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Home My WebLink About3225 BUCK OWENS BOULEVARD_UST FMC 5.2.11l_ _Ifl��1d�9 35J File. •,x �oCo. Address: 3 -,B k f a ers field CA '933 94*11 c®ived Business. "Name• O - - - INSPECTION..LO,G WSTEM BUILDING. SQUARE :FEET.: - "New � Afl oci: - cr • . - :Comm ercial Hoods stem: Y Buildirti S :Feet-. 9 4. =i, Dater- ,,Time =O: a rm S sfem: . Fir AW! Cal - I i - cu at on Bldg. S - 'ft'' i it. f Fire ri S nkler $' sttem I .. : P. . . ��O i A rri° IIlr .. o �= O bo a round r g Sto age 'Tank" - r I• Und �r_ r• t e ound• Sto�a � e �.Tark .i , f minor " ., � rriod'ifcation� :Urid er roun d�Stora . e T ank 9 9 _ _ . ,9 to e .. _ s. removal" Underf round: Stora �e •Tarik� � • , I ... -. _ . Si nature: 9 :Other:- to mmentw. � � v'F1:'1. _ - ... .. - •� � - � _� 1. 1 ~ �'' IIIIIIIIIIIIIIIIIIII 36 IE - s May 25, 2011 Bakersfield City Fire Dept. 2101 H Street Bakersfield, CA 93301 Fax No (661) 852 -2171 SOQUEL Av», Surm 202 A CRUZ, CALxomiA 95062 831.475.8141 831.475.8249 FAX TRANSMISSION Re: Testing at Valero 3874 3225 Buck Owens Blvd_ Bakersfield, CA 93381 Dear Inspector: Triton Construction will be perfoxtning the Spillbox and SB989 testing at the above site starting Tucsday June 7, 2011 at 9AM. Triton Construction is licensed to perform, this testing and have certifications avalable for review. Our testing protocol is accessable for your review and can be supplied upon request. The testing results will be submitted to your agency on appropriate forms. Please contact me at 831.227.4730 if you have any questions, sincerely, Frank BolutcL 560 SoQuei AvEmm, Suin 202 ANTA CRUZ, CAL,I'ORNrA 95062 EL: 831.475.8141 Ax: 831.475.8249 FAX TRANSMISSION May 27, 2011 RESC DULT+ NQ''j'jCE bakersfield City Fire Dept Environmental Health Dept. 2101 H Street Bakersfield, CA 93301 Fax No (661) 852 -2171. Re: Tesf ing at Valero 3074 3225 BUCK Owens Blvd Bakersfield, CA 93301 Dear Inspector.. . Triton Construction will be performing the Spillbox and SB989 testing at the above site starting Wednesday June 08, 2011 at 9AM. Triton Construction is licensed to perform this testing and have certifications avalable for mvicw. Our testing protocol is accessablc. for your review and can be supplied upon request. The testing results will be submitted to your agency on appropriate forms. Please contact me at 831.227.4730 if you have any questions. Sincerely, Frank Bohnet BAKERSFIELD CITY FIRE DEPARTMENT -- INSPECTION RECORD Post this Card at the Job Site and DO NOT Remove for Duration of Work Inspection Request Phone No. (661) 326 -3979 UST NEW INSTALL JOB DESCRIPTION: Lv( C,✓ DESCRIPTION DATE SIGNATURE BACKFILL PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF L - TANK TESTING UST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE MISC. ACTIVITY REMARKS: AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL 1 DESCRIPTION DATE SIGNATURE PRIOR TO OPERATION OF ANY SYSTEM, ALL UST AND /OR AST SYSTEMS SHALL BE INSTALL, COMPLETE AND ACCEPTED BY THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPARTMENT (FINAL) BUILDING ADDRESS: 3.Z cit �J JOB DESCRIPTION: Lv( C,✓ OCCUPANCY TYPE: OWNER: PERMIT NO. CONTRACTOR: %,q,Jkpio PHONE# 6 FD 1743 .. . t�•i "was. ti"I East I- Ockeford. Lodi. CA 95240 Phone (209) 365 -12A6 Pax: (209) 210 -0009 Kay Simms E -Mail: rsimms(cr�tanknology.com APHI21.2011 lest ing Notification To: ; Agency Name: BAKERSFIELD FIRE DEPT. PIREV/IENV. SERVICES Contact: Steve Underwood NEEDS A PERMIT AND CHECK SENT OUT Phone.- 661- 326 -3979 Fax.- 661 -852 -2171 Schedule Test Site Name.- VALERO Site #.- 3074 Address.- 3225 BUCK OWENS BLVD BAKERSFIELD CA 93301 Test Date.- 6/29/11 Time 9:00 AM Tanknology will conduct the following test(s): ®_ MONTTOR, LDs o E -STOP ® SURVEY ® SHEAR o LINES Please fax reply to (209) 365 -1543 if you plan to witness the test. Confirmation number (if applicable): Please let us know if any of your agency information has changed. CONFIDENTIALI'T'Y NO'T'ICE This message is intended for the individual or entity for which it is addressed and may contain information that is legally privileged, confidential, and exempt frc disclosure. If the reader of this message is not the intended recipient, you are herby notified that any dissemination, distribution, or copying of this communication strictly prohibited. if you received this communication in error, please notify us immediately by telephone.to arrange for the return of the original material. Thank you! UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD I LINE TESTING I S8939 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION BAKERSFIELD FIRE DEPT. Prevention Services JAO RJ rIff r 1501 Truxtun Ave., First Floor Bakersfield, CA 93301 Tel.: -(661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 PERMIT No. ❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ TANK TIGHTNESS TEST D TO PERFORM FUEL MONITORING CERTIFICATION ❑ SB-989 SECONDARY CONTAINMENT TESTING 7 ;77 R FACILITY —7 NAAMEO& NE NUMBER OF CONTACT PERSON ADDRESS Fie: c c 14 OWNERS NAME L) V Amu OPERATORS NAME PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO TANK # VOLUME CONTENTS • U' tJ U&I D'1 G1,45 [4 13 1 V t-1 C7-A I o F- Zo C) (_0 f. N. NAME OF TESTING COMPANY ^ Tanknol6gy, Inc.. NAME & PHONE NUMBER OF p4 ,y m m -5 CONTACT PERSON MAILING ADDRESS 10 NJI)Q ST RIP, t r o t ft 'T& Z'-f 0 NAME & PHONE NUMBER OF CERTIFICATION #: TESTER-OR SPECIAL INSPECTOR: .2 3- 14 LR DATE & TIME TEST TO BE ICC #: TEST CONDUCTED: 0 Too )2.5 L3 METHOD —FL,-T) I .,UCTE S Cc) 2Z 5 SIGNATURE OF APPLICANT DATE: 7 a a re C% PERMIT WHEN APPROVED APPROVED BY 11� 7 � aa:� -DATE !6— 4 c CONSTRUCTION PERMIT B AM E R S F I * FIRE ARTM A BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES 1501 TRUXTUN AVENUE, 1 ST FLR BAKERSFIELD, CA 93313 Office Phone: (661) 326 -3979 Application Number . . . . . 11- 10000168 1 . Date 5/11/11 Property Address 3225 BUCK OWENS BLVD ATN (11 Digits): 332- 162- 16 -00 -8 Application type description FIRE DEPT Subdivision Name . . . . . . Property Use . . . . Application valuation . . . 0 Owner Contractor ------------------ - -- - -- VALERO CALIFORNIA RETAIL CO ., ------------------ OWNER - - - - -- 1 VALERO WY 78249 --------- ------:-------------------------------------- Permit . . . ---------------------- . MANDATED LEAK DETECT TEST - Additional desc " Phone Access Code 1096130 Permit Fee . . . . 96.00 Plan Check Fee 96.00 Issue Date . . . . 5/11/11 Valuation . . . . 0 Expiration Date 11/07/11 ---------------------------------------------------------------------------- Fee summary -------- - - - - -- 'Charged ---- -- - - -- Paid Credited ---- - - -- -- ---- - - - - Due --- - -- Permit Fee Total 96.00 -- 96.00 .00 ---- - - - .00 Plan Check Total 96.00 96.00 .00 .00 Grand Total 192.00 192.00 .00 .00 CALL FOR INSPECTION DECLARATIONS Permit is issued in accordance with all applicable (661) 326 -3979 Federal, State and Local Ordinances. The permittee has properly signed and dated the reverse side of this form. This Permit expires after 180 days of inactivity. Please state the Permit Number, the Job address, and I have reviewed the above application, and find it to the Type of Inspection. Requests for inspections be correct/complete. should be made at least 48 hours in advance. Permittee: Date: HAZARDOUS MATERIALS STATEMENT - - - - Yes _ No Will the applicant or future occupant handle hazardous material or a mixture containing a hazardous material equal to or greater than the amounts specified on the list of extremely hazardous substances? See checklist for guidelines. _ Yes — No Will the proposed building or modified facility be within 1000 feet of the outer boundary of a school? —Yes—No Will the intended use of the building by the applicant or future building occupant require a permit for construction or modification from the Kern County Air Pollution Control District ( KCAPCD) or from the Bakersfield Fire Dept? See checklist for guidelines. —Yes—No I have read the Hazardous Material Guide and KCAPCD Permitting Checklist. I understand my requirements under the Calif. Health and Safety Code Sec. 6.95 and Calif. Govt. Sec. 65850 and the requirements of the City of Bakersfield Fire Dept. regarding hazardous materials. Owner or Authorized Agentf hone No. Date DECLARATIONS: The declarations below are mandated by the State of California under Section 19825 of the Health and Safety Code. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of the Division 3 of the Business and Professions Code and my license is in full force and effect. Lic. Class Lic. No. Exp. Date Contractors Signature Date OWNER- BUILDER DECLARATION I hereby affirm that under penalty of perjury that I am exempt from the Contractors License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance also requires the applicant for.such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 commencing with Section 7000 of Division 3 or the Business and Professions Code) or that he or she is exempt there from and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)): I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044 Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner - builder will have the burden of proving that he or she did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044 Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon and who contracts for such project with a contractor(s) licensed pursuant to the Contractor License Law). I am exempt under Sec. B. & P. C. for the reason Owner Signature Date WORKERS COMPENSATION DECLARATION I'hereby affirm that under penalty of perjury one of the following declarations: Carrier I have and will maintain a certificate of consent to self - insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Policy No. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. . Applicant: Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000) IN ADDITION TO COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097 Civ. C.) Lenders Name Lenders Address I certify that I have read this application and state that the information contained herein is correct. I agree to comply with all city ordinances and state laws relating to building construction and hereby authorize representatives of the city to enter the above mentioned - property for inspection purposes. Signature of Applicant or Agent I Date