HomeMy WebLinkAboutUNDERGROUND TANK-C-10/8/87BAKER'S-MA YFLO WER ..~. - ,~. .,~. - .~. ~, ~'
BAKER'S TRANSFER & STORAGE~1230 'P" STREET/P.O. BOX 556/BAKERSFIE£D, CA 93302/(805) 323-7558
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PROVIDE DRAWING OF PP~" LAYOUT OF FACILITY USING S-' ~ROVIDED BEL~.
ALT. OF THE FOLLOWING iNFORMATION MUST BE INCLUDED IN ORDER FOR APPLICATION TO BE
PROCESSED:
__ T31qK(S), PIPING & DISPI~ISER(S), IRCLUDING I'.F:NGTHS ~ DIMI~ISI~
__ PROPOSED SAMPLING I/3CATIONS DESIGNATED BY THIS SYMBOL "~"
~T STREET OR INTERSPI..-'TION
ANY W;kTER WRT.T.q OR SURFACE WATERS WITHIN 100' RADIUS 'OF FACTTJTY
· ~ ~ - ~. - . ~ ~'. ,-~.
FILE CONT~-NTS SUMMARY
FACILITY:
ADDRESS :
PE~IT ~:
Activity Date · Of Tanks Comments
KERN COUNTY HEALTH DEPARI...~NT
1700 Flower Slreet AIR POLLUTION CONTROL DISTRICT LEON M HEBERTSON, M.
Bakersfield. California 93305-4198 Director ol Public Healtt
Telephone (805) 861-3621 Air Pollution Control Offic
..- . - ............
January 26, 1988
· ': Florence Abrams
2700 Lake Street
· ' .. San Francisco, California 9412!
'. Re: Tank Abandonment, Baker's Transfer & Storage
Dear Abrams:
This department has reviewed the laboratory analyses for the
gasoline underground storage tank at 800 13th Street, Permit #A520-
16. The samples, indicated no significant soil contamination at
the site.
Based upon thls information, the department considers this
preliminary site assessment complete and no further assessment is
required.
.'.-.. Sincerely,
..,...
Bill Scheide
Environmenta] Health Specialist I
Hazardous Materials Management Program
BS/gb
" cc: Thomas Underhil]
' ' McNabb Construction
LABORAT fE)RIES. Inc-:..
4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 9;3;308 PHONE ;327-4911
Purgeable Aromatics
...... :'__- ._ .:~.:~:_~_ ~:.. ....................... (.SOIL) . . ..- ........... ~_._~.._~._.
R L W EQUIPMENT Date of
2080 SO. UNION AVEUNE Report: 16-0ct-87
BAKERSFIELD, CALIF 93307
Attention:
Lab No.: 20747-1
........... Sample_Desc: ......... -~BAKERS-TRANSFER.& STORAGE ~ .GASOLINE .2~ ............. - .... ~-~:~- .......
DATE SAMPLE DATE SAMPLE DATE ANALYSIS
COLLECTED: RECEIVED @ LAB: COMPLETED:
08-0ct-87 08-0ct-87 14-0ct-87
Minimum
Reporting Analysis Reporting
Constituent Units Results Level
Benzene ug/g None Detected 0.10
Toluene ug/g None Detected 0.10
Ethyl Benzene ug/g None Detected 0.10
p-Xylene ug/g None Detected 0.10
m-Xylene ug/g None Detected 0.10
o-Xylene ug/g None Detected 0.10
Isopropyl ~
Benzene ug/g None Detected 0.10
Pet. Hydrocarbons ug/g None Detected 5.00
Total Petroleum
Hydrocarbons ug/g None r,~+~+o~~ ~ ~ 0 . !0
TEST METHOD: California D.O.H.S. T.P.H. for Gasoline
Dry Matter Basis
Comments:
PETROLEUM HYDROCARBONS: Quantification of volatile hydrocarbons
present (C1 to C20) utilizing a gasoline factor. As outlined by
California D.O.H.S. These volatile hydrocarbons are in addition
the constituents specifically defined on this report.
