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HomeMy WebLinkAbout2008 RESULTS I j :1 iil ) I I I I ,I I II I:i I' " ~ i':~' ~ f !I: 'J '.( I I ~. I r ~ - ;f ':~ c" 1 , \ r- ""-~ ~ . r FASTRIP 8001 WHITE LANE Y\ ~. ""' .!. ~ ;D - I~n)-' f) (jj/' \J i\ .n :.," f:' ..< '-' II ",u d ./"'1 /. , t: - -' ---".I '" \, , ~#J / ," ........" -- .~....._~..,_.._---- I I.... r:,'~ I I ., . , PerDlit .-;<.~ to Operate Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: , ,azardous Materials Plan "~t~round Storage of Hazardous Materials "",,,agement Program " Waste 8001 PERMIT ID# 015-021.000649 ,)/ FASTRIP #640 LOCATION WHITE TAN HAZARDOUS SUBSTANCE 'i; K PIPING PIPING PIPING PIPIN ITOR TYPE TYPE METHOD ONIT LPT F PRESSURE ALD "~iG LPT F PRESSURE ALD ,,:ÂTG LPT F PRESSURE ALD ATG LPT F PRESSURE ALD ATG LPT F PRESSURE ALD ATG LPT F PRESSURE ALD ATG LPT F ALD , , 0001 REGULAR GASOLINE 0002 UNLEADED GASOLINE 0003 PREMIUM UNLEADED GASO 0004 DIESEL #2 0005 REGULAR GASOLINE 0006 UNLEADED GASOLINE 0007 PREMIUM UNLEADED GASO 12,00t}:0() 12,000'jQO 12,OOO.ÔQ 12,000.00 12,000.00 12,000.00 12,000.00 - , Issued by: Bakersfield Fire Department OffiCE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 4f~ ph Huey, ffice of ental Servi es , June 30, 2000 Approved by: Expiration Date: " , ;i to Operate tJí1derground Hazardous Materials Storage Facility Permit G "II' ,.. ....... . ," y ...... . , T . T "k" .. p' . ~t~,~~'t;';!/'.....~riS~af1jjp>w-; M¿ri~~~~~\êi~! ~~~: .., .. .." 1.. ( ..··..m..~ A1t, 6- .. .. 'L f'1 .'. " '(Jt?Q' .... ' , ,', ' '....,'...... " , ,', " '.' ".. ' . . " ',".' .,.."" .. ." ,.. \;'2;", ,..:."",){""::"">,,,, '. ))}' :;. '; ';' ',.,;; \;.... .::;:::" ""': ',". ,,' '..,'.'....,.. ',',...,.,.. ..., ,". ....' ' .., ... ' '. . , .. · . . . , . ' , , .:", ".:' :-;':'. .', ':, ", :'. ' . . , ,., . ., . . , · " ., . .. .... ..., , ,'. · .' . , . . . , , . . . , - , . . " . . ............ (:'>;:r : ;'j ....:....... Jt ,:::::::.:~~! ("".' ',. ,. ".'" . .. .., . . ". ~,~ . , h ~ ~ . . , . .. ", ".-:'. . :'.-'. ",.':' . - . , . ... . ., . .. , .. '. '.', . .... '. ..,. ::;, 'S~:~. /;::> , /:i::::.,¡,f . ',' '. ','.' , '" .... .., - .. . .. , ". .,,':':1 .:' ',':::: ':.Y I :"', '...,':,;: .., ... . ,.,/,...,' ì ",i'':.,'.,.'::)/ " \' ...' ',., -. ": .'.. ,'. ". . . .. . :·.:(::::C;:.·· .:. ;,; ¿ 1-/9 No. .D. No. I State Piping Monitoring Â(.D Piping Method 'p rC. <:<;:c../?- ~ ~ mk 'pe ; Issued To: c:.... ({ p r;.IVJ S '(C) r goo ! (,oj" .Jot.. "\ ß (, tí>~I s ,Ce ~l L(, jc. C6 F;~A r ( I :~. j¡:' :. ;'.':'",;...:...'. , Hazardous Substance , , \ /, fe~ ~ ,~·I "/ l. VI '" (-ec..cß<c/ fl." ') prCþ,.... I (A ""1 d.1 e-~c { re.ji.Å /..,,¡- \111- ~...., (<:e:JeJ pi",> Tank Number , , 2- 3 4 ~ ~ 7 .. p r£''V''~1 .... ... .. Bakersfield Fire Dept. HAZARDOUS MATERIALS DIVISION 1715 Chester Ave" 3rd Floor Bakersfield, CA 93301 (805) 326-3979 Issued By: Valid Coordinator Materials Ralph E. Huey, Hazardous Approved by: f\ (w(.; MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations .. ;-r. This form must be used to document testing and servicing of monitoring equipment. A separate certification or reoort must be prepared for each monitoring system control panel by the technician who 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 this date. A. General Information Facility Name: #367 Fastrip #640 Site Address: 8001 White Lane City: Bakersfield Bldg. No.: Zip: 93309 Facility Contact Person: Omere Garcia MakeIModel of Monitoring System: Veeder-Root TLS 350 Contact Phone No.: 661-393~7000 Date of Testing/Servicing: 7/27/2007 !t!:ev-=~~to~~e~:~~~~~..';.;~~ed Tank ID: 12000 gal. Regular 1 Tank ID: 12000 gal. Regular 2 W In-Tank: Gauging Probe. Model: 847390-1 07 ~ In-Tank: Gauging Probe. Model: 847390-107 W Annular Space or Vault Probe. Model: 794380-420 [!J Annular Space or Vault Sensor. Model: 794380-420 ~ Piping Sump / Trench Sensor(s). Model: 794380-208 [!J Piping Sump / Trench Sensor(s). Model: 794380-208 W Fill Sump Sensor(s) Model: 794380-208 ~ Fill Sump Sensor(s). Model: 794380-208 W Mechanical Line Leak Detector. Model: FX1V 0 Mechanical Line Leak Detector. Model: N1A o Electronic Line Leak Detector. Model: 0 Electronic Line Leak Detector. Model: [!] Tank: Overfill / High Level Sensor. Model: 847390-107 ~ Tank: Overfill / High Leval Sensor. Model: 847390-107 D Other (specify equip. type and model in Sec. E on Pg. 2) 0 Other (specify equip. type and model in Sec. E on Pg. 2) Tank ID: 12000 gal. Super Tank ID: 12000 gal. Diesel W In-Tank: Gauging Probe. Model:847390-107 f!] In-Tank: Gauging Probe. Model: 847390-107 W Annular Space or Vault Sensor. Model:794380-420 W Annular Space or Vault Sensor. Model: 794380-420 [!] Piping Sump / Trench Sensor(s). Model: 794380-208 ~ Piping Sump / Trench Sensor(s). Model: 794380-208 W Fill Sump Sensors(s). Model:794380-208 f!] Fill Sump Sensor(s). Model: 794380-208 [iJ Mechanical Line Leak Decector. Model: FX1V f!] Mechanical Line Leak Detector. Model: FX1V 0 Electronic Line Leak Detector. Model: 0 Electronic Line Leak Detector. Model: W Tank Overfill / High Level Sensor. Model:847390-107 [!J Tank Overfill / High Level Sensor. Model: 847390-107 0 Other (specify equip. type and model in Sec. E on Pg. 2) 0 Other (specify equip. typs andmodel in Sec. Eon Pg. 2) Dispenser ID: 13 & 14 Dispenser ID: 15 & 16 [i] Dispenser Containment Sensor(s). Model: 794380-208 f!] Dispenser Containment Sensor(s). Model: 794380-208 [i] Shear Valve(s). ~ Shear Valve(s). o Dispenser Containment Float(s) and Chain(s). o Dispenser Containment Float(s) and Chain(s) Dispenser ID: 17 & 18 Dispenser ID: 19 & 20 ~ Dispenser Containment Sensor(s). Model: 794380-208 ~ Dispenser Containment Sensor(s). Model: 794380-208 f!] Shear Valve(s). ~ Shear Valve(s). o Dispenser Containment Float(s) and Chains(s). o Dispenser Containment Float(s) and Chain(s). Dispenser ID: 21 & 22 Dispenser ID: 23 & 24 ~ Dispenser Containment Sensor(s). Model: 794380-208 I!J Dispenser Containment Sensor(s). Model: 794380-208 00 Shear Valve(s). I!J Shear Valve(s). o Dispenser Containment Float(s) and Chain(s) o Dispenser Containment Float(s) and Chain(s). . . *Ifthe facIhty contams more tanks or dispensers, copy thIS form. Include mformation for every tank: and dispenser at the facility. C. Certification - I certify that the equipment identified in this document was inspected/services in accordance with the manufacturers' guidlines. Attached to this Certification is information (e.g. manufacturers' checklist) necessary to varify that this information is correct and a plot plan showing the layout of moni~ring equipment For equipment capable of generating s~c~ reports, I ~ve attached a copy ofthe report; (check all that app~) 0 Syst~ Set:up ,jt]AIann hjstory report TechnICIan Name (pnnt): Kristopher Karns SIgnature: -1J..I1. A .J ~ ~ Certification No: 834106 License No: 804904 Testing Company Name: Confidence UST Services, Inc. Phone No: 800-339-9930 Site Address: 8001 White Lane, Bakersfield, CA 93309 Date of Testing/Servicing: 7/2712007 " D. Results of Testing/Servicing Software Version Installed: 327.04 Complete the following checklist: iii Yes DNo* Is the audible alarm operational? x Yes r 1 No* Is the Visual alarm operational? "x Yes I I No* Were all sensors visually inspected, functionally tested, and confirmed operational? x Yes DNo* Were all sensors installed at the lowest point of secondary containment and positioned so that other L- equipment will not interfere with their proper operation? UYes txj No* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) x N/A operational? ~ Yes DNo* For pressurized piping systems, does the turbine automatically shut down if the piping secondary DN/A containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initate positive shut-down? ~ Sump/Trench Sensors iii Dispenser Containment Sensors Did you confrrm positive shut-down due to leaks and sensor failure/disconnected? [i] Yes; 0 No; DYes ~No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (Le. no DN/A mechanical overfill prevention valve is installed), is the overfill warning alarm visual and audible at the tank fill point( s) and operating properly? If so, at what percent of tank capasity does the alarm trigger? L 90 J% D Yes* [iI 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. D Yes* ~No Was liquid found inside any secondary containment systems designed as dry systems? :r x Ve!': o Product; 0 Water. If yes, describe causes in Section E, below. I INo* Was monitoring system set-up reviewed to ensure proper settings? Attach set-up reports, if applicable. Lx Yes r 1 No* Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, discribe how and when these deficienci~ were or will be corrected. E. Comments: Exterior overfIll alarm is not operational. Maint. contractor (Sunset, Mark) has been notifIed and will repair. 1':'- F. In-Tank Guaging I SIR Equipment: [i\ Check this box if tank guaging is used only for inventory control. o Check this box if tank guaging or SIR equipment is installed. This section must be completed if in-tank guaging equipment is used to perform leak detection monitoring. Complete the following checklist: [!] Yes 0 No* Has all input wiring been inspected for proper enter and termination, including testing for ground faults? c- x Yes No* Were all tank guaging probes visually inspected for damage and residue buildup? x Yes No* Was accuracy of system product level readings tested? x Yes No* Was accuracy of system water level readings tested? x Yes No* Were all probes reinstalled properly? ~ Yes 0 No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H. below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): o Check this box ifLLD's are not installed. c till kr omplete the 0 owm chec 1St: [i] Yes DNo* For equip. start-up or annual equipment certification, was a leak simulated to varify LLD performance? (Check all that apply) Simulated leak rate: ~3 g.p.h.: 00.1 g.p.h.; 00.2 g.p.h.; i-"i' ~Yes No* Were all LLD's confmned operational and accurate within regulatory requirments? I1x J Yes No* Was the testing apparatus properly calibrated? ~Yes No* For machanical LLD's, does the LLD restrict product flow if it detects a leak? - N/A o Yes No* For electronic LLD's, does the turbine automatically shut off if the LLD detects a leak? -- [iJ Nt A DYes WNo* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is [x] N/ A disabled or disconnected? o Yes WNo* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system ~N/A malfunction or fails a test? DYes WNo* For electronic LLD's, have all accessible wiring connections been visually inspected? ~] Yes ~N/A L No Were all items on the equipment manufacturer's maintenance checklist completed? * In the section II, below, describe how and when these deficiencies were or will be corrected. H. Comments: I~ I \ FASTRIP 367 8001 WHITE LANE BAKERSFIELD.CA 93309 JUL 27. 2007 10:40 AM SYSTEM STATUS REPORT - - - - - - - - - - - - h 5:DEGRD COLLECT WARN INVENTORY REPORT T 1: UNLEADED VOLUi"lE ULLAGE 90% ULLAGE'" TC VOLUi"tE '" HEIGHT WATER VOL WATER TEMP T 2:UNLEADED VOLUI-1E ULLAGE 90% ULLAGE'" TC VOLUME '" HE IGHT WATER VOL WATER TEMP T 3 : PREr1 I UM VOLUi"IE ULLAGE 90% ULLAGE'" TC VOLUME '" HEIGHT WATER VOL WATER TEMP T 4:DIESEL VOLUME ULLAGE 90~. ULLAGE '" TC VOLUME = HEIGHT WATER VOL WATER TEMP 7450 GALS 4550 GALS 3350 GALS 7272 GALS 71.46_ INCHES 10 GALS = 0.76 INCHES '" 94.0 DEG F 2 7173 GALS 4827 GALS 3627 GALS 7013 GALS 55.40 INCHES 14 GALS 0.77 INCHES 91.8 DEGF 5989 GALS 6011 GALS 4811 GALS 5847 GALS 59.91 INCHES o GALS 0.00 INCHES 93.6 DEG F '" 6476 GALS 5524 GALS" 4324 GALS 6386 GALS 63.74 INCHES o GALS 0.00 INCHES = 90.8 DEG F MANIFOLDED TANKS INVENTORY TOTALS T 1: UNLEADED T 2:UNLEADED 2 VOLUME = 14623 GALS TC VOLUME = 14285 GALS ~ * * ~ ~ END ~ ~ ~ * ~ SYSTEM SETUP JUL 27. 2007 10:40 AM SYSTEi"1 UN ITS U.S. SYSTEM LANGUAGE ENGLISH SYSTEM DATE/TIME FORMAT 110N DD WYY HH:MM:SS xi"1 FASTRIP 367 8001 WHITE LANE BAKERSFIELD.CA 93309 SHIFT TIME 1 : 6:00 AM , / ' SHIFT TIME 2 : DISABLED' _ . SHIFT TJME3-~ '-:";t'DtSABLED SHIFT ~IME 4 : DISABLED TANK'PER TST NEEDED WRN 'DISABLED TANK ANN TST NEEDED WRN DISABLED LINE RE-ENABLE METHOD PASS LINE TEST LINE PER TST NEEDED WRN DISABLED LINE ANN TST NEEDED WRN DISABLED PRINT TC VOLUMES ENABLED TEMP COMPENSATION VALUE (DEG F): 60.0 STICK HEIGHT OFFSET DISABLED ULLAGE: 90% H-PROTOCOL DATA FORMAT HEIGHT DAYLIGHT SAVING TIME ENABLED START DATE APR WEEK SUN START TIME 2:00 AM END DATE OCT WEEK 6 SUN END TIME 2:00 AM RE-DIRECT LOCAL PRINTOUT DISABLED EURO PROTOCOL PREFIX S SYSTEM SECURITY CODE : 000000 MAINTENANC~~HISTORY DISABLED 1,,,' ~t!l':lK~~;J;,:SECUR'ITY' '. D I SAo~EI.J I"~ . CUSTor1 ALARI"1S' DISABLED (-lASS/DENS I TY . < .~; COMMUNICATIONS SETUP il------ ; PORT SETTI NGS : ! t 'i COM!"1 BOARD : 1 '. RS-232 SECUR I TY CODE : DISABLED (EDII1 ) COMM BOARD 3 (RS-232) BAUD RATE 9600 PARITY NONE STOP BIT : 1 STOP DATA LENGTH: 8 DATA RS-232 SECURITY CODE : DISABLED AUTO TRANSMIT SETTINGS: AUTO LEAK ALARM LIMIT DISABLED , AUTO HIGH WATER LIMIT DISABLED ',' ' AUTO OVERFILL LIMIT DISABLED , AUTO LOW;PRODUCT DISAaLEP/. " , AUTO;.THJ;;fJ;,.).. I I-I 1.:1'. D I SABLEf:1i;;i/- '. ,. ... 'AUTO DEf:I:'._ :'~~P!AJ<T __ DISABLED ,;;.' ,.;<.d____ ,~' AUTO DELIVER~ ~ND . tlISABLED (." AUTO EXTERNAL ..1 NPUT ON DISABLED . AUTO EXTERNAL INPUT OFF DISABLED AUTO SENSOR FUEL ALARM DISABLED AUTO SENSOR WATER ALARM DISABLED AUTO SENsOR OUT ALARM DISABLED RS-232 END OF MESSAGE DISABLED ", IN-TANK SETUP T 1: UNLEADED PRODUCT CODE THERMAL COEFF TANK DIAMETER TANK PROFILE FULL VOL : 1 : .000700 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. WATER WARNING : HIGH WATER LIMIT: MAX OR LABEL VOL: OVERF I LL LI 1"11 T HIGH PRODUCT DELI VERY LI M IT 2.0 3.0 12000 90% 10800 95% 11400 10% 1200 1200 99 99 0.00 0.00 LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT : PROBE OFFSET SIPHON MANIFOLDED TANKS Tit: 02 LINE MANIFOLDED TANKS Tit: NONE LEAK MIN PERIODIC: 1% 120 LEAK MIN ANNUAL 1% 120 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY 1 MIN PUMP THRESHOLD : 10.00% T 2:UNLEADED 2 PRODUCT CODE THERMAL COEFF TANK DIAl1ETER TANK PROFILE FULL VOL FLOAT SIZE: WATER WARNING : HIGH WATER LIMIT:' MAX OR LABEL VOL: OVERFILL LIMIT HIGH PRODUCT DELI VERY LI M IT LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT PROBE OFFSET .;.--.........~-~ -- , : 2 : .000700 96.00 1 PT 12000 4.0 IN. 2.0 3.0 12000 90% 10800 95% 11400 10% 1200 1200 99 99 0.00 0.00 SIPHON MANIFOLDED TANKS Tit: 01 LINE MANIFOLDED TANKS Tit: NONE LEAK MIN PERIODIC: 1% 120 LEAK MIN ANNUAL 1% 120 PERIODIC TEST TYPE J STANDARD 'j ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARI"! DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOT I FY : OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : 1 MIN PUMP THRESHOLD : 10.00% T 3:PREMIUM PRODUCT CODE THERMAL COEFF TANK DIAMETER TANK PROFILE FULL VOL : 3 :.000700 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. WATER WARNING : HIGH WATER LIMIT: MAX OR LABEL VOL: OVERF I LL L I 1"1 IT 2.0 3.0 12000 90% 10800 95% 11400 10% . 1200 1200 99 99 0.00 0.00 !~ HIGH PRODUCT " .. ii: DELIVER\' LIMIT"~ LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK -TILT PROBE OFFSET SIPHON MANIFOLDED TANKS TIt:- NONE LINE MANIFOLDED TANKS TIt':-- NONE~ . LEAK MIN PERIODIC: 1% 120 LEAK MIN ANNUAL I., /0 120 PERIODIC TEST TYPE STANDARD --1 ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOT I FY : OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : 1 MIN PUMP THRESHOLD : 10.00% T 4:DIESEL PRODUCT CODE THERMAL COEFF TANK DIAMETER TANK PROFILE FULL VOL FLOAT SIZE: WATER WARNING : HIGH WATER LIMIT: MAX OR LABEL VOL: OVERFILL LIMIT : HIGH PRODUCT DELI VERY LI 11 IT LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT : PROBE OFFSET 4 : .000450 : 120.00 1 PT 12000 4.0 IN. 2.0 3.0 12000 90% 10800 95% 11400 10% 1200 1200- 99 99 0.00 0.00 SIPHON MANIFOLDED TANKS Tit: NONE LINE MANIFOLDED TANKS TIi: NONE . LEAK MIN PERIODIC: LEAK MIN ANNUAL 1% 120 1% 120 PERIODIC TEST TVPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARI1 DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELI VERY DELAV 1 11 IN PUMP THRESHOLD : 10.00% .<~ _. F", .-_~ _ LEAK TEST METHOD TEST ON DATE : ALL TANK FEB 6. 2007 START TIME : DISABLED TEST RATE :0.20 GAL/HR DURATION : 2 HOURS TST EARLY STOP:DISABLED LEAK TEST REPORT FORMAT NORMAL LIQUID SENSOR SETUP L 1 :UNL ANN TRI-STATE (SINGLE FLOAT) CATEGORV : ANNULAR SPACE L 2:UNL FILL TRI-STATE (SINGLE FLOAT) CATEGORV : PIPING SUMP L 3:UNL STP TRI-STATE (SINGLE FLOAT) CATEGORV : STP SUMP L 5:UNL2 STP TRI-STATE <SINGLE FLOAT) CATEGORV : STP SUMP L 6:UNL2 STP ANN TRI-STATE (SINGLE FLOAT) CATEGORV : ANNULAR SPACE L 7:UNL2 FILL TRI-STATE (SINGLE FLOAT) CATEGORV : PIPING SUMP L 8:UNL 2 ANN FILL NORMALLV CLOSED CATEGORV : ANNULAR SPACE L 9:UNL 2 ANN DUAL POINT HVDROSTATIC CATEGORV : ANNULAR SPACE L 10: PREl-l ANN TRI-STATE (SINGLE FLOAT) CATEGORV : ANNULAR SPACE Lll : PREM STP TRI-STATE (SINGLE FLOAT) CATEGORY : STP SUMP Ll2 :PREM FILL TRI-STATE (SINGLE FLOAT) CATEGORV : ANNULAR SPACE L13:DSL ANN TRI-STATE <SINGLE FLOAT) CATEGORV : ANNULAR SPACE L14 :DSL ANN TRI-STATE (SINGLE FLOAT) CATEGORY : STP SUMP L15 :DSL FILL TRI-STATE (SINGLE FLOAT) CATEGORV : PIPING SUMP Ll6:DISP 13-14 TRI-STATE (SINGLE FLOAT) CATEGORV : DISPENSER PAN LI7:DISP 15-16 TRI-STATE (SINGLE FLOAT) CATEGORV : DISPENSER PAN L18:DISP 17-18 TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L19:DISP 19-20 TRI-STATE (SINGLE FLOAT) CATEGORV : DISPENSER PAN L20:DISP 21-22 TRI-STATE (SINGLE FLOAT) CATEGORV : DISPENSER PAN L21 :DISP 23-24 TRI-STATE (SINGLE FLOAT) CATEGORV : DISPENSER PAN L22:VENT BOX TRI-STATE (SINGLE FLOAT) CATEGORV : OTHER SENSORS PUMP SENSOR SETUP S 1: UNLEADED TANK Jt: 1 DISPENSE MODE: STANDARD OUTPUT RELAY SETUP R 1 :POS SHUT-OFF TYPE: STANDARD NORMALLY CLOSED TANK Jt: LIQUID SENSOR ALMS L 1 :FUEL ALAR!"l L 2:FUEL ALARM L 8:FUEL ALARM L 5:FUEL ALARM L 6:FUEL ALARM L 7:FUEL ALARM L 9:FUEL ALARM L1 0 :FUEL ALARM L11 :FUEL ALARM L12 : FUEL ALARM LI3:FUEL ALARM L14 : FUEL ALARM L1 5 : FUEL ALARM L16:FUEL ALARM LI7:FUEL ALARM LI8:FUEL ALARM LI9:FUEL ALARM L20:FUEL ALARM L21 :FUEL ALARM L 1 :SHORT ALAR!"I L 5: SHORT ALAR/"l L1 0 :SHORT ALARM LI3:SHORT ALARM L1 6: SHORT ALARM L17 :SHORT ALARM LlS:SHORT ALARM L19 : SHORT ALARM L20:SHORT ALARM L21 :SHORT ALARM I SD SITE ALARMS ISD GROSS PRES FAIL ISO DEGRD PRES FAIL ISO VAPOR LEAK FAIL ISO VP PRES FAIL ISD VP STATUS FAIL I SO HOSE ALAR~IS ALL:GROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL ALL:FLOW COLLECT FAIL J<; J.UIU.. 1-___ TYPE: PUMP CONTROL OUTPUT TANK ;t: 1 LIQUID SENSOR ALMS ALL:FUEL ALARM R 4:0VERFILL ALARM TYPE: STANDARD NORMALLY OPEN TANK It: NONE IN-TANK ALAR1"lS ALL:OVERFILL ALARM ALL:HIGH PRODUCT ALARM ALL:MAX PRODUCT ALARM R 5:INTERNAL ALARM TYPE: MOMENTARY NORMALLY OPEN LIQUID SENSOR ALMS ALL :FUEL ALAR/"I- SMARTSENSOR SETUP 5 1: UNL 2 LI NE CATEGORY VAC SENSOR PUMP #: R 2:UNL 1 VOLUME: 50.0 GALLONS RELIEF VALVE: : NO 5 8:ATM CATEGORY ATM P SENSOR 5 9:PS 17-18 CATEGORY VAPOR PRESSURE sI0:FM 13-14 CATEGORY AIR FLOW METER 511 : FM 15-16 CATEGORY AIR FLOW METER sI2:FM 17-18 CATEGORY AIR FLOW METER 513 :F11 19-20 CATEGORY AIR FLOW MEtER 514:FM 21-22 CATEGORY AIR FLOW METER sI5:FM 23-24 CATEGORY- AIR FLOW METER I -' . ,:..l.;~.ti._ ~, '~""" EVR/ISD SETUP EVR TYPE: VACUUM ASSIST VACUUM ASSIST TYPE HEALY VAC NOZZLE A/L RANGE /"lAX: 1.15MIN: 0.95 VAPOR PROCESSOR TYPE NO VAPOR PROCESSOR ANALYSIS TIMES TIME: 10:00 AM DELAY MINUTES: ACCEPT HIGH ORVR: DISABLED ISD HOSE TABLE ID FP FL HL AA RR ------------------------ 01 01 13 02 01 UU 02 02 14 02 01 UU 03 03 15 02 02 UU 04 04 16 02 02 UU 05 05 17 02 03 UU 06 06 18 02 03 UU 07 07 19 02 04 UU 08 08 20 02 04 UU 09 09 21 02 05 UU 10 10 22 02 05 UU 11 11 23 02 06 UU 12 12 24 02 06 UU ISO AIRFLOW METER MAP ID SERIAL NUM LABEL ------------------~----- 1 8618 FI"l 13-14 2 8611 FM 15-16 3 8598 FM 17-18 4 8615 FM- 19-20 5 9525 FM 21-22 6 8629 F/"l ?:1-?d-- .' ISQ FUEL GRADE HOSE MAP 1 234 - FP MHH MHH MHH MHH AA 01 901 201 301 U U 1 02 202 302 902 U U 1 03 903 203 303 U U 2 04 204 304 904 U U 2 05 905 205 305 5 U 3 06 206 306 906 5 U 3 07 207 307 907 U U 4 08 208 308 908 U U 4 09 209 309 909 U U 5 10 210 310 910 U U 5 11 311 911 211 5 U 6 12 212 312 912 5 U 6 LABEL TABLE 1: UNASSIGNED 2: BLEND3 3: REGULAR 4: I"IID GRADE 5: PREMIUM 6: GOLD 7: BRONZE 8: SILVER 9: BLEND2 10: BLEND4 PMC SETUP PROCESSOR CONTROL LEVEL: NONE SOFTWARE REVISION LEVEL VERSION 327.04 SOFTWARE~ 346327-100-E CREATED - 07.02.06.10.28 S-MODULE~ 330160-004-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS ISD PMC ALARM HISTORY REPORT ----- SENSOR ALARM L 1: UNL ANN ANNULAR SPACE FUEL ALARM JUL 27. 2007 9:48 AM FUEL ALAR!"I JUL 27. 2007 9:43 AM FUEL ALARM JUL 27. 2007 9:42 AM ~ ~ ~ ~ * END * * * * * ALARr"\ HISTORY REPORT ----- SENSOR ALARM L 2:UNL FILL PIPING SUMP FUEL ALARI"I JUL 27. 2007 8:54 AM FUEL ALARM JUL 20. 2007 8:57 AM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ALARM HISTORY REPORT ----- SENSOR ALARM L 3:UNL STP STP SUMP FUEL ALARM JUL 27. 2007 9:41 AM FUEL ALARM JUL 20. 2007 10:01 AM FUEL ALARM JUL 20. 2007 9:23 AM ~ ~ ~ ~ * END * * ~ * * ALARM HISTORY REPORT ----- SENSOR ALARM L 4: OTHER SENSORS ~ ~ ~ ~ * END * * ~ ~ ~ ALARM HISTORY REPORT i ----- SENSOR ALARM L 5:UNL2 STP STP SU!"lP FUEL ALAR!"l JUL 27, 2007 9:57 AM FUEL ALARI1 JUL 20, 2007 8:57 AM FUEL ALAR!"I JUL 19, 2007 5:03 PM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ALARM HISTORY REPORT ----- SENSOR ALARr"! L 6:UNL2 STP ANN ANNULAR SPACE FUEL ALARM JUL 27. 2007 9:57 AM FUEL ALARM JUL 20. 2007 10:03 AM FUEL ALARM JUL 19. 2007 5:03 PM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ALARM HISTORY REPORT ----- SENSOR ALARM L 7:UNL2 FILL PIPING SUMP FUEL ALARM JUL 19. 2007 5:02 PM FUEL ALARM . JUL 19. 2007 4:39 PM ~ ~ ~ ~ * END * ~ ~ * ~ ALARM HISTORY REPORT ----- SENSOR ALARM L 8:UNL 2 ANN FILL ANNULAR SPACE FUEL ALAR!"I JUL 27. 2007 10:29 AM FUEL ALAR!"! JUL 27. 2007 10:27 AM FUEL ALARM JUL 27. 2007 10:23 AM * ~ * * * END * * * * * ALARM HISTORY REPORT ----- SENSOR ALARM L 9:UNL 2 ANN ANNULAR SPACE LOW LIQUID ALARM JUL 27. 2007 9:53 AM HIGH LIQUID ALARM JUL 27. 2007 9:53 AM LOW LIQUID ALARM JUL 27. 2007 9:52 AM ~ ~ ~ ~ * END ~ ~ ~ ~ * ALARM HISTORY REPORT ----- SENSOR ALARM L10:PREI"! ANN ANNULAR SPACE FUEL ALARM JUL 27. 2007 9:39 AM FUEL ALARM JUL 20. 2007 9:01 AM ~ ~ ~ ~ * END ~ * * * * '.', il ALARM HISTORV REPORT ----- SENSOR ALARfvl L11 : PREM STP STP SUMP FUEL ALAR!"1 JUL 27. 2007 9:10 AM FUEL ALARM JUL 27. 2007 9:06 AM FUEL ALARM JUL 27. 2007 9:00 AM '" '" '" '" '" END lIE '" '" '" '" . ALARM HISTORY REPORT ----- SENSOR ALARM Ll 2 : PREI'1 FILL ANNULAR SPACE FUEL ALARM JUL 27. 2007 9:37 AM FUEL ALARM JUL 27. 2007 9:36 AM FUEL ALARM JUL 20. 2007 9:28 AM '" '" '" '" '" END '" * '" '" * ALARM HISTORY REPORT ----- SENSOR ALARM L13 :DSL ANN ANNULAR SPACE FUEL ALARM JUL 27. 2007 9:29 AM '" ~ '" '" '" END ~ * '" '" '" ALARM HISTORV REPORT ----- SENSOR ALARM L14 :DSL ANN STP SUMP FUEL ALARM JUL 27. 2007 10:26 AM FUEL ALARM JUL 27. 2007 8:43 AM FUEL ALARM JUL 27, 2007 8:38 AM lIE lIE lIE ~ lIE END ~ '" '" '" '" ALARI'1 HISTORY REPORT ----- SENSOR ALARM Ll5 :DSL FILL PIPING SUMP FUEL ALARl'1 JUL 27. 2007 9:34 AM FUEL ALARM JUL 27. 2007 9:34 AM FUEL ALARl'1 JUL 20. 2007 9:28 AM '" ~ '" '" '" END lIE '" '" ~ lIE .~. ,-- ..~._>--..-. ,----.~- ALARM HISTORY REPORT ----- SENSOR ALARM LlE.: D I SP 13-14 DISPENSER PAN FUEL ALARM JUL 27. 2007 10: 14 Alv1 FUEL ALARM JUL 20. 2007 8:58 AM * * '" '" '" END '" '" '" '" '" ALARM HISTORY REPORT ----- SENSOR ALARM Ll7:DISP 15-16 DISPENSER PAN FUEL ALARM JUL 27. 2007 10: 13 AI'1 FUEL ALARlvl JUL 20. 2007 8:58 AM '" '" '" '" '" END '" '" '" * '" ALARM HISTORY REPORT ----- SENSOR ALARM L18 :DISP 17-18 DISPENSER PAN FUEL ALARM JUL 27. 2007 10:19 AM FUEL ALARM JUL 27. 2007 10:12 AM FUEL ALARM JUL 20. 2007 8:58 AM ~ ~ ~ ~ * END * * * * * ALARM HISTORY REPORT ----- SENSOR ALARM L19 :DISP 19-20 DISPENSER PAN FUEL ALARM JUL 27. 2007 10:15 AM FUEL ALARM JUL 20. 2007 8:58 AM ~ ~ ~ ~ ~ END ~ ~ ~ * * ----"--:. :.~ ~'.:: * * * * ~ END ~ * * ~ ~ ALARM HISTORY REPORT ----~ SENSOR ALARM L20:DISP 21-22 DISPENSER PAN FUEL ALARM JUL 27. 2007 10:15 AM FUEL ALARM JUL 20. 2007 8:59 AM ALARM HISTORY REPORT ----- SENSOR ALARM L22:VENT BOX OTHER SENSORS FUEL ALARM JUL 27. 2007 10:39 AM SETUP DATA WARNING JUL 19. 2007 4:39 PM * ~ ~ ~ ~ END * ~ * ~ * * * * * ~ END ~ * ~ ~ ~ :'. ALARM HISTORY REPORT ----- SENSOR ALARM L21 :DISP 23-24 DISPENSER PAN FUEL ALARI"! JUL 27. 2007 10 :-16 AM . FUEL ALARM JUL 27. 2007 10:16 AM FUEL ALARM JUL 20. 2007 8:59 AM .= ,; j: SWRCB, January 2006 Spill Bucket Testing Report Form This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form and printouts from tests (if applicable), should be provided to the facility owner/operator for submiUal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: #367 Fastrip #640 I Date of Testing: 7/27/2007 Facility Address: 8001 White Lane, Bakersfield, CA 93309 Facility Contact: Omero Garcia I Phone: 661-393-7000 Date Local Agency Was Notified of Testing : 6/18/2007 Name of Local Agency Inspector (ifpresent during testing): None 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Kristopher Karns Credentials I: X CSLB Contractor X ICC Service Tech. o SWRCB Tank Tester o Other (Specify) License Number(s): CSLB #804904 ICC #5264406-UT 3. SPILL BUCKET TESTING INFORMATION Test Method Used: x Hydrostatic o Vacuum o Other Test Equipment Used: Lake Test Equipment Resolution: .0625" Identify Spill Bucket (By Tank 1 Regular 1 2 Regular 2 3 Super 4 Diesel Number, Stored Product, etc.) Bucket Installation Type: o Direct Bury o Direct Bury o Direct Bury o Direct Bury X Contained in Sump X Contained in Sump X Contained in Sump X Contained in Sump Bucket Diameter: 12.00" 12.00" 12.00" 12.00" Bucket Depth: 13.00" 15.50" 14.25" 13.15" Wait time between applying 5 min. 5 min. 5 min. 5 min. vacuum/water and start of test: Test Start Time (Ta: 8:00am 8:00am 8:00am 8:00am Initial Reading (RI): 11.00" 12.00" 12.00" 10.50" Test End Time (TF): 9:00am 9:00am 9:00am 9:00am Final Reading (Rp): 11.00" 12.00" 12.00" 10.50" Test Duration (T p - T1): 1 hour 1 hour 1 hour 1 hour Change in Reading (Rp - R1): 0.00" 0.00" 0.00" 0.00" PasslFail Threshold or .0625" .0625" .0625" .0625" Criteria: Test Result: X Pass o Fail X Pass o Fail X Pass o Fail X Pass o Fail Comments - (include iriformation on repairs made prior to testing, and recommended follow-up for failed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby celtify that all the information contained in this repol1 is true, accurate, and in full compliance with legal requirements. Technician's Signature: Kll ~ ~ i-Kb/'r A~ Date: 7/2712007 1 State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. bl"v_ ".' - " l' MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California . Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations T7 -65"67 This form must be used to document testing and servicing of monitoring equipment A separate certification or report must be preDared for each monitoring svstem control Dand by the technician who 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 this date. A. General Information Facility Name: #366 Chevron - Fastrip #640 Site Address: 8001 White Lane City: Bakersfield Bldg. No.: Zip: 93309 Facility Contact Person: Omero Garcia MakelModel of Monitoring System: Veeder-Root TLS 350 Contact Phone No.: 661-393-7000 Date of Testing/Servicing: 7/27/2007 ~~v:~bo~to~~~~~~:~..~~ed Tank ID: 12000 gal. Regular 1 Tank ID: 12000 gal. Regular 2 iii In-Tank Gauging Probe. Model: 847390-107 iii In-Tank Gauging Probe. Model: 847390-107 iii Annular Space or Vault Probe. Model: 794380-420 ~ Annular Space or Vault Sensor. Model: 794380-420 W Piping Sump / Trench Sensor(s). Model: 794380-208 W Piping Sump / Trench Sensor(s). Model: 794380-208 iii Fill Sump Sensor(s) Model: 794380-208 ~ Fill Sump Sensor(s). Model: 794380-208 W Mechanical Line Leak Detector. Model: FX1V D Mechanical Line Leak Detector. Model: NJA D Electronic Line Leak Detector. Model: 0 Electronic Line Leak Detector. Model: iii Tank Overfill / High Level Sensor. Model: 847390-107 ~ Tank Overfill / High Leval Sensor. Model: 847390-107 o Other (specify equip. type and model in Sec. E on Pg. 2) D Other (specify equip. type and model in Sec. E on Pg. 2) Tank In: 12000 gal. Super Tank In: 12000 gal. Diesel iii In-Tank Gauging Probe. Model:847390-107 ~ In-Tank Gauging Probe. Model: 847390.107 W Annular Space or Vault Sensor. Model:79438O-42O W Annular Space or Vault Sensor. Model: 794380-420 [iJ Piping Sump / Trench Sensor(s). Model:79438O-208 ~ Piping Sump / Trench Sensor(s). Model: 794380-208 iii Fill Sump Sensors(s). Model:794380-208 iii Fill Sump Sensor(s). Model: 794380-208 [Xl Mechanical Line Leak Decector. Model: FX1V iii Mechanical Line Leak Detector. Model: FX1DV D Electronic Line Leak Detector. Model: D Electronic Line Leak Detector. Model: iii Tank Overfill / High Level Sensor. Model:847390-107 [!] Tank Overfill / High Level Sensor. Model: 847390-107 D Other (specify equip. type and model in Sec. E on Pg. 2) D Other (specify equip. typs and model in Sec. E on Pg. 2) Dispenser ID: 1&2 Dispenser ID: 3 & 4 [X] Dispenser Containment Sensor( s). Model: 794380-208 iii Dispenser Containment Sensor(s). Model: 794380-208 [i] Shear Valve(s). iii Shear Valve(s). o Dispenser Containment Float(s) and Chain(s). D Dispenser Containment Float(s) and Chain(s) Dispenser ID: 5&6 Dispenser ID: 7 & 8 [!] Dispenser Containment Sensor(s). Model: 794380-208 ~ Dispenser Containment Sensor(s). Model: 794380-208 [!] Shear Valve(s). ~ Shear Valve(s). D Dispenser Containment Float(s) and Chains(s). o Dispenser Containment Float(s) and Chain(s). Dispenser ID: 9&10 Dispenser ID: 11 & 12 [!) Dispenser Containment Sensor(s). Model: 794380-208 [iJ Dispenser Containment Sensor(s). Model: 794380-208 iii ShearValve(s). [!] Shear Valve(s). o Dispenser Containment Float(s) and Chain(s) o Dispenser Containment Float(s) and Chain(s). . . *Ifthe faCIlIty contams more tanks or dispensers, copy thIS form. Include information for every tank and dispenser at the facility. C. Certification - I certify that tbe equipment identified in tbis document was inspected/services in accordance witb tbe manufacturers' guidlines. Attached to this Certification is infonnation (e.g. manufacturers' checklist) necessary to varlfy tbat tbis information is correct and a plot plan sbowing tbe layout of monitoring equipment. For equipment capable of generating s~c~ reports, I b~ve attacbed a copy of tbe report; (check all that applJ:) 0.x S1G: Set-1< ~ A1::)tOry report TechniCIan Name (pnnt): Kristopher Karns SIgnature: J. J.' 4Jl AA Certification No: 834106 License No: 804904 Testing Company Name: Confidence UST Services, Inc. Site Address: 8001 White Lane, Bakersfield, CA 93309 Phone No: 80D-339-9930 Date of Testing/Servicing: 7/27/2007 " D. Results of TestinglServicing Software Version Installed: 327.04 Complete the following checklist: W Yes DNo. Is the audible alarm operational? x Yes r 1 No. Is the Visual alarm opemtional? x Yes I I No. Were all sensors visually inspected, functionally tested, and confirmed opemtional? x Yes DNo. Were all sensors installed at the lowest point of secondary containment and positioned so that other - equipment will not interfere with their proper opemtion? IUYes WNO. If alarms are relayed to a remote monitoring station. is all communications equipment (e.g. modem) x N/A operational? I~ Yes DNo. For pressurized piping systems, does the turbine automatically shut down if the piping secondary DN/A containment monitoring system detects a leak, fails to opemte, or is electrically disconnected? Jfyes: which sensors initate positive shut-down? ~ Sumpffrench SensorsWDispenser Containment Sensors Did you confirm positive shut-down due to leaks and sensor failure/disconnected? [iJ Yes; 0 No; /ilYes DNo* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no DN/A mechanical overfill prevention valve is installed), is the overfill warning alarm visual and audible at the tank fill point( s) and opemting properly? If so, at what percent of tank capasity does the alarm trigger? 1 90 1% D Yes* [iJ No Was any monitoring equipment replaced? If Yes, identitY specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. DYes. ~No Was liquid found inside any secondary containment systems designed as dry systems? o Product; D Water. If yes, describe causes in Section E, below. IX I Vp.~ I INo* Was monitoring system set-up reviewed to ensure proper settings? Attach set-up reports, if applicable. x Yes r 1 No. Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, discribe how and when these deficiencies were or will be corrected. E. Comments: F. In-Tank Guaging I SIR Equipment: W Check this box if tank: guaging is used only for inventory control. D Check this box if tank: guaging or SIR equipment is installed. This section must be completed if in-tank guaging equipment is used to perform leak detection monitoring. Complete the following checklist: ~Yes D No. Has all input wiring been inspected for proper enter and termination, including testing for ground faults? f- x Yes No. Were all tank: guaging probes visually inspected for damage and residue buildup? x Yes No. Was accuracy of system product level readings tested? x Yes No. Was accuracy of system water level readings tested? x Yes No. Were all probes reinstalled properly? f- D ~ Yes No. Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies ~re or will be corrected. G. Line Leak Detectors (LLD): o Check this box ifLLD's are not installed. C h fi II h kli ompl ete t e 0 OWID C ec 8t: Ii] Yes DNo. For equip. start-up or annual equipment certification, was a leak simulated to varifY LLD performance? (Check all that apply) Simulated leak rate: ~3 g.p.h.: 00.1 g.p.h.; 00.2 g.p.h.; ~J Yes DNo. Were all LLD's confirmed operational and accurate within regulatory requirments? IxJ Yes No. Was the testing apparatus properly calibrated? ~Yes No. For machanical LLD's, does the LLD restrict product flow if it detects a leak? l- N/A DYes =-= No. For electronic LLD's, does the turbine automatically shut off if the LLD detects a leak? Ii] N/A DYes DNo. For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is [x] N/A disabled or disconnected? DYes WNo. For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system ~N/A malfunction or fails a test? DYes b=d No. For electronic LLD's, have all accessible wiring connections been visually inspected? -= ~N/A ~Yes L J No Were all items on the equipment manufacturer's maintenance checklist completed? * In the section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: FASTRIP;jbb 8001 WH ITE LN BAKERSF IELD CA 9:3309 .JUL 27,2007 10: 59 AI"1 SYSTEM STATUS REPORT h 5:DEGRD COLLECT l:JAF:N h 9:DEGRD COLLECT t.JARN hlO:DEGRD COLLECT I,..JARN hl2:DEGRD COLLECT L.JAR N INVENTORY REPORT T 1: UNL VOLUI"lE ULLAGE 90~:' ULLAGE= TC \lOLUI"lE HE I GHT LJATER VOL WATER TEI"IP T 2:UNL 2 VOLur"JE ULLAGE 9m. ULLAGE= TC VOLUME HEIGHT WATER VOL l.lATER TEI"IP T 3:PNL VOLUME ULLAGE 90~~ ULLAGE= TC VOLUI"IE HEIGHT I,.JATER VOL lJATER TEI"IP T 4:DIESEL \lOLUI"IE ULLAGE 90~i ULLAGE= TC VOLUI"lE HEIGHT WATER VOL J.,..JATER TEr"IP 4707 GALS 7293 GALS 6093 GALS 4615 GALS 49.79 INCHES o GALS 0.00 INCHES 87.7 DEG F 5080 GALS 6920 GALS 5720 GALS 4984 GALS 52.75 INCHES o GALS 0.00 INCHES 86.7 DEG F 4746 GALS 7254 GALS 6054 GALS 4648 GALS 50. 11 II'ICHES 1 1 GALS 0.80 INCHES 89.3 DEG F 7008 GALS 4992 GALS 3792 GALS 6898 GALS 67.94 INCHES 23 GALS 1.31 INCHES 94.7 DEG F 1"IAN I FOLDED TANKS INVENTORY TOTALS T 1: UNL T 2:UNL 2 VOLUME 9787 GALS TC VOLUME 9599 GALS ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ S'ISTEI1 SETUP JUL 27. 2007 10:59 AM SYSTEM UNITS U.S. SVSTEI"I LANGUAGE ENGLISH SYSTEM DATE/TIME FORMAT MON DD YYYY HH:MM:SS xM FASTRIP 366 8001 WHITE LN BAKERSFIELD CA 93309 SHIFT TINE 1 SHIFT TIl"lE 2 SHI FT TIt"lE 3 SHIFT TIt1E 4 DISABLED DISABLED DISABLED DISABLED TANK PER TST NEEDED WRN DISABLED TANK ANN TST NEEDED WRN DISABLED LINE RE-ENABLE METHOD PASS LINE TEST LINE PER TST NEEDED WRN DISABLED LINE ANN TST NEEDED WRN DISABLED PRINT Te VOLUMES ENABLED TEr"lP cor"lPENSAT I ON VALUE (DEG F): 60.0 STICK HEIGHT OFFSET DISABLED ULLAGE: 90% H-PROTOCOL DATA FORMAT HEIGHT DAVL I GHT SAIJ I NG T II"IE ENABLED START DATE APR WEEK SUN START TI ME 2:00 Ai"l END DATE OCT WEEK 6 SUN END T n'IE 2:00 Ai"l RE-DIRECT LOCAL PRINTOUT DISABLED EURO PROTOCOL PREFIX S SYSTEM SECUR I 1\' CODE : 000000 r"IAI NTENANCE HISTORY DISABLED TANK CHART SECURITY DISABLED CUSTOI"1 ALARI"IS DISABLED "'lASS/DENS I TV DISABLED COI"1MUNICATIONS SETUP PORT SETTINGS: COMM BOARD : 1 (EDIM RS-232 SECURITY CODE : DISABLED CO["U.l BOARD 2 <RS-2:32) BAUD RATE 9600 PARITY NONE STOP BIT 1 STOP 1 DATA LENGTH: 8 DATA RS-232 SECURITY .\' CODE : DISABLED I COI"II"1 BOARD 3 (RS-232) BAUD RATE 9600 PARITY NONE STOP BIT 1 STOP DATA LENGTH: 8 DATA RS-232 SECURITV CODE : DISABLED AUTO TRANSf''lI T SETTI NGB : AUTO LEAK ALARM LIMIT DISABLED AUTO HIGH WATER LIMIT DISABLED AUTO OVERFILL LIMIT DISABLED AUTO LOW PRODUCT DISABLED AUTO THEFT LIMIT DISABLED AUTO DELIVERY START DISABLED AUTO DELIVERY END DISABLED AUTO EXTERNAL INPUT ON DISABLED AUTO EXTERNAL INPUT OFF DISABLED AUTO SENSOR FUEL ALARM DISABLED AUTO SENSOR WATER ALARM D I SABLErF,:c-. ... . AUTO SENE,6R OUT ALARI"1 DISABLED RS-232 END OF 1"'lESSAGE DISABLED IN-TANK SETUP T 1 :UNL PRODUCT CODE THERt"lAL COEFF TANK D I AI"IETER TANK PROFILE FULL VOL 1 : .000700 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 I"IAX OR LABEL VOL: 1 2000 O\lERF I LL LI I"ll T 9m.~ 10800 HIGH PRODUCT 95~~ 11 400 15% 1800 DELIVERY Llt'lIT LOlJ PRODUCT LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT PROBE OFFSET 500 99 99 0.00 0.00 SIPHON MANIFOLDED TANKS Tit: 02 LINE tvlAN I FOLDED TANKS Tit: NONE LEAK MIN PERIODIC: 1 ~~ 120 LEAK 1"1 I N ANNUAL 1% 120 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALAR!"1 DISABLED PERIODIC TEST FAIL ALAR!"! DISABLED GROSS TEST FAIL ALARI"1 DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DEL I VERY DELAY 1 ("I I N PUMP THRESHOLD : 10.00% I / T 2:UNL 2/ PRODUCT CODE . THERI"IAL/COEFF TANK D YA!"lETER TANK PROFILE FULL VOL : 2 : .000700 120.00 1 PT 12000 FLOAT SIZE: . 4.0 IN. l'JATER WARNI NG HIGH WATER LIMIT: MAX OR LABEL VOL: i)l.JERFlLL LIHIT 2.0 3.0 HIGH PRODUCT DEL I VERi LI 1"1 I T 12000 90% 10800 95~. 11400 15~~ 1800 LObi I>RODUCT LEAK ALARI'1 L I 1"11 T : SUDDEN LOSS LIMIT: TANK TILT PROBE OFFSET 500 99 99 0.00 0.00 SIPHON MANIFOLDED TANKS Tit: 01 LINE ~ANIFOLDED TANKS Tit: NONE LEAK 1"11 N PERIODIC: 10/ '0 120 LEAK 1'1 I N ANNUAL 10/ '0 120 PERIODIC TEST TYPE STANDAR[J ANNUAL TEST FAIL ALARI"! DISABLED PERIODIC TEST FAIL ALARI"! DISABLED GROSS TEST FAIL ALAR!"l DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY 1 HIN PUI"IP THRESHOLD : 10. OO~i , T 3 :.PNL PRODUCT CODE THERH~;!. COEFF TANk Ldi~P\ETER TANK j:'ROF I LE rOJ-L VOL 3 ; .000700 ,:120.00 1 PT .12000 , I' FLOAT SIZE: 4.0 IN. WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: OVERF I LL L H't IT HIGH PRODUCT ; DELIVERY LII"IIT 12000 90%. i0800 '95~'~ 11400 15% 1800 LOt"J PRODUCT LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT PROBE OFFSET 500 99 99 0.00 0.00 SIPHON MANIFOLDED TANKS Ttt: NONE LI NE !"IANIFOLDED TANKS Tit: NONE I LEAK MIN PERIODIC: 1 ~~ 120 LEAK 1"1 I N ANNUAL 1 ~. 1'20 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARI"1 DISABLED PERIODIC TEST FAIL ALARl1 DISABLED GROSS TEST FAIL ALARI"1 DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOT I F'l' : OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY .. 1 1"11 N .,j PUl"IP THRESHOLD. : ..1 0 ~ 00% r....~';";.,-...-,.. :.--~,.-"..-.. T 4:DIESEL PRODUCT CODE THERt"IAL COEFF TANK D I At"lETER TANK PROFILE FULL VOL : 4 : . 000450 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 12000 OVERFILL LIMIT: 90% 10800 HIGH PRODUCT 95% 11400 DELIVERY LIMIT 15% 1800 LOW PRODUCT LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT : PROBE OFFSET 500 99 99 0.00 0.00 SIPHON t"lANIFOLDED TANKS Tl!: NONE LINE MANIFOLDED TANKS Tn: NONE LEAK 1"1 I N PER I OD I C : 1 % 120 LEAK MIN ANNUAL 1 ~.; 120 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARt"1 DISABLED PERIODIC TEST FAIL ALAR!"! DISABLED GROSS TEST FAIL ALARI"1 DISABLED ANN TEST AVERAG 1 NG : OFF PER TEST AVERAGING: OFF TANK TEST NOTIFV: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY 1 MIN PUMP THRESHOLD : 10.00% LIQUID SENSOR SETUP LEAK TEST 1"lETHOD L 1: NL ANN TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE TEST ON DATE : ALL TANK FEB 6, 2007 START TIME : DISABLED TEST RATE :0.20 GAL/HR DURAT I ON : 2 HOURS TST EARLY STOP:DISABLED LEAK TEST REPORT FORMAT NORI"lAL L 2:NL FILL TR I -STATE (S I NGLE FLOAT) CATEGORV : PIPING SUI"IP L 3:NL STP TRI-STATE (SINGLE FLOAT) CATEGORY : STP SUMP L 4:NL 2 ANN TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE . L 5 :t"IL 2 FILL TRI-STATE (SINGLE FLOAT) CATEGORY : PIPING SUMP L 6:NL 2 STP TRI-STATE (SINGLE FLOAT) CATEGORY : STP SUMP L 7:PNL ANN TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L 8:PNL FILL TRI-STATE (SINGLE FLOAT) CATEGORY: PIPING SUl1P L 9:PNL STP TRI-STATE (SINGLE FLOAT) CATEGORY : STP SUMP L10:DIESEL ANN TRI~STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE Llt :DIESEL FILL TRI-STATE (SINGLE FLOAT) CATEGORY : PIPI NG SUI"IP Ll 2 : DIESEL STP TRI-STATE (SINGLE FLOAT) CATEGORY : STP SUMP . '~ - LI:3:DISP 1-2 TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN Ll4 :DISP 3-4 TRI-STATE (SINGLE FLOAT) CATEGORY: DISPENSER PAN Ll5 :DISP 5-6 TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN Ll6 :DISP 7-S TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN Ll7 :DISP 9-10 TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN Ll8:DISP 11-12 TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN OUTPUT RELAY SETUP R 1: SHUT DOWN TYPE: STANDARD NORI1ALL Y CLOSED TANK it: LIQUID SENSOR ALMS L 3: FUEL ALARI'1 L 6: FUEL ALAR!"I L 9 :FUEL ALARI"1 LI 2: FUEL ALARl"1 LI 3 : FUEL ALARf"l Ll4 :FUEL ALARM LI 5: FUEL ALAR!"! Ll6 :FUEL ALARt1 L17:FUEL ALARM LIS :FUEL ALAR!"1 L 3:SENSOR OUT ALARM L 6:SENSOR OUT ALARM L 9:SENSOR OUT ALARM LI2:SENSOR OUT ALARM L13:SENSOR OUT ALARM L14:SENSOR OUT ALARM LI5:SENSOR OUT ALARM L16:SENSOR OUT ALARM LI 7 : SENSOR OUT ALARI"1 LlS:SENSOR OUT ALARM L 3: SHORT ALARI"l L 6 :SHORT ALARf"1 L 9:SHORT ALAR!"l L 12: SHORT ALARI"1 LI :3: SHORT ALARM LI 4 : SHORT ALAR!"1 Ll5:SHORT ALARI"1 LI6:SHORT ALARM Ll7 :SHORT ALARM LlS:SHORT ALARM ISO SITE ALARMS ISD GROSS PRES FAIL ISD DEGRD PRES FAIL ISD VAPOR LEAK FAIL ISD VP PRES FAIL ISD VP STATUS FAIL I SD HOSE ALARt"IS ALL:GROSS COLLECT FAIL ALL:DEGRD COLLECT FAIL ALL:FLOW COLLECT FAIL R 2:0VERFILL ALARM TYPE: STANDARD NORt'!ALL Y OPEN TANK it: NONE I I~-TANK ALARI"lS ALL:OVERFILL ALARM ALL:HIGH PRODUCT ALARM ALL:MAX PRODUCT ALARM SMARTSENSOR SETUP 5 I :P.S 11-12 CATEGORY VAPOR PRESSURE 5 2:F.t'1 1-2 CATEGORY AIR FLOW METER 5 3:F .11 :3-4 CATEGORY AIR FLOW METER 5 4:F.M 5-6 CATEGORY AIR FLOW METER 5 5:F.I"'1 7-8 CATEGORY A I R FLOt.J 1"1ETER 5 6:F.M 9-10 CATEGORY AIR FLOW METER 5 7:F.!"1 11-12 I CATEGORY' A I R FLOl-J I"IETER ISD AIRFLOW METER MAP ID SERIAL NUM LABEL E\JR/ I SD SETUP 1 8735 2 9504 3 8637 4 8593 5 8613 6 8594 F.M 1-2 F .1"1 3-4 F .1"1 5-6 F .1"1 7-8 F.l"l9-10 F.t"111-12 EVR TiPE: VACUUt"1 ASS I ST VACUUM ASSIST TYPE HEALY VAC NOZZLE A/L RANGE MAX: 1.15 MIN: 0.95 ISD FUEL GRADE HOSE MAP 123 4 MHH MHH MHH MHH AA VAPOR PROCESSOR TYPE NO VAPOR PROCESSOR FP ------------ 01 201 301 901 5 U 02 202 302 902 5 U 03 203 303 903 U U 04 204 304 904 U U 05 205 305 905 U U 06 206 306 906 U U 07 207 307 907 U U 08 208 308 908 U U 09 209 309 909 U U 10 210 310 910 U U 112113119115 U 12 212 312 912 5 U 1 1 2 2 3 3 4 4 5 ANAL YS I S TI 1"IES T H'IE: 1 0 : 00 Al"l DELAY MINUTES: ACCEPT HIGH OR\lR: DISABLED ISD HOSE TABLE ID FP FL HL /-i/-i RR ------------------------ 01 01 01 02 01 UU 0'-' 02 02 02 01 UU ~ 03 03 03 02 02 UU 04 04 04 02 02 UU 05 05 05 02 03 UU 06 06 06 02 03 UU 07 07 07 02 04 UU 08 08 08 02 04 UU 09 09 09 02 05 UU 10 10 10 02 05 UU 11 11 11 02 06 UU 12 12 12 02 06 UU 5 6 6 LABEL TABLE 1: UNASSIGNED 2: BLEND3 3: REGULAR 4: 11 ID GRADE 5: PREl"1 lUl"l 6: GOLD 7: BRONZE 8: SILVER 9: BLEND2 10: BLEND4 PI"lC SETUP PROCESSOR (::ONTROL LEVEL: NONE SOFTWARE REVISION LEVEL \'}ERSION 327.04 SOFTWARE~ 346327-100-E CREATED - 07.02.06.10.28 S-MODULE~ 330160-004-a SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS ISD PI"IC ALARl"1 H I STORY REPORT ----- SENSOR ALARI"! L 1: i'lL ANN ANNULAR SPACE SETUP DATA WARNING FEB 6. 2007 8:02 AM ~ ~ ~ * ~ END ~ ~ ~ ~ ~ ;...~ ,'~~~.1"""~~.'.~_"'''"' ALAR!"! HI STOR\' REPORT ----- SENSOR ALARI"1 ----- L 2:NL FILL PIP I NG SUI"IP FUEL ALARl"l JUL 20, 2007 10:46 AM SETUP DATA WARNING FEB 6, 2007 8:02 AM ~ ~ "" ~ * END * ~ * ~ "" ALARM HISTORY REPORT ----- SENSOR ALARM ----- L 3:NL STP STP SUI"IP FUEL ALARI''! JUL 20, 2007 11:16 AM FUEL ALARI"1 JUL 20, 2007 10: 39 AI"\ SETUP DATA WARNING FEE 6. 2007 8:02 AM ..~ "" * ,. ALARM HISTORY REPORT ----- SENSOR ALARt"1 L 4: i'lL 2 ANN ANNULAR SPACE FUEL ALARl"1 JUL 20, 2007 10:49 AM SETUP DATA WARNING FEB 6, 2007 8:02 AM * ~ * * ~ END * * * * ~ ALARM HISTORY REPORT ----- SENSOR ALARI"! L 5:NL 2 FILL PIPI NG SUI"lP FUEL ALAR!"1 JUL 20, 2007 10:45 AM SETUP DATA WARNING FEB 6. 2007 8:02 AM ,. ,. * ,. * END * * * * * ALARt"l HI STORV REPORT ----- SENSOR ALARr"1 ----- L 6:NL 2 STP STP SUl"lP FUEL ALARI"1 JUL 20. 2007 10: 39 AI"1 SETUP DATA WARNING FEB 6, 2007 8: 02 At"\ * * * "" ,. END ,. ,. * ,. M ALARM HISTORY REPORT ----- SENSOR ALARI"l L 7:PNL ANN ANNULAR SPACE FUEL ALARM JUL 20, 2007 10:48 AM SETUP DATA WARNING FEB 6, 2007 8:02 AM '" '-'< "" "" '" END " " "" " " ALARI"1 HI STOR'l REPORT ----- SENSOR ALARM ----- L 8:PNL FILL PIPING SUr"IP FUEL ALARI"1 .JUL 20, 2007 11: 24 AI"1 FUEL ALARM JUL 20, 2007 11 :19 AM FUEL ALARl"l JUL 20, 2007 10:52 AM * * ~ ~ ~ END ~ * ~ ~ * ALARM HISTORY REPORT ----- SENSOR ALARM ----- L 9:PNL STP STP sur"IP FUEL ALARI"! JUL 20, 2007 11 :21 AM ALARM HISTORY REPORT ----- SENSOR ALARM L1 0 :DIESEL ANN ANNULAR SPACE FUEL ALARt'l JUL 20, 2007 10:48 AM SETUP DATA l:JARNING FEB 6, 2007 8:02 AM ALARM HISTORY REPORT ----- SENSOR ALARM L1 2 : DIESEL STP STP SUMP FUEL ALARI"1 JUL 20, 2007 11 :19 AM FUEL ALARI"! JUL 20, 2007 10:43 AM SETUP DATA l,JARN I NG FEB 6, 2007 8:02 AM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ~ M M M MEND M . ~ M M ALARM HISTORY REPORT ----- SENSOR ALARt'! L11 :DIESEL FILL PIPING SUI"1P FUEL ALAR!"1 JUL 20, 2007 10:45 AM SETUP DATA l,.JARN I NG FEB 6, 2007 8:02 AM ALARI"I HISTORV REPORT ----- SENSOR ALARM L13 :DISP 1-2 DISPENSER PAN FUEL ALARI"I JUL 20, 2007 11:20 AM FUEL ALARr"1 FUEL ALARI"I .]UL 20, 2007 1 0: 40 AI"! JUL 20, 2007 11 :18 AM SETUP DATA WARNING FUEL ALARM FEB 6, 2007 8:02 AM JUL 20, 2007 10:39 AM * ~ ~ ~ ~ END ~ M . ~ M M ~ * M MEND M * M * ~ ~ ~ ~ ~ ~ END ~ M ~ M M ALARM HISTORY REPORT ----- SENSOR ALARM Ll4 :DISP 3-4 DISPENSER PAN FUEL ALARI"l JUL 20. 2007 1 0: 46 At"l SETUP DATA WARNING FEB 6, 2007 8:02 AM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ALAR!v1 H I STORY' REPORT ----- SENSOR ALAR!v1 Ll5 :DISP 5-6 DISPENSER PAN FUEL ALARI"l JUL 20. 2007 10:47 AM SENSOR OUT ALARM JUL 17. 2007 2:20 PM ~ ~ ~ * ~ END ~ ~ ~ ~ ~ ALARl"1 HISTORY REPORT ----- SENSOR ALARM Ll6 :DISP 7-8 DISPENSER PAN FUEL ALARr"1 JUL 20. 2007 10: 47 Ar"1 FUEL ALAR!"1 JUL 17. 2007 4:16 PM SETUP DATA WARNING FEB 6. 2007 8:02 AM ~ ~ ~ * * END * * * * * ALARM HISTORY REPORT ----- SENSOR ALARM Ll7:DISP 9-10 DISPENSER PAN FUEL ALARl1 .JUL 20. 2007 10: 47 Alvl SETUP DATA ~vARNI NG FEB 6. 2007 8:02 AM * * * * *. END * * * *. *. ALARM HISTORY REPORT ----- SENSOR ALARM L1 8 : D I SP 1 1 -1 2 DISPENSER PAN FUEL ALARI"! JUL 20. 2007 10:48 AM SENSOR OUT ALARM JUL 17. 2007 2:23 PM SETUP DATA l:JARN I NG FEB 6. 2007 8:02 AM * * * * * END * * * *. * ----- SENSOR ALARM ----- L 3:NL STP STP SUI"lP FUEL ALARlvl JUL 27. 2007 11:15 AM ----- SENSOR ALARI"1 ----- L 6:NL 2 STP STP SUI"IP FUEL ALARI"1 JUL 27. 2007 11: 15 Al1 ----- SENSOR ALARM ----- L 9:PNL STP STP sur"IP FUEL ALAR!"1 JUL 27, 2007 11 :16 AM ----- SENSOR ALARM Ll 2 : DIESEL STP STP SUt"IP FUEL ALARl"! JUL 27, 2007 11:16 AM ----- SENSOR ALARr"l L 1: i'lL ANN ANNULAR SPACE FUEL ALARI"1 .JUL 27. 2007 11: 16 AI"I ------ SENSOR ALAR("I L 4:NL 2 ANN ANNULAR SPACE FUEL ALARr"! JUL 27, 2007 11: 17 AI"1 ----- SENSOR ALARl"'1 L 7 :PNL ANN ANNULAR SPACE FUEL ALAR!"1 JUL 27, 2007 11 :17 AM ----- SENSOR ALARM LIO:DIESEL ANN ANNULAR SPACE FUEL ALARI"! JUL 27, 2007 11 :17 AM ----- SENSOR ALARM,----- L 7:PNL ANN ANNULAR SPACE FUEL ALAR~'l .JUL 27, 2007 11: 18 Ar"1 , . , ----- SENSOR ALARM Lll :DIESEL FILL PIPI NG SUl"lP FUEL ALARl"'1 JUL 27, 2007 11:21 AM ----- SENSOR ALARI"! ----- L 8:PNL FILL PIPING SUliP FUEL ALARI"! JUL 27, 2007 11:21 AM -.- J' ----- SENSOR ALARM L 5:NL 2 FILL PIP I NG SUI"1P FUEL ALARI"1 JUL 27, 2007 11: 21 AI'1 SENSOR ALARr"! ----- L 2:NL FILL PIPI NG SUr"lP . FUEL ALARl"1 JUL 27, 2007 11 :21 AM ----- SENSOR ALARI"1 Ll:3 :DISP 1-2 DISPENSER PAN FUEL ALARr"! JUL 27, 2007 11 :25 AM ----- SENSOR ALARM Ll4 :DISP 3-4 DISPENSER PAN FUEL ALAR!"! JUL 27, 2007 11:25 AM ----- SENSOR ALARM L15 :DISP 5-6 DISPENSER PAN FUEL ALARr"1 JUL 27, 2007 11:25 AM ."'".- ... '. E;ENSOR ALARl"1 L1 2 : DIESEL STP STP SUI"1P FUEL ALARI"1 JUL 27, 2007 11:26 AM ---- IN-TANK ALARt'1 T 1: UNL HIGH PRODUCT ALARM JUL 27.. 2007 11: 40 AI"1 ---- IN-TANK ALARI"! T 3 :PNL SETUP DATA lJARN I NG JUL 27, 2007 11 :41 AM ----- SENSOR ALARM Ll b :DISP 7-8 DISPENSER PAN FUEL ALARI"1 JUL 27. 2007 11:26 AM ---- IN-TANK ALARM ----- T 2:UNL 2 SETUP DATA WARNING JUL 27, 2007 11:40 AM n__ IN-TANK ALARI"1 T 3:HIL HIGH PRODUCT ALARM JUL 27, 2007 11 :41 AM --.--- SENSOR ALARl"l L17 :DISP 9-10 DIBPENSER PAN FUEL ALARI"I JUL 27, 2007 11:27 AM IN-TANK ALARt"1 IN-TANK ALAF:I"l T 2:UNL 2 T 4:DIESEL HIGH PRODUCT ALAR!'" HIGH PRODUCT ALARI"! JUL 27, 2007 11 : 40 AI"1 JUL 27, 2007 11 : 41 At"1 ----- SENSOR ALARM Ll 8 : D I SP 1 1 - I 2 DISPENSER PAN FUEL ALARI"1 JUL 27. 2007 11:27 AM un IN-TANK ALARI"! T 4:DIESEL SETUP DATA WARNING JUL 27. 2007 II :41 AM ---- IN-TANK ALARM ----- T 1 :UNL SETU~ DATA WARNING JUL ~7. 2007 11 :40 AM {~:.. - -": ,_.~.. :'~::---.. . ---~ .- ~.,~-_...~_._------------- --_._~._~-_. - -- BAKERSFIELD FIRE DEPT. D 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 , UNE TESTING 'S8989 SECONDARY CONTAINMENT TESTING ITANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION Page 1 of 1 PERMIT NO. 11""" (" - ~ uJ , ENHANCED LEAK DETECTION '---- , TANK TIGHTNESS TEST __ UNE TESTING 58-989 SECONDARY CONTAINMENT TESTING .J6 TO PERFORM FUEL MONITORING CERTIFICATION SITE INFORMATION NA~E 8. PHONE NU~BER OF CONTACT PERSON D ') PERMIT TO OPERATE 1\10. NUMBER OF TANKS TO BE TESTED TANK # IS PIPING GOING TO BE TESTED? VOLUME as YES as NO CONTENTS TANK TESTING COMPANY NAmE 8. PHONE Nur.1BER OF CONTACT PERSON I I APPROVED BY FD 2095 (Rev. 09/05) 1 J MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. A separate certificat~on or report must be. prepared for each monitoring system control panel by the technician who perfo~s the work. A copy of this fo~ must be provlded to the tank system owner/operator. The owner/operator must submit a copy of this form to the local agency regulatmg UST systems within 30 days of this date. A. General Information Facility Name: #366 Chevron - Fastrip #640 Site Address: 8001 White Lane City: Bakersfield Bldg. No.: Zip: 93309 Facility Contact Person: Omero Garcia Make/Model of Monitoring System: Veeder-Root TLS 350 Contact Phone No.: 661-393-7000 Date of Testing/Servicing: 7/27/2006 ~;}t?~:~!r?~ox?~ ~d~~isr.~~~~!~~,~~~~~~<~fied Tank ID: 12000 gal. Regular 1 Tank ID: 12000 gal. Regular 2 [x] In-Tank Gauging Probe. Model: 847390-107 I2D In-Tank Gauging Probe. Model: 847390-107 [i) Annular Space or Vault Probe. Model: 794390-420 ~ Annular Space or Vault Sensor. Model: 794390-420 [i) Piping Sump / Trench Sensor(s). Model: 794380-208 [iI Piping Sump / Trench Sensor(s). Model: 794380-208 W Fill Sump Sensor(s) Model: 794380-208 ~ Fill Sump Sensor(s). Model: 794380-208 iii Mechanical Line Leak Detector. Model: FX1V 0 Mechanical Line Leak Detector. Model: N/A o Electromc Line Leak'Detector. Model: 0 Electronic Line Leak Detector. Model: [x] Tank Overfill / High Level Sensor. Model: 794390-107 ~ Tank Overfill/High Leval Sensor. Model: 794390-107 D Other (specify equip. type and model in Sec. Eon Pg. 2) 0 Other (specify equip. type and model in Sec. Eon Pg. 2) Tank ID: 12000 gal. Super Tank ID: 12000 gal. Diesel [x] In-Tank Gauging Probe. Model: 847390-107 ~ In- Tank Gauging Probe. Model: 847390-107 W Annular _Space or Vault Sensor. Model: 847380-420 Iil Annular Space or Vault Sensor. Model: 847380-420 [xJ PipingStimp / Trench Sensor(s). Model: 794380-208 ~ Piping Sump / Trench Sensor(s). Model: 794380-208 W Fill Sump Sensors(s). Model: 794380-208 [iI Fill Sump Sensor(s). Model: 794380-208 [Xl Mechanical Line Leak Decector. Model:FX1V ~ Mechanical Line Leak Detector. Model: FX1DV . 0 Electronic Line Leak Detector. Model: 0 Electronic Line Leak Detector. Model: ~ Tank Overfill / High Level Sensor. Model: 847390-107 ~ Tank Overfill / High Level Sensor. Model: 847390-107 0 Other (specify equip. type and model in Sec. E on Pg. 2) 0 Other (specify equip. typs and model in Sec. Eon Pg. 2) Dispenser ID: 1&2 Dispenser ID: 3 & 4 [XJ Dispenser Containment Sensor(s). Model: 794380-208 ~ Dispenser Containment Sensor(s). Model: 794380-208 [i] Shear Valve(s). W Shear Valve(s). o Dispenser Containment Float(s) and Chain(s). o Dispenser Containment Float(s) and Chain(s) Dispenser ID: 6&6 Dispenser ID: 7 & 8 ~ Dispenser Containment Sensor(s). Model: 794380-208 W Dispenser Containment Sensor(s). Model: 794380-208 ~ Shear Valve(s). ~ Shear Valve(s). o Dispenser Containment Float(s) and Ch.ains(s). o Dispenser Containment Float(s) and Chain(s). Dispenser ID: 9& 10 Dispenser ID: 11 & 12 [!] Dispenser Containment Sensor(s). Model: 794380-208 ~ Dispenser Containment Sensor(s). Model: 794380-208 [i) Shear Valve(s). ~ Shear Valve(s). o Dispenser Containment Float(s) and Chain(s) o Dispenser Containment Float(s) and Chain(s). . . . . *If the faclhty contams more tanks or dlspensers, copy this form. Include informauon for every tank and dispenser at the faclhty. C. Certification - I certify that the equipment identified in this document was inspected/senrices in accordance with the manufacturers' guidlines. Attached to this Certification is information (e.g. manufacturers' checklist) necessary to varify that this information is correct and a plot plan showing the layout of monitoring equipment For eq . ment capable of generating such reports, I have attached a copy of the report; (check aU that apply) 0 S em Se - Alarm ~st port Technician Name (print): Joseph Stroope Signature.. Certification No: A31226 0: 804904 Testing Company Name: Confidence UST Services, Inc. Phone No: 800-339-9930 Site Address: 8001 White Lane, Bakersfield, CA 93309 Date of Testing/Servicing: 7/27/2006 l' ~i D. Results of Testing/Servicing Software Version Installed: Complete the following checklist: [i] Yes D No. Is the audible alarm operational? x Yes r 1 No. Is the Visual alarm operational? x Yes 1 1 No. Were all sensors visually inspected, functionally tested, and confIrmed operational? ~ Yes DNo. Were all sensors installed at the lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? DYes E3 No. If alarms are relayed to a remote monitoring station, is all communications equipment (e. g. modem) x N/A operational? IIiJ Yes DNo. For presswized piping systems, does the turbine automatically shut down if the piping secondary DN/A containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initate positive shut-down? IiJ Sumpffrench Sensors [iJDispenser Containment Sensors Did you confIrm positive shut-down due to leaks and sensor failure/disconnected? Ii] Yes; D No; Ii] Yes DNo. For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no DN/A mechanical overfill prevention valve is installed), is the overfill warning alarm visual and audible at the tank fill point( s) and operating properly? If so, at what percent of tank capasity does the alarm trigger? I 90 1% IiJ Yes. DNo Was any monitonng 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. DYes. ~No Was liquid found inside any secondary containment systems designed as dry systems? Tx v..<: D Product; D Water. If yes, describe causes in Section E, below. I INo. Was monitoring system set-up reviewed to ensure proper settings? Attach set-up reports, if applicable. lx Yes r 1 No. Is all monitoring equipment operational per manufacturer's specifications? .. In Section E below, discribe how and when these deficiencies were or will be corrected. E. Comments: Replaced the Veeder-Root 794380-208 sensor in the Super U/L STP sump as it would not go into alarm. '" F. In-Tank Guaging I SIR Equipment: [x] Check this box if tank guaging is used only for inventory control. o Check this box if tank guaging or SIR equipment is installed. This section must be completed if in-tank guaging equipment is used to perform leak detection monitoring. Complete the following checklist: ~ Yes 0 No* Has all input wiring been inspected for proper enter and termination,including testing for ground faults? I- x Yes No* Were all tank guaging probes visually inspected for damage and residue buildup? x Yes No* Was accuracy of system product level readings tested? x Yes No* Was accuracy of system water level readings tested? x Yes No* Were all probes reinstalled properly? f- 0 Were all items on the equipment manufacturer's maintenance checklist completed? ~ Yes No* * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): D Check this box if LLD's are not installed. c I thf<U h kIi omplete eoowm e;c ec st: ~Yes DNo* For equip. start-up or annual equipment certification, was a leak simulated to varify LLD performance? (Check all that apply) Simulated leak rate: ~3 g.p.h.: DO.1 g.p.h.; Do.2 g.p.h.; -~ J Yes DNo* Were all LLD's confirmed operational and accurate within regulatory requirments? ~J Yes No* Was the testing apparatus properly calibrated? ~Yes No* For machamcal LLD's, does the LLD restrict product flow if It detects a leak? i0- N/A DYes No* For electronic LLD's, does the turbine automatically shut off if the LLD detects a leak? :-:: ~N/A DYes DNo* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is [x] N/A disabled or disconnected? DYes DNo* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system ~N/A malfunction or fails a test? DYes DNo* For electronic LLD's, have all accessible wiring connections been visually inspected? 1--.= ~N/A [zO Yes No Were all items on the equipment manufacturer's maintenance checklist completed? * In the section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: ~ mSTRH' 640 8001 vJH lTE LN. BAKERSFIELD,CA 93309 JUL 27, 2006 8:35 AM SVSTEJ"l STATUS REPORT ALL FUNCTl ONS NORl"lAL INVENTORV REPORT T 1: UNLEADED 'VOLU~'IE ULLAGE 90% ULLAGE= TC VOLUHE HEIGHT WATER VOL L-JA TER TEt1P T 2:UNLEADED VOLUf1E ULLAGE 90% ULLAGE= TC VOLUl"lE HEIGHT WATER VOL L-JATER TEt1P T 3: PREt"l I Ut"l VOLUI"lE ULLAGE 90~. ULLAGE= TC VOLUI"IE HEIGHT WATER VOL WATER TEJolP 1 366 8879 GALS 3121 GALS 1921 GALS 8678 GALS 83.21 INCHES 10 GALS 0.79 INCHES 92.3 DEG F 2 366 9179 GALS 2821 GALS 1621 GALS 8974 GALS 85.79 INCHES o GALS 0.00 INCHES 91 . 8 DEG F 366 7504 GALS 4496 GALS :3296 GALS 7308 GALS 71.89 INCHES o GALS 0.00 INCHES 97. 1 DEG F T 4:DIESEL 366 VOLUME 8214 GALS ULLAGE 3786 GALS 90% ULLAGE= 2586 GALS TC VOLUHE 8074 GALS HEIGHT 77.65 INCHES WATER VOL 17 GALS WATER 1.08 INCHES TEMP 97.8 DEG F T 5:DIESEL 367 VOLUME 7841 GALS ULLAGE 4159 GALS 90% ULLAGE= 2959 GALS TC VOLUME 7719 GALS HEIGHT 74.60 INCHES WATER' VOL 0 GALS WATER 0.00 INCHES TEMP 94.2 DEG F T ,:.r /",~PR8'1 I Ul"l ._ "VOLUI1E ULLAGE 90% ULLAGE= TG 'v'OLU~'lE HEIGHT L.JATER VOL WATER. TEI1P T 7:UNLEADED VOLUf1E ULLAGE 90% ULLAGE= TC VOLUHE HE IGHT WATER VOL WATER TEMP T 8:UNLEADED VOLUJolE ULLAGE 90~. ULLAGE= TC \JOLU\"IE HEIGHT l.-JATER VOL WATER TEI1P :367 8618 GALS 3382 GALS 2182 GALS 8440 GALS 81.00 INCHES o GALS 0.00 INCHES 89.5 DEG F 1 367 9139 GALS 2861 GALS 1661 GALS 8905 GALS 85.44 INCHES o GALS 0.00 INCHES %.4 DEG F 2 367 9377 GALS 2623 GALS 1423 GALS 9142 GALS 70.02 INCHES 14 GALS 0.78 INCHES 95.7 DEG F MANIFOLDED TANKS INVENTORV TOTALS T I:UNLEADED 1366 T 2:UNLEADED 2 366 VOLUI1E = 18059 GALS TG VOLUI"lE = 17652 GALS T 7:UNLEADED 1 367 T 8:UNLEA[lED 2 367 VOLUME = 18516 GALS Te VOLUME = 18047 GALS ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ "--- .' 'i' S'ISTEM SETUP JUL 27~ 2006 8:36 AM SYSTEt"l UN I T8 U.S. SYSTEM LANGUAGE ENGLISH SYSTEM DATE/T H'IE FORr"JAT MON DD YYI-N HH: MI1 : SS xI"I FASTRIP 640 8001 WHITE LN. BAKERSFIELD.CA 93309 SHIFT TIME 1 : DISABLED SHIFT TIME 2 :.DISABLED SHIFT TIME 3 : DISABLED SHIFT TIME 4 : DISABLED TANK PER TST NEEDED WRN DISABLED TANK ANN TST NEEDED WRN DISABLED LI NE RE-ENABLE IvlETHOD PASS LINE TEST LINE PER TST NEEDED WRN DISABLED LINE ANN TST NEEDED WRN DISABLED PR I NT TC VOLUl"lES ENABLED TEI1P COIvlPENSAT 1 ON VALUE (DEG F): 60.0 STICK HEIGHT OFFSET DISABLED H-PROTOCOL DATA FORMAT HEIGHT DAYLIGHT SAVING TIME ENABLED START DATE APR WEEK SUN START TIME 2: 00 Alv! END DATE OCT WEEK 6 SUN END Tlr1E 2:00 AM RE-DIRECT LOCAL PRINTOUT DISABLED EURO PROTOCOL PREFIX S SYSTE~'l SECUR I TY CODE : 000000 CUSTO!"l ALARr'1 LABELS DISABLED -~- CO[vlt"lUNICATIONS SETUP PORT SETTINGS: COMM BOARD 1 (RS-232) BAUD RATE 9600 PARITY NONE STOP BIT: 1 STOP DATA LENGTH: 8 DATA RS-232 SECURITY CODE : DISABLED AUTO TRANSMIT SETTINGS: AUTO LEAK ALARM L I Ivl I T DISABLED AUTO HIGH WATER LIMIT DISABLED AUTO OVERF I LL L Irvl! T DISABLED AUTO LOW PRODUCT DISABLED AUTO THEFT LIMIT DISABLED AUTO DELIVERY START DISABLED AUTO DELIVERY END DISABLED AUTO EXTERNAL INPUT ON DISABLED AUTO EXTERNAL INPUT OFF DISABLED AUTO SENSOR FUEL ALARM DISABLED AUTO SENSOR WATER ALARI1 DISABLED AUTO SENSOR OUT ALARM DISABLED RS-232 END OF MESSAGE DISABLED ..,""-- IN-TANK SETUP T l:UNLEADED 1 366 PRODUCT CODE THERI'1P1L COEFF TANK D I At"lETER TANK FROFILE FULL VOL : 1 : .000700 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: OVERFILL LIMIT : HIGH PRODUCT DELI VERY LII"! IT 12000 90% 10800 95% 11400 10% 1200 500 99 99 0.00 0.00 LOW PRODUCT : LEAK ALAR!vl L I M IT: SUDDEN LOSS LIMIT: TANK TILT : PROBE OFFSET SIPHON MANIFOLDED TANKS Tit: 02 LINE HANIFOLDED TANKS n: NONE LEAK MIN PERIODIC: 1% 120 LEAK t1 I N ANNUAL 1% 120 PERIODIC TEST TVPE STANDARD ANNUAL TEST FAIL ALARJ"! DISABLED PERIODIC TEST FAIL ALARI-I DISABLED GROSS TEST FAIL ALARr1 DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK: ON DEL I VERY DELAY : 1 [vII N PUMP THRESHOLD : 10.00% .,,-~-.._-....."., '0' ,..- ----...........-_.--.....~---~...... T 2:UNLEADED 2 PRODUCT CODE THERlv1AL COEFF TANK D I At"1ETER TANK PROFILE FULL VOL 366 2 : .000700 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. WATER WARNING : 2.0 HIGH WATER LIMIT: 3.0 1"1A>< OR LABEL VOL: 12000 OVERF ILL LI I"II T 90% 10800 HIGH PRODUCT' 95% 11400 DELIVERY LIMIT 10% 1200 LOVJ PRODUCT : 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS L I rvl IT: 99 TANK TILT 0.00 PROBE OFFSET 0.00 SIPHON IvlANIFOLDED TANKS T;t: 01 LI NE l''1ANIFOLDED TANKS TIi: NONE LEAK 1"11 N PERIODIC: 1% 120 LEAK rvl1 N ANNUAL 1% 120 PERIODIC TEST TYPE STAl'mARD ANNUAL TEST FAIL ALARrv1 DISABLED PERIODIC TEST FAIL ALARl"l D I SASLED GROSS TEST FAIL ALARI1 D I BABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK: ON DELIVERY DELAY 1 MIN PUMP THRESHOLD : 10.00% _-~."rr........-...~ ...-:.;.... .....~ ......../--..... T 3 :PREMI Ulv1 :366 PRODUCT CODE THERI"IAL COEFF TANK DIAI1ETER TANK PROFILE FULL VOL 3 : .000700 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. WATER WARNING : HIGH WATER LIMIT: MAX OR LABEL VOL: 'OVERFILL LIMIT HIGH PRODUCT DELI VERY LI 1"1 IT 2.0 3.0 12000 90% 10800 95~. 11400 10% 1200 500 99 99 0.00 0.00 LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT PROBE OFFSET SIPHON I1ANIFOLDED TANKS TIi: NONE LINE MANIFOLDED TANKS TIi: NONE LEAK 1"11 N PERIODIC: 10, /0 120 LEAK t"l I N ANNUAL 1 ~o 120 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL . ALARI1 DISABLED PERIODIC TEST FAIL ALARI"I DISABLED GROSS TEST FAIL ALARrv, DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTl FY : OFF TNK TST SIPHON BREAK:OFF DEL I VERY DELAY 1 rvll N PUMP THRESHOLD : 10.00% - ..-........... '-~-... -- '......._-- T 4:DIESEL 366 PRODUCT CODE THERt"1AL COEFF TANK DIAMETER TANK PROFILE FULL VOL : 4 : .000450 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 l"1A>< OR LABEL VOL: 12000 OVERFILL LIMIT 90% 10800 HIGH PRODUCT 95% 11400 DELIVERY LIMIT 10% 1200 LOW PRODUCT 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS L I Iv1 IT: 99 TANK TILT 0.00 PROBE OFFSET 0.00 SIPHON MANIFOLDED TANKS H: NONE LINE MAN I FOLDED WINKS H: NONE LEAK 111 N PER I OD 1 C : 1% 120 LEAK 1"11 N ANNUAL 10, '0 120 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARI"1 Ii I SABLED PERIODIC TEST FAIL ALAR!"I DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AIJERAG 1 NG : OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY 1 MIN PUMP THRESHOLD : 10.00% .r--'''''-- T 5:DIESEL 367 PRODUCT CODE THERMAL COEFF TANK DIAMETER TANK PROFILE FULL VOL : 5 : .000450 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. WATER WARNING : 2.0 HIGH WATER LIt-lIT: 3.0 MAX OR LABEL VOL: 12000 OVERFILL LIMIT 90% 10800 HIGH PRODUCT 95% 11400 DELIVERY 1.It1IT 10% 1200 LOLJ PRODUCT : 500 LEAK ALARt-1 LI r-1 IT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 0.00 PROBE OFFSET 0.00 S I PHON 11AN I FOLDED TANKS Tit: NONE LINE l"lAN I FOLDED TANKS Tit: NONE LEAK t1I N PERIODIC: 1% 120 LEAK 1"11 N ANNUAL 1% 120 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARI1 DISABLED PERIODIC TEST FAIL ALARI"' DISABLED GROSS TEST FAIL ALAR!"I DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DEL I VERY DELAY 1 .. r"J IN PUMP THRESHOLD : 10.00% -~ ---------..,?- T 6 : PREl"l I UI1 367 PRODUCT CODE THERMAL COEFF TANK DIAMETER TANK PROFILE. FULL VOL 6 : .000700 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. WATER WARNING 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 12000 OVERFILL LIMIT 90% 10800 HIGH PRODUCT 95% 11400 DELIVERY LIMIT 10% 1200 LOW PRODUCT : 500 LEAK ALARM LItv1lT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT 0.00 PROBE OFFSET 0.00 SIPHON MANIFOLDED TANKS T;t: NONE LINE MANIFOLDED TANKS T;t: NONE LEAK r-11N PERIODIC: . 1% 120 LEAK MIN ANNUAL 10., /0 120 PERIODIC TEST TYPE STANDf~RD ANNUAL TEST FAIL ALARr-! DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARr1 DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY PUl"lP THRESHOLD 1 MIN 10.00% ~ - -,--,~ T 7:UNLEADED 1 PRODUCT CODE THERMAL COEFF TANK DIAI'1ETER TANK PROFILE FULL VOL 367 7 : .000700 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. WATER WARNING : HIGH WATER LIMIT: MAX OR LABEL VOL: OVERfI LL LII"IIT HIGH PRODUCT DELIVER\' LII"IIT 2.0 3.0 12000 90% 10800 95% 11 400 10% 1200 LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT PROBE OFFSET 500 99 99 0.00 0.00 SIPHON MANIFOLDED TANKS Tit: 08 LINE MANIFOLDED TANKS Tll: NONE LEAK MIN PERIODIC: 1% 120 LEAK 1"1 I N ANNUAL 1 % 120 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARl"1 D I GABLED PERIODIC TEST fAIL ALARt1 DISABLED GROSS TEST FAIL ALARM DISABLED ANN T~ST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST Non FY : OfF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : 1 MIN PUMP THRESHOLD : 10.00% .~-- l' ..-/ T 8:UNtEADED 2 367 PRODUCT CODE THERI1AL COEFF TANK D I At1ETER TANK PROFILE FULL VOL : 8 : .000700 9E. . 00 1 PT 12000 FLOAT SIZE: 4.0 IN. WATER WARNING HIGH WATER LIMIT: MAX OR LABEL \JOL: OVERFILL LIMIT : HIGH PRODUCT DEll VERY Ll r1 IT 2.0 3.0 12000 '30% 10800 95% 11400 10% 1200 LOW PRODUCT : 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 99 TANK TILT : 0.00 PROBE OFFSET 0.00 SIPHON r"lANIFOLDED TANKS TIt: 07 LINE t'1AN I FOLDED TANKS T1*: NONE LEAK MIN PERIODIC: 1., '. 120 LEAK MIN ANNUAL 1% 120 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARt1 D 1 BABLED PER10DIC TEST FAIL ALARt1 D I BABLED GROSS TEST FAIL ALARt"l Ii I BASLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTI FY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : 1 MIN PUMP THRESHOLD : 10.00% ~--- ---- ~...;~'" A-~ ANN 367 ,----- _..-.,{f -STATE {SI NGLE FLOAT} CATEGORY : ANNULAR SPACE L25:UNL 1 STP 367 TRI-STATE (SINGLE FLOAT) CATEGORY : STP SUt"lP L26:UNL 1 FILL 367 TRI-STATE (SINGLE FLOAT) CATEGORY : OTHER SENSORS L27:UNL 1 ANN 367 TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L28:UNL 2 ANN 367 DUAL POINT HYDROSTATIC CATEGORY : ANNULAR SPACE L2'3:UNL 2 STP 367 TRI-STATE (SINGLE FLOAT) CATEGOR'f : STP SU1"lP L30:UNL 2 STP 2ND 357 TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L31:UNL 2 FILL 367 TRI-STATE (SINGLE FLOAT> CATEGORY : OTHER SENSORS L32:UNL 2 FILL 2ND 367 TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L33:DISP 13-14 TRI-STATE (SINGLE FLOAT> CATEGORY : DISPENSER PAN -..... -"~ L34:DISP 15-16 TRI-STATE (SINGLE FLOAT> CATEGORY : DISPENSER PAN L35:DlSP 17-18 TRI-STATE <SINGLE FLOAT) CATEGORY' : DISPENSER PAN L36:DISP 19-20 TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L37:DISP 21-22 TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L38:DISP 23-24 TRI-STATE (SINGLE FLOAT) CATEGORY : DISPENSER PAN L39:VENT BOX 367 TRI-STATE (SINGLE FLOAT) CATEGORY : OTHER SENSORS 'i" LIQUID SENSOR SETUP ---------.