data collected is true and correct to the best of my knowledge.
Tech: Michael Moore 5249074-UT
fYlwlJ vh1JI'uW
Signature:
Date: 12/20106
~~
~:....:- '.
~JH I TE,JATER CARl..,.IAE3H
7991 I/,JH I TE LANE
BAKESFIELD CA
WHITEWATER CARWASH
7991 UHITE LANE
BAKESFIELD CA
DEC 12. 2006 7:42 PM
UHITEUATER CARWASH
79'31 (".JH ITE LANE
BAKESFIELD CA
DEG 12. 2006 5: 45 PI"1
S'lEHEf"l En A T US REPO RT
DEe 12. 2006 7:56 PM
. I N\/ENTORV REPORT
T 1: UNLEADED
'v'OLur'1E
ULLAGE
90% ULLAGE=
Te '\/OLU!"IE -
HEIGHT
~,JATER VOL
[,0ATER
TEf"1F
T 2:PLUS
'v'OLUf"IE
ULLAGE
90:~. ULLAGE=
TC VOLUf"IE
HE IGHT
~\IATER VOL
~JATER
TEr"IF
T :3: SUF'ER
\/OLUr"lE
ULLAGE
9Q:!'o ULLAGE=
TC VOLUf"'lE
HE I GHT
~JATER \/OL
UATER
TEr'1F
ALL FUNCT IONS NORf"lAL
C,\""-'TE!"l STATUS REPORT
t~.L.:) ~ _ _ _
- - - -
- ALL FUNCTIONS NORt"lAL
I N\lENTOF~\' REPORT
8129 GALS
38'35 GAL::;:;
2692 GALB
'8067 'GALS'
61 . 14 INCHES
o GALS
0.00 I NGHEE:;
70.9 DEG F
-----, SENE30F~ ALARf"1
L 1: 87 ANNULAR
ANNULAR SPACE
F lIEL ALAF:r'j
DEG 12. 2006 7:50 PM
T I:UNLEADED
\lC'Lur"lE
ULLAGE
'30% ULL.AGE=
TC 'v'C'LU!"lE
HEIGHT
[".lATH: \/OL
["JMTER
TH'lP
5123 (,ALS
6901 GALS
5698 GALS
5073 GALS
42. 19 INCHES
, 1 4 GALS
0.75 INCHES
73.8 DEG F
T 2:PLUS
\lOLLII"'IE
ULLAGE
90% ULLAGE=
TC \,IOLUf"IE
HEIGHT
[,.JATER \/OL
I;.IATER
TEf"1F
:3001 GALS
902:3 GALS
7820 GALS
2967 GALS
2::: . 42 I NCHE:3
o GALS
0.00 INCHES
75.::: DEG F
WHITEUATER CARWASH
7991 I,.JH 1 TE LANE
BAKESFIELD CA
DEG 12. 2006 7:56 PM
T :3 :SUPER
\lOLUf"lE
ULLAGE
90% ULLAGE=
TC IJOLUf"lE
HEIGHT
~',JATER \/OL
v,lATER
TEf"IP
* ~ * ~ * END ~ * * * ~
S"x':3TEf"l BTATUE:; REPORT
ALL FUNeT IONS NORf"lAL
8130 GALS
3894 GALS
2691 GALS
8067 GALS
6 1 . 1 4 I NC HES
o GALS
0.00 INCHES
70.9 DEG F
5123 GALS
6901 GALS
56gB C~ALS
,:;n'7"~ ("AL'3
4'~ - 1 g I NC'HEE:;
- . 1 4 GALS
0.75 I NCHEE:;
73.8 DEG F
3001 GALE:;
'302:3 GALB
7B20 Gf~LS
2957 GALS
28.42 I f"lCHES
o GALS
0.00 INCHES
75.7 DEG F
* * * ~ ~ END ~ * * ~ *-
----- SENSOR ALARM -----
L 4:89 STP
BTP :3Uf"lP
FUEL ALAF:r"l
DEC 12. 2006 7:39 PM
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Bli;.}r~RSFIELD FIRE DEFT,
PEevention Sel\ri{:.€.5
900 'Tn.r~-tUD .f.~-.-/e., .St.e. 2.10
B;:i 1{erstleld: CP;.. 93301
'Y'eL. (661) 326-3979
t'a~~: (661) -352-2171
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jl UNDERGROUND STOfLi;GE Tl-\NKS
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TO PERfORfvl ELD j L~NE TEST!NG
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Bakersfield Fire J)ept.