TOTAL PETROLEUM HYDROCARBOUS: The sum total of all [non-chlorin-
ated] constituents on this report.
.~glin Robert Plaisance
Chemist
17~ ~r Street KERN COUNTY HEALTH DEPARTMENT H~.~ OmCE.
~ke~ield, Cal~m~ 93305 . .. Leon M ~rtso~, M.D.
T~phone (~5) ~ 1-3636 EN~RONMENTAL HEAL~ DIVISION
~RECTOR OF EN~RONMEN~L H~L~
~mon ~ R~hard
PERNIT FOR PF.~)MNENT CLOSUI~ PI~IITI~llIBER A520-16
OF UI~ERGROUI~) HAZARDOUS "
.... ::~SUBSTANCBS STORAGE PACILITY
FACILITY NAI~/ADDRESS: OI~..R(S) NAI~/ADDRESS: .CONTRACTOR:
Baker's Transfer & Storage '-.' Florence Abrams .". R.L.W. Equipment
800-13th Street 2700 Lake Street . 2080 So. Union Avenue
:"~-'"~'~=:~akerSfl'~'Id-,~'CA''-'~--- ............ ' ...... ' ......... ~an"F~anc~'~ -'94121 '--'~":?-Bakersfiei'd~'CA -'93307 ~' .... '='
)hone # (415) 221-7926 Phone # (805) 834-1100
" ........ ' ~- License No 294074 -"-' '
:' .. '. -' ' · '. " _, ' i . "" ~'" "' '~''''" ':' "'" ' ' '
PER~IT FOR CLOSURE OF PEP~IIT EXPIRES November 26, 1987
1 TANK AT ABOVE APPROVAL DATE August 26, 1987 .'
LOCATION. APPROVED BY
Bill Scheide
.................... POST ON PREMISES ......................
CONDITIONS AS FOLLOWS:
1. It is the responsibility of the Permlttee to obtain permits ~hich may be
required by other regulatory agencies prior to beginning work.
2. Permittee must obtain a .City Fire Department permit prior to initiating
closure action.
3. Tank closure activities must be per Kern County Health and Fire Department
approved methods as described in Handout #UT-30.
4. The tank removal contractor must have a qualified employee on-site
supervising the actual tank removal.
~. A minimum of t~o samples must be retrieved beneath the center of the tank
at depths of approximately t~o and six feet.
6. A minimum of t~o samples must be retrieved at depths of approximately t~o
and 'six feet for .every 15 linear feet of pipe run and also near the
dispenser area(s).
'?. All (leaded/unleaded) gasoline samples must be analyzed f-or benzene.
· toluene, xylene, and total volatile hydrocarbons.
8. Copies of transportation manifests must be submitted to the Health
Department ~ithin five days of ~aste disposal.
9. All applicable state la~s for hazardous ~aste disposal, transportation, or
treatment must be adhered to. The Kern County Health Department must be
notified before moving and/or disposing of any contaminated soil.
10. Permlttee is responsible for making sure that "tank disposition tracking
record" issued ~ith this permit is properly filled out and returned within
14 days of tank removal.
-~-i~ .... Advise ~thlS Office of fhe'-tlm~--'and 'da"te- of the proposed'-sampllng---~ith 24
hours advance notice.
12. Results must be submitted to this office withln three days of analysis
DIS~ICT OFFICES
,-,,,,,,,,.,, .,,.,,,,,., RATORIES, Ir'lc.
P£TIIOL£11~I J' J' EGLIN, REG. CHEJqA, ENGI~.
4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911
Purgeable Aromatics
....... _~_~;~;.---_.-:--~-.-...~-~:..~. ...... ~_,~ ..... ~ .... (SOIL)
...... '[~-~'7 _7 . -Z_i l--'-~--~ -' ~:'- -'------ .....~--- __.- ..... - ~'~£~.