~- -, ,- LS:PREI"l FILL 366 TR I -STATE. (So' TI NH~~E s~T~g~~~ CATEGORY , "-"- -..... - ~ 10,..-1'" '.... "0';..- , " _~ ... ....k~,._._ L 1 :UNL 1 ANN 366 TJd -STATE (S I NGLE FLOAT) CATEGORY : ANNULAR SPACE Ll7:DISP 9-10 ., TRI-STATE (SINGLE FLOA1> CATEGORY : DISPENSER PAN L g:PREM STP 366 ) TRi-STATE (SINGLE FLOAT CATEGORY : STP SUMP L 2:UNL 1 FILL 366 TRI-STATE (SINGLE FLOAT) CATEGORY : OTHER SENSORS LIO:DIESEL~NN~366FLOAT} ~~+E~b~~E: (~~~~t~R SPACE L18:DISP 11-12 ., TRI-STATE (SINGLE FLOAT; CATEGORY : DISPENSER PAN L 3:UNL 1 STP 366 TRI-STATE (SINGLE FLOAT) CATEGORY : STP SUI'1P Lll:DIESEL \IL~ 36~lOAT) TRI -STATE (~I NGLE -'ENSORS CATEGORY : oTHER ~ L19:DIESEL STP 367 _ TRI-STATE (SINGLE FLOAT> CATEGORY : STP SUMP L 4:UNL 2 ANN 366 TRI -STATE (81 NGLE FLOAT> CATEGORV : ANNULAR SPACE L20:DIESEL FILL 367 _. . TR I -STATE (S INGLE FUJAT) CATEGORV : OTHER SENSORS - ""' ""' '-66 Ll~:DIEoEL(~1~G~E FLOAT) TR I -STATE, ""'1'P SUl'lP CATEGoRY . 0 L 5:UNL 2 FILL 366 TRI-STATE (SINGLE FLOAT) CATEGORY : OTHER SENSORS L13'DISP 1-2 OAT' TR I ~S~'A~E . (SD II ~g~~s~~ PA(.~ CATEGOR~ ' L21 :DIESEL ANN 367. . TRI-STATE (SINGLE FLOAr> CATEGORY : ANNULAR SPACE L 6:UNL 2 STP 36b _ TRI-STATE (SINGLE FLOAT> CATEGORY : STP SUMP L14 :DISP 3~4 ", FL<.>AT> TRI-STATE.(PD~~~~~~SER PAN CATEGOR'} , L22:PREM STP 367 . TRI-STATE (SINGLE FLOAT> CATEGORY : STP SUMP L 7 :PREI"! ANN 366 TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L23:PREM FILL 367 . TRI-STATE (SINGLE FLOAT> CATEGORY : OTHER SENSORS L15:~I~~E5(~INGLE FLOAT) TR I :~T . 'D I SPENSER PAN CATE\jORY . L24 : pr- To- L16 :~l~~E 7(~1 NGLE FLOf~'f) TR I .'ST } , D I SPENSER PAN CATEGOR' . -''''''-''.:'-",--,~ --. ._....- ... .-.....----- -,.~- --ouTPUT RELAY SETUP - - - - - - - - - R 1: SHUT -OFF 366 TYPE: STANDARD NORr"lALL Y CLOSED IN-TANK ALARr"lS T 1: LEAK ALARr"1 T 2: LEAK ALARt1 T 3: LEAK ALARr"1 T 4: LEAl< ALAR~'l LI QU I D SENSOR ALi"IS L 3: FUEL ALARr"t L 6 :FUEL ALARM L 9: FUEL ALARI"! L12:FUEL ALARM LI 3 : FUEL ALARM LI 4 : FUEL ALARI"! L16 :FUEL ALARM L1 6 : FUEL ALARI"! L17:FUEL ALARM L 1 8 : FUEL ALAR!"I L ~:SENSOR OUT ALARM L b:SENSOR OUT ALARM L 9:SENSOR OUT ALARM L12:SENSOR OUT ALARM L13:SENSOR OUT ALARM L14:SENSOR OUT ALARM Ll?:SENSOR OUT ALARM Llb:SENSOR OUT ALARM L17:SENSOR OUT ALARM L18:SENSOR OUT ALARM L 3 : SHORT ALAR~1 L 6:SHORT ALARM L 9:SHORT ALARM L12 :SHORT ALARr"1 L13:SHORT ALAR!"! LI 4 : SHORT ALAR!"l L15 :SHORT ALARM Lt6 : SHORT ALARM Lt 7: SHORT ALAR!"l L18 :SHORT ALARr"1 R 2:SHUT-OFF 367 TYPE: STANDARD NORMALLY CLOSED ..,_--..r'"'___.. ""-'- ----"'" IN-TANK ALARr"1S T 5: LEAl< ALARr'1 T 6:LEAl< ALARM T 7:LEAK ALARM T 8: LEAK ALARt1 LIQUID SENSOR' AU"IS Lt9 :FUEL ALARM L22 : FUEL ALARr"1 L25:FUEL ALARM L29:FUEL ALARM L33:FUEL ALARM L34:FUEL ALARM L35:FUEL ALARM L36 : FUEL ALAR!"1 L37 :FUEL ALAR!"! L38:FUEL ALARM L19:SENSOR OUT ALARM L22:SENSOR OUT ALARM L25:SENSOR OUT ALARM L29:SENSOR OUT ALARM L33:SENSOR OUT ALARM L34 : SENSOR OUT ALAR~l L35:SENSOR OUT ALARM L36:SENSOR OUT ALARM L37:SENSOR OUT ALARM L3S:SENSOR OUT ALARM L19:SHORT ALARM L22:SHORT ALARM L25:SHORT ALARM } L29 :SHORT ALARr"1 t L38:SHORT ALARM L34:SHORT ALARM L35 : SHORT ALAR!"! L36:SHORT ALARM L:37 : SHORT ALARr"! L38:SHORT ALARM L28:HIGH LIQUID ALARM L28:LOW LIQUID ALARM R 3:UNLEADED 1 367 TYPE: PUMP CONTROL OUTPUT TANK #: 7 - NO ALARM ASSIGNMENTS - ~-~'~--.-, -~------ ,--. .}' R 4:0VERFILL ALARM 366 TyPE: , STANDARD NORl"IALL Y OPEN IN-TANK ALARMS T 1: O\IERF I LL ALARI"\ T 2:0VERFILL ALARM T 3:0VERFILL ALARM T 4:0VERFILL ALARM R 5:EXTERNAL ALARM TYPE: jvlOt1ENTARY NORt"lALL Y OPEN IN-TANK ALARt"1S ALL: LEAK ALARI"\ LIQUID SENSOR ALMS ALL: FUEL ALARl1 SMARTSENSOR SETUP 5 1:UNLEADED 1 367 CATEGORY VAC SENSOR PUlvlP ~: R 3:UNLEADED 1 367 VOLUME: 50.0 GALLONS RELIEF VALVE: : NO s 8: ATt"1 SENSOR CATEGORY ATM P SENSOR SOFTWARE REVISION LEVEL VERSION 324.02 SOFTWARE~ 346324-100-C CREATED - 05.02.04.13.57 NO SOFTWARE MODULE SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS ALARt"l HISTORY REPORT --_._-- SENSOR ALARr1 L 1:UNL 1 ANN 366 ANNULAR SPACE FUEL ALAR!"I JUL 28. 2005 1:34 PM FUEL ALARM JUL 21. 2005 1:15 Hi SETUP DATA WARNING FEE 4. 2005 8:02 AM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ _~-....r'- ... -."'-.... .../r ,- ._---... ~ ----------- ALARM HISTORY REPORT ----- SENSOR ALARM L 2:UNL 1 FILL 366 OTHER SENSORS FUEL ALARM AUG 17, 2005 1 :52 PM FUEL f~LARI1 JUL 28, 2005 1:28 PM FUEL ALARM JUL 21, 2005 1 :25 PM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ALARM HISTORY REPORT ----- SENSOR ALAR!"l L 3:UNL 1 STP 366 STP SUMP FUEL ALAR!"l JUL 22. 2006 1 :27 PM FUEL ALARl"l JUL 28. 2005 1 :38 PM FUEL ALARM JUL 21. 2005 1: 10 Ptvl, ~ ~ ~ ~ * END ~ ~ * ~ ~ ALARM HISTORY REPORT ----~ SENSOR ALARI'1 L 4:UNL 2 ANN 366 ANNULAR SPACE FUEL ALAR1'1 JUL 28. 2005 1:34 PM FUEL ALAR!"! JUL 21. 2005 1:20 PM SETUP DATA l.lARN I NG FEB 4. 2005 8:02 AM )It 1( '" '" )It END '" '" '" '" '" ALARM HISTORY REPORT ----- SEI~SOR ALAR!"1 L 5:UNL 2 FILL 366 OTHER SENSORS FUEL ALAR!"! JUL 28, 2005 1:45 PM FUEL ALAR!"I JUL 28, 2005 1 :29 PM FUEL ALARl"! JUL 21. 2005 1 :27 PM '" ~ ~ ~ '" END ~ '" '" ~ ~ AI" --" .--- ."",- ---_../ "_ . ..:.oAR!"] H I STORY REPORT ----- SENSOR ALAR!"! L 6:UNL 2 STP 366 STP aU!"IP FUEL ALAR~'I JUL 22, 2006 1:29 PM FUEL ALAR!1 JUL 28, 2005 1:37 PM FUEL ALARM JUL 21, 2005 1:12 PM '" '" ~ '" '" END '" ~ '" '" '" ALARM HISTORY REPORT --.--- SENSOR ALAR!"! L 7:PREM ANN 366 ANNULAR SPACE FUEL ALARM JUL 28, 2005 1:33 PM FUEL ALAR!"1 JUL 21, 2005 1 :21 PM SETUP DATA WARNING FEB 4, 2005 8: 02 AI1 ~ ~ '" '" '" END ~ ~ '" '" ~ ............... --...-/.- ALARM HISTORY REPORT ----- SENSOR ALARM L 8:PREM FILL 366 OTHER SENSORS FUEL ALAR!"I JUL 28. 2005 1:24 PM FUEL ALARI"! JUL 21, 2005 1:28 PM SETUP DATA WARNING FEB 4, 2005 8:02 AM '" ~ ~ '" '" END '" '" ~ '" ~ ALARM HISTORY REPORT ----- SENSOR ALARI'-1 L 9:PREM STP 366 STP SUMP ~, ,FUEL ALARM JUL 22, 2006 1:29 PM FUEL ALARl1 JUL 28. 2005 1:36 PM FUEL ALARM JUL 21, 2005 1 :13 PM ~ ~ ~ ~ * END ~ ~ ~ ~ ~ .' --~ ,"" ......;~ . ~At.AR("1 HISTORY REPORT ------ SENSOR ALARI'1 L12:DIESEL STP 366 STP SUt'IP FUEL ALARt'1 JUL 22. 2006 1: 30 PI'1 FUEL ALARI"! DEe 1. 2005 2:27 PM FUEL ALARl"l DEe 1. 2005 1:45 PM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ALARM HISTORY REPORT ----- SENSOR ALARr"1 Ll3 :DISP 1-2 DISPENSER PAN FUEL ALARI'1 JUL 22. 2006 1 :33 PM FUEL ALARM JUL 28. 2005 1 :21 PM FUEL ALAR!"l JUL 21. 2005 1:37 PM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ --~..~ ALARM HISTORY REPORT ----- SENSOR ALARM LI0:DIESEL ANN 366 ANNULAR SPACE FUEL ALAR!"1 JUL 28. 2005 1 :32 PM FUEL ALARI"! JUL 21. 2005 1:22 PM SETUP DATA WARNING, FEB 4. 2005 8:02 RM " ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ALARM H I STORY REF'ORT ----- SENSOR ALARM ----- Ll1:DIESEL FILL 366 OTHER SENSORS FUEL ALARM JUL 28. 2005 1 :47 PM FUEL ALARM ,JUL 28. 2005 1: 31 P!"I FUEL ALARM JUL 21. 2005 1 :30 PI'1 ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ /-- ..---..; - ALARM HISTORY REPORT ----- SENSOR ALARM L14:DISP 3-4 DISPENSER PAN FUEL ALARM 1,';j3 PM JUL 22. 2006 ' FUEL ALARM 1 : "...2 PI"! JUL 28. 2005 FUEL ALAR!"! JUL 21. 2005 1 :36 PM ~ ~ * ~ * END ~ ~ ~ ~ ~ / ALARM HISTORY REPORT -----. SENSOR ALARt'l ------ L15 :DISP 5-6 DISPENSER PAN FUEL ALARM - 1 '. :32 PI"! JUL 22. 200b FUEL ALAR!"! JUL 28. 2005 1: 22 PI"' FUEL ALARI1 JUL 21. 2005 1 :35 PM ~ ~ * * ~ END ~ ~ ~ * ~ '., 1- ....--" -./ -..~~~.,.- .------~ ALARM HISTORY REPORT ----- SENSOR ALARt'1 Ll6:DISP 7-8 DISPENSER PAN FUEL ALARl"! JUL 22. 2006 1 :32 PM FUEL ALARM JUL 28. 2005 1:23 PM FUEL ALARr"! JUL 21. 2005 1:34 PM ~ ~ ~ ~ * END ~ ~ ~ ~ * ALARM HISTORY REPORT ----- SENSOR ALARM Ll7:DISP 9-10 DISPENSER PAN FUEL ALAR!"l JUL 22. 2006 1 :31 PM FUEL ALAR!"1 JUL 28. 2005 1 :23 P!"1 FUEL ALAR!"I JUL 21. 2005 1 : 33 Pl"l M M ~ M M END ~ ~ M M M ---- - --< ~--- or -...::;. --.....--"......-..---...-- ALARM HISTORY REPORT ----- SENSOR ALARM Ll 8 : D I SP 1 1 - 1 2 DISPENSER PAN fUEL ALARr"! JUL 22~ 2006 1:31 PM FUEL F,Lf,RI1 JUL 28. 2005 1 :26 PM FUEL ALARr"1 - JUL 28. 2005 1 :24 PM * ~ * M ~ END M ~ M M M ALARM HISTORY REPORT~ ----- SENSOR ALAR!"I LI9:DIESEL STP 367 STP SUMP FUEL ALARM JUL 24, 2006 12:44 PM FUEL ALARM JUL 28. 2005 2 : 52 PI"1 ,.I' '. ~ FUEL ALAR!"1 JUL 21. 2005 .' 2:54 P!"1 M M * M MEND * ~ M * M ,...--"~- --- ...---.-......-- ....... - ..----.... ALARM HISTORY REPORT ----- SENSOR ALARM ----- L20:DIESEL FILL 367 OTHER SENSORS FUEL ALAR!"I JUN 16. 2006 4:25 PM FUEL ALARM JUL 28, 2005 2:59 PM FUEL )ALARI1 JUL 21. 2005 2: 56 PI"! * ~ ~ M * END M M M M M ALARM HISTORV REPORT ------ BENSOR ALARt"1 L21 :DIESEL ANN 367 ANNULAR SPACE FUEL ALARl1 JUL 28. 2005 2:58 PM fUEL ALARI"! JUL 21. 2005 FUEL ALAR!"I MAY 12. 2005 2:57 PM 2:39 pr1 M ~ ~ ~ ~ END ~ ~ * ~ ~ .' ~"'-"' -----,-~.. l' -,""'- ALARI"! H I STORY REPORT ----- SENSOR ALAR!"! L22:PREM STP 367 STP SU!'-'lP FUEL ALARM JUL 24, 2006 12:45 PM FUEL ALARM JUL 28, 2005 2:53 PM FUEL ALARr"! JUL 21, 2005 2:53 PM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ALAR"'1 HISTORi REPORT ----- SENSOR ALAR!"! L23:PREM FILL 367 OTHER BENSORS FUEL ALARM JAN 1, 2006 8:35 PM FUEL ALAR!"! DEC 2, 2005 11: 34 At'" FUEL ALAR!"! DEC 2. 2005 6:35 AM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ _--...............~ --.. .... --...----- /' "-. ALARI"l HISTORY REPORT ----- SENSOR ALARt1 L24:PREM ANN 367 ANNULAR SPACE FUEL ALARM AUG 16. 2005 1 :12 PM FUEL ALARt"1 JUL 28, 2005 2:58 PM FUEL ALAR!"! JUL 21, 2005 2:59 PM * ~ ~ ~ ~ END ~ ~ * ~ ~ ALARI"1 H I STORY REPORT ----- SENSOR ALARM L25:UNL 1 STP 367 STP SUMP FUEL ALAR!"l JUL 24, 2006 12:47 PM FUEL ALARM JUL 24, 2006 12:46 PM FUEL ALARM APR 3, 2006 10:52 Pt"' ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ .........--- .". .... -.........~ _-........-...-.....--- ..-- --.-......- ,ALARM HISTORV REPORT ----- SENSOR ALARM L26:UNL 1 FILL 367 OTHER SENSORS FUEL ALARM JUL 28, 2005 3:00 PM FUEL ALAR/., JUL 21. 2005 3:00 PM FUEL ALAR/"! MAV 12, 2005 2:39 PM ~ '" '" ~ '" END '" '" '" '" ~ ALARM HISTORV REPORT ----- SENSOR ALARM L27:UNL 1 ANN 367 ANNULAR SPACE FUEL ALARM JUL 28. 2005 2:57 PM FUEL ALARM JUL 21. 2005 3:01 PM FUEL ALARM MAY 12. 2005 2:39 PM M M ~ M MEND M M M M M --~'~-'" 1, --........ ALARM HISTORY REPORT ----- SENSOR ALARM L28:UNL 2 ANN 367 ANNULAR SPACE HIGH LIGUID ALARM JUL 25. 2006 9:34 PM HIGH LIQUID ALARM JUL 28. 2005 2:57 PM LOW LIQUID ALARM JUL 28. 2005 2: 56 Iitvl ALARM HISTORY REPORT ----- SENSOR ALARM ----- L30:UNL 2 STP 2ND 367 ANNULAR SPACE FUEL ALAR!"l JUL 28. 2005 3:01 PM FUEL ALARM JUL 21. 2005 2:45 PM FUEL ALARM MAY 24. 2005 4:39 PM ~ ~ ~ ~ ~ END ~ ~ ~ * ~ ~ ~ ~ ~ ~ END ~ ~ ~ .. ~ ALARr1 HISTORY REPORT ----- SENSOR ALARM L29:UNL 2 STP 367 STP SUMP FUEL ALARt1 JUL 24. 2006 12:50 PM ALAR!"l H I STORY REPORT ----- SENSOR ALARt'! L31:UNL 2 FILL 367 OTHER SENSORS FUEL ALARM JUL'28. 2005 3:00 PM FUEL ALARM MAY 12. 2005 2:40 PM FUEL ALARM MAY 12. 2005 10:32 AM FUEL ALARM APR 3. 2006 10:50 PM FUEL ALAR!"I APR 3. 2006 9:07 PM )l; '" )l; '" '" END '" .. .. ,. ". ~ ~ ~ '" ~ END ~ ~ ~ ~ ~ -'..-..------- ...,_._-~- ~ _.--- ALARM HISTORY REPORT ----- SENSOR ALARM L32:UNL 2 FILL 2ND 367 ANNULAR SPACE FUEL ALARM MAY 12. 2005 2:40 PM FUEL ALARM MAY 12. 2005 11 :34 At'! FUEL ALAR!"l MAY 1 2.. 2005 1 0 : 59 AM ~ ,. '" "" ;0; END ~ :oE "" ~ .. ALARI"' H I STORY REPORT ----- SENSOR ALARt'l L33:DISP 13-14 DISPENSER PAN FUEL {~LAR!"l JUL 24. 2006 12:40 PM FUEL ALARM JAN 24. 2006 11:28 PM FUEL ALARM JUL 28. 2005 2:48 PM ~ '" '" ~ ~ END ~ '" ~ '" ~ ...-- ..-./ " ~~,- ALARM HISTORY REPORT ----- SENSOR ALARM L34:DISP 15-16 DISPENSER PAN FUEL ALARM JUL 24, 2006 12:39 PM , FUEL ALAR!"I 12'.39 PI"! JUL 24, 2006 FUEL ALARM JUL 28, 2005 2: 49 PI"! ~ M~M M MEND M M M M M ALARI'1 H I STORY REPORT ----- SENSOR ALAR,." L35:DISP 17-18 DISPENSER PAN, FUEL ALAR,." JUL 24, 2006 12:38 PM FUEL ALARt-l JUL 28. 2005 2:49 PM FUEL ALAR!"I JUL 21. 2005 3:03 PM M M M M MEND M M M M M .-./'"------_/ -1" ------ SENSOR ALARM LI9:DIESEL STP 367 STP SUt-1P FUEL ALARM JUL 27. 2006 9:46 AM ----- SENSOR ALAF:M L22:PREM STP 367 STP SUr"1p FUEL ALAR!"! JUL 27. 2006 9:47 AM ----- SENSOR ALARl"l L25:UNL 1 STP 367 STP SUt1P FUEL ALARM JUL 27, 2006 '3: 55 AI'1 ----- SENSOR ALARf"l L29:UNL 2 STP 367 STP SUI"IP FUEL ALAR!"! JUL 27. 2006 9:55 AM ------ SENSOR ALARl"1 L35:DISP 17-18 DISPENSER PAN FUEL ALAR!"l JUL 27. 2006 9:56 AM ~---- SENSOR ALARM L34:DISP 15-16 DISPENSER l='AN FUEL ALAR~1 JUL 27. 2006 9:57 AM -...-..........-.._-,..--..-...... --_.....- ,-----------'~' - ------ SENSOR ALARM L33:DISP 1 :)-14 DISPENSER FAN FUEL ALAR!"! JUL 27. 2006 9:57 AM ------ SENSOR ALARt1 L36:DISP 19-20 DISPENSER PAN FUEL ALARI"! JUL 27. 2006 9:57 AM n____ SENSOR ALARr"1 L37:DISP 21-22 DISPENSER PAN FUEL ALARt"1 JUL 27, 2006 9:58 AM ------- SENSOR ALARt"1 L38:DISP 23-24 D J;3PENSER PAN FUEL ALARr"1 JUL 27. 2006 9:58 AM .. .-._--..-. --~ _r- .~-' J ....~_....~.........._---. _ .....__...-.....- v '- .(, .' ----- SENSOR ALARI'1 L '3: PREl"1 STP 366 STP SUt1P FUEL ALARM JUL 27. 2006 11: 2:3 A\'1 ------- SENSOR AU\R~'I L 3:UNL 1 STP 366 STP sut'!P FUEL ALI~Rt"1 JUL 27. 2006 11 :11 AM -----.- SENSOR ALAR1'1 -.----- L30:UNL 2 STP 2ND 367 ANNULAR SPACE FUEL ALAR!"I JUL 27. 2006 9:59 AM ----- SENSOR ALARr"l ~ 'L '3 :PREt-'1 STP 366 . STP SU1"lP FUEL ALARM JUL 27. 2006 1 i : 24 Al"l ----- SENSOR ALARI"1 L 6:UNL 2 STP 366 STP SUMP FUEL ALARI"1 JUL 27. 2006 11: 12 Ali --- SI"IARTSENSOR ALARM s I:UNLEADED 1 367 NO \/ACUUl"l ALARf'1 JUL 27. 2006 10:00 AM --.--- SENSOR ALARI"l LI2:DIESEL STP 366 STP SUI'1P FUEL ALARt'! JUL 27. 2006 1 I : 26 N'l FASTRIP 640 8001 LVHI TE LN. BAKERSFIELD,CA 93309 ----- SENSOR ALARM L28:UNL 2 ANN 367 ANNULAR SP.c\CE LOW L I QU I D i1U-;Rr"l .JUL 27. .2006 10: 01 At'! JUL 27. 2006 11:15 AM , SYSTEI"l STATUS REPORT -.---- SENSOR ALARr"l L28:UNL 2 ANN 367 ANNULAR SPACE HIGH LIQUID ALARM JUL 27. 200b 10:01 At"l 5 - 1 : VACUUI"l LJARN I NG _.-.-- - ~3ENSOR ALARt.\ Ll 8 : D I SP 1 1 -1 :2 D I SPENSER F'AN FUEL ALARl"1 JUL 27. 2006 11:30 AM ------ - / ----- SENSOR JlARM -~--- L '3: PREl"l STP/366 STP SUt1P . SENSOR OUT MLARM JUL 27. 200(, 11: 18 Al"t ----- SENSOR ALAR!"l L31 : UNL 2 FILL 367 OTHER SENSORS FUEL ALARM JUL 27. 2006 1 0: 03 AI"! ---- '~ ----- SENSOR ALAR!"! L24:PREM ANN 367 ANNULAR SPACE FUEL ALARM JUL 27. 2006 10:06 AM SENSOR ALARM L21:DIESEL ANN 367 ANNULAR SPACE , FUEL ALARl'" 'JUL 27. 2006 10: 06 AI"l -.---- SENSOR AL,c,RI1 -.------ L20:DIESEL FILL 367 OTHER SENSORS FUEL ALARI1 JUL 27. 2006 10:07 AM FASTRIP 640 8001 WHITE LN. BAKERSFIELD.CA 93309 JUL 27. 2006 10:11 AM BYSTH1 STATUS REPORT 5 1: NO VACUUI"1 ALAR!"1 ~.\' _v, .i' -----....~ --......-.,. -_......--"....---..........-........._~--......... ----- SENSOR ALARI'1 L16 :DISP 7-8 DISPENSER PAN FUEL ALARM JUL 27. 2006 11 :31 AM ----- SENSOR ALARM Ll5 :DISP 5-6 DISPENSER PAN FUEL ALARM JUL 27. 2006 11 :31 AM --'-.-.- SENSOR ALARr") L14 :DISP 3-4 DISPENSER PAN FUEL ALAR!"1 JUL 27. 2006 11 :32 AM ----- SENSOR ALARM Ll3 :DISP 1-2 DISPENSER PAN FUEL ALARI"I JUL 27. 2006 11:32 AM . '~ ___._--...,.....-...... .._.....-r~. ...-..--___ --.._.~ ------ SENSOR ALAR!"l L I:UNL 1 ANN 366 ANNULAR SPACE F UEL ALAR~1 JUL 27. 2006 11:33 AM ------- SENSOR ALARt'l L 4:UNL 2 ANN 366 ANNULAR SPACE FUEL ALi1RM JUL 27. 2006 11 :33 AM ----- SENSOR ALAR~'I L 7:PREM ANN 366 ANNULAR SPACE FUEL ALAR!"1 JUL- 27. 2006 11: 3:] AI'1 --'-'- - SENSOR ALAR~'1 LI0:DIESEL ANN 366 ANNULAR SPACE FUEL ALAR!"! JUL 27. 2006 11 :34 AM -': (i.. JUL 27. 2006 11 :35 AM SVSTEf"l STATUS REPORT - - - - - - - - - - - - L 1: FUEL ALARt'1 L 4 :FUEL ALAR!"1 L 7: FUEL ALARI1 LIO:FUEL ALARM 5 1 :VACUUI"! WARNI NC ----- SENSOR ALARM ----- L11 :DIESEL FILL 36b OTHER SENSORS FUEL ALAR!"1 JUL 27. 2006 11 :38 AM ------ SENSOR ALAR!"! L 8:PREM FILL 366 OTHER SENSORS FUEL ALAR!"1 JUL 27. 2006 11 :39 AM , SENSOR ~ ALARI"'1 L 2:UNL I FILL 366 OTHER SENSORS FUEL ALAR!"1 JUL 27. 2006 11 :41 AM FASTRIP 640 8001 LJHITE LN. BAKERSFIELD.CA 93309 .JUL 27. 2006 12:00 PM SYSTEf"1 STATUS REPORT - - - - - - . . I l.\.#-~. .. .~. ... _. . _ . ---"'-- -- -- FASTRIP 640 8001 LJHITE LN. BAKERSFIELD.CA 93309 JUL 27. 2006 10:05 AM SVSTEM STATUS REPORT - - - - - - - - - . - 5' 1 : NO VACUtJr11ltAR!"1 JNVENTORY REPORT T 1: UNLEADED VOLU!"1E ULLAGE 90% ULLAGE; Te VOLUfY1E HEIGHT I,JATER VOL WATER TEI"IP T 2:UNLEADED VOL Ur1E ULLAGE 90~~ ULLAGE= TC VOLUrylE HEIGHT WATER VOL LJATER TEf1P T 3: PREI"1 JUt-I VOLUt"lE ULLAGE 90% ULLAGE= TC VOLUr"JE HEIGHT L-JATER VOL WATER TEr-lp T 4:DIESEL 366 VOLUI"'1E = ULLAGE - 90% ULLAGE; TC VOLUME HEIGHT WATER VOL WATER TEI1P !~ \ 1 366 8390 GALS 3610 GALS 2410 GALS 8200 GALS 79.10 INCHES 10 GALS 0.79 INCHES 92.3 DEG F 2 366 _ 8791 GALS 3209 GALS 2009 GALS 8594 GALS .. 82.45 INCHES o GALS 0.00 INCHES 9 1 . 8 DEG F 366 7:350 GALS 4650 GALS 3450 GALS 7159 GALS 70.66 INCHES o GALS 0.00 INCHES 97. 1 DEG F 8040 GALS 3960-CALS ~ 2760 GALS 7903 GALS 76.22 INCHES 17 GALS 1 .08 INCHES 97.8 DEG F J"----...-- ---.......... -...-.......--.-.- ....--'" -/T 5 :DIESEL 367 VOLUME 7839 GALS ULLAGE = -4161 GALS 90% ULLAGE= 2961 GALS T~ VOLUME 7719 GALS HEIGHT 74.59 INCHES WATER VOL 0 GALS WATER 0.00 INCHES TEMP 94 . 1 DEG F T - 6 : PREM I Uf"1 VOLU!"lE ULLAGE 90~~ ULLAGE= TC VOLUI1E HEIGHT WATER VOL t.,IATER TEMP T 7:UNLEADED VOLUt"lE ULLAGE 90% ULLAGE= TC VOLU!"lE HEIGHT WATER \lOL ,^IATER TEI"1P T 8: 1J1'.lLEf:;DED \/OLUI"IE ULLAGE . = 90% ULL AGE'" Te V0LlJi"IE HEIGHT WATER VOL [.lATER TEMP v_ 367 8613 GALS 3:387 GALS 2187 GALS 8434 GALS 80.95 INCHES o GALS 0.00 INCHES 89.5 DEG r. 1 367 9124 GALS 2876 GALS 1676 GALS 8891 GALS 85.31 INCHES o GALS 0.00 INCHES %.4 DEG F 2 J67 929:3 GALS ~:?07 GALS 1507 GALS 9060 GALS 69.42 !i'4CHES I:, GALS 0.79 INCHES 95.7 DEG F t1AN I FOLDED :rANKS INVENTORY TOTALS T I:UNLEADED 1 366 T 2: UNLEADED ,2 366 VOLUME = 17180 GALS TC VOLUME = 16794 GALS T 7:UNLEADED 1 367 T 8:UNLEADED 2 367 VOLUME = 18417 GALS Te VOLUI1E = 1 7951 GALS M M M M M ENb-~ M M M M ----- SENSOR ALARM L27:UNL 1 ANN 367 ANNULAR SPACE FUEL ALARt"1 JUL 27. 2006 10:05 AM Iii SWRCB, January 2006 Spill Bucket Testing Report Form This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form and printouts from tests (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. Facility Name: #366 Fastrip #640 (Chevron) I Date of Testing: 7/27/2006 Facility Address: 8001 White Lane, Bakersfield, CA 93309 Facility Contact: Omero Garcia I Phone: 661-393-7000 Date Local Agency Was Notified of Testing : 6/19/2006 Name of Local Agency Inspector (ifpresent during testing): None 1. FACILITY INFORMATION 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Joseph Stroope Credentials) : X CSLB Contractor X ICC Service Tech. X SWRCB Tank Tester o Other (Specify) License Number(s): CSLB #804904 ICC #5258844-UT Tester # 061720 3. SPILL BUCKET TESTING INFORMATION Test Method Used: x Hydrostatic o Vacuum o Other Test Equipment Used: Lake Test Equipment Resolution: 0.0625" Identify Spill Bucket (By Tank 1 Regular 1 2 Regular 2 3 Super 4 Diesel Number, Stored Product, etc.) Bucket Installation Type: o Direct Bury o Direct Bury o Direct Bury o Direct Bury x Contained in Sump x Contained in Sump x Contained in Sump x Contained in Sump Bucket Diameter: 12.00" 12.00" 12.00" 12.00" Bucket Depth: 16.25" 15.50" 11.50" 11.00" Wait time between applying 30 min. 30 min. 30 min. 30 min. vacuumfwater and start of test: Test Start Time (T)): 8:40am 8:40am 8:40am 8:40am Initial Reading (R)): 15.95" 15.25" 11.20" 10.75" Test End Time (TF): 9:40am 9:40am 9:40am 9:40am Final Reading (RF): 9:40am 9:40am 9:40am 9:40am Test Duration (TF - T)): I hour I hour I hour I hour Change in Reading (RF - R)): 0.00" 0.00" 0.00" 0.00" PassIFail Threshold or 0.0625" 0.0625" 0.0625" 0.0625" Criteria: Test Result: X Pass o Fail X Pass o Fail X Pass o Fail X Pass o Fail Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the information contained in this report is true, accurate, and in full compliance with 'legal requirements. Technician'SSignature,d~~ . Date, 7/2712006 f ) State laws and regula~ns do not currently require testing to be performed by a qualified contractor. However, local requirements ~. MONITORING'SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6. 7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations ~ This-form ~ust be used to document testing and servicing of monitoring equipment. A separate certification or report must be prepared for e~~h monitorIng s-ystemcontrolplillel' by _t.!I.e technician w.ho performs the work A _copy of this fo~ l11ustbe provided to th~ tank system owner/operator: The owner/operat~t_mlls~ submit a copy of this form to the local agency:regulatmg US~ sy,~tems . :within 30 dais of this date.d_' '.' - , _ "', ',. ;~":; , d.'::: ...:' ,.;..._~ ~ .-:c. 1.- '<l',~;' ,',' A.,General. Information ..' ". 'I' ,Facility Name: #367 Fastrip #640 :.,,:. i' .' ',',j "fi Bidg>N~,:c.:~,.' -: .,- Zip: 93309 Site Address: 8001 White Llome City: ~akersfield -- . Facility Contact Person: Omero Garcia MakeIModel of Monitoring System: Veeder-Root TLS 350 Contact Phone No.: 661'~393-7000 Date of Testing/Servicing: 7/27/2006 !;}t?~~?:'?~ox?t ~d~~i5r.~~~~.!~~~~~t~~c~fied Tank ill: 12000 gal. Regular 1 Tank ill: 12000 gal. Regular 2 . [x] In-Tank Gauging Probe. Model: 847390-107 ~ In-Tank Gauging Probe. Model: 847390-107 [iI Annular Space or Vault Probe. Model: 794390-420 [!] Annular Space or Vault Sensor. Model: 794390-420 [iI Piping Sump / Trench'Sensor(s). Model: 794380-208 [!] Piping Sump / Trench Sensor(s). . Model: 794380-208 W Fill Sump Sensor(s) Model: 794380-208 ~ Fill Sump Sensor(s). Model: 794380-208 W Mechanical Line Leak Detector. . Model: F.E.Petro 0 Mechanical Line Leak. Detector. Model: N/A 0 Electronic Line Leak Detector. Model: ' 0 Electronic Line Leak. Detector. Model: ..- [xJ Tank Overfill/High Level Sensor. Model: 794390-107 ~ Tank Overfill / High Leval Sensor. Model: 794390-107 D Other (specify equip. type and model in Sec. Eon Pg. 2) 0 Other (specify eqUip. type and inodel in Sec. Eon Pg. 2) Tank ill: 12000 gal: Super Tank ill: '12000 gal. Diesel - . [x] In-Tank Gauging Probe.',:. Model: 847390-107 [!] In"Tank Gauging Probe. Model: 847390-107 ,"W ' 'Annu~llf:Spa9ce .9r:'ya~t Sensor. Model: 847380-420 [iI Annular Space or Vault Sensor. M&iel:" 847380-420 [xJ Piping Sump / Trench Sensor(s). Model: 794380-208 [!] Piping Sump / Trench Sensor(s). Model: 794380-208 . :~l 1'il.FSuri1.PSensors(s). Model: 794380-208 [!] Fill Sump Sensor(s). Model: 794380-208 _ IX] - Mecharucill Line Leak Decector. M~l:F:E.Petro- ., [!] Mechanical Line Leak.:DetectoL ~ )vt;odel,: F.E.Petro..:. . []. El~ctr:onic L~~ Le~ Detector. M~~l: --' .. - -, '0' . Electronic'Line Leak Detector.. Model: f~' ,', [!] Tank Overfill / High Level Sensor. . Model:847390~107 . [!] Tank Overfill / High Level Sensor. ,Model: 847390-10'7 0 Other (specify equip. type and model in Sec. Eon Pg. 2) 0 Other (specify equip. typs and model in Sec. Eon Pg. 2) Dispenser ill: 13 & 14 Dispenser ill: 16 & 16 [X] Dispenser Containment Sensor(s). Model: 794380-208 [!] Dispenser Containment Sensor(s). Model: 794380-208 [i] Shear Valve(s). ~ Shear Valve(s). o Dispenser Containment Float(s) and Chain(s). o Dispenser Containment Float(s) and Chain(s) Dispenser ill: 17 & 18 -. Dispenser ill; 19 & 20 - -~~ [i] Dispenser Containment Sensor(s). Model: 794380-208 [~:r Dispenser Containinent Sensor(s). Model: 794380-208 [!] Shear Valve(s). ~ Shear Valve(s). o Dispenser Containment Float(s) and Chains(s). o Dispenser Containment Float(s) and Chain(s). - Dispenser ill: 21 & 22 Dispenser ill: 23 & 24 ~ Dispenser Containment Sensor(s). Model: 794380-208 [!] Dispenser Containment Sensor(s). Model: 794380-208 [iI Shear Valve(s). [i] Shear Valve(s). o Dispenser Containment Float(s) and Chain(s) o Dispenser Containment Float(s) and Chain(s). . . *If the facilIty contams 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/services in accordance with the manufacturers' guidlines. Attached to this Certification is information (e.g. manufacturers' checklist) necessary to varlfy that this information is correct and a plot plan showing the layout of monitoring equipment. For equipm t apable of generating such reports, I have attached a copy of the report; (check aU that apply) Set-up rm histo Technician Name (print): Joseph Stroope Signature: Certification No: A31226 Testing Company Name: Confidence UST Services, Inc. Site Address: 8001 White Lane, Bakersfield, CA 93309 : 804904 Phone No: 800-339-9930 Date of Testing/Servicing: 7/27/2006 '" D. Results of Testing/Servicing Software Version Installed: Complete the foUowing checklist: ~ Yes D No* Is the audible alarm operational? x Yes r 1 No* Is the Visual alarm operational? x Yes r 1 No* Were all sensors visually inspected, fooctionally tested, and confirmed operational? x Yes DNo* Were all sensors installed at the lowest point of secondary containment and positioned so that other - equipment will not interfere with their proper operation? DYes ~NO* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) x N/A operational? !~ Yes DNo* For presswized piping systems, does the turbine automatically shut down if the piping secondary DN/A containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initate positive shut-down? ~ Sump/Trench Sensors [iJDispenser Containment Sensors Did you confmn positive shut-down due to leaks and sensor failure/disconnected? ~ Yes; D No; ~Yes DNo* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no DN/A mechanical overfill prevention valve is installed), is the overfill warning alarm visual and audible at the tank fill point( s) and operating properly? If so, at what percent of tank capasity does the alarm trigger? I 90 1% D Yes* WNo Was any monitonng 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. D Yes* ~No Was liquid foood inside any secondary containment systems designed as dry systems? Txl YPC< D Product; D Water. If yes, describe causes in Section E, below. I INo* Was monitoring system set-up reviewed to ensure proper settings? Attach set-up reports, if applicable. Lx Yes r 1 No* Is all monitoring equipment operational per manufacturer's specifications? .. In Section E below, discribe how and when these deficiencies were or will be corrected. E. Comments: ~ ~\: F . In-Tank Guaging I sm Equipment: [x] Check this box if tank guaging is used only for inventory control. D Check this box if tank guaging or SIR equipment is installed. This section must be completed if in-tank guaging equipment is used to perform leak detection monitoring. Complete the following checklist: ~ Yes D No* Has all input wiring been inspected for proper enter and termination, including testing for ground faults? x Yes No* Were all tank guaging probes visually inspected for damage and residue buildup? x Yes No* Was accuracy of system product level readings tested? x Yes No* Was accuracy of system water level readings tested? x Yes No* Were all probes reinstalled properly? ~ Yes D No* Were all items on the equipment manufacturer's maintenance checklist completed? 111 In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): C It th till h klit D Check this box if LLD's are not installed. ompl e e eoowm 2C ec s : ~Yes DNo* For equip. start-up or annual equipment certification, was a leak simulated to varify LLD performance? (Check all that apply) Simulated leak rate: ~3 g.p.h.: 00.1 g.p.h.; 00.2 g.p.h.; .." 120 Yes - No* Were all LLD's confirmed operational and accurate within regulatory requirments? 1xJ Yes No* Was the testing apparatus properly calibrated? 120 Yes No* For machanical LLD's, does the LLD restrict product flow if it detects a leak? - N/A DYes __ No* For electronic LLD's, does the turbine automatically shut off if the LLD detects a leak? [iJ N/ A DYes [:J No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is [x] N/A disabled or disconnected? DYes WNo* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system ~N/A malfunction or fails a test? DYes DNo* For electronic LLD's, have all accessible wiring connections been visually inspected? ~ [iJ N/ A WYes L No Were all items on the equipment manufacturer's maintenance checklist completed? 111 In the section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: ~ I ... I. SWRCB, January 2006 Spill Bucket Testing Report Form Thisform is intendedfor use by contractors performing annual testing ofUST spill containment structures. The completedform and printouts from tests (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: #367 Fastrip #640 I Date of Testing: 7/27/2006 Facility Address: 8001 White Lane, Bakersfield, CA 93309 Facility Contact: Omero Garcia I Phone: 661-393-7000 Date Local Agency Was Notified of Testing : 6/19/2006 Name of Local Agency Inspector (ifpresent during testing): None 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Joseph Stroope Credentials 1: X CSLB Contractor X ICC Service Tech. X SWRCB Tank Tester o Other (Specify) License Number(s): CSLB #804904 ICC #5258844-UT Tester # 061720 3. SPILL BUCKET TESTING INFORMATION Test Method Used: x Hydrostatic o Vacuum o Other Test Equipment Used: Lake Test Equipment Resolution: 0.0625" Identify Spill Bucket (By Tank 1 Regular 1 2 Regular 2 3 Super 4 Diesel Number, Stored Product, etc.) Bucket Installation Type: o Direct Bury o Direct Bury o Direct Bury o Direct BurY x Contained in Sump x Contained in Sump x Contained in Sump x Contained in Sump Bucket Diameter: 12.00" 12.00" 12.00" 12.00" Bucket Depth: 14.75" 13.95" 15.25" 12.45" Wait time between applying 30 min. 30 min. 30 min. 30 min. vacuum/water and start of test: Test Start Time (T\): 11:30am 11 :30am 11 :30am 11.30am Initial Reading (RI): 14.50" 13.20" 14.90" 12.10" Test End Time (TF): 12:30pm 12:30pm 12:30pm 12:30pm Final Reading (RF): 14.50" 13 .20" 14.90" 12.10" Test Duration (T F - T\): I hour I hour I hour 1 hour Change in Reading (RF - R\): 0.00" 0.00" 0.00" 0.00" PassIFail Threshold or 0.0625" 0.0625" 0.0625" 0.0625" Criteria: Test Result: X Pass o Fail X Pass o Fail X Pass o Fail X Pass o Fail Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the information containe in his report is true, accurate, and in full compliance with legal requirements. Date: 7/27/2006 1 State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements i't.-/- ..: .. , \ \ UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILlTY~E INSPlcT N DATE INSPECTION TIME : J ___ _ ~____ ____________ __n____ _ _____ __ _ ___ __m_ ____ _ _______ _ n_ __._ n _S _~_______________________________________ _:DRESS ~no 1__-ULl~~~ld1__n _______ ________ n._____ ____ ___________n_ ~~{ ~l41Q_ _~Orfr'Oy:~~__n__ FACILlTYCONTACT Business 10 Number 15-021- Section 1: Business Plan and Inventory Program C] Routine mbined D Joint Agency CJ Multi-Agency D Complaint D Re-inspection C V ( C=Compliance ) V=Violation OPERATION COMMENTS ~ ApPROPRIATE PERMIT ON HAND ~~~:~:~~:::~NT^-CT~~_;~;^-~~;~-=:-~~~:=~-_-= ___- _ " f--'-;:.:---T-'----------~-----------------------------.------ -------------- --- . cY D CORRECT OCCUPANCY .,,;----7------------------------------------------ -- -- -----f------n-----------.---------.----- _______________________n_______. .-- ---------- ----------- ------ - . LJ' 0 VERIFICATION OF INVENTORY MATERIALS '-----7-----------~------------------------------- _________________n_ -------- n_ --------- -- ---.---------- -- ----------------- -- --- -------- -- - --- 13'" D VERIFICATION OF QUANTITIES f-~-~ERIF;~~;;ON--~;-:~~~,~~-------- --------------------- ______u_________n ---- --~---;~-~~~ SEGR~~IO~-~;-~;~;,:~----------------u---- n______________ --- - -------- ------------------ ~VER:FIC~TION ~;MSDS A~~;~~~I~-~-------n--m-------- _.__nn_________u__._ n __________n___ - n__n____ ________n f--~--------------------m---------------------n-----------_______ _ ______ _n ____________________________ _n_ _____n___nn________n_____________ ___________ _ __ _______ ___ ~ 0 VERIFICATION OF HAT MAT TRAINING c-~O--~~,FICATION OF -:B~TE~;;_;~;;~;~~-~~;;~~~~~~~~- f-----------n-- -- ___~-----n---- - ---------- ____'n 70-- EM~RGENC~__;;~~ED~;~--~DEQ~-~TE-----~-------------~ n___________n__n_n__ ------ -- --- - ---- ___mn___n___________ - -- __n__n_ ---- -7r; -- C~-NTAI~~R~ - ~~~P;R~ ~-- ~-B~~~~ - -- --- -- -- -- - -- - 1- -- - -- -- -- - - - --- - - - -- --- - - - - "J'------------ ---- ------ _n_____ _n____u__u_ --1----- ------ --- - ___u_ __ - n ~ D HOUSEKEEPING 1 -?r.----F;~~-PR;~~~;~~------ - ______n_ ---- -- _____u__ ____u________ --- -- --- m_________ ____n__ - ------- - -- - -~~-- -- ------ ---- - -- -- - ----- ---- --- - - ----- - --- --- -- -- - --~-- ------ -------- - --- -~ -- - ~. ~ ,B"" D SITE DIAGRAM ADEQUATE & ON HAND I __n_____ ANY HAZARDOUS WASTE ON SITE?: DYES ~O EXPLAIN: White ~ Environmental Services Yellow - Station Copy Pink - Business Copy OUESTZ:'NG Inspector PECTION? PLEASE CALL US AT (661) 326-3979 Badge No., - =-.-- ---- :; . ~ SWRCB, January 2006 Spill Bucket Testlng Report Form This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form and printouts from tests (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency, 1. FACILITY INFORMATION Facility Name: #366 Chevron I Date of Testing: 7/27/2007 Facility Address: 8001 White Lane, Bakersfield, CA 93309 Facility Contact: Omero Garcia I Phone: 661-393-7000 Date Local Agency Was Notified of Testing : 6/18/2007 Name of Local Agency Inspector (ifpresent during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: Confidence UST Services, Inc. Technician Conducting Test: Kristopher Karns Credentials I: X CSLB Contractor X ICC Service Tech. o SWRCB Tank Tester o Other (Specify) License Number(s): CSLB #804904 ICC #5264406-UT 3. SPILL BUCKET TESTING INFORMATION Test Method Used: x Hydrostatic o Vacuum o Other Test Equipment Used: Lake Test Equipment Resolution: 0.0625" IdentifY Spill Bucket (By Tank 1 Regular #1 2 Regular #2 3 Super 4 Diesel Number, Stored Product, etc.) Bucket Installation Type: o Direct Bury o Direct Bury o Direct Bury o Direct Bury x Contained in Sump x Contained in Sump x Contained in Sump x Contained in Sump Bucket Diameter: 12.00" 12.00" 12.00" 12.00" Bucket Depth: 14.00" 15.25" 15.00" 13.75" Wait time between applying 5 min. 5 min. 5 min. 5 min. vacuum/water and start of test: Test Start Time (TI): 1 0:00am 10:00am I 0:00am !0:00am Initial Reading (RJ: 12.00" 12.00" 12.50" 11.00" Test End Time (TF): II :OOam 11 :OOam 11 :OOam I 1:00am Final Reading (RF): 12.00" 12.00" 12.50" 11.00" Test Duration (T F - T1): 1 hour 1 hour I hour 1 hour Change in Reading (RF - ~): 0.00" 0.00" 0.00" 0.00" PasslFail Threshold or 0.0625" 0.0625" 0.0625" 0.0625" Criteria: Test Result: X Pass o Fail X Pass o Fail X Pass o Fail X Pass o Fail Comments - (include iriformation on repairs made prior to testing, and recommendedfollow-up for failed tests) CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING I hereby certify that all the itiformation contained in this report is true, accurate, and in full compliance with legal requirements. Technician's Signature: &L~ ~n_A/\~ Date: 7/27/2007 I State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements may be more stringent. MONITORING SYSTEM CERTIFICATION CU{(ta:td For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6. 7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. A seoarate certification or report must be prepared for each monitoring system control panel by the technician who 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 this date. A. General Information Facility Name: #367 Fastrip #640 Site Address: 8001 White Lane City: Bakersfield Bldg. No.: Zip: 93309 Facility Contact Person: Omero Garcia MakeIModel of Monitoring System: Veeder-Root TLS 350 Contact Phone No.: 661-393-7000 Date of Testing/Servicing: 7/27/2006 B. Inventory of Equipment Tested/Certified 0-1< the appropriate boIes to indlcate specif.. equipmoot inspected/serviced:_ - Tank ID: 15000 gal. Regular 1 Tank ID: 12000 gal. Regular 2 iii In-Tank Gauging Probe. Model: 847390-107 [!J In-Tank Gauging Probe. Model: 847390-107 iii Annular Space or Vault Probe. Model: 794390420 [!J Annular Space or Vault Sensor. Model: 794390420 iii Piping Sump / Trench Sensor(s). Model: 794380-208 [!J Piping Sump / Trench Sensor(s). Model: 794380-208, ~] Fill Sump Sensor(s) Model: 794380-208 ~ Fill Sump Sensor(s). Model: 794380-208 iii Mechanical Line Leak Detector. Model: F.E.Petro 0 Mechanical Line Leak Detector. Model: N/A 0 Electronic Line Leak Detector. Model: 0 Electronic Line Leak Detector. Model: iii Tank Overfill / High Level Sensor. Model: 794390-107 [!J Tank Overfill / High Leval Sensor. Model: 794390-107 0 Other (specify equip. type and model in Sec. E on Pg. 2) 0 Other (specify equip. type and model in Sec. Eon Pg. 2) Tank ID: 12000 gal. Super Tank ID: 12000 gal. Diesel iii In-Tank Gauging Probe. Model:847390-107 ~ In-Tank Gauging Probe. Model: 847390-107 iii Annular Space orVa':!-lt Sensor. Model:847380420 iii Annular Space or Vault Sensor. Model: 847380420 W Piping Sump 1 Trericii< Sensor(s). Model: 794380-208 [!J Piping Sump / Trench Sensor(s). Model: 794380-208 W Fill Sump Sensors(s). Model: 794380-208 ~ Fill Sump Sensor(s). Model: 794380-208 [X] Mechanical Line Leak Decector. Model:F.E.Petro ~ Mechanical Line Leak Detector. Model: F.E.Petro 0 Electronic Line Leak Detector. Model: 0 Electronic Line Leak Detector. Model: W Tank Overfill / High Level Sensor. Model:84739O-107 ~ Tank Overfill 1 High Level Sensor. Model: 847390-107 0 Other (specify equip. type and model in Sec. Eon Pg. 2) 0 Other (specify equip. typs and model in Sec. E on Pg. 2) Dispenser ID: 13 & 14 Dispenser ID: 15 & 16 [iJDispenser Containment Sensor(s). Model: 794380-208 ~ Dispenser Containment Sensor(s). Model: 794380-208 [X] Shear Valve(s). ~ Shear Valve(s). o Dispenser Containment Float(s) and Chain(s). o Dispenser Containment Float(s) and Chain(s) , - - -- . - - Dispenser ID: 17 & 18 Dispenser ID: 19 & 20 ~ Dispenser Containment Sensor(s). Model: 794380-208 [!J Dispenser Containment Sensor(s). Model: 794380-208 ~ Shear Valve(s). ~ Shear V alve(s). o Dispenser Containment Float(s) and Chains(s). o Dispenser Containment Float(s) and Chain(s). Dispenser ID: 21 & 22 Dispenser ID: 23 & 24 ~ Dispenser Containment Sensor(s). Model: 794380-208 W Dispenser Containment Sensor(s). Model: 794380-208 W Shear Valve(s). [iJ Shear V alve(s). o Dispenser Containment Float(s) and Chain(s) o Dispenser Containment Float(s) and Chain(s). . . *Ifthe faCIlIty contams more tanks or dIspensers, copy this form. Include mformation for every tank and dispenser at the facility. C. Certification - I certify that the equipment identifie;d in this document was inspected/services in accordance with the manufacturers' guidlines. Attached to this Certification is infonnation (e.g. manufacturers' checklist) necessary to'varj.fy that this infonnation is correct and a plot plan showing the layout of monitoring equipment. Fo uip nt capable of generating sucb reports, I have attached a copy ofthe report; (check all that apply) 0 Syst ~ Alarm history report Technician Name (print): Joseph Stroope Signature: Certification No: A31226 License No: 804904 ce. ,J""C.E S"t""oe.oE. Testing Company Name: Confidence UST Services, Inc. Site Address: 8001 White Lane, Bakersfield, CA 93309 Plio 0: 800-339-9930 Date of Testing/Servicing: 7/27/2006 ! " SWRCB, January 2002 Page ~ of -iL Secondary Containment Testing Report Form This form is intended for use by contractors performing periodic testing of UST secondary containment systems. Use the appropriate pages of this form to report results for all components tested. The completedform, written test procedures, and printouts from tests (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Fastrip #366 I Date of Testing: August 16, 2005 Facility Address: 8001 White Lane, Bakersfield, Ca. 93309 Facility Contact: Jaco Oil I Phone: i-GlGt -.1i'35 'i""~ Date Local Agency Was Notified of Testing : August 11,2005 Name of Local Agency Inspector (ifpresent during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: Sunset Mechanical Technician Conducting Test: Ken Brus Credentials: RI CSLB Licensed Contractor , D SWRCB Licensed Tank Tester License Type: C-36 C-1O I License Number: 589517 Manufacturer Traininl! Manufacturer . Component( s) Date Training Expires Incon TS-STS Inspection Equipment 1/12/08 Veeder Root Monitoring System 6/12/06 AO Smith Secondary Piping 6/19/06 ICC Cal. UST Service Tech 12/21/06 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Repairs Component Pass Fail Not Repairs Tested Made Tested Made AhiNLlLA"_ ~;'Pr-rc it I ~ 0 0 0 lOr.' a-l~':) 00 0 0 0 , .... Co c;:DA (" ~ It :?_ ~ 0 0 0 hOc.. "'3-t4- ~ 0 0 0 ... " J LiC,-- ~('~('_~ .It ~ ~ 0 0 0 :.lOr .It fi-'" / tlOC.Jf. ;-~ ~ 0 0 0 0 0 0 0 ,r." AI q-;oll,nr "11-/2- ~ 0 0 0 ... ~ r>u.u ... 1 ~ 0 0 0 "',=~c jt. f !}lJ 0 0 0 ....- - ~LLt.l. ~::~ ~ 0 0 0 nFR~ # ~ ~ 0 0 0 0;00"".... t>illt.,)'" ~ III 0 0 0 tt~ Xl 0 0 0 Pltllu':'OlJ..1L1 '* 'f ~ 0 0 0 n~A.~ 11 <; ~ 0 0 0 D ..oi 0.1,:, ~, ,f\AC #; j ~ 0 0 0 O!=R .Jt I i! 0 0 0 ....- - ':::'0, .....r.> ~:L ~ 0 0 0 <"leA if- ':) ~ 0 0 0 c-,,^, 44 ~ 0 0 0 ,,~~ ~ ~ ~ 0 0 0 co 'B<.l.M P ~ Pi P.IIi~~ ~lM~ 4 U, ~ 0 0 0 r'\t:: Po. .... 4- ~ 0 0 0 ,. ~ If hydrostatic testing was performed, describe what was done with the water after completion of tests: WATE2... \=6"-. "Il;;:.<r\"IoHL WA."', Pi.!l..M~;:;:D "iI\S"f'O AN ~~ (.;~.i.Lr.N "A',,)~ !=o~ ~t=u<:;::< A~~ /f'lI<'_ D,~~o~,c-,I_ CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To tlte best of my knowledge, tltefacts stated in tltis document are accurate and in/ull compliance with legal requirements Technician's Signature: ~~ Date: '6 ~ ,b- () 5 " SWRCB, January 2002 Test Method Developed By: 4. TANK ANNULAR TESTING Ifj Tank Manufacturer D Industry Standard D Other (Specify) D Pressure ~ Vacuum Test Method Used: Is Tank Exempt From Testing?l Tank Capacity: Tank Material: Tank Manufacturer: Product Stored: Wait time between applying pressure/vacuum/water and startin test: Test Start Time: Initial Reading (R1): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R1): Pass/Fail Threshold or Criteria: Test Result: Was sensor removed for testing? Was sensor properly replaced and verified functional after testing? ,Nj~ 15 flII"". q:L45 A,,,",, \O"'(j . '0: qc-: .1\...."" 10 He". Go l'-\. N jiJ' -',0.::. HC.. D Pass D Fail DYes DNo DNA IjJ Pass D Fail ~Yes DNo DNA DYes D No DNA tlYes DNo DNA Page ---.a... of-EL- D Professional Engineer D Hydrostatic Equipment Resolution: 0 ., :10 H (\ . Tank# 3 Tank# q DYes ~No 12.. dOC DYes ENo l2. I 0 0 \~ C:~ &5 ""'IV, is ""... q~q5J!M I~ lHi- ,() :....5 A.."" 1'2.WC1- Go M,,.. q :45 ~t'", co W4. I 0', ~ lltA to kC'l. 60 ;\It 1"-1 fa' RJ .Oz.-..c.. 12 Pass D Fail ~Yes DNo DNA HG., 'KlYes DNo DNA I!f Pass D Fail ~Yes DNo DNA liVes DNo DNA Comments - (include iriformation on repairs made prior to testing, and recommendedfollow-up for failed tests) -rAi'.:J"'-. NO~' (i"'"..SAC'!;;.r'\) HV[\~O"'T"ATjC.U.Y M^".i1'hC;;:-D I Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. {California Code of Regulations, Title 23, Section 2637(a)(6)} " SWRCB, January 2002 Test Method Developed By: Test Method Used: Piping Material: Piping Manufacturer: Piping Diameter: Length of Piping Run: Product Stored: Method and location of i in -run isolation: Wait time between applying pressure/vacuum/water and start in test: Test Start Time: Initial Reading (Ri): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-Rr): PassIFail Threshold or Criteria: Test Result: Page ---3- of -8- 5. SECONDARY PIPE TESTING iJ Piping Manufacturer 0 Industry Standard o Other (Specify) 1CI Pressure 0 Vacuum o Other (Specify) o Professional Engineer o Hydrostatic Equipment Resolution: 0 - i5 PSI N/A -rc..; T Boc"- u. "TES\ BOOT- i~ ~IN. l5 Mlt\l , .s ."'IN '0:30 ~ ,,,-,, (0:30,(\''''' 10:30 I!i..... h Ps:r ,.:30 {:1M ~ "r~~ & f"':'; i: tI :30 ~I-'" ~ f'~:O: Go l'\I\.w . r: "6'1: II :30 1:1;'" f.'3I: 60 M.,jV . ~o M.N. .'f?!' . ::-;qt'.... . ~.: g-=---.:- _. .;? PSI _ . ?- F'S:L g Pass 0 Fail - . 2. PsI. m Pass 0 Fail o Pass 0 Fail ~ Pass 0 Fail Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) PIPING. RlLN ~oit, CUN!.-EAnE.D 'RiPHON ::. 'IIJ~ .) Lli\lDEJt Col\1:.;.AIl..l"t.i.~ MONtTORED VAC!...uUllV\ . .. SWRCB, January 2002 Test Method Developed By: Test Method Used: 6, PIPING SUMP TESTING Iii!' Sump Manufacturer D Other (Specify) D Pressure D Other (Specify) Sump Diameter: Sump Depth: Sump Material: Height from Tank Top to Top of Highest Pi ing Penetration: Height from Tank Top to Lowest Electrical Penetration: Condition of sump prior to testing: Portion of Sump Tested' Does turbine shut down when sump sensor detects liquid (both roduct and water)?' Turbine shutdown response time Is system programmed for fail-safe shutdown?' Was fail-safe verified to be o erational?' Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (R,): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R(): Pass/Fail Threshold or Criteria: Test Result: Was sensor removed for testing? Was sensor properly replaced and verified functional after testing? Sump # I 4~ -, 4. ~ Industry Standard D Vacuum Sump # a / Page ~ of -S- D Professional Engineer ~ Hydrostatic Equipment Resolution: -.t" OCZ .. Sump # '3 L4 fJ >. Sump # q tot go " .~ "' + ?_LI ", ~Yes DNo DNA + 80 SEC., ~Yes DNo DNA ~Yes DNo DNA l~) Mil" , i , ; 2. '3 th~ - ..000, ". + . C\O?_ " ~ Pass D Fail IiEYes DNo DNA IjJYes DNo DNA r~ .'5 ~~. u ,., ,~o '" ot.yc + 2'4 '. ~Yes DNo DNA + '30 SEe.. ~Yes DNo DNA ~Yes DNo DNA 's "",I\,) , "-. "-~ .~..... b-1,(': Q. fA '. ILl -. -.OOOi " + , C02.~' 18 Pass D Fail ~ Yes D No D NA iCI Yes D No D NA -t. 2. Lt .. -I- 2..~ ,. IX Yes DNo DNA i(lYes DNo DNA + 30 .....ac.. -i- 30 SEe.... RlYes DNo DNA "iIYes DNo DNA K1Yes DNo DNA RiYes DNo DNA '5' Mi 1\1. i'5 M'IIl. -+ . Cto?. ., ~ Pass 0 Fail .iI Yes ONo DNA -t. ,Co2, ., ~ Pass D Fail ~Yes DNo DNA ~Yes DNo DNA RlYes DNo DNA Comments - (include information on repairs made prior to testing, and recommendedfollow-up for failed tests) 1 If the entire depth of the sump is not tested, specify how much was tested. If the answer to illlY of the questions indicated with an asterisk (*) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG- I 60) SWRCB, January 2002 7. Test Method Developed By: Test Method Used: UDC Manufacturer: UDC Material: UDe Depth: Height from UDC Bottom to Top of Hi hest Pi ing Penetration: Height from UDC Bottom to Lowest Electrical Penetration: Condition of UDe prior to testing: Portion of UDC Tested Does turbine shut down when UDC sensor detects liquid (both roduct and water)?' Turbine shutdown response time Is system programmed for fail- safe shutdown?' Was fail-safe verified to be o erational?' Wait time between applying pressure/vacuum/water and startin test Test Start Time: Initial Reading (R,): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R1): PassIFail Threshold or Criteria: Test Result: Was sensor removed for testing? Was sensor properly replaced and verified functional after testin ? Page ---5- of ~ UNDER-DISPENSER CONTAINMENT UDC TESTING i1 UDC Manufacturer kJ Industry Standard D Professional Engineer I D Other (Speci.ffi;) D Pressure' D Vacuum JjJ Hydrostatic D Other (Spec!h) Equipment Resolution: <}" q '. q '. q ". ...., .. ...., " I '" Goon +115 -, + .. ~Yes DNo DNA ~Yes DNo DNA ~Yes DNo DNA ~Yes DNo DNA + Eo s~(..". ;.. 30 ~- + 30 f'- -to ~Yes DNo qNA 81 Yes DNo DNA ~Yes DNo DNA !1 Yes DNo DNA g:j Yes DNo qNA sa Yes DNo DNA k'I Yes DNo DNA .!(lYes DNo DNA 30l""\'1U". 30 Ml~. 30 Mlto\. '30 M ,," , ., . I.,.", 6,,5'~' ,.' G. " l'5 M.~. , Mu~>" I N . -, DOO; '. --" 000'l. '. -.oeo&:' -. 4- ,,00 . ", + . oc.,?" " -:t.. ,002. '. +- . co?. '~ il Pass D Fail ~ Pass DFail IX Pass D Fail ~ Pass D Fail 18 Yes DNo DNA ~Yes DNo DNA it Yes DNo DNA liVes DNo DNA g Yes DNo DNA il Yes DNo DNA ~Yes DNo DNA ~Yes DNo DNA Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) ~e:PLAl"I=r.. '2. 'fta'~~]jii:!~ :it..) "TE.Si' :P,o.-1TS' {AAJOJ:;.Q t\ ,~f:'~~~~ :i:l 1<:1-"2n I If the entire depth of the UDC is not tested, specify how much was tested. If the answer to ill1Y of the questions indicated with an asterisk (*) is "NO" or "NA", the entire UDe must be tested. (See SWRCB LG-160) SWRCB, January 2002 7. Test Method Developed By: Test Method Used: Page -y..... of ~ UNDER-DISPENSER CONTAINMENT UDC TESTING ~ UDC Manufacturer 18 Industry Standard D Professional Engineer D Other (Specify) D Pressure D Vacuum !Xl Hydrostatic D Other (Specify) Test Equipment Used: :rt-.H:.PI'J IS' SlS Equipment Resolution: :t. 00'2. '. UDC Manufacturer: UDC Material: UDC Depth: Height from UDC Bottom to Top of Hi hest Pi ing Penetration: Height from UDC Bottom to Lowest Electrical Penetration: Condition of UDC prior to testin : Portion ofUDC Tested Does turbine shut down when UDC sensor detects liquid (both roduct and water ?' Turbine shutdown response time Is system programmed for fail- safe shutdown?' Was fail-safe verified to be o erationaI?' Wait time between applying pressure/vacuum/water and startin test Test Start Time: Initial Reading (R,): Test End Time: final Reading (RF): Test Duration: Change in Reading (RF-R1): Pass/Fail Threshold or Criteria: Test Result: Was sensor removed for testing? Was sensor properly replaced and verified functional after testing? Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) UDC# UDC# Cl '. '. ..., .. ,.. Go + 1"5" j I DNo DNA l\1.Yes DNo DNA DYes DNo DNA DYes DNo DNA ! il Yes DNo DNA ~Yes DNo DNA DYes DNo DNA DYes DNo DNA i 11M Yes DNo DNA r1t Yes DNo DNA DYes DNo DNA DYes DNo DNA 45' M.", , 451\i\'N, >, -'0 :t .00'2 '. ~ Pass D Fail llilYes DNo DNA D Pass D Fail DYes DNo DNA D Pass D Fail DYes DNo DNA ~ Yes D No DNA ridYes DNo DNA DYes DNo DNA DYes DNo DNA I If the entire depth of the UDC is not tested, specify how much was tested. If the answer to ill!)'. of the questions indicated with an asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG-160) 8. FILL RISER CONTAINMENT SUMP TESTING Facility is Not Equipped With Fill Riser Containment Sumps D Fill Riser Containment Sumps are Present, but were Not Tested D Test Method Developed By: ~ Sump Manufacturer lid Industry Standard D Other (Specify) Test Method Used: D Pressure D Vacuum o Other (Specify) Test Equipment Used: ~':"Of\) ,s - -:'5iS SWRCB, January 2002 Page -.::L of ~ D Professional Engineer ~ Hydrostatic Equipment Resolution: ~ .(lO'2. ... Sum Diameter: Sump Depth: Height from Tank Top to Top of Hi hest Pi ing Penetration: j (; .. Height from Tank Top to Lowest Electrical Penetration: I Z ", Condition of sump prior to testing: Portion of Sump Tested Sump Material: Wait time between applying pressure/vacuum/water and start in test: Test Start Time: Initial Reading (R[): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R1): Pass/Fail Threshold or Criteria: Test Result: Is there a sensor in the sump? Does the sensor alarm when either product or water is detected? Was sensor removed for testing? Was sensor properly replaced and verified functional after testin ? Fill Sump # FiII Sump # ~.. J. t.!"" '. ,(; ", t (; '. \t; I.~ ". 'l. '. I?r ~ i5 MIl'..)' ~ '5 ."v\ f N. lSMfr\l '5 Mjl\;>> .. +.0 -:t" CO" ~ -:t . co 2. -. ~ Pass D Fail & Pass D Fail D Fail DFail ~Yes DNo iJ Yes DNo DNo DNo /Xl Yes DNo DNA JJ Yes DNo DNA ~Yes DNo DNA 00 Yes DNo DNA Yes DNo DNA It Yes DNo DNA ~Yes DNo DNA ~Yes DNo DNA ~Yes DNo DNA ~Yes DNo DNA ~Yes DNo DNA \(I Yes DNo DNA Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) SWRCB, January 2002 Page --B- of-.JL 9. SPILL/OVERFILL CONTAINMENT BOXES Facility is Not Equipped With Spill/Overfill Containment Boxes D . Overfill Containment Boxes are Present, but were Not Tested D Test Method Developed By: jg! Spill Bucket Manufacturer I'illndustry Standard D Other (Specify) D Professional Engineer Test Method Used: D Vacuum ~ Hydrostatic D Pressure D Other (Specify) Test Equipment Used: :I.tJ c.oN is - STS Equipment Resolution: :t .002. ,. Spill Box # . Spill Box #2 Spill Box # 3 Spill Box #' Bucket Diameter: 12 '. \2. '. l'a " 12, " Bucket Depth: '~ .~ 12.' l 2.. '. ,~ " Wait time between applying pressure/vacuum/water and i5 M 11\:1. ,~ MjloJ .~ I~II'\I 115 ..". I '" starting test: Test Start Time: 7.: 2~ P...... 2.. ; G ~ P.-.... -;:, "'-\ PM eo':! : Cc.f PII" .t.. Initial Reading (Rj): 4,'-17'8<> '. Test End Time: Pj,A" ::.), "'q .I!~..... Final Reading (RF): Test Duration: i5 (''''t,N . 15 "".N )~M,N Change in Reading (RF-R,): - . O~(\2. '. - ,.0 +.0':'(\ i " -, - 0 c.....:d " Pass/Fail Threshold or -:t. . c{\?. " "!.OO'2.. ':!.OO2 " -:to ' co?. '. Criteria: Test Result: ~ Pass D Fail ~ Pass D Fail I1S' Pass D Fail II Pass D Fail Comments - (include information on repairs made prior to testing, and recommendedfollow-up for failed tests) " ~ ..'i:,h ~ . ~17~1::.;'~ -'::~;.:~~~:;-"':;. 1.:;.9L~; :..J";:":: :' j' ~ :~~;::;.=.'3 ~:~;J/ :i. 6.,....?e~~i~5 ,.' (!6 ..- .~:;:::2~-a~~J('G '); :::;6 r~r< ;~;):.::: :;.~:;:t ~:j. . ".' ~. ,~. -:--.-...,~ '".'..' ...'",':'""'-,. ": !":. ; (..! . 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':.:-.' ~~:.. ;::::3'j5 I:~ 2 ~ 3'; Pi:; ~~:J;::;./~, ()..~2:~ilj:i ::;. ~j2~91:. H'; c~. d~t2 j}~ ~"': r:::':;~:;:~D ""'.-',,,"-'... ::''', " i; . :::I-,'~... ('i;::'.;~:'~:' ~ ;....";, ~"l: :':;24. Pv; t~n,,'''l6/~~005 1.0, . :3...~ :k~ ,~.~" :\i~:~::~ ""< C:::CI;",~ _!:,~1.";i.::... <,:..~c:1 ::;~ ~ ::: 9 ??~ flt::/ 16.....2e0~:; J. .:~. ~~; 3 I ;"~ ~.:. f)~jL. It,. i.:.: \~.; ;-. .'. ._"'.~ ~ "-;", ; ""',"'. '~SB;~;:_~: J,',...l:, -::::'''.' _' 'C;\:"'" ,'.1._. ;''::''0.' ~t',.....:,::~l::)i~. :', ~. ..:., :' '.:0 '-:.'. ...", ..'5'~''''' ~ p ..1:::' :":,i~~~i '..1"..::...::.(:.....' ';'. ~:';:::';... ,.....:2i::::~~::'::.: :' ',' . '''Jr.' .c.'J.... ::({;.,...::~;... "~rjt;5 (j.. 2C)i::, .'.-1' ~::tb/ . '.- ...... -.. .-......~.~_... . . ..,..~-.-...,.. "".'.! :::;f:C,:,::,'"C ~_t~flV ,:',,~ ~:~r;....' ;. c.... ':~j~~:.~;~ :.":; -,~ .;'~;;'.~:"i' 7E::""'" STi:;;~T:::~:. :::~~~~[ :!. ~,;~.; I -:.~: ;..,A~..iC z::;n~:~~:::~:~~~~:';:" ,___ ::~(\. ':):~3~j';: ;. .-(:.6:. .~.:;;:~:.:;"- :'~ .::r ':)~:; ::. .",:.),::, l-~ ::~:~~~'-{J(:.6~:J '.';.:::....:!.'.,.- ,.~!. 'c-, c,,!.-::'.... " .,' .. "j" -':.::"'- ':;-;1:-'" "", ,'.... . :..~ .,:. (. '. " ....r-....~,. , 0._,..1 '. .:'I.'.!:R_: ~;.:.~.-,..... [.'::' ~.:; ~:~ ,:::- i !'~~.~.;:~ i ~ '...,..... .;' .: ~,~ ) r:'.. i ~.. ; f". .'. ~;~ ',I:"" . ~.J:;~;~< '.. ,~';. .' ,;.;~t.:: ;!::,"~~;..;~ ._, ,:;'~' ~.. ~ ,.... C' ,,~ ~ .: ;_!':":~;::_'"'' .,., ~.' ,.Y; \:, :,,..-:J..:1_) ~~:C:~~;;'R':'-' . ~"'.....-.- ~--:.:' ! ,"'.-.\ '.",-'-"~~- _. 'r:", , . .-".~" .'. ""',R' ... "'_ ''',>(: . :-.':;.\.':::.,... --"; .....,.. " " Ur"i ; ~::. .... :':".):.~i._ ~.~, "-."-,".: -.... -. ~ i1;":"::"<--:'!"~;~.:~t.' ....,,-,.'-----..".-"..-- . .J ,j ;.,\" . '",:. .~}~ . ,. ~:: "', ..::. J::. ~'.:, ,;:.)~.: r~':'" ..-'.'...:r'.;'....- ?'~. "',". , '~,"'..' i;~;;.:.;"" .:. '.). .. ,-,....,.....,~: .t~ ~:,! r:,;.. : '.:' ~ '. '1 .{.... " '. /~,.... ~: :i;~j~::i . " :.,i" .~;,< .i. . ..;, ,,)::; :~d':" . ';. '-:',' ..~2~)e~:~ :...;i...i ~} :::J ~:: .'." ...,.... ,". .~\I~',,,,. " "'::)..:;!:.:." : '_:) ~:~. :::;::';2::~; 1. ~ 3C: i:i ',' 'J:::,'" ....I~:~~!::~, .i. :,.~ .r.i'1 .. ".C,'...: i"~, :';. ::::;~=;./~. ~,,<~~~)~'~j5 ......: ;"!i'; ~.:jr;;.'" , . ...... h'~/ ~:'. ...:i-;ho:, ~.!.. ~.:k3:.~ ., ... ~.. " ~~ ... SWRCB, January 2002 Page L of 3_ Secondary Containment Testing Report Form This form is intendedfor use by contractors performing periodic testing of UST secondary containment systems. Use the appropriate pages of this form to report results for all components tested The completedform. written test procedures. and. printouts from tests (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Fastrip #366 I Date of Testing: 3 ~'b"_.C) 5 Facility Address: 8001 White Lane, Bakersfield, Ca. 93309 Facility Contact: Jaco Oil I Phone: '-6€d- 83!i- i4Q(, Date Local Agency Was Notified of Testing : ';I. ......!:> - C> [; Name of Local Agency Inspector (ifpresent during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: Sunset Mechanical Technician Conducting Test: Ken Brus Credentials: ~ CSLB Licensed Contractor o SWRCB Licensed Tank Tester License Type: C-36 C-IQ I License Number: 5~ 5'/7 Manufacturer Traininl! Manufacturer Component(s) Date Training Expires Incon TS-STS Inspection Equipment 1/12/08 Veeder Root Monitoring System 6/12/06 AO Smith Secondary Piping 6/19/06 ICC Cal. UST Service Tech 12/21/06 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Repairs Component Pass Fail Not Repairs Tested Made Tested Made Af.HliI' ^.C. ~C'~.('r;'" I iJ 0 0 0 0 0 0 0 ~.,. . , ^ C.... ~~..,c.c.E. ... 2 ~ 0 0 0 0 0 0 0 At<;;,." . ....e ~." C'Ll (';:= .. :\ ~ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 OJ::R ~ I ~ 0 0 0 0 0 0 0 ne.:!'~ d? ~ 0 0 0 0 0 0 0 ('jj::R"" 3 g] 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 If hydrostatic testing was performed, describe what was done with the water after completion of tests: wAlE.n R..,~ "r=:<;7I/'..1~ II\IA.'5 ~(.1.i;\.(pF-.r'\ IflSiO at>,) ~CC'\ G~\U:.D1\~ '"iAt-Jk. I='c~ ge.~~ Ar~!' /0,(: ~1~i.-',f")-':~4c,_ CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To tile best of my knowledge, tllefacts stated in tllis document are accurate and infull compliance with legal requirements Technician's Signature: ~~ Date: 3--020..0,5 " SWRCB, January 2002 4. TANK ANNULAR TESTING Test Method Developed By: ~ Tank Manufacturer D Other (Specify) Test Method Used: D Pressure D Other (Specify) 4 ., eEc... FIt.L D Industry Standard ~ Vacuum Is Tank Exempt From Testing?' Tank Capacity: Tank Material: Tank Manufacturer: Product Stored: Wait time between applying pressure/vacuum/water and startin test: Test Start Time: Initial Reading (R1): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R,): Pass/Fail Threshold or Criteria: Test Result: D Yes ~No o Yes iii No 1'1.., 0 1:\ C' m'l:E L.. i'~,OoC'> is (""'N. is r"lIN. Mz.:af) PM ,{) "is, ':i~ p,... 10 k6J. Go t"",,,,," 121.; j 5 PM 01-14 , ; IS p..-"" '1 ,., '\ 60 f-1 IN. J2J ~ - .02.NG. i1 Pass D Fail I!!fYes DNo DNA - ,O~ .u:~, ~ Pass D Fail ~Yes DNo DNA ~Yes DNo DNA Was sensor removed for testing? Was sensor properly replaced and verified functional after testin ? ~ Yes DNo DNA Page ;l of---.:L D Professional Engineer D Hydrostatic Equipment Resolution: (') '.3c fJ(~t. Tank #3 DYes Jij-No i '?.,dOC Tank # DYes DNo i'S i'w1IN 12:.5 PM ,() 1-#6, I: I '5 'PM. I 0 Ho:~. GO ~I~. - '. C"2. 1(('1 ~ Pass D Fail ~Yes DNo DNA D Pass D Fail DYes DNo DNA DYes DNo DNA ~Yes DNo DNA Comments - (include information on repairs made prior to testing, and recommendedfollow-up for failed tests) I Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. {California Code of Regulations, Title 23, Section 2637(a)(6)} SWRCB, January 2002 Test Method Developed By: Test Method Used: Test Equipment Used: Piping Material: Piping Manufacturer: Piping Diameter: Length of Piping Run: Product Stored: Method and location of i in -run isolation: Wait time between applying pressure/vacuum/water and startin test: Test Start Time: Initial Reading (R1): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R1): Pass/Fail Threshold or Criteria: Test Result: Page ---3- of ~ 5. SECONDARY PIPE TESTING o Piping Manufacturer o Other (Specify) o Pressure o Other (Specify) Piping Run # o Pass 0 Fail o Industry Standard o Professional Engineer o Vacuum o Hydrostatic Equipment Resolution: Piping Run # Piping Run # Piping Run # o Pass 0 Fail o Pass 0 Fail o Pass 0 Fail Comments - (include information on repairs made prior to testing, and recommendedfollow-up for failed tests) ~iNC~U;: WA.LL ~';:f!aEM SWRCB, January 2002 Test Method Developed By: TestMethod Used: Test Equipment Used: Sump Diameter: Sump Depth: Sump Material: Height from Tank Top to Top of Hi hest Pi in Penetration: Height from Tank Top to Lowest Electrical Penetration: Condition of sump prior to testing: Portion of Sump Testedl Does turbine shut down when sump sensor detects liquid (both roduct and water)?' Turbine shutdown response time Is system programmed for fail-safe shutdown?' Was fail-safe verified to be o erational?' Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (R1): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R)): Pass/Fail Threshold or Criteria: Test Result: Was sensor removed for testing? Was sensor properly replaced and verified functional after testing? 6. PIPING SUMP TESTING o Sump Manufacturer o Other (Specify) o Pressure o Other (Specify) Sump # DYes DNo DNA DYes 0 No 0 NA DYes DNo DNA o Pass 0 Fail DYes 0 No 0 NA DYes DNo DNA o Industry Standard o Vacuum Sump # DYes DNo DNA DYes DNo DNA DYes DNo DNA o Pass 0 Fail DYes DNo DNA DYes DNo DNA Page ~ of-.::L.. o Professional Engineer o Hydrostatic Equipment Resolution: Sump # DYes DNo DNA DYes DNo DNA DYes DNo DNA o Pass 0 Fail DYes DNo DNA DYes DNo DNA Sump # DYes DNo DNA DYes ONo DNA DYes DNo DNA o Pass 0 Fail DYes DNo DNA DYes DNo DNA Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) , '5.i Me" -s:; W~H.L. S''fP.l'Er~ ) If the entire depth of the sump is not tested, specify how much was tested. If the answer to ill1Y of the questions indicated with an asterisk (*) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG-160) SWRCB, January 2002 Page .Ji. of ~ 7. UNDER-DISPENSER CONTAINMENT UDC TESTING Test Method Developed By: DUDe Manufacturer D Industry Standard D Professional Engineer D Other (Specify) Test Method Used: D Pressure D Vacuum D Hydrostatic D Other (Specify) Test Equipment Used: UDC Manufacturer: UDC Material: U DC Depth: Height from UDC Bottom to Top of Hi hest Pi ing Penetration: Height from UDC Bottom to Lowest Electrical Penetration: Condition of UDC prior to testin : Portion of UDC Tested Does turbine shut down when UDC sensor detects liquid (both roduct and water)?' Turbine shutdown response time Is system programmed for fail- safe shutdown?" Was fail-safe verified to be o erational?" Wait time between applying pressure/vacuum/water and start in test Test Start Time: Initial Reading (R,): Test End Time: Final Reading (Rf): Test Duration: Change in Reading (RF-R1): Pass/Fail Threshold or Criteria: Test Result: Was sensor removed for testing? Was sensor properly replaced and verified functional after testing? Equipment Resolution: UDC# UDC# UDC# UDC# DYes D No DNA DYes DNo DNA DYes DNo DNA DYes DNo DNA DYes DNo DNA DYes DNo DNA DYes DNo DNA DYes DNo DNA DYes D No DNA DYes DNo DNA DYes DNo DNA DYes DNo DNA D Pass D Fail DYes DNo DNA DYes D No DNA D Pass D Fail DYes DNo DNA DYes DNo DNA D Pass D Fail DYes DNo DNA DYes DNo DNA D Pass D Fail DYes DNo DNA DYes DNo DNA Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) U[)C'_ i\dC1T. I/lJSTAtLt::.r\ 'SIM~.u..~: w~ LL ~Yf~eJ,"^ I If the entire depth ofthe UDC is not tested, specifY how much was tested. If the answer to lli!Y of the questions indicated with an asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG.160) '!' ~ SWRCB, January 2002 Page~of~ 8. FILL RISER CONTAINMENT SUMP TESTING Facility is Not Equipped With Fill Riser Containment Sumps )I' Fill Riser Containment Sumps are Present, but were Not Tested D Test Method Developed By: D Sump Manufacturer D Industry Standard D Professional Engineer D Other (Specify) Test Method Used: D Pressure D Vacuum D Hydrostatic D Other (Specify) Test Equipment Used: Equipment Resolution: Fill Sump # Fill Sump # Fill Sump # Fill Sump # Sump Diameter: Sump Depth: Height from Tank Top to Top of AI / Highest Piping Penetration: t., I J J4.. I j Height from Tank Top to Lowest I V !.-A IV/,A '-/A Electrical Penetration: Condition of sump prior to , testing: Portion of Sump Tested Sump Material: Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (R,): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R1): Pass/Fail Threshold or Criteria: Test Result: D Pass D Fail D Pass D Fail D Pass D Fail D Pass D Fail Is there a sensor in the sump? DYes DNo DYes DNo DYes DNo DYes DNo Does the sensor alarm when either product or water is DYes DNo DNA DYes DNo DNA DYes DNo DNA DYes DNo DNA detected? Was sensor removed for testing? DYes DNo DNA DYes DNo DNA DYes DNo DNA DYes DNo DNA Was sensor properly replaced and DYes DNo DNA DYes DNo DNA DYes DNo DNA DYes DNo DNA verified functional after testing? Comments - (include information on repairs made prior to testing, and recommendedfollow-up for failed tests) SWRCB, January 2002 Page~of~ 9. SPILL/OVERFILL CONTAINMENT BOXES Facility is Not Equipped With Spill/Overfill Containment Boxes 0 Spill/Overfill Containment Boxes are Present, but were Not Tested D Test Method Developed By: iJ Spill Bucket Manufacturer ~ Industry Standard o Other (Specify) Test Method Used: 0 Pressure 0 Vacuum o Other (Specify) o Professional Engineer .e- Hydrostatic Test Equipment Used: :ltJCON 1"5 - ST.s Equipment Resolution: :t -C02. " Bucket Diameter: Bucket Depth: Wait time between applying pressure/vacuum/water and startin test: Test Start Time: Initial Reading (R1): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R,): Pass/Fail Threshold or Criteria: Test Result: 1'2- " Spill Box #2- 12 '. 1 2. " 1 '2. .. Spill Box # ':\ 12. ,. r2 ., Spill Box # Spill Box # is f1.-\,...... . ,~ r'-'" I\'.) , i 5 ~,\'\J 12..: II PM -a. '2'_253 ~. 12.: '2.1 p~',,\ 2. '2'?..'4 '7 "' is ;'"' ,11.1 -'. 000(. -. l~.: H PM 2,. ~7 'b -, i 1. : '?., P."", 2. "l''7~:; .. 15 j",,'N ' -. 000"7 -. 1:: . 007'_ " I 2.; i' """"1 2. 3':' "J?. .~ ,'2 :'2., P.'-" 2....iS:h 5 ,. \5' ,'VI,,,> . - . ODei"" '; ~ . CD;; '. + .... _ ' CO?. IllI Pass 0 Fail ~ Pass 0 Fail ~ Pass 0 Fail o Pass 0 Fail Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) " I t'" .....!k.."._.. ." ..-~ , .. ~.' .. .. ~< . ;::1;< ::. I) ~~,{.. n r:,c..... :.', " ;:-i:"". '. ~ "'j ?;:3,i:,. '. ('. ."- ~ .::. f ;-.' ''''.j''; _. ,~,',,"'-C~i'. .' :.:'l~:!~?::. "..'tH',!., ~ .:) t ('. \', .;:::r~V' 'T';";;':'~:::::~;HC:i;~:~' ~:i_.. oc!? I '"1":.: 1,.:..,.: --:'l'fi :.- ; L;' ~;/'~~::;'.;: "~:(i~::;;-:, .....:;-:..L. . ~< ~ :.:.. " ~- }..~'" I. '., ':" i~~..' :'.'~. c: . .... <....:' i.. .. !:"\:,,' '. .:~;:~.) I, ,. , ............,~ --,.- r.-,- - ---_..r-_............-, --_~. ---. -, ~_.~ ."'.... ...--~,~.'V"__--'-~..-..-,.;.;:...~, -...,....,...._...........' ',J"';',." :'F:! ;~~'~r:"- ~- "",.'1.. ~ .' ,::,,'... '.., ." . . : ""."."'--" ',,.. ,I I I i ;'1 " ~WRCB, January 2002 Pagelof~ Secondary Containment Testing Report Form This form is intended for use by contractors performing periodic testing of UST secondary containment systems, Use the appropriate pages of this form to report results for all components tested. The completedform, written test procedures, and printouts from tests (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: Chevron #367 I Date of Testing: August 17,2005 Facility Address: 8001 White Lane, Bakersfield, Ca. 93309 Facility Contact: Jaco Oil I Phone: '-(;f..I-f.}S'S-ILI'10 Date Local Agency Was Notified of Testing : August 11, 2005 Name of Local Agency Inspector (if present during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: Sunset Mechanical Technician Conducting Test: Ken Brus Credentials: .1iJ CSLB Licensed Contractor o SWRCB Licensed Tank Tester License Type: C-36 C-lO I License Number: 589517 Manufacturer Traininl! Manufacturer Component( s) Date Training Expires Incon TS-STS Inspection Equipment 1/12/08 Veeder Root Monitoring System 6/12/06 AO Smith Secondary Piping 6/19/06 ICC Cal. UST Service Tech 12/21/06 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Repairs Component Pass Fail Not Repairs Tested Made Tested Made ^_ ,.. ". An ,. A'I [lj 0 0 0 ',n...- ~ i-2- ~ 0 0 0 L\ ",'" ,. LA {;.. c~ C'A" t:: .... <;:1_ ~ 0 0 0 UOt::"_ ~ 9>- tJ. ~ 0 0 0 A . A C Scc(':..~.J'l ~ ~ 0 0 0 , ,...<'" ~ ~;'-b 1,~ur~A. ",-2 ~ 0 0 0 ...~ ,."_I:.\'t?. ~C<t("r-_"'4 ~ 0 0 0 lln(::: H q-,o ~e. #4 It . I z.. ~ 0 0 0 10, P,',l~. \i?u""" FI' I ~ 0 0 0 --, ~I ~ 0 0 [J .# ~ 0 0 0 OFB~ '*' ~ ~ 0 0 0 PiPING ~Lt-^> L~ PINf.J~ ~Iu.)"';g ~ 0 0 0 rv: R <: p.~ ~ 0 0 0 PIj:l.N~. "0",,\ ot.Lj ~ 0 0 0 ns: R~ .. " rJ 0 0 0 P1Pi t..I~_ <;:;"'t.Af, f\. I ~ 0 0 0 Dr:'p.. * I ~ 0 0 0 ...\~,.I\:lE~ .-., r "';'! [Kl 0 0 0 OJ:'R ... a ~ 0 0 0 Ci~>'I\-H~ -;::" I\A~' 4. ~ ~ 0 0 0 <"\I=R # ~ 1&1 0 0 0 P!PitlS.:.. ",~t.Ap'" '-I i] 0 0 0 otR ;q.. 't ~ 0 0 0 If hydrostatic testing was performed, describe what was done with the water after completion of tests: W A..,."E.f<:... J=~t<.. IE i'~T-, 1\1~. loA ~ -PUCM P6:D ~ AJ.'T-I"I At.... ca 1'1."', ~t Lnt~1 1=oQ. RFu,s;;;, Al\.