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HomeMy WebLinkAbout3 E Duarte Rd - 2025 - Remove and replace existing fuel dispensers and under dispenser containment units.N 89°08'08" E 149.83' N 0 0 ° 5 3 ' 1 2 " W 1 3 4 . 1 8 ' N 80d4'2" E - 1 3 3 . 6 8 S 5 0 d 2 4 ' 3 5 " E - 1 9 . 4 7 N 0 d 5 3 ' 1 2 " W 1 4 0 . 5 9 ROW=82' W I D E RO W = 5 3 ' W I D E SER V I C E B A Y S T T T F F F C-STORE 3 E DUARTE ROAD ARCADIA, CA 91006 Company World Oil Marketing 04/01/2025 811 10 2 7 5 H O L E A V E . , # 7 6 8 5 RI V E R S I D E , C A 9 2 5 0 3 RA M C A M E N G I N E E R I N G GR O U P , I N C . PL A N N I N G & E N G I N E E R I N G 9302 GARFIELD AVENUE SOUTH GATE, CA 90280 (562) 928-0100 WOF110 UST1.0-01 SITE PLAN SCALE: 1" = 10' 0'40'10'30'N UST1.0 SI T E P L A N AN D S C O P E O F W O R K 3 E DUARTE RD, ARCADIA, CA 91006 WORLD OIL MARKETING COMPANY WOF110 GAS STATION ASSESSOR'S PARCEL #S. 5779-015-040 LEGAL DESCRIPTION: TR=101 EX OF ST LOTS 3 AND 4 AND EX OF STS LOT 5 BLK 3 APN 5779-015-040 2 1 3 4 5 6 7 8 SHEET INDEX UST1.0 - SITE PLAN AND SCOPE OF WORK UST6.0 - DISPENSER AND CONTAINMENT DETAILS UST10.0 - MATERIAL LIST CSLB# 241 905 UST6.0-04 VAPOR RECOVERY PIPING CONNECTION ISOMETRIC VIEWUST6.0-01 PIPING CROSSOVER DETAIL PLAN VIEW UST6.0-05 FUEL DISPENSER BASE-GILBARCO ENCORE HANGING HARDWARE UST6.0-02 UDC 3-D VIEW CROSS SECTION UST6.0-05a FUEL DISPENSER GILBARCO ENCORE UDC CROSS SECTION A-A VA P O R RE C O V E R Y 91 TA N K # 3 UST6.0-05b FUEL DISPENSER GILBARCO ENCORE UDC CROSS SECTION B-B VAPOR RECOVERY 3" / 2 " 4 5 3" / 2 " T E E VA P O R R E C O V E R Y PRO D U C T VE N T VAPO R R E C O V E R Y PROD U C T VENT PR O D U C T TA N K # 2 87 89 91 91 FROM TANK #3 FROM TANK #2 UST6.0-03 FUEL DISPENSER GILBARCO ENCORE USE BRAVO'S OWN PROPYLENE GLYCOL BASED INTERSTITIAL MONITORING FLUID THAT WILL NOT FREEZE IN COLD CONDITIONS OR BOIL IN HOT CONDITIONS. "DO NOT USE BRINE, OR ATTEMPT TO TOP OFF IMF FILLED SUMP WITH BRINE, AS IT WILL VOID THE WARRANTY" PART #IF-1.0 811 91 91 FROM TANK #3 FROM TANK #2 87 87 87 87 87 91 48" MAX. (NEW CURB) 54" MAX. (EXISTING CURB) 1 UST6.0 DI S P E N S E R A N D CO N T A I N M E N T D E T A I L S Company World Oil Marketing Fil e : c: \ u s e r s \ t o n e \ b o x \ t b u i \ p e r m i t s \ w o f 1 1 0 \ 2 0 2 5 - 0 3 _ d i s p e n s e r _ u d c _ r e p l a c e m e n t \ d r a w i n g s \ w o f 1 1 0 - 2 0 2 5 - 0 7 - 0 8 u s t 6 . 0 - l a c p w . d w g S a v e d : 6/ 1 0 / 2 0 2 5 1 1 : 2 1 P M ( to n e ) P l o t t e d : 7/ 8 / 2 0 2 5 3 : 4 9 P M 04/01/2025 RA M C A M E N G I N E E R I N G GR O U P , I N C . PL A N N I N G & E N G I N E E R I N G RamCam 9302 GARFIELD AVENUE SOUTH GATE, CA 90280 (562)928-0100 3 E DUARTE ROAD ARCADIA, CA 91006 WOF110 04/14/2025: ADDED ADA HEIGHT 2 06/10/20252 1 CSLB# 241 905 UST10.0 MA T E R I A L L I S T Company World Oil Marketing Fil e : c: \ u s e r s \ t o n e \ b o x \ t b u i \ p e r m i t s \ w o f 1 1 0 \ 2 0 2 5 - 0 3 _ d i s p e n s e r _ u d c _ r e p l a c e m e n t \ d r a w i n g s \ w o f 1 1 0 - 2 0 2 5 - 0 7 - 0 8 u s t 1 0 . 0 - l a c p w . d w g S a v e d : 6/ 2 4 / 2 0 2 5 5 : 1 3 P M ( to n e ) P l o t t e d : 7/ 8 / 2 0 2 5 3 : 4 9 P M 04/01/2025 RA M C A M E N G I N E E R I N G GR O U P , I N C . PL A N N I N G & E N G I N E E R I N G RamCam 9302 GARFIELD AVENUE SOUTH GATE, CA 90280 (562)928-0100 3 E DUARTE ROAD ARCADIA, CA 91006 WOF110 06/10/2025 06/24/2025 CSLB# 241 905 SITE-FILE NO.: APP NO.: As a condition of the approved permit, it is required that the contractor schedule the following inspections in this office’s electronic notification system: UST Prior-to-backfill notification* UST Closure notification* UST Testing* Spill Bucket testing Monitoring system certification (including line leak detectors) Overfill prevention equipment testing Secondary containment (SB989) testing Enhanced leak detection (ELD) testing * Notifications shall be submitted at the following link at least 72 hours before the scheduled event: https://pw.lacounty.gov/epd/ust/ustn/Default.aspx Faxes, emails or telephone calls will not be accepted. SUBMIT ALL REPORTS AND TEST RESULTS BY EMAIL TO UST@PW.LACOUNTY.GOV Note: Soil sampling analysis results must be reported to the required method detection limits (MDLs) specified in this permit. Laboratory analysis results must specify the MDL's used for each analysis. ` 030993-046976 1109449 030993-046976 3N 1109449 513155 858.00 3,066.00 Total = $5,171.00 Soil Sampling Fee: $1,307.00 030993-046976 3N 1109449 513155 LK 06/26/2025 12/23/2025 1,307X CLOSURE — UNDERGROUND STORAGE TANKS CONDITIONS A — GENERAL 1. Closures shall be carried out such that all applicable regulations from the following agencies are complied with: Los Angeles County, Department of County Engineer — Facilities; Los Angeles County Fire Department, Fire Prevention Division or the appropriate City Fire Department; South Coast Air Quality Management District; and Los Angeles _County Department of Health Services. 2.The County Engineer and Fire Departments shall be notified in advance of any closure in accordance With the following: a.Removal of tank shall require a three (3)-business day advance notification. b.Permanent closure of a tank in place or a temporary closure shall require .a 30-written notification. 3.Consult current fee schedule for costs. 4. All abandoned wells shall be destroyed in such a way that they will not produce water or act as a channel for interchange of water, when such interchange may result in deterioration of the quality of water in any or all water bearing formations penetrated, or present a hazard to the safety and well-being of people and Animals. 5.A well destruction permit issued by the Los Angeles Department of Health Services shall be required for all wells requiring a permit for their initial construction. CONDITION C PERMANENT TANK (S) REMOVAL 1.All tank removals shall be carried out as indicated in Los Angeles County Fire Department, Fire Prevention Division, Supplement #A — Inspection Guide #6, Part D and any other applicable Parts. 2.Owners/operators shall notify the Building Department having jurisdiction at the place of removal if a grading permit is necessary. 3.Removed tanks shall not be transported away from the site until an inspection to establish site integrity is carried by the County Engineer. 4.If an appointment has been arranged with a County Engineer Inspector to inspect the removal of a tank, the inspector will only wait at the site a reasonable amount of time (approximately one hour) after arriving for the removal to commence. Another closure fee may be charged if the inspector has to return to the site. 5.After inspection, tank shall be transported to a legal disposal point. 6.If the tank has stored materials other than motor fuel, fuel oil or waste oil, site integrity shall be demonstrated using the soil sampling and analysis procedures described in CONDITIONS D. below. 7.The site shall be filled and re-compacted to a relative compaction of 90%. CONDITIONS D — PERMANENT 6.Well destruction shall be accomplished according to methods described in the latest "Water Well Standards: State of California" by the Department of Water Resources, contained in Bulletin 74 — 81, December 1981, or any other methods that will provide equivalent or better protection. 7.Plans for the decontamination of a facility shall be submitted to the County Engineer for approval no later than 30 days before the commencement of such operations. Other agencies having jurisdiction shall also be notified. These agencies the California Regional Water Quality Board, the Los Angeles County Department of Health Services, and the South Coast Air Quality Management District. 8.Decontamination shall require the following, as a minimum: a.Cleaning operation shall be done under the supervision of persons who understand the hazardous potential of the original liquid stored and its components. b.The personnel shall be sufficiently skilled to safely carry Out such operation. c.Contaminated materials removed from such facility shall be disposed of at legal point of discharge. d.The operation shall be carried ont in a manner that will not endanger the health of the public and the environment. CONDITIONS B — TEMPORARY 1.All temporary closures shall.. be carried out as indicated in Los Angeles County Fire Department, Fire Prevention Division, Supplement #A — Inspection Guide #6, "Abandonment or Removal of Underground Tanks, "Part A and any other applicable Parts. 2.A temporary closure shall not exceed 180 days. 1. All permanent closures of tanks in place shall comply with Los Angeles County Fire Department, Fire Prevention Division, Supplement #A — Inspection Guide #6, Parts B or C, and any other applicable Parts. 2.Owners/operators shall demonstrate part site integrity as follows: a.Test borings shall be slant drilled to intercept a point beneath the center of the tank, if possible. If slant drilling is not feasible, the test boring may be drilled vertically and the reason stated in the report in 2.h. below. b.For single tanks, a minimum of two test borings will be required, each located on opposite sides of the tank along the major axis of the tank. c.For multiple tanks, as a minimum, boring shall be placed at 20-foot intervals around the tank cluster. The actual number and location of borings shall be evaluated on a case-by-case basis. Tanks separated by 20 feet or more shall be considered single tanks for the purposes of test location and placement. d.Soil samples shall be taken at depths of 5, 10, 20, 30 and 40 feet below grade level. e.A Shelby Tube or a Modified California Sampler shall be utilized for taking all soil samples. f.Soil samples shall not be extruded in the field but are to be immediately placed in a refrigerated ice chest and transported to a state certified laboratory for analysis, using suitable methods. g.A report containing the results of the above .analysis shall be submitted to the County Engineer. 3. If the soil analysis in 2. above indicates the presence of contaminants, the County Engineer shall require a site investigation as described in Chapter V of the County's "Underground Storage of Hazardous Materials — Guidelines." 4.. A report shall be submitted to the County Engineer containing the results of the site investigation. CLOSURE APPLICATION SUPPLEMENT PART 1 OF 3 HAZARDOUS MATERIALS UNDERGROUND STORAGE LOS ANGELES COUNTY PUBLIC WORKS ENVIRONMENTAL PROGRAMS DIVISION 900 SOUTH FREMONT AVENUE 3rd FLOOR ANNEX BUILDING ALHAMBRA, CA 91803-1331 To satisfy the permanent closure requirements for underground storage tanks storing hazardous materials, site integrity must be demonstrated by the analysis of soil samples and, if applicable, groundwater samples as outlined below. These requirements are in addition to the conditions listed on the Application for Closure or contained in an approved Closure Plan. *** Soil sampling will be required for Vent and Vapor Recovery piping for UST systems installed after July 1, 2003. *** 1. Samples shall be obtained at the sampling points (SP) indicated on the attached plot plan. 2. For each SP, samples shall be obtained at the following depths: SP Depth(s) Compounds Analysis Method 1 sample Beneath each UDC, collected TPHg 8015B from 2 to 4 feet into native soil BTEX, MTBE Fuel Oxygenates Naphthalene 8260 B Ethanol Full VOC Scan 1 sample Beneath piping, collected from Same as above Same as above 2 to 4 feet into native soil, at point of disconnection from existing piping, AND under elbows and other pipe fittings if applicable - Apply EPA Method 5035A (7/2002) for soil sample collection, preparation, and preservation - - Laboratory analysis must adhere to the required method detection limits (MDL) - - Laboratory results must specify the MDLs used during the analysis - Continued on Page 2 DPW USE ONLY: SITE-FILE NO. ___________________________________ APPLICATION NO. _______________________________ 030993-046976 1109449 CLOSURE APPLICATION SUPPLEMENT PART 2 OF 3 3.All soil samples obtained shall be discrete, undisturbed and unexposed prior to analysis. The method used to obtain the samples and the date/time of sampling shall be included in the final report. 