PREVENTION SERVICES
Fire Safety Services · Environmenta,l Services
900 Truxtun Ave., Suite 210
Bakersfield,CA9330 I
Tel: (661) 326-3979
DATE "
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CySTATE SU.RC~GE
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FD1734 (rev: 12/03)
Rodwine Technician: Josh Davis
Is additional work required'!
D=ribe;
Yes
No
Work. to be completed:
Test ",sulls sent 10: Client:
Regulatory Agency:
Whitewoter Carwash
Attn: Julio
7991 White lane
Bakersfield. CA 93309
Inspector Steve Underwood
City of Bakersfield
900 Truxfun Avenue. Suite 210
Bakersfield. CA 93301
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U~~DERGROUND STORAGE TANKS
BAV~NSFIELD FIRE DEPT"(>
P1revention Serv'iceg
;. PPL~r"AT~Ol\i
..,_ _ _ """ _ _. ~ _ Ii!
900 'Tn..LxiUIl .:.~-"ie _. Ste. 210
Ba.i{ersneld; CP:.. 93301
'T"el._ (661) 326-39"79
ta.:x::: (661) 352-2171
TO PERFORfv; ELD j L~NE TEST!NG
/ S8989 SECONDARY CONT.!~I,~Nf\t!ENT TEST!NG
it; ANK TIGHTNESS TEST AND TO PERFOFH\:1 FUEL
w10N~TOFnNG CERT~F~CAT~ON
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PERMIT NO.
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LiNE TEST1NG
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APPROVED 8\'
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FD21DE
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~NDERGROU~DSTORAGETANKS
BAKERSFIELD FIRE DEPT.
Prevention Services
900 Truxtun Ave., Ste. 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
APPLICATION
TO PERFORM ELD I LINE TESTING
I SB989 SECONDARY CONTAINMENT TESTING
frANK TIGHTNESS TEST AND TO PERFORM FUEL
MONITORING CERTIFICATION
Page 1 oj 1
PERMIT NO. I r-r -o~,B W
o ENHANCED LEAK DETECTION 0
o TANK TIGHTNESS TEST 0
LINE TESTING
j6 SB.989 SECONDARY CONTAINMENT TESTING
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INAME & PHONE NUMBER OF CONTACT PERSON
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PERMIT TO OPERATE NO. !
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TANKS TO BE TESTED__ liS PIPING GOING TO BE TESTED? . .________p.-S__. 0 NO ,t?~.M
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FD2106
RONALD J. FRAZE
FIRE CHIEF
Gary Hutton,
Senior Deputy Chief
Administration
326-3650
Deputy Chief Dean Clason
OperationsfIraining
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 SE~VICES
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
December 1. 2005
Whitewater Car Wash
7991 White Lane
Bakersfield. CA 93309
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.
Over the last six months this office has continued to send reminder notices regarding
secondary containment testing.
Code requires that all secondary containment systems must be tested 6 months post
construction and every 36 months there after.
Senate Bill 989 became effective January 1. 2002. section 25284.1 (California
Health & Safety Code) of the new law mandates testing of secondary containment
components upon installation and every 36 months. thereafter, to insure that the
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.
Those sites that have not been tested and have not pulled a pennit 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 pennit to operate.
Should you have any questions. please feel free to call me at (661) 326-3190.
Sincerely,
7~p"v<ntion S,,,;oe,
Steve Underwood
Fire Prevention Officer
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