R L W EQUIPMENT Date of
2080 SO. UNION AVEUNE Report: -16[0ct-87
BAKERSFIELD, CALIF 93307
Attention:
Lab No.: 20747-2
...... Sample.Desc.: ,-;~.BAKERS TRANSFER & STORAGE - GASOLINE.6' '
DATE SAMPLE DATE SAMPLE DATE ANALYSIS
COLLECTED: RECEIVED @ LAB: COMPLETED:
08-0ct-87 08-0ct-87 14-0ct-87
Minimum
Reporting Analysis Reporting
Constituent Units Results Level
Benzene ug/g None Detected 0.10
Toluene ug/g None Detected 0.10
Ethyl Benzene ug/g None Detected 0.10
p-Xylene ug/g None Detected 0.10
m-Xylene ug/g None Detected 0.10
o-Xylene ug/g None DeteCted O.lO
Isopropyl
Benzene ug/g None Detected 0.10
Pet. Hydrocarbons ug/g None Detected 5.00
Total Petroleura
Hydrocarbons ug/g None Detected 0.!0
TEST METHOD: California D.O.H.S. T.P.H. for Gasoline
Dry Matter Basis
Comments:
PETROLEUM HYDROCARBONS: Quantification of,volatile hydrocarbons
present (C1 to C20) utilizing a gasoline factor. As outlined by
California D.O.H.S. These volatile hydrocarbons are in addition
the constituents specifically defined on this report.
TOTAL PETROLEUM HYDROCARBONS: The sum total of all [non-chlorin-
ated] constituents on this report.
~.JG. ~lin Robert Plaisance
Chemist
17QOFk~w~ $1rl~t E' ' COUNTY HEALTH DEPARTM
~~t~ ~ane ~~ Kern County Pernlt S
Add reaa
m "U~GROUND T~K DZSPO$1TZON T~C~ING RECO~
ThIs form ts ~0 be returned ~0 the Kern Co~y
day8 of acceptance of tn~(8) by disposal or recycllng facility, The
hoist of the peratt utCh n~ber noted above tm rosponalble for l~tng
' thet this form 18 completed nd* returned., ...... -
'Section ~ - T~ b~ filled ~ut ~ ten~ renovul contractor:
Authorized repreaen~aCXv~ of contractor certlfla~ by signing belo~ that
ta~(s) have been decont~lnated In accor~ce MAth Kern Co~t~ Health
Deponent requirements,, , .
Addre.m 2202 S. MILLIKEN AVE. Phone
0NT~RI0, C~ ZXp 91761
Dat~ Ta~s Re~ed~CT.~/~~8, 1987 No. of T~ 1
(Authorized Representative}
label have ~lreed~ been ~fflxed to out~ld~ for your convenlencm.
~ ~t~e of California--Health and Welfare Agency Department o! Health Services
. ~Form Approval OMB No. 2050---0039 (Expires 9~8) ' Toxic Substance= Control Division
Pleaae ~ ~ ~e. (Fo~ desi~n~ for use o~I~ ~ typew~ter). /~ ' Sacramento, California'
* UNIFORM HAZARDOU~ ~rator's US EPA ID No. Manifest .. Pag. I ~
locmento. Info~ation in the shad~ areas .
" WASTE MANIFEST o, ' ,, not required by Federal law.
A. State Manifest D~ument Number
3. G~ator's Name and Mailing Address
' - . "' '""8'7S3 7201
.4'~at~aPh°ne(~L~) ~'7>~2~ ""1 I I I I I I I I' i,"1 '! ":'
5. Tr~ 1 C~mpany Name X~ 6. US EPA ID Numb~ C. State Transp~er's ID Z~2~
7. TI~ 2 ~ompany Name 8.- U~ EPA ID Num~el [. ~lale Tr~.lp~l'l ID
.... I I I I I I I I I I I I F. Tra.:po.ee:
9. ~.at~ Facili~ N.~e a~Site Addreu ..... :. - I 0...... U ~ ~A ID N~m[~ I ' I ~lI [tale Facile: ~.....
12. ~onlai.er~ 13. }olal 14. I.
I 1. U[ ~T Delc~plio. (I.clading Prope~ ~[ippi.g N.me, Hazard ~l, a.d ID Nam[e~) Q~.ti~ U.it Walle No.
No. Type Wt / Vol
a. · ~-
E l
E b. State
T ...... I I I I I I I
o
EPAIOth~
I
I I I I I I
d. State
'.
I I I I I I I
J. ~1 ~ptionl f~ Marsala Liat~ A~i K. ~ndling C~ea for Wastes Li~ A~ve
-./ ........ .. '....
15. ~ial ~ling I~at~tions and Additional Info--ion ~
16,
GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping
na~ and are classified, packe~, marked,, and labeled, and are in all respects in proper condition for transpo~ by highway according to applicable
int~ational and national government regulations.
~ I am a large quantity generator, I ce~i~ that I have a program in place to reduce the ~olume and toxicity of waste generaled to the degree I have
dete~ined to be economically practicable and that I have selected the practicable method ~f treatment, storage, or disposal cu~renll~ available to
me which minimizes the present and future threat to human health and the environment; OR, if I am a small quantity generator, I have made a good
faith effo~ to minimize my waste generation and select the besl wasle management method that is available to me and that I can afford.
Print~/~d Name ~ Signature ,. ~onth ~ay Year
T 17, Transpo~er 1 Acknowl~gement of Receipt of Matedata
R ,
A PdntedlTyped Name~ I Signature . ~on~h Oa~ Year
0 18. Transpo~e¢ 2 Acknowledgement of Receipt of Materials ,.
T Printed/Typed Name I Signature Month Day Year
E
I
r I I I 1 ! I
19. Oi~repancy Indication Space
F
A
C
I 20. Facilily Owner o¢ Operator Ce~ilicalion of receipt of hazardou~ materials covered by this ~ni~est except as holed i~ Item 19. . .... . ......... ~
.... T Printed/Typed Name
Y ~ / . I Signature.,' /' / / // ~ ~ .,' Mopt~Oa~/Teac/
. .
DHS ~22 A (I/87) GREEN: HAULER'R~IN~ - - INSTRUCTIONS ON THE BACK
EPA 87~22 · '
(Rev. 9-86) Previous editions are obsolete. /
IN CASE OF AN EMERGENCY OR SPILL. CALL THE NATIONAL RESPONSE CENTER 1-800-424-8802; WITHIN CALIFORNIA CALL 1-800-852-7550
KEHN COUNTY HEALTH DEPARTHENT ( PTO .PTA
DIVISION OP ENVIRONMENTAL REALTH APPLICATION DATE
1700 FL0W£R STREET, BAKERSFIELD, CA 93305 · 0F TAKES TO BE ABANDONED
(805) 861-3636 LENGTH OF PIPING TO ABANDON
· APPL! CATI ON FOR PER]Vii T FOR PERI~IANENT
CLOSURE/ABANDONMENT OF UNDERGROUND
HAZZ~r~DOUS SUBST,AI~JCES STORAGE FACI LT TY
TltlS APPLICATION 15 FOR [] REMOVAL. OR
APPLI~TI0~
P~
~ACILITY~
..... PROJECT C~TACT ...................
PACILI~ ~ ~DR~S N~SST ~S SIRS~T
m O~R
PRO~S~ PR~E~ ST~tZg6 ~TK I~Z~A LAC~SS S Iuo~'s C~tZON · IINSUR~ · '
PRELIMI~Y SIT[ ~T CONTOUR ~S PflONg
~TORY T~T ~I~ ~YZS ~S ~D~S
'CH~I~ C~SITION OF ~TER[~S S~RKD
~ o TO
G TO
-- O DESCRIBE ~Pg [F ~/THIN 500 FEET ~lL TYPg AT FACILI~
~ ~ ~lS F~ ~IL TYP~ ~D GROUNDNAT~ D~H
. TOTAL NU~ OF S~LE8 TO BE ~ALYZED IS~LE8 MiLL Bg ~YZ~
DESCRIBE BOM RESIDUE IN T~K(S) ~D PIPING IS TO BE R~OVgD ~D .DISPOSED OF (INCLUDE ~NSPORTAT/ON ~D DISPOS~
~ D~SCRIBET~K($)~TH THK DISPOSAL NETIIOU ~D DISPOSAL L~TION P~:
5cr p r ,m.R
· = pLE~E PROVIDE [NFOR~TION REQUESTED ~ REVERSE ~IO$ o~ TUI8 SlIEBT B~O~$ SUBNI~ING APPLICATION
THIS FORM ~S BE~ COMPLKT~ UNDER PENALTY OF PERJURY ~O TO THE BEST OF MY KNONL~E IS TRU~ AND CORRECT.
~ SCAMPINI, MORTARA & HARRIS
ANGELO J. SCAMPINI A PARTNERSHIP INCLUDING A I=~OF'ESSIONAL CORPOI:~ATION TELEPHONE
BEN MORTARA, ,JR. ATTORNEYS AT LAW AREA CODE
HAIG A. HARRIS, JR., INC. 465 CALIFORNIA STREET, SUITE 300 4:='1
JOSEPH C. FRIEDMAN SAN FRANCISCO, CALIFORNIA 94104
BRUCE N. SHYER, JR
NElL S. TURNER
Ju].y.22, ]..987
Mr..~ Thomas H. Underhill
930 Truxtun Avenue, Suite 106
Bakersfield, CA 93301
..... · Dear-Tom:
You will remember Mrs. Florence Abrams, an old friend
and client of mine, who you met on several occasions .and who is
the owner of the warehouse, building and property located on
California Street, occupied by Baker's Transfer and Storage.
The property and building has been under lease and
occupation by Baker's Transfer and Storage for quite a few
years, and currently is being occupied on a month-to-month
basis as the term of the lease expired some years ago, but was
never formally renewed. We have never had any trouble with the
tenant and he is current in his rent, and Mrs. Abrams is not
inclined to put the property on the market or to seek a new
tenant as she is completely satisfied with continuing in effect
the present arrangement.
However, every once in a while certain matters do crop
up which require her consideration and decision and at that
point she generally takes the matter up with me and I handle
and dispose of it for her, What I am writing to you about now
is exactly one of these situations.
On the property there is located a subsurface gasoline
tank, used quite a few years ago by the tenant to supply his
trucks and vehicles with oil and gas. I am informed that for
some years it has not been used for this purpose, but it is in
the possession and under the control of Baker's Transfer and
Storage and if any problems come up for solution, the problems
are first addressed to Baker's and thereupon passed on to us.
The subject matter about which I am writing is a
little more complicated than usual and requires professional
attention -'not so much that of a lawyer as that of a competent
engineer or experienced contractor familiar with the
requirements of the City of Bakersfield relating to permits
required fqr. the operation of.SuCh.9n oiI and gas facility, or
Mr. Thomas H. Underhill -2- July 22, 1987
any changes in its operations or termination of the operation,
and also in order to obtain a permit authorizing the removal of
or repairs to the tank. Just such a situation has arisen and
~Mrs...Abrams has_transferred_~verything overnto_me~i~th~the
-'requeS't~h~t'i look into it and~d~"whatever is-necessary to
resolve the problem, preferably by obtaining a permit from the
City authorizing her, as owner of the property, with the
consent of the occupant, to terminate the storage and remove
the tank.
Last week, she received a letter, dated July 14, 1987,
.......... from the.Kern County Health Department,
a copy of which is enclosed and Which is self-explanatory. She
delivered the letter to me and we had quite a conference to
decide what to do with the problem and the decision was reached
to engage your services to negotiate with the City for a proper
permit authorizing the termination of the storage tank facility
and the re, oval thereof from the premises.
Because of the peremptory character of the concluding
paragraph'of the letter received, I deemed it advisable to call
Mr. Scheide immediately, which I did on Monday of this week,
and I told him that I had been authorized by Mrs. Abrams to let
him know that she had decided that the maintenance of the
subsurface tank facility on these premises had become
unnecessary and constituted a constant problem of one kind or
another.
Mr. Scheide was a very courteous gentleman and replied
that in his opinion it was a wise decision to make, and
anything he could do to facilitate the granting of the
application he would be glad to do. He promised to send me a
copy of pertinent rules and regulations governing the
situation, which I enclose for you to follow. They consist of:
1. A handbook entitled "Standard Inventory Control
Monitoring", which I am told we can disregard if our
decision is to terminate and abandon the storage tank
facility.
2. A booklet of Requirements for Permanent Closure of
Underground Hazardous Substance Storage Tanks. This
contains the appropriate requirements applicable to
our intended termination.
3. A "fact sheet" entitled "EPA Hazardous Waste
Identification Numbers".
Upon a review of the regulations appertaining to
Mr. Thomas H. Underhill -3- July 22, 1987
permanent closure of the underground facility and removal of
the tank, I decided that this required, the assistance of an
engineer experienced and qualified in such operations, who is
...... familiar with the.~equirements of .the City of Baker~sfield, and
can Proceed to make all necessary arrangements to bring ab°Ut
the favorable consideration of the application for termination
of the permit and removal of the storage tank.
~ Mr. Scheide was kind enough to give me the names of
three engineering concerns who have had considerable experience
in this type of work; also said that there are many qualified
._.engineers and contractors listed in the yellow._pages of the
telephone book. However, ~ou told me that you yourself ha~e in
mind an engineer that you have used in your past practice, and
if you deem him capable, by all means you are authorized to
hire him.~ In any event, upon receipt of this letter and
enclosures, and after you have reviewed it, please get in touch
with Mr. ~cheide, to whom I am sending a copy of this letter,
and let him know that you are going to represent Mrs. Abrams.
I have never had a proceeding of this character in my
practice, but I am told by lawyers who have that in all cases,
°the client is billed on an hourly basis at an agreed rate, with
a billing forwarded at the end of every month covering services
during that month. I would suggest that you follow this
procedure.
I have talked to Mr.Taylor, and told him of our
intention to proceed with termination, to which he has agreed.
Let me know the name of the engineering or contracting
firm th.at you finally do retain to help you, and keep me
current with developments in your negotiations with the City
Health Department.
I am glad to know that you are still available for
jobs of this character.
Warm regards.
Sincerely,
Angelo J. Scampini
AJS:mdv
Encl. ~ ..............
c.c. Mr. Bill Scheide
Mrs. Florence Abrams
July 14, 1987
Florence Abrams
2700 Lake Street
San Francisco, California 94121
..-
Dear Ns. Abrams:
This is to notify you the underground storage tank facility
which you own at Baker's Transfer and Storage, 1230 'P~ Street,
Bakersfield, Permit #160017C has failed a facility inspection by
this department. The operator of the facility is in violation of
the permit requirements because he Is not performing Standard
In'ventory Control Monitoring as required under the permit. A copy
of the inspection report is enclosed with this letter.
As the owner of the facility, you are responsible for ensuring
that all permit conditions are met. At present, the operator is
not operating the tank. If he does not perform Standard Inventory
Control Monitoring as described in Handbook #UT-10 from our
department, you must choose between three options to comply w/th
the law:
1. Perform Standard 'Inventory Control Monitoring as presently
required;
2. Propose an equivalent method of tank monitoring.that will
· be acceptable to this department, or
3. File for abandonment of the tank under an abandonment
permit with this department.
I have enclosed a copy of the UT-10 handbook for you to
familiarize yoursel~ with the current monitoring requirements. .In
addition I have enclosed a handbook of the regulations for
abandoning tanks, (UT-30) as well as an application for an
abandonment permit.
DISTRICT OFFICES
Detano . Lamont ' ake Isabella Mojave . Rldgecrest , Shatter , Taft
Florence Abrams .,
.. July 14, 1987
Page two "
Please call me immediately if you are not sure which option
you want to take to comply with the law. You have 30 days from
the date of the inspection of July 8, 1987 to begin taking steps
to comply with the law. Should you have__.._aoy._=gue, s_~i. ons._about this
..... ~:~atter ~-do ...... not hesitate.`. to ...... call -me at (805) "861-3636'~'"f~::--'~=:~'-
assistance. It is very i;portant you take action on this matter
before the 30-day period ends, to avoid further legal action.
Sincerely,
-" -- ' ..... ' ............... ' 'Bill $chetd'e ~-' ..... - .... - ........... ' ................. ' ......... -'~ ....
Environmental Health Specialist
Hazardous Materials Management Program
BS:sw
Enclosure
cc: Mr. Ray Taylor
:-.. ' -~ '=.,,?:-;:. &_h ~11 ·
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UNDEROROUND HAZ.~A~DOUS SUBST~t'~CE STOR~ FACI LI TY
~ INSPECTION REPORT
" Ho. of Xa~a lnfornetion on Perait/AppJica~on Correct? Yes __ No "Permit Posted? Yes '__
Type or Inopeot~on: Routiner X Cpmp/alnt "Relnspection. __
ITE~ VIO~TIO~8
a. lnterQept/ng and Directing System ~ j . ' .
~, ~ ~ ~ ~J~Jn~ '. ....· ................ =~..~_ ~ ........ . . : ...... ~ ...... ~_ .,'-. - - -~ .... ~'-:.-.~ ........ ~ ....... ~'.~ ..... '
~ : ~. ~ Liner
- "~ b~.: ~uble~Walled Ta~
o. Vau~t "
~' i" '~ ~ Piping Monitoring
~' ~,'~... ·
.,- a. Preeaurized
; ~8uotlon
.......................... ............ .............................. [ .......
6. 'Tl~htneta Teetln~
8, 'New Constructlon/Hodiflcatiofl
7, ' Closure/Abandonment
8. ' U~authorlzed Release
: 9, }Haifltenance, Oeneral Safety and
; .[Operatin~ Condition of Facility
· _.:, [ ~ f'.'
................................. ~ .............................................................................................
~_- --- W/Il ~e ~.r ~ 7//,~.r/~, .-~q~/,dow~--r.
Relnspectlon icheduled? ~ Ye8 No Approximate Relnspectlon Date 7
Division o[ Environmental App!ication~5' ~ ~~-i-- /9//
1700 Flower Street, Bakersfield, CA 93305
· 'APPLICATION FOR PERMIT TO OPERATE UNDERGROUND
HAZARDOUS SUBSTANCES STORAGE FACILITY
Type of Application (check):
r]Ne-~ Facility r~Modification of Facility ~Existing Facility DTransfer of Ownership
A. Emergency 24-Hour Contact (name, area code, phone): Days~=o'R
Facility NaT D/~.~7~ ./.~__, -- No. of_Tanks -7 / ' "
() Ag · U '
Is Tank(s) Used Primarily for ~]~iculturgl Purposes?~Yes
T '~_~ R ' ~ .$EC/ ~ (Rural Locations (~ly)
Soil Characteristics at Facility ~
Basis for Boil Type and Groundwat~k Depth Pete~inations
,
C. Contractor CA Contractor' s License No.
Address Zip Telephone
Proposed Starting Date Proposed C~pletion Date
Worker's Compensation .Certification ! Insurer
D. .If This Permit Is For Modification Of An Existing Facility, Briefly Dmscribe Modifications
nk t I Waste Product Motor Vehicle Unleaded Regular Pr~mi~ Diesel Waste
Fuel -SIT-
Fo Ch~nieal C~l~si~:ion of I~t:~rial~ Stored {not: necessary for motor ¥~htcle fu~l~)
Tank # Chemical Stored (non-commercial name). CAS $ (if kno~) Chemical Previously Stored
(if different)
G. Transfer of Ownership
Date of ~-ansfer ~ Previous Owner
Previous Facility Name
I, accept fully all obligations of Permit No. issued to
· I understand that the Permitting A~thority may review a~d
modify or terminate the transfer of the Perm.it^ to Operate this ~dergro~d storage
This form has been ¢~pl~eted under penalty of periury and to the~est of my knowledge is
true and~~t~t. ~
Signatur~~ /~~ Tit.~e~
TANK ~ (FILL 'OUT SEPARATE FORM FOR ~ACH TANK)
FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES
H. 1. Tank is: rq.Vaui'ted ~on-Vaul ted r~Double-Wal 1 ~Single-Wal 1
2. ~ Material
~qarbon Steel [-]Stainless Steel [-]Polyvinyl Chloride l-]Fiberglass-Clad Steel
[] Fiberglass-Reinforced Plastic [] Concrete [] Al~m~inum [] Bronze []Unknown
[] Other (describe)
3. Primary Containment
Date Installed Thickness/_~ (Inches) Capacity (Gallons)
4. Tank Secondary Containment
-- . [] None Unknown
r~Double-Wall llSynthetic Liner []Lined Vault
[] Other (descr ibc): Manufacturer:
'~ []Material Thickness (Inches) Capacity (Gals.)
5. Tank Interior Lining
---~R3]bber ['~Alkyd []Epoxy []Phenolic []Glass []Clay []Unlined ~known
[]Other (describe):
~..6. Tank Corrosion Protection .... . .... .-~ .......... '-' ..........
-~Galvanized [~Fibergiass-Clad []Polyethylene Wrap []Vinyl Wrappir~
[]Tar or Asphalt ~Jnknown []None []Other (describe):
Cathodic Protection: []None []Impressed ~urrent System ~lSacriftcial Arlode System
Describe System & Equipment:
7. Leak Detection, Monitoring, and Interception
~i Tank: []Visual (vaulted 'tanks only) [.]Groundwater Monitoring' Well(s)
[]Vadose Zone Monitorir~3 Well(s) [~U-Tube Without Liner
[]U-Tube with Ccmpatible Liner Directing Flow to Monitoring We.ll(s)~
~Vapor Detector* [] Liquid Level Sensor* [] Conductivit~ Sensor'
[] Pressure Sensor in Annular Space of Double Wall Tank
[] Liquid Retrieval & Inspection From U-Tube, Monito]~-ing Well or Annular Space
[]Daily Gau~irg & Inventory Reconciliation []Periodic Tightness Testing
[]None ~Unknown [-IOther
b. Piping: Flow-Restricting Leak Detector(s) for Pressurized Piping"
[]Monitoring S~p with Raceway ~.Sealed Concrete Raceway
[]Half-Cut Compatible Pipe Raceway []Synthetic Liner Raceway []None
[] Unknown [] Other .
8. Tank Tightness
]~T'133is '13nk Been Tightness Tested? [']Yes []No ~Unknown
Date of Last .Tightness Test -7'%~-~ Results of Test
Test Name Testing C~pany
9. Tank Repair
Tank Repaired? []Yes ~No []Unknown
Date(s) of Repair(s)
Describe Repairs --~_
10. Overfill Protection
Operator Fills, Controls, & Visually Monitors Level
ape Float Gauge []Float Vent Valves [] Auto Shut- Off Controls
rqCapacitance Sensor []Sealed Fill Box [-]None []Unknown
[]Other: List Make & Model For Above Devices
a. Underground Piping: ~Yes ~No [-]Unknown Material
Thickness (inches) --~. · Diameter~--//~7 Manufacturer
[]Pressure ~Suctz"'~n~ []Gravity '~Approx;.mate Length o~ Pip~'l~/~ ~
b. .Underground Pipi'rg Corrosion Protection : . _ ·
[]Galvanized I-]Fiberglass-Clad l-]Impressed Current []Sacrificial Anode
[]Polyethylene Wrap []Electrical Isolation []Vinyl Wrap [~Tar or Asphalt
~nknown []None []Other (describe):
c. Underground Piping, Secondary Containment:
~Double-Wall r~synthetic Line[' ..;yst~ [-]~k)ne ~?nknown
[']Other (descr [be):