4.Conform to the analytical requirements table below for petroleum hydrocarbon sites. Apply EPA Method 5035A (7/2002) specified in the USEPA publication, Test Methods for Evaluating Solid Waste: Physical/Chemical Methods, also known as SW-846, for soil sample preparation and preservation to minimize volatile organic losses. Other preservation methods may be acceptable for the same purpose. Use the sample collection devices, or equivalent, specified in the method (e.g., the EncoreTM sampler). If the EncoreTM sampler is used, analyze the sample within 48 hours from collection. Analyze samples within the 14 days holding time for soil samples stored under frozen conditions. UST CONTENTS Analyte Analytical Method Required MDL Soil (µg/kg) Water (µg/L) GASOLINE OR DIESEL Total petroleum hydrocarbons – Gasoline range – (TPHg) EPA Method 8015B (or 8260B)100 50 Total petroleum hydrocarbons - Diesel range – (TPHd)EPA Method 8015B 1000 500 Benzene EPA Method 8260B (or 8021B)1 0.5 Toluene EPA Method 8260B (or 8021B)1 0.5 Ethylbenzene EPA Method 8260B (or 8021B)1 0.5 Xylenes (Total)EPA Method 8260B (or 8021B)1 0.5 Methyl tertiary butyl ether (MTBE)EPA Method 8260B 2 1 Di-isopropyl ether (DIPE)EPA Method 8260B 2 1 Ethyl tertiary butyl ether (ETBE)EPA Method 8260B 2 1 Tertiary amyl methyl ether (TAME)EPA Method 8260B 2 1 Tertiary butyl alcohol (TBA)EPA Method 8260B 10 10 Naphthalene EPA Method 8260B (or 8270C)5 0.5 Ethanol EPA Method 8260B 100 100 Methanol EPA Method 8015B 100 100 WASTE OIL Total petroleum hydrocarbons – Oil range – (TPHmo)EPA Method 8015B 1000 500 Polycyclic Aromatic Hydrocarbons (PAH)EPA Method 8270C 1 1 OTHER, UNKNOWN UST Permitted Contents, Full scan volatile organic compound (VOC) analysis (EPA Method 8260B), PAH analysis (EPA Method 8270C) + To Be Determined Note:For waste oil tanks, also analyze for the full suite of VOCs included in EPA Method 8260B(GC/MS). Continued on Page 3 CLOSURE APPLICATION SUPPLEMENT PART 3 OF 3 5. All soil/groundwater samples shall be analyzed by a laboratory approved by the California Environmental Accreditation Laboratory Program (ELAP). 6. Analytical results shall be reported on laboratory letterhead and shall include the following information: a) The date the analysis was conducted; b) The method of extraction (if applicable); c) Detection limits for each analytical procedure and determination; d) The method of analysis; e) Signature of chemist certifying results. 7. All soil/groundwater samples obtained shall be handled and transported to laboratory in strict accordance with applicable EPA regulations utilizing chain-of- custody procedures. Chain-of-custody documentation shall be included in the final report. 8. If the soil/groundwater analysis indicates undefined contamination at the facility, additional sampling shall be required to define the vertical and lateral extent present. 9. If groundwater is encountered during sampling, a groundwater monitoring well shall be established at the most downgradient sampling point. The well shall be developed by removing a minimum of four well volumes and a groundwater sample shall be obtained and analyzed. 10. A final report that contains all of the above required information shall be submitted to the office above within one (1) month form the sampling date or 180 days from the date of this permit, whichever is earlier. 11. All electronic data shall be submitted to the State Water Resources Control Board Geotracker database. UST\FPERMIT\(10\12\00) 1 California Regional Water Quality Control Board Los Angeles Region (Underground Storage Tank Program) General Laboratory Testing Guidance for Petroleum Hydrocarbon Impacted Sites March 2021 Update The purpose of this document is to provide supporting details regarding laboratory testing guidance to supplement the general laboratory analysis guidelines included in the Regional Board’s directives pertaining to investigation, monitoring and assessment at petroleum impacted sites. This document was last revised in September 2006 to update testing requirements including the addition of testing for fuel oxygenates and natural attenuation parameters. This 2021 update aligns the Regional Board’s guidance with the State’s Low-Threat Underground Storage Tank Case Closure Policy, adopted on May 1, 2012, and revises some analytical method detection limits in response to methodological advancements. Environmental laboratories must be accredited by the California Environmental Laboratory Accreditation Program (ELAP) for each analytical method used to conduct sample analysis. Information about applying for ELAP accreditation is available at the following website link: https://www.waterboards.ca.gov/drinking_water/certlic/labs/apply.html 1. General Laboratory Quality Assurance and Quality Control (QA/QC) Requirements For petroleum hydrocarbon impacted sites, conform to the standard laboratory analysis QA/QC guidance in any applicable Regional Board directive, and with the items specified below. 