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Home My WebLink AboutUNDERGROUND TANK-C-1/1/96 YOU~ OALL A~E~ GODE ~'~ / PLEASE CALL ~LL ~ALL .... TO SEE YOU WANTS ' ,,, TO SEE YOU SENDER: I also wish to receive the · Complete items 1 and/or 2 for additional services. · Complete items 3, and 4a & b. following services (for an extra · Priht your name and address on the reverse of this form so that we can fee): return this card to you. · Attach this form to the front of the mailpiece, or on the back if space 1. [] Addressee's' Address does not permit. 2 Write "Return Receipt Requested" on the mailpiece below the article number 2. [] Restricted Delivery .,~' The Return Receipt will show to whom the article was delivered and the date delivered. Consult postmaster for fee. 3. Article Addressed to: 4a. Article Number P_390_214_4i5 MARION LEE 4b. Service Type HICKORY HOUSE [] Registered [] Insured 600 COFFEE ROAD #D [] Certified [] COD BAY~RSFIELD, CA 93309 [] Express Mail [] Return Receipt for Merchandise 7. Date of Delivery 5. --Signature (Addressee) 8. Addressee's Address (Only if requested and fee is paid) 6. Signature (Agent) PS Form 381 1, December 1991 WU.S. GPO:1903--352-714 DOMESTIC RETURN RECEIPT UNITED STATES POSTAL SERVICE I [ Official Business PENALTY FOR PRIVATE USE TO AVOID PAYMENT OF POSTAGE, $300 Print your name, address and ZIP Code here CITY OF BAKERSFIELD FIRE DEPT. HAZARDOUS MATERIALS DIVISION 1715 CHESTER AVENUE, SUITE 300 BAKERSFIELD, CA 93301 SENDER: I also wish to receive the ® Complete items 1 and/or 2 for additional services. · Complete items 3, and 4a & b. following services (for an extra · Print your name and address on the reverse of this form so that we can fee): return this card to you. . · 1. [] Addressee's Address ~ Attach this form to the front of the mailpiece, or on the back if space does not permit. · Write "Return Receipt Requested" on the mailpiece below the article number. 2. [] Restricted Delivery · The Return Receipt will show to whom the article was delivered and the date delivered. Consult postmaster for fee. 3. Article Addressed to: 4a. Article Number P-390-214-323 MARION LEE . ~.,~..,~..~ 4b. Service Type HICKORY 600 COFFEEnUU~)~R0~LD' [] Registered [] Insured ;~[Certified J-I COD BAKERSFIELD,. CA 93309 [] Express Mail [] Return Receipt for · Merchandise 7. Date of Delivery 5. Signature (Addressee) 8. Addressee's Address (Only if requested and fee is paid) 6. Signature (Agent) PS Form 3811, December 1991 ~U.S. GPO:19~3--3S~-7~4 DOMESTIC RETURN RECEIPT UNITED STATES POSTAl. SERVICE Official Business PENALTY FOR PRIVATE USE TO AVOID PAYMENT OF POSTAGE, $300 Print your name, address and ZIP Code here · · E~-TY,:OFL~I~ERSFIELD FII~ DEPT. HAZARDOUS ~TE~ALS D~VISIO~ 1715 CHESTER AVENUE, SUITE 300 BAKERSFIELD, CA 93301 SENDER: Complete items 1 ~r 2 for additional services. I al~wish to receive the ~ Complete items 3,~a & b, follo~services (for an extra Print your name and ~ddress on the reverse of this form so that we can fee): · return this card to you. · Attach this form to the front of the mailpiece, or on the back if space 1. [] Addressee's Address does not permit. · Write "Return Receipt Requested" on the mailpiece below the article number. 2. [] Restricted Delivery · The Return Receipt will show to whom the article was delivered and the date delivered. Consult postmaster for fee, 3. Article Addressed to: 4a. Article Number P-390-214-457 Sheraan Lee 4b, Service Type 1203 18th Street [] Registered [] Insured Bakersfied, CA 93301 ]~Certified [] COD [] Express Maid [] Return Receipt for Merchandise 5. Signature (Addressee) 8, Addressee's Address (Only if requested and fee is paid) 6. Signature (Agent) PS Form 3811, December 1991 ~U,S. GPO: ~ee~--~s~-?~ DOMESTIC. RETURN RECEIPT Official Business , . ~ PENALTY FOR PRIVATE USE 'TO AVOID PAYMENT OF POSTAGE, $300 Print your name, address and ZIP Code here · · City of Bakersfield Fire Dept. Office of Environmental Services 1715 Chester Avenue, Suite 300 Bakersfield, Ca 93301 ' ~ HTE3864 A~=ount Number ACCOUNTS RECEIVABLE ADJUSTMENT Mamh 21, 1996 Date 'New Ac=aunt New Address Esther Duran CIo~e Account From Sewico Chengo Other AdJu~tmente X Fire Dopartment. Hazardous Materials Dlvlolon Department/Division HICKORY HOUSE Billing Namo · 1203 18TH STREET Billing Address Site Address Pamol # (If Applicable) Landlord Name & Address (If Applicable) ADJUSTMENT Last Billed Correct Billing Adjustment to Effective Date of Billing Change 0 <66.00> 01-01-96 APl~r~ved/BY: ~.~ Remarks: THE UNDERGROUND STORAGE TANK AT THIS SITE HAS BEEN REMOVED. WE WILL WRITE OFF THESE CHARGES. CITY of BAKERSFIELD FIRE DEPARTMENT FIRE SAFETY SERVICES & OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVE. · BAKERSFIELD, CA · 93301 R.E. HUEY R.B. TOBIAS, HAZ-MAT COORDINATOR FIRE MARSHAL (805) 326-3979 (805) 326-3951 March 8, 1996 Mr. Sherman Lee Bill Lee's Bamboo Chopsticks 1203 18th Street Bakersfield, CA 93301 CLOSURE OF I UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANK LOCATED AT ~1-230-1'8TH-STREET_~IN BAKERSFIELD. PERMIT #BR-0137. Dear Mr. Lee: This is to inform you that this department has reviewed the results for the preliminary assessment associated with the closure of the tanks located at the above stated address. Based upon laboratory data submitted, this office is satisfied with the assessment performed and requires no further action at this time. If you have any questions regarding this matter, please contact me at (805) 326- 3979. Sincerely, Howard H. Wines, III Hazardous Materials Technician HHW/dlm cc: Jason Castillo, RWQCB Pat Mulhofer, Calpi P.O. BOX 6278 * BAKERSFIELD, CALIFORNIA 93386 · (805) 589-5648 February 29, 1996 Bakersfield City Fire Department ATT TZO : WZ S #ag 0 5 1715 Chester Avenue Bakersfield, CA 93301 ~4AZ. ~4~ OIV. Dear Mr. Wines SUBJECT: PERMIT #BR-0137 On February 13,1996, CALPI, Inc. removed one - 1,000 gallon gasoline underground tank from Hickory House at 1230 18th Street, Bakersfield, CA 93301. The tank was decontaminated on site using a high pressure steam cleaner and inerted with dry ice. Rinsate was disposed of at ~ DeMenno/Kerdoon, Compton, California under hazardous waste manifest #93196606. The tank was removed to Golden State Metals. Soil was sampled under the direction of the Bakersfield City Fire Department. The samples were analyzed at B. C. Labs of Bakersfield for TVH, Gas, and BTX&E. A complete chemical analysis is enclosed. In addition to the lab results, copies of the manifest, chain of custody and the tank disposition tracking record are enclosed. Please contact our main office at (805) 589-5648 if you have any questions or require further information. Sincerely, 'Pat Mullho~er~/~ Supervisor PM/sjb cc: Mr. Sherman Lee, Hickory House Santa Maria, California 93454 (80.5) 925-2231 · Bakersfield, California FAX (805) .589-5312 ' Page 1 LABORATORIES Purgeable Aromat 1cs ~ and Total Petroleum Hydrocarbons CALPI Date Reported: 02/20/96 P 0 BOX 6278 Date Received: 02/13/96 BAKERSFIELD, CA 93386 Laboratory No.: 96-01759-1 Attn: J.P. MULLHOFER 589-5648 Sample Description: SHERMAN LEE: SAMPLE $1 2' SO END Sample Matrix: Soil Date Collected: 02/13/96 @ ll:00AM Date Extracted-8020: 02/16/96 Date Analyzed-8020: 02/16/96 Date Extracted~8015M(g) : 02/16/96 Date Analyzed-8015M(g): 02/16/96 Practical Analysis Reporting Quantitation Constituents Results Units Limit Benzene None Detected mg/kg 0.005 Toluene None Detected mg/kg 0.005 Ethyl Benzene None Detected mg/kg 0.005 Total Xylenes None Detected mg/kg 0.01 Total Petroleum Hydrocarbons (gas) No~e Detected mg/kg 1. Surrogate % Recovery 95. % 70-130 TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA Individual constituents by EPA Method 5030/8020. California D.O.H.S. Cert. ~1186 Stuart G. Buttram Department Supervisor _ Alt results listed i~ this report are for the exclusive use o! the submitting party. BC Laboratories, Inc. assumes no msponsibil~ to~ repo~ Mteretion, separation, detachment or'third party interpretation. 41 O0 Atlas Ct. · Bakersfield, GA 93308 · [805) 327-4B11 · FAX [805) 327-1Sl 8 Page 1 LABORATORIES Purgeable Aromatics .-' and Total Petroleum Hydrocarbons CALPI i Date Reported: 02/20/96 P O BOX 6278 Date Received: 02/13/96 BAKERSFIELD, CA 93386 Laboratory NO.: 96-01759-2 Attn: J.P. MULLHOFER 589-5648 Sample Description: SHERMAN LEE: SAMPLE ~2 6' SO END Sample Matrix: Soil Date Collected: 02/13/96 @ ll:05AM Date Extracted-8020: 02/16/96 Date Analyzed-8020: 02/16/96 Date Extracted-8015M(g): 02/16/96 Date Analyzed-8015M(g): 02/16/96 Practical Analysis Reporting Quantitation Constituents Results Units Limit Benzene 0.29 mg/kg 0.2 Toluene 7.1 mg/kg 0.2 Ethyl Benzene 2.2 mg/kg 0.2 Total Xylenes 18. mg/kg 0.3 Total Petroleum Hydrocarbons (gas) 95. mg/kg 30. Surrogate % Recovery 102. % 70-130 TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015,~ ndividual constituents by Method 5030/8020. California D.O.H.S Cert. ~1186 Stuart G. Buttram Department Supervisor All results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no ~esponslbility for report iIt~mtlon, separation, detachment or third party interpretstlon. 4100 Atlas Ct. · Bakersfield, CA 93308 · (805] 327-491 I · FAX [805) 327-1918 LABORATORIES Page Purgeable Aromatics ~" and Total Petroleum Hydrocarbons CALPI Date Reported: 02/20/96 P O BOX 6278 Date Received: 02/13/96 BAKERSFIELD, CA 93386 Laboratory No.: 96-01759-3 Attn: J.P. MULLHOFER 589-5648 Sample Description: SHERMAN LEE: SAMPLE ~3 2' DISPENSER Sample' Matrix: Soil Date Collected: 02/13/96 ® ii:10AM Date Extracted-8020: 02/16/96 Date Analyzed-8020: 02/16/96 Date Extracted-8015M(g) : 02/16/96 Date Analyzed-8015M(g) : 02/16/96 Practical Analysis Reporting Quantitati Constituents Results Units Limit Benzene None Detected mg/kg 0. 005 Toluene None Detected mg/kg 0. 005 Ethyl Benzene None Detected mg/kg 0.005 Total Xylenes None Detected mg/kg 0.01 Total Petroleum Hydrocarbons (gas) None Detected mg/kg 1. Surrogate % Recovery 85. % 70-130 TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA Individual constituents by EPA Method 5030/8020. %%t California D.O.H.S. Cert. ~1186 Stuart G. Buttram Department Supervisor All results listed in this report are for the exclusive uae of the submitting pa~. I~C Laporeto;les, inc. assumes no responsibility f~' ;epo~ eltemtlon, separation, detachment or third puffy interpretation. 41 O0 Atlas Ct. · Bakersfield, CA 83308 · [805) 327-4.Cll I · FAX [BO5) 327-1 918 page 1 LABORATORIES Purgeable Aromatics and Total Petroleum'Hydrocarbons CALPI Date Reported: 02/20/96 P 0 BOX 6278 Date Received: 02/13/96 BAKERSFIELD, CA 93386 Laboratory No.: 96-01759-4 Attn: J.P. MULLHOFER 589-5648 Sample Description: SHERMAN LEE: SAMPLE ~4 6' DISPENSER Sample Matrix: Soil Date Collected: 02/13/96 @ ll:15AM Date Extracted-8020: 02/16/96 Date Analyzed-8020: 02/16/96 Date Extracted-8015M(g) : 02/16/96 Date Analyzed-8015M(g) : 02/16/96 Practical Analysis Reporting Quantitation Constituents Results Units Limit Benzene None Detected mg/kg 0.005 Toluene None Detected mg/kg 0.005 Ethyl Benzene None Detected mg/kg 0.005 Total Xylenes None Detected mg/kg 0.01 Total Petroleum Hydrocarbons (gas) None Detected mg/kg 1. Surrogate % Recovery 79. % 70-130 TEST METHOD: TPH by D.O.H.S. / L.U.F.T. 