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HomeMy WebLinkAboutUNDERGROUND TANK-C-8/25/92 (2) WEIGHMASTER CERTIFICATE 'f~]S IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. o15 82 · GOLD , STATE ~'"~ETALS WEIGHMASTER CERTIFICATE TRUCK SCALE · P,,~-s-:o~'~, ~,,~,_, From: T ! CKET f~: T i 0¢~-~ S'_ _ _ ROL.qEN_ _ . SLATE r, cu~"'~, m:~°, RC~3qql BASE RnAL~ PRICES 8000 E. BRUN=,.Gc LANE BAKERSFIELD, C~ 93387 Veh ~ E5268~ i.D. ~ E52688 i,C, ~ Drive Order ~ Customer B/L ~ ~HdOU~,~ GROSS TARE NET Au~ REASON WT RD CNT RD WGT RD EXT TANKS 2380 2i~0 180 180 0 0 .00 TOTALS 3380 2i40 i80 180 0 0 ,00 GROSS WE!GHNASTER: DEBRA NORiEGA TARE WEiGHHASTER: DEBRA NORiEGA I Date in 08/18/98 ]NET -TONS " I Timm in t3:15 =0900 CUSTOHER SIGNATURE I Date Out 08/!8/98 i Time Out 13:8! ~-~,C.-.:~_ ~ o-S~..L,_ P C:SCALk 3 D:SCALE ~ H-.m!u~L WEIGHT ALL WEIGHTS NOTor~r~:~: ...... ARE iN ?OUNDS Bakersfield. Fire Dept. PERMIT No. ~ HAZARDOUS MATERIALS DIV~ON . ~ ~I~DERGROUND STORAGE TANK~OGRAU · -. ~.- ~ ..... ~. - .... : ..~ PERMIT APPLICATION FOR REMOVAL OF AN UNDERGROUND STORAGE TANK SITE INFORMATION ~ ~ /~4 5~~ .' SITE ~~ ~ ~ 'ADDRESS~f~ ~ . ZIP CODE ~/ APN FACILI~ NAME ~, ~ ~ ~ CROSS STREE~ ~~. TANKOWNER/OPEg~OR ~ ~ /~~/~ PH~NENo~ ~ MAILING ADDRESS '~ ( ~ ~ ~ ~-~~ Cl~- ~~ ~IP CODE ~, CON,ACTOR INFORMATION / ~ ~ COMPANY ~',- ~ ~ ~¢~~PHONE No. ~- -~¢' LICENS~ No. ~ ADDRES.S /~ / ~ ~ ~ CI~ .~~~ ZIP CODE ~ INSURANCE CARRIER ~/~ WORKMENS COMP No. ~ ~ PRELIMANARY ASSEMENT INFORMATION _ COMPANY.~ ~-'~~ /~~~HONE No. '~~- LICeNSe, No. ~ ADDRESS /~ / ~~~ CIW ~~IP CODE ~ INSURANCE CARRIER ~~ WORKMENS COMP No. TANK CLEANING INFORMATION - - ADDRESS~, ~. ~ ~ ,~.~.~ ~ ' ' Cl~ ~~ ~ ZIP CODE WASTE TRANSPORTER IDENTIFICATION NUMBER ~f~ ~ ~ ~ NAME OF RINSTATE DISPOSAL FACILI~ ~ ~~ ~_~ ~ ADDRESS ~~~ ~.~~~ ~, CI~ ~~~I~CODE FACILIW INDENTIFICATION NUMBER TANK ~ANSPORTER INFORMATION .. ~ ~ COMPANY ~ ~/ ~ ~ ~~HONE No. LICENSE No. ADDRESS /~ ~' ~~ ~ , Cl~ ~~~ZIP CODE TANK DESTINATION ~/~ ~~/~ ' TANK INFORMATION :~ - TANK NO. AGE VOLUME CHEMICAL DATES CHEMICAL ~ STORED STORED PREVIOUSLY STORED THE APPLICANT HAS RECEIVED, UNDERSTANDS. AND WILL COMPLY WITH THE ATi'ACH ED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE. LOCAL AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY. AND TO THE BES'I" C~F'Irvl? KNOWLEDGE. IS TRUE AND CORRECT. ..... ._._"rHI.__S__~.PPLICATION. BEC'OMES_A_P._ERMIT WHEN APPROVED ' "-- · MAKE CHECKS PAYABLE TO THE "CITY OF BAKERSFIELD" ~PIo~ Plan' '~ust' show the following: Roads and alleys :bT 3. location of tanks, piping, and dispensers ,5. ~SCALE 7, any other relevent information SENT BY ~ Dear Customer: This Letter is to inform you that Gibson Oil & Refining has the appropriate pe_rmi_ts for and has accepted your material for recycling. The amount we received was I~'0",~"- gallons. If this does not agree with your data please notify us within 10 days so that we can resolve any discrepancies. Phone (805) 327-0413 Very truly yours, Gibson Oil & Refining Co., Inc. Customer Service 3300 Truxtun Avenue, Suite 200 Bakersfield, CA 93301 A Subsidiary of V.L.S., Inc. 211 East Ocean Blvd., Suite 231 2101 Webster St., Suite 1500 3300 Truxtun Avenue, Suite 200 Long Beach, CA 90802 Oakland, CA 94612 Bakersfield, CA 93301 310 / 499-4996 Telex: 664-611 510 / 446-7777 Telex: 338-139 805 / 327-0413 · 800 / 582-3935 FAX 310 / 499-4980 FAX 510 / 836-4503 FAX 805 / 861-0229 I~ Recyclod Paper 'q J IDSOn Envir OIt & bfater Orltllng Ftuldl V&ete M' St~ OIt l~thl I~turel Gil C~,te (Exert le~ T~ 8ott~ Jet F~[ fr~ t~ OiL leflnl~ I~t~) Diesel Paint CBet~ State 8~ ~sol t Of [y Vaste Uater Story OIt Ki~al8 Spirits Tar Oil Pr~tl C~ Oft R~-Off As~it t Petro[u Ref F~[ 01[ i~tri[Iz~ Oi{/Acid Hixture Olitress~ Oils N~tretlz~ Oit/Ce~tlc Mixture Pit~ (~B'I ~t~ Stirs i~ r~rll LSlitl PS~ Ii.ltl' Tre~mlx Petrot~ teflnl~ uaste rater At--iici R~rotest f~ Vlter P~rlfftm re, ti OIL K N~x~ Oil Na~theMe Of S~ Oil T~ gott~ Vaste [ec~ Petro~ C~tml~t~ Sol La 011 1#IS IIOTIC~. REQUIRE:) IY 1141[ DF.FARTNF. MT Of T(:O(IC ~STA~C:[S CCWiTIIOL SN.33S A Subsidiary o( V.L.S.. Inc. 3300 Truxiun Avcnue, Suite 200 · Bal~crsficld. CA 93301 . 80:5 1327-0413 . 800 / 582-393,5 · Fax 805 / 861-0229 C$ Rec),cled Paper  KERN COUNTY AIR POLLUTION CONTROL DISTRICT PERMIT TO OPERATE 27oo ..M.. S*REET. SU,TE 27S BAKERSFIELD, CA. 93301 Number: 8129001 (B)-002 (B) TELEPHONE: (805) 861-3682 PERMIT TO OPERATE IS HEREBY GRANTED TO: CITY OF BAKERSFIELD FOR EQUIPMENT LOCATED AT: 1601Truxtun Avenue EQUIPMENT OR PROCESS DESCRIPTION: Gasoline Storage & Dispensing System OPERATIONAL CONDITIONS LISTED BELOW. THIS PERMIT BECOMES VOID UPON ANY CHANGE OF OWNERSHIP OR LOCATION, OR ANY ALTERATION. NOTE: The permittee may be required to provide adequate sampling and testing WILLIAM J. RODD¥ facilities. Equipment modification AIR POLLUT~Q~TRO~O~/~ICER requires a new permit. ~ ,) REVOCABLE: This permit does not authorize By: ~ "\~"~'-~ ' ' the emission of alt contaminants in excess of those allowed by the Rules and Regulations of the K.C.A.P.C.D. For Period: 03-31-92 TO 03-31-93 CONDITIONAL APPROVAL: Compliance with all conditions of approval imposed by any applicable Authority to Construct is. required for life of this equipment unless modified by application. EQUIP~IENT DESCRIPTION: GASOLINE STORAGE & E.W. Balance DISPENSING SYSTEM including the following equipment: 10,000 Regular a. 10,000 gallon Unleaded grade underground gasoline storage tank(s) each with a permanently affixed fill tube terminating no more than six inches from the bottom of the tank and provisions for the collection of gasoline vapors during filling. 10PW-? Regular non vapor control 1EWA 4001 Regular b. 2 EWA 4001 Unleaded nozzle each with provisions for the collection of gasoline vapor during use. OPERATIONAL CONDITIONS: 1. California Air Resources Board certified vapor recovery efficiency must be attained when filling storage tanks and during the refueling of vehicles. (Rule 412 & 412.1) 2. All lines, fittings, adaptors, caps and connections shall be leak free. 3. Liquid spillage and drlppage at disconnect shall be prevented. 4. 0nly California Air Resources "Certified" vapor control equipment shall be utilized. 5. Tanks on delivery vessels shall be leak free. 6. Tank filling shall be accomplished only through a permanently affixed submerged fill device. CITY OF BAKERSFIELD Permit #'s 8129001(B)-002(B) Page 2 7. Illustrated instructions for use of nozzles shall be posted at each island. 8. Non vapor control nozzle shall serve motorcycles only. 9. Non vapor control nozzle shall be used to fill tanks of 5 gallon or less. STATE OF CALIFORNIA AIR TOXICS HOT SPOTS REQUIREMENTS: Facility shall comply with California Health and Safety Code Sections 44300 through 44384. (Rule 208.1) "WE CARE" AUgust 25, 1992 Ralph Huey TO: FROM: Joe A. Dunwoody SUBJECT: Tank located a~~S& 15th Stri~~ On 8/10/92 a small tank with a volume of approximately 25 gallons was unearthed during excavation work being done in conjunction with the construction of the new Police Department garage. The location of the construction project is on the vacant lot adjacent to 15th Street and bounded by "I" and "H" Streets, just south of the Police Communication center. The tank itself was reported to be discovered in the northwest corner of the excavation which occupied the western portion of the lot. The following actions were taken in the process of disposing of the fluid and the tank: 1. A sample of the fluid was collected and analyzed for total organic halides(TOX) and total recoverable hydrocarbons (TRHC, EPA method 418.1) 2. A permit to remove an underground tank was obtained 3. The fluid was removed, the tank decontaminated and all fluid and rinsate was transported to Gibson Environmental under a hazardous waste manifest to be recycled. 4. The tank was transported to Golden State Metals to be destroyed. 5. A soil sample was collected from the area within the excavation which the tank was discovered and analyzed for TOX and TRHC. Based on field evidence and laboratory data the tank probably contained water and a unaltered petroleum product; possibly a lubricating oil, compressor oil or hydraulic fluid. Additionally, no significant spillage appears to have occurred during the accidental dislodging and subsequent handling of the tank; nor were any signs of significant soil contamination observed. Copies of the resulting documents, lab data sheets, etc. are attached. .... Bakersfield-Fire Dept. PERMIT No. HAZARDOUS MATERIALS. D~ION :... . UNDERGROUND STORAGE TANK'PROGRAM PERMIT APPLICATION FOR REMOVAL OF AN UNDERGROUND STORAGE TANK FACILIW NAME ~,~-- ~ ~ CROSS STREE~ -- ~x~ CON.ACTOR INFORMATION / ~ ~ COMPANY ~ ~~ ~~/~PHONE No. :~ -~~ LICENSE No. '~ INSURANCE CARRIER ~ ~ WORKMENS COMP No. ~ ~ PEELIMANAEY ~SSEMENT INFORmAtION ~ ~ INSURANCE CARRIER ~~ WORKMENS COMP No. ~~ TANK CLEANING INFORMATION WASTE TRANSPORTER IDENTIFICATION NUMBER ~ ~ ~'P.T ~ FACILI~ INDENTIFICATION NUMBER TANK ~ANSPOETE. INFORMATION - r ~ COMPANY .o. UCE SE TANK DESTINATION ~/~ ~~~ TANK INFORMATION TANK No.. AGE VOLUME CHEMICAL DATES CHEMICAL . . ~ STORED ~. ~ PREVIOUSLY~~STORED THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULATIONS, THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT, ,. THIS APPLICATI_ON_BECOMES A pERMIT_W.H_EN_ApPROVED ' """ ':i-'/--MAKE CHECKS PAYABLE TO THE "CITY OF BAKERSFIELD" Plan r~us?"show the fOllowing: .... R°acls and alleys -' N 3. location of tanks, piping, and dispensers ,'~ 4. utilities 5. SCALE 7. 'any other relevent information BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 CERTIFICATION STATEMENT OF TANK DECONTAMINATION I, ~ ~/~ J~/F_/~/C~ an authorized agent of name ~/~/~/.;~/~, ~.~-~,/~,~ here by 'attest under penalty of contracting co. Perjury that the tank(s) located at _~ ~ /~ ~c-~ and address being removed under permit~ ~'~-OO~'~- has been cleaned/decontaminated properly and a LEL (lower explosive limit) reading of no greater than 5% was measured immediately following the cleaning/decontamination process. name (print) / signature No_ 10314 GOLDEN STATE METALS, INC, TANK DISPOSAL FORM P. O. Box 70158 · 2000 E. Brundage Lane Date ~;~. I'-~. ,19 ~'~.. Bakersfield, California 93387 Phone (805) 327-3559 · Fax (805) 327-5749 Contractor's Scrap Metals, Processing & Recycling License No. · , Contractor's Phone No. DESTINATION: G.S.M. · 2000 E. BRUNDAGE LANE · BAKERSFIELD, CA 93387 WE~,T CERT. NO: ~ D ~5_~ TOTAL EHSD PERMIT NO: QTY GALLONS SERIAL NO. NET TONS 25o .14 550 .24 1000 - 6 ff .61 2000 .97 ~ RESIDUALS PRESENT (REJECT) 30o0 1.32 ~ OXYGEN CONTENT 75o0 3.28 ~ DISPOSAL FEE 9000 3.82 ~ SCRAP VALUE ............................................................................................ · .................. : ........ · ................ . ...... 12OOO 4.93 TOTAL CONTRACTOR'S SIGNATURE CERTIFICATE OF TANK DISPOSAL / DESTRUCTION THIS IS TO CERTIFY~ RECEIPT AND ACCEPTANCE OF THE TANK(S) AS SPECIFIED ABOVE. ALL MATER~AL SPECIFIED WiLL BE COMPLE~ AUTHORIZED REP.~ DATE WHITE ~ Con.actor Copy · YELLOW-- Rle Copy · PINK-- Perma~nt Copy WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weigh~master, whose signature is on this certificate, who is a recognized authority of accuracy, as 13rescrib~j]~l~ Ch;~pter 7 (commencing with Section 12700) of Divisj~l~ of the California Business and Professions Code, administered by the Division of Measurement St~Us of the California Department of Food and Agriculture. I{~[{l G015382 ,.-, .-, L .,Fi ~? ~ . ~u EN STATE ~_iRLS, RC~E',44 ~ ::_ ~ .:, r, .~-i ~ =, ~ ..~ pc CERTiFiCAT~ TRUC~-::: SCALE * ~ * * - N T A K E ~ * .~ ..... ~ = 09 C: C Out · ~J~fomlo~nvironmental Protection Agec~cy . Apprenmd CiA~B N~. ~9 (~i~ 9-~94) ~ Instructions on back of ~ge 6. ~ o~ zo~ ~ C~o, p~ m ~. ~ ~ ~r u~ ~ ~ ~r~, r's US EPA ID UNI~RM HA~RDOUS 5. Tr~r 1 ~ ~ 6. US EPA ID Numar 7. T~2 ~ny Nam~ 8. US EPA II I I 9. ~ F~il~ ~ ~d S~ Addr~s 10. US EPA ID Numar ~a. ~ ~. u.. 11. ~ ~T ~p~ (i~ludi~ Pm~r ~ip~ng ~me, Hazard Class, and ID Numar) No. Ty~ ~a~ Wt~ol I I I' . .' 16. G~ATOR'S ~RTIFI~TION: I ~reby ~bre ~ ~e co~ of ~e con~gn~ am ~1~ and accur~ d~ri~d o~ by pro~r ~ipp~g ~ ~ are c~sified, ~ked, ma~, ~d la~led, ~d are in all ~ in pro~r c~d~ for ~ I am a ~r~ qua~ ge~rmor, I ce~ ~m I h~ a pr~ram in pl~e to r~e ~e volu~ ~d ~x~ of ~o~icaJ~ ~cable and ~ I h~e ~ ~e ~cable m~ of k~nt, ~age, or dis~l cu~ available to me ~i~ minimi~ ~e pr~ and fu~re . ~ ~ human h~ and ~e ~dr~; OR, if I am a small quan~ ~r~r, ~e man~t ~ ~ ~ available to ~ and ~ I can ~ord. 17. 'ram~ 1A~gem~t~ R~ei~ of M~eria~, -- /X . ~ ~ ~ge~t R~eipt ~er~ P~d~y~d .~ , Sign~m M~ ~ Y~r 19. ~r~ Indk~ Sp~e : ..... 20. F~il~ ~er or ~r~or Ce~fic~ of r~eipt of hazard,s m~eHals covered by ~is manife~ except as Primed/T~d Na~ Sig~re /// ~ ~ Year DO NOT WRITE BELOW THIS LINE. White: TSDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS. DTSC 8022A (12/91) To: P.O. Box 3000, Sacramento, CA 95812 EPA 8700~-22 LABORATORI -, I NL.;. CITY OF BAKERSFIELD Date Reported: 08/12/92 Page 1 H3IZJtRDOUS MATERID, LS Date Received: 08/10/92 2130 G ST Laboratory No.: 7130-1 BAKERSFIELD, CA 93301 Attn.: JOSEPH A. DO-N-WOODY 326-3979 Sample Description: I & 16TH ST. SAMPLE WAS TAKEN ON 08-10-92 ® 3:30PM. CHEMICD! ANALYSIS Method Constituents Sample Results Units P.O.L. Method TOX None Detected mg/kg 20. SW-9020 Total Petroleum Hydrocarbons 100. % 0.1 EPA-418.1 REFERENCES: SW = "Test Methods for Evaluating Solid Wastes Physical/~hDmical Methods", EPA-SW-846, September, 1986. Department Supervisor 4100Atlas Ct. · Bakers~eld, CA 93308 · (805) 327~4911 · FAX [805-) 327-191 8 ~ ~' Analysis Requested Report To': "~q.~ '~ Name: '~'~'"t O~ '~~e~PrOject: Address: Proiect ~: City: Sampler Name: State: Zip: Othor: ~ g ~ La~ Sample Description Dato & Time Sampled .:.~-' ['J'J Re.ceived by' (SigeatuFel IT Comment: Billing Info: t,j~c[t'~c--~-_¢'[c-'-.~_~ Name: · elinq(~-~s~sh~.'~lby:(Signature) R~cei'ved by: (Signature) Date: Time: 0 i v~. ~ ~'('~'~'t~3 City State d by: (Signature) Received by: (Signature) Date: Time: ,~ C') ~"~u~"k. ~.~L~, ~ . Attention: Relinquished by: (Signature) Received by: (Signature) Date: Time:  O"(:--~ C~,~ Time: Miles: Relinquished by: (Signature) Received by: (Signature) Date: Time: Sample Disposal P.O.# Relinquished by: (Signature) Received by: (Signature) Date: Time: L-I BC Disposal @ 5.00 ea. t--I Igelurn Io c~en! RECEIVED AUG 2 I 1992 HAT'. 1~4'AT. DIV. Total Petrole~ Hydrocarbons CITY OF BJtKERSFIELD Date of HAZARDOUS MATERIALS Report: 08/14/92 2130 G ST Lab ~: 7167-1 BAKERSFIELD, CA 93301 Attn.: JOE DIYNWOODY 326-3979 Sample Description: 16TH & I ST. SOIL SAMPLE. SAMPLE WAS TD-KEN ON 08-11-92 @ 11:00~. S~mple Matrix: Soil Method Constituents Sample Results Units P.O.L. Method Total Petroleum Hydrocarbons 40. mg/kg 20. EPA-418.1 California D.O.H.S. Cert. ~1186 Department ~ .... 4100Atlas Oc. · Bakers~eld, CA 93308 · (805) 327~491 I · FAX (E)05) 327-1918 LABORATOR;ES CITY OF BAKERSFIELD ~". Date Reported: 08/19/92 Page 1 HAZARDOUS MATERI/LLS Date Received: 08/11/92 2130 G ST Laboratory No.: 7167-1 BAKERSFIELD, CA 93301 Attn.: JOE DUNWOODY 326-3979 Sample Description: 16TH & I ST. SOIL SAF~PLEo SAMPLE WAS T~LKEN ON 08-11-92 ~ ii:00AM. CHEMICAL ANALYSIS Method Constituent's SamPle Results Units P.O.L. Method TOX None Detected mg/kg 20. SW-9020 REFERENCES: SW = "Test Methods for Evaluating Solid Wastes Physic~l/~emical Methods", EPA-SW-~46, September, 1986. Department ~upervisor 4100 Atlas Oc. · E~akersfield, GA 93308 · (lEOS] 327~491 I · F~X (8Cb--) 327-1 91 8 >.. Report To: ~, Analysis Requested O1~ Name: c~_ v/vr.~;~, Project: /d/Z'/ ~" ~- .-5;~' ¢,~ CitY ~., ~.~/ . _//_~ [~/, zip: Z Phone: -- ~ La~ Sample Description Date & Time Sampled [']' Comment: Billing Info: R nqui ed by:.{Sign Re.~ceived bY: (Sigr~¢ture) Date: Time:  Name: . '-~.'~\~x-~,, Received b~.'~Signature) / Refinquished by: (Signature) Date: lime: IT Address ~ [~ City State Relinquished by: (Signature) Received by: (Signature) Date: Time: _~ Attention: ~ Relinquished by: (Signature) Received by: (Signature) Date: Time:  Time: Miles: Relinquished by: (Signature) Received by: (Signature) Date: Time: J 'L~ Sample Disposal P.O,# Relinquished by: ISignature) Received by: (Signature) Date: Time: BC Disposal @ 5.00 ea. .~..'.' · c':'l Return to clien[ ~';! ~ BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 CERTIFICATION STATEMENT OF TANK DECONTAMINATION I, ~. (~X~/~ JF)~-~JC-7'7- an authorized agent of name ~'~/~/.;Z~Z,;~, ~F-&,'/C,~ here by 'attest under penalty of contracting co. , perjury that the tank(s) located at ~-- C /~/~' ~<f~ and address being removed under permit# ~'~-d)O~'5 has been cleaned/decontaminated properly and a LEL (lower explosive limit) reading of no greater than 5% was measured immediately following the cleaning/decontamination process. name (print) /szgnature N_© 10314 GOLDEN STATE METALS, INC. TANK DISPOSAL FORM P. O. BOX 70158' 2000 E. Brundage Lane Date ~. I~., ,19 Bakersfield, California 93387 Phone (805) 327-3559 · Fax (805) 327-5749 Contractor's Scrap Metals, Processing & Recycling License No. Contractor's Phone No. ADDRESS: DESTINATION: G.S.M. · 2000 E. BRUNDAGE LANE · BAKERSFIELD, CA 93387 WE 6,T CE,T..O: %/0 TOTAL 250 .14 550 .24 1000 - 6 ff .61 C NK INSPECTION 2000 .97 ~ RESIDUALS PRESENT (REJECT) 3000 1.32 ~ EEL READING .................. ~ ....................................... ~ ................. ~ OXYGEN CONTENT 7500 3.28 ~ DISPOSAL FEE 9000 3.82 TOTAL All fees incurred are per load unless specified. Terms are net 30 days from receipt of tank. Contractor's signature ' represents acceptance of terms for payment, and confirms that tank removal complies with State laws. CONTRACTOR'S SIGNATURE CERTIFICATE OF TANK DISPOSAL / DESTRUCTION THIS IS TO CERTIFY ~ RECEIPT AND ACCEPTANCE OF THE TANK(S) AS SPECIFIED ABOVE. ALL MATERIAL SPECIFIED WILL BE COMPLETELY ~ EP.~ DATE WHITE-- Con,actor Copy · YELLOW- Rle Copy · PINK-- Perma~nt Copy · :-.~e of-C-s~llfomia--Environmental Protection Agency ,.,~.~ Appn~vecl OMB No. 2050-0039 (Expires 9-30-94) Se~ Instructions on back of page 6. D~or,mm of To~c S~,to~,, C*~,o~ Pieore print or type. Form designed for use on elite (12.pitch) .Sacramento, California · US EPA ID No. Manifest Document 2. Page ! Infotmatlan in the shaded areas " UNIFORM HAZARDOUS .... ~ not requir~ ~y r~a, ral ~,. WASTE MANIFEST ~~/~/J~/Ir~ J I of 3. Generator's Nome and Maililla Address ~ · 5. Transix~rter 1 Company Nome 6. US EPA ID Number ~. . I i'~ '..~ I , 15. latal ~. Uni~ ~Z 11. U~ DOT Description (including Proper Shipping Name, Hazard Class, and ID Number) No. Type Quantity Wt/Vol I I I I III 0 I I I ' . . t' ~: ~ . · -' 16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of the consignment are fully and accurately described above by proper shipping name croci am classified, ~ packed, mar~ed, and labeled, and are in all respects in proper condition for transport by highway according to applicable federal, state and international laws. U _~ If I am a large quantity generator, I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be ~. econarnically practicable and that I have selected the practicable method of ~eatment, storage, or disposal currently available to me which minimizes the present and future. u~ threat to human health and the environment; OR, if I am a small quantfly ~enerator, I have made a good faith effort to minimize my waste generation and select the best ~, waste management method that is available to me and that I can afford. ,~' ~,~ i 1' 17. Transportor 1 Acknawlodgeme~t./~ Receipt of Materials ././ ,~ Ud:~ OP I-~'TU. mmpacter 2 Acknowledgement of Receipt of Materials (,~ · uJ I ~ SignatUre Mon~ Year · Printed/Typed Nam~ .. Day ~u 19. Discrepancy Indication Space ~ F ('J A Z C -- LI I 20. Facility Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as not Signature Day Year DO NOT WRITE BELOW TI'tiS UNE. White: TSDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS. DTSC 8022A (12/91) To: P.O. Box 3000, Sacramento, CA 95812 EPA 8700--22 State of Californla~EnvlronmentaJ Protection Agency Form Approved OMB No. 2050-0039 (Expires 9-30-94) ~ See Instructions on back or.lie 6. Department of Toxic Subst .... Control Please print or type. Form designed for use on elite (12.pitch) ~lter. V Sacramento, California 1. Generator's US EPA ID No. Manifest Document No. 2. Page 1 Information in the shaded areas " UNIFORM HAZARDOUS . ~ .~ /"...~,_ ._ 3. Generator's Name and Mail~ng Address ,~' :A: State Mat~.. Document Number . ~ 5. Transporter 1 Company Name 6. US EPA ID Numbe~' C. 7. 3 '>' '- I' ' · " ' Di Transporter'i Phaee- ' .~.~Z 11. US DOT Description (including Proper Shipping Name, Hazard Class, and ID Number) N6mber No. Type Quantity Wt/Vol Wc~e ~ R EPA/Other T c. Sram EPA/Other O '~ 1-5. Specml Handling Instructions and Additioeaglnformation ~: .~ '-. 16.GENERkTOR'S CERTIFICA?ION: I hereby declare that the contents of the consignment are fully and accurately described above by proper shipping name and are classified, packed, marked, and labeled, and are in all respects in proper condition for transport by highway according to applicable federal, state and international laws. -2 if I am a large quantity generator, I certify that I have a program in place to reduce ~e volume and toxicity of waste generated to the degree'l have determined to be -a economically procticable and that I have selected the practicable method of treatment, storage, or disposal currently available to me which minimizes the present and future ~/) threat to human health and the environment; OR, if I ama small quantity _~nerator, I have made a good faith effort to minimize my waste generation and select the best waste management method that is available to me and that I can afford ~', ", O Prir~ed/Typed Name ' J Sig..~lure ; ) Mo,n~ D~ 'Year ,Z,, z. 17. Transporter I Acknowtedgeme/tt,~f Receipt of Materials .// , /" P · o ~8. Transporter 2 Acknawledqement at Receipt of Material~ ~., ua ~ Printed/Typed Name I SignatUre Manth Day Year I u.l 19. Discrepancy Indication Space ~ F U A : Z c -- I L I 20. Facility Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19. T Printed/Typed Name I Signature Month Day Year Y I DO NO? WRIIE BE[OW IHIS UNE. DTSC 8022A (12/91) EPA 8700~22 Yellow: GENERATOR RETAINS State of Californio---~nvironmental Protection Agency Form Approved OMB No. 2050-0039 (Expires 9-30-94) See Instructions on back of 6. Department of Toxic Substances Contras Please print or type. Form designed for use on elite (Ig-pitch) Sacramento, California '" UNIFORM HAZARDOUS 1. Generator's US EPA ID No. Manifest Document No. 2. Page 1 ~nformation in fl~e shaded areas WASTE MANIFEST i"~l~sJ( :1 J I ,. O~,~,) ~3' ~/~Generat°r's Name and Mailing Address. '~ '~ '~----~"~ . ".~ ~,.,/4~' , ~*}' ,~':~,' . ,- : A. State Manifest Document Number920 04 ~ 5. Transporter 1 Company Name 6. US EPA ID Number C. ~ Transpo,~ter's iD~ ~ 7~ '~' 7. Transporter 2 Company NamJ 8, US EPA ID Number-- E. State Transporter~i ID U · ~ 9. Designated Facility Name and Site Address 10. US EPA ID Number G. ~ Faa'lil~s 'SD 12. Containers 13. Total 14. Unit 11. US DOT Description (including Proper Shipping Name, Hazard Class, and ID Number) No. Type Quantity Wt/Vol I, Waste Number o T c. State ~ 0 ~ R E~A/O~her I III d, ~ '~ 1,5. SpeCial Handling In~tru~ion~ and Addition~rlnformcfl'ion O Pried/Typed Name t- I S g~re , .~ ~-', ~ Da~ U Z T 17. Transporter 1 Acknowledgeme~t~f RKeipt of M~rials ..,~' , ~,. ,/ ~ ~ Pr nted/Type~ Name ~ ~ ..... ~ __~ I Signa~r~ ~' ~"; ) ~ ., Moab D~ ,' Year ~ ~ 18. Transpo~er 2 Acknowledgement of R~eipt of Materials ~ ~ Printed/Typed Name Signa~e Month Day Year 19. Di~crepan~ Indication I T Printed/Typed Name J Signa~re Mon~ Day Year Y I DTSC 8022A (12/91) EPA 8700~22 Yellow: GENERATOR RETAINS LAI ORATORIES, IN O. CITY OF BAKERSFIELD Date Reported: 08/12/92 Page 1 HAZARDOUS MATERIALS Date Received: 08/10/92 2130 G ST Laboratory No.: 7130-1 BAKERSFIELD, CA 93301 Attn.: JOSEPH A. DUNWOODY 326-3979 Sample Description: I & 16TH ST. SAMPLE WAS TAKEN ON 08-10-92 ® 3:30PM. CHEMICAL ANALYSIS Method Constituents Sample Results Units P.O.L. Method TOX None Detected mg/kg 20. SW-9020 Total Petroleum Hydrocarbons 100. % 0.1 EPA-418.1 REFERENCES: SW = "Test Methods for Evaluating Solid Wastes Physical/Chemical Methods", EPA-SW-846, September, 1986. Department Supervisor 4100 Atlas Ct. · Bakersfield, CA 93308 · (805) 327~491 I · FAX (805) 327-1 918 Report To:~(Z_~ ,~ Analysis Requested Name: C'.~.b,_k Of ~~ebPr°ject: Address: Project ~: City: Sampler Name: State: Zip: Other: Phone: La~ Sample Description Date & Time Sampled d Comment: Billing Inlo: by: (Signatu[.~ I'b..ceive~ by: (SicJeatumj ~. Date: T, im.e: ~~~ Name: ~elin~shed by: (Signature) ~ ~ ~-[0~ ~.~ ( ~ ~ V~¢~ City State Relinquished by: (Signature) Received by: (Signature) Date: Time: ~[~ ~(~ Address ~ O~ ~t% A~ention: Relinquished by: (Signature) Received by: (Signature) Date: Time:  ~ ~;~ Time: Miles: Relinquished by: (Signature) Received by: (Signature) Date: Time: Sample Disposal P.O.~ Relinquished by: (Signature) Received by: (Signature) Date: Time: ~ BC Dis~sal ~ 5.~ ea. ~ Return to client · ~'-:' Analysis Requested Report To: Name: ~. ~_~. ~, .:~ ?~¢~:~Project: · ' .... ' .... _. . Address: Project ~: City: Sampler Name: State: Zip: Other: Phone: '- ' ~' La~ Sample Description Date & Time Sampled ~ , -- ~ 'l-~ ~+x ~:- ~- to..?~ LLI Relinq~ishe(~by: (Signatu~ .... Received by: (Sig~atur, ei Date: Time:  L.,, .:. _' ~':' ":J: 'j Name: -:RelinqU:shed by: (Signature) Received by: (Signature) Date: Time: 0 ' ~ ~ ~- "~ ~''''°~ ;~,:, City State ,/ Relinquished by: (Signature) Received by: (Signature) Date: Time: ; IL ~'. '. - A~ention: Relinquished by: (Signature) Received by: (Signature) Date: Time: L)V" L~ ~ ~ Time: Miles: Relinquished by: (Signature) Received by: (Signature) Date: Time: Sample Disposal P.O.~ Relinquished by: (Signature) Received by: (Signature) Date: Time: O BC Disposal ~ 5.00 ea. ~ Return to client ~,BO~,~R,ES RECEIVED ~Ut~ 2 I 1992 H~7. ~T. ~V. Total ~tro'l~m ~ydroo~rbo~ CITY OF BAKERSFIELD Date of HAZARDOUS MATERIALS Report: 08/14/92 2130 G ST Lab ~: 7167-1 BAKERSFIELD, CA 93301 Attn.: JOE DUNWOODY 326-3979 Sample Description: 16TH & I ST. SOIL SAMPLE. SA~PLE'WAS TAKEN ON 08-11-92 ® ll:00AM. S~mple- Matrix:~ -Soll ............ Method Constituents Sample Results Units P.O.L. Method Total Petroleum Hydrocarbons 40. mg/kg 20. EPA-418.1 California D.O.H.S. Cert. ~1186 De 41 O0 Atlas Ct. · Bakersfield, CA 93308 · [BOb--) 327-4911. · FAX (805) 327-1918 LABOF~TO~IES CITY OF BAKERSFIELD Date Reported: 08/19/92 Page 1 HAZARDOUS MATERIALS Date Received: 08/11/92 2130 G ST Laboratory No.: 7167-1 BAKERSFIELD, CA 93301 Attn.: JOE DUNWOODY 326-3979 Sample Description: 16TH & I ST. SOIL SA~PLEo SD/~PLE WAS TAKEN ON 08-11-92 @ 'll:00AM. CHEMICAL.ANALYSIS Method - Constituents ..... Sample Results Units .... P.O.L~ Method- TOX None Detected mg/kg 20. SW-9020 REFERENCES: SW = "Test Methods for Evaluating Solid Wastes Physical/Chemical Methods!', EPA~S~46, September, I986. Department Supervisor 4100Atlas OC. · Bakeesfield, (~A 93308 · (B0~) 327~491 I · FAX (B(~-) 327-1 ~)18 >. Report To: ~, Analysis Requested I-' Address: '~ I~ O"~--" 5'~,, Project #: ~'~ 'o_ ~ ~' -o~'° -oo_~ !:' Z Phone: ~ La~ Sample Description Date & Time Sampled  Name: _'*'~\'-", /.~'Relinq~'ished by: (Signature) ' · Received by.~Signature) Date: Time: rr Address '~, j ~ City ~ State Relinquished by: (Signature) Received by: (Signature) Date: Time: ' '"~~ Time:Attenti°n: ~.~.~ Relinquished by: (Signature) Received by: (Signature) Date: Time: Miles: Relinquished by: (Signature) Received by: (Signature) Date: Time: Sample Disposal P.O.# Relinquished by: (Signature) Received by: (Signature) Date: Time: [] 13C Disposal @ 5.00 ea. El Return to client i State of Califc~mia~En~'ironmentel Protection Agency Form Approved OMB No. 2050-0039 (Expires 9-30-94) See Instructions on back of p~jj6. Department of Toxic Substances Control Please print or type. Form designed for use on elite ~ Sacramento, California 1. Generator's US EPA ID No. Manifest Document No. 2. Page 1 Information in the shaded areas ~' UNIFORM HAZARDOUS ~ ' '" "~1 / t is n°t required by Federal Iow' 3. Generator's Name and Mailing Address, /.~r A. State Manif~~~:?.:":::' :: ": J .' ' ,.:...'...' .:..'.'.":::?i':..~. ,~ '~{ ~', ,:8::'St~ner~r'~ ~O. '. ' :' ":~;'.'.~,.:" ~'~.:.':'.~ · . ~1~ 4. Generator's Phone ( > / '' ' '"':i~:::l'""l'.:'"l"' 1,"f 't I"l I I..'~1: :'C'..Sta~'Transporter s ID : ·: · · ' O 5. Transporter 1 Company Name 6. US EPA ID Number /~'~/~ 7~.:'.'~:"':' '..' .' '. :" __,./'v~/~,- ~, I I I-' I ':'~' .' .'. · ... ~ .. !'8. US EP~ JD~Number ' ' u.' ~ 7. Transporter 2 Company Nam~ iE~,.~te. Transporter's ID, .. :,xi'.". :' '~, .....~:!,~,,:,.,j,.,:., ....: .',: .~,.'. ':: .. . 4 I I I I I I I I I I I I ..,.........:,?..~ ....... ~-~ 9. Designated Facility Name and Site Address 10. US EPA ID Number 'G.::State:.iFacilily~s,tD . u~ ,r:..., 4....:.-] ,,.~.x.,. . , ,,..~ ,.~' ~ ' -' l~-'J:l"~l ~t xl ~ I :' I'> l/Iq o,--. :-, ' - . on, · .~ ~.,,ec,/: ~tc( /'. ':','~_:., ~dl :il q ~ IIt". .:2_- ~ 12. Containers 13. Total 14. Unit I. Waste Number f,,,~Z 11. US DOT Description(including Proper Shipping Name, Hazard Clas .... d IDNumber) No. Type Quantity We/Vol State ~/.~! c~ o. //A~c~,~ r-/.~ ,..:~ ~., ...~..~...,...~..~,~. 0 · oo N b. Stat~ · .: !:'. ~0 ,~ E ..~ ~ R EPAlO'tner . ..'.'. ~ ^ I I I I I I I '..., 0 T c. State . · ~.. r' ~ 0 .... ,,, R EPA/Other .... ,,, I I I I I I I .:.:.'i.~.. I-- Z d. State '.'. EPA/Other ., I I I I III ........ i. · J, /S~ld tiona Descr pllons foe Materials Lsted Above!:.'.' · ": ' :' :..~i~ :~'::'.' ." ". '.'.:'~t:. :'.' '>-~. : ": .,. '..' ':: .K..'.Han~lling Codes for Wastes' Listed Above '. ":.' ,. o~ C' ~'~.~.x ~ ". ~ ....:: .~,.. :,...:.... ~,,,, . .. :'.. :::: :.':?. :.:...: ~;_~ · :.. . . 15. Spe[ial Handling Instructions and Additionaflnformation Z L, ' -.-.:-- I-- 16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of the consignment are fully and accurately described above by proper shipping name and are classified, packed, marked, and labeled, and ore in all respects in proper condition for transport by highway according to applicable federal, state and iatemational laws, If I am a large quantity generator, I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically practicable and that I have selected the practicable method of treatment, storage, or disposal currently available to me which minimizes the present and future waste management method that is available to me and that I can afford. / threat to human health and the environment; OR, if I am a small quantity .,.generator, I have made a good faith effort to minimize my waste generation and select the besl: 0 Prin;ted/Typec[ Name ,~,~/1 ., J~7.~ I si~ture/-/-~/' l '"~ ~'~'~' ' ~'~'~-'~' -~lM°n~t: / Day.~.~. Year ~ ~ ,~. Transpo.er' Acknow'edoeme~fR.eiptofMa~rio's 'X . _...' I:' "' ' Printed/Typed Name ... --~'"r :/ I s,..a~re\ ,' ~_~,o.~ ~ay__ ~e~ t1~ :~ O 18. Transporter 2 Acknowledgement of Receipt of Materials ud e Signature u. ~ Printed/Typed Name Month Day Year u.~ 19. Discrepancy Indication Space "~ F ~) A Z c ! 20. Facility Owner or Operator Certification of receilot of hazardous materials covered by this manifest except as noted:.i~'ltem 19. T Printed/Typed Name Signature ..- ~..,~.,,~; "y~ Month Day Year DO NOT WRITE RELOW THIS LINE. Yellow: TSDF SENDS THIS COPY TO GENERATOR WITHIN 30 DAYS. DTSC 8022A (12191) (Generators who submit hazardous waste for transport out-of-state, EP~, S700~22 produce completed copy of this copy and se?d to DTSC within 30 days.) Report To:. ~, Analysis Requested -, Name: o~ ~f.~,¢ Project:/~;,,/J ¢': ~ .~ --'"'.~.i Address:-~ 1 3 0 ~- E~- Project Cf: ~ G City: ~ Sampler Name: ~}/ ~ State: ~ Zip: q~/ ~her: Phone:~26 ~ g¢~ ~ La~ Sample Description Date & Time Sampled ~ d LU IT Comment: Billing Info: ' ' ' Re~ceived bY: (Sigr~ture) Date: Time:  Name: ,~¢(.,,_% Received by. Signature) Date: Time: Relinquished by: (Signature) If' Address  City Relinquished by: (Signature) Received by: (Signature) Date: Time: ~ Relinquished by: (Signature) Received by: (Signature) Date: Time: Attention: _.~ Ti me: . . Miles: Relinquished by: (Signature) Received by: (Signature) Date: Time: ~ Sample Disposal P.O.# Relinquished by: (Signature) Received by: (Signature) Date: Time: ;~ Bc Disposal @ 5.00 ea. ~ Return to client