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Home My WebLink AboutUNDERGROUND TANK-C-10/31/91 ENVIRONMENTAL HEALTH SERVICES ', u 2700 "M' STREET,SUITE300 PLEASE NOTE ANY .CHANGES ON STATEM~T ~D ~TU~ j 04-14-92 ' BAKERSFIELD, ~LIFORNIA 93301 wITH PAY~T./S THAT A~ 120 DAYS PAST DUE (805) 861-3636 . ~Y BE SENT T~COLLECTIONS. ~I~/I~OIC~ ~060005C-~ [ 75.00 CHARGES PAST DUE ARE SUBJECT TO PENALTY C~, JOSEPH OWEN B~RSFIELD, CA ~ UPON ~CEIPT DETACH HERE DETACH HER PLEASE RETURN THIS PORTION TO INSURE CORRECT PAYMENT IDENTIFI~TION PLEASE MAKE CHECK PAYABLE TO THE COUNTY OF KERN CASH REGISTER CLARK PLUMBING J0~0005C-91 , I GLC j 0a/30/92 J 04/30./~2 j j NT ........... .'___ t ___ t I I ~ ior~ Quantity Price Unit Disc To:el '~ UNDERGROUND TANKS ANNUAL PE~ ~ , - U~TO0 ~ Omde~TM To:al ' ~0. O0 Amount: Due '50.00 Payment Made By Check 50.00 ,THANK YOU! R E C E i'P T PAGE I '-5~25~7~77 ~n¥oice Nbr. I ?3422 ~:28 pm KERN CO RESOURCE [,iANAGE~IENT AGENCY 2?00 '~' Stree~ ..... Baker¢¢'ie'td, CA 93301 Fype o'¢ Order ~ (805) 86i-3502 ,CASH REGISTER JOSEPH O. CLARK ~ 0a0005C'92 t AJH 06/02/92 06/02/92 I t NT Li~.e Desc;*io~ion Qu,~n'c'!'~y Price Un'it 3550 tqm. SC - PENALTIES I 25.00 E ~J.00~' ZZZ005 Amount: Due 25.00 , Paymem~ ~4ade ~y Check 25.00 THANK YOU.t KERN COUNTY ENVIRONMENTAL HEALTtl DEPARTMENT INVESTIGATION RECORD DBA OWNER ADDRESS ADDRESS ASSESSORS ' PARCEl. #. CT CHRONOLOGICAL RECORD OF INVESTIGATION DATE L FILE CONTENTS. SUMMARY ~ : ADDRESS : ~/~ ~ ~ ~tl % '-~re, ~,-+. PE~IT ~: /' (~O{~O~ ENV. SENSITIVITY: Activity Date # Of Tanks Comments ~I'ATE OF CAUFOI~A~ · ~ ' . ." STATE wA,.~T~. RESOURCES CONTROL BOARD. : UNDERGROUND STORA(~E TANK PERMIT~APPLICATION- Foi~M B" '::*'':'' · - .COMPLETE A SEPARATE FORM FOR EACHTANK SYSTEM. · .!~, . I MARK ONLY [] 1 NEW PERMIT· [] 3 RENEWAL PEhMIT ' [] S CHANGE OF INFORMATION ,~ '~' PERMANENTLY CLOSED ON SITE ONEITEM [] 2 INTERIM PERMIT ' [] 4 AMENDED PF.~MIT [] 6 TEMPORARY TANK Ct'OSURE~ 8 TANK REMOVED DSAOR FAC,Ln ,A W,E,ETA, K ,S ,,STALLED.' cJ I. TANK DESCRIPTION COMPLETE ALL ITEMS'- SPECIFY IF UNKNOWN C. DATE INSTALLED (MO/DAY/YEAR) ~ ~ D. TANK CAPAClSY IN GALLONS: II. TANK CONTENTS IF A.1 IS MARKED, COMPLETE ITEM C. . · [] 2 PETROLEUM [] . EMPTY r~, PRODUCT . [] ,bPREM~UM I---] [] · UNLEADED $ JET FUEL [] 3 CHEMICAL PRODUCT [] 95 UNKNOWN [] 2 WASTE [] 2 LEADED[] 99 OTHER (DESCRIBE IN ITEM D. BELOW) D. IF (A.1) IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED C.A.S.#: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, AND C, AND ALL THAT APPLIES IN BOX D A. TYPE OF E~ 1 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN SYSTEM ~ 2 SINGLE WALL '[] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER B. TANK ~ 1 BARE STEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 8 100% METHANOL COMPATIBLE W/FRP (PrlmaryTank) [] 9 BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN [] 99 OTHER [] I RUBBER LINED [] 2 ALKYD LINING [] 3 EPOXY LINING [] 4 PHENOLIC LINING C, INTERIOR [] 5 GLASS UN~NG '~ S UNLINED [] eS UNKNOWN [] ~ OTHER ENING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES ~ NO__ D. CORROSION [] 1 POLYETHYLENE WRAP [] 2 COATING [] 3 VINYL WRAP [] 4 FIBERGLAS8 REINFORCED PLASTIC PROTECTION [] 5 CATHODIC 'PROTECTION'~ 91 NONE [] 95 UNKNOWN [] g9 OTHER IV. PIPING INFORMATION C~RCLE ~, IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEMTYPE ~ SUCTION A U 2 PRESSURE A U S GRAVITY 'A U 99 OTHER CONSTRUCTION '~ SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U ~ OTHER B. C. MATERIAL AND A U 1 BARE STEEL ALI 2 STAINLESS STEEL A U 3 POLYVlNYL CHLORIDE (PVC)A U 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM ~, U 8 CONCRETE A U 7 STEEL W/ COATING A U 8 100% METHANOL COMPATIBLEW/FRP A(~9 GALVANIZED STEEL A U 10' CATHODIC PROTECTION A U 95 UNKNOWN A U ~9 OTHER PROTECTION D. LEAK DETECTION []~1 AUTOMATIC LINE LE~K DETECTOR [] 2 LINE TIGHTNESS TESTING [] V. TANK LEAK OETECTION [] 6 TANK TESTING [] 7 INTERSTITIAL MONITORING [] 91 NONE [] B5 UNKNOWN ' [] 99 OTHER VI. TANK CLOSURE INFORMATION I o,~F~,/,~ 12. ESTIMATED QUANTITY OF S. WAS TANK FILLED WITH YES• NO:~ 1. ESTIMATED DATE LAST USED (M } / SUBSTANCE REMAINING t~ GALLONS INERT MATERIAL THIS FORM HAS BEEN COMPLETED UNDER PENAL TY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND coRRECT I APPLICANT'S NAME (PRINTED & SIGNATURE) LOCAL AG ENCY USE ONLY THE'STATE I.D. NUMBER.IS COMPOSED OF THE FOUR NUMBERS BELOW COUNTY # JURISDICTION # FACILITY # TANK # STATEI.D.# o o. lo Iolo/l . l/l oI6 lolc llcl/1 PERMIT NUMBER ~ O ('~ '"~"" PERMIT APPROVED BY/DATE PERMIT EXPIRATION DATE ' FORM B (9-90) THIS FORM MUST BE'ACCOMpANIED BY A PERMIT APPUCATION · FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FOROENB-R4 .-' ' ,- ,.'~ ":'"'UNDERGROUND STORAGE.%ANK~PERMIT~PPLICATION- FORM,A. ' ~ 3 "RENEW~ERMIT ; .~ 5 '~GE OF' IN'Fo~M~ON 7--PERMANENTLY' CLOSED SITE ONE ITEM ~ 2 IN~RIM PERMIT . '~. 4 ~ENDED~RMIT ~ 6' TEM~RARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS'- (MUST BE COMPLIED) +: ~: ,." ADDRESS ' ; "' / NEAREST CROSS'STREET ' P~CEL~(O~DNAL) STATE '. ZIP CODE SITE PHONE ~ WITH AREA CODE ~ ~X ~COR~RATION ~ INDIVIDUAL ~ PARTNERSHIP ~ L~AL-AG~CY ~ COU~Y-AGE~Y ~ STATE-AGENCY ~ F~E~L-AGE~Y TO INDICATE O~STRICTS .PEOF~USINESS ~-1GASSTAT,ON ~ 2 DISTRIBUTOR ~ . ,F INDIAN I~ OF TA,S AT SITE , E.P.A. RESERVATION ~ 3 FARM ~ 4 PROCESSOR ~ 5 OTHER OR TRUST L~DS I I EMERGENCY CONTA~ PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY) - Optional DAYS: NAME (~ST. FIRS~ PHONE ~ WITH AREA CODE / DAYS: NAME (LAST, FIRS~ NIGHTS: NAME(LAST, FIRS~ ' ~-PHON~WlTNAREACODE - J NIGHTS: NAME(LAST, FIRS~ II. PROPERTY OWNER INFORMATION- (MUST BE COMPLETED) NAME CARE OF ADDRESS INFORMATION 3~ 5 30~ ~~ ~ COR~RA~ON ~ PARTNERSHIP ~ COU~YAGE<Y ~ FEDE~LAGE<Y II1. TANK OWNER INFORMATION - (MUST BE COMPLETED) NAME OF OWNER~ CARE OF ADDRESS INFORMATION MAILIN~OR ~TREE~ ~DRESS . ' '. - ~x ~ ind~ate ~ INDIVIDUAL ~ L~AL-AG~CY ~ STA~-AG~CY 3~5 30 +~ ~~. COR~RA~ON' ~ P~TNERSHIP ~ COU~-AGE<, IV. BOARD OF EQUALIZATION US~ STORAGE FEE ACCOUNT NUMBER - Call (916) 323-9555 if questions arise:j TY(TK) HQ ~- I I V. PETROLEUM MST FINANCIAL RESPONSIBILITY - (MUST BE COMPLETED) - IDENTIFY THE METHOD(S) USED ~ ~x ~indicate ~ 1 SELF-INSURED ~ 2 GUARA~EE ~ 3 INSURANCE ~ 4 SURROUND ~ 5 LE~EROFCREDIT ~ 6 ~EMPTION ~ ~ OTHER VI. LEGAL NOTIFICATION AND BILLING ADDRESS Legal notifi~tion and billing will be sent to the tank owner unless box I or II is checked. I cHECK ONE BOX INDICATING ~ICH ABOVE ADDRESS SHOULD BE USED FOR LEGAL NOTIFICATIONS AND BILLING: I.~ I1.~ II1.~ THIS FORM HAS BEEN COMPLETED'UNDEB pENAL TY OF PERJURY, AND TO THE BEST ~ MY KNOWLEDGE, IS TBUE ANO CORRECT LOCAL AGENCY USE ONLY couN~ ~ JURISDICTION ~ FACILI~ ~ LOCATION CODE - OPTIONAL CENSUS T~AOT J - OPTIONAL SUPVISOR - DISTRICT CODE - OPTIONAL THIS FO~M MUST BE ACCOMPANIED BYAT LEAST (I) O~ MO~E PE~BIT APPLICATION · FO~M B~ UNLESS THIS IS A CHANGE OF S~E INFO~MATION ONLY. FO~M A (5-91) RESOURCE MANAGEMENT NCY Environmental Health Sewices ~t RANDALL L. ABBOTT STEVE McCAI ! ~"Y, REH$, DIRECTOR DIRECTOR Ai, Po~o. Co~o~ D~ DAVID PRICE !~ W~UAM J. RODD¥, A~CO ASSISTANT DIRECTOR Planning & Development Sen~cea Departmem TED JAMES, AICP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT October 31,. 1991 Owen Clark 3151'30th Street Bakersfield, California 93301 CLOSURE OF 1 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANK LOCATED AT 315 30TH STREET IN BAKERSFIELD, CALIFORNIA. PERMIT # A1500-06/060005 This is to advise you that this Department has reviewed the project results for the preliminary assessment associated with the closure of the tank noted above. Based upon the sample results submitted, this Department is satisfied that the assessment is complete. Based on current requirements and policies, no further action is indicated at this time. It is important to note that this letter does not relieve you of further responsibilities mandated under the California Health and Safety Code and California Water Code if additional or previously unidentified contamination at the subject site causes or threatens to cause pollution or nuisance or is found to pose a significant threat to public health. Changes in the present or proposed land use may require further assessment and mitigation of potential public health impacts. Thank y~ou for your Cooperation in this matter. /' CHRIS FINBERG, HAZARDOUS MATERIALS SPECIALIST cc: Sazama Backhoe & Excavation 4036 Shawn street Bakersfield, CA 93312 27~ "M" STREET, SUITE3~ BAKERSFIELD, CALIFORN~ 93301 (~5) ~1-3~6 -. 4100 ATLAS CT., BAKERSFIELD. 'CALIFORNIA 9~08 PHoI~ )_~?-Z_9*.; ~,~ (6~) &,,Y-lgIE RICHPmI~ ,~AZAMA,$ BACKHO~ 403G RHAWN STREET Date o~ · AK.~RSF~EZ,D, CA 93312 Re,Dot: · 08/23/91 Attn.: RTCI4ARD 805.589.?01~ Lab ~: 9439.1 NI~{OLS OF BC TEST ~OD~ TPH ~ D.O.H.S. / L.U.F.T. Manual Method . Modified ~PA 8015 Individual constituents by gPA ~eChod ~0~0/8020. Date Sample Dace Sample Date Analysis Collected: Received ~ l,eb: Completed: 08/22/5~ 08/22/9! '08-22-g2 g~2.e_.~.t,A AnalynJ n Report Lng · Report ' Re-s-9~t-~ e- ..... Oni,g~_._ ..... have L ... · O~uen~ None Detected mg/kg None Detected mg/kg ¢) 0,)~, ~=hy! Renz.ne None Detected . None Detected mg/kg m-Xylene None Detected mg/kg ~-Xylene None Detected mg/kg Total. Pe~r~le~m /~'droearh~n~ (gee) ~one Detected mg/kg California' D.O.~.S. Oepagtment ~pervieor -' .... 805-589'4065 RI~.iARD SAZAMA (~ 1~4 P01 AUG 12 '91 13:08 ~A'$ ~,~10~ '. eDe . pt n.,' .~ Oale&~Sampled ~= t ' * City Slale Reh~u~n~ I Miles: , Reh~u,sn~ ~ Reli~u~h~ ~: (S~natme) Recem~ b~: (S~nalure} Oa~e: ~X~HARD SASM4A'.S BACKHOE ' Repo~tr 08/09/91 4036 BJlA~H STI~ET Lib ~! '8973-! Attn, t R~ 805'589-7019 seT.M, ~LECTED 818/91 ~ 2~4S P,M. BY C. HICHOLB. TEST H~?HOD= TPH by D.O,H.S. / L.U.~F-T. Manual Method - ModLf£ed EPA 601S lnd£v£du8! c~nst£tuen~ by EPA ~thod 5030/8020. Sample ~at~xt Date 8t~mp~e Date S~ple Date Cotlo=~ed, Received 0 LB~ Compteteds OO/0S/9~ o8/o8/9~ o8-o0-9~ Minimum Benzene ~one De~ea~ed me/kg 0.005 Toluene ~one. Oe~o=~ed mB/kg 0.005 gthy~ Bentene None Detected ~g/kg 0.005 o-x¥~one ~one Detected mg/~g 0.00S m-X¥1one None De~ec~ed me/kg 0.005 p-XyXene ~one Detected .mB/kg O.005 T~ta! ~e~Foleum ~d~oca~bona (ga~) 3.3 me/kg con~e~sf Cal£fornLa D,O.H,8. Cern. #3.186 ! CC*. KSIU~ COUNTY ENVXRON~ENTAL HEALT~ SERVZC]~ DEPT 885-589-4865 ik_IARD- SAZAMA , 881 P82 JUL 23 '91 88:02 RATO RIES, INC. ~L~M 41~ AT~ ~ BAKE~FIELD, CALIFORN~ ~ PHONE' (~ ~Mll F~ (~) ~.1918 ~IC~ SAZ~'S ~AC~O~ DaCe of ~AKERSFIE~, ~ 9~312 Lab Attn. = aIO~RD SAZ~ 805-589-7019 S~le De~ri~tion~ OWEN C~RK ~ T~K ~OV~: ~HL~D T~K ~ 2' NORTH HOLE, 6/7/91 ~ 1=45PM S~PLE COLLECTED BY DAVID ~ITT~NHOUSE Date Sample Date samgle Date Analysis collected: Received @ L~b: Comgleted: 06/07/9~ 06/07/91 6-12-9~ Minimum Reporting Analysis Reporting Constituents Units Res~ts Ley~l Benzene #g/g None Detected 0.00$ Toluene Mg/g None De:ected 0.005 Ethyl Benzene Bg/g None Detected 0,005 o-x¥1ene ~g/g None'Detected 0.005 m-Xylene #g/g None Detected 0.005 p-Xylene ~g/g None De~ected 0.005 Total Petroleum Hydrocarbons (gas) Bg/g None Detected 1. TEST ~ETHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015 Individual constituents.by EPA Method 5030/8020. Received Basis Comments: California D.O.H.S. Cert. $1186 80S-S89-40~5 ~ARD SAZAMA 081 POJ JUL 2~ ~ 91 ~8:~2 BORATO RIES, INC. ~ ~ EGUN, K~ ~EM. ENGA. ~ 41~ AT~S ~. BAKERSFI~D, CAUFORNIA ~ PHONE (~ 027~1 F~ (~.~7'1918 Pet~o~e~ ~yd~oca=bone RICHARD SAZAMA'S BACKHOE Date of 4036 S~AWN STREET Re~ort: 06/15/91 BAKERSFIELD, CA 93312 Lab ~: 6856-2 Attn.= RICHARD SAZAMA 805-589-7019 sample Deecrip=!on: OWEN CLARK ELECTRIC TANK RE~OVAL: UNLEADED TANK @ 6' NORTH HOLE, 6/7/91 @ 1=45PM SAMPLE COLLECTED BY DAVID RITTENHOUSE Date Sample Date Sample Date Analysis Collected= Received @ Lab: Comple=ed: 06/07/91 06/07/91 6-11-91 Minimum Reporting Analysis Reporting ~ units Resul=s Level Benzene Bg/g None Detected 0.2 Toluene ~g/g 0.26 0.2 Ethyl Benzene Bg/g 1.1 0.2 o-Xylene ~g/g 4.0 0.2 m-Xylene ~g/g 5.1 0.2 p-X~lene ~g/g 1.4 0.2 To=al Petroleum Hydrocarbons (gas) Bg/g 210. 30. TEST METHOD: TPH by D.O.H.S. / L.U.P.T. Manual Method - Modified EPA 8015 Individual cons=ituents by EPA Method 5030/~020. AS Received Basis Comment s = · california D.O.H.S. Cert., ~1186 #tnaiyst 805-589-~065 edARD SAZAMA 081 PO~~ JUL 23~91 08:0J ~VI)~ONYEN~AL ~I~74F. i4L~NALY$1~ LABORATORIES, INE:. J, J. F..GUN, REG. ~, ENGR. ~L~M 41~ A~S CT~ BAKERSFIELD, CALIFORN~ ~ PHONE Petrole~ Hydrocarbons RICHARD SAZAMA'S BACKHOE Date of 4036 SHAWN STREET Report: 06/15/91 ~AK~RSTZELD, CA 93312 LaD ~: 6856-3 A=tn.: RICHARD SAZAMA 805-589-7019 sample Description: OWEN CLARK ELECTRIC TANK R~MOVAL: UNLEADED TANK@. 2' SOUTH HOLE, 6/7/91 @ 1:45PM SAMPLE COLLECTED BY DAVID RITTENHOUSE Date sample Date Sample Date Analysis Collected: Received @ LaD: Completed: 06/07/9z 06/07/gl ~-12-~z Minimum Reporting Analysis Reporting Constituents __~ Results Level Benzene Mg/g None De~ected 0.005 Toluene yg/g None Detected 0.005 Ethyl Benzene ~g/g None Detected 0.005 o-Xylene Mg/g None Detected 0.00~ m-Xylene Bg/g None De=eared 0,005 9-Xylene ~g/g None De=eo~ed 0.005 Total Petroleum Hydrocarbons (gas) ~g/g None Detected 1, TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015 Individual constituents by EPA Method 5030/8020. As Received ~asis Comment s: California D.O.H.S. Cert. #1186 LABORATORIES, INC. 3. J. EGUH, REG. ~EM. EN~. 41~ AT~8 ~ BAKERSFIELD, CALIFORNIA ~ PHONE (~ ~11 F~ (~ ~.1918 Pet=ole~= Hyd=ocarbons RICHARD SAZAMA'S BACKHOE Date of 4056 SHAWN STREET . Report= 06/15/91 BAKERSPiELD, CA 93312 Lab.~; §856-4 Attn.= RICHARD SAZAHA 805-589-7019 Sample Desur£ption; OWEN CLARK ELECTRIC TANK BEMOVAL~ UNLEADED TANK @ 6' SOUTH HOLE, 6/7/91 @ 1:45~M SAMPLE COLLECTED SY. DAVID RITTENHOUSE Date Sample Da~e Sample Date Analysis Collected: Received @ Lab= Completed= 06/07/91 06/07/91 6-12-91 Minimum Re~o=ting Analysis Reporting Con~%ttuents Units Results Level BenZene Bg/g None Detected 0.005 Toluene ~g/g None Detected 0.005 Ethyl Benzene ~g/g. None Detected 0.005 o-Xylene Bg/g None Detected 0.005 m-Xylene Bg/g None Detected 0.005 p-Xylene Bg/g None Detected 0.005 Total Petroleum Hydrocarbons (gas) Bg/g None Dete~ed 1. TEST F~ETHOD: TPH by D.O.H.S'. / L.U.F.T. Manual Method -'Modified EPA 8015 Individual constituents by EPA Method 5030/~020. As Received ~asis Comments California D.O.H.S. Cert. #1186 B05-S~-40~5 ~D SAZAMA 0~1PO~ ~UL23 '~l 0~:0~ LABORATORIES. INC. · J. J, EGI.IN, REG, CHEM. ENGR. PE~ROL~'II¥ 4100 ATLAS CT., BAKERSFIELD, CALIFORNIA 93308 PHONE (805) 3274911 FAX (805) ~r/"1918 BTXE/TPH GASOLINE Quality Control Data KICHARD SAZAMA'S BACKHOE Spike ID: 5967-13 4036 SHAWN STREET Analysis Dates 12-Jun-91 BAKERSFIELD, CA 93312 Sample Mat~ix~ Soil .Attention: RICHARD SAZAMA Quality Control· for Lab Nos: 6856-1, 6856-3, 6856-4 Dup Spike Spike spike constituent % Rec % Reo RPD Benzene 103.96 101~63 2.26 Toluene 97.58 97.08 0.51 Ethyl.Benzene 96.?5 95.98 0.S0 QC ¢omments~ 805-589-4065 ~RD SAZAMA . 081 PO? JUL 2~ '91 08:04 LABORATORIES, INC. J. J. El]LIN, RE(]. CHEM. ENGR. ,OET/IOLEUM 4100 ATLAS CT., BAKERSFIELD, CALIFORNIA 93308 PHONE (805) 327.4911 FAX (IU)~) 32'/'-1911~ BTXE/TPH GASOLINE Quality ¢on:rol Dace RICHARD SAZAMA'S BACKHOE SDike ID: 6799 4036 SHAWN STREET Analysis DaCe: 12~Jun-91 BAKERSFIELD, CA 93312 sample Matrix: Soil Attention: RICHARD SAZAMA ~or Lab Nos: 6856-2 spike Spike Spike Constituent % Rec. %~ec RPD Benzene 104.06 103.29 0.74 Toluene 99.97 98.34 1.64 Ethyl Benzene 97.37 95.82 1.60 QC CommenCe; R URCE MANAGEMENT RANDALL L ABBOTT STEV~ M~.AU.L:Y. ~ DmECTO~ DIRECTOR DAVID PRICE ill WU.UAM ASSISTANT'Dll~R Flaming & ~ .~ D~ a ENVIRONMENTAL HEALTH SERVICES DEPARTMENT cility Name: . . Kern County Permit #: Addcess,:315 ~.c~t/~ ~_~, J County.#: 1_~5 **UNDERGROUND TANK O[SPOSITZON TRACKING RECORD** 'Thi~ lorn, is to be returned .to the Kern"County Environmental Health Services Depar~cment within 14 days of acceptance of the tank(s) by an aDproved disposal or recycling facility. The holder of the permit wtth the number noted above responsible for insuring that this form is completed and returned. Section I To be filled out by tank rem,oval1 .~ontract.or: ~ _ Tank Removal Contractor: .~?~,~ ~'~--~-~ _~/~:r~ Address: ~'~3~ ~-,~'~ . ~ Phone a: ~; Oate Tank(s) Remove~ ~ ~-IFF/ No. of Tank(s): Section ~ To be f~lled out by contractor "decont~inat~ng" tank(s): : Tank ~Oecont~nat~on" Contractor: ~~~ Address: ~a~ ~~~ ~ Phone a: ~ Tank Size L.E.L. Tank S~ze. L.E.L. Authorized representative of th.~contractor certifies by signing below that the tank(s) h~Ye~e~cont~j:fl~t' in accordance with Kern County Environmental Title , Section 3 To be filled out and"stgned by an authorized representative of the approved disposal or recycling facillty accepting the t~(s): , Address: ~ ~,,_~' Phone ~:~f~)~-/~ 'Date Tank(s) Recet~. ~/~/~/ No. of~k(s): / ~~ Sjgnature: ~~~ ~ ~~ Tl:le: ~~ (Au:ho~J zed ReDr~entat ~ ve) ~ 27~ ~" S~, S~ 3~ B~SF~, C~O~ 9~01 (~5) ~1.~6 , = * HAILING INSTRUCTIONS: Fold and s:aDle. F~: (~5)~1.~ UNIFORM HAZARDOUS ~t~= us EPA ~ WAGTE MANIFEST ~ ~ i8 ~1 ~u~ by Federa~ law. Ge~r, D. Tre~er'~ Pen~ee ~ ~pafly N~ & U~ ~A ~ Numbm ~ ~te t~l .... g. ~q~ F~ci6ty ~ ~nd S]te A~req t I IO. Ug ~A ID N~ ~ ~t$ ~$ D '- - S~te ~ . E~A/~ t flat~flal gOv~t reg~ti~l. ~et~h ah~ ~ t~ beet weete mana~omo~ ~th~ that 18 evai~ble to m e~ t ~n Pr~tedlTy~ed HaM . I lg. O~crepan~ Indic~tl~ S~Oe 20. Facility Ownee m' C~re(~' Cee~ificetion gf reoeipt o1 ha~oua materiala cOve~'~ me,test ex¢~pt-aa not~ in }lam 19. '"' OH, ~2 A ~ Nq[,Wrlte ~iow ~is~ine EPA 87~2 (Rev. G-~) Prev;oue e~ttione are obaolelP, ~: TSDF SENDS THIS C~Y TO ~S WI~IN 30 DAYS To~ ~.O. ~ 3~, ~, ~ 9~12 DAVID PRICE Ill WiLUAN J. RODDY, APCO ENVIRONMENTAL HEALTH SERVICES DEPARTMENT PERMIT FOR P~dA~q~HT CLOSUI~ P~ NUMBER A 1500-06 OF UND~OROUND HAZARDOUS SUBSTANCF, S STORAOE FA~ FACILITY NAMF./ADDRE~: OWNER(S) NAMF./ADDRF~: CONTRACTOR: Owen Clark Trust Owen Clark Sa~m~ Backhoe & Excavation 315 30th Street 315 30th Street 4036 Shawn Street Bakersfield, CA 93301 Bakersfield, CA 93301 Bakemficld, CA 93312 License #A-531055 Phone: (805) 327-8668 Phone: (80b") $89-7019 PaR~ar FOR CLOSUmZ OF PaR~rr ~u,~ Au~ 31, I~ , l TAt~S) AT,~OViZ A~PROVAL DATa ~ 3~ /) Hazardous~ateria]s ........................................... POST ON PRE1VIIS~ .................................................... 1. It ia the reaponaibilt~ ofthe PenniU~ m obmin l~n'mits viti~ may be req~ ~ o~er re~ulato~ agenetea prior to ~nn~s ~ (Lc., O~ ~ ~ B~g 2. Ptmnittee mus~ notify the H~rdous Mater/als 3~m~emem Program at 4. It is the conuacio~s respongb~ty to know and adhere to all applicable laws re~mting the handling, transportation or lrealmenl of h.~nrdous materlah. ~ IJlS8 ~ thnn or 2qu~l 1o 1,0O0 gillies - a minimum of mo samples must b~ p~teved from bequeath the center of rl~ tank at depths .of b. Tank IJzo grl~a~ thail 1,0O0 to 10,O00 gallons - a m~nimum of four samples must be milL, veal one-third of th~ way in gn~n tho ends of ~lch tank at del~S of apptmimately two (cci and six c. Tank ~ grum' thnn 10,000 ~glom - a minimum of six samples must be mrleved one4ounh of the way in from the ends of each tsn~ and beneath ~ C~I4~' Og 4~Ch tqnk at d~hs o~ apprn~mntely two fl~ aim six feel A mlnimum of two samples must be retrieved at depths d approximately two feet nnd six feet for every 15 linear feet of pipe run and umier Ute dispenser aren. 2700 "M' s'ri~FFT, SUITE 300 BAKERSF;ID, CALIFORNIA 93,301 (805) 861-3636 OF UNDEROROUND HAZARDOUS, ' ' :: :' : ::./: SUBSTANCI~ STORAGE FACILITY .... ~ - .. './, · 9. Soil ~m ' a. AH soil samp~ resrieved ~ b~ealh ~asoHne (leaded/unleaded) tanks and appurtenances m~ ~ ~ ~.~, ~ ~ ~ to~ b. All soft samples retrieved from ben~l~ ~ tnnks and appurt~anc~ mu~t be analyz~ for total l:~:~'oletun hydrocarbons (for diesel) and ben, ne. All soft samples retrieved from benen~h wnste oil tnn~ and appurtenances mtnt be ~ for total or~nni¢ halides, lead, oil nad gn~nse. ,~AI soil samp~ retrieved from benmth crud~ oil ~k~ and appurtenanc~ must be analyzed for oil and e. All ~ samples retrieved from bemeath Utnks and appuztenan~ that contain unknown substances must be nr~zed for ~ full range of substances ~ may bare been smrcg wRlgn the tank. Noflflcal~km m ~_,~: lf~ o. lx~mR ~ daze 'l~o wo~ki~ da~ Transpoflation and txaeking ~aais s~nt to Hazardous No lai~a* ~han S worldn8 days for ttnnsponaflon and 14 worki_'ns Sample nnnlysis to Hnzadous Materials l~lnnn.o~at No later than 3 workin.~ days after completion of anal~ a. Liqtlid sbllH I:~ pllmpt~d :1~ ~ prior to ptlrS~ Stlch that ll~s thnn 8 ~alloils of liquid ~sln in tank (CSX-LinC 41700) b. Tank shall be pm~ tl~ vent pipe d_!s,4~rging at least 10 feet above ground level. (CSH&SC 41700) c. No emission shnll result in odors detectable at or beyond property line. (Ride 419) d. No emission shall endang~ the health, safmy, comfm-t or repose of any peno~ (CSH~SC 41700) e. Vent tlnm ,.~,n remain attached to t~ak until the inspector arrives to authoriz~ removal. RBCOMI~3~4DATIONS/O~ FOR R.EMOYAI., OF UNDEROROUND STORAOE T~.NKS This department is respmeft,le for enforcing the ~ Com~ Ordinance Code, Division 8 and state re~J_~__t~ons pert.i.i,,g to underground storage tanks. Representa~ves _rm~ tl~ depnnmen~ respond to job sites dn~tns ~qnt removals to ensm'c that the tanln are safe to rcmove/clme and that the overall job performance is consistent with permit requketmm~, applicable ia~ nmi s~fety standards. The following guidelines are offered to ~ the interests and expectations for this regulators. The job fop~n is ~SlX~sible for ~he crcw and any subconu'actors ~m the Job. A~ a general rule, workers are n~ pennltlrd in impropcfly stoped excavagons or when ~mmfe cond~ exist i'n the hole. Tools nnd equipment are to be uscd only for their designed function. For e~nmple, backhoe buckets ~ li~ ~ al~ ~Ss~lm~d tO ~l~1~rand tl~ l'eq. Bi-rl~ell~, of fll~ p~llllit ~ Th~ JOb ~ i~ ~pofl~b~ ~ knOWil~ ~ abMifl[ by neccmry for each site in order to dose a c~e file ~ move it into miflga~ When contractors do not follow through on ~y papemork, an KERN COUNTY ~RCE MANAGENENT ACENCY : INTF_.i~NAL. APPLiCATioNUSEDATE:oNLY:__ ~_ ~,~ ENVI~TAL HEALTH SERVICES DEPARTMENT -7 PTA: 2'/00 'lq' STREET, SUITE 300 ....... BAKERSFIELD, CA 93301 # OF TANKS TO ABANDON: , ( 805 )861-3636 ~ ~ ~_~.~ _5"_~_- J PIPING FT, TO ABANI:X~: PTO: i, (FILL OUT ONE APPLICATION PER FACILITY) ..... APPL]CAT]ON FOR PEI:~I[T FOR PERMANENT CLOSURE/ABANDONMENT OF UNDERGROUND HAZARDOUS SUBSTANCE STORAGE FACILITY THIS APPLICATION IS FOR ~RF. MOVAL, OR [] ABANDONHENT IN PLACE A: F~ClLITY 32-'7- ICm: 8: OiiTI~CTOR Ill:O~Tl~ iqiOtE l: ~_~ - J-~--?27 '~ CIIY: .,~,'~,~:~/~"3I ZIP: COITRACTORRETRIEVINGSN~S: ~ z..,~,,~5~i-:z-ox'/~-.s- AI)O~: ,¥/~0 ,/-~/~,~-~ ,~, ISTAT~:~'~ blI)ORAT~T~E~: ~'~ /__~o~-7~ AlX)a~: ~/00 P/~ ~ 1STATE-C~ ~CNE I: ..~'c)5'-- .~,~'~--g_'~l.I CITY: /~F../~z~i~/-v3 Jill): C; OJll]~ IIEI:I~TlCli l CHEMICAL COMPOSTION OF MATERIALS STORED: TANK # VOLUME CHENICAL STORED DATES STORED CHENICAL FOJ~ERLY STORED, J /U ~ JTI3J JI~L-~I~ DISTN{~ IF JtI1HIN 500 FI~: ~),~ J SOIL Tt~ AT F~ClLII~: ~IS I~ S01L 1~ ~ (tt:Utl~Tl~ 0EP~I 0ETF~INATI~: E: OISKI~ ]]I:()I~TI(]i ~IllTAMINATI~ Ilt~IMINATIffi OJfl'RACIOR.' ~,:~.w', ~.. iSt~w.x-~ ~ ~r-~.~+u.)~ ) I)ISM~)t. [l)ClTlffi R)t RINSATE: ~'~l~ro~ o ~ ~ OlSR:t~ ~ FaR PIPIN6: -~'~ ~ - J DISI~ LI~TI~ F(~ PIPItl8: **PLEASE ~ETE THE REVERSE SIDE OF THIS APPLICATIoN BEFOI~ SUI~ITTING FOR REVI) THiS FOISt HAS BEEbJ.~jCI~LETED UI~DER/~ENALTY OF PERJURY AND TO THE BEST OF ~ KNOHLEDGE IS TRUE AND OORREC.T~. // / ( ~:~._ .urn ~.a_g --' .,-'~' R E C E I P T ' ~' ,"PAGE 05/28/91 Invoice Nbr. 1 499?3 3:00 pm KERN COUNTY PLANNING & DEVELOPMENT 2700 'M' Street 8akersfie3d, CA 93301 Type of Order N (805) 861-2615 CASH REGISTER RICHARD SAZAMA'S BACKHOE Customer P.O.~ ] Nth By JOrde~ Date J Ship Date I Via I Te~ms H0528913 [ YKN I 05/28/91 I 05/28/91 IDD I NT Line Description Quantity P~ice Unit Disc Total 1 PERMIT TO CLOSE/ABANDON 1 250.00 E 250.00 170G Order Total 250.00 Amount Due 250 00 Payment Made By Check 250.00 THANK YOU AND HAVE A NICE DAY[ 2 T~K LOCAT[C~ REFER~CE· " 3 3~K~I OR ~SS~NG VAPOR CAP ' ..- 5 3~K~I CAM 'LOCK ~ VA~R CAP 5 '.=;LL CAP5 NOT R~PERLY SEATED 7 V~POR CA~ NOT PROPERLY mFATu~ · /" 3.' ~SKET ~4[~ih. lG. F~M FILL CAP ..... ' ......... d0. FiLL ADAPTOR NOT 11 VA~DR ADAPTOR NOT ~r¢~- "?: . ,.' 1'2. ~KET BETNE~ ADAPTOR & F;LL ' ~dBE ~4Z~NG / I~P~PERLY S~TED ........ ¢ ...... !3. b,R, 8R~K G~K~S DETERIORATED ........... ~_~ .' iA. ~<CESS~VE VERTICAL 'P~Y :N ' ' U~AX[AL F~LL TUBE ~ECHAN~S~ DEFECT;,V'E 15. TSNK DEP~ M~.SU~EM~T " WAFerING : SYSTES'vlS ~'4ARKED N£TH. A CHECK ABOVE ARE iN VIOLATION OF KERN COUNTY AIR POLLUTION CDNTROL DISTRICT RUL,E.(S) 209, 412 )4ND/OR 4]2. !. THE CALIFORNIA HEALTH &-~AFETY CODE 3PECIF!ES P,,I~4~ALTiES~ uF 0P TO $1,000.00 PER DAY FOR EACH VIOLATION. TELEPHONE (805) 861-3882 C,~CERNING FINAL RESOLUTION OF THE VIOLATiON(S) ~ 1700FI ow er Street KEi~N COUNTY HEALTH DEPARTMENT ' .EALTH OFF,CE. Bakers/ield, California 93305 Leon M Hebertson, M.D. Teiepho~te (BO5) 861-3636 ENVIRONMENTAL HEALTH DWISION DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Reichard INTERIM PERt-~I T PERMI T~eO6OOOSC TO OPERATE: ISSUED: JULY 1, 1986 RaP I RES: GULY 1; 1989 UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY NUMBER OF TANKS= 1 FACILITY .' ~ OWNER: *CLARK PLUMBING ~ CLARK, JOSEPH OWEN · $15 SOTH STREET ~ 315 30TH STREET BAKERSFIELD, CA ~ BAKERSFIELD, CA TANK # AGE(IN YRS.}. SUBSTANCE CODE PRESSURIZED PIPING? I 23 MVF $ NO NOTE: ALL INTERIM REQUIREMENTS ESTABLISHED BY THE PERMITTING AUTHORITY MUST BE MET DURING THE TERM OF THIS PERMIT NON--TRANSFERABLE ** ~ POST ON PREMISES .. JUL ! 6 1986 · .-'DATE PERMIT CHECK LIST RETUI%NED: Kern County Health Department . Permit · Division o~. Environmental. Health . Application Date ~[ 1.700 Flower Street, 'Bake[sfield, CA. 93305 : .. ... 'i .~.... . 'APPLICATION FOR PERMIT TO oPERATE UNDEEtGROUND' .. . '- HAZARDOUS SUBSTANCES STORAGE. FACILITY · '- Type of Application (check): . .. C]New Facility ~lModification of Facility []Exi. sti~g Facility '~TTranSfer of Ownership .A. 'EmergencY 24-Hour Contact. ('name, area .code, phone)i DaYS'J°~(. ffoi~-)°r Facility < · ~ Type of Business '(check) : I~Gasoiine Station ~q~ther (describe) ,~l~.~,'n~ ~.L,e~ .- fs Tank(s) Located on .an Agricultural Farm? []Yes ~ ~ ' "' Is Tank(S) Used Primarily for ;%gricultural PurpoSes? []Yes [~-No "' Facility Address ~ 1.5- -~ ~--~,. Jp. Nearest Cross St.. t/~.~' /~.w~ . . .' T 'R SEC. (Rura'l Locat ions Owner _~~. O~,,~ ~.1 ~--/~ ' Contact Person 'L) · ' Contact Person Operator ~ ~,~ . · Address . " Zip .. Tele[mhone ' B. Water to Facility provided'by. Cl~t,-~. ~b~ ~,~ Depth to' GroUn~atmr ~ Soil Characteristics at Facility ~. ~^ {J¥ "' ' ' ' Basis for Soil Typs and GrOUndwater. De~t~l Determinations ol_, ¢'~o ~..~ C. Contractor. 'n .. ~-~. CA Contractor's LicenSe N~.~ Address Zip Telephol~s ' Proposed start'in~ Date Proposed C~pletion Date Worker' s C~mpensation Certifi6~tion ~ Insure~ D. If This Permit Is For ModificatiOn Of An Existing FaCilitY, BriefiY.Dascribe M~difi~ati~s Proposed ~ ~ · E2 Tank(s) Store (check all that apply): Tank ! Waste Product Motor Vehicle Unleaded Regular Premium Diesel Waste . , .. [] . C] [] F. Chemical Ccmposit:ion of Materials Stored (not necessary for ~otor vehicle fuels) Tank i Chemical Stored (non-commercial name) CAS ! (if kno~) Chemica~ Transfer of OwnershiD '. · ~te of ~fer · Pr~to~ Pr~i°~. Facility N~ I, accept fully all obligatio~ of ~it . .. I ~dersta~-that ~e ~mittt~~ority ~i~y or te~i~te ~e transfer of the ~it '~ ~rate ~is ~ergro~d stor~e facility u~n r~eivi~ ~is c~plet~ fo~. ~is fo~ ~s ~en c~plet~'~der ~lfy of ~rj~y a~ ~ ~e ~st: of my ~wl~e ~' is. true a~ co~t. _ 'A ? ' ~ Sig~ture 3... , : Title , /i. - , .... .~,.. ~aCility Name~ C- I ~.._~ ~ ~.\~, , Permit No. ~ .. TANK ~ .I '(FILL OUT SEPARATE.FORM FOR EAcH TANK) d ~O--R EACH sECTION ,- CHECK ALL APPROPRIATE BOXEs ' ~ 1. Tank is:' [~vaUlt'ed ~Non-Vaulted [~DoubleiWall ~Sing'le~Wail'' ~2. ~ Material ~ ..... ,~Carbon- Steel [2] StainleSs -Steel [] Polyvinyl Chl°~ide. [] Fiberglass-Clad Steel ~ ·~Fiberglass-Reinforced plastic [] Concrete [] Al~ainum ..[] Bronze~ [-TUnknown ~ [Z] Other (describe) ' · ' 3. ~ Containment " Date Installed Thickness (Inches) . Capacity (Gallons) ~ ManufaCturer [Z]Other (desCribe): .. Manufacturer: . []Material Thickness (Inches) Capacity (Gals.) 5. Tank Interior Linincj ----~Rubber []Alkyd' ~Ep~xy ~Phenolic []Glass []Clay. '~Unlined [~lmknown .. ~Other (describe): 6, Tank Corrosion Protection - --~Galpanfzed -~f~-~ass-Clad . ~Polyethylene Wrap ~Vinyl Wrapping []Tar or Asphalt ~Unknown ~None []Other (describe): Cathodic Protection:-. ~None [Z]Impressed Current System []SaCrificial' ;~9ode System 'Describe System & Equipment: 7. Leak Detection, Monitor_~!~, and Int~ . ' ~. 'T~-~ ~-~is~-'~ (vaulted' ~-~-~ only) F]Groundwater .MonitoriW' Well(s) []Vadose Zone Monitoring Well(s) .[]U-Tube Without .Liner []U'Tube with C~mpatible Liner Directing Fl°w to Monitorin~ We,ll(s)* - Vapor Datector* [] Liquid Level Sensor' [] Conductivity Sensor [] Pressure Sensor in Annular Space of Double Wall' Tank" ' [] Liquid ~trieval & Inspection From U-Tube, Monitorir~ Well or Annular Space - ~Daily ~auqing& Inventory Reconciliation [] Periodic Tightness Testing . [~ None Unknown [] Other b.. Piping: . Flow-Restricting Leak Detector(s) for PresSurized' Piping' i. ' []Monitoring Stop with Race~y [] Sealed Concrete Race~¥ []Half-Cut C~mpatible Pipe Raceway []Synthetic Liner Race~ay. []None [] Other ...... 8. Tank Tightness . . - . · · ~W~ W~O~J~l'u .l~-~his Tan~ ~en Ti~htness Tested? F1yes' []NO ~Unknown . Date of Last Tightness Test Results of Test Test Name ' Testing Company 9. Tank Repair Date(s) of Repair(s) Describe Repairs. 10. Overfill Protection ~Operator Fills, Controls, & Visually MOnitors [~vel .. []Tape F~oat Ga~e []Float Vent Valves []Auto Shut- Off Controls [Z]Capa¢itance Sensor []Sealed Fill Box []None []Unknown []Other: List Make. & Model For Abo~e Devices ll. · Piping - - , ' ~' . . a. Underground'Piping:' IDYes []No []Unknown . Material q~l~o~,'~-~ Thickness (inches) · ' . Diameter !" Manufacturer '~^ []Pressure l~IsUCEi°n ~Gravity "Approximate ~ngth of Pipe l~m- .~" b. Underground Piping Corrosion Protection : '~' .......... ." '" ' ' UIGalvanized []Fiberglass-Clad [Z]imlxessed Current. ulSacrlfi'¢lal []PolyethYlene Wrap [Z]Electrical Isolation []vinyl Wrap []Tar or Asphalt [-]Unknown []None [~Other (describe): c. Underqround Piping, Secondary Contair~ent: ' · .... ~Double-~all []S~nthetic Linerl byste~ ~]~one' r~kno~ "~' .' i-]Other (describe): . , .. Normally, permits are.' sent ' to ' facility Owners 'but ,since ~man¥ Owners li've outside Kern County, theymaY choose'to have the. permits sent to the-Operators of the,.facilitY-where they are' to .be posted. Please .fill in Permit # and check One of {he .f011owing before- returning this form .with payment: .... - .. 1 Send all in£ormation to Owner at the address listed on invoice (if Owner is different than · ~ Operator, it will be Owner's responsibility- to provide Operator .. with pertinent information). 2. Send all information to Owner at the following corrected address:. 3. Send all information to Operator: Name Address: (Operator can ~ake copy of permit for '-Owner). ~, '~. ' ENVIRONMENTAL. ;4 EALTH SERVICES. OE ~Ac'':''~ ~'~', .... T .'e.. , 2700 "~" STREET, SUITE '300, ~AKERSFiELD. CA.93301 .. -" (.805) 96 i-'3635 ' 'UN. OERGROUNO HAZARDOUS SUBSTANCE STORAGE FACILITY ..... ~ tNSPBCTION REPORT · ':,.;. PERMI:T~ , T,i;',t~ ~N ;~ Ti~4~ 'OUT NUi',I~: OF, 'TANKS: I , . .................... ~ .......................... . . , ': :' [ FA~ILZ'TY NAD4E:CLARff PLUMBING . ' '. ' .,: FAC IL [ TY' Ae0RESS :,~.!.~._:~,g.~.d_.:.~.,L.:...~.=.~ ............... : ................ :..~.. BAKERSFIELd,. CA ..... ~, ..... , OWNERS "NAg4E,~'CLARK. JOSE-PH;'ONEN ' · ' -. OPERA' ,OR~ NAM::ULARK,: JOSEPH OWEN ' - . ' :COMMEN.TS: : - ' ' .' ',': : ] ' ' .: .... ., ' .....~%~ ............ : ..................................................................... ' ......................................... ~ ................. L_..,: .......................................... : ............................................... :.:. ..... ~ ..EM · . . . V.,OLAT.ONS/OBSERVATIONS..,:r,~,.,,~Au,~. "'" .... ' 'T ~ '~ t ~t~ ~ON~ 'O~ N ~ - ', . t.. 'PRIMARY. ~ON-iINM~NT MONITORING: ' ' T 0 ~ ~¢ a'. Int~ceDtin~an directing ~vstem ' ~ ~U~ ~ I ~ ~ ~ ( D~ Standard lnven~ory Control ~ . ~. .Mooified inven:orV Control ~ .,.~ ~,,.<?.~>:~ . '%, d. In-~ank Level ~ensing Oevice · ']%.: · . .? ;'--,~ ....., . . ,¢,: e.. ~oundwater ~nitoring : " .... ' ''? :~ ::~: :" : f' Vadose' Zone M~itoring .. ..... .. ~ ~ ~EC~NvA~Y CONTAINMENT .a Liner' ; D. Oouble-Wall~d tank : '. · :. Vaut: '=' "'.' a. Pressurized . ,~: . c. Gravit~ ' .,. , 'fi. NEW ....... ,:,,;:~ .... .':~'., l...~.~ ..... ., 'tt 7. CLOSURE,/ASANOONMENT ~. UNAUTHORIZED RELEASE ~~ [ i j . '. Q M~[NTENANCE~ "*'¢*" F:'v · OPERATING CONDi'T[ON OF FACiLiTY' [ .' 1 .':OMMENTS/'~EC(~MENO~TIONS ~. ST2~T ~OUZTO~T~ . . ~ : . ....................... ~, ......................., .....~ .................................... ; ................. ~ ......................... ~ ............................ ~.... ,. ,. . '~ ::==: ': =::2:: :' :.:iT: 7LLL:Z::L:.ZL'~T~ :' LC'LC: Z :::~ LC'.:::~~'bl ~ N- - -~- ~-~C~ ..... ~.~, p ~ .... ~-~ ......... ~ ~ .... . "' ............ : ........ .......... ............ .............. ......................... ................................................... t....,. 2~ ................. : .............. : ........ =~-: ..................................... ~ ..................................................................................... : ....................................... ; .......................... ~ :' .............. :~' ........ ::'~'.;2"':"''_'~'"""=; ....... t':'~':~"-~_.~': ................................................. ~: ......... : .......... ;'~ .............. :'"; ......... ~":'""-: ...................... =': ........ ~ ...........W~ ............ : ~ . .~ ..... ~ .' ~ '"r' ,~ ............. ~ ~ ~ - . - ~ , ~ ........ '" > ..... J~'"'~ CCIJNT~f .AIR ,cOLLUTi(~N ~T~ 2700 "~4" ~ '" (805) 861%3682 ~E I V'A~R RE,VERY ~NSPECTI~ FO~ -=-~=?_~=.._.. =. ........ = ..... . ........................ ~ ................................... ~;T ................................ ..... ............................... ....... 7.....~,:¢/j ............. ......... .~..~%-.- ................... ~ ........................................ , .............. =.= ................................... ~ .................... ~. '- ,~ .=.~i ~ ,~, .~- . " 3. 8~K~ OR ~ISS[NG VA~R CAP '! ,; ,. , ' . .:,:,.: ...... : ' /. '. :1 ; ';,.? ',".;',, ". ¢ ;.'/-:: ";' ;':::~:(. ~F' ' '.?~'-:.'~:::~v'v "A. 5 B~K~ C~ L~K ~ VA~R CAP ~, FiLL CAPS NOT P~PERLY S~&TED ?. VA~R CA~ NOT P~PERLY S~TED ~. '/ · 8' ~K~ ~I~ING F~ FILL CAP "' .... :' ~ ~KET ~I~ING F~ VA~R CAP .... -.,~i0 FiLL ~DAP,~-R ~,T TT~T :r. 11 VAPOR ADAPTOR NOT TZ~T ,:,~., .- 1'2. ~SKET 8E~NE~ AD,~PTOR & FiLL ~ · '""': ~BE MISSING J [~P~PERLY S~TED' " ...' !3. DRY 8R~K ~S~S 0~E~ZORATED '.' .... ~. ~4CESS~VE ',iER-ZCAL P~'Y' :N 15. COAX[AL' F.~ ~BE 3PRZNG . ,..~:~..... .- 18. ,O[hr~4C~ (~LD 8E 6" OR ~ ' · , ... : -, - ............ , , , ..~. , ..: . ,~;, ~-. '~ NAMING : SYST~ ~KED N~ A ~ECK ~OVE :~;*~ ~T~L O~STR~CT ~LE(Sb'20g, 412 ~D/OR 412.1. ~E OAL~FO~JA N~L~ & ~F~ ~DE ' ~::~ ~PEC,Fi~ ~IAL~--OF~:0P--TO' $-17000:08 '*:*~ 861:~582 ,~CE,~Z.NG FINAL RE~CLUT~ OF ~E V~OLATZ~(~) ~ ' I F[I.E CONTENTS.. IN~E~IToNY · I~Permit to Op~ra(~ IO~DOd)~)St~ ._3 Date ~Constructio~ Permit ~ Date ~P.erm~t to abandon~ .. No. 'gl Tanks Date ~ended Permit Conditions - Permit Application Form, / Tank Sheets, ~'-~ ~lq~.~ ApptlcaClon to Aba_n_don__ tan! ~'Copy~ of Written Contract Between Owner & Operat ~InspecCion' Reports · , Da te , , , DaCe ~ Abandonment/Closure Reports ' ' " ~Sampling/Lab Reports " ~V~ Compliance Check (Ne~ COnaCruc.Cion CheCklist). .~STD C~plianee Check (Ne~ Construction Checklist) ~VE Pla. ri' Check (Ne~ Co'nsCruccion) ~STD Plan CheCk (Ne~ Cona~rucClon) ~VE Plan Check (Existing PaclliCy) STD Plan Check .(.Exlsciag Facility) ~"Incomplece. Application" ~orm ~PermlC Application Checklis~ ~Permlt Instructions ~Discarded .~Tlgh~neas Tes~ Results ' --' Date ' ' . Da~e ~NoniCori~ Nell Cons~ru~'tion Dada/Permits Date , ", ~Envlronmen~al Sensitivity Data= -- ---- Ground~aCer Drilling, Boring Logs .. Location o[ Hater Hells ~S. Ca~emen~ 0E Underground Conduits " ~Plo~ Plan ~eacuring Al1' Envlronm'enCally Sensitive Da~a ~PhoCos ~ConsC.ruc~ion Dra~lngs Location: .~Hal~ shee~ sho~ing ~aCe received and rally o[ inspection Cim~; ~i scel laneous ~?oo F~ower Street KERN COUNTY HEALTH DEPARTMENT ' H~L'r. OF~CER Bakersfield, California 93305 ".' Leon M Hebedson, M.D. ENVIRONMENTAL HEALTH DIVISION ~ Telephone (805) 861-3636 . · SUBSTANCES \%~9~~Y/ ' · · ' ":. ' 'UNDERGROUND HAZARDOUS ............... ST01~GE '~-~biLITY ' FACILITY: . ' '~ ,I OWNER: - . :. "·~. .'..- 'CLARK-'PLUMBING I CLARK, [JOSEPH OWEN ... .:. . · 315 'S0TH STREET - :.. I 315 30TH STREET BAKERSFIELD, CA .~.. . . . ... " ~ .:' ...- BAKERSFIELD, CA 93301 .. . . . -~ ;:_..- __: : . . · .~.._._. ........ _ ': 'TANK # AGE{ TN YRS) SUBSTANCE CODE pREssURiZED PIPING?' (';'":?:2'. 1 23 ., MVF 3 -.' .: . NO NOT,~: Ar, r, INTERIM REqOIREMENTS ESTZ~r, ISRED ]~Y TH][ PERMITTING ' AUTHORITY.MOST BE MET DURING THE TERM OF THIS PERMIT NoN__TRANSF'ERABLE *** POST .ON 'PREMISES .. ,-.'DATE PEPRIT mIT,ED: JUL 1 6 1986 . .- '- .. ...' DATE ~ERMI~ CHI~K LIST R~R.,NED: - '-'V. ' -. .. '~........ · ...... . .;~.- , :'..... : - . ' ~., . 2~ .. ~:- .. ..-.. '.~ , j-: -... . . . . ~, ..' .): . · . .:,.. .... -~:' .~:. _,.~._.' .~: ~, .%. ./~.- ~ ~... Division o£ Environmental Health Application Date .]~ ~y ~-~ - "' 1.700 Flower Street, BakerSfield, CA 9~305 · .-' APPLICATION" FOR PERMIT TO opERATE UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY Type of Application (check): [-]Ne'{~ Facility [']Modification Of Facility DEx!sting Facility ~]Transfer of Ownership A. ~nergency 24-Hour Contact (name, area code, ,phone): .Days . .: ( ~o ~-) ~ ~ 7- Type of Business (check): ~lGa'soline StStion ~(~cher (describe) ~fCm ~ ,'~ <"~¢~ · Is Tank(s) Located on an Agricultural Farm? UlYes ~¢No ' ¢ ' Is Tank(s) Used Primarily for P¢3. ricultural Purposes? E]yes [~rNo Facility .>Address _% i-T- 30 ~ 3P. 'Nearest Cross .St. '~-/'~,'O,~ --.--Tn~r j~_R .~ ~ SEC (Rural Locations ~ly) Operator .... }%-%T- ......... ¢ ............................ ~ ........................................ Conta'ct~'Pers°n .... BaSis for Soil Typo and Grour~water Deptl~ Deteminations o.C~o~,~ od C. Contractor n . ~-~ ' CA Contractor' s L/cerise ~. · Address Zip ' Telephone ' ' ' Proposed Startin~ Date Proposed' Canpletion Data Worker' s Compensation Certification [ Insurer. D. If This Permit Is For ModifiCation Of An EXistin~ Facility, Briefly Describe 'Modificatiolls Proposed E. Tank(s) Store (check all that apply): Tank '~ l~aste Product ' Motor Vehicle Unleaded Regular Premium Diesel %gaste [] [] [] B F.Chemical Composition of Materials Stored (not necessary for motor vehicle' fuels). . Tank I Chemical Stored (non-co~mercial name) CAS ! (tf kno~) Chemical Pre~tousl¥ (if different) G. Transfer.of Ownership Date of ~--ansfer : Previous Owner " Previous Facility Name I, accept fully all obligations of Permit No. issued to -: . I understand .that the Pemitting Authority may ~eview and modify or terminate the transfer of the permit to Operate this ~der9ro~d storage. '" lit¥-uP°n~receiving this., completed., form......................................................... ~ ............. : ................. 'TANK-~' '(FILL OUT SEPARATE FORM FOR EA~d TANK) F~R EACH SECTION, CHECK ALL APPROPRIATE BOXES H.1. Tank is: [-]~aul'ted ~Non-Vaulted -[~Double-Wa'll ~Single-Wall 2. ~ Material : ~C~rbon steel [] Stainless Steel [] Polyvinyl Chloride. [~ Fiberglass-Clad Steel ;' '~Fiberglass-Reinforced Plastic [] Concrete ~ Al~in~n [~ Bronze [-]Unknown '. [] Other (describe) 3. Primary Containment Date InstaIled Thickness (Inches) 'Capacity' (Gallons) Manufacturer ~. Tank Se¢ondar~ Containment . --( ['1Double-Wall [] Synthetic Liner [] Lined Vault ~lone [-~Unknown .. : -. [~Other (describe): Manufacturer: ~Ma.terial Thick~ess (Inches) Capacity (Gals.) 5. Tank Interior Lining ~R6~ber [:]ktkyd DZp~xy •l~enol{c •Glass []Clay OUnli,ed ~mkn°~'~!!?, ! ~Other (describe): Cathodic P~otection: []None []Impressed Current System l'lSacr~fi¢~al Anode · : 7. ' Leak Detection, MOnitoring, and Int~ ~. ~-~-~ ~-~isual (vaulted ~-~ only) [-IGroundwater Monitoring' · ,. ,~. i'lVadose Zone'Monitoring Well(s) flU-Tube Without Liner :""'"'~- .' flu-Tube with Compatible Liner Directing Flow to Monitoring We.Il(s)* :~.'- ' '"" ~'" ..,~!'1 Vapor Detector* [] Liquid Level Sensor* [] Conductivity. Sensor= ' '-: ..... ' .... .... ?" '"[2] Pressure Sensor in Annular Space of Double Wall Tank-'- ' [] Liquid ~trie~al & Inspection From U-Tube, Monitoring Well' or ;~nnular S~ace - ~'Daily Gauging & Inventory Reconciliation []Periodic Tightness Testing D None [2] Unknown [] Other b. -Piping: Flow-Restricting Leak Detector(s) for Pressurized Piping'" ~-~'~Monitoring Sump with Raceway '[]Sealed Concrete Race~y D-]Half-Cut Compatible Pipe Raceway []Synthetic Liner Raceway .[]None ~43nknown [] Other *Describe Make & Model: 8.' ~en ' Tightness Tested? ["lyes []No ~ll. lnknown Date of Last Tightness Test Results of Test Test Name Testing Company " 9. Tank Repair Tank Repaired? []Yes. ~]~No []Unknown Date(s) of Repair(s) Describe-Repairs ~,~ ~ ~. - 10. Overfill ProteCtion I~perator Fills, Controls, & Visually Monitors l~vel . []Tape F~oat Gauge []Float Vent Valves [] ~uto Shut- Off Controls [:]Capacitance Sensor FISealed Fill Bo× []None. []unknown '" "~ [']Other: List Make & Model 'For Above Devices .11. Piping a; Underground Piping: ~Yes. [~]No []unknown Material' q=/~=~,'~-~ ~ ~ Thickness (inches) Diameter ~" Manufacturer ~^ []Pressure ~]Suction []Gravity ~----~-~imate Length of Pi'~e''l~xl ......... - ......... b .... Undergr0.und. Piping Corrosion Protection.: ~ ~gGalvanized []Fiberglass-Clad []Impressed Current []SacrificiaI 'AnOde ....... ~ []Polyethylene Wrap []Electrical Isolation []Vinyl wrap []Tar or Asphalt []Unknown. []None []Other (describe): c. Underground Piping,, Secondary Contai~uent: [~Double-Wall []Synthetic Liner b~/stem ~]NOne []Unknown [:]Other (describe): Pernt t (~ues t.i onnat re " T- N'6~m~FF~-~=~-~r-~i ~'--~-~:~:~:~-n~ .... t~'=-f~Fl:~t:y.~o~n~=~:~'~:t~-~-'~-~h~'-~ ..... ~"' Owners live outside Kern'County, they may choose to have the permits ~ent to the Operators of the. facility where they are to he posted'. - : : PZeaSe flll in Permit # and check one of the ~ollowin~ before returning this form with payment: - ' - , -..'.. ~ _ ' ,::'~ ~-~ '~'i.'i i. ~..., ~ 1. Send all 'lntorna,tlon 'to Owner at the ad~ress :'. "~'.'' .. . .. :. - ~.~. ~'..~-~. , :':. · 11sted °n invoice (if.Owner is different than . " '"' .. . ~"... " Operator, it will. be Owner's 'responsibility .:'' :- ....' 'to provide Operator with pertinent .. " information).~ g. Send all information to O~ner at the following corrected address:' 3. Send all ~ to- information Operator: Name: Address: (Operator can make copy of permit for Owner).