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Home My WebLink AboutUST-REPORT 6/21/2006 0""""" ~ -- .~- >-,- /- .' > / ., f-'" \ " . i."I! t t >, h 'II 11 '~I ~ I . .'1 '1 I" ; I 71 l~' ;, f' If ' 7)/1 '1" ~.'. - }.'~) -, .~j i " i, I ' ,i f ,I I I l~ :\'\\\!~ (/1 "- ..,: '1" , .' ~' , , I . :1 ;~;i \'> , ~~" --\~. '..' ... ""i~' - ~ "T" :/'~~5'~ 1\.vI:.v . - ~ "ii: 4~WIBLE ROAD ~OO:8C 11 J" L,_ -I '11 ~' '--", - / J5" 91 {,\\ ~ J - \ \\1) y ./ ; yI'" ~~,' /...") _~v ~ \~ \S- ~tc" , /., - ---:- - fj --:'\. '. , I ( I [I \: i fj I /1 i ~I " ,Ii \ II Ii ''"'\ ,II ; \1 II ~!I \} ill ;~,__II / d /: \1 PEIUIlTNo. LVv\~VY\-otjs/l. TYPE OF APPLICAnON: 0 NEW TANK INSTALLlNEWFAClUTY Check one Item onl 0 MODIFICATION OF FAClUTY ARt1NG DAlE ~ c::;..\~S .~ NO. ~NO. . to') ~'3Cr ~")."'2.~"7' '.\ S" . \ S"o - ~ ~ '. yo ~18E llE \'VOIU( TO lIE IJOlIIE ~r - --=- ~,. l'Ct:l t2- l S ~ 'So. A:) F" L~ -S e: '-L fL."5 . ~ l\. '" e: ~~- -reE:., ~'--~J'"5\=-\'-~~~"'"-U'~" " 12127/2005 9:18 RightFa'x UNDERGROUND S~GE "~MK PERMIT APPLICATION - 1 I """'---(1 TOCONSTRUCT..-sTALL NEWTANK (NEWFAClUlY)1 i IEWTANK INSTALLA110N (EXJSllNG FAClU'N) I J. MODIFlCA'ftON I &raNOR MODIFlCA11ON - FltCIUTY %. WATER TO FAc:IUlY PROVIDEO BY TO ARE THEY FOR MOTOR FUfl Om ONO \ .~ x. "'2- 1I x: .. ." ..., ..... PAGE 0021 006 Fax Server }~ '.'" IIdJ JIIIi UIfT- atloa Services 900 Trwrtun Ave.. Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Pag.'o1' SOIl 'NPE EXPECTED AT SIn: SPIll PREVENTION CONTROL AND COUNTER IEMURES PlAN ON FLE De ON<> r~.' . FOR.. NON~.' FUEL. STORAGE., Y.AHlCS -~rr ... [ FOR, OFFtCIAI..;8f. ONLY I.VPUCAl1oN~., . . I FanY NO.' [ r r"* I lIfO, OFTANI<S I A:ESS TIte lI/1Pfw-t ~ ~tved. ~ and wt{[ COlffply -..tth . atrGdwut candtnOJU of rJre permtr and any odre~ Mate. locol andfet.IenJl np!a60lU 1'1ti$J- ~eJetl uwJer penalty oj pujury. and tQ lire .Sl qf 1/1)' /tnowl. is trrIe and r:01'1Tct. -J~ ~ APfRovm BY: APPlICANT NAJE (!'RIfT) TH'S APPLICATION BECOMES A PeWIT WHEN APPROVED F02D88 ....~ _ -- _ .,....iiiBflSHIRE _. _,...mm." . =.' ..EN. V.'R.O......N...M.E.N.... TAL ,-' -' - -~'SERVICES, INC 25971 Towne CentreDrive Lake Fqrest, CA 92610 (949) 460-5200 Fax (949) 460c5210 Transmittal Date: November 1, 2005 TO: Steve Underwood City of Bakersfield Fire Dept. 900 Truxton Ave., Ste. 210 Bakersfield, CA 93301 FROM: Jim Brown Sent Via: Ref# UPS Ground 1Z E68 941 0396206229 RE: Secondary Containment Testing ARCO FAC# 5365 4010 Wible Road Bakersfield, CA 93309 o As Requested 0 ForReview Dsign&Return 0 ForYourUse ~ForYourFiles Quantity 1 Description Secondary Containment Test Results performed on 12/15/05. Comments: Please do not hesitate to call me at (949) 460-5200 if you have any questions or concerns regarding this work. , "'-. / S\\g.U;::B, 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 tests (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: ARCO# 5365 I Date of Testing: IZ/i~#' Facility Address: 4010 WIBLE RD., BAKERSFIELD r Facility Contact: Janet Wager I Phone: 714-670~5321 Date Local Agency Was Notified of Testing: Name of Local Agency Inspector (ifpresent during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: Belsbire Environmental Services, Inc. Technician Conducting Test: /I 1J .-. 11_ 0--_-'" Credentials: [81 CSLB Licensed cfontractor v o SWRCB Licensed Tank Tester License Type: A - General Engineering Contractor I License Number: 808313 Manufacturer Trainim! Manufacturer Component( s) Date Training Expires Available upon request 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Repairs Component Pass Fail Not Repairs Tested Made Tested Made Tank Annulars 0 0 0 0 0 0 0 0 0 lY ,./"0 0 0 0 0 0 Secondary Pipe (3) tr" 0 0 0 0 0 0 0 " 0 0 0 0 0 0 0 0 Turbine Sump 0 0 0 0 0 0 0 0 /" 0 0 0 0 0 0 0 0 UDC ((g) Ie" 0 0 0 O. 0 0 0 '--/ 0 0 0 0 0 0 0 0 Fill Sump 0 0 0 0 0 0 0 0 ~ 0 ~ 0 0 0 0 0 0 Spill Bucket (l/) ~ 0 0 0 0 0 0 0 '-f 0 0 0 0 0 0 0 0 Ifhydrostatic testing was performed, describe what was done with the water after completion of tests: CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To the best of my knowledge, thefacts stated in this document are accurate and in full compliance with legal re irem nts T""bnichm', Signa,",,, ~ 7~~ 7- Date: ~ ~ 5. SECONDARY PIPE TESTING o Piping Manufacturer IZI Industry Standard o Other (Specify) ~ Pressure 0 Vacuum o Other (Specify) Test Equipment Used: Test reducer boots, air compressor and gauges SWRCB, January 2002 Test Method Developed By: Test Method Used: Page_of_ o Professional Engineer o Hydrostatic Equipment Resolution: 0.5% of span 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 starting test: Test Start Time: Initial Reading (R1): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R1): PassIFail Threshold or Criteria: Test Result: Piping Run # Reducer BootslFittings Reducer BootslFittings Reducer BootslFittings Reducer Boots/Fittings 10 minutes 10 minutes 10 minutes 10 minutes No detectable Loss No detectable Loss No detectable Loss D Fail ass D Fail D Pass D Fail Comments - (include iriformation on repairs made prior to testing, and recommended follow-up for failed tests) v' ~ SWRCB, Jnnuary 2002 Page _ of _ 7. UNDER-DISPENSER CONTAINMENT (UDC) TESTING Test Method Developed By: D UDC Manufacturer IZI Industry Standard D Professional Engineer D Other (Specify) Test Method Used: D Pressure D Vacuum I:8J Hydrostatic D Other (Specify) Test Equipment Used: Incon Sump Tester UDC Manufacturer: UDC Material: UDC Depth: Height from UDC Bottom to Top of Highest Piping Penetration: Height from UDC Bottom to Lowest Electrical Penetration: Condition ofUDC prior to testing: Portion ofUDC Tested! Does turbine shut down when UDC sensor detects liquid (both product and water)?' Turbine shutdown response time Is system programmed for fail- safe shutdown?' Was fail-safe verified to be operational? ' Wait time between applying pressure/vacuum/water and starting test Test Start Time: Initial Reading (Rj): Test End Time: Final Reading (RF): Test Duration: Change in Reading (Rp-Rj): Pass/Fail Threshold or Criteria: Test Result: Was sensor removed for testing? Was sensor properly replaced and verified functional after testing? Equipment Resolution: +/- 0.002" / UDC# Y/"J:; ~ ~ //", 4.. .J- ~Z ~_/._ /h'/ # //--1' UDC# ,/~ UDC# r/6 ~/ /?;/7/ /. /_/ /75#7 ~h./ YA: L ,/ ~/ --~ ... ~/ / ~,/- " . /17'; r /d' /~;y d"" /L .I ~d~ .~ L'..6 - /~ .." r / - 'e/~ " yr. ~.-_ / C_ / ~ ~ Y,'A_.-_ '/ _ .611? Rho ~ CJ~' -". ~A DYesDNo.~ DYesDNo ~ / / J PV?P 4/ /A ____ .A/ / #' DYesDNo/~ D Yes D'No ~ ./ DYesDNo ~ DYesDNo ~ , L?~ / ~ - "/c.'/ 7~ L___ / J' /? // ....~.-AL Jr? /~ /I g ~;... ,- -.- o Yes DNo ~A DYesDNo ~ / / / /4/ //f DYes"DNo ~ L-- DYesDNo ~ ~. D Yes DNo ~ DYesDNo ~ 30 minutes 30 minutes 30 minutes / 30 minutes ,-, .~ (,Iii~ A/J " ~~ 1f,6.~~' '/7.'<1.11,.. 'Q::t{,{,lNV1 !/...." <i1~G .1//;;6 3.14~ '3~ i'? .'). ~IYr ~. ~'jr~ '.....?[ q.r-::lj 1J l ,it()/~ tI~//1 ,~... l/,i 61'11' /7, '(~ 1111- \-,,' \AlM " , .cr, \.r,'I...1 l~ ./l./'U '3-//116/ ".L~~" ~~; ~6 ~ '~~ ,. ~5?r w,. 7t,,^ U'.l.J ~. h\\A1{l 1f::lM.I{J '/,'LM':t\ 1S"'Vf.t~'/J 1~~.d1") 1.'\<1.\"11 r<';t.ctm IS ~ '.?~ j;;Ic:1). 002" [J'Pass D Fail Ctf9'es D No DNA ~esDNo DNA +.;,. 0.002" B')Jass D Fail [?Y'es)2J No DNA cn;s DNo DNA -tt--1J. 002" ~ass D Fail ~esDNo DNA ~sDNo DNA +1- 0.002" nass D Fail .~~DNo DNA ~esDNo DNA Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) I 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) ~ UNDER-DISPENSER CONTAINMENT (UDC) TESTING DUDe Manufacturer [gI Industry Standard 0 Professional Engineer o Other (Specify) o Pressure 0 Vacuum [gI Hydrostatic o Other (Specify) Ineon Sump Teste: ~ ,,sWRCB, January 2002 7. Test Method Developed By: Test Method Used: . Test Equipment Used: UDC Manufacturer: UDC Material: UDe Depth: Height from UDe Bottom to Top of Highest Piping Penetration: Height from UDC Bottom to Lowest Electrical Penetration: Condition ofUDC prior to testing: Portion ofUDC Tested' Does turbine shut down when UDe sensor detects liquid (both product and water)?' Turbine shutdown response time Is system programmed for fail- safe shutdown?' Was fail-safe verified to be operational?' Wait time between applying pressure/vacuum/water and starting test Test Start Time: Initial Reading (RJ): 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 testing? , ho / / /~ ~ L. ./ '1"///7 /Z. ---v? /1'/ // d" L/_ ~ I',.../v " ,~, ~ Page_of_ / Equipment Resolution: +/- 0.002" UDC# ,,///- UDC# L.- L.'/ /~_~- ./ rH77 - V' //'. /0' IY ~L/-~ r7t/_' ,,- ~'I' .~z 0/Y1 tf r- '/-~..V LiLT. '--~ OYesONo ~ / , PH?" OYesONo ~ / DYesDNo ~A 30 minutes I .., , I' I .0 I . r,t:d-l...( 'll \J\,t/ Si, ' I '.r11l11 OYesONo ~ ) /' / /?- DYes 0 No d'NA OYesDNo ~ 30 minutes . Ki't,r,oU<'\.. -"' ! <I. ''J/(, rc /U1 {\, 'Ii ~IM .... ""\4~ ~ " ;.~ .:5~ w:/XIf . CI ~~7P 'I,llC?/- ,I" ././1 fr lA,'.... f":.. ,.... r ,."''''. , I'" \.c.t.. if J OYesDNo DNA OYesDNo DNA DYesDNo DNA 30 minutes +/- 0.002" o Pass 0 Fail OYesDNo DNA DYes ONo DNA UDC# DYes DNo DNA DYes ONo DNA DYesDNo DNA 30 minutes +/- 0.002" o Pass 0 Fail DYesDNo DNA DYes ONo DNA Comments - (include iriformation on repairs made prior to testing, and recommended follow-up for failed tests) +b--9;002" ~ass 0 Fail ~esONo DNA ~ONo DNA +/- 0.002" [}'~ 0 Fail ~sONo DNA rB1'es 0 No 0 NA I 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 UDe must be tested. (See SWRCB LG-160) ~ SWB.CB, January 2002 Page_of_ 9. SPILL/OVERFILL CONTAINMENT BOXES Facility is Not Equipped With SpilVOverfillContainment Boxes 0 SpilVOverfill Containment Boxes are Present, but were Not Tested 0 Test Method Developed By: 0 Spill Bucket Manufacturer IZI Industry Standard 0 Professional Engineer o Other (SpecifY) Test Method Used: 0 Pressure 0 Vacuum IZI Hydrostatic o Other (SpecifY) Test Equipment Used: locon Sump Tester Equipment Resolution: +/-0.002" Bucket Diameter: Bucket Depth: Wait time between applying pressure/vacuum/water and startin test: Test Start Time: Initial Reading (Rr): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-Rr): PassIFail Threshold or Criteria: 1'- . on Test Result: Pass 0 Fail ass 0 Fail Comments - (include information on repairs made prior to testing, and recammendedfallow-up for failed tests) ~ .~~ /, -"). h' .1'. 6>~ "'" "'-~~~ _ .,.,.,.- "'-..,_.r BP West Coast Products LLC 4 Cenlerpoinle Drive La Palma, CA 90623-1066 Mailing Address: . PO Box 6038 Artesia, CA 90702-6038 Voice (714) 670-3958 Fax (714) 670-5420 Email Teresa.Miles(ci)bp.com January 3, 2006 VIA US MAIL Inspector ve Underwood Bakersfield Fl Department 1715ChesterAv 3rdFloor Bakersfield, CA 9 01 3 -r- ~. ~1J1J;'~ " rJ.,O(O RE: Arco Facility No. 05365 4010 Wible Road Bakersfield, CA 93301 Dear Mr. Underwood, With this, I am transmitting an Underground Storage Tank Unauthorized Release Report in .connection with a incident at the facility noted above. Please feel free to call me at (714) 670- 3958 with any questions. Sincerely, --...-..,.,.~."......- -- -<"~..~ --- ':11"- - .C '0-' -' S'- .- .~ . Teresa S. Miles Environmental Compliance Specialist U.S. Convenience Operations TM/cc cc: Central Valley RWQCB (Region 5) Andrew Modugno/SECOR Jack Oman File 5365 DISCLAIMER: This message (including attachments, if any) contains confidential proprietary information, some or all of which may be legally privileged or otherwise protected from unauthorized use, disclosure, distribution or copying.; It is for the intended recipient only. If you are not the intended recipient, you may not use, disclose, distribute, copy, print or retain this message or any part of it. If you have received this message in error, please notify us immediately by calling (714) 670-5423 collect. i:r- Q ~r ~ ;:; --- ..n --..< UNDERGROUND STORAGE TAN.K UNAUTHORIZED RELEASE (LEAK) I CONTAMINATION SITE REPORT EMERGENCY HAS STATE OFFICE OF EMERGENCY SERVICES REPORT BEEN FILED? DYES [gJNO DYES [gJNO REPORT DATE o 1 0 3 ~ Teresa S. Miles 714-670-3958 - ~ REPRESENTING [gJ OWNER/OPERATOR D REGIONAL BOARD COMPANY OR AGENCY NAME "" "'- -i5--_0LOCALAGENCY 0 OTHER BP West Coast Products LLC fu ADDRESS ex: 4 Centerpointe Dr. CASE # o 6 M STREET La Palma CITY CONTACT PERSON CA STATE PHONE 90622 ZIP lU ..J ID e;;~ Zex: o<{ g;a. lU ex: NAME BP West Coast Products LLC D UNKNOWN ADDRESS 4 Centerpointe Dr. Teresa S. Miles 714-670-3958 CA STATE PHONE La Palma CITY 90622 ZIP STREET FACILITY NAME (IF APPLICABLE) , Inc. 661-836-9685 . Z o ~ U o ..J lU l- e;; Arco Facilit No. 05365 ADDRESS 4010 Wible Road 93301 ZIP Kern COUNTY Bakersfield CITY STREET CROSS STREET C) ~'" I-lU z- lUU :;:z lUlU ..JC) a.<{ ~ White Lane LOCAL AGENCY CONTACT PERSON PHONE AGENCY NAME Ins ector Steve Underwood 661 326-3979 PHONE Bakersfield Fire Department REGIONAL BOARD Central Valley RWQCB (Region 5) (1) NAME (559) 445-5116 QUANTITY LOST (GALLONS) [gJ UNKNOWN '" lUe Uw z> <{..J 1-0 "'> IDZ :;:J- '" (2) D UNKNOWN D SUBSURFACE MONITORING D NUISANCE CONDITIONS [gJ OTHER, ~ec~:tndar:y~containmentupgrade' -'>>. ~ ~-~-- ~- -- - DATE DISCOVERED 1 D INVENTORY CONTROL D TANK REMOVAL HOW DISCOVERED D TANK TEST ~~" ...:.-~ .~- D UNKNOWN METHOD USED TO STOP DISCHARGE (CHECK ALL THAT APPLY) D REMOVE CONTENTS D CLOSE TANK & REMOVE D REPAIR PIPING D REPAIR TANK 0 CLoSE TANK & FILL IN PLACE D CHANGE PROCEDURE y D REPLACE TANK [gJ OTHER Secondary containment upgrade WlU u'" ex::;:J :;:J<l: Ou '" DYES 0 NO IF YES, DATE SOURCE OF DISCHARGE o TANKLEAK o PIPING LEAK o SPILL o OTHER M [gJ UNKNOWN D OTHER o RUPTURE/FAILURE [gJ UNKNOWN CHECK ONLY ONE lUlU 3 ~ D UNDETERMINED [gJ SOIL ONLY D GROUNDWATER D DRINKING WATER - (CHECK ONLY IF WATER WELLS HAVE ACTUALLY BEEN AFFECTED) ~~ ~~ ex: I- i3'" CHECK ONLY ONE D NO ACTION TAKEN 0 PRELIMINARY SITE ASSESSMENT WORKPLAN SUBMITTED D LEAK BEING CONFIRMED D PRELIMINARY SITE ASSESSMENT UNDERWAY o REMEDIATION PLAN 0 CASE CLOSED (CLEANUP COMPLETED OR UNNECESSARY) CHECK APPROPRIATE ACTION(S) D EXCAVATE & DISPOSE (ED) D REMOVE FREE PRODUCT (FP) (SEE BACK FOR DETAILS) o CAP SITE (CD) 0 EXCAVATE & TREAT (ET) 0 PUMP & TREAT GROUNDWATER (GR) o CONTAINMENT BARRIER (CB) 0 NO ACTION REQUIRED (NA) 0 TREATMENT AT HOOKUP (HU) o VACUUM EXTRACT (V~) [gJ OTHER TBD Soil sample results from beneath dispensers during secondary containment upgrade activities are as follows: Max. TPHg 1,200 mg/kg, Max. Benzene < 0.0017 mg/kg, Max. MTBE < 0.0041mg/kg, Max. Ethanol < 0.25 mg/kg. Soil concentrations limited to just below the dispenser area. -' <{z CiQ lUl- :;:u lU<{ ex: [gJ POLLUTION CHARACTERIZATION o POST CLEANUP MONITORING IN PROGRESS o CLEANUP UNDERWAY o ENHANCED BIO DEGRADATION (IT) o REPLACE SUPPLY (RS) o VENT SOIL (VS) '" I- Z lU :;: :;: o U l:'-~-~::. _ .:..---....-!-:-- '"':;t---,;::---:_~~~5>.~ ~~ .~ : f 'i' MONITORING SYSTEM CERTIFICATION For U.se ~.AII Juri.sdicfioYl.s ~t1liYl the State qfCalifo711ia .Authori1;y Cited: Chapter 6.7, Health tmd Sqfety Code; Chapter .16, Divi.sioYl 3, 7Jtle 23, California Code oj ReRUiatiom This form must be used to document testing and servicing of monitoring equipmenl A separate certification or report must be prepared for each monitorini system control panel by the technician who petforms the wotk. 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 regu1atmg UST systems within. 30 days of test date. . A. General Information LFaci1i~Na~~.:._ ! BP WEST COAST PRODUCTS. LLC 188#: \5365 : Site Address: _ ! 4010 WIBLE RD \ F aci1ity Contact Person: i -J,... ~ I City: .1 BAKERSFIELD .' I Zip: 193309 1 Contact Phone No.: \.., (I.{ G ?O~3Z-( I DateofTestingl'Service: I (0 -2' - ~ r I 2:0~ 2-e>S' c. 1560-8222 Page 1 on 83101 ,~' '- ;., MOJIi:lDriDg SysieJll CertificatioJl rss,: ~365: 4010 WIBLE RD, BAKERSFIELD, CA 93309 I Dat.e ofTestinglSemcing: 1101264ClO5 D. Results of TestinglServicing I Software Version Installed: I ~?_\.{ _ 0 , COM 1e'te the follow' eheeklist: No'" Is the audible alarm 0 erational? . N 0* Is the visual alarm 0 erational? N 0* Were all sensors visua11 insected, functiona11 tested, and confumed.o erational? No'" Were all s ens ors installed at lowest point of second8%Y containment and positioned so that other equipment will not interfere with their ro er eration? . 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 m.Onitciring system detects. a leak, fails to. O.'p~, or..iiSS I electric. ally disco . ed? If yes: which sensors initiate positive shut-down? (Check all that appl}'~rench Sensor , . enser onteinmentSensors. Did you conmm positive s~down due to leaks~ sensorfailurudlsconnection e.;.No. For tenksystems that utiliZe the monitoring system as theptim8%Y tenk overliJ1wamingdevice(u.no mechenical overli11 prevention valve is installed). is theoverli11waming almn 'Visible arid audible lilt the tank fill om s ando era' ed Ifso atwhatercentoftankcaacidoesthe,almntri e{l. ....% Was any monitoring equipment replaced? If yes; idenUfyspecificsensors;probes, orotherequipmentreplaced and list the manufacturer name . and modelfor all re lacement.arts in Se.ct1on ~'below. Was liqUid found inSide any secondary containment systems designed as city systems? (Checkallthaq:pj) ProduCt. Wat.er. If es, describe causes inSection~ below. Was monitorin s stem set.- reviewed to ensure erse' s? s No'" Is all monitorin e . ment 0 erationat ermanufactuier's s e.cificwons? * ht Section Ebelow, describe how and when these deficiencies were or will be cOlTCcu:d. I E. Comments: ~ \.l ~ \::. ':I i'llo:; d EGo v " P €f ~ \}oJ ~+'" -0 r 0 r +u f3;€ I I I j I , j I I i I I I I I I 1 I Page 2 of3 030411 " rs-s':--------15365:4010WIBiiRD~AKERsFIEil),cA93309-' . ! Date ofTestinglServicing: 110/26/2005 '~ . F. In-Tank Gauging I sm. Equipment: Ircheckthis boxatenk gauging is used ontyti. orinventotycontrot I Check this boxano tank gauging or SIR equipment is installed, This section must be completed if in-tank gauging equipment is used to perfonn leak'detection monitoring. Co m Jete the followcheck1ist: No'" Has all input wiring been inspected for proper ent:y andtemlination.includingtastingfor groundfau1ts? No'" Were al1tank gauging probes visually inspected fOr damage and residue bUildup? No'" Was accuracy of system product levelreadings tested? No'" Was accuracy of system waterlevelreadings tested? No'" Were all probes reinstalled properly? No'" Were all items on the equipment manufacturer's maintenance check1istcomplete d? .. btthe Section H, below,describe how and when these deficiencies were orwiUbecoJTected. G.LineLeak. Detectors (LLD): I Check this boxifUDs are notinst8l1ed. m Jete the follow' checklist: For equip.me.ntstart,;.up or annua1equipm~. cne..rtification"was a. leak Simul. .atedtQ verify un petfonnance? (Check all that apply ) Simulated Ie ek rate: 1II~.ph}; ..0.1g;p.h. ~~ .02 g.p.h. 2 - - Notes: l..Requiredforequipm.ent~upcertificatioriend 8nnlwCei1i1iCatiori. . 2. U nles smandated byloc alagency,c ertificationrequiied onlyfor electronic UD s~up. No'" Were allll.Ds confinned operationa1 and accurate witbin regmatoty requirements? No'" Was the testing apparatus properly celibrated? No'" Form,echanicalll.Ds, doesthe~ll.Drestrict produCt tlowif it cietectsale~ N/A No'" ..F oi electroNc ll.Ds, does the turbine automatically shtitoffifthell.D detectsaleak'? N/A. No'" N/A No'" N/A For electroNcll.Ds, does the turbine automatically shut off if any portion of the monitoring system is disabled ordisconnecte~? For electroriicUDs, does the turbine automatically shut off a any portion of the monitoring system malfunctions or fails a tes~? ForelectroNcll.Ds; have all accessible wiring connections been visue11yinspected? No'" N/A No'" - Were all items on the equipmentmenufacturer'smaintenence checldist completed? .. In the Section H, below, describe how and when these deficiencies were or will be COJTected. I H. Comments: ! I I I I i \ Page 3 of3 03~1 ~S#:))365: 4010 WIBLE RD, BAKERSFIELD, CA93309 Monitoring System Certification :0) :6) IDate of Testing/Servicing: ~10/26/2005. I. UST Monitoring Site Plan '~(e;~' :1~-.sH-l~'\: . . w ... . . . ,0 CD: :0: '\."f(h\e.' '\2:oAb .Q. ,~< .0, l\. '1: ....~.... ~ ~~i\~ . , ~s' A~\\~~~~~~ 0' ,.,".". , :'"~{ '? 'S~ ~,~ *N~((;'"t\. 'M~f'^': . . . . . . . . . ~. "~e~'" "'.\ -. . . .. . . . . . . ~~'~.: :e:t)~~?:~~62-~ '. 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. . (D' , (D' , I (. . . . . . t!: .,. .' Instructions. Page -1- of L-- 05.00 ff BP West Coast Products, LLC Electronic Leak Detector Test Data Sheet SS#: 5365 Date: 10126/2005 Address: 4010 WIBLE RD BAKERSFIELD, CA 93309 Test Information Product Manufacturer Model Line Bleed Back (mI) Check Valve Holding Pressure (psi) Test Leak Rate (mVrnin) (gph) PASS or FAIL 2 3 4 5 Comments: This letter certifies that the annual leak detector tests were performed at the above referenced facility according to the equipment manufacturers procedures and limitations and the results as listed are to my knowledge true and correct. The mechanical leak detector test pass/fail is determined using a low flow threshold trip rate of 3 gph at 10 PSI. Inspected By: Contractor: Tait Environmental Systems Technician ~~~ Lic# Signatur~ ~ ---'~ L _ - t ~ ' . f' SWRCB, January 2002 Page ..L- of "'2- Secondary Containment Testing Report Form Thi~form i~ intendedfor u~e by contrQCtor~ performing periodic temng of usr ~condm] contaimnent S}'Mem3, u~ the o.pproprio.te po.ge~ o/tni~.form to repo71 results/or 0.11 c017lporlerlf3 tmed. The completedform, written tmprocedo~, o.nd prirdamfr017l t~ts (ifo.pplico.ble), ~nould bepro'Videdto thefo.cilifJ1 oWl1erlCf'ero.tor forsubmitto.l to the 10Ct21 regulo.tory o.gerl9. 1. FACILITY INFORMATION SS#: 5365 F aci1ity Name: BP West Coast Products, LLC Date ofT esting: 0 ~ U - 0 ~ Facility Address: 4010 WIBLE RD City: BAKERSFIELD Zip: 93309 Faci1ityContact: ~~ W b os:>'61 Date Local Agency Was Notified of Testing : Name of Local Agency Inspector (ifpresent duringtesting): License Type: A ASB HAZB C10 o SWRCBLicensed TankTester License Number: 588098 M antifacturer 'Date,Tr&.' , 3. SUlvllvIAR.YOF TEST RESUL TS Componellt Pas Fall Not Repun · Te.ed Made t=;Jl IT 0 0 '0 '\~iL ff' 0 0 0 Pt\ , 13/ 0 0 0 \\tL [j 0 0 0 ~l t\ fJ, 0 0 0 f\t~ rOO 0 ~'A ~ 0 0 0 \IlL g' 0 0 0 o 0 0 0 o 0 0 0 o 0 0 0 o 0 0 0 Componellt Pas. Fall Not Repain Te.ed Made o 0 0 0 o 00 0 o 00 0 o 0 0 0 o 0 0 0 o 0 0 0 o 0 0 0 o 0 0 0 o 0 0 0 o 0 0 0 o 0 0 0 o 0 0 0 Pfl~ f3,51 ~q q, Ifnydrostatic testing was performed, describe what was done with the water after completion of tests: lePr ~:"h1l6~U~~l~ CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To tAe best of., kllowleqe, tAe facts stated ill tAis dOCWftellt ani acclUYIte alld ill ftdl co.pliallce witA legal NqWrtRftellts T'_cion"s;g,,~ --....,. . Dole: ({)-.....t. '-<IS- -. ~ S~CB. Janu8%Y2002 It Page -L of.3-- 4. SPILL/OVERFILL CONTAINMENT BOXES Facilit is Not Equipped WithSpiUlOvett'ill Containment Boxes 0 SpiUlOvett'i1l Containment Boxes are Present. but were Not Tested 0 T est Method Developed By: 0 SpiUBucket Manufacturer IndusUy Standard o Other (*ecW) Test Method Used: 0 Pressure 0 Vacuum o 0 r (*eciJp) 88#: 5365 Date: ' 10/2612005 o Professional Engineer ~dtostatic Equipment Resolution: 1 SpillBox#tJ II II Il( I L Bucket Depth: Wail time between applying pressurelvacuumlwater and s 'test: Test Start Time: Initial Reading (RJ): Test End Time: Final Reading (Rp): T est Duration: Change in Reading (Rp-Ri): PassIFail Threshold or Criteria: ~Vvt~ I: ~U (".0 ~ 0 ~.o \\-\fl.- o ~Cj7 1'.<:.:.:: ,.~~;_:<::~:..;:/., > -. "'~~!~,J::~{)~i.;:;::";',:<j ',:, ,.. - ~ BEL SHIRE ENVIRONMENTAL SERVICES, INC. PM8 269 2.5422 Tr.1bucoRoad .#10.' taNt' fore,t, CA 92630:2797 1949i 450-IOW {'ax (949) 450-1117 Transmittal Date: June 21,2005 TO: Steve Underwood City qf Bakersfield Fire Dept. 900 Truxton Ave., Ste. 210 Bakersfield, CA 93301 FROM: Jim Brown Sent Via: Ref# Fed Ex Ground 3586731 10006343 RE: Secondary Containment Testing ARCO FAC# 5365 4010 Wible Rd. Bakersfield, CA 93309 D As Requested D For Review D Sign & Return D For Your Use ~ ForYourFiles Quantity Description Secondary Containment Test Results performed on 6/16/05. Comments: Please do not hesitate to call me at (949) 460-5200 if you have any questions or concerns regarding this work. FAC# 10# .{~tE 1J.?"zf. "-~ -------- -- .1' 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 tests (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 1. FACILITY INFORMATION Facility Name: ARCO 5365 I Date afTesting: ~ -/{,,-DS" Facility Address: 4010 WIBLE RD, BAKERSFIELD Facility Contact: Janet Wager I Phone: 714-670-5321 Date Local Agency Was Notified of Testing: Name of Local Agency Inspector (ifpresent during testing): 2. TESTING CONTRACTOR INFORMATION Company Name: Belshire Environ~ntal Services, Inc. Technician Conducting Test: ~ '-- "' a.. A ~-IA- Credentials: l8J" CSLB Li~ensed Contractor o SWRCB Licensed Tank Tester License Type: A - General Engineering Contractor I License Number: 808313 Manufacturer Traininl! Manufacturer Component(s) Date Training Expires Available upon request 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Repairs Component Pass Fail Not Repairs I Tested Made Tested Made Tank Annulars Cf l 0 0 0 0 0 0 0 , 0 0 0 0 0 0 0 0 j Secondary Pipe L/ t( 0 0 0 0 0 0 0 , 0 0 0 0 0 0 0 0 i Turbine Sump q X 0 0 0 0 0 0 0 I 1'0 0 0 0 0 0 0 0 UDC {; 0 i&1 0 0 /' '2.;. -s:~ A-r-'~ / J -/"2- 0 0 0 0 ~ 0 0 0 0 ' ?,4tt.. <t~ 0 0 0 0 Fill Sump' L{ Tt 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Spill Bucket ?' 0 M 0 0 'l7~,- (: A ~'/J~ \. /" "h >.. 0 0 0 0 0 b 0 0 f7 m f-IJ -VI> . (I "-' 0 0 0 0 If hydrostatic testing was performed, describe what was done with the water after completion aftests: ,?.k#/\ /N ~~~l(: l' ?.r# ,,-- ~.A PONSIBLE FOR CONDUCTING THIS TESTING ent are accurate and in full compliance with legal requirements Date: " SWRCB, January 2002 Test Method Developed By: 4. TANK ANNULAR TESTING [8J Industry Standard D Professional Engineer Test Method Used: D Tank Manufacturer D Other (Specify) D Pressure D Other (Specify) Test Equipment Used: Test plugs, venturi pump and gauges [8J Vacuum D Hydrostatic Page_of_ Equipment Resolution: 0.5% of span Tank# DYes r:trN 0 Tank # DYes IV\. Tank # 12! No DYes ~L l&No A/'v No detectable Loss II Pass 0 Fail ~Yes DNo DNA ~Yes DNo DNA No detectable Loss ;B Pass 0 Fail Yes DNoDNA J;(Yes D No DNA Is Tank Exempt From Testing?J Tank Capacity: Tank Material: Tank Manufacturer: Product Stored: Wait time between applying pressure/vacuum/water and start in test: Test Start Time: Initial Reading (RJ): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-RD: Pass/Fail Threshold or Criteria: Test Result: Was sensor removed for testing? Was sensor properly replaced and verified functional after testing? No tletectable Loss . ff Pass 0 Fail Yes DNo DNA ~Yes DNo DNA No detectable Loss )t Pass 0 Fail Yes DNo DNA i\fYes DNa DNA Comments - (include iriformation 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 Page_of_ 5. SECONDARY PIPE TESTING Test Method Developed By: 0 Piping Manufacturer ~ Industry Standard 0 Professional Engineer o Other (Specify) Test Method Used: ~ Pressure 0 Vacuum 0 Hydrostatic o Other (Specify) Test Equipment Used: Test reducer boots, air compressor and gauges Equipment Resolution: 0.5% of span 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 (Ri): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-R1): PassIFail Threshold or Criteria: Test Result: (, Reducer BootslFittings Reducer Boots/Fittings Reducer BootslFittings 10 minutes 10 minutes 10 minutes 10 minutes Pass 0 Fail No detectable Loss Pass 0 Fail No detectable Loss No detectable Loss No detectable Loss Pass 0 Fail Pass 0 Fail Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) ~ ' " SWRCB, January 2002 6. PIPING SUMP TESTING [gJ Industry Standard D Professional Engineer Test Method Developed By: 0 Sump Manufacturer o Other (Specify) Test Method Used: 0 Pressure o Other (Specify) Test Equipment Used: Ineon Sump Tester Sump Diameter: Sump Depth: Sump Material: Height from Tank Top to Top of Highest Piping 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 product and water)?' Turbine shutdown response time Is system programmed for fail-safe shutdown?' Was fail-safe verified to be operational?' Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (Rj): Test End :rime: 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? D Vacuum P # 9:}Sc... 3~ S!t 1~ge.#4lks ~ a- C;~.b hPOLl c- -,---;;:;.'c., L IC.....'...-...7,.... r- _ I . DYes 0 No ~NA DYes D No J11NA Sump # <(;1 m ?8' 'iN- ~13eAi ~'5" qt; IV' [gJ Hydrostatic Page_of_ Equipment Resolution: +/- 0.002" Sump # '\ \ ~~ xs- L 41 -- 1+.:... ~ /y H~ , 't'" ~t!;7'7r:::t~ r DYes 0 No~NA I Sump # ~ ~? W h4""- ~J 2-9 k ~~6 e., - ~_"'f".?: r DYesDNo~A Ai'/l- ##- A/,f- .1/.4- DYes D No J;(NA DYesDNo~NA DYes D No,e(NA DYes D No .P(NA DYesDNo%NA DYesDNo~NA DYes D No j2(NA DYesDNo ya'NA 30 minutes 30 minutes 30 minutes 30 minutes 'Yz-\ '(:Sf ~( ~~ 9/f ~);?1 c:;y<? 9~3 C/'?;77J 4':n71 ~1.;; S:C/C1l3 1tJ/t{h 10/'<'1 fo" 1/7 (;,.\(0'/9 <(3,==, <;o-z... ~""2.- q /3 (}.,(1' 9</~ / 1'# Cfcf: 4lrll J C{ .'(71C, 549/9' S-Q93c;; 1.o!.s7 70111 u.?)dl I~_ ~ ~L ,/<C?t/...... /S/n/~ /~/,v' ...k;-:"./ ,.{~,,.,, 6A4,.... /5~,....... ~~,.^'" ~.J!f ~ ~ {If c/ f:f d +/- 0.001" .rl Pass 0 Fail Jti Yes D No DNA [tYes D No DNA +/- 0.002" )If Pass 0 Fail ~YesDNo DNA ~ Yes D No DNA +/- 0.002" ~ Pass 0 Fail ~Yes D No DNA ~YesDNo DNA +/- 0.002" A1" Pass 0 Fail ~YesDNo DNA .iJ Yes D No D NA Comments - (include information on repairs made prior to testing, and recommendedfollow-up for failed tests) I lfthe entire depth ofthesump 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_of_ 7. UNDER-DISPENSER CONTAINMENT (UDC) TESTING Test Method Developed By: 0 UDC Manufacturer [8J Industry Standard 0 Professional Engineer o Other (Specify) Test Method Used: 0 Pressure 0 Vacuum [gI Hydrostatic o Other (Specify) Test Equipment Used: Incon Sump Tester Equipment Resolution: +/- 0.002" UDe Manufacturer: UDC Material: UDC Depth: Height from UDC Bottom to Top _ of Highest Piping Penetration: Height from UDC Bottom to Lowest Electrical Penetration: Condition of UDC prior to testing: Portion ofUDC Testedl Does turbine shut down when UDC sensor detects liquid (both product and water)?' Turbine shutdown response time Is system programmed for fail- safe shutdown?' Was fail-safe verified to be operational?' Wait time between applying pressure/vacuum/water and starting test Test Start Time: Initial Reading (RI): 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? UDC # /-"2- ~AJ , :Pi i / /:5' UDC # >-'r -L. 1.-.1...- L Li' J /. /7' _.J- UDC # }::: C / / ;,." '*' ,L ./~- ~ 13' UDC# 7-Y Lk __.I L7 Pr L-__ ~ .CO 13' ~--A ./~, DYes 0 No .Q(NA /1/4- DYes 0 No ,Q(NA DYes 0 No .Q(NA 30 minutes /ZZJ( /2~ 3': 1~(jt. ~.~ rSl /ZC/D /2.5 ~ ,'5-~?' ~ $W7 /~--- ~,."..... , ~ +/- 0.002" ~ Pass 0 Fail Q(Yes 0 No 0 NA J!1 Yes 0 No 0 NA Comments - (include iriformation on repairs made prior to testing, and recommendedfollow-up for failed tests) , L ~ &~ ~ .A r J. ~ ,K,. ~, ~L DYes D No P(NA DYes D No ft1NA DYes D No &NA Al'LL ///#- ,A/~ DYes D No ~NA DYes D No 41'NA DYes DNo ~A DYesDNo%NA DYes 0 No %NA DYes D No ,W'NA 30 minutes 30 minutes 30 minutes /b0'i J(6t:> A:>r/9 JIb/:; ~5""~<!lS C;.'1 ''1r; ~~(.7 ~70 ///)~ //2/ //t>cj //7./ .t::;:rIS'77<;.C-?h-fl ~)1f-11 ~~ Z /s;"'J/,v />.4?,'" /s::;,......... /~,.; -:(JI~<'i ,'1J(l.,O ~ r/ +/- 0.0027 +/- 0.001" o Pass l1 Fail )tf Pass 0 Fail [2 Yes D 1)(0 DNA RJ Yes D No DNA gYes D No DNA W-Yes 0 No DNA I _ nit./' '\ \,,\ J ./11 I '\1 \ '-' . J~ /S'--'K :4 :.__ +/- O.OO"'} o Pass Fail Rf Yes D 1'4c DNA ~YesDNo DNA I If the entire depth of the UDC is not tested, specify how much was tested. If the answer to 9JlY of the questions indicated with an ""ed,k (0) i, "NO" 0' "NA", the en';,e U DC mu" be te,ted. (See SWRCB LG- 160) tfj SWRCB, January 2002 Page_of_ 7. UNDER-DISPENSER CONTAINMENT (UDC) TESTING Test Method Developed By: D UDC Manufacturer ~ Industry Standard D Professional Engineer D Other (Specify) Test Method Used: D Pressure D Vacuum ~ Hydrostatic D Other (Specify) Test Equipment Used: IDeoD Sump Tester Equipment Resolution: +/- 0.002" UDC# '1-/0 UDC# JI-l'L_ UDC# . UDC# UDC Manufacturer: 4k I -4- kt-. ~ .L. .J. A-k - L UDC Material: ( -/ /~.... ~L_ /. UDC Depth: j'5' /3" Height from UDC Bottom to Top of Highest Piping Penetration: Height from UDC Bottom to Lowest Electrical Penetration: Condition ofUDC prior to ~ -t L: -A testing: --/",-/ -.,. C. -> ~_.,.. Portion ofUDC Tested' ~JI --. .d ,0( Does turbine shut down when D YesDNo fNA UDC sensor detects liquid (both DYes D No a;'NA DYesDNo DNA DYes D No DNA product and water)?' Turbine shutdown response time ,IV/I- /V#- Is system programmed for fail- DYesDNO~NA DYesDNo ~NA DYes D No DNA DYes D No D NA safe shutdown?' Was fail-safe verified to be DYes D No .ftf'NA DYes D N04NA DYes D No DNA DYesDNo DNA operational?' Wait time between applying pressure/vacuum/water and 30 minutes 30 minutes 30 minutes 30 minutes starting test Test Start Time: / t. zcf /2J(O /ZZc{ /zyo Initial Reading (RI): '''3577/ J. 5"' ffit. 2.ocfl J / gv,.., Test End Time: /2- c/O /2 c(<:) I z.C/o / z c{c::.- Final Reading (RF): 3S/K'2- '"f.57 <? / / t, O'tt /ZWz- Test Duration: ~K ..6:H........... ~.............. ~---- Change in Reading (RF-RI): ~ {2f t7 JT Pass/Fail Threshold or Criteria: +/- 0.002'~ +/- 0.0(j2~' +/- 0.002" +/- 0.002" Test Result: ){ Pass o Fail o Pass )Q Fail o Pass o Fail o Pass o Fail Was sensor removed for testing? MYesDNo DNA .-[] Yes 0 No DNA DYesDNo DNA DYes 0 No 0 NA Was sensor properly replaced and Jl1YesDNo DNA ~YesDNo DNA DYesDNo DNA DYes 0 No 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 UDC is not tested, specify how much was tested. {fthe answer to ~ of the questions indicated with an asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG-160) ~ .i SWRCB, January 2002 Page_of_ 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 Industry Standard o Other (Specify) Test Method Used: o Professional Engineer o Pressure ~ Hydrostatic o Vacuum o Other (Specify) Test Equipment Used: Incon Sump Tester Sum Diameter: Sump Depth: 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 Sump Material: 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-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 testing? Equipment Resolution: +/- 0.002" -sf ::rs-- YS- ~ VI'" C/ +/- 0.002" +/- 0.002" +/- 0.002" PI\ Pass o Fail Pass o Fail Jtn>ass o Fail er Yes o No 31. Yes D No 2f Yes D No D Yes DNo gNA D Yes ONo ~NA DYes 0 No ijQ-NA OYesONo~NA Yes D No DNA Yes 0 No DNA Yes 0 No DNA Yes ONo DNA JXJ Yes D No DNA ~YesONo DNA ~YesDNoDNA 3 Yes 0 No 0 NA Comments - (include information on repairs made prior to testing, and recommended follow-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 0 Test Method Developed By: 0 Spill Bucket Manufacturer t8J Industry Standard o Other (SpecifY) o Professional Engineer Test Method Used: o Pressure o Vacuum t8J Hydrostatic o Other (SpecifY) Test Equipment Used: Iocoo Sump Tester Equipment Resolution: +1-0.002" Bucket Depth: Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (RD: Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-RD: Pass/Fail Threshold or Criteria: Test Result: .Ai Pass 0 Fail -r /----OOc- Jt Pass 0 Fail 00"L Pass 0 Fail Pass 0 Fail Comments - (include information on repairs made prior to teSting, and recommendedfollow-up for failed tests) .'-~. ~rl.o..~..-\ -, -. 'J 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: 0 Spill Bucket Manufacturer, l2$I Industry Standard o Other (SpecifY) o Professional Engineer Test Method Used: D Pressure o Vacuum l2$I Hydrostatic D Other (SpecifY) Test Equipment Used: IDCOD Sump Tester +/-0.002" Bucket Depth: 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-Rj): Pass/Fail Threshold or Criteria: Test Result: o Pass Fail o Pass Fail o Pass Fail o Pass Fail Comments - (include information on repairs made prior to testing, and recommendedfollow-up for failed tests) ~i " ,/1 I '----.-' I "l ~, .;'\ , - -- - =ZBELSHIRE =-= =- --:::= ENVIRONMENTAL ifff;;i!!j--= SERVICES,INC. Site Map City: rev. 10/15/03 --<.";--.- ~ BESI#: 6S-~> wt0/i 00.00 tJ ~..\& ~ ~ r ~~~C) 6 0 0 0 0 L E ( 9 Q 9 a r; 0 6 Iv If) " -" UNDERGROUND STORAGE TANK ~;' /' Bakersfield Fire Dept. Environmental Service 900 Truxtun Ave.. Ste. 210 Bakersfield. CA 93301 Tel: (661)326-3979 Fax: (661) 852-2171 '. /' .~ PERMIT APPLlGA TION TO CONSTRUCT I MODIFY I MINOR MODIFICATION OF AN UST PERMIT NO. I fh 0 D . D~'lS ~ TYPE OF APPLICATION: (Check one item only) o NEW FACILITY o MODIFICATION OF FACILITY Page 1 of 1 o NEW TANK INSTALLATION AT EXISTING FACILITY o MINOR MODIFICATION OF FACILITY ROPOSED COMPLETION DATE ISTING FACILITY PERMIT NO. IP CODE N# HONE NO y .~ fc~~~~ft' WATER TO FACILITY PROVIDED BY . DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE NO. OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL DYES DNO SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE DYES DNO THIS SECTION IS FOR MOTOR FUEL TANK NO. OLUME UNLEADED REGULAR PREMIUM DIESEL VIATlON THIS SECTION IS FOR NON MOTOR FUEL STORAGE TANKS TANK NO. VOLUME ~NLEADED REGULAR PREMIUM DIESEL VIA TION FOR OFFICIAL USE ONLY APPLICATION DATE FACILITY NO. NO. OF TANKS FEES $ APPROVED BY: APPLICANT SIGNATURE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED ~ o N ~ _ __ . _ =Ef BEL SHIRE _ _E'~ :::-:'~I~ENV'RONMENT,4,L 't' . ==~i!iSERVICES, 'NC. Scope of Work Facility: BP 05365 Date: 6/30/2005 Job Number: 2595 4010 WIBLE RD BAKERSFIELD, CA Estimate No: 226 Contact: Rick Kinnaman '. "\ -.; -- "-,,,"'.,".'.'. '.' 'R~pairC; 'W~r~!t " BIG~iiH;i'" ;~~~i~Q;:aJ;~~#~~~:~@~~%~~m:~~8~;:~~ifim:'i1::: y.-;-/rw~ ~>(' '-.f.' ',-,;;-:: '~:.; ~lii 1:;.,..;:,:.;:.::, , ',,~;', ~ ,;;." ~ ~ ,~~, . .~ - -- - =ZBELSHIRE =-=~ -;;= ENVIRONMENTAL lffff;;:;ff:--= SERVICES,INC. " Site Map Date: 6 - /~, (J r BESI#: 6)~> M// City: rev. 10/15/03 VJ lt1 It 00.00 ~ &~~& T 6 0 0 0 0 L- i ( 9 Q 6 Q ~ () cJ rJ Iv /0 ACORQ..' CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYY} 06/16/2005 PRODUCER (949)857-.4500 FAX (949)857-4800 THIS CERTIACATE IS ISSUED AS A MATTER OF INFORMATION Millennium Risk Management & Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR License # OC13480 ALTER THE C?OVERA~E AFFORDED BY THE POLICIES BELOW. 5530 Trabuco Road INSURERS AFFORDING COVERAGE Irvine. CA 92620 . Belshire Environmental Services. Inc. Zurich Amedcan - INSURED INSUR~R A: 25971 Towne Centre Drive INSURER s: Steadfast Insurance Foothill Ranch. CA 92610 fN.SURER C: INSURER 0: , INSURER E: r~ COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN IsSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDING ANY REQUIREMENT, TERM OR CONDI1l0N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERllF1CA IE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BYll-IE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS, EXCLUSIONS AND CONDI1l0NS OF SUCH POLICIES. AGGREGATE lIMITS SHOWN MAY HAVE BEEN REDUC~D BY PAlO CLAIMS. ,Ir.;: lYJ'E OF INSURANCE POUCYNUIIBER Pg.k:W~~c,w,E Pgi!fJ(~~lft~~ UMITS GENERAL LIABILITY X COMMERCiAl GENERAl L1AeILITY 11-916038-03 I CLAIMS MADE 00 OCCUR 06/14/Z00~ 06/14/2006 EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any ana per3O/T) $ PERSONAL & ADV INJURY $ GENERAl AGGREGATE $ PRODUCTS - COMP/Or AGG $ 1.000,000 100,000 5,000 1.000,000 1.000,000 1.000,00~ A ,--- GEN'L AGGREGATE UMIT APPLIES PER: n POLICY n ~:~ n LOC ~T=~UABIUTY 4916042-03 I--- ALL OWNED AUTOS 06/14/20O!i 06/14j;l006 COMBINED SINGLE LIMIT (Ea accidenl) $ 1.000.000 I--- ElODIL Y INJURY (Perp"""",) s A SCHEDUlEp AUTOS ~ HIRED AUTOS Y NON-OWNED AUTOS I--- BODILY INJURY (PQf acci<lenl) s f-- PROPERTY DAMAGE (Per accident) s GARAGE LIABILiTY R ANY AUTO EXCESS LIABIlITY t8J OCCUR 0 CLA/MSMADE SEO 5337678-01 , B AUTO ONLY - EA ACCU:iENT $ OTHER THAN AUTO ONLY: EAACC S AGG $ 06/14/2005 06/14/2006 EACH OCCURRENCE AGGREGATE $ $ $ S 5.000,000 5,000.000 R DEDUCTIBLE RETENTIDN $ WORK~ COMPENSATION AND EMPLOYERS LIABILITY ., s hORYUMlT~d ./Io~r-' E.L EACH ACCIOENT S E.L DISEASE - EA ENIPLOYEE $ E.L DISEASE - POLICY LIMIT $ $1,000,000 limit OTHER ~ontractors Pollution B Liability 4916039-03 06/14/200~ 06/14/2006 DESCRIPTIO~ OF oPERAJIQN~OJ:A TJONSJVEI:!ICLE~J:\;lISION~ A~ED BY EN_DORSEMgm-/~ECIAL PfiOVlSIONS_ ) -' : ~E: Proo~ Evidence Only ! *10 day notice of cancellation in the event of non-payment of premium, CERTIFICATE HOLDER r I ADOmoNAL INSURED; INSURER LEiTER: CANCELLATION -------_.--_.....--- . ...-............... ... _ ..r-........" SHOULD PMY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOR.E THE EXPIRATION DATI:lllEREOF, THE ISSUING COMPANY WILl ENDEAVOR TO MAil. _ PAyS WRITTEN NOllCE TO THE CERTFlCATE HOLDER NAMED TO THE LEFT, BIlT FAILURE TO MAIL SUCH NOllCE SHALL IMPOSE NO OBlIGATJONOR lIABILllY OF ANY KIND UPON THE COMP~ AGENTS OR REPRESENTATIVES. , AUTHORIZED REPRESENTATo/ J , '" /7.# .. f7I' -= !.Al:':~~H~-rmi.fik:L-t=: . ~;.j!'.::=~__:r:'::-:.':)--.!..;..............k:J-~J:'-iB:..... -.... - "f L/~ @Ae{)RD CORPORfi:iION 1988 ~****Proof/Evidence Only****~* ACORD 25--S (7'97) ,-. SGi " :,'t,,,-:,:<,>:: ./ " ,C "k ,-'> .-:.''''".- . copY ~.;.,.. ',-;'-'- 1.'n~~E.' ~~I:-\, "\: -~/. .; . -.:,o/.,r;,.,;:' ~t:'lSAn.ON' fp'f\,~;;.e_~ k:<.;~ . ..~~:~.~ :~; . /~, " , 1E 04-:q1-~(j~5 '". ~~ \, . p-:b'~~~l~~?"~ .. .~. .' CERTI'FIC;;E' ~~.., , ' . ( .. _. ..; ::; . 1",-~.::,:- ,. -~.' 'r 'I, , " " I -: ~ Ii I L I :11:\ Ii.! \, 'I' . i::L ' , , j I ! , I' ~ ,'~ '; ;! :lii!,"I":: I 'I' . I ;. 1,' : ~ ' I I I ! j..) I, . i' (, I. 1".' "...'. .." .~~ I ~ ' --<, ~.. '. \ \ \ II . \ . ,..,., ..,..;0.". ~~....../"" ". . ~..".. ./ "./ . ... ". State Of California. ,n..!"~~. CONTRACTORS STATE LICENSE BOARD Q' ":J(ar.._.'" ACTIVE LICENSE .. r Conium.. Atllll" u.~..",""" 808313 ('\iy CORP ."''''."....~. BELSHIRE ENVIRONMENTAL SERVICES INC .,1' .'.... . Cl..o/i1""~I'1 A HAZ (." "0''''''0", 05/31/2006 , , '.' , I ',,\ ., 'I, I '~i ~ - - . Sectio-n-~r' ~ .' ':~. ' - ~ ~~_- '" ' _~_:. - - . _ -'-:.'-, -." .' _'. ": -.-, ~~. :,: Boots/.~ S8 Pellethane Series @ 10 Stud Single Sided @ ED.... C . S8 Pellethane Series 12 Stud Single Sided {:-_~~i~~1~;~~~r:;~~~-~~f~}f~!~!~~~ ~~~~~~:\{~?~~t~~~Z~~~:=J SB10B3.7 3.7 4.8 8.38 1.63 4.1 SB1084.8 4.8 4.8 8.38 1.5 SB1084.8X3.5 4.8 4.8 8.38 1.5 - SB1084.8X2.7 2.7 4.8 8.38 1,5 2.94 --'. 8Bl084.8X2.5 4.8 4.8 8.38 1.5 813.5X2.5 8Bl084.8X2.25 4.8 4.8 8.38 1.5 813.5X2.25 8Bl084.8X2.0 2.0 4.8 8.38 1.5 2.94 8Bl084.8Xl.9 2.7 4.8 8.38 1.5 2.94 813.5X2.5, SI2.4Xl.9 SB1084.8Xl.8 2.7 4.8 8,38 1.5 2.94 SI2.6Xl.8 SB1084.8Xl.4 2.7 4.8 8.38 1.5 2.94 SI3.5X2.5. 812.4Xl.4 8Bl0B4.8Xl.0 2.7 4.8 8.38 1.5 2.94 SI3.5Xl.4, 811 .4Xl.0 SB 1 084.8X.84 2.7 4.8 8.38 1.5 2.94 SI3.5X1.4. 811 .4X.84 @ ~ ~~~-~ ~-~~t~ ~:--~(::: :~"~<>- ~ -~:-~~Jj:l~~@E~~-;~;~~; - ~ ~----~ : ,~~- ~~~l~~~ ]-:~~~~~F~--='-~~~ - . ~ ~ . _:~ _ ,_-_.~~__~~___'~_~:_~ ~.:~~~ ~2~::.~' ::~~ :~~ ~~~~~~:::: :,_~.~'~_~~ ',~'~. ___ .-_._,.:~ ~ S81286.8 6.8 6.8 9.75 2.25 S812B6.8X6.0 6.8 6.8 9.75 2.25 SI6.8X6.0 S81286.8X5.2 6.8 6.8 9.75 2.25 SI6.8X5.2 SB 12B6.8X5.0 6.8 6.8 9.75 2.25 SI6.8X5.0 S81286.8X4.6 4.6 6.8 9.75 2.25 3.63 SB12B6.8X3.9 6.8 6.8 9.75 2.25 816.8X5.0. 815.0X3.9 S81286.8X3.5 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5 SB12B6.8X2.7 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5. SI3.5X2.7 S81286.8X2.5 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5, S/3.5X2.5 S812B6.8X2.25 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5. SI3.5X2.25 . S81286.8X2.0 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5. SI3.5X2.0 SB 12B6.8X1.9 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5, SI3.5X2.5, SI2.4Xl.9 S81286.8X1.8 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5, S/3.5X1.8 SB12B6.8X1.4 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5. 813.5Xl.4 S81286.8Xl.0 4.6 6.8 9.75 2.25 3.63 S/4.5X3.5. S/3.5X1.4. SI1.3X1.0 SB 12B6.8X.84 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5, SI3.5X1.4, SI1.3X.84 BLUELlNE ~ECHNOLOGIES, LLC 265 Burns Drive Yuba City. CA 95991 EmaiL ;.;_s=--...==-.~=--..~i..~.:-....~-~.--::.Ph: (866) 267.9765 4 -;.., ;: Section 1 ~ - '-.' . Boots I The S8 SERIES Split Repair Boots are designed to enable repairs to be performed entirely inside the sump. They can either use the existing studs from previously installed leaking penetrations or they can completely overlay the entire old fitting. Constructed of fuel and water resistant Pellethane@, once installed the boots are filled with Bostik 11 OOFS to help form a impenetrable barrier to water. All band clamps, tech screws, and fill tubes are included. B , ...IlL c I @ s 1 . 58 Pellethane Series @ 4 Stud Single Sided c; . 58 Pellethane Series @ 8 Stud Single Sided ~ ~--- ---=; ;'ii~~!~:'-~: - ~~ ~--~~~:~@:xiiW~~ ~~ J>~~~~ ~-~~--. ~ ;~~-~: ~~~iI.}::~~~~~i~~-~ _ ~. {)- ~~ ?~i',_~~:,~ ~-~:. "~~~' ~.,. ,,,'-""'"'- ~ ~~--'-,,-~ ._.~~~ ~ ~- - .~-~ - ~- ~ ~ ~-- - - .~ -< _:._~- ~ -~- -~"--"'''--'' -~~-~~ --- -::: - . 88481.4 1.4 4.75 1.5 1.4 88481.0 811.3X1.0 1.4 4.7 1.5 1.4 8848.84 811.3X.84 1.4 1.4 4.7 1.5 ::~r~~~:~7~~~t~~~.':~~~ _~~~~:k:~~~~~:"'~ ,~"ri~~:;~:~~~~!?~~ S8881.9 1.9 1.9 6,63 2.0 3.56 S8881.9Xl.4 1.4 1.9 6.63 2.0 3.56 S8881.9Xl.0 1.4 1.9 6.63 2.0 3.56 S11,3Xl.0 S8881.9X.B4 1.4 1.9 6.63 2.0 3.56 SI1.3X.84 S8882.7 2.7 2.7 6.63 1.75 3.56 S8882.7X2.4 2.4 2.7 6.63 1.75 3.56 S8882.7X2.0 2.4 2.7 6.63 1.75 3.56 SI2.4X2.0 S8882.7Xl.9 2.4 2.7 6.63 1.75 3.56 SI2.4Xl.9 SB882.7Xl.8 2.4 2.7 6.63 1.75 3.56 SI2.4Xl.8 SB8B2.7Xl.4 2.4 2,7 6.63 1.75 3.56 SI2.4Xl.4 S88B2.7Xl.0 2.4 2.7 6.63 1.75 3.56 SI2.4X1.4, SI1.3X1.0 S88B2.7X.B4 2.4 2.7 6.63 1.75 3.56 SI2.4X1.4, SI1.3X.84 SB883.7 3.7 3.7 6.63 2.0 3.56 S8883.7X2.7 3.7 3.7 6.63 2.0 3.56 SI3.5X2.7 S8883.7X2.5 3.7 3.7 6.63 2.0 3,56 SI3.5X2.5 S8883.7X2.25 3.7 3,7 6.63 2.0 3.56 SI3.5X2.25 S8883.7X2.0 3.7 3.7 6.63 2.0 3.56 SI3.5X2.0 S8883.7X1.9 3.7 3.7 6.63 2.0 3,56 SI3.5X2.5, SI2.4Xl.9 S88B3.7Xl.8 3.7 3.7 6.63 2.0 3.56 S13.5Xl,8 SB8B3.7X1.4 3.7 3.7 6.63 2.0 3.56 SI3.5Xl.4 S8883,7X1.0 3.7 3.7 6.63 2.0 3.56 SI3.5Xl.4, SI1.3X1.0 S8883.7X.84 3.7 3.7 6.63 2.0 3.56 SI3.5Xl.4, SI1.3X.84 3 . BLUELlNE T!=CHNOLOG~ES, LLC 265 B~rns Drive, Yuba City, ~A 95991, E~all' ~8S'';'-\.:?':'::~'~~'":JC O':'~",.<:;""C. Ph~(86~) 26('9;6~ :. - - ~ -"~~'_~ ~ '-~ .c<-.'~"~: - .::.' ~""~~ ~~ _ ~ ~ = _< ~'" - UNDERGROUND STORAGE TANK .. o Bakersfield Fire Dept. Environmental Service 900 TIuxtun Ave., Ste. 210 Bakersfield. CA 93301 Tel: (661)326-3979 Fax: (661) 852-2171 , PERMIT APPLICATION TO CONSTRUCT I MODIFY I MINOR MODIFICATION OF AN UST PERMIT NO. I I TYPE OF APPLICATION: (Check one item only) D NEW FACILITY D MODIFICATION OF FACILITY Page 1 of 1 D NEW TANK INSTALLATION AT EXISTING FACILITY D MINOR MODIFICATION OF FACILITY ROPOSED COMPLETION DATE ISTING FACILITY PERMIT NO. 0.,J'~../~ IP CODE PN# HONE NO ~G- ..J:.-~ ~./~~~ WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE NO, OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL DYES DNO SPilL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FilE DYES DNO THIS SECTION IS FOR MOTOR FUEL TANK NO. VOLUME !uNLEADED REGULAR PREMIUM plESEL AVIATION - THIS SECTION IS FOR NON MOTOR FUEL STORAGE TANKS TANK NO. ~OLUME UNLEADED REGULAR PREMIUM )IESEL AVIATION -t, . FOR OFFICIAL USE ONLY APPLICATION DATE FACILITY NO. NO. OF TANKS FEES $ The applicant has received, understands, and will comply with the attached conditions of the permit and any other state, local andfederal regulations. Thisform has been completed under penalty of perjury. and to the best 0 my 1m wledge. is true and correct. ~~ ..' ~ APPROVED BY: APPLICANT NA (PRINT) THIS APPLICATION BECOMES A PERMIT WHEN APPROVED :z o rt ~ _ _===__ =iiiBfLSH1RE -- ~ -=-= EN VIRONMEN1;4L - ,'-- - -- =' ==-=-= SERVICES, INC. Scope of Work Facility: BP 05365 Date: 6/30/2005 Job Number: 2595 4010 W"'BLE RD BAKERSFIELD, CA Estimate No: 226 Contact: Rick Kinnaman R~p~ir:~~~ti() :VVotk'tp:f>e,-" . . '-aluetirlep~i'1 . . .... .--' ,- .-----...."..., ',"-.,;,'.':.'.'.'.--'.'--,' '. ,.. - ..,.., ....... iR~pajr;LocatiOIl:~m SUnlP;;i:$"l::~ 'W~tktobepetforined:B~pl~c~fi1 R~pail'l-()ca~!()n:iFill:~lJ!J1pi~:~~~I~M~'im:::::m ::i!.-.::.:i!:.:m"'i','i ':' ,. . ,.VY()rk.tobepel'f()I111~(I::REmIClQefilhCiqq,{CiP()r:Rl.Ig~~t_"::::::-.,.... ,. 'i' " ---- ;;;;;.-;;; ----=- -Z B'clS'LllR'c =-==-- =--== ~J nl ~ ~;;;- =-=-= ENVIRONMENTAL ~-~;;; SERVICES, INC. Site Map Date: 6 - /~, t5 <j BESI#: 6)~> M// City: rev. 1 0/15/03 LJH1/t 00.00 ~ &'~ID& r- 6 0 0 0 (] l- t ( I~ Q 6 LJ ~ e I:J 6 Iv 10 ACORD.N' CERTIFICATE OF LIABILITY INSURANCE I DATE (MIWDDIYY) " 06/16/2005 PRODUCER (9'49)857-,4500 FAX (949)857-4800 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Millennium Risk Management & Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR License # OC13480 ALTER THE l?OVERAGE AFFORDED BY THE POLICIES BELOW, 5530 Trabuco Road INSURERS AFFORDING COVERAGE Irvine, CA 92620 INSURED &elshire Environmental Services, Inc. INSURE.R A: Zurich Arne'rican --- 25971 Towne Centre Drive INSURER s: Steadfast Insurance Foothill Ranch, CA 92610 mSURER C: INSURER 0: I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION Of ANY COtrrRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTlACATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED aY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE Llllilrrs SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, , Iri~ TYPE OF INSURANCE POUCY NUMBER '"8..PTV ~~~E Pgi!fJ(~rX~~cr EACH OCCURRENCe UMITS GENERAL lIABILITY X COMMERCIAL GENERAL lIAl'!lLITY 11-916038-03 I CLAIMS MADE 0 OCCUR $ 1.000,000 100,000 5,000 1.000,000 1.000,000 1.000,000 06/14/2005 06/14/2006 FIRE DAMAGE (Anyone fire) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAl AGGREGATE $ $ $ S A f-c- f-- GEN"L AGGREGATE OMIT APPLIES PER: [----] nPRD- n I I POLICY JECT LOC ~TOMOBILE L1ABIUlY X AN:( AlITO - All OWNED AUTOS PRODUCTS - COMP/OP AGG $ 4916042-03 06/14/200!> 06/14/2006 COMBINED SINGLE LIMIT (Ea acx:i~nQ $ 1,000,000 AX X - - SCHEDUlED AUTOS HIRED AUTOS NON-OWNED AUTOS BOOlL Y INJURY (Pe< per=n) - BOOll Y INJURY (PQ( accident) s PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ==i ANY AUTO EXCESS LIABILITY lJ OCCUR 0 CLAIMS MADE ~EO 5337678-01 AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EAACC S AGG S 06/14/2006 EACH OCCURRENCE AGGREGATE 5,000,000 S,OOO,OOO ,06/14/2005 S S S S S i B I DEDUCTIBLE --, RETENTION S WORKERS COMPENSATION ANO EMPLOYERS" LIABILITY I TORY UMITS I ,::1' .IU EC- EL EACH ACCIDENT S EL DISEASE - EA EMPLOYEE $ E,L DISEASE - POLICY LIMIT $ $1,000,000 limit OTHER ontractors Pollution I~. B L iabil ity ~916039-03 06/14/2005 06/14/2006 , OESCRIPTIO~ OF Of'ERAJlQNSlLOJ:ATlaiiiSJVE~ICLE~_~kllSION~ A~ED BY EN'pORSEM~/~ECIAL P~OVlSI6NS_ i _' , ~E: Proof Evidence Only ! *10 day notice of canc~llation in the event of non-payment of premium. CERTIFICATE HOLDER r I ADDITIONAL INSURED; INSURER 1,EiTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE --------------.-.--- . ~.........,. ... .."................1" EXPIRATION DATE THEREOF. THE ISSumG CDMPANYWnL ENDEAVOR TO MAlL _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, aUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPA~ AGENTS OR RePRESENTATIVES. AUTHORl<:ED REPRESENTATlVY J , " /7.d, ' f'lp .. _ _ ;-.lw.441!'t~-r~ -" _">>:~ ~~ll'_~L,,-y""""r'.k"}'(if:'-!,,--'je:"" -'-" - ,-, L/""'- @Aet)RD coRPORATION 1988 ... ~*;;~Proof/Evidence Only****~* ACORD 25-5 l7/91) I.!1CW U)'. ~',,;;< s~;i::i.' ,,-:.... ,,;i '~: ,..,. ' ~; .', .,;. ,~> , ",. "t., /K 't', '0 ~~> ;"Il_ .~f, ;." ,...;'<...., ). (];';.,- O':X: .:gr. U" Z: . .~';, LL . '". ,0 cL '. UJ .1- '<C.'" ;~ .li.. 'j:: '..ce. w U in. '''0 ) "0'.: N"'" I .?" 0.. I.' .-..,.". '0., , ,~' ':;:<">;., ~. " .'l'" '. .:,7'..." ;"'~'<~:;';;:;:;"'. '.. t, I ;,c" '., >li,:..'~"t . .. ./ Ii' ;' I :lli.1 !' 'j' it ' I ! ii' : " ~ . ~ i , .' iill:' .' 1,1: . j. I I I " I'~ T' I,' "..." e'.' .~ , ~ I ~., "\.. \\ \, \ " .......~. ~~~...../"., ,..... '.! . ::"," , , " " \, ~........ ./ .',/" .. . State Of Oallfornla. .n..!".. CONTRACTORS STATE LICENSE BOARD i '1'r"-':::'.. ACTIVE LICENSE 1 .. Con.u"", A!toln .." Uo....~~.., 808313 ""y CORP ""..n",,,,. BELSHIRE ENVIRONMENTAL SERVICES INC e1.."..u..,.! A HAZ "'1.....0... 05/31/2006 , . . I , " " 'l," ':~ i il , I - - . ';-oS~~~!~~~Jfr1~~~~~f!t~~~~t~~~~llr;}f~~;?;~~Jiil~~!{~5?~~t~~~~~~~:J;!*ift~~!3-g~~~~1 S8 Pel/ethane Series @ 10 Stud Single Sided Iij.'\' \:!!;J S8 Pellethane Series 12 Stud Single Sided ~ll~~~~E~~~;i:~~~1~~!~I~;~~~~i~~~33~~~~~~~~el~11 S81083.7 3.7 4.8 8.38 1.63 4.1 S81084.8 4.8 4.8 8.38 1.5 S81084.8X3.5 4.8 4.8 8.38 1.5 - S81084.8X2.7 2.7 4.8 8.38 1.5 2.94 '- S81084.8X2.5 4.8 4.8 8.38 1.5 SI3.5X2.5 S81084.8X2.25 4.8 4.8 8.38 1.5 SI3.5X2.25 S81084.8X2.0 2.0 4.8 8.38 1.5 2.94 S81084.8X1.9 2.7 4.8 8.38 1.5 2.94 SI3.5X2.5, S/2.4X1.9 S81084.8X1.8 2.7 4.8 8.38 1.5 2.94 SI2.6X1.8 S8 1 084.8X1 .4 2.7 4.8 8.38 1.5 2.94 SI3.5X2.5, SI2.4X1.4 S81084.8X1.0 2.7 4.8 8.38 1.5 2.94 SI3.5X1.4, SI1.4X1.0 S81084.8X.84 2.7 4.8 8.38 1.5 2.94 SI3.5X1.4. SI1.4X.84 @ >:;;2i~{:-~~I~~f;:J~l~flr:I~~~l~~~i~i~~~~~~15~~T?i~ S81286.8 6.8 6.8 9,75 2.25 S81286.8X6.0 6.8 6.8 9.75 2.25 S/6.8X6.0 S81286.8X5.2 6.8 6.8 9.75 2.25 SI6.8X5.2 S81286.8X5.0 6.8 6.8 9.75 2.25 SI6.8X5.0 S81286.8X4.6 4.6 6.8 9.75 2.25 3.63 S812B6.8X3.9 6.8 6.8 9.75 2.25 SI6.8X5,O, SI5.0X3.9 SB 1286.8X3.5 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5 S8 1286.8X2. 7 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5. SI3.5X2.7 S81286.8X2.5 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5. S13,5X2.5 SB 1286.8X2.25 4.6 6,8 9.75 2.25 3.63 SI4.5X3.5, SI3.5X2.25 S81286.8X2.0 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5, S.!,3.5X2.0 S81286.8X1.9 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5. SI3.5X2.5. SI2.4X1.9 S81286.8X1.8 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5, SI3.5X1.8 SB1286.8X1.4 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5. SI3.5X1.4 S812B6.8X1.0 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5. SI3.5X1.4, SI1.3X1.0 S81286.8X.84 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5, SI3.5X1.4. SI1.3X.84 . B L~ E_L'I~ E !~ q ~ ~O_LO(il E~, . ~q> 265'~,U;~~-~.'i~e:Y~b~-~itY:~~.95~;,; : E~ail: :'~_ ~~-~~=-i .j~=~;~i~I;o.-:-.:~::~86~)~_~7:g~;f:' i~i~ ~ /.. .!. ""s" - - t' ,,""' ,- '::" -~.~ ~- --~i - -::~ --'-~ =~<;~- - < -- --~---~~.' --- ~- -~ -.---:- -- -~>- ;~:'- - '-~ ~::-,: ~:---" -- .: ~:_'~< ~B-- ~'- '-:1 ~~; - eClon'1~ - - - -' .-. -. --- ..~- ...- OOS. ,~- ~ ~ - --=.--:: --~~ > = - -...... --; - ~--.....- ----:-- '-~~- - "- - - - - ---- -"- - _:~'-~-----~~-~ ~~~- .-...---"': -- ---- ---~ ~-~----> I The S8 SERIES Split Repair Boots are designed to enable repairs to be performed entirely inside the sump. They can either use the existing studs from previously installed leaking penetrations or they can completely overlay the entire old fitting. Constructed of fuel and water resistant Pellethane@, once installed the boots are filled with Bostik 11 OOFS to help form a impenetrable barrier to water. All band clamps, tech screws, and fill tubes are included. B A o ~ c 1 @ .. ~ c.> S8 Pellethane Series @ 4 Stud Single Sided S8 Pellethane Series @ 8 Stud Single Sided ':tt~",.",Ct;:~~;\~:~~~~;~;;;~:, ~:1~;S[:~li1 58481.4 1.4 1.4 4.75 1.5 58481.0 1.4 1.4 4.7 1.5 5Jl.3X1.0 5848.84 1.4 1.4 4.7 1.5 511.3X.84 I~:~~_<!~\ft~~~~~fi~iE~~~~1[~~~:1i~~~~Z1~:~;Z~~~] SB8B1.9 1.9 1.9 6.63 2.0 3.56 SBB81.9Xl.4 1.4 1.9 6.63 2.0 3.56 SBBB1.9Xl.D 1.4 1.9 6.63 2.0 3.56 SI1.3X1.0 SBBB1.9X.B4 1.4 1.9 6.63 2.0 3.56 S11,3X.B4 SBBB2.7 2.7 2.7 6.63 1.75 3.56 SBBB2.7X2.4 2.4 2.7 6.63 1.75 3.56 SBBB2.7X2.0 2.4 2.7 6.63 1.75 3.56 SI2.4X2.0 SBBB2,7X1.9 2.4 2.7 6.63 1.75 3.56 SI2.4Xl.9 SBBB2.7X1.B 2.4 2.7 6.63 1.75 3.56 SI2.4X1.B SB8B2.7X1.4 2.4 2.7 6.63 1.75 3.56 SI2.4Xl.4 SB8B2.7X1.0 2.4 2.7 6.63 1.75 3.56 SI2.4X1.4. SI1.3Xl.0 SBBB2.7X.84 2.4 2.7 6.63 1.75 3.56 SI2.4Xl.4, SI1.3X.84 SBBB3.7 3,7 3.7 6.63 2,0 3.56 SBBB3.7X2.7 3.7 3.7 6.63 2.0 3.56 SI3.5X2.7 SBBB3.7X2.5 3.7 3.7 6.63 2.0 3.56 SI3.5X2.5 SBBB3.7X2.25 3.7 3.7 6.63 2.0 3.56 ~.5X2.25 SBBB3.7X2.0 3.7 3.7 6.63 2.0 3.56 SI3.5X2.0 SBBB3.7X1.9 3.7 3.7 6.63 2.0 3,56 SI3.5X2.5, SI2.4Xl.9 SBBB3.7X1.8 3.7 3.7 6.63 2.0 3.56 S13.5X 1.8 SBBB3.7Xl.4 3.7 3.7 6.63 2.0 3.56 SI3.5X1.4 SBBB3.7Xl.0 3.7 3.7 6.63 2.0 3.56 SI3.5X1.4, SI1.3X1.0 SB8B3.7X.B4 3.7 3.7 6.63 2.0 3.56 SI3.5X1.4. SI1.3X.B4 :~;~~~i~e~~~~B~Jt~-~~:~~t8~!~~~f~~~;i~t~~~~fi~;~~:~~3f~~~~i~~~i~;~l~?~~~~~f~~~~;~-~~~!~~2![~J?~ -- ... UNOERGROUNDSTORAGETANK Bakersfield Fire Dept. Environmental Service 900 Tiuxtun Ave.. Ste. 210 Bakersfield, CA 93301 Tel: (661)326-3979 Fax: (661) 852-2171 '1' . PERMIT APPLICATION TO CONSTRUCT I MODIFY I MINOR MODIFICATION OF AN UST PERMIT NO. I I TYPE OF APPLICATION: (Check one item only) o NEW FACILITY o MODIFICATION OF FACILITY Page 1 of 1 o NEW TANK INSTALLATION AT EXISTING FACILITY o MINOR MODIFICATION OF FACILITY ROpOSED COMPLETION DATE ISTING FACILITY PERMIT NO. IP CODE PN# HONE NO ITYu.- ~C- fc~~/~~' WATER TO FACILITY PROVIDED BY DEPTH TO GROUNO WATER SOIL TYPE EXPECTED AT SITE NO. OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL DYES DNO SPILL PREVENTION CONTROL ANO COUNTER MEASURES PLAN ON FILE DYES DNO THIS SECTION IS FOR MOTOR FUEL TANK NO. OLUME UNLEADED fEGULAR PREMIUM DIESEL f\VlATlON -- THIS SECTION IS FOR NON MOTOR FUEL STORAGE TANKS TANK NO. VOLUME UNLEADED ~EGULAR PREMIUM DIESEL VIA TION FOR OFFICIAL USE ONLY APPLICATION DATE FACILITY NO. NO. OF TANKS FEES $ The applicant has received, understands, and will comply with the attached conditions of the pennit and any other state, local andfederal regulations. 17lisfonn has been completed under penalty of perjury, and to the best 0 my wledge, is true and correct. ~~ ~ APPROVED BY: APPLICANT N THIS APPLICATION BECOMES A PERMIT WHEN APPROVED ~ o N ;g _ -- ~ =iirBfLSHIRf --- - I =-r::.f!J:"""'" =-== EM 'RONMENTAL =::=-:::::::::=-=-;;; SERVICES,INC. Scope of Work Facility: BP 05365 Date: 6/30/2005 Job Number: 2595 4010 WIBLE RD BAKERSFIELD, CA Estimate No: 226 Contact: Rick Kinnaman Re,pai VV()I'~;, ,. '.' ....' '$Iuelineie~net ,'- ... - .'..,;_--.'- "',:.,:'."..'.',",-:-; -,_;0- '.""':.";',:"'_'_:":,..."_'_'_"_"'''.'._'_'.'.'.:.:.: ..,.:c-,:.:....-.:.:_'_,_,_'_..;,;.;.;;._,_;.;:.:.,_:,_.;_'_C_'_""_";':"':':':':':"--"_._:'-. . . ,.... -. ..... ,-,.-- . .....,.. ....--. -. . .. R~paJrl..o~atioll:Fill~lI!11p..i~'tiiM~~t~r'";,, i...m: ....'.i i i < 'i.. ,.," . 'w. 'orkt~.beped()rit1ed. ~,Repl?ce'ftIU?t1Py?pq~:~. 'ygk~f."" .. - - . - .",..... ,- -".- ... '" ..." ". . ...-" - --- . - '. Rel'airI..PQcltiQri;:FIII:~(jmp:"'$1 .'Wol'kto'l;)ej;)erfOrl11~c:tYReplaG~ u ,_, _,,_ ", .., .... ......... _.. _,......: ... .." .....Ii.. '" _ __ _ ii%BfLSHIRf ~ =- .=-=.~ ENVIRONMENTAL i!ffi;;i:--~ SERVICES, INC - ~ -_. . .-...-.--- - -- . Site Map City: rev. 10/15/03 BESI#: 6S-~> lJ l{1 n 00.00 L.J ~~ ~ ~ (1)~~CD r- 6- 0 C) 0 \] i- t ( 9 Q 6 L1 ~ r; Q 6 Iv /0 u ~~ . "ACORQ~' CERTIFICATE OF LIABILITY INSURANCE I DATE (MII<lIDDlYY) 06/16/2005 PRODUCER (949) 857 -.4500 FAX (949)857-4800 THIS CERTifiCATE IS ISSUED AS A MATTER OF INFORMATION Millennium Risk Management & Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEN'D. EXTEND OR License # OC13480 ALTER THE ~OVERA!3E AFFORDED BY THE POLICIES BELOW. 5530 Trabuco Road INSURERS AFFORDING COVERAGE Irvine. CA 92620 INSURED Belshire Environmental Services. Inc. INSURER k Zu ri ch Amed can --- 25971 Towne Centre Drive INSURER s: Steadfast Insurance Foothill Ranch. CA 92610 INSURER c: INSURER D: I INSURER Eo COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLlCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION Of ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO W..IICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDmONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. . ,'~M lYPE OF INSURANCE POUCYNUYBER PgMW.,JF~~E Pgi!fi(~,A;~ LIMITS GENERAL lIABILITY X COMMERCiAl GENERAL L1AEllllTY 4916038-03 I CLAIMS MADE [K] OCCUR 06/14/2005 06/14/2006 EACH OCCURRENCE $ FIRE DAMAGE IAnyone fire) $ MED EXP (Any one p"",,,") $ PERSONAl r. ADV INJURY $ GENERAl AGGREGATE $ PRODUCTS - COMPJOP AGG $ 1,000,000 100,000 5,000 1,000,000 1,000.000 1,000,000 A GEN"L AGGREGATE UNlIT APPLIES PER: I POLICY n ~rg: n LOC ~TOMOBILE L1ABIUlY X I'N:f AUTO - All OWNED AUTOS ~916042-03 06/14/200i 06/14/2006 COMBINED SINGLE lIMIT {E" acci~nQ s 1,000,000 -c-- BODILY INJURY {Pe< pe=ml $ A _ SCHEDUlEO AUTOS X HIRED AUTOS - X NON-DWNED AUTOS - BOOIL Y INJURY (pQr accident) $ PROPERlY DAMAGE (Per accident) $ GARAGE LIABILITY =1 ANY AUTO EXCESS LIABIUlY 1:] OCCUR 0 CLAIMS MADE 1 B AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EAACC $ AGG S ~EO 5337678-01 .06/14/2005 06/14/2006 EACH OCCURRENCE AGGREGATE $ $ 5.000,000 5,000,000 I DEDUCTIBLE :-l RETENTION $ S $ S WORKERS COMPENSATION AND EMPLOYERS LIABILITY ITORY UMITS I -;>,' IU ~~ EL EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE S EL DISEASE - POLICY lIMIT S $1,000,000 limit OTHER Contractors Pollution B Liability '916039-03 06/14/2005 06/14/2006 DESCR(PTlO~ OF OPERA]lQN$(lOJ:A llaNSNE~ICLE~_C;:\;,!SION~ AlWED BY EN'pORSEMgm-l~ECIAL P,!OVlSIONS_ i _' . ~E: Proof Evidence Only 1 *10 day notice of canc~llation in the event of non-payment of premium. CERTIFICATE HOLDER I I AODmoNAL INSURED; INSURER LEiTER: CANCELLATION -~------_.--_...-.--- . ...................... T .'to............ -." SHOULD ANY OF THE ABOVE DesCRIBED POLICIES BE CANCELLED BEFORE THE EXl"IRA110N DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MA"- _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HoLDER NAMED TO THE LEFT, BUT FAILURE TO MAlL SUCH NOl1CE SHAU IMPOSE NO OElLlGAllONOR LIABILITY OF ANY KIND UPON THE COMPAJP<';1'fS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATo/ J ~ ... /' } // .' (1L' , .:. _ i'.IUL~'tt1!.-r~;, :';>':'~-_;:'" =f~::;-::--~,..-;:~----"'.k~'l'::>"':'-'iB:"'" -,0:. - nf \.../"'" @AeORD CORPORATION 19B8 , ~****Proof/Evidence Only***~~* ACORD 25-5 (7197) ,:' ....,... CI' - V), .,:."1" ': . , ',~; o' \ . ~ ".~ .~( 'i;" \.\;',:'. :- ,'~ '. , .:;\...:.....'... ..t." :.:,~ I',.' '0 :(Cu.., ;-'.cL '-'i"'- ;];.~,' .:~"J;: ~,:... ,:[Y Z"'-" .,.~ <( VI" ""~t :ic':':;) ~" 0 .~2';,;t:",~~t^"',J.: ' x'^'~ "'0'".. ...'l=! eei .'<:1>'/ ;d:~ 0.;:' i i=. "'[1i .i'"",.- U lh -"0 ") ''0': NO""'" I .... 0., I :~:. ..),1\'('>' ,~'~'t,;:"~l;"',::'~f',, ,:-~.~.;:::}t...:'! ';, .. " ....- '- " ,,;~.?~,:'~.: ,',':,;.'.:',.':.' ,~:..~:', ~ ' 'I ,..f~, . .- :'. .,~',,:~,~,'.'."'" ......... ' ;,~., -,." . ,,'::' , ,~ '. .:,,',. , . ~\ --.." , , , !~ ! Ir " , ~ " , " il Ii l !. I ,~ I . :\111 \, 'j " i: I I ! i ~.. \\, , , " .\ , , I' ! .' ~ , " , ! , I, ~,..."" ,/ ....../.. State Of California ,~~... CONTRACTORS STATE LIOENSE BOARD~' '1-r.'.:.'::... ACTIVE LICENS'E I .. I Con.um.. A~u1\"1 U.....t<lm..' 808313 (,lIy CORP " ,,,,,,"'oJom, BELSHIRE ENVIRONMENTAL SERVICES INC . :; , " il/'." :' 1'1 : '" .", I' I I ..... /",.. "r~""~ ............. .... I , " '\1" .....1> C1..",..ilM('i A HAZ ~ """"0'1' 05/31/2006 ::", .' 'r: I ~ ' 1 I" 'II"'" , ," , , - - . ~() ~p~~~:f,f2~i~I~~t~~~,~i~:~~~~%!~t1j):~:~~:~:~~~~~Z~:~~~1~}~~~~~5~*~~r:~~~~J~~~~-R:P:!~1 58 Pellethane Series @ 10 Stud Single Sided tij:\E \:!Y B A 58 Pellethane Series 12 Stud Single Sided JS~~i~~~i~~~~~~1:~;~It~ir~:~~~i~~If~(~53~}l1;~}~~~ S81083.7 3.7 4.8 8.38 1.63 4.1 S81084.8 4.8 4.8 8.38 1.5 S81084.8X3.5 4.8 4.8 8.38 1.5 - S81084.8X2.7 2.7 4.8 8.38 1.5 2.94 " S810B4.8X2.5 4.8 4.8 8.38 1.5 SI3.5X2.5 SB1084.8X2.25 4.8 4.8 8,38 1.5 SI3.5X2.25 SB10B4.8X2.0 2.0 4.8 8.38 1.5 2.94 SB1084.8X1.9 2.7 4.8 8.38 1.5 2.94 SI3.5X2.5, SI2.4Xl.9 SB1084.8Xl.8 2.7 4.8 8.38 1.5 2.94 SI2.6X1.8 SB1084.8Xl.4 2.7 4.8 8.38 1.5 2.94 SI3.5X2.5, SI2.4Xl.4 SB1084.8Xl.0 2.7 4.8 8.38 1.5 2.94 SI3.5Xl.4, SI1.4Xl.0 SB 1 084.8X.84 2.7 4.8 8.38 1.5 2.94 SI3.5Xl.4, SI1.4X.84 @ 1~;~~:~1<~~~rj~~~~i~~~~~~~~i~~~:~;f~(!~1~~f~\:~i~~ S812B6.8 6.8 6.8 9.75 2.25 SB1286.8X6.0 6.8 6.8 9.75 2.25 SI6.8X6.0 SB 12B6.8X5.2 6.8 6.8 9.75 2.25 SJ6.8X5.2 SB 12B6.8X5.0 6.8 6.8 9.75 2.25 SI6.8X5.0 SB 12B6.8X4.6 4.6 6.8 9.75 2.25 3.63 SB 12B6.8X3.9 6.8 6.8 9.75 2.25 SI6.8X5.0, 815.0X3.9 SB12B6.8X3.5 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5 SB12B6.8X2.7 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5, 813.5X2.7 S81286.8X2.5 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5, 813.5X2.5 SB 12B6.8X2.25 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5, SI3.5X2.25 S81286.8X2.0 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5, Sl3.5X2.0 S812B6.8Xl.9 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5. SI3.5X2.5. SI2.4X1.9 S81286.8Xl.8 4.6 6.8 9.75 2.25 3.63 S/4.5X3.5, S/3.5Xl.8 SB12B6.8Xl.4 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5, SI3.5Xl.4 SB12B6.8Xl.0 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5. SI3.5X1.4. SI1.3X1.0 SB 12B6.8X.84 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5. SI3.5X1.4, SI1.3X.84 - - - -' - -- ~ "" :.BLUE:LiNE~TEC_HNOLOGIES, [LC: 265 Bu;ns'C,nve: ;Uba'Clty,'CA ~5~91iE;';ail"~c ~i3'.;:~:'.3\=i:.~i.;.<;:;:. ~h, (866)'267:~7.65~ ~ '~:fi~~: ~.- - ,,_. ~-. ---" - -_ - _ _,,~~ -~_;. '_"" ::._~ _ _. ~~ -:;,..,_~ __~_ _ __" -':~~_;:;"':;"C_-,,7""~ -'<<- ~~ ~~"', -~.+ -::._...... ~ ~~B3-. ~~- i! "" ,l ~ ~e'ction'-l- ~~-"'f~:{" ~/~~ .;~ .~::~. :>~ ='. ~ ~~ .:~:~~: .-- '.:'~/ .:~~~~:.:: . :'j:~'~~'~:~~~:. i~.'-:{'+'~~: :~j3~.oi~~~~ - - - -- ~ - - - - - I The S8 SERIES Split Repair Boots are designed to enable repairs to be perfonned entirely inside the sump. They can either use the existing studs from previously installed leaking penetrations or they can completely overlay the entire old fitting. Constructed of fuel and water resistant Pellethane@, once installed the boots are filled with Bostik 11 OOFS to help form a impenetrable barrier to water. All band clamps, tech screws, and fill tubes are included, 0 S c 1 @ ., 4..1.. :1 ." ~ .. -f.< <", S8 Pellethane Series @ 8 Stud Single Sided ;_,~':}:r'~In~~-;,~;~~'g~~~J~~~~~t"'~51~~_2.'~ SB461.4 1.4 1.4 4.75 1.5 SB461.0 1.4 1.4 4.7 1.5 SI1.3X1.0 SB4B.84 1.4 1.4 4.7 1.5 SI1.3X.84 S8 Pellethane Series @ 4 Stud Single Sided E~~i{l~if\~~:~:(~~=~~:~~~s~~~~~~i~~~~E~~~{~I;:=IJf~~z1 SB8Bl.9 1.9 1.9 6.63 2.0 3.56 SB881.9Xl.4 1.4 1.9 6.63 2.0 3.56 SB8Bl.9Xl.0 1.4 1.9 6.63 2.0 3.56 SI1.3Xl.0 SB8Bl.9X.84 1.4 1.9 6.63 2.0 3.56 SI1.3X.84 SB882.7 2.7 2.7 6.63 1.75 3.56 SB882.7X2.4 2.4 2.7 6.63 1.75 3.56 S88B2.7X2.0 2.4 2.7 6.63 1.75 3.56 SI2.4X2.0 SB8B2.7Xl.9 2.4 2.7 6.63 1.75 3.56 SI2.4Xl.9 SB882.7Xl.8 2.4 2.7 6.63 1.75 3.56 SI2.4Xl.B SB8B2.7Xl.4 2.4 2.7 6.63 1.75 3.56 SI2.4Xl.4 SB882.7X1.0 2.4 2.7 6.63 1.75 3.56 S/2.4X1.4, S/1.3X1.0 SB882.7X.84 2.4 2.7 6.63 1.75 3.56 SI2.4X1.4. SI1.3X.84 SB8B3.7 3.7 3.7 6.63 2.0 3.56 SB8B3.7X2.7 3.7 3.7 6.63 2.0 3.56 SI3.5X2.7 SBB83.7X2.5 3.7 3.7 6.63 2.0 3.56 SI3.5X2.5 SB8B3.7X2.25 3.7 3.7 6.63 2.0 3.56 ~.5X2.25 SB8B3.7X2.0 3.7 3.7 6.63 2.0 3.56 SI3.5X2.0 SB8B3.7Xl.9 3.7 3.7 6.63 2.0 3.56 SI3.5X2.5, SI2.4Xl.9 SB8B3.7Xl.8 3.7 3.7 6.63 2.0 3.56 SI3.5X1.B SB8B3.7Xl.4 3.7 3.7 6.63 2.0 3.56 SI3.5Xl.4 SB8B3.7X1.0 3.7 3.7 6.63 2.0 3.56 SI3.5Xl.4, SI1.3Xl.0 SB8B3.7X.84 3.7 3.7 6.63 2.0 3.56 SI3.5Xl.4, SI1.3X.B4 .~d ;;-'~?~f~~~!!i~tg8bt~R&~i~EJ~~~S~ai~F~;~~~~~5i~~~j;~~~9j~;f~~~~}li~~~i~~~~1f~~Jtri~1~ ~-= UND~~ROUNDSTORAGETANK @' Bakersfield Fire Dept. Environmental Service 900 Tiuxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel: (661)326-3979 Fax: (661) 852-2171 PERMIT NO. I TYPE OF APPLICATION: Page 1 ot 1 (Check one item only) o NEW FACILITY o MODIFICATION OF FACILITY o NEW TANK INSTALLATION AT EXISTING FACILITY o MINOR MODIFICATION OF FACILITY ROPOSED COMPLETION DATE ISTING FACIUlY PERMIT NO. rh/'l" ~,.,/ ~ IP CODE N# HONE NO IP CODE ICCNO. ~? JC~ ~/-6~~ WATER TO FACILllY PROVIDED BY DEPTH TO GROUND WATER SOIL lYPE EXPECTED AT SITE NO. OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL DVES DNO SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE DVES DNO THIS SECTION IS FOR MOTOR FUEL TANK NO. OLUME UNLEADED REGULAR REMIUM plESEL V1ATION _. THIS SECTION IS FOR NON MOTOR FUEL STORAGE TANKS TANK NO. VOLUME ~NLEADED REGULAR PREMIUM IESEL VIATION .. FOR OFFICIAL. USE ONLY APPLICATION DATE FACILITY NO. NO. OF TANKS FEES $ THIS APPLICATION BECOMES A PERMIT WHEN APPROVED lZ o N ~ ----., I / - -- =, =iiZBELSHIRE --- - / =-=.!!!!:"""'" =-== EN~ IRON/vtENTAL :==--:---=:=-= SERVICES,INe. Scope of Work Facility: BP 05365 Date: 6/30/2005 Job Number: 2595 4010 WIBLE RD BAKERSFIELD, CA Estimate No: 226 Contact: Rick Kinnaman . - - ,-.,.-.;.".:.,....,....,... .R~pajrLocatiOrt':,:Fill..,SllmpL~'lmr\i1a~f 'vvotk;~(),be:perfol'ined:R~pl~c~:fi.l.h ' . . R~pair.l-()~~tiOl'i:.:Fllli$~l'l)p 'WQrk;'.tQ:be.,p~rfQl'l'i1e(J:..fR~ .of. . " - -- - =ZBfLSHIRf =-=,;- :-::. = ENVIRONMENTAL ~--==:::-~ SERVICES,INC. Site Map Date: b -Ie? - () r BESI#: ~~> ~ City: rev. 10/15/03 (,J tf1 It 0000 tJ ~~ ~ ct T (1)~~(]) 6 0 0 0 (] i- t ( 9 Q 6 eJ ~ e !:J 6 /v /0 ;. 1 ~i , AGORQ~' CERTIFICATE OF LIABILITY INSURANCE I DATE (MII<lIDDiYY) 06/16/2005 PRODUCER (949)857-.4500 FAX (949)857-4800 THIS CERTlACATE IS ISSUED AS A MATTER OF INFORMATION Millennium Risk Management & Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEN"D, EXTEND OR License # OC13480 ALTER THE ~OVERA!3E AFFORDED BY THE POLICIES BELOW. 5530 Trabuco Road INSURERS AFFORDING COVERAGE Irvine, CA 92620 Belshire Environmental Services, lne. Zurich Amedcan --- INSURED INSURER k 25971 Towne Centre Drive INSURER s: Steadfast Insurance Foothill Ranch, CA 92610 Ifo/SURER c: INSURER D: I INSURER Eo COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN IsSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION Of ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDmONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR lYPE OF INSURANCE POUCY NUMBER ~.kW~~~E Pgk!fJ'lif":;~ . UMITS ,LTR --" , GENERAL LIAllILnY EACH OCCURRENCE $ 1,000,000 I--- COMMERCIAl GENERAL lIAElILITY '1-916038-03 06/14/Z00~ 06/14/2006 X FIRE DAMAGE (Anyone fire) $ 100,000 I CLAIMS MADE [K] OCCUR MEO EXP (Any one per.sonJ 5: 5,000 1 A. PERSONAL & AnV INJURY S 1,000,000 -,-- GENERAL AGGREGATE $ 1,000,000 - 1,000,000 GEN"L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG S ~ POLICY n~:& n LDC ~OMOBILE UABIUTY COMBINED SINGLE LIMIT 5: X Mi:fAlITO 4916042-03 06/14/Z00, 06/14/2006 (Ea acci~nIl 1,000,000 - ALL OWNED AUlDS BODILY INJURY ~ (Per person) S SCHEDUlEO AUlOS A X- HIRED AUTOS BOPIL Y INJURY X- $ No.N-OWNED AlITo.S (Par accidenl) - PROPERTY DAMAGE S (Per accident) GARAGE LIABILiTY AUTO. ONLY - EA ACCIDENT S =1 ANY AUTO aTHER THAN EAACC $ AUTO. ONLY: AGG S EXCESS LIABIUTY EACH OCCURRENCE $ 5,000,000 XJ O?CUR 0 CLAIMS MADE :SEO 5B7678-01 06/14/2005 06/14/2006 AGGREGATE S 5,000,000 '. B $ ==i DEDUCTIBLE ~ RETENTION $ "' S . I TORY UMlTS I "/'.IU~,r ., WORKERS COMPENSATION AND EMPLOYERS' LIABILITY EL EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE $ , E.L DISEASE - pOLICY lIMIT $ OTHER $1,000,000 limit Contractors Pollution B Liability 14916039-03 06/14/Z005 06/14/2006 DESCRIPTJO~ OF Of'ERAJlQNS(LO_CATJOijSNEtlICLE~_C;:1.lJSION3! A!WED BY EN.DORSEM?a/Sl'ECIAL PI!.OVISKlNS_ I _ . ~E: Proof Evidence Only ! *10 day notice of canc~llation in the event of non-payment of premium, CERTIFICATE HOLDER I I ADDlT10NAL INSURED; INSURER LETTER: CANCELLATION SHOULD PJ('( OF THE ABOVE OESCRIBEO POLICIES BE CANCELlED BEFORE THE -------- ----.." -.--- . '""'............ ... ...r-...... ...... EXl'IRAllON DATE THEREOF, THE ISSUING COMPANY WILl ENDEAVOR TO MAil.. _ DAYS WRITTEN NOTICE TO. THE CERTIFICATE HOLDER NAMED TO THE lEFT, BUT FAIlURE TO MAIL SUCH NOllCE SHALL IMPOSE No. OSUGATlONOR llABlUlY OF ANY KIND UPON THE COMPA)A';1fS AGENTS OR REPRESENTA TlVES. , _ !'::::~;=:o/ ~~~_ ,g :7:~~':r-.!C.~';.';:~J:" .".". _ '-f .< L/..... @AeORD CO'RPORAiION 1988 ~~***Proof/Evidence Only****~* ACORD 25-5 (1197) /,:~~[~:.~:)~~i:~~~,2i";i;' .i;if~~~~81':: s '..;~: ;.;,,~~ ".., .:> ':-~'_ ,;, '~~~~~~fl' -': ,,:'1' ,".'~ ,," ~Z<~'~Z ' ,i' t >F;. ..~pf, ~ 'y \ii...V .....k'ot>.:; rn ';J; ',.(~lnY'~<- ,,"' )) -: ~,. .;,:r:TJ:lf'l'~Pt". " .," "':oI!':"":~'~-' "J, '"'~..),( 1- "'P~"~ '-d""j,.,. . ;~ :.'it...;:' ~"",_.~"'ti...:1{..;;'!:V!'..'!. ,> o' m'.'. '2l'~'. . ',' . . . . I . .. "'':.:f,~ .. ~\4!"":," "'\:;'~:':; ';' ..."",.' \~ :\I':o~m' . ,..... ,~ '.' .}m,~/ .' J N '0.., . O' :'m ',' ,.;..*. :.-; CD q ""i<",,'8,}"" :,::",.;..".",,3::-' .:(J) 'J> .".4- ...<,~:. ./5' J~: :(;P ,:":'&;; .r, ,". ~, ,:{>.", .(3/' ..r'. 'i~~. ~;,:: -< .... . "~ \!.. ':~~~,~~.~:.:. '~'''.:~ ,'. I.." :<"".;:~t~:;'?"~f~li~:,.. . ";~~I[~;' ,.;.; , ',I:" !;,. . (11 ", :.0 '--.. . ". . , . , !\, r r i I , ,. ., I " I Ii l " il nW ... I, ,. I ! . ;1 ~.. '\ .. \ .\ . . '. , ". 'I' : .' ~ , i I I " ~.."'" ,/ ..,/" '. . State OJ California . n,)... CONTRACTORS STATE LICENSE BOARD@' "'1-r.'.:.'::... ACTIVE L1CENS'E 1 .. ; Con.umor AtluJrY u.~..",~." 808313 [.'r CORP ."'...""'~, BELSHIRE ENVIRONMENTAL SERVICES INC . ~ i , .' iill: :. 1 :~ l : .,J' i. .-", .............. .;;....:".. ~~"'..- I I .... .."." , , " . ~ \ .. C1..oJl\o"'~I" A HAZ .,., " ., . ..",....0.,. 05/31/2006 .; '::,:' .1 ~. ", , , I" a , - - . '\ :~:~~~,tf~~~~~!/?/H~ ~~~L~r1i~~~~- ;~i~;~f::~?,:_~~}~f~~~~:&~~~;~~!~~~}~~tf~~~:~~t~-8:Q!~~i 58 Pellethane Series @ 10 Stud Single Sided tij:\' \!!J c S8 Pellethane Series 12 Stud Single Sided i~st~~~~~'}~r~~~~~:}~:~i~~~1~~;~i};\ii~~t~~~j~ff:~ S81083.7 3.7 4.8 8.38 1.63 4.1 S81084.8 4.8 4.8 8.38 1.5 S81084.8X3.5 4.8 4.8 8.38 1.5 - S81084.8X2.7 2.7 4.8 8.38 1.5 2.94 '0 S81084.8X2.5 4.8 4.8 8.38 1.5 SI3.5X2.5 SB1084.8X2.25 4.8 4.8 8.38 1.5 SI3.5X2.25 SB1084.8X2.0 2.0 4.8 8.38 1.5 2.94 SB1084.8X1.9 2.7 4.8 8.38 1.5 2.94 SI3.5X2.5. SI2.4X1.9 SB1084.8X1.8 2.7 4.8 8.38 1.5 2.94 SI2.6X1.8 SB1084.8X1.4 2.7 4.8 8.38 1.5 2.94 SI3.5X2.5, SI2.4X1.4 SB1084.8X1.0 2.7 4.8 8.38 1.5 2.94 SI3.5X1.4, SI1.4X1.0 SB 1 084.8X.84 2.7 4.8 8.38 1.5 2.94 SI3.5X1.4, SI1.4X.84 @ ~["~~g2t;~if~~;~;:~{~12;~~::~_:~'~~Ff:~~{;!~~ SB12B6.8 6.8 6.8 9.75 2.25 SB12B6.8X6.0 6.8 6.8 9.75 2.25 SI6.8X6.0 S81286.8X5.2 6.8 6.8 9.75 2.25 SI6.8X5.2 SB 1286.8X5.0 6.8 6.8 9.75 2.25 SI6.8X5.0 S81286.8X4.6 4.6 6.8 9.75 2.25 3.63 S81286.8X3.9 6.8 6.8 9.75 2.25 SI6.8X5.0, SI5.0X3.9 SB 12B6.8X3.5 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5 SB1286.8X2.7 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5, SI3.5X2.7 S81286.8X2.5 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5, SI3.5X2.5 S812B6.8X2.25 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5, SI3.5X2.25 . SB 1286.8X2.0 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5. S.l,3.5X2.0 SB12B6.8X1.9 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5, SI3.5X2.5, SI2.4X1.9 SB1286.8X1.8 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5, SI3.5X1.8 S81286.8X1.4 4.6 6.8 9.75 2.25 3.63 S/4.5X3.5. SI3.5X1.4 SB12B6.8X1.0 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5, SI3.5X1.4, SI1.3X1.0 S81286.8X.84 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5, SI3.5X1.4, SI1.3X.84 o _ _ _ -" ~ A-b~ , 8 L U E q N E Ie C H NO L 0 Crt E S ,: L L C 2si Burns DrI~e. Y~ba CI~Y' Ci'9~;~;'. 'E~;;I; ~~ ~i.,,'~_=o '. : ,,~;=c;';!:;i~';_-.' ;;;, ~866) ;67 :9765 ~~~~4~ ,- .~ ~-.:. ~ ~- _~,,' __ -.'- _~ '.~-~~:.::: .....c ~,""'",,",-=:'"_~_______-?.-:-~~~~-::;':::7:::::--':::-::- -=-:~-~h _-".-. ~_';:-;;:~&:oJ ~ '" '~::..""""" jl :"Section ,~~;:'- '~~,'~~~ f:i ~ ~-~~. ~,-_- -: - . .- ~- ~ ~~,":' -':- - -': :_,' .'- =:~ ,~~~-!,":"~,,~'~_, i:;-~_~~:--;O--~:, ":_B,o~ots~ .~~ -~ ~- - - - ~ - - . - - - - - "'" : ~-- - ~ - - - ~ - - - - " - --..;, I The SB SERIES Split Repair Boots are designed to enable repairs to be performed entirely inside the sump. They can either use the existing studs from previously installed leaking penetrations or they can completely overlay the entire old fitting. Constructed of fuel and water resistant Pellethane<ID, once installed the boots are filled with Bostik 11 OOFS to help form a impenetrable barrier to water. All band clamps, tech screws, and fill tubes are included. 8 A D ~ c @ . S8 Pellethane Series @ 4 Stud Single Sided ~ (~J O_~-'~:~,~;?, "'-.."Z~,~~~~;:;--~,..~~]..:Z~?_~'~;"~1 SB4B1.4 1.4 1.4 4.75 1.5 SB4B 1.0 1.4 1.4 4.7 1.5 SI1.3X1.0 SB4B.B4 1.4 1.4 4.7 1.5 S/1.3X.84 i~~;:~t~~~G~~_I:~_;=:~~:~:f~~ITfj~;i~~~~r~l~f\I~~tt1~~~ S6881.9 1.9 1.9 6.63 2.0 3.56 SB8B 1.9X 1.4 1.4 1.9 6.63 2.0 3.56 S6861.9Xl.0 1.4 1.9 6.63 2.0 3.56 SI1.3Xl.0 SB861.9X.84 1.4 1.9 6.63 2.0 . 3.56 SI1.3X.84 SB862.7 2.7 2.7 6.63 1.75 3.56 SB8B2.7X2.4 2.4 2.7 6.63 1.75 3.56 S6862.7X2.0 2.4 2.7 6.63 1.75 3.56 SI2.4X2.0 SB8B2.7Xl.9 2.4 2.7 6.63 1.75 3.56 SI2.4X1.9 SB862.7X1.8 2.4 2.7 6.63 1.75 3.56 SI2.4Xl.8 SB862.7Xl.4 2.4 2.7 6.63 1.75 3.56 SI2.4X1.4 SB8B2.7Xl.0 2.4 2.7 6.63 1.75 3.56 SI2.4X1.4. SI1.3Xl.D SB862.7X.84 2.4 2.7 6.63 1.75 3.56 SI2.4X1.4,511.3X.84 SB8B3.7 3.7 3.7 6.63 2.0 3.56 568B3.7X2.7 3.7 3.7 6.63 2.0 3.56 513.5X2.7 58883.7X2.5 3.7 3.7 6.63 2.0 3.56 513.5X2.5 56883.7X2.25 3.7 3.7 6.63 2.0 3.56 ~.5X2.25 SB8B3.7X2.0 3.7 3.7 6.63 2.0 3.56 SI3.5X2.0 5B8B3.7X1.9 3.7 3.7 6.63 2.0 3.56 SI3.5X2.5, SI2.4X 1.9 SB8B3.7X1.8 3.7 3.7 6.63 2.0 3.56 SI3.5Xl.8 S88B3.7Xl.4 3.7 3.7 6.63 2.0 3.56 SI3.5X1.4 S6863.7X1.0 3.7 3.7 6.63 2.0 3.56 SI3.5Xl.4. SI1.3Xl.0 SB8B3.7X.84 3.7 3.7 6.63 2.0 3.56 SI3.5Xl.4. SI1.3X.84 ._~3'~~ ) ~~~~~1~~lt~&8!i~H?~i~~~k~9~]~~~~~~l~~5~~~9iE~}i~~~~~~G~~;i~~~~~~i~~~~If~~~i~~is~~ S8 Pellethane Series @ 8 Stud Single Sided -.. UND~RGROUNDSTORAGETANK (f) Bakersfield Fire Dept. Environmental Service 900 Tfuxtun Ave., Ste, 210 Bakersfield, CA 93301 Tel: (661)326-3979 Fax: (661) 852-2171 PERMIT NO, I TYPE OF APPLICATION: Page 1 of 1 (Check one item only) o NEW FACILITY o MODIFICATION OF FACILITY o NEW TANK INSTALLATION AT EXISTING FACILITY o MINOR MODIFICATION OF FACILITY ROPOSED COMPLETION DATE ISTING FACIUlY PERMIT NO. IP CODE N# HONE NO x? JC~~/~~~ WATER TO FACIUlY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE NO. OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL DYES DNO SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE DYES DNO THIS SECTION IS FOR MOTOR FUEL TANK NO. VOLUME JNLEADED ~GUlAR PREMIUM DIESEL f-V1ATION - THIS SECTION IS FOR NON MOTOR FUEL STORAGE TANKS TANK NO. f,tOLUME UNLEADED ~EGULAR PREMIUM DIESEL ~VIATION FOR OFFICIAL USE ONLY APPLICATION DATE FACILITY NO. NO. OF TANKS FEES $ The applicant has received, understands, and will comply with the attached conditions of the permit and any other state, local andfederal regulations. This fomt has been completed under penalty of perjury, and to the best 0 my kn wledge, is true and correct. ~~ APPROVED BY: THIS APPLICATION BECOMES A PERMIT WHEN APPROVED lZ o NI ~ I _ __ __ -Ii I BELSH/HE _ -= =-=jff I /NVIRONMENP,L --;:'" ~,,=",!!:= SERVICES, INC. Scope of Work Facility: BP 05365 Date: 6/30/2005 Job Number: 2595 4010 WIBLE RD BAKERSFIELD, CA Estimate No: 226 Contact: Rick Kinnaman R~pair:I..QCatif>ru!P! VVork,tf>!B~',p~:IJf~::", .aIUt;tiJ'J~'pel'1t;tt~tiC)n' . ReJ>~iI'Lo~ation:Fill'SWn~i~.:~*i:~~~t~ri::i: ::: ::'}""':';.:'....: .:.'.' 'WorKto,tle."pel'formec:l::R13pl~c13~JI!~n9M~pqr~99~~t',' ..,.... ... . . ,. .... .. - ." .. .. . -. .. ': R~pairl..()c:ati~...tFill.$~mpi. . ,'vYork.'tC):be'J?e.1'f()l'I1leti:RElpl ...4". > ~ - -- - iiZBfLSHIRf . ~;;- .=-== ENVIRONMENTAL ifij;;j;--=::::-;;; SERVICES, INC. Site Map Date: 6 - /~ ~ () r- BESI#: O)~> Cross Street: U/J//. Scope: S~-9 City: w~n 0000 tJ C{>'" ~ ~ ~ r ~~IDG) 6 0 0 0 0 l- t ( 9 I Q 6 0 ~ r; !:J [] Iv /0 rev. 10/15/03 ACORQ~' CERTIFICATE OF LIABILITY INSURANCE I DATE (MII<lIDDlYY) 06/16/2005 PRODUCER. (949) 857 -.4500 FAX (949)857-4800 THIS CERTIACATE IS ISSUED AS A MAlTER OF INFORMATION Millennium Risk Management & Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR License # OC13480 ALTER THE ~OVERA~E AFFORDED BY THE POLICIES BELOW. $530 Trabuco Road INSURERS AFFORDING COVERAGE Irvine, CA 92620 . Belshire Environmental 'Services, Inc. Zurich Amed can - INSURED INSURER k 25971 Towne Centre Drive INSURER s: Steadfast Insurance Foothill Ranch, CA 92610 INSURER c: INSURER 0, I INSURER Eo COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN IsSUED TO THE INSURED NAMED ABOVE FOR THE POLlCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION Of ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDmONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR lYPE OF INSURANCE POUCY NUMBER "gA'-W ,.,r~~E Pgi!fJ(~,l;~~ UMITS LTR - GENERAL LIABILITY EACH OCCURRENCE $ 1.000,000 X COMMERCIAl GENERAl L1A!!llITY 14-916038-03 06/14/2005 06/14/2006 FIRE DAMAGE (Anyone fire) :; 100,000 I CLAIMS MADE 00 OCCUR MEO EXP (Any one per:lon) s 5,000 A PERSONAl & AnV INJURY S 1.000,000 GENERAl AGGREGATE li 1.000,000 GEN'l AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPJOP AGG $ 1.000,OO~ I nPRD- n POLICY JECT LOC AUTOMOBILE UABIUlY COMBINED SINGLE LIMIT - . 14916042-03 06/14/2005 06/14/2006 (Ea ao::i~nQ $ X AN:( AUTO 1.000,000 - All OWNED AUTOS " 800lL Y INJURY ~ (pa( persoI1) S SCHEDUlED AUTOS A X- HIRED AUTOS BOPIL Y INJURY X- li NON-OWNED AUTOS (Par accident) - - PROPERlY DAMAGE S (Per accidonl) GARAGE LIABILiTY AUTO ONLY - EA ACCIDENT $ R ANY AUTO OTHER THAN EAACC S AUTO ONLY: AGG S EXCESS LIABIUTY EACH OCCURRENCE $ 5,000,000 ~ OCCUR 0 CLAIMS MADE ~EO 5337678-01 .06/14/2005 06/14/2006 AGGREGATE $ 5,000,000 B S R DEDUCTIBLE ~ RETEI'lTlON $ .. S I TORY LIMITS I >'IU~~ ., WORKERS COMPENSATION AND EMPLOYERS" LIABILITY E.L EACH ACCIDENT $ E.L DISEASE - EA EMPLOYEE $ , .E.L DISEASE - POLICY LIMIT S OTHER $1,000,000 Limit ~ont,.actors P.o 11 uti on B Liability 01916039-03 06/14/2005 06/14/2006 . DESCRIPTIO~ OF OPERAJlQI!SlLO-<;:A 119NSJVEl;:IlClE~~!o.llSION.? A~eo BY EN'pORSEM?rrl~ECIAL PIiOVlSIONS_ . . . - - ~E: Proof Evidence Only - ! *10 day notice of cance-llation in the event of non-payment of premium, - CERTIFICATE HOLDER I I ADDITlONAL INSURED; INSURER LEiTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEllED BEFORE THE S(l'IRATlON DATE THEREOF, THE ISSUING COMPANYWaJ.. ENDEAVOR TO MAil. - DAYS WRITTEN NonCE TO THE CERTlRCA TE HOLDER NAMED TO THE LEFT, BUT FAIlURE TO MAIL SUCH NonCE SHALL IMPOSE NO OBUGATlONOR LlABlUlY OF ANY KIND UPON THE COMPAjA';-lfS AGENTS OR REPRESENTATIVES. "- *****Proof/Evidence Only'''****'* AUTHORIZED REPRESENTATIVY / / ).# f7p ----------- .-:-- _..~~~..::-;~"':~:=;,..::c.-;-_- - ;. tw.~"t.#H~- r~ .? ~~:r=:- ~FEIr~~~:)--:1~.r"'..kJ??'~~i~~""'" _:-:-:. - j ACORD 25-5 (7/97) L/..... @AeORD CO'RPORATION 1988 -" \.~ . ;,;~::.!l\ , '.'.,i ';"'_. ..1;,,1< }.:....- 'l~ p: ""gj.". . '., ..~~:';';;n",'" ."~ ..... .....":......~ ," '><. ',::" ...:..,..:<.,:...~,~.:;.~.".:"..,. '. "";11.":::~,.'i C.rU~ .:...\..:1:)>)< ./(:: ...,..-......".. .Z ,....n :.w:. (~ ., ",,>:,,:'~;;: ' ..~ ";;,":~;\;;!.... ~ 'l,., ' '~" ,'~ . ,:';~ ' <J)' , ....0 ..r'. o ~.' ..,,:c.:'. .0:.' ~G'::;" .'FR:: ." ....:0.:... 'n.:.. ~' -<': ....-', .;:." '(f) ." :/7) '-.... '. '" !/r I, ., " , Ii I I " :llj.1 " I. 'i i; I I ! ~.. " \ \ \ " . \ ' I, . ;11/:1': :: 1'1 . [/;/ . " ~~,_..../"". ~........,. I I ,.... .... ..01" .~ I ~ I '" d- . (h .,,! " " ' , , ". ~,."''' ./ .'.",~,; State Of California ,n.'!::~, CONTRACTORS STATE LIOENSE BOARD ,. '1'I~--" ACTIVE L1CENS"E ConIum" At!all'l "I' u.....""m..' 808313 ',Ily CORP Iv..,"",,", BELSHIRE ENVIRONMENTAL SERVICES INC C1..'Il"U"{'1 AHAZ """'..0'"' 05/31/2006 , " , , , , !~ i il " , " ,: , i I I , '. . ~ \ .. - - . .F ~~~~:~~Jj~n~~"~~~~~~~t~~~~~~~~~~f~~?r.~~-}::~~~~t~~~~~?~~~~~~.:~;~~!tf~~~~~~~7;;~~~~:Q!~j~ S8 Pellethane Series @ 10 Stud Single Sided I(j."\' \:!y 0 S8 Pellethane Series 12 Stud Single Sided ~~!~~~~~~~~~~~r~}~2~f?~~~~J~~~fR~;~if~~~fzJ~;:~1~f{~ SB 1083.7 3.7 4.8 8.38 1.63 4.1 S810B4.8 4.8 4.8 8.38 1.5 S81084.8X3.5 4.8 4.8 8.38 1.5 - S810B4.8X2.7 2.7 4.8 8.38 1.5 2.94 " I S81084.8X2.5 4.8 4.8 8.38 1.5 SI3.5X2.5 S810B4.8X2.25 4.8 4.8 8.38 1.5 SI3.5X2.25 S8 1 0B4.8X2.0 2.0 4.8 8.38 1.5 2.94 S810B4.8X1.9 2.7 4.8 8.38 1.5 2.94 SI3.5X2.5, SI2.4X1.9 . S810B4.8X1.8 2.7 4.8 8.38 1.5 2.94 SI2.6X1.8 S810B4.8X1.4 2.7 4.8 8.38 1.5 2.94 SI3.5X2.5, SI2.4X1.4 S81084.8X1.0 2.7 4.8 8.38 1.5 2.94 S/3.5Xl.4, SI1.4Xl.0 S810B4.8X.84 2.7 4.8 8.38 1.5 2.94 SI3.5X1.4, SI1.4X.84 @ Ir~r21~'~~~yJ-_I~~1~~ill~~";:~~li{,jt~~ S81286.8 6.8 6.8 9.75 2.25 SB12B6.8X6.0 6.8 6.8 9.75 2.25 SI6.8X6.0 S81286.8X5.2 6.8 6.8 9.75 2.25 SI6.8X5.2 S812B6.8X5.0 6.8 6.8 9.75 2.25 SI6.8X5.0 S81286.8X4.6 4.6 6.8 9.75 2.25 3.63 S81286.8X3.9 6.8 6.8 9.75 2.25 SI6.8X5.0, SI5.0X3.9 8B 12B6.8X3.5 4.6 6.8 9.75 2.25 3.63 814.5X3.5 881286.8X2.7 4.6 6.8 9.75 2.25 3.63 814.5X3.5, SI3.5X2.7 881286.8X2.5 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5, SI3.5X2.5 . 881286.8X2.25 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5, SI3.5X2.25 S81286.8X2.0 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5, SJ.3.5X2.0 8812B6.8X1.9 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5, SI3.5X2.5, SI2.4Xl.9 S81286.8X1.8 4.6 6.8 9.75 2.25 3.63 SI4.5XS.5, SIS.5X1.8 S81286.8X1.4 4.6 6,8 9.75 2.25 3.63 SI4.5XS.5, SIS.5X1.4 S81286.8X1.0 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5, SI3.5Xl.4, SI1.3X1.0 S81286.8X.84 4.6 6.8 9.75 2.25 3.63 SI4.5X3.5, SI3.5Xl.4, SI1.3X.B4 ~ ~ ~ .. ~ ~ - < ~ ~-~.:t . BLUEq~E_ JEC.~NOLOGIES:' L~C'~265.8urns Drive' Yuba Clty:'CA959l!!c Em~;;'~~i::~'~~'--=-'~:;;-:~,,~~~._~_~:c~_~. ;;;, ~~66J~67-9i65 {c:c-::;jf; - 7" ~-""' '" - - ~ - ~ ~~._ ....~4_~ -... - ~ _ ~ ~ "_ ~~~Z __ - _ ~-"":_"Z ,-".~",: "'"""~ ~~_"'- ""-__ - _-_.-.,~~ k<;c-:t- . L-.... (. ~ 'I' - - - - 'S-'e"c: tl.O' n.1'-.- ;-'~,i.'O"O~ ;'-- ~< .,., -'....--~ '-:-'--- -_~.~_-;_c -;.;-~- ~--~' .~.- :-'~~-=-'C:'--B"'o'-':o"ts'-~--~: ~=- _ ' --- - -~-.,~-~~- :-=--- _ - - -~~- - ---:;-~-- . --~ -"'"=-:" - _-:------;--- -~~--...,.---:.- --~-~;-~~---=--'"'-.~==~-<-;~- -- -to. ---_~~:-~ -- . - - -- - - ~ - - - -- ~ - - - ~ - ~ - - ~ I The S6 SERIES Split Repair Boots are designed to enable repairs to be performed entirely inside the sump. They can either use the existing studs from previously installed leaking penetrations or they can completely overlay the entire old fitting. Constructed of fuel and water resistant Pellethane@, once installed the boots are filled with Bostik 11 OOFS to help form a impenetrable barrier to water. All band clamps, tech screws, and fill tubes are included. B A ~ o c 1 @ . S6 Pellethane Series @ 4 Stud Single Sided ~ C":J S6 Pellethane Series @ 8 Stud Single Sided 'J?~:;,:--c~:}.-'(r~~~~~1~~~-_;~_:tt'~;"::S 884B1.4 1.4 1.4 4.75 1.5 884B1.0 1.4 1.4 4.7 1.5 SI1.3X1.0 SB4B.84 1.4 1.4 4.7 1.5 SI1.3X.84 ~~.~l~~~~~:~~~~;';_~:~~ ~~~~~~~;~~i=!~~-~~~~1~ff~~~~ SB8B1.9 1.9 1.9 6.63 2.0 3.56 SB8B 1.9Xl.4 1.4 1.9 6.63 2.0 3.56 SB8Bl.9Xl.0 1.4 1.9 6.63 2.0 3.56 SI1.3Xl.0 SB8Bl.9X.84 1.4 1.9 6.63 2.0 3.56 SI1.3X.84 SB8B2.7 2.7 2.7 6.63 1.75 3.56 SB8B2.7X2.4 2.4 2.7 6.63 1.75 3.56 SB8B2.7X2.0 2.4 2.7 6.63 1.75 3.56 SI2.4X2.0 SB8B2.7X1.9 2.4 2.7 6.63 1.75 3.56 SI2.4X1.9 SB8B2.7X1.8 2.4 2.7 6.63 1.75 3.56 SI2.4Xl.B SBBB2.7Xl.4 2.4 2.7 6.63 1.75 3.56 SI2.4X1.4 SBBB2.7X1.0 2.4 2.7 6.63 1.75 3.56 SI2.4X1.4, SI1.3X1.0 SB8B2.7X.84 2.4 2.7 6.63 1.75 3.56 SI2.4Xl.4, SI1.3X.84 SB883.7 3.7 3.7 6.63 2.0 3.56 . S8883.7X2.7 3.7 3.7 6.63 2.0 3.56 SI3.5X2.7 SB8B3.7X2.5 3.7 3.7 6.63 2.0 3.56 SI3.5X2.5 SB8B3.7X2.25 3.7 3.7 6.63 2.0 3.56 ~.5X2.25 SB8B3.7X2.0 3.7 3.7 6.63 2.0 3.56 SI3.5X2.0 SB883.7X1.9 3.7 3.7 6.63 2.0 3.56 SI3.5X2.5, SI2.4Xl.9 S88B3.7X 1.8 3.7 3.7 6.63 2.0 3.56 SI3.5X1.B SB8B3.7Xl.4 3.7 3.7 6.63 2.0 3.56 SI3.5Xl.4 SB8B3.7Xl.0 3.7 3.7 6.63 2.0 3.56 SI3.5Xl.4, SI1.3Xl.0 SB8B3.7X.84 3.7 3.7 6.63 2.0 3.56 SI3.5Xl.4, SI1.3X.B4 =:.~- ~_ .:~.~'-_ ".'='~~~_" _'_ --,~o<~-~_ ~ ~~ _.- ___- z_ __: - ?~~~ ~~ ~:~:~r~~\;~ &:_ .~~_.,.: -T,,~:.==~,. ~~_~~_,":;:~:?:~<~~:.--,,\~~:=-=-~::~~;,-_~.~~~, ~- _-:::-~!.{~,-:~~_;~~_~=~:;.'_<> :3 ~.; '_'1:3J~UEJi)N.E~IE~HNOLqG!E$,~;.lt;9c:26J ~urns ~ri;'e,-Yu~a Ci!YopA_95991~;E_r;1a;(~~""-.~p",-"0Ei'::2(;'~~PF(86.6J:2~1'_~~~5,:-Z p_--::;- ~ .--=::::'-;:'-;:;""~~"3-"~~-;r.:--:.r:;-'jt-~"-_~_~__.;;~~;:::.~.;'-~ --__ :;O~,;;:.-~~~ 4:._~"'~~-_~~ (~-_~~t.~ -_- -~=-:;-::- "~~~~"'-~-;",~,~ r_~_~<::","--:'-::-l- ~=:;,"-'4"":?::.s.~:..,,-~-.,~;--:"-~~, ,,-Cf~~i:.-f?-~ - .A!!!mI " , 1~h, G~r .,ihte., d bli\ i8ZS'l1 ARCO ~5 SiteID: ~J j.t1Z~ 01~4 'i Manager : MARK SATER Location: 4010 WIBLE RD City BAKERSFIELD BusPhone: Map : 103 Grid: 29B (661) 836-9685 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BFD STA 07 EPA Numb: SIC Code:5541 DunnBrad:03-959-6507 Emergency Contact / Title Emergency Contact / Title MARK SATER / OWNER SAM SAYEGH / Business Phone: (661) 836-9685x Iv' Business Phone: (818) 240-8623x J 24-Hour Phone : (909) 772-5898x . 24-Hour phone : (b:lb ) ~S- -.() Jb'l x Pager Phone : (~bt ) 11L - j$tCf~ x t/ Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Period : Preparer: Certif'd: ParcelNo: to Phone: (909) 772-5898x State: CA Zip : 93309 Phone: (818) 240-8623x State: CA Zip : 93309 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : MARK SATER MailAddr: 4010 WIBLE RD Ci ty : BAKERSFIELD Owner Address City SAYEGH GROUP INCV-' : 4010 WIBLE RD : BAKERSFIELD Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG U - UST ENT1) Pee. \ .... 2 3 Z007 , I f those individua,\s p~~9d ,M my I~~~ ry o. information, , certIfy res!;!~fi~\b\~ k~r Obfnl~~gt~:t , have person~\ly ul'1d~~ P~I'Itl,\~ Q f mlllar with the info~mat\On examl,RQQ ~f\ d ~bf'l'1\1!v'" the Information IS true, submitted ~R~ ~ "" '" a~umte~eryo:e 7:fJ:iJ.oJ ./{" ~ - Oate Sil:j a ure -1- 01/24/2007 :\.) ~ , · 82!:rq I F ARCO ~5 SiteID: 015-021-000564 9 ) STORAGE CONTAINER DATA UST FORM A Last Action Type: FACILITY/SITE INFORMATI~ ~ Business Name: ARCO a[}~.5 82.5'/ S A(~G,ff . Kauf ( LN'L, Cross Street : Business Type: Org Type: 5238439-UC V" Total Tanks : 4 IndnRes/Trust:~ PA Contact: Dsg Own/Oper : SARKISS ZOVMALAN ICC Nbr: PROPERTY OWNER INFORMATION Name : SAM SAYEGH .../ Phone: (818) 240-8623x V' Address: City : State: Zip: Type : CORPORATION TANK OWNER INFORMATION Name : SA:r50kYB6tt' G ~ :c N t Phone: (818) 240-8623x Address: :p.'f~4~ :,to\l 'J T33C) 9 City : ~Lf(t)(o W,'~I~ R~~ p I B PttiUd F1~ t State CP, Zip: Type : CORPORATION ' BOE UST Fee# : 000506 V Financ'l Resp: SELF INSURED Legal Notif : t{6Jtl-'771_ ~g9g Date:12/26/2001 V Phone: UA2) 3 - x Name:MARK SATER Ttl:ENVIRON ADMIN State UST # : 1998 Upg Cert#: . -2- 01/24/2007 i C 82. S7/ F ARCO ~5 f= Razmat Inventory f== MCP+DailyMax Order SiteID: 015-021-000564 9 By Facility unit 9 Fixed Containers on Site 9 SpecRaz EPA Hazards MCP F IH L Mod F IH DH L .10000,00 Mod F DH L 10000,00 GAL Mod F IH DR L vioooo.oO GALth Mod F p IH G v400. 00 ~ 'l>Min F DR L ./30.00 GAL Min F DR L ~ 55.00 GAL tJnR F IR S /55.00 GAL tJnR Hazmat Common Name.., PREMIUM UNLEADED GASOLINE UNLEADED GASOLINE UNLEADED GASOLINE UNLEADED GASOLINE CARBON DIOXIDE MOTOR OIL WASTE FLAMMABLE LIQUID WASTE ABSORBENT -3- 01/24/2007 v -4- 01/24/2007 I '" \j"'/ , ;, 82 5'" F ARCO ~5 f= Inventory Item 0001 F= COMMON NAME / CHEMICAL NAME PREMIUM UNLEADED GASOLINE SiteID: 015-021-000564 9 Facility Unit: Fixed Containers on site 9 Days On Site 365 Location within this Facility Unit UNDERGROUND STORAGE TANK Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000,00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 5000,00 GAL %WL I 100,00 Gasoline HAZARDOUS COMPONENTS ~ CAS#a0066:91 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Mod f= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Facility Unit: Fixed Containers on site 9 Days On Site 365 Location within this Facility Unit UNDERGROUND STORAGE TANK Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000,00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000,00 GAL Daily Average 5000.00 GAL %Wt. RS CAS # 100.00 Gasoline No 8006619 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS -5- 01/24/2007 . .,8z.s9/ F ARCO ~5 f= Inventory Item 0003 F= COMMON NAME /. CHEMICAL NAME UNLEADED GASOLINE / V SiteID: 015-021-000564 9 Facility Unit: Fixed Containers on site 9 Days On Site 365 Location within this Facility Unit UNDERGROUND STORAGE TANK Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000.00 GAL Daily Average 5000,00 GAL %wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ No CAS # 80066191 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT#' MCP No No No No/ Curies F DH / / / Mod f= Inventory Item 0005 = COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit UNDERGROUND STORAGE TANK Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000,00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 10000,00 GAL Daily Average 5000,00 GAL N NT %Wt. RS CAS # 100.00 Gasoline No 8006619 HAZARDOUS COMPO E S HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -6- 01/24/2007 . .82. S-'11 F ARCO ~5 f= Inventory Item 0006 F== COMMON NAME / CHEMICAL NAME CARBON DIOXIDE v/ SiteID: 015-021-000564 1 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit YARD NEAR REAR OF FAC Map:' Grid: CAS # 124-38-9 HAZARDOUS COMPONENTS CONTAINER TYPE INSUL.TANK / CRYOGENIC AMOUNTS AT THIS LOCATIO Largest Container Daily Maximum 400.00 400.00 Daily ~.~ --- TYPE PRESSURE ---- TEMPERATURE Pure Above Ambient Cryogenic %Wt. 100.00 Carbon Dioxide RS No CAS # 124389 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HAZARD ASSESSMENTS f= Inventory Item 0009 === COMMON NAME / CHEMICAL NAME MOTOR OIL Facility Unit: Fixed Containers on Site 9 Days On site 365 Location within this Facility Unit Map: Grid: CAS # 8020835 STATE --- TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 0.25 GAL AMOUNTS AT THIS LOCATION Daily Maximum 30.00 GAL Daily Average 15.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 100,00 Motor Oil, Petroleum Based No 8020835 D A E MENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZAR SS SS -7-: 01/24/2007 , 92.sCj/ F ARCO Q!;3 &5 f= Inventory Item 0007 = COMMON NAME / CHEMICAL NAME WASTE FLAMMABLE LIQUID ) SiteID: 015-021-000564 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit YARD NEAR TRASH ENCLOSURE Map: Grid: CAS# STATE - TYPE Liquid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55,00 GAL Daily Average 25,00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 90,00 MIXTURE OF WASTE OIL HEAVY PETROLEUM DISTILLAT No HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MC:!? No No No No/ Curies F DH / / / UnR f= Inventory Item 0008 = COMMON NAME / CHEMICAL NAME WASTE ABSORBENT Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit YARD NEAR TRASH ENCLOSURE Map: Grid: CAS # STATE - TYPE Solid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 25,00 GAL %Wt. .1 HAZARDOUS COMPONENTS ~ CAS # HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MC:!? No No No No/ Curies F IH / / / UnR -8- 01/24/2007 . 81. 5CJ I F ARCO G::5:3#5 I f= Notif,/Evacuation/Medical Agency Notification SiteID: 015-021-000564 1 Fast Format '1 Overall Site 1 07/19/2006 IN THE EVENT OF MINOR TO MAJOR SPILL OR FIRE, EMPLOYEE OR OWNER WILL CALL 911 AND LOCAL AGENCY. EMPLOYEES ARE TRAINED ON THE USE OF PERSONAL PROTECTION EQUIPMENT TO MINIMIZE CONTACT WITH HAZARDOUS MATERIAL WASTE, OFFICE OF EMERGENCY: 800-852-7550 NATIONAL RESPONSE CENTER: 800-424-8802 BAKERSFIELD FIRE DEPARTMENT: 326-3979 Employee Notif./Evacuation 07/19/2006 IF A LARGE RELEASE OF GASOLINE SPILL OR WASTE OCCURS, THE OWNER OR STORE MANAGER OR EMPLOYEES WILL TAKE IMMEDIATE ACTION TO HAVE ALL EMPLOYEES LEAVE THE PREMISES BY THE SAFEST EXIT. ALL EMPLOYEES WILL BE ASKED TO ASSEMBLE AT A SAFE ASSEMBLY AREA LOCATED AT SOUTHEAST SIDE OF THE SITE, OR AT A SAFE UPWIND LOCATION. METHOD OF EVACUATION IS VERBAL. Public Notif,/Evacuation 07/19/2006 ALARM SHALL BE GIVEN BY SHOUTING OR EMPLOYEES WILL TAKE IMMEDIATE ACTION TO HAVE ALL PERSONS LEAVE THE PREMISES BY THE SAFEST EXIT. ALL PERSONS WILL BE ASKED TO ASSEMBLE AT A SAFE ASSEMBLY AREA UPWIND, Emergency Medical Plan 09/22/2006 BAKERSFIELD MEMORIAL HOSPITAL, 420 34TH ST, 327-4647 -9- 01/24/2007 - -------'- ----- -- - - -- , 81.59/ F ARCO OiJ e5 I p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 015-021-000564 9 Fast Format 9 Overall Site 9 09/21/2005 RELEASES ARE PREVENTED BY INSTALLED OVERFILL DEVICES SUCH AS FLAPPER VALVES, HIGH LEVEL ALARMS, OR BALL FLOATS. OTHER SPILL PREVENTION DEVICES ARE IMPACT VALVES, AND BREAKAWAY DEVICES. SERVICE STATIONS ARE ATTENDED BY TRAINED PERSONNEL, AND GASOLINE IS DELIVERED BY TRAINED TRUCK DRIVERS, Release Containment 07/19/2006 IN THE EVENT OF A LEAK OR SPILL: 1. ATTENDANT SHOULD SHUT OFF ELECTRICITY TO THE PUMPS/TURBINES AT THE MAIN ELECTRICAL PANEL AND CLOSE THE IMPACT VALVES, 2. THE ONSITE EMERGENCY COORDINATOR OR DESIGNEE WILL CONTACT 911 (FIRE DEPARTMENT) AND EXPLAIN THE EMERGENCY AND WILL CONTACT ARCO MISSION CONTROL. IF NECESSARY, THE ONSITE EMERGENCY COORDINATOR OR DESIGNEE WILL REQUEST AN AMBULANCE OR OTHER MEDICAL ASSISTANCE, 3. EVAUCATE. IF DEEMED NECESSARY BY THE ONSITE EMERGENCY COORDINATOR OR DESIGNEE, ALL TRAFFIC ON SITE WILL BE HALTED, AREA CONED OFF, AND ALL EMPLOYEES AND CUSTOMERS WILL BE DIRECTED TO A SAFE AREA OPPOSITE THE DANGER. THERE ARE TWO EXITS FRONT ENTRANCE AND REAR EMERGENCY EXIT, ALL PERSONS WILL EVACUATE THROUGH ONE OF THESE DOORS AND GATHER IN AREA FURTHEST FROM DANGER. MANAGER ON DUTY WILL ACCOUNT FOR ALL STATION PERSONNEL AND CUSTOMERS (WHEN POSSIBLE). 4. CONTAIN THE LIQUID BY CONSTRUCTING BERMS AND/OR BY COVERING THE SPILL WITH A FIREPROOF ABSORBENT MATERIAL, PREVENT LIQUID FROM ENTERING STORM DRAINS WHENEVER POSSIBLE,S. SCENE MANAGEMENT SHALL BE THE RESPONSIBILITY OF THE ONSITE EMERGENCY COORDINATOR OR DESIGNEES UNTIL THE ARRIVAL OF FIRE OR POLICE PEROSNNEL. UPON ARRIVAL OF THESE PERSONNEL, THE EMERGENCY COORDINATOR WILL COOPERATE WITH AND OFFER ANY ASSISTANCE THAT IS REQUESTED, 6, IMMEDIATELY FOLLOWING AN EMERGENCY THE ONSITE EMERGENCY COORDINATOR WILL PROVIDE FOR THE DISPOSAL OF CONTAMINATED MATERIALS AS DIRECTED BY THE LOCAL FIRE DEPARMTMENT OR COUNTY HEALTH AGENCY. (ALL SPILLS WILL BE REPORTED TO BP MISSION CONTROL AT 800-272-6349, THE BP ENVIRONEMTNAL COMPLIANCE SPECIALIST WILL MAKE REPORT TO PERTINENT AGENCIES INCLUDING NRC, CA OES, WATER BOARD, AND COUNTY HEALTH -10- 01/24/2007 " , 925't1 F ARCO ~~ I . p= Mitigation/Prevent/Abatemt Clean Up SiteID: 015-021-000564 9 Fast Format 9 Overall site 9 07/19/2006 IN THE EVENT THAT A SPILL IS SMALL, STATION PERSONNEL SHOULD APPLY ABSORBENT TO THE GASOLINE SPILL BY SWEEPING THE ABSORBENT ONTO THE SPILL, ONCE THE ABSORBENT HAS SOAKED UP THE LIQUID, SWEEP UP THE ABSORBENT AND PLACE IT IN A 55 GALLON DRUM, IF THE SPILL IS LARGER, CALL 911, ATTEMPT TO CONTAIN IT, LARGE SPILLS ARE CLEANED BY BP DESIGNATED CONTRACTORS, OR AS DESIGNATED BY FRANCHISEE FOR FRANCHISE SERVICE STATIONS. EMPLOYEES RESPONSIBILITIES: EMPLOYEES WILL KNOW THE LOCATION OF THE NEAREST STORM DRAIN(S) AND LOCATION OF ABSORBENT MATERIAL TO BE USED'TO PREVENT THE SPILL FROM REACHING THE STORM DRAINS. IN THE EVENT OF A MAJOR SPILL, EMPLOYEES ARE INSTRUCTED TO CALL 911 AND, REPORT. THE ONSITE EMERGENCY COORDINATOR WILL RPOVIDE FOR THE DISPOSAL OF CONTAMINATED MATERIALS AS DIRECTED BY THE LOCAL FIRE DEPARTMENT OR COUNTY ENVIRONMENTAL HEALTH. IF NEITHER GIVES SUCH DIRECTION, CALL ARCa MISSION CONTROL 800-272-6349 FOR DISPOSAL. Other Resource Activation -11- 01/24/2007 ~. ',82."5"7/ F ARCO ~ I p= Site Emergency Factors Special Hazards SiteID: 015-021-000564 , Fast Format 9 Overall Site 9 Utility Shut-Offs 09/22/2006 A) GAS - NO B) ELECTRICAL - PANEL IN BACK RM C) WATER - SIDEWALK D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water Building Occupancy Level 03/20/2006 5 EMPLOYEES: 1-2 PER SHIFT (3 SHIFTS) -12- 01/24/2007 " c , 8J. $'9/ F ARCO ~ I F Training Employee Training SiteID: 015-021-000564 9 Fast Format 1 Overall Site 1 10/12/2006 MATERIAL SAFETY DATA SHEETS ON FILE: MSDS AND BUSINESS EMERGENCY PLAN IS LOCATED IN THE. COMPLIANCE BINDER IN THE OFFICE AREA, BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE TRAINED IN USE OF SAFETY EQUIPMENT AND TOOLS TO MINIMIZE CONTACT WITH HAZARDOUS MATERIALS/WASTE, EMPLOYEES ARE TRAINED AND REQUIRED TO DIAL FOR EMERGENCY CALLS, 911 AND EVACUATE THE PREMISES, EMPLOYEES ARE TRAINED IN THE USE OF SPILL CLEAN-UP, FIRST AIR KIT, FIRE EXTINGUISHERS, ELECTRICAL AND GAS SHUT-OFF AND USE OF TELEPHONES. EMPLOYEES ARE TRAINED TO ADVISE ANY REPSONSE AGENCY AS TO THE NATURE AND LOCATION OF THE PROBLEM. INITIAL TRAINING IS CONDUCTED AFTER HIRING NEW EMPLOYEE. TRAINER IS THE OWNER OR MANAGER OF THE STORE. REFRESHER TRAINING IS DONE EVERY YEAR, TRAINING TOPICS ARE SUCH AS: 1. HAZARD COMMUNICATIONS PROGRAM; 2, MATERIALS SAFETY DATA SHEETS; 3, SAFE HANDLING OF CHEMICALS; AND 4, EMERGENCY EQUIPMENT & EMERGENCY RESPONSE PLAN, Page 2 Held for Future Use -13- 01/24/2007 '1 ~,. .\; i).. \.., F~'ARCO ~ I F Training Held for :=li i2 ~ ~f' -- 11;' bG H J~f I -H/V ( ~ SiteID: 015-021-000564 1 Fast Format "I Overall site "I Future Use / / t / / / , . f -14- / I 01/24/2007 \. ~ ~.'i""" _ . . -~ UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1:. Business Plan and Inventory Program - Prevention Services . D 900 Truxtun Ave" Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 -- Fax: (661) 872-2171 FACILITY NAME INSPECTION TIME ADDRESS FACILITY CONTACT I C V- ( . c-comPlianCe). OPERATION COMMENTS . V=Violation D D ApPROPRIATE PERMIT ON HAND ,.... .-.. D D Business PLAN CONTACT INFORMATION ACCURATE ""YI U JUt 2:1 2nn7 -F - D 0 VISIBLE ADDRESS . D D CORRECT OCCUPANCY 0 0 . VERIFICATION OF INVENTORY MATERIALS D D VERIFICATION OF QUANTITIES 0 0 VERIFICATION OF LOCATION D 0 PROPER SEGREGATION OF MATERIAL D D VERIFICATION OF MSDS AVAILABILITY D 0 VERIFICATION OF HAZ MAT TRAINING D D VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES D D EMERGENCY PROCEDURES ADEQUATE' D D CONTAINERS PROPERLY LABELED 0 D HOUSEKEEPING D D FIRE PROTECTION 0 0 SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: DYES D NO White - Prevention Services. Yellow - Station Copy FO 2155 (Rev. 09/05 THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Fire revention Ii" In I Shift of Site/Station # i~' '" \ i; -"}. ~~ INSPECTIONS BAKERSFIELD FIRE DEPT, Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 BUSINESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST Page 1 of 1 FACILITY NAME: ~\v... ~~ INSPECTION DATE: ~( Section 2: Underground Storage Tanks Program o Routine ~ombined 9-: Joint Agency 0 Multi-Agency Type of Tank .f)Wr::::. Number of Tanks Type of Monitoring ~ t,tIh Type of Piping J Complaint lOW+- if ORe-Inspection OPERATION C J COMMENTS Proper tank data on file \..00""" L/ Proper owner / operator data on file ./ ~ Permit fees current r Certification of Financial Responsibility ...........f-. Monitoring record adequate and current r Maintenance records adequate and current Failure to correct prior UST violations ~ V Has there been an unauthorized release? DYes o No / 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 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 = Compliance V = Violation Y = Yes N = No Inspector: J~ Questions regarding this inspection? Please call us at (661) 326-3979 White - Prevention Services Pink - Business Copy KBF.7335 FD 2156 (Rev. 09/05) -'" v ~~q ?J. ( BUSINESS ACTIVITIES \"..~. " UNIFIED PROGRAM CONSOLIDATED FORM 1f5bi FACILITY INFORMATION Page I of - I. FACILITY IDENTIFICATION FACILITY ID # II 15 I I 0 1211 I 101 5 I 6 141 I I 1'1 EPA ID # (Hazardous Waste Only) 2. CALOOO244294 BUSINESS NAME (Same as Facility Name or DBA - Doing Business As) ~, ARCO # 05365 II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, please submit the Business Owner/Operator Identification page (OES Form 2730). Does your facility.. If Yes, please complete these pages of the UPCF.. A. HAZARDOUS MATERIALS Have on site (for any purpose) hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases ~ YES D NO HAZARDOUS MATERIALS INVENTORY (include liquids in ASTs and USTs): or the applicable Federal threshold 4 - CHEMICAL DESCRIPTION (OES 2731) quantity for an extremely hazardous substance specified in 40 CFR Part 355, Appendix A or B; or handle radiological materials in quantities for which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or 70? B. UNDERGROUND STORAGE TANKS (USTs) UST FACILITY (Formerly SWRCB Form A) I. Own or operate underground storage tanks? ~ YES D NO 5 UST TANK (one page per tank) (Formerl\' Form B) 2. Intend to upgrade existing or install new USTs? DYES ~ NO 6 UST FACILITY UST TANK (one pertank) UST INSTALLATION - CERTIFICATE OF COMPLIANCE (one page pc, tank) (Formerly Form C) 3. Need to report closing a usn DYES ~ NO 7 UST TANK (closure portion - one page per tank) C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs) Own or operate ASTs above these thresholds: ---any tank capacity is greater than 660 gallons, or DYES ~ NO 8 NO FORM REQUIRED TO CUPAs ---the total capacity for the facility is greater than I )20 gallons? D. HAZARDOUS WASTE I. Generate hazardous waste? ~ YES D NO EPA ID NUMBER - provide at the top of this 9 page 2. Recycle more than 100 kg/month of excluded or exempted recyclable RECYCLABLE MATERIALS REPORT (one materials (per H&SC ~25143.2)? DYES ~ NO ]0 per recycler) 3. Treat hazardous waste on site? ONSITE HAZARDOUS WASH DYES ~ NO ]1. TREATMENT - FACILITY (Formerly DTSC Forms 1772) ONSITE HAZARDOUS WASTE %20 20Go TREA TMENT - UNIT (one page per unit) (Formerly Treatment subject to financial assurance requirements (t~~it~P DTSC Forms 1772 AB,C,D and L) 4. CERTIFICA TlON OF FINANCIAL YES ~ NO 12 ASSURANCE (Formerly DTSC Form 1232) Rule and Conditional Authorization)? 5. Consolidate hazardous waste generated at a remote site? REMOTE WASTE I CONSOLIDATION DYES ~ NO 13 SITE ANNUAL NOTIFICATION (Formerly DTSC Form 1196) 6. Need to report the closure/removal of a tank that was classified as DYES ~ NO HAZARDOUS WASTE TANK CLOSURE hazardous waste and cleaned onsite') 14 CERTIFICA TION (Formerly DTSC Form 1249) E. LOCAL REQUIREMENTS (YOll mav also be reouired to providc additional information by your CUP^ or local al!.cl1cY.) l' Page 1 of 20 j~ UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS OWNER/OPERA TOR IDENTIFICATION Page of I. IDENTIFICATION FACILITY ID # \11511 0 12[ ] I I 01516141 1 I BEGINNING DATE 100. I ENDING DATE 101. ('lgenc)' Use On/)) 11/30/05 11/30/08 BUSINESS NAME (Same as FACILITY NA,\IE or DBA - Doing Business As) 3 I BUSINESS PHONE 102 ARCO # 05365 (661) 836-9685 BUSINESS SITE ADDRESS 10J 4010 WIBLE ROAD CITY 104 I CA ZIP CODE 105 BAKERSFIELD 93309 DUN & BRADSTREET 106 SIC CODE (4 digit #) 107 03-959-6507 5541 COUNTY 108 KERN BUSINESS OPERA TOR NAME 109 BUSINESS OPERATOR PHONE 110 SAYEGH GROUP INC. (661) 836-9685 II. BUSINESS OWNER OWNER NAME III. OWNER PHONE 112 BP West Coast Products LLC (714) 670-5321 OWNER MAILING ADDRESS 113. P.O. BOX # 6038 CITY 114 \ STATE ]15 I ZIP CODE 116. ARTESIA CA 90702-6038 III. ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE 118. JANET WAGER (714) 670-5321 CONTACT MAILING ADDRESS: BP West Coast Products LLC 119 p,O, BOX # 6038 CITY 120 I ~~TE 121. I ZIP CODE 122 ARTESIA 90702-6038 -PRIMARY- IV, EMERGENCY CONTACTS -SECONDARY- NAME 113. NAME ]28. MARK SATER ARCO CUSTOMER SOLUTIONS CENTER TITLE 124. TITLE 129. Franchisee BUSINESS PHONE 125 BUSINESS PHONE 130 (661) 836-9685 800-272-6349 24-HOUR PHONE* 126 24-HOUR PHONE' 131 (909) 772-5898 800-272-6349 PAGER! CELL 127 132 ADDITIONAL LOCALL Y COLLECTED INFORMATION 133 Certification Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the intonnation submitted and believe the intonnation is true. accurate, and complete. SIGNATURE OF OWNERJOPERA~ OR DESIGNATED REPRESENTATIVE DATE 134 I NAME OF DOCUMENT PREPARER 135 '-^-J. f J..! () 1 If) r Belshire Environmental Services, Inc. NAME OF SIGNER (print) 136. TITLE OF SIGNER . 137 SAM SAYEGH or MARK SATER Franchisee V' Ct: -;>REr I' ~ i3?V r Page 2 of 20 '" / " '')1 UNIFIED PROGRAM (UP) FORM HAZARDOUS MATERIALS INVENTORY FORM - CHEMICAL DESCRIPTION IlIdicate material OR waste ( Do 1I0t combille material alld waste 011 olleform) ~ MA TERIAL(NON-WASTE) D WASTE (one page per material per building or area) DADD DDELETE ~REVISE REPORTING YEAR 2005 200 I Page of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 ARCO # 05365 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 (EPCRA ) DYES ~ NO UNDERGROUND STORAGE TANK 1 I 15~012 I llIiOI 5 16141 I MAP# (optional) 2031 GRID# (optional) 204 FACILITY ID # 1 of 1 C7 - F1 0 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET DYes ~ No 206 GASOLINE If Subject to EPCRA, refer to instructions COMMON NAME GASOLINE 207 EHS* DYes I:8J No 208 CAS# 8006-61-9 209 'If EHS is "Yes", all amounts below must be in Ibs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) FLAMMABLE LIQUID, CLASS 1 B, UN1203 210 HAZARDOUS MATERIAL 212 I CURIES 213 TYPE (Check one item only) o a. PURE ~b MIXTURE o c. WASTE 211 RADIOACTIVE OYes ~No PHYSICAL STATE 215 (Check one item only) o a. SOLID ~b LIQUID o c. GAS 214 LARGEST CONTAINER 10,000 FED HAZARD CATEGORIES 216 (Check all that apply) ~a FIRE o b. REACTIVE o c PRESSURE RELEASE ~ d. ACUTE HEALTH ~ e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2171 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 2191 STATE WASTE CODE 220 20,000 40,000 N/A N/A 221 1 DAYS ON SITE: 222 UNITS' ~a GALLONS Ob. CUBIC FEET o c. POUNDS o d. TONS 365 (Check one item only) * If EHS, amount must be in pounds. STORAGE CONTAINER o a. ABOVE GROUND TANK o e. PLASTIC/NONMETALLIC DRUM o i FIBER DRUM Om. GLASS BOTTLE o q. RAIL CAR [gI b. UNDERGROUND TANK o f CAN o j.BAG On. PLASTIC BOTTLE o r OTHER o c. TANK INSIDE BUILDING o g. CARBOY o k. BOX 00 TOTE BIN o d. STEEL DRUM o h. SILO o I. CYLINDER Op TANK WAGON 223 STORAGE PRESSURE ~a AMBIENT Ob ABOVE AMBIENT o c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~a. AMBIENT o b. ABOVE AMBIENT o c. BELOW AMBIENT o d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# 1 1-5 226 BENZENE 227 o Yes ~ No 228 71-43-2 229 2 0-10 230 ETHANOL 231 DYes I:8J No 232 64-17-5 233 3 8-15 234 XYLENE 235 DYes I:8J No 236 1330-20-7 237 4 7-14 238 TOULENE 239 DYes i:8J No 240 108-88-3 241 5 242 243 DYes DNo 244 245 If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 Page 3 of 20 7' UNIFIED PROGRAM (UP) FORM HAZARDOUS MATERIALS INVENTORY FORM - CHEMICAL DESCRIPTION IlIdicate material OR waste (Do 1I0t combille material ami waste 011 olleform) ~ MA TERIAL(NON-WASTE) o WASTE (one page per material per building or area) DADO DDELETE 200 Page of [SJREVISE REPORTING YEAR 2005 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) ARCO # 05365 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL (EPCRA ) DYES [SJ NO 202 CHEMICAL NAME CARBON DIOXIDE COMMON NAME CARBON DIOXIDE CAS# 124-38-9 FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 1 of 1 II. CHEMICAL INFORMATION 205 TRADE SECRET 203 GRID# (optional) J8 204 FACILITY 10 # DYes [SJ No 206 If Subject to EPCRA, refer to inslructions 207 209 EHS' DYes [SJ No 208 'If EHS is "Yes", all amounts below must be in Ibs. 210 HAZARDOUS MATERIAL TYPE (Check one item only) 213 [8J a. PURE Db MIXTURE 0 c. WASTE 211 RADIOACTIVE DYes [8JNo 212 CURIES PHYSICAL STATE (Check one item only) FED HAZARD CATEGORIES (Check all that apply) AVERAGE DAILY AMOUNT 215 o a SOLID [8Jb LIQUID o c. GAS 214 LARGEST CONTAINER 400 216 o a. FIRE 0 b REACTIVE [8J c. PRESSURE RELEASE [8J d. ACUTE HEALTH 0 e. CHRONIC HEALTH 221 222 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT STATE WASTE CODE 220 200 400 N/A UNITS' Check one item onl STORAGE CONTAINER Oa GALLONS Db. CUBIC FEET [8J c. POUNDS 0 d. TONS . If EHS, amount must be in ounds. o a ABOVE GROUND TANK o b. UNDERGROUND TANK DC. TANK INSIDE BUILDING o d. STEEL DRUM STORAGE TEMPERATURE o a. AMBIENT De PLASTIC/NONMETALLIC DRUM o i. FIBER DRUM Om GLASS BOTTLE o q RAIL CAR o f.CAN o j.BAG On. PLASTIC BOTTLE o r. OTHER o g. CARBOY o k. BOX DO TOTE BIN o h. SILO [8J L CYLINDER Op TANK WAGON 223 [8Jb ABOVE AMBIENT DC. BELOW AMBIENT 224 Db ABOVE AMBIENT DC. BELOW AMBIENT [8J d CRYOGENIC 225 STORAGE PRESSURE o a. AMBIENT %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# 100 226 CARBON DIOXIDE 227 DYes [SJ No 228 124-38-9 2 230 231 DYes D No 232 3 234 235 DYes D No 236 4 238 239 DYes D No 240 5 242 243 DYes DNo 244 229 233 237 241 245 If more hazardous components are present at greater than 1 % by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 Page 4 of20 UNIFIED PROGRAM (UP) FORM HAZARDOUS MATERIALS INVENTORY FORM - CHEMICAL DESCRIPTION Indicate material OR waste (Do not combine material ami waste on one form) D MA TERIAL(NON-WASTE) [g] WASTE DADO DDELETE [8] REVISE REPORTING YEAR 2005 I. FACILITY INFORMATION (one page per material per building or area) 200 Page of BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) ARea # 05365 CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL (EPCRA ) 0 YES [8] NO 203 GRID# (opltonal) K3 FACILITY ID # 1 of 1 II. CHEMICAL INFORMATION CHEMICAL NAME WASTE ABSORBENT & DISPENSER FUEL FILTER COMMON NAME WASTE ABSORBENT & DISPENSER FUEL FILTER CAS# Nt A FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 205 DYes [8] No TRADE SECRET If Subject to EPCRA, refer to instructions 207 209 EHS* DYes [8] No *If EHS is "Yes", all amounts below must be in Ibs HAZARDOUS MATERIAL TYPE (Check one item only) 211 RADIOACTIVE DYes ~No 212 CURIES D a PURE Db MIXTURE ~ c. WASTE PHYSICAL STATE (Check one item only) FED HAZARD CATEGORIES (Check all that apply) AVERAGE DAILY AMOUNT ~ a SOLID Db LIQUID D c GAS 214 LARGEST CONTAINER 55 ~ a FIRE D b. REACTIVE D c. PRESSURE RELEASE ~ d. ACUTE HEALTH ~ e CHRONIC HEALTH 25 55 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT STATE WASTE CODE 55 221 UNITS* Check one item ani STORAGE CONTAINER ~a GALLONS Db CUBIC FEET D c. POUNDS D d. TONS * If EHS, amount must be in ounds. D a ABOVE GROUND TANK Db UNDERGROUND TANK Dc. TANK INSIDE BUILDING IZI d. STEEL DRUM De PLASTIC/NONMETALLIC DRUM D f.CAN D g. CARBOY D h. SILO D b ABOVE AMBIENT D i. FIBER DRUM D j.BAG D k. BOX D I. CYLINDER D m. GLASS BOTTLE D n. PLASTIC BOTTLE D o. TOTE BIN D p. TANK WAGON D q. RAIL CAR D r. OTHER STORAGE PRESSURE ~ a. AMBIENT D c BELOW AMBIENT STORAGE TEMPERATURE ~ a. AMBIENT D d. CRYOGENIC D b. ABOVE AMBIENT D c. BELOW AMBIENT %WT HAZARDOUS COMPONENT (For mixture or waste only) MIXTURE OF SILCA TE & HYDROCARBONS & SPENT FUEL FILTERS EHS CAS # 89-90 226 DYes [8] No 228 NtA, MIXTURE 227 2 231 DYes 0 No 232 230 3 235 DYes 0 No 236 234 4 239 DYes 0 No 240 238 5 243 DYes DNo 244 242 If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION Page 5 of 20 202 204 206 208 210 213 215 216 220 222 223 224 225 229 233 237 241 245 246 UNIFIED PROGRAM (UP) FORM HAZARDOUS MATERIALS INVENTORY FORM - CHEMICAL DESCRIPTION Indicate material OR waste ( Do not combine material and waste Oil oneflJrm) D MA TERIAL(NON-W ASTE) L3J WASTE (one page per material per building or area) DADO DDELETE ~REVISE REPORTING YEAR 2005 200 I Page of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 ARCO # 05365 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 (EPCRA ) DYES ~ NO OUTSIDE YARD NEAR TRASH ENCLOSURE FACILITY 10 # II I 5 0 I 2 11 . 0 I 5 I 6 I 4 I I MAP# (optional) 2031 GRID# (optional) 204 1 of 1 K3 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET DYes ~ No 206 WASTE FLAMMABLE LIQUID If Subject to EPCRA, refer to instructions COMMON NAME WASTE FLAMMABLE LIQUID 207 EHS' DYes ~ No 208 CAS# Nt A 209 'If EHS is "Yes", all amounts below must be in Ibs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL 212 I 213 TYPE (Check one item only) o a PURE Ob MIXTURE 1:8:1 c WASTE 211 RADIOACTIVE OYes 1:8:1 No CURIES PHYSICAL STATE 215 (Check one item only) o a. SOLID I:8:Ib LIQUID o c. GAS 214 LARGEST CONTAINER 55 FED HAZARD CATEGORIES 216 (Check all that apply) 1:8:1 a FIRE o b REACTIVE o c PRESSURE RELEASE 1:8:1 d ACUTE HEALTH l:8:Ie CHRONIC HEALTH AVERAGE DAILY AMOUNT 2171 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 2191 STATE WASTE CODE 220 25 55 55 134 221 I DAYS ON SITE: 222 UNITS' l:8:Ia GALLONS Ob. CUBIC FEET o c. POUNDS o d. TONS 365 (Check one item only) , If EHS, amount must be in pounds. STORAGE CONTAINER o a ABOVE GROUND TANK o e. PLASTIC/NONMETALLIC DRUM o i. FIBER DRUM Om GLASS BOTTLE o q. RAIL CAR o b. UNDERGROUND TANK o f.CAN OJ. BAG On PLASTIC BOTTLE o r. OTHER o c. TANK INSIDE BUILDING o g. CARBOY o k. BOX 00. TOTE BIN 1:8:1 d. STEEL DRUM o h. SILO o I. CYLINDER o p. TANK WAGON 223 STORAGE PRESSURE 1:8:1 a AMBIENT o b ABOVE AMBIENT o c BELOW AMBIENT 224 STORAGE TEMPERATURE 1:8:1 a AMBIENT o b. ABOVE AMBIENT o c BELOW AMBIENT o d CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS# 1 89-90 226 MIXTURE OF GASOLINE & WATER OR o Yes ~ No NtA, MIXTURE OTHER CONTAMINATION IN GASOLINE 227 228 229 2 230 231 DYes o No 232 233 3 234 235 DYes D No 236 237 4 238 239 DYes D No 240 241 5 242 243 DYes DNo 244 245 If more hazardous components are present at greater than 1 % by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic. attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 Page 6 of 20 " CUPA Bakersfield Fire Department. Hazardous Materials Division 2101 H Street Bakersfield, CA 93301 (661) 326-3911 TYPE OF ACTION (Check one item only) ::l.JND!='R.c;'ROlJ~D4ST()~~G~iT~N~S - F,l\clLrry D 1 NEW SITE PERMIT D 3 RENEWAL PERMIT I:8l 5. CHANGE OF INFORMATION (Specify change. D 4 AMENDED PERMIT local use only) D 6 TEMPORARY SITE CLOSURE 1:;Ii=AeILITX1IsFrE;'INFoR~ATI()N; D 7. PERMANENTLY CLOSED SITE D 8 TANK REMOVED 400 SITE NAME (Same as FACILITY NAME or DBA AReO# 05365 CITY BAKERSFIELD ZIP CODE 93309 4 404 D 5. COMMERCIAL D OTHER 403 'If owner of UST is a public agency name of supervisor of division, section or office which operates the UST (This is the contact person for the tank records) 405 JANET WAGER ,,,,--,,;~"'--:-<~,F:<;}"'::'-.r~?V2*:P-'<__Y;::{_;/"" ::" <:"',': "-'-' ---'-_ :"-:',,:,.___ _:. ,--- _ :,"\,.-,.;,,::-: -j._:---.' ';..-_-->__' . " . .' ILTAN K)OPERA TORI~ FQ.RIVI~:r:10N... '''''~::~'x,-,''-:'',: ,>~,'( ,"::1'>-J,.Y;,:d';,;,::.. ';~ I:8l 1 CORPORATION D 2. INDIVIDUAL D 3. PARTNERSHIP D 4. LOCAL AGENCY/DISTRICr D 5. COUNTY AGENCY' D 6. STATE AGENCY' D 7. FEDERAL AGENCY' 402 NEAREST CROSS STREET WHITE LANE FACILITY OWNER TYPE BUSINESS TYPE I:8l 1. GAS STATION D 3. FARM D 2. DISTRIBUTOR D 4. PROCESSOR TOTAL NUMBER OF Is facility on Indian Reservation or TANKS ON SITE trustlands? D 4. D 5 413 TANK OWNER NAME BP West Coast Products, LLC 414 MAILING ADDRESS 4 Centerpointe Drive . 416 CITY La Palma 417 ZIP CODE 90623 419 TANK OWNER TYPE I:8l 1 CORPORATION D 2. INDIVIDUAL 0 4. LOCAL AGENCY I DISTRICT D 3. PARTNERSHIP D 5. COUNTY AGENCY bARD OF:,Edu~i::JzATI0iNluS~STORAGEEEE:~cc'6HN1T'NUMBER).i ,..>{i i'" O~':~'_'_';'." '.' " ,:' " :' ,,;, s' ~ ~'-_ -. ~_-'.:"''''..:'',~yt%;j'::'$:'t:u.., ',: , ':,: :--, ~, ::-_,(-:_____-:tti?:_f'.0,qtj;,><,,> -- __;, __-..-, , '-:' ":, :'>-:,,::;~, %0~)..s-,;'t <\ : :",:, " : " ,,_'_- __ - <::-,;-,-,__ ,: ,::,- /1':" ;""t,:;; ~,_, :,,~,,<,.$, ' 1 4 6 5 420 421 NCIAL..R''E'sebNSIBllI'TY ",-,',' ~':<i<)Jit:dS1.i"'_'>-;"'" f"- J\ D D D >/,,' :,..,:::_;~: 'ikl\<---)'-,;"'; >:y; ~:ff:~} 10. LOCAL GOVT MECHANISM 99. OTHER 7 STATE FUND 8 STATE FUND & CFO LETTER 9 STATE FUND & CD 422 Check one box to indicate which address should be used for legal notifications and mailing.. Legal notifications and mailings will be sent to the tank owner ONLY, unless box 1 or 2 is checked D 1. FACILITY D 2. PROPERTY OWNER I:8l 3. TANK OWNER 423 Certification: 1 certify that the information provided herein is true and accurate to the best of my knowledge.. DATE 11/30105 424 PHONE (714) 670-5321 TITLE OF APPLICANT Environmental Compliance Specialist STATE UST FACILITY NUMBER (For local use only) 428 1998 UPGRADE CERTIFICATE NUMBER (For loca/ use only) 429 Page 7 of 20 CUPA Bakersfield Fire Department. Hazardous Materials Division 2101 H Street Bakersfield, CA 93301 (661) 326-3911 TYPE OF ACTION (Check one item only) o 1 NEW SITE PERMIT o . UNDERGROU.~IDSTORAGE TANKS- TANKPAGE1 [2] 5. CHANGE OF INFORMATION 0 6 TEMPORARY SITE CLOSURE o 7 PERMANENTLY CLOSED ON SITE o 8. TANK REMOVED 3 RENEWAL PERMIT FACILITY ID # 5 o 2 BUSINESS ADDRESS 4010 WIBLE ROAD LOCATION WITHIN SITE (Optional) o 4 AMENDED PERMIT (Specify change. for local use only) 430 (Specify reason - for local use only BAKERSFIELD 93309 BUSINESS NAME (Same as FACILITY NAME or DBA) o 4 ARCO# 05365 5 6 CITY ZIP CODE 431 TANK ID # 1 432 DATE INSTALLED (YEARIMO) 1993/08 435 COMPARTMENTALIZED TANK 0 Yes [2] No 434 If "Yes", complete one page for each compartment TANK MANUFACTURER Xerxes TANK CAPACITY IN GALLONS 10,000 436 NUMBER OF COMPARTMENTS 437 ADDITIONAL DESCRIPTION II:l?ANKCC>NTEN1TS TANK USE [2] 1. MOTOR VEHICLE FUEL (If marked, complete Petroleum Type) o 2 NON.FUEL PETROLEUM o 3 CHEMICAL PRODUCT o 4 HAZARDOUS WASTE (Includes Used Oil) o 95. UNKNOWN 438 [2] 1 a. REGULAR UNLEADED o 1b. PREMIUM UNLEADED o 1c. MID.GRADE UNLEADED o 2. LEADED o 3 DIESEL o 4 GASOHOL o 5. JET FUEL o 6. AVIATION FUEL o 99. OTHER 441 CAS # (from Hazardous Matenals Inventory page) 8006-61-9 442 GASOLINE COMMON NAME (from Hazardous Materials Inventory page) TYPE OF TANK (Check one item only) o 1. SINGLE WALL [2] 2. DOUBLE WALL TANK MATERIAL. primary tank o 1. BARE STEEL 02. STAINLESS STEEL o 1. BARE STEEL o 2. STAINLESS STEEL (Check one item only) TANK MATERIAL. secondary tank (Check one item only) TANK INTERIOR LINING OR COATING o 1. RUBBER LINED o 2. ALKYD LINING (Check one item only) III. TANK!CONS1TFWCTtON!, o 3. SINGLE WALL WITH 0 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 EXTERIOR MEMBRANE LINER 095. UNKNOWN. 04 SINGLE WALL IN A VAULT 0 99. OTHER [2] 3. FIBERGLASS I PLASTIC 0 5. CONCRETE 0 95. UNKNOWN 444 04. STEEL CLAD WI FIBERGLASS 0 8 FRP COMPATIBLE W1100% METHANOL 0 99. OTHER REINFORCED PLASTIC (FRP) [2] 3. FIBERGLASS I PLASTIC 0 8. FRP COMPATIBLE W1100% METHANOL 0 95. UNKNOWN 445 o 4. STEEL CLAD WIFIBERGLASS 0 9. FRP NON.CORRODIBLE JACKET 0 99. OTHER REINFORCED PLASTIC (FRP) 0 10. COATED STEEL o 5. CONCRETE o 3. EPOXY LINING 0 5. GLASS LINING 0 95. UNKNOWN 446 DATE INSTALLED 447 o 4. PHENOLIC LINING [2] 6. UNLINED 0 99. OTHER o 3. FIBERGLASS REINFORCED PLASTIC o 4. IMPRESSED CURRENT (For local use only) 448 DATE INSTALLED 449 (Check all that apply) SPILL AND OVERFILL 01. MANUFACTURED CATHODIC PROTECTION o 2 SACRIFICIAL ANODE (For local use only) 1993 ~,IY,lT"JiA-N 1<: ~,I;AK'(1)'E:T'ECTJON.7.1\rJesdriptj6!10' ih;m,onitori';g.piogra';;"~l)allb~~l{bm,1IJeci~'t;;;7gdai'.~g"'hcy)....~.. IF SINGLE WALL TANK (Check all that apply)" 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one ,tem only) o 1. VISUAL (EXPOSED PORTION ONLY) 0 5 MANUAL TANK GAUGING (MTG) 0 1. VISUAL (SINGLE WALL IN VAULT ONLY) o 2. AUTOMATIC TANK GAUGING (ATG) 0 6 VADOSE ZONE [2] 2 CONTINUOUS INTERSTITIAL MONITORING o 3 CONTINUOUS ATG 0 7. GROUNDWATER 0 3 MANUAL MONITORING o 4 STATISTICAL INVENTORY RECONCILIATION (SIR) + 0 8 TANK TESTING BIENNIAL TANK TESTING 099 OTHER OTHER CORROSION PROTECTION IF APPLICABLE YEAR INSTALLED (Check all that apply) [2] 1. SPILL CONTAINMENT [2] 2 DROP TUBE [2] 3. STRIKER PLATE o 95. UNKNOWN o 99. OTHER 450 TYPE (For local use only) 451 OVERFILL PROTECTION EQUIPMENT YEAR INSTALLED 452 o 3. FILL TUBE SHUT OFF VALVE o 4. EXEMPT 1993 [2] 1. ALARM [2] 2. BALL FLOAT 1993 454 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING ESTIMATED DATE LAST USED (YYIMM/DD) Vi'f/!.NK CLOSURE IN FlirRI\IIATl(m I PERMANENT CL0S0RE" Ir,kpCACE' 457 Revised 611112002 gallons 456 TANK FILLED WITH INERT MATERIAL? o Yes 0 No Page 80f20 CUPA Bakersfield Fire Department. Hazardous Materials Division 2101 H Street Bakersfield, CA 93301 (661) 326-3911 tJN(;)ERGRQUND~Sm0RAGE}t AN~S -TANKPJ\GE\i2" VI, PIPING'CQN$l]R:UCmON.(Checkall that apply) . 459 UNDERGROUND PIPING ABOVEGROUND PIPING rgJ 1 PRESSURE D 2 SUCTION D 3 GRAVITY 458 D 1 PRESSURE D 2 SUCTION D 3 GRAVITY D 1 SINGLE WALL D 3. LINED TRENCH D 99 OTHER 460 D 1. SINGLE WALL D 95 UNKNOWN CONSTRUCTIONI rgJ 2. DOUBLE WALL D 95. UNKNOWN D 2. DOUBLE WALL' D 99 OTHER MANUFACTURER MANUFACTURER AMERON MANUFACTURER 463 01. BARE STEEL [8J 6 FRP COMPATIBLE WI 100% METHANOL D 1. BARE STEEL D 6. FRP COMPATIBLE WI 100% METHANOL 02. STAINLESS STEEL 07 GALVANIZED STEEL 02. STAINLESS STEEL 07. GALVANIZED STEEL 03. PLASTIC COMPATIBL~ WITH CONTENTS 0 95. UNKNOWN D 3. PLASTIC COMPATIBLE WITH CONTENTS D 8 FLEXIBLE (HDPE) D 99. OTHER rgJ 4 FIBERGLASS D 8. FLEXIBLE (HDPE) D 99. OTHER D 4. FIBERGLASS D 9. CATHODIC PROTECTION 05 STEEL WI COATING 09 CATHODIC PROTECTION 464 0 5. STEEL WI COATING D 95. UNKNOWN PI PI NGJLi::AI<DE;rE,CTION '.ic6ecka7nhalapplyj7idf/si:Jipiiono[themonitormgprogra:/i!sirallbe.$ubrri/itidio'iH;'ldca!agen'!:y) '.. . UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING 466 SINGLE WALL PIPING PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply)" o 1 ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUTOFF FOR 0 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUTOFF FOR LEAK, SYSTEM FAILURE AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL LEAK, SYSTEM FAILURE AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS ALARMS o 2. MONTHLY 0.2 GPH TEST 0 2 MONTHLY 02 GPH TEST o 3. ANNUAL INTEGRITY TEST (0.1 GPH) D 3 ANNUAL INTEGRITY TEST (0 1 GPH) D 4. DAILY VISUAL CHECK SYSTEM TYPE MATERIALS AND CORROSION PROTECTION (check all that apply) CONVENTIONAL SUCTION SYSTEMS o 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING) o 7 SELF MONITORING GRAVITY FLOW o 9. BIENNIAL INTEGRITY TEST (0 1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) - D a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS rgJ b AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF [8J 11. AUTOMATIC LINE LEAK DETECTOR (30 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION o 12. ANNUAL INTEGRITY TEST (0 1 GPH) SUCTlONIGRAVITY SYSTEM o 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERA TORS ONLY (Check all that apply)" 014. D 15. D 16. D 17 462 465 467 CONVENTIONAL SUCTION SYSTEMS' D 5. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM D 6. TRIENNIAL INTEGRITY TEST (0 1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING) o 7. SELF MONITORING GRAVITY FLOW D 8. DAILY VISUAL MONITORING D 9. BIENNIAL INTEGRITY TEST (0.1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply) 10 CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) D a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION D c. NO AUTO PUMP SHUT OFF o 11. AUTOMATIC LEAK D 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTIONIGRAVITY SYSTEM o 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply): CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUTOFF + AUDIBLE AND VISUAL ALARMS AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR RESTRICTION ANNUAL INTEGRITY TEST DAILY VISUAL CHECK o 14 CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUTOFF + AUDIBLE AND VISUAL ALARMS D 15. AUTOMATIC LINE LEAK DETECTOR (30 GPH TEST D 16. ANNUAL INTEGRITY TEST D 17. DAILY VISUAL CHECK VIU:;:'DISPENSERCbNT AINI\IlENT!::: DISPENSER CONTAINMENT DATE INSTALLED 468 FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS IX{:OWNER/QPERATOR'SIGNATlJRE. Revised 611112002 Page 9 of 20 DAILY VISUAL CHECK TRENCH LINER I MONITORING NONE 469 471 DATE 11/30/05 TITLE OF OWNERIOPERATOR Environmental Compliance Specialist 472 470 CUPA Bakersfield Fire Department. Hazardous Materials Division 2101 H Street Bakersfield, CA 93301 (661) 326-3911 TYPE OF ACTION (Check one item only) D 1. NEW SITE PERMIT D d.NDERGR0:t1NDSTO~~GE"FA:NKS, :'TANKPjS.Gl;t1 [8] 5. CHANGE OF INFORMATION D 6. TEMPORARY SITE CLOSURE D 7. PERMANENTLY CLOSED ON SITE o 8. TANK REMOVED 3 RENEWAL PERMIT FACILITY ID # 5 BUSINESS ADDRESS 4010 WIBLE ROAD LOCATION WITHIN SITE (Optional) TANK ID # 2 432 DATE INSTALLED (YEAR/MO) 1993/08 435 D 4. AMENDED PERMIT 430 (SpeC/ly change. for local use only) (Specify reason ~ for local use only BUSINESS NAME (Same as FACILITY NAME or DBA) o 6 ARCO# 05365 4 5 CITY ZIP CODE BAKERSFIELD 93309 431 TANK MANUFACTURER Xerxes TANK CAPACITY IN GALLONS 10,000 o Yes 434 ~ No 433 COMPARTMENTALIZED TANK If "Yes", complete one page for each compartment. 436 NUMBER OF COMPARTMENTS 437 ADDITIONAL DESCRIPTION 438 . . "lei.' , II,TANKCONJ'ENmS TANK USE 439 ~ 1. MOTOR VEHICLE FUEL (If marked, complete Petroleum Type) o 2 NON.FUEL PETROLEUM o 3 CHEMICAL PRODUCT 04 PETROLEUM TYPE ~ 1a. REGULAR UNLEADED D 1b. PREMIUM UNLEADED o 1c. MID.GRADE UNLEADED o 2 LEADED o 3 DIESEL o 4. GASOHOL o 5. JET FUEL o 6. AVIATION FUEL o 99. OTHER 441 CAS # (/rom Hazardous Matenals Inventory page) 8006-61-9 442 GASOLINE COMMON NAME (from Hazardous Materials Inventory page) o 1. SINGLE WALL ~ 2. DOUBLE WALL (Check one item only) TANK MATERIAL. primary tank o 1. BARE STEEL 02. STAINLESS STEEL o 1. BARE STEEL o 2. STAINLESS STEEL (Check one lIem only) TANK MATERIAL - secondary tank (Check one lIem only) TANK tNTERIOR LINING OR COATING 01. RUBBER LINED o 2. ALKYD LINING (Check one lIem only) OTHER CORROSION PROTECTION IF APPLICABLE III:ElTAN K'CONSTRUCTION o 3. SINGLE WALL WITH 0 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 EXTERIOR MEMBRANE LINER 0 95. UNKNOWN 04 SINGLE WALL IN A VAULT 0 99. OTHER ~ 3. FIBERGLASS I PLASTIC D 5. CONCRETE D 95. UNKNOWN 444 04. STEEL CLAD WI FIBERGLASS 0 8 FRP COMPATIBLE WI1DO% METHANOL 0 99. OTHER REINFORCED PLASTIC (FRP ~ 3. FIBERGLASS I PLASTIC 0 8. FRP COMPATIBLE W/100% METHANOL 0 95 UNKNOWN 445 o 4. STEEL CLAD WIFIBERGLASS 0 9. FRP NON.CORRODIBLE JACKET 0 99. OTHER REINFORCED PLASTIC (FRP) 0 10. COATED STEEL o 5. CONCRETE o 3. EPOXY LINING 0 5. GLASS LINING 0 95. UNKNOWN 446 DATE INSTALLED 447 o 4. PHENOLIC LINING [8] 6. UNLINED 0 99. OTHER o 3. FIBERGLASS REINFORCED PLASTIC o 4. IMPRESSED CURRENT (For local use only) 448 DATE INSTALLED 449 (Check all that apply) 01. MANUFACTURED CATHODIC PROTECTION o 2. SACRIFICIAL ANODE (For local use only) 1993 II;:I"",:t:(A.N~il2.I::Al:<iDETEQmION':(Ad'e;J;;ption,t;tthemonJ!t;;ihgpfbg/am' sh~/1;~~'S~brnitt~cJi;;.t;';' l~caLa~;'h2h' "". ;,xJ%i> IF SINGLE WALL TANK (Check all that apply)" 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only) o 1. VISUAL (EXPOSED PORTION ONLY) 0 5 MANUAL TANK GAUGING (MTG) 0 1. VISUAL (SINGLE WALL IN VAULT ONLY) o 2. AUTOMATIC TANK GAUGING (ATG) 0 6. VADOSE ZONE ~ 2 CONTINUOUS INTERSTITIAL MONITORING o 3 CONTINUOUS ATG 0 7. GROUNDWATER 0 3 MANUAL MONITORING o 4. STATISTICAL INVENTORY RECONCILIATION (SIR) + D 8. TANK TESTING BIENNIAL TANK TESTING 0 99. OTHER ; ( ','\jY:tr;t..NK CL()SURE)NFORMAfioN1PERIIIi~NENT CLO.SUREiNPLiACE SPILL AND OVERFILL YEAR INSTALLED (Check all that apply) ~ 1. SPILL CONTAINMENT ~ 2. DROP TUBE ~ 3 STRIKER PLATE ESTIMATED DATE LAST USED (YYIMMIDD) Revised 6111/2002 o 95. UNKNOWN o 99. OTHER 450 TYPE (For local use only) 451 OVERFILL PROTECTION EQUIPMENT YEAR INSTALLED 452 03. FILL TUBE SHUT OFF VALVE o 4. EXEMPT 1993 1Z!1. ALARM ~ 2. BALL FLOAT 1993 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING gallons 456 TANK FILLED WITH INERT MATERIAL? DYes 0 No 457 Page 100f20 CUPA Bakersfield Fire Department. Hazardous Materials Division 2101 H Street Bakersfield, CA 93301 (661) 326-3911 .'0NiDERGR60N[)ST6R~G6. TANks....' TAN KfpAGE"2} . (-'v...;'> - - L '" - .0. ,.~ . -- . - ,'< -, ' " "" ,'~ ..: VI" PIPING CONSTRUC;T:I(jNicheck.ill,'ihat'3pply) 459 UNDERGROUND PIPING ~ 1. PRESSURE 02. SUCTION 03. GRAVITY 458 01. PRESSURE SUCTION 03 GRAVITY o 1 SINGLE WALL 0 3. LINED TRENCH 0 99 OTHER 460 0 1. SINGLE WALL 0 95. UNKNOWN CONSTRUCTIONI ~ 2. DOUBLE WALL 095. UNKNOWN 0 2. DOUBLE WALL' 0 99. OTHER MANUFACTURER MANUFACTURER: AMERON MANUFACTURER 463 01. BARE STEEL ~ 6. FRP COMPATIBLE WI 100% METHANOL 01. BARE STEEL 06. FRP COMPATIBLE WI 100% METHANOL 02. STAINLESS STEEL 07. GALVANIZED STEEL 02. STAINLESS STEEL 07. GALVANIZED STEEL 03. PLASTIC COMPATIBLE WITH CONTENTS 095 UNKNOWN 0 3. PLASTIC COMPATIBLE WITH CONTENTS 08. FLEXIBLE (HOPE) 0 99. OTHER ~ 4 FIBERGLASS 0 8. FLEXIBLE (HDPE) 0 99. OTHER 04. FIBERGLASS 0 9. CATHODIC PROTECTION 05 STEEL W/ COATING 09. CATHODIC PROTECTION 464 0 5. STEEL WI COATING 0 95. UNKNOWN :'il:IL;r:F?I.I?J~.Q'. LE.~K. D 1::1" E C:r:rO~;'(Check 'allfhat apply)!a'8esC!nption of tli~fno;'iio!jng'progr?rnshall be:s.ubipltfed;to.:the:l~caEagency );/;: ....: UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING 466 SINGLE WALL PIPING PRESSURIZED PIPING (Check all that apply)" PRESSURIZED PIPING (Check all that apply): o 1 ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUTOFF FOR 0 1 ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUTOFF FOR LEAK SYSTEM FAILURE AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL LEAK, SYSTEM FAILURE AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL , ALARMS ALARMS o 2. MONTHLY 02 GPH TEST 0 2 MONTHLY 0.2 GPH TEST o 3 ANNUAL INTEGRITY TEST (01 GPH) 0 3 ANNUAL INTEGRITY TEST (01 GPH) o 4. DAILY VISUAL CHECK SYSTEM TYPE MATERIALS AND CORROSION PROTECTION (check all that apply) CONVENTIONAL SUCTION SYSTEMS o 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0 1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING) o 7. SELF MONITORING GRAVITY FLOW o 9. BIENNIAL INTEGRITY TEST (01 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply)" 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS ~ b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION o c NO AUTO PUMP SHUT OFF ~ 11 AUTOMATIC LINE LEAK DETECTOR (30 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION o 12. ANNUAL INTEGRITY TEST (0 1 GPH) SUCTIONIGRAVITY SYSTEM o 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply): 014 015. 016. 017 CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUTOFF + AUDIBLE AND VISUAL ALARMS AUTOMATIC LINE LEAK DETECTOR (30 GPH TEST) WITHOUT FLOW SHUT OFF OR RESTRICTION ANNUAL INTEGRITY TEST DAILY VISUAL CHECK 462 465 467 CONVENTIONAL SUCTION SYSTEMS o 5 DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM o 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING) o 7. SELF MONITORING GRAVITY FLOW o 8 DAILY VISUAL MONITORING o 9. BIENNIAL INTEGRITY TEST (01 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply) 10 CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) - o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF o 11. AUTOMATIC LEAK o 12. ANNUAL INTEGRITY TEST (0 1 GPH) SUCTION/GRAVITY SYSTEM o 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply): 014 015 016 o CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUTOFF + AUDIBLE AND VISUAL ALARMS AUTOMATIC LINE LEAK DETECTOR (30 GPH TEST ANNUAL INTEGRITY TEST DISPENSER CONTAINMENT DATE INSTALLED 468 ::'\liTJ~' DfSPENS'E;R.q,ONTAINME~t~~~~;,:- ,;/ 17. DAILY VISUAL CHECK o 1 FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE o 2 CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS ~ 3 CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS Not Available DAILY VISUAL CHECK TRENCH LINER I MONITORING NONE 469 IX.pWNER/OPERA:TOR SIGNATURE 470 Revised 611112002 471 DATE ] 1/30/05 TITLE OF OWNER/OPERATOR Environmental Compliance Specialist 472 Page II of20 ? 7' ----~~ '" CUPA Bakersfield Fire Department. Hazardous Materials Division 2101 H Street Bakersfield, CA 93301 (661) 326-3911 TYPE OF ACTION (Check one item only) o 1. NEW SITE PERMIT o UJflDERGR0UNp>SJ0RAG~T ANKS-TAN~(;pA;GE;'1' . o 4 AMENDED PERMIT [SI 5. CHANGE OF INFORMATION 0 6 TEMPORARY SITE CLOSURE o 7. PERMANENTLY CLOSED ON SITE o 8. TANK REMOVED 3. RENEWAL PERMIT FACILITY ID # 5 BUSINESS ADDRESS 4010 WIBLE ROAD LOCATION WITHIN SITE (Optional) 432 435 TANK USE 439 [SI 1. MOTOR VEHICLE FUEL (If marked, complete Petroleum Type) o NON.FUEL PETROLEUM o 3. CHEMICAL PRODUCT 04. (Specify reason. for local use only o 5 4 (Specify change. for local use only) 430 6 BUSINESS NAME (Same as FACILITY NAME or DBA) ARCO# 05365 CITY ZIP CODE BAKERSFIELD 93309 431 .....................?.....];........1At-.I.KiGES.S.~!gl;rON..... ;..,.....;;..;. ..... ................;,.;;~l~i}. · nofthe USTs stehiiifdf:iiWg;[buildings';J;;d'liin7imarksshallbeiSUbmitle(1)O)he'/Ocala' enc' TANK MANUFACTURER 433 COMPARTMENTALIZED TANK 434 Xerxes If "Yes", complete one page for each compartment TANK CAPACITY IN GALLONS 10,000 436 NUMBER OF COMPARTMENTS 437 438 PETROLEUM TYPE 0 la. REGULAR UNLEADED 02 LEADED 0 lb PREMIUM UNLEADED 03 DIESEL k8J 1c. MID.GRADE UNLEADED 04 GASOHOL GASOLINE COMMON NAME (from Hazardous Materials Inventory page) o 5 JET FUEL o 6 AVIATION FUEL o 99. OTHER 441 CAS # (from Hazardous Materials Inventory page) 8006-61-9 442 ;ti:;ii;;\*i;~;~11 L. T ANl<.iCONS1RL!€[TIGt~le;; o 1 SINGLE WALL [SI 2. DOUBLE WALL TYPE OF TANK (Check one item only) TANK MATERIAL. primary tank o 1. BARE STEEL 02. STAINLESS STEEL o 1. BARE STEEL 02. STAINLESS STEEL (Check one item only) TANK MATERIAL. secondary lank (Check one item only) TANK INTERIOR LINING OR COATING o 1. RUBBER LINED o 2. ALKYD LINING (Check one item only) OTHER CORROSION PROTECTION IF APPLICABLE o 3. SINGLE WALL WITH EXTERIOR MEMBRANE LINER 04 SINGLE WALL IN A VAULT [SI 3. FIBERGLASS I PLASTIC o 4. STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC (FRP) [SI 3. FIBERGLASS I PLASTIC o 4. STEEL CLAD WIFIBERGLASS REINFORCED PLASTIC (FRP) o 5. CONCRETE o 3. EPOXY LINING o 4. PHENOLIC LINING (Check all that apply) SPILL AND OVERFILL 01. MANUFACTURED CATHODIC PROTECTION o 2. SACRIFICIAL ANODE o 3. FIBERGLASS REINFORCED PLASTIC o 4. IMPRESSED CURRENT (For local use only) 1993 '>r"ilS" ;.,'dM.;' ........i';;\I}J'. .....1 AN K'~E:A.KPE1EGIIQN. (Ad~~~ripti()~~fl/J~;Po~iloring pr~gpa;P.slt~lllfe?~~b';'iti~~tro;lhr./~d~l~g~~WP ." w IF SINGLE WALL TANK (Check all that apply)" 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only) o 1 VISUAL (EXPOSED PORTION ONLY) 0 5 MANUAL TANK GAUGING (MTG) 0 1. VISUAL (SINGLE WALL IN VAULT ONLY) o 2. AUTOMATIC TANK GAUGING (ATG) 0 6. VADOSE ZONE [SI 2. CONTINUOUS INTERSTITIAL MONITORING o 3 CONTINUOUS ATG 0 7 GROUNDWATER 0 3 MANUAL MONITORING o 4 STATISTICAL INVENTORY RECONCILIATION (SIR) + 0 8. TANK TESTING BIENNIAL TANK TESTING 099. OTHER ~;,0i:';&~;::fA~KGtOSU.RE'TNFOR~ATldNj pERMANE!'JTCLOSU.RE iN~LA~E YEAR INSTALLED (Check all that appty) [SIl. SPILL CONTAINMENT [SI2. DROP TUBE [SI3. STRIKER PLATE ESTIMATED DATE LAST USED (YYIMMfDD) Revised 611112002 450 TYPE (For local use only) 451 1993 1993 o 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 o 95. UNKNOWN o 99. OTHER o 5. CONCRETE 0 95. UNKNOWN 444 o 8. FRP COMPATIBLE Wll00% METHANOL 0 99. OTHER o 8. FRP COMPATIBLE W/l00% METHANOL 0 95. UNKNOWN 445 o 9. FRP NON.CORRODIBLE JACKET 0 99. OTHER o 10. COATED STEEL o 5. GLASS LINING 0 95. UNKNOWN 446 DATE INSTALLED 447 k8J 6. UNLINED 0 99. OTHER o 95. UNKNOWN o 99. OTHER (For local use only) 448 DATE INSTALLED 449 OVERFILL PROTECTION EQUIPMENT. YEAR INSTALLED 452 o 3. FILL TUBE SHUT OFF VALVE o 4. EXEMPT [SIl. ALARM [SI2. BALL FLOAT 456 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING gallons 457 Page 12 of20 Co CUPA Bakersfield Fire Department. Hazardous Materials Division 2101 H Street Bakersfield, CA 93301 (661) 326-3911 UNbER'GR()l(f\J~,i$;tQJ~~GE\IANKS,:-. "[/f..NK P~G:E:,2. ',~~,;,<-o5n ",.,. ".',>__~ ~,..,,'V_>'-- _"n;_ r-,_-, ,_', - ~- ,,' _c'" - Coo_'__' " , , VI. PIPINGCONSTRUc:il"ION (Check all that apply) . UNDERGROUND PIPING r811 PRESSURE o 2 SUCTION o 3. GRAVITY 458 o 1. PRESSURE 03 GRAVITY 459 01 SINGLE WALL o 3. LINED TRENCH o 99 OTHER 460 o 1 SINGLE WALL 095. UNKNOWN 462 r812. DOUBLE WALL o 95. UNKNOWN o 2. DOUBLE WALL' 099. OTHER MANUFACTURER AMERON MANUFACTURER 463 01. BARE STEEL ~ 6. FRP COMPATIBLE WI 100% METHANOL 01. BARE STEEL 06 FRP COMPATIBLE WI 100% METHANOL 02 STAINLESS STEEL 07. GALVANIZED STEEL 02. STAINLESS STEEL 07. GALVANIZED STEEL 03. PLASTIC COMPATIBLE WITH CONTENTS 0 95. UNKNOWN 0 3. PLASTIC COMPATIBLE WITH CONTENTS 0 8. FLEXIBLE (HDPE) 0 99. OTHER 1Z14. FIBERGLASS 0 8. FLEXIBLE (HDPE) 0 99. OTHER 0 4. FIBERGLASS 0 9. CATHODIC PROTECTION 05 STEEL WI COATING 0 9. CATHODIC PROTECTION 464 0 5. STEEL WI COATING 0 95. UNKNOWN \6'," "." VU.1i1PJBING'[EJS:~;PETECJ]ONHcfieckaJi'1fialapply)(adescripi;on.of themoriftoringprograri/'shaiJ 'besJbm;trr,di~tii':(Eicarariency) ,<,.. UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING 466 SINGLE WALL PIPING PRESSURIZED PIPING (Check all that apply): PRESSURIZED PIPING (Check all that apply)" o 1 ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUTOFF FOR 0 1. ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUTOFF FOR LEAK, SYSTEM FAILURE AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL LEAK, SYSTEM FAILURE AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL ALARMS ALARMS o 2 MONTHLY 0.2 GPH TEST 0 2 MONTHLY 0.2 GPH TEST 03 ANNUAL INTEGRITY TEST (0 1 GPH) 03. ANNUALINTEGRITYTEST(01 GPH) o 4 DAILY VISUAL CHECK SYSTEM TYPE CONSTRUCTIONI MANUFACTURER MATERIALS AND CORROSION PROTECTION (check all that apply) CONVENTIONAL SUCTION SYSTEMS o 5 DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING): o 7 SELF MONITORING GRAVITY FLOW o 9 BIENNIAL INTEGRITY TEST (0 1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply) 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Checkene) - o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS IZI b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF ~ 11. AUTOMATIC LINE LEAK DETECTOR (30 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION o 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM o 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply): 014 015 016 017. 465 467 CONVENTIONAL SUCTION SYSTEMS o 5 DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM o 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING) o 7. SELF MONITORING GRAVITY FLOW: o 8. DAILY VISUAL MONITORING o 9. BIENNIAL INTEGRITY TEST (01 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply): 10 CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Checkene) - o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF o 11 AUTOMATIC LEAK o 12 ANNUAL INTEGRITY TEST (0.1 GPH) SUCTIONIGRAVITY SYSTEM' o 13 CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply): CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUTOFF + AUDIBLE AND VISUAL ALARMS AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR RESTRICTION ANNUAL INTEGRITY TEST DAILY VISUAL CHECK 014 015 016 017 VIII\IDISPENSER'CONJAINMENT CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUTOFF + AUDIBLE AND VISUAL ALARMS AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST ANNUAL INTEGRITY TEST DAILY VISUAL CHECK o 1. FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE o 2 CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS r8I 3 CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS IX, OWN ER1QI? ERA TORSIGNATURE: DISPENSER CONTAINMENT DATE INSTALLED 468 Not Available Revised 611112002 04 05 06 DAILY VISUAL CHECK TRENCH LINER I MONITORING NONE 469 471 DATE 1]/30/05 TITLE OF OWNERIOPERATOR Environmental Compliance Specialist 472 470 Page 13 of20 I. 'i' CUPA Bakersfield Fire Department. Hazardous Materials Division 2101 H Street Bakersfield, CA 93301 (661) 326-3911 TYPE OF ACTION (Check one item only) o 1. NEW SITE PERMIT o tJ,NDERGR~tJND;$TQ~A$rz;TANKS.. TAN.KH~A$E"1 l?SI 5. CHANGE OF INFORMATION 0 6. TEMPORARY SITE CLOSURE o 7. PERMANENTLY CLOSED ON SITE o 8. TANK REMOVED 3. RENEWAL PERMIT FACILITY ID # 5 BUSINESS ADDRESS 4010 WIBLE ROAD LOCATION WITHIN SITE (Optional) o 4. AMENDED PERMIT (Specify change - for local use only) 430 (Specify reason - for local use only 93309 BUSINESS NAME (Same as FACILITY NAME or DBA) 3 o 5 6 4 ARCO# 05365 CITY ZIP CODE BAKERSFIELD 431 TANK ID # 4 432 DATE INSTALLED (YEAR/MO) 1993/08 435 TANK USE ADDITIONAL DESCRIPTION 438 TAN~CONTEN;T;S ';f< 439 l?SI 1. MOTOR VEHICLE FUEL (If marked, complete Petroleum Type) o 2. NON.FUEL PETROLEUM o 3. CHEMICAL PRODUCT o 4. HAZARDOUS WASTE (Includes Used Oil) o 95. UNKNOWN TANK MANUFACTURER Xerxes TANK CAPACITY IN GALLONS 10,000 433 COMPARTMENTALIZED TANK No 434 If "Yes", complete one page for each compartment. 436 NUMBER OF COMPARTMENTS 437 440 o 1a. REGULAR UNLEADED l?SI1b PREMIUM UNLEADED o 1c. MID.GRADE UNLEADED o 2 LEADED o 3. DIESEL o 4. GASOHOL o 5. JET FUEL o 6. AVIATION FUEL o 99. OTHER GASOLINE COMMON NAME (from Hazardous Materials Inventory page) 442 TYPE OF TANK 01. SINGLE WALL l?SI 2 DOUBLE WALL (Check one item only) TANK MATERIAL. primary tank 01. BARE STEEL 02 STAINLESS STEEL o 1. BARE STEEL 02. STAINLESS STEEL (Check one item only) TANK MATERIAL. secondary tank (Check one item only) TANK INTERIOR LINING OR COATING o 1. RUBBER LINED o 2. ALKYD LINING (Check one item only) OTHER CORROSION PROTECTION IF APPLICABLE 441 CAS # (from Hazardous Matenals Inventory page) 8006-61-9 '.;,y;)f:;.i;(1t0lllr~fTAN~..CONSTRl.JCJION . o 3. SINGLE WALL WlTli 0 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM EXTERIOR MEMBRANE LINER 0 95. UNKNOWN 04 SINGLE WALL IN A VAULT 0 99. OTHER l?SI 3. FIBERGLASS I PLASTIC 0 5. CONCRETE 04. STEEL CLAD W/ FIBERGLASS 0 8. FRP COMPATIBLE W1100% METHANOL REINFORCED PLASTIC (FRP) l?SI3. FIBERGLASS I PLASTIC o 4. STEEL CLAD WIFIBERGLASS REINFORCED PLASTIC (FRP) o 5. CONCRETE o 3. EPOXY LINING o 4. PHENOLIC LINING 443 o 95. UNKNOWN o 99. OTHER 444 o 8. FRP COMPATIBLE W1100% METHANOL o 9. FRP NON.CORRODIBLE JACKET o 10. COATED STEEL o l?SI o 95. UNKNOWN o 99. OTHER 445 5. GLASS LINING 6. UNLINED o 95. UNKNOWN o 99. OTHER DATE INSTALLED 447 446 o 3. FIBERGLASS REINFORCED PLASTIC o 4. IMPRESSED CURRENT (For local use only) 448 DATE INSTALLED 449 (Check all that apply) SPILL AND OVERFILL 01. MANUFACTURED CATHODIC PROTECTION o 2. SACRIFICIAL ANODE (For local use only) 1993 .,,,'jAT '. IV.'.Ji~NK,LE;A~1DETECJIO N' (AiJif~{ription of th;''iri'O~i;~ring PrOg~~;"Sha/l~~r~ubmift~~;~.Uiifli,~f,(ageri"c;yJ. IF SINGLE WALL TANK (Check all that apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER (Check one item only) o 1. VISUAL (EXPOSED PORTION ONLY) 0 5. MANUAL TANK GAUGING (MTG) 0 1. VISUAL (SINGLE WALL IN VAULT ONLY) o 2 AUTOMATIC TANK GAUGING (ATG) 0 6. VADOSE ZONE l?SI 2. CONTINUOUS INTERSTITIAL MONITORING o 3. CONTINUOUS ATG 0 7. GROUNDWATER 0 3 MANUAL MONITORING o 4 STATISTICAL INVENTORY RECONCILIATION (SIR) + 0 8 TANK TESTING BIENNIAL TANK TESTING 0 99. OTHER YEAR INSTALLED (Check all that apply) l?SI1. SPILL CONTAINMENT l?SI 2. DROP TUBE l?SI3. STRIKER PLATE o 95. UNKNOWN o 99. OTHER 450 TYPE (For local use only) 451 OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452 o 3. FILL TUBE SHUT OFF VALVE o 4. EXEMPT 1993 l?SI1 ALARM l?SI2. BALL FLOAT 1993 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING V:"TANK..CLOSiJJ~E[INFORMATION.jPERMANE;'Nt CI..c>SURE'IN'PlACE" 457 ESTIMATED DATE LAST USED (YYIMM/DD) Revised 611112002 gallons 456 TANK FILLED WITH INERT MATERIAL? DYes 0 No Page 14 of20 CUPA Bakersfield Fire Department. Hazardous Materials Division 2101 H Street Bakersfield, CA 93301 (661) 326-391 I .... UNl?~Rc;R'G)l.:J~DS'ifG)f{l~GETANK'$;. TJ\NKPAc;~;1: .~. '" ~ VI; ~1~ING[coNSjfRUQTION.(Check all tha/apply) 459 UNDERGROUND PIPING l2J 1. PRESSURE 02. SUCTION 03. GRAVITY 458 01. PRESSURE 03 GRAVITY o 1 SINGLE WALL 0 3. LINED TRENCH 0 99. OTHER 460 0 1. SINGLE WALL 0 95 UNKNOWN CONSTRUCTION/ l2J 2. DOUBLE WALL 095. UNKNOWN 0 2. DOUBLE WALL' 0 99 OTHER MANUFACTURER MANUFACTURER AMERON MANUFACTURER 463 01. BARE STEEL l2J 6. FRP COMPATIBLE W/100% METHANOL 01. BARE STEEL 06. FRP COMPATIBLE WI 100% METHANOL 02. STAINLESS STEEL 0 7. GALVANIZED STEEL 0 2. STAINLESS STEEL 0 7. GALVANIZED STEEL o 3. PLASTIC COMPATIBLE WITH CONTENTS 0 95. UNKNOWN 0 3. PLASTIC COMPATIBLE WITH CONTENTS 0 8. FLEXIBLE (HDPE) 099. OTHER l2J 4. FIBERGLASS 08. FLEXIBLE (HDPE) 099. OTHER 04. FIBERGLASS 09. CATHODIC PROTECTION 05 STEEL WI COATING 09. CATHODIC PROTECTION 464 0 5. STEEL WI COATING 0 95 UNKNOWN "ZVIIi"f"~tE'ING:LE:~KfP E[E: C;T"I.o.N1(Cl1ec~alltlJatapP/yJiad€/$q)piion6fthe l1Jo;;iioringprogra":" shall 'be sJbiilitted.totfh'e local agency/ . UNDERGROUND PIPING ABOVEGROUND PIPING SINGLE WALL PIPING 466 SINGLE WALL PIPING PRESSURIZED PIPING (Check all that apply)." PRESSURIZED PIPING (Check all that apply)." o 1 ELECTRONIC LINE LEAK DETECTOR 3.0 GPH TEST WITH AUTO PUMP SHUTOFF FOR 0 1 ELECTRONIC LINE LEAK DETECTOR 30 GPH TEST WITH AUTO PUMP SHUTOFF FOR LEAK SYSTEM FAILURE AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL LEAK, SYSTEM FAILURE AND SYSTEM DISCONNECTION + AUDIBLE AND VISUAL 'ALARMS ALARMS o 2. MONTHLY 0.2 GPH TEST 0 2. MONTHLY 0.2 GPH TEST o 3. ANNUAL INTEGRITY TEST (0 1 GPH) 0 3 ANNUAL INTEGRITY TEST (0.1 GPH) o 4. DAILY VISUAL CHECK SYSTEM TYPE MATERIALS AND CORROSION PROTECTION (check a/I that apply) CONVENTIONAL SUCTION SYSTEMS o 5. DAILY VISUAL MONITORING OF PUMPING SYSTEM + TRIENNIAL PIPING INTEGRITY TEST (0 1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING) o 7. SELF MONITORING GRAVITY FLOW o 9 BIENNIAL INTEGRITY TEST (0 1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check a/I that apply): 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) o a AUTO PUMP SHUT OFF WHEN A LEAK OCCURS l2J b AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF [8J 11. AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITH FLOW SHUT OFF OR RESTRICTION o 12. ANNUAL INTEGRITY TEST (0 1 GPH) SUCTIONIGRAVITY SYSTEM o 13. CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERA TORS ONLY (Check all that apply): 014 015 016 017. 462 465 467 CONVENTIONAL SUCTION SYSTEMS o 5 DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM o 6. TRIENNIAL INTEGRITY TEST (0.1 GPH) SAFE SUCTION SYSTEMS (NO VALVES IN BELOW GROUND PIPING) o 7. SELF MONITORING GRAVITY FLOW o 8 DAILY VISUAL MONITORING o 9. BIENNIAL INTEGRITY TEST (0 1 GPH) SECONDARILY CONTAINED PIPING PRESSURIZED PIPING (Check all that apply) 10. CONTINUOUS TURBINE SUMP SENSOR WITH AUDIBLE AND VISUAL ALARMS AND (Check one) - o a. AUTO PUMP SHUT OFF WHEN A LEAK OCCURS o b. AUTO PUMP SHUT OFF FOR LEAKS, SYSTEM FAILURE AND SYSTEM DISCONNECTION o c. NO AUTO PUMP SHUT OFF o 11 AUTOMATIC LEAK o 12. ANNUAL INTEGRITY TEST (0.1 GPH) SUCTION/GRAVITY SYSTEM o 13 CONTINUOUS SUMP SENSOR + AUDIBLE AND VISUAL ALARMS EMERGENCY GENERATORS ONLY (Check all that apply): CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUTOFF + AUDIBLE AND VISUAL ALARMS AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST) WITHOUT FLOW SHUT OFF OR RESTRICTION ANNUAL INTEGRITY TEST DAILY VISUAL CHECK o 14. CONTINUOUS SUMP SENSOR WITHOUT AUTO PUMP SHUTOFF + AUDIBLE AND VISUAL ALARMS 015. 016. 017 vlitDISPENSERCONT AINMENT AUTOMATIC LINE LEAK DETECTOR (3.0 GPH TEST ANNUAL INTEGRITY TEST DAILY VISUAL CHECK o 1 FLOAT MECHANISM THAT SHUTS OFF SHEAR VALVE o 2. CONTINUOUS DISPENSER PAN SENSOR + AUDIBLE AND VISUAL ALARMS l2J 3 CONTINUOUS DISPENSER PAN SENSOR WITH AUTO SHUT OFF FOR DISPENSER + AUDIBLE AND VISUAL ALARMS 1X:;~(@WNERIQPERA1;O~SIGNA:J:URE DISPENSER CONTAINMENT DATE INSTALLED 468 Not Available Revised 6/1112002 DAILY VISUAL CHECK TRENCH LINER I MONITORING NONE 469 471 DATE 11/30/05 TITLE OF OWNERIOPERATOR Environmental Compliance Specialist 472 470 Page 15 of20 ,--/- " HAZARDOUS MATERIALS BUSINESS EMERGENCY PLAN EMERGENCY PROCEDURES ARCO # 05365 4010 WIBLE ROAD, BAKERSFIELD, CA 93309 1. EMERGENCY RESPONSE PLANS AND PROCEDURES A. In the event of a release or threatened release of hazardous materials, provide the following immediate notifications: Immediately call: Local emergency response personnel (Fire, paramedics, police or sheriff) 911 State Office of Emergency Services (800) 852-7550 or (916) 262-1621 Immediately call the appropriate jurisdiction: The Bakersfield Fire Department Hazardous Materials Management Division: (66]) 326-3979 Person(s) within the business required responding to a hazardous materials incident: Name: MARK SATER Name: JANET WAGER Name: ARCO CUSTOMER SOLUTIONS CENTER Telephone: (661) 836-9685 Telephone: (714) 670-5321 Telephone: (800) 272-6349 B, Identify the local emergency medical facility that will be used by your business in the event of an injury caused by the release of a hazardous material: Name: Address: City: Phone: BAKERSFIELD MEMORIAL HOSPITAL 420 34TH STREET BAKERSFIELD, CA 9330] (66 I) 327-4647 2, PREVENTION Gasoline. Gasoline spills can result in environmental contamination, fire, and explosion. Releases of gasoline can occur when underground storage tanks are overfilled, when motorists overfill vehicle tanks, or drive off. The releases are prevented by installed overfill devices such as flapper valves, high level alarms, or ball floats. Other spill prevention devices are impact valves, and breakaway devices. Service stations are attended by trained personnel, and gasoline is delivered by trained truck drivers. Page 16 of20 i --- ~ 'i' HAZARDOUS MATERIALS BUSINESS EMERGENCY PLAN EMERGENCY PROCEDURES ARCO # 05365 4010 WIBLE ROAD, BAKERSFIELD, CA 93309 Carbon Dioxide. Liquefied carbon dioxide is an extremely cold liquid/gas and is stored under high pressure in a gas cylinder. The small gas cylinders, containing 20 to 50 pounds of liquid carbon dioxide, must be stored upright and be firmly secured with chain to the wall. Those large cylinders (containers), which contain 200 to 400 pounds of liquid carbon dioxide, must be either chained or anchored to the floor. Securing the cylinder prevent falling or being knocked over. The gas cylinder must be capped at all times and transported with drum cart. The extremely cold part of pipes and valves on top of the cylinder will cause moist flesh to stick fast and tear when one attempts to withdraw from it. A leak will result in the formation of dry ice, and contact with dry ice, liquid carbon dioxide, or cold gas can cause frostbite to skin, eyes, and exposed tissues. Breathing low concentration of carbon dioxide can cause nausea, dizziness, mental confusion, and visual disturbance, shaking, headache, and respiratory problem. Liquid carbon dioxide has a high evaporation rate and when heated to above 52 Degree C (125 Degrees F) will generate high pressure. Store away from heat and ignition sources and out of direct sunlight. High temperature can generate high pressure in the tank/cylinder and cause rupture if the safe relief valve fails to operate. Do not store the container or cylinders where they come into contact with moisture. 3, MITIGATION In the event of a maior release of qasoline: 1. Attendant should shut off electricity to the pumps/turbines at the emergency shut off switch and/or the main electrical panel. 2. The on-site emergency coordinator or designee will contact 911 (Fire Department) and explain the emergency, and will contact ARCO CSC. If necessary, the On-Site Emergency Coordinator or designee will request an ambulance or other medical assistance. 3. Evacuate. If deemed necessary by the On-Site Emergency Coordinator or designee, all traffic on site will be halted, area coned off, and all employees and customers will be directed to a safe area opposite the danger. 4. Contain the liquid by constructing berms and/or by covering the spill with a fireproof absorbent material. Prevent liquid from entering storm drains whenever possible. 5. Scene management shall be the responsibility of the On-Site Emergency Coordinator or designees until the arrival of fire or police personnel. Upon arrival of these personnel, the Emergency Coordinator will cooperate with and offer any assistance that is requested. 6. Immediately following an emergency the On-Site Emergency Coordinator will provide for the disposal of contaminated material as directed by the local Fire Department or County Health Agency. If neither agency gives such direction, coordinator will call ARCO CSC for removal and disposal. In the event of a fire: 1. Attendant should shout FIRE ALARM and call 911 (Fire Department). 2. Stop fluid flow by shutting off electricity to the pumps at the main electrical panels and close impact valves. 3. Evacuate by stopping all traffic on site and direct all personnel and customers to a safe area opposite the danger. 4. Scene management is the responsibility of the On-Site Emergency Coordinator or designees until the arrival of public safety response Page 17 of20 ----- " -:f .~ HAZARDOUS MATERIALS BUSINESS EMERGENCY PLAN EMERGENCY PROCEDURES ARCO # 05365 4010 WIBLE ROAD, BAKERSFIELD, CA 93309 personnel. Upon arrival of these personnel, the Emergency Coordinator will cooperate with and offer assistance, as requested. In the event of a carbon dioxide release: Carbon dioxide is cold, asphyxiant, and powerful cerebral vasodilator gas. If there are signs of visible ice on the cylinder or parts such as pipes, it is a sign of a leak and needs to be reported to your manager immediately. In the event of release, evacuate the store, and allow the liquid/gas carbon dioxide to evaporate and the gas to dissipate. Attempt to close the main source valve to stop the release is not recommended unless if is safe to do so and you have adequate personal protection gears. If the area must -be entered by emergency personnel, Self-Contained Breathing Apparatus (SCBA), Kevlar gloves, and appropriate foot and leg protection must be worn. 4. ABATEMENT In the event that a spill is small, station personnel should apply absorbent to the gasoline spill by sweeping the absorbent onto the spill. Once the absorbent has soaked up the liquid, sweep up the absorbent and place it in a 55- gallon drum. If the spill is larger, call 911, attempt to contain it, and follow the scene management instructions in Section 3, Mitigation. Large spills are cleaned by BP designated contractors, or as designated by the franchisee for franchise service stations. 5. EVACUATION Alarm shall be given by shouting to initiate an evacuation at the facility. If deemed necessary by the On-Site Emergency Coordinator or designee, all traffic on site will be halted, area coned off, and all employees and customers will be directed to a safe area opposite the danger. To evacuate the Sales Area, office or storage area, leave facility; go to area opposite danger using the front and/or back doors and proceed to the staging area or area opposite danger zone. Call 911 and report emergency. Call ARCO CSC; give details of emergency. 6. EARTHQUAKES BP WEST COAST PRODUCTS LLC has contracted with maintenance contractors to conduct post-earthquake inspections following an earthquake. Inspections will take place as soon as possible after a 5.5 or greater magnitude quake. After earthquake employees will: 1. Make sure gasoline inventories are secure. Secure all underground storage tank systems (emergency pump shut-off switch and main electrical for the turbines) at the main electrical panel. 2. If there are any signs of structural damage to the building or island canopy, keep everyone away from the damaged area. If danger is imminent, shut down facility operations until it has been deemed safe to continue. 3. Call ARCO CSC immediately. If there's an immediate danger, call 911 for assistance. 4. If there is any indication of loss of gasoline from tanks or lines, shut down the dispensing system immediately. 5. If there is Page 18 of20 -~ ....------ -,,'. /--' 'HAZARDOUS MATERIALS BUSINESS EMERGENCY PLAN EMERGENCY PROCEDURES ......,.-- ARCO # 05365 4010 WIBLE ROAD, BAKERSFIELD, CA 93309 visible gasoline from dispensers, be sure to use absorbent material. 6. Even if gasoline inventories appear normal, conduct inventory reconciliation and visual checks twice a day until aftershocks subside. 7. HAZARDOUS WASTE CONTINGENCY See Section 3, Mitigation, "In the event of a major release. " 8. UNAUTHORIZED RELEASE RESPONSE PLAN See Section 3, Mitigation, "In the event of a major release. " Release reporting will be completed by the Environmental Compliance Specialist (Janet Wager). 9. SITE SECURITY As applicable on an individual facility basis, you should assess the security and vulnerability of your business from intentional acts both from within your business (sabotage) and from the outside (vandalism and terrorist acts). This assessment should consider testing your security system and procedures on a regular basis. Details of this assessment should not be included in this plan as it is a public document. 10. EMPLOYEE TRAINING PLAN All employee training shall be documented and updated annually New employee training. Topics as follows: 1. Identification, location and securing of C02. 2. Review BERP including emergency escape procedures and evacuation assembly location. 3. Discuss fire risks from flammable liquids, combustible materials, static electricity and propane (if applicable). 4. Locate all fire extinguishers. 5. Review list of chemicals used at facility, MSDS's and their location. 6. Handling, identification and proper storage and labeling of hazardous waste. 7. Identify location of UST monitoring alarm. 8. Instruct on use and location of emergency shut-off switches. 9. Discuss procedures used to respond to minor and major spills. Training is conducted as described above for new employees and on a yearly basis for all employees. Page 19 of20 ~' -~ c:, ,.--- ~ t' SITE MAP ~ I BUSINESS NAME: ARCO # 05365 SITE ADDRESS: 4010 WIBLE ROAD ICITY: BAKERSFIELD I ZIP: MAP DATE: 11/09/05 SURVEY BY: EC I DRAWN BY: LEM AGENCY FACILITY #: A B C D E F G H K L M FU NERARIA DEL ANGEL . -.......----.. 2 I ~ IJ) <( /"--- S a: <( t- U C0 0 3 S ..J 0 0 l') en z :"0 - - ~ <( .. .. a: a: <( 4 D- UJ Q\ :<: 0 Q\ I >- - - ..J c( '. .. <( ~ 5 ct: UJ :r z t!' G :;J Q. ... U- ~ :r c( - - ex: 6 .. .. IEMI I L&.. L&.. C ~~ .~ .- ~- 0 ~ >- ct ex: . ~ I _ _1 . ~ ~ 7 w 0 0 0 0 W ...J 0 0 0 0 w III 0 0 0 0 ex: ... 0 0 0 0 L&.. ~ ~ ~ ~ ~ z UJ :;: 0 0 8 0 UJ UJ 0 <( 2 0 0 i= a: :;: <( <( <( l') UJ W w t- o a: ..J ..J IJ) Z Z :;: D- :;J :;J IJ) 9 <( l') ~l ~l~ ~' z 0 a: > UJ 10 I U -. -- 11 . WHITE LANE 12 >-0. PG & E 0 CAR QUEST AUTO PARTS ct::E SERVICE ~ct CENTER w~ 13 WI N ~Z LLO LEGEND 8 DISPENSER - CASHIER 0) ABSOR BENT FL FLAMMABLE LIQUID I'1SJ>~ M SDS & BR BATH ROOM SHUTOFF EMERGENCY PLAN 8 GAS PUMP ~ 8 MONITORING COMBUSTIBLE ~ (~ · EMERGENCY FIRE HYDRANT WELL CL UQUID TRASH BIN SEWER/FLOOR DRAIN SHUT OFF CD ELECTRICAL PANEL . TANK MONITOR G WATER MC MOTOR COOLANT FENCE + FIRST AID C0 UQUID WASTE DRUM * EVACUATION t PPE MO MOTOR OIL AZc: AIR CONDITIONING f FIRE EXTINGUISHER AREA UNIT o SOLID WASTE DRUM ((0)) OVERFILL ALARM C TELEPHONE EM EMERGENCY EXIT CO2 C02 CYUNDER ~ STORM DRAIN o GAS SHUTOFF UST -'6'- SENSOR _ DISPENSER 1 TRANSFOR M ER 8 USED MOTOR COOLANT ',' Page 20 of20