'Manual Method - Modified EPA 8015~,~ Individual constituents by EPA Method 5030/8020. California D.O.H.S. Cert. _%1186 Stuart G. Buttram Department Supervisor All results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for repo~ Mteretlon, separation, detachment or third party interpretation. 41 00 Atlas CC. · E)akersfield, CA 93308 · [805) 327-4~11 · FAX (805) 327-1 ~)18 AOORE~ CA~, ~nc. PARAMETERS O~ER P o Box 6278 " , ' (805) 589-5648 . O~ _,. ,... ~h~e '-''~_ . $ignalure ' signalufe Pflnt~ Na~e / ,' ~ , Pfl~' Na~e ~ Pflnl~ Name Pfl~l~ Name , SPECIA~ SHIPMENT~ANOUNG ~ ' Compa~ ComPanY compa"y R~UNO~ISh~O aY 0ATE RECEIVEO BY DATE' ' RELINQUISHED BY ~gnalu~e ". Slg~[u~e Slgn~lure Slgnalum ':P~n~ed Name PHnI~ Name Pdnled Name P~nt~ ~y . .., Company , . . ~ompany. Company .... GOLDEN STATE METALS, INC. TANK DISPOSAL FORM P. O. Box 70158 · 2oeo E. Brundage Lane Date ~ ~.~I ,19 (~ ~ Bakersfield, California 93387 I Phone (805) 327-3559 · Fax (805) 327-5749 Contractor,s/ Scrap Metals, Processing & Recycling License No. Contractor's Phone No. JOB SITE: DESTINA~ON: G.S.M. · 2000 E. BRUNDAGE LANE · BAKERSFIELD, CA 93387 HAULER: ~~ I LICENSE NO: . 250 .14 550 .24 ;PECTION 200O .97 ~ RESIDUALS PRESENT (REJECT) 3000 ~.32 ~ 9000 3.82 12000 4.93 TOTAL not aO da~ [rom r,e~ipt ot tank. ¢ontraetor'~ represents acceptance of terms for payment, and confirms that tank removal complies with State laws. CONTRACTOR'S SIGNATURE ~ CERTIFICATE OF TANK DISPOSAL / DESTRUCTION T~S I~CERTIFY THE RECEIPT AND ACCEPTANCE OF THE TANK(S) ~PECIFIED ABOVE. ALL MATERIAL SPECIFIED WILL BE COMPLETELY ~~YEb FQR SCR~ RE'CLING PURPOSES ONLY. ~ ADORE~ ' CA~PI, Inc. PARAMETERS 0~ P O BOX 6278 BAKERSFIELD CA 93386 -- SAMPL~ NO DA~ ~ME LOCA~oN RELINOUISkEO BY ' }A~E-" REd~IVEO BY ' ~'ATE RELINQUISHED BY '&ATE RECEIVED aY DAm '" { TOTAL NUMBER S~re ' ~. ~nalu~ ~ SIg~lure Signalu~e ' - / ,' ~ Pdnt~'Na~e ~flnl~ Name Pdnl~ Name ~PECIAL SHIPMENT~AND~NO Pdnl~ ~p'any ~ Compa~ Company Compa~ REUN~SHED BY DATE RECEIVED BY DATE RELINQUISHED BY OATE RECEm~ BY S~nt{u~e Signature Slgnalure ~ignalum ~ME ~ME TIME Pdnled Name ~dnled Name Pdnled Name Pdni~ P. lease p'fint or lype. Form designed for use on elite (12~itch) ~/pewrlter. Sacromento,.Callfarnia 'UNIFORM HAZARDOUS s u~. EPA ID ~o. ~anifest 2. Page 1 Information ~n ~ ~aded areas ~ is not requ~re~y F~deral law. WASTE MANIFEST J o~ ( ,... 5. Transpo~er 1 Company Name 6. US EPA ID Number 7. Transpo~er 2 Company Name 8. US EPA ID Number 9. Designated Facility Name and ~;te Address 10. US EPA ID Number 11. US DOT Description (including Proper Shipping Nome, Hazard Class, and ID Number) 12. Containers 13. Total 15. Special Handling Instructions and Additional Info~;matlon 16. GENERATOR'S CERTIFICATION: I hereby.declare ~ ~e conten~ of ~e consignment are fully and accurately described above by proper shipp]ng name and are classified, packed, marked, and labeled, and are in all res~ in proper condition for transport by highway according to applicable federal, state and international laws. If I am a large quanti~ generator, I ce~i~ ~at I have a program in place to reduce ~e volume and toxJcJ~ of waste generated to the degree I have determined to be economically pro,cable and that I have sele~ed ~e pro,cable me~od of treatment, storage, or disposal currently available to me which minimizes ~e pre~nt and fu~re threat to human health and ~e environment; OR, ff I am a small quanfi~ generator, I have made a good fai~ effo~ to minimize my waste generation and sele~ the best waste management me~od ~at is available to me and ~ I can afford. I/Typed Name ,Sign Month ment of Receipt of Materials Name ~ Signa~re Month Day Year I 19. Discrepancy Indication Space oerator Certification of receipt of hqzardous materials covered by this. manifest except as noted ;n Item 19. Printed/Typed Nome t ! ['~ Signot~re~"~' ~ ~ Month Day Yeor DO NOT WRIT~ ~~HI~INE. White: TSDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS. DTSC 8022A (7/92) To~ P.O. Box 3C00, Sacramento, CA 95812 EPA 87~22 Q~KERsFIELD FIRE DEPARTMEN~ ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (805) 326-3979 TANK REMOVAL INSPECTION FORM FACILITY ~~ ~ ADDRESS OWNER ~-- ~ /L~ PERMIT TO OPERATE# CONTRACTOR ~&~\ ~ CONTACT PERSON TEST METHODOLOGY ~b~ ,'%-CL- PRELIMANARY ASSESSMENt" C~).~7 CONTACT PERSON CO~ RECIEPT w'/ ~' \ LEL% ~ O~% PLOT PLAN ) CONDITION OF PIPING CONDITION OF SOIL ~ COMMENTS DATE INSPECTORS NAME SIGNATURE OFFICE OF ENVIRONMENTAL SERVICE$ ... UNDERGROUND STORAGE TANK PROGRAM PERMIT APPLICATION FOR REMOVAL OF AN UNDERGROUND STORAGE TANt FACILITY NAME ~ CROSS STREET /....(/--~¢ TANK OWNER/OPERATOR L~-~--- PHONE NO...,3~ y-, '~. y~',/ MAIUNG ADDRESS - x-a, ---- CITY ,.¢~,~.2Zip CODE ? ~' :~ / 0 ~ PHONE No. 5~-,.~'(,,~Zi' LICENSE No ~,o ".b-"o(=,~,~,.~'o ADDRESS ~' ~,z. C11~ ~,~s~'~,/~ Z~P~ODE INSURANCE CARRIER ~ 7'~ ,~,,~ e ... WORKMENS COMP ~1o. /o(/ PRE I A~J ~.~r-~'Z,~ LICENSE No. INSURANCE CARRIER ~~ ~p ........ WORKMENS COMP No. / o/~.~o COMPANY ....... ~f /~ PHONE No. AODRESS , ~O~ ' G~?~ . Ci~ ~~/~ZIP CODE ~ ~.~ WASTE ~ANSPORTE~ IDENTIFICATION NUMBER , ~ ~ ~ NAME OF RINSTATE DISPOSAL FAClLi~ ~e ~ ~ ~~o~ " ADDRESS ~ ~ ~/~a CI~ ~/~- ~iP CODE FACILI~ INDENTIFICATION NUMBER ~ ~ ~~~ ~ cOMpANY ~ ~ PHONE No, ~- ~ LICENSE No,~ ADDRESS~G e~ ~~ ~, CI~ ~~//ZiPCODE TANK DESTINATION ~/~ ~ ~[s ......... TANK No, AGE VOLUME CHEMICAL DATES CHEMICAL STORED STORED P~EVIOUSLY STORED .......... ~.(,..,~,~,o~."..~ .................... ~.~. ~...~.~.~,~ ~., ~.~ , ~ ~ - . ...... ......... <. ~ ....... ~ ~ .,..~...,.~...~.~..:.,,~,..< . . ~ ......... ~ · ~ ...... ::::, .: ........ .::.,..~ , ,~ ~ ~. ~... ~;~;~;~, .~,~-~:~'-'-'~"'.' ..... .. = ~ ~ .-~ ~ ,,.,.,,~ THE APPLICANT HAS ~E~E~ED. UNDERSTANDS, AND WILL COMPLY W~ THE A~ACHEO CONO~IO NS OF ~lS PERMIT AND ANY OTHER STAT~ LOCAL AND FEDERAL REGU~TION3. THIS FORM HAS BEEN COMPLIED UNOER PENAL~ OF PENURY, AND TO ~E BEST OF MY KNOWLEDGE IS TRUE ANO APPLICANT NAME (PRIN~ A~PLICANT SIGNATURE T/IlO A Dbl I/'~ ATIfq'tlU I~C/'~/"ll~Jl:~ A bl'l~lJIIT IJJU~LI A DDD/'WJUI::rt P 390 214 457 Receipt~or Certified Mail No Insurance Coverage Provided Do not use for International Mail (See Reverse) Sent to Sherman Lee Street and No, 1203 18th Street P.O., State and ZIP Code Bakersfield, CA 93301 Postage $ .3 2 Certified Fee 1 o 10 Special Delivery Fee Restricted Deliver,/ Fee Return Receipt Showing to Whom & Date Delivered I. 10 Return Receipt Showing to Whom, Date. and Addressee's Address TOTAL Postage & Fees $ 2.52 Postmark or Date , g the rece~ t iPt PoStmark . u OPTIoFi "POSTAl; 2" '"' =xtra Cherg:; ...... ne articl;-~i"'_''u Stub to the r;.~ -o rro~rt). ': " YOu do --. ' *~ Post attic- ,u,,t of the .-. mldrass of t.'.'ut w. ant this re ..... ~= service Windo'w'~t,u? address · .= article, da*. '_,~=,pr Postmark.., -..r hand it 3. If You we-. '~. uetoch and ret"a;~'.?ck the SUmma*, · " return rare' ""~ a return .... me receint ,.., u stuo to th~ · - ends if ,.:c.c.? Card, Form';Cne~?' write tho ....... ~ , =.u mail the arti'c;,right of tho ret..- 4. If .._ ", to the number" o; article. Endo',.".' ~"e article bv'~."..'~.?nd address ._ e~d°rse Rl:-~-?alivery res ...... of article RETLl...the gummed ~' Enter fees · very On the fr*-e'. or. to an auth return receiut ~o,r the services r-- un; ot the articl.''''ze(1 agent of th ~ '~ requested .~ =.qUeSted in th- - . .... "uuressee, 6..~,,, .... · ~.eck the ~..,: :X uPPropriato __ ~t ,, you make lequgy '"' ~' pt, If 105603 92 B 02~6 ~ 'of BAKERSFIELD FIRE DEPAR'TMENT FIRE SAFETY SERVICES & OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVE. · BAKERSFIELD, CA · 93301 October 18, 1995 R.E. HUEY R,B. TOBIAS, HAZ-MAT COORDINATOR FIRE MARSHAL (805) 326-3979 (805) 326-3951 Sherman Lee 1203 18th Street Bakersfield, Ca 93301 CERTIFIED MAIL FINAL NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE Dear Mr. Lee: It has come to our attention that you currently own property located at 1.L-~30-1~~n Bakersfield which contains at least one underground storage tank. The tank has not been properly permitted and has been out of service, therefore, you are in violation of the following sections of the Uniform Fire Code as adopted by the Bakersfield Municipal Code, Chapter 15.64, Ordinance No. 3502. In addition, our records indicate that you have received at least one prior notice by Certified Mail on June 16, 1995. To date, the following violations have still not been corrected: Section 79.115 (a,b & f) Uniform Fire Code (1992 edition). (a) Failure to remove or safeguard an out of service tank(s). (b) Failure to obtain a permit to remove or temporarily close an underground storage tank. (f) Failure to remove an underground tank out of service for one (1) year. In order to avoid enforcement action, you must either properly permit and bring the tank(s) up to code, or else apply for a proper abandonment and removal of the tank(s) within 14 days of this notice. If you have any questions regarding this notice, please call 326-3979. Sincerely, Howard H..Wines, III Hazardous Materials Technician HHW/dlm cc: Carl Hernandez, III, Assistant City Attorney P 390 214 456 ReceiPt for Cert~ied ~ail No Insurance Coverage Provided U..~S~AT~S DO not use for International Mail (See Reverse) 'Sent to Sherman Lee Street and No. 1203 18th Street P.O., State and ZIP Code Bakersfield, CA 93301 Postage ' $ · 32 Certified Fee 1.10 Special Delivery Fee Restricted DeJivery Fee Return Receipt Showing 1.10 to Whom & Date Delivered Return Receipt Showing to Whom, Date, and Addressee'$ Address ~' . :- ' TOTAL Postage & Fees $ 2.52 Postmark or Date STICK POSTAGE STAMps TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE, AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES (see 1. If you want this recei . . /~a.~ing th.e receipt otfac:~fa ~°_st?arked, stick the ....... froot). xuur rural Carrier lng exi;~"."~_~u P.resent the orticl;"~'t""_uu stud to the right of ~.Orgel. ·. post office s---=-- . ·-. return address --..~e Window or hand it fo 2_~.? you do not want · .~ receipt POstmarked, stick the gUmmed Stub to the uuaress of the article, date, detach and retain the re ·. 3. If you want a re* .... celpt, and mad th . _right of the ret :~- space perm,s ri.i: "~ ' ~' and attach it t* '~ ?o number and "o-- '" .~QUESTch .~: -..e~, affix to ba u ~ne trent of the ar ' ~"' name and addres n a · -- .ulacent to t ..... ck of a~ic~ Endo.. ~ .... ?1 ~y means of t s o _ · h. -umaer. '~ ',~; o~ a~icle =- .... he gUmm~ -c~uRN RECEI~ 4. If You Want deliver re endorse RE =~.~ stricted to the ST'"~cu DELIVERy. ~d~re¥=,, or to an 5. Enter fees fo- -~ -- me trent of the arti~}e ..u agent of the addre . return receipt is ',;~_sfrv?es requested in t,~ . ' SSee_ Mu,Stea, check the an...:~?'~te.~pacos on the fr ,t of it ~.h ...... .uc~s m Item I of Form ~11. 6. ~ave this receipt and present if you make inquiry. 1 °5603-92.B.0226 CITY of BAKERSFIELD FIRE DEPARTMENT FIRE SAFETY CONTROL & HAZARDOUS MATERIALS DIVISIONS 1715 CHESTER AVE. · BAKERSRELD, CA · 99301 June 9, 1995 R.E. HUEY R.B, TOBIAS, HAZ-MAT COORDINATOR FIRE MARSHAL (605) 326-3979 (805) 326-3951 Sherman Lee CERTIFIED MAIL Bill Lee's Bamboo Chopsticks 1203 18th Street Bakersfield, CA 93301 NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE Dear Mr. Lee, It has come to our attention that you currently own property located at 1230 18th Street in Bakersfield which contains at least one underground storage tank. The tank has not been properly permitted and has been out of service, therefore you are in violation of the following sections of the Uniform Fire Code as adopted by the Bakersfield Municipal Code, Chapter 15.64, Ordinance No. 3502: Section 79.115 (a,b,& t) Uniform Fire Code, (1992 edition) (a) Failure to remove or safeguard an out of service tank(s). (b) Failure to obtain a permit to remove or temporarily close an underground storage tank. (f) Failure to remove an underground tank out of service for one (1) year. In order to avoid regulatory action, you must either properly permit and bring the tank up to code, or else apply for a proper abandonment and removal of the tank within 30 days of this notice. If you have any questions regarding this notice, please call 326-3979. Sincerely, Howard H. Wines, III Hazardous Materials Technician cc: Carl Hernandez, III, .Deputy City Attorney CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT 1715 CHESTER AVENUE M. R. KELLY BAKERSFIELD, 93301 FIRE CHIEF October 20, 1994 326-3911 THE HICKORY HOUSE MARION G. LEE (RUSSELL LEE INS) 1230 18TH ST BAKERSFIELD, CA 93301 Dear Business Owner; This notice serves as a reminder that owners of underground storage tanks must be registered with the State of California Water Resources Control Board and renew that registration every five years. Our records indicate five years have passed since your last State registration pursuant to Section 25287 of the California Health and Safety Code. This means that for state registration renewal you must submit an Underground Storage Tank renewal application form, Forms A. B and C completed for each tank at this facility (forms included) and a state surcharge of $56.00 for each tank. Please make your check payable to the City of Bakersfield. You have 30 days from the date of this letter to complete and return these forms along with the state surcharge to 1715 Chester Ave., Bakersfield, Ca. 93301. If you have any questions or if we can be of any further assistance please don't hesitate to call 326-3979. Sincerely Yours, Ralph E. Huey Hazardous Materials Coordinator REH/ed CITY of BAKERSFIELD "WE CARE" February 8, 1995 RECE. IVED FIRE DEPARTMENT 1715 CHESTER AVENUE M. R. KELLY ~L'78 I 6 BAKERSFIELD, 93301 FIRE CHIEF 1995 326-3911 Marion Lee HA~.. MAT. DIV. Hickory House Restaurant 600 Coffee Road #D Bakersfield, CA 93309 CERTIFIED MAIL NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE Dear Ms. Lee, It has come to our attention that you currently own property located at 1230 18th Street in Bakersfield which contains at least one underground storage tank. The tank has not been properly permitted and has been out of service, therefore You are in violation of the following sections of the Uniform Fire Code as adopted by the Bakersfield Municipal Code, Chapter 15.64, Ordinance No. 3502: Section 79.115 (a,b,& f) Uniform Fire Code, (1992 edition) (a) Failure to remove or safeguard an out of service tank. (b) Failure to obtain a permit to remove or temporarily close an underground storage tank. (f) Failure to remove an underground tank out of service for on~ (1) year. In order to avoid regulatory action, you must either properly permit and bring the tank up to code, or else apply for a proper abandonment and removal of the tank within 14 days of this notice. If you have any questions regarding this notice, please call 326-3979. Sincerely, Howard H. wines, III Hazardous Materials Technician cc: Alan Daniel, Assistant City Attorney P 390 214 415 Receipt ~- -~ Certified Mail No ;nsurance Coverage Provided ~s~ Do. not use for International Mail (See Reverse) Sent to MARION LEE Street and No. HICKORY HOUSE Postage $ .3 2 Certified Fee 1.10 Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to Whom & Date Delivered ]... ~0 Return Receipt Showing to Whom, ~ Date, and Addressee's Address '-'~ TOTAL Postage ..~ ~ Fees I' 2.5 2 ' Postmark or Date ' E STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTiFiED MAIL FEE, ANI) CHARGES FOR ANY SELECTEI) OPTIONAL SERVICES (see front). 1. If you want this receipt postmarked, stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier (no extra charge). 2. If you do not want this receipt postmarked, stick the gummed stub to the right of the return address of the article, date, detach and retain the receipt, and mail the article. 3, if you want a return receipt, write the certified mail number and your name and address on a return receipt card, Form 3811, and attach it to the front of the article by means of the gummed ends if space permits. Otherwise, affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. if you want delivery restricted to the addressee, or to an authorized agent of the addressee, endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested, check the applicable blocks in item 1 of Form 3811. 6. Save this receipt and present it if you make inquiry. 105603-92-8-0226 CITY of BAKERSFIELD Februa~ 8, 1995 FIRE DEPARTMENT 1715 CHESTER AVENUE M. R. KELLY BAKERSFIELD, 93301 FIRE CHIEF 326-3911 Marion Lee Hicko~ House Restaurant $00 Go~ee ~oad ~ Bakorsfiold, GA ~8~0~ NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE Dear Ms. Lee, It has come to our attention that you currently own property located at 1230 18th Street in Bakersfield which contains at least one underground storage tank. The tank has not been properly permitted and has been out of service, therefore you are in violation of the following sections of the Uniform Fire Code as adopted by the Bakersfield Municipal Code, Chapter 15.64, Ordinance No. 3502: Section 79.115 (a,b,& f) Uniform Fire Code, (1992 edition) (a) Failure to remove or safeguard an out of service tank. (b) Failure to obtain a permit to remove or temporarily close an underground storage tank. (f) Failure to remove an underground tank out of service for one (1) year. In order to avoid regulatory action, you must either properly permit and bring the tank up to code, or else apply for a proper abandonment and removal of the tank within 14 days of this notice. If you have any questions regarding this notice, please call 326-3979. Sincerely, Howard H. Wines, III Hazardous Materials Technician cc: Alan Daniel, Assistant City Attorney CITY of BAKERSFIELD "WE CARE" January 18, 1995 FIRE DEPARTMENT 1715 CHESTER AVENUE M. R. KELLY BAKERSFIELD, 93301 FIRE CHIEF 326-3911 Marion Lee CERTIFIED MAIL Hickory House Restaurant 600 Coffee Road Bakersfield, CA 93309 NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE Dear Ms. Lee: It has come to our attention that you currently own property located at 1230 18th Street in Bakersfield which contains at least one underground storage tank. The tank has not been properly permitted and has been out of service, therefore you are in violation of the following sections of the Uniform Fire Code as adopted by the Bakersfield Municipal Code, Chapter 15.64, Ordinance No. 3502: Section 79.115 (a,b,& f) Uniform Fire Code, (1992 edition) (a) Failure to remove or safeguard an out of service tank(s). (b) Failure to obtain a permit to remove an underground storage tank. (f) Failure to remove an underground tank out of service for one (1) year. In order to avoid regulatory action, you must either properly permit and bring the tank(s) up to · code, or else apply for a proper abandonment and removal of the tank(s) within 14 days of this notice. If you have any questions regarding this notice~ please ~.11 326-3979. - Sincerely, Howard H. Wines, III Hazardous Materials Technician cc: Alan Daniel, Assistant City Attorney P 390 214 323 Receipt for Certified Mail No Insurance Coverage Provided ~,~ Do not use for International Mail (See Reverse) Sent to I~ION LEE Street and No. HICKORY HOUSE ,,RESTA[JP. ANT })._Stat and ZIP Code 0 COFFEE ROAD Postage ~ .3 2 Certified Fee 1.10 Special Deliver,/Fee Restricted Delivery Fee Return Receipt Shewing to Whom & Date Delivered Return Receipt Showing to Whom. Date. and Addressee's Address ]. ~ lO TOTAL Postage & Fees $ 2.52 Postmark or Date STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIEO MAIL FEE, ANO CHARGES FOR ANY SELECTEO OPTIONAL SERVICES (see front). 1. If you want this receipt postmarked, stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to your rural carrieT (no extTa cbargB). 2, If you do not want this receipt postmarked, stick the gummed stub to the right of the returfl address of the article, date, detach and retain the receipt, and mail the article. 3. If you want a return receipt, write the certified mail number and your name and address on a return receipt card, Form 3811, and attach it to the front of the article by means of the gummed ends if space permits. Otherwise, affix to back of article. Endorse front of art[cie RETURN RECEIPT REQUESTED adiacent to the number. 4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee, endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested, check the applicable blocks in item 1 of Form 3811. 6. Save this receipt and present it if you make inquiry. 105603-92-B-0226 CITY of BAKERSFIELD "WE CARE" January 18, 1995 FIRE DEPARTMENT 1715 CHESTER AVENUE M. R. KELLY BAKERSFIELD, 93301 FIRE CHIEF 326-3911 Marion Lee CERTIFIED MAIL Hickory House Restaurant 600 Coffee Road Bakersfield, CA 93309 NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE Dear Ms. Lee: It has come to our attention that you currently own property located at 1230 18th Street in Bakersfield which contains at least one underground storage tank. The tank has not been properly permitted and has been out of service, therefore you are in violation of the following sections of the Uniform Fire Code as adopted by the Bakersfield Municipal Code, Chapter 15.64, Ordinance No. 3502: Section 79.115 (a,b,& f) Uniform Fire Code, (1992 edition) (a) Failure to remove or safeguard an out of service tank(s). (b) Failure to obtain a permit to remove an underground storage tank. (f) Failure to remove an underground tank out of service for one (1) year. In order to avoid regulatory action, you must either properly permit and bring the tank(s) up to code, or else apply for a proper abandonment and removal of the tank(s) within 14 days of this notice. If you have any questions regarding this notice, please call 326-3979. Sincerely, Howard H. Wines, III Hazardous Materials Technician cc: Alan Daniel, Assistant City Attorney ~' -:' ~' Receipt for Certified Mail No Insurance Coverage Provided ,~--~ ~s~c~ Do not use for International Mail (See Reverse) sent to MARION LEE Street and No. HICKORY HOUSE RESTAURANT P.O., State and ZIP Code 1230 18TH STREET Postage BAKERSFIELD~ CA $93301 Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to Whom & Date Delivered Return Receipt Showing to Whom, Date, and Addressee's Address TOTAL Postage & Fees ~ Postmark or Date STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE. CERTIFIED MAIL FEE, AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES (nee front). 1, If you want this receipt postmarked, stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier (no extra charge). 2. If you do not want this receipt postmarked, stick the gummed stub to the right of the return address of the article, date, detach and retain the receipt, and mail the article. 3. If you want a return receipt, write the certified mail number and your name and address on e return receipt card, Form 3811, and attach it to the front of the article by means of the gummed ends if space permits. Otherwise, affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee, or to an authorized agent o~ the addressee, endorse RESTRICTED DELIVERY an the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested, check the applicable blocks in item 1 of Form 3811. 8. Save this receipt and present it if you make inquiry. 105603-92-B~0226 CITY of BAKERSFIELD "WE CARE" August 31, 1994 FIRE DEPARTMENT 1715 CHESTER AVENUE M. R. KELLY BAKERSFIELD, 93301 FIRE CHIEF 326-3911 Marion Lee CERTIFIED MAIL Hickory House Restaurant P 390 194 823 1230 18th Street Bakersfield, CA 93301 NOTICE OF VIOLATION AND SCHEDULE FOR COMPLIANCE Dear Ms. Lee: It has come to our attention that you currently own property located at 1230 18th Street, in Bakersfield which contains at least one underground storage tank. The tank has not been properly permitted and has been out of service, therefore you are in violation of the following sections of the Uniform Fire Code as adopted by the Bakersfield Municipal Code, Chapter 15.64, Ordinance No. 3502: Section 79.115 (a,b,& f) uniform Fire Code, (1992 edition). (a) Failure to remove or safeguard an out of service tank(s). (b) Failure to obtain a permit to remove an underground storage tank. (f) Failure to remove an underground tank out of service for one (1) year. In order to avoid regulatory action, you must either properly permit and bring the tank up to code, or else apply for a proper abandonment and removal of the tank within 14 days of this notice. If you have any questions regarding this notice, please call 326-3979. Sincerely, Howard H. Wines, III Hazardous Materials Technician cc: Alan Daniel, Assistant City Attorney CITY of BAKERSFIELD. FIRE DEPARTMENT 2101 H STREET s. o. JOHNSON April 22, 1993 BAKERSFIELD. 93301 FIRE CHIEF 326-3911 Marion Lee Hickory House Restaurant 1230 18th Street Bakersfield, CA 93301 Dear Mrs. Lee: It has come to our attention that you currently own property located at 1830 18th Street, Bakersfield, CA which contains at least one underground storage tank. The tank has not been 'properly permitted and has been out of service, therefore you are in violation of the following sections of code: California H&SC: Sec. 25284(a), Failure to obtain a permit to own and operate an underground storage Facility for Hazardous Material; Sec. 25298, Failure to properly close an underground tank;' Sec. 2587(a&b), Failure to pay city fees and state surcharge for underground tanks; Sec. 25292, Failure to monitor and maintain records. Uniform Fire Code: Sec. 79.115 (a,b,& f); '(a) Failure to remove or safeguard an out of service tank(s), (b) Failure to obtain an permit to remove or temporarily close an underground tank(s), In order to avoid regulatory action you must either bring this tank up to code and properly permit the tank or properly abandon the tank. The handling of this matter must be initiated by May 24, 1993. 'If you have any questions Please contact me at (805) 326-3979. Sincerely, Ralph E Hu~y Hazardous Materials Coordinator Underground Tank Program FILE CONTENTS INVENTORY [']Permit to'~)pera~fe '~ - ' Date mco - t = ion Permi , Date [qPermit to abandon~ .Nd/°f Tanks Date ' [-]Amended Permit Conditions [] _pe rmit. ::~.APP! i ca ti on - Fo rm ,.. :..~ :~_ . . Tan.k_._.Sh~._e.~, .-F~~t ~ 0~.Pl~'~-~ [']Application to Abandon tanks(s) Date E]Annual Report Forms [-]Co'py of Written Contract Between Owner & Operator []Inspection Reports [-]correspondence- Received Da te Da te -Da t e E]Correspondence - Mailed Date Da te Date E]Unauthorized Release Reports []Abandonment/Closure Reports []Sampling/Lab Reports ~MVF Compliance Check (New Construction Checkli'st) [-]STD Compliance Check (New Construction Checklist) [~MVF Plan Check (New Construction) [-]STD Plan Check (New Construction) []MVF Plan Check (Existing Facility) ~STD Plan Check (Existing Facility) []"Incomplete Application" Form {-]Permit Application Checklist ~Permit Instructions [qDiscarded [~]Tightness Test Results Date Da te Da te [-]Monitoring Well Construction Data/Permits E]Environmental Sensitivity Data: E]Groundwater Drilling, 8oring Logs [-]Location of Water Wells [-]Statement of Underground Conduits I-]Plot Plan Featuring Ail Environmentally Sensitive Data [-]Photos [']Construction Drawings Location: ~Half sheet showing date received and tally of inspection 'time, etc ~-]Mi scel laneous Permit ~u~s~i onnai r~ Normally, permits are sent to facility Owners but since many ;: ...... : ...... ' :.--owners - liVe °~'ts'tde ':Ke~n=:~ount-¥ ;' 'they"-'may'-'-choose 'to:-have :'t'he 'pe-rmi'~s ....... sent to the Operators of the facility where they are to be posted. Please fill in Permit # and check one of the following before returning this form with pa~nent: ........ "'" ........ :~ .... i.-"Se-fid. all: Information "to 'owner at 'the '~ddress listed on invoice (if O~ner ~s different than Operator, it ~111 be O~ner~s responsibility to provide Operator ~tth pertinent tnforaatton). 2. Send all tnfor=atlon to Owner at the following corrected address: 3. Send all information to Operator: Name: Address: (Operator can make copy of permit for O~ner). 1700FIower Street N COUNTY HEALTH · HEALTH OFFICER - - , ~:..,, ** Bakersfield, California 93305 :- ' Leon M Hebertson~ M.D. ~, "-':: ~!*~ . i.. Telephone (805) 861-3636 .,: .. ENVIRONMENTAL HEALTH DIVISION . ' '- . *, · * * DIRECTOR OF ENVIRONMENTAL HEALTH '~-i ' ;:'I N.TERI M PERMI T .;,:./ ,P~RMI T~I .-.~:- :'"' ' '.. · , -. '.' ' · -" .~.::~EXP I ~ES :ii~NOVEMBER~I~ 198[ UNDERGROUND HAZARDOUS SUBSTANCES ·: · .:i¢i?..i..,:;HICKORY HOUSE RESTAURANT RUSSELL 'LEE,-'¢INC 518TH STREET :.-'ii;;~ O' 18TH '.:STRE IELD IELD ONK MVF NON--TRANSFERABLE *** PO.ST ON 'PREMI SES i.' '.DA~ ~IT ~K LIST ~~: ' Division or Environmental Heald] Application Da.re .,~~=--c,-~( 1700 Flower Street, Bakersfie CA 93]05 APPLICATION FOR PERMIT TO OPERATE UNDERGRO~3ND -' HAZARDOUS SUBSTANCES STORAGE FACILITY Type of Application (check): - [']Ne--~ Facility [-]Modification of Facility~Existing Facility ~Transfer of Ownership A. ~ergency 24-Hour COntact (name, area code, phone): Days ~6A~-L ~-- Facility Name ~/~7~,,o,~ /-fr~&~ /4fEar/, ~ ' No; ot= Tanks Type of Business (check): ['1Gasoline Station [Z]Oth~9 (describe) ~¢.r~¢~¢~/~ - "-'-' ":':'~Xs- Tank (s) 'Located -on.-.an- ,Agr icut rural Fa m? :-:[-] Yes [~No '- ..... .-:---:'-..: ::-:t - -.. -._. _:_=- .... Xs Tank(s) Used Primarily for ,/~jri~cultural Purposes? [~Yes Facility Address /,,~Fo -/~ c=~. Nearest Cross St, /~ T R SEC (R~r'al L~ations (~ly) Owner contact rson Address /,~F~ :/F'~--.~L~, Zip _~FF~/ Telephone F~?-;~ . !.. Operator Contact Person Address Zip Telephone B. Water to Facility ProVided by ~.{~ ~/~f~ Depth to' Groundwater Soil (~aracteristics' at Facility '~ Basis for Soil T~pe ar~ Groundwater Depth'Determihations Addr ess ' Zip Telephone Proposed 'Start'ln~ Date Proposed C~npletion Date Worker's C~npensatio~ CertifiCation ~ Insurer D. If This Permit Is. For Modification Of An Existing Facility, Briefly Describe Modifications Proposed E. Tank(s) Store (check all that apply): Tank ~ Waste Product Motor Vehicle Unleaded Regular Premium Diesel Waste [] [] [] [3 O 'O F. Ch~nical C~mposition of Materials Stored (not necessary for motor vehicle fuels) Tank ~ Chemical Stored (non-co~m~rcial name) CAS ! (if known) Chemical Previously Stored (if different) G. Transfer of Ownership Date of ~-~nSfe~ Previous Owner Previous Facility Name I, ad~ept fully all 6bligations '~)'f Permit No. __ issued to · I understand that the Permitting Authority may review and modi'fY or terminate the transfer of the Permit 'to Operate this ~dergro~d storage facility upon receiving this completed form. .......... This.form has. been-cc~aplet .ed under.penalty 'of per ]ury-'-and'-to the--best of -my-knowledge ..... true and correct. TANK~ ! (FILL OUT SEPAl{ATE FORM FOR ~ TANK) 2. ~ ~terial '~ri~r~lasm-Relnfore~ Plastic ~Concrete ~t~ Ins~all~ ~ic~ess (Inches) Ca.city (~llons) ~nufacturer 4. Tan~ Seconds ry C0~tai'~ent ' ~~Wall ~thetic Liner ~Lin~ Vault ~ne ~o~ ~Othe~ (descri~): ~nufacturer ~terial Thic~ess (Inches) Ca.city (Gals.) 5. Tank Interior ~ 6. ~Tank Corrosion Protection ... Cath~ic Proteetton~ ~ne ~pres~ ~rent 7. Leak ~te:tion, ~nitori~, .and Intercepti°~ a. Ta~ ~Vis~l (vault~ tanks only) ~Gro~ter ~nitori~ ~Vadose Zone ~nito~i~ ~ll(s) ~U~ Wi~ut .~ner ~U-~ wi~ C~tible Liner Directt~ Flow ~ Mon~tori~ ~l(s~ ~ Pressure Sen~r in ~ular S~ce of ~ub~e Wall Tank- ~ Liquid ~tri~al & Ins~ction Fr~ U-T~, Monito~i~ ~11 b. gtpi~ ~Fl~Restricti~ ~ak ~tector(s) for Pressuriz~ Pip ~nitori~ S~p with ~ce~y ~al~ ~crete 8. Tank Tightness ~~s ~ ~en Tigh~ess ~st~? ~Yes ~ ~kno~ ~te of ~st Tightne~ Test '.' Results of Test 9. Tank Re, if- - ~te(s) of 10. ~erf~ll ProtectiOn ' ~rator ~ Controls, a Visually Monitors ~vel ~Ta~ Fl~t Ga~e ~Fl~t Vent Valves ~.Auto Shut- Off Controls Other= List ~ & ~el ~or ~e ~ices Thickne~ (inch~s) Dt~eter Manufacturer ~essure ~S~tiOn ~Gravity ~proxi~te .... ' ~ b.~ .... Undergro~ Pfpi~ Corrosion__grot~ti~ : ~lvanized ~Fi~rglass~l~ ~eSs~'~rrent ~crificial ~e ~eolye~yle~ Wrap ~Electrical Isolati~ ~Vinyl Wrap ~Tar or ~lt ~Unkno~ ~None ~her (de~ri~): c. Undergrou~ Pipit, Seco~ary Contat~nt: ~l~Wall ~S~thetic Line~ ~st ~ ~ne .~Other (de~ri~): · ERN COUNTY HEALTH DEPARTM HEALTH OFFICER 2700 M Street .. Bakersfield, California ENVIRONMENTAL HEALTH DIVISION Leon M Hebertson, M.D. Mailing Address: DIRECTOR OF ENVIRONMENTAL HEALTH 1415 Truxtun Avenue ' . Vernon S. Reichard Bakersfield, California 93301 (805) 861-3636 .............. : ............ ~ ~ .... ~:' ..... -£'£ ' __.-TL' ~" ' .... - ....... : ....... li~ 'i-L'-.~ ..... April Russell Lee, Inc. 1230 18th Street Bakersfield, California 93301 ~ Dear Madam or Sir: This letter is an official notice of your non-compliance with state and county laws relating to underground tanks. Upon review of our records, it was discovered, that the 1988 Permit to Operate fees for Hickory House Restaurant, 1'230 18th Street, Bakersfield, California were.not paid. Enclosed is a copy of 1988's invoice plus the 50% late penalty required by county ordinance. The second invoice is for this year's Permit to .Operate fees. These invoices must be paid within 30 days to avoid further penalties and/or legal action. Be advised that these fees must be paid even if the tanks are no longer in use. If the tanks are not in use, a permit for permanent closure must be obtained from this office. Permanent closure requires either removal or closure in place of your tanks and assessment by soil sampling to determine whether there has been environmental damage as a result of unauthorized releases of hazardous substances from your tank site. The specific requirements for these activities are in Handbook #UT-30, available with your application. No closure activity car~ begin prior to the issuance 9.~ ~ permit from this office. If you have any questions or feel this assessment is in error, or if you would like an application an~ our handbook on permanent closure please call me at (805)861-3636. Your prompt attention to this very important matter is appreciated. Sincerely, ten -. Environmental Health Technician Hazardous Materials Management Program DISTRICT OFFICES Detano · Lamon{ · Lake [' ~bella · Mojave · Ridgecrest · Shafter · Taft