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HomeMy WebLinkAboutUNDERGROUND TANK-C-6/1/92 (2) N Fence -- X X X X X l[ Tank X X X Building Lot Q Street Title: Blueprint Service Company Northwest Corner of 19th & Q Streets Marks sample Bakersfield, California location Scale: None Drawn By: B. Dunkel Date: 05/18/92 Revised: KERN ENVIRONMENTAL SERVICE Post Office Box 5337 Bakersfield, CA. 93388 Figure No. 001 KES Project No. E-845 "WE CARE" FIRE DEPARTMENT 2101 H STREET S. D. JOHNSON June 1, 19 92 BAKERSFIELD. 93301 FIRE CHIEF 326-3911 Blueprint Service 730 17th Street Bakersfield, CA 93301 Attn: Terry Kuwahara CLOSUREOF 1 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANK LOCATED AT THE NORTHERN PART OF THE NORTHWEST CORNER OF 19TH AND Q STREETS IN BAKERSFIELD, CALIFORNIA. PERMIT #BR0036 Dear Mr. Kuwahara, This is to inform you that this department has reviewed the results for the preliminary assessment associated with the closure of the tank 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)-'326-3797. HaZardous Material Specialist Underground Tank Program May 18, 1992 Joe Dunwoody CITY OF BAKERSFIELD HAZARDOUS MATERIALS DMSION 2130 "G" Street Bakersfield, California 93301 REGARDING: Underground Tank Removal, Permit No BR-0036 (liES Project No. E-845) Dear Mr. Dunwoody: Regarding the above referenced underground tank removal for Blueprint Service at 19th and Q Streets, Bakersfield, California, we are forwarding the following items for your records. 1. Soil sample analysis results Zalco Laboratory Nos. 31361-1 and 31361-2. 2. Sample chain of custody documentation and site sample location map. 3. Underground Tank Disposition Tracking Record. S. Non-Hazardous Waste Hauler Record No. 103094. 6. Certificate of Destruction (Golden State Metals No. 10268). Feel free to contact Mr. Frank Rosenlieb or the undersigned should you require additional information regarding this project. Sincerely, CRAIG CORNETT, Lead Technician DCC:bd Enclosures Post Office Box 5337, Bakersfield, California 93388 · (805) 589-5220 In California · (800) 332-5376 HAZARDOUS MATERIALS DIVISION UNDERGROUND STORAGE TANK PROGRAM PERMIT APPLICATION FOR REMOVAL OF AN UNDERGROUND STORAGE TANK SITE INFORMATION (No Number) SITE N/A ADDRESS Q Street ZIP CODE 93301 APN .¢ FACILITY NAME None CROSS STREET 19th Street TANK OWNER/OPERATORTerry Kuwahara-Blueprint Service PHONE No. MAILING ADDRESS 730 - 17th Street CITY Bakersfield ZIP CODE 93301 CONTRACTOR INFORMATION COMPANY Kern Environmental Service PHONE No. (805)589-5220 LICENSE No. 432372 ADDRESS P.O. Box 5337 CITY Bakersfield ZIP CODE 93388 INSORANCE CARRIER Tolman & Wiker WORKMENS COMP No. WC-582-2132 PRELIMANARY ASSEMENT INFORMATION COMPANY Kern Environmental Service PHONE No. (805)589-5220 LICENSE No. 432372 ADDRESS P.O. Box. 5337 CITY Bakersfield ZIP CODE 93388 INSURANCE CARRIER Tolman & Wiker WORKMENS COMP No. WC.582-2132 TANK CLEANING INFORMATION COMPANY Kern Environmental Service PHONE No. (805)589-5220 ADDRESS P.O... Box 5337 ClTYBakersf%eld ZIP CODE 93388 WASTE TRANSPORTER IDENTIFICATION NUMBER CAD 982 495 608 NAME OF RI~STATE DISPOSAL FACILITY GibSon Oil & RefininE ADDRESS End of Commercial Drive CITY B~ ZIP CODE 93308 [ FACILITY INDENTIFtCATION NUMBER CAD 980 883 177 TANK TRANSPORTER INFORMATION COMPANYKVS TranSportation, Inc.' PHONE No. (805)589-5220 LICENSE No, 432372 ADDRESS P.O. 'Box 5295 CITY B~ ZIP CODE 93388 TANK DESTINATION Golden State Metals TANK INFORMATION TANK No. AGE VOLUME CHEMICAL DATES CHEMICAL' STORED. STORED PREVIOUSLY STORED 1 30 years 500 gallon Diesel 'N/A Diesel 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. OVED- BY: / APPLIC,~N}'NAME (-PRINT) AFrpLICA~SIb-;-;-NATURE · ' THIS APPLICATION BECOMES A PERMIT WHEN APPROVED .ZAI_CO LABORAT01:IIES, INC. Analycioal Consulcin l Servioes Kern Environmental Service Laboratory'No: 313.61 PO Box 5337 Date Received: 4-29-92 Bakersfield, CA 93388 Date Reported: 5-8-92 P.O #: E 845 Attention: Craig Cornett Sample: Soil Sample Description: 'Blueprint Service 31361-1BS-1 Grab Soil 2 Foot Depth 31361-2 BS-2 Grab Soil - 6 Foot Depth Sampled by Craig Cornett on 4-29-92 -! -2 mq/kq mg/kg Volatile Aromatic Hydrocarbons Benzene < 0.005 < 0.005 Toluene < 0.005 < 0.005 Ethyl Benzene < 0.005 < 0.005 Xylenes < 0.005 < 0.005 Method: EPA 8020 Date Analyzed: 4-30-92. Minimum Reporting Level = 0.005 mg/kg mq/kq mg/kg Total Petroleum Hydrocarbons as Diesel '< 10 < 10 Method: DOHS Luft Manual Date Analyzed: 5-7-92 Minimum Reporting Level : 10 mg/kg ~ fJim Etherton · / Lab Operations Manager J£/tds Armour Avenue Bakersfield, E~alifornia 93308 (805) 395-0539 FAX (805) 395-3069 Well, Tank No. P.O. BOX 5295 · BAKERSFIELD CALIFORNIA 93388 Field or Area (805) 589-5220 N? 10 3 0 9 4 NON-HAZARDOUS WASTE HAULER RECORD TO BE USED FOR NON-HAZARDOUS WASTES ONLY I,,, GENERATORI I (Generator Must Complete) WASTE TO BE DISPOSED Field Address ~ ~ ~¢ Special Handling Instructions: City, State, Zip ~"~'m~ f~ ¢~ ¢¢ B Gloves. ~ Goggles ~ Other Order Placed By ~~ ~¢~~ ~ DESIGNATED FACILITY ~"~ Signature Authorized Agent ~ Name ~~ ~ ~¢~/~ of Date ~~ ~ .... /- Ticket ¢ Unit No. / Address ~¢ ~ ~ Pick Up Date Time ~ PM City, State, Zip ~~¢/~ ~ ~ ~ .OTE: This for~ to be used in lieu of the California ~partment of Health Services Hazardous Waste Manifest for NON-HAZARDOUS wastes only. Phone ~¢~¢~ REMARKS: Signature~t ho~ed~ge~river ~ISPOSAL FACILITY ].(Facility Operator Must Complete) Name ~~~~, ~~- Quantity Received /¢~0 ~/Bbls. Date~ AM ~" ~-~ ~ City, Stat~, ~i~ ~, ~ ¢~5~b ~ DISPOSAL METHOD: B Surface Impoundmen~ ~ Injection Sig~atu~of A~horize~nt Date Return Copy To: GENERATOR UNLESS OTHERWISE SPECIFIED ~~ ~~~. ~¢~ ~¢~. NOTE: It is not necessary to send copy to Dept. of Health Services.NO HAZARDOUS FEES SHOULD BE LEVIED N° 10268 GOLDEN STATE METALS, INC. TANK DISPOSAL FORM P. o. Box 70158 · 2000 E. Brundage Lane Date ~ '.__ ~__~? ,10 Bakersfield, California 93387 Phone (805) 327-3559 · Fax (805) 327-5749 Contractor's Scrap Metals, Processing & Recycling License No. Contractor's 'Phone No. CONTRACTOR: /~ ~--~ JOB SITE: gt~ve~r ~t ~ WEIGHT CERT. NO: ~ O~3 (~ ' ' ' TOTAL EHSD PERMIT NO:/v~//~ QTY GALLONS SERIAL NO. NET TONS 250 .14 1000 - 6 ~ .61 · 2000 .97 ~LEAN OR ..... ~ ................... ~:~ ........................... & DRY (ACCEPT), ~ RESIDUALS PRESENT (REJECT)~ 3000 a.~2 LEL READING 5000 2.42 . ~( OXYGEN CONTENT 7500 3,28 DISPOSAL FEE .... ' ......... ~ 9000 3.82 ~ SCRAP VALUE ................................................................. ' .................. = .............................. 12o00 4.93  TOTAL n,t ~0 da~, from r~e~ipt o~ tank. Contraetor'~ that tank removal complies with State laws. ~];~?~I;N~E::RN~ CONTRACTOR'S SIGNATURE CERTIFICATE OF TANK DISPOSAL / DESTRUCTION THIS IS TO CERTIFY THE RECEIPT AND ACCEPTANCE OF THE TANK(S) AS SPECIFIED ABOVE. ALL MATERIAL SPECIFIED WILL BE COMPLETELY DESTROYED FOR SCRAP RECYCLING PURPOSES ONLY. ~~ ~, ,HAZARDOUS MATERIALS DIVISION PERMIT APPLICATION FOR REMOVAL OF AN UNDERGROUND STORAGE TANK SITE INFORMATION (No Number) SITE . N/A ADDRESS q Street ZIP CODE 93301 APN FACILITY NAME ' None CROSS STREET 19th Street TANK OWNER/OPERATORTerry Kuwahara-Blueprint Service PHONE No.' MAILING ADDRESS 730'- 17th Street CITY Bakersfield ZIPCODE 93301 CONTRACTOR INFORMATION COMPANY Kern Environmental Service PHONE'No. (805)589-5220 LICENSE No. 432372 ADDRESS P.O. Box 5337 CITY Bakersfield ZlP CODE 93388 INSORANCE CARRIER Tolman & Wiker WORKMENS COMP No. WC-582-2132 PRELIMANARY ASSEMENT INFORMATION . COMPANY Kern Environmental Service PHONE No. (805)589-5220 LICENSE NO. 432372 ADDRESS P.O. Box 5337 CITY Bakersfield ZIP CODE 93388 INSURANCE CARRIER Tolman & Wiker WORKMENS COMP No. WC-582-2132 TANK CLEANING INFORMATION COMPANY Kern Environmental Service PHONE No. (805)589-5220 ADDRESS P.O. Box 5337 CITYBakersfield ZIP CODE 93388 WASTE TRANSPORTER IDENTIFICATION NUMBER CAD 982 495 608 NAME OF RINSTATE DISPOSALEACILITY Gibson Oil & Refinin~ ADDRESS End of Commercial Drive CITY ]la]~.!~sfj~ ZIP CODE 93308 FACILITY INDENTIFICATIONNUMBER CAD 980 883 177 TANK TRANSPORTER INFORMATION COMPANY KVS Transportation, Inc. PHONE No. (805)589-5220 LICENSE No. 432372 ADDRESS P.O. Box 5295 , CITY B~ ZIP CODE 93388 TANK DESTINATION Golden State Metals TANK INFORMATION TANK No. AGE VOLUME CHEMICAL DATES CHEMICAL STORED STORED 'PREVIOUSLY STORED 1 30 years 500 gallon Diesel 'N/A . . Diesel 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. ED APPLIC,~NYNAME (PRINT) AP"P LIC A.,N¥ SI~NATU R E THIS APPLICATION BECOMES A PERMIT WHEN APPROVED ~/ T4 ~ I < i_or BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 TANK REMOVAL INSPECTION FORM ~c~.~ ~~~~_ ~.ss/e>X ~ ~ OWNER ~.~ ~ ~ A~ PE~IT TO OPERATE~ ~/~ CONT~CTOR{ ~ ~ D CONTACT PERSON ~ ~~ LABORATORY ~~ ~ OF S~PLES ~ TEST METHODOLOGY ~~ Z ~~ PRELI~NARY ASSESSMENT CO. ~ ~ CONTACT PERSON ~. CO~ RECIEPT / LEL% ~ O~% ] ~ PLOT PLAN CONDITION OF SOIL COMMENTS DATE ' INSPECTORS NAME~// SI~NAT~ ~%~ ~ .~,;~ BAKERSFIELD FIRE DEPARTMENT ~-~ .-.~ · /~ HAZARDOUS MATERIAL DIVISION ~:-~_~¢~ 2130 G Street, Bakersfield, 'CA 93301 '~/ ( 805 ).~ 326-3979 CERTIFICATION STATEMENT 0F TANK DECONT~INATION I, C~$1& - C02M~T';' an authorized agent of name " ~,-~,~,, ~.,w~//?~~ .~f~6~ here by 'attest under'penalty, of. contracting co. perjury that the tank(s) located at l ?/~ ~ and address being removed under pe~it~ ~ ~ ~O 3~ has been cleaned/decontaminated properly and a LEL (lower explosive limit) reading of no greater than 5% was measured'i~ediately following the cleaning/decontamination process. l' dat~-- flame (print ~/ signature