HomeMy WebLinkAboutUNDERGROUND TANK-C-3/30/89· AT,T, OF THE FOLLOWING INFORMATION MUST BE INCLUDED IN ORDER FOR APPLICATION TO BE
PROCESSED:
/ TANK(S), PIPING & DISPENSER(S), INCLUDING L~GTHS AND DIMENSIONS
u/ PROPOSED SAMPLING LOCATIONS DESIGNATED BY THIS SYMBOL "~"
%//' NEAREST STREET OR INTERSECTION
m'/ .ANY WATER WRT,TA OR SURFACE WATERS WITHIN 100' RADIUS OF FACILITY
-:... ~'~TH ~ ......... ......_... .... _ .... :: .... . ...... ,_::..::::.: ......... . ..... _ .........
......................... ---' ..... ~ ' - · -.-. ...... --.:'-,:i
FILE CONTENTS SUMMARY
I
PERMIT *: /~0~ ENV. SENSITIVITY:
Activity Date # Of Tanks Comments
2700 'M' Street, Ste. 300 KERN COUt'JT~ p~,De~'
Bakersfield, CA 93301 ...nvirom~ental Health Se~ices ~nt
(805) 861-3~3~ ~~;'
March 30, 1989
Salvation Army
200 19th St.
Bakersfield, CA 93301
Dear Sirs:
This is to advise you that this Department has reviewed the project results for the
fuel seepage investigation that was conducted at Salvation Army facility, 200 19th Street,
Bakersfield, California.
Based upon the findings described in the report, this Department is satisfied that
the assessment is complete and no significant soil contamination resulting from fuel
leakage exists at the site.
Thank you for your cooperation in this matter.
Sincerely,
Janis Lehman
Environmental Health Specialist II
Hazardous Materials Management Program
JL:dr
janis\seepage.ltr
4?oo F~owe,' S~et K=RN COUNTY HEALTH DEPARTMENT HEALTH OFFICER
Bakersfield, California 9:~.-305 Leon M Hebertson, M.D.
ENVIRONMENTAL HEALTH DIVISION
Telephone (805) 861-3636 ..
DIRECTOR OF ENVIRONMENTAL HEALTH
" ! Vernon S. Reicha~l
'Pacilit¥ Na~e ~\ Kern County Permit
* * UNDERGROUND TANK DISPOSITION TRACKING RECORD ~
· Th'ts form Is to be returned to the Kern County Iiealt~h Department
days of acceptance of tank(s) by disposal or recycling facility. The
..... holder of-the permit with number noted above Is responsible
that this form is completed and returned._ '
Section I...~:"To be f~lled out by tank removal contractor:
Address P, O. ~d~ _~'~ Phone # ~
Date Tanks Removed ~/~ ~ No. of Tanks i
~c~lon 2 - T~ b~ filled out ~ co'nt'~ac[o~ "deconta~i~atln~ tankfs~: Tank "Decont~ination" ContraCtOr' '~ ~e-- W~
~ Address Phone 8
Zip
Authorized representative of contrac~o~ ce~tif~es.~by, s[~in¢ belo~ ~hat
tank(s) have been dec~ta~inated in accordance'~ith~.~ern~Co~tY ~ealth
t~ea~men~, s~ora~e, o~ disposal facili~y accep~in~ ~ank(s):
Date Tanks ~~~ No. of Tanks
(Authorized Eep~ese~a~ve)
* * * ~ILING INSTRUCTIONS: ~old in half and staple. Postage and matlin~ label have already been affixed to outside for your convenience.
(Por~ ~H~P-150) ~-.,
o~S~cr cmc~s
LABORATORY REPORT:
SAMPLE ID: see below
DATE RECEIVED: 06/29/88 DATE REPORTED: 07/01/88
TEST REQUESTED: Total Volatile Petroleum Hydrocarbons
METHOD: modified 8015
RESULTS: Level of Detection = 5 mcg/gm
NTL # SAMPLE ID RESULT
EACOI5-1 Soil 2 ft in glass None Detected
EACO15-2 Soil '& ft in glass None Detected
TOXICO?~I~ST:~ Tom Sneath .
