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· . ,.....-
. . .. . ~ . .- .; ~1 ~ ~'1 ~x St~e~uc~um
, · Foreman
· '.' '- ., Camarillo, Cali{ornia 93010 ,. ' ': ' ':'. ;""
805-388-3775
:' . ... "~ ~. ~. .",.:. ...'
P PECTI ONS
{ ACTIVITY "" .' INITIALS TIME
DATE
.. FILE CONTE.~ITS SUMMARY
PERMIT #: O~d~~ ENV. SENSITIVITY:, E g
Activity Date # Of Tanks Comments
_ ~/~rc .......... ,~l'U ~q .......... , ...... ~ ........ ~ ..... ~-~
OK M~r
GARY J, W:ICKS
2700 M Street, Suite 300
Agency Director r Bakersfield, CA 93301
{805) 861-3502 Telephone (805) 861-3636
.: Telecopier (805) 861-3429
STEVE Mc CALLEY -
Director RESOURCE MANAGEMENT AGENCY
DEPARTMENT oF ENVIRONMENTAL
H~ALTH SERVICES
March 28, 1990
K Mart Corporation
1184 N. Citrus
Covina, California
CLOSURE OF 1 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANK LOCATED
AT 401 34TH STREET IN BAKERSFIELD, CALIFORNIA.
PERMIT # Al124-06/060025
This is to advise you that this Department has reviewed the project
results for the preliminary assessment associated with the closur~
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.
u for your cooperation in this matter.
1220 Avenida Acaso
............................ Camar~l~o~'~CA'
March 22,
Cama~'93012
Mr. Brian PiRs (805) 388-3577 (F~)
Kern Coun~ Environmental Health Depaament
2700 M Street, Suite 30O
Bakersfield, CA 93301
ac: ....... K-Mae. Underground.Storage ;ank aemovais
Bakersaeld and Delano Sites
Dear Mr. PiRs:
Enclosed please find copies of the following for the above-referred-to Proje~s:
1. Non-H~ardous Waste Hauler Records
2. Uniform H~ardous Waste Manifests
Gibson Oil & Reining Company Receipt Ticket
4. FGL Environmental kaborato~ Analyses Repoas
It you have any questions, or need more information, please feel cree to give me a call at (805)
388-3775.
Sincerely,
Brenda Miller
Project Coordinator
/bm
Enclosures
Reference: 325006 KIO
(~o~) ~-5~o ; ~' N9 13 5 ~ 0
NON-H~RDOUS WASTE HAULER RECORD
TO BE USED FOR NON-HAZARDOUS WASTES ONLY
Type ~- '~ ~ ~~
Name ~ ~~, Generating Locatio~ ~: ,~ ~ '~ ~
~eld Aadress ~ ~~ ~ ~ Special Handling InStruct ons:
C~, State, ~ ~ ' ~ '.~ Gloves ~ Goggles ~ Oth~
C;~. State. ~p ~~~%~/~ ~ ~ ~ NOT~: ~is ~orm to ~e use~ in lieu ot me O,.,ifom,a DeOa~ment of Health Set-
..... ~ices Hazardous WaSte Manifest for NON-HA AROOUS wastes only.
Phone ' ~~- .~E~-_ ~~ REMARKS:
Sign~ut~ r~.~r
Oa ~
OtSPQSAL FACIU~. I (Fac,li~ Ope,ator Mus, Com,lete, Quanti~ ,eceive~ /BbIs."~ Date
· OlSPOSAL M~O0: ~ Sudace I~oun~nt ~ ~ ~ Injection
~~ ~ ~/~!~ NOTE, It is .ot ,ecessa~ to sen~ cooy to:OeDL of Heait, ,e.ices.NO H~RDOUS F''' 'HQULO 8E L~'~
, ~,
GENERATOR COPY ; ,'
................... ..... ,,~,.. $~. ~.~ . ..~ ,.....E..., ...,..
' ' ' ' ' "**~'~r.'.""9. '~"~ ~¥ ,*'~:' '.'.~. ; ~*,:': .
" ~ b, :' ' ,~. :., ,;.".
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' ' If I am I lerQe qu~htlfy geno~el~, I ce~l~ that I hevei ~ooram Ih Cate to r~duce 1he volume and toxicity ol weete ~en~lted tO t~e d~foe I h~ve dM~rml~ed .. ·
. ~ '"4',,".' '"
,,, .'~-~ ~.' ~d.~.. , '.. *.' ~' ..~ :..*.; ., ~. ,'~ .~.~,,~;. ..... :,~ ..;,.,.~ ?~-~ .. .e~,.:..~.. .. . -,..,.:,~ ~,.~;~.. , , ~-.' ~....
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· ~ ~1~1~I' '~ ~ ' ". .' '.. ,. ·
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~ '' " I' ::. ': ... · '',...
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I 20, F*~tlity Ow~e¢ ~ Operolo~ C*~lll~.tl~ ol receTpl of h.tmrdoui'm~$rlmlm ~OV~'e~ ~y lhi, mBni'~'~ot ,xcept ea ~ot$~ In Itom ~g. ' .....
.. - .' ,' ~' r~ ..... ',~./ ' ' '.'" ""':'"'.' · '~"; .... ~":;~": ~'1//:':.1~' I~ I':';'
FGL ENVII1ONMENTAL
ANALYTICAL CHEMISTS
March 5, 1990
Lab No. 23384-1'
ENSR Constructors
1220 Avenida Acaso
Sample Description: KMART Bakersfield 34th Street - 2'
Sampled by: Nell dessup
Date-Sampled: February 8, 1990
Date Received: February 9, 1990 Date Analyzed: February 19, 1990
VOLATILE ORGANICS IN SOIL (GC/MS)
................................................. EPA-METHOD'8010
REPORT OF ANALYSIS
Detection Detection
Limit Limit
Compound ug/kg ug/kg Compound ug/k~ ug/kg
' Bromodichloromethane ND 5.0 1,2-Dic'filoropropane ~ 5.0
Bromoform ND 5.0 cis-l,3-Dichloropropene ND 5.0
Bromomethane ND 10.0 trans-l,3-Dichloropropene ND 5.0
Carbon Tetrachloride ND 5.0 Methylene Chloride ND 5.0
Chloroethane ND 10.0 1,1,2,2-Tetrachloroethane ND 5.0
Chloromethane' ND 10.0 Tetrachloroethene ND 5.0
Chloroform ND 5.0 1,1,1-Trichloroethane ND 5.0
Dibromochloromethane ND 5.0 1,1,2-Trichloroethane ND 5.0
1,1-Dichloroethane ND 5.0 Trichloroethene ND 5.0
1,2-Dichloroethane ND 5.0 Trichlorofluoromethane ND 5.0
1,1-Dichloroethene' ND 5.0 Vinyl Chloride ND 10.0
trans-l,2-Dichloroethene ND 5.0
ND: Not detected at or above the
concentration of the detection limit.
ug/kg = ppb
Very truly yours, ~A ui.~~
Charles Green, Ph.D.
Laboratory Director En/onmytal 'Chemi st
CG/GG:mlh
MAIN OFFI(JE -- 851(X~llPORATI¢}bl.qTREFT.. ~O. ~.Y2T2 RRANCIIOFFIC'iE-- 2Y~OSTAC, ECOACIIROAD
& LABORATORY SANTA PADUA, CAI.IFORNIA 93060-11272 & LAIIORAT(')RY STOCKTON, CAUIFORNIA 95205
(~05) 525-3824 -- (805) 659-0910 (209) 942-0181
FGL EN'VIR qMENTAL
ANALYTICAL CHEMISTS
March 5, 1990
kab No. 23384-2/DDPklCATE
ENSR Constructors
1220 Avenida Acaso
Camarillo, California 93010
a~ scrip~ioh:
Sampled by:' Neil Jessup
Date Sampled: February 8, 1990
Date Received: February 9, 1990 Date Analyzed: February 19, 1990
,',~ VOLATILE ORGANICS IN SOIL (GC/MS)
.L" EPA METHOD 8010'
REPORT OF ANALYSIS
Detection Detection
Limit Limit
Compound ug/kg ug/kg ,~ompound
Bromodichloromethane ND 5.0 1,2-Dichloropropane
Bromoform ND 5.0 cis-l,3-Dichloropropene ND 5.0
Bromomethane ND 10.0 trans-l,3-Dichloropropene ND 5.0
Carbon Tetrachloride ND 5.0 Methylene Chloride ND 5.0
Chloroethane ND 10.0 1,1,2,2-Tetrachloroethane ND 5.0
Chloromethane ND 10.0 Tetrachloroethene ND 5.0
Chloroform ND 5.0 1,1,1-Trichloroethane ND 5.0
Dibromochloromethane ND 5.0 1,1,2-Trichloroethane ND 5.0
1,1-Dichloroethane ND 5.0 Trichloroethene ND 5.0
.1,2-Dichloroethane ND 5.0 Trichlorofluoromethane ND 5.0
1,1-Dichloroethene ND 5.0 Vinyl Chloride ND 10.0
trans-l,2-Dichloroethene ND 5.0
ND : Not detected at or abov~ the
concentration of the detection limit.
ug/kg = ppb
Very truly yours,
FGL ENVIRONMENTAL
Charles Green, Ph.D. ii, M.S.
Laboratory Director ~tal Chemist
CG/GG:mlh
MAIN OFFICE - 853 CORPORATION STREET - P.O. BOX 272 BRANCH OFFICI~ - 2500 STAGECOACH ROAD
& LABORATORY SANTA PAULA, CALIFORNIA 93060-0272 & LABORATORY STOCKTON, CALIFORNIA 95205
(805) 525-3824 -- (805) 659-0910 (209) 942-0181
FAX (805) 525-4172 FAX (209) 942-0A23
FGL ENVIR ON'MENTAL
ANALYTICAL CHEMISTS
March 5, 1990
Lab No. 23384-2/SPIKE
ENSR Constructors
1220 Avenida-Acaso
Camarillo, California 93010
Sample Description: '-KMART- Baker~e-iJ-~4th' s~reet - 6' .............
Sampled by: Nell Jessup
Date Sampled: February 8, 1990
Date Received: February 9, 1990 Date Analyzed: February 19, 1990
'~ VOLATILE ORGANICS IN SOIL (GC/MS)
-,,~ EPA METHOD 8010
......... REPORT OF ANALYSIS .. ...............................................
Percent Percent
Compound Recovery Compound Recovery
Bromodichloromethane 141 1,2-Dichloropropane 123
Bromoform 295 cis-l,3-Dichloropropene 187
Bromomethane 60 trans-l,3-Dichloropropene 147
Carbon Tetrachloride 92 Methylene Chloride 76
Chloroethane 55 1,1,2,2-Tetrachloroethane 258
Chloromethane 63 Tetrachloroethene 90
Chloroform 63 1,1,1-Trichloroethane 91
Dibromochloromethane 198 1,1,2-Trichloroethane 198
1,1-Dichloroethane 57 Trichloroethene 103
1,2-Dichloroethane 97 Trichlorofluoromethane 53
1,1-Dichloroethene 58 Vinyl Chloride 66
trans-l,2-Dichloroethene 58
Note: Apparent interference of sample with spiking mixture. Spiked sample
run in duplicate with similar results.
ND = Not detected at or above the
concentration of the detection limit.
ug/kg = ppb
Very truly yours, ~~~~.~/~/~
FGL ENVIRONMENTAL
Charles Green, Ph.D. G~Or~e/Gui~i, M.S.
Laboratory Director Envi~nme~al'Chemist
CG/GG:mlh
MAIN OFFICE - 853 CORPORATION STREET - EO. BOX 272 BRANCH OFFICE - 2500 STAGECOACH ROAD
& LABORATORY SANTA i'AULA, CALIFORNIA 9306~-0272 & LABORATORY STOCKTON, CALIFORNIA 95205
(805) 525..3824 -- (R05) 65q 0010 (209) 942-0181
FAX (~05) 52.5-4172 WAX (200) 942-0423
FGL EN'VIR¢~ .~MENTAL
ANALYTICAL CHEMISTS
oO
March 5, 1990
kab No..23384-1
ENSR Constructors
1220 Avenida Acaso
Camarillo, California 93010
...... T-Sample Description: .... KMART Bakersfield 34th Street's'-2' Sampled by: Nell Jessup
Date Sampled: February 8, 1990
Date Received: February 9, 1990
UNDERGROUND STORAGE TANK ANALYSES
................................................................................. Reporting ....... Detection
Parameter Test Results Unit Limit
Total Lead (7420/7421) I mg/kg i
ND: Not detected at or above the
concentration of the detection limit.
mg/kg: ppm
Maximum contaminant levels/action levels are dependent upon local conditions.
Please check with your local Environmental Health office for this information;
Very truly yours,
FGL ENVIRONMENTAL, INC.
Steve McCloskey, M.S. Charles Green, Ph.D.
Inorganic Laboratory Manager Laboratory Director
SM/CG:mel
MAIN OFFICE - 853 CORPORATION STREET - P.O. BOX 272 BRANCH OFFICE - 2500 STAGECOACH ROAD
& LABORATORY SANTA PAULA, CALIFORNIA 93060-0272 & LABORATORY STOCKTON, CALIFORNIA 95205
(805) 525-3824 -- (805) 659-0910 (209) 942-0181
FAX (805) 525-4172 FAX (209) 942-0423
FGL ENvIRC TMENTAL
ANALYTICAL CHEMISTS-- _
March 5, 1990
Lab No.' 23384-1/DUPLICATE
ENSR Constructors
1220 Avenida Acaso
Camarillo, California 93010'
Sampled by: Nell Jessup
Date Sampled: February 8, 1990
Date Received: February 9, 1990
UNDERGROUND STORAGE TANK ANALYSES
.... Reporting D4t~C[i'bn
Parameter Test Results Unit Limit '.
Total Lead (7420/7421) 1 ms/kg 1 ~ '-
ND = Not detected at or above the
concentration of the detection limit.
mg/kg,= ppm
Maximum contaminant levels/action levels are dependent upon local conditions.
Please check with your local Environmental Health office for this information.
Very truly yours,
FGL ENVIRONMENTAL, INC.
Steve McCloskey, M.S. Charles Green, Ph.D.
Inorganic Laboratory Manager Laboratory Director
SM/CG:mel
MAIN OFFICE - 853 CORPORATION STREET - P.O. BOX 272 BRANCH OFIqCE - 2500 STAGECOACH ROAD
& LABORATORY SANTA PAUI.A, CALIFORNIA 93060-0272 & LABORATORY STOCKTON, CALIF4DRNIA 95205
(805) 52~3524 -- (R05) 659- 0~10 (209) 942-0181
FAX (805) 525-4172 FAX (209) 942-0423
FGL ENvIR , vlENTAL '
ANALYTICAL CHEMISTS
March 5, 1990
Lab No. ~23384-1/SPIKE
ENSR Constructors
1220 Avenida Acaso
Camarillo, California 93010
Sample Description~--~MART Bakersfield ~4th Street =2' ...... '-'~=~---=
Sampled by: Neil Jessup
Date Sampled: February 8, 1990
Date Received: February 9, 1990
UNDERGROUND STORAGE TANK ANALYSES
Parameter Percent ReCovery
Total Lead (7420/7421)' 100
ND = Not detected at or above the
concentration of the detection limit.
mg/kg = ppm
Maximum contaminant levels/action levels are dependent upon local conditions.
Please check with your local Environmental Health office for this information.
Very truly yours,
FGL ENVIRONMENTAL, INC.
Steve McCloskey, M.S. Charles Green, Ph.D.
Inorganic Laboratory Manager Laboratory Director
SM/CG: me 1
MAIN OFFICE - 853 CORPORATION STREE'F - EO. BOX 272 BRANCI t OFFICE - 2500 STAGECOACH ROAD
& LABORATORY SANTA PAULA, CALIFORNIA 93060-0272 & LABORATORY STOCKTON, CALIFORNIA 95205
(805) 525-3824 - - (~0~) 65C). 09 ! 0 (20q) 942 -0181
FAX (805) 525-417'2 FAX (20q) 942-04Z3
FGL ENvIR - IMENTAL h
ANALYTICAL CHEMISTS
March 5, 1990
Lab No. 23384-2
ENSR Constructors
1220 Avenida Acaso
Camarillo, California 93010
Sampled by: Neil Jessup
Date Sampled: February 8, 1990
Date Received: February 9, 1990
· ~ UNDERGROUND STORAGE TANK ANALYSES
Parameter Test Resul ts Unit Limit
Total Lead (7420/7421) 3 mg/kg 1
ND: Not detected at or above the
concentration of the detection limit.
mg/kg = ppm
Maximum contaminant levels/action levels, are dependent upon local conditions.
Please check with your local Environmental Health office for this information.
Very truly yours,
FGL ENVIRONMENTAL, INC.
Steve McCloskey, M.S. Charles Green, Ph.D.
Inorganic Laboratory Manager Laboratory Director
SM/CG:mel
MAIN OFT:ICE - 853 CORPORATION STREET - P.O. BOX 272 BRANC~ 1 OFFICE - 2500 STAGECOACH ROAD
& LABORATORY SANTA PAUl.A, CALIFORNIA 93060-Ct272 & LABORATORY STOCKTON, CALIFORNIA 95205
(805) 52~3824 -~ (80~) 659-0010 (209) 942-0181
FAX (805) 525-4172 FAX (209) 942-0423
FGL ENvIRG dENTAL
ANALYTICAL CHEMISTS
March 5, 1990
Lab No. '23384-1
ENSR Constructors
1220 Avenida Acaso
Camarillo, California 93010
Sampled by: Neil dessup
Date Sampled: February 8, 1990
Date Received: FebrUary 9, 1990
~ OIL AND GREASE
~- STANDARD METHODS $520E MODIFIED
........................... REPORT OF ANALYSIS
Reporting Detection
Parameter Test Results Unit Limit
Oil and Grease ND mg/kg 50
ND: Not detected at or above the
concentration of the detection limit.
mg/kg : ppm
Maximum contaminant levels/action levels are dependent upon local
conditions. Please check with your local Environmental Health office for
this information.
Very truly yours,
FGL ENVIRONMENTAL, INC.
Uday Sathe, M.S. Charles Green, Ph.D.
Environmental Chemist Laboratory Director.
US/CG:mel
MAIN OFFICE - 853 CORPORATION STREET - EO. BOX 272 BRANCH OFFICE - 2500 STAGECOACH ROAD
& LABORATORY SANTA PAULA, CALIFORNIA 93060-0272 & LABORATORY STOCKTON, CALIFORNIA 95205
(805) 525-3824 -- (805) 659-0910 (209) 942-018!
FAX (805) 525-4172 FAX (209) 942-0423
ANALYTICAL CHEMISTS
March 5,. 19~0
Lab No. 23384-2
ENSR Constructors
1220 Avenida Acaso
Camarillo, California 93010
Sample Description: KMART Bakersfield 34th Street - 6'
Sampled by: Nell Jessup
Date Sampled: .February 8, 1990
Date~Received: February 9, 1990
OIL AND GREASE
STANDARD METHODS 5520E MODIFIED
................................... REPORT OF-ANALYSIS
Reporting Detection
Parameter Test Results Unit Limit
Oil and Grease ND mg/kg 50
* = Less than
ND = Not detected at or above the
concentration of the detection limit.
mg/kg : ppm
Maximum contaminant levels/action levels are dependent upon local
conditions. Please check with your local Environmental Health office for
this information.
Very truly yours',
FGL ENVIRONMENTAL, INC.
Uday Sathe, M.S. Charles Green, Ph.D.
Environmental Chemist Laboratory Director
US/CG:mel
MAIN OFFICE - 853 CORPORATION STREET - P.O. BOX 272 BRANCH OFFICE - 2500 STAGECOACH ROAD
& LABORATORY SANTA PAULA, CALIFORNIA 93060-0272 & LABORATORY STOCKTON, CALIFORNIA 95205
(805) 525.3~24 -- (~05) 659-0910 (209) 942-0181
FAX (805) 525~1172 FAX (209) 942-0423
': 'FGL EN'VIRki 'MENTAL ' -
ANALYTICAL CHEMISTS
March 5, 1990
Lab No. 23384-1/DDPklCAIE
ENSR Constructors
1220 Avenida Acaso
Camarillo, California 93010
Sampled by: Neil Jessup
Date Sampled: February 8, 1990
Date Received: February 9, 1990
~ 0IL AND GREASE
STANDARD METHODS 5520E MODIFIED
"' REPORT OF ANALYSIS
Reporting Detection
Parameter Test Results Unit Limit
0il and Grease ND mg/kg 50
*: Less than
ND = Not detected at or above the
concentration of the detection limit.
mg/kg : ppm
Maximum contaminant levels/action levels are dependent upon local
conditions. Please check with your local Environmental Health office for
this information.
Very truly., yours,
FGL ENVIRONMENTAL, INC.
Uday Sathe, M.S. Charles Green, Ph.D.
Environmental Chemist' Laboratory Director
US/CG:mel
MAIN OFFICE - 853 CORPORATION STREET - P.O. BOX 27~ BRANCH OFFICl~ - 2500 STAGECOACH ROAD
& LABORATORY SANTA PAUI.A,. CALIFORNIA 9306047272 & LABORATORY STOCKTON, CALIFORNIA 95205
(aOS) 525-3~24 ..- (~O5) 659-0910 (209) 942-0181
FAX (805) 525-4172 FAX (2(19) 942-04Z3
FGL ENVIR ENTAL
ANALYTICAL CHEMISTS
March 5, lggO
Lab No. 23384-1/SPIKE
ENSR Constructors
1220 Avenida Acaso
Camarillo, California 93010
Sample Description: KMART Bakersfield 34th str6et'-~ 6'
Sampled by: Nell Jessup
Date Sampled: February 8, 1990
Date.~Received: February 9, 1990
OIL AND GREASE
" .STANDARD METHODS 5520E MODIFIED
........................................ . ....... REPORT OF ANALYSIS
Parameter Perqent Recover~
Oil and Grease I08
* = Less than
ND : Not detected at or above the
concentration of the detection limit.
mg/kg = ppm
Maximum contaminant levels/action levels are dependent upon local
conditions. Please check with your local Environmental Health office for
this information.
Very truly yours,
FGL ENVIRONMENTAL, INC.
U . Charles Green, Ph.D.
Envi ronmenta 1 Chemi s t Laboratory Di rector
US/CG :mel
MAIN OFFICE - 853 CORPORATION STREET - P.O. BOX 272 BRANCH OFFICE - 2500STAGECOACH ROAD
& LABORATORY SANTA PAUt.A, CALIFORNIA 93060-0272 & LABORATORY STOCKTON, CALIFORNIA 95205
(805) 525-.tsi24 --- (SitS) 659-0910 (209) 942-0181
FAX (8(15)' ~25-4172 FAX (209) 942-0423
Address 34~
.... ~e..Kern Cowry }Health/Deponent'
contractor:. '~" ~
ri ed ':representative of contraotor certifies by sl~lng belo
s)-hace been decont~lnated In accordance with Rern County
. ,'."~. )'},< ..... ~reptment, storage, ~ dtsposal factltty accepttn{ !ank(s){ ,,-:=..: , ,.-..??".> 2' :.
GARY J. WICKS ~/i 2?00 M Street, Suite 300
AgenCy Olrector , ~q Bekersfidd, CA 93301
{805) 861-3502 "-- Telephone (805) 881-3638
STEVE McCALLEY ' '' ~~~~~,~,~a Te~ecopJer (805) 861-3429
o,,ecto,,, R'E S"o u R c E. ' DEPART '~~~ N T, MENTAL AGENCY
PE~IT FOR PERANENT CLOSURE '~~? PERMIT NU~ER A 1124-06
OF UNDERGROUND HAZARDOUS '~~ .... ' '" ........
SUBSTANCES STORAGE FACILITY
FACILITY NAME/ADDRESS: OWNER(S) NAME/ADDRESS: CONTRACTOR:
K-Mart ........ K-Mark Corporation ENSR Constructors
34th Street 1184 N. Citrus Avenue ' /2~0-/Evenida ACASO _
Bakersfield, CA Covina, CA C. ma o, CA
License #537220
Phone: (818) 915-7239 Phone: (805) 388-3775
PERMIT FOR CLOSURE OF PERMIT EXPIRES May 1~ 1990
_.1 TANK(S) AT ABOVE APPROVAL DATE ~---~Febr._u~rv ~ 1990
Dan Starkey, R.E.H,~
Hazardous Materials S~
.; ................................................................................... POST ON PREMISES .....................................................................
CONDITIONS AS FOLLOWS:
1. It is the responsibility of the Permittee to obtain permits which may be required by other regulatory agencies prior to beginning work. (i.e.,
Fire and Building Departments)
12. Permittee must notify the Hazardous Materials Management Program at (805) 861-3636 two working days prior to tank removal or abandon:
in place to arrange for required inspections(s).
3. Tank closure activities must be per Kern County Environmental Health and Fire Department approved methods as described in Handbook
30.
4, It is the contractor's responsibility to know and adhere to all applicable laws regarding the handling, transportation or treatment of haze
materials.
$. The tank removal contractor must have a qualified company employee ousite supervising the tank removal. The employee must have tank re:
experience prior to working unsupervised.
6. If any contractors other than t hose listed on permit and permit application are to be utilized, prior approval _must be ~ranted by the s_p.x.
listed on the permit. Deviation from the submitted application is not allowed.
7. Soil Sampling:
a. Tank size less than or equal to 1,000 gallons - a minimum of two samples must be retrieved from beneath the center of the tank at
of approximately two feet and six feet.
b. Tank size greater than 1,000 to 10,000 gallons - a minimum of four samples must be retrieved one-third of the way in from. the
each tank at depths of approximately two feet and six feet.
c. Tank size greater than 10,000 gallons - a minimum of six samples must be retrieved on-fourth of the way in from the ends of eac
and beneath the center of each tank at depths of approximately two feet and six feet.
8. Soil Sampling (piping area):
A minimum of two samples must be retrieved at deplhs of approximately two feet and six feet for every 15 linear feet of pipe run and ur.
.................. -dispenser area. ._ __
PERMIT FOR PERMANENT CLOSURE PERMIT NUMBER A 1124-06
OF UNDERGROUND HAZARD.QUS ADDENDUM
SUBSTANCES STORAGE FACILITY
9; ' Soil Sample analysis:
a. All soil samples retrieved from beneath gasoline (I.eaded/unleaded) tanks and appurtenances must be analyzed for benzene, toluene, xylene
and total petroleum hydrocarbons (for gasoline).
b. All soil samples retrieved from beneath diesel lanks and appurtenances must be analyzed for total petroleum hydrocarbons (for diesel.
and benzene.
-~ - ---~-- ~:- ------g-.---~-- ~-=~dl soi~ samples .r~*t ricvc~-rom bencath wasteoil tanks and-appurtcnancesmust~bcanni'yzexi for total, organichafides, lcad~ oil altd- l~sc
d. All soil samples retrieved from beneath crude oil tanks and appurtenances must be analyzed for oil and grease.
e. All soil samples retrieved from beneath tanks and appurtenances that ~.ontain unknown substances must be analyzed for a fUll range o
'~. substances that may have been stored within thc tank.
10. The follo~ving timetable lists pre=and post-tank removal requirements:
ACTIVITY DEADLINE
Complete permit application .... Al._l~eusJ_ ~.wo .~wee~ _p_~or to c!_?~_ur~ ...........
..... -5~bmitted to Hilzhrdous Matez]als M~a-g~ne-n-t l~r~ram
Notification to inspector listed on permit o~ date Two working days
and time of closure and'soil sampling
Transportation and tracking forms sent to Hazardous lgo later than 5 working days for transportation and 14 workin§
Materials Management Program. Ali hazardous waste days for the tracking form after tank removal
manifests must be signed by the receiver of the
hazardous waste
Sample analysis to Hazardous Materials Management No later than 3 working days after completion e~ analysis
Program
11. Purgin§/Inerting Conditions:
a. Liquid shall be'pumped from tank prior to purging such that less than 8 gallons of liquid remain in tnnk. (CSH&SC 41700)
.b. Tank shall be purged through vent pipe discharging at least t0 feet above ground level. (CSH&SC 41700)
c. ~ No emission shall result in odors detectable at or beyond property linc, (Rule 419).
d: No emission shall endanger the health, safety, comfort of repose of any person. (CSH&SC 41700)
e. Vent lines shall remain attached to tank until the inspector arrives to authorize removal.
RECOMMENDATIONS/GUIDELINES FOR REMOVAL OF UNDERGROUND STORAGE TANKS
This department is responsible for enforcing the Kern County Ordinance Code, Division 8 and state regulations pertaining to underground storage tanks
Representatives from this department respond to job sites during tank removals to ensure that the tanks are safe to remove/close and that the overal
job performance is consistent with permit requirements, applicable laws and safety standards. The following guidelines are offered to clarify the interest.
and expectations for this department.
1. Job site safety is one of our primary concerns. Excavations are inherently dangerous. It is the contractor's responsibility to know and abide b,
CAL=OSHA regulations. The job foreman is responsible for the crew and any subcontractors on thc job. As a general rule workers are no'
permitted in improperly sloped excavations or when unsafe conditions exist in the hole. Tools and equipment are to be used only for their designee
function. For example, backhoe buckets are never substituted for ladders.
2. Properly licensed contractors are assumed to understand thc requirements of the permit issucd. The job foreman is responsible for knowing an
abiding by the conditions of the permit. Deviation from the permit conditions may result in a stop-work order.
3. Individual contractors will be held responsible for their post-removal paperwork. Tracking forms, hazardous-waste manifests and analyse
documentation is necessary for each site in order to close a case file or move it into mitigation. When contractors do not follow through o,
. necessary paperwork, an unmanageable backlog of incomplete cases results. If this continues, processing time for completing new closures wiI
increase.
Accepted By: ,~ff~-- ~ "'='~~-"~ ~',~ ~ ~ /~ ~'0
..... -- OWNER OR AGENT- _ DATE ..................
DS:cas
\al 124-06.ptc
AP~1CA~ZON ~0~ P~Z~ ~0~ P~~N~
OLOSURE/AB~DONMENT OF UNDgRGROUND
HAZARDOU~ SUBST~CE~ STORAOE PAOILZTY
~g~ ~*~ ~o~F_ ~~ IPKNE e IS /t/I (l~ ~TI~S ~LY)
~ ~ PH~
I
I
PRELINI~RY SI~ ~S~SN~ ~~ ~DR~S
~RKER'~ ~PENSATION I [NS~
(
)
~CH~I~L ~ITI~ Of ~l~
.
~T~ ~ ~CZ~Z~ ~W~. J~ ~
~ VA~R 'LL - Ol~ DIST~CE ~ ~IK ~E If ~ITHIN ~ fI~ I~IL ~E AT fAClk%~
- - g
~1S ~ ~ BE~ ~LE~ ~ P~ Of ~ ~ ~ ~! B~ OF ~ ~ 38 ~ ~ ~RRE~.
r~nri ~-1401
PROVIDE DRAWING OF PHYSICAL 3T OF FA( ,ITY USING SPACE ED BEL~.-~ '
ALL OF THE FOLLOWING INFORMATION MUST BE INCLUDED IN ORDER FOR APPLICATION TO BE
PI~DCESS~: "'
TANK(S)', PIPING & DISPENSER(S), INCLUDING LENGTHS AND DIMENSIONS
PROPOSED SAMPLING LOCATIONS DESIGNATED BY THIS SYMBOL "(~"
NEAREST STR,':,~-~ OR INTERSECTION_
~ WATER ~'X.Lq OR SURPACE WATF~ WITHIN 100' I~ADIUS OF FACILITY
.... -:- ~ ....... NORTH. ~ .................. ~---~
.. :.
~'
PRODUC[R ? ' '
THIS CERTIFICATE IS ISSUED AS A MATTER O¢ INFORMATION ONLY AND CONF~R~
' ' NO R~GHTS UPON THE CERTIFICATE HOLDER. THiS C~RTIFICATE DOE~ NO~ AMEN~,
HArsh A HcLenn:c, ~nc, " EXTEND ON ALT~R THE COVERAGE AFFORDED BY THE POLICIES B~OW
~]30 ~3~ s~d~.. Sc,'~te 4500 COMPANIES AFFORDING COVERAGE
Houston. Texa¢ 77002 '.
(7 ~ 3) G54-0400
;E~Ea A N~t.~o~A] Un{on Fire InsurAnce Company
CODE SU~COBE
COMPANY
ENSR Corpor&ti°~;' et ~i ..... ~--: ...... ~
3000 Richmond Avenue ~ C
Houston, TX 77098
'? COMPAN~
.~ C~e. E
.,
COVERAGES ' - ' . '-' · . - . , -. '. ~ ,' ..... ' .,'
TH~S ~ TO CERIIFY THAT Ti~ ~C~ICIE~ O~ INSURANCE LISTED BELOW HAVE ~EEN iSSUED TO THE INSUR[~ NAMED A~OVE FOR ~E PG~IC.V PERID~:
~ND~CATE~., NO~gTH~TAN~NG ANY REQU[RBME;~T: ~ERM OR CONDITION OFJ~N~LC~H?RAcT OR OTHER DOCUME~.~H R~SPEC~ ~O WHICH THiS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOR~E~ ~v THE POLIC;E~ D~SCRt~ED HERE~D tS SUBJECT TO-~ijL-T~
· EXCLUSIONS AND CONDITIONS O¢ SUC~ POLICIES, LIMITS SHOWN MAY HAVE BEEN REDLICSD By PAiD
OWNEq'S ~ CO.RAZOR'S PROT.' [ACH O~CURRENCE
AUTOMOaI~E LIA~;LITY .... : CO~)N~
A "X ~.¥ ~.u;o CAP.541'3269~ (Texas) 08-12-89 08-!2-90 LIMIT
X~ OW~;E~ AU;OS CA~54!3269PA (Al 1 Others) · . eO~L~' '"
INaU~Y S N/A
. SCHEDULED AUTOS (Per
' ~IREC AUTCS ' 8ODdlY
I~uRY ~ N/A
NC~N-OW~:=['~ ~.OTC$ IPe: acc~o.nt)
GA~.~ E LIABILITY PROPER~
..
S
A WCR5413270~ {CA) 0g-12-89 06-!2-90 · 1,OOO ~c~ ........:
ANC,
WCK54 i 227; ~ ,'. m.*~l Others) s l .'000' (DISEASe--POlICY
-E:,~Cr4iFT:,.O."i OF O'PE~tAT:ON¢ILOCAT;O.'~.S/V:~-flOLEC;F, ES~RipT[ONBJep~.CIAL ITEM[ "
CE. RT!.F_~EATF HOLDER .,. CANCELLATION
SHOULg ANY OF THE AROV~ DESCRIBED POLICIES BE CANCEL..¢D ~EFORE THE
,.,,F_:.~._C~tt~ EXPlA.A~ION DATE THEREOF, THE iSSUiNG COMPANY WILL ENDEAVOR TO
S~m~[e ~ *'~=~ ' '~
................................ MAiL 30 DAYS WRI~EN NOTICE TO TH~ CERTIFICATE HOLDER NaMSD l'O THE
NO
LE~, BUT FAILURE TO MAIL SUCH NCTICE SHALL i~APOSE '--
LIABILI~ OF ANY KIN~ :JF~N THE COMPAN'~, IT5 AGENTS CPC
CONTRACTORS STAT£ .LICENSE BOARD NO. 537220
................ : .... -.'---m tI~ Rc;is~rar up~' d~m.nd
ISSUED ._0~:9.~-.88 suspended, revoked. Ot
-: for any reason, h l~cume~ void
Pu~uant .t~ ti~ provision~ of Chapter..9 of Division 3' of the 'Bu~'~ess 'h~i~--lSrofcssion~ Codo
and the Rules and Regulations of the Contractors State ~censc lIoard, the Registrar
o~ Contractors does hereby issue Illis license to;
~o en~e in tiaa business or act in tlI~ c~p~ci~y o~ ~ eo~Imclor i~ ~hc foilowin~ cI~ssific~donfs):
Regisera: act
WITNESS n~' Imn(l and ,~eah'd
ZTTH d~r ~1' AUGOST. 1988.
i "6.i/§O?gO" ............. '""-"" ..... i" ....... ' Invoice
I .4:50 pm _:~ ,KERN COUNTY PLANNING & DEVELOPMENT .. ,...:.~ ,..':" '
I ':,......'. '~Jj' . : 2?00 'M' Street' · ~.' :-.," ,.': 2:,"::/ :r.":.,-:':-'.'::~,'.
1'.'..'::. '.'":"~'': ' ':.' . ' . ..Oekeesfieid:' CA ':"9330~:.'''. : -':':'
..... ' .--, -':.-.,. ~ ..."-. ., '. - ' . . . · ,.,;/ ,- '. ~. ' .....,.:.? ..-,.- .. ....C, ,,
!, :~.'... .': : ..... ..... .-,..-.,..'($05) --861-2615 '- ':."-',: .... -.. '...v.. ':-...~.,.~,?'..::~ .;
' .. ' .' - ', '" -'" '. '": '.. '; · , '. -.... "' :r. ' '.' - ": ' ' ~C- ".' -' .'.,_2; "::" ': '~:' -': --"-~:"/.'..:"~-.:~.~%:. '
· .~ ...... . ............. . .............. . .......... . ..... .
· ~ ::'. ' ' :.',. . .:.- .' ... ' .' - . ,.. ' ' - ' ' .: ... ~.'./ ,: .:../ "<: ."!.F'. :':: ~:.:':-F-?,i.j¢[?~.~,
.[ ! CASH: REGISTER ... "....'l:.-. .:(:: .. :i '. ,'. '. '...:LENSR C. ONSTRUCTOR8 :..:',. ~,:..v.~.-:
:1: ,:'.~ :j-.':.-' ~:T,,;?: :"i." ':".--' '?:'~ :~. t":' v-'~ :. ".'. :. '. ':" ':':' :,..: .'-... ' '. :-:.'.' ~']".. :":: :;;':: ~;....-t'.'.'.?.'~:-,t~}
'.t !'. ;F. :'-.~,. ::'." : ' -.' . ' - ' -.:' '~ .' ".' -' .' ,.'' ":: ','.' . .: '"" .'_ 1:~" '. ' ? ,'_- :':: ?:- .::2'.': .~:'::"'-.'?';'. ; '.:
I ". · . .~-' · ' ". ' · " ' ' -'-'"' - .... -- · ' '.~ :? ..... :.~'.-".:'?~:'i'~"~. ~.-
.: -.. . · ...~ ,....- .... ,.,: ..... ---~.[/..~.....
ICustomer P.O ~ I ~tn By I Order Date I
.I ',-:::;:::.L-':-..'..._~' .. :,.. I. 'm~- ,. ,. · ~, I ..,... ',-.:, '-~..~'~ _:,:~ ~..-~.:~';,.',."~.~: .~:(.. "-':'
L~ne Descr~ptfon :'"'"': "";'. .........
' '"" " -Ou,nt~ty -'.'~Oe' Unf~
1 TANK PLAN CHECK 2 100.00 ~ 200',00 '"'~
170A . :..-,
Order Total . '.-.200.
Amount Due 200.00 ....
Payment Made By Cash 200.00
.'..- .. :'.' :. 7.,,.'?.-:':
THANK YO[I~
,
~?oo F~ower S~et "" KERN COUNTY HEALTH DEPARTMENT NEALT. OmCE~
Bakersfield, Calll'ornia 93305 . · Leon M Hebertson, M.D.
Telephone (805) 861-3636 ENVIRONMENTAL HEALTH DIVISION
DIRECTOR OF ENVIRONMENTAL HEALTH
Vernon S. Relahard
PEP~iIT FOR PERMANENT CLOSURE PERMIT NUMBER A502-06
OF UNDERGROUND HAZARDOUS
SUBST. ANCES~..STORAGE FACILITY _:___--_ _
FAC I LITY NA~E/ADDRESS: OMNER (S) NAME/ADDRESS: CONTRACTOR:
K-Hart K-Mart - Crisp Construction
401-34th Street K-~.art Western Department 433 Atwood Street
Bake.rsfield;--CA---. ....... ~ ...................... --~ ....... -Vlsalla, CA 93277 ........
Phone # (415) 930-7000 Phone # (209) 734-6381-
License No. 478335
PERMIT FOR CLOSURE OF PERMIT EXPIRES December 15~ 1987
1 TANK AT ABOVE APPROVAL DATE September 15~ 1987
LOCATION. APPROVED BY ~ ~V/[,~")"J~)'"~
0- jan~ ~ehman '
.................... POST ON PREMISES .....................
CONDITIONS AS FOLLOWS:
1. It is the responsibility of the Permtttee to obtain permits which may be
, required by other regulatory agencies prior to beginning work.
2. Permittee must obtain a Bakersfield 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 Included with this permit.
4. A minimum of two samples must retrieved beneath the center of the tank at
depths of approximately two and six 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 slx feet for every 15 linear feet of pipe run and also near the
dispenser area(s).
7. All waste oil samples must be analyzed for total organic halides, otl and
, grease, and lead.
'J 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.
DISTRICT OFFICES
PER~IT FOR PER~IANENT'CLOSURE PEI~IIT ~ER A§02-06
-: OF UNDERGROUND'ItAZARDOUS ADDENDUN
SUBSTANCES STORAGE FACILITY
CONDITIONS AS FOLLOWS:
' I0. Permlttee ts responsible for making sure that '"tah~ ~iiP°~itlon traektn~
record" Issued with this 'permit is properly filled out and returned ~'tthin
14 days of tank removal.
11. Advise this office of the time and date of the proposed sampling ~ith' 24
hour no~tce.
12. Result~ must be submitted to this office ~ithln three days of analysts
completion.
ACCEPTED BY DATE
iNTERNAl, USE ONLY:
1700 FLONER STREET, BAKERSFIELD, CA 93305 · OF TANKS TO BE ABANDONED
(805) 861-3636 LENGTH OF PIPING TO ABANDON
APPLt CATT ON ~'OR PERI~I'r T I:~OR PERI~IANENT
CLOSURE/ABANDONHENT DP UNDERGROUND
HAZARDOUS SUBSTANCES STORAGE FACILITY
THIS APP~ICAT[0N IS FOR ~ RE~0VA~. 0R ~ ABANDON~ENT IN PLACE (~ILL OUT 0N~ APP~ICATION PER FACILI~)
.... ~ROJECT CONTACT ~PHONE · ~ ~ ~ ~SEC/T/R (RURAL LOCATIONS ONLY)
I
FACILI~AHE ~DDRESS NEAREST CROSS STREET
~WNER ~DDRESS ' PIlONE
TANK REHOVAL CONT~CTOR ADDRESS '
PROPOSE~P~OJBCT STARTING DATE CALIFORNIA LICENSE ~' J~ORKER'S CO~PENSATIO~ - JIN~URER
~ PRE~IMTNARYP~~~S ~ SESSMENT CONT~CTOR - ~ .' ADDRESS~ ~' ~~t~ ~ PRONS
-
( ) --
~BORATORY TIIAT WILL ~ALYZE SAMPLES ADDRESS PHONE
:HENICAL CO~POSITION OF ~TERIALS STORED
~ rANK ~ VOLUME CR~ICAL STOR~ (NON-CO~ERCIAL N~E) DA~S STORED CH~I~L PREVIOUSLY STORED
TO
.
TO
~/ATER TO FACILITY PROVIDED BY JDEPTH TO GROUNDWATER
! BASIS FOR SOIL TYPE AND GROUNDNATER DEPTH DETERMINATION
' .. ,.: ~0TAL NU?,IBER, OP SANPLES TO BE ANALYZED' JS~PLES HILL BE ~ALYZED POR:
~ESCR~BE IIO~ RESIDUE IN TANK(S) ANB PIPING IS TO BE REMOVED ANB B~SPOSED OF- (~N~UDE TRANSPORTATION AND D~SPOSA~ CO~PAN]ES):
)~SCRIB~ BOTII THE DISPOSAl METIIOD ~ND DISPOSAL L0bATIbN PdR: I ....
. T~K(S)
* * PLEASE PROVIDE INPOR~TIO~" REQUESTED ON REVERSE SIDE OF THIS SHEET BEFORE SUBNI~I~G APPLICATI0~ FOR REVIE~
(Form
PROVIDE DRAWING OF PHYSICAL L OF FACILITY USING SPACE PRO D BELOW.
ALL OF THE FOLLOWING INFORMATION MUST BE INCLUDED IN ORDER FOR APPLICATION TO BE PROCESSED:
TANK(S), PIPING'& DISPENSER(S), INCLUDING LENGTHS AND DIMENSIONS
PROPOSED SAMPLING LOCATIONS DESIGNATED BY THIS SYMBOL "Q"
NEAREST STREET OR INTERSECTION
ANY WATER WELLS OR SURFACE WATERS WITHIN 100' RADIUS OF FACILITY
NORTH ARROW
1700Flower Street (ERN COUNTY HEALTH DE-'PARTI~ .~.'r,o~'~c~e
Bakemflekl, California 93305 ~ Leon M Hel:~'t~xt, M.D.
Telephone (805) 8~1-3636 ENVIRONMENTAL HEALTH DIVISION .
· DIRECTOR OF ENVIRONMENTAL HEALTH
Vemo~ S. Reicham
August 4, 1987
To: Permit Applicant
This department has received your application for a Permit For
Permanent Closure of the following underground storage facility:
K-Mart
401-34th Street
......................................... Baker s f ie 1 d~,---Cal.t fornia ..............................
During review of your application, it was noted that the following
information was lacking or Incomplete:
Information on front of application; the Information required
Is highlighted on enclosed .copy.
Plot Plan
Other:
Allied Environmental does not hold the proper contractor's
license classification to remove underground tanks alone. The
State Contractor's License Board requires that a company hold
either a General Engineering A or Limited Speciality C-61/D40
when Just removing the tank. If the structures at the facility
are to be demolished along with the tank removal then a General
Building B is sufficient.
The enclosed application may be completed and re-submitted to:.
The Kern County Health Department
1700 Flower Street
Bakersfield, California 93305
ATTN: UNDERGROUND TANK PERMITS
If you have any questions regarding this notification, please call
(805) 861-3636 and ask for the undersigned Environmental Health
Specialist.
(Form #HMMP-160)
DISTRICT OFFICES
(805) 861-3636 '' tL~GTH 0~ PIPING ~ ~N
APPLICATION FOR PERMIT FOR' PER~E~
~RK~'S ~P~TION ~ A - I ER ~ PH0~
ARY ~T WI~ ~L~E ~ ~DR~S PR~
WATER ~ ~ACILI~ PROVID~ BY IDE~ ~ ~0~
~ ~ST ~ATER WELL - GI~ DIST~CE ~D DESCRIBE ~E IP WITSlN 5~ PE~ SOIL ~E AT FACILI~
~ ~IS ~R SOIL ~Pg ~ GROU~WAT~ D~H D~g~I~TION
~ ~TAL ~BER OF ~LgS ~ BE ~ [S~ ~ILL BE ~YZ~ FOR:
D~S~IBE H~ RESIDU8 IN T~K(~) ~D PIPIN~ IS ~ BE R~O~ ~ DISPOSED OF (INCLUDE ~S~ATION ~D. DIS~ ~IES):
* * PLEASE PROVIDE INFORMATION REQUESTED ON REVERSE SIDE OP THIS SHEET BEI~ORE SUBMITTING APPLICATION FOR REVIEM ' *
......... THIS FORM HAS-BEK~,'":COMPL~,,~'.,D-UNDEH PI~-~M',,TY_OP PERJURY AND'FO 'I'HE--B~-OP ~ KNOMLEDGE. I$ TRUE AND CORRECT.._ __
SIGNA { __ _ TITL
(Po~ ,IllOIP-140)
DRAWING OF PHYSICA~oUT OF FACILITY USING SPACE ~ 'IDED BELOW.
PI%OVIDE
ALL OF THE FOLI3DWING INFORMATION MUST BE INCLUDED IN ORDER FOR APPLICATION TO BE
PROCESSED: -'
TANK(Si, PIPING & DISPENSER(S), INCLUDING LR"NGTHS AND DIMENSIONS
__ PROPOSED SAMPLING LOCATIONS DESIGNATED BY THIS SYMBOL "~"
NEAREST STREET OR INTERSECTION
ANY WATER WRrI~q OR SURFACE WATERS WITHIN 100' RADIUS OF FACILITY
'
. I . .. i i i , , i , i i i i i " ' I ~ ~ i
, ' : , . . ; ..... '' _ i : ~ i ~ i / l
. . : · . ' · : ' : ' ~ ' ' ' : i I i , ,
· ': .... . ' : : , ' ...... ~ 1~ ...... ~ · · · : · ,-:' :' :-:'" :' ·
' ; ~ · . ~- I . : . . ~ ,..~.
~ ,~ .; ~ ..... ~ii~::
, ,. ~1 . ~ :. : : i : : . .
..... ~ · ~ ~ ~ · ,
,7OO~lower S,re~f KERN COUNTY HEALTH DEPARTMENT HEALTH OFFICER
· Bakersfield, California 93305 "" Leon M Hebertson, M.D.
Teleph.,one (805) 861-3636 .......' ENVIRONMENTAL HEALTH DIVISION
· .. ~~~ DIRECTORVernonOF ENVIRONMENTALs. Reichard HEALTH
PERMIT~0600250
APRIL 1, 1987
u UNDE GROUND .HAzA DOUS SUBS ANcEs ......... ..__: .......... · ..._i
'FACILITY: ' . . ~ ' OWNER:' '..
'K-MART AUTO SALES . ' :.' ..... ~..: ~ i"' -'~-SCHECHTER~ 'AL ' "" " "-
.. 40Ii34TH STREET ..... ~ 401 34TH STREET . ·
' : .... '. BAKERSFIELD, CA ... ",:,.'~ .i~ vi:-..i. :'.. ( .
TANK # " : :'tAGE('IN -YRS) :'""' [ "'"'SUBSTANCE CODE ' i-'PRESSURIZED PIPING? "
.' .-~ 20 , '? :'!.:: ,,:.' .... ".~::.~"WO.'"..;:2 . '., ',. :~,,. ~: ' ..
: ' :'.':' I . : :i " i:.".' NO
-,, ' ' . /,'] .,' :. i':,.t'~ ~,.' .' .,.,· :~-?.,ib,',~·- ~'..~ .,' ,? .'~ ~ · .: : "~;: ,~:. t: .( ..
'? '-2 t '. ;'. 'i,i: ." . .' . ,~ . ..... ,'
'. NOTE: ALL .INTERIM REQUIREMENTS ESTABLISHED BY THE PERMITTING
.. ' AUTHORITY MUST BE MET DURING THE TERM OF THIS PERMIT .'"
· NON--TRANSFERABLE * * * POST ON PREMISES
DATE PEILMIT MAILED:
DATE PER, fIT CHECK LIST RETURNS: · ·,
Kern Count~ Heal[n b~parLmen~, P~rmlt No. C~ ~> (_.," C/ ---~<,C) (.~
Division o~ Enviro~ental fle~~ Application ~-~ '
1700 Fio~r Street, Bakersfi~, ~ 93305
~PLI~TION FOR PE~IT ~ OP~TE ~E~R~
.." ~~US SUBST~CES S~E FACI-LI~ .
T~ of A~licati0n (ch~k):
~ Facility ~ification of'Facility ~isti~ Facility ~ansfer of ~ership
A. ~ergen~ 24-~ur Contact (n~e, area c~e, mone): ~m ~Z 7 --~ q~
Is Tank(s) Us~ ~i~rily for ~ricultural ~r~ses? ~Yes ~ '
Facility ~dre~ ~/ ~~, Nearest Cro~ St.
T R SEC (R~al ~atio~ ~ly)
~er . ~ q ~ ~~ Con~ct ~r~
~dress ~, ' ~ip ~le~one
'~il ~racteristics at ~cility
~. eont~acto~ · ~ ~nt~acto~ ~ s ~ce~e ~.
~dre~ Zip ~le~
Pro~s~ S~rti~ ~te Pro~s~ C~pletion
Tank i ~s~ Pr~uct ~tor Vehicle Unlead~ R~ular Pr~i~ Die~l ~ste
........ ~el
F. Ch~i~l ~si~i~ of ~terials Stor~ (~t ~ces~ry for ~tor v~icle f~ls)
(if differ.hr)
G. Transfer of ~ersnt~ JUL iO i985
~te offerer .Pr~io~ ~er
I, accept 'fully all 061tgations of
~ify or temi~te ~e tra~fer of ~e ~it ~ ~rate ~is ~derqro~d stor~e
facility u~n r~eivi~ ~is c~pleted fora.
true and ~~~
Fat l it. y Name ~~_ Pemit No.
TANK ~ ~ (FILL OUT SEPARATE FORM FOR EACH TANK)
FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES
H.. 1. Tank is: []VaUlted ~Non-Vaulted [~Double-Wall ~qSingle-Wall
2. ~ Material
' ~carbon Steel [] stainless' Steel []Polyvinyl Chloride [] Fiberglass-Clad Steel
~Fiberglass-Reinforced Plastic [] Concrete [~ Al~in~ [] Bronze [~Unknown
[~] Other (describe) -
3. Primary Containment
Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer
4. Tank ~'~'condarY Containment
l'lDouble-Wall '~]Synthetic Liner [:]Lined Vault [:]None [~unkn°wn
I']Other (describe): Manufacturer:
[2]Material ThiCkness (Inches) Capa¢it~ (Gals.)
5. Tank Interior Lining
---~[Rubber []Alkyd ~oxy ~henoli¢ ~GlaSs ~Cla¥ []unlined ~lmano~
[]Other (describe):
......... 6f---T~nk COrrOsion 'Protection ......
~Tar or' Asphalt [-]unkn~ []No~e nother (describe): .' '
Cathodic Protection: ~None J~rImpre~sed current~ syst~a ~lSacrt£1cial ~hode Syst~n
Describe System & Equipnent:
7. Leak Detection, Monito. rir~, and.Interception
a. Tank: I-IVisual (vaulted tanks only) [-IGround~ater Monitoring' ~ell(s)
~Vadose Zone Nonitoring ~ell(s) []O-Tube ~ithout Liner
U-~be ~ith ComPatible Liner Directing Flo~ to ~onltoring
Vapor Detector' [] Liquid Level Sensor' [] Conductivity Sensor* '
[] Pressure Sensor in ~nular Space of Double Wall Tank-.
[] Liquid t~etrieval & Inspection Frc~ U-Tube, Monitoring ~ell or ~lar Space
[] Daily ~Gguging & Inventory Reconciliation [] Periodic Tightness Testing
E3 ~one ~unkno~ [] Other
b. Piping: F1Flc~-Restricting Leak Detector(s) for Pressurized Piping'
~Nonitoring S~p ~th Race~ay []Sealed Concrete Race~y
u lf~t Compatible pipe Race~ay []Synthetic Liner Rece~a¥ []None
o~ [] Other
*I~escribe Make & ~kx~el:
8.
~en Tightness Tested? ~]Yes []No ~nkno~
Date of Last Tightness Test Results of Test
Test l~ne Testing Canpeny
9. Tank ~ EOND£S£~ 'rHEISGEN
~-~ Repaired? []Yes J~ao []Unknown GO~ZAL~Z ~CK
Date(s) of Repair(s) sco~
Describe Repairs JU~ ~t,9 ~q~5
"0. Overfill Protection - '
]~[Operator Fills, Controls, & Visually Monitors Level
[-1Tape Float Gauge r'lFloat vent Valves [-]Auto Shut- Off Co~Ts FiLE
B Capacitance Sensor []Sealed Fill Box []None []Unknown FOLLOW-UP
Other: List Make & Model ~or Above Devices
i. Pipzng
a. Underground Piping: ~Yes l-]No [-iUnknown Material
Thickness (inches) Diameter Manufacturer
nPressure [2]Suction ~Gravity .Approximate Length of Pipe ~ ~
........... b;--Underground Piping-Corrosion Protection'-:
Galvanized []Fiberglass-Clad []Impcessed Current r'lSacrificial Anode
Polyethylene Wrap []Electrical Isolation [2]Vinyl Wrap l-iTar or Asphalt
[]Unknown []None []Other (describe):
c. Underground Piping, Secondary Contairment:
[]Double-Wall, []Synthetic Liner System []None .~'Unknown
[]]Other (describe):
ST.
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