2. Compounds to be Tested Compounds to be tested include: Total petroleum hydrocarbons in the gasoline range (TPHg) (C4 – C12); Total petroleum hydrocarbons in the diesel range (TPHd) (C13 – C22); benzene, toluene, ethylbenzene, xylenes (BTEX); naphthalene; methyl tertiary butyl ether (MTBE); di-isopropyl ether (DIPE); ethyl tertiary butyl ether (ETBE); tertiary amyl methyl ether (TAME); tertiary butyl alcohol (TBA), and ethanol. If the underground storage tanks (USTs) historically contained, or currently contain, jet fuel, kerosene, mineral spirits, biofuel, or methanol, these compounds are also to be tested. For waste oil tanks, the full suite of volatile organic compounds included in EPA Method 8260B(GC/MS) and polycyclic aromatic hydrocarbons (PAHs) are also to be analyzed. 3. Analytical Test Methods and Detection Limits Conform to Table 1 below. Report any concentration detected between the method detection limit (MDL) and estimated quantitation limit (EQL) (or reporting limit (RL)) in a numerical value with a “J” flag indicator. All “Non-Detects” (NDs) shall be reported in the following format: “< (numerical MDL).” Integrate fuel oxygenate additive concentrations into the TPH gasoline range result in addition to reporting these oxygenate concentrations individually. 2 Table 1: Analytical Requirements Analyte Analytical Method Required Method Detection Limit (MDL) Soil (μg/kg)Water (μg/L) BTEX EPA Method 8260B (or 8021B)1 0.5 MTBE EPA Method 8260B 2 1 DIPE EPA Method 8260B 2 1 ETBE EPA Method 8260B 2 1 TAME EPA Method 8260B 2 1 TBA EPA Method 8260B 10 10 Naphthalene EPA Method 8260B (or 8270C)5 0.5 TPHg EPA Method 8015B (or 8260B)100 50 TPHd EPA Method 8015B 1000 100 Methanol EPA Method 8015B 100 100 Ethanol EPA Method 8015B (or 8260B)100 100 PAHs1 EPA Method 8270C 1 1 1PAH = Polycyclic Aromatic Hydrocarbons. The sixteen (16) priority pollutant PAHs include: naphthalene, acenaphthene, acenaphthylene, anthracene, phenanthrene, fluorene, chrysene, fluoranthene, pyrene, benzo(b)fluoranthene, benzo(a) pyrene, benzo(k)fluoranthene, benzo(a)anthracene, indeno(1,2,3- c,d)pyrene, dibenz(a,h)anthracene, and benzo(g,h,i)perylene. 4. Use of EPA Method 5035 for Soil Samples Apply EPA Method 5035A (7/2002) specified in the USEPA publication, Test Methods for Evaluating Solid Waste: Physical/Chemical Methods, also known as SW-846, for soil sample preparation and preservation to minimize volatile organic losses. Other preservation methods may be acceptable for the same purpose. Use the sample collection devices, or equivalent, specified in the method (e.g., the EncoreTM sampler). If the EncoreTM sampler is used, analyze the sample within 48 hours from collection. Analyze samples within the 14 days holding time for soil samples stored under frozen conditions. 5.Monitored Natural Attenuation (MNA) Parameters (As Needed) Natural attenuation processes include dispersion, diffusion, dilution, sorption, volatilization, biodegradation, and chemical or biological transformation. A carefully controlled monitored natural attenuation (MNA) program can be used to confirm whether site-specific mass reduction is occurring through natural attenuation to achieve remedial objectives. Prior to monitoring natural attenuation parameters, site characterization must first be complete. Note that monitoring natural attenuation parameters may not be needed for site-specific closure evaluation. The State Low-Threat Underground Storage Tank Case Closure Policy’s closure criteria incorporate the tenet of natural attenuation. Therefore, monitoring natural attenuation parameters is not typically necessary for petroleum impacted sites that meet the Policy’s closure criteria. 5.1 Primary Natural Attenuation Criteria The following conditions must be met prior to testing for secondary natural attenuation parameters: a)The groundwater contaminant plume must be fully delineated. b)The groundwater monitoring program must have been implemented on a regular basis for at least two years and include data for MTBE and other oxygenates. c)Concentrations in groundwater have been shown to consistently decrease or are stable. d)Determination of site-specific hydraulic conductivity must be conducted: Refer to ASTM D4044-96 for the slug test procedures. Other field methods (e.g., pumping test/baildown test) are also acceptable to determine hydraulic conductivity. 3 e)Characterization of the vertical extent of the MTBE and/or other oxygenates plume(s) may be needed, with discrete multi-depth groundwater sampling at all groundwater vulnerable areas designated by the Board. 5.2 Secondary Natural Attenuation Parameters Analyze the secondary natural attenuation parameters only after the primary natural attenuation criteria are met. Analyze for secondary natural attenuation parameters at all groundwater monitoring wells inside and outside of the plume. Conform to Table 2 below for parameters and testing methods. Table 2: Analytical Requirements for Secondary Natural Attenuation Geochemistry Parameters Parameter Test Method Required MDL pH EPA Method 150.2 or Field instrument Not applicable Dissolved oxygen (DO)EPA Method 360.1 or Field Instrument Not applicable Redox potential (ORP)Field instrument Not applicable Sulfate (SO42-)EPA Method 300 1 mg/L Nitrate (NO3-)EPA Method 300 0.05 mg/L Ferrous iron (FE2+)EPA Method 200 0.05 mg/L Manganese (Mn2+)EPA Method 200 0.05 mg/L Methane (CH4)PEA Method 8015 0.005 mg/L 6. Electronic Submittal of Data Reporting All analytical results shall be uploaded in an electronic format to the State GeoTracker Database. P:\eppub\iwust\ust\UST Documents-Forms\DPW-EPD20-21 UST APP FORMS\LACoDPW-LARWQCB Lab Requirements_03-21.doc NOTICE TO CLOSURE PERMIT APPLICANTS The South Coast Air Quality Management District (SCAQMD) has adopted Rule 1166 regulating emissions of Volatile Organic Compounds (VOC) from decontamination of soil effective August 5, 1988. In addition to the requirements of your Closure Permit, persons excavating any underground storage tank that previously contained VOCs must: ! Notify the SCAQMD by telephone at (909) 396-2326 or by fax at (909) 396-3342 using the SCAQMD notification form 24 hours prior to tank excavation. 1166(c)(1)(A) ! Monitor the excavated material during the excavation for VOC contamination. 1166(c)(1)(B) ! When VOC contamination is detected: * Cease excavation. * Cover the contaminated soil until implementation of approved mitigation measures. 1166(c)(1)(C) * Notify the SCAQMD at (909) 396-2326 within 24 hours of detection of VOC contaminated soil. 1166(c)(2)(A) ! A person shall not engage in or allow any on- or off-site spreading of VOC contaminated soil which results in uncontrolled evaporation of VOC to the atmosphere. 1166(c)(3) Exemptions ! Treatment of less than one (1) cubic yard of contaminated soil. 1166(d)(1)(A) ! Decontamination of soil containing organic compounds that have an initial boiling point of 302°F or greater, Reid Vapor Pressure less than 80 mm Hg or Absolute Vapor Pressure less than 36 mm Hg at 20°C. 1166(d)(1)(B),(F) ! Removal of soil for sampling purposes pursuant to Environmental Protection Agency methods. 1166(d)(1)(C) ! Accidental spillage of five (5) gallons or less of VOC. 1166(d)(1)(D) ! Documentation of soil which is contaminated through natural seepage of VOC from oil and gas wells or other natural sources. 1166(d)(1)(E) SPECIFIC QUESTIONS ON RULE 1166 SHOULD BE REFERRED TO THE SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT (909) 396-2326 P:\eppub\IWUST\UST\UST Documents-Forms\DPW-EPD\10-11 UST APP FORMS\notice of closure permit applicants.doc ATTENTION CONTRACTOR NOTIFICATION/PERMIT REQUIREMENT COMPLIANCE This Authorization is issued subject to compliance with all applicable laws and regulations relating to the performance of work including, but not limited to, business license requirements, Building Codes, Fire Codes, Air Quality regulations, Health and Safety Codes, Water Codes, and Transportation regulations. Pursuant to Los Angeles County Code, Section 11.78.045, and the Conditions and Limitations of the attached Hazardous Substances Underground Storage Closure and/or New Construction/Addendum Authorization, you are required to complete ALL of the agency notifications indicated below within the time period specified prior to commencement of work. [ X ] 72 HOUR–DEPARTMENT OF PUBLIC WORKS, ENVIRONMENTAL PROGRAMS DIVISION, WASTE CONTROL ENGINEERING INSPECTOR: • The owner/operator or contractor shall provide electronic notification to Public Works at least 72 working hours prior to the commencement of any of the following work: o Closure Authorization Permit – Prior to sampling and backfilling any excavation. o New Construction/Addendum Permit – Prior to backfilling any excavation. • Notifications shall only be made at the following link: o https://pw.lacounty.gov/epd/ust/ustn/Default.aspx [ X ] 48 HOUR (OR AS REQUIRED)–LOCAL FIRE DEPARTMENT FIRE PREVENTION INSPECTOR: [ ] City of [ ] Los Angeles County Fire Department [ ] 48 HOUR (OR AS REQUIRED) – AIR QUALITY MANAGEMENT DISTRICT (AQMD) [ ] South Coast AQMD – Rule 1149 and Rule 1166 o Telephone: (909) 396-2326 o Fax: (909) 396-3342 [ ] Antelope Valley AQMD – Rule 1149 and Rule 1166 o Telephone: (661) 723-8070 [ ] COUNTY SERVES AS BUILDING OFFICIAL, SEE ATTACHED [ ] CITY SERVES AS BUILDING OFFICIAL FAILURE TO PROVIDE NOTICE AS REQUIRED ABOVE MAY RESULT IN PERMIT REVOCATION, ADDITIONAL SITE ASSESSMENT REQUIREMENTS, AND/OR ADMINISTRATIVE PENALTIES AS PROVIDED BY LAW. P:\eppub\IWUT\clerical\TEMPLATES\notification_permit requirement compliance Rev 08/22 X X X Arcadia Office (626) 574-0963X 1 of 4 COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS ENVIRONMENTAL PROGRAMS DIVISION ADDITIONAL CONDITIONS FOR UST CLOSURE/SITE ASSESSMENT TITLE 23: CALIFORNIA CODE OF REGULATIONS - WATERS DIVISION 3: STATE WATER RESOURCES CONTROL BOARD (SWRCB) CHAPTER 30: ELECTRONIC SUBMITTAL OF INFORMATION Article 1 – GENERAL PROVISIONS Section 3890. General Intent, Content, and Applicability of Regulations (a) The regulations in this Chapter are intended to provide electronic access to reports, including soil, vapor, and water data, prepared for the purpose of subsurface investigation or remediation of: (1) an unauthorized discharge or deposit of waste as defined in section 13050 of the Water Code, (2) an unauthorized release of a hazardous substance as defined in section 25281 of the Health and Safety Code, or (3) a discharge of waste to land subject to Division 2 of Title 27 or Division 3, Chapter 15, of Title 23 of the California Code of Regulations (CCR). (b) The regulations in this Chapter require persons responsible for submitting certain reports to the State Board, a regional board, or a local agency to submit these reports electronically over the Internet to the State Board’s Geotracker system. (c) The requirements of this Chapter are in addition to, and not superseded by, any other applicable reporting requirements. (d) Except as provided in Section 3895(b), the electronic reporting requirements of this Chapter are intended to replace requirements for the submittal of paper copies of reports, beginning July 1, 2005. Authority cited: Sections 13196 and 13198(c), Water Code. Reference: Sections 13196 and 13198, Water Code. Article 2. - ELECTRONIC SUBMITTAL OF INFORMATION Section 3891. Definition of Terms “COELT” is the United States Army Corps of Engineers Loading Tool program. It is a relational database application that is designed to run with the Microsoft Windows operating system. COELT places laboratory data into the standardized Electronic Deliverable Format (EDF). The program can accept data from Laboratory Information Management System (LIMS) or manually entered data. COELT is an optional software application that is intended to help laboratories that require new software to produce the EDF data deliverable. COELT includes a report utility that allows hard copy laboratory reports to be printed that match the actual electronic data. For purposes of the requirements of this chapter, version 1.2a of COELT may be used. The program (coelt12i.exe) and documents (coelt 1.2i manual.zip) for version 1.2i of COELT are available through links provided at http://www.waterboards.ca.gov/ust “CSRS-H” is the California Spatial Reference System-Horizontal, which includes the High Precision Geodetic Network (HPGN), the High Precision Geodetic Network–Densification (HPGN-D) and other geodetic control positions. These control positions have been determined by Global Positioning System survey methods in accordance with first order or better standards and specifications from the Federal Geodetic Control Subcommittee (FGCS) of the Federal Geographic Data Committee. These control positions are published by the National Geodetic Survey, California Spatial Reference Center or its successor. 2 of 4 “EDCC” is the Electronic Deliverable Consistency Checker program, which was developed for the EDF1.2i format, described below. The EDCC program is run upon completion of an EDF report and produces an error report. This error report identifies problems within the given data set based upon the EDF database structure, guidelines, restrictions, and valid values. The error report also indicates the nature of each problem, so that the submitter can correct them. For purposes of the requirements of this chapter, the interactive web-version 1.2i or personal computer version 1.2i of EDCC shall be used. Programs (edcc.zip and edccservicepac1.zip) for version 1.2i of EDCC are available through links provided at http://www.waterboards.ca.gov/ust. “EDF” is the Electronic Deliverable Format, originally developed for the United States Army Corps of Engineers. It is a data standard designed to facilitate transfer of electronic data files from analytical laboratories to end-users. It is a relational database whose files are related to one another through key fields. Laboratories can produce electronic EDF files by using their own LIMS or COELT software. The data components include chain-of custody information, laboratory results, and quality assurance information. For purposes of the requirements of this chapter, version 1.2i of EDF shall be used. Specifications for version 1.2i of EDF (The Electronic Deliverable Format [EDF] Version 1.2i data dictionary are available in Title 27, Division 3, Subdivision 2, Chapter 1 (Laboratory Results) CCR, through links provided at http://www.waterboards.ca.gov/ust. “Geotracker” is the State Board’s Internet-accessible database system used by the State Board, regional boards, and local agencies to track and archive compliance data from authorized or unauthorized discharges of waste to land, or unauthorized releases of hazardous substances from underground storage tanks. This system consists of a relational database, on-line compliance reporting features, a geographical information system (GIS) interface and other features that are utilized by the State Board, regional boards, local agencies, regulated industry and the public to input, manage, or access compliance and regulatory tracking data. Geotracker, initially known as the Geographical Environmental Information Management System (GEIMS) database, is available at http://geotracker.swrcb.ca.gov/. “PDF” means Portable Document Format. “PDF” files are self-contained and cross-platform documents. A PDF file will look the same on the screen and in print, regardless of what type of computer or printer a person uses or which software package originally created the file. Although PDF files contain the complete formatting of the original document, including fonts and images, they are highly compressed, allowing efficient transfer of complex information. “Permanent monitoring well” means any artificial excavation by any method made for the purpose of monitoring fluctuations in groundwater levels, the quality of groundwater, or the concentration of contaminants in groundwater and which is used for at least thirty days. “Report” means any document or item that is required for submittal in order for a person to comply with a regulation, directive, or order issued by the State Board, a regional board, or a local agency, including but not limited to, any analysis of material by a laboratory that has accreditation or certification pursuant to Article 3 (commencing with Section 100825) of Chapter 4 of Part 1 of Division 101 of the Health and Safety Code. Authority cited: Sections 13196 and 13198 (c), Water Code. Reference: Sections 13195 (b) and 13196, Water Code. 3 of 4 Section 3892. Reports The following reports are subject to the requirements of this Chapter, when those reports are required for the purpose of subsurface investigation or remediation of: (1) an unauthorized discharge or deposit of waste as defined in section 13050 of the Water Code, (2) an unauthorized release of a hazardous substance as defined in section 25281 of the Health and Safety Code, or (3) a discharge of waste to land subject to Division 2 of Title 27 or Division 3, Chapter 15 of Title 23 of the California Code of Regulations (CCR). (a) Reports submitted pursuant to Division 3, Chapter 16, Article 11 of Title 23 of the CCR. (b) Reports submitted pursuant to Division 2 of Title 27 or Division 3, Chapter 15 of Title 23 of the CCR. (c) Reports submitted pursuant to section 13304 of the Water Code. (d) Reports submitted pursuant to section 13267 of the Water Code. (e) Reports submitted pursuant to any order or directive of the State Board, a regional board or a local agency. (f) Reports submitted pursuant to the Two-year Joint Cooperative Agreement Execution Plans under the Defense / State Memorandum of Agreement and Navy Cost Recovery Cooperative Agreement, for the State of California. Authority cited: Sections 13196 and 13198 (c), Water Code. Reference: Sections 13196 (a) and 13198 (c), Water Code. Section 3893. Electronic Submittal of Reports (a) Persons responsible for submitting reports pursuant to this Chapter shall submit the following information described in subdivision (b) electronically over the Internet to the State Board’s Geotracker system in conformance with data dictionaries found in Title 27, Division 3, Subdivision 2 (Monitoring and Release Information) and specifications contained in the State Water Resources Control Board EDF Guidelines and Restrictions (version 1.2i) and Survey XYZ Guidelines and Restrictions (Version 6). These data dictionaries and documents are available through links provided at http://www.waterboards.ca.gov/ust. (b) Data generated after the effective date of the regulations by chemical analysis of soil, vapor, or water samples (including surface water, groundwater and influent/effluent water samples from remediation systems), shall be submitted in EDF format. All data submitted in EDF format shall be checked for errors prior to and during submittal using the EDCC software consistency-checking tool. All data submitted in EDF format must pass this error-checking tool as well as meet normal regulatory requirements in order to be considered valid data. In addition, when required for reports subject to this Chapter, the following shall also be submitted electronically: (1) The latitude and longitude of any permanent monitoring well for which data is reported in EDF format, accurate to within 1 meter and referenced to a minimum of two reference points from the California Spatial Reference System (CSRS-H), if available. (2) The surveyed elevation relative to a geodetic datum of any permanent monitoring well. (3) The elevation of groundwater in any permanent monitoring well relative to the surveyed elevation. (4) A site map or maps showing the location of all sampling points referred to in the report. (5) The depth to the screened interval and the length of screened interval for any permanent monitoring well. (6) Boring logs, in PDF format. (7) A complete copy of the report, in PDF format, which includes the signed transmittal letter and professional certification. (c) All deadlines and timeframes for submittals of reports are applicable to the information submitted electronically pursuant to this Chapter. Authority cited: Sections 13196 and 13198 (c), Water Code. Reference: Sections 13196 and13198 (c), Water Code. 4 of 4 Section 3894. Timing of Electronic Reporting Requirements (a) Electronic submittals of information for sites subject to the requirements of Title 23, Division 3, Chapter 16, Article 11 of the California Code of Regulations, shall begin on December 16, 2004. (b) Unless otherwise specifically noted, all other electronic submittals required pursuant to this Chapter shall begin January 1, 2005. (c) Until July 1, 2005, the electronic reporting requirements of this Chapter are in addition to any existing paper or other reporting requirements. Authority cited: Sections 13196 and 13198 (c), Water Code. Reference: Sections 13196 (a) and 13198 (c), Water Code. Section 3895. Submittal of Alternate Forms of Reports (a) Beginning July 1, 2005, the successful submittal of electronic information in accordance with this Chapter shall replace the requirement for the submittal of a paper copy, except as provided in subdivision (b). (b) In addition to the electronic submittal of reports required pursuant to this Chapter, a regulatory agency may require the submittal of a report, or portions thereof, in diskette, compact disc or other form if the agency determines that the alternative form is necessary. The burden, including cost, of these alternative forms shall bear a reasonable relationship to the need for alternative form and benefits to be obtained from the alternative form. Authority cited: Sections 13196 and 13198 (c), Water Code. Reference: Sections 13196 (a) and 13198 (c), Water Code NOTICE: Original paper reports with wet ink signature and seal must continue to be submitted to this office pursuant to CCR Title 23, Division 3, Chapter 30, Article 2, Section 3895 (b), regardless if such report is required by regulation to be electronically uploaded to Geotracker. P:\eppub\IWUST\UST\UST Documents-Forms\DPW-EPD\10-11 UST APP FORMS\Additional Geotracker Conditions For UST Closure-Site Assessment.doc MIGUELGOMEZ Ca  aU   a etiiate Issued To: ______________________________________ Certification #: __________________________________ Issue Date: _____________________________________ Expiration Date: _________________________________ National CERTIFICATION B2000 09/01/2023 09/01/2026 Miguel Gomez 2020-2929663 09/25/2024 09/25/2026 FMS Installation - INCON® Level 1 miguel gomez 1005453709 Install and service approved INCON® automatic tank gauge models in California :  01/28/2025 01/28/2027 Stage II Vapor Recovery miguel gomez 1005453709 Install and service HEALY™ Stage II Enhanced Vapor Recovery products and systems October 29 24 Miguel Gomez 10/29/2024 10/29/2027 1193994 Petrobuilders.com August 31, 2026 Miguel Gomez August 31, 2024 CertiĆcateofCompletion ThisCertiĆcateCertiĆesthat: MLJXHObGRPH]RIb3HWURBXLOGHUV,IQF.b HasCompletedallRequirementsofthefollowingTrainingCourse: E95HDQJLQJHDUGZDUHIQVWDOO&5HSDLU CertiĆcationNumber:A-11599 ExpirationDate:bOct04,2026b bbbbbbbbbbb7UDLQLQJMDQDJHU N 89°08'08" E 149.83' N 0 0 ° 5 3 ' 1 2 " W 1 3 4 . 1 8 ' N 80d4'2" E - 1 3 3 . 6 8 S 5 0 d 2 4 ' 3 5 " E - 1 9 . 4 7 N 0 d 5 3 ' 1 2 " W 1 4 0 . 5 9 ROW=82' WI D E RO W = 5 3 ' W I D E SER V I C E B A Y S T T T F F F C-STORE 3 E DUARTE ROAD ARCADIA, CA 91006 Compan\ :orld Oil MarNeting Fi l e : c : \ u s e r s \ a l e x . r c g r o u p \ d r o p b o x \ r a m c a m \ e n g i n e e r i n g ( 1 ) \ 3 - w o r l d o i l \ a r c h i v e d \ w o f 1 1 0 - a r c a d i a \ u s t p l a n s 2 0 2 4 0 6 0 1 v 1 \ u s t 1 . 0 - a q m d w o f 1 1 0 - 2 0 2 4 0 6 1 0 v 1 . d w g S a v e d : 6 / 1 0 / 2 0 2 4 4 : 5 1 P M ( a l e x ) P l o t t e d : 6 / 1 0 / 2 0 2 4 4 : 5 2 P M 04/01/2025 811 10 2 7 5 H O L E A V E . , # 7 6 8 5 RI V E R S I D E , C A 9 2 5 0 3 RA M C A M E N G I N E E R I N G GR O U P , I N C . PL A N N I N G & E N G I N E E R I N G RamCam 9302 GARFIELD AVENUE SOUTH GATE, CA 90280 (562) 928-0100 WOF110 UST1.0-01 SITE PLAN SCALE: 1" = 10' 0'40'10'30'N UST1.0 SI T E PL A N AN D S C O P E O F W O R K 3 E DUARTE RD, ARCADIA, CA 91006 WORLD OIL MARKETING COMPANY WOF110 GAS STATION ASSESSOR'S PARCEL #S. 5779-015-040 LEGAL DESCRIPTION: TR=101 EX OF ST LOTS 3 AND 4 AND EX OF STS LOT 5 BLK 3 APN 5779-015-040 SITE 2 1 3 4 5 6 7 8 LOS ANGELES COUNTY PUBLIC WORKS ENVIRONMENTAL PROGRAMS DIVISION CLEARANCE FOR UNDERGROUND STORAGE OF HAZARDOUS MATERIALS Facilities for the underground storage of hazardous materials including secondary containments, piping connected thereto, monitoring devices, vents or other appurtenances, shall be installed as shown on this plan and in compliance with the Fire Code, Mechanical Code, and other applicable laws and ordinances. No additions or alterations shall be made without the written permission of the Dept. of Public Works. By___________________________________ Date__________________ ENVIRONMENTAL PROGRAMS DIVISION MODIFICATION ONLY LK 06/26/2025 A.1109449 030993-046976 Expires: 12/23/2025All monitoring equipment will be installed and maintained such that the equipment is capable of detecting a leak at the earliest possible opportunity per CCR Title 23, Division 3, Chapter 16, Article 3, Section 2630(d). UST6.0-04 VAPOR RECOVERY PIPING CONNECTION ISOMETRIC VIEWUST6.0-01 PIPING CROSSOVER DETAIL PLAN VIEW UST6.0-05 FUEL DISPENSER BASE-GILBARCO ENCORE HANGING HARDWARE UST6.0-02 UDC 3-D VIEW CROSS SECTION UST6.0-05a FUEL DISPENSER GILBARCO ENCORE UDC CROSS SECTION A-A VA P O R RE C O V E R Y 91 TA N K # 3 UST6.0-05b FUEL DISPENSER GILBARCO ENCORE UDC CROSS SECTION B-B VAPOR RECOVERY 3" / 2 " 4 5 3" / 2 " T E E VA P O R R E C O V E R Y PRO D U C T VE N T VAPO R R E C O V E R Y PROD U C T VENT PR O D U C T TA N K # 2 87 89 91 91 FROM TANK #3 FROM TANK #2 UST6.0-03 FUEL DISPENSER GILBARCO ENCORE USE BRAVO'S OWN PROPYLENE GLYCOL BASED INTERSTITIAL MONITORING FLUID THAT WILL NOT FREEZE IN COLD CONDITIONS OR BOIL IN HOT CONDITIONS. "DO NOT USE BRINE, OR ATTEMPT TO TOP OFF IMF FILLED SUMP WITH BRINE, AS IT WILL VOID THE WARRANTY" PART #IF-1.0 811 91 91 FROM TANK #3 FROM TANK #2 87 87 87 87 87 91 48" MAX. (NEW CURB) 54" MAX. (EXISTING CURB) 1 UST6.0 DI S P E N S E R A N D CO N T A I N M E N T D E T A I L S Company World Oil Marketing Fil e : c: \ u s e r s \ t o n e \ b o x \ t b u i \ p e r m i t s \ w o f 1 1 0 \ 2 0 2 5 - 0 3 _ d i s p e n s e r _ u d c _ r e p l a c e m e n t \ d r a w i n g s \ w o f 1 1 0 - 2 0 2 5 - 0 6 - 1 0 u s t 6 . 0 - l a c p w . d w g S a v e d : 6/ 1 0 / 2 0 2 5 1 1 : 1 4 P M ( to n e ) P l o t t e d : 6/ 1 0 / 2 0 2 5 1 1 : 1 7 P M 04/01/2025 RA M C A M E N G I N E E R I N G GR O U P , I N C . PL A N N I N G & E N G I N E E R I N G RamCam 9302 GARFIELD AVENUE SOUTH GATE, CA 90280 (562)928-0100 3 E DUARTE ROAD ARCADIA, CA 91006 WOF110 04/14/2025: ADDED ADA HEIGHT 2 06/10/20252 1 LOS ANGELES COUNTY PUBLIC WORKS ENVIRONMENTAL PROGRAMS DIVISION CLEARANCE FOR UNDERGROUND STORAGE OF HAZARDOUS MATERIALS Facilities for the underground storage of hazardous materials including secondary containments, piping connected thereto, monitoring devices, vents or other appurtenances, shall be installed as shown on this plan and in compliance with the Fire Code, Mechanical Code, and other applicable laws and ordinances. No additions or alterations shall be made without the written permission of the Dept. of Public Works. By___________________________________ Date__________________ ENVIRONMENTAL PROGRAMS DIVISION MODIFICATION ONLY LK 06/26/2025 A.1109449 030993-046976 Expires: 12/23/2025 All monitoring equipment will be installed and maintained such that the equipment is capable of detecting a leak at the earliest possible opportunity per CCR Title 23, Division 3, Chapter 16, Article 3, Section 2630(d). UST10.0 MA T E R I A L L I S T Company World Oil Marketing Fil e : c: \ u s e r s \ t o n e \ b o x \ t b u i \ p e r m i t s \ w o f 1 1 0 \ 2 0 2 5 - 0 3 _ d i s p e n s e r _ u d c _ r e p l a c e m e n t \ d r a w i n g s \ w o f 1 1 0 - 2 0 2 5 - 0 6 - 2 4 u s t 1 0 . 0 - l a c p w . d w g S a v e d : 6/ 2 4 / 2 0 2 5 4 : 4 0 P M ( to n e ) P l o t t e d : 6/ 2 4 / 2 0 2 5 5 : 0 8 P M 04/01/2025 RA M C A M E N G I N E E R I N G GR O U P , I N C . PL A N N I N G & E N G I N E E R I N G RamCam 9302 GARFIELD AVENUE SOUTH GATE, CA 90280 (562)928-0100 3 E DUARTE ROAD ARCADIA, CA 91006 WOF110 06/10/2025 06/24/2025 LOS ANGELES COUNTY PUBLIC WORKS ENVIRONMENTAL PROGRAMS DIVISION CLEARANCE FOR UNDERGROUND STORAGE OF HAZARDOUS MATERIALS Facilities for the underground storage of hazardous materials including secondary containments, piping connected thereto, monitoring devices, vents or other appurtenances, shall be installed as shown on this plan and in compliance with the Fire Code, Mechanical Code, and other applicable laws and ordinances. No additions or alterations shall be made without the written permission of the Dept. of Public Works. By___________________________________ Date__________________ ENVIRONMENTAL PROGRAMS DIVISION MODIFICATION ONLY LK 06/26/2025 A.1109449 030993-046976 Expires: 12/23/2025 All monitoring equipment will be installed and maintained such that the equipment is capable of detecting a leak at the earliest possible opportunity per CCR Title 23, Division 3, Chapter 16, Article 3, Section 2630(d).