PAGE I OF 1
LABORATORY REPORT:
SAMPLE ID: see below .............. NTL LAB #: EAC015-1,-2
DATE RECEIVED: 06/29/88 DATE REPORTED: 07/01/88
TEST REQUESTED: BTX METHOD: 8020
RESULTS: Level of Detection = 50 mcg/Kg
NTL # SAMPLE ID CONSTITUENT ANALYSES
RESULTS
EACO15-1 Soil 2 ft in glass Benzene None Detected
Toluene None Detected
Xylenes None Detected
Ethyl Benzene None Detected
EAC015-2 Soil 6 ft in ~l ~ss Benzene None Detected
Toluene None Detected
Xylenes None Detected
Ethyl Benzene None Detected
TOXICOLOGIST: Tom S/~e, ath
2700 M STREET KERN COUNTY HEALTHDEPARTMENT HEALTH OFFICER
MAIENG ADDRESS Leon M Hebertson, M.D.
' ' ENVIRONMENTAL HEALTH DIVISION
1415 TRUXTUN AVENUE . ."
BAKERSFIELD, CA 93301 '" DIRECTOR OF ENVIRONMENTAL HEALTH
(805) 861-3636 ..
, , :..::_:.. :/ , .:'. :
' PIlP~XT FOR PEJtNANILN'T CLOSUP~
~ ' - . ".. ' '~':'~,'~: """T"-"'-':::.':'-";-"-.-' :~ ':;: . 1-..', , ~.~'-'.. :::-~ )":'--. -., . ..:~.
· :'-'. Bakersfield, CA ":~,~ ~':~,..7.:!::~i:,,~ :": :..j~:~ Bakersfield,- CA ~' 9330i'' (':::!~i?:i:i~'?~::Ed~s0n ?/.CA
.License No. 495385
· · - '-',' Phone $(805') 366-2739
PEI~IT.FOR CLOSURE OF PERI, IT EXPIRES September 13~ 1988 ...
1 TANK(S) AT ABOVE APPROVAL DATE June 13~ 1988
LOCATION. " .,APPROVED BY' ~/~~i'~/~/~/~~-~~,Jan ~e~an --
....... ' .............. POST 0~PREHISES ...................
CONDITIONS AS FOLLOW:
1. It ts the responsibility of the Permtttee to obtain permits ~hich may be
required by other regulatory agencies prior to beginning ~ork.
2. Permiteee must obtain a City Fire Department permit prior to initiating
closure action.
Tank closure activities must be per Kern County Health and Fire Department
approved methods as described In Handout ~UT-30.
4. A minimum of t~o samples must be retrieved-beneath.the center of the tank
at depths of approximately t~o feet and slx feet.
If contractors other than those listed on permit and permit application
any
are to be utilized, prior approval must be g~anted by the specialist listed
on the permit.
6. A minimum of t~o samples must be retrieved at depths of approximately t~o
feet and six feet fo~ every 15 linear feet of pipe run and also nea~ the
dispenser area(s).
7. All (leaded/unleaded) gasoline samples must be analyzed for benzene,
toluene, xylene, and total petroleum hydrocarbons.
DISTRICT OFFICES
Delano Lamont Lake Isabella · Mojave Ridgecrest Shatter Taft
?ERI~IT FOR PERI~IANENT CLOSURE . PERI~IIT NUI~IBER 'A718-1§
OF UNDEROROUND HAZARDOUS . " ADDENDUM
SUBSTANCES STORAGE FACILITY .... - ....... '~'
8. Copies ~0.[,' transportation ~anofests-~ust ?be ~:sub~ttted .::::to'~;~the ~,.Health
Depart~ea~t ~lthln live days :o[ ~aste disposal.' ";.;~'~'..':: ~.,': .. ,,-:~,~.~,,~.,~,
9~ ,:Ail -'applicable state la~s .~or .hazardous .~aste'dlsposal,:'~:j~transpor~a~!on,, or
...':' ~ trea't~ent ':~ust':~be ':'adhered~"?t'o. :~:'~The .~Kern '.County :?Health :~Depa~t~e~t:'~J~must '~be
10: ..Permtttee .la responsible..:~o~ making sure that .~ta.nk -dtsPos!tlon ::'~'aeklng
· record':.:'.tssued ~tth .this permit 'ts properly :'ftlled~out :and.retucned ~tthln
' :':':'~4 .days of .tank removal '~"" '""' ; ~ ........'~" .... '?':~"'~'~'~" ~': ........ "' .... ~ .........
of ~:the~'.proposed~:sampllng ~lth
1 1. Advisehou~s advance'this offiCenotice.':.of....:'~the.,. .... ::time "~and:... ::'-date:'.' ": .... .;-'' :~:~' ~'::."~:'~ '~' :'"'~( :'ff~?.~:':' '[::;' :."~' ~.~'::'.': .'.:
~2. Results must be submitted to this office ~tthtn three days of analysis
completion... . ..,.~.....'.:.. ...:":. ,.
INTERNAL USE ONLY:
KERN COUNTY .F. ALTH DEPAR.TNENT i PTO ~,' ~ ,
1700 FLOMER STREET. BAKERSFIELD. CA 93305 · Ol~ TANKS TO BE ABANDONED /
(808) 881-3638 LENGTH OF PIPING TO ABANDON
APPLT CAT'r ON FOR PERN'r T FOR PERI~ENT
CLOSURE/,~,~DONMENT OF Ult/DERGROUND
HAZ,g~RDOUS SUBST,~CES STOOGE FACILITY
~R~V~, 0R ~ ~~ IN P~CE (~I~ 0~ 0~ ~PLI~TIOM P~ FACILI~)
THIS
APPLI~TION
~R
PR~E~ ~A~ {p~
~'~ -~~'/af-" - ~--~- $EC~T/~- '-' R~ -TIONS 'LY)
~W~R ~S PHONE '
. ( )
~ ~KS~'S ~P~TION 8 IN~ PHONE
g ( ) --
~RY ~T MI~ ~L~K ~ ~D~ .. PHONE
~.e. ~s ~/~o p,~ o ~. ~, ~ ~-~//
6
~ATHR ~ FACILI~ ~OVID~ BY ]DK~
~ ~ g~EST ~KR NELL - OI~ DIET. CE ~D DES~IB8 ~8 I~ MITHIN 5~ ~E~ SOIL ~E AT FACILI~
DEStinE ~ RESIDUE IN T~K(S) ~O PIPING IS ~ BE R~ ~ DISPOSED OP (IN~E ~ATION ~ DIS~SAL ~IES):
~ DESCRIBE ~ll ~g DIS~L ~D ~ OlS~ ~ION FOR~ · '
T~K(S)
~ ~.Z>, P~o ~ ~, ~/~ ~ //&~l, /o C~,
. PIPIN~ J
' ' p~SE ~OViDE IN~R~{ON ~K~D ON R~E SiDE OF ~{S S~ B8~RE S~BMi~{NG AP~LXcAT{ON ~R ~ ' '
~IS FORM ~S BEEN COMPLE~ ~~L~ OF PERJ~ ~ ~ ~E BE~ OF ~ ~E~E IS ~UE ~ CORRK~i .............
IFo~
Kern County Ilealth Oeparf~
Division of Environmenta'. .th ication Date August 25, 1987
1700 Flower Street, Bakersfield, CA 93305
(805) 861-3636
APPLICATION FOR PERMIT TO OPERATE UNDERGROUND
HAZARDOUS SUBSTANCES STORAGE FACILITY
Type Of Application (check):
~]New Facility,]Modification Of FacilitY OExisting Facility~Transfer Of Ownership
A. Emergency 24-Hour Contact (name, area code, phone): Days 325-86~6
Facility Name No. Of Tanks
Type Of Business (check): [~Gasoline Station [~Other (describe) Janitorial/
Is Tank(s) Located On An Agricultural Farm? [~Yes []No store
Is Tank(s) Used Primarily For Agricultural Purposes? [~Yes [~No
Facility Address The SalvationAr~ny/Cleanway Nearest Cross St. rln~
T '{ R SEC (Rural Locations Only)
Owner The Salvation Amy ARC , Contact Person 'Capt. Arthu~ Watson
.......... ..Address -200--19th Street ..~!p 93301 Telep~gne._ 325-8626
· , Operator Contact Person
Address Zip Telephone
B. Water To Facility Provided By ~a]~a W~ R~v~ Depth to Groundwater _~
Soil Characteristics At Facility ,m~mnw, --
Basis For Soil Type and Groundwater Depth Determinations unkne?m
/C. Contractor CA Contractor's License No.
Address Zip Telephone
Proposed Starting Date Proposed Completion Date
Worker's Compensation Certification No. Insurer
,.~B; If This Permit Is For Modification Of An Existing Facility, Briefly Describ('
Modifications Proposed
E. Tank(s) Store (Check all that apply):
Tank # Waste Product Motor Vehicle Unleaded Regular Premium Diesel Waste
~':: .... ~.c..,:~--~_.. Fuel 0il
notin_mm~ [] [] [] [] [] [] [] 0
[] [] [] [] [] [] [] []
[] [] [] [] [] [] 0 []
,~,,~ ,~ Of Materials Stored (not necessary for motor vehicle fuels)
(if different)
G. Transfer Of OwnershiR
Date Of Transfer July 1987 Prev]o,s O~v,er Odorite Janitorial
Previous Facility Name
I, The Salvation A~mv A~. accept: [u.l.ls, a.l] obligat:ions o1' I'ermit N~5.0~56G ..... issm;d t:,
The Salvation A~my~ARc. I understand that the Permitting Authority may
modify or terminate the transfer Of the Permit to Operate this undergrm?d st:orag,,
facility upon receiving this completed form.
This form has been completed under penalty of perjury and to the best of my knowledF, e is true
and correct./~/~ ~ ,
Signature (_~f,/~( /./f~~ ___ Ti. tie Administrator Date ____8_-~_.5.-_8__7
NAME PARCEL NUMBER BILL NUtIBER
SALVATION ARMY ,,'-005-120-05-00-5 00-000000-00-0 5ALYER5 G~:~NT & CHRISTIE JEAN.
SALVATION ARMY (O05-1ZO-OS-OO-q OO-OOOOOO-OO-O' 5RL~
SALVATION ARMY t OOS-IZO-09-O0-? 00-000000-'00-0 . .E~:ILYER5 JEN'I4 E & PATRIC-IA
SALVATION ARMY 00S-120-10-00-9 00-000000"00-0 .E~YER5 STEUEN C & KATI4LEEN--q_
SALVATION ARMY OdSZT2~~§OOO~OO-O 5QaL~N~ NILJ~URN & LOI5
SALVATION ARMY OOS-120-1q-O0-1 00-000000-00-0 .EdqLYER5 NI'LBURN& LO]5 M
SALVATION R~U¥ O05-1gO-15-OO-q 00-000000-00-0 ..SCM..YER5 HILBIJ~ & IL)IS M
5ALUATION ARMY O05-1ZO-I~-OO-7 O0-0goOOD-D§-O 5ALY~ HILBuI~ & I.~315 M
SALVATION ARMY 0i~-070-11-00-8 00-000000-00-0 E:M::ILYER5 WILBURN & LOISM
SALVATION ARMY Og?-1~O-08-O0-~ O0-OOOO00-O0-O' S,qLYER5 NIL~JI~ & LOIS
SALVATION ARMY 038-190-06-00-9 O0-OOOOOO-OO--O 5:d::lL.~ NILBLII;bq-&"-L-OT~--M
SALVATION ARMY Oq~-ZSO-OT-OS-Z 00-000000-00-0: 5ALYER5 UILBIJI~q & LOIS M
SALVATION ARMY 0~7-220-19-0~-500-O00OOO-O0-O: E~%I_ZEBER A P & I,~'M. TER G
SALVATION ARMY Oq7-ggO-ZO-O~-O 'DO-§§OOOO-130-U. 5,qi. lZ~ ROgt'IAN G & ELFRI~LN~::
SALVATION ARMY 08~-280-11-03-7 00-000000-00..-0:: 5ALZGEBER'AI.FREB P
SALVATION ARMY 102-020-27-01-7 00-00000~ 90-0,; 5¢ILZGEBER ALFRED P & NALTER
SALVATION ARMY 1'17-ZBg-Og-O0-300-ODOOOO~UO-O 5AI. ZMAN ~
SALVATION ARMY I2~-OqZ-O3-OO-Z 00-000000-00-01 .SALZ~.~
SALVATION ARMY ZOS-O?Z-07-O0-O 00-000000-00-0' 5AH HENRY ED~ & LAN'FONG
SALVATION ARMY ZIS-O7Z-Z3-OD-9 O0-DOOOOO-O0--O.; 5d::gd JUUITH B,qlN
SALVATION ARMY 331-.IZ3-05'00-~ O0-O00000-O0-Oil ~ NHUi:IN TRUYE & LINH
SALVATION ARMY OF k A ET AL 0~7-110-39-00-7 00-000000-00-0~ 5FM4C:tAN LOUIS T & YLK)NNE L
SALUATY BENJAMIN & PATRICIA OB3-ZSI-ZS-DO-B OO-O000OO-O0-Oil 5AI'tA~URO~F GEORGE
5RLVESTRIN 5ILUIO D & GRACE L 03~-~?0-03-00-7 00-000000-00-01 5,qMRK
5RLUESTRIN 51~UI0 D & GRA£E L qZ~-150-03-00-3 00-000000-00-0 il 5AI'4ANIEGO'DAVID & R PRISCILLA
5ALUESTRO CATHERINE Z3~-17Z-OB-O0~7 00-000000-00-0 5RI'IP, NIEGO JACK R & 5ALLY 5
5RLUINO FRED R & FELISA 5 ZI3-391-~Z-O0-5 00-000000-00-0 ;- 5AMANIEGO JLI~ E & ESTHER
5RLUUCCI FRANK 5 & JULIE A 250-01~-05-00-3 00-000000-00-0" 5AtlANIEGO P'N4I, lUEL & PRULINA
~RLUUCCI JOSEPH g & BETTY'A 45G-IB3-12-00-2 00-000000-00-0 5RI'tRNIEGO NILgR
5ALNA55ER CHARLES L & HARJORIE 155-0~0-20-00-5 00-000000-00-01. 5AHANIEGO PEDRO & FLORENCE
SALYARD~ BILLY N 299-051-19-00-~ 00-000000-00-0' SAHANIEGO SAIDUEL RUDY
5ALYARDS BOYD L 355-082-05-00-0 OO-OOOOO0-gO-O 5RJ'tRNO FINTONIO
5ALYARD5 CARL 110-330-51-00-~ 00-000000-00-07 .SAI'tANO ERNESTO C & RESURRECION
A YARD5 CARL & EMLEE 110-330-~5-00-9 00-000000-00-0' SAMRNO ERNESTO C & RESURRECION
ALYARD5 CHARLEY R'& ROSALIE H 178-~Z-07-00-900-OOOOOO-OO-O' 5RMRNO ERNESTO C & RESURRE'CT-OR
5ALYARD5 CHARLINE 13~-170-0~-00-8 00-000000-00-01. SAMANO ERNESTO C & RESURRECION
~ALYARg5 ~AUI~ N & GNENBOLYN K 029-1~1-1Z-00-8 O0-O00000-O0-O~ SAMANO IGNACIO & ALICIA
5RLYARD5 DENA IGI-ZBZ-04-OO-2 OO-O00000-O0-Oi~ 5RHRNO JOSE L & gOMIT]LR
5ALYAROS EDNRRB L & HILOA FRYE 3G2-032-01-00-5 00-000000-00-0 i' SAMANO ROBERT T & ANNA
~ RNCH PLS VRDS CA .90274
] i 1909 UNION AVE ~A~E~F::.r, ~?~'
....... ] B--- PTN " 220 6ODET
f ~CTZv£
i 87251 $ --
i '" 22040, 87010 200 !gTH ST
: "' BAKERSFIELD CA 93504
I ~ ~ 200 19TH ST
! ~'! BAKERSFIELD CA 9~304 126,928
'" 120 19TH ST 8AKER~F!ELC, '-
1! ,~. -
........ ~ ~ .... ,,i PTN -.. 220 , GODET ~CTiVE
Z 14 , * E 1S ' - ..........
- 4.7n
!
~ '"": 005'120-11-00-2C SALVATION ARMY
I OOl-OO, .-:, 1
~ "~' 11160 87010 -,'" 200 19TH ST 07/21/86 ..-
~ BAKERSFIELD CA 93304 '.
J "' 200 19TH ST
...~ BAKERSFIELD CA 9330~ 100,~17
1 '"' 130 19TH ST BAKERSFIELD
--~ ~ ..... - ....' PTN "~ 220 "'; GODEY .'
ACTIVE
~ ""~005-120-14-00-1C SALVATION ARMY
~ '"~001-001 '~::1 "'
, 13002 , 82104 ..... 200 19TH ST
J '" " 00/00/00
~ BAKERSFIELD CA 9]]01 ~ ~80~1~
, ' ' 200 19TH ST
~ .-. ~ BAKERSFIELD CA ~3301 .. 580,717
1 ~ ' "' 200 I~TH ST BAKERSFIELD
' - ..... PTN ' ' ~21 ".= GODEY
t ~ ........ ACTIVE
j ~ ""'" 005-120-15-00-~C SALVATION ARHY "' 48a8-1155--
~ '"' 001-001 ,.*, 1 Z TERRITORIAL HEADQUARTERS
1700 FLOWER STREET C~')~ /'-' ! ~ (~ ,~,,';' / "-../' F BILLING DATE
BAKERSFIELD, CALIFORNIA 93305 ~, h,',.~'~/ ~ ~ /~'~c:~ ~ L 8/12/87
~535 ' ' .,.' DUE DATE
B~SEZ~D, C~ 93309 9/~2/87
DETACH HERE PL~SE ~ETU~N THIS ~TION TO INSURE ~O~E~T PAYMENT IDENTIFI~TION DETACH
SgND .PAY~NT WITHIN 30 DAYS TO AVOID 50% PEN~TY
8/~2/87 ~ FEE FOR P~IT TO OPE~T~ U~[RGROUND S~G~ FACILITY WITH
ONE T~ LOCATED
100 19TH ST~gT
B~RSFIELD~ ~ 100.00
STATE SURCHARGE OF 56.00 PER TANK 56.00
KERN COUNTY HEALTH DEPARTMENT s~c,o,~ 3807 ~,~^~T,ES. ,, o.y , .... .u~,~ ~ .... ~ ........... ~,~ ~ ...... ~.
1700 FLOWER'STREET ',~~ .... ?~,i TOTAL A~OUNT DUE [56.oo
BAKERSFIELD, CALIFORNIA 93305 ~o..~ ................ ftheb ............. ~.
1700 Flower Street I' ~lN COUNTY HEALTH DEPART~ HEALTH OFFICER
Bakersfield, California 93305 Leon M Hebertson. M.D.
Telephone (805)861-3636 ENVIRONMENTAL HEALTH DIVISION
·. DIRECTOR OF ENVIRONMENTAL HEALTH
Verno~ ~ Reichard
August 18, 198'/
Salvation Army
lO0-19th Street
Bakersfteld,-CA 93301
Dear Sir:
This department has been advised that a transfer of ownership
occurred June, 1986 at the facility located at 100-19th Street.
Bakersfield, and that the Salvation Army is the current owner.
In regards to the underground tank at this facility, it will
be necessary to have on file at the Health Department a transfer
of ownership application for proper permitting of this tank.
Enclosed you will find an application to be completed and
returned within ten days.
If you have any questions, feel free to call me at (805) 861-
3636.
Sincerely,
Jane Warren
Environmental Health Specialist
Hazardous Materials Management Program
JW:aa
Enclosure
DISTRICT OFFICES
1700 Flower Street k,-r~N COUNTY HEALTH DEPARTMEF,, HEALTH OFFICER
Bai<erstleid. California 93305 Leon M Hebert$on, M.D.
Telephone (805) 861-3636 ENVIRONMENTAL HEALTH DIVISION
,RECTO. OF E"V'RO.MENTAL HEALT.
Vernon S. Reichard
?-_',,,
July 31, 1986
Edmond McClean
Odorite Janitor Supply
100 19th Street
BAkersfield, California 93301
Dear Mr. McClean:
A review of our files indicates that we have not received an application
for a Permit to Abandon an Underground Tank from you. Notes in the file
indicate that your wife says she filled out the application and returned
it to this Department, yet we cannot find it. Unfortunately, we cannot
issue.a Permit to Abandon until an application has been reviewed. For this
reason I am enclosing another application package for you .to file out.
Please complete the application and return it to this office within
30 days. If you have any questions, please contact this office at 861-3636.
Sorry for any Inconvenience,
John Harris
Environmental Health Specialist II
Hazardous Materials Management Program
JH:sw
Enclosure
DISTRICT OFFICES
De,eno . Lamont . L3Ke Isabella .iow'iv- . Fli~qecre~ Sh~iter T·3tt
17OO Flower Street KERN COUNTY HEALTH DEPARTMENT HEALTH OFFICER
'Bakersfield, California 93305 Leon M Hebertson, M.D.
Telephone (805) 861-3636 ENVIRONMENTAL HEALTH DIVISION
.~.~-~..~_.~ DIRECTOR OF ENVIRONMENTAL HEALTH
~/,/~ ;r ~ -~, , Vernon S. Reichard
January ?, 198~
..... -:. ..... _~__Edmond McClean
Odorite Janitor Supply
100-19th Street
Bakersfield, CA 93301
Dear Mr. McClean:
Enclosed you will find an abandonment permit 'application
and our requirements regarding tank removal. A permit to
Abandon will be issued after the submitted application has
been approved.
Please complete the application and return within 30
days. If you have any questions' feel free to contact me at
(805) 861-3636.
Sincerely,
Tom Mele
Environmental Health Specialist I
Hazardous Substances Management Program
TM: aa
Enclosure
DISTRICT OFFICES
1700 Flower Street KERN COUNTY HEALTH DEPARTMENT HEALTH OFFICER
Bakersfield, California 93305 Lion M Hebertlo~ M.D.
Telephone (805) 891-3636 ,. ENVIRONMENTAL HEALTH DIVISION
DIRECTOR OF ENVIRONMENTAL HEALTH
May 21, 1985
~mond T. McCle~, president
....... ~orite_ Janitor Supply I~.~ ........... ......... ~ ............ ~ .......... ~ .......... ~ .............. ~ ..... ~ ..... ~ ............ -= ....... ' .......
100 19~ Street
Bakersfield, ~ 93301
Dear Mr. McClean:
This is to acknowledge receipt of your application, notifying this department'
of your intention to remove the tank located at 100 19th Street, Bakersfield,
Cali fornia.
Kern County Ordinance Code ~G-3941 requires that all %nderground tanks be
permitted. Since you have notified this department that you intend to
abandon/close this facility/tank you must submit the enclosed documents within 60
days for review. The tank must either be properly abandoned, or be ~subject to all
permit, inspection, and monitoring requirements of this Department.
I have enclosed an abandorment permit application and our requirements
regarding tank removal. A permit to abandon will be issued after the submitted
application has been approved. The permit will enable you to get necessary
approval from the local Fire Department for tank abandonment.
Should you have any further questions concerning the enclosed applications,
please feel free to contact this office.
Sincerely,
Joe Canas
Envirormental Health Specialist I
Hazardous Substances Management Program
JC: aa
Enclosure
DISTRICT OFFICES
Oeleno . Lemon! . Lake Isabella . MoJave Ridgecrea! . Shelter . Taft
Kern County Health Departm Perm( ~b
Division o£ Environmental Applicati~..~j
1700 Flower Street, Bakersfield, CA 93305
APPLICATION FOR PERMIT TO OPERATE UNDERGROUND
HAZARDOUS SUBSTANCES' STORAGE FACILITY
Type of Application (check):
ONe-~ Facility DModification of Facility ~Existing Facility ~]Transfer of Ownership
A. Emergency 24-Hour Contact (name, area code, phone): Days F~J'o~.?~'-.~,~/~- - B~/~¢~
Type of Business (check): ClGasoline Station ~other ~(describe),/~,~/~ $~/, ,~/$~
Is Tank(s) Located on an Agricultural Farm? OYes ~NO '' '
Is Tank(s).. Used Primarily for k3ricultural_ [~urposes? 02]Yes
T ' ~ R SEC ~ly)
(Rural Locations
;k~dreshk- .~5'$5' LO~,~ ~R$ Zip ~o~ Telephone
.Operator :/1, ~ ~/,~.:~ ....... ' ......... . ..... : -- ....... Contact Person =- .......
Address ~ .... '"'"'~- Zip ?elephone
B. Nater to Facility Provided by /~/0 Depth to' Grounch~t~z
Soil C~aracteristics at: ffacility ----
Basis flor Soil ~tpe ar~ Groundwater Dept~ Determination~
Co Contractor ~.~~,~ C~ Contractor' s L~cense ~o.
Address Zip ~elephone .......
Proposed St~a~ting Da~e Proposed c~p~etion Date' "
Norker' s Cm~pensation Certification ! Insurer
D. If ~his Permit Is For Hodification Of An ~xisting Facility, Briefly Describe Hodifications
Proposed
E. Tank(s) Store (check all that ap~ly):
Tank ! Naste Product Hotor Vehicle Unleaded Regular Pre~ium Diesel Naste
Chenical O:~a~ton of l~tertals Stored (not r~cessary for ~otor vehicle fu~ls)
Tank $ Chemical Stored (non-commercial name) CAS ! (if kno~m) Chemical ~revious!y Stored
(if different)
G. Transfer of Ownership
Date of~-ansfer Previous Owner
Previous Facility Name
I, accept fully all 'obl'igations of Per~i~ NO. issued to
· I understand that the Permitting Authority may review and
modify or temninate the transfer of the Permit to Operate this %lldergro~d storage
facility upon receiving .this completed form? .................................................. ~ ..............
This form has been countered under penalty of perjury and to the best of my knowledge is
tr~e and co,feet. ~
Signature 'ri tie ~'~-~_ ~ Date
FOR E/kCH SECTION, CHECK ALL APPROPRIATE BOXES
H. 1. Tank is: [21Vaul ted n-Vaulted I-]Double-Wall []Single-Wall
2. ~ Material
[-]Carbon Steel [] Stainless Steel D Polyvinyl chloride D Fiberglass-Clad Steel
[] Fiberglass-Reinforced Plastic [] Concrete [] Al~mlinom [] Bronze []Unknown
[] Other (describe)
3. ,Primary Containment
Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer
4. Tank Secondary Cor{tainment
[~Double-Wall []-]Synthetic Liner []Lined Vault []None ~Unknown
[~Other (describe): Manufadturer:
[]Material Thickness (Inches) Capacity (Gals.)
5. Tank .Interior Linin~
~R66ber []Alkyd []Epoxy []Phenolic []Glass []Clay []Unlined
[]Other (describe):
6. Tank Corrosion Protection -.--- -- ......... - ..... -
---~Gaivan{zed ~ass-Clad []Pol~thylene Wrap []Vinyl Wrapping
[]-]Tar or Asphalt []Unknown []None []Other (describe):
Cathodic Protection: []None []Impressed Current System ["l~acrtficial Anode System
~)e--s~ribe System & Equi[~ment:
7. Leak Detection, Monitoring, and Interce~)tion
a. Tank: []Visual (vaulted tanks only) [-]Ground~ater Monitoring' Well(s)
[]Vadose Zone Monitoring Well(s) []U-Tube Without Liner
[~U-Tube with Compatible Liner Directing.Flow to Monitoring Well(s)*
[] Vapor Detector* [] Liquid Level Sensor' [] Conductivity Sensor*
[] Pressure Sensor in Annular Space of Double Wall Tank-
[] Liquid Retrieval & Inspection From U,Tube, Monitoring Well or Annular Space
[] DailyG~{uging & Inventory Reconciliation [] Periodic Tightness Testing
[] None [_] Unknown [] Other
b. Piping: Flow-Restricting Leak Detector(s) for Pressurized Piping'
[]Monitoring Somp with Raceway []Sealed Concrete Race~y
[]Half-Cut Compatible Pipe Raceway []Synthetic Liner Raceway []None
~Unknown [] Other
*Describe Make & Model:
8.
Tank Tightness ./
]~is Tan~ Been Tightness Tested? []Yes []No.~Unknown
Date of Last Tightness Test Results of Test
Test Name Testing Company
9. Tank Re~alr . /
Tank Repaired? []Yes~No []Unknown
Date(s) of Repair(s)
Describe Repairs
10. Overfill Protection
]~Operator Fills, Controls, & Visually Monitors [~vel ' ([~
[]Tape Float Gau~e []Float Vent Valves [] Auto Shut- Off Contr~fls
Capacitance Sensor []Sealed Fill Box []None []Unknown
Other: List Make & Model For Above Devices
11. Pip,n9
a. Underground Piping: ~es [~No [-]Unknown Material \ ~
Thickness (inches) Diameter Manufacturer -
~ressure []Suct'i~)n [~Gravity~ Approximate Length of' Pipe
........ b. -Under. ground Piping Corrosion Protection :
~Galvanized []Fiberglass-Clad •Im[xessed Current •~crifi~i~-i-'~ode
[]Polyethylene Wrap []Electrical Isolation []Vinyl Wrap []Tar or Asphalt
[2]Unknown []None []Other (describe):
c. Underground Piping, Secondary Con[ailment:
[]Double-Wall []Synthetic Line[ b%yst~_m ~]None ~43nknown
[]Other (describe):
KERN COUITY RESOURCE N AGEMENT A GEN(.
ENVIRONMENTAL HEALTH SERVICES DEPARTMENT
~ 2'700 "M" STREET, SUITE 300, BAKERSFIELD, CA.93301.
" (805)861-3636
UNDERGROUND HAZARDOUS SUBSTANCE STORAGE FACILITY
~ INSPECTION REPORT
PERMIT~ ~ TIME IN TIME OUT NUMBER OF TANKS: 1
PERMIT POS-'T'ED'?~. YES__ NO INSPECTION DATE;
TYPE' OF INSPECTION: ROUTINE '~INSPECTION
FACILITY NAME:SALVATION ARMY ..
FACILITY ADDRESS:100 lgTH STREET
.~. BAKERSFIELD, CA
ONNERS N'~ME:THE SALVATION ARMY ARC
OPERATORS NAME: ,,. -. .;
COMMENTS: _ :.
ITEM " . ~! .VIOLATIONS/OBSERVATIONS
1. PRIMARY CONTAINMENT MONITORING:
a. Intercepting an directing system
b. Standard Inventory Control
c. Modified Inventory Control
d. In-tank Level Sensing Device
e. Groundwater Monitoring
f. Vadose Zone Monitoring
I
2. SECONDARY CONTAINMENT MONITORING:
a. Liner
b. Double-Walled tank
c. Vault
3. PIPING MONITORING:
a. Pressurized
b. Suction
¢. Gravity
4. OVERFILL PROTECTION:
~. TIG"TNESS TESiNG
6. NEW CONSTRUCTION/MODIFICATIONS
?. CLOSURE/ABANDONMENT
B. UNAUTHORIZED RELEASE )
g. MAINTENANCE, GENERAL SAFETY, ANO
OPERATING CONOITION OF FACILITY
COMMENTS/RECOMMENDATIONS
.....................REINSPEC~ION; ................................................... SCHEDULED.,~ ............................................................................................................................................................................................................ ............. yes ............ 9o APPROXIMATE REINSPECTION DATE:
]INSPECTOR: .......................................................................................................... REPORT RECEIVED BY: