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Home My WebLink AboutUNDERGROUND TANK-C-6/2/88 (2)PROVIDE DRAWING OF OF FACILITY USING ~DED BELOW. ALL OF THE FOLLOWING INFORMATION MUST BE INCLUDED IN ORDER FOR APPLICATION TO BE PROCESSED: TANK(S), PIPING & DISPENSER(S), INCLUDING T.~NGTHS AND DIMENSIONS PROPOSED SAMPLING LOCATIONS DESIGNATED BY THIS SYMBOL "~" NEAREST STREET OR INTERSECTION ANY WATER T~,T,S OR SURFACE WATERS WITHIN 100' RADIUS OF FACILITY NORTH ARROW FILE CONTENTS SUMMARY . .. PE~IT Activity Date # Of Tanks comments 2700 M STREET ~'(~E. .;'OUNTY HEALTH DEI;~ARTMIEN', .E^Lm OFF.C~R MAILING ADDRESS Leon M Hebertson, M.D. 1415 TRUXTUN AVENUE ENVIRONMENTAL HEALTH DIVISION BAKERSFIELD, CA 93301 OIRECTOR OF ENVIRONMENTAL HEALTH (805) 861-3636 Vernon S. Reichard June 22, 1988 Salvation Army 200 19th Street Bakersfield, California 93301 Dear Sir/Madam: This is to advise you that this department has reviewed the project results for the fuel seepage investigation that was conducted at the 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 the fuel tank leakage exists at the site. Thank you for your cooperation in this matter. Sincerely, Janis Lehman Environmental Health Specialist Hazardous Materials Management Program JL/gb cc: Mark qulnn DISTRICT OFFICES Delano · Lamont · Lake Isabella · Mojave · Ridgecrest · Shafter · Taft AGRI£UL ,,,-,,,,,, ,.,,,,.,,,,,, LABORATORIES, InC. J. J. EGLIN, REG. CHEM. ENGR. PETROLEUM 4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911 ~rgeable Aromatics (SOIL) Apex Environmental Date of P. O. Box 57 Report: 13-Ma¥-88 Edison, CA 93220 Attention: Jerry White Lab No.: 3470-1 Sample Desc.: Salvation Army 19th & Union Center of 1000 Gallon Tank @2' DATE SAMPLE DATE SAMPLE DATE ANALYSIS COLLECTED: RECEIVED @ LAB: COMPLETED: 10-May-88 11-Ma¥-88 13-Ma¥-88 Minirm~n Reporting AnalMsis Reporting Constituent Units Results Level Benzene ug/g None Detected 0 10 Toluene ug/g None Detected' 0 10 Ethyl Benzene ,~/g None Detected 0 10 p-Xylene ug/g None Detected 0 10 m-Xylene ug/g None Detected 0 10 o-Xylene ug/g None Detec~=d 0 10 Isoprop¥1 Benzene ug/g None Detected 0.10 Petroleum Hydrocarbons ug/g None Detected .5.00 Total Pet. Hydrocarbons ,3g/g None Detecta~t ID. 10 TEST METHOD: California State D.O.H.S.T.P.H. for Gasoline Dry Matter Basis Comments: PETROLEUM HYDROCARBONS: Q.~antification of volatile ?~trocar~ns present (C1 to C20) utilizing a gasoline factor. As outlined by the C~lifornia D.O.H.S. These petroleum ?Vdrocarbons are in addition to the constituents specifically defined on t?~ts report. TOTAL PETROLEUM ~fDRI~ARBONS: The s~ total of all [non-chlorin- ated] constituents on this report. ,. AGI~I£UL ~'URE LAE ORATORIFS. ir-lc. J. J. E~LIN, RE~. CHE~. EN~R. Pf 7~/~0/ 4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911 [%~rgeable Aror~atics (SOIL) A_~x Environmental Date of P. O. Box 57 Report: 13-May-88 Edison, CA 93220 Attention: Jerry White Lab No.: 3470-2 Sample Desc.: Salvation Army 19th & Union Center of 1000 Gallon Tank ~6' DATE SAMPLE DATE SAMPLE DATE ANALYSIS COLLECTED: RECEIVED @ LAB: COMPLETED: 10-May-88 11-Ma¥-88 13-Ma¥-88 Reporting Analysis Reporting Constituent Units ResUlts Level Benzene ug/g None Detected 0.10 Toluene ug/g None Detected 0.10 Ethyl Benzene ug/g None Detected O. !0 p-XMlene ug/g None Detected 0.10 m-Xylene ug/g ~ None Detected O. 10 o-Xylene ug/g None Detected 0.10 Isopropyl Benzene ug/g None Detecta~l 0.10 Petrole~m Hydrocarbons ug/g None Detec+~a~] 5.00 Total Pet. Hydrocarb~ons ug/g None Detect~/ 0.10 TEST METHOD: (ialifornia State D.O.H.S.T.P.H. for Gasoline Dry Mat~er B~sis Comments ' PETROLEUM HY[RCCARBONS: ~antification of volatile ?vdrocark~ns present (C1 ~ C20) utilizir~ a gasoline factror. As outlined by the California D.O.H.S. These petrole~n ?gdrocarbons are in addition to the constituents specifically defined on this report. TOTAL PETROLEI.~M HYDR¢~AR~ONS: The sum total of ,all [non-chlorin- ated] constituents on this report. B~ /~./2~[ E~in '- Analyst 1700 Flower Street Bakersfield, California 93305 Leon M Hebertson, M.D. Telel3hone (805) 861-3636 ENVIRONMENTAL HEALTH DIVISION DIRECTOR OF ENVIRONMENTAL HEALTH ~-~..~_~, Vernon S. Reichard !~,~ i Kern County Permit # Facility Name Address ~--~:0 -- /'~' * * UNDERGROUND TANK DISPOSITION TRACKING RECORD * * This form is to be returned to the Kern County Health Department within 14 ~ of acceptance of tank(s) by disposal or rec¥clinM facility. The bolder of the permit with number noted above is responsible for lnsurinM that this form is completed and returmed. Section 1 - To be filled out bv tank removml contractor: Ta~ Removal Contractor: p~c~/ ~ ,.~j q'.~/~.¢/~ / Address ~;2/;~ /k% M~-- Phone Date Tanks Removed~---- T//~, ~¢- No. of Tanks ~ct~on 2 - T~ b~ filled out ~ contractor "decontnminatin~ tank(s): Tank "Decont~ination" Contractor .~,/~ _ , Authorized ~epresenta~ive of con~rac~or c~r~ifies by siE~in~ below tha~ ~ank(s) have been decontaminated in accordance wi~h Eern Cowry Health Depa~men~ ~ction 3 -To be filled out and si~ed ~ an authorized reoresentative of the treatment., storaCe, or disoosal faci!itV acceotin¢ ta'nk(s}: Facility Name A~5RICAN HETAL R5CYCLINfi~ INC. Address 2202 5. HILLI~5N AVE. Phone ¢ ~71A~947-2888 ONTARIO~ CA Zip 91761 Date Tanks Receiv~ ~AY 20~ 1988 No. of Tanks 1 ed Representative) * * *. ~ILING INSTRUCTIONS: Fold in hal~ and stap!e. Postage and ~ailin~ label haue already been affixed to ours~da ~or your convenience. {~or~ DISTRICT OFFICES ~ ,-~N COUNTY HEALTH DEPAI:I~I~L 2700 M Street HEALTH OFFICER Bakersfield, California ENVIRONMENTAL HEALTH DIVISION Leon M Hebertson, M.D. Mailing Address: · 1415 Truxtun Avenue DIRECTOR OF ENVIRONMENTAL HEALTH Bakersfield, California 93301 Vernon S. Reichard (805) 861-3636 PERMIT FOR PERMANENT CLOSURE PERMIT NUMBER A685-15 OF UNDERGROUND BAZ~US SUBSTANCES STORAGE FACILITY FACILITY NAME/ADDRESS: OWNER (S) NAME/ADDRESS: CONTRACTOR: Salvation Army Salvation Army Fortson Construction 200 19th Street 200 19th Street 3218 Renegade Bakersfield, CA Bakersfield, CA Bakersfield, CA License No. 468665 Phone #(805) 325-8626 Phone #(805) 871-3092 PER~{IT FOR CLOSURE OF PERMIT EXPIRES AuKust 5, 1988 1 TANK(S) AT ABOVE APPROVAL DATE May 5, 1988 LOCATION. APPROVED BY~ ~ _~.-~~ 0 Jani s. Lehman .................... POST ON PREMISES ................... CONDITIONS AS FOLLOW: 1. It Is the responsibility of the Permittee to obtain permits which may be required by other regulatory agencies prior to beginning work. 2. Permittee must obtain a City Fire Department permit prior to initiating closure action. 3. Tank closure activities must be per Kern County Health and Fire Department approved methods as described in Handout #UT-30. 4. A minimum of two samples must be retrieved beneath the center_ of the tank at depths of approximately two feet and slx feet. 5. If any contractors other than those listed on permit and permit application are to be utilized, prior approval must be granted by the specialist listed on the permit. 6. A minimum of two samples 'must be retrieved at depths of approximately two feet and six feet for every 15 lin'ear feet of pipe run and also near 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 · Shafter · Taft PERMIT FOR PERMANENT CLOSURE PERMIT NUMBER A685-15 OF UNDERGROUND HAZARDOUS ADDENDUM SUBSTANCES STORAGE FACILITY 8. Copies of transportation manifests must be submitted to the Health . Department within five days of waste disposal. '9. All applicable state laws for hazardous waste disposal, transportation, or treatment, must be adhered to. The Kern County Health Department must be notified before moving and/or disposing of any contaminated soil. 10. Permlttee ts responsible for making sure .that "tank disposition tracking record" issued with this permit- is. properly filled out and returned--within 14 days of tank removal. :'11. Advise this office of the time and date of the proposed sampling with 48 ~i hours advance notice. ;112' Results must be submitted to this office within three days of analysis completion. KERN COUNTY HEALTH DEPAR.TNENT PTO PTA DIVISION OF ENVIRONNENTAL HEALTH APPLICATION DATE ' ~' ~ .~ ~ 1700 FLOMER STREET. BAKERSFIELD. CA 93305 I# OF TANKS TO BE ABANDONED . / I (805) 861-3636 ILENGTH 0Y PIPING TO ABANDON APPLTCATTON POR PERMI'T FOR PERl~-AI%TENT C L O S UR E / AB,dkI%TDO L%TlVIE NT OF UNDERGROUND HAZARDOUS SUBSTae~..~TCES STORAGE FAC T LT TY TH'IS APPLICATION IS FOR ~ REMOVAL. OR E~ ABANDONt4ENT IN PLACE (PILL OUT ON_.~E APPLICATION PER FACILITY) . ]~ACILITY '~A~4E' ,ADDRESS 0h'NER / ADDRESS ' ]PHONE TANK REMOVAL CONTRACTOR ADDRESS ~¢Jdj~-~. -/-':-'~'-~'~0~ IPHONE !PRELZMINARY SITE ASSESSMENT CONTRACTOR ADDRESS PRONE ~/ORKER°S CDMPENSAT]0N # INSURER ~ PHONE ( ) - LABORATORY THAT WILL ANALY~ SAMPLES ADDRESS PRONE TANR # ,,OLU.E ~H..I~ ,'TORED ~NDN-~O...ERUIAL ~E~ .ATES ~R~ ~..ICAL PR.,IDUSL,' STORED MATER TO FACILITY PROVIDED BY tDEPTR TO GROUND#ATE.R / I NEAREST ~fATER IdELL - GIVE DISTANCE AND DESCRIBE TYPE IP MITHIN 500 [~EET SOIL TYPE AT FACILITY i ~S[S EOR SO[~ I'YP£ AND GROU~IIA?~R D£I~ D£?£RN~HA?~ON . / :2~-'~ t '~- : / 7?/-/ }ES~IB8 ~0~ RESIDUE IN T~KIS) ~D P~PIN6 IS ~ 8E R~O~ ~ DISPOSED OP (INCLUDE ~NSPO~ATI0~ ~D DISPOSAL C0~ANIES): ~ PIP[N~ = ' PLEASE PROVIDE IN~R~TTON REfUElED ON RE~RSE BIDE OF THIS SHE~ 8EPORE SUB~I~TNG APPLICATION POR REVZE~ * ' ~IS ~OR~ HAS BEEN COMPLETED ~ER P~AL~ 0~ PERJURY A~ ~ ~E BEST 0P ~ ~O~LEDGE IS ~UE A~ CORRE~. * __ TITLE DAT~ / (Porn t~P-140) 1700 Flower Street ~,~RN COUNTY HEALTH DEPA HEALTH OFFICER Bakersfield, Calil'ornia 93305 ' Leon M Hebertson, M.D. Telephone (805) 861-3636 ENVIRONMENTAL HEALTH DIVISION · DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Reichard INTERIM PERMIT PERMIT~i 50024C TO OPERATE: ISSUED: JULY 1, 1986 EXPI RES: JULY 1, 1989 UNDERGROUND HAZARDOUS SUBSTANCES ......... STORAGE FACILITY -- NUMBER OF TANKS= 1 FACILITY: I OWNER: THE SALVATION ARMY ARC I THE SALVATION ARMY ARC 200, 19TH STREET I 200 19TH STREET BAKERSFIELD,, CA I BAKERSFIELD, CA 93301 TANK # AGE(IN YRS) SUBSTANCE CODE PRESSURIZED PIPING? i UNK MVF 3 NO NOTE: ALL INTERIM REQUIREMENTS ESTABLISHED BY THE PERMITTING AUTHORITY MUST BE MET DURING THE TERM OF THIS PERMIT NON--TRANSFERABLE ~ ~ ~ POST ON PREMISES DATE PERMIT MAILED:. DATE PERMIT CHECK LIST RETURNED: ' Co~n[~ Health ision o[ Environmental ~lt]% Appl iDat. 1,00 Flower Street, Bakersfield, ~A 93305 -APPLICATION FOR PERMIT TO OPERATE UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILI~"f Type of Application (check): FINe~ Facility ['~Modification of Facility PqExisting Facilit~ n~Tansfer of Ownership A. Emergency 24-Hour Contact (name, area code, phone): Days The Salvation Army ARC (805)325-86 Nights ~AME Facility Name The Salvation Army ARC No. of Tanks ~%fpe of Business (check):' ~'GaS°line Station fX1Other (describe) Is Tank(s) Located on an Agricultural Farm? [qYes r~lNo Is Tank(s) Used Primarily for A~3ricultural Purposes? [']Yes r~qNo Facility Address 200 19th Street Bakersfield, Ca. Nearest Cross St. "V" street T R SEC (~ural Loc~'tions (~ly) (~er The Salvation Army ARC Contact Person Major John Randall Address 200 19th' Street Bakersfield, CA. Zip ~330~ Telephone 399-5348 Operator The Salvation Army AR'C Contact Person Robert Atki~u, Address 299 19th, Street Bakersfield, Ca. ZiP 93301 Telephone ~99-~1u3 B. Water to Facility Provided by California Water Depth to' Groundwater Unknown Soil Characteristics' at Facility Sandy L~am Basis for Soil Type and Groundwater Depth Determinations C. Contractor CA Contractor' s License NO. Addr ess Ztp Telephone Proposed Startin~ Date Proposed Ccmpletton Dete Worker's Ccmpensation Certification ! Insurer D. If ~is 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 F. Chemical Ccmposition of Materials Stored (not necessary for motor vehicle fu~ls) Tank ~ Che~ical Stored (non-co~nercial name) CAS ,~ (if kn.c~) Ch~nical Previously, Stored ( if' 'different) G. Transfer ~f Ownership Date of %~ransfer Previous Owner Previous Facility Name I, accept fully all oblig'ations of P~rmit NO. issued to · I understand that the Permitting A~thority may review and modi'fy or terminate the transfer of the Permit to Operate this ~dergro~d storage facility upon receiving this ccmpleted form. ~is form has been ccmpleted under penalty of perjury and to the best of my knowledge is true and correct. MLOo'hn Randal I !i~y Name the Satva~i/AF'my At~C Peuniu k ' ~--~: ' TANK ~ 1 (FILL OUT SEPARATE FORM FOR EACH TANK) FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES H. 1. Tank is: [~ Vaul ted [-]Non-Vaulted []Double-Wall ~]Single-Wal 1 2. Tan-~ Material []Carbon Steel [] stainless Steel [Polyvinyl Chloride []-]Fiberglass-Clad Steel [] Fiberglass-Reinforced Plastic [] Concrete [] Alumin~m~ [] Bronze ~]Unknown [] Other (describe) 3. Primary Containment Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer 1,000 4. Tank Secondar~ Co~{tair~ent []Double-Wall ~Synthetic Liner []Lined Vault []None [~qUnkno~ ~]Other (describe): Manufacturer: [~Material Thickness (Inches) Capacity (Gals.) 5. Tank~Interior Lining ~-~Rubber []Alkyd [~Epoxy []Phenolic [-]Glass []Clay []U~lined ~Unkno~ [~Other (describe): 6. Tank Corrosion Protection ---~Galvanized ~ass-Clad []Polyethylene Wrap [~Vinyl Wrappin~ [~Tar or Asphalt ~n_known []None []Other (describe): Cathodic Protection: []None []Impressed Current System ['1SacrifiCial Anode System ~e--s~ribe System & Equipment: 7. Leak Detection, Monitoring, and Interception a. Tank: []Visual (vaulted tanks only) []-]Groundwater Monitorirg' Wmll(s) []Vadose Zone Monitoring Well(s) []U-Tube Without Liner · [~U-Tube with Compatible Liner Directing Flow to Monitorirg Well(s)* [] Vapor Detector* [] Liquid Level Sensor* [] Conductivit~ Sensor* [] Pressure Sensor in Annular Space of Double Wall Tank [] Liquid Retrieval & Inspection From U-Tube, Monitoring Well or Annular Space [] Daily Gauging & Inventory Reconciliation []Periodic Tightness Testing [~None [2]Unkno~ [~Other weekly GauGinG and inventory reconciliation b. Piping: Flow-Restricting Leak Detector(s) for Pressurized Piping' ' []Monitoring Sump with Race~y []Sealed Concrete Race~ay []Half-Cut Compatible Pipe Raceway [] Synthetic Liner Raceway [~None [~ Unknown [] Other *Describe Make & Model: 8. ~en Tightness Tested? []yes []NO ~i~Unknown Date of Last Tightness Test Results of Test Test Name Testing Company 9. Tank Reda i r Tank Repaired? []Yes []NO ~]Unknown Date(s) of Repair(s) Describe Repairs 10. Overfill Protection []Operator ~il'ls, Controls, & Visually Monitors Level [-]Tape Float Gauge []Float Vent Valves [] Auto Shut- Off Controls []Capacitance Sensor []Sealed Fill Box [~None [-]Unknown DOther: List Make & Model For Above Devices a. Underground Piping: ~(Yes []No [~Unknown Mater ial Thickness (inches) Diameter Manufacturer []Pressure IX]Suction ~]Gravity Approximate Length of Pipe R~ b. Underground Pipirg Corrosion Protection : []Galvanized []Fiberglass-Clad []Impressed Current ~]Sacrificial Anode DPolyethylene Wrap []Electrical Isolation []Vinyl Wrap []Tar or Asphalt [~Unknown [-]None []Other (describe): c. Underground Piping, Secondary Containment: I-]Double-Wall [~Synthetic Liner System []None IX]Unknown []Other (describe): KERN COUNTY HEALTH DEPAR[ME [ J~ILLINI~'DAI~ 1700 FLOWER STREET BAKERSFIELD, CALIFORNIA 93305 (805) 861-2231 J ~NT DETACH HERE ~ PLEASE; RETURN THIS ~RTtON TO INSURE CORRECT PAYMENT IDENTIFICATION ~ DETACH ~N COUNTY HEALTH DEPAI~TI~.NT ~c~o, .~,, ,~,... ........ · ................ ,,..,.,, ,, .~ ..... 10 FLOWER STREET '"'" ..... """ o' '"' ...... '"' .......................... TOTAL AMOUNT DUE ~ERSFIELD, CALIFORNIA I~305 C0~?LE?ENESS CHECK: ~ Incomplete in~ocmation on first page of application entitled "Application for Permit to Operate Underground Storage Facility'. The information required is noted in ,red on enclosed copy. Incomplete information on second page(s) of application -'Tank Sheet". The information required is noted in red on enclosed copy. ~--L~"~ .P 1 ot Plan lackinq or incomplete. Refer to Instruction Sheet enclosed. J__~ Other: