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Home My WebLink AboutUST MONITORING PLAN 6/23/2009 UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUNDSTORAGETANK 25 MONITORING PLAN-(Page 1 of 2) 1E TYPE OF ACTION E:1 1.NEW PLAN 19 2.CHANGE OF INFORMATION 490-1 PLAN TYPE ED I.MONITORING IS IDENTICAL FOR ALL USTs AT THIS FACILITY. 49*-2 (Check one item only) ❑ 2.THIS PLAN COVERS ONLY THE FOLLOWING UST SYSTEM(S): '' I:'FACILITY,!INFOR�NIATION FACILITY ID#(Agency Use Only) BUSINESS NAME(Same as FACILITY NAME) Pacific Bell Telephone Company dba AT&T California SA098/BKFDCA 14 3. BUSINESS SITE ADDRESS 3221 S.H STREET 103. CITY BAKERSFIELD 104. ;� Jfii�touiP MAE N,i TESTING PREVENTIVE Testing,preventive maintenance, and calibration of monitoring equipment(e.g.,sensors,probes, line leak detectors,etc.)must be performed at the frequency specified by the equipment manufacturers' instructions,or annually,whichever is more frequent,and that such work must he performed by qualified personnel. (23 CCR§2632,2634,2638,264 1) MONITORING E QUIPMENT IS SERVICED 1.ANNUALLY 99.OTHER(Specify): 490-3b S TORN610,eAtION MO 1.NEW SITE PLOT PLAN/MAP SUBMITTED WITH THIS PLAN. ❑2.SITE PLOT PLAN/MAP PREVIOUSLY SUBMITTED. (23 CCR§2632, 2634)490-4 " I TANK KMONITORING IS ERFOR.Nffib,:usiN6'THEiFQIPLO*iN,, D(S) ew 10 I.CONTINUOUS ELECTRONIC TANK MONITORING OF ANNULAR(INTERSTITIAL)SPACE(S)OR SECONDARY CONTAINMENT 490-5 VAULT(S)WITH AUDIBLE AND VISUAL ALARMS. (23 CCR§2632,2634), SECONDARY CONTAINMENT IS: a.DRY ❑ b.LIQUID FILLED ❑ c.PRESSURIZED [:1 d.UNDER VACUUM 4946 ---------------------------------------- PANEL MANUFACTURER: VEEDER ROOT 4947. MODEL#: TLS-350 490.8 --------------- LEAK SENSOR MANUFACTURER: Veeder Root 4941. MODEL#(S): 794390420 490-10 2.AUTOMATIC TANK GAUGING(ATG)SYSTEM USED TO MONITOR SINGLE WALL TANK(S)..(23 CCR§2643) 490-11 PANEL MANUFACTURER: 490-12• MODEL#: 490-13 ----------- IN-TANK PROBE MANUFACTURER: 490-14• MODEL#(S): 490-15 ---------------------------------------------------- --------------------- LEAK TEST FREQUENCY: ❑ a.CONTINUOUS ❑ b.DAILY/NIGHTLY ❑ c.WEEKLY 49416 ❑ d.MONTHLY El e.OTHER(Specify): 490-17 ------------------------------------- ---------- 490-18 PROGRAMMED TESTS: F-1 a.0.1 g.p.h. ❑El b.0.2 g.p.h. ❑El c.OTHER(Specify): 490-19 ❑ 3.MONTHLY STATISTICAL INVENTORY RECONCILIATION(23 CCR§2646.1): 490-V- 4.WEEKLY MANUAL TANK GAUGING(MTG)(23 CCR§2645). TESTING PERIOD: ❑ a.36 HOURS 490-211 b.60 HOURS 490-22 5.TANK INTEGRITY TESTING(23 CCR§2643.1): 49423 TEST FREQUENCY: El a.ANNUALLY El b.BIENNIALLY [:3 c.OTHER(Specify): 49424 490-25 ❑99.OTHER (Specify): 490-26 490-27 MONITORING IS PERFORMED SINGTHE-FOLLOWING 1 :MET9QD(S)`(the c k a 11 h A at apply) 1.CONTINUOUS MONITORING OF PIPE/PIPING SUMP(S)AND OTHER SECONDARY CONTAINMENT WITH AUDIBLE AND 490-28 VISUAL ALARMS. (23 CCR§2636) SECONDARY CONTAINMENT IS: ®a.DRY Elb.LIQUID FILLED [1c.PRESSURIZED Eld.UNDER VACUUM----------------------- 490- . 29 PANEL MANUFACTURER:Veeder Root 49410 1 MODEL#: TLS-350 490-31 -33 LEAK SENSOR MANUFACTURER: Veeder Root 490-32 794380-208 4(X) ---------- PIPING LEAK ALARM TRIGGERS AUTOMATIC PUMP(i.e.,TURBINE)SHUTDOWN. ❑a.YES 0 b.NO 490-34 FAILURE/DISCONNECTION OF THE MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. [3a.YES ®b.NO 490-35 2.MECHANICAL LINE LEAK DETECTOR(MLLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS AND RESTRICTS OR SHUTS OFF PRODUCT FLOW WHEN A LEAK IS DETECTED(23 CCR§2636) 490-36 ------- -------------------------------------------------- MLLD MANUFACTURER S): 490-37 MODEL#(S): 490-38 ❑ 3.ELECTRONIC LINE LEAK DETECTOR(ELLD)THAT ROUTINELY PERFORMS 3.0 g.p.h.LEAK TESTS (23 CCR§2636) 490-39 ELLD MANUFACTURER(S) 49440 MODEL#(S): 49441 ----------------------------------------------- PROGRAMMED IN LINE LEAK TEST: ❑ 1.MINIMUM MONTHLY 0.2 g.p.h. ❑ 2.MINIMUM ANNUAL 0.1 g.p.h. 490-42 ELLD DETECTION OF A PIPING LEAK TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑b.NO 490-43 ELLD FAILURE/DISCONNECTION TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑a.YES ❑b.NO 490-44 4.PIPE INTEGRITY TESTING 490-45 TEST FREQUENCY [:1 a.ANNUALLY ❑ b.EVERY 3 YEARS ❑ c.OTHER(Specify) 490-46490-47 -0-5.VISUAL PIPE MONITORING. 490-48 FREQUENCY ❑ a.DAILY ❑ b.WEEKLY Z c.MIN.MONTHLY&EACH TIME SYSTEM OPERATED* 4911-49 Allowed for monitoring of unburied emergency generator fuel piping only per HSC§25281.5(bX3) ❑ 6.SUCTION PIPING MEETS EXEMPTION CRITERIA 123 CCR§2636(a)(3)]. 490-50 El 7.NO REGULATED PIPING PER HEALTH AND SAFETY CODE,DIVISION 20,CHAPTER 6.7 IS CONNECTED TO THE TANK SYSTEM 49451 ❑ 99.OTHER(Specify) 4911-52 49453 IIIIIIIIIIIIIIIIIIII 26 1E UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2 of 2) VI.UNDER DISPENSER CONTAINMENT,(UDC)MONITQRING 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-544 490-54b ❑ 1.CONTINUOUS ELECTRONIC MONITORING ❑ 2.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE ® 4.NO DISPENSERS ❑99.OTHER(Specify): ----------–––––--––– ---––--–--- ––—– -- -- ----------------------------------------- PANEL MANUFACTURER: a9ass MODEL#: 490-56. ------------------------------------------------------------- ---------------------- ------------- LEAK SENSOR MANUFACTURER: 490 57 MODEL#(S): 490-58 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑ a.YES ❑b.NO 490-59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN ❑ a.YES ❑b.NO 490-60. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. ❑ a.YES ❑b.NO 490-61 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. ❑ a.YES ❑b.NO 4xi-62 2.UDC CONSTRUCTION IS ❑I.SINGLE-WALLED ❑2.DOUBLE-WALLED 490-63 IF DOUBLE WALLED: 4xi-64a UDC INTERSTITIAL SPACE IS MONITORED BY_ ❑ 1_LIQUID ❑2.PRESSURE [13.VACUUM -- ------------------------- A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS ❑a.YES ❑b.NO 491�-64b V11 PERIODICSYSTEM TESTING_ L ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490-65. -----LEAK DETECTION(ELD)MUST BE PERFORMED_PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS R_E_Q_UIRED_(23 CCR§2644.[)__________ ®2.SECONDARY CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS. 490-66 ------------------------------------------------------------------------------------------------------------ 3.SPILL BUCKETS ARE TESTED ANNUALLY. a9cti67 VIII RECORDKEEPING The following monitoring/maintenance records are kept for this f facility: .. . ®Alarm logs 490-68a ®Visual Inspection Records 490-68b ❑Tank integrity testing results 490-68c ❑SIR testing results(and supporting documentation records). 490-68d ❑ Tank gauging results(and supporting documentation records). 490-68e ❑ATG Testing results(and supporting documentation records).49o-68f ❑ Corrosion Protection 60-day logs 490-68g ®Equipment maintenance and calibration records. 490-68h X;TRAINING F. ®Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490-69a REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) ® THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490-69b ® OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)a90-69c ❑ CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 490-69d ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-690 ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"490-69f ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490-69g ❑ OTHER(Specify):M69h.M69i This facility has a"Designated UST Operator"who has passed the Califomia UST System Operator Exam administered by the International Code Council(ICC). The"Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 days of hire.This training will include,but is not limited to,the following: Operation of the UST systems in a manner consistent with the facility's best management practices ➢ The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan ➢ The facility employee's role with regard to spills and overfills as specified in the UST Response Plan ➢ Names of contact person(s)for emergencies and monitoring alarms.49o-70 X COMIINTSLADDITIONAL INFORMATION Provide additional comments here or indicate how many pages with additional information on specific monitoring procedures are attached to this plan.490-71 Fill Tube Shut-Off Valve is the Primary Overfill Protection Device on this system,set to 95%of tank capacity. Overfill Alarm is set to 903'0 of tank capacity. Fill Sump&Transition Box Sensors–794380-208;Piping Pan Sensor–794380-420 XL PERSONNEL RESPONSIBILITIES The UST Owner/Operator is responsible for ensuring that: 1)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered by this plan occurs,2)all conditions that indicate a possible release are investigated,and 3)all monitoring records are maintained properly. The following person(s)are responsible for performing the monitoring and equipment maintenance: NAME Tait Environmental Services 490-72 TITLE AT&T Authorized Vendor 490-73 NAME AT&T Environment Health&Safety 490-74 TITLE Call Center 490-75 The Designated Operator shall perform a monthly visual inspection of the facility, provide a report to the owner/operator, and inform the owner/operator of any conditions that need follow-up action. Ar .QW TOR SIGNATURE;. CERTIFICATION: l certify that the info ton i e and accurate to the best of my knowledge. APPLICANT SIGNATURE 490-76 DATE: 490-77 June 24,2009 F,5EBESENTINQ EM 1.T 15;r�ratslc[Ij 12 FLadjliay�0�mllj.K,,7.tor 0 3,Authorized Represenjafiy�,� APPLICANT NAME(print): 490-78 APPLICANT TITLE: 4%-79 Steven J. Hall Manager,EH&S UPCF UST-D(12/2007) (Agency.Use Only) This plan has been reviewe d,and ❑Approved ❑Approved With Conditions Local Agency Signature: Date Comments ocSpecial Conditions- J, • A'.• i I .i I(. ii � t illy UPCF UST-D(12/2007) UNDERGROUND STORAGE TANK RESPONSE PLAN - PAGE 1 (One form per facility) TYPE OF ACTION ❑ 1.NEW PLAN ® 2.CHANGE OF INFORMATION Rol. I. FACILITY INFORMATION- FACILITY ID# (Agency Use Only) BUSINESS NAME(Same as FACILITY NAME) R02. Pacific Bell Telephone Company dba AT&T California SA098/BKFDCAl4 BUSINESS SITE ADDRESS R03. CITY R04. 3221 S.H STREET BAKERSFIELD IL SPILL CONTROL AND CLEANUP METHODS This plan addresses unauthorized releases from UST systems and supplements the emergency response plans and procedures in the facility's Hazardous Materials Business Plan. ➢ If safe to do so,facility personnel will take immediate measures to control or stop any release(e.g.,activate pump shut-off,etc.)and,if necessary,safely remove remaining hazardous material from the UST system. ➢ Any release to secondary containment will be pumped or otherwise removed within a time consistent with the ability of the secondary containment system to contain the hazardous material,but not greater than 30 calendar days,or sooner if required by the local agency. Recovered hazardous materials,unless still suitable for their intended use,will he managed as hazardous waste. ➢ Absorbent material will be used to contain and clean up manageable spills of hazardous materials. Absorbent material may be reused until it becomes too saturated to be effective. It will then be managed properly.Used absorbent material,reusable or waste,will be stored in a properly labeled and sealed container. ➢ Facility personnel will determine whether or not any water removed from secondary containment systems,or from clean-up activity,has been in contact with any hazardous material. If the water is contaminated, it will be managed as hazardous waste. If the water has a petroleum sheen (i.e., rainbow colors), it is contaminated. A thick floating petroleum layer may not necessarily display rainbow colors. Water(hazardous or non-hazardous)from sumps,spill containers,etc. will not be disposed to storm water systems. ➢ We will review secondary containment systems for possible deterioration if any of the following conditions occur. I. Hazardous material in contact with secondary containment is not compatible with the material used for secondary containment; 2. Secondary containment is prone to damage from any equipment used to remove or clean up hazardous material collected in secondary containment; 3. Hazardous material, other than the product/waste stored in the primary containment system, is placed inside secondary containment to treat or neutralize released product/waste,and the added material or resulting material from such a combination is not compatible with secondary containment. III. SPILL CONTROL AND CLEAN=UP EQUIPMENT PERIODIC MAINTENANCE: Spill control and clean-up equipment kept permanently on-site is listed in the facility's Hazardous Materials Business Plan. This equipment is inspected at least monthly,and after each use,and supplies are replenished as needed. Defective equipment is repaired or replaced as necessary. EQUIPMENT NOT PERMANENTLY ON-SITE BUT AVAILABLE FOR USE IF NEEDED: (Complete nly if applicable) EQUIPMENT LOCATION AVAILABILITY RIO. R20. R30. R I L R21. R31. R 12. R22. R32. R13. R23. R33. RI4. R24. R34. R 15. R25. R35. IV. RESPONSIBLE PERSONS THE FOLLOWING PERSON(S)IS/ARE RESPONSIBLE FOR AUTHORIZING ANY WORK NECESSARY UNDER THIS RESPONSE PLAN: NAME R40. TITLE R50. Grant Armstrong AT&T Environment Health&Safety NAME R41. TITLE R51. AT&T EH&S Call Center NAME R42• TITLE R52• AT&T OICC Emergency Control Center NAME R43. TITLE R53. V. INDIRECT HAZARD DETERMINATION This information is required poly when the presence of the hazardous substance can not be verified directly by the monitoring method used(e.g.,where liquid level measurements in a tank annular space or secondary piping are used as the basis for leak determination). THE FOLLOWING STEPS WILL BE TAKEN TO DETERMINE THE PRESENCE OR ABSENCE OF HAZARDOUS SUBSTANCE IN THE SECONDARY CONTAINMENT IF MONITORING INDICATES A POSSIBLE UNAUTHORIZED RELEASE: R60. UPCF UST-E(12/2007) UNDERGROUND STORAGE TANK RESPONSE PLAN - PAGE 2 VI. LEAK INTERCEPTION AND DETECTION SYSTEM . This information is required gnly for motor vehicle fuel UST systems constructed per the Alternate Construction Requirements of 23 CCR§2633,and only if the Leak Interception and Detection System(LIDS) does not meet the volumetric requirements of 23 CCR §2631(d)(1)through(5) (i.e., when accounting for rainfall and backfill material,the secondary containment volume is less than 10030 of primary tank volume for a single UST;or in the case of multiple USTs in shared secondary containment, 150%of the largest primary tank volume or 10%of aggregate primary tank volume,whichever is greater). ATTACH AN ADDITIONAL PAGE TO THIS PLAN CONTAINING THE FOLLOWING INFORMATION: ➢ The volume of the LIDS in relation to the volume of the primary container, ➢ The amount of time the LIDS shall provide containment related to the time between detection of an unauthorized release and cleanup of the leaked substance; ➢ The depth from the bottom of the LIDS to the highest anticipated level of groundwater; ➢ The nature of the unsaturated soils under the LIDS and their ability to absorb contaminants or to allow movement of contaminants; The methods and scheduling for removal of all hazardous substances which may have been discharged from primary containment and are located in the unsaturated soils between the primary containment and groundwater,including the LIDS sump. VII. REPORTING AND RECORD.KEEPING We will report/record any overfill,spill,or unauthorized release from a UST system as indicated in this plan. Recordable Releases: Any unauthorized release from primary containment which the UST operator is able to clean up within eight(8)hours after the release was detected or should reasonably have been detected,and which does not escape from secondary containment,does not increase the hazard of fire or explosion,and does not cause any deterioration of secondary containment,must be recorded in the facility's monitoring records. Monitoring records must include: ➢ The UST operators name and telephone number; ➢ A list of the types,quantities,and concentrations of hazardous substances released; A description of the actions taken to control and clean up the release; The method and location of disposal of the released hazardous substances,and whether a hazardous waste manifest was or wilt be used; ➢ A description of actions taken to repair the UST and to prevent future releases; ➢ A description of the method used to reactivate interstitial monitoring after replacement or repair of primary containment. Reportable Releases: Any overfill,spill,or unauthorized release which escapes from secondary containment(or primary containment if no secondary containment exists),increases the hazard of fire or explosion,or causes any deterioration of secondary containment,is a reportable release. Reportable releases are also recordable. Within 24 hours after a reportable release has been detected, or should have been detected, we will notify the local agency administering the UST program of the release,investigate the release,and take immediate measures to stop the release. If necessary,or if required by the local agency,remaining stored product/waste will be removed from the UST to prevent further releases or facilitate corrective action. If an emergency exists,we will notify the State Office of Emergency Services. Within five(5)working days of a reportable release,we will submit to the local agency a full written report containing all of the following information to the extent that the information is known at the time of filing the report: ➢ The UST owner's or operator's name and telephone number; ➢ A list of the types,quantities,and concentrations of hazardous materials released; ➢ The approximate date of the release; ➢ The date on which the release was discovered; ➢ The date on which the release was stopped; ➢ A description of actions taken to control and/or stop the release; ➢ A description of corrective and remedial actions,including investigations which were undertaken and will be conducted to determine the nature and extent of soil, ground water or surface water contamination due to the release; ➢ The method(s)of cleanup implemented to date,proposed cleanup actions,and a schedule for implementing the proposed actions; ➢ The method(s)and location(s)of disposal of released hazardous materials and any contaminated soils,groundwater,or surface water. ➢ Copies of any hazardous waste manifests used for off-site transport of hazardous wastes associated with clean-up activity; ➢ A description of proposed methods for any repair or replacement of UST system primary/secondary containment systems; ➢ A description of additional actions taken to prevent future releases. We will follow the reporting procedures described above if any of the following conditions occur: ➢ A recordable unauthorized release can not be cleaned up or is still under investigation within eight(8)hours of detection; ➢ Released hazardous substances are discovered at the UST site or in the surrounding area; ➢ Unusual operating conditions are observed,including erratic behavior of product dispensing equipment,sudden loss of product,or the unexplained presence of water in the tank,unless system equipment is found to be defective and is immediately repaired or replaced,and no leak has occurred; ➢ Monitoring results from UST system monitoring equipment/methods indicate that a release may have occurred,unless the monitoring equipment is found to be defective and is immediately repaired,recalibrated,or replaced,and additional monitoring does not confirm the initial results. Record Retention: Monitoring records and written reports of unauthorized releases must be maintained on-site(or off-site at a readily available location,if approved by the local agency)for at least 3 years. Hazardous waste shipping/disposal records(e.g.,manifests)must be maintained for at least 3 years from the date of shipment. V I. OWNER/O ERATOR SIGNATURE CERTIFICATION:I certify that the info on p ovide r ' s e and accurate to the best of my knowledge. OWNER/OPERATOR SIGNATURE DATE R70• June 24, 2009 OWNER/O RATOR N R71. OWNER/OPERATOR TITLE R72. Ste en . Hall Manager,EH&S (Agency Use Only) This plan has been reviewed and: ❑Approved ❑Approved With Conditions ❑Disapproved Local Agency Signature: Date: UPCF UST-E(12/2007) UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK OPERATING PERMIT APPLICATION-FACILITY INFORMATION E: (One form per facility) TYPE OF ACTION ❑ I.NEW PERMIT ED 5.CHANGE OF INFORMATION ❑ 7.PERMANENT FACILITY CLOSURE 400. (Check one item only) ❑ 3.RENEWAL PERMIT ❑ 6.TEMPORARY FACILITY CLOSURE ❑ 9.TRANSFER PERMIT ............ p 'w" ' . FACILI TY INFORMATION : TOTAL NUMBER OF USTs AT FACILITY FACILITY ID# (Agency Use Only) 4 BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3. Pacific Bell Telephone Company dba AT&T California SA098 BUSINESS SITE ADDRESS 103• CITY 104. 3221 S. H STREET BAKERSFIELD FACILITY TYPE ❑ I.MOTOR VEHICLE FUELING ❑ 2.FUEL DISTRIBUTION 403. Is the facility located on Indian Reservation or 405. ❑ 3.FARM ❑ 4.PROCESSOR 6.OTHER Trust lands? ❑Yes 0 No 1 II; PROPERTY OWNER INFORMATION TI 4 PROPERTY OWNER NAME 407. PHONE 408• Pacific Bell Telephone Company dba AT&T California (214) 464-5591 MAILING ADDRESS 409• 2600 Camino Ramon - Room 3E000 CITY 4107'TATE 411. ZIP CODE 412. San Ramon ICA 94583 I LTANK_9 OPERATOR INFORMATION ; TANK OPERATOR NAME 428-'TPHONE 428-2 Pacific Bell Telephone Company dba AT&T California (214) 464-5591 MAILING ADDRESS 428-3 2600 Camino Ramon - Room 3E000 CITY 428-4 STATE 429-5 ZIP CODE 428-6 San Ramon CA 94583 �AVTANK:OWNER'INFORMATION TANK OWNER NAME 414. PHONE 415. Pacific Bell Telephone Company dba AT&T California (214) 464-5591 MAILING ADDRESS 416. 308 S. Akard St. Room 1700 CITY 417. 1 STATE 418. ZIP CODE 419. Dallas TX 75202 OWNER TYPE: ❑ 4.LOCAL AGENCY/DISTRICT ❑ 5.COUNTY AGENCY ❑ 6.STATE AGENCY 420. ❑ 7.FEDERAL AGENCY 8.NON-GOVERNMENT V BOARD OF ST QUAjAzATIQN,,,�U STQ"G E,JFEE ACCOUNT NUMBER TY JK)HQ 44- 0 3 1 9 1 4 Call the State Board of Equalization,Fuel Tax Division,if there are questions. 421. T-VOLDER"INFO VIP ERMI Issue permit and send legal notifications and mailings to: ❑ I.FACILITY OWNER ❑ 4.TANK OPERATOR 423 3.TANK OWNER ❑ 5.FACILITY OPERATOR SUPERVISOR OF DIVISION,SECTION,OR OFFICE(Required For Public Agencies Only) 406. AV CERTIFICATION: I certif� the 1!0(159 herein is true accurate,and in full compliance with legal requirements. APPLICANT SIGNATURE DATE 424• PHONE 425. 6/24/2009 (214)464-3131 APPLICAN T-RAME(print) 426- APPLICANT TITLE 427 M 0( Steven J. Hall Mana ger, EH&S UPCF UST-A (1212007) UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK OPERATING PERMIT APPLICATION-TANK INFORMATION(one form per UST) TYPE OF ACTION (Check one item only. For an UST permanent closure or removal,complete only this section and Sections 1,11,Ill,IV,and IX below) 430 ❑ I.NEW PERMIT ❑ 3.RENEWAL PERMIT ® 5.CHANGE OF INFORMATION ❑ 6.TEMPORARY UST CLOSURE ❑ 7.UST PERMANENT CLOSURE ON SITE ❑ 8.UST REMOVAL DATE UST PERMANENTLY CLOSED: 430a DATE EXISTING UST DISCOVERED: 430b I FACILTTY 1NFORMATIUNr , FACILITY ID#(Agency Use Only) ' BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 Pacific Bell Telephone Company dba AT&T Califomia SA098 BUSINESS SITE ADDRESS 103 CITY 104 3221 South H Street Bakersfield II TANKDESCRIPTIQN TANK ID# 432 TANK MANUFACTURER 433 TANK CONFIGURATION: THIS TANK IS 434 SA0980001 MODERN WLD ® 1.A STAND-ALONE TANK ❑2.ONE IN A COMPARTMENTED UNIT. Complete one page for each compartment rtment in the unit. DATE UST SYSTEM INSTALLED 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS IN THE UNIT 437 5/1/04 6016 1 f , III ,TANK USE'AND,C_ONTENTS TANK USE ❑ la.MOTOR VEHICLE FUELING ❑ Ib.MARINA FUELING ❑ Ic.A 439 AVIATION FUELING ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE(Ir«ludes Used Oil) ® 5.EMERGENCY GENERATOR FUEL IHSC p25271.5(c)i ❑ 6.OTHER GENERATOR FUEL ❑ 95.UNKNOWN ❑ 99.OTHER (Specify): 439a CONTENTS PETROLEUM: ❑ la.REGULAR UNLEADED ❑ lc.MIDGRADE UNLEADED ❑ lb.PREMIUM UNLEADED 440 ® 3.DIESEL ❑ 5.JET FUEL ❑ 6.AVIATION GAS ❑ 8.PETROLEUM BLEND FUEL ❑ 9.OTHER PETROLEUM (Specify): 440a NON-PETROLEUM:❑ 7.USED OIL ❑ 10.ETHANOL ❑ 11.OTHER NON-PETROLEUM(Specify): 440b �,IV TANK CONSTRUCTION TYPE OF TANK ❑ 1.SINGLE WALL ® 2.DOUBLE WALL ❑ 95.UNKNOWN 443 PRIMARY CONTAINMENT ® L STEEL ❑ 3.FIBERGLASS ❑ 6.INTERNAL BLADDER 444 ❑ 7.STEEL+INTERNAL LINING ❑ 95.UNKNOWN ❑ 99.OTHER (Specify): 444a SECONDARY CONTAINMENT ❑ I.STEEL ®3.FIBERGLASS ❑ 6.EXTERIOR MEMBRANE LINER ❑ 7.JACKETED 445 ❑ 90.NONE ❑ 95.UNKNOWN ❑99.OTHER(Specify): 445a OVERFILL PREVENTION 1.AUDIBLE&VISUAL ALARMS 2.BALL FLOAT ® 3.FILL TUBE SHUT-OFF VALVE 452. ❑ 4.TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT h M t V f PRODUCT/WASTE PIPING CQNSTRUCTION ; � L PIPING CONSTRUCTION UCTION ❑I.SINGLE-WALLED ®2.DOUBLE-WALLED ❑99.OTHER 460 SYSTEM TYPE ❑ 1.PRESSURE ❑ 2.GRAVITY ® 3.CONVENTIONAL SUCTION ❑ 4.SAFE SUCTION 123 CCR§2636(a)(3)1 457 PRIMARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ® 8.FLEXIBLE ❑ 10.RIGID PLASTIC 464 ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(S cif): 464a SECONDARY CONTAINMENT ❑ I.STEEL ❑ 4.FIBERGLASS ® 8.FLEXIBLE ❑ 10.RIGID PLASTIC 464b ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 464c PIPINGI TURBINE CONTAINMENT SUMP TYPE ® I.SINGLE WALL ❑ 2.DOUBLE WALL ❑ 90.NONE 4644 VENT„VAPOR REGO�'ERY„(VR)AND RISER/FILLPIPE I'IPING:;`CONSTRUCTION VENT PRIMARY CONTAINMENT 1.STEEL 4.FIBERGLASS ❑ 10.RIGID PLASTIC 90.NONE 99.OTHER(Specify) 464e1 VENT SECONDARY CONTAINMENT ❑ 1.STEEL 4.FIBERGLASS 10.RIGID PLASTIC 90.NONE 99.OTHER(Specify) 464f 464f1 VR PRIMARY CONTAINMENT L STEEL Ij 4.FIBERGLASS ❑ 10.RIGID PLASTIC 90.NONE 99.OTHER(Specify) 464g 464g I VR SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ® 90.NONE ❑ 99.OTHER(Specify) 464h 464h1 VENT PIPING TRANSITION SUMP TYPE D 1.SINGLE WALL ❑ 2.DOUBLE WALL 90,NONE 4641. RISER PRIMARY CONTAINMENT 1.STEEL ❑ 4.FIBERGLASS 10.RIGID PLASTIC 90.NONE ❑ 99.OTHER(Specify) 4641 464'I RISER SECONDARY CONTAINMENT ❑ 1.STEEL ® 4.FIBERGLASS 10.RIGID PLASTIC ❑ 90.NONE 99.OTHER(Specify) 464k 464k1 FILL COMPONENTS INSTALLED 1.SPILL BUCKET 3.STRIKER PLATE/BOTTOM PROTECTOR 4.CONTAINMENT SUMP 451a-c 3 VII UNDER DIS.PENSER;CONTAINMENT(UDC) k� CONSTRUCTION TYPE ❑ L SINGLE WALL ❑ 2.DOUBLE WALL ® 3.NO DISPENSERS ❑ 90.NONE 469a CONSTRUCTION MATERIAL ❑ I.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 99.OTHER(Specify) 469b-c ',VIII CORROSION PROTECTIONa ��. t.; STEEL COMPONENT PROTECTION ❑ 2.SACRIFICIAL ANODE(S) ❑ 4.IMPRESSED CURRENT ® 6.ISOLATION 447• IX. APPLIC_ ANT_ SIGNATURE.,. CERTIFICATION: I certify that this UST syqoff is compatible with th azardous substance stored and that the information provided herein is true,accurate, and in full com lian e-mft legal r APPLICANT SIGNATURE DATE 470. 6/24/2009 APPLICAN 471. APPLICANT TITLE 472. Steven J Hall Manager, EH&S UPCF UST-B-Ul Rev.(1212007) 6 dt&t Monitoring Plan Site Map Drawing NOT to Scale Business Name: Pacific Bell Telephone Co. dba AT&T Cal. (SA098) Date: 6/24/2009 Business Address: 3221 S. H Street Bakersfield Zip Code: 93304 Piping Fill Sump w/ Sump w/ Sensor sensor�— --- —�� I �-- Annular Sensor t� I 1 Transition Sump 1 6K UST Diesel w/Sensor 1 1� Fuel Lines Vent Riser 1 I cr�— Overfill Alarm 2 Engine Room -C O TLS 350nI"Mr. AT&T building � N Drawing prepared by: w E Steven J Hall /AT&T g