\l:'i lo~ Dl{;,On""r...1 CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To the best of my knowledge, the facts stated in this document are accurate and in full compliance with legal requirements Technician's Signature: ~~ Date: 'R -i, - 05 SWRCB, January 2002 Page~of~ Test Method Used: 4. TANK ANNULAR TESTING Ii!l Tank Manufacturer D Industry Standard D Other (Specify) D Pressure Ii'Vacuum D Professional Engineer Test Method Developed By: D Hydrostatic Equipment Resolution: 0 -3 H~. .2 OO~ Tank #~ D Yes ~No i ~,OO{\ Is Tank Exempt From Testing?l Tank Capacity: Tank Material: Tank Manufacturer: Product Stored: Wait time between applying pressure/vacuum/water and startin test: Test Start Time: Initial Reading (RI): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R1): Pass/Fail Threshold or Criteria: Test Result: Was sensor removed for testing? Was sensor properly replaced and verified functional after testing? DYes il'No 12. 000 'S-raEL.. /6um,s ~No 12. 000 Tank #"5 DYes ~No :rooSt. u""i's:e L. I Gl..A~; 700R l?~el"""l c: O. E.bE L 15' M.w..!. i5 k'f\J 15 ""'.N, is,,,,, t'J . ,!>.j, C.M q : 56 ~ 10'" t a lie . ""'" :~~o II.~V\ "2. He. . g : 30 ~ f'" 12_ I>4C.. . ~c ~H""\ g:50 A..... i2. ,.,~ - -~ . c'.., .f("~. &l Pass D Fail 18- Pass D Fail DFail I! Pass D Fail ~Yes DNo DNA ~Yes DNo DNA ~Yes DNo DNA li( Yes DNo DNA .g Yes DNo DNA gyes DNo DNA ~Yes DNo DNA ~Yes DNo DNA Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) I Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. {California Code of Regulations, Title 23, Section 2637(a)(6)} SWRCB, January 2002 Page l of ..-:L Test Method Used: 5. SECONDARY PIPE TESTING i'I Piping Manufacturer ~ Industry Standard o Other (Specify) Iil Pressure 0 Vacuum o Professional Engineer Test Method Developed By: o Hydrostatic Equipment Resolution: C - 15 P:-,'1: Piping Material: Piping Manufacturer: Piping Diameter: Length of Piping Run: Product Stored: Method and location of i ing-run isolation: Wait time between applying pressure/vacuum/water and startin test: Test Start Time: Initial Reading (R(): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R,): Pass/Fail Threshold or Criteria: Test Result: <"' -t- 10 .I Di S E L- -rE1Si BoC\T Ut:'\ c.. -. ' c:: - C:", l5 """N. i5 M;~ ' 15 (VII '" i5 Mli\.t N, ~, t:::,. P'3::r. :OoA &:: ~:ir q:OOA r:: f\!j.I: q :OO~, ~o M Jl!f IO:CC/~' c "5~ -4 -. 'L..... PsT ~ Pass 0 Fail - - '? PS7' - . "2. Ps 1:- - . a ~9'i. ~ Pass 0 Fail ~ Pass 0 Fail ~ Pass 0 Fail Comments - (include information on repairs made prior to testing, and recommendedfollow-upfor failed tests) i<EPt..A~ r-n Il-'llfi~,if':H;>"'-;rEentis: \f'~ti~,~:r:j\) IEcrT' 'a~'TS u t..)D61<:.. --.I?'SPt:.t0~EIl... i:f. -, -, ~ 6. PIPING SUMP TESTING YI Sump Manufacturer ~ Industry Standard o Other (Specify) D Pressure D Vacuum D Other (Specify) ~ SWRCB, January 2002 Test Method Developed By: Test Method Used: Sump Diameter: Sump Depth: Sump Material: Height from Tank Top to Top of Hi hest Pi ing Penetration: Height from Tank Top to Lowest Electrical Penetration: Condition of sump prior to testing: Portion of Sump Testedl Does turbine shut down when sump sensor detects liquid (both roduct and water)?* Turbine shutdown response time Is system programmed for fail-safe shutdown?' Was fail-safe verified to be o erational?* Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (R,): Test End Time: Final Reading (Rf): Test Duration: Change in Reading (Rf-R1): Pass/Fail Threshold or Criteria: Test Result: Was sensor removed for testing? Was sensor properly replaced and verified functional after testin ? " "'0" '. ..,. 32. '. i'I Yes D No DNA + S<.'\ S;::c:.. 2!lYes DNo DNA ~ Yes DNo uNA *5 ~.N , :!:: . 00'2 ., ~ Pass 0 Fail ~'Yes D No 0 NA ~Yes DNo DNA Sump # 2.. q '. Page~of~ o Professional Engineer 1(1 Hydrostatic Equipment Resolution: :t. Sump # '3 IS' + 32. '. ~Yes DNo DNA + 30 SE.c. . MYes DNo DNA ~Yes DNo DNA iSM,..., r. , . 1'3" +32 ., ~Yes DNo DNA + 3.0 SEe ~Yes DNo DNA ~Yes ONo DNA '5 i'1IN . '.' 6. is '''' '!. .CO?-' ~ Pass 0 Fail IlllYes DNo DNA ~Yes DNo DNA Comments - (include iriformation on repairs made prior to testing, and recommended follow-up for failed tests) 'I' c i~ .N. '. 13" + 32" ~Yes ONo DNA + Sa SEC. ~Yes DNo DNA ~Yes DNo DNA is M.N , -t .000 'J !:.. . C02. o. ~ Pass 0 Fail ~Yes ONo DNA 00 Yes DNo DNA -L oeo i " :t . 00'1. ., Ii Pass D Fail ~ Yes DNo DNA ~Yes DNo DNA 1 If the entire depth of the sump is not tested, specify how much was tested. If the answer to ill!Y of the questions indicated with an asterisk (*) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG-160) SWRCB, January 2002 Page --.fL of ....::L 7, UNDER-DISPENSER CONTAINMENT (UDC) TESTING Test Method Developed By: iiJ UDC Manufacturer 1!!1 Industry Standard D Professional Engineer D Other (Specify) Test Method Used: D Pressure D Vacuum ~ Hydrostatic D Other (Specify) Test Equipment Used: ~C6~ ~~) . SiS Equipment Resolution: !.. . 002.. '. # 1-2- UOC # '3-q. UOC #5'" '-1-~ UOC #9- (0 jl -. l- UOC Manufacturer: TOTt:lI.. r.c t>JT'. I ~OTA I COM"'<- 1~".A I. ,,_. --. -- ('^t..rT. UOC Material: ~I""~""" "'~G 1::, R. ~ ~-C t..A~ ~ f': fA C'~~ 1:=1 - . i~!S~ UOC Depth: 2.~ " '2.~ " '2R <- L~X'" 'aR" '.~ " Height from UOC Bottom to Top q" of Highest Piping Penetration: q '. ct '. q-- q'. q ". Height from UDC Bottom to '8 -, S '. 'is " 8 " Lowest Electrical Penetration: 11 " 8 '. Condition of UDC prior to testing: G/'\~n ,...,,- ...... (.,OOD (.,^",n ,.. - (.;~() Portion ofUDC Tested' -+ .$ -, -J\~;- + 15.... ""~.i ., -I" 5 " 'HS" Does turbine shut down when UDC sensor detects liquid (both gj Yes ONo DNA ~Yes ONo DNA ~Yes DNo DNA ~Yes DNo DNA product and water)?' Turbine shutdown response time + ~ ~l=I + ~o s~c + ::?n ~l=:('" t. ~6 $;~C Is system programmed for fail- ~ Yes DNo DNA ~Yes ONo DNA iii Yes DNo DNA ~Yes DNo DNA safe shutdown?' Was fail-safe verified to be ~ Yes DNo DNA ~Yes DNo DNA [Jf Yes DNo DNA ~Yes DNo DNA operational?' Wait time between applying pressure/vacuum/water and 30 ""', 1\1 . 30 Mo-.J , 30 MIl~ . 50 l\tl~. 30M'fIi., 3QMrt'J starting test Test Start Time: "R '';q p.. \',- ~ :3q ."-.... <;" '''''.q AI" <j( ';3'1 AI" q:2.. S ,'\.; q . "",,\ N~. Initial Reading (R1): G ,c:; U':'':,' '. f;.. :.L-~ ?'.:I ", G'. 'X7q", " r. .1.2..t..~<:', ". b . t}',Qq " G.-Noi '. Test End Time: "X . e'~ t.I A ''''' ~.~~ Rt'", ~ . f. 'I n r", ~ : '!;y MI., q :"In fHJI l' .:.JflJO I, Final Reading (RF): (o' . ~f 60" ~ , 7.E;. :3 ~I ". b. ~?r.fl') " 5.12.17 ; ~~. {/I""t.l/ " ~.: .'1~..."f" Test Duration: t ~ ...., "v . IS' (-4,"" ,S ("'-It>;), is Nl/I\l ,~ M.II. , }.~ ......rv Change in Reading (RF-R[): -. ooo"Z.... Q} j;}- -t .001'5 1 -. OtH}~ " 1",01\"'':' . Pass/Fail Threshold or Criteria: ~. ,00'2.. '. + . 002." = . oo-z. " j:.oo:t ". :t.OO7. "' 't , .002 . Test Result: ~ Pass DFail ~ Pass D Fail Ii!l Pass D Fail ~ Pass D Fail Was sensor removed for testing? ~Yes DNo DNA ~Yes DNo DNA ~Yes DNo DNA ~Yes DNo DNA Was sensor properly replaced and ~ Yes DNo DNA .lijYes DNo DNA ~Yes DNo DNA .!J Yes DNo DNA verified functional after testing? Comments - (include information on repairs made prior to testing, and recommendedfollow-up for failed tests) [ If the entire depth of the UDC is not tested, specify how much was tested. [fthe answer to ill!Y of the questions indicated with an asterisk (*) is "NO" or "NA", the entire UOC must be tested. (See SWRCB LG-160) ,.; SWRCB, January 2002 8. FILL RISER CONTAINMENT SUMP TESTING Facility is Not Equipped With Fill Riser Containment Sumps 0 Fill Riser Containment Sumps are Present, but were Not Tested 0 Test Method Developed By: 0 Sump Manufacturer 0 Industry Standard o Other (Specify) Test Method Used: 0 Pressure 0 Vacuum o Other (Specify) Test Equipment Used: :tNC.O~'" "T':::; '1i'.~ Fill Sum # il. ~ "', Sum Diameter: Sump Depth: Height from Tank Top to Top of Hi hest Pi ing Penetration: Height from Tank Top to Lowest Electrical Penetration: Condition of sump prior to testin : Portion of Sum Tested Sump Material: Wait time between applying pressure/vacuum/water and startin test: Test Start Time: Initial Reading (RD: Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R1): PassIFail Threshold or Criteria: Test Result: Is there a sensor in the sump? Does the sensor alarm when either product or water is detected? Was sensor removed for testing? Was sensor properly replaced and verified functional after testing? N/A MIA I G '. r") '. t;. , . ,is' M,aJ is 114.1\1 . ." 'i .~'::>-' iJ Pass 0 Fail ~Yes 0 No it' (ut/N. ..,..oooz-' !: . O(\~ .. iY Pass 0 Fail l1! Yes 0 No Ii?J Yes 0 No 0 NA ~Yes ONo DNA [i(I Yes 0 No 0 NA l1SYes ONo DNA IilYes ONo DNA IXIYes ONo DNA Page~of~ o Professional Engineer i!l Hydrostatic Equipment Resolution: ~. OO? h Fill Sump # q'G' '. N/A 12. -. I '5 """ tI.J . Fill Sump # ct 4"" '. NIA IZ " ffi is M,N " "!: . (:Ie) 2. ., l1S Pass 0 Fail Ii Yes ONo ~YesoNo DNA jJYes ONo DNA ~Yes DNo DNA Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) -t-. .000 :t . "~O'2.." ~ Pass 0 Fail I! Yes 0 No @Yes oNo DNA ~Yes ONo DNA ijE"Yes ONo DNA SWRCB, January 2002 9. SPILL/OVERFILL CONTAINMENT BOXES Facility is Not Equip ed With Spill/Overfill Containment Boxes 0 Spill/Overfill Containment Boxes are Present, but were Not Tested 0 Test Method Developed By: ~ Spill Bucket Manufacturer ~ Industry Standard o Other (Specify) Test Method Used: 0 Pressure 0 Vacuum o Other (.')pecify) Page --.:L of ~ o Professional Engineer ~ Hydrostatic Equipment Resolution: .... Bucket Diameter: Bucket Depth: Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (R,): Test End Time: Final Reading (Rf): Test Duration: Change in Reading (Rf-R,): Pass/Fail Threshold or Criteria: Test Result: Spill Box # \ 2. '. J "2. -. Spill Box # '2. ) 2 .. ''2 '. Spill Box # '3 J '2 -. ,," 30 MI'fV" 30MIN 30 M I tv . 1?:05 P~1I\ '. t5 j'V/,N l '5 '-t It" . ~~ """N. -.00 -.000 '" - . 00"3 - i. . coa -'- -t. .002.. .. :!: .002. -. '0 Pass 0 Fail ~ Pass 0 Fail ~ Pass 0 Fail Spill Box # q 2.." 2... 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SWRCB, January 2002 Page~of~ Secondary Containment Testing Report Form This form is intended for use by contractors performing periodic testing of UST secondary containment systems. Use the appropriate pages of this form to report results for all components tested. The completed form, written test procedures, and printouts from test$ (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: c..ke.\I2nN it ~'l I Date of Testing: '3.()... .. t'\i:" Facility Address: "8~O f WH rn: ' .. - Bakersfield, CA. QB.3oq LJ,.1.. , ,.,';" Facility Contact: J aco Oil I Phone: 1-E6 i- 83".:..- i4CZo . Date Local Agency Was Notified of Testing : 2."2~-O~; Name of Local Agency Inspector (ifpresent during testing); . 2. TESTING CONTRACTOR INFORMATION Company Name: Sunset Mechanical Technician Conducting Test: Kef\) oP_u'''; Credentials: ~ CSLB Licensed Contractor License Type: C-36 C-IO o SWRCB Licensed Tank Tester License Number: 589517 Manufacturer -:tN<::'~N \<~. 51'S i ;?- 2.. . 0' 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Repairs Component Pass Fail Not Repairs Tested Made Tested Made ^."". , ^. [> -:.. .. l il 0 0 0 '" ll'Y'. 1+ 1.,') ~ 0 0 0 .. . .. c ..~'\.....C"e:: .." ? [j] 0 0 0 uo(' J,j. ~- 4- ~ 0 0 0 ^ C'. ";0".... ~ ~ 3- ~ 0 0 0 Ul:'It'" .b- S'.-i:., 0Cl 0 0 0 A.. -"L\C'_ ~i'..,.,r,.,. 414 g] 0 0 0 .u:::,,,U '7', '3 /q .-,<'1 !jj 0 0 0 ,.... . Ou..., ~ i ~ 0 0 0 I'\t=~<:: *i j ~ 0 0 0 PIP>IN~ ~UN U. ~ ~ 0 0 0 .;"It:: cu: .w.2 ~ 0 0 0 "":" .. ~10 lit '3 ~ 0 0 0 O!='\-~r- ti~ Kl 0 0 0 " PiC.....t~. 12i HU # "- IX] 0 0 0 1"\F-RS ~ 4 KJ 0 0 0 ~ ~, !' hU.I\..!~..*I , ~ 0 0 ~ r"'\C P. d- i ~ 0 0 0 r",PiNC ~d.......C=, *- 2- ~ 0 0 0 (W::'~ M :>.. IR1 0 0 0 0., r./o. .? c::.. IuD ~ ~ ~ 0 0 0 OFR >>~ ~ 0 0 0 R'Cof1\k:! C',' lIVe Yi lot ~ 0 0 0 OI=R ... 4 ~ 0 0 0 Ifhydrostatic testing was perfonned, describe what was done with the water after completion of tests; hU~:TF.=e:. ~L')P lb.", Me:. \",1 A ~ R.U\A(.1fi=.J'. :TN"16 A,N15(JO GFH i.A'f'..Jo "TA IU ..::' ~~ IcEu..s::.~ Al\.)c-/o~ f'),U"b~l CERTIFICA TION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To the best of my knowledge, thefacts stated in this document are accurate and infull compliance with legal requirements Technician's Signature; A--/ ~~ Date: 3.- 02 -- 0 5 SWRCB, January 2002 4. TANK ANNULAR TESTING S Tank Manufacturer ~ Industry Standard D Other (Specify) D Pressure ~ Vacuum D Other (Specify) Test Equipment Used: "," GeL.. F(u....EO W=JS(. G.4!.x.A.6F- \"..l/(-..e~T'fi Test Method Developed By: Test Method Used: Tank # , DYes ~No Tank # 2- D Yes ~No Is Tank Exempt From Testing?' Tank Capacity: Tank Material: Tank Manufacturer: Product Stored: Wait time between applying pressure/vacuum/water and startin test: Test Start Time: Initial Reading (R,): Test End Time: Final Reading (RF): Test Duration: 12.,ooc' i 2., ace Page ~ ofL D Professional Engineer D Hydrostatic Equipment Resolution: -:t .002.. Tank # J Tank # Y DYes IiaNo DYes BNo }2,occ. /2., {",,.,<, C"'f 15 .""...... . i~ t"'''''....... '3: ''5 f.,..... Ie H<!. q;ISt:.... 10 !-Ie,. 60 '''''fi'J . 'lS : i 6 I!.~- 10 ~r... 1; i5/1....... (J ."( ti,,,, 6~ M'....." _. () . i I~I<:" . - 0 . "Z. ...t;, . Change in Reading (RF-R,): PassIFail Threshold or Criteria: Test Result: Was sensor removed for testing? Was sensor properly replaced and verified functional after testin ? -0. z. ...c. JrI Pass D Fail 8 Yes DNo DNA ~ Pass 0 Fail ~Yes DNo DNA ~Yes DNo DNA ~Yes DNo DNA ,S t~...... ,5,vt...... q; 'l.. ~ Ih..... ." J.lr:; .0: ,.:$ ,to .'-'1 10;"4. 60 /.AltV . i?J 10 :2.'-'1\..... OM, 60 MllV. .., 0.2 He. J!I Pass 0 Fail ~Yes DNo DNA ~Yes DNo DNA "'~.2 /1(.. ~ Pass 0 Fail Ii1IYes DNo DNA Jil Yes ONo DNA Comments - (include information on repairs made prior to testing, and recommendedfollow-up for failed tests) 1 Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. {California Code of Regulations, Title 23, Section 2637(a)(6)} SWRCB, January 2002 Test Method Developed By: Test Method Used: Piping Material: Piping Manufacturer: Piping Diameter: Length of Piping Run: Product Stored: Method and location of i ing-run isolation: Wait time between applying pressure/vacuum/water and startin test: Test Start Time: Initial Reading (R1): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R,): Pass/Fail Threshold or Criteria: Test Result: Page ~ of J:L 5. SECONDARY PIPE TESTING iI Piping Manufacturer 0 Industry Standard o Other (Specify) '!tJ Pressure 0 Vacuum o Professional Engineer o Hydrostatic Equipment Resolution: 0." 5 PG:I. Piping Run # ~ (.t:! c: c. is #V!.N .S f.'\.nv. is MtN &5 i'~IN, ~: 3() ~.I'''''' . '? Il!.l'" ~ 'F--" f: 1""1 ~?O 11!,.... f~$ :t t::: v:"::;:r r~" fS:i: ~!'..." q: 3C\ ~ ~-\ 60 Mil\) . C t--1 i IN , bO M IN .' ~c MU\j -(21 -'f2J' -~ J2j -- j?J o Pass 0 Fail o Pass 0 Fail o Pass 0 Fail o Pass 0 Fail Comments - (include iriformation on repairs made prior to testing, and recommended follow-up for failed tests) * ~EJ:-~ ll~E.f'\ IEf~ p~..,. :l:.t.:> ,;;~C'...P "'" I' .'Rt:.Pi.Ac. Eh (tIJ156Jf\JCl ': , V.p,l.JJt;: '5~M . SWRCB, January 2002 Page ~ of lL. 6. PIPING SUMP TESTING Test Method Developed By: I D Sump Manufacturer .iI'lndustry Standard D Professional Engineer D Other (Specify) Test Method Used: D Pressure D Vacuum .1& Hydrostatic D Other (Specify) Test Equipment Used: :iN .::..0" i -rS - STS Equipment Resolution: -'t- -~2 '. ump # t Sump # ~ Sump # 3 Sump # q Sump Diameter: I 'fg' ~~ " LHS' .. q~ " Sump Depth: ! 4' "I' .....' '( , Sump Material: I FIRE;.R6LA~f~ ~IRe'C'ot:' A"'T FIt~==o ~ b,'8~ FI- -, lA S.C;' Height from Tank Top to Top of -. II.! .. , 9 '. Highest Piping Penetration: lq i(~ ,. Height from Tank Top to Lowest 17 '. Electrical Penetration: '7 '.. 11 -. , 7" Condition of sump prior to testingl C."'.....o r-. c, t"'l'D ("5 f'C C GGO"- Portion of Sump Tested! I -t- 2~' '-, .... '-',4- '. + z.(.j " ...,. 2'1 '.. '- Does turbine shut down when sump sensor detects liquid (both ~'Yes DNo DNA ~Yes DNo DNA IE Yes DNo DNA .!II Yes DNo DNA product and water)?' Turbine shutdown response time -+ 3() SE.C, +- 30 f.lEe . + 30 1)'E<:'. +3c SEC.. Is system programmed for fail-safi iii Yes DNo DNA .il Yes DNo DNA 8 Yes DNo DNA ~Yes DNo DNA shutdown?' - Was fail-safe verified to be l!l Yes DNo DNA Xl Yes DNo DNA ~Yes DNo DNA ~Yes DNo DNA operational?' Wait time between applying t pressure/vacuum/water and start in 15 '\.1 , "" it;:; '''''iN, I S 1"4 i lI.J . . t~ ,,"",,\J test: Test Start Time: I r 0' 01 ., ~'... .D:(), .~.... if)' CII '1'.:)"'-\ 10: 0'1 ~'\"1 I , Initial Reading (R,): f; , "... .- -, e.:; __ '?'~c, .:~ c~ '. c.;: ' .~~, t';;n" t:"_'i<'Q~~" Test End Time: ! I a ':J'':) P. .'~ ~ () : ?:.~ 1""-\ ,C'i-? ~..,,\ lO.7>?- ::>;''--t Final Reading (RF): i .\.;'4~q ., c::. .:"":~;. ."C~ '. (;.' .~ 5 r; '3' '.. e;- ~-,' (..1 I '. Test Duration: i S (", n'\; . is' M IN. 1.5 f'\.i\;N. t5 t'VI j "" , Change in Reading (RF-R1): -i. CCO., .. -t .oor:. I .. -t, " - .OOO~ " Pass/Fail Threshold or Criteria: ...... ,0e2.. '. -t ' 00 '20 -. -t' ,t~~ '. -t' .002 '. - Test Result: ~ Pass D Fail ~ Pass o Fail ~ Pass o Fail it Pass D Fail Was sensor removed for testing? ~Yes DNo DNA RI Yes DNo DNA iI Yes DNo DNA iI Yes DNo DNA Was sensor properly replaced and ~ Yes DNo DNA ~Yes DNo DNA iI Yes DNo DNA kJ Yes DNo DNA verified functional after testing? Comments - (include information on repairs made prior to testing, and recommendedfollow-up for failed tests) I If the entire depth of the sump is not tested, specifY how much was tested. If the answer to ~ of the questions indicated with an asterisk (*) is "NO" or "NA", the entire sump must be tested. (See SWRCB LG-160) D Pressure D Other (Specify) Test Equipment Used: "'JtK.f) t.i T& - S"i5 SWRCB, January 2002 7. Test Method Developed By: Test Method Used: Page ----5- of -8- UNDER-DISPENSER CONTAINMENT UDC TESTING iJ UDC Manufacturer D Industry Standard D Professional Engineer D Other (Specify) D Vacuum ~ Hydrostatic Equipment Resolution: "i: ' oe;:.. N UDC Manufacturer: UDe Material: U DC Depth: Height from UDC Bottom to Top of Hi hest Pi ing Penetration: Height from UDC Bottom to Lowest Electrical Penetration: Condition of UDC prior to testin : Portion ofUDC Tested Does turbine shut down when UDC sensor detects liquid (both roduct and water)?' Turbine shutdown response time Is system programmed for fail- safe shutdown?' Was fail-safe verified to be o erational?' Wait time between applying pressure/vacuum/water and starting test Test Start Time: Initial Reading (R1): Test End Time: Final Reading (Rr): Test Duration: Change in Reading (RF-R1): Pass/Fail Threshold or Criteria: Test Result: Was sensor removed for testing? Was sensor properly replaced and verified functional after testing? <1" q '. q " q'.. ,., I " 7" ., .. -.- GOOD G o6ts GoeD' &;.0::\ C'" + i -t ". + of" ~ .' , ~Yes DNo DNA ~Yes DNo DNA ~Yes DNo DNA ~Yes DNo DNA ...~ ""-c.. 1- /' (:'"'c..<- -. 1" ~, , L.. -t- , ~ Yes DNo DNA ~Yes DNo DNA I!!lYes DNo DNA 8 Yes DNo DNA ~Yes DNo DNA ~Yes DNo DNA r81Yes DNo DNA i1Yes DNo DNA i 5 ;V\"", . t ':) ;'\1\ ,.... . i~' i\..Ci~ . IS ,"-tiN, P.~'A " -t.O.J .1 '. -t ~ Pass 0 Fail IiIYes DNo DNA Ia"Yes DNo DNA +'0 ~ Pass' D Fail ~Yes DNo DNA ~Yes DNo DNA -t. . 00"l. " ~ Pass D Fail ~Yes DNo DNA i'I Yes D No DNA "i. . ~ Pass 0 Fail ~ Yes DNo DNA 2ilYes DNo DNA Comments - (include information on repairs made prior to testing, and recommendedfollow-up for failed tests) ..' I Ifthe entire depth of the UDe is not tested, specify how much was tested. If the answer to ill1Y of the questions indicated with an asterisk (*) is "NO" or "NA", the entire UDC must be tested, (See SWRCB LG-160) SWRCB, January 2002 Page .J2L of .x.- UNDER-DISPENSER CONTAINMENT UDC TESTING ~ UDC Manufacturer ~ Industry Standard 0 Professional Engineer o Other (Specify) o Pressure 0 Vacuum 2i'Hydrostatic o Other (Specify) 7. Test Method Developed By: Test Method Used: Test Equipment Used: ":I..NC6 N 75 - S'"'tS UDC Manufacturer: UDC Material: UDC Depth: Height from UDC Bottom to Top of Hi hest Pi in Penetration: Height from UDC Bottom to Lowest Electrical Penetration: Condition ofUDC prior to testin : Portion ofUDC Tested Does turbine shut down when UDC sensor detects liquid (both , roduct and water)? Turbine shutdown response time Is system programmed for fail- safe shutdown?' Was fail-safe verified to be o erational?' Wait time between applying pressure/vacuum/water and startin test Test Start Time: Initial Reading (R1): Test End Time: Final Reading (Rf): Test Duration: Change in Reading (Rf-R,): PassIFail Threshold or Criteria: Test Result: Was sensor removed for testing? Was sensor properly replaced and verified functional after testing? .;;r~ q ., q -. ., ", Equipment Resolution: of. 0 .... /. UDC# UDC# ., -, Goo ;. <KI Yes DNo DNA ~.y es DNo DNA + 30 BE.C.. -t 30 see.. - IjlYes DNo DNA lIi Yes DNo DNA IiG. Yes DNo DNA ~Yes DNo DNA 30 oM 4 I'-J .... . .:.')0 4\1,N . DYes DNo DNA DYes DNo DNA ~ Pass 0 Fail ~Yes DNo DNA alYes DNo DNA "!. ~ Pass 0 Fail ~Yes DNo DNA MYes DNo DNA DYes DNo DNA DYes DNo DNA DYes DNo DNA DYes DNo DNA o Pass 0 Fail DYes DNo DNA DYes DNo DNA o Pass 0 Fail DYes DNo DNA DYes DNo DNA Comments - (include information on repairs made prior to testing, and recommendedfollow-up for failed tests) , If the entire depth of the UDC is not tested, specify how much was tested. If the answer to ill!Y of the questions indicated with an asterisk (.) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG-160) 8. FILL RISER CONTAINMENT SUMP TESTING Facility is Not Equipped With Fill Riser Containment Sumps D Fill Riser Containment Sumps are Present, but were Not Tested 0 Test Method Developed By: 0 Sump Manufacturer ~Industry Standard o Other (Specify) Test Method Used: [j Pressure 0 Vacuum o Other (Specify) Test Equipment Used: .:1J..JC.oN jS - STS SWRCB, January 2002 Sump Diameter: Sump De th: Height from Tank Top to Top of Hi hest'Pi ing Penetration: Height from Tank Top to Lowest Electrical Penetration: Condition of sump prior to testin : Portion of Sum Tested Sump Material: Wait time between applying pressure/vacuum/water and startin test: Test Start Time: Initial Reading (RI): Test End Time: Final Readin (RF): Test Duration: Change in Reading (RF-R1): Pass/Fail Threshold or Criteria: Test Result: Is there a sensor in the sump? Does the sensor alarm when either product or water is detected? Was sensor removed for testing? Was sensor properly replaced and verified functional after testin ? Fill Sump # 2- Fill Sump # ~ ~~ q~ ", "l ~ ,", 4' q. NI-A NIA N/A i L( ." 14 ." l'i -. Page ~ of B- o Professional Engineer ~ Hydrostatic Equipment Resolution: -.! .Oca ,." Fill Sump # t) 4%'- 4 ' t.J "'A l Lf -. Goer. ." 00 MIl\.} .' t".,r.:. bOMIN. 0.... 0*""-"1 'i - c2.'t-' 'OOMIN .~o ('1\ ,t\). l':l p.,~... - .? ()~: " OJ '55 (..,..'" .b2.0'~ "' . &' rA lo.J ' ~ -. ~"~O'"7.. '. .:t . 00"2- -+ .00-' '. 8 Pass o Fail ~ Pass D Fail ~ Pass i D Fail ~Yes DNo 8i Yes DNo ~Yes .DNo ~Yes DNo DNA ~ Yes 0 No 0 NA JdYes DNo DNA "!: . oo.Zo -, ~ Pass ~Yes DFail DNo ~ Yes DNo DNA aI Yes ON? DNA ~Yes DNa DNA ~Yes DNa DNA I Yes DNo DNA ~Yes DNo DNA li?Yes DNo DNA l!!IYes DNo DNA ijYes DNo DNA Comments - (include information on repairs made prior to testing, arid recommendedfollow-upjor failed tests) SWRCB, January 2002 9. SPILL/OVERFILL CONTAINMENT BOXES Facility is Not Equipped With Spill/Overfill Containment Boxes 0 Spill/Overfill Containment Boxes are Present, but were Not Tested 0 Test Method Developed By: 'i'I Spill Bucket Manufacturer ~ Industry Standard o Other (Specify) Page..EL of-.fL D Professional Engineer Test Method Used: D Vacuum ~ Hydrostatic :J Pressure D Other (Specify) Equipment Resolution: -+ .002. ,~ Spill Box # '2 Spill Box # '3 '2. " r Z " Bucket Diameter: Bucket Depth: Wait time between applying pressure/vacuum/water and start in test: Test Start Time: Initial Reading (R,): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R,): Pass/Fail Threshold or Criteria: Test Result: Spill Box # tz..' .. l"l.. ;. 1'2 ;.. '2. ;, 30 .'-"I~N' .~ ;"!;\. tV "3 0 .'\0\ r IV H :2.3 ^."" ii' "03 !"d,A, H'" q ^...., 3'1 i '1 ". i~;(~.~. - .0003"' ,~ IY\,~ . l~ ~IlIN -. 000"7 " ..... ~ 0 0 0 '2 "; + .00"2 '. -.t - DO?. ;~ ....... . OQ7-. ., It! Pass D Fail ~ Pass D Fail Ji Pass D Fail Spill Box # '" "2 ,. 12 " '30 .~"",.f\, II : 2.:3 ~ "J\. ~"'''' J, i5 fi4tN . - . 0('\0' ;, :! . OC?.. ~ Pass D Fail Comments - (include information on repairs made prior to testing, and recommendedfollow-up for failed tests) .. ;. ,I:' 'W I I f:. ..;:;j~1K:r;:.,:~:;~- .. ~':L~) :'~l=:ti.. ':~i3~;09" }. --I:.':;: '-8~$:~:i"M'14(9(; J, --::;22.-~i~':16f-J Ii i~. ~ . I i i ti3 .....~J :i'-....?I1!~1~.:i .:~'; ;..~'!:-l .>ur:.- b:(1i< U;)::::'j~ 1. e i : ;~ :., j ::~;~. !~'lf,::T:~;) TE~:;T s~rARTED' :JC~:i I ;.~ ',...Et.JE:L E~..;r:' TI~~E :=;.~O ')~I~C' END, LJJ.lEL :.. F~:t:~,:" .~l'~l~~[SHOLD T[~;T P[~::Ul_.T .:[;t(, \ j,12 T[::;T :)Trif.;~Tt~D -.-i::':;T ~:.::"'r r1r~:T i~:D ' 8E1J I r.~ LE~.)EL i~. ;'''~.1) T l :".~E [1--1D [)~(!'r::: :~:J~:' iD)CL LEAK "THr;~ESHDL.[:1 T,:.~~;T ~~:r::~LJL.~~ . ,V'iI3 i' ~5'~: t1r"~ , \~:[F'CJR1 ':~: 44 ..'nr'1 o 3 ,,'''0~: .....2(1~~1~j ~'" 3?EA. ~N 9 ~ tj'j Ar'~ ~i3..'" 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":1 ' ,,- 1 .:;. i ?c~~:: I'i"i HJ: 5511;", 0:~...'.c12/2'j~;5 . 4"..179.1- r~~ ;]. ~~~02 IN 'p'i~fSSE[) ~=;fE:~::;:'-4 TEST STARTED ~0: ':to rl:': TE':;T ~?::;"7':~1l-t~.Tl'::i) ~:i.:!'/~j2/2035 8EGH,; :-Et)E~ ::~l"iD T_~: >1::: D~[) DATE 4,.iS205 IN 1, ~~1 ~ 5,5 J1r1' . ffV02/200:::; iy~~-'" , , ' . .6.-_..:.;..:..........:..,...~"'..;............-:"......_,..(...~_~.j:~ii......,l.J....~ t. 'J!i;i~::~~~g ~~}~D l)iyr-t ENt. LEUEl. U::PI,( , :;:.:i'~[::;HOLG: m:;T RESUc,T TE~::: STf1~~TED F;~.rl;:~T[D -,..,-.-..,.. ;l:.::::li BEGI Hi_EVE!. :~l'~D. TIi'1E: EN!) DATE, EJ-K)U::UE,._ I;.Em::: 'THRESHOLD 'T2:ST r~E~;U~_T I I I I 1 I I, I I I I I I TE':;T ~~I-;.r:1~<T[!) TES'T STA!~~iEE= 8[GT!'~ i,...;:'I.)[L END, TIt'1E P~:"~D )f:1Tr:~ Et-.lDLt:l,'EL LEfit< ~~H~~r:~;HOL.) TCSi RESULT TE~;Y :3TA~~TE[) I" l I i I I ;i:~S:;T r;~Pil'~~T;~=P BEGUJ ,-D,JEL ;::}~C;' ~T ~'1E Et~D f>r::;-TE r::'!,..jD : }~!')[L i:..2Ai<' THRE:3I1DLD ;I.'::''T' j +-.--' ~ ~;:~r~~;UL ~;'.." I,. '.......:...........-~~.~~-~~--.....-_..........----.------.~ P:::,-;l ;:'S""'2: P::,...;:~ ;'''''.~~;-.:.l. Hi; 23 A~'I i~ r::;:' U r::T W:O? f'IM 03.,,'.m;/2m;i~5 511 2447 1~.;'~," N): 22 Ar'1 Ot':~'~iQ.~~i ~1 ~ ~~f~i~~ 11'4 R;;~~SE[) I . ~ 'I i Hj :(i(' i1~' i)3/02/2005 Eo. 363<:; It-: ;>;):22 Aiq 0~/0~~/200~.. 6;36:::,6 lt4 0.f182 I~"j . ;::;A~;SED 1'): ~j7 AM ~J3,'~.12/20l:\5 'c.. 25~f~ 'I:~ 10 ;22 fW1 !j::~/rj2./:i005 t;~.. ?~:~5::: IN ,},OiJ2 TN PASSED 1 tf: ~i7' 1il"i, 0;5/-32/20\'15 ~. 8993 I~; l ~3: 2-2 At'1 (\3/C,2.'2005 ::i1l:3J'3Il :~H ~). .)02 H'\ i-)A~:;SC:i) /~- Permits t Facility Nallle '~. 'Í' ."1-1.;., U:)" '~,51;;L Fòvrr;Ç) ,}. ] ~ p;¡ I J := S¡¡Þful&f 6 == Wells (hbrit) t N ."'\spector &te ,PINAL INSPECTION CHEcn.IST I ,-1 I I I I I I I~ I~ I) :~ I I I I I I I I I '") v~ r "1 t''1 \'7 o 0 o rJ tJ 0 1;;. Á ~~2J VV rD ~0~~ -/""",.\.... I D .::.0 \ ,- '\ ~--~-- f., TÞ __:~-ºl)il~ -----l Þv-\ð-; "':::, \ ~ o cJ Plot plan notes' C1 v A A ~ Á D J ÙV ~ ~l't [Q__~ wJ 1'[ Plot Diagra. 1. All new and existin~ tanks located on plot plan? 2. Does tank product correspond to product labels on plot plan? 3. Was there no .odifications identified which were not depicted on the plot plans? If "No" described 4. Are .onitoring wells secure and free of w~ter and product in sump? 5. Is pipjng system pressure, suction or gravity? -/ 'i _ ~~ ,";J, ,~ _~,d :.<' , / I ,\ \'ì. : ./Â- o ()L-) I \}J I I I I I I I I I I I I I I I I I I I I I I Yes No )ll I_I ~I I_I ~ LI ~I 1=1 Oíf '::>5 LU' .iL J .---'- ¡-....,¡ ,-'~ KIrJ.\f=P "pLAtly , ~ïI"PA-D,-, '.. - .lY.I.ö..L= ~, ~. '. FACIUTY DIAGRAM SITE-DIAGRAM ~xxx Business Name: FASTRIP FOOD STORE For Office Use Only 8001 White Lane, Bakersfield, Ca. 93313 Business Address: First In Station: 9 Area Map # Inspection Station: O¡c / d 3 of 1& (!., NORTH -0 '---:-l-' ,-... , ;' r1t:~ ,~ :' ! I ~ ! :i; .~. _1' ] iI,' \\ ;'1': 1! \ " I , 1, ", ILC ·'lol....ul(Jt:"fl -,un., \. ,', . }I ¡ ,1-~R.. ' 'cn~'JI"'::"" \ _.Æ ~I"I' r ' 7ryf;::~~··\I~~~·~~f~kt,:'J ~ .::r..... ø..ßr ¡: ,';: fI: "'~'hl)';~' L" pv. I "'II w;-:'~'''"-i '~1 r f" 1...· !1'....-~' .1__ ..,;.,~ :1 - I I' I. IJ I " L· Utt;!ouHHo-,.,. "'I'" ',',. '0 ! ,~,-,..:~ ~ I"~ "r~,:'~I3"~"1;.I1~ t1,~, ~\"N ,:;c:e sf : ~~.~~,F-· tlEf\..;"\" r . ,f,., Ij~~':' ,.' ~: ', ¡j' ~i " _~.o,~.4.'-... ,II" ~~';t. ", ffi" ~-!·I '". '.: 'J'~' ¡. .:.': ,\~ jfí..,; '.þ ::¡>.::~,~~! ~~, ,;;.'~~;;;-: ,." "..'._;-;-:..1!t.~, /', ,..... , ~.~~~... I -1 ,It· ..... . . Q '. t;~n,n.: < ,~¡,.(:,:. '. ~;=.::.. ,:~'" :~~ ¡,\if} ,.. " ", )'j ~r. 1- ..... ¡., ",. -\,",J..'!" '-. fA~tfùtþ) n"'~aJ;\g t;;\' ~. .' .. . _ t . -. ..' . ~ . kt -1 ¡ 'Þb ~..; ·/'1 ! ,.¡.~~,~:l., I ,,' I . I H 2 -.' ):1 ..<t, GlP.P / ,--"L.JC;;4T PoLE.('2'I"J. (~. I "~.~'''~¡¡:~,<:' -t t:~':'f-'-r'A ~,""'~;I O"p,',. .' . _ $'~.r. .,: t.f)R·;.~~._· _;. . '~,I ,'~ -~-,,:I, .~...__.u 1·-..,· -- '- '~ h__,_ _ , -T t:_, " _. "::'_.' (,¡... '\0.\.\:;: , 0'.. ., 1 "; ___~_ .......:.._.J~o·~o.. ", . ~-- _.~------------- ~ \¡'IHII'C .. 1" .' . R'ìo'< 1.110'-0- I I' : I" / / '~~;./ .~' ;'-'-1 ....~-~ ----. ---~- -.- 2.0.00' , , I , i I ) ,." ,..q-jl ! I J; ';', . ~ ~;I ,!~II . , ;\,1 :'ll I , I I,' ---I "'.'-. /' ,>- . -- ~J~. ~\CèN 2.~E t) En . 2. . Ii<!: t . -~~AN~FQ.6:t::!E.r" I . I . . f. .,..,..~-- " ,. -'" . 1·~R....·· ~ ".~ .~.. , ' -' . ~ -.. -:---'p t"...1'. ~;";.,- ~EIJ. _.._~...T.:....:~:: '- . ~~ " ' ..,' ..~. -, ' ....~ -"" ".., ". ....... I ì'-: , 11 . ~ . !.._~'-, t;': ~ t'î"~· ( .. 5-C tl- ? -¡-,!¡;.,-'" '.L .. .. 1- ... i ¡ , -t--·-···· ('C·~.~·· i u· ----- i '''- I\.\.'.?RK~ 8¡;;e --. Dt:::-t" ",' .. ._ _\0\.. M.·~· I < . ~ ~" ,~I¡ - ~'!:>l::, ""1"RP-? --L C_! F~; , I' . r I ¡: l ~. I ¡ J ~;Z J~":.\' .'-,: - ~. -,-~ '1 ~MPER ?\~, 11" (- ~)I. S:Z::~O~V(Ð.eö,,6Y ~~~L_'St\4~ ,--~ - ...--- :-~7'( "--. .....'- '. 1 ( \ .';.'~- ~ ,. .~: ~: r~" - T:"' :=-. --- ! i o· , I ~c- , 4~' --- ~t:. ..... þ...,þ ..... ! I , 4~' -..... -~ ~2' ~- -..--..--- .~~ j~' --.:+- ! 'LO"~ , . ¡ j . í ! . . I . , ! , ,. . ~ : , t "l~. ,~~.:. ,..z.c;' ,'~____ i4~ <_ . 'L 'Li·o· .. ." - I '1D~ l: ,--- ..-.- +" --~ -.l , - -~-JJC:7~.!T PoL.E(¡t~~. / , - -4- ..4- -- ~ : :'(1" I -r ï-~' 1:1b ' . ;1 . r i" - ~ (4-'L~R';) ! ___L. ....'¡ -:-~ ! '" 'q. .... o N , \. .( '?"'. \ ;-. c:. ~ -+-- !'" , I i - I - I 31 01 ~I I ...__ -1-/ I ~ ,t- <=@. © © .~ o ~ ....- Q c=- ~ ~ .~ T'P",! , i in~~i ...___ 1[, , _~ c( I ~ ' ~ " U., J ' . Á1' , ". ~; : .~- -~I: -y' '~-Ì- ~ AL~ ". 4:'" "f4F -1 P--~ I d - t~'__H_- ¡ l .. _.0- I tl_~~ _ ;\ " ') ., Q , "-, r- ~~~I . ~h:J.e~~ i/~ ~ (jd 5 f2, rJJ 3 ( Ðo ? b CD JbCk.VLV\ t: S&'l U vtÞrS Te-I'v\fory peytv¡:1I--. 3 1 3 - 7 DC) ê) ·...l· \ - TANK REMOVAL INSPECTION FORM Bakersfield Fire Dept. Environmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 Page 1 of 1 Ö TEST METHODOL~, I", _' ( , I 1"1 ",p t,\ ---¿ I (~'r&'¿ PRELIMINARY ASSESSMENT CO. ,C? 1\ \^ 1\ ¡ 1\ ~~ 'V \ {; V\ ,,\ Vl;;/IJ \''^~ co, RECIEPT LEL% ---- FACILITY ADDRESS OWNER CONTRACTOR CONTACT PERSON LABORATORY tN -cr DC ~ 'f: C~ ~ a <::5 CONDITION OF TANKS CONDITION OF PIPING CONDITION OF SOIL COMMENTS 0aJ[ -.JÞC-Ð 7'7 ß·- '505' ~y- CONTACT PERSON 'I ) . :-b £.l ( {¡;Cl0E o PLOT PLAN t1' ~ r.t :o.-"It: ~ I c.Xbh ~A.15 ' ~ ~'<S¡ { £,ù'?c-r } lP,r..?~í J { \2, ~'1 J II 1L.611"~ J ~~ f{ - ~ðI-~c.~ ¡·h ~ - '7ot-w'fl& \£:1 c~,h I'Á.I (&-Þ.Ç'{'> i",,~hGÞ"";) (t>~--\ (; f o \,'D \ t::- fd2082 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3911 FAX (661) 852-2170 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 852-2170 PREVENTION SERVICES FIRE SAFETY SERVICES' ENVIRONMENTAl SERVICES 900 Truxtun Ave.. Suite 210 Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 852-2171 FIRE INVESTIGATION 1715 Chester Ave.. 3'd Floor Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 852-2172 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 December 10, 2004 Fastrip 8001 White Lane Bakersfield, CA 93309 REMINDER NOTICE Re: Necessary Compliance Deadlines for UST Owners/Operators Dear Valued Customer: The purpose of this letter is to remind you about three compliance deadlines for UST Owners/Operators. These are as folIows: 1) January 1,2005 deadline for submitting declaration statement designating: (a) Owner/Operator understands and is in compliance with all applicable UST requirements, and (b) Owner identifies the designated UST Operator for each facility owned, (c) Owner/Operator passes and submits proof of International Code Council Test. 2) EVR upgrade requirements on spill buckets are due April 1, 2005. 3) Secondary Containment Testing on all secondary systems, Code requires re-testing 36 months from date of last test which was in 2002. Should you have questions regarding these compliance deadlines, please feel free to calI me at 661 - 326-3190, Sincerely, ~~ Steve Underwood Fire Prevention Officer SU:db IIr:fJ'/yrIIÙta III(! Yf;~Wllllltf/)U'(;¡1 0'ßoÝ ,., IloJC(~ C:.YlÛ/d1 Cr;./ Y;;~ilttf/)~!I " d d d ... ..- 0v MONIt,RlNG SYSTEM CERTD,.STION For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6.7. Health and Stifety Code: Chapter 16. Division 3. 1ïtle 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment A seoarate certification or re,port must be orepared for each monitorine: system control panel by the technician who performs the work. A copy of this form must be provided to the tank system owner/opemtor. 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 Informati" _ . Jþ.. ~ ~ Facility Name: j~ J'6 7 /#~77ûØ p , Site Address: póo/ N#7r¥ Mv€" Facility Contact Person: /?tPo"f/ ,Ø./IA?..$ MakeJModel of Monitoring System: t"f¡t, ~S .3st:> B. Inventory of Eqnipment Tested/Certified Qeck the a Ie boDs to indicate Tank ID: II t!..1/¿61-ðé<!J J;it"fn- Tank Gauging Probe. Model: ¡;jt""'Annular Space or Vault Sensor. Model: ;;¡r'Piping Sump I Trench Sensor(s). Model: [J Fill Sump Sensor(s). Model: [J Mechanical Line Leak Detector. Model: [J Electronic Line Leak Detector. Model: [J Tank Overfill I High-Level Sensor. Model: [J Other s . ui t and model in Section E on Ta¥ ID: ¡-:z.. Þ"em J. aß-Tank Gauging Pro6e. Model: ~ t:f~ular Space or Vault Sensor. Model:~ e:r Piping Sump I Trench Sensor(s). Model: ~ [J Fill Sump Sensor(s). Model: [J Mechanical Line Leak Detector. Model: [J Electronic Line Leak Detector. Model: [J Tank Overfill I High-Level Sensor. Model: [J Other s . ui t and model in Section E on e 2). Dispenser ID: / z.. [J Dispenser Containment Sensor(s). Model: Ia"Shear Valve(s). [J Di nserContainment Flo s) and Chain(s). DispelUler ID: ;,I [J !}ispenser Containment Sensor(s). Model: efSbear Valve(s). [J' Containment Float(s) and Chai s). Dispenser ID: Þ o ~spenser Con nt Sensor(s). Model: ~hear Valve(s). ~ aDi nser Containment Fl s) and Chain s). a Di Containment s) and Chain(s). *If the facility contains more tanks or dispensers. copy this form. Include information for every tank and dispenser at the facility. C. Certification - I certify tbat the equipment IdamtifØcJ In this ~ was ÜIspededIserriœ in aa:ordImœ with the ~, guideIioes. AttadIed to this Certifkatiuo is iDformatioo (e.g. _nf.mmn' dJeoo6l ,.b) neœssary to ftrify tbat this iDfonuatioD is correct and a Plot Plan showing the layout of monitorfDg ~ For aoy ecJUiIt!aent capable 01 generating sueb repol1s, I have also attached a copy of the ~ (clad øIl thot øpp(y): a'System set-up ~~report ~ I "'" " TecluUcian Name (print), /'"'</ 4.%1 s_ . _ _ -..J. ru- t... .( 4- Certification No.: 97.16 LiCense. No.: --------1/3 blb.4-- Testing Company Name: I9C.E /JeJ7t!.OU:<.J1J1 $E.l..JJì<..£-S PhoneNo.:(6·61 ):fJ7 -6.5"2.2- Site Address: /D:)~ ~B¿'¿ J)~ ,ð'9K6f.ðhdd:. C4- DateofTestingjServicing:.!ZJf!L.lÈ..~ / 9s.J/Y / g--5-oý'! Page 1 of 3 03101 s~ ~ ¿,?.e. K/-G Monitoring System Certificatiou . Bldg. No.: City: ~¡fe",bl Zip: 9.33D'7 ContactPhoneNo.:Cø6/ ) "p..š.s--/~ro Date of TestingfServicing: -Z-i/ Yi ¿I ~ TankID: v4S'4"¿' 3hh a In-Tank Gauging Probe. Model: ~ a Annular Space or Vault Sensor. Model: ~ a Piping Sump I Trench Sensor(s). Model: ~ a Fill Sump Sensor(s). Model: o Mechanical line Leak Detector. Model: a Electronic Line Leak Detector. Model: a Tank Overfill I High-Level Sensor. Model: o Other . ui ment and model in Section E on P Tank ID: o In.. Tank Gauging Probe. Model: a Annular Space or Vault Sensor. Model: [J Piping Sump I Trench Sensor(s). Model: a Fill Sump Sensor(s). Model: a Mechanical Line Leak Detector. Model: a Electronic Line Leak Detector. Model: a Tank Overfill I High-Level Sensor. Model: a Other s . ui t and model in Section E on P e2). 2. ~ MONI~RlNG SYSTEM CERTD'I~TION For Use By All Jurisdictions Within the State ofCalifomia Authority Cited: Chapter 6.7. Health and Safety Code: Chapter 16. 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 preoared for each monitorine: system control panel by the technician who performs the work. A copy of this fonn must be provided to the tank. system owner/operator. The owner/operator must submit a copy of this fonn to the local agency regulating UST systems within 30 days of test date. TankID: r~7 l>iB;)el.- "'7 E:ÍIn-Tank Gauging Probe. Model: ~ ~ular Space or Vault Sensor. Model: (.Ie. J I3"Piping Sump! Trench SenSOl(s). Model: c/ ~ [J Fill Sump Sensor(s). Model: Q Mechanical Line Leak: Detector. Model: Q Electronic tine Leak Detector. Model: IJ Tank Overfill! High-Level Sensor. Model: Q Other . ui t and model in Section E on P e 2 . Tank ID: Q I Gauging Probe. Q Annular or Vault Sensor. IJ Piping Sump ! IJ Fill Sump Sensor(s). IJ Mechanical Line Leak Detectò . IJ Electronic Line Leak Detector. I: Q Tank Overfill! High-Level Sensor. Model: IJ Other . ui t and model in Section E on DIspenser ID: 0 IJ Dispenser Containment Sensor(s). Model: ~hear Valve(s). IJ Di Containment Fl s) and Chain(s). 1»: Q Dì serContainmentSensor(s). Model: IJShearV IJ Dis Con Dispeuser ID: IJ Dispenser Containment IJ Shear Valve(s). QDis Containment Fl s) and . s). Q Di Containment Float(s) and ·If the facility contains more tanks or dispensers, copy this fonn. Include information for every rank and dispenser at the t1 . C. Certification - I certify that the~ 1dn.llfW in tills ~ was ~ in aecordaDœ wiIb the -nnfArtnrers' guidelines. Attached to this CertIfiadion is information (e.g. Dl8Dut'adurus' rIKoetdisIs) necessary to verifY that this infOl1D8tioa is correct and a Plot PIau showing the layout 01 DIOIIitoring equipmeDt. For any equipmeut capable 01 geuerating sueb reports, I have also attached a copy of the ~(eheck JJJ1lhotøpply): C System set-up C ~æ;port Technician Name (print): ~.v ~'G~ Signature: ~_.- Certification No.: 9'7.76 License. No.: ;p'ß V6 ~ Testing Company Name: A-¿Jff ...#é/~vl"\ ~ I~,} Phone No.:(t66 / )..:?'J 7-6.!>~2-- Site Address: / S-S-~i::? S~.t.; . ß:,..¡,(.Gt;> Iii:IJ (» Date of Testing/Servicing: 2JLf.J ~ / 9»/1' fS - 3-ù'"f Page 1 of 3 03101 A. Generallnfonnation ~ ' . -#1:, Y¿9 Facility Name: :3667367 F1I'\5';;n...J.I) , Site Address: ,ft/O/ wA,~ ~e- Facility Contact Person: ß1/ -n~,A.S" MakeIModel of Monitoring System: tfi. $ ~.>"TJ B. Inventory of Equipment Tested/Certified Check the a boas to iDdieate TankID: -r-:Ç L/ß/¿ :¡~7 a:!P- Tank Gauging Probe. Model: t::r Annular Space or Vault Sensor. Model: Ia"Piping Sump! Trench Sensor(s). Model: IJ Fill Sump Sensor(s). Model: IJ Mechanical Line Leak: Detector. Model: IJ Electronic tine Leak Detector. Model: IJ Tank Overfill! High-Level Sensor. Model: IJ Other s . ui t and model in Section E on Pa e 2). T~: ~ ' I.r ~-Tank Gauging Probe. Model: ~ular Space or Vault Sensor. Model: Ia"Piping Sump! Trench SenSOl(s). Model: IJ Fin Sump Sensor(s). Model: IJ Mechanical Line Leak Detector. Model: IJ Electronic tine Leak Detector. Model: IJ Tank Overfill! High-Level Sensor. Model: IJ Other s . ui t and model in Section E on e 2 . Bldg. No.: City: ~A/::.jItdJ. Zip: 9,;/307 Contact Phone No.: ( 6"1 )"f' ff=- /~'f'.p Date of Testing/Servicing: .2..J./ ¥¡ ~ j" r :Jt. , ?f Monitoring System Certification D~ Results of TestiDgIServiciDge J f. ù 7J e Software Version Installed: checldist: Is the audible alann 0 Is the visual alann 0 tional? Were all sensors visuall ins , functionall tested. and confirmed 0 rational? Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their r 0 ration? If alanns are relayed to a remote monitoring station. is all communications equipment (e.g. modem) operational? For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak. fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shut-down? (Check all that apply) ErSumplfrench Sensors; Q Dispenser Containment Sensors. Did ou confinn itive shut-down due to leaks and sensor failure/disconnection'! er"l es; Q No. aYes a No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no B"'ÑJ A mechanical overfill prevention valve is installed), is the overfill warning alann visible and audible at the tank fill int(s) and tin r1 '! If so, at what nt of tank i does the alann tri er? % Was any monitoring equipment replaced'! If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all re Iacement in Section E, below. No Was liquid found inside any secondary containment systems designed as dry systems'! (Check all that apply) Q Product; Q Water. If es, describe causes in Section E, below. Q No* Was monitorin s stem set- reviewed to ensure settin '! Attach set u Q No* Is all monitorin ui ment 0 'onal r manufacturer's ifications? · In Section E below, deserIbe how and when these defidendes were or will be corrected. Q No* r¡( N/A Q No* a N/A 1:1 No licable E. Comments: y- 1/-/'1 -Dj! ~A.ceð ~ .3-'ÐY R"-fA-;(s;;D ~~4ð ;.i:J 7Ls" -j n> Page2of3 03101 e e F. In-Tank Gauging I SIR Equipment: a"'ðteck this box ü tank gauging is used only for inventory control. 1:1 Check this box ü no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perfonn leak detection monitoring. c:becklist: Has all input wiring been inspected for proper entry and termination. including testing for ground faults? Were all tank gauging probes visually inspected for damage and residue buildup? Was accuracy of system product level readings tested? Was accuracy of system water level readings tested? Were all probes reinstalled properly? Yes Were all items on the equipment manufacturer's maintenance checklist completed? · In the Section H, below, deseribe how and when these defidencies were or will be corrected. G. Line Leak Detectors (LLD): I2r'tieck this box ü U.Ds are not installed. Complete the foOo rin2 cbeckIist: 1:1 Yes 1:1 No· For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? 1:1 Nt A (Check all that apply) Simulated leak mte: 1:13 g.p.h.; 1:1 0.1 g.p.h; 1:1 0.2 g.p.h. 1:1 Yes 1:1 No· Were all LLDs confirmed opemtional and accurate within regulatory requirements? [J Yes [J No* Was the testing apparatus properly calibmted? [J Yes 1:1 No* For mechanical U.Ds, does the LLD restrict product flow ü it detects a leak? 1:1 Nt A [J Yes [J No* For electronic LLDs, does the turbine automatically shut off ü the LLD detects a leak? [J NtA [J Yes [J No* For electronic LLDs, does the turbine automatically shut off ü any portion of the monitoring system is disabled [J N/A or disconnected? [J Yes [J No* For electronic LLDs. does the turbine automatically shut off if any portion of the monitoring system malfunctions [J N/A or fails a test? [J Yes [J No* For electronic LLDs, have all accessible wiring connections been visually inspected? [J NtA [J Yes [J No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H, below, describe how and when these defidendes were or will be corrected. H. Comments: Page30f3 03101 e e Monitoring System Certification Site Address: UST Mo.nitoring Site Plan . 366/367 ,6.~;ø '6 HJ / /,/0/ P/r?~ ~é I g,,~é4.J>¡{eU Œ- , / ' . · . . . · · · · . . . . . · . · · . · røIš: :1ø, · . · · · · · . · · · · · · . · .' · . · · · . · · · · · . . · · . · · . · . · . · . · · . · · · · . · itJZJ · . .~ · · · . .... .... · .... .... · · · I"}.;. .. .. .. .. .. · · · · lIP · · . · · · · . . · . . . · . · · . . · · . '()0:· .. tr0 . !j. i:!1>. :0 ~::O·.·: .0.' tØ ·O~· 0: I@ d~~' b:@::O:' ... . · . ¿;;.' . . . · .t!F!:\ . ,~: .~ .~~ · .. 11/ ~. .. ~ . O·::::···~ :a: ....~. . . ... C> O·:® 0:.' 0·: ~ "0 · · . · . · . · ~1P~ · · · · · · . · · · · . · . . 7LS3SO . 'm: · · Date map was drawn:.2J /~/~. Instructions If you already have a diagram that shows all required information, 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 installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak. detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. Page_of_ 05100 S'.'STEI"I SETUP -~ - - - JUL 14, 200~ 8:27 AM S\'STEI"I UN I TS U.S. SYSTEI"I LI-\NGIJAGE ENGLISH S\'STEM [IATE.., T I ¡'IE FORr"IAT ¡"ION DD 'NY\' HI,': I'D"} : S::; xl'-1 FASTRIP 640 8001 l,IH I TE LN Bf\KERSF I ELD CN ':1:):30') SH I FT T I 1'1E SHIFT TII1E 2 SHI FT TIr"IE 3 SHIFT TINE 4 12:00 AI; DISABLED DISABLED DISABLED TANK PERIODïC WARNI~;S DISABLED TANK ANNUAL WARNINGS DISABLED LINE PERIODIC WARNINGS DISABLED LINE ANNUAL WARNIM~ DISABLED PRINT TC VOLUMES ENABLED TEMP COMPENSATION VALUE (DEG F ): 60.0 STICK HEIGHT OFFSET DISABLED H-PROTOCOL DATA FORMAT HEIGHT DAYLIGHT SAVING TINE DISABLED RE-DIRE(~ LOCAL PRINTOUT DISABLED SYSTEI"I SECUR I TY CODE : 000000 CO/YII"IUN I CAT I ONS SETUP -- -- .. - - - e IN-TANK SETUP - - - - - T 1:UNLEADED 366 PRODUCT CODE THERMAL COEFF TANK DIAMETER TANK PROFILE FULL VOL I : . 000700 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING : HIGH WATER LIMIT: MAX OR LABEL VOL: OVERFILL LIMIT HIGH PR')DUCT DELI VERY L I M IT LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT ~~NIFOLDED TANKS Tit: NONE 2.0 3.0 12000 95% 11 400 97% 1 I 640 5% 600 500 99 50 0.00 LEAK MIN PERIO['IC:.... IQ1.; 1200 LEAK MIN ANNUAL 10% 1200 PERIODIC TEST TYPE BTHNDARD ANNUAL TEST FAIL ALARi'1 D I BABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM VI SA BLED ANN TEST AVERAG I NG : OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DEL I VERY DELAY : 1 5 I"J I N e T 2: F-REt"1I UN 366 PRODUCT CODE THERMAL COEFF TANK DIAt'IETER TANK PROFILE FULL VOL 2 : . 000700 120.00 1 PT 12000 FLOAT SI2E: 4.0 IN. 8496 WATÈR WARNING : HIGH WATER LII-"lJ"f: MAX OR LABEL VOL: OVERF I LL LI M IT HIGH PRODUCT DEll VERY LI NIT LOW PRODUCT : LEAJ~ ALARM LI M IT: ' SUDDEN LOSS LIMIT: TANK TILT : t'IAN I FOLDED TANKS T#: NONE 2.0 3.0 12000 95% 1 1400 97% 11640 10% 1200 500 99 50 0.00 LEAK MIN PERIODIC: 10% 1200 LEAK M I N ANNUAL I 0% 1200 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEb"'T FA I L ALARM [I I SA BLED ANN TEST AVERAG I f\II..; : OFF PER TEST AVERAG I NG : OFF TANK TEST NOT I FY : OFF TNK TST SIPHON BREAK:OFF DELI VERY DELAY : 15 1"11 N T 3:DIESEL 366 PRODUCT CODE THERMAL GOEFF TANK DIAMETER TANK PROFILE FULL VOL e 3 : . 000450 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING : 2.0 HIGH WATER LIMIT: 3.0 11A>< OR LABEL VOL: OVERFILL LIMIT : HIGH PRODUCT DEll VERV Ll M I T LOW PRODUCT : LEAK ALARM L I 1'1 IT: SUDDEN LOSS LIMIT: TANK TILT : t1ANIFOLDED TANKS Tit: NONE LEAK MIN PERIODIC: LEAK 1"11 N ANNUAL 12000 95t~ 11400 97% 11640 1~/o 1200 500 99 50 0.00 10% 1200 1O~~ 120ü PERIODlr TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM D I BABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAG I NG : OFF PER TEST AVERAG I NG: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF [JEll VERY DELAY : 15 1111'1 e '---- T 5:UNL£ADED 367 PRODUCT CODE THERMAL COEFF TANK DIAMETER TANK PROFILE FULL VOL 5 : . 000700 : 120. 00 1 PT 12000 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING : 2.0 HIGH WATER LI/1IT: 3.0 MAX OR LABEL VOL: OVERF I LL LJ M IT HIGH PRODUCT DELIVERV LII'1IT LOW PRODUCT : LEAK ALARM L I M IT : SUDDEN LOSS LIMIT: TANK TILT ""AN I FOLDED TANKS Tit: NONE LEAK HIN PERIODIC: LEAK M I N ANNUAL 12000 9~. 11400 99}.; 1 I 880 r:.... '-1'0 600 500 99 50 0.00 " I Û"/o 1200 1 ()6/o 1200 PER IODI C TEST TYPE STANDARD ANNUAL TEST FAl L ALARM D I BABLED PERIODIC TEST FAIL ALARM D I BABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAG I NG : OFF PER TEST A\lERAG I NG : OFF TANK TEST NOT I FY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAy : 15 MI N T ¡;: PREiol1 lJ ., 3¿7 PRODUCT CODE THERMAL COEFF TANK DIAMETER TANJ( PROF I LE FULL \lOL : 6 : .000'700 120.00 t PT 12000 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING : 2.0 HIGH WATER LIMIT: 3.0 MA.~< OR LABEL VOL: OVERF I LL Ll M IT HIGH PRODUCT DELIVERY LlNIT LOW PRODUCT : LEAK ALARM LI M IT: SUDDEN LOSS LIMIT: TANK TILT : MANIFOLDED TANKS Tit: NONE LEAK NIN PERIODIC: LEAK HI N ANNUAL 12000 95% 1 I 400 97% 1 J 640 10% 1200 500 99 50 0.00 10% 1200 1 0"4 1200 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARI"! D I SAELED PERIODIC TEST ~A L ALARM D I BABLED GROSS TEf:::T FAIL ALARM 1.1! f:r:;BLED ANN lEST HVERAG I NG : OFF PER TEST AVERAG I NG : OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAJ.::OFF DELIVERY DELAY : t 5 HI N T 7:f¡IESEL :367 PF.'ODUCT CODE THERI-IAL C:OEFF TANK DIAI"1ETER TANK PROFILE FULL VOL 7 : . 000450 : 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING : HIGH WATER LIMIT: ~·IA.~ OR LABEL VOL: OVERF I LL LI M IT HIGH PRODUCT DELI VERY LI M I T 2.0 3.0 12000 95% II 400 9'7% 11 640 10% 1200 LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TI L T 500 99 50 0.00 ¡"\fiN 1 FOLtIEIJ T¡.:\NKS TJt: NONE LEAK 1',111,1 PER I OD Ie:: 1 (I~. 1200 LEAK M I N ANNUAL I Cf-. 1200 PERIODIC TEST TYPE STANDARD ~NNUAL TEST FAIL FiLAR,., D I MBLED PERIODIC TEST FAIL i4LARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAG I NG : OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : 15 MIN LEAK TEST '-\ETHOD ----.--. .- - - - TEST ON DATE : ?'\LL TANK .JAN 1, 2000 :::TAP.T T I ME: 2: on ?¡¡.. TEST RATE : 0 .20 ,_:; '.:",i"!~: DURAT I ON : 2 HOUR;:'; e LIQUID SENSOR SETUP - - - - - - - - - - L 1: EAST S I DE SOUHT ANNU TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L 2: EAST SIDE STP SUt1PS NORMALLY CLOSED CATEGORY : STP SUMP L 3:EAST SIDE EAST ANNUL NORMALLY CLOSED CATEGORV : ANNULAR SPACE L 4:EAST SIDE WEST ANNUL NORMALLY CLOSED CATEGORV : ANNULAR SPACE L 5:WEST SIDE SOUHT ANNU NORI'IALL V CLOSED CATEGORY : ANNULAR SPACE L 6:WEST SIDE STP SUMPS NORMALLY CLOSED CATEGORY : STP SUMP L 7:WEST SIDE WEST ANNUL NORMALLY CLOSED CATEGORY : ANNULAR SPACE L B:WEST SIDE EAST ANNUL NORMALLY CLOSED CATEGORY : ANNULAR SPACE L 9:WEST SIDE 8'7 STP NOR!"!ALL Y CLOSED CATEGORY : S'TP SUMP e OUTPlj!' RELAY SETUP - - - - - - -' - - R 1: POS I T I VE SHUTOFF \AlES T/PE: STANDARD NORI"IALLY CLOSEr. IN-TANK ALARMS T 1: LEAK ALAF.'I'" T 2: LEAK ALAR!'" T 3:LEAK ALARM T 4: LEA¡:~ ALARM T 1: HIGH WATER ¡.;LARM T 2: HIGH WATER ALAP.I'i T 3: HIGH Wf\TER ALARI'1 T 4: HIGH WATER ALARM LIQUID SE~SOR ALÞS L 5 : FUEL ALAR/"I L 6: FUEL ALARI"I L 7:FUEL ALARM L 8:FUEL ALARM L 9: FUEL ALARM L 5: SENSOR OlJf Fi!..;-.;RI1 L 6:SE~)R OUT ALARM L 7: SENSOR om ALARM L 8:SENSOR OUT ALARM L '3 : SENSOR OlJf ALARM L 5:SHORT ALARM L 6: SHORT ALAR!'" L 7:SHORT ALARM L B:SHORT ALARM L 9 : SHORT ALARM R 2:POSITIVE SHUTOFf EAS TVPE: STANDARD NORMALLY CLOSED IN-TANK ALARMS T 5:LEAK ALARM T b : LEAK ALARI"! T 7:LEAK A~M T 5:HIGH WATER ALARM T £:HJGH WATER ALARM T 7: HIGH WATER ALARI"! LIQUID SENSOR ALMS L 1: FUEL ALARtl L 2:FUEL ALARM L 3:FUEL ALARM L 4:FUEL ALA~1 ^ _ L 1: SENSOR OUT ¡:.;LARI'1 L 2: SENSOR OUT ALp,R/"1 L 3:SENSOR OUT ALARM L 4:SENSOR OUT ALARM L : SHORT ALARt1 L '2: SH<?R1" AL~RM L 8: SHORT ?"L¡.;RN L .¡: ;:::rll"F:T ¡.¡L¡"kl·1 -,ALARti-;H I STORY REPORT -- - -.- S'lSTEM AU\RI"I , ~,. :~~. ,~·u i ~'IAY 1.:1. 2004 8: 34 AM PRINTER ERROR , ~~y 14. 2004 8:34 AM BATTERY IS OFF , JAN 1. 1996 8:00 AM ~ * * * * END * * * * * ALARM HISTORY REPORT ---- I N-TANK ALARM T l:UNLEADED 866 HIGH WATER ALARM MAY 11. 2003 8:03 AM OVERFILL ALARM . APR 25. 2004 11:22 ~1 APR 25. 2004 10:57 AM FEB 18. 2004 11:04 AN LOW PRODUCT ALARM MAY 14. 2004 ?:?6 PM FEB 22. 2004 b:U~ PM DEC 22. 2003 10:.:Ib AM HIGH PRODUCT ALARM APR 25.2004 11:24 AM SEP 3. 2003 12:07 PM AUG lB. 2008 8:46 AM INVALID FUEL LEVEL MAY 14. 2004 3:55 F~ OCT 21. 2003 8:35 PM BEP 16. 2003 5:46 PM PROBE OUT SEP 11. 2003 12:52 PM SEP 10. 2003 12:10 PI-! ~~y 13. 2003 10:14 ~1 HIGH WATER WARNING ^ MAY 11. 2003 8:03 AM DELIVERY' NEEDED MAY 14. 2004 2;48 PM FEB 22. 2004 5.44 PM DEC 22. 2003 10:01 AM t"IA>~ PRODUCT AL;~Rr~.. SEP 3. 2003 l~:U~ F~ AUG 18. 2003 8:4, AM AUG 18, 2003 8:35 AM LOW TEMP WARNING_ DM ~:; :.'¡:. 1 1, ·)nn'. l' 117 e ALARM HISTORY REPORT ---- IN-TANK ALARt1 T 2:PREMIUM 366 LOW PRODUCT ALARt'J SEP 27. 2003 12:42 PM SEP 20. 2003 4:34 PM f"IAR !. 2003 1 2 : 04 pr" INVALID FUEL LEVEL SEP 27. 2003 2:02 H1 SEP 20. 2003 7:00 F~ DEC 21. 2001 5:28 AM PROBE OUT SEP 11. 2003 12:35 ~1 FEB 12. 2003 5:18 PM OCT 25. 2002 9:29 AM DELIVERY NEEDED APR 16. 2004 8:06 AM APR 12.2004 11:39 ~1 DEC 5. 2003 12:15 PM LOltJ TEMP WARN I NG SEP II, 2003 1:57 PM OCT 9,2002 1:12 Fft OCT 2. 2002 9:38 AM " ~ ~ ~ ~ * END ~ ~ ~ * ~ ALARM HISTORV REPORT ---- I N-TAN}~ ALAR,., T 3:DIESEL 366 HIGH WATER ALARM MAR 8. 2000 2:58 ~1 LOW PRODUCT ALARM MAR 7. 2000 9:14 AM INVALID FUEL LEVEL /-JAR 7, 2000 9: 16 A,., PROBE OUT DEC 22, 2003 SEP 11. 2003 SEP 10. 2003 1 2 : 25 1-11 8:27 AM 1 : 01 PM H lGH WATER WARN I NG MAR 8, 2000 2:58 pr1 DET. I \/¡;'PV ....PP"T"T"> e ALAJ~M Ii I STOk'l REPORT IN-TANK ALAKt1 '___u__ T 4: SETUP DATA WARNING I1AR 31. 2004 6:09 PM LOM PRODUCT ALARM MAR 31. 2004 6:00 PM MAR 27. 2004 1 0: 54 Al'l MAY 12. 2003 10:22 ~1 INVALID FUEL LEVEL MAR 31. 2004 6:08 ~1 MAR 31. 2004 6:00 PM MAR 25. 2004 3:59 PM PROBE OUT MAR 31, 2004 4:55 PM MAR 31. 2004 4:36 PM SEP 1 . 2003 1 : 22 Ar-, DELIVERY' NEEDED MAR 31. 2004 6:0B PM MAR 31. 2004 6:00 PM MAR 11. 2004 7:25 PN * ~ ~ ~ ~ END ~ ~ ~ * ~ -- ---------- HLHRM HISTO~1 REPORT ---- IN-TANK ALAR"'I T 5:UNLEADED 367 0VERF ILL ALARI"' SEP 10. 2003 4:52 AM HUG 12. 2003 7:22 PM APR 25. 2003 2:18 AM LOW PRODUCT ALARM JUN 27. 2004 4:54 PM APR 13. 2004 5:40 PH APR 7. 2004 8:16 AM HIGH PRODUCT ALARM SEP 10. 2003 4:56 AM BEY 3.2002 1:08 PM .JUN 4. 2002 1 :37 PH INVALID FUEL LEVEL APR 13. 2004 6:01 PH JAM 8. 2004 8:22 PM OCT 28. 2003 9:40 PM PROBE OUT DEC 22. 2003 12:45 PM DEC 22. 2003 12:40 PH DEC 22. 2003 12:37 PM DELIVERY NEEDED JUN 27. 2004 4:32 PM APR 18. 2004 5:22 PH APR 7. 2004 7:47 AM ("lAX PRODUCT ALARM SEP 10. 2003 4:57 AM BEP 3. 2002 1 :09 PM JUN 4. 2002 1:38 PH LOW TEMP WARNING DEC 22. 2003 12:35 PM .JAN 17. 2003 4: 51 AM OCT 24. 2002 3:00 PM * * ~ ~ ~ END ~ ~ ~ ~ ~ e ALARM HISTORV REPORT ---- IN-TANK ALARM T 6:PREMIUM 367 LOW PRODUCT ALARM MAR 18. 2001 9:40 PM SEP 24. 2000 7:50 AM APR 3. 2000 4:01 PM I N\lAL lD FUEL LEVEL MAR 19. 2001 4:28 AM SEP 24. 2000 7:50 AM APR 3. 2000 5:16 PH PROBE OUT SEP 12. 2003 11:12 AM MAR 6. 2003 7:38 PM FEB 12. 2003 4:51 PM DELIVERV NEEDED NOV 3. 2003 4:05 PM NOV II. 2001 7:16 PM APR 19. 2001 6:58 AM '. LOW TEMP WARNING OCT 24. 2002 1:21 PM OCT 2. 2002 10:39 AM ~ ~ ~ ~ * END * * ~ ~ * e ALAØ1 HISlvRV REPORT ---- IN-TANK ALARM T 7:DIESEL 367 LOW PRODUC~ ALARM FEB 28. 2000 2:36 PM I~NALìD FUEL LEVEL OC~ 8. 2002 1:44 PH FEB 28. 2000 2:38 PM PROBE OUT DEC 22. 2003 12:33 PH DEC 22. 2003 12:27 PM SEP 12. 2003 9:01 ~1 DELIVERY NEEDED MAR 16. 2001 11:12 PM JAN 10. 2001 12:01 PH NOV 26. 2000 11:56 AM LOW TEMP WARN I NG DEC 22. 2003 12:37 PH OCT 24. 2002 12:05 PM MAR 1. 2000 9: 10 A\"I ~ ~ ~ ~ * END * * * * * -, ALARM HlgrORY REPORT ----- SENSOR ALAP~ ----- L 1: EAST SIDE SOUHT ANNIJ ANNULAR SPACE FUEL ALAPrl . AUG 13. 2003 B:50 AM FUEL ALARM AUG 6. 2002 I :10 PM SENSOR OUT ALARM PH AUG 6. 2002 1:04 ~ ~ ~ ~ ~ END * * * ~ ~ ALARM HISTORY REF~RT n___' SENSOR ALARM ----- L 2:EAST SIDE STP SUMPS sn· SUMP FUEL ALARM JUL 14. 2004 9:28 AM FUEL ALARM JUL 14. 2004 9:27 AM FUEL ALARI1 JUL 14. 2004 9:25 At1 ~ * * ~ ~ END ~ ~ * * * e - "--'''' ALARM HIgrORY REPORT ----- SENSOR ALARM ----- L 3:EAST SIDE EAST ANNUL ANNULAR SPACE FUEL ALARM JUL·14.2004 9:24 AM FUEL ALARM AUG 13. 2003 8:50 AM FUEL ALARM AUG 6. 2002 12:09 PM * * * * ~ END * * * * ~ ALA~I HISTORY REPORT ----- SENSOR ALARt·· ----- L 4:EAST SIDE WEST ANNUL ANNULAR SPACE FUEL ALARM AUG 13. 2003 8:52 AM SENSOR OUT ALARM AUG 6. 2002 12:24 PM SENSOR OUT ALARM SEP 19. 2001 6:04 AM * * * * * END * * * * * e ALARM HlffrORY REPORT ----- SENSOR ALAK~ ----- L 5:WEST SIDE SOUHT ANNU ANNULAR SPACE SENSOR OUT ALARM AUG 13. 2003 8:32 AM FUEL ALARM AUG 13. 2003 8:29 AM FUEL ALARM AUG 6. 2002 1:50 PH ~ * * ~ ~ END ~ ~ ~ * ~ -'. HLARM HISTORY REPORT --.--- SENSOR ALARM ----- L 6:WEST SIDE STP SUMPS STP SUMP FUEL ALARM JUL 14. 2004 9:05 AM FUEL ALARM JUL 14. 2004 9:04 AM FUEL ALARM JUL 14. 2004 9:03 AM * * * * * END * ~ ~ ;0: ;.¡ ALARM HISTORY REPORT ------ ::;ENSOR ALARM ----- ~ 7:WEST SIDE WEST ANNUL ANNULAR SPACE FUEL ALARI"I JUL 14. 2004 9:01 AM FUEL ALARM AUG 13. 2003 8:28 ~1 FUEL ALARI"1 AUG 6.2002 1:43 F~ ~ ~ ~ ~ * END .. .. * .. .. ALARM HISTORY REPORT ----- SENSOR ALARM ----- L 8:WEST SIDE EAST ANNUL ANNULAR SPACE FUEL ALARM AUG 13. 2003 8:29 AM FUEL ALAR!"! AUG 6. 2002 1:45 PM FUEL ALARM OCT 6. 2001 3:42 PM .. * .. .. * END * * * * * e e ALARM HISTORY REPORT ----- SENSOR ALARM ----- L 9:WEST SIDE 87 STP STP SUMP FUEL ALARM JUL 14. 2004 9:02 AM FUEL ALARM AUG 13. 2003 8:29 AM FUEL ALARM AUG 6.2002 1:33 PM .. * * * .. END .. .. ~ .. .. '. ALA~ HISTORY RER)RT ----- SENSOR ALARM ----- L I:EAST SIDE SOUHT ANNU ANNULAR SPACE FUEL ALARM AUG 3. 2004 9:16 AM FUEL ALARM AUG 18. 2003 8:50 AM FUEL ALARM AUG 6.2002 1:10 PM ~ * * ~ * END ~ ~ ~ ~ ~ ALARM HISTORY REPORT ----- SENSOR ALARM --___ L 2: EAST SIDE STP SUMPS 3TP SUMP :'UEL ALAR,., JUL 14. 2004 9:28 AM =UEL ALARM JUL 14. 2004 9:27 AM =UEL ALARM rUL 1 4. 2004 9: 25 AM ~ * * * END ~ ~ ~ ~ ~ e ..-------. ALARM HISTORY REPORT ----- SENSOR ALARM _____ L 8:EA8T SIDE EAST ANNUL ANNULAR SPACE FUEL ALARM JUL 14. 2004 9:24 ~I FUEL ALARM AUG 13. 2003 8:50 AM FUEL ALARM AUG 6. 2002 12:09 PM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ALARM HISTORY REPORT ----- SENSOR ALARN _____ L 4: EAST SIDE WEST ANNUL ANNULAR SPACE FUEL ALARM AUG 3. 2004 9:15 AM FUEL ALARM AUG 13. 2003 8:52 AM SENSOR OUT ALARM AUG 6. 2002 12:24 PM * * * * * END * * * * ~ e - ---.-----.. ALARM HISTORY REPORT ----- SENSOR ALARM _____ L 5:WEST SIDE SOUHT ANNU ANNULAR SPACE FUEL ALARM AUG 3. 2004 9:14 AM SENSOR OUT ALARN AUG 18. 2008 8:32 AM FUEL ALAR,.! AUG 13. 2003 8:29 AM * * * * * END * * * * * ALARM HI STOR'i REPORT ----- SENSOR ALA~1 ---__ L 6: I,JEST S I DE STP SUHPS STP SUMP FUEL ALARM JUL 14. 2004 9:05 AM FUEL ALARM JUL 14. 2004 9:04 AM FUEL ALARM JUL 14. 2004 9:03 AM * * * * * END * ~ ~ ~ ~ , ' . e e HLARM HISTORY REPORT ----- SENSOR ALA~", ----- L 7:WEST SIDE WEST ANNUL ANNULAR SPACE FUEL ALARM JUL 14. 2004 9:01 AM FUEL ALARM AUG 13. 2003 8:28 AM FUEL ALARM AUG 6.2002 1:43 PM * * * * ~ END * * * * ~ ALARM HISTORY REPORT ----- SENSOR ALARM ----- L 8:WEST SIDE EAST ANNUL ANNULAR SPACE FUEL ALARM AUG 3. 2004 9:13 AM FUEL ALARM AUG 13. 2008 8:29 AM FUEL ALARM AUG 6.2002 1:45 PM * * * * * END * * * * * ! "'~ :¡if C°N!!!!!~C:.!!L.S~!!!V.Ç.!s~...INC. : FDtAL TEST RESULTS: ALERT 1000 / ALERT 1050 / ASS SYSTEM II / PLT 100R CUSTOMER ADDRESS: JACO Oil Co. P.O. box 82515 Bakersfield, CA 93380 SITE CONTACT :Omero Garcia TECHNICIAN: Doug Young WATER :IN BACKFILL: O. 00" WORK ORDER:S749 SITE ADDRESS: #366 Chevron (Jaco) 8001 White Lane Bakersfield, CA 93309 TEST DATE: 12/4/04 PHONE ~ER:661-393-7000 PHONE NmIBER: 800-339-9930 LICENSE: 901076 DATE & TIME OF LAST FUEL DELIVERY: 12+ hours TANK INFORMATION: (WETTED) TANK 1 TANK 2 TANK 3 TANK 4 PRODUCT TYPE: ReguJ.ar 11 Regu1ar '2 SUper Diese~ TOTAL GALLONS: 12000 qaJ.~ons 12000 qa110ns : 12000 ga1.1ons 12000 qaJ.1ons PRODUCT LEVEL: 77 . 33 inches- 77.59 inches - 76.04 i~ches 75.31 inches PERCENT FULL: 68% 68% 67% 66% TEST METHOD: A1ert 1000 A1ert 1000 A1ert 1000 A1ert 1000 WATER IN TANK: 0.00" 0.00" 0.00" 0.97n TANK MATERIAL: DWS DWS DWS DWS P.S.I.@ BOTTOM: 1.93325 psi 1.93975 psi 1.901 psi 2.71116 psi TEST DURATION: 2.6 hours 2.6 hours 2.1 hours 2.3 hours FINAL LEAK RATE: +0.004 gph -0.041 gph -0.035 gph -0.031 gph TEST RESULT: PASS PASS PASS PASS TANK INFORMATION: , .ALERT 10S0X ALERT 10S0X · ALERT 10S0X ALERT 10S0X (ULLAGE)U/F ONLY ÙLLAGE GALLONS: 3826 qaJ.1ons 3794 ga1.1.ons · 3985 9a1.1.ons 4076 ga1.1.ons START PRESSURE: 1.5 psi 1. 5 psi 1.5 psi 1. 5 psi END PRESSURE: 1.5 psi 1.5 psi 1.5 psi 1. 5 ,psi TEST RESULT: PASS PASS PASS PASS PRODUCT LINES: ABS PLT-l00R ABS PLT-1OOR ABS PLT-1OOR ABS PLT-1OOR LINE TYPE: Pressure This tank is Pressure Pressure START TIME: 6:05 am manif01ded 10:55am 12/9/04 6:45 am END TIME: 6:35 am to tank 11. These 11:25am 7:15 am TEST PRESSURE: 55 psi two tanks share a ' 5S psi 5S psi FINAL LEAK RATE: -0.003 gph common Product Line -0.001 gph - - , -0.002 gph TEST RESULT: PASS PASS PASS PASS MECHANICAL Red Jacket Red Jacket Red Jacket Red Jacket LEAK DETECTORS: F'l'A F'1'A . F'l'A F'l'A MODEL: Not instaJ.~ed Not instaJ.1ed · Not insta1.1.ed Not instaJ.1.ed SERIAL NUMBER: at this time at this time at this time at this time CHECK VALVE PSI: BLEED OFF m1.: LEAK RATE TESTED: TEST RESULT: A) These systems and methods meet or exceed the criteria in tJSEPA 40CFR parts 280, NFPA 329-87 and aJ.1. app1.icab1.e state codes. . : B) Any '1ure l.is above may require further action, check with aJ.1 ~atory agencies. Techni 'e: ate LJ Manufacturer certification No: 12-9_07 Alert: ALTX123and/or AES: 86116 M I N U ~ 3 S ALERT TECHNOLOGIES PLOT OF ULLAGE TEST DA TA #366 Chevron (JACO) 8001 White Lane 8akersfie1d. CA 12000 GALLON Reg,-1 TANK 12KHz AMPLITUDE RATIO 1.5 750+ 25KHZ AMPLITUDE RATIO 1.5 750+ 5 M I N U ~ 3 S 5 12KHz DETECTION RATIO = 1.01 25KHZ DETECTION RATIO = 1.05 TEST RESULT = PASS DATE AND TIME OF TEST: 12/04/04 7: 09AM BEGINNING BOTTLE PRESSURE = 1100 ENDING BOTTLE PRESSURE = 1000 BEGINNING TANK PRESSURE = 1.5 PSIG ENDING TANK PRESSURE = 1.5 PSIG ALERT TECHNOLOGIES PLOT OF ULLAGE TEST DA TA #366 Chevron (JACQ) 8001 White Lane Bakersfield, CA 12000 GALLON Reg.-2 TANK 12KHZ AMPLITUDE RATIO 1.5 M I N U ~ 3 S 750+ 25KHz AMPLITUDE RATIO 1.5 750+ M I N U ~ 3 S 12KHz DETECTION RATIO = 1.07 25KHz DETECTION RATIO = 1.12 TEST RESULT = PASS DATE AND TIME OF TEST: 12/04/04 7: 16AM BEGINNING BOTTLE PRESSURE = 1100 ENDING BOTTLE PRESSURE = 850 BEGINNING TANK PRESSURE = 1.5 PSIG ENDING TANK PRESSURE = 1.5 PSIG M I N U ~ 3 S ALERT TECHNOLOGIES PLOT OF ULLAGE TEST DA TA ---.. ~ #366 Chevron (JACO) 8001 White Lane Bakersfie1d, CA 12000 GALLON Super TANK 12KHz AMPLITUDE RATIO 1. 5 ~ 5 750+ M I N U ~ 3 S 12KHz DETECTION RATIO = 1,00 0.75 25KHz AMPLITUDE RATIO 1.5 750+ 5 25KHz DETECTION RATIO = .962 TEST RESULT = PASS BEGINNING BOTTLE PRESSURE = 1100 ENDING BOTTLE PRESSURE = 750 BEGINNING TANK PRESSURE = 1.5 PSIG ENDING TANK PRESSURE = 1.5 PSIG __ DATE AND TIME OF TEST: 12/04/04 7: 26AM . 3 . , . . ... .. " I" "".. ......." ...... .. . M I N U ~ 3 S ALERT TECHNOLOGIES PLOT OF ULLAGE TEST DA TA '-- *366 Chevron (JACO) 8001 Wh He Lane 8akersfield. CA ~ 12000 GALLON Oiesel TANK 12KHz AMPLITUDE RATIO 1. 5 - 5 750+ M I N U ~ 3 S ~ 12KHz DETECTION RATIO = .996 25KHz AMPLITUDE RATIO 1.5 5 25KHz DETECTION RATIO = 1.08 TEST RESULT = PASS -- DATE AND TIME OF TEST: 12/04/04 7: 39AM BEGINNING BOTTLE PRESSURE = 1600 ENDING BOTTLE PRESSURE = 1500 BEGINNING TANK PRESSURE : )~5_ ~SJ~ ENDING TANK PRESSURE = 1.5 PSIG --- ., 750+ e e 661-387-6522 p.4 Jul 14 04 07:42a Ron Rogers . CITY OF B"",'l'CR.RS}fì":(..D OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., BakersfIeld, CA <6(1) 326-3979 APPLICATION TO PERFORM FUEL MONITORING CERTIFICATION PAaury 3~~ ~Ó""I;' '-*'6tt? ADDlœSS g-"O() I v.)1ftM" ~t5 . Z34t£.élLb~~d OPERATORS NAUR ¡a4o.J n~, f ~ _ OWNBRS NANB... ~ JÞ.""'¡;o"-" NAMB OP MONIIOR MANOPACTORRR V IL 71& ~'S'O .DOES PAœ.rtYHAVEDJSPENSBR.PANS? 'YEs /"" NO_ '- TANK- VOWMB CONI'BNTS / h. ~pp "" .{,I,v¿, ,. z. /a~ p~ , ...". V , $ /t(~~ l>&~ ~ 10)" ~ ~-, cr~ L 'fÞ P r (,'^"- 0 t. ~ ~ 0':::>.7 io 0,:,.0 ,;;) ,tJ.'~ u , NAMEOF1BS'I1NO<X>MPANY ~ ¿?v7þ¿¢-v,- ~~ . CONTRAcroRS LlCBNSBt: ?¿ ..3 b/ ¿, A ~2-.. _ NAMEdtPHONI!NtJMBBR.OPCONTAcrPERSO R01I ~t!"A.ð. 6/,/-Y72.-;'d¥ DATE & ".11MB TSSTJS TO DB CONDUCTED 7'-/"1' -071' _J-:/"tiJ 7-r.f{^O,/ DATE I ~ APPROVED BY ~1 SIGNA: OF APPLICANT FASTRIP 640 8001 [,JHITE LN BAKERSFIELD CA 933Q9 e 1"1AR 1 0, 2004 11: :38 'All"! ,- \'\ Wij©RomGIN~~ , ~;'/STEr" STATUS ReHORT ~ - - - - - - - - - - - ~r:-~~ ALL FUNCTI ONB NORHAL I NI/ENTORV REPO¡;::T . T 1: UNLEADED ' \/OLUr1E _ = I - ULLAGE~ " '.= 9W("ULLAGE~ TC \/OCLìHE =\ , HEIGHT L'JATER \/OL WATER TEr"IP 366 . 4387 GAi!'" 761:3 GALS 6 gJ-3-.DALS 4:388 GALS 47.2:3 INCH£::.3 o GALS 0": 00 INCHES 59.5 DEG F T 2: PREr"1 I UI"1 \/OLUr'IE ULLAGE 9W¡ ULLAGE= TC VOL UI"1E HEIGHT WATER VOL WATER TEr"1P 366 4296 7704 6504 4294 :'\ :;46.50 h \ (I 0.00 60.4 GAL:3 GALB GALS GALS I f~CHES GALS INCHES DEG F T 3:DIESEL 366 _ . VOLUr'1E 51 68 UAL~; ULLAGE 6832 GALS 901,; ULLAGE= 5632 GALS TC VOLUI"1E 5158 GALE; HE I GHT 53.46 I NCHEB ¡,JATER \/OL =~ 0 GALS WATER___ ="::-'>ø"."ØO~~ TEHP 64.2 DEG F T 4:RACING FUEL 366 \/0 L UI"1E ULLAGE 90\ ULLAGE= TC VOL Ur"lE HEIGHT WATER \/OL I,JATER TEHP T 5:UNLEAÜED \/OLUf"1E ULLAGE 9W¡ ULLAGE= TC \/OLUI"1E I HEIGHT L'JATER \/OL LJf\TER TH'lP T 6: PREr"1 I UI"l VOLUr"1E ULLAGE 9ü?-. ULLAGE= TC \/OLUHE HEIGHT WATER VOL [,...IATER TEf"lP T 7:DIESEL VOLUr"1E ULLAGE 9W. ULLAGE= TC VOLUf"1E HEIGHT WATER VOL ~JATER TEf"IP 1284 GALS Ill'll 6 GALS 9516 GA~' ", 1274 G" 19.67 I ' S -' 0 GALS 0.00 INCHES 69.7 DEG F 367 :3308 ,,8692 '7492 3291 38.38 o 0.00 67.0 GALS GALS GALS Gf.ìL8 INCHES GALS INCHES DEG F :367 7046 4954 3754 6975 68.24 o 0.00 74.3 GALS GALS GA.' -. G"', I NC f3 GALS I NC HEE; DEe F 367 4407 GALB 7593 GA_ 6393 GA." ~ 4383 GAL~ "\ \ 47.40 INCH£:3 " o GALS 0.00 INCHES 71.8 DEe; F ~ ~ ~ ~ MEND M M ~ M M , ':\.~': J"'-"" ---- Ï' ... '!", --.... t: ,/' ....¡. " 'tr.~, MONITORING SYSTEM CERTIFICATION For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6,7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations " y--~ This form must be used to document testing and servicing of monitoring equipment. A 8e\)8I'3te certification or report must be preoared for each monitoñng system control panel by the technician who perfonns 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 locaJ agency regulating UST systems within 30 days of test date, A. General Infonnati, _ ...... / /~ Facility Name: :3 ~ f 67" /7q-.;>17P{p p #P 7'V Site Address: póo/ NA7nr ~e- Facility Contact Person: /?--v pAA?-.$ MakeIModel of Monitoring System: t;f¡t, 72.s .3Sl:> 'œd: TanklD: V45d"'G- ¿,h o In-Tank Gauging Probe, Model: i o Annular Space or Vault Sensor. Model: _ o Piping Sump ! Trench Sensor(s). Model: o Fill Sump Sensor(s). Model: o Mechanical Line Leak Detector, Model: o Electronic Line Leak Detector. Model: o Tank Overfill I High-Level Sensor, Model: o Other s . ui nt and model in Section E on P e 2). Tank ID: o In- Tank Gauging Probe, Model: o Annular Space or Vault Sensor. Model: o Piping Sump ! Trench Sensor(s). Model: o Fill Sump Sensor(s). Model: o Mechanical Line Leak Detector, Model: o Electronic Line Leak: Detector. Model: o Tank Overfill! High-Level Sensor. Model: o Other (s ' ui ment and model in Section E on Pa e 2). DIspenser ID: o Dispenser Con 8"'Shear Valve(s). o Di Containment Aoat(s) and Chain(s . DispeDser ID: o Dispe Containment Sensor(s). Model: o Shear Val ODi Con' DispeDser ID: o Dispenser Containment Sensor(s). o Shear Valve(s). ODi Se£ Containment FIoat(s) and Chain(s). 0 Di Containment FIoat(s) and Chain(s). ·If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. B. Inventory of Equipment Tested/Certified CheI:k the Ie boøs to Iudkate Tank ID: f,f/¿69-ð¿f'.(J .Ia1ñ- Tank Gauging Probe, Model: Ia"""Annular Space or Vault Sensor, Model: )iiéPiping Sump ! Trench Sensor(s), Model: o FiJI Sump Sensor(s). Model: o Mechanical Line Leak Detector. Model: o Electronic Line Leak Detector. Model: o Tank Overfill! High-Level Sensor. Model: o Other s . ui t and model in Section E on Tag ( ID: / £ Þ't!:M J, eJ""jø- Tank Gauging ProtÍe. Model: ~ e:r~nular Space or Vault Sensor. Model: ~ e:f Piping Sump ! Trench Sensor(s), Model: ~ o Fill Sump Sensor(s), Model: [J Mechanical Line Leak Detector. Model: o Electronic Line Leak: Detector. Model: o Tank Overfill! High-Level Sensor. Model: o Other (s . ui nt and model in Section E on P $; ~ ~¿ I/,/'L e2), . Bldg, No.: City: ~ ,fe,b/.- Zip: 9.3307' Contact Phone No,: (;:56/ ) .;?..š.:> -/~ro D~mT~ti~S~æ~:~/~dY C. Certification - I œrtitY that the equipment ~ in this donnnent was ibspectedIseniœ in acœnIanœ with the IDIIDUfacturers' gufdeIines. AUadIed to this Certifka1ion is information (e.g. _nnf~t'eI'S' cbedd~) ueœssary to verifY that tbfs lnConnation is correct and a Plot Plan showing the layout of mouItoriug equi~ For any equipJpent capable of generatiDg such reports, I bave also ~. -"!"''"'P.I!fI (....."" -_J, Cß,øIom~... er-~_c~report IZ I -d-6-. ~ ~ ~ Technician Name (pnnt): ~ ~~ Signature: ~ ~-'?- , Certification No,: . 97.1 b License, No,: 1../3 l:,/ b."¡- Testing Company Name: /I C,E /J e~<.Jh1 SEt...J.Jì <..£S Phone No,:({,61 )2 J 7 .- b S- 2.:)" Site Address: /5S"~ ~B¿)/fJ J),i!.. ,S-9Kl9f.ðhdd.. C4 DateofTesting/Servicing:.!ZJ!!LJ!..Z i 9'S.J/y / . . g.~ S -09' ' Page I of3 03101 Monitoring System Certification ;... l' .:. ~ '" " .\., 'i..-ç.. MONITORING SYSTEM CERllj'lCATION For Use By All Jurisdictions Within the State of California Authority Cited: Chapter 6.7, Health and Safety Code; Chapter 16, Division 3, Title 23, California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. A separate certification or reoort must be I;)repared for each monitorinr system control oanel by the technician who perfonns the work. A copy of this fonn must be provided to the tank system owner/operator, The owner/operator must submit a copy of this fonn to the local agency regulating UST systems within 30 days of test date, A. General lDfo~tion . r:'! . ,.J:. ~ . . Facility Name: .;;;$ 667367 rJIU-pU.tJ ?" t1 ~ Site Address: ~O/' W¿~ Ä-é" Facility Contact Person: /ebv 7"Þ !'VAJ MakelModel of Monitoring System: tf,¿ ~ 3.>'"'tJ B. Inventory of Equipment Tested/Certified a.edt the a te boxes to iodiœte Tank JD: ,- ~ I/fl/ :¡ '-7 Tank ID: X>ltJ;) ~ " iIjp- Tank Gauging Probe. Model: ~ E:ÍIn- Tank Gauging Probe, Model: ~ I:r Annular Space or Vault Sensor. Model: éIJi,' ErÃnnular Space or Vault Sensor. Model: tit- f ~ping Sump / Trench Sensor(s). Model: ~ I:rPiping Sump / Trench Sensor(s). Model: ./ ¡I!. Q Fill Sump Sensor(s). Model: ' Q Fill Sump Sensor(s). Model: Q Mechanical line Leak Detector, Model: Q Mechanical line Leak Detector. Model: [J Electronic line Leak Detector. Model: [J Electronic Line Leak Detector, Model: [J Tank Overfill/ High-Level Sensor. Model: Q Tank Overfill/ High-Level Sensor. Model: [J Other ( . ui t and model in Section E on P e 2 . [J Other s . ui ment and model in Section E on Pa e 2). T¡mJµD: f.7 Tank ID: ca1ó- Tank Gauging Probe. Model: ~. Q Gauging Probe, Er?y¡nular Space or Vault Sensor. Model: _ Q Annulai or Vault Sensor. Ia"Piping Sump / Trench Sensor(s). Model: [J Piping Sump / Q Fill Sump Sensor(s), Model: Q Fill Sump Sensor(s), [J Mechanical Line Leak Detector. Model: Q Mechanical line Leak Detecto , [J Electronic Line Leak Detector. Model: Q Electronic Line Leak Detector. I: a Tank Overfill/ High-Level Sensor, Model: a Tank Overfill/ High-Level Sensor, Model: a Other (s . ui t t and model in Section E on P e 2 , Q Other (s . ui ment t and model in Section E on P Dispeœer JD: 2.-- DIspenser JD: 0 Q ~ Containment Sensor(s), Model: Q Dispenser Containment Sensor(s). Model: .ershear Valve(s). ~hear Valve(s). Q Di nser ContaÎnlnel\t Float(s) and Chain s . 1:1 Di nser Containment Float(s) and Chain s . DIspenser ID: 'f" ~: Q j)ispenser Containment Sensor(s), Model: 1:1 Containment Sensor(s), Model: t:::I""Shear Valve(s). 1:1 Shear V a Di Containment FI s and Chain s), 1:1 Di Con æ ID: Dispenser ID: . spenser Containínent Sensor(s), Model: 1:1 Dispenser Containment Sen Shear VaJve(s). [J Shear VaJve(s). QDis nser Containment FI s) and Chain s), Q Dis nser Containment Float s and Ch *If the facility contains more tanks or dispensers. copy this fonn. Include infonnation for every tank and dispenser at the faci C. Certification - I certify that the e.¡~ ..,atlfled in this deJ,(I........ was iospededIseniœd in acconIanœ with tIœ DI8IIUfadurers' guidelines. Attacbed to tills CertIficatIon is inCOI'IIIIItloD (e.g. manuCadurers' dltd'listR) necessary to verify that this inf'ormatioo is correct and a Plot Plan sbowiDg the layout of DIOIdtoriDg equipment. For BDY equipment capable of generating sudt reports, I have also attached a copy of the repoþ;(chet:k J!P dull apply,: a System set-up a ~æ:port Technician Name (print): ~..J ~'G"~ Signature: ~___ Certification No,: 9'1.?h License, No,: ?/J V6/?- Testing Company Name: ..4d ;P'é'/;;:7læ:.C"v,"'t .S6-¿v I£...t£',) Phone No.:(66/ )9 T- 6.?>.,Z.3-,. Site Address: / S-S-~Q S~.:J,t.Þ . DrK-G'Ci>1ii:IJ C» Date of TestingfServicing: ZJIY 1l!1!. / 93.:ZIY ~ - S-Q'-t Page 1 of 3 03/01 r Bldg, No.: City: ~4:>.ÁeId Zip: 7..:130/ Contact Phone No.: (661 ) f.i'%=- /O/.~¿? Date of Testing/Servicing: 2.J./ Ÿ¡ ~ j" Monitoring System Certification .. , i..r '" D. Results of TestinglServidng J g'. Ù ÎJ Software Version Installed: checklist: Is the audible alann 0 monal? Is the visual alann 0 rational? Were all sensors visuall ins functionall tested. and confirmed 0 rational? Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their r 0 tion? H alarms are relayed to a remote monitoring station., is all communications equipment (e,g. modem) operational? For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, fails to operate. or is electrically disconnected? H yes: which sensors initiate positive shut-down? (Check all that apply) 6'Sumprrrench Sensors; 0 Dispenser Containment Sensors. Did ou confirm itive shut-down due to leaks and sensor failure/disconnection? er'Ÿes; 0 No. D Yes 0 No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no ErN/A mechanical overfill prevention valve is installed). is the overfill warning alann visible and audible at the tank: fill int(s) and 0 ratio ro rl? H so, at what rcent of tank ca ci does the alann tri er? % o No Was any monitoring equipment replaced? H yes.. identify specific sensors. probes., or other equipment replaced and list the manufacturer name and model for all re lacement arts in Section E, below. No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) 0 Product; 0 Water, H , describe causes in Section E. below. o No* Was monitorin s stem set- reviewed to ensure ro settin? Attach set u Yes D No* Is all monitorin ui ment 0 tional r manufacturer's s ifications? · In Sedion E below, describe bow and wbeD these defidendes were or wiD be corrected. [J No* [J No* o No* o No* o Yes o No* rz( N/A o No* ON/A Yes E. Comments: ~- 1/-/'1 -DY ~.4-.t:¿<ð ~ 3-ÐY R~;,(.SëC> .;5ê~4..S ;,,0 '7'Zd -$ ;œ; Page2of3 03101 ~, i' ,- -¡. F. In-Tank Gauging I SIR Equipment: erðteck this box if tank gauging is used only for inventory control. a Check this box if no tank gauging or SIR. equipment is installed. This section must be completed if in-tank: gauging equipment is used to perfonn leak detection monitoring. lete the fono checldist: a No'" Has all input wiring been inspected for proper entry and termination. including testing for ground faults? a No· Were all tank gauging probes visually inspected for damage and residue buildup? a No· Was accuracy of system product level readings tested? a No'" Was accuracy of system water level readings tested? a No* Were all probes reinstalled properly? Yes a No· Were all items on the equipment manufacturer's maintenance checklist completed? '" In the Section H, below, desen1Je bow and when these defidencies were or will be correded. G. Line Leak Detectors (LLD): \a"'t$eck this box if lLDs are not installed, Co the 11 Do' checldis mol ete o IJWìIU! t: 1:1 Yes a No* For equipment start-up or annual equipment certification. was a leak simulated to verify LLD performance? Q N/A (Check al/ that apply) Simulated leak rate: a 3 g,p,h.; Q O,} g,p,h; a 0,2 g,p,b, a Yes a No· Were all LLDs confirmed operational and accurate within regulatory requirements? a Yes 1:1 No· Was the testing apparatus properly calibrated? 1:1 Yes Q No'" For mechanical LLDs. does the LLD restrict product flow if it detects a leak? Q N/A Q Yes Q No'" For electronic ILDs, does the twbine automatically shut off if the LLD detects a leak? a N/A a Yes Q No· For electronic lLDs, does the twbine automatically shut off if any portion of the monitoring system is disabled Q N/A or disconnected? a Yes a No· For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions a N/A or fails a test? a Yes a No· For electronic LLDs, have all accessible wiring connections been visually inspected? Q N/A Q Yes Q No· Were all items on the equipment manufacturer's maintenance checklist completed? '" In the Sectioo H, below, describe bow and when these deficlendes were or will be corrected. H. Comments: Page 3 of3 03101 > Monitoring System Certification UST Monitoring Site Plan . Site Address: 3~/.367~,ð #Ž6 ØJ / //~/ p~7f!!' ~ê I &~Á~ C/J- , / ' . , · . . , · · , . . , , , , , . . , · . · . · , , . , . , , . . · . . · · · · , . · , , . , · , · . , , , · , , , · , · , , , , , . , , , , . , , , . , · . , · , røIi: "1 ø . · · , it0 f · , · -1{) · , , · .... .... · , .... .... , ('}.;. .. .. .. .. .. , · , 1/:1 , . · , , , , . . . , , ø r ß · . 10 ' . , · . . ~..: .,: , · , . -tJø- - · , . · , , :.. ::::: -14- , i3> . . .. .. .. .. .. .. .. : . .IF: '0 ~: :0 , . · , · . ::::: ~II:@ , , . · · , . Ö· , · , , 0·'···· , . '0' ,ø 0 · , · · .:::::~:' , , . :;:nJ:? : :~~ , C> I@ . P: 0 · , 0 :~ O' · , , . . . . ö: @: '0 . TLS3SO O· , " , m: · ~ 'Ö , e· · Date map was drawn: .2J IY/~. Instructions If you already have a diagram that shows all required information, you may include it, mther 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 installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. Page_of_ OSIOO 8\'8TEI"' SETUP IN-TANK SETUf' ~~ - - - ------ .JUL 14, 2004 8 :2'7 AM T 1: UNLEADED 366 PRODIJl,"'T CODE THERMAL COEFF TANK DIAMETER TANK PROFILE FULL VOL S\'STEI"' UN 1 TS U.S. S\'STEI"' Lt>tt' \3IJAGE ENGLl SH SYSTEM t~TE/ T 111E FOF:nP,T 1'"101'1 DD 'NY\' HI' : 1"8"1: :3:':.... AM I : ,000700 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. 8496 FASTRIP 640 80[11 l,IH I TE LN 8f\KERSF I ELD CN '33~3n') WATER WARNING : HIGH WATER LIMIT: MAX OR LABEL VOL: OVERFILL LIMIT HIGH PRODUCT DELI VERY LI M IT SHIFT TII'1E SHIFT TII1E 2 SHIfT TII"IE 3 SHIFT TI~'IE 4 12:00 Al1 DISr\8LED DISABLED DISABLED TNN ( PER IOD ¡ C WARN It-l':;S DISABLED TANK ANNUAL WARNINGS DISABLED LINE PERIODIC WARNINGS DISABLED LINE ANNUAL WARNI~}s DIS?\BLED PRINT TC VOLUMES ENABLED TB1P COMPENSATION VALUE <DEG F ): 60.0 ST I CK HE IGHT OFFSET DISABLED H-PROTOCOL DATA FORMAT HEIGHT DAYLIGHT SAVING TI~1E DISABLED RE-DIREGï LOCAL PRINTOUT DISABLED SYSTEI"I SECUR ITY CODE : 000000 LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT ~1ANIFOLDED TANKS Tit: NONE 2..0 3.0 12000 95% 11 400 97~i 1 1 640 5% 600 500 99 50 0,00 LEAK MIN PERIODIC:> lœi 12UO LEAK MIN ANNUAL 10% 1200 PER I OD I C TEST T'/PE STANDARD ANNUAL TEST FA I L ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARN VISABLED ANN TEST AVERAGING: OFF PER TEST AVERAG I NG: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : 15 ¡-I1N GOlyU-IUN I CAT 1 OI'lS SETUP .- --- -- - - - T 2: PRBy' I U/"I 366 PROnUGT COnE THERI"IAL COEFF TANK DIAMETER TANK PROF I LE FULL VOL 2 : ,ú00700 120.00 1 PT 12000 FLOHT SIZE: 4.0 IN. 8496 IJATJ::R WARN I NG : HIGH WATER LII'JJT: MAX OR LABEL VOL: OVERFILL LINIT : HIGH PRODUCT DELI VERY L 111 IT LOW PRODUCT LEAK ALARM LIMIT: SUDDEN LOSS LI M IT : TANK TILT : ~~NIFOLDED TANKS T#: NONE LEAK MIN PERIODIC: LEAK M I N ANNUAL 2,0 3.0 12000 95:r. 11 400 9'7% 11640 1 0"4 1200 500 99 50 0.00 10;''; 1200 10% 1200 PERIODIC TEST TYPE STRNDARD ANNUAL TEST FAIL ALARM DISRBLED PERIODIC T&ST FAIL ALARM DISABLED GROSS TEST FA I L ALARI'1 [II SABLED ANN TEfiT AVERAG I I'll"; : OFF PER TEST AVERAG I Ne: : OFF TANK TEST NOT 1 FY : OFF TNK TST SIPHON BREAK:OFF DELI VERY' nELAV : 15 /''11 N ~ T 3:DIESEL 366 PRODUCT CODE THERMAL COEFF TANK DIAMETER TANK PROF I LE FULL \JOL 3 : ,000450 : I 20 . 00 1 PT 12000 T 5:UNLEADED 367 PRODUCT CODE THER/"IAL COEFF TANK DIAMETER TANK PROFILE FULL VOL : 5 : ,000700 : 1 20. 00 1 PT 12000 FLOAT SIZE: 4,0 IN. 8496 FLOAT SIZE: 4.0 IN, 8496 WATER L~ARN I NG : HIGH WATER LIMIT: MAX OR LABEL VOL: O\JERF I LL LI M IT HIGH PRODUCT DELIVERY LIMIT LOW PRODUCT : LEAK ALARM L lI"\l'f : SUDDEN LOSS L 11"1 IT: TANK TILT : MANIFOLDED TANKS TU: NONE LEAK HIN PERIODIC: LEAK HIN ANNUAL 2.0 3.0 12000 95j~ 11400 '3 "'/0 11640 1 0+/0 1200 WATER WARNING : HIGH WATER LIMIT: MAX OR LABEL VOL: OVERF I LL LI 1"11 T HIGH PRODUCT DELI VERY Ll M IT 500 99 50 0.00 LOW PRODUCT : LEAK ALARM LI 1'1 IT : SUDDEN LOb~ LIMIT: TANK TILT NAN I FOLDED TANKS Tit: NONE 10% 1200 LEAK HIN PERIODIC: 10% 1200 LEAK I'll N ANNUAL 2,0 3.0 12000 9~.; 1 1 400 99% 1 1 880 r;:.. :J"~ 600 500 99 50 0.00 1 Û".; 1200 ". 10% 1200 PERIODl~ TEST TYPE STANDARD PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC T&ST FAIL ALARM DISABLED GROS'S TES'T FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOT I FY : OFF TNK TS'T SIPHON BREAK:OFF [JELl VERY DELAY : 15 I'll N ANNUAL TEST FA I L ALARM D I BABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAG I NG : OFF PER TEST A\JERAG I NG : OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF UEUVERY DELAV : 15 MItI T 6: PREi"¡ I U/"I 367 PRODUCT CODE THERMAL COEFF TANK DIAJ"IETER TANK PROFILE FULL VOL : {; : . 000700 : 120,00 1 PT 12000 FLOAT SIZE: 4.0 IN, 8496 WATER WARNING : HIGH WATER LIMIT: "1A>~ OF: LABEL VOL: OVERFILL LIMIT HIGH PRODUCT DELI VERY Ll M IT LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS L Hi IT : TANK TILT I1ANIFOLDED TANKS Tit: NONE LEAK MIN PERIODIC: LEAK M I N ANNUAL 2,0 3.0 12000 95~~ 11400 97':/.; 11640 10% 1200 500 99 50 0,00 10% 1200 1~~ 1200 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARI'1 DISABLED PERIODIC TES'T fAIL ALARM DISABLED GROSS TEE:T FA I L ALARM vISi-\BLED ANN l1::ST HVERAG I NG : OFF PER TEST AVERAG I NG : OFF TANK TEST NOT 1 FV : OFF T~~ TST SIPHON BREAK:OFF DELIVERY DELAY : 15 MIN T 7:DlESEL :367 !-'F:ODUCT CODE THERI"\AL COEFF TANK DIANETER TANK PROFILE FULL VOL 7 ; ,000450 : 1 20. 00 I PT 12000 FLOAT SIZE: 4.0 IN, 8496 ~~TER WARNING : HIGH WATER LIMIT: "Ift'< OR LABEL VOL: OVERFILL LIMIT : HIGH PRODUCT DEL I VERY LI M IT LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT ~~Nlr-OLDED TMNKS Tit: NONE 2,0 3.0 12000 95% J J 400 97% 11640 10% 1200 500 99 50 0,00 LEAK 1··'1II· PER I OD I C : 10% 1200 LEAK I'll N ANNUAL 1 [f,. 1200 PERIODIC TEST TYPE STANDARD ~NNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL AlAR,.¡ DISABLED ANN TEST AVERAG 1 NG: OFF PER TEST AVERAG I NG : OFF TANK TEST NOT I F'/ : OFF TNK TST SIPHON BRF.AICOFF DELIVERY DELAY ; 15 MIN LEA { TEST METHOD ---.---- .~ - - - TEST ON DATE : f\L1. TH¡-'¡~: .IAN 1. 2000 f:TART TIME: 2: on ?¡/'1 TEST ~¡:;TE : 0 .20 '.;; ..:.... I-!~: DURAT I ON : 2 HOURf.5 LIQUID SENSOR SETUP - - - - - - - - - - L I: EAST S I DE SOUHT ANNU TRI-STATE <SINGLE FLOAT> ,CATEGORY : ANNULAR :3PAGE 1. 2: EAST SIDE STP SU/1PS NORMALLY CLOSED CATEC'.oRY : STP SUMP L 3: EAST SIDE EAST ANNUL NORMALLY CLOSED CATEGORY : ANNULAR SPA(~E L 4:EAST SIDE WEST ANNUL NORMALLY CLOSED CATEGORY : ANNULAR SPACE L 5:WEST SIDE SOUHT ANNU NORl'IALL Y CLOSED CATEGORY : ANNULAR SPACE L 6 : WEST S I DE STP SUMPS NORMALLV CLOSED CATEGORV : f:iTP SUMP L 7:WEST SIDE WEST ANNUL NOR\"1ALL Y CLOSED CATEGORY : ANNULAR SPACE L 8: WEST S IDE EAST ANNUL NORMALLY CLOSED CATEGORY : ANNULAR SPACE L 9:WE8T SIDE 87 STP NORMALLY CLOSED CATEGOR\' : STP SUMP OIJTPti!' P.ELAV SETUP - - - - - - -. - - R 1; POS 1 TI VE SHUTOFF ~\IES TYPE: STANDARD NOR/1ALL\' CL, O::3Ef I !'I-TAN¥. ALAR/"IS T 1: LEAK ALARI1 T 2: LEAK ALAR/1 T 3:LEAK ALARM T ,;; : LEAK ALARI'1 T 1: HIGH WATER ¡.;LARM T 2:HIGH WATER ALARf"I T 3: HIGH Wf)TER ALARM T 4:HIGH WATER ALARM LIQUID SENSOR AL~S L 5: FUEL ALAR,.! L 6: FUEL ALARI"' L 7: FUEL ALAR'"¡ L 8:FUEL ALARM L 9:FUEL ALARM L 5: SENSOR OUT Al.AR/'· L 6:SE~)R OUT ALA~1 L 7: SENSOR OUT ALA);..,.' L 8:SENSOR OUT ALA~1 L 9:SENSOR OUT ALARM L 5:SHORT ALARM L 6: SHORT ALARM L 7 :SHORT ALARM L B: SHORT ALAR!"I L 9:SHORT ALARM R 2:POSITIVE SHUTOFF EHS T\'PE: STANDARD NORMALLY CLOSED II'FfANK ALARMS T 5: LEAK ALAR/"J T 6: LEAK ALARI-J T 7:LEAK ALARM T 5:HIGH WATER ALARM T £:H!GH WATER AL~RM T 7:HIGH WATER ALnRI1 LIQUID SENSOR AU~j L 1 :FUEL ALARI'\ L 2:FUEL ALARM L 3: FUEL HLARI1 L 4:FUEL ALHRM , _ L 1: SENSOR OUT ¡:;L¡.-;R/·1 L 2:SENSOR OUT ALARM L 3:SENSOR OUT ALARM L 4:SENSOR OUT ALARM I : SHORT ALARt1 1= 2: SHORT ALARM L 3: SHORT mJ~Rtl L .!; ::::¡-jr.'F:T i-¡L;-;k '1 AL?-\Rt1, ~ I STORV T-tEP{)RT· ~_.. -- S'/STEI"I AI.t\RI"t "~);- !.-_;. ...;u L MAY 14, 2004 8:34 AM PRINTER ERROR ~~Y 14. 2004 8:34 AM BATTERY IS OFF _ ..JAN 1. 1996 8:0U Al"l ALARM HISTORY REPORT ---- IN-TANK ALARM ~ * ~ * * END * * * * * T 2:PREHIUM 366 LOW PRODUCT ALARt· SEP 27. 2003 12:42 PM SEP 20. 2003 4 : 34 PI'" t1AR 1. 2003 12:04 ~11 I NVALI D FUEL LEVEL SEP 27. 2003 2:02 PM SEP 20. 2003 7:00 f~ DEC 21. 2001 5:28 AM PROBE OUT SEP 11. 2003 12:35 PM FEB 12. 2003 5:18 PM ~~T 25. 2002 9:29 AM ALAJ~/"I H J STOR\' REPORT 1 !'I-TANK ALfiRI'1 .-.-..-- DEL I VERY NEEDED APR 16. 2004 8:06 AM APR 12. 2004 11 :39 AM DEC 5. 2003 12:15 PM T 4: SETUP DATA WARNI~~ MAR 31. 2004 6:09 PM LOW PRODUCT ALARM MAR 31. 2004 6:00 PM MAR 27. 2004 10:54 ~I MAY \2. 2003 10:22 R1 INVALID FUEL LEVEL MAR 31. 2004 6:08 Pt1 MAR 31. 2004 6:00 PM MAR 25. 2004 3:59 PM PROBE OUT MAR 31. 2004 4:55 PM MAR 31. 2004 4:36 PM SEP II. 2003 11 :22 AM ALARt1 HI STORV REPORT ---- IN-TANK ALARM LOW TEMP WARNING SEP 11. 2003 1:57 PM OCT 9. 2002 1:12 R1 OCT 2. 2002 9:38 AM T 1: UNLEADED 866 HIGH WATER ALARt1 MAY 11. 2003 8:03 AM OVERF I LL ALARI"I APR 25. 2004 11:22 AM APR 25. 2004 10:57 AM FEB 18. 2004 11:04 AM LOW PRODUCT ALARM MAY 14. 2004 3:26 PM FEB 22. 2004 b:O~ ~ DEC 22. 2003 10:4b AM HIGH PRODUCT ALARM APR 25. 2004 11:24 AM SEP 3. 2003 12:07 ~M ~UG 18, 2003 8:46 AM INVALID FUEL LEVEL MAY 14. 2004 3:55 ~I OCT 21. 2003 8:35 PM SEP 16. 2003 5:46 PM PROBE OUT SEP 11. 2003 12:52 PM SEP 10. 2003 12:10 PI"! MAY 13. 2003 10:14 Al"1 HIGH I.\IATER WARN I NG , MAY 11. 2003 8:03 AM -.. DELIVERY NEEDED MAR 31, 2004 6:08 PM MAR 31. 2004 6:00 ~1 MAR II. 2004 7:25 PM * * ~ * * END * * * * ~ * * ~ * * END * * * * ~ ALARM HISTORV REPORT ---- I N-TAN}~ ALAR!'" T 3:DIESEL 366 HIGH WATER ALARM MAR 8. 2000 2:58 PM DELIVERY NEEDED _ MAY 14. 2004 2:4ö pM FEB 22. 2004 5:44 PM DEC 22. 2003 10:01 AM \"\A>: PRODUCT AI~R~ _ . SEP 3, 2003 1~:U~ fM AUG 18. 2003 ~:41 AM A~~ 18. 2003 8,35 AM LOW PRODUCT ALARM ¡'~R 7. 2000 9:14 Atl I NVALID FUEL LEVEL ¡'~R 7. 2000 9:16 Atl PROBE OUT DEC 22. 2003 12:25 PM SEP 11. 2003 8:27 AM SEP 10. 2003 1:01 PM HIGH WATER WARN I NG MAR 8. 2000 2 : 58 PI" LOW TEMP "'JAR ,¡ It- (; _ CM <::¡:o):. ". ')ÎI'-''' " 11'1 DET. I \J¡:OPV I\lrr.......r, ~ - HLHRM HISTO~{ REPORT ---- IN-TANK AUiRM T 5:UNLEADED 367 OVERF I LL AU,RI"\ BEP 10. 2003 4:52 AM AUG 12. 2003 7:22 PM APR 25. 2003 2:1e AM ALARM HISTORV REPORT ---- IN-TANK ALARM T 6:PREMIUM 367 LOW PRODUCí ALARM MAR 18. 2001 9:40 PM SEP 24. 2000 7:50 AM APR 3. 2000 4:01 PM INVALID FUEL LEVEL MAR 19. 2001 4:28 AM SEP 24. 2000 7:50 AM APR 3. 2000 5:16 PM PROBE OUT SEP 12. 2003 11:12 AM MAR 6. 2003 7:38 PM FEB 12. 2003 4:51 PM LOW PRODUCT ALARM JUN 27. 2004 4:54 PM APR 13. 2004 5:40 PM APR 7. 2004 8:16 AM HIGH PRODUGT ALARM SEP 10. 2003 4:56 AM SEP 3. 2002 1:08 PM JUN 4. 2002 1:37 PM INVALID FUEL LEVEL APR 13. 2004 6:01 PM JAN 8. 2004 8:22 PM OCT 28, 2008 9:40 PM PROBE OUT DEC 22. 2003 12:45 PM DEC 22. 2003 12:40 PM DEC 22. 2003 12:37 PM DEL I VERY NEEDED NOV 3. 2003 4:05 PM NOV II. 2001 7:16 PM APR 19. 2001 6:58 AM DELIVERY NEEDED JUN 27. 2004 4:32 PM APR 13. 2004 5:22 PM APR 7. 2004 7:47 AM MAX PRODUCT ALARI"\ SEP 10. 2003 4:57 AM SEP 3.2002 1:09 PM JUN 4. 2002 1:38 PM ... LOW TEMP WARN I NG OCT 24. 2002 1:21 PM OCT 2. 2002 10:39 AM LOW TEMP WARNl NG DEC 22. 2003 12:35 PM JAN 17, 2003 4:51 AM O(~ 24. 2002 3:00 PM * * * * * END * * * * * "" '" "" ;0. '" END ';E; " ,.¡ ;.; " ALARt1 H r :3TORY REPORT ---- IN-TANK ALARM T ?:DfESEL 367 LOW PRODUCT ALARf-t FEB 28. 2000 2:36 PM I~NAL¡D FUEL LEVEL OCT 8. 2002 1:44 PM FEB 28. 2000 2:38 PM PROBE OlIT DEC 22. 2003 12:33 PH DEC 22. 2003 12:27 PM SEP 12. 2003 9:01 AM DELIVERY NEEDED MAR 16.2001 11:12 PM JAN 10. 2001 12:01 PI-! NOV 26. 2000 11:56 AM LOW TEMP WARN I NG DEC 22. 2003 1 2 37 P/"I OCT 24. 2002 12 05 PM MAR 1. 2000 9 10 AM * ~ ~ ~ * END * * ~ ~ ~ ----- HLARM HlSlÜRY REPORT ----- SENSOR ALARM ----- L ] :EAST SIDE SOUHT ANNIJ ANNULAR SPACE FUEL ALARM 8 .. 5U- M.t AUG 13. 2003 Mil FUEL ALARM AUG 6. 2002 ]:10 PM SENSOR OUT ALARM_ AUG 6. 2002 1: U4 PM ~ ~ * ~ ~ END ~ * * * ~ ALARM HISTORY REPORT ------ SENSOR ALARM ----- L 2: EAST S I DE STP SUl1F'S S1'[' SUMP FUEL ALARM JUL 14. 2004 9:28 AM FUEL ALARM JUL 14, 2004 9:27 At1 FUEL ALAR'" JUL 14. 2004 9:25 At1 * ~ * * * END * ~ * * * ALARM HI STOR\' REPORT ----- SENSOR ALARM ----- L 3:EAST SIDE EAST ANNUL ANNULAR SPACE FUEL ALARM JUL 14. 2004 9:24 AM FUEL ALARM AUG 13. 2003 8:50 AM FUEL ALARM AUG 6. 2002 12:09 PM ~ * * * * END ~ * * * ~ ALARM H I STORY REPORT ----- SENSOR ALARM ----- L 4:EAST SIDE WEST ANNUL ANNULAR SPACE FUEL ALARM AUG 13. 2003 8:52 AM SENSOR OUT ALARM AUG 6. 2002 12:24 PM SENSOR OUT ALARM SEP 19. 2001 6:04 AM * * * * * END * * * * * . ALAR!"I H I STORy' REPORT ----- SENSOR ALARie! ----- L 5:WEST SIDE SOUHT ANNU ANNULAR SPACE SENSOR OUT ALARM AUG 13. 2003 8:32 ~4 FUEL ALARM AUG 13, 2003 8:29 AM FUEL ALARM A~~ 6. 2002 1:50 PM * ~ * ~ * END * * ~ · ~ ", HLARM HISTORY REPORT ------ SENSOR ALARM ----- L 6: WEST SIDE STP SUMPS STP SUI1P FUEL ALARM JUL 14. 2004 9:05 AM FUEL ALARM JUL 14. 2004 9:04 AM FUEL ALARM JUL 14. 2004 9:03 AM * * iIfi Jot :,.¡ END " ~ ;.¿ ¡.¡; !* ¡ " f1LRRI"' HISTORY REPORT ----- ~ENSOR ALARM ----- ~ 7:WEST SIDE WEST ANNUL ANNULAR SPACE FUEL ALARM JUL 14, 2004 9:01 AM ----- FUEL ALARI"! AUG 13. 2003 8:28 At1 FUEL ALAR~" f1UG 6. 2002 1:43 PM ALARM HISTORY REPORT ----- SE~ßOR ALARM ----- L 9:WEST SIDE 87 STP STP SLIMP FUEL ALARM JUL 14. 2004 9:02 PWI FUEL ALARM AUG 13. 2008 8:29 ~1 FUEL ALARM AUG 6. 2002 1:33 PM ~ ~ ~ ~ ~ END ~ * * * * * * * * * END * * * * * ALARI"' HISTORY REPORT ----- SENSOR ALARM ----- L 8:WEST SIDE EAST ANNUL ANNULAR SPACE FUEL ALARM AUG 13. 2003 8:29 AM FUEL ALARI1 AUG 6. 2002 1:45 PM ... FUEL ALARM OCT 6. 2001 3:42 PM * ~ * * * END * * * * * r, 7 . .----- ALARM HISTORY REPORT ALARM HISTORV REPORT ----- SENSOR ALARM ----- L 1: EAST SIDE soum ANNU ANNULAR SPACE FUEL ALARM AUG 3. 2004 9:16 AM FUEL ALARM AUG 13. 2003 8:50 AM FUEL ALARM AUG 6. 2002 1:10 PM ----- SENSOR ALARM ----- L 3:EAST SIDE EAST ANNUL ANNULAR SPACE FUEL ALARM JUL 14. 2004 9:24 ~1 FUEL ALARM AUG 13. 2003 8:50 ~I FUEL ALARM AUG 6. 2002 12:09 PM * * * * * END * * * * ~ * * * * * END * * * * * ALARM HISTORV REPORT ----- SENSOR ALARM ----- L 2: EAST S £DE STP SUMPS STP SUMP FUEL ALARM JUL 14. 2004 9:28 AM FUEL ALARM JUL 14. 2004 9:27 AM FUEL ALARM JUL 14. 2004 9:25 ~I ALARM HISTORV REPORT ----- SENSOR ALARM ----- L 4:EAST SIDE WEST ANNUL ANNULAR SPACE FUEL ALARM AUG 3. 2004 9:15 AM FUEL ALARM AUG 13. 2003 8:52 AM SENSOR OUT ALARM AUG 6. 2002 12:24 PM * ~ * * * END * * * * * ~ * * ~ * END ~ ~ * ~ ~ ,- "------. ALARM HISTORV REPORT ----- SENSOR ALARM ----- L 5:WEST SIDE soum ANNU ANNULAR SPACE FUEL ALARM AUG 3. 2004 9:14 AM SENSOR OUT ALARM AUG 13. 2003 8: 32 AI'1 FUEL ALARM AUG 13. 2003 8:29 AM * * * * * END * * * * * ALARM HISTORY REPORT ----- SENSOR ALAm1 ----- L 6:I,JEST SIDE STP SUMPS STP SUMP FUEL ALARM JUL 14. 2004 9:05 ~1 FUEL ALARM JUL 14. 2004 9:04 AM FUEL ALARM JUL 14. 2004 9:03 ~1 * * * * * END * * ~ * * ---_.~ .. .----; ¡¡ nLARM H I STORY REPORT _____ SENSOR ALARM L ?:WEST SIDE WEST ANNUL ANNULAR SPACE FUEL ALARM JUL 14. 2004 9:01 AM FUEL ALARM AUG 13. 2003 8:28 AM FUEL ALARM AUG b.2002 1:43 PM * * * * * END * * * * * ALARM HISTORY REPORT ----- SENSOR ALARM ----- L B:WEST SIDE EAST ANNUL ANNULAR SPACE FUEL ALARM AUG 3. 2004 9:13 AM FUEL ALARM AUG 13. 2003 8:29 AM FUEL ALARM AUG 6.2002 1:45 PM * * * * * END * * * * ~ r - UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program FACILITY NAME F L.;;6 -t'{ ~ ~------------- ADDRESS et.V I W 11 (tE LAAJ E: .__._---_.._--~---- -_..._------_._~-_._---~,,--------- Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 INS~jCTI9 DATE INSPECTION TIME 1/ lit 'tJ4- PHONE No. 5-/4 No. of Employees ~ FACILlTYCONTACT Business 10 Number _.__..----~-.- 15-021- Secti,on 1 : Bùsiness Plan and InvèntoryProgram D Routine þ.( Combined Ò Joint Agency D Multi-Agency D Complaint D Re-inspection C V ( C=Compliance ) V=Violation OPERATION COMMENTS D ApPROPRIATE PERMIT ON HAND ~---------'-----'~---------------- --.----.----.-.--------,------.---.----.-----.-.---.-------.--"--------.-------- D BUSINESS PLAN CONTACT INFORMATION ACCURATE _____....________________..__ _M+.._____._____.. ._________.__.___.._____________.____.__..____...._____________ .________ D VISIBLE ADDRESS --------+-----------------_. . -- --.----.---.----.-.-,-------.-----.-----.-----.....---------.-....-.-----,--- D CORRECT OCCUPANCY ---..------.---.'-----.-...-----..--.-+.,-------,.-----_._-"-----,--+--~----""-------- D VERIFICATION OF INVENTORY MATERIALS -------++----_._-_._-_. .-------..--..-------,-, ------------.-----------------.---------" -. .-"-.------ D VERIFICATION OF QUANTITIES ----------_._---_._----,-~- ------------------.----------.-----.---.-------------,..--.--...-+ D VERIFICATION OF LOCATION -----~-----_._.._----- ------.--------------..-. ~_,_D PROPER SEGREGATION OF MATERIAL _________,______h__.____. ,_________.____________~ __________________.__________.________._.___ ~~RIFIC~TION OF MSDS AV~LABILI~~____,__,________.__ ___________'________.__,_,___________._____ ~ D VERIFICATION OF HAT MAT TRAINING 1?! D VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES " D EMERGENCY PROCEDURES ADEQUATE ~ D CONTAINERS PROPERLY LABELED : : ::~:.::::::~QUA~-&-¿H;~=--==:t:==--=-==:===--==-~=-- ------,.---.-----..---- ---------~----_._-----_._---_.__._----_._.~--,--------- -------..-,.--- ----_.._-_._---_.__._----_._----------_._---_._-~---------._~ ---------------.- _._-~--_.__.._._._._~--------.._-----------_.__.._--_.--._--------+-------- ------ -.-----.------, ....---.-- _._---------_.__._--~----_.__.._---------_._---_."._----------------. ANY HAZARDOUS WASTE ON SITE?: DYES ~No EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Badge No. "ß'",clL ß~ --¡---- '-- -+~ Business Site Responsible Party .------------------. White . Environmental Services Yellow . Station Copy . Pink - Business Copy e e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAMEfA~-túp INSPECTION DATE ~hf),Ivtp Section 2: Underground Storage Tanks Program o Routine a(Combined 0 Joint Agency Type of Tank -pVV Fe s Type of Monitoring A T 4 o Multi-Agency Number of Tanks Type of Piping o Complaint 7 ,-p.,- ORe-inspection OPERA TION C V COMMENTS Proper tank data on tile oÇ '". X Proper owner/operator data on tile Penn it fees current ;( Certitication of Financial Responsibility X Monitoring record adequate and current X Maintenance records adequate and current .>( Failure to correct prior UST violations )( Has there been an unauthorized release? Yes No 'Å Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERA TION Y N COMMENTS SPCC available SPCC on tile with OES , Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overtìll/overspill protection? C=Compliance V=Violation Y=Yes N=NO flt¡LÇ~ Business Site Responsible Party White - Fnv, Svcs. Pink - Rusiness Cnpy ,---- oJ -, 'J - .Permit No. i· ,.' . l 0) ~-S '¡ ITY OF BAKERSFIELD I OFFICE F ENVIRONMENTAL SERVICES 1715 Cheste Ave., Bakersfield, CA (805) 326-3979 PERMIT APPLICATION TO CONSTR CTIMODIFY UNDERGROUND STORAGE TANK 1YPE OF APPUCA TION (CHECK) ( JNEW FACILITY DdMODIFICA110N OF FAC ST~TING DATE F ACll.ITYNAME ~ FACILITY ADDRESS TYPE OF BQS!NESS TANK 0 ADDRESS CONTRACTO ADDRESS ~ PHONE NO, _ WORKMAN COMP NO. BR1EFL Y DESæ:sE ~ WORK rc: BE DONE TANK NO, / .:) .3 ~ VOLUME /.,:¿,/.Y.:ìI? /_J./ÃI'Y) /~~ /~ ,/.)?') TANK NO. VOLUME I' [ ]NEW TANKINSTAU.A'OON AT EXISTING FACIUTY PROPOSFD COMPLETION DATE EXISTING FACILITY PERMIT NO. CITY ~.F.-lP ZIP CODE 933t'"')9 APNI PHONBNo·~.s-~2 ' ZIPCOCB ~ CAUCENSE NO. _~ '7 CITY~~/) ZJPCODE q~~~ BAIŒR8FŒLD CITY BUSINESS UCENSE NO~ ~"'- SUR.ER. ':;::7XJ;r~ ~.A040 CITY ~~L) YES NO YES NO UNLEADED ...Y .B9c..-N'& ~~..( DIESEL !.~~~ REOULAR PREMIUM y )(' v TOR FUEL STORAGE TAKK8 CAS NO. CHEMICAL PREVIOUSLY STORBD (IF KNOWN) . nœ APPUCANT HAS RECEIVED. UNDERSTANDS, WILL COMPLY wrm THE AITACHED CONDmONS OP THIS PERMIT k'ID,~ OTHER STATE, LOCAL FBDBRAL REGULATIONS. OF MY KNOWLEDGE, IS TillS APPLICATiON BEC NAME (PRnIT) A PERMIT WHEN APPROVED " ... ;:r ,þ ". . ~rm¡tNo. ß 1.. ~ 033'1 ITV OF BAKER&'1iELD OFFICE F ENVIRONMENTAL SERVICES 1715 Cheste A ve., Bakersfield, CA (805) 326..3979 PERMIT APPLICATION TO CONSTR CTIMODIn' UNDERGROUND STORAGE TANK TYPE OF APPLICATION (CHECK) ( }NEW FACILITY þc:tMODIFICA110N OF FAC STM,TING DATE F ACILrr'f.NAME F ACILlTY ADDRESS TYPE OF BT,1SINESS TANK 0 ADDRESS CON'I'RACTO ADDRESS ~ PHONE NO. _ WORKMAN COMP NO. BRIEFLY DES~E ~ WORK ~BB DONE [ ]NEW TANK INSTALLATION AT EXISTING FACILITY PROPOSED COMPLETJON DAm EXISTING FACILITY PERMIT NO. CITY ~.r -iP ZIP CODE 93~/"")9 AmI PHONB~~i-~2A CAUCENSENO. _~'7 em't1RH.,IQ/l Z¡P,CODE q~~~ BAJŒRSFŒLD CITY BUSINBSS UCBNSR NO~ ~".c.- SURER ~7W:r~ ~.A040 CITY~~o WATER TO FACIUIYPROVJDEDBY DEPTH TO GROUND WA'l'ER NO, OF TANKS TO BE INSTAILED SPILL PREVENTION CONTROL AND COUNTER TANK NO, / .:) .3 ~ VOLUME /~./Y:h ./-..,~ '/~b>') /~.~J TANK NO. VOLUME 'YES YES ' NO NO UNl.EADED REOULAR X PREMWM ~Ald .H.--E...t. D.ŒSBL _~_.,'lt17QN; y y v CAS NO. CHEMICAL PREVIOUSLY STORBD (IF KNOWN) 11~.~i~~~~:¡;~:~~t.~¡~~¡;' . WILL COMPLY WITH 1'HB AITACHED CONDmONS OP FEDERAL REGULATIONS. TYOF~y.ANDTO~OfMY~~m NAMJ!(PRINf) ~~ A PERMIT WHEN APPROVED TIDS APPLICATiON BEC '\, ..... ~~ oJ ,~~ . ~rmJt No. ITV OF BAKERS}¡'IELD OFFICE F ENVIRONMENTAL SERVICES 1715 Cheste Ave., Bakersfleld, CA (805) 326-3979 PERMIT APPLICATION TO CONSTR CTIMODIFY UNDERGROUND STORAGE TANK TYPE OF APPLICATION (CHECK) { }NEW FACILITY r ]MODIFICA110N OF FAC STAB,TING DATE FACILITY .NAME FACILITY ADDRESS TYPE OF BUSINESS TANK OWNER ADDRESS CON1RACTO ADDRESS PHONE NO. WORKMAN COMP NO. BR1EFL Y DESCRIBE TIlE WORK TO BE DONE [ ]NEW TANKINSTALLATlON AT EXISTING FACIIIrY PROPOSED COMPLET1ON DAm EXISTING FACILITY PERMIT NO. em ZIP CODE APNI PHONE NO. ZIP CODE CAUCENSE NO. CITY ZIP CODE BAiŒRSFŒLD CITY BUSINESS UCENSB NO. INSURER. CITY. WATER TO FACIUIY PROVIDED BY DEPrn TO GROUND WATER NO. OF TANKS TO BE INSTALLED SPILL PREVENTION' CONTROL AND COtJNœR TANK NO. ~ c-. 7. VOLUME /-<-~ /.:)Ibbð /~~ TANK NO. VOLUME SOIL TYPE EXPECTBD AT srm ARE THBYFOR MOTOR FUEL \ URES PLAN ON FILE NO NO 'YES YES ' UNLEADED REGULAR Y PREMWM A VIAlION DIESEL 'V y TOR FUEL STORAGE TANXS CAS NO. CHEMICAL P1ŒVIOUSLY STORED (IF KNOWN) THE APPUCANT HAS RECmvED. UNDERSTANDS. THIS PERMIT A!-m\~ OT:HER. STATR. LOCAL THIS FORM HAS BEEN COMPLETED,UNDER PEN TRUE AND CORRECT. I WlLL COMPLY wrm TIm AITACHBD CONDmONS OP FEDERAL RB00LA1!ONS. TY OF PERJURY. AND TO me BEST OF MY KNOWLJIDGE. IS APPROVED BY: TillS APPLICATiON BE NAME (PRlNT) APPLICANT SIGNA'I1JRB A PERMIT WHEN APPROVED · ì. ---'--Á,t <P ( N'l -- e TRACER TIGHT® TEST RESULTS Shirley Environmental LLC 1928 Tyler Avenue, Suite K South EI Monte, CA 91733 5/15/2003 Job No: 860153b Jaco (640) 8001 White Lane Bakersfield, CA 93309 SYSTEM STATUS SYSTEM# PRODUCT SIZE TRACER TRACER DETECTED? Tank 3 Tank 4 Tank 6 Tank 7 Diesel Raeing Fuel Premium Diesel 12,000 12,000 12,000 12,000 E H E H YES YES YES YES Soil penneability is greater than 41.6 darcys. GROUND WATER AND PRODUCT INFO AT INOCULA nON AT SAMPLING 04/29/03 05/06/03 SYSTEM# H2O PROD H2O PROD (in) (in) (in) (in) Tank 3 0.00 26.00 0.00 50.00 Tank 4 0.00 17.00 0.00 14.00 Tank 6 0.00 35.00 0.00 26.00 Tank 7 0.00 37.00 0.00 63.00 DEPTH FROM GRADE WATER TANK TANK TABLE BOITOM TOP (in) (in) (in) >150 148 28 >150 148 28 >150 147 27 >150 146 26 SITE COMMENTS Backfill in tank pit consists of!l.s to Y2 inch pea gravel. Ground cover over tanks and piping trench is concrete and asphalt. TEST EVENTS INST ALLA TION 12/20/02 INOCULATION 04/29/03 SAMPLING 05/06/03 ANALYSIS 05/13/03 FILL RISER - SPILL BUCKET TEST T ANK# Tank 3 Tank 4 Tank 6 Tank 7 PASS/FAIL Pass Pass Pass Pass I declare under penalty of perjury that I am a licensed tank tester in the State of California and that the information contained in this report is true and correct to the best of my knowledge. [n"all/Jnoculat0/6~i H", y"q CA Uc. No, 6~ -lin,-\'\ SignalW"e ~ m. ~...-: Sarnp[c<Y",~\ Y1~c, CALic.No,Og-lin'-\4 Signature ~ ~ TRC Analyst Cj 3 - / -.s '0 CA Lie. No: Signature 'L IIv V1 Date iJ> -4-O'j ~-'-O~ ;/)..]10 j Date Date . ,. . r - e Test Comments General Tanks 1 through 7 are single walled fiberglass. Product distribution lines are single walled fiberglass. Vent and vapor recovery lines are single walled fiberglass. Tank 3 Low level release of tracer E detected. Tracer and TVHC concentrations are consistent with a vapor only release. Distributions of tracer E and H are similar, suggesting a common source. Normally, tanks share the same vapor recovery piping, which can serve as a common source. Most probable sources are near the fill/vapor recovery risers, and the sump. Tank 4 Low level release of tracer H detected. Tracer and TVHC concentrations are consistent with a vapor only release. Distributions of tracer E and H are similar, suggesting a common source. Normally, tanks share the same vapor recovery piping, which can serve as a common source. Most probable sources are near the fill/vapor recovery risers, and the sump. Tank 6 Low level release of tracer E detected. Tracer and TVHC concentrations are consistent with a vapor only release. Distributions of tracer E and H are similar, suggesting a common source. Normally, tanks share the same vapor recovery piping, which can serve as a common source. Most probable sources are near the fill/vapor recovery risers, and the sump. Piping near probe 26 may be an additional source. Tank 7 Low level release of tracer H detected. Tracer and TVHC concentrations are consistent with a vapor only release. Distributions of tracer E and H are similar, suggesting a common source. Normally, tanks share the same vapor recovery piping, which can serve as a common source. Most probable sources are near the fill/vapor recovery risers, and the sump. . ì . . "i . e Tracer Research Job No. 860153b Page 3 of6 Sample Date: 05/13/03 CONDENSED DATA Location Compound Concentration 001 E 0.0000 001 H 0.0000 001 TVHC 0.00000 002 E 0.0008 002 H 0.0009 002 TVHC 0.00000 003 E 0.0020 003 H 0.0084 003 TVHC 0.00000 005 E 0.0944 005 H 0.0071 005 TVHC 0.00000 006 E 0.0000 006 H 0.0014 006 TVHC 0.00000 007 E 0.0084 007 H 0.0248 007 TVHC 0.00000 008 E 0.0929 008 H 0.0078 008 TVHC 0.00000 009 E 0.0507 009 H 0.0038 009 TVHC 0.00000 010 E 0.0066 010 H 0.0024 010 TVHC 0.00000 011 E 0.0004 011 H 0.0007 011 TVHC 0.03500 012 E 0.0000 TVHC (Total Volatile Hydrocarbons) values reported in milligrams/liter (mg/L), Tracer A. and W values reported in milligrams/liter (mgIL). Tracer E, G, H, R. and I values reported in micrograms/liter (µgIL), 0.00000 = Not D~tected -999999.99999 =No sample -~- ~~ ~ --~~~~ ----- - ------ -~--~~~----- , ¡ . . i e e Tracer Research Job No. 860153b Page 4 of 6 Sample Date: 05/13/03 CONDENSED DATA Location Compound Concentration 012 H 0.0000 012 TVHC 0.00000 013 E 0.0000 013 H 0.000 I 013 TVHC 0.00000 014 E 0.0000 014 H 0.0006 014 TVHC 0.00000 015 E 0.0012 015 H 0.0032 015 TVHC 0.00000 017 E 0.0017 017 H 0.0052 017 TVHC 0.00000 018 E 0.0008 018 H 0.0034 018 TVHC 0.02100 019 E 0.0000 019 H 0.0091 019 TVHC 0.00000 020 E 0.0000 020 H 0.0129 020 TVHC 0.00000 021 E 0.0000 021 H 0.0222 021 TVHC 0.00000 022 E 0.0000 022 H 0.0260 022 TVHC 0.00000 023 E 0.0006 023 H 0.0010 TVHC (Total Volatile Hydrocarbons) values reported in milligrams/liter (mg/L). Tracer A, and W values reported in milligrams/liter (mg/L), Tracer E, G,H, R, and I values reported in micrograms/liter (µgiL). 0.00000 = Not Detected -999999.99999 = No sample - e Tracer ResearchJob No. 860153b Page 5 of6 Sample Date: 05/13/03 CONDENSED DATA Location Compound Concentration 023 TVHC 0.02100 024 E 0.0001 024 H 0.0000 024 TVHC 4.42350 025 E' 0.0002 025 H 0.0000 025 TVHC 0.00000 026 E 0.0025 026 H 0.0009 026 TVHC 0.02600 027 E 0.0000 027 H 0.0028 027 TVHC 0.00000 028 E 0.0000 028 H 0.0000 028 TVHC 0.00000 T3 ann E 0.0000 T3 ann H 0.0046 T3 ann TVHC 0.00000 T3 _sump E 0.0031 T3 _sump H 0.0441 T3 _sump TVHC 0.00000 T 4 ann E 0.0000 T4 ann H 0.0075 T 4 ann TVHC 0.00000 T4_sump E 0.0086 T4_sump H 0.2595 T4_sump TVHC 3.54860 T6_sump E 0.0033 T6 _sump H 0.0189 T6_sump TVHC 0.18110 TVHC (Total Volatile Hydrocarbons) values reported in milligrams/liter (mgIL). Tracer A, and W values reported in milligrams/liter (mgIL). Tracer E, G, H, R, and I values reported in microgramslliter (µgIL). 0.00000 = Not Detected -999999.99999 = No sample · . '. e e Tracer Research Job No. 860153b Page 6 of 6 Sample Date: 05/13/03 CONDENSED DATA Location Compound Concentration T6 ann E 0.0000 T6 ann H 0.0041 T6 ann TVHC 0.89230 T7 ann E 0.0000 T7 _ann H 0.0044 T7 aim TVHC 0.73750 T7 _sump E 0.0007 T7_.:. sump H 0.2026 T7 _sump TVHC 112.28430 TVHC (Total Volatile Hydrocarbons) values reported in milligrams/liter (mg/L), Tracer A, and W values reported in milligrams/liter (mg/L). Tracer E, G, H, R, and I values reported in micrograms/liter (µglL). 0.00000 = Not Detected -999999.99999 = No sample Tank 6 12,000 gal Premium Tracer IE) Tank 5 I Not Tested Tank 7 12,000 gal Diesel Tracer [H] 21 22 IF 00 20 1 F 00 17 1 F 00 '1 E X P LAN A T ION Sampling Probe Location Approximate Pipeline Location ------ ~MW File: 360l53Bl Arc=860153B4 Monitoring Well Location Size:A Date: 05-21-03 25 ~j ASp h a 1 t B u i 1 din g Sidewalk Asp h a 1 t ... .H.... t ,.. 0 10 20 f e e t Tr ace r Re sea r c h Co r po rat ion m~ . Tank 4 12,000 gal Rac ing Fuel 10 9 Tracer (H) ,-0 , 6 14 13 I . " I ----------------1 V.n ts 0000 Tank 2 Not Tested S H I R LEY .- MW -0 7 p o F 1 00 8 F 1 00 Tank 3 12,000 gal Premium Tracer (E] ~ CD I 1. 9 : 2.7 2.8 Ven<s ~ - ----------- - --000 I ~ CD : 18 : . , : G) Ii 15' I 1.6 r;=;l :-.----~.-I ~ tij j. ,:'" ",;, ~ ~ I I I :. 24 ~ r[jl ! H ~ Cement p o -0 3 p o 5 F I 00 4 e I I :-0 ~ I 2 : . . 1. ~~ ¡-·~--::"·i ~ ~ is I I ''; I I Q I I I I I , 0: : 0 Po :. 1.2 11': Po ~ I I ~ Q I I Q O ! ! 0 Cement F I 00 Tank 1. Not Tested e J a C 0 640 ENVIRONMENTAL 860153b Fig u r e a o 0 1 ,. H I T E: 1.0 A N E BA.KERSFI E L D C A LIFORNIA I S AM P L I N G L o C A T I o N S \ Tank 6 12,000 gal Premium Tracer eE) Tank 5 I Not Tested Tank 7 12,000 gal Diesel Tracer [H] lNO) 21 22 'ND) I F 00 (NO) (N....) ~ 0 I (NO, ,NO) 'ND) 19 I 27 28 . ~______.!.__ _ ___o__~~63 I J I I I I , 01, 1.~ ~"!".~'-'-~:-.! ~ ,~ Q I' 23 I Q t 10.0006) (0.0025) I I I I I I I I, 24 25 'I I (0.00021 I ~ : to.OOOll : ~ ,~ 0 I I 0 .~ Q Cement Q 20 IF 00 (0.0017) 17 ~0 10.0008) 18 IF 00 '1 EXPLANATION Sampling Probe Location ,------ .MW to _ 0002) (ND) APproximate pipeline Location Monitoring Well Location Tracer E Sample Value (~g/L) Non Detect 'NA) Not Sampled or Not Available Sb:e:A Date: 05-21-03 Fil€<:86Q153B2 Arç;860151B4 Asp h a 1 t B u i 1 din g Sid e w a 1 k Asp h a 1 t ... .N: r f " 0 10 20 f e e t Tracer Research Corporation Tank 4 12,000 gal Racing Fue1 Tracer' [M] 10 ,0.00") p o F I 10.09291 00 8 {V : 6 (NO) 14 (ND) 13 (ND) I Vents.. I 0000------- ---- _ _ _ _ --1 . 'MW -0 7 (0.0084) p o F I 00 (0.0944) 5 -0 p o F I (NA'oo 4 3 10,00201 Tank 2 Not Tested 1-0 ~ J 2 10,00081 I . . 1 tND) ~~:~~--~.¡~ ~ 't1: : is I I I I I I O I I 0 I (NO' I p. :' 12 11 ': .~ I to.OO04) I Q I I O ~ I 0 Cement 0. II) '... Q S H I R LEY 9 10,05071 m Tank 3 12,000 gal Premium Tracer [E] e F I 00 Tank 1 Not Tested e J a C 0 6 4 0 E N V I RON MEN TAL 860153b 800 1 W HIT E LAN E BAKERSFIELD, CALIFORNIA Tracer IE] DistributionJ Fig u r e 2 Tank 6 12,000 gal Premium Tracer eEl Tank 5 I Not Tested 10.02221 21 1 F 00 (0.0129) 20 1 F 0() (O_OOS2;) 17 1 F 00 ,"^) 16~ .~~ Tank 7 12,000 gal Diesel Tracer [H] 22 10,02601 ~0 10,00911 19 10.0028) (NO) ~0 (0.0034) 18 '1 E X P LAN A T r 0 N ,------ .MW (0,0002) (ND) Sampling Probe Location Approximate pipeline Location Monitoring Well Location Non Detect Tracer H Sample value (µg/L) 1m) Not Sampled or Not Available FÜ¿:860153B3 Arc; 86015384 Size:A Dat.e: 05-21-03 ASp h a 1 t Building Sid e w a 1 k Asp h a 1 t - Ko ,. t " o 10 20 f e e Tr ace r Re sea r c h Co r p or a t ion Tank 4 12,000 gal Racinglfu~l Tracer [H] . MW I CO.00061 I 14 13 (0.00011 I V.nt8.. , 0000- - - - - - - - - - - - - _ _ - - I I I 1-0 ~ I 2 (0.00091 I 0 . 1 (ND) ft~ I.J..:;__~~¡ ~' ~ ~ : E I , I :0 11 .: (O.0007) J I :0 Tank 2 Not Tested S H I R LEY J a C 0 o 10 10.0024) B '~ 7 (0.0248) F I 00 to.OOOSI 8 9 10.00381 rn -0~ 6 (0,0014.) 10.00711 5 I I I 2.7 2.8 Vents I- ---- ---- ---- - - -000 I I I I I . I : øli 10,0032) 15· I '-.-----.-' : MW MW :~$ :.23 26·: Q 110.00101 10.00091 I I I I I I 1.24 25 ·1 ! Iol j '.", ,-, j Iol ! Q l.':J Cement l.':J Q -0; 3 (0,00841 F 1 00 (NA' 4 F I 00 Tank 3 12,000 gal Premium Tracer [E] o (NO) 12 0. to '... Q 0. to .... Q Cement e F I 00 Tank 1 Not Tested 6 4 W H r T E !.o A N 1::. D i s t rib uti 0 n T r ace r BA.KERSFIELD, H ] e 860153b E N V I RON MEN TAL 800 1 C A L I FOR N I A Figure o Tank 6 12,000 gal Premium Tracer [EJ T~k 51 Not Tested Tank 7 12,000 gal Diesel Tracer [H] (ND) 21 22 (ND) IF 00 (ND, 20 (NAI ; 0 I (ND) (ND) (NDI 19 I 27 28 o L______.!.______.__V;~~s I ; 0: (o.021QO) 18 : . I : ø Ii (ND) 15' I 16§ :'"".f------~-~ § PoD' MW MW IOPo '~I 26 .1 .~ ~ I' 23 I ~ I 10.021001 10,02600, I I I I I I I 1'24 25'1 I (NDI I §: 14.4H50I : § ~ 0 I I 0 ~ E Cement E IF oQ (NDJ 17 IF 00 "1 E X P LAN A T ION Sampling Probe Location ,------ ~MW 10.0002) (NDJ APproximate pipeline Location Monitoring Well Location TVHC Sample Value (rng/L) Non Detect (m) Not Sampled or Not Available Size;A DatQ~ 05-21-03 File,8'¿¡OlS3B4 Arc; 860153B4 Asp h a 1 t B u i 1 din 9 Sid e w a 1 k Asp h a 1 t ~ .No .. t " 0 10 20 f e e t Tr ace r Re sea r c h Co r po rat ion Tank 4 12,000 gal RacingFu~l Tracer [,H] . MW I I 14 (ND) 13 (Nt» I Vøn~s o. I 0000- - - -- - - --- -- -- ---1 I I 1 Tank 2 Not Tested ª§ S H I R LEY J a C 0 o o 800 1 10 (ND) m 9 (ND) -ø p o F I 00 (ND) 8 Tank 3 F I 12,000 gal 00 Premium (ND) 5 Tracer rE] F I Co (No\) 4 e 7 (ND) -ø p 0 6 (ND) -0 P 0 3 (l'/DI F I ()o Tank 1 Not Tested p, .. .... ~ 1-0 ~ I 2 (ND) J . . 1 eND) .~--~~¡§ go : ~ I I I :0 11 ": 10.03500) J J !D (ND) 12 Po .. '... Q Cement e 860153b E N V I RON MEN TAL 640 W HIT E LAN E B ^ K E R 5 PIE L D, C A L I FOR N ~ A I '1' V H C D i s t rib u t i~ Figure ~~, 'acer Tighl ® S I-T E INFORMATION FOR M I Tra,,, Job C:::¿(oO\<53-~ Ilno,uI8"on Technician Sampling Technician ,7av\ MQ~(j.,...,o, 7o..u\. Mq ,"0; TracerTight4> \ \C> 'SD ID #: 'H;ac~rTightli) \ \DSC::::I Slale License # Stat.e License : o:3-\\o\\\.Ì : O.3-\\D'4'-\ Site C~ lo4~ Name : JQ~"Ö Aftillia te : c:,"'-.,,, \~\f -:r:......'-.! i (O""fN.Y\\~\ Site 'z(ool Y<I~\+c.. \ON!. :î?..ok().r.; ~i~ \ d C1 2:¿iil Address : City Stale : C,A Zip : e cision Test 0 Leak Delineation 0 /'L9 /01:> Depth to ground waler in tank pil 1~6 1" Inoculation date : 4 at inoculation/initial visil (in inches): in, Initial Test 0 All Water Ingress 0 0 (see box at right) / /03 Deplh to ground waler in lank pit I~D+- Annual Test Monthly Monitoring 0 5 b at sampling/secondvisil (in inches): in. Sampling date : Retest 0 To be used for ALL Water Ingress Tests Result VerUicatlon 0 ED) Maximum Sample Vacuum Tank(s) were constantly & completely 0 0 Residential Tank(s) 0 2-b submerged in ground water for the (Highest probe Vacuum on site) in Hg duration of the test ? YES NO mk No, -< ~1f;O 'I! o...~~ "'~:!I'Ð z~ct "1 o Volume (in gallons) Product 3 4 eb ~ ~ \'2.\<::00 o~ . n:ø lid \'2..~O 'l)\~~\ ~\f\"" -:;;:-I..J~ \ --;J '"\)'~'\'l""\ Üt'l'< ~~ \'2..,000 -=t OI!?J n:s NO \ L. ÓO e) 00 YES NO i'D\~~\ 00 n;s NO 00 n;s NO 00 YES NO 2o~ f :: ë '"'i Ii II ~ r · Þ ~ ~ n,~ . : 0 . ~ tI ~ þ"CA \oxz(P \0)(2.(0 tD X2(p b'l110 . "' '-., II II .. D .. " II ., ¡: ... ¡;~ ¡: " £IOlj '~ \\<o<Ç" 'E. \~\ ~ \--\ \\~<Ç ~ ~ .. : I", f At inoculation At liIampling ¡;;' ~ 13 '1 to ,," 0, 0 ¡: o g ~ g = &. -:- H20 level Total Liquid H20 1ev.1 Total Liquid r+ a;. ; ::s ~ ¡. C ~ S· in tank level In tank level ~ 'Ø to'" ;;-:~.e: ...... ... ø. ~ In inches) (in Inches (In inch.. (In Inche. S. \ ~~ (S) '& '0 ~ £(0 \-=t .3S ?t ~ ~ '&. ~ o-i... '"<¡¡¡11." tI C") ~_ .. ~ ~ 't; o .... ø. :!.. '1~..Ei Z OQ - It o ~;: r[D \4 ( :BlO TIS NO '3'Jl':l ~~!~¡ !¡ ~ Ii' ~ &' ~~g~g' o ~= [ ~g {DO YU NO ~~ t>EJ0 YBS NO 00 YBS NO 00 YBS 110 00 YBS NO 00 YBS NO ~.., r þ ~ ~ ~ Iõ B ... I> ~ ~H r .. II... r · IL - .. ,14ir' \4g/1 /1 \111 II 1110 ¡mments :____________________________________________________________________________________________________ \ \ \ ~\.I ,,\~ ~~". l ~L 0 n:s NO rn .. vised 8-27-98 Rev; 03 ------------------------~~----------~---------------------------------------------------~------------------ . ?)o b?J KJO YES NO ----------------------------------------------------------------------------------------------------------- l rß1.0 YBS NO 00 YES NO 00 YES NO 00 TIS NO 00 YES NO '1'..... D...._.£ "'.__...1:._ rRACER RESEARCH CORPORATION. 3765 N. B\1IIID". CeDter DriY.. TUO.OD. AZ 86705 (520) 888-11400 rRC lob ,: <ßloC::NS 3- b )ate: 15-(0-<:::>2> CHAIN OF CUSTODY RECORD P4&.~OL~ ~JieDt : S11. Nem.: ù Oc..O ~ 64C) City-: 'ßO~t;Þ:>, ç: '¡~\¿ ~0o.r---a... T.ch. m,: ---- Site Addre..: ßOC>\ "~h\ +e. \Or¡e Affmate : 5\r-\ ( \ ~I ~v~ ro/\f'r\Q.')\'C\\ ~ tþ.lJi :\. "l'I .-1 ~ ",,'4- <$'t> Co'" ~.. Check One CoUnted a,.;-\=>ou\ ate le : c., ~ Zip: ct ß 3a q \\050 i,,~·et> "'~~ ~ .,.1> LAB ~..'" 0 ~ . ~~ -?: <t' " -- ~ q,." . U.. DDly j/~ ~ ~ /~~ ~.... Remarks Probe(.) Depth(fl) ".,# 4"." Date TIme Remarb . t5" \~R ~ ~~t{:?O \'+- , ,.. (" ~:''55 > l<'D ) ~~5"T \9 I ) S:c:5' ( .20 \ 5:09 ( Q..\ ( ( 5: l~ , \ 2."2.. ( ) S:\~ ) '2...~ :~ ~(' \ 6:('1 , 2t.A \ " 6:'Z1 2.5 I ) ¡ 6: z.l\ 2..({') ¡ ) š: z:1 2-=r I ( '( t):" 1- 2...<6 { ? ¿ 5-..3 " ,-<:p ~ <: ;:..;q ?("(". ~ So \,/\,(:> -r-~ < ) 5: U¡2. \)'5\ S(,)N\ D I 1>, " IP \ <- 5"'~~ ret'^.~ -n::.., "'\~.£> ~ ~ -¡:-- ï ~ 5 ". ~ '\ '"'D~\ -n:~ ~K þ.."-\.\>.\ IX. A \ \(~b\Q r'\¥:., ( ( (> '5 ~S'L . , " Rellnqui.bed Br. (S!£Dalure/Date) '5 -'=r- ~ ?~ {YV _ R.llnq1l1.h.d I!J: (Slpatllr./Dst.) Lab Rellnqw.hed By: (Sl&natur./D.te) 2..(0 lIuimum I'wDp Vacuum (111 H,) o D.t. Sh.et with TVHC 1.&11 ReIlDq1l18b.4 B,: (Slpatun/D&te) Remarb: o D.t. Sbeet without TVHC o Two Dat. Sheelo (0... wltb TYKC " ODe without) .. 'AJIT .SJ'Ol aer.OS 08/118 WII]'U: - "'1u", wttJa __ to lab 'RLLOW - RetQna with 1l1li11>1... to 1&b p~ - Send.er _ Copy RACER RESEARCH CORPORATION, 3755 If. BUIIln... C.nter Dri.... Tu.nan, ,A,Z 85705 (520) 888-Ø400 RC ¡ab I: ~<OO1<55-ê CHAIN OF CUSTODY RECORD Pa¡.~Of "b.'?... ate: 5 - Co-CB ~li.nl: Site Neme: -;:)Oc..C) -:IF- to ~ ~ Ue Àddre..: '6~\ ~~\~ \Q\\~ CII,...: ~ ke..("~~\~\ð State : c:...~ Zip: q "3 3<:::1'1 Mimate : S~\ { \r::::...y '":t:.f"\ V' i (Ol"'\~(\\ 0.\ Call.cted B,: ¥aù\ Mo~o~ T.ch. IDI: \ \.0 c:=;c, ~LAB .i> ~~ ,..... ~ ->' -$'~ c.'~. ~~ Probe(.) Dapth(ft) 4..f> Data ~6 ~:.:z;; - .." U.. Onl, Check One TIme R.marlte ~. '?J'" Remark. . \ \0 "F'\- 'Q 5~~ 3;~ð ?... ( ( .3:'~3 g to. <; ð:4, ~ 5 ( \ ,- ~S' I ß=.St \ b ) ( .3:5 !;¡ / ----+- ) ) g:'S~ . 'b t \ ß:5~ ( ''''f ( ( 4 "..c ~ ( \0 ( ¿ 1..\:0(,. , \.\ (1/ I ¡ ( 1.\-~D'1 ') 1'2- ) ( 4::\2.... ) ( . (3 ~:\ l.\. ~ \y \) ( l\·.t~ U~\ T-~ I'Q \ ( l\:2.c:-. 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'. flJ Lt' I-D :1"- I.:r- '0 '0 10 POstage $ Certified Fee o Irß IflJ , Return Reclept Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Postmark Here ;:::- Total Posta, 'V' IITI o o I I"- Fastrip ""'nn.___._ 8001 White Lane ""fBÐt, Apt. /II _o:'~~~o:..~~ Bakersfield, CA 93309 City, State, Z '----, -- Sent To - - --- PS Form 3800, June 2002 ---- ~ ,-../ Certlfl~d.' Provides: 19&J8A9ul ",^M 9unr ''''''''' WJO~ Sd I · A malhn Ipt I' <>1 ''''''Co uuoe. '" I I · A unique tifler for your mallplece · A record of delivery kept by the Postal Service fOHwo yesI'S fm/?Orfsnt Reminders: · Certified Mail may ONLY be combined with Arst·Class Mal~ or Priority Mali@. · Certified Maills not available for any class of intemational mall. I · NO INSURANCE COVERAGE IS PROVIDED with Certified Mall. For II valuables, please consider Insured or Registered Mall. · For an additional feelùa Return Receipt may be requested to provide proof of ' delivery, To obtain Re m Receipt servIce, prease complete and attach a Retum i Receipt (PS Form 3811). to the article and add applicable postage to cover the I fee. Endorse mallplece 'Retum Receipt Requested·. To receive a fee waiver for a duplicate return receipt, a USPSe postmark on your Certified Mall receipt Is : required. _...." I · For an !t6ditional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark thè mailplece with the endorsement 'Restricted1)elivery~ · If a postmark on the Certified Mail recel~ is desired, please present the arti- cle at the post office for postmarking, If a postmark on the Certified Mail I receipt is not needed, detach and affix label with postage and mall. IMPORTANT: Save this receipt and present It when making an Inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. I, · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse I so that we can return the card to you. I . Attach this ca~ to the back?f the mailplece,;;:,\ I or on the front If space permits. 1. Article Addressed to: I I rF, . 'astnp 8001 White Lane Bakersfield, CA 93309 I I I 2. Article Number \ (rnmsfer from service label) I PS Form 3811, August 2001 B. Received by (Pr1~ D. I delivery address different from Item 1 If YES, enter delivery address below: ì I 3. Service lÿpe ~ Certified Mail 0 Express Mail o Registered 0 Return ReceIpt for Merchandise 1 o Insured Mail 0 C.O.D. ç' I 4. Restricted Delivery? (Extra Fee) 0 Yes I I I I I 102595-02-M-1540 \ 7003 2260 0004 7652 2969 Domestic Retum Receipt UNITED STATES POSTAL SERVICE \\\\\\ First-Class Mail Postage & Fees Paid USPS Permit No, G-10 . Sender: Please print your name, address, and ZIP+4 in this box · ..... 4 - Bakersfield Fire Department Prevention Services 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 \. $ ",',,11 fllI.II .11""1111""""",,.111,,,".,11,',',11,11 J FIRE CHIEF RON FRAZE, ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES· ENVIRONMENTAl SERVICES 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave, Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 It e December 12, 2003 CERTIFIED MAIL Fastrip 800 1 White Lane Bakersfield, CA 93309 RE: Propane Exchange Program Dear Owner/Operator: The purpose of this letter is to advise you of current code requirements for propane exchange systems, such as "Blue Rhino" or "Amerigas." This does not apply to large propane tanks, only propane exchange systems. Over the past two years this office has noted a dramatic increase in the propane exchange system in the city of Bakersfield. It has also been noted, with great concern, that many of these installations are a clear violation of the UFC (Unifonn Fire Code) and represent a danger to public health and safety. Accordingly, procedures for storage of propane cylinders awaiting use, resale or exchange, have been adopted through BMC (Bakersfield Municipal Code) and adoption of the 2001 UFC. The procedures are as follows: Storage outside of building for propane cylinders (1,000 pounds or less) awaiting use, re-sale, or part of a cylinder exchange point shall be located at least 10 feet from any doorways or openings in a building frequented by the public, or property line that can be built upon, and 20 feet from any automotive service station fuel dispenser. (Note distance from doorways increases when cylinders are over 1,000 pounds cumulatively.) Cylinders in storage shall be located in a manner which minimizes exposure to excessive temperature rise, physical damage or tampering (Section 8212, California Fire Code, 2001 Edition). When exposed to probable vehicular damage due to proximity to alleys, driveways or parking areas, protective crash posts will be required as follows (Section 8001.11.3 and 8210, California Fire Code, 2001 Edition): 1) Constructed of steel, not less than 4 inches in diameter, and concrete filled. 2) Spaced not more than 4 feet between posts, on center. .. 'Y;;'~IÚ~?' d~ r;;./N//ì///U(? "%./' . / (;(',/¥J .9%;//1 . -~ Y;;~I////r ~~ ,( ~'j ,~'~ . e Letter to To: Owner/Operators of Propane Exchange Systems Re: Propane Exchange Program Dated: December 12,2003 Page 2of2 3) Set not less than 3 feet deep in a concrete footing of not less than a 15 inch diameter. 4) Set with the top of the posts not less than 3 feet aboveground. 5) Located not less than 5 feet from the cylinder storage area. Exceptions: Cylinders storage areas located on a sidewalk which is elevated not less than 6 inches above the alley, driveway or parking area, with not less than 10 feet of separation between the curb and the cylinder storage area. "No Smoking" signs shall be posted and clearly visible (Section 8208, California Fire Code, 2001 Edition). Resale and exchange facilities must be under permit to verify compliance. All existing facilities will be checked and when compliance is confirmed, a permit will be issued. All new propane exchange systems must be permitted prior to installation. You will have 90 days (March 4,2004) to comply with the procedures outlined. Once compliance has been confirmed, each exchange system will be issued a permit, which will be placed on the exchange system. Sites not conforming to current code, will be "red tagged" and must be taken out of service immediately. You should contact your Blue Rhino representative, Mr. Taylor Noland, or your local Amerigas representative. They are aware of curnmt code requirements. If you do not have a propane exchange system, please disregard this letter. Should you have any questions, please feel free to contact me at (661) 326-3190. Sincerely, JLúkc Steve Underwood Fire InspectorlPetroleuml Environmental Code Enforcement Officer , SENDER: COMPLETE THIS SECTION , · Complete items 1'; 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can rett.Jrn the card to you. · Attach this card to the back of the mailpiece, or on the front if space permits. 1. ,Article Addressed to: F ASTRIP 8001 WHITE LANE BAKERSFIELD CA 93309 IJ- . 2. Article Number _(Transfer from seNÍce label) PS,Form 3811, August 2001 A. Signature COMPLETE THIS SECTION ON DELIVERY ) D. Is delivery address different from item if YES, enter delivery address below: 3. Service Type ~ Certified Mail D Registered D Insured Mail D Express Mail D Return Receipt for Merchandise D C.Q,D, 4. Restricted Delivery? (Extra Fee) DYes 7002 3150 0004 9985 4278 Domestic Return Receipt 2ACPRI-03-Z-o985 UNITED STATES POSTAL SERVICE """ I ~ I I I I I ; First-Class Mail PQstage & Fees Paid USPS Permit No. G-10 ~' · Sender: Please print your name, address, and ZIP+4 in this box. Bakersfield Fire Department Prevention Services 1715 Chester Avenue, Suite 300 Bakersfield, CA 93301 >. I ' I'! I, t I ; Ifllll I I i IIIII ! ,Ii I it;! II f ,1111111 i III! I f fIll f i j I'I t I i I I I 1<tJ II'- ru .:r- I U" , <tJ a- , a- O(FFICIAl " Postage $;' Certified Fee Return Ree/ept Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) , ::r CJ , CJ CI , CI Lr r-'I I fT I Total Postage &, ~ Sent To I CI I f"'- Yiñiit;AþtÑö.¡- or PO Box No. ëitÿ;Siãtë;Ž1~4- :.. USE Postmark Here FASTRIP 8001 WHITE LANE BAKERSFIELD CA 93309 ." Certified Mail Provides: (9SJ9A9t/) ;:007 eunr '00"" WJO-' Sd I · A mailing receipt ~ O~.. · A unique Identifier for your mailpiece , · A record of delivery kept by the Postal Service fõr two years Important Reminders: . ~ , · Certified Mail may ONLY be combined with Arst-Class Mai/Ø or Priority Mai/QJ), , · Certified Mall is not aVailable for any class of i,lJtemational mail. · NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. · For an additional fee! a Return Receipt may be requested to provide proof of delivery. To obtain Re um Receipt servIce, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to COver the fee. Endorse mallpiece "Retum Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USP8QJ> postmark on your Certified Mail receipt is reqUIred. · For an additional fee, delivery may be restrIcted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the I endorsement "Restricted Delivery". · If a postmark on the Certified Mall receipt is desired, please present the arti- cle at the post office for postmarking, If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. I IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. :=¡;:¡¿ ChiEF ,,<mi ,"'<AZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAX (661) 395·1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAX (661) 395·1349 PREVENTION SERVICES FIRE SAFETY SERVICES' ENVlRONII£NTAl SERVICES 1715 Chester Ave, Bakersfield, CA 93301 VOICE l~61) 326-3979 FAX (æ1) 326-0516 PUBLIC EDUCATlO;'" 171~ Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 --.--.---- \ ) e e, September 8, 2003 CERTIFIED MAIL Fastrip 8001 White Lane Bakersfield, CA 93309 REMINDER NOTICE Re: Deadline for Dispenser Pan Requirements December 31, 2003 Dear Underground Storage Tank Owner/Operator: A review of our files indicate that you have been receiving quarterly reminders from April of 2002 to December 2002, Our files further show that since January of this year you have been receiving monthly reminders. The purpose of this letter is to remind you of the necessary retrofit of your fueling system. Current code requires that you install under dispenser containment pans prior to December 31. 2003. You will not be allowed to pump fuel after December 31, 2003 unless you have completed the upgrade requirements. Contractors are already scheduling 8-10 weeks in advance. I urge you to retrofit your facility as soon as possible. Should you have any questions, please feel free to contact me at 661-326-3190. S20UŒ: Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SBU/db ~~..%~ ~ ~"/I//lU~ .¥op ._/øgonp .!Ÿ7lO/b .A W~U'?" SYSTH'1 SETUP AUG 13, 20q3 8: 24 Ar"1 SYSTEr"1 UN I TS U.S. SVSTEr1 LANGUAGE ENGLISH SYSTEM DATE/TII"IE FORr"IAT r10N DD yYyY HH :f"IM :SSd'l FASTRIP 640 8001 WHITE LN BAKERSFIELD CA 93309 SHIFT TIr-'IE SHIFT TII"IE 2 SHIFT TItvlE :3 SHIFT TIf"IE 4 12:00 Atvl DISABLED DISABLED DISABLED TANK PERIODIC WARNINGS DISABLED TANK ANNUAL WARNINGS DISABLED LI NE PERIODIC WARNI NGS DISABLED LINE ANNUAL WARNINGS DISABLED PR I NT TC VOLUr'IES ENABLED TEr'IP COI"fPENSAT I ON VALUE (DEG F ): 60.0 STICK-HEIGHT-OFFSET I DISABLED DAYL I GHT SAV I NG T IIvlE DISABLED SYSTEM SECURIT''/ CODE : 000000 cor"II"IUN I CATI ONS SET UP - - - - - - ~' ,RT SETT I NGS : I Ii ~ONE FOUND ..' RS-232 SECUR I TY CODE 000000 RS-232 END OF r"1ESSAGE DISABLED IN-TANK SETUP ------ T 1 : UNLEADED 366 PRO[JUCT CODE THERt·1AL COEFF TANK DIAMETER TANK PROFILE FULL VOL 1 : .000700 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. 8496 vJATER WARN I NG HIGH WATER LIMIT: I"IA>< OR LABEL VOL: OVERF I LL LI r·1 IT HIGH PRODUCT DELIVERY LIr·1IT LOl'" PRODUCT LEAK ALARM LIMIT: SUDDEN LOSS LII"IIT: TANK TILT MANIFOLDED TANKS TIt: NONE 2.0 3.0 12000 95?'~ 11400 97~~ 11640 5% 600 500 99 50 0.00 LEAK MIN PERIODIC: 10% 1200 LEAK MIN ANNUAL 10% 1200 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL AT APt.1 f) T C::A¡::¡T 1='f) PERIODtC-TEST FAIL ALAR!"1 DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY T 2: PRE!"l I ur"1 366 PRODUCT CODE T HERr'1AL CO EFF TANK DIAMETER TANK PROFILE FULL VOL : 15 r"lIN 2 : .000700 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING : HIGH WATER LIMIT: MA~ OR LABEL VOL: OVERFILL LIMIT : HIGI;j PRODUCT DEL I VERY L I r"1 I T LO~J PRODUCT LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT : MA~IFOLDED TANKS TIi: NONE LEAK MIN PERIODIC: LEAK MIN ANNUAL 2.0 3.0 12000 95~. 11400 971. 11640 10% -1 200 500 99 50 0.00 10% 1200 1 m. 1200 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALAR!'1 DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF I T 3: DIESEL :366 PRODUCT CODE THERMAL COEFF TANK DIA!"lETER TANK PROFILE FULL VOL 3 : . 000450 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING : HIGH WATER LIMIT: MAX OR LABEL VOL: OVERF I LL LI r"1 IT HIGH PRODUCT DELI VERY' LI 11 I T LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT 1"1AN I FOLDED TANKS Tit: NONE LEAK MIN PERIODIC: LE,AK r''II N ANNUAL 2.0 3.0 12000 95~. 11400 97~. 11640 10% 1200 500 99 50 0.00 lœ. 1200 lœ. 1200 PER, ODIC TEST TY'PE STANDARD ANNUAL TEST FAIL . ALA..Rr"l D I SAßLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALAR!"! DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY' DELAY' : 15 MIN T 4:RACING FUEL PRODUCT CODE THERt'1AL COEFF TANK D I At"1ETER TANK PROFILE FULL VOL 366 4 : . 000750 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING : HIGH WATER LIMIT: MAX OR LABEL VOL: OVERF I LL L H1 IT HIGH PRODUCT DELIVERY LIt'1IT LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT MANIFOLDED TANKS TIi: NONE 2.0 3.0 12000 95% 11400 97~, 11640 10% 1200 400 99 50 1. 27 LEAK MIN PERIODIC: 10% 1200 LEAK MIN ANNUAL 10% 1200 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARt"1 DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF fjJ:'T T\/J:'RV n~T AV . 1 ¡:; MT r,¡ T 5:UNLEADED 367 PRODUCT CODE THERI"IAL COEFF TF\NK DIAMETER TANK PROFILE FULL VOL 5 : .000700 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING : HIGH WATER LI¡VIIT: I"IAX OR LABEL VOL: OVERF I LL L II") IT HIGH PRODUCT DELI VERY LI ¡VII T LOW PRODUCT : LEAK ALARI"I L I r'l IT: SUDDEN LOSS L II"I IT: TANK TILT MANIFOLDED TANKS T#: NONE LEAK MIN PERIODIC: LEAK 1"1 I N ANNUAL PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALAR/1 ' DISABLED PERIODIC TEST FAIL ALARr'l DISABLED GROSS TEST FAIL ALARI1 DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : 15 MIN 2.0 3.0 12000 95}. 11400 99~, 11880 5% 600 500 99 50 0.00 1 œ, 1200 10}. 1200 T 6: PREt"l I UI"l 367 PRODUCT CODE THERI1AL COEFF TANK D I AI1ETER TANK PROFILE FULL VOL : 6 : .000700 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING HIGH WATER LIMIT: MAX OR LABEL VOL: OVEijFILL LIMIT : HIGH PRODUCT DELI VERV LI 11 I T LOl,J PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS LIt"llT: TANK TILT : r"IAN I FOLDED TANKS Tit: NONE LEAK MIN PERIODIC: LEAK 1"11 N ANNUAL 2.0 3.0 12000 95% 11400 97~'~ 11640 10% 1200 500 99 50 0.00 1 O~~ 1200 1 O~~ 1200 I PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARr1 DISABLED PERIODIC TEST FAIL ALARI1 DISABLED GROSS TEST FAIL ALARr'1 DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFV: OFF INK TST SIPHON BREAK:OFF DELIVERV DELAY : 15 MIN T 7:DIESEL 367 PRODUCT CODE THERtvlAL COEFF TANK D I Atv!ETER TANK PROFILE FULL VOL : 7 : .000450 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING : HIGH WATER LIMIT: MAX OR LABEL VOL: OVERF I LL LI M I T HIGH PRODUCT DELI VERY LI M I T LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT MANIFOLDED TANKS T;t: NONE 2.0 3.0 12000 95% 11400 97~~ 11640 10% 1200 500 99 50 0.00 LEAK tv! I N PER I OD I C : 1 o~. 1200 LEAK MIN ANNUAL 10% 1200 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ~.~ -~-T '~. ALARr~, DISABLED,-, ! PERIODIC TEST FAIL .....~ , " ALAR!"! DISABLED GROSS TEST FAIL ~ ALAR!"! DISABLED ~ ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TS1' SIPHON BREAK:OFF m::T T \lFPV nFT AV : t ¡:¡ 1'1 T N LEAK TEST r"1ETHOD - - - - - - -- - - - TEST ON DATE : ALL TANK JAN I. 2000 START T H1E: 2: 00 AI1 , TEST RATE : 0 . 20 GAL'HR DURATION : 2 HOURS LEAK TEST REPORT FORMAT NORMAL " LIQUID SENSOR SETUP - - - - - - - - - - L 1 :EAST SIDE SOUHT ANNU TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L 2: E{~ST S I DE STP SUI1PS NORl"lALL Y CLOSED CATEGORY : STP SUMP L 3:EAST SIDE EAST ANNUL NORI"1ALL Y CLOSED CATEGORY : ANNULAR SPACE L 4:EAST SIDE WEST ANNUL NORl"lALL Y CLOSED CATEGORY : ANNULAR SPACE L 5:WEST SIDE SOUHT ANNU NORI"lALLY CLOSED CATEGORY : ANNULAR SPACE L '6:WEST SIDE STP SUMPS NORl"lALL Y CLOSED CATEGORY : STP SUI"1P L 7: WEST S IDE WEST ANNUL NORt"IALL Y CLOSED CATEGORY : ANNULAR SPACE L 8: li-IEST S IDE EAST ANNUL NORMALLY CLOSED CATÊGORY : ANNULAR SPACE L 9:WEST SIDE 87 STP NORI1ALL Y CLOSED CATEGORY : STP SIItvlP OUTPUT RELAY SETUP - - - - - - - - - R 1 :POSITIVE SHUTOFF WES TYPE: STANDARD NORMALLY CLOSED IN-TANK ALARr1S T 1: LEAK ALAR~1 T 2:LEAK ALARM T 3: LEAK ALARr1 T 4: LEAK ALARr1 T 1 :HIGH WATER ALARM T 2:HIGH WATER ALARM T 3:HIGH WATER ALARM T 4:HIGH WATER ALARM LIQUID SENSOR AU1S L 5:FUEL ALARM L 6:FUEL ALt:\RM L 7 :FUEL ALÀRM L 8:FUEL ALARM L 9: FUEL ALARr1 L 5 : SENSOR OUT ALAR!1 L 6 : SENSOR OUT ALARrvl L 7 : SENSOR OUT ALARr1 L 8:SENSOR OUT ALARM L 9:SENSOR OUT ALARM L 5: SHORT ALARI'1 L 6:SHORT ALARM L 7: SHORT ALARr"! L 8: SHORT ALARrvl L 9: SHORT ALARr1 R 2:POSITIVE SHUTOFF EAS TYPE: STANDARD NORMALLY CLOSED I N - TANK ALARlvlS T 5: LEAK ALAR!"l T 6: LEAK ALARr1 T 7:LEAK ALARM T 5:HIGH WATER ALARM T 6:HIGH WATER ALARM T 7:HIGH WATER ALARM LI QU ID SENSOR AU"IS L 1: FUEL ALARr1 L 2: FUEL ALARr1 L 3: FUEL ALARr1 L 4:FUEL ALARM L 1 :SENSOR OUT ALARM L 2: SENSOR OUT ALAR~'l L 3: SENSOR OUT ALAR!"! L 4:SENSOR OUT ALARM L' 1 : SHORT ALARM L 2:SHORT ALARM L 3:SHORT ALARM L 4.:SHORT ALARM ALARr", H I STORY' REPORT SY'BTEM ALARM ----- PAPER OUT AUG 5. 2003 12:18 PM PRINTER ERROR AUG 5. 2003 12:18 PM BATTERY' IS OFF JAN 1. 1996 8:00 AM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ALARM HISTORY' REPORT ---- IN-TANK ALARM T 1 : UNLEADED 366 HIGH WATER ALARM MAY 11. 2003 8:03 AM OVERF I LL ALARr1 AUG 10. 2003 11 :43 AM JUN 22. 2003 7:13 PM MAR 11. 2003 8:23 AM LOW PRODUCT ALARr", I JUL 14. 2003 6: 19 pr"1 JUN 10. 2003 11 :53 PM JUN 4. 2003 2:21 PM HIGH PRODUCT ALARr1 AUG 10. 2003 11:43 AM JUN 22. 2003 7:13 PM MAR 11. 2003 8:23 AM . INVALID FUEL LEVEL JUL 14. 2003 6:39 pr"l r1AY 29. 2003 4:26 pr"1 MA'1' 22.. 2003 5: 17 pr"l PROBE OUT MAY 13. 2003 10:14 AM _!"18Y_Ll_.~_2no_3_8:L9.Br~1~_ . MAY 11. 2003 8:14 AM HIGH WATER WARNING MAY 11. 2003 8:03 AM DELIVERY NEEDED JUL 14. 2003 5:46 PM JUN 10. 2003 11: 17 Pt1 JUN 4. 2003 2:05 PM MAX PRODUCT ALARM AUG 10. 2003 11 :44 AM JUN 22. 2003 7:14 PM MAR 11. 2003 8:25 AM LOW TE!"1P WARN I NG MAY 11. 2003 8:21 AM MAR 31. 2003 12:58 PM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ALAR!"1 H I STORY REPORT ----- SENSOR ALARM ----- L 1 :EAST SIDE SOUHT ANNU ANNULAR SPACE FUEL ALARM AUG 13. 2003 8:50 AM FUEL ALARr"l AUG 6. 2002 1:10 PM SENSOR OUT ALARM AUG 6. 2002 1 :04 PM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ . --.e-_ -- -- + -- - -.- . ~ S0FTWARE REVISION LEVEL VERSION 17.02 SOFTWAREØ 346017-100-C CREATED - 99,01.12.18.20 NO SOFTWARE 1"10DULE- S'iSTEI"j FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS ----------""'" - - - - , - -- -- - --- - - - " ~ SENSOR ALARM _____ L 7: WEST S I DE (,JEST ANNUL ANNULAR SPACE FUEL ALARt"J AUG 13. 2003 8:28 AM ----- SENSOR ALARt"1 _____ L 5:WEST SIDE SOUHT ANNU ANNULAR SPACE FUEL ALARf" AUG 13. 2003 8:29 AM - - -------- ----- SENSOR ALARt"1 _____ L 6: WEST S I DE STP SUt"IPS STP SUt"IP FUEL ALARf"1 AUG 13. 2003 8: 29 At"1 ----- SENSOR ALARM _____ L 8: LJEST S I DE EAST ANNUL ANNULAR SPACE FUEL ALARf"1 AUG 13. 2003 8:29 AM SENSOR ALARt"1 _____ L 9:I¡JEST SIDE 87 STP STP £ur"IP FUEL ALARt1 AUG 13. 2003 8: 29 At"1 :"~--'------.- - ~~ SENSOR ALARr"! ----- L 5:WEST SIDE SOUHT ANNU ANNULAR SPACE SENSOR OUT ALARM AUG 13. 2003 8:32 AM ----- SENSOR ALARM L 3: EAST S IDE EAST ANNUL ANNULAR SPACE FUEL ALAR!") AUG 13. 2003 8:50 AM ----- SENSOR-AbARM --____ L 1 :EAST SIDE SOUHT ANNU ANNULAR SPACE FUEL ALAR'"! AUG 13. 2003 8:50 AM ----- SENSOR ALARM ----- L 2: EAST SIDE eTP SUI'1PS STP SUr"IP F UEL ALAR~'! AUG 13. 2003 8:50 AM ,---- SENSOR ALARM I L 4:EAST SIDE WEST ANNUL ANNULAR SPACE FUEL ALARI"' AUÒ 13. 2003 8:52 AM - - - - . IN-TANK DIAGNOSTIC PROBE DIAGNOSTICS T 1: PROBE TiPE ¡"tAG 1 SERIAL NUMBER 397589 ID CHAN = OxCOOO GRADIENT = 350.9200 NUt"! SAt"lPLES 20 COO 1333.0 C02 20790.6 C04 20790. 1 C06 20803.8 C08 20803.9 C 10 20804. 1 C12 10363.5 C14 14421.5 C16 15143.5 C18 44707.1 SAMPLES READ =66183893 SAMPLES USED =66131132 COl 20791.1 C03 20790.6 C05 20790.3 C07 20804.0 C09 20803.8 Cl1 44705.3 C13 12914.8 C15 15104.9 C17 15157.5 ------ IN-TANK DIAGNOSTIC PROBE DIAGNOSTICS T 2: PROBE TYPE M~\G 1 SERIAL NUMBER 407188 ID CHAN = OxCOOO GRADIENT = 351.1600 Nur", SAt"lPLES 20 COO 1348.0 C02 11560.0 C04 11550.0 C06 11564.3 C08 11564.2 C10 11564.3 __Q 12 _ 9641.2 C 14 11767.4 C16 13316.8 C18 44888.6 SAMPLES READ =56277974 SAMPLFR I~pn =~~0~Qn71 CO 1 11560. 1 C03 11559.8 C05 11560.5 C07 11563.5 C09 11564.0 Cll 44886.9 C13 lUO!.7 -C(ÇI2410.5 C17 14809.4 - - - - - - IN-TANK DIAGNOSTIC PROBE DIAGNOSTICS T 3: PROBE TYPE MAGI SERIAL NUMBER 407249 ID CHAN = OxCOOO GRADIENT = 351.3600 Nur"! SAr1PLES 20 COO 1330.2 C01 15442.0 CO2 15441 .8 C03 15441.7 C04 15441.8 C05 15441.8 C06 15442.5 C07 15442.0 C08 15442.0 C09 15442.2 Cl0 15442.3 Cl1 44413.3 C12 8495.7 C13 9689.3 C14 9994.1 C15 10370.5 C16 12012.6 C17 12367.0 C18 44414.4 SAt1PLES READ =66274271 SAMPLES USED =66269981 ------ I~-TANK DIAGNOSTIC PROBE DIAGNOSTICS T 4: PROBE-TYPE MAGI SERIAL NUMBER 407187 ID CHAN = OxCOOO GRADIENT = 351.3500 . N UrvLSAt"lPLES = "='" 2 0 ~~------o- COO C02 C04 COE. I C08 Cl0 C12 C'14 C16 C18 1297.0 4322.3 4322.3 4322.4 4322.5 4322.0 7708.4 9704.3 10768.2 44703.1 COl 4322.0 C03 4322.0 C05 4322.6 C07 4322.0 C09 4322.0 C 11 44702. 1 C13 9133.4 C15 10155.8 C17 11876.3 SAt"lPLES READ =66278081 RAMP! .FR 11~¡::,n =hh'~'7hl=; 1 1 - - - - - - IN-TANK DIAGNOSTIC PROBE DIAGNOSTICS T 5: PROBE TYPE I"IAG 1 SERIAL NUMBER 407251 ID CHAN = OxCOOO GRADIENT = 351.2700 NUl"! SAMPLES 20 COO 1323.6 COl 30974.8 CO2 30974.8 C03 30974.8 C04 30974.8 C05 30974.9 C06 30978.2 C07 30978.3 C08 30978.5 C09 30978.5 CI0 30978.3 Cl1 45478.0 C12 8162.4 C13 10115.3 C14 10581.8 C15 10559.6 C16 10655.0 C17 10902.0 C18 45481.1 SAMPLES READ =66251678 SAI"IPLES USED =66214202 - - - - - - IN-TANK DIAGNOqrIC PROBE DIAGNOSTICS T 6: PROBE TYPE I"IAG 1 SERIAL NUMBER 407260 ID CHAN = OxCOOO GRADIENT = 350.2500 NUM SAMPLES 20 COO 1356.3 C02 25912.0 C04 25912.1 C06 25912.0 C08 25912.4 C10 25912.2 C12 6251.9 C14 6908.6 C16 6915.8 C1844807.1 SAr1PLES READ =66252526 SAMPLES USED =66244753 COl 25912.0 C0325912.1 C0525912.1 C07 25912.3 C09 25912.4 Cl1 44804.6 C13 6558.6 C15 6848.9 C17 6968.3 - - - - - - IN-TANK DIAGNOSTIC PROBE D I AGNOSTI CS T 7: PROBE PiPE t1AG 1 SER I AL NUr"IBER 407261 ID CHAN = OxCOOO GRADIENT = 351.4200 NUf"l SAI"IPLES 20 coo 1320.0 C02 18829.6 C04 18829.6 C06 18829.9 C08 18829.9 CtQ \8829.5 C12 6601.1 C14 6672.8 C16 8193.0 C1844821.0 SAMPLES READ =66277173 SAMPLES USED =66273392 co 1 18829.3 C03 18829.9 C05 18829.8 C07 18829. 1 C09 18829.4 Cll 44820.5 C13 6522.0 C15 7074.0 C17 9207.2 o 128/01 07:45 'ð'66e26 0576 BFD H.E ¡IIAT DI_ @002 MONITORING SYSTEl\tl CERTIFICATION Par UJ"I! Bv All Jllri.\·diC:I/II/Ij' Wil/lil/ ¡J,~ Swre oj Calif ofilia Awhurity Cited: Ch'lpla 6, 7, Health ami Su.li:ry Code,' Chllf'rer /6, Dh'Í,\'Úm 3, Tille 23, Cali}iJrllÍtl CCldl! 0/ Regl/lariulu' T is form must be used to document testing and servicing of mQnitoring equipment. A seoarate cercitìcation or rcpo¡¡ mUSt be prepared r'c> each monitorin!! 3vstem control .P.i!11el by the technician who performs the work, A copy of this form must be provided to the tank sy ·tem owner/operator. The owner/operaror must submit a copy of this fom to thc local agency regulaling UST systems within 30 da s of (est date. ' A General Infor¡naJjon Fa ilityNamc: ~7"~ i c Address: f!!Jô..Q/ ~7".é:. -bv. :¡ ilitv Contact Person: ~ ~ M keIModel of Monitoring System: "7.< S ~~'"CJ . Inventory of Equipment Tested/Certified b ck the 1\ ro rlate boxes to indicate s eciOe ~ uJ ment Ins eetedJs.rvic.ú: a kID: ';t:) _ . Ta~ ID: ' 7~ lj'~<:..C"<- n.Tank Gauging Probe. Model: ~ / æ'Ín.Tànk Gauging Probe. ' Model: .fl;?~ / Annular Space or Vault Sensor, Model: q Annular Space or Vault Sensor. Model: iping Sump I Trench Sensor(s), Model: ~~ it Piping Sump / Trench Sensor(s), Model: ~.ð ill Sump Sensor(s). Model: 0 Fill Sump Sensor(s). Mode!: lechanical Line Leak Detector, Model: CJ Mechanical Line Leak Detector. Model:' lectronic Line Leak Detector, Model: CJ Electronic Line Lea¥. Detector, ModeJ: ank Overfill i High-Level Sensor. Model: ______ CJ Tank Overtìlll High-Lcvel Sensor, Model: e and model in Section E ~Pa e 2). Q Otr.er (s cif e ui mem t e and model in Section E on Pa e 2). Ta~ID: I:fTn·Ta.nk Gauging Probe. Model: ß"oq/ CJ ~nular Space or Vault Sensor. Model: f! "'"'Pipjng Sump I Trench Sensor(s), Model: 79"S1.3~ a Fill Sump Sensor(s). Model: CJ :VlechanicaJ Line Leak Detector, Model: CJ Ele,ctronic Line Leak Detector. ModeJ: CJ Tank OverfiIJ I High-Leve! Sensor, Model: CJ Other (5 ecifv e ui ment t e and model in Section Eon Paae 2), Dispenser lD: . :J Dispenser Containment Sensor(s), ModeJ: , ~ar VaJve(5). o Dis enser Containment Float(s) and Chain(s). J Dispenser ID: ,=.I Dispenser Cc>ntainmenl Sensor(s). ModeJ: , B"Shear Valve(s). Q Djs enser Containme t Float(s) and Chain(s). DIspenser ID: o Dispenser Contajnment Sensor(s). Model: ~heur Valvc(s), o Dispenser Containment Float(s and Chain(s), ,. f t e facility contains more tanks or dispensers. copy this form. Include infomlauon for every tank and dispenser at the faciIity. I. Certification· I certify that the equipment Identilied 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 Infomlation is correct and a Plot Plan showing the layout of monJtoting equipment. For any equip t capable of generating such reports, [ have also I aUached a copy o~the replU:1; (chl!cHl~a,-apply): or8ystem .set.up B": I hlstor~ _~ Tf'; OIcl(1nNa.meIPrln[):~ ~~ Slgnat r~: ~ .. C~rtitication No,: ¿)~ . Lil:en~e. No,: _<S~ '7 Tf' st ng Company N¡¡me:~~~..___ Phont: No.: (/,¿/J.... ~:L.Á, ~¿'" S te Address: P</¿,/ /' ~ ~V.&__ Date ofTe~ting/Servicing: _8- /~::? t1~ Page I of 3 03/01 :\10 ¡toring System Certilication I Bldg, No,: City: ~~. Zip: 9~-?ð'7 __ Conmct Phone N·o.: (~ ) ~3- 7ðD':) &~ r..cn::r Date ofT.::sling/Servicing: LI6:.:1/~ ModeJ: N~ / Model: Model: ~t!) Model: .______ Model: Model:. --,..------- -' Model: _ 28/01 07:45 'ð'66e¿6 0576 BFD HAZ ~HT DIe ~002 MONITORING SYSTElVI CERTIFICATION For UJif Bv All Jllri.l'diC://llllj Wj¡"illl"~ S/{/{&, 0; CCllifomia AlIIhurity Cit!!d: ChClpla 6, 7, HctJlth ami Safety Cod!!,' Chll{l/I!r /15, Divi.fÙJ/1 J, Tille 23, CulifomÙ/ Cc¡d!! af Regl/lmiulJJ , s form must be used to documc::nt CI.~sting :lna servicing of mQniloring equipment, A seonrute certi ticntion or reDon mu.~t be DreDared 'd1 ~:¡ch monitoring- system control P.¡:¡l~ by the. technician who periorms the: work, A copy of this form must be provided to the tank î',: tem øwnerlopermor. The owner/operator mU5t submit II ';0PY of this fø!1Tl co the: 10<::11 agency regulating UST systems within 30 , s of test dale. , ~ ~ ¡ ¡ G~neral Information ¡Iicy Name: f3~ ~~'t:J~ City; ~~f\, Bldg, Nú.; zjp:~9 Conmcc Phone No.: ( Date of Testing/Servicing: _1_1_ ------- Tank ID: ' T7 :&š'~ fB'1n·Tánk Gauging Probe. Model: .ß?~ / q Annular Space or Vaulc Sensor, Model: lB15iping Sump / Trench Sensor{s). Model::>'7-9: 8ð Q Fill Sump Sensor(s). Model: Q Mechanical Line Leak Detector. Model:' Q Elecrronic Line Le:1k Detector. Modej: Q Tank Overtilll High-Level Sensor. Model: Q Ot!:.:r (s cif e i mem t e and model in Section E on Pa c 2), Tank ill: M CJ In-Tank Gauging Probe. Model: CJ Annular Space or Vaulc Sen$or. Model: a Piping Sump I Trt:nch Sensor(s), Model: Q Fill Sump Sensor(s). Model: Q ~Iechanical Line Leak Detector. MOdel: Q Ele,ctronic Line Leak Detector. ModeJ: Q Tank Overfill/ High-Leve! Sensor. Model: Q Other (5 ecifv e ui ment t e and model in Seciion E on p~oe 2). Dispenser 1D: :J Dispenser Containment Sensor(s), Model: CJ Shear VaJve(5), Q Dis enser Containment Float(s) and Chain(s), Dispenser ID: a Dispenser C"ntainmenl Sensor(s). Model: o Shenr Valve(s). Q Dis enser Containment FJoat(s) and Chain(s). Dispenser ID: Q Dispenser COn!<únmem SenSO(5). Model: U Shear Valve(s), Q Dispenser Containment FJoat(s and Chain(s). Include infomlation for ever)' ulI1k and dispenser at (he facility. kID: ~ 11- Tank Gauging Probe. Model: ~ / nular Space or Vault Sensor, Model: ' ¡ping Sump I Trench Sensor{s), Model: ~ iJiSump Sensor(s). MOdel: lechanical Line Leak Detector. Model: lectronic Line Leak Deteccor. Model: ank Overfill i High·Lev¿1 SenSor. Model:_ e and model in Section E on Pa e 2). Mode1: ~~/ !I.'lodel: Model: ~~ MOOel: ._____ Model: Model: Lil;en~e, No.: S Company Name: __,___ ddress: .---- Phone No.:(_J Date of Testing/Servicing: __I _/_ Pall~ I of 3 03101 ;\-1 taring System Certj jc~ti(¡n u /:!8/01 07:46 ~.6W26 0576 BFD HAZ MAT D. ~O [, Results of Testing/Servicing s ftware Vt:rsion [nstalled: /7./).2 - C mplete the fo/lowing_ checklist: - IJI Yes '0 No· , Is the audible alarm operational'? ¡OI Yes o No~ Is the visual alarm operational? '''' Yes 0 No· Were all sensors visually inspected, functionally tested. and confirmed oper:ltional? j'1 Yes o No* Were ail sensors installed ae lowest point of secondary concainment and positioned so that other equipment will nOI interfere wich their proper operatiM? 0 Yes o No" If alarms are relayed to a remote monitoring station. is all communications equipment (e,g. modem) ~ N//\ operational'? \i3 Yes a No'" For pressurized piping systems, does the turbine automaticaJly shut down if the piping secondary containment Q N/A I mo~i.toring system ,detects a leak. fails co operate, or is electrically disconn~cted? If yes: ~hich sensors iniriate positIve .shUt-down? (Check !lit (hat apply) ~ Sumpffrench Sensors; Q Dispenser Containment Sensors. Did you confirm positive shut-down due to ieaks and sensor failure/disconnection? (g' Yes; Q No. D rtes o No" For tank system~ that utilize the monitoring system as the primary tank overfill warning device (j,e. no ~ N/A mechanical overfill prevention valve is insralled), is the overfill warning alann visible and audible at the tank till point(s) and operating properly7 If so, at what percent of ~ank capacity does the alann trigger? ~ % D Ý es* if 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. 0 es* M' No Was liquid found inside any secondary containment systems de~igned as dry systems? (Check allrha( apply) 0 Product; a Water. If yes, describe causes in Section E, below. 181 es o No· Was monitoring system set-up reviewed to ensure proper settings? Attach set llQ r~orts, if ¡¡pplicable .,Qi es a No" Is all monitoring equipment operationalper manufacrurer:'s specifications? * n Section E below, describe how and when these deficiencies were or will be corrected. E ~omments: , " - --~..._-..._.__.----- ......----...-----....---.----.----.-----+--. ---.'.-----------------.--- ..--------.....---,-..-.....-. ..-.-....---.--.-. - -- ----- ...---.....-..,--. ----.----.--- ---.....-. Page 2 of 3 OJ/Ot 03 69/28/01 07:47 ~6_26 0576 BFD H:\Z ~IAT D. ~004 F. In-Tank Gauging / SIR Equipment: ¥- Chc:ck this box if tank gauging is used only for invcntory control. o Ch~ck this box if no tank gauging or SIR equipment is installed, ' This section must be completed if in-tank gnuging equipment is used to perform leak detection monitoring, c h ~ II h kr omplete tea owmg c ec' 1St: ! eYes Q No* Has all input wiring been inspected for proper entry and termination. including testing for ground faults? ~ Yes 0 No* Were all tank gauging probes visually inspected for damage and residue buildup? q Yes 0 No* Was accuracy of system product level readings tested? ';Ë Yes 0 No" Was accuracy of system water level re::¡dings.tested'? c¡¡¡ Yes 0 No" Were all probe,~ reinstalled properly"? ~ Yes 0 No" Were all items on the equipment manuÌacturer's maintenance checklist completed? ... n the Section H, below, describe how'and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): W Check this box if LLOs are not instnJled, C DmDlete the followln!! checklist: 0 Yes 0 No'" For equipment start-up or annual equipment certification. was a leak simulated to verify LLO performance? 0 N/A (Check aI/that apply) Simulated leak rate: CJ 3 g.p.h,; a 0,1 g,p.h; 00,2 g.p.h, .' Q Yes 0 No* Were all LLDs contimled operational and accurate within regulatory requirements? 0 Yes 0 No* Was the testing apparatus properly calibrated? 0' Yes ·0 No'" For mechanical LLDs. does the LLD restrict product flow if it de.teces a leak? ':1 N/A 0 Yes 0 No· For electronic fLOs, does the turbine automaticaJIy shut off if the LLD detects a leak? Q N/A :J Yes Q No'" For electronic LLDs, does the turbine automatica)]y shut off jf any portion of the monitoring system is disabled o N/A or disconnected? 0 Yes a No~ For electronic LLDs, does the turbine automaticaJly shut off if any portion of thG monitoring system malfunctions 0 N/A or fails a test? 0 Yes 0 No* For electronic LLDs, have all uccessible wiring connections been visually inspected? ::J N/A a Yes 0 No· Were all items on the equipment manufacturer's maintenance checklist completed? .- .. I the Section H, below, describe how and when these def1cJencies were or will be corrected. H. Comments: - --'~- - ~_._-_._.&, ---' e-' - ....- .--._. " .. ,- , ---_..-_..- -, -' .___________0 - ---, - - Page .3 of 3 03/01 e e " Monit I ring System Certification I I ; i Site A I dress: 8œ/ I I , UST Monitoring Site Plan ¿VN/')"à ~ " ' " .; . , . .' .: . . .' ~ " " " :·¿D~: .. f' . [J" 2., J. . . : s;roii. : q: '·::<i.J O· :J.:.,:, :,sD' jt,: , " ,.... .. t. .. .. '. ~ . . · . . . . .' : 8'01 · . . . . :/oOt:t:: ~nj .. ,Q' JU. . . , . ~, , .f:) . . . . . . , . .. '~. Jkt::Al.cfI. . · 'fJ . , , . . .. . Sr;¡.IS()t.,$· . . NJIJ/)J.lJ~ . . . . .~pÐcÆ .~6t:1.Sf;e. . , '1,' .' .' , . . '. : ': ßD)1: :J7 0 ~ß .... D·~,t;>·, .~. .'f-. . ., . ';. , .' . æ£ll.'l~,Ji '-:' .-.:.". :'~€;'¡~1ff5:. :(I~"'.J !O:R: . ' . C)¡ . . ,,: :{4N~Ùi.Ai. :' '~pl3C¢' . . . S&is..Óe>-· '. . . . . , (:) . . . 11-. . .72£1\1(;#· :~i;d(~:pdÎ;. .... . " Date map was drawn; _ð~j .ß.../œ..· I , , i " ,...:>. , -,: " If yo~ !a~ready þ'~v~...a .~i~gr~W,,*~t:sho\Vs ,a~~~~~~~r.~?)~foz;I?a~i9.~!>.'~~,:~t.i.gQ!p',4~.it" ~F~,ir:t~w~~~~ .P~~~' ,W.tþ y~ur Momt . nng Sys~em ,Çert1fication~' . ,Qn your site pla,t1,:show th.e.genera,l. J~Y0tJt_ oft.;;inks., aIld, plplpg. :¿qear1Yldentlfy . I ,,' . ,"'¡' . ',' ..'.:. . . . t·,J"",'·,,· ""f ,:" .:,~. . _'.~...·~.~...:t!r.tt·..~~·..:.',:, .:..,-....u::/~;··".,'~.:í.··,f...;;~,:'·...~:~.,.···, ,...¡~"..';' .. locah ns. of tþe followmg equIpment, if installed: !,:'monitonng 'system...çþritf.9J P!U1el$.;-serišörs 'nioÎutöririgtank annular spaces I sumps, disþens'er pans, spill containers,; oro'ther sècondarycontáiDrtie.ntãreas;mechanical or'è!e¿tróÍ1ic line leak detect :rs; and in-tank liquid level probes (if used for leak detection). ,In tlÎe Space provided, note the date this Site Plan wasp 'pared.' .., ", . .'" ,~,...."" 'u '. '.. ." '\ ':',' Instructions . . . . . . .' ':"-~' .: ,: ~ ,'. -, .-. ~ii,?,L¡'~~il;i~~~~fl~:~~~3~E,;);: 05/00 ,.... ... - ',·.·,.v· ..~_.. .~ ·.¡,<'.~~'/;·:i~·" . . :.......,.\ .... ;'.' . ......):~/ .. I fir .:::r- 'm 1m I U1 I o:Q Ir Ir I .:::r- . 0 10 ;0 10 1U1 I ,..::¡ , m U.S. EóstarS'erviceTM CERTIFIED MAILTM RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) . .' . . . "' . . " r OFFICIAL USE I .' POstage $ Certlfléd Fee j) Postmark Return Ree/ept Fee Here (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Total Postage & Fees $ , ru I § :~~rÑ~r""~:""""'---:;'-:""""__""""" I f'- ~:'::!.i!.~~_"!.~_._.......~ºQL..W.'&!;¿..~........ City. StatÐ, ZlP+4 (?;A "33 : II t I Certified Mail Provides: . A mailing receipt · A unique identifier for your mailpiece · A record of delivery kept by the Postal Service for two years Imponant RemInders: I · Certified Mail may ONLY be combined with First-Class f-1ai~ or Priority MailCi!). · Certified Maills not available for any class of internationfil mail. I · NO INSURANCE COVERAGE IS PROVIDED with' Certified Mall. For I valuables, please consider Insured or Registered Mail. \ · For an additional fee, a Return Receipt may be requesteli! to provide proof of II delivery. To obtain Retum Receipt servIce, please complete and attach a Retum Receipt (PS Form 3811) to the article and add applicable postage to cover the I fee. Endorse maiipiece "Retum Receipt Requested". To receive a fee waiver for I a duplicate return receipt, a USP5Qp postmark on your Certified Mail receipt is required. · For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "RestrictedDeliveryu. · If a postmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an Inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. (6SJ9/l6/;;/) ;:00;: 6unr '008& WJO,, Sd FiRE CHIEF POI'-! FRAZE ADMINISTRATIVE SERVICES 21 01 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfielol. CA 93301 VOICE (6Erl) 326-3941 FAX (66t~ 395-1349 I Þ PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399,4697 FAX (661) 399-5763 -- # July 8, 2003 CERTIFIED MAIL Fastrip 8001 White Lane Bakersfield, CA 93309 REMINDER NOTICE Re: Deadline for Dispenser Pan Requirements December 31,2003 Dear Underground Storage Tank Owner/Operator: A review of our files indicate that you have been receiving quarterly reminders from April of 2002 to December 2002. Our files further show that since January of this year you have been receiving monthly reminders. The purpose of this letter is to remind you of the necessary retrofit of your fueling system. Current code requires that you install under dispenser containment pans prior to December 31. 2003. You will not be allowed to pump fuel after December 31, 2003 unless you have completed the upgrade requirements. Contractors are already scheduling 8-10 weeks in advance. I urge you to retrofit your facility as soon as possible. Should you have any questions, please feel free to call me at (661) 326-3190. Sincerely, Ralph Huey Director of - .1í~.'"P, rev.ention Services ~ c44£ By: Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SU:db "".9~ de W~~ ~ vØ60Pe .o/~ A W~·" FIRE CHIEF "'ON ¡ORAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 -- - June 5, 2003 Fastrip 8001 Whi te Lane Bakersfield Ca 93309 REMINDER NOTICE RE: Deadline for Dispenser Pan Requirements December 31,2003 Dear Underground Storage Tank Owner: A review of our files indicate that you have been receiving quarterly reminder notices since April of 2002. Effective January 2003, you can expect them monthly. The purpose of this letter is to remind you of the necessary retrofit of your fueling system. Current code requires that you install dispenser pans prior to December 31, 2003. You will not be allowed to remain open after December 31,2003 unless you have completed the upgrade requirement. Contractors are already scheduling work 6-8 weeks out. I urge you to start planning to retrofit your facility as soon as possible. Sincerely, Jz~ ' , , " /', '¡ , . Steve Underwood , Fire InspectorÆnvironmental Services Office of Environmental Services SBU/rs ~~y~ de W~ ~.Æ60Pe y~ J6 W~.,., e e FPCJt'Î '=,.-1 YX T I :~:> L i :0 '! j(' í:L ¡~I ri,:n ·,â:: ì' 1".1_ :",,[(:,71 \, . ,-, HU'"j. D7 '~f'a::~) U:2:47At'1 F'l? ~i'!ít:wue:'4U1:;"f:...1tU~Jii!f:¡gr.a:L IDii:!::;¡¡ßCJft1tW!¥Wj¡¡¡nf¡¡fL:i~t~, ,JIEJ·m¡U !:':!1:J!:!;1¡:&1:!.!in'r.in¡¡",;H¡ !~_lE~tI .!m¡¡þj:£dU;~illt:1,Û¡:J;J,,;:j,ijJ!" t1'1-1.~ ~,~"-;.-,_..:;~;"'-;M·._".",_,_.~,""",._",,.p......_......-.,.;_.rrIPW_--, '\ ¡\.\ùí.lmmll:ì»_ 1J~;:;),··;:···:t' , (,.",., . ",,;' , , ,< ( ,',9 ~ I"" '. " '. ,. 'f ..~ t· , ,..}. I¡~' \ ï' . ~ ,-r,:"".~¡!, , [~ ~':,~'¡ " (1,1 Î ¡¡;,~~ ~; ~!- . .J'f.!;;;;' ~ ,- .. tn,,- I-'" ~.... . ~. ~~. ..l £:~i ............'11'.. ~.,;J ìÆJ1]fft~{~S$'&' Ii I I f',\' (: F If ,~, ~/ F í,~ ") ¡i'~'; ¡ ~ 1 \¡ '>. .~1. ~,_tili !,¡~,·~·!~)J'..j~.,t\."~......~i·l.~,,~A.'f,!Lî () J,'Fì C l',~'15 C he,,; te r /, or' F:\\"IR(;·!\\-IEJ\IJi., :~J Tl' .:\ lC'ES '(., ~~ . , , f)i:1f< t:'sf;el d, (_-.. \_ ¡ {~ ;'j~ 1 , ~:~ ~~;: (j " ,3~} ~7 ~) ,\.PPLIC :·iTJ, )\l"I,) pr:~RF()]LUvJ Ft.: CL \H)'\l :rCf';;,! ~\)!:;. (~EH .\. LFIC/¡'\ , " :- ,-",,~ c'..: , I \. ...;ì ,~'~:~;£.;:?¿;:::~.&J_ ·_·......M....... ._,., c\:) D~: t:s:~ ".l;!:~~~(' :~;(:~;~ _. L;~;~~~~¿~(~/.....~~~·,.·.~.__ _. :. 'J:;~ ~~~.~ ~~: . ~ -~ ,. P.·... ..._.._.... - -.-- ....-. - ..--- - ----. ::) P E:~. ,:'. 'I '(>ï~ S ¡"-j ¡~~ \ tf-__~~~'~~"¿.;~~:,:::t2-~_.j~::~~)« .:_) \v\: t'~ 1: P S >i.; ~\·Œ. -.-----~-·..;~=2;'Š?c;~,.~?~~,~_.{~~.':.~~;t-,. - --.- ,- --- -.. .- '"\,,..11: :_)F ¡\/fU>IITOF<. iI/lA>'¡~_!'i\C-¡-['FJ:l:: ,""',L..~ . d~~:;;'¿S:~:~~:~~~i~:~'__._-~i:~2~~:~¿2:.. ____. ____ ..-... -, -..--..,........- ..._. [,:>CJ ëS F;~. '~~'~:::.,_.CJ'- ~y _rL\ \.'E L~.tS:! Et-~~; E ì:< P "::', ~, ;,~'C'ì T,CL"'::< .' . .. t· '.., .[-'1 ':, .p _..(~,_._. ._--~~¿----- ..(#:~}·2¿{::::;~~¿t~:>. -- ." 'c" .._,_...~~ _.-'~~~~.~( _(,r:.-~..:~!::;; '¿' .._---£.,.__.. _~ _.~..~~:::;r_~/~;;~~~£'~ ;: ,;:-,.-.~.. g__ ~1 "' ,.,i.,:;._..:._,,:_,.,::·;','.,'.'::~"""'_""""" .~..,~~:~~J;~~~:~~.¿~~~~:j:~:~___ .~ ~ _ _-.:.:. " ._--.;.;;~~---- ? _ u. ,¿_':.~~~~~~{::.~.;:;~¡~:~' ./.~.::~, (~i,.: t; t.> .- --. .-.- -. .__.!:~~t~:=-~~~. __,. _ . \.F':'.~_~ ...f·- .'·~.-~_,\'1,l:. (_~\r- -J =._.~);. "~ ;,,¡ l_·.~'()L\l,F)/\:·."~ :.1::.!:::::.( . u (~~-~~~:~~r::~~-~~12.~1::t::~':~~ :~;~~(;r. ~':.._ . ~.. ~._.._ ..__...._ ,_. ¡~'! !.~ ." ¡ '1< . '~'. C" :.' () f:::'" L..t 1..- i~~ ~..< ) [ ,~ ,_·._,.__H_.'_____.._... , . ".:.¡- ¡'",i ,......." "-. -\ \f1z. ~'. ~~'l-' 1:_) I'" L ~~, ( \.:; J) r:. J.;; .~-~.) r '.~~ I,~j t\{ ¡ . ,.f J.' -.~"~;,\ ~~5·:.-'- \ '-"'¡ ~' 1-.....~._.::. ::..~,:::~{:~~~ C:.') , , I't ,\" l :"\L: ':l:::::"~ is T\~; BE (::,¡;-·IL' j .J~~{l'~~',:~ ' /. ... . -~~".:;' '/",}:?2 ..~..~.. ~~G ~t)J ( i " .'. ~-'''_''''-í~~~t2L _, ,J"~,¿~!<~:~::;::::,._-., ~.FF'~<.<)\·Erj ,-;j 't .. ,'.! ;.: ~:; ~ (:1 :\' '~'. '¡ 1..~; ~-~.:::_ ¡. I.. .'! '.1-' .l !~''''~~ ,~~ r F!i<,E CHIEF ?ON ;::RAèE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES' ENVIRONMENTAl SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 It e May 7,2003 Fastrip 8001 Whi te Lane Bakersfield CA 93309 REMINDER NOTICE RE: Deadline for Dispenser Pan Requirements December 31,2003 Dear Underground Storage Tank Owner: A Review of our files indicate that you have been receiving quarterly reminder notices since April of 2002. Effective January 2003, you can expect them monthly. The purpose of this letter is to remind you of the necessary retrofit of your fueling system. Current code requires that you install dispenser pans prior to December 31,2003. You will not be allowed to remain open after December 31, 2003 unless you have completed the upgrade requirement. Contractors are already scheduling work 6-8 weeks out. I urge you to start planning to retrofit your facility as soon as possible. Sincerely, ¡; /'1 / r'\ JliG ~ Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SBU/dc ""..%~ de <Uón~ ~OP ..§6oP,p y~ oJ~ ~/Úu~~~ FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326·3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFm SERVICES' ENVIRONIlENTAL SERVICES 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326HJ576 PUBUC EDUCATION 1715 Chester AvÈl. Bakersfield. CA 93301 VOICE (661) 326-3696 FAX (661) 326HJ576 FIRE INVESTIGATION 1715 Chester Ave, Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 - e April 10, 2003 Fastrip 800 1 White Lane Bakersfield CA 93309 REMINDER NOTICE RE: Deadline for Dispenser Pan Requirements December 31, 2003 Dear Undergroun,d Storage Tank Owner: A Review of our files indicate that you have been receiving quarterly reminder notices since April of 2002. Effective January 2003, you can expect them monthly. The purpose of this letter is to remind you of the necessary retrofit of your fueling system. ' Current code requires that you install dispenser pans prior to December 31,2003. You will not be allowed to remain open after December 31, 2003 unless you have completed the upgrade requirement. Contractors are already scheduling work 6-8 weeks out. I urge you to start planning to retrofit your facility as soon as possible. Sincerely, IL /'/1/ /' ~~ Steve UndeIWood Fire InspectorlEnvironmental Code Enforcement Officer Office of Environmental Services SBU/dc "'7~ de W~ ~.A0Pe ff~ A W~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAfETY Sl:RVlCES . EHVIRONIlEHTAl SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Avè. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 VIctor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 - e March 5, 2003 Fastrip 8001 White Lane Bakersfield CA 93309 REMINDER NOTICE RE: Deadline for Dispenser Pan Requirements December 31,2003 Dear Underground Storage Tank Owner: A Review of our files indicate that you have been receiving quarterly reininder notices since April of 2002. Effective January 2003, you can expect them monthly. The purpose of this letter is to remind you of the necessary retrofit of your fueling system. Current code requires that you install dispenser pans prior to December 31,2003. You will not be allowed to remain open after December 31, 2003 unless you have completed the upgrade requirement. Contractors are already scheduling work 6-8 weeks out. I urge you to start planning to retrofit your facility as soon as possible. Sincerely, ~& ! . ::' , :/ i !.. '.' ) Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SBU/dc "".?~ ~ W~ S70P ~0P6.r~ A W~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES. ENYIAOHMENTAL SERVICES 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakerslleld, CA 93301 VOICE (661) 326-3951 FAX (661)326-0576 TRAINING DIVISION 5642 Victor Ave. Bakerslleld, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 .' '. - February 3, 2003 Fastrip 8001 Whi te Lane Bakersfield CA 93309 REMINDER NOTICE RE: Deadline for Dispenser Pan Requirements December 31,2003 Dear Underground Storage Tank Owner: A Review of our files indicate that you have been receiving quarterly reminder notices since April of 2002. Effective January'2003, you can expect them monthly. The purpose of this letter is to remind you of the necessary retrofit of your fueling system. Current code requires that you install dispenser pans prior to December 31,2003. You will not be allowed to remain open after December 31, 2003 unless you have completed the upgrade requirement. Contractors are already scheduling work 6-8 weeks out. I urge you to start planning to retrofit your facility as soon as possible. Sincerely, j;. Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SBU/dc ""Y~ ~ W~.97OP.AOPe.r~ A W~.,., FASTRIF' 64[1 8001 ¡,JHITE LN BAKERSFIELD CA 93309 JAN 28. 2003 2:17 PM S'!STHl STATUS R[¡:(~ - - - - - - - - -~.<{'~ - ALL FUNCTIONS NORMAL INVENTOR'! REPORT T 1: UNLEADED VOLU~'1E ULLAGE 90% ULLAGE= TC \IOLUr"1E HEIGHT l¡,JATER VOL WATER TEr'lP T 2: PREr'l I ur1 VOLUr'1E ULLAGE 90?.;, ULLAGE= TC VOL Ur"lE HEIGHT WATER VOL l.-JATER TEt"lP 366 2298 GALS 9702 GALS 8502 GALS 2299 GALS 29.56 INCHES o GALS 0.00 INCHES 58.7 DEG F 366 4012 7988 6788 4015 44.20 o 0.00 58.9 GALS i?/-il'" i":;' (..... , ,.;0 01 INCHES GALS INCHES DEG F T :3:DIESEL 366 \/OLUf"lE 2556 GALS ULLAGE 9444 GALS 90~ ULLAGE= 8244 GALS TC VOLUr"1E 2550 GALS HEIGHT 31.89 INCHES WATER VOL = 0 GALS WATER = 0.00 INCHES ---TEr'IP ----------;--65:'1 DEt F T 4:RACING FUEL 366 VOLUr"1E 1 745 GALS ULLAGE 10255 GALS 90~; ULUiGE= 9055 GALS TC VOLUr"lE 1731 GALS HEIGHT 24.36 INCHES WATER VOL 0 GALS WATER 0.00 INCHES TEMP 70.6 DEG F T 5:UNLEADED 'v'OLUr'1E ULU'ìGE 9ü?'. ULLAGE= TC \/0 L Ur"lE HEIGHT ~JATER '¡lOL WATER TEt'-1P T 6: PREt'll U¡..¡ VOLur"1E lJI.LAGE 90% ULLAGE= TC: VOLUr1E HEIGHT WATER 'v'OL LJA TER TEMP T 7:DIESEL VOLUt"1E ULLAGE 90% ULLAGE= TC VO L ur"1E = I-IE 1 GI-I'T ~JATER VOL WATER TH1P :367 3502 8498 7298 3499 40.01 o 0.00 61.0 367 5494 6506 5:306 5432 56.03 o 0.00 76.1 367 4177 782:3 6623 4151 45.54 o 0.00 73.4 G. GA .::. GALS GALS INCHES GALS INCHES DEG F GALS GALS GALS GALS INCHES GALS INCHES DEG F Ge GALS GALS GALS \ NC\..Œ.'2; GALS INCHES DEG F ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME fá4*tf INSPECTION DATE i -J g ,. 03 Section 2: Underground Storage Tanks Program o Routine I!ì Combined 0 Joint Agency Type of Tank (11)R:--tj Type of Monitoring I\-TC, o MUIti-AgenC~ Number of Tanks Type of Piping ~ PI o Complaint ORe-inspection OPERA TION C V COMMENTS Proper tank data on file ~ / Proper owner/operator data on tìle L- / Pemit fees current V / Certification of Financial Responsibility t / Monitoring record adequate and current / .,/ / Maintenance records adequate and current ./ 1/ Failure to correct prior UST violations ,/ Has there been an unauthorized release? Yes No L/' Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank OPERA nON Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? I f yes, Does tank have overfill/overspill protection? AGGREGA TE CAPACITY Number of Tanks 0oCompIi'nœ LJ-V'OI'tiOn V~Y" In'p"lo" _~ ~ Office of Environmental Services (805) 326-3979 White - Env, Svcs. N=NO Pink - Business Cory UNIFIED PROGRAM 'SPECTION CHECKLIST e SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME -------------~-------"---_.- INSPECTION DATE -[£~Q3 PHONE No. 3s-~ 1~1f:L Business 10 Number 15-021- INSPECTION TIME ---------~- -_._----~-~---------- No. of Employees __15______ FACILlTYCONTACT S~ction1: Business PlanancJ Inveritoryprogram LI Routine ~ Combined LJ Joint Agency LI Multi-Agency LI Complaint LI Re-inspection ( C=Compliance ) V=Violation C V '~~ &7L1 OPERATION COMMENTS ApPROPRIATE PERMIT ON HAND ________._u_________ _..___________,_____________.~_.______.___"__________.__________~______.__.__.____ BUSINESS PLAN CONTACT INFORMATION ACCURATE -- ------,...,--.-------..-----.- -----.-.----.---._______,______._______. .________...__._____ ___·___'_.m.__...______.__.__.______~_ LI VISIBLE ADDRESS ----------.-----,---.----.--..--- -------.--------.---.-.--------.--.--.--,-----------------------.---..-..---.------- o ;¡rLl cg/LI CORRECT OCCUPANCY ----------------.-- ----..------------.---.-.-,------------------------.-----.-------.--.---- VERIFICATION OF INVENTORY MATERIALS ----.------------,-.-- ------.----- _._--_._._.,---~----~._-_._-,------------~-_._-----_._- ..-..-.------.-,---- VERIFICATION OF QUANTITIES --------r---------------'----.....--..-..----..-'..--- -----------..------.-.-.---,--------,--,-..,----,---"-,-,-,-.........,..,.,..,.... IiY LI VERIFICATION OF LOCATION c/LI 7L1 ------------~---_._- ----~--_.._---_._-_.._.._---~---------~-"----~---~-,-----------. PROPER SEGREGATION OF MATERIAL ------+---------..-.-.----" .-._--_._------+-~---~--~ -_.-_.._--------~--_._----------,---,,-~_..,------ VERIFICATION OF MSDS AVAILABILlTYE ~------------_..__.._-'--_..."---'--- -----_.._,-----"---,-,,,-,-_.._,---_.._,_...._,---_..,._,----,--- r:9' LI VERIFICATION OF HAT MAT TRAINING --------------------....----- --~-~--~--_._-~-~--------------------~------------,_.---_._._-----.--~-_. LI VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES .--.-------..--.------ ------------_._-_.._~._.._._---------_.-._-----_.._-~----------------~ ~ LI EMERGENCY PROCEDURES ADEQUATE ~_CONTAI~ PROPERLY LABELED .---:== ._j== _~_=.. -. .-===~ - ...~=._~. 7~- ;,?s::::::~.--~..-~--+~n-~----...--. ~- 01' LI SITE DIA~RAM ADEQU~~~-& ON H;~~------'---'-I----------'--:......--'---..----..-'--'-------..-----,--,--- ANY HAZARDOUS WASTE ON SITE?: LI YES ~NO EXPLAIN: INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector Badge No. ~~~~~--- ç- -- .._----~--~---- White· Environmental Services Yellow .. Station Copy Pink - Business Copy FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES' ENVIRONIlEHTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX(661)32~576 PUBLIC EDUCATION 1715 Chester AV8. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 32~576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX(661)326-G576 TRAINING DIVISION 5642 VIctor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 -- -. January 22,2003 Fastrip 8001 White Lane Bakersfield CA 93309 RE: Upgrade Certificate & Fill Tags Dear Owner/Operator: Effective January 1,2003 Assembly Bill 2481 went into effect. This Bill deletes the requirement for an upgrade certificate of compliance (the blue sticker in your window) and the blue fill tag on your fill. You may, if you wish, have them posted or remove them. Fuel vendors have been notified of this change and will not deny fuel delivery for missing tags or certificates. Should you have any questions, please feel free to call me at 661- 326-3190. . S:¡dLD Steve Underwood Fire InspectorlEnvironmental Code Enforcement Officer Office of Environmental Services SBU/dc ~~y~ de W~ S7OP.AOPe.r~ A W~'I'I FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Slreet Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SMID SERVICES· EHVIIIOHIIEHTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX(661)326~76 TRAINING DIVISION 5642 VIctor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e - January 13, 2003 Fastrip 8001 White Lane Bakersfield CA 93309 RE: Deadline for Dispenser Pan Requirements December 31,2003 REMINDER NOTICE Dear Underground Storage Tank Owner: A review of our files indicates that you have been receiving quarterly reminder notices since April of 2002. The purpose of this letter is to remind you of the necessary retrofit of your fueling system. Current code requires that you install dispenser pans prior to December 31,2003. I urge you to start planning to retrofit your facility as soon as possible. Should you have any questions, please feel free to contact me at 661- 326-3190. Si1 ddko Steve Underwood Fire InspectorlEnvironmental Code Enforcement Officer Office of Environmental Services SBD/dc ""7~~ W~ ~ ~0P6 §"'~ A W~" 07131/02 08: 50 '0'661 326 05 ï6 ( \;;v . "7 · BFD HAZ MAT DIV -, @001 ~ ~ ~ OIP If(ø, CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, C.A (661) 326-3979 APPLICATION TO PERFORM A TANK TIGHTNESS TEST/ SECONDARY CON'fAJNMENT TESTING FACILITY -It-3(,(,j3(,7 r;A;\-r, ~_ ADDRESS' ¥Ö 0 \ \:)~..~ \.....,.~ ~ PERMTrTO OPERATE # (~ ~:~:~~±::-_ ·~~F~~~~ý. NUMBER OF TANKS TO BE TESTED' 7 IS PIPIN"G GOING TO BE TESTED~ T~ # VOLUME CONTENTS ~ ~()l'X) __~ ~ ~ ~~\C ld.-ODD F 7 .--l~Döc) ~\lF I 1 TANKTESTINGCOMPAN¥'-- S-UA.<;,..þ\- \J\J\-e~\..".~, ~~\ MAll1NGADDRESS~q\~::Yr~(),~~~ ~,~-t.. ~3:Sc~ NAME & PHONE ~~ OF CONTACT PERSON~.~~> ~ '" ~-O(kD TEST METHOD ~ ~ \A,'-'- "'--- \ NAME OF TESTER OR SPECIAL INSPECTOR ~~ ~'("~~ CERTIFICATION # ~a..c ff d.- ~~ l.p DATE 1.~ TES~IS TO BE CONDUcrED ~ ¿¡ d~ 1O~[{-()2- APPROVED BY DATE SIGNATURE OF APPUCANT · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. .. Print your name and address on the reverse ,so that we can return the card to you. .'·Attach this card to the back of the mail piece, or on the front if space permits, FASTRIP 8001 WHITE LANE BAKERSFIELD CA 93309 o Agent : , 0 Addressee j C Date ,af'PfIJv~~1 0--.,.) ¡.JJ\\I o Yes I o No I I I 1. Article Addressed to: 3. Service Type IX! Certified Mail o Registered o Insured Mail o Express Mail o Return Receipt for Merchandise o C,O.D. 2 .ð.rti....I.o. 1\111.....h...... i? ' 7002 0860 0000 1641 6612 4. Restricted Delivery? (Extra Fee) DYes I I I I I I 102S9S-02-M-083S1 PS Form 3811, August 2001 Domestic Return Receipt UNITED STATES POSTAL SERVICE - IIIIII ...;., I I I I I I I I I I I I I I I I I I I I I " , First-Class Mail Postage & Fees Paid USPS Permit No. G-10 . Sender: Please print your name, address, and ZIP+4 in this box · BA~RSF~ELD ARrE OEPARTIAENT OFFICE OF ENViRONMENTAL SERViCES 1715 Chesœr AvoolAe, Suite 300 Sa!'''' \ :..' ~.I:~, CA !'13...-:m1 lru M ..l] ..l] , > ~' ',:'\~'M..' ,:,.' ," ,~~'+t ~. , , u.s. Postal Service , ' , .', 1 ,', ' CERTIFIED MAIL RECEIPT (Domesti(-....... iI Only; No Insurance Coverage Provided) M =t' ..l] M USE t:I Postage $ t:I t:I Certified Fee t:I Postmark t:I Return Receipt Fee Here ..l] (Endorsement Required) I:( Restricted Delivery Fee t:I (Endorsement Required) ru Total Postage & Fees $ t:I I t:I Sent To ('- FASTRIP šiiëéi,-Äiii:Ñõ:¡··....·..·..·....·········..··..·······....··..···....·..................... or p~ Box No. 8001 WHITE LANE ëiiŸ,·šiåië,·žj¡.;4·;~;~·;~·~··~~·····9·33Õ9···············........ .. u ! .. ~ ..'f'jl....... I .. .. - . . I ."... Certified Mail Provides: . A mailing receipt ! . A unique identifier for your mail piece ! . A signature upon delivery · A record of delivery kept by the Postal Service for two years Important Reminders: ! · Certified Mail may ONLY be combined with First-Class Mail or Priority Mail, · Certified Mail is not available for any class of international mail. · NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. · For an additional fee, a Return Receipt may be requested to provide proof of delivery, To obtain Return Receipt service, please complete and attach a Return ' Receipt IPS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested", To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is required. · For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Ad)lise the.¡¡jerk or mark the mailpiece with the endorsement "Restricted Delivery". . · If a postmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not nad, detach and affix label with postage and mail. IMPORTANT: SaW'is receipt and present it when making an inquiry. PS Form 3800, April 2002 (Reverse) 102595-02-M-1132 FiRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFm SERVICES. ENWIOHIlENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 32~576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 32~576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326.0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e . ... - , '. '!".... ~ October 31, 2002 Fastrip 8001 White Lane Bakersfield CA 93309 CERTIFIED MAll.. REMINDER NOTICE RE: Necessary secondary containment testing requirements by December 31, 2002 of underground storage tank (s) located at the above stated address. Dear Tank Owner I Operator, If you are receiving this letter, you have not yet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). 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 periodically thereafter, to insure that the systems are capable of containing releases from the primary containment until they are detected and removed. Of great concern is the current failure rate of these systems that have been tested to date. Currently the average failure rate is 84%. These have been due to the penetration boots leaking in the turbine sump area. For the last six months, this office has continued to send you monthly reminders of this necessary testing. This is a very specialized test and very few contractors are licensed to perfonn this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. The purpose of this letter is to advise you that under code, failure to perform this test. bv the necessary deadline. December 31. 2002. will result in the revocation of your permit to operate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. Si";2 ~ Steve Underwood Fire Inspectorl Environmental Code Enforcement Officer Office of Environmental Services ~~y~ de W~.¥OP.A~ ff~ A W~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 21 01 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FiRE SAFETY SERVICES' ENVIRONMENTAl. SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Avè, Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e e September 30, 2002 Fastrip 8001 White Lane Bakersfield CA 93309 RE: Deadline for Dispenser Pan Requirement December 31, 2003 REMINDER NOTICE Dear Underground Storage Tank Owner: You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1,2002. This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003 which is the deadline for compliance, this office will be forced to revoke your Permit to Operate, for failure to comply with the regulations. It is the hope of this office that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326- 3190. Sincer~J' Jjt;~ Steve Underwood Fire Inspector/ Environmental Code Enforcement Officer Office of Environmental Services SBU/dc ""SC~ ~ W~ ~ ~0R?.r~ ..A W~" ¡ JI,\y?'/ '« ,g.9/28/01 , ~, 07:45 '5'661 . 0576 B FD H.E ,\I.U D I V e !4J 002 lVIONITORING SYSTE~I CERTIFICATION For Use Bv Af/ JUT/sdiClllil!i \VIllI/II iht' State of Callfomia Al/lhurllv Cited,' Chupll!r 6, 7. Health (Jnd Sa/itty Code. Chep/a II). Divisloll 3, Tille 23, CalijimÚa Code of Regulatiuns This form must be used to document resting and servicing of mQnitoring equipment. A separate certitìcation or report mu"t be prepared for each_ mQ,nitori/1!z system control Q1!Jlel by the technician who performs ¡he work, A copy of this form must be provided to the tank system owner/operator. The owner/operator must submit a copy or ¡his form co the local agency regulating UST systems within 30 days of leSt dare A. General Info~ation . ,,/'. Facili¡y Name: r~'~ ;1610. 3C:71 SileAddress: Pq0-L w/'hTlF ~iF Facility Contact Person: ~~¿7r¡/ Make/Model of Monitoring System: ~ :7sv Bldg, No.: City; ,¿3Af-~¿;lief,a Zip: 9þ3.::>7 _____ Conwct Phone No: (&;(;/ ) 95:5""-1'-(90 Date of Testing/Servicing: 1/_~/ 0'2. B. Inventory of Equipment Tested/Certified Check the a rO r!ate boxes to indicate s eciflc ~ ui ment ins ectedJserviced: T3)\k ill: W¿' "'.'/ i Tank ID: T7.3 h 7 /)If5J£-t.... -Ø'In-Tank Gauging Probe. Model: _Æ4-¿'L ~. Ga"'Ín-Tank Gauging Probe, Model: ~ / I ~ Annular Space or Vau1t Sensor. Model: ~.4?'""r('"~,)C:>-t. I øß..nnular Space or Vault Sensor, Model: ?=-lø..r-..sz".".J€>,t.. ¡ Ø"Piping Sump I Trench Sensor(s). Model: ~ _~~...:J¿ I (4"'Piping Sump / Trench Sensor(s). Model: F/~ 50-''''-'''4- o FiJì Sump Sensor(s), Model: Q þ/l Sump Sensor(s). Model:, ~lechanical Line Leak Detector. Model: ~ C3"Mechanical Line Leak Detector, Model:·~....4<.-l<:1" :J Electronic Line Leak Detector. Model: a Electronic Line Leak Detector. Model: " :J Tallk Overfill i High-Level Sensor. Model: _._____ ' CJ Tank OvertìIJ / High-Level Sensor. Model; o Other (s ecif e ui ment t e and model in Section E on Page 2). _ a Otr.er (s cif e ui menr t e and model in Section E on Pa e 2), TJ41k ill: V"¿:"M (, ~ Tank ill: ~..Jn-Tank Gauging Probe, Madej: /??19 / ¡ U In-Tank Gauging Probe. Model: ~zf' lnular Space or Vault Sensor. !I.·lode!: --J!:!-Þ47 5~¡VJe4 a Annular Space or Vault Sensor. Model: ; Piping Sump I Trench Sensor(s). Model: ~ ~JC»to- 0 Piping Sump / Trench Sensor(s). Model: W...fill Sump Sensor(s). Mooel: , _ ____ a FilJ Sump Sensor(s). Model: zf Mechanical line Leak Detector, Model: /~~ ' " 0 ~lcchanical Line Leak Detector. Model: , 0 Electronic Line Leak DetectOr, Mode!: , 0 Electronic Line Leak Detec¡or. Model: 'I 0 TaDk OverfjIJ / Hieh-Leve\ Sensor. Mode!: a Tank OverfiIJ / High-Leve1 Sensor. Model: : 0 Other (s cifve ui ment t e and model in Se;;¡;n E 0-;;- Pa e 2). CJ Other (s ecjfv e ui ment t e and model in Section Eon Paae 2), , Dispenser ID: I ~___._._.____I Dispenser ID; _ ñ '? :' a Di~penser Containment Sensor(s). Model: :::J Dispenser Containment Sensor(s). Model: , ç;¡r Shear Yal\'e(s), ' JilfShear Valve(s). I :J Dis enser Containment Float(s) and Chain(s). CJ Dis enser Containment Float(s) and Chain(s , :; Dispenser ID: ' __ I Dispenser ID: '/t:7 _ :r,' O)?ispenser C?ntainment Sensor(s), Model: , :1Dispenser C(\ntainment Sensor(s), Model: :)ZI~Shear Valve(s). ð Shear Valve(s), :' 1:1 Dis enser Concuinment Float(s) and Chain(s). CJ Dis enser Containment fJoat(s) and Chajn(s). Dispenser ID: _ Dispenser ID: O. Dispenser Containrr:ent Sensor(s), Model: CJ Dispenser Containment Sensor(s). Model: .ø Shear Valve(s). W Shear Valve(s). " ::J:)ìs enser Containment Float(s) and Chain(s). , CJ Dispenser Cc.ntainment Float s) and Chain(s), "ff the facility contains more tanks or dispensers, copy this form. Include infom¡a{ on for every tank and dispenser at the facility, ¡ ~ ~ I¡ ~ j ~ ;¡ ; " i ~ í ¡:; -, I' '! :1 " '1 C. Certification· I certify that the ~uipment identified in this document was Inspecte<IJserviced in accordance with the manufacturers' guidelines. Attached to this Certification Is fnfonnation (e.g, manufacturers' checklists) necessal'Y to yerify that this information is correct and a Plot Plan ShoWin, g the layout of monitoring equipment. For any equiJ>.ment capable of generating such reports, I have also attached a copy of the repo~ (checlu¡lltha/ apply): ilSystem set·up ~ Ala~j, ISr¡fft Y fe, .port Te.:hnicion Name (print); ~o,.J 1'<tJ~ Signature: __~ ~ ___ CertiticationNo,; 97c1...k.,_. Licen~e. No.: 51('9 I~_____ Testing Company Name: __~,ØSÉ:'~~ _._.____._ Phone Nü.:(~J..?2Z - 0 ~ ~ Site Address: j/6t//~,.z,; Itf!./.l þ¿ Date of Te8ting/Servicing: :/_/ _C:. If) "2.- b-~A~/k Page I of 3 03/01 Monitoring S)'stem Certitication 09/28/01 07:45 '5'661 ill 0576 BFD HAZ M.H Dr\' e @002 ~ lVIONITORING SYSTE~I CERTIFICATION (-'or Use Bv All JurisJicllli/!i IVilltill lht' SlaTe oi C,,/ifamia .Awhurity Citlt": Chapra 6, 7. Health anci Safety Coe/It" CiU!f'rer II). Divisioll 3. Title 23, CalijlirfÚa Code of Reglllmiull:¡ This form must be used to document resting and servicing ot monitoring equipment. Aseparace certification or report must be prepared for e:lch_ mQ,nitorirw: svstem contwl .R¡)J1el by the technician who pertorms the work, A çopy of this form must be provided to the tank system owner/opermor. The owner/operaror must submit a copy or this fom1 to the local a.gency regulating UST systems within 30 days of (es( da.te, Á. General Information Facili¡y Name: ffl;:>I..&Jf :36Cr.1-!!::!. Bldg, No,: Sue Address: ?tSQj Wtf1/E" ~ City: ß4~ft~çL Zip: 9330'{ F:lcility Contact Person: ~~:3Ð"'; _____ Conmct Phone No.: ( b(?/) Jl.-ß71'fC¡o Make/Model Qf Monitoring System: TL-~s:Q....__ Date of Testing/Servicing: _/ _~/ 1'2 B. Inventory of Equipment TestedlCertified Check the... rO rlate boxes to indicate s eeific ~ ui men! ins ectedJserviced; ; Tal))< ill: ',/ vlf/L 3k Cð ~ T~k lD: D D¡e.S,,,€L ~:Sfe, '" e:r)1-Tank Gauging Probe. Model: .L2:24-G / ~ rz [n·Tank Gauging Probe, Model: ~ / I¡ ~/,A.nnular Space or Vault Sensor. Model: y.:::~ ~o.L. I ifð,.nnular Space or Vaul~ Sensor. Model: "c4>""'- Se.uJðIž. fj !4 Piping Sump! Trench Sensor(s). Model: r~- I CJ P'plllg Sump / Trench Sensor(s). Model: a Fill Sump Sensor(s). Model; CJ fill Sump Sensor(sj. Model: _, :J Mechanical Line Leak Detector. Model: ¡;a'Mechanical Line Leak Detector, MadeJ:" Ro;4C-i<:.ð :J Electronic Line Leak Detector. Model: 0 Electronic Line Leak Detector, Model: ., :J Tank Overfill i High-Level Sensor. Model: _,_____ : CJ Tank Overtìll / High-Level Sensor, Model: o Other (s ecif e ui ment t e and model in Section E ~Page 2). CJ Otr.er (s cif e ui ment t e and model in SectionE on Pa e 2), TankID: ~t;. . ~ T nkID:1 ~. £L " ~In-Tank Gauging Probe. Model: ~I i ~[n'Tank Gauging Probe. Model: 2' Annular Spa~e o-r Vault Sensor. Model: ~<!.~_ ii( Annular Space or Vault Sensor. Model: o Piping Sump! Trench Sensor(s). Model:.~_,.Piping Sump I Trench Sensor(s). Model: o Fill Sump Sensor(s), Model: ._______ 0 Fill Sump Seos1x(s), Model: 2fMechanicaJline Leak Detector. Model: ~KCï ~'~!echanicaJ Line Leak Detector. Model: Kl":ð ,'~ , a Eleccronic Line Leak DetectOr. Mode!:___. I a Electronic Line Leak DetectOr. Model: - II 0 Tallk Overfill / High-Level Sensor. Mode!: a Tank Overfill I High-Level Sensor. Model; : 0 Other (s cifve ui ment t e and model in Se¿tion E on Pa e 2). 0 Other (s ecify e ui ment t e and model in Section Eon Paoe 2), :~ Dispenser ID: ,_.__,_____ Dispenser ID: :.~ a Dispenser Containment Sensor(s), Model: :J "Dispenser Contain nent Sensor(s}, Mode!: :1'. ø' Shear YaJ\'~(s). \4'Shear VaJ....e(;;), , :J Dis cnser Containment float(s) and Chain(sì. u Dis enser Containment Float(s} and Chain(s). : Dispenser ID: . 'I Dispenser ID: ..- ~r ~/Dispenser Containment Sensor(s}, 1I-!odel: ~Dìspenser Containment SensQr(s). Model: J [Ä Shear Valve(s). ¡ß Shear Valve(s). ;' 0 Dispenser Containment Float(s) and Chaini,». a Dis enser Containment FJoat(s) and Chain(s). , Dispenser ID: -7 ~ .__._________ Dispenser ID: Q Dispenser Contuinrr.ent Sensor(s). Model; , CJ Dispenser Containment Sensor(s). Madej: çt Shear Valve(s), L.J Shear Valve(s), r:J::>js enser Containment Float(s) and Chain(s). , 0 Dispenser Containment f'loat(s) and Chain(s). "[f the faciliry contains more tanks or dispensers, copy this form. [nclude infomJatlOn for every tank and dispenser at the faci1ity. C. Certification· I certify that the equipment identilied in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is infonnation (e.g, manufacturers' checklists) necessary to verify that this Infom1ation is correct and a Plot Plan showing the layout of mo!Útoring equipment, For any equipment capable of generating such reports, [ have also attached a copy of the rep0r.!6..(check aU thaI apply): ¡;i(System set·up I:Q ).jarm story report Technician Name (print): f(O¡.J R"?!j€.../l.-S Signatur.::: __t:é::L ___ Certification No,; 9 7r:l t;_. Licen~e. No,: S y;;-/7 Testing Company Name: __$;';0..::;£"( /YltFCL-+ __..___ Phone No.:( 6¿"/ J .J2Z - O~f:>Ð Site Address: -f/r;~/ -./{íM.Pt?A-- ..4z:k.. Date of Testing/Servicing:; / £/ c~2- - ß¿~þr¿:k£ Page 1 of 3 03/01 Monitoring System Certitication 09/28/01 07:46 'Õ'.661tþ6 0576 BFD HAZ MAT DI\~ @003 ~ D. Results of Testing/Servicing Software Version Cnstalled: ,.7 (:) 2- ;' /. Com lete the following checklist; ,Yes D No" ! Is the audible alarm 0 eratiollal'ì Yé:S D No" Is the visual alarm operational',) =J!.-es D No* Were all sensors visually inspected, functionaliL!!:sted, and confirmed operational'J '"Z Yes D No"' Were ail sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their ro er operation? If alarms are relayed to a remote monitoring station, is aJl communications equipment (e,g. modem) optrational'J For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, fails to oper~e, or is elect.rically disconnected? If yes: which sensors initiate positive shut-down? (Check aUthar apply) i2fSump/Trench Sensors: D Dispenser Containment Sensors. Did ou contìrm positive shut-down due to leaks rmQ sensor failure/disconnection? C4""Yes: 0 No. D No" Por tank system~ that utilize the monitoring system as the primary tank overfiU warning device (i.e. no GY'N/A mechanical overfill prevention valve is insralJed). is the overfill warning alarm visible and audible at the tank fill oint(s) and operating properly'~ If so, at what percent of ~ank ca acitv does the alarm tri er? "" % Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and mode] for all re ¡acement arts in Section E. below. Was liquid found inside any secondary containment systems de,~igned as dry systems? (Check all ¡hat apply) D Product; 0 Watt:r. If 'es, describe causes in Section E, below. s 0 No* Was monitoring s stem set-u reviewed to ensure ro er settin s? Attach set u Yes D No" Is aU monitorin , e ui rnent 0 en1tional er manufacturer's s ecifications? * In Section E below, describe how and when these deficiencies were or will be corrected, o No¥ Er"'N/.A. o No* o N/A DYes ~ o No D Yes* No E. Comments: ¡tp'tt'l-,ç D .AædjJ¿4/¿i--í ýø¿.::J.1!.- ------._--_._-_...._---~._.,~.._,_._,- .....,-_.__.-..'...._-_.._....__.-~.~.-----_."._._------'---. --------.---.---.------------,.--- --_._---_._-----_.-.._.,--....,.._,~._-----------_..._...-....-.---.-,-.---....., .------.---- .---....--.- .... -.,--.........-. ----...;.......----.---------.--.- -----.. Page 2 nf 3 03/01 09/28/01 07;47 '(5'66_6 0576 BFD HAZ MAT DI~ @004 F. In-Tank Gauging / SIR Equipment: ¿'(heck this box if [¡¡nk gauging is used only for inventory control. o Chc:ck this box jf no tunk gauging or SIR equipment is installed. This section must be completed if in-tank gnuging equipment is used to perform leak detection monitoring. ?f /£ es 0 No" !21 )f es 0 No" C,/, Yes 0 No" I I I: /Y es 0 No" I C /? es 0 No'" e:) Yes 0 No* COIJ1Plete the foIlowml! checklist: Has alJ input wiring been inspect::d for proper entry and termination, including testing for ground faults? Were all tank gauging probes visually inspected for dnm¡¡ge and residue buildup? Was accuracy of system.prodüct level readings tested') Was accuracy ofs)'stem water level readings tested'? Were all probes .einstalled properly') Were all items on the equipment manuìacturer;s maintenance checklist comp1eted? * In the Section H, below, describe how and when these deficiencies were or will be corrected. C h t 11 G. Line Leak Detectors (LLD): h k!' o Check this bo." it' LLDs are not insta!!ed. omp ete t e 0 OWIßI! C ec 1st: -- Ø" Yes 0 No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD perfonnance? 0 N/A (Check ~Illhat apply) Simulated leak rate: C13 g.p,h.: 00.1 g,p,h; OO.2g.p.h. . ø' ~ es 0 No* Were all LLDs contÌ'mled operationaJ- and ãcèurate within regulatory requirements? C3"'yes 0 No"' Was the testing apparatus properly calibrated'! rzr Yes ,0 No'" For mechanical LLDs. does the LLD restrict product flow if it de,teets a leak? ':) NtA 0 Yes 0 No* For electronic LLDs, does the turbine automaticaJly shut off if the LLD detects a leak? C3":\I t A 0 Yes o No* For electronic LLDs, does the turbine automatica1Jy shut off ir' any portion of the monitoring system is disabled ~NIA or disconnected'? 0 Yes o !:No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions ~/A or faiJs a test'i - - 0 Yes ~o* For electronic LLDs, have all acccssible wiring connections been visually inspected') i-er.....Yes N/A CJ No'" Were all items on the equipment manufacturer's maintenance checklist completed? - --.- ... In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Conmlents: --.--..,-.- ~._-----, --- --------~._._-- ...----- ---.-----.,-. .--.....---------- ..-. ---- Page .3 of 3 03/01 e - WORK ORDER DATE: ? -6 -¿¡ 2... LOCATION OF JOB NAME fÄ-.')í7ZAþ .../3 6'(;/3'~ 7 ADDRESS &-be> / ¡;;v'1Ï1:k!, k,rÆ CITY Û4,/L4fSÞttJf#-. CONTACT PERSON j,,~-A-/ I~~\ .01..1 PHONE NUMBER &0/' g:<:>~l 1"1Jlo DESCRIPTION OF WORK. TO BE PERFORMED: t~..::.p ~...u~' ß;~'>-t~ D ¡þ i¡/Í)~ I t I .~'¿Jl.. 5e.J·~$.:)'¿ , I ASSIGNED TO : -.:)~-.r--Sð€T ~i.f DATE: ,y- ~--~2- . .."\.j:;~) (>Le.ct ,Sit.) MATERIALS USED: (J) 7 q '1390 ·-4 ·vi' MATERIALS USED: MATERIALS USED: MATERIALS USED: VENDOR: VENDOR: VENDOR: VENDOR: I Z 3.of>~- I ~ 2-.:>0' pM T 2:PREMIUM 366 PRODUCT CODE THERMAL COEFF TANK DIAMETER TANK PROFILE FULL VOL e : 2 : .000700 : 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING : 2.0 HIGH WATER LIMIT: 3.0 MAX'OR LABEL VOL: 12000- OVERFILL LIMI T : , 95~. 11400 HIGH PRODUCT 97~. 11640 DELI VERY LI M I T 10}. 1200 LOW PRODUCT : 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 50 TANK TILT 0.00 MANIFOLDED TANKS Tit: NONE LEAK MIN PERIODIC: 10% : 1200 LEAK tv1 I N ANNUAL 10% 1200 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARt'1 DISABLED PERIODIC TEST FAIL ALARI'1 DISABLED GROSS TEST FAIL ALARM DISABLED ANN T£ST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : 15 MIN IN-TANK SETUP ------ T 1 : UNLEADED 366 PRODUCT CODE THERMAL COEFF TANK DIAMETER TANK PROFILE FULL VOL -e 1 : .000700 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING : HIGH·WATER LIMIT: MAX OR LABEL VOL: OVERFILL LIMIT HIGH PRODUCT DELIVERY LIMIT LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT MANIFOLDED TANKS tit: NONE LEAl< MIN PERIODIC: LEAK MIN ANNUAL 2.0 3.0 12000 95~'. 11400 97% 11640 .5% 600 500 99 50 0.00 10% 1200 10% 1200 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANÑTEST AVERAGING: OFF PER TEST AVERAGING: OFF TANI< TEST NOTIFy: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : 15 MIN SYSTEM SETUP - - - - - - AUG 6. 2002 - - - - 1:54 PI'1 SYSTEI"I UN I TS U.S. SYSTEM LANGUAGE ENG{..ISH SYSTEM DATE/TIME FORMAT MON DD YYYY HH: MI'1 :SS xtvl FASTRIP 640 8001 WHITE LN BAKERSFIELD CA 93309 E 1 1 2 : 00 Atvl SHIFT TIM SHIFT TIME 2 DISABLED SHIFT TIME 3 DISABLED SHIFT TIME 4 DISABLED TANK PERIODIC WARNINGS DISABLED ~~ TANK ANNUAL ltJARN I Nl..~ DISABLED ~ LI NE PERIODIC WARN I NGS DISABLED ' LINE ANNUAL WARNINGS DISABLED PRINT TC VOLUMES ENABlED TEMP COMPENSATION 0 VALUE (DEG F ): 60. STICK HEIGHT OFFSET DISABLED DAYLl GHT SAV I NG T I ME DI SABLED . SYSTEM SECUR ITY CODE : 000000 COI'1tvlUNICATIONS SETUP - - - - - - - - - - PORT SETTINGS: NONE FOUND RS-232 SECURITY CODE : 000000 RS-232 END OF MESSAGE DISABLED T 5:UNLEADED 367 PRODUCT CODE THERMAL COEFF TANK DIAMETER TANK PROFILE FULL VOL : 5 : .000700 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING HIGH WATER LIMIT: MAX OR LABEL VOL: OVERF I LL LI M IT HIGH PRODUCT DELI VERY LI M I T LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TA~K TILT ¡"tAN ¡FOLDED TANKS Tft: NONE LEAK MIN PERIODIC: LEAK MIN ANNUAL 2.0 3.0 12000 95~¡ 11400 99% 11880 5% 600 500 99 50 0,00 10% 1200 10% 1200 PERIODIC TEST TVPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFV: OFF TNK TST SIPHON BREAK:OFF DELIVERV DELAV : 15 MIN e T 4 :RACl NG FUEL PRODUCT CODE THERI"tAL COEFF TANK DIAMETER 'TANK PROFILE FULL VOL 366 4 : .000750 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING : HIGH WATER L1MIT: MAX OR LABEL VOL: OVÊRF J LL LI t"1I T HIGH PRODUCT DELIVERV LIMIT LOW PRODUCT : LEAK ALARM LIMIT: SUDDEN LOSS LIMIT: TANK TILT MANIFOLDED TANKS 1ft: NONE LEAK MIN PERIODIC: LEAK MIN ANNUAL 2.0 3.0 12000 95% 11400 97% 11640 10% ~200 400 -99 50 1. 27 10% 1200 10% 1200 PERIODIC TEST TVPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFV: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : 15 MIN e T 3:DIESEL 366 PRODUCT CODE THERMAL COEFF TANK DIAMETER TANK PROFILE FULL VOL : 3 : .000450 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. 8496 WATER- WARNING : 2.0 HIGH WATER LIMIT: 3.0 t"lAX 'OR LABEL VOL: 12000 OVERF I LL LI M IT : 95% 11400 HIGH PRODUCT 97% 11640 DELl VERY L I M IT 10% 1200 LOW PRODUCT : 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMI!: 50 TANK TILT 0.00 MANIFOLDED TANKS Tit: NONE LEAK MIN PERIODI~: 10% 1200 LEAK MIN ANNUAL 10% 1200 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOT I FY : OFF TNK TST SIPHON BREAK:OFF DELIVERV DELAV : 15 1"11N ~ I ~U ~D _ S:N~OR _ S:T~P - '- e L 1 : EAST SIDE SOUHT ANNU TRI-STATE (SINGLE FLOAT) CATEGORY : ANNULAR SPACE L 2~EAST SIDE STP SUMPS NOJ<MALLY CLOSED CATEGORY : STP SUMP L 3:EAST SIDE EAST ANNUL NORMALLY CLOSED CATEGORY : ANNULAR SPACE L 4:EAST SIDE WEST ANNUL NORMALLY CLOSED CATEGORY : ANNULAR SPACE L 5:WEST SIDE SOUHT ANNU NORMALLY CLOSED CATEGORY :,ANNULAR SPACE L 6:WEST SIDE STP SUMPS NORMALLY CLOSED CATEGORY : STP SUMP L 7:WEST SIDE WEST ANNUL NORMALLY CLOSED CATEGORY : ANNULAR SPACE L 8:WEST SIDE EAST ANNUL NORMALLY CLOSED CATEQORY : ANNULAR SPACE L 9:WEST SIDE 87 STP NORMALLY CLOSED CATEGORY : STP SUMP T 7:DIESEL 367 PRODUCT CODE THERMAL COEFF TANK DIAMETER TANK PROFILE FULL VOL : 7 : .000450 120.00 1 PT 12000 FLOAT SIZE: 4.0 IN. 8496 WATER WARNING : 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 12000 OVERFILL LIMIT : 95Y. 11400 HIGH PRODUCT 97Y. 11640 DELI VERY Ll M IT 10Y. 1200 LOW PRODUCT : 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMIT: 50 TANK TILT : 0.00 MANIFOLDED TANKS TIt: NONE LEAK MIN PERIODIC: 10Y. 1200 LEAK ~lI N ANNUAL 10Y. 1200 PERIODIC TEST TYPE STANDARD ANNUAL TEST FAIL ALARM DISABLED PERIODIC TEST FAIL , ALARM DISABLED GROSS TEST FAIL ALARM DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOT I FY : ' OFF TNK-TST SIPHON BREAK:OFF DELI VERY DELAY 1 5 ~n N LEAK TEST METHOD ------ - - - - TEST ON DATE : ALL TANK JAN I. 2000 START TIME: 2:00 AM TEST RATE :0.20 GAL/HR DURATION : 2 HOURS LEAK TEST REPORT FORMAT NORt1AL e, T 6:PREMIUM 367 PRODUCT CODE THERMAL COEFF TANK DIAt"lETER TANK PROFILE FULL VOL : 6 :..000700 120.00 1 PT 12000 . FLOAT SIZE: 4.0 IN. 8496 WATER WARNING : 2.0 HIGH WATER LIMIT: 3.0 MAX OR LABEL VOL: 12000 OVERFILL LIMIT : 95Y. 11400 HIGH PRODUCT 97Y. 11640 DELI VERY L î M IT 10Y. 1200 LOW PRODUCT : 500 LEAK ALARM LIMIT: 99 SUDDEN LOSS LIMI~: 50 TANK TILT . 0.00 MANIFOLDED TANKS Tti: NONE LEAK MIN PERIODI~: 10Y. 1200 LE~K MIN ANNUAL: 10Y. 1200 PERiODIC TEST TYPE STANDARD ANNUAL TES¡LÄ~~LDISAB~ED PERIODIC T~t¡R~AbtSABLED GROSS TESTAr~k~ DISABLED ANN TEST AVERAGING: OFF PER TEST AVERAGING: OFF TANK TEST NOTIFY: OFF TNK TST SIPHON BREAK:OFF DELIVERY DELAY : 15 MIN -- e IN-TANK DIAGNOSTIC ------ - - - .' PROBE DIAGNOSTICS T 1: PROBE TYPE MAGI IN-TANK DIAGNOSTIC SERIAL NUMBER 407235 ID CHAN = OxCOOO -~--- - - - GRADIENT a 351.6500 PROBE DIAGNOSTICS T 3: PROBE TYPE MAGI' NUM SAMPLES = 20 SERIAL NUMBER 407249 ID CHAN = OxCOOO COO 1413.5 COl 26077.3 GRADIENT = 351.3600 CO2 26077.4 C03 26077 . 3 C04 26077.3 C05 26077.2 NUM SAMPLES 20 C06 26094.2 C07 26093.9 COO C08 26094.0 C09 26094.1 1340.1 COl 16046.8 Cl0 26094.2 Cll 44949.1 CO2 16047.0 C03 16046.8 C12 9577.8 C13 12411 .8 C04 16047.0 C05 16046.8 C14 14041.6 C15 15196.7 C06 16047.0 C07 16047.0 Cl6 15112.0 Cl7 15107.8 C08 16047.0 C09 16047.0 C18 44951.1 Cl0 16046.8 Cll 44412.9 C12 7920.0 C13 9486.0 SAMPLES READ =48613723 C14 9768. 1 C15 10070.5 .SAMPLES USED =48585840 C16 11630.6 C17 13176.0 CI8 44414.1 SAMPLES READ =48613658 SAMPLES USED =48610693 IN-TANK DIAGNOSTIC - - - - - - - - - PROBE DIAGNOSTICS T 2: PROBE TYPE MAGI SERIAL NUMBER 407188 ID CHAN = OxCOOO GRADIENT = 351.1600 NUM SAMPLES 20 IN-TANK DIAGNOSTIC - - - - - - - - - PROBE DIAGNOSTICS T 4: PROBE TYPE MAGI SERIAL NUMBER 407187 ID CHAN .. OxCOOO GRADIENT = 351.3500 NUM SAMPLES COO 1296.0 C02 9998.5 C04 9998.0 C06 9998.0 C08 9998.0 Cl0 9998.5 C12 6892.6 C14 9424.2 C16 10718.4 C18 4,4703.6 SAMPLES,READ SAMPLES'; USED 20 COI 9998.2 C03 9998.7 C05 9998.6 C07 9998. 1 C09 9998.0 Cll 44702.1 C13 8843.8 C15 9883.7 C17 12924.8 COO 1349.2 COl 25371.6 CO2 25371 .3 C03 25371.1 C04 25371.6 C05 25371.2 C06 25386.EJ C07 25387. 1 C08 25386.8 C09 25386.8 Cl0 25387.2 Cl1 44889.3 C12 9007.7 CI3 11342.8 C14 12724.0 C15 14225.0 C16 14246.2 C17 14420.5 C18 44889.8 SAMPLES READ =48613725 SAMPLES USED =48606813 =48613495 ::48612452' e OUTPUT RELAY SETUP ----- - - - - R 1 :POSITIVE SHUTOFF WES TYPE: STANDARD NORMALLY CLOSED IN-TANK ALARI1S T 1: LEAK ALAR!1 T 2:LEAK ALARM T 3:LEAK ALARM T 4: LEAK ALARr1 T 1 :HIGH WATER ALARM T 2:HIGHWATER ALARM T 3:HIGH WATER ALARM T 4:HIGH WATER ALARM ,L I au I D SENSOR ALMS L 5: FUEL ALAR!1 L6 : FUEL ALARM L 7 :FUEL ALARM L 8: FUEL ALARM L 9 :FUEL ALARM L 5:SENSOR OUT ALARM L 6 : SENSOR OUT ALAR!"1 L 7:SENSOR OUT ALARM L 8:SENSOR OUT ALARM L 9:SENSOR OUT ALARM L 5: SHORT ALARM L 6:SHORT ALARM L 7 : SHORT ALARM L· 8: SHORT ALAR!"1 L 9:SHORT ALARM R 2:POSITIVE SHUTOFF EAS TYPE: STANDARD NOR!"lALL Y CLOSED IN-TANK ALARMS T 5:LEAK ALARM T 6: LEAK ALARM T 7: LEAK ALARM T 5:HIGH WATER ALARM T 6:HIGH WATER ALARM T 7:HIGH WATER ALARM L1 au I D SENSOR ALMS L 1 :FUEL ALARM L 2:FUEL ALARM L 3:FUEL ('-\LARM L 4: FUEL ALARM L 1 :SENSOR OUT ALARM L 2:SENSOR OUT ALARM L 3:SENSOR OUT ALARM L 4:SENSOR OUT ALARM L 1: SHORT ALARM L 2 :SHORT ALAR!"\ L 3:SHORT ALARM L 4:SHORT ALARM --;----:-----.-. --- ------.--.--.---.- SOFTWARE REVISION LEVEL VERSION 17.02 SOFTWARE~ 346017-100-C CREATED - 99.01.12.18:20 NO SOFTWARE !10DULE SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS ~LARM HISTORY REPORT ---- IN-TANK ALARM T 2:PREMIUM 366 LOW PRODUCT ALARM DEC 20. 2001 8:47 PM NOV 17. 2001 6:13 PM NOV 26. 2000 4:13 PM INVALID FUEL LEVEL DEC 21. 2001 5:28 AM NOV 26. 2000 5'29 ' MAR 7. 2000 6:19 Ä~ DELIVERY NEEDED JUL 2B. 2002 4:55 PM DEC 20. 2001 10:42 AM NOV 17. 2001 12:59 PM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ _.__.._._----~-- ----.---- ALARM HISTORY' REPORT ---- IN~TANK ~LARM T 3:DIESEL 366 HIGH WATER ALARM MAR 8. 2000 2:58 PM LOW PRODUCT ALARM MAR 7. 2000 9:14 AM INVALID FUEL LEVEL MAR 7. 2000 9:16 AM PROBE OUT MAR 10. 2000 8:20 AM HIGH WATER WARNING MAR 8. 2000 2:58 P~ DELIVERY NEEDED MAR 8. 2002 1 :02 PM OCT 11. 2000 4:36 AM SEP 18. 2000 10:29 AM ~ ~ ~' ~ ~ END ~ ~ ~ ~ ~ e IN-TANK DIAGNOSTIG - - - - - - - - - PROBE DIAGNOSTICS T 7: PROBE TYPE MAGI SERIAL NUMBER 407261 ID CHAN = O)(COOO GRADIENT = 351.4200 NUM SAMPLES =20 COO 1321.0 COl 16194.2 C02 16194.1 C03 16194.0 C04 16194.3 C05 16194.3 C06 16194.2 C07 16194.5 C08 16194.5 C09 16194.7 Cl0 16194.2 Cll 44819.7 C12 5208.4 C13 5713.8 C14 5906.8 C15 6246.7 C16 7741.3 C17 9113.1 C1844821.3 SAI"1PLES READ =48613596 SAMPLES,USED ~48611033 ALA~I"1 H I STORY REPORT ____ IN-TANK ALARM T 1: UNLEADED 366 OVERFILL ALARM JUL 16. 2002 7:56 PM JUL' 7. 2002 8:02 PM JUN 6. 2002 7:59 PM LOW PRODUCT ALARM MAY 4. 2002 9:13 AM JAN 14. 2002 8:09 PM N9V-29. 2001 6:14 PM INVALID FUEL LEVEL MAY 4. 2002 9:34 AM NOV 29. 2001 6:32 PM AUG25. 2001 11: 18 AI"1' DELIVERY NEEDED MAY 4. 2002 8:45 AM JAN 14. 2002 7:37 PM JAN 5. 2002 7:18 PM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ A ~N=T~N~ ~I~GN~::;~I~ _ _ _ ~ PROBE DIAGNOSTICS T 5: PROBE"TYPE MAGI SERIAL NUMBER 407251 ID CHAN = 8)(COOO GRADIENT = 351.2700 NUM SAMPLES = 20 COO 1313.8 COl 10131.2 C02 10131.2 C03 10131.3 C04 10131.5 C05 10131.1 C06 10135.6 C07 10135.8 C08 10136.0 C09 10136.2 Cl0 10135.8 Cl1 45241.8 C12 5968.8 C13 7931.8 C14,8967.1 C15 9221.7 C1G 9333.5 C17 9737.8 C 18 45245. 1 SAMP~ES READ =48613637 SAMPLES USED =48587640 IN-TANK DIAGNOSTIC ----- - - - - PROBE DIAGNOSTICS T 6: PROBE TYPE MAGI SERIAL NUMBER 407260 ID CHAN = OxCOOO GRADIENT = 350.2500 NUM SAMPLES 20 COO 1348.0 COl 12533.5 C02 12533.6 C03 12533.2 C04 12533.6 005 12533.3 COG 12541.5 C07 12541.4 C08 12541.2 C09 12541.5 Cl0 12541.6 Cl1 44806.1 C12 5546.2 C13 5513.7 C14 5878.4 C15 6006.8 C16 6328.3' C17 6541.0 C18 44808.1 SAMPLES READ =48613640 SAMPLES USED =48608227 ~' "ALARM HISTORY REPOR;-' . IN-TANK ALARM T 8: ~ * ~ ~ ~ END ~ ~ ~ ~ ~ ---------.-----.-----.-..----...-- ALARM HISTORY REPORT ----- SENSOR ALARM ----- L I :EAST SIDE SOUHT ANNU ANNULAR SPACE FUEL ALARM AUG 6. 2002 I :10 PM SENSOR OUT ALARM AUG 6. 2002 1 :04 PM FUELflLARM AUG 6. 2002 12:58 PM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ALARM HISTORY REPORT ----- SENSOR ALARM ----- L 2:EAST SIDE STP SUMPS STP SUMP SENSOR OUT ALARM AUG 6. 2002 12:25 PM FUEL ALARM AUG 6. 2002 12:25 PM SENSOR OUT ALARM AUG 6. 2002 12:24 PM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ALAR!1 H I STORY REPORT ---- IN-TANK ALARM T 6:PREMIUM 367 LOW PRODUCT ALARM MAR 18, 2001 9:40 PM SEP 24, 2000 7:50 AM APR 3. 2000 4:01 PM INVALID FUEL LEVEL MAR 19, 2001 4:28 AM SEP 24, 2000 7:50 AM APR 3, 2000 5:16 PM DEL I VERY NEEDED , NOV 11. 2001 7:16 PM APR 19. 20~1 6:58 AM MAR 20. 2001 5:24 PM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ ALARM HISTORV REPORT --~- IN-TANK ALARM T 7:DIESEL 367 LOW PRODUCT ALARM FEB 28, 2000 2:36 PM INVALID FUEL LEVEL FEB 28" 2000 , 2: 38 PI1 PROBE OUT MAR 1, 2000 9:08 AM DELIVERY NEEDED r1AR 16,· 2001 "11: 12 H't JAN ~O, 2001 12:01 PM NOV 26, 2000 11 :56 AM LOW TEMP WARNING MAR 1. 2000 9:10 AM ~ ~ ~ ~ ~ END ~ ~ ~ ~ ~ e ALARM HISTORY REPORT ---- IN-TANK ALARM ----- T 4:RACING FUEL 366 LOW PRODUCT ALARM APR 20, 2002 10:38 AM FEB 26. 2002 8:23 PM DEC 16. 2000 9:43 AM INVALID FUEL LEVEL JUN 30. 2002 11:26 PM APR 19, 2002 2:06 PM MAR 13. 2002 6:43 PM PROBE OUT MAR {3, 2001 MAR 3. 2001 MAR 3. 2001 9: 38 Ar1 9:29 AM 9:12 AM DELIVERV NEEDED JUN 20, 2002 5:50 PM MAY 10, 2002 6:59 AM APR5, .2QQ2., ,6: 26 PI~ _..~ , ,," ' i M M ~ ~ MEND M M ~ M M ---..,..-.-....... . ____.___ ____n______ ALARM, HISTORY REPORT --:-- IN-TANK ALARr1 T 5:UNLEADED 367 OVERFILL ALARM JUL 14, 2002 6:02 PM JUN 4,'2002 1:21 PM t1AV 15, 200211: 58 AM LOW PRODUCT ALARM JUL 9,'2002' 2:03 PM JUN 1, 2002 3:41 AM MAR 21, 2002 11 :44 AM· HIGH PRODUCT ALARM JUN 4, 2002 1:37 PM JUN 4, 2002 1:22 PM MAY 15, 2002 11: 58 At1 I NVALI D FUEL LEVEL MAR 21, 2002 11:44 AM DEC 28. 2001 2:10 PM DEC 22, 2001 12:26 PM PROBE OUT MAR 22, 2002 2:53 PM DELIVERV NEEDED JUL 12, 2002 6:20 PM JUL 9~ 2002 1 :15 PM JUN 1, 2002 12:23 AM MAX PRODUCT ALARM JUN 4, 2002 1 :38 PM JUN 4, 2002 1 :22 PM MAY 15. 2002 11 :58 AM M ~ M ~ MEND M M M ~ ~ J' ßLARt"l H I STORY REPORT --'--- SENSOR ALARt"l ----- L 8:WEST SIDE EAST ANNUL ANNULAR SPACE FUEL ALARM AUG 6. 2002 1 :45 PM FUEL ALARt"1 OCT 6. 2001 3;42 PM ~ ~ '" '" ~. END,__~,_~~_!,,_,~ ALARM HISTORY REPORT --~-- SENSOR ALARM ----- L 9:WEST SIDE 87 STP STP SUMP FUEL ALARM AUG 6. 2002 1:33 PM SETUP DATA WARNING OCT 6. 2001 4:00 PM FUEL ALARM OCT 6. 2001 3:49 PM ~ M M ~ MEND M M M M M ALARM HISTORY REPORT ----- SENSO~ ALARM L10: OTHER SENSORS SETUP DATA WARNING SEP 19. 2001 6~23 ~~ M M M M MEND M M M M M e ALARr"1 HI STORY REPORT ----- SENSOR ALARM ----- L 6:WEST SIDE STP SUMPS STP S Ut"IP FUEL ALARM AUG 6. 2002 1 :30 PM FUEL AL.ARM OCT 6. 2001 4:17 PM SENSOR OUT ALARM OCT 6. 2001 4:14 PM M M ~ M ~ END ~ ~ M ~ ~ ALARM HISTORV REPORT ----- SENSOR ALARM.-~--- L 7:WEST SIDE WEST ANNUL ANNULAR SPACE FUEL ALARM AUG 6. 2002 1:43 PM ~ M M M M END ~ ~ ~ ~ M ALARM HISTORY R~PüXI 4IÞ-----'SENSOR ALARM ----- L 3:EAST SIDE EAST ANNUL ANNULAR SPACE FUEL ALARM AUG 6. 2002 12:09 PM FUEL ALARM SEP 19. 2001 6:01 AM FUEL ALARr., SEP 19. 2001 5:53 AM M M ìE M ~ END ~_~__~~_~_,u_ -.--------- ---------- ALARM HISTORY REPORT _____ SENSOR ALARM :---- L 4:EAST SIDE WEST ANNUL ANNULAR SPACE, SENSOR OUT ALARM AUG 6. 2002 12:24 PM SENSOR OUT ALARM SEP 19. 2001 6:04 AM ~_,: M_:_~ND_~_~__!_~_~ ALARM HISTORY REPORT ----- SENSOR ALARM ----- L 6:WEST SIDE SOUHT ANNU ANNULAR SPACE FUEL ALARM AUG 6. 2002 1:50 PM FUEL ALARM OCT 6. 2001 5:01 PM FUEL ALARt"1 OCT 6. 2001 4:54 PM M M M M MEND '" ~ '" '" M FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 21 01 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-Q576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e e August 30, 2002 Fastrip 8001 White Lane Bakersfield, CA 93309 RE: Deadline for Dispenser Pan Requirement December 31, 2003 REMINDER NOTICE Dear Underground Storage Tank Owner: You will be receiving updates from this offices with regard to Senate Bi11989 which went into effect January 1, 2002. This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003 which is the deadline for compliance, this office will be forced to revoke your Permit to Operate, for failure to comply with the regulations. It is the hope of this office that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661- 326-3190. SiD:;! ~ Steve Underwood Fire Inspector/ Environmental Code Enforcement Officer Office of Environmental Services SBUIkr ""SC~ de W~ ~ vØ60P6 .r~ ..Æ W~" f\.v ,<' e ermit No. (3 J:. 0 d- 3 / CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 PERMIT APPLICATION TO CONSTRUCTIMODIFY UNDERGROUND STORAGE TANK TYPE OF APPLICA nON (CHECK) [ ]NEW FACILITY lQ]~~lfICATl~ OF FACILITY []NEW TANK INSTALLATION AT EXISTING FACILITY ~p.q~ STARTING DATE PROPOSED COMPLETION DATE FACILITY NAME ~ EXISTlI<g FACILITY PERMIT NO. FACILITY ADDRESS (Ü~::;c. ~ CITY '~l\ (ßQW\l...V) ZIP CODE c;?!/f:07 TYPE OF BUSINESS ~ __ _ -1J^o _ APN # TANK OWNER ~c..£') Cl n-' (10 ~ PHONE NO. 89.~r/}t:1CV ADDRESS" -$- 12 CITY ~(/ Ñ/i£,r-/VJ ZIP CODE ~'::?'=3ò ~ CONTRACTOR ~ CA LICENSE NO. 9~c, .5"/1 ADDRESS . CITY f4. ZIP CODE _~ø 6 PHONE NO, -Ú 0 BAKERSFIELD CITY BUSINESS LI NSE NO, btA.I ¡::'rì..,r=: - WORKMAN COMP NO, r9df -ð,) ~SURER BRIEFLY DESCRIBE THE WORK TO BE DONE \... '¿''' ' WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER / iN,; rð¢f - SOIL TYPE EXPECTED AT SITE NO. OF TANKS TO BE INSTALLED ÁI/ /fJI ARE THEY FOR MOTOR FUEL SPILL PREVENTION CONTROL AND COUNtER MEASURES PLAN ON FILE ')d SECTION FOR MOTOR FUEL TANK NO. VOLUME UNLEADED REGULAR PREMIUM DIESEL AVIATION SECTION FOR NON MOTOR FUEL STORAGE TANKS TANK NO, VOLUME CHEMICAL STORED (NO BRAND NAME) CAS NO, (IF KNOWN) CHEMICAL PREVIOUSLY STORED ¡"'; FOR OFFICIAL USE ONLY APPUCATlON DATE FACIUTYNO. NO.OFTANKS FEES S THE APPLICANT HAS RECEIVED, UNDERST ANDS, AND W ILL COMPLY WITH THE ATTACHED CONDIT IONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULATIONS. HAS BEEN COMP LETED UNDER PENALTY OF PERJURY, AND TO THE BEST, F MY KNOWLEDGE, IS CO T ~-- ' ----. - ~rr ~Jil/It/¡/ .- APPLICANT NAME (PRINT) APPLICANT SIGNATURE THIS APPLICATION BECOMES A PERMIT e - CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 APPLICATION TO PERFORM FUEL MONITORING CERTIFICATION FACILITY ADDRESS la-t>t/Lip #366 8001 White Lane (Site ID #64-9) OPERATORS NAME OWNERS NAME Jaco Oif Company Jaco -lUff NAìv1E OF MONITOR MANUFACTURER Veede/L-R.oot DOES FACILITY HAVE DISPENSER PANS? YES_ NO~ TANK # VOLUME CONTENTS 1 & 2 12000 / 12000 fY/Vl 3 & 4- 12000 / 12000 fY/Vl 5 & 6 12000 / 12000 fY/Vl 7 12000 fY/Vl NAME OF TESTING COMPANY CONTRACTORS UCENSE # SllNSE7 fY/ECHANICAL CA589517 NAìv1E & PHONE NUMBER OF CONTACT PERSON fY/a/Lk BfackfJ.u/Ln 322-0660 DATE & TIME TEST IS TO BE CONDUCTED 08/06/02 11 :00AfY/-12: 30PfY/ APPROVED BY DATE ~d~ .-' ~"'(~O è FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 MH" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES. EHVIROIIIlEHTAI. SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93306 VOICE (661) 399-4697 FAX (661) 399-5763 ~, . July 31,2002 Fastrip 8001 Whi te Lane Bakersfield CA 93309 RE: Deadline for Dispenser Pan Requirement December 31, 2003 REMINDER NOTICE Dear Underground Storage Tank Owner: You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1,2002. This bill requires dispenser pans under fuel pump dispensers. On December 31,2003, which is the deadline for compliance, this office will be forced to revoke your Pennit to Operate, for failure to comply with the regulations. It is the hope of this office that we do not have to purse such action, which is why this office plans to update you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661- 326-3190. Si¡~ Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SBU/dc _-7~~R~-O~~~~P~N~~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Streel Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES' £IMIIONII£HTAI. SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 VIctor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e e July 31, 2002 David Palmer Jaco Oil Co. P.O. Box 1807 Bakersfield, CA 93380 CERTIFIED MAIL RE: Annual Maintenance on Leak Monitoring Systems REMINDER Dear Mr. Palmer: This letter is to advise you that the following Jaco Oil sites are coming due for annual maintenance on their leak monitoring systems. They are as follows: Howards Mini Mart Mt. Vernon Fastrip Fastrip #622 Fastrip #641 Chris' Liquors FéiStrip #6 Ming & Real Fastrip Fastrip #19 Fastrip #640 Wholesale Fuels Fastrip #621 Fastrip #26 Harris Market Howards #6 Farrells Fastrip Howard's #4 Fastrip #633 3300 Planz Road 3501 Mt. Vernon 4013 S. "H" St 1200 Coffee Rd 2732 Brundage Ln 1640 S. Chester 3701 Ming Ave 4901 S. Union 8001 White Lane 2200 E. Brundage 805 34111 Street 2698 Oswell 1701 Union Ave 4201 Belle Terrace 6401 White Ln #112 3200 Panama Ln 6401 S. H Street Due 08-17-02 Due 09-04-02 Due 09-06-02 Due 09-07-02 Due 09-07 -02 Due 09-07-02 Due 09-07-02 Due -0-07-02 Due 09-19-02 Due 09-27-02 Due 10-01-02 Due 10-01-02 Due 10-01-02 Due 10-15-02 Due 10-15-02 Due 10-15-02 Due 11-01-02 As a courtesy, this reminder has been sent to you. No further reminders will be sent, and formal "Notices of Violation" will be sent 10 days after the due date, unless documentation of testing has been received. Should you have any questions, please feel free to call me at 661-326-3190. S¡,tMko Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services sa Uldc ~~Y'~ de W'~ S7~ ~0Pe .r~ A W~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES FIRE SAFETY SERVICES' EHVIRONIlEHTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 PUBLIC EDUCATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3696 FAX (661) 326-0576 FIRE INVESTIGATION 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 TRAINING DIVISION 5642 VIctor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 - - July 30, 2002 Fastrip 8001 White Lane Bakersfield CA 93309 REMINDER NOTICE RE: Necessary Secondary Containment Testing Requirements by December 31, 2002 of Underground Storage Tank (s) Located at the Above Stated Address. Dear Tank Owner / Operator: If you are receiving this letter, you have not vet completed the necessary secondary containment testing required for all secondary containment components for your underground storage tank (s). 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 periodically thereafter, to insure that the systems are capable of containing releases from the primary containment until they are detected and removed. Of great concern is the current failure rate of these systems that have been tested to date. Currently the average failure rate is 84%. These have been due to the penetration boots leaking in the turbine sump area. For the last four months, this office has continued to send you monthly reminders of this necessary testing. This is a very specialized test and very few contractors are licensed to perform this test. Contractors conducting this test are scheduling approximately 6-7 weeks out. The purpose of this letter is to advise you that under code, failure to perform this test, by the necessary deadline, December 31,2002, will result in the revocation of your permit to operate. This office does not want to be forced to take such action, which is why we continue to send monthly reminders. Should you have any questions, please feel free to call me at (661) 326-3190. sinc2~ Steve Underwood Fire Inspector Environmental Code Enforcement Officer ""Y~ ~ W~.¥OP ~ORP.rkt, A W~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e e July 1,2002 Fastrip 8001 Whi te Lane Bakersfield, CA, 93309 RE: Deadline for Dispenser Pan Requirement December 31,2003 for Site Location at 8001 White Lane, Bakersfield. REMINDER NOTICE Dear Underground Storage Tank Owner, You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1,2000. This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003, which is the deadline for compliance, this office will be forced to revoke your Permit to Operate, for failure to comply with the regulations. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at (661)326- 3190. Si:l~ Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services ".7~ d'e W~ ~ ~~ ff~ .A W~" FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395·1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326·3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e - May 30, 2002 Fastrip 8001 White Lane Bakersfield, CA 93309 RE: Deadline for Dispenser Pan Requirement December 31, 2003 on Underground Storage Tank(s) located at 8001 White Lane, Bakersfield. Dear Underground Storage Tank Owner: You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1,2000. This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003, which is the deadline for compliance, this office will be forced to revoke your Permit to Operate, for failure to comply with the regulations. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at (661)326- 3190. sin2 ~ Steve Underwood Fire InspectorÆnvironmental Code Enforcement Officer Office of Environmental Services SBU/kr ~~y~~ W~ ~ ~~.r~.A W~" -- I FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661)395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave, Bakersfield. CA 93301 VOICE (661) 326·3979 FAX (661) 326~0576 TRAINING DIVISION 5642 Victor Ave, Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 - e April 12, 2002 F ASTRIP 8001 WHITE LANE BAKERSFIELD, CA 93309 Re: Enhanced Leak Detection Requirements REMINDER NOTICE Dear Owner/ Operator, The purpose of this letter is to remind you about the new provision in California law requiring periodic testing of the secondary containment of underground storage tanks. Your facility has been identified as not having secondary containment on at least one of your underground storage tank components and as such falls under section 2637.(1) of the California Code of Regulations, Title 23, Division 3, Chapter 16; As an alternative, the owner or operator may submit a proposal and workplan for enhanced leak detection to the local agency, by July 1, 2002; complete the program of enhanced leak detection by December 31, 2002; and replace the secondary containment system with a system that can be tested in accordance with this section by July 1, 2005. The local agency shall review the proposed program of enhanced leak detection within 45 days of submittal or re-submittal." Please be advised that there are only a few R,ualified testers available to perfonn "Enhanced Leak Testing". All testing must be under-pennit through this office. For your convenience, I am enclosing a copy of the code as a reference. Should you have any additional questions or concerns, please feel free to call me at (661)326-3190. Sincerely, Ralph Huey Director of Prevention Services by: jL~ Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SUIkr Enclosures ~~Y~de W~ ~ ~0Pe y~ A W~.,., " . . CITY OF BAKERSFIEl.,D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd f'loor, Bakersfield, CA 93301 FACILITY NAME íi~~tt ú'/ <!), ADDRESS AOl) ( ) _ W FACILITY CONTACT INSPECTION TIME INSPECTION DATE AI.Jfø/O-z...... PHONE NO. R~'" It( ifO BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES (( Section 1: Business Plan and Inventory Program o Routine !B Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA TION C V COMMENTS Appropriate permit on hand v ./ Business plan contact information accurate ¡./ ... Visible address V Correct occupancy V V Verification of inventory materials 1/ V Verification of quantities Iv v Verification of location Ivlr Proper segregation of material ~ Verification of MSDS availability L.- V Verification of Haz Mat training \; /' Verification of abatement supplies and procedures v / Emergency procedures adequate v / Containers properly labeled v' Housekeeping V / Fire Protection J Site Diagram Adequate & On Hand --"" C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes 'VJ No Pink - Business Copy Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs, Yellow· Station Copy Inspector: FASTRIP 640 8001 I...JH IrE UJ BAKH:SF I ELD CA 9:3:309 FEB 26. 2002 12:54 PM __~T~f"l_ s'!:m~:::;_¡;:~p~Fr~ " T 4:INVALID FUEL LEVEL T 4:DELIVERY NEEDED I NVENTOR'/ REf'ORT T I: UNLEADED VOLU/oIE ULLACE 9œ~ ULLAGE= TC \JOLUr"1E HEIGHT l,.JATER VOL L'JATER TEi"lP T ,-,. PREi''lJ Uf"! \/(-IE '" U~;E = 90% ULLAGE= TC VOLUf"1£ HEIGHT L'JATER VOL LJATER TEf"lP :366 5059 t,'341 5741 5W:;8 52.513 12 0.85 60.0 GAL~7.J (~AL8 (~¡:.";LS GALS If'JCHES GALE; I NC HE:3 DEt::; F :~:t,t, :3227 GALS GALS GAL~3 l=~t~LB 877:3 7573 '-.'-1'-) 1'7 '...)<:::.c...i :37.70 INCHES o GALS 0.00 INCHES 59.5 DEG F T :j:DIE:3EL 3t,6 VOLUf"lE 45E.:::' ':;AU3 ULLAGE 74~"38 GALS 90% ULLAGE= 62:38 GALS TC VOLUME = 4550 GALS HEIGHT 48.64 INCHES ., ,~JfŒEF.:_J.LCL _~_ _ O. J:2AUL _.__ ~JATER 0.00 I NCHE~; TEMP 63.8 DEG F T 4:RACING FUEL :366 T 4: I NVAL I D FUEL LE\iEL VOL I~;ALID 433 GALS ULLAGE 11567 GALS 90% ULLAGE= 10367 GALS TC \/OLUf"1£ = 429 GALS HGT I f' \/AL I D 9. ~35 I NCHÐ3 WATER VOL 0 GALS WATER 0.00 INCHES TEMP 69.7 DEG F T elNLEADED VOLUr"1E = ULLAGE 9œ~ ULLAGE= TC VOLLJr"1£ HEIGHT WATER \.I'OL ~JATER TEt1P T 6: FREt"] I Uf"l VOLLJf'1E ULLAGE 9œ~ ULLAGE= TC VOLUf"lE HEIGHT L',JATER VOL WATER TEt"1P T_)IES£L \/0 L Uf"lE ULLAGE 9œ"¿ ULLAGE= TC '~IOLUt"1E HEIGHT WATER VOL i.JATER TEt'lP :367 8~~68 GALE GALS I~;ALS GALS I t\JCHE:3 GALS INCHES DEG F 37:32 2[)32 8210 78.09 o 0.00 69.9 :367 4163 7837 66~:7 4157 45.4:J I] [1,00 78,7 GALE; GALS GALE GALS I M:;HES GALS I NCHH3 DEG F 367 6089 5911 4711 61]:3 8 60.70 iJ o .LIO 71.8 GALS GALS GALS GALB INCHES GALS [ NCHÐ3 DEG F MM. M MEND M ~ ~ ~ ~ e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME-.fá.s..+\'~ 1tÚJt.fO INSPECTION DATE c~l:j(O/01 Section 2: Underground Storage Tanks Program o Routine 00 Combined 0 Joint Agency Type ofThnk ,l'ttJrc.-S Type of Monitoring A-n, o Multi-Agency 0 Complaint Number of Tanks ì Type of Piping Á tPT ORe-inspection OPERA nON C v COMMENTS Proper tank data on file V Proper owner/operator data on tile Iv Permit fees current V Certification of Financial Responsibility V Monitoring record adequate and current V Maintenance records adequate and current V t/ Failure to correct prior UST violations V Has there been an unauthorized release? Yes No V Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERA nON Y N COMMENTS SPCC available SPCC on tile with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? c~comPIi'nL V~V;o]",;oo y~y '" , í~ Inspector: , ; . ' Office of Environmental Services (805) 326-3979 White - Env. Svcs. N=NO ~Oft) ~ tf; Business Site Responsible Party Pink - Business Copy e e - -.--. -------~----- -- _. -.,. --- ----.. - - -~ -_. - ---- ----- - -- ---- - February 11, 2002 - FIRE CHIEF RON FRAZE- -. .. -- '- -- --- John Kerley JACO Oil POBox 1807 - - -.- ------- --, , ---,--~- Bakersfield CA ,93303 - ----.- -----. ~.--'-.- ----,- ..---- - -,- --- ---- ------- -- ---, --,.. -_.._.~----._.- -..- ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395·1349 . SUPPRESSION SERVICES 21 01 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 RE: Deadline for Dispenser Pan Requirement December 31, 2003 for the Following Locations: Chris' Liquor, 2732 Brundage Lane, Fastrip, 8001 White Lane, Fastrip 1200 Coffee, Fastrip, 4901 S. Union Ave., Fastrip, 805 34th St., Fastrip, 4013 S. "H" St., Wholesale Fuels, 2200 E Brundage Ln., Howard's Mini Mkt., 3200 Panama Ln., Howard's Mini Mkt., 4201 Belle Terrace, Howard's Mini Mkt., 3300 Planz Rd., Ming & Real Fastrip, 3701 Ming Ave., Mt. Vernon Fastrip, 3501 Mt. , Vernon Ave., Harris Mkt., 1701 Union Ave. PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA93301 VOICE (661) 326-3951 FAX (661) 326-0576 REMINDER NOTICE Dear Underground Storage Tank Owner: ENVIRONMENTAL SERVICES 1715 Chester Ave, Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326~0576 You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1, 2000. TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003, which is the deadline for compliance, this office will be forced to revoke your Permit to Operate, for failure to comply with the regulations. It is the hope of this offièe, that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326-3190. smL~ Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services SBU/dm "7~ de W~ ~.A0P8 g="'~ A W~" ý~.;~ JA~O OIL COMP A~Y lD\3 ì\iIONITORING SYSTEì\tI CERTIFICATION, For Use By All Jurisdictions Within the Slate of California . ~a,.i(Y Cited.' Chapter 6.7. Hea/rh andSafety Code; Chapter 16. Division 3. Title 23. California Code of Regulations This form must be used to document testing and servicing of monitoring equipment. A seoarate certification or report must be prepared , for ea..:h monitoring system control oanel by the technician ..vho perfonns the ..vork.. A copy ofmis form must be provided to the tank system O\\,l1er.'operator. The o..\,l1er/opeï.1tor must submit a copy of this Conn to the local agency regulating UST systems 'within 30 days of test date. A. General Information . Facility Name: 'FA-S"Tt<,P 366 Bldg. No.: 366 Site Address: 8ðð' I Ai (;, IE' LN City: õf\ ~E1<7>F 'F LD Zip: q 3"jOQ Facility Contact Person: C ft I< e \ E Contact Phone No.: ( b6 J ) 8 ~ '5 - ,£.( q c> Make/Model of Monitoring System: -r L ~ -~ :so J ORLt -:fOe¡ 0- O~ ~ Date of Testing/Servicing: ..:LJ.J.1J...f2L , , , ',' B. Inventory of Equipment Tested/Certified Checkthe":1 ro ri:ate boxes to indicate s ecific ui ment ins eeted/serviced: Tank 10: " U NL.E-aA DEb Tank 10: ;;t. t:>REm , vm "-Tank Gauging Probe. Model: 8'..J''f 3<10- \09 C»1ñ-Tank Gauging Probe. Model: ß4'l 3qo - \0 q ðr'Ãnnular Space or Vault Sensor. Model: 2SQ\tll,t..(Ot\ð ~nular Space or Vault Sensor. Model: ~ 5,,\ \ \4""000 lil""Piping Sump! Trench Sensor(s). Model: 1.5Q I f.( 'i ð() (') tiiH'iping Sump / Trench Sepsor(s). Model:::l ~q \ 'Lf 4 ()O 0 a Fill SumpSensor(s). Model: a Fill Sump Sensor(s). Model: a Mechanical Line Leak Detector~ Model:' a Mechanical Line Leak Detector. Model: a Electronic Line Leak Detector. Model: a Electronic Line Leak Detector. Model: o Tank Overfill! High-Level Sensor. Model: a Tank Overfill / High-Level Sensor. Model: a Other (s eci e ui ment e and model in Section E on Page 2). a Other (s ed e ui ment e and model in Section Eon Pa e 2). Tank 10: ~ t)\ E'S.E"L Tank 10: !31Ïi-Tank Gauging Probe. ' Model: 8"1":1~90-loq a In-Tank Gauging Probe. Model: ŒYAnnuJar Space or Vault Sensor. Model: ~ 59 } 11\"" 000 a Annular Space or Vault Sensor. Model: IW-"Piping Sump! Trench SensÖr(s). Model::J. 5,\ \ , 1.#1..1000 a Piping Sump! Trench Sensor(s). Model: a, Fill Sump Sensor(s). Model: a Fill Sump Sensor(s). , Model: o Mechanical Line Leak Detector. Model: a Meehanic;lI Line Leak Detector. Model: o Electronic Line Leak Detector. Model: a Electronic Line Leak Detector. Model: o Tank Overfill/High-Level Sensor. Model: a Tank Overfill! High-Level Sensor. Model: a Other (s ecifve ui ment t e and model in Section E on Page 2). a Other (s cd£< e ui ment t e and model in Section Eon P3;:C 2). Dispenser 10: ,\-a HlI1'2C - R~~J S Dispenser 10: _l C- o Dispcnscr Containmcnt Sensor(s). Model: ' 0 Dispenser Containment Sensor(s). Model: (¡).81iear Valvc(s). ct"S"hear Valve(s). a Dis cnser Containment Float(s) and Chain(s). 0 Dis enser Containment Float(s) and Chain(s). Dispenser 10: S-b '4<.f?-1.L - RB~/ j Dispenser 10: -:f~ ß H3'2."l...C- R,-V" ,~a. o Dispenser Containment Sensor(s). Model: a Dispenser Containment Sensor(s). Model: Ci"'Shear Valve(s). (iI..oShear Valve(s). o Dis enser Containment Float s) and Chain(s). a Dis enser Containment Float s) and Chain s). Dispenser 10: 9 ~ '0 1-& ~? <:I C - R f\ ~ I "I Dispenser ID: a Dispcnser Containment Sensor(s). Model: 0 Dispenser Containment Sensor(s). Model: ~hear Valve(s). 0 Shear Valve(s). ODis cnser Containment Float(s) and Chain s). a Dis enser Containment Float s) and Chain s). "If the facility contains more tanks or dispensers. eopy this form. Include information for every tank and dispenser at the facility. C. Certification -I certify tbat the equipment identIfied in this document was inspected/serviced In accordance wltb the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Piot Plan showing the layout of monitoring equipment. For any equipment upable of generating such reports, I bave also att:ached a copy of the report; (check all that ilpply): ~ystem set-up 0 Alarj11 hisWry report 'Technician Name (print): -ç, D F"l CA R R I \...L.CJ ' Signature: --=+---.o.L.ø ~ c a ~ Certification No.: 6;;)... 5 - \0 - \"3'? . License. No.: 6 T ~ 8' 7 Testing Company Name: 'B'SsR tÑ(" PhoneNo.:( &6' ) 588.- ;;.'1--;:¡1 Site Address: &63ë> 'RO 'SEt)ý-\ Lt: \4vJ ~ '"\f ð Date of Testing/Servicing: 3..J )C\ 101 \ Page 1 of J 03101 ~~Þ~3 ' e '1>. Results of Testing/Servicing Soft\\iare Version Installed: ~ 00;1, . Com tete the foUowina checklist: Yes Q No· Is the audible alann 0 erational? Yes Q No· Is the visual alann 0 erational? GYVes Q No* Were aU sensors visuall ins ected, functionall tested, and confIrmed 0 erational? G;t""Yes Q No· Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their ro er 0 eration? If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? For pressurized piping sy~tems. does the turbine automatically shut ,down if the piping secòndary containment monitorfug system detects a 'leak, fails to operate, or is electric"ally disconnected? If yes: which sensors initiate positive shut-down? (Check all tha~ apply) ~umpffrench Sensors; Q Dispenser Containment Sensors. Did ou confirm ositive shut-down due to leaks and serìsor.íailure/dis,connection? Grf"es; Q No. Q No. For tank systems that utilize the monitorfug system as the primary tank overfill warning device (i.e. no Q Nt A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill oints)ando eratin ro ert? Ifso,atwhat ercentoftankca aci doesthealarmtri er? .f!. % Was any monitoring equipment replaced? If yes, identify specific sensors, probes. or:other equipment replaced and list the manufacturer name and model for all re lacement 'arts' in Section E, below. Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) 0 Product; Q Water. If es, describe causes in Section 'E. below.,' , Q No. Was monitorin s stem set-u reviewed to ensure ro er settin s? Áttach set u Yes Q No· Is all monitorin e ui ment 0 erational er manufacturer's ecifications? * In Section E below, describe how and when these deficiencies were or will be corrected. o No· Q N/A Q No· Q N/A Q Yes· ~ No DYes·, Q No E. Comments: e +.¥t··· ~. ." , , . .'> Page 2 of3 03101 -~ e f. 1~~Tank Gauging I SIR Equipment: e (013· a Check this box if tank gauging is used oIÙY for inventory control. a Check this box if no tank. gauging or SIR equipment is installed. ,This section must be completed if in-tank gauging equipment is used to perfonn leak deteètion monitoring. c h ~ II h kl' omplete t e 0 ow me: c ec 1St: b.YY es JiJ No· Has all input wiring been inspected for proper entry and termination, including testing for ground faults,? . œ' Yes 0 No· W ereàll tanl}' gauging proQes visually inspected for damage and residue buildup? . ¡grYes ia No· Was accuracy of system product level readings tested? , Gf'Yes a No· ~!Wasaccurácy of system water level readings tested? . ~Yes 0 No· Were all probes reinstalled properly? 5r'Yes ;0 No· Were all items on the equipment manufacturer's maintenance checklist completed? .. * In the S~ction H, below, descriI>e how and when theše deficiencies were or will be corrected. , ' G. Line Leak Detectors (LLD): I:i' Check this box if LLDs are not installed. c I t th t: 11 h kI' t omple e e 0 owme: c ec IS : a Yes a No· For equipment start-up or annual equipment certification, was a leak simulated to verify LLDperformaIice? a N/A (Check all that apply) Simulated leak rate: 03 g.p.h.; a 0.1 g.p.h; a 0.2 g.p.h. .. DYes o No· Were all LLDs confmned operational and accurate within regulatory requirements? - o Yes 0 No· Was the testing apparatus properly calibrated? a Yes a No· For mechanical LLDs, does the LLD restrict product flow if ~t detècts a leak? o N/A a Yes a..No· For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? . . a N/A o Yes o No· For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled o N/A or disconn~çted? a Yes a No· For electronic LLDs, does the turþine automatically shut off if any portion of the monitoring system malfunctions o N/A or fails a test? , a Yes a No* For electronic LLDs, have all accessible wiring connections been visually inspected? o N/A , a Yes a No· Were all itéms on the equipment manufacturer's maintenance checklist completed? ' * In the Section H, below, describe how and when these deficiencies we.re or will be corrected. H. Comments: , ,'. " '. ,;::,'T\:,_ : ;~: ' : , . ,." " '. : ','. . -- ~ ',.. " ¡ :.";""-:. .. Page 3 oC3 03101 ~r-¡Q\~ . e Monitoring System Certification UST Monitoring Site Plan Site Address: ßOO ) W H l í't \... N . . . . ---. þ~c:,~~ þ . . . . Cø~~Il.. . ' _. . . .' ð: U· 1-~. " · . . . . . ~-'~D' . . . . . "~~e' : : : -:--': '~~: : . . . . .. .. e 12V,' 51 ¡ ~s:r ~r!' (l(D~ .. .. Cell 1) ~~fI~ tj\c\t. . itøósC\ . . . . . . '.t!c..~ I . , . E;:··:8: B(~"i . . . . . B·~tesil..: .. .. . . .. .. .. .. ~. . ../-. . . :J-. . . :ò;~ · . . . .. . · . . .;,,,,. . O-(q,t. 'e'" . . ~,~ . . . 0~'~ : Ö ~ tI~('-: . <:;) f(\"\ : Ò~tI~~ ~-.\O. . . , Date map was drawn: C\ / 1'\/ 0 \. Instructions . . .,~. :O~: : · . . . .'. . .. · . . . O~\""· · . . . . o "fico!, . :0 · . E" . . ::: :~\/: :~ :?r~~S :W: · . . t-· . d~~~~f~ : · ';' ~t . . ·oA.·f: O··,~·,·'t: · . . . . ... · . .~. O~· · . . ·G· :Ò: If yo~ .a~ready h.ave, a ~~~~ ,~~tshows .all ~eq~~~inf0rDlatio~,y<?u,pJ~r.~~!u~e(it, 1.1l!h~,th;~.$i,~~~~, ~.th y~ur Momtonng System .C~tfication., On your sIte plan, show thegenera1J~yout of t.inkSandplpmg."Clea.rly tdentify locations of the following equipment, if installed:""monitonng sýstem~Ó~~~t' paneís;"'seri~or~ írtõñit~rlri.g'tåÎlk annular spaces, sumps~ dispenser pans, spill containers, or other secondary contaiDqitini areas; mechanical or' etedtróÍ1ic line leak detectors; and in-tank liquid level probes (if used for leak detection). ,In t1Íé space provided, note the date ~s Site Plan was prepared. . " "" ." " .. '. , ' '. Page ~of~i~~f¡~i.'" ':...' , .' 05100 · ." .'~' .',; I ' . 7i9 ~ JA~O OIL COMP 1Ny \D1Lf . ~ ' ìVlONITORING SYSTE~I CERTIFICATION,. For Use By All Jurisdictions Witlrin the State of California , ~ø,.Ì(Y Cited: Chapter 6.7, Health and Safety Code; Chapter 16. Division 3. Title 13. California Code of Regulations This fonn must be used to document testing and servicing of monitoring equipment. A seoarate certification or report must be oreoared for each monitorin~ svstem control oand by the technician who perfonns the work. A copy of this fOnn must be provided to the tank system O\\l1er.'operator. The o\\l1er!operator must submit a copy of this form to the local agency regulating UST systems \1.ithin 30 days of test date. A. General Information Facility Name: ¡:: 14 çf"',-(- L) ~, 7 Bldg. No.: *'5 b-;: . I Site Address: <kÐÐ( tJu-:TE LN' City: I3¡tf-R;:d.~¡::¡E(D Zip: <=¡3JD'1 Facility Contac~ Person: Cf1-4..~; ~ Contact Phone No.: ( t 6 r) <f3 s:. / qc:¡O Make/Model of Monitoring System: ,... ¿ 5 - :3 5"0 j '(9 ~ 'f 709 0 - 0"-"2- Date of Testing/Servicing: ' ~..rlI~' B, Inventory of Equipment TestedlCertifie& Cheek the a ro riate boxes to Indicate s edfic vi ment ins ceted/serviced: Tank 10: V V\ L tf'\ .DeD ~ 5 Ia' In-Tank Gauging Probe. Mod,el: t2 4 ïJ q~ -/0' IJl' Annular Space or Vault Sensor. Model: ~~ 1 ~ L.{ c€>o tirPiping Sump I Trench Sensor(s). Model: 2 ~~ I' 4 L( Ð 0 ~ a Fill Sump Sensor(s). Model: a Mechanical Line Leak Detector: Model: a Electronic Line Leak Detector. Model: o Tank Overfill I High-Level Sensor. Model: a Other (s ecif e ui ment e and model in Section E on Page 2). Tank 10: VI'\. I ef't: v i:f 6 (Q'" In-Tank Gauging Probe. Model: g- l/ Î '\ c¡ <> - I ð ~ GV'Annular Space or Vault Sensor. Model: zSCJ I' '-( c..r eo 0 C!" Piping Sump I Trench Sensor(s). Model: O· Fill Sump Sensor(s). Model: o Mechanical Line Leak Detector. Model: o Electronic Line Leak Detector. Model: o Tank Overfill! High-Level Sensor, Model: o Other (s ecifve ui ment t e and model in Section Eon Pa\te 2). Tank ID: ~é efln-Tank Gauging Probe. Model: œ-- Annular Space or Vault Sensor. Model: æ("Piping Sump! Trench Sepsor(s). Model: a Fill Sump Sensor(s). Model: ., a Mechanical Line Leak Detector. - Model:,· a Electronic Line Leak Detector. ' Model: ' o Tank Overfill! High-1.evel Sensor; Model:, o Other (s eci£< e ui ment e and model in Section E on Pa~e 2). Tank ID: IIrln-Tank Gauging Probe. Model:" Ci¥' Annular Space or Vault Sensor. Model: æ-Piping Sump I Trench Sensor(s). Model: a Fill Sump Sensor(s). Model: o Mechanic¡lI Line Leak Detector. Model: a Electronic Line Leak Detector. Model: a Tank Overfill I High-Level Sensor. Model: o Other (s ecif e ui ment t e and model in Section Eon P3\te 2). Dispenser 10: 11- I?- DispenserlD: / :5;'"- /~ a Dispcnscr Containment Sensor(s). Model: HL¡21... c....' f!.ß '3/ ç 0 Dispenser Containment Sensor(s). Model: fI 2.¡'2... '1..<.,.- ilß3/ S- a Shear Valvc(s). ' 0 Shear Valve(s). o Dis ensc:r Containment Float(s) and Chain(s). 0 Dis enser Containment Float(s) and Chain(s). Dispenser 10: I::J - I '-( Dispenser 10: /~ - I fJ a Dispenser Containment Sensor(s). Model: II /../ '). 4 e,- Pi! '3/4 a Dispenser Containment Sensor(s). Model: /.../'l.'-fC..... R. a 1 J I.J a~~~ ' a~~~ I a Dis enser Containment Float s) and Chain(s). a Dis enser Containment Float s) and Chain s . Dispenser 10: Dispenser 10: a Dispenser Containment Sensor(s). Model: a Dispenser Containment Sensor(s). Model: a Shear Valve(s), a Shear Valve(s). aDis cnser Containment Float(s) and Chain s). a Dis enser Containment Float s) and Chain s). 'If the facility contains more tanks or dispensers, copy this form. Include information for every tank and dispenser at the facility. C. Certification - I certify tbat the equipment identified in this document was inspected/serviced In accordance witb the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify tbat this information is cOlTect and a Plot Plan sbowing the layout of monitoring equipment. For any equipment aapable of generating such reports, I bave also attached a copy of the rep~ (check all that apply): &-S"ystem set-up ~a~m hi~rueport Technician Name (print): t , D ¡:L C A ail' t..LO Signature: ~;d.R x.. l1"'~ ~ Certification No.: b -:l. 5 - 10 - '''5 ( T License. No.: 6 "1 .J, 8 \;l Testing Company Name: . ß ..5 5 ~ TN <- Phone NO.:( 66 I ) S-~ 'Ó ~ '2..77 7 Site Address: , £5 c r2è)é DoA Ie-, 1-~'7' ßI'1 f./. CA. Date of Testing/Servicing: .::ì!ß!..!EJ Page 1 of 3 03101 '8 ~ \t'\~ e D. Results of Testing/Servicing e Soft\'iare Version Installed: ) i ..0 ~ ,Com Jete the Collowino checklist: Gr Yes 0 No· Is the audible alann 0 erational? Q""Yes 0 No· Is the visual alann 0 erational? . ¡¡rYes 0 No· Were all sensors visuall ins ected. ñmctionaIl tested, and confirmed 0 erational? ~es 0 No· Were all sensors installed at lowest point of secondary containment and positioned so that other equipment \\i11 not interfere with their ro er 0 eration? If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modem) operational? For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: wlùch sensors initiate positive shut-down? (Check all that apply) lü"S"'umprrrench Sensors; 0 Dispenser Containment Sensors. Did ou confirm ositive shut-down due to leaks and sensor failure/disconnection? Git"1es; Q No. Q No· For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no Q NI A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill oint s and 0 eratin ro ed ? If so, at what rcent of tank ca aci does the alann tri er? % Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all re lacement arts in Section E, below. Was liquid found inside any secondary containment systems designed as dry systèms? (Check all that apply) CJ Product; Q Water. If es, describe causes in Section E, below. o No· Was monitorin s stem set-ureviewed to ensure ro er settin ? Attach set u o No· Is all monitorin e ui ment 0 erational er manufacturer's ecifications? * [n SectionE below, describe how and when these deficiencies were or will be corrected. Yes o No· o N/A Q No· Q N/A Yes Yes o Yes· ~ No Q Yes· Q No E. Comments: - ," ~ "~1 .-.... " Page 2 of 3 03101 e e lOlL{ ...- ~ " F. -In"-Tank Gauging I SIR Equipment: o Check 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 complêted if in-tank gauging equipment is used to perform leak deteètion monitoring. c h ~ II h omp) ete t e 0 oWlDg c eckbst: cr Yes o No·' Has alL input wiring been inspected for proper entry and tennination, in9luding testing for ground faults? J .6irYes o No· Were,alI tank gauging probes visually inspected for damage apd residue buildup? B' Yes 0 No· , W as acc~cy of system product level readings tested? úit'Yes 0 No·; Was accuracy of system water level readings tested? " ) Gr'"Yes 0 No· Were all probes reinstalled properly? , " , üYYes 0 No·: Were,all-;itemson the equipment manufacturer's maintenance chec)dist completed? ' * In the Section H, below,! describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD): 9( Check this box ifLLDs are not instal1êd. c h ti I h kI' ompl ete t e 0 IOWlD2 c ec 1St: .. . , DYes o No· For, equipment start-up or alU1ual equipment certification" was a leak simula~ed to verify LLD peñormance? o 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 O. No· Were all LLDs confirmed operational and accurate within regulatory requirements? ;.., a Yes o No· Was the testing apparatus properly calibrated? DYes 0. N9· For mechanical LLDs, does ~~ LLD restrict product flow if it detects a leak? o N/A ; a Yes CJ, . Nô· For electronic LLDs, does the-turbine automatically shut off if the LLD detects a leak? .. o N/A DYes o No· For electronic LLDs, does tþe turbine automatically shut off if any portio~ of the monitoring system is disabled ON/A or disc0lU1ected? , '. a Yes o No· For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions o N/A or fails a test? ," - DYes o No· For electronic LLDs, have all accessible wiring c0lU1ections been visuàlly'inspected? o N/A DYes o No· Were all items on the eq4ipment manufacturer's maintenance checklist completed? " * In the SectionH, below, describe how and when these deficiencies were or will be' corrected. L H. Comments: .-' .: ;~.. <>:.t,·:,~~:~ ,., :.:::--:. '-. ''- '.; .";' ,':" ~: : ;'~';:;-"-~.; , - . .. Page 3 of3 03101 ii~ t .. .... ,t\L\ e e Monitoring System Certification ., UST Monitoring Site Plan Site Address: ß 00 \ W 'H , TEL N . ,vJ, , : </ /. :: : S?¡ ~ N: . . . . . ~' t!:~ ~'1 ~jl. U:Q1t\ <;a, ) . S."fcfl~ . . . . ~9¡.J:r~o.. . " tt='1 '\'i.vir. ...... ~~. O,~"1i; ~ ~~ " -. '. '. , , " , . . · .... · . . .. .' · . " · " ~:.- ' " .--: ' " " ,?».I, " .. . 0::: , ~ '. , 0 (5.): O~~: O~~ Q~:"\: Oç~"~ \ 1- :'& O~~~ D.t#oi . : . · . . . · ;#"oJ: 0" " . '8" : ~~~: . .. . · . . . O ~~ ", . · . . . · . . . · . . . LJ.ç~\.\.: O 'qo4- . "&~ . . Date map was drawn:.:LI ,~/ 0 l Instructions ..8 ,\\'.11;',. . , :Q 'U )S:U.. ,'. ' . '- , ,'-., .' .' . If yo~. a~ready h.avea~i.~gr~,~~~howsall ~eq~~!~,~jnfo~ti~~,Y<?~}P~r~~~~~~,,~t,~~~r.~~,$i~.?~~~, ~~ y~ur Momtonng System .C~1fication., On your sltepl~,show thegene~åtlªyout of~,andplptµg,,:,cq~ly Identify locations of the following equipmènt, if installed:{JIlonitoring system.ðóìitrôfpåri.~ls(serlŠbr~íhóiíitpririg-.tåi1k,' annular spaces, sumps~ dispenser pans, spill containers, or other secondary è()i1tà~eni ~eas;méch.åItical oreled"trôi1ic line leak detectors; and in-tank liquid level probes (if used for leak detection). In thé space proVided, note the date this Site Plan was prepared, ' , " . . .' " .', J .;" .. N', Page ~or_ .,,~:;: ··7' ,;...~¿~!!I~~·¡J¿;~:, J. ..' '05100 .-'. .''; ,," I I . I ~. it if Restricted Delivery is desired. '. · Print your name and address on the reverse I ' so that we can return the card to you. · Attach this card to the back of the mail piece, , or on the front if space permits, , 1. Article A;r, dressed to: I Jòhn Kerley Jaco Pil POBox 82515 Bakersfield CA 93380 Re: Fastrip #640 8001 White Lane 3. Service Type U Certified Mail o Registered o Insured Mail o Express Mail o Return Receipt for Merchandise o C.O.D, 2, Article Number (Copy from service labelj 001 0360 0000 4741 3811, July 1999 4. Restricted Delivery? (Extra Fee) DYes -I I I 7912 Domestic Return Receipt 102S9S-99-M-17S9 ..,. 11111 r ~ BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Avenue, Suite 300 Bal<ersfie!d, CA 93301 I I I l-i 0 is 111111 II 11.,.11,11,. I " I III 1.1,"1,1" lIllI, I'ß"II,I,IIII'I,I e I ,I {ol II1.J I~ II"'- I,.; I.::r- 'I"'- I.::r- !O 1:3 , 0 I I 0 ...D Sent To I fT'I John Kerley o ... ........... ...... ........ ............................... .................... ................. ' Street, Apt. No.; I"; orp<fJBa»N00X 82515 o __........... '__... .__.......................................................................... 'R Clty,~~~Ef~s1:ield CA 93380 II Postage Certified Fee Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Total Postage & Fees $ $ .34 2.10 1.50 Postmark Here 3.94 S Form 3800, Janua Certified Mail Provides: \I A mailing receipt · A unique identifier for your mail piece · A signature upon delivery I . A record of delivery kept by the Postal Service for two years Important Reminders: · Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. · Certified Mail is not available for any class of international mail. · NO INSURANCE COVERAGE. IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. · For an additional fee. a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is required. · For an additional fee, delivery may be reslrict€!d to the addressee or addressee's authorized agent. Advise the'8erk or mark the mailpiece with the endorsement "Restricted Delivery". · If a postmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is,no.ded. detach and affix label with postage and mail. IMPORTANT: this receipt and present it when making an inquiry. PS Form 3800, January 2001 (Reverse) 102595·01·M·1047 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-Q576 ENVIRONMENTAL SERVICES 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 -,. e '.. ¡"... ~-."t;.... ,~ September 27,2001 John Kerley J aco Oil POBox 82515 Bakersfield Ca 93380 Certified Mail NOTICE OF VIOLATION & SCHEDULE FOR COMPLIANCE RE: Failure to Submit/Perform Annual Maintenance on Leak Detection System at Fastrip #640, 8001 White Lane, Bakersfield Dear Mr. Kerley Our records indicate that your annual maintenance certification on your leak detection system is past due. September 5, 2001. You are currently in violation of Section 2641(J) ofthe California Code of Regulations. "Equipment and devices used to monitor underground storage tanks shall be installed, calibrated, operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks at least once per calendar year for operability and running condition." You are hereby notified that you have thirty (30) days, October 27,2001, to either perform or submit your annual certification to this office. Failure to comply will result in revocation of your pennit to operate your underground storage system. Should you have any questions, please feel free to contact me at 661-326-3190. Sincerely, Ralph Huey Director of Prevention Services by: J..dkv Steve Underwood Fire Inspector/Environmental Code Enforcement Officer Office of Environmental Services' cc: Walt Porr, Assistant City Attorney o "" C'/J . ¿þ (Z' . (j7 /~// ufll ,,-j </" .,., JeP'H/~?, Utð aO/'/l.HU//lH?, ,_7Ö/'" ~/~(:Jope J/Ul'/b ,_/r:.J ae/l/u/r- FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave, Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 e . September 10, 2001 lohn Kerley lace Oil Company P.O. Box 1807 Bakersfield, Ca 93380 CERTIFIED MAIL NOTICE OF EXPIRATION ON MONITORING CERTIFICATION Dear Mr. Kerley: The following laco sites are currently due/past due on annual monitoring certification. These sites are as follows: Site Address Due Date 1. 2. 3. 4. 5. 6. 7. 8, 9. 10. II. 12. 13. 14. 15. 16. Farrells Fastrip, 640 I White Lane Chris Liquors, 2732 Brundage Lane Fastrip #640,8001 White Lane Wholesale Fuels, 2200, Brundage Fastrip #19, 4901 S. Union Fastrip #621, 805 34th Fastrip #6, 1640 S. Chester Fastrip, #26, 2698 Oswell Street Howards #4, 3200 Panama Lane Fastrip #622, 4013 "H" Street Ming & Real Fastrip, 3701 Ming Ave Fastrip #641, 1200 Coffee Road Howard's #6, 4201 Belle Terrace Howard's, 3300 Planz Road Harris Market, 1701 Union Ave Mt. Vernon Fastrip, 3501 Mt. Vernon 9-04-01 9-05-01 9-05-0 I 9-12-01 9-12-01 9-20-01 9-22-01 9-22-01 9-23-01 9-27-01 9-27-01 9-28-01 9-28-01 9-28-01 9-30-0 I 10-2-01 Failure to perfonn or submit monitoring certification within 30 days of due date will result in revocation of your Pennit to Operate. Should you have any questions, please feel free to contact me at 661-326-3190. sZ'dIuv Steve Underwood Fire InspectorÆnvironmental Code Enforcement Office Office of Environmental Services ~~.%~ ~ C¡;~/;lHlU~ ~OP J#6oPß .Y~ ..Æ t3~¿'''''~r'''' SBU/dm FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "W Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 VICtor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 -- . August 3, 2001 Fastrip 8001 White Lane Bakersfield, Ca 93309 RE: Deadline for Dispenser Pan Requirement December 31, 2003 REMINDER NOTICE Dear Underground Storage Tank Owner: You will be receiving updates from this office with regard to Senate Bill 989 which went into effect January 1, 2000. This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003, which is the deadline for compliance, this office will be forced to revoke your Permit to Operate, for failure to comply with the regulations. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning to retro-fit your facilities. If your facility has been upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326- 3190. Si"]¡ dko Steve Underwood Fire Inspector/Environmenta1 Code Enforcement Officer Office of Environmental Services SBU/dm ~~..%~ d~ ~nl/;uuu{? '-~ o/#6oPe .!Ÿ%U/b A ~~,~?- '1'1 , . F¡.:\::rnd p 61r' 8~J ~iJ .,~JHITE<U.¡ Brìf,EF.::-;¡.' I ELII ('A j;~:3CJ'j r'IA'l 1 j 'y ,. . ·.:..JU 1 ¡j: 1 ('. ;;r"'1 :;'/;:::'11:¡-. "~'I' .; "';11-"': RU·';)F.'T ALL FU¡'¡CT! (:'I'j;::: - N.;~~p.r"';AI:: I N'v'ENTOF:'/ F.'H";)¡;(r - T : ur'·J!..EfiDFí1"i:': 1:/(;LUf"I£ ' ~:::::':' .. " ~ t.',....¡:- ('..·I-'·..-- ULI "",£ '- ~ -·.'r1 ..."0, Y-I-"""" " ~ 54:'::'4 C~A.- - ,.1.;,. ULl (i('~F- """-,,,: , T" ,- .. -. - '" C,..:: '+ (~i-i 1_", './01..1.11"']£ "" t;r-¡7C1 (:'AL'" HEIGHT ~4-~0 1~1"~H~En WnT['R - .0u . ~~ .0 . r:: ! \/OL 1 2 C~~LS WATEF. iJ . 87 j NC'HEc' T HOP-' .' .~ ,.. 71 . E, DEG F T 2: PF:Ef"l! 1.11'1 VOLUI"lE ULLAGE 90:;,: ULU\':;E~ TC 'v'OLl.IHE HEIGHT WATER I.¡'OL ~JATER TEt'lP :366 40:::1 GALS 791 '3 GALS 67 1 ':) GAU:¡ 4077 GALS 4"1. '76 1 NCHEE; o GALt:; Ü.OO I NCHE:3 7i.l DEG F T :3: [i I HŒL ::::66 VOLUf'1E 461;3 ULLAGE 738'7 90% ULLAGE= 6187 Te VOLUME 4573 HEIGHT 49.04 -l,JATER \/OL . I] I WATER 0,00 TEMP 72.3 CALS I.;AJa c~. GALt: INCHES ,GAI~~~ I NCHÐ3 DEG F e T 4:RACJNG FUEL 366 VOLUI"IE 2'3:34 GALS ULLAGE 9666 GALS 90% ULLAGE= 8466 GALS TC VOLUME 2298 GALS HE [GHT 29.89 I NCHEt:; WATER \/OL I] GALE: vJATER 0.00 I NCHÐ3 TEMP 79.9 DEe F T 5:UNLEADED \/OLlJr"lE ULLr'HÆ 9W~ ULU-\GE= TC \.IOLur·'lE HEIGHT klATER \/OL WATER T£I'-'11:' T t.: PF:Ð~l I U['l \/0 L urvlE ULLAGE 90% ULLAGE= TC 'v'OLUt'lE HEIGHT ~JATER VOL loJATER TErvlP T 7: [J] ESEL 'v'OLUtv1[ ULLAGE '3Ci~¿ ULLAGE "" TC IJOLUt"'1E HEIGHT l,IATER \lOL I¡JATER TEt'W ::i67 tj5~';5 Gf1LS 3435 Gr'iLfi :~:~ 2:3 ~5 GAL~~~ 8427 GALf; 80.5E-j D O.DI] 82.8 INCHES ':;AU3 I NCHC=:; DW 367 3U.3? G'I' co 8:303 (3 7103 G,' :.! 3b89 GAL~3 41 . b¿ I NCHC3 o GALS o . 00 I I~CHe=3 g 1 .:::: DEe F :367 2 f.. 6:. GALS 9J~J5 GAL~3 81 :35 GALS 26:3:3 G~1LS ',?-2 . 8~, 1 NCHES [I GALS o . 00 I NCHE~3 76.8 DEG F M ~ ~ ~ ~ END ~ ~ M ~ ~ e e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME Fi £'"Íb{D 1= /0 £/0 INSPECTION DATE C;~lO"() ( Section 2: Underground Storage Tanks Program o Routine ~ Combined 0 Joint Agency Type of Tank DwFc.5 Type of Monitoring Aì~ o Multi-Agency 0 Complaint Number of Tanks ì Type of Piping J.. IT ORe-inspection OPERA TION C V COMMENTS Proper tank data on tile "- V Proper owner/operator data on tile L- V Pennit fees current V V Certification of Financial Responsibility V Monitoring record adequate and current V / Maintenance records adequate and current V Failure to correct prior UST violations \.....- ,/ Has there been an unauthorized release? Yes No '-.-/'. Section 3: Aboveground Storage Tanks Program AGGREGATE CAPACITY Number of Tanks TANK SIZE(S) Type of Tank OPERATION Y N COMMENTS SPCC available 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? --I C=Compliance V=Violation Y=Yes N=NO In'p"to, ):l ttt:rV Oftìce of Environmental Services (805) 326-3979 White - Fnv. Sves, /;~ , smess SIte ResponsIble Party Pink - Business Copy e e CITY OF BAKERSFIEI..D FIRE DEPARTMENT OFFICE OF ENVIRONMENT AL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Hoor, Bakersfield, CA 93301 F ACILITY NAME~rlt' i= (, Cj() ADDRESS ~{()O ( <'d,,~-k kN.. FACILITY CONTACT INSPECTION TIME INSPECTION DATE 5' 10'{) ( PHONE NO. ~ 1.ç'- I"qo BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES ( ~( Section .1: Business Plan and Inventory Program D Routine 119 Combined D Joint Agency o Multi-Agency D Complaint D Re-inspection OPERA TION C V COMMENTS Appropriate pennit on hand t. / Business plan contact infonnation accurate l V Visible address \... V Correct occupancy \.. V Verification of inventory materials L V Verification of quantities l V Verification of location t.. V Proper segregation of material t V Verification of MSDS availability L / Verification of Haz Mat training L. / Verification of abatement supplies and procedures /' V Emergency procedures adequate / L/ Containers properly labeled / Housekeeping / V Fire Protection' \.... / ./ Site Diagram Adequate & On Hand ( C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes DNo Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs, Yellow - Station Copy Pink - Business Copy Inspector: I : ' FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave, Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 .IÞ e' January 22, 2001 Fastrip 8001 White Lane Bakersfield Ca 93309 RE: Dispenser Pan Requirement December 31, 2003 Underground Storage Tank Dispenser Pan Update Dear Underground Storage Tank Owner: You will be receiving updates from this office now, and in the future with regard to the Senate Bill 989, which went into effect January 1, 2000. This bill requires dispenser pans under fuel pump dispensers. On December 31, 2003, which is the deadline for compliance, this office will be forced to revoke your pennit to operate, effectively shutting down your fueling operation. It is the hope of this office, that we do not have to pursue such action, which is why this office plans to update you. I urge you to start planning now to retro-fit your facilities. If your facility has upgraded already, please disregard this notice. Should you have any questions, please feel free to contact me at 661-326-3190. SiJ~ Steve Underwood, Inspector Office of Environmental Services SBU/dm ""7~~ W~ ~./#t0Pe ~~ A W~" r ,"C.-' '-'"\;'-,'" .., -'~---'-""-----'-'---"""'.--r---..---,.' ~-~"---"V~-"I-"-~'1'-"- -. ----'.---"~.;.. -- ----c,--,--; -~. ,_-.:".._\>"_,,.-,_,-_'__,,______ ."~-'~T"- -''''-C_;'''' , "'-', ,-____"'"_;_, -;, < '., - ~_ ~"'i-'''''~--'' , ;i ,UNJ'T - (661) 871-1788 Device Certification FACILITY NUMBER CONTACT PERSOÑ TELEPHONE , '-$ ZIP CODE ("..., .:7) , ; 1.! MAKE AND MODEL OF MONITORING SYSTEM \.Q to' F ~¡ .~¿")\ Contents of Tank (.'" \\f" - ~.... ~ --:':;> Capacity of Tank /;J OOU - , -~ " , Type of Product Line (Gravity, Suction, Pressure) \.in '¿, - 7.5 u I\. (- 35-D TANK 1 TANK 2 TANK 3 TANK 4 INDICATE LOCATION OF THE MONITORING SENSORS TESTED BY PLACING A YES OR No IN THE APPLICABLE BOX: Annular Space Sensor v_ -,-,~ I II "=> Sump Sensor ?V:' S ~ - Dispenser Containment Sensor (va - ..:::::::. Electronic Overfill! Level (1(,) oÆ; '(if .... ~ ~' ~..:.;:::. Electronic In-Line Leak Detector /A.J C) '-~ -""'"'Þ - Mechanical Line Leak Detector ~S - --;;:;? In-Tank Gauging Device ~S "- .. ~ ""- -¡r, aR ", ( IG&ljifJSJ[1 INDICATE THE FOLLOWING BY PLACING A YES OR No IN APPLICABLE BOX: Does the Monitoring System have audible and visual alarms? 0s: ~ Does the turbine automatically shut down if the system detects ~ a leak, fails to operate or is electronically disconnected? ,/ C "(9; (/' -- ~ -:::.> :.. ;1. :, t..- Is the monitoring system installed to prevent unauthorized tampering? Vd'S '"':::::b Is the monitoring system operable as per the manufacturer's specifications? 0< ... 'WhiChcP!'!!inUOUS monitoring devices Initiate positive shut down of the turbine? 5;. A!<'¡JJl -5 .. CERTIFIED TESTER'S IÓi\ '" .,"''''''':''''--'''1" DATE09-05~¿ '.:J S,GNATURE OF CERTIFIED TECHNICIAN PRINTED NAME OF CERTIFIED TECHNICIAN TESTING COMPANY NAME & TELEPHONE /{7 __-,-,... I ~:--(.;:..> ?-:-:"-'-"'~'~-_____ ./'tti\t;:f(\(· ~'1' ~ìe r í52;;; 47-·----..· CERTIFICATION DATA Ii .",. , ,. -- ----- - CO,~RECT~N NOTICE e '" BAKER~D FIRE DEPARTMENT ,/ t Lo t· . '\' ì ,r ,I, (,iI.' : ca IOn .,: ,\ " ., . Sub Div. .. ~ (I , I ~ ( . \. ..,.( :-,'\.î Blk. . Lot You are hereby required to make the following corrections at the above location: Cor. No i J:,. 1.: ,'. ,:1: \ :- 1 I r' l ~ ~; ! .1/1. ~ /.l \,~, ~ ! ~- ~ll.. t'f ~. r' ,... í, . \1 - LII , ",,'r- ¡ \ -' - , p ; ,> &~ . 1- [' ~ I t~ /: I ., :'> :' 'f I'" "~I ....:~ I! .." , , f f 'I ~ -, ~ (+¡( I ! t 1'" ~ S v t'.~/' ~ ."': ¡;' I, r:. (' :--r'" . ~ ,; .." \;' :-f~ f . (: /< ({ o. «__ I:'" I . t' \. ~ r .:'.:~ ì ':; . I . f '.> I, ' ~ . I ::,)(;i:ve,..:', (¡,I.i' ~-C "I, i '.'. r" ,,1 / I ....., ('t{.!'í '".. ,.1 .,' t" I ',' I . ;\ "~I~t'l~ I ~ ¡" i . J. .11' {; . 't..' -e .... \ , . , ' t: \ ',;{"í( Ii { "i :.. ¡ I'" - ;-"_, t' ~":'/._þ-A 1 I i, t' /I , "f l ~. !:'. "" ., :. ¡! ~..: ~ " . . , " I. " f,' , / .::;'(./'I I. .! ". "-" J I.. , I' ß1 tí~it_ r" I' ,.( '" .t- 0, \ I ' ..., ,ì '/. 'i f~.',( L ~.. , ,(~ . - r. <':r;\' , r."C ; t /. I . \ /" , ~, t(f:("" .'e' t· l" (\ f It ' i ~.' ,- ~.... ¡ { -r I"~ t f . { " t: { \. J It! :, J ~ . f \.¡'( .:,'[ Vi '., I. ¡j" ,\'¡:: I J . , I" (,,'I ( G- . (f '~;' '~OR ORWG~~' U '. .. 1 ' ".,:('. i-~\.(, (-Y'Î!-I(jUiS:f( r I l "If"" ; ,I,r , \ If 4 w ~_ \¡ fi ¡:r ~.~ \.. ... r: " " , ,', , , , I t ~ , /'f., ¡. '~' ::. t í!: : -¡ 1\ It \ Completion Date for Corrections. .1 ~ ,_/' ~ , .. ..f, ~ _, Da te " I \\!;;.,. , .. / ( ! i , J '......' ,( ¡It J!,: f (((l 'f ~~ ,/ , , I '} I I~. r ~} ;, J ,!¡" t. ,1, , , ,þ'" /J f /'- I í '~ /." ! t ~ t t ~ ~{~ 1': , . ( V' 'Inspector 326-3979 , \, \ '. -- "" e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAMEJ:i4up 1{= CtJt{() INSPECTION DATE-Æ.~t ItJf) Section 2: Underground Storage Tanks Program o Routine ¡g' Combined 0 Joint Agency Type of Tank j\tVFcS Type of Monitoring -AT<O o Multi-Agency 0 Complaint Number of Tanks 7 Type of Piping ---.bf( ORe-inspection OPERA TION C V COMMENTS Proper owner/operator data on file t'\ Proper tank data on tile Penn it fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations \I Has there been an unauthorized release? Yes No V Section 3: Aboveground Storage Tanks Program " TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERA TION Y N COMMENTS SPCC available .-...ono 1:1 =,V SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? I f yes, Does tank have overfill/overspill protection? C~Compli'nœ ¡;, V~V;ol,t;on y~y" In,p"'o" >~. aøtJ() Oftïce of Environmental Services (805) 326-3979 White - Env. Svcs, N=NO !ð /)2 tldev / Business Site Respons b Pink - Business Copy .. ~ ~ e e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME hl5{¡'l) #:úl(O ADDRESS C,O() I (0(' I \c..., h4V\C ' FACILITY CONTACT INSPECTION TIME INSPECTION DATE gf;'/co PHONE NO. ~ 35' ~ It( q{) BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES I \ Section 1: Business Plan and Inventory Program o Routine ~ombined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Appropriate penn it on hand \... / Business plan contact infonnation accurate / V Visible address v Correct occupancy v Verification of inventory materials v T 1'\0<:'\\\0\ '\/ (kíS'~ \ <s1\O~ù (\ C\:t\~\ t ". Verification of quantities 1......1" Verification of location V Proper segregation of material Iv Verification of MSDS availability '-' II Verification of Haz Mat training V Nû Q..aOC'J c, "Ù~\ \1I(l.t,k PO (it S Verification of abatement supplies and procedures \/ \ Emergency procedures adequate \../ Containers properly labeled \.Ic ",. ~@~ aR~~I~£a" Housekeeping \ / Fire Protection /' ' ,,",,4IhW/.f.¡, .¡>!, Nul l·110ù1\ {( ¡1 è, V r-1rc. / Site Diagram Adequate & On Hand \. C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes DNo White - Env, Svcs, Yellow - Station Copy Pink ~ Business Copy I) j ! 1;/ c' i :" 1.., I~e).{,~, ¡' /~ ¿..c7f- gV,l'¡ ",.'. . Business Site .~espo~ble Party Inspector: \¡f!¡, I~Ð Questions regarding this inspection? Please call us at (661) 326-3979 ,l -. ----------=-- - - - - - ~RRECTION NO":E BAKERSFIELD FIRE DEPARTMENT N~ 967 ", 1 ' Locatiofl rt1~;~t'p 1fGlfO Sub Div. ~(;()( (d"'- \'\.2 I-N. Blk. . Lot You are hereby required to make the following corrections at the above location: Cor. No ¥''*"'' Completion Date for Correctio Da te~ a.. (/(fJ n Inspector 326-3979 e ~ "3::3 IF' J~' I:,'i n ~:UI.:I!. _1~lf,! TE - U !:'f-iI,.I:,kHF1 Fl I'J ,", - _h _'/'"1 'J:~::jIJ'-~i Hue; :2 1. :?Clrll', ':~I ::21 HI' :=, ¡;:, 1T.r'1 :31 ci 1 I I' -' I;" I ¡-' .. _ ,_ _, ", . t. J' " ":' 1 T l' [IE'] 1, '1' - "- . '. 'I :1-,. I Jj'T! 'LI, T C:;:U,¡ I r'-",- ,- ','" '1':',.";11.11.'1' ,~Li-il':I'1 T 5: ¡ ["-J",','I I' ", ..., 1." J., I· UE1. 1.[,,';:'1 T ç, ~@@~::gRf~~œ£~ e j If'.iFI'IJ'n¡;,',.. '.. " .. '.' '.J 1-.:I:f·...+T T :3; [I J E:3EL. :::: 6 t=, VOUII"IE 5\ ~I':' ,..tlLU.,GE r:,:;::q5 9Qi;: ULLAGE> ~lb4':, TC VOLL~E ,5029 I HEIGHT ~3.35 I.',IATEF: ',./OL 0 WATER 0,00 TEMF 94.8 T 1: 1.11"11.[,-,1'1'" \/i)U.lI"IE '~' 1 U1.Li-'""[ co ?I;¡''-;; ULJjiC;E~ II,' .....,:':,1 ! i'lr .. liE II:;¡',,¡ -, ,. .. 1,lhTEJ: ',,/,:)1. 1/,li~iTEF: TElIF _ !..-~~JJ-:' II! Il.!í·1 , ',,":)LU["lr- = 1 ULLriGE 'j[l~:,; ULUi,-;r ~ TC \/01.1.11 'IE .. HE ¡ (,Hl ,.Ii-iTH: \/(:'1. 1"JriTER TH'W :jr~.d.~ 'il_I::":" , :::::,: I :: :J I 'it=/:: (,;'i1.:=::; 1:,i~L:::: Gt~lL:=':; (~(lLE; 'i:: ,::,:: !, I'¥.' tiE,;:: c¡ ',:.f;L~-j [I , 1:11,1 ¡ [',¡CliP"' ()? . (I U[,: ¡~.J :1:,1-. ~:' ~~Î :j'7 ~:¡?f::; 8 ¡:ìt,:::: GHL:3 ~2] 1 C~PtL~::~ :~:~i . DO I ['K'HEf:; [I GHLS CI ,00 I NCHE~3 gO, ¡:, [JE(:; F 1-~hL~=: t~~;~L~~ (;HL:3 (~hI..S 1 t', (;HE:-::; CfìLE:: Jr'J;~,~ [IE'" T 4:RAC¡~~ FUEL :366 ~)L~1E 2189 GALS ULU,GE 9[: 11 GriLS 90:\ ULU~I:;E= 86 11 G~1Lf; Te \.lOLlJl"lE 21 t,1 GfiU3 HEIGHT 28.56 r~~HES !¡,IATER \/OL J:3 GfiLf; I...)ATER 0 . '31 I NCHE:::; TEMP 87.8 DEG F T '5: UI'JLEADF.:[I \/':)Lut"IE ULU~GE '30% ULLHI:;[= TC \.lOLUI"lE HE I G HT [.·,IATER \.lOL 1~1¡::;TER TEt"lP - ----- --.~ T Eo.: ¡:¡;:1':¡-'ll UI"I I/G'LUr"lE ULLAGE 9U:: ULLAI.Æ= TC \lOL.UnE HEIGHT L.){'1TEr~ \¡OL [.·.)HTER TE!"\P T 7: [¡ l E~:ŒL \¡OLut"lE ULLAGE 9 [t;: ULLAI:;E~ TC \/OLl.It"'lE HE[GHT li,IATER \iC'L [.\IATE}~ TÐ'lP :jf::,'7 ~t71 0 ~J~:90 8090 ~~6~)O ::::]. :5 I] 0.00 91 . '7 '-=~HLE~ G{~L~::~ GAL~:::: GALt; I NCHE::-; GHLc' I Ni., [Ð", " :,:it.,'l 27t;4 GHLS ",:ii. (3f1 GF,LE I NCHÐ::: 10 GAU'::; 1 NC He::; DEG F 9~:]t:, 8¡J:]f.:, ,:'-"~It' :3:1 . 7~' 0.78 100. f:, ~ :]Ë,? 1 :3"¡~~ Gf~U:; 1 CJ6~;:=:': (;AL.;-:~ '345::\ G{~LE~ 1 :309 Gr,U.: '20.2': ¡ ¡',¡CHE:3 C\ C(,LB 0,00 II',¡OIE=:: 94,7 DEC F ;.;: .i: ::,.:: _~ ~. EI'U) :.: ~ '~, ,~. .~. e e e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILlTYNAME fMkr, '/F{¡,«O ADDRESS ~()O I (A) \.c h4.V\L FACILITY CONTACT INSPECTION TIME INSPECTION DATE jf~co PHONE NO. ~ 35''' fY.KL BUSINESS ID NO. 15..210- NUMBER OF EMPLOYEES ,\ Section 1: Business Plan and Inventory Program D Routine ~ombined D Joint Agency D Multi-Agency D Complaint D Re-inspection OPERATION C V COMMENTS ,! / Appropriate permit on hand \..; Business plan contact information accurate l./' Visible address V' Correct occupancy IV Verification of inventory materials v r..· \ ¡." -,'" '''H'l ~kfll,L1 ()(,ÐUhIJ\. (' Verification of quantities V' Verification of location vi Proper segregation of material ./ J Verification of MSDS availability V Verification ofHaz Mat training V J..lf\ (ùcn('À~ ..I .I.c.t nlt 'Al( t!h (¡I é, ,} 'f . Verification of abatement supplies and procedures Emergency procedures adequate V Containers properly labeled V Housekeeping \ /' Fire Protection \/ "... I '{4,,(.!I "ü,J tJhl\th'J'fJI;" ¡;.\~ , I Site Diagram Adequate & On Hand V C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes DNo White - Env, Svcs, Pink - Business Copy Questions regarding this inspection? Please call us at (661) 326-3979 Yellow - Station Copy Inspector: e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME rd.~ it=ClJl{Q INSPECTION DA TE----.B.l~ l/tJf) Section 2: Underground Storage Tanks Program o Routine I3lCombined 0 Joint Agency Type of Tank .1)tlJFcS Type of Monitoring -AT<O I o Multi-Agency 0 Complaint Number of Tanks 7 Type of Piping hf( ORe-inspection OPERA TION C V COMMENTS Proper tank data on file vi Proper owner/operator data on tile ,/ Penn it fees current VV Certification of Financial Responsibility Iv Monitoring record adequate and current vi Maintenance records adequate and current J No ~"'IA!n { \~\4\1I\\-' ell' LAll J J - Failure to correct prior UST violations V Has there been an unauthorized release? Yes No V V\ Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS spec available 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? C~Compli""œ ¡J¡ V~V;olat;on y~y" In,p"to, _~ {J¡;;~ Office of Environmental Services (805) 326-3979 White - Fnv. Svcs. N=NO tßtæ~ Pink - Business Copy FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "W Street Bakersfield. CA 93301 vOice (805) ~1 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVENT10N SERVICES 1715 Chester Ave. Bakersfield. CA 93301 vOice (805) 326-3951 FAX (805) 326-0578 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 93301 vOice (805) 326-3979 FAX (805) 326-0578 TRAINING DMSION . 5642 Victor Ave. Bakersfield. CA 93308 vOice (805) 3~7 FAX (805) 399-5783 I \ . . r , . April 4, 2000 Jaco Oil Mr. John Kerley POBox 1807 Bakersfield CA 93303 l807 Dear Mr. Kerley: You have been identified as the compliance coordinator for the facility/facilities referenced in the attachment. The penn its to operate this facility/facilities will expire on June 30, 2000. However, in order for this office to renew your permit, updated fonns A, B, & C must be filled out and returned prior to the issuance of a new pennit. Please make sure that you are sending the updated fonns which are indicated by the date 7/99 in the lower left hand comer. Please complete and return to this office by May 15,2000. Failure to comply, will result in a delay of issuance of your new pennit to operate. Should you have any questions, please feel free to call me at 661-326-3979. Sincerely, stddv Steve Underwood, Inspector " Office of Environmental Services SU/dam attachment ~~g'~ ~ W~ ~ .ArH'e .9"'~ .A g;'~'" ..---...... ~ . . ~' ?. ..., Facility Address Farrells Fastrip 640 I White Lane, Bakersfield, Ca 93309 F astrip @O~, Bakersfield, Ca 93309 Fastrip 1200 Coffee Road, Bakersfield, Ca 93308 Fastrip 4901 S. Union Ave., Bakersfield, Ca 93307 Fastrip 2698 Oswell Stree~ Bakersfield, Ca 93306 F astrip 1640 S. Chester Ave., Bakersfield, Ca 93304 Fastrip 805 34th Street, Bakersfield, Ca 9330 I Fastrip 12851 Rosedale Hwy, Bakersfield, Ca 93312 Fastrip 4013 S. "H" Street, Bakersfield, Ca 93304 Fastrip 640 I S. "H" Street, Bakersfield, Ca 93304 Wholesale Fuels 2200 E. Brundage Ln., Bakersfield, Ca 93307 Chris Liquors 2732 Brundage Ln., Bakersfield, Ca 93304 Howards 3200 Panama Lane, Bakersfield, Ca 93312 Howards 4201 Belle Terrace, Bakersfield, Ca 93309 Howards 3300 Planz Rd., Bakersfield, Ca 93309 ..., .' - c> .,'. ".. ~..' . (' STATE OF CAUFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM 8 COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM .~ 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAL PERMIT o 4 AMENDED PERMIT o 5 CHANGE OF INFORMATION D 6 TEMPORARY TANK CLOSURE o 7 PERMANENTLY CLOSED ON SITE D 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN B. MANUFACTURED BY: ìÖr I "'./){)IJ A, OWNER'S TANK I. D. # C. DATE INSTALLED (MO/DAYIYEAR) D. TANK CAPACITY IN GAlLONS: II. TANK CONTENTS IF A-1IS MARKED. COMPLETE ITEM C, ,r' 1 ~: MOTOR VEHICLE FUEL D 4 OIL B. C. ):8I:'1a REGULAR B 3 DIESEL D 6 AVIATION GAS A. UNLEADED 0 ~1 PRODUCT o 1b PREMIUM 4 GASAHOL 0 7 METHANOL PETROLEUM 80 EMPTY 0 UNLEADED 5 JET FUEL 03 CHEMICAL PRODUCT 0 95 UNKNOWN 02 WASTE o 2 LEADED D 99 OTHER (DESCRIBE IN ITEM D. BELOW) D. IF (A.1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED C.A.S.': 1\1 TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B, AND C. AND ALL THAT APPLIES IN BOX D A. TYPE OF 0 1 DOUBLE WALL D 3 SINGLE WALL WITH EXTERIOR LINER D 95 UNKNOWN ~ , SYSTEM D 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) Ø"99 OTHER ,j C\ l:_ K C -; .... J¥r1 BARE STEEL D 2 STAINLESS STEEL 0 3 FIBERGLASS LJ 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL 05 CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 AlUMINUM 0 8 100"10 METHANOL COMPATIBLEW/FRP (Primary Tank) 0 9 BRONZE D 10 GALVANIZED STEEL 0 95 UNKNOWN D 99 OTHER 01 RUBBER LINED D 2 AlKYD LINING D 3 EPOXY LINING D 4 PHENOLIC LINING C. INTERIOR 0 5 GLASS LINING ~6 UNLINED 0 95 UNKNOWN 0 99 OTHER , LINING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES_ NO_ .- D. CORROSION D 1 POLYETHYLENE WRAP D 2 COATING o 3 VINYL WRAP ~ 4. . FIBERGLASS REINFORCED PLASTIC PROTECTION 0 5 CATHODIC PROTECTION D 91 NONE o 95 UNKNOWN 0 99 OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE A, SYSTEM TYPE A U 1 SUCTION A (U 'j 2 PRESSURE A U 3 GRAVITY A U 99 OTHER ~ B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A~i3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C, MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) MV 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100"10 METHANOL COMPATIBLE W/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION .t;['1 AUTOMATIC LINE LEAK DETECTOR o 2 LINE TIGHTNESS TESTING [Sj 3 ~6~~~~¡~rg. o 99 OTHER V. TANK LEAK DETECTION o 1 VISUAL CHECK D 2 INVENTORY RECONCILIATION 0 3 VAPOR MONITORING ø 4 AUTOMATIC TANK GAUGING D 5 GROUND WATER MONITORING o 6 TANK TESTING CSt' 7 INTERSTITIAL MONITORING D 91 NONE D 95 UNKNOWN D 99 OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE LAST USED (MO/DAYIYR) I 2, ESTIMATED QUANTITY OF I SUBSTANCE REMAINING 3. WAS TANK FILLED WITH GALLONS INERT MATERIAL? YES D NO D THIS FORM HAS BEEN COMPLETED UNDER PENAL TV OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT APPLICANT'S NAME DATE (PRINTED & SIGNATURE) LOCAL AGENCY USE ONLY THE STATE I.D. NUMBER IS COMPOSED OFTHE FOUR NUMBERS BELOW !". .~ ~ STATE 1.0.# COUNTY # JURISDICTION # [ill lliD I PERMIT APPROVED BY/DATE FACILITY # TANK # ~~¡' ~~ I PERMIT EXPIRATION DATE PERMIT NUMB~~ ~. () ..."7 Q,..." . '- ~ (./ r .,' ';./ FORM B (9·90) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FOR0034ß.R4 .'----- . .-- --.~------- STATE OF CAUFo'RNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM 8 COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM ~'1 NEW PERMIT D 2 INTERIM PERMIT D 3 RENEWAL PERMIT o 4 AMENDED PERMIT o 5 CHANGE OF INFORMATION o 6 TEMPORARY TANK CLOSURE o 7 PERMANENTLY CLOSED ON SITE o 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: I. TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN ,-. B. MANUFACTURED BY: ~ A. OWNER'S TANK I. D,# ¡~ ·_i ~::"'l'" C. DATE INSTALLED (MO/DAYNEAR) '-/ -~~.~,- '-../,' \ D, TANK CAPACITY IN GALLONS: I . , :. ~ ,." ~' -...., - ¡ , ..., II. TANK CONTENTS IF A·1ISMARKED, COMPLETE ITEM C. .Q'sr 1 MOTOR VEHICLE FUEL 0 4 OIL B, C. o la REGULAR o 3 DIESEL o 6 AVIATION GAS A. UNLEADED D 4 GASAHOL D 2 PETROLEUM D 8.0 EMPTY jSl:'1 PRODUCT o lb PREMIUM D 7 METHANOL I:Sl UNLEADED D 5 JET FUEL D 3 CHEMICAL PRODUCT D 95 UNKNOWN D2 WASTE _ 2 LEADED D 99 OTHER (DESCRIBE IN ITEM D, BELOW) D. IF (A,1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED C,A.S.': " III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B, AND C, AND ALL THAT APPLIES IN BOX D A. TYPE OF 0 1 DOUBLE WALL 0 3 SINGLE WALL WITH EXTERIOR LINER 0 95 UNKNOWN {;ì SYSTEM 02 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) )8[ 99 OTHER ~ c.k e.. h ' : --ª1 BARE STEEL D 2 STAINLESS STEEL 0 3 FIBERGLASS D 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL 05 CONCRETE D 6 POLYVINYL CHLORIDE 0 7 ALUMINUM D 8 100% METHANOL COMPATIBLE WIFRP (Primary Tank) 0 9 BRONZE 0 1.0 GALVANIZED STEEL 0 95 UNKNOWN D 99 OTHER 01 RUBBER LINED D 2 ALKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING , C. INTERIOR 0 5 GLASS LINING ~6 UNLINED 0 95 UNKNOWN 0 99 OTHER . LINING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES_ NO_ , D. CORROSION 01 POLYETHYLENE WRAP D 2 COATING o 3 VINYL WRAP % 4 FIBE~LASS REINFORCED PLASTIC PROTECTION 0 5 CATHODIC PROTECTION 0 91 NONE D 95 UNKNOWN o 99 OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE A. SYSTEM TYPE A U 1. SUCTION I(JD 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL N~'3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) A 4 FIBERGLASS PIPE A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 l.o.D"l. METHANOL COMPATIBLE W/FRP A U 9 GALVANIZED STEEL A U 1.0 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER 1 AUTOMATIC LINE LEAK DETECTOR D 2 LINE TIGHTNESS TESTING 3 ~6~~S¿~;~~ D 99 OTHER C, MATERIAL AND CORROSION PROTECTION D. LEAK DETECTION V. TANK LEAK DETECTION o 1 VISUAL CHECK 0 2 INVENTORY RECONCILIATION D 3 VAPORMONITORINGj¿~¡> AUTOMATIC TANK GAUGING D 5 GROUNDWATER MONITORING o 6 TANK TESTING ø 7 INTERSTITIAL MONITORING D 91 NONE D 95 UNKNOWN D 99 OTHER 1. ESTIMATED DATE LAST USED (MO/DAYNR) I 2, ESTIMATED QUANTITY OF SUBSTANCE REMAINING YES 0 N0D VI. TANK CLOSURE INFORMATION THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT APPLlCANrs NAME DATE (PRINTED & SIGNATURE) LOCAL AGENCY USE ONLY THE STATE I.D, NUMBER IS COMPOSED OFTHE FOUR NUMBERS BELOW STATE 1.0,# COUNTY # JURISDICTION # ITT:?" ~ lLQ ~ .1 PERMIT APPROVED BYIDATE FACILITY # TANK # ~~ I PERMIT EXPIRATION DATE PERMIT NUMBER :::; "'/1,,,~~ ';,. ì ,if. (_... '_ FORM, B (9-9.0) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FORM A, UNLESS A CURREN! FORM A HAS BEEN FILED. FOR00348·R4 .., . c/ e ( "- STATE OF CAUFORN1A STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM ~ 1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAL PERMIT o 4 AMENDED PERMIT o 5 CHANGE OF INFORMATION o 6 TEMPORARY TANK CLOSURE o 7 PERMANENTLY CLOSED ON SITE II 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTAllED: I. TANK DESCRIPTION COMPLETE ALL ITEMS·· SPECIFY IF UNKNOWN A. OWNER'S TANK I. D. # ,"1 B. MANUFACTURED BY: .......T.....y, ,-- C, DATE INSTALLED (MO/DAYiYEAR) q -..;>"'- ~ 9/) D. TANK CAPACITY IN GALLONS: /..:;;¿,. O{) {} , ~, '-- II. TANK CONTENTS IFA·1ISMARKED.COMPLETElTEMC. ~1 MOTOR VEHICLE FUEL 0 4 OIL B. C. o 1a REGULAR O. 3-DIESEL 0 6 AVIATION GAS A. UNLEADED or 4 GASAHOL 02 PETROLEUM 0 80 EMPTY ~, PRODUCT ~1b PREMIUM 0 7 METHANOL UNLEADED o 5 JET FUEL 03 CHEMICA1. PRODUCT 0 95 UNKNOWN 02 WASTE o 2 LEADED o 99 OTHER (DESCRIBE IN ITEM D, BELOW) D, IF (A,') IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED C.A.S.#: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B, AND C, AND ALL THAT APPLIES IN BOX D A. TYPE OF 0 1 DOUBLE WALL 0 3 SINGLE WAll WITH EXTERIOR LINER o 95 UNKNOWN ' (ì SYSTEM 0 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) ~ 99 OTHER .::rGd.¿.. ."'~/ .~1 BARE STEEL 0 2 STAINLESS STEEL 0 3 FIBERGLASS 0 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL '0 5 CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 ALUMINUM D 8 100% METHANOL COMPATIBLE W/FRP (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN D 99 OTHER 01 RUBBER LINED 0 2 ALKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C, INTERIOR 0 5 GLASS LINING ~6 UNLINED 0 95 UNKNOWN 0 99 OTHER J LINING IS LINING MATERIAL COMPATIBLE WITH 1000/. METHANOL? YES_' NO_ t D. CORROSION 0 1 POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRAP ~4 FIBERGLASS REINFORCED PLASTIC PROTECTION 0 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN 0 99 OTHER IV. PIPING II'JFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE A. SYSTEM TYPE A u 1 SUCTION Þt U)2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A '\L,3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 P?L YVINYL CHLORIDE (PVC) AV FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100% METHANOL COMPATIBLE W/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D, lEAK DETECTION o èS;1 AUTOMATIC LINE LEAK DETECTOR o 2 LINE TIGHTNESS TESTING ~3 INTERSTITIAL o 99 OTHER , MONITORING V. TANK LEAK DETECTION o 1 VISUAL CHECK 0 2 INVENTORY RECONCILIATION o 6 TANK TESTING .' 7 INTERSTITIAL MONITORING VI. TANK CLOSURE INFORMATION o 3 VAPOR MONITORING J;3;¡> AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING o 91 NONE 0 95 UNKNOWN 0 99 OTHER lL 1, ESTIMATED DATE LAST USED (MO/DAYiYR) I 2. ESTIMATED QUANTITY OF I SUBSTANCE REMAINING I 3, WAS TANK FillED WITH GALLONS INERT MATERIAL? YES 0 NOO THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT APPLICANTS NAME DATE (PRINTED & SIGNATURE) LOCAL AGENCY USE ONLY THE STATE I.D, NUMBER IS COMPOSED OFTHE FOUR NUMBERS BELOW PERMIT NUMBER " ,7;/ ~.-: 1(;';:~} COUNTY # JURISDICTION # ~"I~ lJ-b¿j ~ I PERMIT APPROVED BY/DATE FACILITY # TANK # ~~ ~:~ I PERMIT EXPIRATION DATE STATE I.D.# FORM B (9,90) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION.. FORM A, UNLESS A CURRENT FORM A HAS BEEN FilED. FOROQ34B-R4 ~ . c;, . r" ~/ STATE OF CAUFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM i:;3Ç, 1 NEW PERMIT TI '2 INTERIM PERMIT o 3 RENEWAL PERMIT o 4 AMENDED PERMIT o 5 CHANGE OF INFORMATION o 6 TEMPORARY TANK CLOSURE LJ 7 PERMANENTLY CLOSED ON SITE r-r 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTAllED: I. TANK DESCRIPTION COMPLETE ALLlTEMS·· SPECIFY IF UNKNOWN A. OWNER'S TANK I. D. # .,if B, MANUFACTURED BY: --:-:. er- r V '-' C. DATE INSTALLED (MO/DAYIYEAR) 1-';0- 90 D. TANK CAPACITY IN GALLONS: j 0). 0 (..1:....; II. TANK CONTENTS IFA-1ISMARKED,COMPLETEITEMC. A.~1 MOTOR VEHICLE FUEL 0 4 OIL B. C. 0 1a REGULAR ~'3 DIESEL o 6 AVIATION GAS UNLEADED D 4 GAS!<HOL 02 PETROLEUM 0 80 EMPTY ~1 PRODUCT 0 1b PREMIUM o 7 METHANOL UNLEADED o 5 JET FUEL 03 CHEMICAL PRODUCT 0 95 UNKNOWN o 2 WASTE 0 2 LEADED o 99 OTHER (DESCRIBE IN ITEM 0, BELOW) D. IF (A,1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED C, A. S, # : III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND ALL THAT APPLIES IN BOX D A. TYPE OF 0 1 DOUBLE WALL 0 3 SINGLE WALL WITH EXTERIOR LINER o 95 UNKNOWN ':f) SYSTEM 0 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) ~ 99 OTHEf1.JC. c. k ~+ (' ( / jSj... 1 BARE STEEL 0 2 STAINLESS STEEL 0 3 FIBERGLASS C 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B, TANK MATERIAL 05 CONCRET!= 0 6 POLYVINYL CHLORIDE 0 7 ALUMINUM U 8 100"10 METHANOL COMPATIBLE W/FRP (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN D 99 OTHER 01 RUBBER LINED o 2 ALKYD LINING 0 3 EPOXY LINING D 4 PHENOLIÇ:: LINING C. INTERIOR 0 5 GLASS LINING ~6 UNLINED 0 95 UNKNOWN 0 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES_ NO~ D. CORROSION 0 1 POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRAP ~ FIBERGLASS REINFORCED PLASTIC PROTECTION 0 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN o 99 OTHER - IV. PIPING INFORMATION CIRCLE A IF ABOVEGROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION At ñ PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTR1JCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL AIJL..3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A\,¡¿';4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100"10 METHANOL COMPATIBLE W/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION ~.1 AUTOMATIC LINE LEAK DETECTOR o 2 LINE TIGHTNESS TESTING ~3 INTERSTITIAL o 99 OTHER . 'MONrrORING V. TANK LEAK DETECTION o 1 VISUAL CHECK 0 2 INVENTORY RECONCILIATION 0 3 VAPOR MONITORIN~4 AUTOMATIC TANK GAUGiNG 0 5 GROUNDWATER MONITORING D 6 TANK TESTING ,ß:7 INTERSTITIAL MONITORING 0 91 NONE D 95 UNKNOWN 0 99, OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE LAST USED (MO/DAYIYR) I 2. ESTIMATED QUANTITY OF SUBSTANCE REMAINING I 3. WAS TANK FILLED WITH GALLONS INERT MATERIAL? YES 0 NO 0 THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT APPLlCANrs NAME DATE (PRINTED & SIGNATURE) LOCAL AGENCY USE ONLY THE STATE 1.0. NUMBER IS COMPOSEDOFTHE FOUR NUMBERS BELOW STA TE 1.0.# COUNTY # [Zßt JURISDICTION # [Q]Q]QJ" .... _I ¡:. , /.. /,",,' ~ ~ ~ I PERMIT APPROVED BY/DATE FACILITY # TANK # ~~I"'''I<.¡' ~~ I PERMIT EXPIRATION DATE PERMIT NUMBER l..? /l~:.,'/_~~.: ~_} FORM B (9-90) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN FilED. fOOR OR'G~~\~ FOR0034 B-R4 ì ,/ ..... e l-·) ." _ c: STATE OFCAUFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM MARK ONLY ONE ITEM ~1 NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAL PERMIT o 4 AMENDED PERMIT D 5 CHANGE OF INFORMATION o 6 TEMPORARY TANK CLOSURE D 7 PERMANENTLY CLOSED ON SITE [J 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: I. TANK DESCRIPTION COMPLETE ALL ITEMS _. SPECIFY IF UNKNOWN A, OWNER'S TANK I. D. # ~ ....oJ C. DATE INSTALLED (MO/DAYiYEAR) ~J_. -1i'_'?f-~~ , --::;11( '-...-/ ~'J I B, MANUFACTURED BY: I - . '-'" ("' ,J ¡' D. TANK CAPACITY IN GALLONS: J.;", 0 (:; C) II. TANK CONTENTS IFA-1ISMARKED,COMPLETEITEMC, A. ~ MOTOR VEHICLE FUEL 0 4 OIL B. C. ø 1aREGULAR [J 3 DIESEL [J 6 AVIATION GAS 0(1 UNLEADED 0 4 GASAHOL [J 2 PÈTROLEUM 0 80 EMPTY PRODUCT o 1b PREMIUM o 7 METHANOL UNLEADED 0 5 JET FUEL '0 3 CHEMICAL PRODUCT 0 95 UNKNOWN 02 WASTE o 2 LEADED 0 99 OTHER (DESCRIBE IN ITEM D. BELOW) D. IF (A,1) IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED C.A.S.#: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND ALL THAT APPLIES IN BOX D A. TYPE OF 0 1 DOUBLE WALL 0 3 SINGLE WALL WITH EXTERIOR LINER o 95 UNKNOWN ¿ SYSTEM 0 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) ...8L 99 OTHER '-.\'ð. (' ~ ~ ~ j ~ BARE STEEL 0 2 STAINLESS STEEL 0 3 FIBERGLASS 0 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK MATERIAL o 5 CONCRETE 0 6 POLYVINYL CHLORIDE 0 7 ALUMiNUM r¡ 8 100"10 METHANOL COMPATIBLE W/FRP LJ (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEEL 0 95 UNKNOWN U 99 OTHER 01 RUBBER LINED 0 2 ALKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C. INTERIOR 0 5 GLASS LINING ßQ6 UNLINED 0 95 UNKNOWN 0 99 OTHER .' UNING is LINING MATERIAL COMPATIBLE WITH 100"10 METHANOL? YES_ NO_ , D. CORROSION 0 1 POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRAP a4 FIBERGLASS REINFORCED PLASTIC PROTECTION 0 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN 0 99 OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION At U")2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL Al!U3. LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C, MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A¡~4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100"10 METHANOL CQMPATIBLE W/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D, LEAK DETECTION .&1 AUTOMATIC LINE LEAK DETECTOR o 2 LINE TIGHTNESS TESTING Q 3 INTERSTITIAL o 99 OTHER ",.. MONrrORING V. TANK LEAK DETECTION o 1 VISUAL CHECK 0 2 INVENTORY RECONCILIATION o 6 TANK TESTING J~I. 7 INTERSTITIAL MONITORING VI. TANK CLOSURE INFORMATION o 3 VAPOR MONITORING~' 4 AUTOMATIC TANK GAUGING 0 5 ~ROUND WATER MONITORING o 91 NONE 0 9,5 ~~~WN I/¡.\ , 0 99 OTHER ~ -WII.. Ü, 1. ESTIMATED DATE LAST USED (MO/DAYiYR) I 2. ESTIMATED QUANTITY OF SUBSTANCE REMAINING I 3, WAS TANK FILLED WITH GALLONS INERT MATERIAL? YES 0 NOO THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT APPLlCANrs NAME DATE (PRINTED & SIGNATURE) LOCAL AGENCY USE ONLY THE STATE 1.0. NUMBER IS COMPOSED OFTHE FOUR NUMBERS BELOW PERMIT NUMBER ..... '~l . ~'''; .... i /,,,- \ COUNTY # JURISDICTION # rtT::=t ~ ~~ I PERMIT APPROVED BY/DATE FACILITY # ~,'''''.'';.-:'',,' ~ TANK # ~ ~ STATE 1.0,# I PERMIT EXPIRATION DATE FORM B (9-90) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPUCATION· FORM A, UNLESs A CURRENT FORM A HAS BEEN FILED. FORD034 8-R4 ..... e c) . C~· -.,. STATE OFCAUFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ONE ITEM ~ 1 NEW PERMIT ' o 2 INTERIM PERMIT o 3 RENEWAL PERMIT o 4 AMENDED PERMIT OS CHANGE OF INFORMATION o 6 TEMPORARY TANK C~OSURE o 7 PERMANENTLY CLOSED ON SITE U 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTAllED: I. TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN A. OWNER'S TANK I. D. # ~? B. MANUFACTURED BY: - ,- "" Or;:f .~ ~ r, '1 '\ 0, TANK CAPACITY IN GALLONS: C. DATE INSTALLED (MO/DAYiYEAR) '1-,7( t/ - ,C, .1; :) (' . .."\, II. TANK CONTENTS IF A-1ISMARKED, COMPLETElTEM C. ~. M.OTOR VEHICLE FUEL 0 4 OIL B. C, o 1a REGULAR 03 DIESEL 0 6 AVIATION GAS A. UNLEADED 04 0 EMPTY ~1 PRODUCT o 1b PREMIUM GASAHOL o 7 METHANOL 2 PETROLEUM 80 o 5 JET FUEL UNLEADED , 0 3 CHEMICAL PRODUCT 0 95 UNKNOWN 02 WASTE g 2 LEADED o 99 OTHER (DESCRIBE IN ITEM D, BELOW) 0, IF (A.1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED C.A.S,#: III. rANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B, AND C, AND ALL THAT APPLIES IN BOX 0 A. TYPE OF 0 1 DOUBLE WALL 0 3 SINGLE WAll WITH EXTERIOR LINER o 95 UNKNOWN SYSTEM 0 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) ~ 99 OTHER -J"""G. c1 thJ d 12S1.. 1 BARE STEEL 0 2 STAINLESS STEEL 0 3 FIBERGLASS 0 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC B. TANK n D 0 r-- MATERIAL 5 CONCRETE 6 POLYVINYL CHLORIDE 7 ALUMINUM LJ 8 100"10 METHANOL COMPATIBLE WIFRP (Primary Tank) 0 9 BRONZE D 10 GALVANIZED STEEL 0 95 UNKNOWN U 99 OTHER 01 RUBBER LINED 0 2 ALKYD LlN ING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C. INTERIOR 0 Igf6 UNLINED 0 95 UNKNOWN 0 99 OTHER y LINING 5 GLASS LINING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL? YES_ NO_ , , D. CORROSION D 1 POLYETHYLENE WRAP D 2 COATING o 3 VINYL WRAP %4 FIBERGLASS REINFORCED PLASTIC PROTECTION 0 5 CATHODIC PROTECTION D 91 NONE o 95 UNKNOWN D 99- OTHER IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A, SYSTEM TYPE ..A u 1 SUCTION A IJD 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A{1G3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC) ACJi)4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING A U 8 100% METHANOL COMPATIBLE W/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. lEAK DETECTION ,J~ AUTOMATIC LINE LEAK DETECTOR o 2 LINE TIGHTNESS TESTING ~3 INTERSTITIAL o 99 OTHER , MONITORING V. TANK LEAK DETECTION o 1 VISUAL CHECK 0 o 6 TANK TESTING 2 INVENTORY RECONCILIATION 0 3 VAPOR MONITORIN~4 AUTOMATIC TANK GAUGING D 5 GROUND WATER MONITORING 7 INTERSTITIAL MONITORING 0 91 NONE 0 95 UNKNOWN 0 99 OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE LAST USED (MO/DAYiYR) 2. ESTIMATED QUANTITY OF SUBSTANCE REMAINING I 3. WAS TANK FillED WITH GALLONS INERT MATERIAL? YES D NO D THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT I · . ! i:fIJ1'ru(à)W ~r"~~(\Qr LOCAL AGENCY USE ONLY THE STATE 1.0. NUMBER IS COMPOSED OFTHE FOUR NUMBERS BELOW APPLlCANrs NAME (PRINTED & SIGNATURE) DATE STATE 1.0,# COUNTY # rn- JURISDICTION # ~ :~ I PERMIT APPROVED BY/DATE FACILITY # ~C·?·' ~ I PERMIT EXPIRATION DATE TANK # ~ ~ PERMIT NUMBER .3/~¿)(J9 il~) FORM B (9,90) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN FilED. FORD034B·R4 ~ He ,0 ~);: ... '. '--'~ ,< c: o STATE OFCAUFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION· FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY ~ 1 NEW PERMIT ONE ITEM 0 2 INTERIM PERMIT ! I 7 PERMANENTLY CLOSED ON SITE '---" ~ B TANK REMOVED D 3 RENEWAL PERMIT D 4 AMENDED PERMIT o 5 CHANGE OF INFORMATION o 6 TEMPORARY TANK CLOSURE I. TANK DESCRIPTION DBA OR FACILITY NAME WHERE TANK IS INSTAllED: A. OWNER'S TANK!. D, # COMPLETE ALL ITEMS.. SPECIFY IF UNKNOWN B, MANUFACTURED BY: C, DATE INSTALLED (MO/DAYNEAR) II. TANK CONTENTS D. TANK CAPACITY IN GAlLONS: IFA·1ISMARKED,COMPLETEITEMC. A, g1 MOTOR VEHICLE FUEL 0 4 OIL B. C D 1aREGULAR D 3 DIESE~ D 6 AVIATION GAS , UNLEADED D 4 GASAHOL 02 PETROLEUM 0 so EMPTY ~1 PRODUCT R1b PREMIUM D 7 METHANOL . UNLEADED D 5 JET FUEL 03 CHEMICAL PRODUCT 0 95 UNKNOWN D 2 WASTE o 2 LEADED D 99 OTHER (DESCRIBE IN ITEM 0, BELOW) D, IF (A.1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED C.A.S..: " III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND ALL THAT APPLIES IN BOX D A. TYPE OF SYSTEM o 1 DOUBLE WALL o 2 SINGLE WALL B. TANK MATERIAL (Primary Tank) 'k 1 BARE STEEL '0 5 CONCRETE o 9 BRONZE o 1 RUBBER LINED o 5 GLASS LINING C. INTERIOR LINING D 3 SINGLE WALL WITH EXTERIOR LINER o 4 SECONDARY CONTAINMENT (VAULTED TANK) D 2 STAINLESS STEEL 0 3 FIBERGLASS D 6 POLYVINYL CHLORIDE 0 7 AlUMINUM D 10 GALVANIZED STEEL 0 95 UNKNOWN D 2 AlKYD LINING 0 3 EPOXY LINING ;¡;a 6 UNLINED 0 95 UNKNOWN D 95 UNKNOWN_ i . d ..~.' 99 OTHER . .,- (' '~ .' r·, ,.- !...õJ '- It -4... þ..'-..\' '=---=--- - U 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC D B 100% METHANOL COMPATIBLE W/FRP U 99 OTHER D 4 PHENOLIC LINING D 99 OTHER IS LINING MATERIAL COMPATIBLE WITH 1000/. METHANOL? YES_ NO_ D 3 VINYL WRAP o 95 UNKNOWN ~ 4 FIBERGlASS REINFORCED PLASTIC D 99 OTHER D. CORROSION PROTECTION o 1 POLYETHYLENE WRAP D 2 COATING o 5 CATHODIC PROTECTION D 91 NONE IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION ~' V 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A(fþ3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C, MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC).(]) 4 FIBERGlASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U B 100% METHANOL COMPATIBLE W/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION ~ AUTOMATIC LINE LEAK DETECTOR 02 LINE TIGHTNESS TESTING 23 INTERSTITIAL Il 99 OTHER MONITORING '" V. TANK LEAK DETECTION o 1 VISUAL CHECK 0 2 INVENTORY RECONCILIATION D 3 VAPOR MONlTORINGR4 AUTOMATIC TANK GAUGiNG D 5 GROUND WATER MONITORING D 6 TANK TESTING ~ 7 INTERSTITIAL MONITORING D 91 NONE ". D 95 UNKNOWN 0 99 OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE LAST USED (MO/DAYNR) YES D NO 0 I 2. ESTIMATED OUANTITY OF SUBSTANCE REMAINING I 3. WAS TANK FILLED WITH GALLONS: INERT MATERIAL? THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF-MY KNOWLEDGE, IS TRUE AND CORRECT APPLICANTS NAME " "1)r9? , ... . J^\ DATE (PRINTED & SIGNATUREI LOCAL AGENCY USE ONLY THE STATE I.D. NUMBER IS COMPOSED OFTHE FOUR NUMBERS BELOW COUNTY # JURISDICTION # STATE 1.0.# rn ,[QOO ~¡ () 'Î <=1 ", \ I PERMIT APPROVED BY/DATE -........: ...JC . ,_. THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION· FORM A, UNLESS A CURRENT FORM A HAS BEEN FilED. PERMIT NUMBER FORM B (9'90) FACILITY # TANK # ~1- /, ~o,''I,,/'\ /"'1, ~ -.-- '-'t-_ J..-I ~ i PERMIT EXPIRATION DATE . I FOR0034B-R4 . SUNSET MECHANICAL a- 3812 PANORAMA DR. BAKERSFIELD CA~ [8CX5J 322..Q600 Continuous Monitoring Devicè Certification FACILITY NUMBeR TEl!PHON~ Cln' ZIP CODE MAKe AND MOOEL OF MONITORING SYSTEM , ¡I:-C.- , Contents of Tank Capacity of Tank Type of Product line: (Gravity, Suction, Pressure). INDICATE LOCATION OF THr: MONITORING SENSORS TESTED BY PLACING A YES OR No IN APPUCABLE BOX: .'A~19r Space Sensor Sump Sensor Dispenser Contal,nment Sensor Electronic Overfill J level ~ ~ . Electronic In-line Leak Detector ~ Mtchanlcalllne Leak Detector In Tank Gauging Device , INDICATE THE fOLLOWING BY PLACING A YES OR NO IN APPLICABLE BOX: poes the monitorIng system have audible and visual alarms? Does the turbine automatically shut-down If the system detects a leak, fails to operate or is electronically disconnected? Is the monitoring system Installed to prevent unauthorized tampering? Is the monitoring system operable as per the manufacturer's specifications? Y;s Which continuous moni~oríng devices Initia~~ posili'/e shut-down of the turbine? CERTIFIED TESTER'S 10# SIGNArUR5: OF CERTIFIED TEC¡'I~IICIA'N ~ r= RI:"f:O r·¡..~)~.~= C~ c: :r;'"f~~;::> -,.. :':CH'=: :':':".~: , 2E:.~':; C0~,P).:W t·.':'.:,~: e·. "~lE?:; )~,= f: __.'__...._.~ - " FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 oW Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 oW Street Bakersfield. CA 93301 VOICE (805) 326-3941 FAX (805) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3951 FAX (805) 326-0576 ENVIRONMENTAl SERVICES 1715 Chester Ave. Bakersfield. CA 93301 VOICE (805) 326-3979 FAX (805) 326-0576 TRAINING OMS/ON 5642 Victor Ave. Bakersfield. CA 93308 VOICE (805) 399-4697 FAX (805) 399-5763 e e February 9, 1999 Fastrip #640 800 I White Lane Bakersfield, CA 933 II RE: Compliance Inspection Dear Underground Storage Tank Owner: The city will start compliance inspections on all fueling stations within the city limits. This inspection will include business plans, underground storage tanks and monitoring systems, and hazardous materials inspection. To assist you in preparing for this inspection, this office is enclosing a checklist for your convenience. Please take time to read this list, and verify that your facility has met all the necessary requirements to be in compliance. Should you have any questions, please feel tree to contact me at 805-326-3979. sZ'r14J Steve Underwood Underground Storage Tank Inspector Office of Environmental Services SBU/dm enclosure 1t1t.9'~ ~ ~~..97~ ...$6oPe ..97~ A ~~~" RRE CHIEF MICHAEL R, KEllY ADMINISTRATIVE SERVICES 2101 ow Street Bakersfield. CA 93301 (805) 326-3941 FAX (805) 395-1349 SUPPRESSION SERVICES 2101 oW Street Bakersflek: . CA 9330 I (805) 326-3941 FAX (805) 395-1349 PREVENlION SEJMCES 1715 Chester Ave. Bakersfield. CA 93301 (805) 326-3951 FAX (805) 32ó<J576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield. CA 9330 I (805) 326-3979 FAX (805) 326-0576 TRAINING DIVISION 5642 Victor Street BakelSfield. CA 93308 (805) 3~7 FAX (805) 399-5763 - ~ BAKERSFIELD FIRE DEPARTMENT . - - February 13, 1998 Fastrip #640 8001 White Lane Bakersfield, Ca 93309 RE: "Hold Open Devices" on Fuel Dispensers Dear Underground Storage Tank Owner: The Bakersfield City Fire Department will commence with our annual Underground Storage Tank Inspection Program within the next 2 weeks. The Bakersfield City Fire Department recently changed its City Ordinance concerning "hold open devices" on fuel dispensers. The Bakersfield City Fire Department now requires that "hold open devices" be installed on all fuel dispensers. The new ordinance conforms to the State of California guidelines. The Bakersfield Fire Department apologies for any inconvenience this may cause you. Should you have any questions, please feel free to contact me at 326-3979. Sincerely, jk~ Steve Underwood Underground Storage Tank Inspector cc: Ralph Huey 'Y~deW~~~~~AW~ " Sent by: JACO OIL COMPANY 805 393 0453j 12/10/97 8:S0AMjJedãx #13j Page 2/2 . s. I ':"11 '~ or ·~4:~~..~~.\¡~t:~: :.~ 8.11 ~OO' '.:- ~"'ia'~~; :QO··'·';C·i~: ' ..~ , '~~III'" ~·.:·:'i 7 25 , !. '. i 6' 0'' il~'~' .. '~I"~' " .. 'i'\;~'I",í ,: 35,M ' )".' ;,'0..00 M f", :: ""'" . ,~' 0"" 'r·,...: ".~ "!t 'I 35~OO'I' ,:;1. ~.qQ'~~'ì, ,~~ ' 3A 00' " J.. ..' . M ' ,'..~ '\,.:,I:~ , ii. :;.:' '-".';' ~.OO'~ ..'.".,., ., ' .~., ,.." ~"." ~·.r: 1 ", .. ':' ~ "~·!t;t~., .'~t:I,~~~~ I~ . ~"; ,,' ", .. "~iJí~' ~:¡",~:', .... ;.. 'I., """,,,~ 'II: .\" . . r pol' , ~'.'~ ,10, '."J. ~~~ J . , l"·. ~ ;. ~' I ·'-í, !",~~,f."- L) .' I.. L "'~ ~··,1 ~f'~""!J:.~~¡Fi.t ~, ('1:' '" .'.' , ~·:,~~tI : ~.-f\:~~,..i,j~~~·~1 "'~ ;. .~",' "þ.. ~. ," )·i~.'Ät'·'(ln·. I '.1' '~," ~~: ~ :'~ :.:~;jll";¡~ ;~;,;t:lt : , , . ,. 'I ':' II .: :(~~.~~Jt.~, ~" r o' , f¡., ;_·.:~~\§,~,.ol·\; ,¡' ~' ; .1 t "\~,.. ~.,t:... .~. I..,. "'.y. ':':'-'~:~"1Ì'rt,¡~.~,:,;{,~ . '.. .. ,....U"~ .... ft.I 4 I \, .,1 , : ..' r~~~ ", '~. " ~'K::;':~:'~~~¡"f:iI'~~\I! i ';'~'; "",>/11'1' ,"I.', 'i~'"," ::..,~~'\~ ,. :':i,'" -'\~' :";~~'W¡r" ':¡J~", '1 ',~,~, .~1~1 \'1:" ;..: ~ "," "..~~. "',,',.. ¡Þr..' \i'~'l': .' !l ~~ . '~h ...~.r,» ,,14, ",1.'" ·:.f~ ~ ~~:~~':~~.~i::." ·:t ' ,..1, ' 1 ''''~''r..,.... ' I ~',~~. . ,r-J.",r:.1I~~.lt'¡'¡' .~~,. . 11(, ;~'t~' ''-t. Aã:~. " , '\'¡:'~'~~';%:,\;,: 'f\?, ~< :d:~':\'4"," ~ ~~~r. ::. ,);~,\:{;).~.. .,1. '; "~ '': ,\.~I'\'~!.'I/:: 1,' :I~"~ :t . ~ :'~::'1f: ,;~ . ,~. " ."I.¡I ")'d"'" ,<" \ "'. ,'. ,", },or·" \ . .):10 l: . ~I "f' ~ 'j"iE' " '. .,~~: ..,~.:~..~:,:..:~'~/' ,*...t.'~ ":': t..~:,:..." '; ..' .J, ';0, ,..,....;i :,¡ 't:' :.,", 'I'J",· ~ '1~'~'1,~~ h~" ~~"~' " ,;,I.;·_~,-:i,~,,·f:i'·'· ->: ¡~ ',,, '.' .., ,:. ,.f; . t ~~:' ,.l,: ;:"zY...~7 ';r..\; :.jf~. :. 1,,1.,:i.'! lJ':,~:. :,-,¡", .-f.~,.~~ .'..,.,.,.I~I.'.¡. .. ' ..~~" ", ,,' ·,l·'i'i'. ,\~~: . :t ·~::~~.:;JW1.. (' B.S.S.R. ., '. ~. "'l' '. . , ..;\ -4 .' , . I . ,'1 " lIS n'mas TAX 'Mft 4-11. Mft 4-22· ~'JS 4",~J· . ¡ ~¡ MIllIS NI~ '1'HI1AIQat$1'1~~ '.AIa) ¢ra!¡rllD 1D 1I081TIVI:''i elf ~-a3~1t96~ .' . ' " .' " '1". ,'.ti... .' " ' ,I ,t .j',. \... ,~\"". >t': , " " .{ '~;tl ';:.1 , ¡ . .~~ :j,! " J~~I? sœØl A'r uxa-rIaf 10 . . S'\'Øf TA* ',_s:ItS 'NaJLD NCn'" ,~:pG tillS) PMALIU. »tD ~tJp ,t'!I ~ OfIIA'ION. I awtCŒD _ 1ó ~y OftJI POSITION MID ,~~ ~ Cff,. ArJ\RM ~ ~,..., 'ZO .....w.y 0PIZi iœ .~: '~~'f~:~~':,;· .~"~ .;~.:~~;~..: ~"I!~, '7.~l1,s.r ¡'!ì'" ,...'4:<';':'\ '·,'.'F ,~,'J"" "/~'~"~~'~ :.!!rP.''t·'a'I:;.':". ",.1,', :J. 1:; ~'J, ,-.. ' .... " I" . . . ""- ~~,I·", ':1;);', " ·,·t~ .i , I,-:-:r.. '7.......:. ,:.'; r,:. ~'. -.J'" ~::':d, """ . .,' ;:'~'~;, .¡ '.;'1 f.' ¡, ;J4' BALMf<::E DUE: }f·· . ':'~t' . : :~~~ ".". I .:;~ ''-.~.r;~ .:.; !.1·i~'; ,,~'...., "!"- 1",., ,lr+ . .~; 720" O. \:~:.".'! ' i, P: ~ ,-.;, .k,.~~lt~_~t:..! CO~ECTlON NOTI~ BAKERSFIELD FIRE DEPARTMENT N~ 627 Locatioll fári6r 1l=ú ((0 Sub Div. '373, 7{}tJ(') . Blk. . Lot You are hereby required to make the following corrections at the above location: cJr '( úJrdlct\. II: eJect &llr IJ ++{{L a.. CIJ{ßV to+- YßJur ð. ht-tt./Cl ( t ; ~ P{ f -f.1 2..3 c.c: ~ &c rrltt:..I,oll ~ ¡;ICLc;(' . - 17~ Ie¿ Completion Date for COrrect~tJífi7 Date qf':J()!9'1 v wIlL) Inspector 326·3979 , Sent by: JACO OIL COMPANY 800 399 6096; 12/09/97 11:05AM;J~ #945;page 2/5 ~.~.iv.d: 12/ 5/$7 , ;a.p~; . 806 328 Cð78 .> ~ACQ Q~L CQM~' P~g. 2 . '12'/05/97 12: 13 e805 328 78 BFD HAZ !AT DIV ._ ,__. ~.DQ2 ~i' . . ~D; ) EMERGENCY RESPONSE PLAN UNDERGROUND STORAGE TANK MONITORING PROGRAM ',' II .. - . .;.:~ , ..: ~. Tbi.t --tIIr'UIa ..... .. . .... . eM usr ~fjGII II &U åIDa. ". Ïll&nIIIàcna aD IIUI -';1Oriq ...... .. ...,I.... .. fII *' ............. n...... boI4Ir IDIIII aøüY die œcc ot!IIViI-...~ . SaviraI....]().,. fII..,........ . die ~~ ~ "'*- ~ ED abIaàa~..... ~.... L 'I ....._1~ Z612(d) aa4 26011(la) CCJl FIC:ÏIi\yN__. i#5T~'7J Rð~ú'__ n .., FKÜi~ AdeN '60tJ ( tJlt.t/e- ~ ~~jyÇJeJcJ 04. 'T.3.30?: " i,~~; , ,- . ','r ,:. .~~:~·i . . ;,:~~~ . - ,,~ " ..,~~.: . .-; 1. If u UDUIUIonzea ,... occurs. bow Will the buatdou.a sub$lanë:ë be c:1caiJed up? Notë:' If"7f~-<t buan:Ioua ..,t...I~ reach the environmezn. increue the fire or ap!osioß b&rard. are DOt d ~ up tam I&e MC:Ø1Id&ry con."-t wiÛÚft I bau.rs. or da..šor.re - - 1" ~~.....: ~~. _ the œc:e olEnviro.-raJ Services must be aati8ed witIiD Z41Dzn. ü)t~~ /"f ~?~~1:¡ç~ ~ ~ Describe the ~ ....WJ lAd cqu.ìpment to be used for ramovina and properly di.,... of lIlY haardoua , ' 3. '. . :...,.. .. ". .' " 4. Daaibctbemaim_acbcdulefor.J}"c: ~: ð). OJ If s, liS! tbe 1IImc(.) aIId tide(.) of die ptrson(.) f"e$ponsiþl. for autbot¢qg ß work neccssuy under the rapoue plan: Tp fI;J KG'1lk¡ - U ICE ?/eð¿~i- " . Sent by: JACO OIL COMPANY 800 399 6096; 12/09/97 11 :06AM;Jedãx #945;page 3/5 R.c;:.~vod: 12/ f;;/B7 1 ;26PU¡ __eatS 328 Q:57c:1 .> ..JACO O%L COIolP.-.A page::::l ,'.;..,._..,'~ 1,2/..05/97 12: 14 ttSDS.ue ~ Bf'D BAZ "'~T DlV...." .~ _ ~~ . -., . .~~., þ1'- .."."'. . :-,. . ~ ~ WJU1'TIN MONITORING PROCEDURES 19, UNDUGROVND STOIlAGE TANK MONnOIUNG PROGRAM nis"'¡1IriIII.-.- _ till... .... UIT \T' .,' - . aø--. 11111 í ...... dIiI- 'f' J." .......... ~ fl.. fII m., 1'........ 1111 pII'IIi& ..... _... die œœ tl8a~'t?" 1.~ SA~ ........ JO.,. III.., 1# .. . eM :..... r> ~",","",""',..øas CO ..... .....-... ...... r J '-. .. ~... . ..... b1 1 ' ~ 3633(4) .. Z661(Ja) Cat.. flCililyNamo ~~l' ._Rðd S~ FlCÎÜtYAddtaa aOO I _WhdC'. LN ðf¡¿.y.~ CA- 9:JJi# .... , ,': A. Dc:Icribe ~ R¥Y af pcrtbrmíDø the moDŠtoriDa= Taak 1 Pipia¡ /)A rG.¡ ~ - _ - ~ '..:' , 'r, . ."~. '.. . '.,.. , . .',~' ,: \~~.~~, ., .;.~' ;. 'f·.~ ~ .,' " . ~ . r B. WhI1·-.t~.1ød ~;~_.... ·~:IW by.-_ ~. wiD be UIId... ~ .=.. ~~;..: R,fY1JIf-¡l _ ~ MðlC~~1 ~'tsfeA( Pipiøa-- r-'fi;:;:t~L~ ~A-:/~_~: ...--' ,.. C. Dc:Icribe die 10- It~l) .... dIo -=ftoru.¡ will.. ~ (&ciIhy plat p. tbouId be attached):· 0 I A II I .JJõ7Lflf_ CJ$ST CðrN-r Ò'Î WtA.,' Ó('r<j- D. E. List the D81De(s) IDd ciucCs) oftba peap. rapoDlihlo for ps'fol1llÏD8 the JDOIÙU1ria8 ODdIor 1IIÙIÌIIÌIIa.*~: Sìlftb~ c1Gl2.4-favt . ,':,'~ I~~ , .' Rcponiaø FCJI1I!F Ii>r ~ Tank Ref:::: R Piping ~ ~:ç F, Describe the prtwatM m-i~'ICI td1odu1c Cor the maaitoriDø equi~ Note: MaiateaaKe _. be ia MCGrduee w,~ IIIe ",,~~rer. .............. but Dot lea ..... .., 12 ...... tI:Ll11.UI[(_ G. FACILITY PHONE No. '~13 ~ )()Oo 10. 10. 10. INSPECTION DATE qf10( 'ì 7 3,t(.'i: ~ I, 2. 7 Product rpr;:uct Product TIME IN TIME OUT P.r4 tJ¿ Ill.. -r 1'1:11. () L> t!J¡ ~t;,. / Insl Dale' Insl Dale Insl Dale INSPECTION TYPE: (110 /9ctb (t/'ftJ ROUTINE 1/ FOLLOW-UP Size Size Size I{I(( J,ÐCC) [}. y.(~ DO IJ. ðO^ REQUIREMENTS yes no n/a yes no n/a yes no n/a 1a, Forms A & B Submitted V 1b. Form C Submitted V 1c, Operating Fees Paid V 1d. State Surcharge Paid Ý 1e, Statement of Financial Responsibility Submitted ./ 1f. Written Contract Exists between Owner & Operator to Operate UST 2a. Valid Operating Permit V 2b. Approved Written Routine Monitoring Procedure v' 2c, Unauthorized Release Response Plan if 3a. Tank Integrity Test in Last 12 Months ./ ~ 3b, Pressurized Piping Integrity Test in Last 12 Months I \ lAce! hwl ~ ~ 3c, Suction Piping Tightness Test in Last 3 Years ./ ! ....., 3d. Gravity Flow Piping Tightness Test in Last 2 Years V ~ ~ 3e. Test Results Submitted Within 30 Days oJ J 3f. Daily Visual Monitoring of Suction Product Piping V ~ 48, Manual Inventory Reconciliation Each Month V 4b, Annual Inventory Reconciliation Statement Submitted V' 4c, Meters Calibrated Annually v 5. Weekly Manual Tank Gauging Records for Small Tanks J 6, Monthly Statistical Inventory Reconciliation Results v 7. Monthly Automatic Tank Gauging Results ¡/ 8. Ground Water Monitoring -./ 9. Vapor Monitoring V 10, Continuous Interstitial Monitoring for Double-Walled Tanks v' Mechanical Line Leak Detectors , 11, V 12. Electronic Line Leak Detectors 11"1 (,I1MIII"''' 4-1'1:'''''''- ...J 13, Continuous Piping Monitoring in Sumps tV 14. Automatic Pump Shut-off Capability V 15. Annual Maintenance/Calibration of Leak Detection Equipment if 16, Leak Detection Equipment and Test Methods Listed in LG-113 Series V 17. Written Records Maintained on Site ~AI'O J 18, Reported Changes in Usage/Conditions to Operating/Monitoring Procedures of UST System Within 30 Days if 19. Reported Unauthorized Release Within 24 Hours V 20. Approved UST System Repairs and Upgrades V 21. Records Showing Cathodic Protection Inspection v' 22, Secured Monitoring Wells if 23, Drop Tube fI/ RE-INSPECTION D E RECEIVED BY: ItWW- " UNDERGROUND STORAGE TAN~SPECTION FACILITY NAME ;;~~rl jo #=Ct qo FACILITY ADDRESS ~ I f1J(r,J·(o Å(Jfle_ INSPECTOR: ~J zt1b#íJ v Bakersfield Fire Dept. Office of Environmental Services Bakersfield, CA 93301 ~t¡9 95.3/1 BUSINESS 1.0. No. 215-000 CITY t3(Jktr6it~(/ ZIP CODE OFFICE TELEPHONE No. 31, -..3'l7 Ý FD 1669 (rev. 9/95) HAZARDOUS MATERIALS INSPEcfíìoN 6kersfield Fire Dept. OFFI"!!'!r OF ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 Date Completed '130/'/7 Business Name: ~-\t\.¡o -IFf¡ t¡O Location: ß06 , l1J~l1v hd/,\t.- Business Identification No. 215-000 tJI.{1 (Top of Business Plan) Inspector 5~cJc... dwfc.t<tlt!i!k{' Station No. Shift Arrival Time: Departure Time: Inspection Time: Address Visable Ade:te Inad6uate Emergency Procedures Posted Ade~te Inad6uate Correct Occupancy Iii. LJ Containers Properly Labled l\1 LJ Verification of Inventory Materials rii LJ Comments: Verification of Quantities !D' LJ Verification of Location ~ LJ Verification of Facility Diagram ~ LJ Proper Segregation of Material LJ Housekeeping rsi LJ Fire Protection ['g" LJ Comments: Electrical CIÝ LJ d Comments: Verification of MSDS Availablity :3 LJ ßV Number of Employees: UST Monitoring Program LJ if' Comments: Verification of Haz Mat Training LJ Pennits cv" LJ Comments: Spill Control cri LJ Hold Open Device rot LJ Verification of Hazardous Waste EPA No, Abbatement Supplies and Procedures ¡g/ LJ Proper Waste Disposal ¡if LJ Comments: Secondary Containment ~ LJ Security LJ Special Hazards Associated with this Facility: Violations: cjtC' tl 0 cl- \,,{ e IV '0'--' ;!t-cA.p ~ ( SIGNATURE LO ~ ~ ~ Business Owner/Manager PRINT NAME All Items O.K Correction Needed LJ iJI :> w e; N ""' '" ~ White-Haz Mat Div, Yellow-Station Copy Pink-Business Copy o u. ----.......,..-- -::-- --~ -- ~ ---~...,...- ----- ':" ~ -::;---;00;- -""",--,- _- ************************ o ************************ FASTRIP FOOD STORE 80tH WHITE LANE BKFD CA ZIP 93309 STATUS REPORT Tal U~DED GASOLINE 6305 GALLONS FUEL 58.39 INCHES FUEL NO INITIAL PRODUCT IA/ATER 85.5 0 F 5717 GALLONS TQFULL TANK 2 PLUS UNL 2870 GALLONS FUEL 32.32 INCHES FUEL NO INITIAL PRODUCT WATER -e.3 of 9152 GALLONS TO FULL TANK ,3 PREMIUM UNLEADED 3687 GALLONS FUEL 38.81 INCHES FUEL NO INITIAL PRODUCT WATER 83.9 83,35 OF GALLONS TO FULL TANK 4 DIESEL 2 C~'i16 \2.t..{S3 GALLONS FUEL INCHES FUEL NO INITIAL PRODUCT WATER - -1.ØJl..-Z__~f_ =_-='__~._~~_ 9706 GALLONS TO FULL TANK 5 UNLEADED GASOLINE .,32 GALLONS FUEL .71 INCHES FUEL NO INITIAL PRODUCT WATER 83.6 ° F 7291 GALLONS TO FULL TANK 6 PLUS UNL 3949 GALLONS FUEL 40.67 INCHES FUEL NO INITIAL PRODUCT WATER ./..6. 5 of "')74 GALLONS TO FULL TANK 7 PREMIUM UNLEADED 2944 GALLONS FUEL 33.00 INCHES FUEL NO WATER SIGNRL 87.0 ° F 9079 GALLONS TO FULL , . 10:21 AM '9/30/97 ************************ UNDERGROUND STORAGEJþJK INSPECTION « Bakersfield Fire Dept. Office of Environmental Services Bakersfield, CA 93301 " fÃs(12 , P 8ðOI W¡..{ITE ~040 t-rJ BUSINESS J.D. No. 215-000 CITY ZIP CODE (g41 9531t FACILITY NAME FACILITY ADDRESS FACILITY PHONE No. 37.3 -7ctX:> ID# ID# ID# INSPECTION DATE 4/24 (?0 I>roduct Product Product TIME IN ( 0(3)0 TIME OUT 1630 ~LL POI1-\P.s Insl Dale Insl Dale Insl Dale INSPECTION TYPE: Å <..Jïð - pv {Wp ¡e::¡c¡O ROUTINE FOLLOW-UP S-HbT-o~FS Size Size Size REQUIREMENTS yes no nla yes no nla yes no nla 1a, Forms A & B Submitted 1b. Form C Submitted 1c, Operating Fees Paid 1d. State Surcharge Paid V 1e. Statement of Financial Responsibility Submitted " -" 7__ I'..j( ". , 1f. Written Contract Exists between Owner & Operator to Operate UST ( ;U l --- 2a. Valid Operating Permit \ t"V ~ V 2b, Approved Written Routine Monitoring Procedure ~, dN r ,{ , /"" ./ ...-r 2c. Unauthorized Release Response Plan rA \ ,< / ,,/ /' 3a. Tank Integrity Test in Last 12 Months .\£!.\'- /~ I.fJ V /' ./ 3b. Pressurized Piping Integrity Test in Last 12 Months n?1 t~ .0 :/ /" ./ 3c. Suction Piping Tightness Test in Last 3 Years 'Y_V n.H \.\ /" /" 3d. Gravity Flow Piping Tightness Test in Last 2 Years í .... ~'"' ./ / 3e, Test Results Submitted Within 30 Days " . \,\V / ./ 3f, Daily Visual Monitoring of Suction Product Piping JX'" /' ./ 4a. Manual Inventory Reconciliation Each Month ./ ./ V 4b. Annual Inventory Reconciliation Statement Submitted Þ /" 4c, Meters Calibrated Annually / 5, Weekly Manual Tank Gauging Records for Small Tanks h/ 6, Monthly Statistical Inventory Reconciliation Results 7. Monthly Automatic Tank Gauging Results 8, Ground Water Monitoring 9. Vapor Monitoring 10, Continuous Interstitial Monitoring for Double-Walled Tanks 11, Mechanical Line Leak Detectors 12. Electronic Line Leak Detectors 13, Continuous Piping Monitoring in Sumps / ~ 1'\ 14. Automatic Pump Shut-off Capability / ¡/ ) 15. Annual Maintenance/Calibration of Leak Detection Equipment - - 16. Leak Detection Equipment and Test Methods Listed in LG-113 Series 17. Written Records Maintained on Site 18, Reported Changes in Usage/Conditions to Operating/Monitoring Procedures of UST System Within 30 Days 19. Reported Unauthorized Release Within 24 Hours 20, Approved UST System Repairs and Upgrades 21, Records Showing Cathodic Protection Inspection 22, Secured Monitoring Wells 23. Drop Tube RE-INSPECTION DAJE AI/A INSPECTOR: ~(ðcAMtl-O W,^,~S RECEIVED BY: OFFICE TELEPHONE No. :?2.b- 3q 79 FD 1669 (rev. 9/95) · - ., USTMAN SIR SYSTEM Monthly Statistical Inventory Reconciliation (SIR) Report STATION NAME: FASTRIP #640 STATION #: 366 COMPANY NAME: JACO OIL ADDRESS: 8001 WHITE LANE CITY: STATE: CA ZIP: PHONE: PERIOD ANALYZED: APRIL, 1995 DATE OF REPORT: 05/15/95 PART A: Tank 'ID: Tank and Lines Status: Product: 00 TIGHT OO-FS PRE 02 TIGHT 02-UNL #1 04 TIGHT 04-FS D#2 05 TIGHT 05-FS MID Data Quality: Dels: Sales: GOOD 29978 26211 GOOD 48204 43170 GOOD 4579 5160 GOOD 26585 23520 USTMAN INDUSTRIES INC. is a certified Statistical Inventory Reconciliation (SIR) release detection vendor. Tank status results for monthly monitoring are based on parameters specified by the EPA protocol for SIR methods. PART B: O/S listed below represent removals, additions or delivery discrepancies which were accounted for as part of the SIR analysis. Tank ID: Comments and Recommendations: 00 {4/23/1995:DEL -3003} 02 {4/23/1995:DEL -4173} {4/24/1995: 301} 04 {4/20/1995: 120} 05 {4/23/1995:DEL -2034} {4/24/1995: 134} For regulatory compliance in California, a plplng integrity test every 12 months and a tank integrity test every 24 months are required in association with SIR monthly monitoring. · -- USTMAN SIR SYSTEM Monthly Statistical Inventory Reconciliation (SIR) Report STATION NAME: FASTRIP #640 STATION #: 366 COMPANY NAME: JACO OIL ADDRESS: 8001 WHITE LANE CITY: ZIP: STATE: CA PHONE: PERIOD ANALYZED: MARCH, 1995 DATE OF REPORT: 04/17/95 PART A: Data Tank ID: Tank and Lines Status: Product: Quality: Dels: Sales: 00 TIGHT OO-FS PRE GOOD 25603 25300 02 TIGHT 02-UNL #1 GOOD 40640 44347 04 TIGHT 04-FS D#2 GOOD· 3716 4432 05 TIGHT 05-FS MID GOOD 18859 21190 USTMAN INDUSTRIES INC. is a certified Statistical Inventory Reconciliation (SIR) release detection vendor. Tank status results for monthly monitoring are based on parameters specified by the EPA protocol for SIR methods. PART B: Tank ID: Comments and Recommendations: 00 No comments. 02 No comments. 04 No comments. 05 No comments. For regulatory compliance in California, a plplng integrity test every 12 months and a tank integrity test every 24 months are required in association with SIR monthly monitoring. e e USTMAN SIR SYSTEM Monthly Statistical Inventory Reconciliation (SIR) Report STATION NAME: FASTRIP -WHITE LANE STATION #: 367 COMPANY NAME: JACO OIL ADDRESS: ~( W 1-\ \ 'IE:.. CITY: ZIP: STATE: CA PHONE: PERIOD ANALYZED: MARCH, 1995 DATE OF REPORT: 04/17/95 PART A: Data Tank ID: Tank and Lines Status: Product: Quality: Dels: Sales: 00 TIGHT OO-FS PRE POOR 28887 29600 02 TIGHT 02-UNL #1 POOR 87163 88182 05 TIGHT 05-FS MID GOOD 32346 31289 USTMAN INDUSTRIES INC. is a certified Statistical Inventory Reconciliation (SIR) release detection vendor. Tank status results for monthly monitoring are based on parameters specified by the EPA protocol for SIR methods. PART B: O/S listed below represent removals, additions or delivery discrepancies which were accounted fo~ as part of the SIR analysis. Tank ID: Cormnents and Recormnendations: 00 No cormnents. 02 ~3/12/1995: 4041} ~3/13/1995:DEL -4290} {3/14/1995: -133} 3/15/1995: 436} 3/27/1995:DEL -284} {3/31/1995: -162} 05 {3/23/199S: -163} {3/26/199S:DEL 219} {3/27/199S: 18S} For regulatory compliance in California, a piping integrity test every 12 months and a tank integrity test every 24 months are required in association with SIR monthly monitoring. " - -,- --------~ ,~... ~./ CORRECTtpN NOTICE .1 BAKERSFIELD FIRE DEPARTMENT N~ #36G 0497 ~ 'i' -- 1; , Locatiol1 ¡-AS R., P Sub Div. ~I L.. )Aik-.li') . Elk. . Lot You are hereby required to make the following corrections at the above location: Cor. No " /-~ /' '\ i I / ) -4~w ,~/ I' I V Completion Dato for Corrections ~ j Date gþ9/5.~-- ~ (~ Inspecto~ 326-3979 ã~ UN~ERGROUND STORAGE ltÞK INSPECTION Bakersfield Fire Dept. Hazardous Materials Division Bakersfield, CA 93301 " ~~ 't" t·le, L Vc..s i' FACILITY PHONE No. ~S--/4qo II» II» II» ß À e;{_ J. '1 7 INSPECTION DATE ~~L ~~ product Pt.~ TIME IN TIME OUT nL·~.ì....... ,\~.c...I 'lí1sr'bale ' Inst Dale Insl Dale INSPECTION ~ ;tll::Mr 9/?~'f "c¡ø ¡q'Yc JtlCf(J Size Size Size ROUTINE FOLLOW-UP .l.¡></')~"JN'\ ~ '1 I'\fV'I (,I) ~~A REQUIREMENTS yes no nla yes no nla yes no ñÍa 1a. Forms A & B Submitted V V' V'" 1b. Form C Submitted ,/ / V 1c. Operating Fees Paid V , .,/ ¡,./' 1d. - , 1e, Statement of Financial Responsibility Submitted Y" ,,/ ~ 1f, Written Contract Exists between Owner & Operator to Operate UST ,,/ .r .,/ 2a. Valid Operating Permit /: ,/" ,,/ 2b. Approved Written Routine Monitoring Procedure "" /' --- 2c. Unauthorized Release Response Plan V ""r- v' 38. Tank Integrity Test in Last 12 Months ,/ .,/ ,./ 3b. Pressurized Piping Integrity Test in Last 12 Months /,.;ved .J I ./ ./ V" 3c. Suction Piping Tightness Test in Last 3 Years ,/ ~ ~ 3d. Gravity Flow Piping Tightness Test in Last 2 Years ¡/ Iv ,/ 3e, Test Results Submitted Within 30 Days ,/ ,r ,/' 3f, Daily Visual Monitoring of Suction Product Piping , ,¡/' ,/ 1-/ 48. Manual Inventory Reconciliation Each Month ./ 7 ,/ 4b. Annual Inventory Reconciliation Statement Submitted ./ ,./ ,,/ 4c. Meters Calibrated Annually ,.k v v V .- 5. Weekly Manual Tank Gauging Records for Small Tanks ~ "./ ,./ 6. Monthly Statistical Inventory Reconciliation Results t/" .,/ /' 7. Monthly Automatic Tank Gauging Results V"'" ,........ ",...... 8. Ground Water Monitoring ./ ,,/ v' 9. Vapor Monitoring / ~ ' "..-- 10. Continuous Interstitial Monitoring for Double-Walled Tanks ~ V t;/ "'--' 11. Mechanical Line Leak Detectors '" V v'" ¡/ 12. Electronic Line Leak Detectors },.. - ,. ~. .\ _I /0, 1..\ ,I. _., ~ tV- ,./ ~ 13. Continuous Piping Monitoring In Sumps .\t- V ......... V- 14, Automatic Pump Shut-off Capability ~ v /.- t;../ 15. Annual Maintenance/Calibration of Leak Detection Equipment ~ v/ V "./ 16. Leak Detection Equipment and Test Methods Listed in LG-113 Series -\t V V ,./" 17. Written Records Maintained on Site :-'\~ j?. V - V -- ,~ 18. Reported Changes in Usage/Conditions to OperatinglMonitoring Procedures of UST System Within 30 Days V v' / 19, Reported Unauthorized Release Within 24 Hours V V ~ 20. Approved UST System Repairs and Upgrades ,,/ ........ V"'" 21. Records Showing Cathodic Protection Inspection V ,,¡?' / 22. Secured Monitoring Wells ,,/' ,/ /' -- ,.../ 23. Drop Tube lv,*'¡;>~ \-.11; ,sUL...b V V ~ V \ ~. y RE-INSPECTION DATE RECEIVED BY: t\,,~ IJJ 1,'1~""""'" INSPECTOR: ~({J/Au-d~ OFFICE TELEPHON ~ vNO.,) 'D~ - ~'7 7g luÁ-,,~_ I"... BUSINESS 1.0. No. 215-000 CITY ~el!.tS."¡;'.gJ¿ ZIP CODE . t,L¡q 93'3éR FACILITY NAME ¡;q<f~/o , FACILITY ADDRESS fJkij¡ FD 1669 .. 'i ~<MONITORING PROCfnURES UNDERGROUND STORAGE T ANI{ MONITORING PROGRAM This moDitoring program must be kept at the UST location at aU times. The information onlhia moniloringprogram arc ' conditiona of the operating pennit. The pennit holder must notify (the local, &Rellev) _within 30 days of , any cbangea to the monitoring proœdurca, unleu rcquiredto obtain approval before making thecbange. Required by Sections 2632(d) and 2641(b) CCR. Facility Name Facility Address A. Describe the frequency of performing the monitoring: Tank Piping 5. What methods anã equipment, identified by name and model, will be used for performing the monitoring: Tank Piping c. Describe the location(s) where the monitoring will be performed (facility plot plan should be attached): D. List the name(s) and title(s) of the people responsible for performing the monitoring and/or maintaining the equipment E. Reporting Format for monitoring: Tank Piping F. Describe the preventive maintenance schedule for ,the monitoring equipment. Note: Maintenance must be in accordance with the manufacturers' maintenance schedule but not less than every 12 months. G. Describe the training necessary for the operation of UST system, including piping, and the monitoring equipment: " :-- .. AERGENCY RESPONSE P~N UNDERGROUND STORAGE TANK MONITORING PROGRAM This monitóring program must be kept at the UST location at aU times. The infonnation on this monitoring program are c< nditions of the operating pennit. The pennit holder must notify (the local aeencv) , within 30 days of , any changes to the monitoring procedures, unless required to obtain approval before making the change. Required by Sections 2632(d) and 2641(h) CCR. " Facility Name Facility Address 1. If an unauthorized release occurs, how will the hazardous substance be cleaned up? Note: If released hazardous substances reach the environment, increase the fire or explosion hazard, are not cleaned up from the secondary containment within 8 hours, or deteriorate the secondary containment, then (the local aaencv) must be notified within 24 hours. 2. Describe the proposed methods and equipment to be used for removing and properly disposing of any hazardous substances. 3. Describe the location and availability of the required cleanup equipment in item 2 above. 4. Describe the maintenance schedule for the cleanup equipment. 5. List the name(s) and title(s) of the person(s) responsible for authorizing any work necessary under the response plan: ,p. ... e e "I' STATE OF CALFORNIA· CALFORNIA ENVIRONMENTAL PROTECTION ,AGENCY 'I PETE WILSON. Gøwmot' ~ S'J:ATE WATER JŒSOURCES CONTROL BOARD DIVISION OF CLEAN WATER PROGRAMS 2014 T S1RHT. SUITE 130 P.O. BOX 944212 SACRAMENTO. CALFORNIA 14244-2120 (916) Z2.7~4307;. ',' , (916) 227-4530 (FAX)' AUG 0 2'1993 .,...... "'. .. .";!-:...;/'..;" , ' To: Underground storage Tank Owners and Operators Subject: FEDERAL ENVIRONMENTAL PROTECTION AGENCY'S (EPA) APPROVAL OF CALIFORNIA'S UNDERGROUND STORAGE TANK CLEANUP FUND (USTCF) AS A FINANCIAL RESPONSIBILITY MECHANISM This is to notify you that pursuant to Federal and State regulations, EPA on June 9, 1993 approved California's USTCF as a mechanism for meeting the federal financial responsibility requirements for underground storage tanks (UST) containing petroleum. If you are in compliance with UST State (CCR, Title 23, Divis~on 3, Chapter 16) and Federal (40 C.F.R. Parts 280 and 281) regulations and meet the requirements for reimbursement from the Fund (CCR, Title 23, Division 3, Chapter 18), you may use the USTCF to meet financial responsibility coverage. If you do not qualify to use the USTCF, then you must have one of the following to meet state and federal financial responsibility requirements which can be found in 40 C.F.R. Part 280, Sections 280.95 - 280.103: 1. Self-Insurance 2 . Guarantee 3. Insurance and Risk Retention Group 4 . Surety Bond 5. Letter of Credi t 6. Trust Fund 7. Standby Trust Fund Mechanisms available to Local Governmental Agencies can be found ' in 40 C.F.R. sections 280.104 - 280.107 and include the following: 1. Bond Rating Test 2. Local Government Financial Test 3. Local Government Guarantee 4. Local Government Fund -OVER- e e #, j ..,:.,.;.-,:..:..........,1-....--- .....,..~-~....:.., ... . ..l--~, ;',___'-;;...: :.~,.,'I.r_J'~... .,._:.' .,... .-,. ... ' ..7.-...-_··.~'¡'=.t':>......~;¡c':'\.."..;>Jc...-;.-......'-;':.::.·,·..~., . r .' . .·.·..i;~~;~~';~....#,,~·~i .¥~::":.;'-:,-i; .... ~ "~~;~ ~ , .,.. .:..,...¡: ... ··Financial Responsibility , . P~ge Number 2 ," .-:;,. .-.' '_' I. An owner or operator may demonstrate financial responsibility' of up to $1 million through the use of the USTCF. In order to use the Fund as a basis for demonstration of financial responsibility for taking corrective action and for compensating third parties for bodily injury and property damage, in accordance with Fede~al and state requirements, an owner or operator must at all times: (1) Demonstrate financial responsibility for at least $10,000 per occurrence and $10,000 annual aggregate coverage exclusive of the Fund using one of the mechanisms listed above; (2) Demonstrate financial responsibility for any required amount above $1 million exclusive of the Fund using one of the mechanisms listed above; and (3) Maintain eligibility to participate in the Fund (see CCR, Title 23, Division 3, Chapter 18). If you have questions regarding compliance with UST requirements, please contact your Local Implementing Agency which issues the permits to own and operate the UST. If you have questions regarding California's USTCF or the federal or state financial responsibility requirements, please call the USTCF voice mail line (916) 227-4307. Sincerely, ~/ Dave Deaner, Manager Underground Storage Tank /- ,~' Cleanup Fund Program { " (IOltn1ctiOOI 00 reverse) J>- " .~ State of California a State Water Reso~Dtrol Board CERTIFICATION OF FINANCIAL RESPONSIBiliTY · FOR UNDERGROUND STORAGE TANKS CONTAINING PETROlEUM A. I am required &0 demoutrate F'uaaaåaI Reapoaaibiity ia &be required ...ouola.. specified ia Sectioo 2807, Chapter 18, Div. 3.. lido Z3. CCR: 0500,000 doUara per occurreoce 0 1 minioa doUan aaaual agrepte or AND or D lminioo dollan per occurreoce D 2 minioo dollan aaaual agrepte 8. hereby certifies that it is in compliance with the requirements of Section 2807, (Name oETøkOwD.- orClpnltX') Article 3, Chapter 18, Division 3, Title 23, California Code of Regulations. The mechanisms used to demonstrate financial responsibility as required by Section 2807 are as follows.' ~f¡:¡':¡::;jP;:%;:¡;:::¡::¡¡::~\::::¡I:@j;;=::::;;~ffijji:;f::::~@:L; "" "" :;.:····~~~b~Ä·:'.:·:¡·i·:·~1m~~i··:::~~~H~t /iÇþttE!Ç~jy,ªJþjÌ'ge~rtY ?\Aêtion,:,:::)Côm"y·· ... ... .. - --- Note: If you are using the State Fund as any part of your demonstration of financial responsibility, your execution and submission of this certification also certifies that au are in com fiance with all conditions for rtici tion in the Fund. . Fllålity NlIDe Fllålity Addr... Fllålity Name Fllålity Address Fllålity Name Fllålity Addr... Fllålity Name Fllålity Addr... FllålityName Fllålity Address Slp-.ofTuk OInIcwarOpentDr Date Name ud 'ltde orTuk OwDCI' ørOponllar SigøalW1l ofWlIo.. ør NoIarJ Date Name orWiID_ørNo..., CFR(1W9'2) FILE: OrißÜlal - Local Afp1cy Copies - FllålilJlSite(.) 'e ., .', e !~ ,-r- .... .~..~t ,'" ::~ ,I .' INSTRUCTIONS ·it ~'~_. ··~IFI~IOH OF FIHAHCIAL RESPOHSIBILIft FORM ,...-'-- ( Please type or print clearly all information on Certification of Financial Responsibility fonil.' All UST facH ities"andlor sites, owned or operated may be listed on one form; therefore a separate certificate is not required for each site. DOCUMENT INFORMATION A. Maurt Requi red - Check the appropriate boxes.' B. Na.e of Tank owner - Full name of either the tank owner or the operator. or Operator C. Jleeh.lisa Type - IIa.e of Issuer - Jlech.1isa NUIber - coverage ~t - coverage Period - Corrective Action - Third Party - ~tion D. Facil ity - 'Infor-.tion E. Signature Block - Indicate which State approved mechanism(s) are being used to show financial responsibility either as contained in the federal regulations, 40 CFR, Part 280, Subpart H, Sections 280.90 through 280.103 (See Financial Rponsibility Guide, for more information), or Section 2802.1, Chapter 18, Division 3, Title 23, CCR. List all names and addresses of companies and/or individuals issuing coverage. List identifYing nunber for each mechanism used. or file nunber as indicated on bond or docunent. (State Fund) leave blank.) Example: insurance policy number (If using State Cleanup Fund Indicate amount of coverage for each type of mechanism(s). If more than one mechanism is indicated, total must equal 100% of financial responsibility for each facil ity. Indicate the effective date(s) of all financial mechanism(s). (State Fund coverage would be continuous as long as you maintain compliance and remain eligible to continue participation in the Fund.) Indicate yes or no. Does the specified financial mechanism provide coverage for corrective action? (If using State Fund, indicate "yes".) Indicate yes or no. Does the specified financial mechanism provide coverage for third party coq:M!OSation? (If using State Fund, indicate "yes".) Provide all facility and/or site names and addresses. Provide signature and date signed by tank owner or operator; printed or typed name and title of tank owner or operator; signature of witness or notary and date signed; and printed or typed name of witness or notary (if notary signs as witness, please place notary seal next to notary's signature). Where to llei l Certification: Please send original to your local agency (agency who issues your UST permits). Keep a copy of the ,certification at each facility or site listed on the form. Questions: If you have questions on financial responsibility requirements or on the Certification of Financial Responsibi,l ity Form, please contact the State UST Cleanup FI.nd at (916) 739-2475. Note: Penalties for Failure to Camlv with Financial Resøonsibil itv Rec:alireEl'lts: Failure to comply may result in: (1) jeopardizing claimant eligibility for the State UST Cleanup Fund, and (2)'liabilitY'for civil penalties of up to $10,000 dollars per day, per undergrol.Rl storage tank, for each day of violation as stated in Article 7, Section 25299.76(a) of the California Health and Safety Code. . ";:;... ,.;.:: :~.: :~:,,~.w¡.:\~<'6:~ ~;!"; :-. ...~-.;:..... . >:..-.;;.: ~:::: -:..: ~'''H~:- ..:" i_~ ,_ .' _..._....~,,-.." , .._..~_..............'"""-------.---'---.......- . . 7.'· . ~ , C' I I' ¡, ~' ¡ r , ¡' f'. ¡ ~" l r ¡ I, L f F 1 . r, .: ¡ ill f¡ r,-, f. ~, f: 1, ¡, [f: Ii ¡; ~; ¡ ":¿~.~r:f¿:__~·.;::,, :Lt~~;él1>~~·'~· -\ ,..:.:._ .,..:::~~r~~-. /Jr;;\. t!'¡¡f,\:"I,'," ~;s, ~::~\...L. ( STATION NAME ADDRESS PHONE' EMERGENCY RESPONSE PROCEDURES ¡ "'9. CONTACT CðfJ Your Complete & Forward Required Reports. Territory Manager. 8. , 7.) CONTACT .. STORE MNGR. If Not At Facility: Home Ot}¡er , , Standby WIt}¡ F1 re Extinguishers. Try To Contain Inclden tal Spills WIt}¡ Absorbent Socks Or Ot}¡er Absorbent Mater1aJs. Do Nar Flush Any Spills WIt}¡ Water Into The En\ironment. Call and report to Exxon Maintenance Center. .)·800·443·5739 OBSERVABLE LEAK Try To Isolate: Contain And Clean-Up. If It can be done safely. Call and report to Exxon Maintenance Center. ~ 1-800·443·5739 .. rIRE . ExtinguIsh Only If It Can Be Done Safely! SPILL .. 4. OR ~ "5. ~Qfi u :ä oS t u .. .a 9 to - õl - ë.. ( ) IÒ - öl u ... ¡;;: .. 6. ~ -Qfi ¡.:, u ¡:: U 1>0 ... u a f¡, u ~ ë:i u 0. ( ) o ¡... 'd u u u o &: I Or CALL FOR HELP IF NECESSARY · Dial 911 Or · Fire Dept. · · Ambulance , '- - Police Tell Dispatcher: + Type of Emergency + Exxon Station Name. Address Phone . :(see heading). + Advise If MedIcal AUenUon Is RequIred. + Slay On The Phone'To Answer Any AddlUonal Questions. Provide Info. & Assls. to ArTMng Emergency Response Personnel If Your Phone Service Is Disrupted. Try To Use: + ^ Near·by Worldng Phone + Car Phone Or + CB Or + Ham Radio · .' 2.) IF THREAT OF .. 3.) IMMEDIATE DANGER Announce Emergency To All Persons On-Site. Eliminate Sources of IgnItion. (Do Not Start Cars: Extinguish All Smoldng Materials.) Hsve All Persons ExIt Premises On Fool. Give Asststance To Those Injured And To Persons Nee-dlng Help To Leave The Premises. Block ocr Driveway Entrances/Exits To Facility. (Be Able To Allow Emergency Response Vehicles To Enter.) TURN OFF ... PUMPS ,:,ì:;Use The : '!' Emergency :i,:: Shut.Orr ;;~:,'Swltch and ~" Circuit ;j¡f'Breaker :¡¡~:Sw1tches. ,~! 'Store Mngr. ::;:~,or Employee ¡r!¡~'tn charge :::1 must assess i;l¡, possible hazzards :::,,~ to human or \":.'envlron. t}¡at j:!;. may result. !;h!,'Ir assessment ),;;'detennlnes a ::;'>: hazard. he/she :,'!:::must notify ,:.t appropr1ate ':::t~MC. '1\ . ¡¡W,;:·'(~¡;,' Ii!' ' " j, ,'" '¡¡!I; ,:~';, K!r: ;'If' , Ii ¡i'::: :1¡¡i';H¡:j¡, ,'I¡'I' ,..\.,,; ~ ! 1 "~: ~~ ¡,i, ,j L " ¡ !~, _'I ill!!:i~J:, i? .: hili INCIDENT [ ilP: , '.' , " , ¡:¡h' ~;; ~': ';< 1 ,:1-~; i)I'I: Firê. ¡~':.: ! ':~¡ j~ ¡; ~. ~j"':f _~~',>" :,1 :i'II'5Þm:' :':¡:::di¡' ""1 ,J . ' , ';t:¡; :~:'h~¡~~~" , . ":Ôbservable !,~tt:{!;'j "si'bréMÌina Employee 1: charge , I,:, , , . '~. . ':,.j ',." 'it !. .;,.:(.!' '.' '. : ,,':~:;~:'~ NOTE: Pöst on emplóyee bulletin board or inconspicuous 'area near, te~:~7,ones. )~n{:f' : :~::<~~i'd J,1,;\'~: ' :Y\:;- ' , ,,; . ~; :.":{ , ¡ ¡ " : ~-, , ;¡,. , , i , 1 ,,-. I¡ (0 \ : ~ 11 I ; .-- \10 .' ! :.; r' : e ' -'-' - -'. -,- .......... -. -' .:.. ,\ -' " e --. - - - .. - _. ~. - - . ~ - * :- - - : - r ,';, ... .... ~ " . , "-'- - ,....... --- " .' - '. . -.. . ~ - , ...;, uc. - .'--- -_.- - .- ~---. - .... - ;¡ - -.,.. --~'- . . .-" " "- -" - '-- - . . ' ~ _ _ ~ _ ~u _~ _ _ __ _ _ ii T ANK-'GÄUGING:; "PROCEDURES'" 'c- " - - , . .. . - - . .",- ~-_ -.-_.-:: .~-è~'~~-_~~-::' :--.-~-~-.:.:: .- :..2:'-~,~',;__ '.::--~:;--. .;_ _:.- __ _~;.__ _":-~, _:- _. .:; '_ .~,:_ ._ .~_ .. Accurate·, tank"'gatiging ~:isthe . most essential element of fùél inventory·' cOÍ1~rol. In a 'typical, tank, 1/8 ,inch' error on "the stiþk may cause ~ .2...Q. GALLO'N 'error ¡nthe physical gallon inventory. A MISTAKE OF ONE INCH CAN' THROW YOUR INVENTORY OFF BY AS MUCH AS 160 GALLONS! The following procedures should be used to make sure you have an accurate reading: 1. Use a, good tank stick. Do not use a warped or bowed stick. The stick must be marked off in 1/8 inch marks, and all marks and numbers must be readable. The stick m~y need to have a plastic tip or bumper on the bottom -- if it's not there your stick will be off by 1/4 inch. Also, be sure to use the same stick every day until it needs replacement. YOU SHOULD USE WATER FINDING PASTE (USUALLY TAN/YELLOW). FUEL FINDING PASTE (USUALLY PINK) IS USED FOR GASOLINE. Any other substitutions may contaminate your fuel. Using fuel finding, paste is the only way to read to 1/8 inch accurately. 3. Gauge your tanks at the same time every day. Tank gauging to determine the daily inventory should not be made during the first hour after a delivery. It is extremely important that you' gauge the tanks at the same time you are determining withdrawals from the tank -- remember that the physical tank inventory is being compared to withdrawals from the tank. 2. 4. Gauge from the same opening of the tank every day. 5. Before heading out to the tank field, use yesterday's books to estimate which tank will have the lowest level, next lowest level, etc., of product in the tank. Tank gauging is ml,Jch easier and more accurate if you gauge the tank with the lowest stick reading first, thEm the tank ,with the next rowëst stick reading; ahd so on. .' ------- -- ,--- . . -- - -". ._+._- -_.. . . . -....---- . .. -- _4-- _.__ _+_ I - . - -,.. -, --... ' + . -- ~ ,- --' - -~----~ - " -~-- - --- -- ~ ,----, "--- --- .. ..-- - - --- -+. - - - ~-- . . --.. - . . I· , ¡ I ; :,1 ,r-'-' " ( , ¡ =" .., "") ~. ~ \':_~~" , . :- ~ ~ ,. .' i . I I I I . I. I I : I I I I ,:: ! , ¡ . - :j ~9 ¡ , j . ,I .., f =,1 ", ,~ .-.- ,¡ ·e-- ~: .-..~" "~~.,':~;':' ",a, .W' , , . ' ,.. .. 4-.:<~ - - , . . .--- ,.. ;¡-. , '. -..-.- TANK GAUGING" PROCEDURES-(coi1tinuêd) . ' --- - - - -.- - ~ .... . . -- - - - -- - - -- ,-~ .. ,. .. -- -, - ..,.... - - ----~ - -'-- -----. ------' --' ~--- .-- .- - " - ,- -- - - -..- --- ..,....-. - - - - -- - . ,- : -.' , ..- . -' .-.... . - ....::.. ~ 6. Apply water finding paste to the bottom four inches of the gauge stick. Apply fuel finding paste'at least eight inches above and below where you estimate the fuel' level will be in the tank with the least amount of . product. Apply a light, even film of the pastes on one side of the stick -- do not cover the numbers or marks. 7. Gently lower the gauge stick into the tank -- do not use force and do not let the stick bounce. To avoid splashing or creating waves, do not turn the stick in the tank. Hold the stick as nearly vertical as possible and the moment the stick touches bottom, quickly remove the stick. Do not let the stick stay in the tank -- if it does, product will "creep" up the stick and give a false reading. 8. Record the stick reading for both water and fuel levels. The reading is the line (or "cut") dividing the pink from the tan with water finding paste, and the line (or "cut") dividing the darker pink from the lighter pink with fuel finding paste. Wipe the stick dry, place some more fuel paste/water paste on the stick, and re-gauge the tank. If the readings are not the same, but are within 1/4 inch of each other, average the two readings to get the true reading. If the' readings are apart by more than 1/4 inch, re-stick the tank until you get two readings that are less than 1/4 inch apart. Enter your stick readings by grade on the "Tank Gauging Worksheet" or other suitable form. 9. If water is detected in the tank, an adjustment to the tank inventory must be made. YOU CAN NOT SIMPLY SUBTRACT THE INCHES OF WATER FROM THE INCHES OF FUEL AND THEN READ THE TANK CHART. This will result in the wrong physical inventory. . . -.. ~ - - -- - --- ., <-- . '--" r') '\.._~./ , , I! I' I' I I (- I ¡ l1 ./ ((8 t I "-~ . ~ ' -,- e,· -..,+ , ' .. , . . , ., . ,-'" .. l.. '. . .~ - - .. . . ,_. ~-- -- - - ..~ -~. -. . - . -- - - - - - TANK" GAUGING PROCEDURES (contin-Oed) Here is the correct procedure -- use . the appropriate tank chart to convert the water inches to gallons, then use the same chart to convert the product inches to gallons. Finally, subtract the water gallons from the product gallons to obtain the fuel inventory gallons. EXAMPLE: Tank size = 12,000 Water inches = 1/2, Convert to gallons = 7 gallons Product inches = 44, Convert to gallons = 5476 gallons Motor fuel inventory = 5476-7 = 5469 lJallons NOTE: Wronq way is to look up 43 1/2 inches = 5392 gallons 10. Follow these procedures for each tank. . e ~ USTMAN SIR SYSTEM . Monthly 'Monitoring Report DECEMBER, 1994 Repor~ Daté: 01/13/95 Company Nartíé:JACb,OIL '. . '-, .- ' , .. J?, - . -- .- . ----~ --- - ~- -- . -. . .' Station Name: FASTRIP~WHITE LANE ': Address: City: ,Station # 367 State: CÀ ,_C-._ _. >,'ì . ' PART A: ------------------------------------------------------------------------- Data Tank ID: Tank and Lines Status: Product: Quality: Dels: Sales: 00 TIGHT OO-FS PRE GOOD 28879 29954 02 TIGHT 02-UNL #1 GOOD 98896 94222 05 TIGHT 05-FS MID GOOD 32552 32950 USTMAN INDUSTRIES INC. is a certified Statistical Inventory Reconciliation (SIR) release detection vendor. Tank status results for monthly monitoring are based on parameters specified by the EPA protocol for SIR methods. PART B: Comments and Recommendations O/S listed below represent removals, additions or delivery discrepancies which were accounted for as part of the SIR analysis. 05 {12/18/1994:DEL -117} {12/26/1994:DEL 616} {12/29/1994: -182} {12/31/1994:DEL -4403} \12/7/1994: -148} {12/19/1994:DEL 117} {12/21/1994:DEL '~141} . 12/22/1994: 278} {12/26/1994:DEL -1637} {12/29/1994: 11S} 12/31/1994:DEL -9052} " {12/7/1994:DEL -147} {12/11/1994:DEL 121} {12/26/1994:PEL ß40} {12/29/1994: -112} {12/30/1994:DEL -8795} {12/31/1994: 2250} 00 02 For regulatory compliance in California, a piping integrity test every 12 months and a tank integrity test every 24 months are required in association with SIR monthly monitoring. --., .. - .. . ,,--+. - --- -- . . - - .- ..--. , .. - .-- - . _. ~ --- . -...-- ~-- -- -. -. .. - . - -- .. -~ - -- --. . - ~ . - . - -. - - ~ - .. . - -, --- -- .. - - ~- - , , ,.-- ~ - --- - -. --- -'--'.._- , " .. . . . , " .. . - FASTRIP FOOD STORE 8991 WHITE LANE ,B~FD CA ZIP 93309 STATUS REPORT TANK 1 UNLEADED GASOLINE 8797 GALLONS FUEL 76.45 INCHES FUEL NO INITIAL PRODUCT WATER 66.9 · F 3226 GALLONS TO FULL TANK 2 UNLEADED 2 5425 GALLONS FUEL 51.27 INCHES FUEL NO INITIAL PRODUCT WATER 60. 9 · F 6597 GALLONS TO FULL TANK 3 PREMIUM UNLEADED 6495 GALLONS FUEL 58.41 INCHES FUEL NO INITIAL PRODUCT WATER 61. 9 · F 5618 GALLONS TO FULL TANK 4 DIESEL 2 _ 2149 G~NS FUEL 26.19 INCHES FUEL ,p,-,-NO-UfITrÀC PRODUCT WATER 76.5 ·Fe 9873 GALLONS TO FULL TANK 5 UNLEADED GASOLINE ~ 4894 GALLONS FUEL 47.54 INCHES FUEL NO INITIAL PRODUCT WATER 67.3 · F 7129 GALLONS TO FULL TANK 6 UNLEADED 2 8642 GALLONS FUEL 75.19 INCHES FUEL NO INITIAL PRODUCT WATER 62.8 · F 3388 GALLONS TO FULL TANK 7 PREMIUM UNLEADED 6848 GALLONS FUEL 55.88 INCHES FUEL NO INITIAL PRODUCT W_ATER 66.8 · F 5982 GALLONS TO FULL 8:48 AI'! 3/29/95 FASTRIP FOOD STORE 8001 WH HE LAHE BKFD CA ZIP 93309 ---- LEAK DETECT ---- GEHERATOR MODE ---- END: 11:55 PM 3/28/95 ----------------------- INUENTORY INCREASE TANK 2 UNLEADED 2 3468 GALLONS FUEL 36.73 INCHES FUEL NO INITIAL PRODUCT !dATER 62.4 D F 8554 GALLONS TO FULL 8:03 AM 3/29/95 5448 GALLONS FUEL 51.44 INCHES FUEL NO INITIAL PRODUCT WATER 61.2 DF 6575 GALLONS TO FULL 8:11 AM 3/29/95 1980 NET INCREASE INUENTORY INCREASE .... .., TANK 3 ßREM.WI!I-UHU:(\()EÐ 2622 GALLONS FUEL 30.95 INC1IIÞFUEL NO INITIAL PRODUCT WATER 63.7 0 F 9499 GALLONS TO FULL 8:05 AI'! 3/29/95 6425 GALLONS FUEL 58.56 INCHES FUEL NO INITIAL PRODUCT WATER 62.0 0 F 5597 GALLONS TO FULL 8:19 AI'! 3/29/95 3893 NET INCREASE INUENTORY INCREASE TANK 1 UNLEADED GASOLINE 5653 GALLONS FUEL 53.94 INCHES FUEL NO INITIAL PRODUCT WATER 65. 5 0 F 6370 GALLONS TO FULL 8:19 AI'! 3/29/95 8792 GALLONS FUEL 76.41 INCHES FUEL NO INITIAL PRODUCT WATER 65.9 of 3231 GALLONS TO FULL 8:22 AI'! 3/29/95 ~1~Q ,J~T T oJrp~oc:~ C¡PRRECTION NOjCE BAKERSFIELD FIRE DEPARTMENT '" , \';¡ ~ \..::.,.ø i"'. 'Î,¿.'7 I,: ~,' ,,' is LocatioI1 ¡';;s7R.' Ù Sub Div. €if]?)! G,JÁi/e_ LÞ'\ . Blk. -!.or .' 1:... . Lot You are hereby required to make the following corrections at the above location: Cor. No ~Ii _J~._ -",/-__._ - -~~a:==rt..i-~ -- -- J) PI(?lq~ s/",1t1-¡¡-J.-ýo 0 ¡~, ofr~~ '. f, (r;Dl; t.:~f W ¡,~!..f.lc:'vl CD~11R~ld~ ÝLwe.-2'" , ./ fl'lof2.. "'¡c.~ o¡~ep:,",,'l~ Us7 '¡" 3 UV1tAv., ÚteJ R(,~J~?\ s.~ :', ÍI/~: tt~.I\ Þ-cü'i,'. ~ In ''\-I.' ( ,::ù . -' ,. I,j ~I. ':"1"" ~)y \ !lCtI,- , .J) ¡ _' . ¡:,\ I,.. ' I ._. I \ f: o¡¡,l, <-f (,~ \:;,'\ ~_., / !-I P' ~M Iooo".....!\ ;~ I , ". I , lP~OR ORIGIM~~; , I I Completion Date for Corrections ""1,)./ /5<.- . /. / -7'1 .-? d' ;;/-y) .....AZr (J Date'?/:2Q 5",- ///~UA~, ~_ ~ Inspector - 'I I 326·3979 r'-'~"""" ,I - ¡ ..;;<- -~.¿.. ~'--. :"'--'~...;:-_ : --:-o~_ ","?,:~_--;-__~_, ..,.:-'~.;_,:_>"':_...., '0:-,.':' .::.-,~=''':'';._ 0-:'.-:;;"~'-~'~" --'.~~--- - :-....'" ';':r ~.:~ ;.--- ~-- . _,T__ ~-,-~.~~~S_ ~_~;;-'~-l"~--~--,-, - ;--'~..'" -.. I', ~ - . - - --- - .;"J~¥>,_~,_..~i ¥-' "--''7. ....'='- ,.' ,:' . UNDERG~O\nm STORAGE fAN.ÞECTION , . . . . , ,. .,. Bakersfield Fire ~~Pt. Hazardous Materials D~Vision Bakersfield, CA 93~Ol I j, 1 ! ~"'Àv.. y.. 7. ~ L\lc.. S FACILITY NAME fÁ<7e,'Q I FACILITY ADDRESS PkltJ/ IA/Á.~f'!i' IY\ BUSINESS I.D. No. 215-000 t:., t<3 CITY ~€¿.s,-r: <td¿ ZIP CODE 933t11 .~ FACILITY PHONE No. ~Ç-14~O II» II» II» '3 . J..f .~G. 1'1 7 INSPECTION DATE Product' - , Product p^~ TIME IN TIME OUT ~IJL k+- /.Jt. '~.... ;&A.... 'e<...¡z,.f , msrbale Inlll Date Insl Dale INSPECTION TYPE: fkMi ~/7/9'i 1"1'10 I q C)(::> ¡QC}(j ~ Size Size Size ROUTINE FOLLOW-UP .u X I ') rJN) .7.- J '1. /"1M I ~ -",^ REQUIREMENTS yes no nJa yes no nJa yes no ñÍa 1a. Forms A & B Submitted V e/ ",.... 1b. Form C Submitted ,/ ~ V 1c. Operating Fees Paid t/ ./' V 1d. ~~_~,..w J.L- ,- - - 1e, Statement of Financial Responsibility Submitted V' r/ øt'" H. Written Contract Exists between OWner & Operator to Operate UST ,/' tJ"" v 2a. Valid Operating Permit ,/ t/" e/ 2b. Approved Written Routine Monitoring Procedure V" 1/'" ~ 2c, Unauthorized Release Response Plan ,/ ~ V"" 3a. Tank Integrity Test in Last 12 Months ,/ t/" V' 3b. Pressurized Piping Integrity Test in Last 12 Months j"I1.zd .J.R.9",,.L ,/ ,/ V' 3c. Suction Piping Tightness Test in Last 3 Years , r/ 7 ,./ 3d. Gravity'FIow Piping Tightness Test in Last 2 Years r/ t/ r/ 38. . Test Results Submitted Within 30 Days t/ c/ ,,/ 3f. Daily Visual Monitoring of Suction PrOduct Piping r/' r/ 1/" 48. Manual Inventory Reconciliation Each Month ,,/ t/" (/'. 4b. Annual Inventory Reconciliation Statement Submitted ,/ y/ ,/ 4c. Meters Calibrated Annually ~. V v v 5. Weekly Manual Tank Gauging Records for Small Tanks v' v'" f7 6. Monthly Statistical Inventory Reconciliation Results V" ,/'" "./ 7, Monthly Automatic Tank Gauging Results V" '" ~ 8. Ground Water Monitoring ./' .,.. V 9. Vapor Monitoring r/' ",.. V'" 10. Continuous Interstitial Monitoring for Double-Walled Tanks .)It v V" "...-' 11. Mechanical Line Leak Detectors :¡,. V" V"" - V 12. Electronic Line Leak Detectors} i' "/.~L'" r~V\ -\ ~.. c~'" ~ "'-\¡\. tglf J: V v ' ,...."" 13, Continuous Piping Monitoring In Sumps -It, V -- y-- 14. Automatic Pump Shut-off Capability ; * V l- t...-'" 15. Annual Maintenance/Calibration of Leak Detection:Equipment ,'It. ../ -V ../ 16. Leak Detection Equipment and Test Methods LIs~.id in LG-113 Series W v V ~- 17. Written Records Maintained on Site ,~.q:y- h 4;, V'" v' I 18. Reported Changes in Usage/Conditions to OperatinglMonitorlng Procedures of UST System Within 30 Days! . v V V '~, '--';' 19. Reported Unauthorized Release Within 24iti0urs V V ~ 20. Approved UST System Repairs and Upgrâ~ ,,/ .....-- V 21. Records Showing Cathodic Protection Inspeètion V 0/ / \ 22. Secured Monitoring Wells v" ./ ,- t-... .,./ 23. Drop Tube Lv ~,µ~ \ f\.. ~u t......:::.. t/ t/' f/ 17 \ " 1'\ ~__ltJ I j--/r/ RE:..INSPECTION DATE RECEIVED BY: INSPECTOR: 7Ji~tO~AA. ::J~ OFFICE TELEPHONE NoJ ~1.t..-~"77q t ¡. 1\ I' ¡ I ¡ ! I '~ ! I ¡ I ~ ì ¡ I ~, I , ¡ I I ¡ [ i ¡ , I FD 1669 . . Jaco Oil Company 3101 State Road Bakersfield, California 93308 - P O. Box 1807 Bakersfield, California 93303-1807 . Phone: 805 393-7000 . Fax: 805 393-8738 "'. August 1, 1994 LETTER FROM CHIEF FINANCIAL OFFICER I am the chief financial officer for Jaco Oil Company, general partner of Jaco Hill Co.. This letter is in support of the Underground Storage Tank Cleanup Fund to demonstrate financial responsibility for taking corrective action and/or compensating third parties for bodily injury and property damage caused by an unauthorized release of petroleum in the amount of at least $10,000 per occurrence, and $10,000 annual aggregate coverage. Underground storage tanks at the following facilities are assured by this letter. Fastrip #640,8001 White Lane, Bakersfield, CA 93313 1. Amount of annual aggregate coverage being assured by this letter: $10,000 2. Total tangible assets: $5,869,372 $1,737,100 $4,132,272 3. 4. Total liabilities: Tangible net worth I hereby certify that the wording of this letter is identical to the wording specified by subsection 2801.1 (d)(1), Chapter 18, Division 3, Title 23 of the California Code of Regulations. I declare under penalty of pe~ury that the foregoing is true and correct to the best of my knowledge and belief. Executed at Bakersfiel~ on Date ~-~- - AU6 0 11994 Signature Name: Brian Busacca Title: Chief Financial Officer BB:jlc I fo, ,. P' " ".. O· ~ . . "u " . . ' " . . .' "j:,';~~\';"",:;:j;~;,;}!!; ... erml t to Pera te '"'tJHUëtgtound Hazardous Materials Storage Facility & 1./9 · '8 tat e I D N 0 ,.~ I 60 cr 0 ....::;:://::;.;?::?::;:.::::?;;:.::..:::;::;;;.;:;.:::::::::.:';':::.::.:.:':::::::?::::<:::.;;;:::::::::;::::::::'" P e rmi t No '1 I Co ~ ð c::- · ... Artt1J1Jf-6AJr¡{i~~;:~ · . S'..:·..' :':"-'r:':':" ......,R,·....N.....M··' "..".:.:........ :::::. ..·:N":··',..··· ':':'. VERSE SIDE CONDITIO~\l;tV~~,~;~E .', l:nt~~;~,~~~~ ~~~:~~~~: . , .. it ...... I 'Yt~f¡t:;:d\ :;:; .r:i ank M~~~.t:::,n.o.:. :,.,..k,r:,.,.:'.,i::,·:n,~:;,:::,~::::::::,:,·;,;::.,~~~i :~~~n;d (e~ ~ t. I ' /, ~~~Ll;,,~~i(I~~~;j~~: .. A T1(~~ [', ...,.....(-e,..,cJ:...-IrL., :;;:,,~/.:::..:,;.,:;. ,. ,:~' r ' "..:::: '::. :,' :;'.:::;:'.,.::..{::::;:::::':".:'{;;::,:'=::.:/..\:::...::.. '. ':.:; "':., " '..,:"..,....",.,'.',':::;"";:..:,::':':':.:.:.,:..'::..... ,'':::.'=::/':;;:::'::::j)::..::..:;:;: ..' Tank Number , , 2- 3 4 ~ ~ 7 Issued By: Approved by: . / J r,.,- 1'"".-, .¡'Jf"~ .,. '., ,-... Piping Monitoring ,AtD prc~.~ 'c',\..- oI.,c~~( re.jL^- (....r 1..111- u",I~r:('J(') pI,,) ,( .. ',:."..... ", :;:'". \....::. .:: "',\,': :\:'.:':\ :.",,5) '.:,.,;.' ".:', ß··!\,·... ", ............................ , - . . . . - , . . . . , , . . . . . , . . , . . . . ...... ".... ,...."".,. ..... ................ .. .... . ....., /:~. .. ......:: :', l . " , ",:..:::J..::;':::.:::;/:::.::::::.,..: '. ..1 . . ...... ..::::-\·...'::r:~:::/:::: ):{- .':..:...:::.::::'_......... ,',... ,..,_,.,....;..; , ... ..'. , ... .., ·\·i::::::,::..'.:·:::::·"::' .:~:~~! .,/1{· .jf· i~i;;;:\:;' ·::":_:':::·:::'·:;:·:::':';···:···;:;:ii¡;:;,::\i, ..:?~:. :~r:::'··:. , ;:::::::>::/ :\\: ,'..' .... :.... ::':" .. .:, , . : ~ : ,,' I'ssued To.' ,...:.... .', ,'::::: ,.. '.;.', ,.,.,,;.:.: :: :,':-::' . """".::: ::::.:.;<." . ... , . '. ..... .. , . , . . . . , . . . . .. pr~'''H'~) Bakersfield Fire Dept. HAZARDOUS MATERIALS DIVISION 1715 Chester Ave" 3rd Floor Bakersfield, CA 93301 (805) 326-3979 .., jC.C'6- L(, (( , . . . . ..... .... ., . ...., '. , .....'_.......- .' . . .. . ...... . , .. ....... ..... r; S·t [ ' e f7:'VJ '''...A(}r(,~ 2'O(~ , to, )L,. ..r C' (....\ . 1/ r¡?, f, 1,· ~ I " {,.... Ralph E. Huey, Hazardous Materials Coordinator Valid Irom:\.1 \.. I ,} to: j, I\~ f 'Îq ,¡ , I 126018 08/03/94 d~05> 393-7000 ACCOUNT PAYABLES : JACKIE S.O.# Date Phone VacuTectTM TEST, REPORT ÓwnM JACO OIL CO Site # 366 Invoice Name/Address JACO OIL CO. 3101 STATE RD. BAKERSFIELD, CA 93308 , Site Name/Address JACO OIL CO. FASTRIP 8001 WHITE LANE BAKERSFIELD CA93308 Attn ¡ TANKS LINES Leak Det i See Ullage TANKS and LINES Tested to CFR-40 Parts Diag, Tank Dipped Dipped Probe Water Bubble Air Line Final Exist 280-281 & NFPA 329 Spec's. For Dia,& Water Product Water Ingress Ingress Ingress TANK Line Delivery LINE LINE Leak LINE LD(s) NEW c, Material Level Level Level Detected Detected Detected . Material Sysl. Type TEST TEST Rate . Pass/ LD(s) , ST/ . . . . . . Tight . . . . . Tight Fail/ Tested FRP/ START START START or ST/ START END or or & Other: Tank Tank Product Capacity Lined END END END Yes/No ' Yes/No Yes/No Fail Line # FRP PS/SS/GS TIME TIME GPH Fail NONE PASS, .1. 11.I.J. .c. Diameter J.l1. E"SKJ:' . f;.' ¡;) .¥... ..)V ~..J . VV V~VVV I:' - Exisl LD SN/MDL/MFG: ..I. IJ I ::7 V - V .J V'¿ ^ J.l1I:' ..' '" ""h'h' 'h'.,' .. ° New/2nd LD SN/MDL/MFG: . Material I !;!'rcent 01 ~ill at Pump ,," h ....", h" '.'" 50.00 Start Time: Time of Test: MfQ.: LINE TEST PSI 1+=~rp~l: I ~~~~v~ ~~~~~~~ter " .','h, Dispenser Shear Valves y End Time: Ocerate (yes/no .t. ......,.. ¿- Diameter I I "-81 l.rr.nl:' 1:'>:> .,¿" ;')\J. ,;,)..VV V.vyv ...". I:' - Exisl LD SN/MDL/MFG: 'I: .1. V , ¿ - .::> 0 t) L Á1.I1.I UNL I 0, New/2nd LD SN/MDL/MFG: Matenal I~,¡¡e~¡¥~s'í~" at M~;'P """ I·.. .. 50.00 Start Time: LINE TEST PSI 1:¡.~~rpSI: I ~~~g,~ nc Inometer ",h " Ih ,,,,... Dispenser Shear Valves y End Time: Decrees: Ocerate fves/no) ..J 'J.JVO lameter I ..J,ö l.!fttJ:' J:'1:i ~;,);J.~ ¡¡..;1 . "t;), V.VVV It" - ExisILDSN/MDL/MFG: ..LV I ':1U-V O't¿ ALl:' UNL New/2nd LD SN/MDL(MFG: Matena Start Time: ~cent g' ~III at, M~~P LINE TEST PSI 50.00 Time of Test: 1+~~rpsl: I ~~~g,~ ~~~~~e~~ter I ' "" . g~~~7:~~;s~~~) Valves y En" Time: 't In. J:!.1.7 Diameter I ":t,ö I 1"I(J:' It>:> ..;).,1.:1 ..:J" '*0 V.VVV µ; It" - Exist LD SN/MDL/MFG: J. V I ':J U - V I:) It "i A 1.1 t" -- , ,.., New/2nd LD SN/MDL/MFG: . Matenal trri,,¡¡e~l¥~tt~" at t'J!mp , I " I,,,, 50.00 Start Time: Mfg.: LINE TEST PSI - ~2~~~,::~ter '., I' ,.. Dispenser Shear Valves y I Fnd Time: +=~rp~l: I ~~~g,~ Operate (ves/no) :J i:lVl!:rI., IJlameter Oti. I!<·!'(.J:' ¡;'"'¡:;s .q: .LV ¡r.44:QV V.IJUV 11 II:' - Exlsl LD SN/MDL/MFG: ..L U ., ';j V - U :J U 4 21.1.1 t" UNL " "'h " I New/2nd LD SN/MDL/MFG, Matenal ~~e~ms'í~" at M~;'P I·h, I" 50.00 Start Time: LINE TEST PSI: ,'h ",..'., I End Tim": :¡'~~f PSI: I ~~~~~ ~~~~¿:~ter g~~~7:~~;s~~~; Valves y I:) 'LV>:> lameter I I Oii IJ.".t'tt" $:';:; ¡''\I¡:.r.V ¡¡.¢k:'tU y.VVV l: !:" - Exist LD SN/MDL/MF~: J. V I ':J V - V :J V ;,) .4 L J:" UNL I.. ,.... I New/2nd LD SN/MDL/MFG: .", ..,. "..' .. 50.00 Matena Start Time: ~cent 9' I III at M~;'P I LINE TEST PSI: Time of Test: I ,'..... I T~~rpSI: I~~~~ I ~~~¿:~ter Dispenser Shear Valves y End Time: Operale(yes/no) ¡ nternationa I Tanknology Corporation I 5225 Hollister St. TX 77040 (800) 888-8563 · FAX (713) 690-2255 ~-----:.JJ.~ Houston State: CA TAN {NOLOGY Region WESTERN REGION Unit # 416 State Lic. #157 7 NOTE: Original VacuTect Data recordings are reviewed by Tanknology's Audit Control Department and maintained on file, TAK-01 VacuTect™ TEST REPORT 126018 S.O.# " 08/03/94 Date 'I(NOLO -Õ' ..:~1:..~·.... &. Þ TECHNOLOGY FOR TANKS AND THEIR ENVIRONMENT ~ ' CO 393-~7000 <805> Phone Site # 366 JACO OIL Owner JACKIE ACCOUNT PA¡ABLES Attn ,./ 93308 CA BAKERSFIELD STATE RD 3101 JACO OIL CO nvoice Name/Address 93308 CA BAKERSFIELD WHITE LANE 8001 FJI¡STR I P JACO OIL CO Site Name/Address TANKS and LINES Tested to CFR-40 Parts 280-281 & NFPA,329 Spec's. . I'· Other: Leak Det NEW LD(s) Tested & PASS Exist LINE I LD(s) . Pass/ Tight Fail/ or or Fail NONE Final Leak Rate . LINE TEST . END TIME LINES LINE TEST . START TIME Line Delivery Syst. Type . . Line Material . ST/ FRP TANK . Tight or Fail Ullage Air Ingress Detected . Bubble Ingress Detected . Water Ingress Detected . Probe Water Level . START END TANKS Dipped Product Level . START END Dipped Water Level . START END Tank Dia.& Materia ST/ FRP/ Lined See Diag, For Loc. j X.L.t' 7 1 Exist LO SN/MDL/MFG: .1. U ~ I ':J U - U b New/2nd LD SN/MDL/MF'G: 50 GPH PS/SS/GS Line # Yes/No Yes/No Yes/No Tank Capacity Tank Product 00 y r "AU V:OQO . . J.U L~ . . ~ t'::> TI1l1fRP UTa"leter RE<T UNL 7 . y LINE TEST PSI Dispenser Shear Valves Operate (yes/no) J>ump Mi¡¡,: Percent 01 Fill at Time of Test: ~ I!!.sLl'Sl Exist LD SN/MDl/MFG:, .."', New/2nd LD SN/MDLlMFG LINE TEST PSI ;'. f ~.. t nClinometer D~ TPrõb'ë I è.ììïíY; t t ~: End Time: MaterîBf Diameter Matenal Dispenser Shear Valves Operate (yes/no) nClinomefer Deorees: ump Mill,: 1 Probe Entry; 'ercenf ot Fill at Time 01 Test: ~ T!1.stPSI ~: End, Time: Exist LD SN/MDLlMFG: ... New/2nd LD SN/MDL/~,fG: - I t f "arcent ot Fill af Time 01 Test: ~ I!!!!1 PSt. i Diamefer Matenal Dispenser Shear Valves O~rate (yes/no lñCITñometer Degr~ l'Ump Mfy,: I Probe Entrv: ~: End Time;, Exist LD SN/MDLlMFG: New/2nd LD SN/MDL/MFG , " t t ",rcenl omrrãt Time 01 Test: ~ IesLf>St. f Diameter LINE TEST PSI Dispenser Shear Valves Operate (yes/no ' lOCIíriometer Degr~ Pump Mlg.: I Probe Entrv: Start Time: End Time;, 1V1aterla' \ , Exist LD SN/MDLlMFG: New/2nd LD SN/MDL/MFG: LINE TEST PSI t f t "" rcent omTãt Time 01 Test: an TesLI'Sl t Ulameter ) Dispenser Shear Valves Operate (yes/no) Exist LD SN/MDL/MF~: " New/2nd LD SN/MDL/MFG: I LINE TEST PSI: ¡ Dispenser Shear Valves, Operate (yes/no) I" - f nCllnomefer Qeg[ees; Pump MIg,: mõbë I Èntoc t l'ercent omrrãt Time 01 Test: ~ Test PSt. t ~ End Time: Materia; D,ameler ¡ .' Tanknology Cdrporation Internationa #.-'. - 5225 Hollister St., Houston I lnclinometer LJ1eaœe!h ump Mill,: TJ5iUbe I Èiì¡rv: ~: End Time; Material TX 77040 FAX (713) 690-2255 . (800) 888-8563 , i J '-=:~------.....~-' CA j. State: State Lic. #1577 file. Control De'partl!lent and maintained on 416 # Unit NOTE:~Original VacuTect Data recordings are reviewed by Tanknology's Audit TAK-or' REGION WESTERN JAtJ~NOLOGY Region I' 80# }21o-DÇ'b er: .::J.l4,co Site# 3~ è:: MONITOR WELLS Well Number 1 2 3 4 5 6 7 8 9 10 11 12 Well Depth Depth to Water Product Detected AMOUNT in inches I I Standard Symbols for diagram below: ®FiII @ Vapor Recovery S V.R. w / Ball Float ® Monitor Well @ Observation Well ® @ (Outside Tank Bed Area) o (InsIde Tank Bed Area) B Ball Float G Tank Gauge Vent ~ Manway QJ Iron Cross m Turbine Location Pi~gra,,"-:-ln~luØe ~he.Vapo~ R~coyery Syst~m~ . . . . \ \ B· ....J 10· ~··Q]l· 00' , ø' ~ r '~. r'~' ®J I~. ~ ~L ' .~ 0 D. ~,~' t® 'f mI· D :0 ~ 0: ·0 >-. ð: 0 '0 ~ '/' ',' , ú..? ffl-æ ,~ , " .'-'" .' I:' , " .... Vapor Recovery System & Ven,ts were tested with which tank? Parts and labor used ," , General Comments ',¡' When OWNER or local regulations require immediate reports of system failure-Complete the following: REPORTED NAME DATE TIME -- -- --- ~ --TO-: ~._-, -, - -~ '-,-- -- ~ -- ~ - - - -- _.---- -~ - - -- I'" - --- '----- " Phone# OWNER or Regulatory Agency FILE NUMBER Pnnt Certified Testers Name Vacu1ecfTM Certification Number t". .t?v-oJJ ~rv C) *(../588 ce~ ~ Signature Date Testing Completed /' /..M- \ ~ -3 ---'ì 'f --.;;I ----- "" " 1 :1 FOIIII- T.IåI\.N~ 50# .er: . 5ite# , I I I " MONITOR WELLS Well Number 1 2 3 4 5 6 7 8 9 10 11 12 Well Depth Depth to Water Product Detected AMOUNT in inches Standard Symbols for diagram below: ®FiII ø Vapor Recovery S V.A. w / Ball Float ® Monitor Well ® Observation Well ® @ (Outside Tank Bed Area) o (Inside Tank Bed Area) B Ball Float G Tank Gauge Vent ' ~ Manway [!] Iron Cross [!] Turbine Location Pi~grarn~ln~luçte ~he,Vapo~ R~coyery Syst~m~ . . . . I~o ,I.Î'>, C2J ~. ./ cD [00 .~.~ 1(1) . ~ o~l [@.~ 001 - L o! '~'Øl ::s 7c/~ [0 - <t' OOJ ' i i I -0 ·0 I ,0 0' I ~ : I ~ \1\' :0 i :0 0: ~ :0 , ~ \ L.H-h TL 4Ns ) .. " q . Vapor Recovery System & Vents were tested with which tank? Parts and Labor used , I General Comments ,. ~'} ~ . When OWNER or local regulations require immediate reports of system failure-Complete the following: REPO..RTEQ NAME DATE TIME '--- -- -.._~ ~ -- '----- -- -----. -,~~ - --- ~ ._--~ - -~- TO: ,- "- -- Phone# OWNER or Regulatory Agency FILE NUMBER Pnnt Certified Testers Name Vacu1ecfI'M Certification Number Lf ,-r... ~ v.-o/~RNNZ> ~03"3 ~ CQ2g ~ñters Sig~ture Date Testing Completed ø"S ---,1Lf ~;:...r- _ .~ ~ .. --- I [I F~-T.r«wuw~ ~I 'I FROt'l ~NKr~OLOGY SOUTHE~N CRL . TO 98826262 P. 1.2 .. '.. ." 1 . A-r: A'"10 4~<":''-'"''':''' . - =:~~~MA~~~X~~~ I-UX .... rfa1;~~ ...... l7l5 CHESTER AVE., BAKERSFIELD, tA 933D~ ~;ßi!.';; '., ' ( 805) 3::2 6 - 3 9 7 9 . !1. ..," , '..,.:);;:-'»~. , :1 , ,.. APPLICATION TO PERFORM A ~IGHTNESS TEST .',,:..,.'. I . :,." . ',.. .'.', , . . '.<'.~ .'.:~ ,;. , , · " :, .. ...; ,~~:::~.: FACILITY~ -ç('J~\ ~ ~ :Ólo\.Q.. AI'JtHU:SS ~I '--Ù\1:.{e.L() n€ PERMIT TO OPERATE :it ';'.:':: :': ~~<:...:~,t:::\ : " _::.'>"\f.~;..;,':"~:'::~:':::::')· ,\.".,:'.,...:.¡,. .,..., I · <: \':}~:":: :.~;: '....::-:\.:':.. .:>:::;"::::> ' -, '..,. I 1 "..... " .. ..., . : '.' .~:.:}.:;'~':':«;-"::':;~"~' , ',.. ,,::.':.\.;;1:!~!:N:i/ '... ';¡i;~#¡¡ ,.. :..... ';,~~'.'~./ '-'~~:\~:::~" .... .... '''. ,.. .". -, .,........-.1,'-'...."... _.,._,.,_...-....,....~~....; ",.,...,'_.,.,~.""...;..'....,.ý....Ifi....o..._;.~'1.,...tw!f~.,.. IS PIPING GOING TO BE TESTED ~il':":-:" , OWNERS NAME... . Ot'~RAr.rOP.g NAME: ')/.'.' . , , , 1...,..·,..,.;.,:--·"-..:...,· " ......,,', ...., ,..,..'.., '. '.. " .... ,,'..'. .. '".., . ,.._, ""'''0 , :' ",' . '. . '·'m.1M:aER o'F TANlS TO BE TESTED ',' . " . . , , , . . . TANX.¡!I: I . ~ ±: ¡¡ . ,.. 5-~ t" -, . .' "/ .~. ::' '.r,. ::~ :" . :.. " ~ :\,':. ,..... . . _',,: ;':...~-.,r; ,. :~: . /.,...::.;. , ".- .. " I' .. , ", ' ". 'r~ TESTING COMPANY\()f\\<"QCiCXjlj corp. AD!>nESS~~~ Qc&lOh; e<?~:¡)/;:,.,:'~ ': ' .. .. 'æ.fì1œl.J\() lOA ~sql·:Sft:f:~ , "TEST 'METHOD '\j~~V..\~~:.,:' NAME or TESTt:R. .-¡;,.." Bt..flJ""'4f'JI'JÒ CE~TIFICATION * 3 3 ¡ I ! .'';' .:.'....::. ......,...., .' . ....""'1',..-. -~/ STATE REGISTRATION :; IS" 77 DA.TE ~ TIME TEST I S TO BE r:ONDUCTF.D _ ~/ 3/ q <L ) -p; m):<:~j~ ~""': "'·,,<i:>.::.·:~ :. ,,' .' . ,,' ".~ .':;::.:«:.:':':>:,:,~'.<~. .. ~4 ò ~ AP;L~~\¡;i-i;-~ , : ': ;:'.':,:"<\~~i,ìf.·Y · , . ".'. ,._<1' /.~ 1:;-. ..... .:..'....::...,:.:..;.. · ">':'.;.',,::-. I . , " I" ", I' ::", ..,'. 7-Z6~L-Y' DATE I .. .... .::' .": . .'~; ., . ',.,..".. · . » . . · - '. ,''''';: ' ..,..:'~.. "..',', :·,'<':'<t~J·: ... ':" '.:.".":.;.,. · .' ,.,..... " .' . \, " , . '.' ..":;'::, .:.~ . "- I I 1 ..' '.. ....,.... , , ',I' I ~ '. . .:. .'.:: ~ " ,--- ----. . August 5, 1991 Joanne Saunders Jaco Oil Company P.O. Box 1807 Bakersfield CA 93303 RE: Operating permit for Fastrip store located at 8001 White Lane Bakersfield CA. Kern County Permit * 310090. Dear Ms. Saunders, Based on a review of the file and a visual inspection of the facility I do not anticipate any problems in issuing a permit to operate the underground storage tanks located at the above stated address. Issuance of permits to operate underground storage tanks located with in the Bakersfield City limits is scheduled for late this year. If you have any questions please contact me at 805-326-3979. Sincerely, Joe Dunwoody Hazardous Materials Specialist Underground Tank Program ----- RYUn(:E MANAGEMENT AjNL ..' RANDALL L. ABBOTT EI1VIT0I1I11<'I1I.,1 Hl',dlh 5"<\",,,·, 11"1',111111<'111 Director STEVE McCAlLEY, RBiS. DIRECTOR A::- PolIl.lt:on COlllrDI [)isITlcl WIU.IAM J. RODDY, AI'(:O PI ,\J)1l III ~~ & [)pv"\opnwnl St'rvlc ¡'S I )pp.nll1u'l1l TED JAMES, AICP. DlRFClUR ENVIRONMENTAL HEALlli SERVICES DEPARTMENf PERMIT TO CONSTRUCT UNDERGROUND STORAGE FACILITY PERMIT NUMBER 3100901 Phone No. (213) 452-6200 CONTRACTOR: USA Petroleum Corp. 2701 Ocean Park Blvd. Santa Monica, CA 90405 License # Phone No. (213) 452-6200 FACILITY. NAME/ADDRESS: USA #512 8001 White Lane Bakersfield, CA OWNER(S) NAME/ADDRESS: USA Petroleum Corp. 2701 Ocean Park Blvd. Santa Monica, CA 90405 X NEW' BUSINESS CHANGE OWNERSHIP RENEWAL MODIFICATION OTHER PERMIT EXPIRES July 13, 1991 APPROVAL DATE July 13, 1990 APPROVED BY ~j k aurel Funk Hazardous Materials Specialist ................................ ..... ................... ................. ..POST ON PREMISES........ .... ......... ....... ............. ........................... ....... CONDITIONS AS FOLLOW: Standard Instructions 1. All construction to be as per facility plans approved by this department and verified by inspection b: Permitting Authority. 2. All equipment and materials in this construction must be installed in accordance with all manufacturers specifications. 3. Permittee must contact Permitting Authority for on-site inspection(s) with 48-hour advance notice. 4. Backfill material for piping and tanks to be as per manufactùrers' specifications. 5. Float vent valves are required on vent/vapor lines of underground tanks to prevent overfilling. 6. Construction inspection record card is included with permit given to Permittee. This card must be postel at job site prior to initial inspection. Permittee must contact Permitting Authority and arrange for eac: group of required inspections numbered as per instructions on card. Generally inspections will be mad, of: a. Tank and backfill b. Piping system with secondary containment leak interception/raceway c. Overfill protection and leak detection/monitoring d. ' Any other inspection deemed necessary by Permitting Authority. . RECYCLED PAPER (H05) Hó l]ó36 FAX (H05) Hó13429 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 ., e e Standard Instructions Permit No. 310090B 7. All underground metal connections (e.g. piping, fitting, fill pipes) to tank(s) must be electrically isolated and wrapped to a minimum 20 mil thickness with corrosion-preventive, gasoline-resistant tape or otherwise protected from corrosion. ' 8. Primary and secondary containment of bóth tauk(s) and underground piping must not be subject to physical or chemical deterioration due to the substance(s) stored in them.' Documentation from tank, piping, and seal manufacturers of compatibility with these substance(s) must be submitted to Permitting Authority prior to construction. 10. No product shall be stored in tank(s) until approval is granted by the Permitting Authority. 11. Contractor must be certified by tank manufacturer for installation of fiberglass tank(s), or tank manufacturer's representative must be present at site during installation. 12. Liner shall be installed by a trained experience liner contractor and installation at site approved by the Permitting Authority. 13. Monitoring requirements for this facility will be described on final "Permit to Operate." 14. Monitoring wells on "Typical Drawings" are not allowed unless monitoring probes are installed and functioning. Construction must be in accordance with Hazardous Materials Management Program standards as per UT-50. 15. Purgingjlnerting Conditions: a. Liquid shall be pumped from tank prior to purging such that less than 8 gallons of liquid remain in tank (CSH&SC 41700). b. Tank shall be purged through vent pipe discharging at least 10 feet above ground level (CSH&SC 41700). c. No emissions shall result in odors detectable at or beyond property line (Rule 419). d. Vent lines shall remain attached to tank until the inspector arrived to authorize removal. 16. "As Built" Drawing are required prior to final inspection. ACCEP-TED BY, ")~ ~~. DATE: I f)£ /16 'l { I LF:cd funk \310090B.ptc , . e 93304 .. " , " .. I I' I APPLICATION TO PERFORM A TIGHTNESS TEST " , ' , ~ ~ ' FACILITY t-r,,~~ f\ 3LolD ADDRESS ([JO / \...tJYì/-tf' Lo ne PERMIT TO OPERATE * OPERATORS NAME OWNERS NAME NtJMEER OF TANKS TO BE TESTED '0 . IS PIPING GOING TO BE TESTED* . TANK # I ~ r s- tit ì I I I t.rANK TESTING COMPANYTn\\KOC{C'Xjlj corp. ADDRESS%9ßDRecuntr J Cp~Y-Dr. ,! ,'TenléCù\o.,M ~~/: ,Ste ,\-TEST 'METHOD \Ja-.c.ù-\-€ ~, ., , . CERTIFICATION iF 333 .- NAME OF TESTER /ðm 8tAðnq,,~ò STATE REGISTRATION iF 1,~77 DATE & TIME TEST IS TO BE CONDUCTED ~J3/q tj . J Ipm ,~,.", ;-. .' ß c~ s&TURE 0 APPLI~ I" " ~ 7-26-1-« p Y: . DATE i , .. ..... ' .;. ~. e - BAKERSFIELD FIRE DEPARTMENT BUREAU OF FIRE PREVENTION APPLICATION X-;197 Application No. 7/11/CfO . Date In conformity with provisions of pertinent ordinances, codes and/or regulations, application is made by: ,1[/ ¥-A- )¡L~~ Address QQ to display, store, install, use, operate, sell or handle materials or processes involving or creating con- dition..§ deemed hQzardous to life or property as follows: 9hi1.., ¿) i:2. cn7J -c:. Cl -lU!-," _t C (C I J. ~ -~.tZ .</.7 i_ 1 J J II JJ ?ðO/d~ %., ...> -" /r~,(.j:J-ó ~ -J~ .Á;~ Jcn7L, L'h-u ; X-~-__ L__-=-_ ~resentative perm~~~~....7jLI!..1.Q..................... Date By.. .... ..~.fi:..~...... __. ........... ..... ............. .......... _.. _ - ....... I" ,,) Fire Marshal Lð-O :.' " ~ ~00\V ðn iJv . _.....--~.~?ç~.-.'". _:_, :. ,...'~::'.: ;o:"~' : -C,"":\... . .,,- ~" - , , :::-'-'''-' ~~ ~-.,:' qtJ q , {~ (~) ~, .,....-; .. - - ---....,- r- .-~ RES!URCE MANAGEMENT A&CY RANDALL L. ABBOTT Director EnVITtHH1H.'I1I.\ HI'.llth Sl"rVH-"~ l)l·p.\1tnW1\1 STEVE McCAU.EY. REHS. DIRECTOR Air PollutulI1 C0l1lroll)I~Irh'1 WDJ.IAM J. RODIN. APCO PI.II\I\ll1q& ()(·VI· C) HlI,·t11 Sl'rvh IO~ 1),'p.ulltuolJl TED JAMF.S, AICP, DlHHTOH ENVIRONMENTAL HEAL ill SERVICES DEPARTMENT PERMIT TO CONSTRUCT UNDERGROUND "STORAGE FACILITY PERMIT NUMBER 310090B FACILITY NAME/ADDRESS: USA #512 8001 White Lane Bakersfield, CA OWNER(S) NAME/ADDRESS: USA Petroleum Corp. 2701 Ocean Park Blvd. Santa Monica, CA 90405 Phone No. (213) 452-6200 CONTRACTOR: USA Petroleum Corp. 2701 Ocean Park Blvd. Santa Monica, CA 90405 License # Phone No. (213) 452-6200 X NEW BUSINESS CHANGE OWNERSHIP RENEWAL MODIFICATION OTHER PERMIT EXPIRES July 13, 1991 APPROVAL DATE July 13,1990 APPRO\7ED BY d~ ~ t1~rel Funk Hazardous Materials Specialist ..~........................................................................ POST 0 N PREM ISES..................................................... ..'......... n.......... CONDITIONS AS FOLLOW: Standard Instructions 1. All construction to be as per facility plans approved by this department and verified by inspection by Permitting Authority. 2. All equipment and materials in this construction must be installed in accordance with all manufacturers' specifications. 3. Permittee must contact Permitting Authority for on-site inspection(s) with 48-hour advance notice. 4. Backfill material for piping and tanks to be as per manufacturers' specifications. 5. Float vent valves are required on vent/vapor lines of underground tanks to prevent overfilling. 6. Construction inspection record card is included with permit given to Permittee. This card must be posted at job site prior to initial inspection. Permittee must contact Permitting Authority and arrange for each group of required inspections numbered as per instructions on card. Generally, inspections will be made of: a. Tank and backfill b. Piping system with secondary containment leak interception/raceway c. Overfill protection and leak detection/monitoring d. Any other inspection deemed necessary by Permitting Authority. 2700 "M" STREET. SUITE 300 BAKERSFIELD, CALIFORNIA 93301 RECYCLED PAPER (HO.')) HóI J636 FAX: (SO.')) S613429 J. ~'; ¡"; .., .... e e Standard Instructions Permit No. 310090B 7. All underground metal connections (e.g. piping, fitting, fill pipes) to tank(s) must be electrically isolated and wrapped to a minimum 20 mil thickness with corrosion-preventive, gasoline-resistant tape or otherwise protected from corrosion. 8. Primary and secondary containment of both tank(s) and underground piping must not be sub ject to physical or chemical deterioration due to the substance(s) stored in them. Documentation from tank, piping, and seal manufacturers of compatibility with these substance(s) must be submitted to Permitting Authority prior to construction. No product shall be stored in tank(s) until approval is granted by the Permitting Authority. Contractor must be certified by tank manufacturer for installation of fiberglass tank(s), or tank manufacturer's representative must be present at site during installation. Liner shall be installed by a trained experience liner contractor and installation at site approved by the Permitting Authority. Monitoring requirements for this facility will be described on final "Permit to Operate." Monitoring wells on "Typical Drawings" are not allowed unless monitoring probes are installed and functioning. Construction must be in accordance with Hazardous Materials Management Program standards as per UT-50. PurgingjInerting Conditions: a. Liquid shall be pumped from tank prior to purging such that less than 8 gallons of liquid remain in tank (CSH&SC 41700). b. Tank shall be purged through vent pipe discharging at least 10 feet above ground level (CSH&SC 41700). c. No emissions shall result in odors detectable at or beyond property line (Rule 419). d. Vent lines shall remain attached to tank until the inspector arrived to authorize removal. 16. "As Built" Drawing are required prior to final inspection. 10. -"-- 11. 12. 13. 14. 15. ACCEPTED BY: ~ ~~ DATE: 7//1) (1ð LF:cd funk \310090B.ptc -- " ' STATEOFCAUFORNIA , I· STATE WATER RESOURCES CONTROL BOARD .. UNDERG UND STORAGE TANK PERMIT APPLlC_N . FORM A COMPLETE THIS FORM FOR EACH FACIUTYISITE MARK ONLY ONE ITEM l' NEW PERMIT o 2 INTERIM PERMIT o 3 RENEWAL PERMIT D 4 AMENDED PERMIT o 5 CHANGE OF INFORMATION 0 7 PERMANENTLY CLOSED SITE 0, 6 TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS· (MUST BE COMPLETED) NAME OF OPERATOR ,,-:~:¡ r') NEAREST CRQ¡S STREET ~ III. TANK OWNER INFORMATION· (MUST BE COMPLETED) NAM E 0 F OWNE R ---:--", J /) ~ """rlT!" t) e Uf)1 (..;.0 í iJ MAILING OR STREET ADDRESS .); ~, ) 70/ '~ìtl r!CÚl !t;/'t' J:/¡/d ~~ . ~. \ "'t'Ã)'1f a /~1 ( }/) I (' 1'::'- Crt q () 'I Ù, IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER· Call (916) 739-2582 if questions arise. TY (TK) HQ [Iill-~ ADDRESS CITY NAME ../ BOX TO INDICATE ~CORPORAnON o INDIVIDUAL o . PARTNERSHIP TYPE OF BUSINESS ~ 1 GAS STATION D 2 DISTRIBUTOR D 3 FARM D 4 PROCESSOR 0 5 OTHER I. I EMERGENCY CONTACT PERSON (PRIMARY) ST, FIRST) NAME i I ' I 0'" \ . . ¡-.-:, /1 I ... '-....; PARCEL # (OPTIONAL) o lOCAl·AGENCY DISTRICTS D ../ IF INDIAN # OF TANKS AT SITE E. p, A. I. D. # (optiaJaJ) RESERVATION '1 OR TRUST LANDS o COUNTY-AGENCY o STATE·AGENCY o FEDERAl·AGENCY . I EMERGENCY CONTACT PERSON (SECONDARY)· optional DAYS: NAME (LAST, FIRST) PHONE # WITH AREA CODE NIGHTS: NAME (LAST, FIRST) PHONE # WITH AREA CODE CARE OF ADDRESS INFORMATION ../ box Ie Indicat. 0 INDIVIDUAL j)(rCORPORAT10N 0 PARTNERSHIP STttff ZIP CODE o STATE,AGENCY , . CARE OF ADDRESS INFORMATION o STATE,AGENCY V. LEGAL NOTIFICATION AND BILLING ADDRESS Legal notification and billing will be sent to the tank owner unless box lor II is checked, CHECK ONE BOX INDICATING WHICH ABOVE ADDRESS SHOULD BE USED FOR LEGAL NOTIFICATIONS AND BILLING: I, 0 II. 0 II~ THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT APPLICANT'S NAME (PRINTED & SIGNATURE) LOCAL AGENCY USE ONLY APPLICANT'S TITLE DATE MONTHlDAYIYEAR COUN7Y # [12J JURISDICTION # [QQ6J FACILITY # ~ LOCATION CODE - OPTIONAL ¡CENSUS TRACT # - OPTIONAL ~I :I I SUPVISOR - DISTRICT CODE - OPTIONAL THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE PERMIT APPLICATION· FORM B, UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY, FORoro3A,R2 FORM A (9-90) r , . ..~ .' BAKERSFIELD FIRE DEPARI~ENT HAZARDOUS MATERIAL DIVISION 4;" PERMIT TO OPERATE UNDERGROUND HAZARDOUS STORAGE FACILITY Permit No.: 310090 State ID No.: 310090 çC£Cb" 1.141 Issued to: FASTRIP FOOD STORE Location: 8001 WHITE LANE BAKERSFIELD, CA 93311 Owner: JACO HILL P. O. BOX 1807 BAKERSFIELD, CA 93302 Operator: JACO HILL P. O. BOX 1807 BAKERSFIELD, CA 93302 Facility Profile: Year Is Piping Tank No. Substance Capacity Installed Rœui&d 1 GASOLINE 12,000 GAL 1990 YES 2 GASOLINE 12,000 GAL 1990 YES 3 GASOLINE 12,000 GAL 1990 YES 4 GASOLINE 12,000 GAL 1990 YES S DIESEL 12,000 GAL 1990 YES 6 GASOLINE 12,000 GAL 1990 YES 7 GASOLINE 12,000 GAL 1990 YES This permit is granted subject to the conditions listed on the attached summary of conditions and may be revoked for failure to adhere to the stated conditions and/or violations of any other State or Federal regulations. Issued by: Ralph E. Huey Title: Hazardous Material Coordinator Issue Date: JULY 1,1991 Expiration Date: JULY 1, 1994 POST ON PREMISES NONTRANSFERABLE --!,~~..;$ ~ .' I Bakersfield Fire Dept" HAZARDOUS MATERIALS DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3970 ~. ":'-' I 0 UNDERGROUND TANK QUESTIONNAIRE &~ I 0 Ii "tl---' (¡)ë Vl LJ eJ-- 7 í \. 5? ¡) No. OF TANKS RECE I VED JAN 2 2 1992 ADs·d.u......... I. FACILITY/SITE DBA OR FACllIlY NAME NAME OF OPERA TOR FASTRIP FOOD STORE JACO JAHIESON ADDRESS NEAREST CROSS STREET PARCEL No,(OPTIONAl) 8001 Hhite Lane Gosford Road CllY NAME· STATE ZIP CODE Bakersfield Ca 93311 ,/ BOX TO INDICATE o CORPORATION o INDIVIDUAlxGi} PARTNERSHIP 0 lOCAL AGENCY DISTRICTS OCOUNlY AGENCY o STATE AGENCY o FEDERAL AGENCY TYPE OF aUS!NE~S }à 1 GAS STAno~ 02 !)!Sm'8UTOR KERN COUNty PERMIT 3/ OO?Õ C- 03FARM 04 PROCESSOR OS OTHER TO OPERATE No. 8096191-197 EMERGENCY CONTACT PERSON (PRIMARY) DAYS: NAME (LAST. FIRST) PHONE No, WITH AREA CODE Dl/OG(1! EMERGENCY CONTACT PERSON (SECONDARY) optional DAYS: NAME (LAST. FIRST) PHONE No. WITH AREA CODE Fred Faulkner (805) 393-7000 John Kerley NIGHTS: NAME (LAST. FIRST) (805) 393-7000 NIGHTS: NAME (LAST. FIRST) PHONE No. WITH AREA CODE Fred Faulkner (805) 939-7000 PHONE No, WITH AREA CODE i NAME II. PROPERTY OWNER INFORMA nON (MUST BE COMPLETED) CARE OF ADDRESS INFORMA nON Jamieson Hill MAILING OR STREET ADDRESS P.O. Box 1807 ,/ BOX 0 INDIVIDUAL 0 lOCAL AGENCY 0 STATE AGENCY TO INDICATE ~ PARTNERSHIP 0 COUNlY AGENCY 0 FEDERAL AGENCY CI¡Y NAME Bakersfield STA TE I ZIP CODE Ca 93302 I PHONE No, WITH AREA CODE (805) 393-7000 III. TANKOWNER INFORMATION (MUSTBE COMPLETED) NAME CARE OF ADDRESS INFORMATION Jamieson Hill I MAILING OR STREET ADDRESS ,/ BOX o INDIVIDUAL o LOCAL AGENCY o STATE AGENCY P.O. Box 1807 TO INDICATE ~ PARTNERSHIP o COUNlY AGENCY o FEDERAL AGENCY CllY NAME STA TE ZIP CODE PHONE No. WITH AREA CODE Bakersfield Ca 93302 (805) 393-7000 OWNER'S DATE VOLUME PRODUCT IN TANK No. INSTALLED STORED SERVICE 1990 12000 (\ gasoline Ø'N 1990 12000 gasoline ,..,-. (0/ N ~1 1990 12000 ) gasolìne @/N 1990 12000 l.\ gasoline §)/N 1990 12000 :f diesel !j)/N 1990 12000 (, gasoline ÆN 1990 12uuu Î gasoline 1990 120~ gasoline DO YOU HAVE FINANCIAL RESPONSIBILITY? TYPE '\ ", Fill one segment ~ for each tank, unless alJ.Anks and piping are, constructed of t~~ame materials, style an~pe, then only fill, one segment out. please identify tanks by owner ID #. I. TANK DESCRIPTION COMPLETE All ITEMS - SPECIFY IF UNKNOWN r.. ~~ 7'"' :- A, OWNER'S TANK I. 0,# B. MANUFACTURED BY: JOOR C. DATE INSTAllED (MO/DAYIYEAR) 1990 D. TANK CAPACI1Y IN GAllONS: 12,000 gallons --.-. III. TANK CONSTRUCTION --------_.~- A. TYPE OF [K] 1 DOUBLE WAll 0 3 SINGLE WALL WITH EXTERIOR LINER 095 UNKNOWN SYSTEM r--1 2 SINGLE WAll ~ 4 SECONDARY CONTAINMENT (VAULTED TANK) 099 OTHER LJ 0 1 BARE STEEL 0 2 STAINLESS STEel 0 3 FIBERGLASS QQ :. 4 STEEL CLAD WI FIBERGlASS REINFORCED PLASTIC B. TANK MATERiAl 0 5 CONCRETE 0 8 POL VVINYl CHLORIDE 0 7 AlUMINUM o 8 100'Y. METHANOL COMPATIBLE WIFRP (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEel 0 95 UNKNOWN 0 99 OTHER 0' RUBBER LINED 0 2 AlKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C, INTERIOR 0 5 GLASS LINING ¡¡Qga UNLINED 0 95 UNKNOWN 0 99 OTHER LINING IS LINING MATERIAL COMPATIBlE WITH 100% METHANOL? YES_ 00_ D. CORROSION 01 PoLYETHYLENE WRAP 0 2 COATING o 3 VINYl WRAP ' ,QQ : 4 FIBERGLASS REINFORCED PlASTIC PROTECTION 0 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN c 0 99 OTHER MARK ONE ITEM ONLY IN BOXES A. B. AND C. AND ALL THAT APPliES IN BOX D IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IFUNDERGROUND,BOTHIFAPPLICABlE A. SYSTEM TYPE A U 1 SUCTION A 2 PRESSURE A U 3 GRAVI1Y B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL U 3 LINED TRENCH A U 99 OTHER A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEel A U 3 POL VVINYL CHLORIDE (PVC) A FIBERGLASS PIPE CORROSION A U 5 AlUMINUM A U 8 CONCRETE A U 7 STEEL WI COATING A U 8 100% METHANOL COMPATlBLEWIFRP PROTECTION A _U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION 1 AUTOMATIC LINE lEAK DETECTOR o 2 LINE TIGHTNESS TESTING o 3 INTERSffilAL o 99 OTHER MONITORING V. TANK LEAK DETECTION I' 1 VISUAL CHECK ~ 2 INVENTORY RECONCILIATION 0 3 VAPOR MONITORIN X 4 AUTOMATIC TANK GAUGING 0 5 GROUND WATER MONITORING r 6 TANK TESTING U 7 INTERSTIT1ALMONITORING 0 91 NONE 0 95 UNKNOWN 0 99 OTHER I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN A, OWNER'S TANK I. D, # B. MANUFACTURED BY: C. DATE INSTALLED (MO/DAYIYEAR) D, TANK CAPACITY IN GAlLONS: III TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B.ANDC,ANDALLTHAT APPLIES IN BOX D [J 1 DOUBLE WALL n 3 SINGLE WALL WITH EXTERIOR LINER 0 95 UNKNOWN A. TYPE OF '---I SYSTEM ,...., 2 SINGLE WALL 0 4 SECONDARY CONTAINMENT (VAULTED TANK) 0 99 OTHER 0 1 BARE STEEL 0 2 STAINLESS STEEL 0 3 FIBERGLASS 0 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC a, TANK MATERIAL 0 5 CONCRETE 0 8 POL VVINYL CHLORIDE 0 7 AlUMINUM 0 8 100'Y. METHANOL COMPATIBLEWIFRP (Primary Tank) 0 9 BRONZE 0 10 GALVANIZED STEel 0 95 UNKNOWN 0 99 OTHER n1 RUBBER LINED 0 2 AlKYD LINING 0 3 EPOXY LINING 0 4 PHENOLIC LINING C, INTERIOR U 5 GLASS LINING 0 6 UNLINED 0 95 UNKNOWN 0 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100'Y. METHANOL? YES _ NO_ r---1 1 POLYETHYLENE WRAP 0 2 COATING o 3 VINYL WRAP 0 4 FIBERGLASS REINFORCED PLASTIC D, CORROSION L.J PROTECTION 0 5 CATHODIC PROTECTION 0 91 NONE o 95 UNKNOWN 0 99 OTHER IV, PIPING INFORMATION CIRCLE A IFABOVEGROUNDOR U IF UNDERGROUND. BOTH IF APPLICABLE A, SYSTEM TYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVI1Y A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POL VVINYL CHLORIDE (PVC) A U 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL WI COATING A U 8 100"1. METHANOL COMPATIBLE W/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION o 1 AUTOMATIC LINE LEAK DETECTOR o 2 LINE TIGHTNESS TESTING n 3 INTERSTITIAL o 99 OTHER , MONITORING V. TANK LEAK DETECTION 1 VISUAL CHECK 0 2 INVENTORY RECONCILIATION CJ 3 VAPOR MONITORING n 4 AUTOMATIC TANK GAUGING C 5 GROUND WATER MONITORING 6 TANK TESTING , ,7 INTERSTITIAL MONITORING '~91 NONE n 95 UNKNOWN n 99 OTHER ~. :¡ . ",.... . FILE CONTE9TS SUMMARY FACILITY:-L4 sA#- ___5Jr:2.. ADDRESS: >f(){) / li1/ h ik La nE'. . PERMIT #: (3/(JrJS1L) ENV. SENSITIVITY: Activ.i.ty Date # Of Tanks Comments Qpp) ¡CcJì()(} , (~/D6qDB 5//to/9() I I ~//'2;/C¡O I 7 ^IeuJ (I/)r7skue--/-/LJI1 i7 1/ .... e . GARY J. WICKS Agency Director (805) 861-3502 '"'''' ~ '-. 2700 M Street. Suite 300 Bakersfield. CA 93301 Telephone (805) 861-3636 Telecopier (805) 861-3429 STEVE Mc CALLEY Director RESOURCE M'A NAG EME N T AGENCY " ,'~, "" ~;.,"',..'" DEPARTMENT OF ENVIRONMENTAL HEALTH SERVICES May 18, 1990 USA Petroleum Corporation 2701 Ocean Park Blvd. Santa Monica, CA 90405 Attn: Mark Conant Dear Mr. Conant, '~ This Department has reviewed the application and plans submitted for the underground storage tank facility located at 8001 White Lane, Bakersfield, California, known as USA #512. Based an this review, your application has been denied for the following reasons: 1. Insufficient plot plans. 3 copies of the plot plans are required. The plans are to included: A. Property lines. B. Area encompassed by minimum 100 foot radius around the tanks and piping. C. Tanks to be identified by numbers and the product to be stored. D. Minimum scale of 1" = 16'0" E. All structures within 50' radius of tanks and piping. F. North Arrow G. Location and labeling of all product piping and dispenser islands; 2. Insufficient construction drawings. 3 coples of the following are required: A. Side view of the tank installation with backfill, raceways, secondary containment and leak monitoring system in place. B. Top view of raceways, secondary monitoring in place. tank installation containment and with leak n, . .. 3. A complete materials list showing the manufacturer and model of the components to be used is required. 4. Several discrepancies exist on the application and the tank sheets. A few of the problems are highlighted of the enclosed copies. Please review the entire application and make all corrections. 5. On all secondary containment, monitoring is required. 6. On all installations, proof of manufacturer certification is required for tanks and liners. 7. The application is not signed. The above mentioned problems must be resolved actions will be taken on this application. questions, please contact me at (805) 861-3636. cooperation in this matter. before any further If you have any Thank you for your Sincerely, ¿~~ Laurel Funk Hazardous Materials Specialist Hazardous Materials Management Program Pacil1~y: Equ 1 p.·en t to be 1 Tank (s ) . -¡- ReQ'd ,- l____--- .----' /"~ ~.. , -- Approved .-.-- .-------- ------ ----- . a Standard Co.pliance C!rck 'é'l , / ')Li +t -f- ( }-'/ J. :j /tY- CT 31 Installed: Ft. of DSuct i on ~r>essur i zed Piping OGrav i ty. " // / Proof of Contractor's License - License' Type of License Worker's Coapensation Insurance Proof of Contractor's Priaary Contain.ent OFiberglass (PRP) OFiberglass-clad steel t]µncoated steel /t]Other: COllllent: Make & Make & Make & Make & Model Model Model Model II'C'í r=:/u h/C/l Additional: Inspection: Secondary Containaent of Tank(s) :::FlDouble-walled tank(s) Make & Model ,'To0-r ¡~k...'+n~)Y\. ~[jSynthetIc liner Make & Model 011 n e d con c r e t e va u I t ( s ) Sea I e r us e d OOther Type Make & Model· Co..ent: Additional: Inspection: Secondary Contain.ent Volu.e at Least 100~ of PrIaary Tank Volulle(s) Co..ent: Additional: Inspection: Secondary Containaent Voluae for More Than One Tank Contains 150~ of Volu.e of Largest Priaary Containaent or 10~ of Aggregate Prl.ary Voluae. Whichever Is Greater Co..ent: Additional Inspection: Req'd L---- ----' I':"--·' {,. .---' ¡ ----- Approved '---'"~ e e Secondary Contain.ent Open to Rainfall Must Acco..odate Hour Rainfall Total Volu.e Co..ent: Additional: Inspection: Secondary Contain.ent Product Co..ent: Add it i.ona I : Inspection: is Product-Co.patible Docu.entation Annular Space Liquid is ço.pat~ble with Product Product Annular liquid Co..ent: Additional: Inspection: She " Make A 0 ~_~-"^: ,,--,Ü Size,&: Make Size Inspection: Secondary Contain.ent of Piping ODouble-walled pipe ~ynthetic liner in trench / , OOther Co..ent: Additional: Size &: Make S i z e " Make .4:YY1Vr'I'r":C¡1 ,.(,,~ ~, Inspection: Corrosion Protection OTank(s) [JPiping &: fittings [JElectrical isolation Co..ent: Additional: Inspection: ~Manufacturer-Appro,~ed Backfill tor Tanks &: Piping Type ~<:'c~,J/ Co..ent: - ---- Priaary Containllent of Piping ~berglass piping OCoated steel piping OUncoated steel piping OOther CO.llent: Additional: 'Re~ -- -~ ----, -- -- -- -1:- -- -- -~ -- -- -- -- ,_i_.- e - ·Approved Additional: Inspection: -----' Tan k ( s) L 0 cat e d no C I 0 S e r t h anI 0 Fee"t t 0 B u i I din g ( s ) Co..ent: Additional: Inspection: ,--' COllplete Monitorin2 Syste. M 0 nit 0 r i n g de v ice wit h ins e con d a r y con t a i n .'e n t : []Liquid level indicator(s) []Liquid used []Ther.al conductivity sensor(s) [Jpressure sensor(s) [JVacuu. gauge []S\J,.p (s) 1m or vapor detector(s) / ~anual inspection & sa.pling Visual inspection Other COMllent: Additional: Inspection: Other Monitoriffg [JPeriodic tightness testing Method [JPressure-reducing line leak detector(s) []Other COllllent: Additional: Inspection: L -'- Overfill Protection [] Tap e f loa t g a u g.,~ ,( s ) ~at vent valve(s) (~[JCapacitance sensor(s) [JHigh level alar.(s) ~uto.atic shut-off control(s) -111 box(es) with 1 ft. 3 volu.e [J0perator controls with visual level monitoring Other Co..ent: -3 - ReQ'd ~ -- -- Approved e . Additional: Inspection: Monitoring Requlre.ents Additional Co..ents Inspection: Inspector Date ----------------------------- ----------- ç '" - 4 - It . Extra Inspect1ons/Re1nspect1ons/Consultat1ons Date: Purpose: Co..ent: Date: Purpose: Co..ent: Date: Purpose: Co..ent: Date: Purpose: COllaent: Invoice Date: Inspector - 5 - Ti.e Utilized Tiae Utilized T1.e Utilized Tille Utilized Total Tl.e: Date: Facility Name It e Permit Application Checklist I /~ n d,"-.rl (/()/-I ...~/(:>:- Facility Address \«( ~,(', \ \ \~ \- I iJ _../ .,':~iT <,,,- u.., / ~ Ý\ Application Category: , ~ Standard Design ~~(Secondary Containment) . APPioveâ i 1\ II OJ \-\ \'\ ~J W t/ ;¡) ~) ~, 'lei c)j , -\\ ..) i ' Motor Vehicle Fuel Exemption Desis~ (Non-Secondary Containment) Permit Application Form properly Completed Deficiencies: 3 Copies of Plot plan Depicting: propertY-lIneS ~. Area encompassed by minimum 100 foot radius around tank(s) and pip i ng All tank(s) identified by a number and product to be stored Adequate scale (minimum l"=l~'O" in detail) North arrow All structures within 50 foot radius of tank(s) and piping Location and labeling of all product piping and dispenser islands Environmental se~sitivity data including: *Depth to first groundwater at site *Any domes~ic or agricultural water well within 100 feet of tank(s) and piping *Any surface water in unlined conveyance within 100 feet of tank(s) and piping *All utility lines within 25 feet of tank(s) and piping (telephone, electrical, water, sewage, gas, leach lines, seepage pits, dråinage systems) *Asterisked items: appropriate documentation if permittee seeks a motor vehicle fuel exemptlon from secondary containment ' Comments: ·' ^pproved 'JJ (; " \ -.J ,) I .L Î\ \) -*,\.', -~ ~y UjI.J ~,¡ tJ . -. 3 'Copies of Construction Drawings Depicting: Side View of Tank Installation with Backfill, Raceway(s), Secondary Containment and/or Leak Monitoring System in Place Top View of Tank Installation with Raceway(s), Secondary Containment and/or Leak Monitoring System in place A Materials List (indicating those used in the construction): 1 Backfill - :5o-.......Ú Tank (s) ~~ +c- product Piping ~~~ Raceway (s) ____~--'---_J1 ^-.¡ Y1..e/ Sealer(s) Secondary Containment .+p I' r«'I ì'\ (). ^ ¥ Leak Detector(s) Overfill Protection ~ ýGas or ~qetector (s) Sump(s) '.\ ~ ,::' IV, (~. Ú· ,~~-~ II ! --- ! -". ~ Monitoring Well(s) Additional: Documentation of Product Performance Additional Comments Rev i ewed By Date A1?prove~ Disapproved SITE INSPECTION: Comments: Inspector Date - tI Yes No det tor I~ I_I 6. Are Red Jacket subpumps nnd all line lea accessible? \ ~ Type of line leak detector if any ~ À -/Sc..-.c...~\' 7. Overfill containJlent box as specified on : .!pl icat1on? If "No", what type and model number: ">(~. 1(_1 I_I a) Is fill box tightl,Y sealed around fill tube? flí I_I b) Is access over water tight? I~r I_I c) Is product present in fill box? LI ~( 8. Identify type of monitoring: a) Are manual monitoring instrullents, product and water finding paste on premises? I_I I_I b) Is the fluid level in Owens-Corning liquid level .onitoring reservoir and alar. panel in proper operating condition? I_I I_I c) Does the annular space or secondary containment liner leak detection system have self diagnostic capabilities? If "Yes", is it functional If "No", how Is it tested for proper operating condition? ì2f I_I ? I_I 9. Notes on any abnor.a1 conditions: f~OR ORfGINld1t -~r". ...... '... ~ _"'''::,0)':' '- _.~i'~ -'~.~~~:;~.~¡-- , ~~Nt·,,: ,'-'<, ;r-.,~':R:;;v~" ktl. .~,~ -, ,,'::i'. ,.' __"h_ . -------_._-- ~,' . .~~ i:~·:.~~~~:..~~f~~:·~~11:!:~:f[{,è4-~;J4:+; ~~:~; ~".:~·h}~:t ;~ J~~~:~'I~~;1 .~~:;.~+ -9,:(:f~:{~zt:· :~.~+'-~~:;.: ,-.. ',:: ,';',....', '-. , ..'<~ " :. -'." .....:' è. tèe-:õt>-~ tQ tô) 'AA-; t~Q~'"~-\<¢~~y~~:n Q.~Qs.e þ.,Mf\Q~UA::J,~~·3U'ÆNþ/iNffi ~ ....': ..'.. ....." GR~~~~~~~~~þ..~~~~.Þ.>.,J? ~~:>::' \') .. tI /. j T3~?IT YA3VIJ=!G .'-i...... ---- '" 09....8,~\\(;. Yfl3V1J3CJ ! 3TAQ , ~ .., -~'~1: 1m:. T3'" aMR3T or R3VU30 - - ,-<-: ~ .. .Œq . - -- (..:mJ~202 ·3 3:-1A.J::;¡T1 HwtÓÔ8 1.1 :'::::~. . A:1, .a...,J~L~I:1~·;t~~:: .' .- . '-, -:." .... ~ ;-:.. - . ~ ~. .'..;~ .:~ '. " ·:~J.~,cmo:J: , Í'\u 3 JCRT 3.9 ,J~. .,,'~i~:~~~~:~~~ -~- Si:!è # . i~.a:~U , . TIfUOMA 3:) flq 1«) "fqIR::I230 ..,., ¡ / I ¡tanks,deJiveœd... ... S. . !o¡...' \,;,.;;1 I ...;1.~ ..)11 t. ; I~ ' NumDer ; j : /1000. 611Lf ¡ I 111.()OO¡~II/.5 , I Ill. ðtJO I GJlU I I i 120(}O ¡ 6JPLS , I ! ; "'.J33T2A.Jq !i1ORTU...l3 , ~..,. ..... -h~~A~-"-'1~ -1Ø'4",r.J·u;·r]:'· !;.J.2. rfJ 7r ,L.,21flJ 7 , '-2.1..$'"0 7'/-' al/iJ ' J Holiday tested at 35,000 volts Date 7- J8~ pertorme~ By !~ Witnessed By J7tv' ? #11~#1 .. ,j 11 !I 'I " / --.- -_._-- .-. -----~ ------- -- .-,-- ---_.._---~-- -....:. ....' .. ':::':.~:" ::: ~MAV1 3:-" '~: ,.,' f~3CìO ::V03~ 'en: .~8 JA!A3T:",\ ..!";.'l.. CT :::JrT .',;:j3J 3hT ,,'Hi C33RéJAY83R3H 21 T; .<:, :;~:: 3 '.~' \"A ~,'···;'::;·:·ÀM \..... 1 j 2:::=~iJÀ r-'::;'(:.,.i,:,,~ ,jL':; ,1.: ,~O.; J;A"~ ¿¡ .,j;"~h 37 ¡.4,N: ,j¡A2 j; ;-i~"'; :~ :-¡!;J.í3R JJA!1a 3JTiT ::1J\¿ .:::7A: G33RrJA ya ŒA'!~U 213;)IiIAJA8 ::], -+------.------------.-.--- ---- ---.--. '3ï~, ~:~~:... ,::, '2~ ,')';U' - .~.:.:. ~/,= \.';G .T.C'.C':: '100Ð 'A' G3.\J \::.:)'? r :OJ 2'~3VIHC .... 1. ~ ',1CO:" t t " : ~@gl O~'IG~~~lL ~ ~ ~ a .. '- t -<JIM I TI'tÐM ¡, ,! ;!!!!I":S~ VIRO , I ' , I ", ; I', II ") .. . ' ¡ .::Tìc.. 8C~ C ?L~:::-; -----.-...--..- I .: ! -' '; ¡ ~ 1 j ~ :,: ! ; i I : . ··~1 ." I' III , , ! , I t! . .-..__..p. ., -.- ---._--+--- -..---.--.- , I . ~ " . ;~- +- .' 1 !i "'; i';";'¡'¡i¡,¡ .... !""\--. ·".41L"1 -....,J("'I-....!''"' \T"~_ vO"I.4/';...· ""'\,...., "'0 '"'"~"" ~T1I..1\.'1 ;¡/' , ':'~ rl'~ i"íj,~,"" -1'-"'(j~/~iV ..,o~~~.,k.." ,¡",....' f f(J..fy¡:.~J·~·,,::- '~''''', '. ~r''''''''~''' ", ,; , ""rir"V¡;¡Æ";;;"""';(:~' , MPfYÛf/!€WRING 1IVe;" ,.,. ',' ..,.,.. ',' .. '._ . .. ,<., " ..'.7' :"»''¡'''''~,r, 118~USTRfÀLAtÆNÛ£ ESCONOíÆ/CALIFORN1Á 92029 TEŒPHONE(6i9) T45-Ó971 FAX(~.f9-:"L:'" _ __ "',,'''' .,.;:.,' ."" ,~, ,(' <~~~" ..',.. .. ..~iVERYTlCKET .,,~C~A.P~~~~ , '....q, \ - ,-~ ..,.,:~ ' ,~;,~ . ~ ~ ~ ~..".: '-.. - . '-. :,.~_;,r .'fT::'1-:: -:-..þ-:£,c... ---. .. : U .S'. A .,#, 51.~:.·',5i~\· ,:", 8001 WHITE,LANE",&.; ~J3AKERSFJELD" _çÄ·.,,~. /::;.;: ~'~.~ !_~:-~')~~:~..~~~~;..r~:~~.~",>~~.;:::~~,,,~ ~~f~:.j~. .¡:,,:'f'n'-.~;..'.. YOUR ORDER NUMBER 56484 TERMS .' ;~ NET 30,. OUR INVOICE NUMBER ;' .., u ;S . A . PETROLEUM CORP. ".," 2701:0CEANPARK~8LVri. SANTA MONICA, ÇA~ 90405 . - . ~. '- ....;. ,I. '~. . DEUVERTO BILL TO - :. <'.~," ç ..:., -- -- i·,~.:·· ~ ....' ." :J,' QUANTITY ,-""~ - -. .._+- , DESCRIPTION 7 12...J. ~(9Y8~~OUND ELUTRON PLASTEEL" JAC~~I~dt<l1(S '9alllù'~ 9SI~ 19dmÛ'Pt1 , , "' ~\~~S.T¡EL 1.!1~~ ~ÌJ~1o INSTALLATION IN~I~t:Itt~~ '~.:-~::.~-"-~-:."..-'- . -'. :.;:.' . -" ~"'\s.jg~G·~C~ ~~ \ÇHARTS ~\ ~'1.t.·~ èttl ~~~ ~~~~\ \~~t~tl ~~~(,:~~ 7 1 ,~-.., atlov OOO,èe ts berzs!: ~ ~~ ~~9~.:"J" ~." : ~~~,:: ..~.~.. ~ . . ,~ . ......3.<::.. ,,~,~:.,~ \ ~\A-t"'L '(3 bS?2entiW " .~;..,'" IT IS HEREBY AGREED THAT THE LEGAL TITLE TO ALL MATERIAL ON THE ABOVE ORDER IS IN THE NAME OF JOOR MANUFACTURING INC., At-: SAID TITLE SHALL REMAIN SO UNTIL SAID MA TERIALlS PAID FOR IN FULL BUYER AGREES THAT MATERIAL MAY BE REMOVED AT BUYER'S EXPENE IF BALANCE IS UNPAID BY AGREED DATE. RECEIVED IN GOOD CONDITION EXCEPT AS NOTED. ACCEPTED DRIVER'S LOG 3 . 4 ~~@~O~IG~~&\~ 10 11 TOTAL HOURS ... 2 3 4 5 6 7 8 9 10 11 NOON 1 2 JOB SITE: W""TJ: ~()PV ~",LI"'r, CANARY COpy r,\JSTOMER PINK COPY FILE e . AMERICAN LINING COMPANY 3430 Gilmore Avenue · Bakersfield, CA 93308 805/325-5452 FAX 805/325-2529 V ACUUM TESTING CERTIFICATION , THIS IS TO VERIFY THAT ON THIS DATE 9 -.-2 ð -;7 ,¿; AMERICAN LINING COMPANY INSTALLED AND TESTED A 77- f /Vr'Á LINING SYSTE~~. . .. .. LOCATED AT Ý.d~ ~, <f- G~ /1~ AMERICAN LINING COMPANY HAS INSPECTED THE LINING SYSTEM AND VACUUM TESTED THE EXTRUSION WELDED SEAMS AND HAVE FOUND THEM TO BE , FLUID TIGHT AND IN ACCORDANCE WITH PLANS AND SPECIFICATIONS OF THIS PROJECT. ~ ~ 4-SIGNED FIELD SUPERINTENDENT TITLE DATE 9--dO - 7 éJ DATE AMERICAN LINING COMPANY CONTRACTOR/COMPANY e . USA PETRDLEum GDRPm&Tlon 27Q1 Ocoan Park Blvd.,5ultEl 210. P.O. 60)( 1839. Santa Monic", CA 90406 (2~3ì 452-6200 FAX (213) 450·4020 July 11, 1990 KERN COUNTY HEALTH DEPARTMENT Attention: Ms. L~ura Funk Re: ~ank Installation 8001 whit~ Lane Bakersfiald, CA D(iar Laura: I This i5 to advise you that USA Pet~oleum ~òrporation has contracted with S. P. Pearman to 1nst~11 the tanks and rel&ted rnat~rial at the above lQ~ation. In Qddi~ion, he will be in~~Qllin~ API Ronan ~onitQrin9 equipment for the tanks and annular space monitors. We plan on starling this job an 7/16/90 and need to have the permit by 7/13/90. Please advise us if you haVé any further problems. yours truly, ~Jt?J~- Mark Conant Vice President MC: j p HAZARDOUS SUBSTANCES SECTION PHONE (805) 861-3636 I r), 'í'-' 'j L-G. 1../" (.; \ - , 1..- , '~.--. t to 'J.. \1'-- - INSPECTION RECORD tIÞ POST CARD AT JOBSITE with with #3ICC9ðl3 OWNER U~ r+ 'PÒt'"o\eu.YY\ ' ,p,. ADDRESS ,;;27{)1 C~eo.Y\ YCdl CITY " ,C.+- , , ,-)vd inspector only when each group of inspections They will run in consecutive order beginning work for any numbered group until all items in Permitting Authority. Following these required inspection visits ~nd therefore INSPECTOR OVERFILL PROTECTION. LEAK DETECTION - Vent Valves - FINAL - Ca s & Locks --n ~, CONTRACTOR CONTACT LICENSE , PH , ---"---" '. - - .-'- ~, . ~NVIROl'<11ENTAL HEAL'¡'ll D'AR'l. 2 7 0 0 II MilS '1' R E E ';: I S'f E. 3 0 0 BAKERSPIELD, CA 93301 jNT _ PI,.lIlt No. Apµl.icnlion Unte 3/009tJ ,")// I C~/ c;ð ( J\!)PLICA710N fOR PEIUIlT TO OPEnATE UNDERGROUND ¡¡AZAr-DOUS SUBSTANCES STORAGE FACILITY 7voe Of Ap~licctlan (ch~ck): (Z:New l"ucil:ty O¡,;oùificaUo;} Of F!lc11ity OE?Cisting Facility OTraIlsfer or Ownership 1\.. Emel'zcncy 24.-Hour CO;} tac t ~ IHlí..e. ar-ea code, phone): Days ~lad( Conant 213 452-6200 Nights t'iike Geal'V 209 523-1 '::i31 Facility Name USA ~~512 No. Of Tanks 7 Type Of D\lsiness (ci¡eck): OGasol1ne Station IEIOthcr (descl'!be) C-Store 'o¡/Gas Is Tank(s) Located Ol~ An i\gdcultur-al Far-ru? DYes []No Is Tank(s) Used Pri~a~ily Fal' Agricultural Purposes? OVes ~No FacH! ty Address 8001 \,kd t-p T p.r"¡(~ Neal'est Cl'OSS St. Gosford T ' R SEC (Rural Locations Only) , Tank Owner USA Petroleur.¡ Corp. Contnct Person Nark Conant Address 2701 Ocean Park Blvd. Ci ty / Sta teSanta t1önica, Ca:relephone (213)452-6200 Operator USA PetroleUf.l Corp. '_,_"~,¡.:~_'_, .,conta~rson Sa!le ' Address same 1U'P~~~ Telephone SaDe Water To ['"acility Provided I3y (';:¡lH. HAte-r- Se'.;-viïe Uepth to Groundwater 130 Soil ~haraeter~stles At Fllei 11 ty ::iandY oaLl Basis Fvr- Soil Type c;.¡¡Ù Gr-ounclliO.ter- Depth DetermInations on-~ilte .:.cr,l?aCClOlI 6·, .:est B. c. Contracto= ~~1er/Euilder Addl'ess 2)01 ucean 1:'8:..:': ;,,1';(,. Proposed Starting Date /-l-SU Worker's Compcnsation Certification CA contractorl~ense No. ¡I~e.¡;' 90405-"",~", Te 1 e Phone ~~ ._.'_. - "t tro~o¿>("ed_ Completion Date '-...;2u2./u51 Insurer above na saf¡1e as lU-.i.-90 ::itate .:und No. D. If This Perr.:1t Is "£lor Hodificalian Of An Existing;. Facility, Driefly Describe Modifications Proposed na ); Tank(s) Store (check all thût apply): Tank f. l'laste Product Ho tor Vehiclc Unleaded Rel!ular Premium Diesel lias te <. fJ-t.\- i ·Økfq- & 5 Fuel 011 0 0 ~ IX] 0 0 0 IT '.IV rJJ ~ v.:) "'J' '1. & 6 0 0 Œ1 0 ŒJ 0 0 0 ~ 0-" ,,~J & 7 0 0 Œ1 0 0 ŒI 0 0 '.! 4 0 0 [XI 0 0 0 ŒI 0 F. Chemical Composition Of Materials Stored (not necessal'Y for mbtor vehicle fuels) Tank' C;¡er.lical Stored (non-commercial nnrue) CAS' (if kn01m) Chemical Previously Stol'ed (H d1!ferent) i~/A rl,:)(r¡)(à)~< OP!G~~~!L, G. Tl'ansfer- Of Ol'mership Date of Transfer Previous FacilIty Name I I N/A Previous Owner accept fully all obligations of Perm! t No. issued tc 1 understand that the Perruitting Authority may review all' modify or terminate the transfer of the Permit to Operate this underground storag' facility upon receiving this completed fOl'm. - - - - - - - - - - - - - - - - - - - - ------ - - - - - - - - - - - - This form h,~~n ~.m,9'_~d und~.~_~~,Y of pe7Jur and to the best of ruy knowledge is true and correct."1'1'/ '. 1/ I C?~ J .--¡- . ./ , 4t..{ X1 \...... x '\..!..JL..-1' I v , _ ~) . '- 6-4-90 F¡¡ciIilY N¡¡m~ l/..:5A. SJ ~ . ~ FII.L OUT SEPARATE FORM . .' FOR EACH SECTION. CHECK AIl. APPRO ATE BOXES H. 1. Tank is: ( ) Vaulted ( ) Non·VauJted ~ouble.Wall <",2. Tank Material ,\, QJ:L--'<.t... () Carbon Steà () Stainless Steel () Polyvinyl Chloride () Fiberglass-Clad Steel ~ u:>U () Fiberglass,Reinforced Plastic () Concrete () Aluminum () Bronze ( ) Unknown --.J ~ Other (desaibe).IA.JIJ~ 7Æ)K -5"~/ Ov7i!?Je--rAA/K ,c:::;;.'!f~ Primary Containment .:::J?:;OA!? '¿;;::-L(/~N . . Date Installed Thickness (Inches) Capaciry (Gallons) ManUÍacturer ~. Þ /-'1D 5'~..æ;:c: /;;;} ({)tJV ..:J"Z) é),.e Tank Secondarv Containment ' ~Double-WaJl () Synthetic Liner () Lined Vault () Other (desaíbe): Manufacrurèr: () MateriaJ Thickness (Inches) Tank Interior Lininf () Rubber () Alkyd () Epoxy () Phenolic () Glass () Clay "M::tÍnlined () Unknown () Other (describe): Tank Corrosion Protection () Galvanized () Fiberglass-Clad () Polyethylene Wrap . () Vmyl Wi'appj.ng () Tar or Asphalt () Unknown () None k"Other (descnbe): <;Z::;:Z:;:;J:F ¿;¡ Cathodic Protection: () None () Impressed Current System () Sacrificial Anode System Describe System and Equipment: Leak Detection. Monitorin~. and Interception a. Tank: () VisuaJ (vaulted tanks only) () Groundwater Monitoring Welles) () Vadose Zone Monitoring Welles) () U-Tube Without Liner () U-Tube with Compatible Liner Directing Flow to Monitoring Well(s)* .;;.. (~Vapor Detector* () Liquid Level Sensor* () Conductivity Sensor* \.__C\.,¡..-,a.~c:::tcr'"Piessure Sensor in Annular Space of Double Wall Tank* --y~ () Liquid Retrieval & ,Inspection From U-Tube, Monitoring Well or Annular Space ~Daily Gauging & Inventory Reconciliation () Periodic Tightness Testing () None () Unknown () Other Piping:~ Flow-Restricting Leak Detector(s) for Pressurized Piping* .- () Monitoring Sump with Raceway () Sealed Concrete Raceway () Half-Cut Compatible Pipe Raceway () Synthetic Liner Raceway () None () Unknown () Other . *Describe Make & Model: ~ '1'PCK7;T =#= rE:.-r J)~ -f) 1'7 Tank TiS!htness Has This Tank Been Tightness Tested? () Yes () No ~ Unknown Date of Last Tightness Test N ¿;?y\/ Results of Test Test Name Testing Company Tank ReDair Tank Repaired? () Yes Date(s) of Repair(s) Describe Repairs Overfill Protection () Operator Fills, Controls, & Visually Monitors Level () Tape Float Gauge H'F1oat Vent Valves () Capacitance Senso~Sealed Fill Box () Other. ,q-; /11ECO +f J /1-1 C . Pipin S! à. () Single·WalL 3. 4. () None () Unknown s. Capacity (GaUons), 6. 7. b. 8. 9. WNo ( ) Unknown 10. () Auto Shut-Off Controls () None ( ) Unknown List Make & Model for Above Devices 11. o Underground Piping: ~ Yes, () No () Unknown Material Thickness (inches) . 2- ~ Diameter ~ ' , Manufacturer ~ 0 :s I11t-nf () Pressure () Suction ( ) Gravity Approximate Length of Pipe Run Underground Piping Corrosion Protection: () Galvanized () FibergJass-C1ad () Impressed Current () Sacrificial Anode () Polyethylene Wrap () Electrical Isolation () Vinyl 'I{~ (t Ta;',.2,~~t _ () Unknown () None ~ther (describe): n~~ .. ~~ Underground Piping, Secondary Containment: () Double-Wall ~ynthetic Liner S~tem () None () Unknown () Other (describe):' A711~t.~ U AJ¿-¡;;;:: b. c. H. -So I i 11. 1. 2. rANK~ _ (FiLL OUT SEPARATE FORM FOR EA\... . TANK) A OR EACH SECTION CHECK AIl. APPR :;, ATE BOXES Tank is: ..,() Vaulted ( ) Non-Vaulted ~ -Wall () Single-Wall_ Tank Material () Ca!bon Steel () StainJess Steel () Polyvinyl Chloride. () Fiberglass-Clad Steel () Fiberglass-Reinforced Plastic' () Concrete () Aluminum () Bronze ( ) Unknown * Other (describe) /AJA.J~ ~K .5~/ Oc/7iBe' "¡-;:J.NK ,,&:;? -'5~<; Primary Containment .::n:;;O~ &=-L.t/7'f!£ðAl . Date Installed Thickness Onches) Capacity (Gallons) Manufacturer E$7. Þ /-9D ~,.ø..EC,. / d. ({)OV ..::TV CJ,.e Tank Secondary Containment I .:H"'"Double·Wall () Synthetic Liner () Lined Vault () None () Unknown () Other (describe): Manufacrurèr: () Material Thick..,ess (Inches) Capacity (Gallons) Tank Interior LininlZ () Rubber () Alkyd () Epoxy () Phenolic () Glass () day ~nlined () Unknown () Other (describe): Tank Corrosion Protecdon () Galvanized () Fiberglass-Clad () Polyethylene Wrap , () Vmyl Wrappjng () Tar or Asphalt () Unknown () None k-Other (descnbe): <"'~ f::#=ól Cathodic Protection: () None () Impressed Current System () Sacrificial Anode System Describe System and Equipment: Leak Detection. MonitorinS!'. and Interception a. Tank: () Visual (vaulted tanks only) () Groundwater Monitoring Well(s) () Vadose Zone Monitoring Well(s) () U·Tube Without Liner () U·Tube with Compatible Liner Directing F10w to Monitoring Well{s). ~Vapor Detector* () Liquid Level Sensor* () Conductivity Sensor* ~PressureSensor in Annular Space of Double Wall Tank* () Uquid Retrieval & Inspection From U· Tube, Monitoring Well or Annular Space ~Dai1y Gauging & Inventory Reconciliation () Periodic Tighmess Testing () None () Unknown () Other Piping:;H:" Flow.Restricting Leak Detector(s)' for Pressurized Piping- : ' () Monitoring Sump with Raceway () Sealed Concrete Raceway () Half-Cut Compatible Pipe Raceway () Syntheric: Uner Raceway () None n Unknown () Other *Describe Make & Model: ~ JPCK;r:;T ::tI=- ~-r J)fA -f) 1'7 Tank TÍ\zhtness Has This Tank Been Tighmess Tested? () Yes () No ~ Unknown Date of Last Tightness Test 'N~ Results of Test Test Name Testing Company Tank Repair Tank Repaired? () Yes WNo ( ) Unknown Date(s) of Repair(s) Describe Repairs Overfùl Protection () Operator Fills, Controls, & Visually Monitors Level () Tape Float Gauge ~F1oat Vent Valves () Auto Shut-Off Controls () Capacitance Senso~Sealed Fill Bo% () None ( ) Unknown () Other: List Make & Model for Above Devices r:b mec:o +I- //1-/ C 3. 4. s. 6. 7. b. 9. 10. Pipin2' a. Underground Piping: M"Yes () No () Unknown Material Thickness (inches) . 2- ~ Diameter,;J II Manufacturer -A- D S m 177-j. () Pressure () Suction ( ) Gravity Approximate Length of Pipe Run Underground Piping Corrosion Protection: () Galvanized () Fiberglass-Clad () Impressed Current () Sacrificial Anode (l Polyethylene Wrap () Electrical Isolarion () Vinyl \A{~ (t r3!'..Q,ç..As~t _ () Unknown () None ~ther (describe): F1 (fj~ ; ~~ Underground Piping, Secondary Containment: () Double·Wall ~Synthetic Liner S~tem () None () Unknown () Other (describe): A7ne;el.~ U A./..2)'< b. c. - V, --,71 - ~ ¡ 0 i~;¡C jlY Name H. 1. 2. riLL OUT SEPARATE FORM 3. Tank is: Tank Material () C~bon Steel () Stainless Steel () Polyvinyl Chloride () Fiberglass-Clad Steel () Fiberglass-Reinforced Plastic () Concrete () Aluminum () Bronze ( ) Unknown »r Other (describe) IAJAI¿;;¡¡e 7'Æ)K ..5~~ Or./7ž!?Je' ""-A;JK p:;;; ~~~ I Primary Containment .:::n::;O,e. ~Ll/~ . Date Installed Thickness (Inches) Capacity (Gallons) Man UÍacrurer ~. ' ¡;/-'ÎD ~ ~~ /..:;;, ({)t)V .::J7) t:J,e Tank Secondary Containment I ~Double-Wall () Syntheric Liner () Lined Vault () Other (describe): Manufacturer. () Material ' Thickness (Inches) Tank Interior Lininlr () Rubber () Alkyd () Epoxy () Phenolic () Glass () day ~nlined () Unknown () Other (describe): Tank Corrosion Protecrioq () Galvanized () Fiberglass-Clad () Polyethylene Wrap , () Vmyl Wrappjng () Tar or Asphalt () Unknown () None k"'Orher (descnbe): <:':z::J:z:; =#=ó/ Cathodic Protection: () None () Impressed Current System () Sacrificial Anode System Describe System and Equipment: Leak Detection. MonitorinlZ. and Interception a. Tank: () Visual (vaulted tanks only) () Groundwater Monitoring Well(s) () Vadose Zone Monitoring Welles) () U-Tube Without Liner () U-Tube with Compatible Liner Directing Flow to Monitoring Well(s). X""Vapor Detector* () Liquid Level Sensor* () Conducrivity Sensor* ~Prtssure Sensor in Annular Space of Double Wall Tank. () Liquid Renieval & Inspection From U-Tube, Monitoring Well or Annular Space ~Daily Gauging & Inventory Reconciliation () Periodic 'tighmess Testing () None () Unknown () Other Piping:~ Flow-Resnicring Leak Detector(s) for Pressurized Piping* ;' () Monitoring Sump with Raceway () Sealed Concrete Raceway () Half-Cut Compatible Pipe Raceway () Synthetic Liner Raceway () None () Unknown () Other *Describe Make & Model: ~ ~T =ti:=- ~-r J )(;:7 -f) /7 Tank Tiszhmess Has This Tank Been Tighmess Tested? () Yes () No ~ Unknown Date of Last Tighmess Test NØ\I Results of Test Test Name Testing Company Tank Repair Tank Repaired? () Yes Date(s) of Repair(s) Describe Repairs Overfill Protecrion () Operator Fills, Controls, & Visually Monitors Level () Tape Float Gauge X"'Float Vent Valves () Capacitance Senso~Sealed Fill Box () Other: ¡CÐ/J1a:::D +I- / II-Ie ( ) Vaulted Single- Wall_ 4. () None () Unknown s. Capacity (Gallons) 6. 7. b. 8. 9. WNo ( ) Unknown 10. () Auto Shut-Off Controls () None ( ) Unknown List Make & Model for Above Devices 11. Pipin~ a. Underground Piping: ~ Yes () No () Unknown Material Thickness (inches) . 2-~ Diameter ~ " Manufacturer ~ D :£m l-n-f () Pressure () Suction ( ) Gravity Approximate Length of Pipe Run Underground Piping COITosion Protection: () Galvanized () Fiberglass-Clad () Impressed CWTent () Sacrificial Anode () Polyethylene Wrap () Electrical Isolation () Vinyl 1I{ray (>. T~~~~t _ () Unknown () None ~ther (describe): F742~ ~ ,,-?<!:::: Underground Piping, Secondary Containment: () Double-Wall ~ynthetic Liner S~tem () None () Unknown () Other (describe): A7n~l~ U ,v..E2)'¿ b. c. ¡-;jUJUY ¡"...m~ ",-., ¡ ~' ..... Perm ( No. FILL OUT SEPARATE FORM E R EACH SECTION CHECK AIl. APPRO TE BOXES H. 1. Tank is: ( ) Vaulted ( ) Non·Vaulted ~ouble·WaIl () Single.Wall_ 2. Tank Material () C~bon Steel () Stainless Steel () Polyvinyl Chloride () Fiberglass-Clad Steel (} Fiberglass-Rtinforced Plastic () Concrete () Aluminum () Bronze ( ) Unknown »t" Other (desaibe) IA.JAJ¿;;;e ~K .5~/ Or.)'Ti!?Ie~A.NK F;?~~ 3. PrimarY Containment .:::n::;O£: ¿;;:-Lt/71f!!!.óAl . Date Installed Thickness Gnches) Capaciry (Gallons) Manufacturer e${'. Þ/-fo .~~~ / d, (t)()Ð .:;roéJ,e 4. Tank SecondarY Containment ~Double-WaIl () Synthedc Liner () Lined Vault () None () Unknown () Other (describe): Manufacrurèr: () Material Thickness Gnches) Capacity (Gallons) S. Tank Interior Linin~ () Rubber () Alkyd () Epoxy () Phenolic () Glass () day ~nlined () Unknown () Other (desaibe): 6. Tank Corrosion Protecrlon () Galvanized () Fiberglass-Clad () Polyethylene Wrap () Vmyl Wrappjng () Tar or Asphalt () Unknown () None ~Other (describe): ~ =#=¿;;; Cathodic Protection: () None () Impressed Current System () Sacrificial Anode System Describe System and Equipment: 7. Leak Detection. Monitorin~. and Intercet>oon a. Tank: () Visual (vaulted taIÌks only) () Groundwater Monitoring Welles) () Vadose Zone Monitoring Well(s) () U-Tube Without Liner () U-Tube with Compatible Liner Directing. Flow to Monitoring Well(s)* X"Vapor Detector* () Liquid Level Sensor* () Conductivity Sensor* ~Prt$sure Sensor in Annular Space of Double Wall Tank. ' () Liquid Retrieval & Inspection From U-Tube, Monitoring Well or Annular Space ~Dai1y Gauging & Inventory Reconciliation () Periodic Tightness Testing () None () Unknown () Other b. Piping:;H::" Ftow-Restricring Leak Detector(s) for Pressurized Piping. :,' () Monitoring Sump with Raceway () Sealed Concrete Raceway () Half-Cut Compatible Pipe Raceway () Synthetic Liner Raceway () None () Unknown () Other *Describe Make & Model: ~ ~T =#=- ~-r- J)0 -f) /7 8. Tank Ti~hmess Has This Tank Been Tightness Tested? () Yes () No ~ Unknown Date of Last Tightness Test N ~ Results of Test Test Name Testing Company 9. Tank Re )air Tank Repaired? () Yes WNo ( ) Unknown Date(s) of Repair(s) Describe Repairs 10. Overfill Protection () Operator Fills, Controls, & Visually Monitors Level () Tape Float Gauge X""Float Vent Valves () Auto Shut-Off Controls () Capacitance Senso~Sealed Fill Box () None ( ) Unknown () Other: List Make & Model for Above Devices AJ /J1a::D +f //1-1 C . 11. Pipin~ a. Underground Piping: )«' Yes () No () Unknown Material Thickness (inches) .2-" Diameter ~ " Manufacturer ~ D S m t77-f () Pressure () Suction ( ) Gravity Approximate Length of Pipe Run Underground Piping Corrosion Protection: () Galvanized () Fiberglass-dad () Impressed Current () Sacrificial Anode () Polyethylene Wrap () Electrical Isolation () Vinyl '/{~ (t T~...o.~p'ba1t _ () Unknown () None ~ther (describe): nØ~ ~<!::::: Underground Piping, Secondary Containment: () Double-Wall ~Synthetic Liner S~tem () None () Unknown () Other (describe): A711~t.~ U A..!..i=)';¿ b. c. :4 FaciJilY Name! (/.54£) a .. ,- Permit No. ,. =- 0:11.1. OUT SEPARATE FORM ~ EP:... . TANIO FOR E:\CH SECTION. CHECK AIl. APPROPRIATE BOXES ( ) Vaulted ( ) Non-Vaulted ~ouble!-Wall () Single-Wall_ H. 11. 1. 2. Tank is: " Tank Material () Carbon Steel () Stainless Steel () Polyvinyl Chloride () Fiberglass-Clad Steel () Fiberglass-Reinforced Plastic () Concrete () Aluminum () Bronze ( ) Unknown ~ Other (describe) IÆ/AJ~ 1"Æ)K ..:5""~/ Oc)7ž!!?Je' '/AAlK.J=? ~~.... Primarv Containment .:7f::)OAf!:. ~L..t/~A.J . Date Installed Thickness anches) Capacity (GaIJons) ~. ¡:,/-9D 5~~ /;;} tPfYD Tank Secondarv Containment I ~Double-Wal1 () Synthetic Liner () Lined Vault () Other (describe): Manufacturer. () MateriaJ Thickness anches) Tank Interior Linin¡ () Rubber () Alkyd () Epoxy () Phenolic () Glass () Clay ~nlined () Unknown () Other (describe): Tank Corrosion Protection () Galvanized () Fiberglass-Clad () Polyethylene Wrap , ( ) , Vmyl Wrappjng () Tar or Asphalt () Unknown () None ~Other (descnbe): <:~ =#=¿;¡ Cathodic Protection: () None () Impressed Current System () Sacrificial Anode System Describe System and Equipment: Leak Detection. Monitorin~. and Interception a. Tank: () Visual (vaulted tanks only) () Groundwater Monitoring Wen(s) .() Vadose Zone Monitoring Welles) () U-Tube Without Liner () U-Tube with Compatible Liner Directing Flow to Monitoring WeIJ(s)* X"'"Vapor Detector* () Liquid Level Sensor* () Conductivity Sensor* ~Piessure Sensor in Annular Space of Double Wall Tank* () Uquid Retrieval & Inspection From U-Tube, Monitoring Well of Annular Space ~Daùy Gauging & Inventory Reconciliation () Periodic Tighmess Testing () None () Unknown () Other ' Piping:;H:' Flow-Resaicting Leak Detector(s) for Pressurized Piping- : () Monitoring Sump with Raceway () Sealed Concrete Raceway () Ha1f,¡Cut Compatible Pipe Raceway () Synthetic Liner Raceway () None () Unknown () Other ' , *Describe Make & Model: ~ ~T =f:I:=. Æ:...-r- J Jtn -f) 1'7 Tank TiS!hrness Has This Tank Been Tighmess Tested? () Yes () No ~ Unknown Date of Last Tighmess Test N~ Results of Test Test Name Testing Company Tank ReDair Tank Repaired? () Yes Date(s) of Repair(s) Describe Repairs Overñ11 Protection () Operator Fills, Controls, & Visually Monitors Level () Tape Float Gauge H'F1oat Vent Valves () Capacitance Senso~SeaJed Fill Box () Other. ¡q:; t1?a:;o +I- //1-1 C 3. 4. Manufacturer ..::J7) éJ ~ () None () Unknown s. Capacity (Gallons) 6. 7. b. 8. 9. WNo ( ) Unknown 10. () Auto Shut-Off Controls () None ( ) Unknown Ust Make 8i Model for Above Devices PiDini a. Underground Piping: )<:( Yes () No () Unknown Material Thickness (inches) . 2- ~ Diameter:; , , Manufacrurer -A- D S m / -n-f () Pressure () Suction ( ) Gravity Approximate Length of Pipe Run Underground Piping Corrosion Protection: () Galvanized () Fiberglass-Clad () Impressed Current () Sacrificial Anode () Polyethylene Wrap () Electrical Isolation () Vinyl "'?~ (l Jð!'.9.~~t _ () Unknown () None ~ther (describe): Fï ~~ ",P<t:" Underground Piping, Secondary Containment: () Double-Wall ~Synthetic Liner S~tem () None (), Unknown () Other (describe): A711~tC~ L-t t1.!.£'),< b. c. FaciJilY Name {/..5A- r-SJ éì . - Permit No. ~ ~ (FILL OUT SEPARATE FOn R EA~_. TANK) fOR EACH SECTION. CHECK All. APPROPRIATE BOXES ( ) Vaulted ( ) Non-Vaulted ~ouble-Wall () Single.Wall- H. 11. 1. 2. Tank is: Tank Material () C~bon Sted () Stainless Stcel () Polyvinyl Chloride (j Fiberglass-Clad Stcel () Fiberglass-Reinforced Plastic () Concrete () Aluminum () Bronze ( ) Unknown , ~ Other (describe) IAJAJ~ 7'MK .$~/ O(/7i!?Je"--rAv'K P?~~"ã;. Primary Containment .:J?:)O"e, '¿;;:-Lt/71f!:!.tj,A../ . Date InstaJled Thickness (Inches) Capacity (Gallons) ~. ¡;,-/-9D ~~.EC. /;;;2 CPOV Tank Secondary Containment I ~Double·WaJl () Synthetic Liner () Lined Vault () Other (describe): Manufacturèr: () Material Thickness (Inches) Tank Intlilior LininlZ () Rubber () Alkyd () Epoxy () Phenolic () Glass () Clay ~nlined () Unknown () Other (describe): Tank Corrosion Protection () Galvanized () Fiberglass-Clad () Polyethylene Wrap , () Vmyl Wrappjng () Tar or Asphalt () Unknown () None ~Other (descnbe): <:;;:z::;:z::::;tt= é2 Cathodic Protection: () None () Impressed Current System () Sacrificial Anode System Describe System and Equipment: Leak Detection. MonitorinS!. and Tntercepr10n a. Tank: () Visual (vaulted tanks only) () Groundwater Monitoring Well(s) () Vadose Zone Monitoring Well(s) () U· Tube Without Liner , () U·Tube with Compatible Liner Directing Flow to Monitoring Well(s)* ~Vapor Detector* () Liquid Level Sensor* () Conductivity Sensor* ~Pressure Sensor in Annular Space of Double Wall Tank* () Liquid Retrieval & Inspection From U· Tube, Monitoring Well or Annular Space ~Daily Gauging & Inventory Reconciliation () Periodic Tightness Testing () None () Unknown () Other Piping:.::H:'" Flow.Restricting Leak Detector(s) for Pressurized Piping* : () Monitoring Sump with Raceway () Sealed Concrete Raceway () Half·Cut Compatible Pipe Raceway () Synthetic Liner Raceway () None () Unknown () Other *Describe Make & Model: íéÉD ~T =t:i= I'fê-r J)~ -f) /7 Tank TiS!hrness Has This Tank Been Tightness Tested? () Yes () No ~Unknown Date of Last Tightness Test N ~ Results of Test Test Name Testing Company Tank Repair Tank Repaired? () Yes Date(s) of Repair(s) Describe Repairs Overfill Protection () Operator Fills, Controls, & Visually Monitors Level () Tape F10at Gauge ~F1oat Vent Valves () Auto Shut-Off Controls () Capacitance Senso~Sealed Fill Box () None ( ) Unknown ' () Other: List Make & Model for Above Devices ,cb 111zæ;D +I- 1/1-1 C 3. 4. Manufacturer ..::J7) Ð,e () None () Unknown 5. Capacity (Gallons) 6. 7. b. 8. 9. WNo ( ) Unknown 10. PipinS! a. Underground Piping: )« Yes () No () Unknown Material Thickness (inches) . 2- ~ Diameter ~ " Manufacrurer ~ D S m t 7r/- () Pressure () Suction ( ) Gravity Approximate Length of Pipe R~ Underground Piping Corrosion Protection: () Galvanized () Fiberglass-Clad () Impressed Current () Sacrificial Anode () Polyethylene Wrap () Electrical Isolation () Vinyl 'I{~ (t Téi!',.!).µs~t _. () Unknown () None ~ther (describe): n (ff2~ .. ~<t:: Underground Piping, Secondary Containment: . () Double-Wall ~ynthetic Liner S~tem () None () Unknown () Other (describe): A7n¿;et.~ Ú 1\!-zi2)'< b. c. H. 1. 2. ..- t"¡.lj.1. J·'Ù. TANK ¡; T (FII.L OUT SEPARATE FORM FOR EA,-. TANK) a OR EACH SECTION CHECK All. APPR ATE BOXES Tank is: .. ( ) Vaulted ( ) Non-Vaulted ~o ie·Wall () Single.Wall_ Tank Material () Carbon Steel () Stainless Steel () Polyvinyl Chloride () Fiberglass-Clad Steel () Fiberglass-Reinforced Plastic () Concrete () Aluminum () Bronze ( ) Unknown »t' Other (desaibe) IItJAJ~ ~K -:5"~/ CJ(/7žBe'~Av'K ¡&:::?~~<;;;.:. Primary Con ta inment .:::J?:) 0 A!!: ¿;;::-¿ (/71f!f!!.tj N . Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer ~. ¡;-/-'iD s ~~ . /,:;; (fJtJV .::J7) éJAe Tank Secondary Containment ' ~Double·Wall () Synthetic Liner () ~ined Vault () None () Unknown () Other (describe): Manufacturer. () MateriaJ Thickness (Inches) Capacity (Gallons) Tank Interior Lininf () Rubber () Alkyd () Epoxy () Phenolic () Glass () Clay ~nlined () Unknown () Other (describe): Tank Corrosion Protection () Galvanized () Fiberglass-Clad () Polyethylene Wrap () V'myl Wrappjng () Tar or AsphaJt () Unknown () None k"Orher (describe): ~ ::;t!f=:-éil Cathodic Protection: () None () Impressed Current System () Sacrificial Anode System Describe System and Equipment: Leak Detection. Monitorin~. and Interception a. Tank: () Visual (vaulted tanks only) () Groundwater Monitoring Wen(s) () Vadose Zone Monitoring WeJl(s) () U·Tube Without Liner () U-Tube with Compatible Liner Directing Flow to Monitoring Well(s)* ~Vapor Detector* () Liquid Level Sensor* () Conductivity Sensor* ~Pressure Sensor in AnnuJar Space of Double Wall Tank. () Liquid Retrieval & Inspection From U·Tube, Monitoring Well or AnnuJar Space ~Daily Gauging & Inventory Reconciliation () Periodic Tighmess Testing () None () Unknown () Other ' Piping:,X Flow-Restricting Leak Detector(s) (or Pressurized Piping* :. () Monitoring Sump with Raceway () Sealed Concrete Raceway () HaJf·Cut Compatible Pipe Raceway () Synthetic Liner Raceway () None () Unknown () Other *Describe Make & ModeJ: í:&n 'JPCK7;7 =#==- ~-r- J Jfð -f) /'7 Tank Tiszhmess Has This Tank Been Tighmess Tested? () Yes () No ~Un.known Date of Last Tighmess Test NRt\/ Results of Test · Test Name Testing Company Tank Repair Tank Repaired? () Yes WNo ( ) Unknown Date(s) of Repair(s) Describe Repain Overfùl Protection () Operator Fills, Controls, & Visually Monitors Level () Tape Float Gauge M'Float Vent Valves () Auto Shut-Off Controls () Capacitance Senso~SeaJed Fill Box () None ( ) Unknown () Other: List Make & Mode] for Above Devices ¡Cb l11a:;o +I- //1-1 C 3. 4. s. 6. 7. b. 8. 9. 10. 11. Pipin~ a. Underground Piping: )« Yes () No () Unkn'own MateriaJ Thickness (inches) . 'Z- ~ Diameter ~ II Manufacturer .-ð D S 1'1? l-nf () Pressure () Suction ( ) Gravity Approximate Length of Pipe Run Underground Piping COITosion Protection: () Galvanized () Fiberglass-Clad () Impressed Current () Sacrificial Anode () Polyethylene Wrap () ElectricaJ Isolation () Vinyl \4!~ (t T~..Q.z;..As~t _ () Unknown () None ~ther (describe): nØ~ .. ~~ Underground Piping, Secondary Containment: () Double-Wall ~ynthetic Liner S~tem () None () Unknown () Other (describe): A7n~t.~ U A.J..!=r:::? b. c. '" . .. ..J '~'~C:::r::'>T ----------------------------------------------------------------------------- ,- ,- ,J ,..',' P,~.GE "~ ;'~ (i (; (J ;:~ ;~ ¡;~ KERN CCUNTY PLANNING & DEVE~OPMENT [n\/c'fc:= ¡\;bí' ~ 33752 : 7 DO' ., :\r! t S·c :- :3 e t 8akersfield. CA 93301 Type of Order W ( ,3 05 ) ,3 61 - 2 6 -: 5 . :_------------------------------------------------------------------------~~~~~ '1 .,1 CASH REGISTER S.E. PEARMAN CONSTR I I : :: .,.;¿;: ï::: ,'í¡:~r" .-) , : 1______-----------------------------------------------______________.__________. . ~ .. ;: ~'\J t ;¡ 3 '/ ; ;Jrder Dòt2 . - - ... f '. --'4 ..- D ~,/ " :3:-::j C . S ~ i;:, !:: .:: -t ..~ .~ ~ / .. = / '; C ',f -' .~ I ;::;[; T-= r'n s fiT :- ~ ¡;'2 Z_: :~sc ,'-' i ,Ç;'C' -; on -- - --~ ~..------,---- - ------- ----------- , . ·-----------!----------------!-------____r Cuan~it~ Price Uni~ Disc Tota~ 100.00 ~ iOO.OO -·.;:',;l~K PL,:l;>-J f:HEC:< î 70':, t).~der T,ota-1 100.00 Amount Due 100.00 ~'ayme~~ M~de 8~ Che¿~': l{)O~OO ~;"1 ~ h! ¡..:.: '.:' ':=: U : iIDij@~ Or~G"~#lIW