HomeMy WebLinkAboutUNDERGROUND TANK ENGINEERING-CONSTRUCTION~SERVICE
'..: DWG. NO. DESCRI~ON ~ DRAWN BY ~. SCALE
- ~" -.. .. ... ~ -, ~ ' office building
'" . ~? . ._.~. . .. ~ .. ' '
. -- . . .~ ... · . . . . . -,
' ' .- 2,000 gallon ' ~ ~ ' ~ i ~ ' ~ ' 1,000 gallon ' ~' '~;
- mleaded ~nk . ~ ' -- ~ . ~ gasoline ~nk ·
~~ A-C ELECTRIC COHPANY
groundwater resources, inc. 601 ~4TH STREET
~ ........................................................ BAKERSFI EED~CAEIFORNFA
mvmonmental/geotechnical se~'ices
PLOT PLAN
I
warehouse
~' ...... ~\ A-C ELECTRIC COMPANY t~I,&1~:
groundwater resources, Inc. 601 34TH STREET
.................. BAKERSFIELD,' CALIFORNIA 2 '-
~nvironmental/geotechnicai services
Project Number: [ PLOT PLAN
15C~ ,~0 ~CY% ~.~ v/(~ BAKERSFIELD FIRE DEPARTMENT
~ BUREAU OF FIRE PREVENTION
~ 30 November, 1978 Ya '
Date APPLICATION Ai~lication No.
In conformity with provisions of pertinent ordinances, codes and/or regulations, application is made
by:
A C glectric Co. 601 34~h Str~e~
Name of Company Address
to display, store, install, use, operate, sell or handle materials or processes involving or creating con-
ditions deemed hazardous to life or property as follows:
Permission to install L~;o tanks. 0~.~ gas tank - 1;000
tank - 2,000 ~al. Omega Construction is tnstallin_m the tanks, l~nk Pt.~.r
is the permitee.
Permit~enied .X l~.....u~.i.!.~..~.a~,. ...... Dy ........................................
Date Fire Marshal
.- FILE CONTENTS SUMMARY
PEP~IT #:, SS/~d~ ENV. SSNSITIVITY:,
Activity Date # Of Tanks Comments
~ Envlronmeniad~n~t'i'~l~'~- ~,,~ ~ Inspection Time
UNDERGROUND HAZARDOUS SUBSTANCE STORAGE FACILITY
* INSPECTION REPORT
Paclllty Name .4C'"/~/ C~C~7-~1~___ Address
No. of Tanks ~ Is J.~ormatlon on Persit/Appllcatlon Correct? Yes~ ~o ~ Per~lt Posted? Yes ~ No _
.:' T~pe of Inspection: Routine Complaint , Relnspectlon
Comsent~:
ITEM VIOLATIONS NOTED
1. Primary Containment Monitorlns:
a. Intercepting and Directing System
b. Standard Inventory Control Monitoring
l
. ¢. Modified Inventory Control Monitoring
......... ' ' d. ~In-Tank _Level ~enslng Device ' · -[ ................................................
e. Oroundwater Monitoring
~ "f~' Vadose Zone Monitoring .
2. Secondary Containment Monitoring:
a. Liner
b. Double-Wailed Tank
c. Vault
3. Piping Monitoring
a. Pressurized '
b. Suction
c. Gravity
4. Overfill Protection
5. Tightness Testing
6. New Construction/Modification
?. Closure/Abandonment
8. Unauthorized Release
9. Maintenance, General Safety and
Operating Condition o( Facility
Comments/Recommendations: '~--- ~ , ~_ .,. ,~"~/"'{ ~'} ' :""1 ,,' ~ :'~,~ ~% ~._/~ }''; ~ ('), ~ ~ ~.~"}"/~-~_ "CI{"~/~ ~/~'~/'~'~":I/"-Y/LZC/'i
Relnspection scheduled? ~ Yes.---, j Approximate Relnspectlon Date
(Form
'~'~ermit ~ ~-.' , : (~ / (.. ' Date
' ~ : -;' :~' ' Inspection Time
Environmental Sensitivity : , .; ~ ~ F<
UNDERGROUND :HAZARDOUS SUBST~CE STORAGE FACILITY
No. ~ ~ank~ ~ ~ ~n~ormatlon on Perm~t/Appllo~t~o~ Correot~ Ye~ ~ No ~ Permit Po~ted~
Oomme~t~ ~
ITEM VIOLATIONS NOTED
~..,~,. !~ ..--,~..,,.~.,:. ,,", ~,:',-,o; v ,.,:-.,: o, ~-, ,~-~ ,-:~, '", -~ ,-,,~,, i",:,,V
Primary Containment Monitoring: ,2 ,.y
tandard Inventory Control ~onltoring
~. ~odlfled Inv~ntor~ Control ~onitoring
~. Groundwater Nonitoring
' ~ f. Vadose Zone Nonitorin~ ' '
Seoondary Containment Monitorin~: ' ~ : '
c. Vault
0,,,,,,,o,,,`,,., ~o ~+~ ~
a. Pressurized ' .
~, G~ltF
verfill Protection
.................................................... T773-:--~r---~ .......... :---;--~r ....................... , ............
~aint~nan~. G~n~al ~aE~t2 and
_cdr. .~ ~ ~..,~ ..... ~.~ ~t..
Comments/Recommendations: /..0~./~ ._. ,'I r.. /'ILl(_{ ILF_.L~(--I , /--.- '/ . r~, ' " '- ' " 'l I ?" '1
Reinspection ~9 o Date
scheduled? -- No Approximate Relnspecti
-- Information Sheet --
.. Agreement Between O~ner and Operator
Chapter 12 of Kern County Ordinance Cpde ~G-3941 consists of the following two sections:
Sec=ion 3912.12.01. The o~era=or of :he under-
ground szorage ~ac=liZy shall ~:~ ~e fa~li~
~ ~e ~=hod spec~ied on ~ pe~= for ~e
fac~li~. Recor~ s~ll be.~p= ~ s~fi~e~ de~l
re.red by ~e Pe~C To 0peraca.
Section 3912.I2.02. ~ c~ operator ~ hoc ~e
~er, ~e ~er snell R~o~de a cory of ~e Parc
ope=eno= ~ req~res ~e operazor =o ~=or ~e ''
The opera,or listed in our records for ~he permitted facility ~n this' packet'is: '
OPE~TOR:
601 ~4TH ST~ET
B~RSFIELD, CA 93302
If the operator is different than the o~er listed on the permit, provide a cop~ of the
required written a~reement to the Permit~inz Authority within 80 days. An example
contract is shown below.
EXAMPtE
Wr ~t~en Contract:
I, , owner 'of underground .storage ~anks
I' located at have ente£ed into this
written contract with , the operator of' same,
to fulfill a requirement of my Permit to Operate, J !
have provided the operator with a copy of the Permit to Operate
and Chapter 15 of the Ordinance.
Z, , operator of underground storage tanks
located at have received from
- , owner of same, a copy of Permit to Operate
! and Chapter 15 of the Ordinance describing fines and
penalties for non-compliance. ! have read and understand my
responsibilities under this Permit and agree to do the following:
-- monitor the underground tanks as specified in the
Permit to Operate.
-- maintain appropriate records as required by the
Permit to Operate.
-- implement all reporting procedures as required by
tb~.Pe;ml~to.OPerate.
-- properly close the undergrohnd tanks as required by
Permit to Operate.
Signed owner operator
date dace
17~ Flower Street KERN COUNTY HEALTH DEPARTMENT HEAL~ OFRCER
Bakersfield, California 93305 ~' L~n M Hebe~son, M.D.
ENVIRONMENTAL HEAL~ DIVISION
~lephone (~5) 861-3636 ..
' · DIRECTOR OF EN~RONMENTAL HEAL~
"" ~rnon ~ Reichard
July.14, 1987
· ' Thomas Alexander
A C Electric . ,.'
P. 0. Box 999 .... :.
.Bakersfield, California 93302 .
Dear ~r. Alexander, ''
Upon ~nspectton by this department of your facility it ~as ..-.
observed that the monitorlng~ requirements of you underground
hazardous substance storage tank ~ere not being adhered to .- ..
The Standard Inventory Reconciliation Summary Sheets ~ere not
being completed ~eekly, as per your permit requirements.
Re-Inspection of the facility yielded the same findings.
It ~ill be necessary for this department to again re-inspect
the facility to insure that the monitoring is being done properly.
~e ~ust also require you to submit a copy of your ~onitorln~
records for a period of 3 months to verify that the facility
· aintaintng the monitoring requirements.
No o~her violations were noted during this inspection. -.
If you have any questions, please contact me at (805) 861-3636.
Sincerely,
f'/ Janls Lehman ..
Environmental Health Specialist
Hazardous Materials Management Program
JL:s~
·
DISTRICT OFFICES
Delano Lamon' Lake Isabella . Mojave . Ridgecrest . Shafter . Taft
CaLifornia License 99849 I :.
Incorporated 1947 ' ~,
ENOINEERINGL~:~)NsTRUCTIO"-SERVICE Headquarters: BOX ggg
,%C?~'~'~.. ~"~ BAKERSFIELD, CALIFORNIA 93302-0999
TELEPHONE 805 / 327~)973
..... --~ .... 3anuary-=5~gg7- .~ ............ . ..... : .........
KERN COUNTY HEALTH DEPARTMENT
Hazardous Materials Management Program
170q Flower Street ..
Bakersfield, CA 93305
.ATTENTION: Janice Lehman ' ' _--
Pig: Permit .~060006C/Penmit Checklist *-.. .......~ ..... ~ ....
In compliance with our.telephone conversation regarding owner-operator contracts,
I have attached an updated permit checklist which under item "B" shows a
correction is needed.
I have also sent a duplicate copy of the letter I mailed to your department
on 8-20-86 which requested the same correction be made. ....
To further explain, I have enclosed a copy of your "Information Sheet" which
shows the operator.as Thomas J. Alexander. This information is incorrect and
should be changed. Mr. Alexander is the General *Manager of the company and
corporate Vice President.
The permit issued to us on July 6, 1986 shows A-C Electric Company as the owner,
which is correct. The operator should be shown as; A-C Electric Company since
we are a corporation.
If further information is needed, please feel free to call me at 327-0973.
A-C ELECTRIC COMPANY
Headquarters
~i~/~elt on L
ipment and Safety Administrator
encl.
LID. No. gong Phone', 805/327-~73
PLEASE ~EPLY TO : ~"' --
PERMIT CHECKLIST
This checklist is provided to ensure that all necessary packet enclosures were received
'and that the Permittee has obtaine~' all necessary equipment to implement the first phase of
monitoring requirements. ~ - '.
Please complete this form and return to KCHD in the self-addresSed envelope provided
-Check: :
- '.'Cover e:ter¥ Permit .Checklist( Interim Pe?i /..Phase
..... . ~' { ~.e:.Monitoring _Requirements .... ilnfo?matjon ~S_heet~Agreement ~Be~w~en-~.-Owner"CancL
" :' 'Operator), Chapter 15 (KCOC ~G-3941)~Explanation of .Substance~'~'c°des',~
~ 3) The Follo~inM Forms:
a) Inventory Recording Sheet ' ': ' ' '" ' '
b) Inventory Recording Sheet with summary on reverse
c) Trend Analysis ~orksheet
~ 4) An Action Chart (to post at facility) ~. /.~
B. I haVe examined the information on my Interim Permit. Phase I
Requirements, and Information Sheet (Agreement between Owner and Operator), and
find owner's name and address, facility name and address, operator's name and
address, substance codes, and number of tanks to be accurately listed (if "no"
is checked, note appropriate corrections on the back side of this sheet). '"'~'
C.I have the follo~inM required equipment (as described on paMe 6 of Handbook):
1) Acceptable Raugin~ instrument
~ 2) "Striker plate(si" in tank,s)
~ 3) Water-finding paste.
~D. I have read the information on the enclosed "Information Sheet" pertaining to
Agreements between Owner and O~erator and hereby state that the owner of this
facility is the operator (if "no".is checked, attach a copy of agreement between
o~ner and operator).
' E. I have enclosed a copy of Calibration Charts for all tanks at this facility
- tanks are identical, one chart ~ill suffice; label cha~t(s) wit~ corresponding
tank numbers listed on permit).
~__ F. As required on paMe 6 of Handbook 8UT-lO, all meters at this facility h'ave had
calibration checks ~ithin the las~ 30 days and were calibrated by a registered
device repairman ~f out of tolerance (all meter calibrations must be recorded on
"Meter Calibration Check Form" found in the Appendix of Handbook).
~ G. Standard Inventory Control MonitorinM was started at this facility i~ accordance
~ith procedures described in Handbook ~UT-IO.
1080 §al ,T~NK CHI~IRT ~ ~*~ '* t*:"* ;'* '" ** *
TANK DZAHETER - 47 ~nc~eB *. ; TANK LENGTH -' 144 tnchem TANK ANGLE ~ 0,00 deg~ee~ STZCK POZNT - 0 in,hem
0.25 "-1 .... .. 12.25-:".,-224.3~.'. ,:,",,,.~:~,: ?';: 24.2~ ,' 563'.'~;~--:2~ ~'.* 36.2~ ,' 895
0.50 ': 2 '. ~'~,* ' 12.50 .': 231':.~'~,'--.':~:~;~<.,',~ 24,50~"' 570; '::~:.' '?~:~=~::~: 36.50 ' 901 .~,~
O. 75 4 ".,' '..'; ' 12. 75 , 237 :. :* :'~7L~.~'.,-~:.~,24.75, :"~, ,77 ,t,,::,'.;*.', ?~'-'~;. 36.7, ..' 907
se~ :.,. ,:?~ :,?.,':~::~, 37.2s.,,' 9~e
1.~0 10': ,'. "'~,:'"'*'ff: 13.50 :,?.' 257 .. ::~:'~;':.~ ['~'~;,::'2~, 50, :' ,:: S99 "': :':;~: *'. :../ :,:':' 37.~0 '' 92s
2.1~7~00 1613 .' ~;=--~,:: ~*,*:~:: ...... .... [~.13'7~00., ~ '': ~'': 270264":~: ~::~J '~}~'~:~'~ 25' 7~; ,',:: ~,~;~.?,~ '.' 26. oo :" 6146°6 ~:~:~:*:" ' :'~' · .' :/' ~ 3a.37' 75 -00" 93793~
2.25 19 :;:; ': ~4.23 : 277 "*. '~:'~" 'V-' 26.25 '~ 621 . ':~' '.' *?," ..' 38.25 943
2.50 ..... 22 ........ ~' :'- 14. S0'- 284-'"':':~';:~:'; ~*""::'' '26.~0 628 :~ -: .... ~"':, .' 38.50' 9~8 .... .*'
' 2,75 26 14,7S 291 ,~ 26,75 636 · ', .~ *~ 38,75 934
3.00 29 1~.00 297' 'j~;:: ~;~,/~:27.00" 643 ".:'=':~ ~. 39.00 959
3.75 40': 15.75':-- 3la :.,,: ?~,.¢.: .E~, 27. 75.,... 6Gs.:..J~:'?:..;z;, ';' 39.75 976 :?. '. .
· . ' ' ea6
- . 339.' ' :i:.~,~....'.';,: 28,~0" 686 -,~ 9~-'..~ :.... *~ ~.. 40.~0 991
4.75 - 57 *~ ........ :......a.;- · .' .*: ?,' ,~,' ~,-. ' . ' '
. ., . 16.75 , 346 -;':~'-~?'"'f2a. 7~"~; 693'""~I~'~ ....... .': 40.75 .... 996
5.00 62 . ' "'. 17.00 : 353 ';l~>'ii,:~i,:::};.~. 29.00: : 700.;";';;i:'-.--~- .~', 41.00. 1001 ......
5.25 66 .' ~' 17.25 360 .... ~": ¢~'~ ":-'29.25 % 707 "* ~'": ~'-' :? ' 41.2~ 1006
5.75 76 .~. '. ; ;. 17.75 . . 374,* :'~.*",~ ':~i.,.-,29.7~-; . 722.*. t."':,.",: ~', 41.75 1015
6.00 81 . .,. .' -. 1a. O0 :. 3al :~.":~:~.".:',;:*~',30.00 ':-,:' 729 "~'~";'..:,~,"'*,::: 42.00 ~020
6.2S a~":' "~ '" ,' :<" ~8.2S, ' 388 _'." ~':{':';? ~:~:~: 30. 25.': ':- 736' JL~'~,,' :¥- 42.2~' ~024
6.50 90 ...... '.~ . 18.~0 ' 39~' ":".;~:~:17;}" .' 30 ~0 '; 743':":"'~?'"~'''" "'"-~"~":':'
6.75 96 ..... ' ' . 18.7~ 403 ~:;~*{~*'}',~ 30 7~ ~ 750 ~' .~¢'"~'I .. .. .~ ..
7.00' 101 ..... ,:-:%*''~19.00 .... 4101' :kj,~i:'~?;~"31.00. -;.. 757-;:~r~...:',~ .... 43.00: 1037 ...... "' ......... :...,'~;,--'... ,:-., ..~:L:~ . .~. : ;'. .....
7.2S lO~ __ '., .' .'~:-': . 1'!9.2S ;/ 417 ~ ' 'i ;-;:~,:~'/..' .' 31.25 :; 764' *'~'i'" "; ? ' 43.2t 1041
7.50 111 :' '- ' · · i19.50' 424 '"'-~ "~'t'"~' :~:,';: ' 31 SO ~" ~vn-'~'' ~ 1" ' "~'
.... ,, ~ ....... · - - , 43. S0 I04~
7.75" 117 '-, .... "': ":--1,19. ?S 43~ ::',' "~'?";'~::~-31.7~ .... ' 777.,:..::~.; ~.~ .....
8. O0 i22 . tO. 00' 439 ;":'~ *;:-[ ' ""' 32. O0: ' 7a4 '" ' ' 44.00'43' 75 · X0521049 :: : .
8,2S ~28 ·" 20,25 446 ':': ':. :~;,:~ 32,2~ ' 79~ ";'. ' ' 44.2~ ~0~6
8,50 133 ...... ; ...... ~20,50 453' .": ;:./*::';;~!*'!~ 32,50'* ~'798 -~-~' ',.-*'. ' 44,50 1059
a.75 13~ ~0. Ts 460 . /:T;:*"'~;~;- aos ?..:~ :":.. 14.7s 10~3 .... ":.-' .....
9.00 145 . 21,00 468 ';.;~;'?'~ ,''..~,.'33,00 ' 81/. ,-,' 45,00 1066 .. .
9.25 151 21,25 *:. 47~ '- '~C .Y~*~'~:33,25 818~:*~*:-~: ,:",.'* ' 45,25 1068 .... . ............... '
9, 75 162 21, 75 490 :, 33, ~0 82~ !. . 4S, ~0 1071 *
. 33,7~ " 83L :'%;': '* ' ''*: 45,7~ 1074 '
1~. O0 168 ' ' 22. O0 497 : . :;:~ ".::= 34..00 ' 838.' .y~ .',:.:. *' 46. O0 1076 .... ' .... : ...... . .'..
10.25 174 22.25 504 . ' '.:. ~ 34.2~. ' 844 .,',"'*. ,
10.50 · 180 22.50 ~12 , '.; ~;':,.- 34.~0. 8~1.':~ ' 46.50 1080 ' '
10.75" 187 '* ' ~22.75 . 519' ':*: . -; - ,.34.7~ .' 8~7 "'J' ' .... 46.7~ ' lOal .............. ; ...... :
· ' ' ' 3~. O0 ' 864 ;::~:., ~' 47. O0 1082
11.00: ". 193 23.00 526 '' .'. ,.~:; .* ..
11.25 19~ 23.25 . 534 : ,':,. ~ .3~. 25 . 870. ,:/.~:'. ',~ /;
11.50 205 ' '; 23.50 ~41 ' ";", ' '-' .;' '3~.~0 "876 ::': ..... :' - ............ :.. ' . ,.:'.,~ . : . :.
11.75 212 23.75 548., '::,': .""" 35.75. · 883' :, ;~ ...... '
12.00 218' 24.00 . S~S : ..": :':' 3~.00-- aa~ ',-' ", .,.'~ ' ' " .
., ,*,.,~..~ ..... ~ ~ . .~ ..... ..~ ...... T;' '~-~ ,. ........ - '
'?:': '*~,. ~ ,;....,.
-. *. **',::~,~ ' : * ,~...' .'~,,'~,,~ : . , ..~, , , ...... ... :: ~, ..... .. ~ .. '.
. ,... ' ,: ,'":,' ~ :. .'.. .-, ,~.' *,. ~'. .
- { . · : ~: . .:.. . - ,. . .~,,, ,. ~. : ". · t -.
....::,,/.,' .... :; · .
: ',: .. ..
,
':~:'; '.'.~ ~..' . .. .~- ~· . ': . :... · :~_ ~ '",.' .:. :' : ' . ~..~,..
: ~- :, · :-....., ....~' , .. ::.' ~-- ..~_ '~: : .
TANK DZAHETER - 7~ lnohe TANK LENGTH;,. '-~ 104.., in.heM . , "TANK ANGLE = O. OO degree~ · STZCK POZHT
~¢~,4¢~'~.. ~~_ ,,~~? ~°[- C ELECTRIC COMPANY .I~
7~~ ,~ Lic, NO,_;99049 Phone 805/027-0973
THIS COPY FOR PERSOH ~DRESSED
KERN COUNTY HEALTH DEPARTMENT
1700 Flower Street ~. HEALTH OFFICER
Bakersfield, CalifOrnia 93305 · · ENVIRONMENTAL HEALTH DIVISION Leon M Hebertson, M.D.
' Telephone (805) 881-3636 '
DIRECTOR OF ENVIRONMENTAL HEALTH
Vernon S. Relchard
October 8, 1986
A C Electric
P.O. Box 999
Bakersfield, CA 93302
Dear Sirs,
On July 21, 1986 this office sent to you an interim permit to operate the
underground hazardous substance storage tanks at your facility.
This permit listed your substance code as MVF 3 when in actuality the substance
code is MVF 2.
The motor vehicle fuel code is based on the environmental sensitivity of
the area. In your area the depth to groundwater is between 50 to 100 feet.
This information comes from municipal water district records and historical data.
On October 8, 1986 I went to your facility and exchanged the permit with
the MVF3 substance code for the one with the MVF 2 substance code.
If you have any further questions please call me at (805) 861-3636.
Sincere ly,
- Janis Lehman
Environmental Health Specialist I
Hazardous Materials Management Program
70OFIower Street -'.- KERN COUNTY HEALTH DEPARTMENT OFFICER
/~akersfleld, California 93305
· ' ~ Leon M Hebertson, M D
Telephone (805) 861-3636 . ... ENV~RONMEN'D~L HEALTH DIVISION -.
DIRECTOR OF EN~IR~,NMENTAL HEALTH
Vemon S. Relchard -
/ Facility Name Kern Cou
A.C. I~,F:CTRIC COMPhNY
-_~_Add. r_egS__=_,.601, 34th S_tt::eet_._ _ .... ' ........ ._ ..
.- Bakersfield, CA ·'
.. . · ';' .. .'--. :;;~: ....." _. ':..~ .
: * * UNDERGROUND TANK Di.[~OS~Z~ION TRACKING RECORD $
· This form Is to be returned to the Kern County Health Department
""'" ' :',nays of acceptance of tank~(s_)._by_...d!spos_a1 ~F_.recYcl_tng..:~ct!i~ty .....
~ 'hOrder'-bf~th~e-'-p~ai~--w~-~h number noted above ts responsible for tnsurtn~
' ','.. :..-that this form is completed and returned. : .....
....... ~" ...... ;e;; i~' ................ ' ....... '.'
· Section 1 '' To be filled out b_~ tank o a contractor:
Address _ ~"~'~..~ .,,~--,~/e.~';L/ (:~7". Phone ~ '
· ,~-¢,c,'~,¢~-/~. _~ ; ~_ . . z ~ p _ ~ ~ ~ / ~
Date Tanks Removed '' No. of Tanks
· ~ ............. ~.~. ·; ............... .. ............
ectlon 2 -,To ~ filled ouontr ctor ;d'econtamtnattn~ tank(s):
Tank "Decontamination" Contmacto~ ~ ~..4~.~~ ~j~.~ ~.~
- Address ~/~ ~ Phone ~ '~'
'. ~' Zip
"" ·Authorized representative of contractor certifies by signing below :that'
. . .. ..tank(s) have bee~ .d~cbnt~tnated In accordance ·with Kern County Health '::
: . Department~qulrem~fits. _ , ~ ~, .,~
Sectton 3 -To be filled out and signed ~ an authorized representative of the ''
treatment, storaffe, or d/sposa] facility.acceptJng.tank(s~:
~actltty N~e ~. ~. /~ .
Address ~~ ~ ~;~ ~ Phone * ~3
Date Tanks Received ~/~. ~ No. of Tank8
Sl~ature, ~ ~.~_ Title
· * * ~gI~I~ I~STR~C~IOSS: ~old tn half and ~taple. ·
(Form #}~IP-150) . ;
DISTRICT OFF{CES
5400 ALDRIN CT.
groundwater resources inc. BAKERSFIELD, CALIFOENIA 933i3
General Engineering Contractor
Class A/Haz License No. 520768
Novembe~ ~'~',- 1989
Ms. Turonda Crumpler
Kern County Health Department
Division of EnviKonmental Health
2700 M Street
Bakersfield, California 93301
RE: A-C Electric Company
601 34th Street
Bakersfield, California
Permit A1072-06
Dear Ms. Crumpler,
A 2,000 gallon fuel tank used to store unleaded gasoline and a
1,000 gallon tank used to store regular gasoline were removed from
the A-C Electric Comoany property at 601 34th Street, Bakersfield
on Novmeber 16, 1989.
The tanks were decontaminated on site using a high pressure steam
cleaner. The resultant rinsate was taken under uniform hazardous
waste manifest CAC000221921 to 'Gibson Oil and Refining in
Bakersfield and the tanks were transported to American Hetal
Recycling Inc. in Ontario, California.
Soil. samples were taken under Kern County Health Department's
direction at a depth of two (2) feet and six (6) feet beneath each
tank and beneath the fuel dispenser. The samples were analyzed by
SMC Laboratory in Bakersfield for BTXE/TPH (gasoline) using the
EPA Method 3810/8020'(FID). The samples taken beneath the regular
gasoline tank and the dispenser were also tested for total lead
(3050/7420 Method).
Lab resu]ts indicate that BTXE and TPH beneath the tanks were not
detected in three samples and were at minimum levels in one sample.
The two samples taken at the dispenser contained 0.1 and .27 ugm/gm
benzene; and, 5.2 and 36 ugm/gm TPH for. the two and six foot
samples, ~espect~vely.
MAILING ADDRESS: P.O. BOX 9383, BAKERSFIELD, CA 93389 (805) 835-7700
LOS ANGELES (213) 724-3147
5400 ALDRIN CT.
groundwater resources inc. BAKERSFIELD, CALIFORNIA 93313
Gener31 Engineering Contractor
Class A/Haz License No. 520768
.... -- ..... ---N~lvember '29, -1989 ......
Kern County Health Department
Division of Environmental Health
2700 M Stree~
Bakersfield, California 93301
RE: A-C Electric Company
601 34th Street
Bakersfield, California
Permit A1072-06
Dear Ms. Crumbier,
1,000 gallon tank used to ~ __~ __
the A-C ElectFic Com~
The tanks
cleaner. The r
waste manifest ~'' ~~"~
~ecyc]~n~ Inc.
direction at a dep
tank and beneath
SMC Laboratory in .,~ the
EPA Method 3810/802C ~ne regular
gasoline tank and t~ ~u for %o%al lead
(3050/7420 Me~hod).
Lab results indicate _ and TPH beneath the tanks were not
detected in three samp ~ and were at minimum levels in one sample.
The two samples taken at the dispenser contained 0.1 and .27 ugm/gm
benzene; and, 5.2 and 36 ugm/gm TPH for the two and six foot
samples, ~esDec_~ively. _
MAILING ADDRESS: P.O. BOX 9383, BAKERSFIELD, CA 93389 (805) 835-7700
LOS ANGELES (213) 724-314-7
Ms. Turon~a Crum
K'ern County Health Department
Division of Environmental Health
November 29, 1989
Page Two
Total lead was found beneath the regular gasolinQ__,t_a~.k_ and__the
-~---- -:' ' - ~-~-~ P~-~Se ~-'a-~]-b~c'~~g ro~-~ '-'-i 6~'6-1 ~ '~Fa~]'~- -f r6m '1 ~'~--~' 4 ] 6 'Ugm/gm.
Enclosed are copies of the soil analyses, chain of custody, tank
tracking record and the manifest. Please contact me if you require
further information or have any questions.
Sincerely,
~720
CLE:tab-049. ~ep ~ ~
finclosur~.
off, co building
Samples D-C-2
and D-C-6
Tank ~2 Tank
2,000 gallon ~'I I 1~ 1,000 gallon
unleaded tank ~ ~ gasoline Lank
Sampl~ U-C-2 Sample~ R-C-2
and U-C-6 and
warehouse
/~'~-~'~ A-C ELECTRIC COMPANY
groundwater resources, _inc. ~ 60L 34TH STREET
'. BAKERSFIELD, CALIFORNIA
env~ronmental/geotechnicai services
"""'""": I PLOT PLAN
'. 1700 FlOwer SWeet, ~
ea.o..~u, cmo,.,e e3~os ·" KERN COUNTY HEALTH DEPARTMENT .~L~ OFFICER
Telephone (805) 861-36~6 ENVIRONMENTAL HEALTH DIVISION I.e~n M Hebertson, M.D...~
DIRECTOR OF EN~qR~,NMENTAL HEALTH
Pactllty Name Vernon.~ Relchard
Kern County Permit ~ A 1072-06
., A.C. F~,ECTRIC COMPAN~
....... Addre~s'- '601 34th ~;t~et '- ....'? " -= ..... '=-'----~ - "- = .....
Bakersfieldt CA
UNDERGROUND TANK DISPOSITION TRACKING RECORD
This form is to be returned to the Kern County Health Department within 1_~4 "
........ ~ of acceptance of tank(s) by disposal or recycling .facile'ry. The
· holder of the permit with number noted above is responsible for insurin~
that thJs form is completed and 'returned. - ......
Tank Removal Contractor: ~~ ~~~ ~.
Address _ ~~ ~~ C~ Phone ~
Oa~e Tanks Removed
~o. o~ Tanks ~
Add~ess _. ~~ ~ Phone ~ r
Zip
Authorized representative of contractor certifies by signing below that
tank(s) have been decont~inated in accordance with Eern County Health
Departnen~r~equirements. _
_ 3 7 To be filled out ~ ~ by an authorized' ~e re i .....
~reatment, storage o- a~ ....... ~. ---- , P sentattve of the
Facility N~e ~ ,
Date Tanks Received ~/~- /~ No. of Tanks
Sl~ature
- Title
~ ~ = 2~L[NG ~NSTRUC~IONS: FoAd An ha]~ end s~ap]e.
(Form
· Fo~m Appro~e~ Oldfl No. RO~3~ ,~ -81)' ' ' ' '
Pickle prinl or type {~m ~eaigned
~ and MajOR Ag~es~ .
'. 7. Tranaponer_~
~ ~ .. ,
.~C:,'. -;,. :.~ .r'.':::' ,":-. :'?':::.. '" .
:.!i !': :':.,.:: '~" "': :' :""' "': ~''
.
GENEINkTOR.$ C~RTI~IC&YIO~ I ~y ~1 ~1 ~ ~1~11 al ~1 c~ignmenl are lully nnd aCc~ataly dea~bed abov. by proper ahipping name
~1~ Oov~ ,.g~U~ ..... mo ~ ~ res~cl8 h ~op~ cofloiliofl f~ I/aflapofl ~y highway accor~o lo applicablo mlerflalioflal and
It I ~m a ~rgo qu~Uty O~at~. I ~ ~t I ~VO a ~ ~ I '
~ lo be o~,y ~act~ ~ t~t I ~ ~~._~O.?d~c~.tAo ~ol~o and toxlc~V of waate gone;Mo ,. '
Imafl quality g~oralo¢. I have ~Oo i g~ I~ilh elf~ lo mwim~e my waale
~ ·
I ~knowledg~l
0 ' ':": '"" ' ~th Day Yedr
of Re~lpl
Nlmo
~rA Day Year
I wlor~o Govered by thio manifest exGept aa floled ~ Ilom
.~A 87~22 ' ' Do Not Write ~low ~is Lin~
' ~ev. ~-~) Prev~e eait~e ~e o.~le.Blu~: GENERATOR SENDS THIS COPY TO DOHS WITHIN ~O
To: P.O. Box 400, Sacra;~cnio, CA 95812-0.100
· -/' ~ ': '~ " .. " 'Bakersf. leld,'Callfornla 93313
groundwater., resources, Inc. . Telephone:..' (805) 835-7700
.... · ,. ; :'CHAIN OF CUSTODY RECORD ..:.. Tele-Fax: '(805) 835-7717
LAB DESTINATION: J" : PROJECT NUMBER: /'(-~0'')~ EC :.. .'
. .~J~ : p.o. NUMBER ~j~ PROJ T. CONTACT:. "
N R 'DATE's:;' ]TIME'.:, .SAMPLE.LOCATION. ~z .
I
'STRUCTIONS~' t
· 'Laboratory . Analytical Chemistry'
Date -sampIes -re6ei-Ved- 'w-~. -:-. '. : -
Date of report ';.:':.. : 11-20-89
. . ...-..'.. . "," ......< '..... .... . : : .....~: (..,, .'.. · ,. :..., .... .
· . - : ".j:',.:. : .,'....[.? ':; .- ,.:,' . ''.
RBSULTS OF ANALYSIS ': "' "· .....
.Toluene ...... ' '
isopropylbenzene '/"'.... .. ND [ .'0.. .1 ". ' .... '"
TPH (Gasoline) .. 1.0 : ! t.0.
"~L;uSm/gm.
~3205 ID: R-C-6 .. ·
Benzene ND .... ' 0.1
Bthylbenzene ND ...0.1
p-Xylene ... ND
.. . .; ... .".~ : , .'
~ethod of Analysis. for BTx/TPH' GaSoline) :..
TPH = Total Petroleum Hydrocarbons "'"' .... .::.: . ""-
ugm/gm = micrograms per gram . '.
..'. . . .....'.~. :.:./'.,:: ... .'.,. ....
3155 Peg~Us D~e · ~ke~fieid. ~ 93~8 '- · (805) 393-3597
P.O. ~x 80835 · ~kemfiel~ ~ 93380 ',. ' F~ (805) 393-36~
Laboratory No. 3204 through
$3206 ID: U-C-2 ; ,, · .... Ugm/gm ?MDL,ugm/gm :"
Ethylbenzene · ' .... . ND.. 0.1
· . m-Xylene ~ · .. ..... "''''''' - ND .~". 0 1 -~-
TPH (Gasoline) -~' ...ND .-. · 1.0
$'3207 ID. U-C-6 : -/'~'. Ugm/gm :'"".___'" ":":" ~_~_.o-
Ethylbenz ne ... "' .... '
Met, hod of' AnalySiS.for BTX/TpI'I {Gasoline):'38'i0/8020 {FID)
MDL : ~inimum Detection Level .." . , . . ·
TPI-I = To'[al Pet, roleum I-Iydroearbon~ .
ugm/gm = micrograms per gram
lqD = Nol: der, coted '. :
Laboratory 'No. . 3204 through 3209
Project No. .1060:29"' ..,~:~, · ',Purchase Order(No;. 3322C
RESULTS OF ANALYSIS ..... V'.:":? .... '
m-Xylene ::....' ...':. '-:' ,., .; ....
Method of Analysis for BTX'/TPH (Gas01inei':..i.'
3810/8020. (FID)
MDL = Minimum Detect'ion Level ... .' ~!.'. ..... -?....o
TPH = Total Petroleum Hydrocarbons .. ':.'..":' ' .'~:.':?.':'.~-,'.'" ~ i" '"
L b°rat°ry : Analytical ChemiSt
Client Name: G~oundw~ter ' ' .... ~ "Ino ~.
Resources · - "~
s' complete .....
' '? ' ' ~," ,.t:_..':? . '.': "?' : .'"'.. ' -:. :' -~,'. [....~-.,~'.~,,..;-.:;u...', '. '.; ::: .'.~ . ...
~3~05 ID: ~-C-6 ...~.:. u~m/~m. ~'~DB.,u~m/~m ".....
:..... . . ':.. '.,...:.. .... .....
Method of AnalFsis:: 3050/7420
MDL = Minimum Detection Level ~"~':."".~. ~ ~": ' : /"
P.O. ~x 80835 · ' ~ke~fiei~ ~ 93~0 ' ' ,' F~ (805) 393-36~
5400 ^LDEIN CT.
groundwater resources Inc. ~^KEJ~IELD, C,'%LJ/=ORNt,% 93313
General Engineering Contractor
Class ~Haz License No. 520768
COVER PAGE
"FACSIMILE"
DATE: November 10, 1989
ATTENTION: Bill Scheide
COMPANY: Kern County Health Department
FAX NOHBER: 805/861-3429
FROM: Tony Ramirez
Number' Ot= Pages (~n~ludlng ooYer page):" 2
MEMO
original to follow in mail
G.R.I.'$ FAX NUMBER: 805/835-7717
MAILING ADDRESS: P.O, 13OX 9383, BAKERSFIELD, CA 93389 1805~ 835-7700
LOS ANGELES (2) 3) 724-3147
office building
w~Pehouse
/" ..... ~ A-C ELECTRIC COMPANY ..... ~.J~'~
groundwatec cosources, inc. 601 14TH STREET
....................................... -~A~'~RSF I ELD;~'CAL i FORNIA '~' 2
mwronmen[al/geotechnical se~tces ........ ---:~*' ' -
"-~-'""m? ..... .: ..................... ~ PLOT PLAN
GARY J. WICKS 2700 M Street, Suite 300
Agency Director ~ Bakerlfleld, CA 93301
(805) 861-3502 Telephone (805) 861-3636
STEVE McC'ALLEY Telecopler (805) 861-3429
· - i: .DEPART MENTAL ,~' ' ' ," ':.,::~:.:: ~_'_:"
~ +,'- -. ? . :':':,.,',:.':
pERMIT FOR PERMANENT CLOSURE " : Al07:06
· ._.. ~,:,. -'-. : .'i:."-. , :' .~ PERMIT NUMBER A 2
.... ~'. :- ' .,: ':" L-': '~' ~--'-<,.-~-:¥':-" ' :.':.
: 2_ OF UNDERGROUND HA~ :.--~-~--.._--~-:--. --~---~_...-.~;.:~.c-:~:. ..... '..-.~.
· . : : :T. ' :'---:-" ....... '"":':'--'~-~.'::::?: .~ - ',
: "-:' SUBSTANCEs STORAGE' '' ' :: '. 9:-:'":?"..':..: · .i)_.::.:.' ..':,:2 i?::',i:~:::~?,<~:)-;':~¥:~:.~'~
":~' :.. ~:.:-'...!::::,. :.::::. '..,... -.- ~.. ,.,
..... ,.,. , ..:.,; · .. ,- _ ' (.," ' ' '". .,:"~.,~::, ;.?? 5-:: ::- -",'
FACILITY NAME/ADDRESS: [(Si NAME/ADDREss: CONTRACTOR: '~.=. ": '
A.C. Electric Company ':'-"G.R.I. -' ' ':'"':":::','~..':'::-.i'::~i-::.:
601 34th Street " .
: · ,. - · .5400 Aidrin Ct....,.
.'.. Bakersfield, CA: ''. "; "'.. "~'Bakersfield, CA-:"
.... # ' :- t' :":D.: -.':~.
. License 520765 ....
Phone: (80~ '327-0973 Phone: (805) 835-7700 ' ':~'.-'~'.:' .
'...:.
· -~ . ;'-. , . . :.!~ .:-:
PERMIT FOR CLOSURE OF PERMIT EXPIRES February 6, 1990
--2 TANK(S) AT ABOVE· ' APPROVAL DATE -~ November 6,~1989
Dan St~irkey, R.I~.I~.~.
Hazardous Material~/Specialist
............................................................................. : ....... 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., City
- Fire and Building Departments)
2. Permittee must notify t he Hazardous Materials Management Program at (805) 861-3636 two working days prior to tank removal or abandonment
in place to arrange for required inspections(s). '
3. Tan~ closure activities must be per Kern County Environmental Health and Fire Department approved methods as described in Handbook UT-
30.
4. It is the contractor's responsibility to know and adhere to all applicable laws regarding the handling, transportation or treatment of hazardous
materials.
5. The tank removal contractor must haves qualified company employee onsite supervising the tank removal. The employee must have tank removal
experience prior to working unsupervised.
6. If any contractors other than those listed on permit and permit applicalion are to be utilized, prior approval must be granted by the specialist
listed on thc permit. Deviation from the submilted application is not allowed.
7. Soil Sampling:
a~ank size~lesa-than.onequakto 1,000-gallons~--a-minimum, of-two sampl~'m-a~t--Bi~--f~t¥i6q/i~d-ff6~beii~;ith-th~-center Of'the'tfink ~it-depthg
of approximately two feet and six feet.
b. Tank size greater than 1,000 to 10,000 gailons'-:,a.minimum of four samples must be retrieved one-third of the way in from the ends of
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 each tank
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 al depths of approximately Iwo feet and six feet for every 15 linear feet of pipe run and under the
dispenser area.
PERMIT FOR PERMANENT CL~)SURE PERMIT NUMBER A 1072-06
OF UNDERGROUND HAZARDOUS ADDENDUM
SUBSTANCES STORA(}E FACILITY
9. Soil Sample analysis: " -
· · a. All soil samples retrieved from beneath gasoline (leaded/unleaded) tanks and appurtenances must beanalyzed for benzene, toluene, xylene
and total petroleum hydrocarbons (for gasoline):
· b." All soil samples retrieved from beneath diesel tanks and appurtenances must be analyzed for total petroleum hydrocarbons (for diesei
.......... -~:~:~AII ~il ~'dmples rcfrii:x~l-fr-6~n-~-~i'~-~a~'t'~O]i tanks and appurtenances mus~-~-~-~n~a-~y~e~ for to't~] ot:ganid halides, lead, oil and grease
' d. - .- All soil samples retrieved from beneath crude oil lanks and' appurtenances must be analyzed for oil and grease.
e. _ . All soil samples retrieved from beneath tanks and appurtenances that contain unknown substances must be analyzed for a full range c
' substances that may have been stored within the tank ~.; .
10. ' Tl~e follo'~'ing timetable lists pre-and post-tank removai r~quirements: . '-~ .... -,-' ' -. .
- ' . id. Transportation ai~d'tr~cking for:ms sent tO Hazardous ' -' ' '-.. ' · , 'NO later than 5 working ~ays for'transportation and 14 working
..... :."Materials Management Program. All hazardous waste . . days for thc tracking form after.tank removal '
manifests must be signed by thc receiver of thc :/ ' -"...:'. .. .. . .:
'. - Sample analysis.t° Hazardous Materials Managcmcni. ' ..~ :' ,'. ,. ~ No later than 3 workiag days a~ter completion of analysis
11. Purgi g/Inertia Conditions: '
: a. . Liquid shall be pumped from tank prior to purging such that less than 8 gallons of liquid remain in tank. (CSH&SC 41700)
b. . Tank shall be purged through vent pipe discharging at least 10 feet above ground level. (CSH&SC 41700) . , ' ·
c.. No emission shall result in odors detectable at or beyond property line. (Rule 419) ' ' "
· d. No emission shall endanger the heallh, safety, comfort of repose of any person. (CSH&SC 41700)
e. - Venl 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.
Representalives from this department respond to job sites during tank removals to ensure that thc tanks are safe to remove/close and that Ihe overall
job performance is consistent with permit requirements, applicable laws ~ind safety standards. Thc following guidelines arc offered to clarify lhe interesl.~
and expectations for this department.
1. Job site safety is one of our primary concerns. Excavalions are inherently dangerous. It is the conlractor's responsibility to know and abide by
, ;CAL'-OSHA regulations. The job foreman is responsible for the crew and any subcontractors on the job. As a general rule workers are not
permitted in improperly sloped excavations or when unsafe conditions exist in the hole. Tools and equipment are to be used only for their designed
-- function. For example, backhoe buckets are never substituted for ladders.
2. Properly licensed contractors are assumed to understand the requirements of the permit issued. The job foreman is responsible for knowing and
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 on
necessary paperwork, an unmanageable backlog of incomplete cases results. If this continues, processing time for completing new closures will
increase.
GARY J. WICKS 2700 i'v] Street, Suke 300
D E PARTM E ~T/OF~E NVlRON M E NTAL
HEAETHSERVlCES
December 5, 1989
A.C. Electric Company
P. O. Box 617
Bakersfield, California
CLOSURE OF 2 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANKS LOCATED
AT 601 34TH STREET IN BAKERSFIELD, CALIFORNIA.
PERMIT # A1072-06/060006
This is to advise you that this Department has reviewed the project
results for the preliminary assessment associated with the closure
of the tanks noted above.
Based upon the sample results submitted, this Depart:nent is
satisfied that the assessment is complete. Ba~ed on current
requirements and policies, no further action is indicated ~t 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.
Thank you for your cooperation in this matter.
DAN STA-RKEY, R.'E~'.S., HAZARDOUS MATERIALS SPECIALIST
cc: G.R.I.
.v,,o. I' -
" .' ~o~~/~~~~ o~ ~~o~ ' :.-:-.-' "~'"'; .'
....... '.. .'j,-;... ·
,,~m COKA~ ..._;...: ....> >,...: .... ;. """~ ' : :'-.';- I .~s. (805)~7-g97~ ls~W~/, i,u~ ~mo,s ~ .;..'
'sin ~e~t0n .... :"' :'" "' "~ ,i~,~- (aos)a72-27~9 ~'i ':: '" ti,. '--.' .'-.;:'.-...--::-~:h.'..~/~
~ ~ . . .. . ......
AC '.Electric Company "601 .~th' S't~e'ett'~' Bkf~" :':it! Sa~'D
~.~m:AC ~'Elec'tric~h' f~ ..: .:. Company:':~' ~' ~' :' .'~...':-": '"' ':"' ~".::. ..... ":. P.O.' 'BO~ :~17 ~ ....~kfd ~i 'C~' ~L~i~."' [:~ "~-~ '7>'~ 8'~} 3~2~~ ~ ~9 ~'3
": ~ ~ ~ .........
Groundwate~'-.'ReS6urc~s ,i :IncZ:', 5400 'Ald'rzn 'CoUrt ~..'Bk'fd'::'::'-::l '-.?:,~805"8~5
II~1~'89 '?';:::~' ~!:':".'::,?': :520768 ':: '~':'":: '"0793569" '-~'-'-- : ' :' -~State Fund
. . . ,..., ~ ~..~. ,- ., . .. . -:'-.:'...' .~' . / -
'69 '-*'~::::~,n'-'." :'::::'" '":' state Fund ..... ' :~' >":' 8 5
79~ '"'"" :" ' ............ ' ....... '::; ' ":"'
S~C ~orat0ry .--:".".'-:~' '"'~-:::"'-":';'"-" : ' ' "
~. 3155. PegaSu'S' Dr ~-:~. Bake'rsf~el "-' (805)393 ~,~.3'597
.. .... , .' .., .. . .. , , .. . .....
1 ,' 1,go0 ". ,~Re~ular'Gasoline' 1979 ~ 'Present Reg. '.Gasoli~
2 2~000 Unleaded Gasoline .' 1979 ~ Present .Ual Gasoline
~'
"*XmCalifornia ~ ~ ~m~Wate~ ~Service " " · ~"~ ~"160'~""~ -.-. - ' :~ ti'~ :~..?~: :'~
~X8 ~OR 8OIL ~P~ ~D OROUNDWAT~ DS~K DKTB~INATION ' · , - ~.:-'.4 .-
Geologic Map of. California - Bakersfield Sheet /v '. "..'-'-,~ ";'.-:
J S~LaS ~ILL BE ~LYZKD FORt ,
7~20 Lead (un~ ~etnod)
RinSe.per ~T ~j'O - B' P.Oil 'and Gibson Refiner7 ' "' ::'" "~ ' .. '~':"'
~ ~'DHSCRIBB BOTH ~ DXHPOS~ ~THOD ~D DXSP08~ LO~TION ~ORI --:
~ ~ T~K(8) . .
PIPING . . .
' · e PLEASE PROVIDE INFO~TIO~ REQUESTE~ ~ ~ SIDE ~ THIS SLIEST BEFORE ~ APPLICATION ~ REVIS~
Tills FO~ ~ BEEN COMPL~ UNDER P~TY OF PENURY ~D ~ TIlE BEST OF HY ~O~EDGE 18 T~UE .~ CO~E~.
~iO,ATU,~ TIT[~ .... ~roj~ct _Manager ._ Oat~,.10-23-89
Grayarc '1'
' ~ ' '*' .-" ** :':.'~ P.o. Box 2944. ~ REPLY MESSAGE
"· ' ' ' '- ~" CALL TOLL F~E: 1-~0-243-5250 Fold At ( ~ ) To Fit Gr~y~ Window E~o~ ~ ~0P REORDER ~EM ~ F269
' '?'' -'?i ..
· .'. .' -.: '~ ' BAKERSFIELD, CALIFORNIA 9~02~999
. ....., ~ Mc. No. 99~9 Phone 805/3~973
...-: ,-'..- ~.~ ·
.' : . .: -'=: '~'.?:.
..:...'.? ..
,' : ' .
,
';:' ~ 'PLEASE REPLY TO ~ SIGNED
. .~'~ ~....~ ~pL~
. ~ ,- ~ATE: · SIGNED
· · - ".'"" Item ~ F~ ~ ~1~ Group I~ I~79
..' ~ . ~ THIS COPY FOR PERSON ADDRESSED
' I,. I . ,
. .,: .... : .... _; -. ,....: -~ .:...~. ;".'. :-;,;::. :...:....:,.. ~. :. · ..:_.. -
· :' ' '": '- ..... .' .1'::-~. . . :. - ...... ' ..... .' ~' ' '."*. ;.:~'" .=":.. ....' .; ... -
~ . '. ..:~ ' . ·
¢' ' . .. Bakersfield, CA 93313
' TANK TESTING[I DIV. 8o a97 s55. .
· ' August, 31, 1988 .
A.C. Electric
610 34th St
Bakersfield, Ca
ATTN: Jim Melton
RE: HQ TT # 2 610 34th St
On August 26, 1988, a Petro Tire System Test was performed at the
above-referenced location. The test was performed by Mike
Womack, A & A Technician, Certification #414811422. The NFPA
code 329.02 criteria for a tight system is a maximum gain or loss
of .05 gallons per hour. Because of 'the almost infinite
variables involved, this is intended to be a mathematical
tolerance and is not the permission of actual leakage.
During the stand-pipe procedure, the internal liquid hydrostatic
pressure applied to the underground tank system is generally two
to three times greater than normal liquid storage pressures.
This increase in hydrostatic pressure will amplify the indicated
rate of leak accordingly.
SYSTEM TEST
TANK NO. 2 - West N/S
SIZE - 2,000 gallon steel tank
PRODUCT - Unleaded
The test showed A leakage of +.003 gallons per hr.
Based on the above criteria, we find the system mathematically
tight.
This concludes our test and findings on August 2~, 1988. If you
-have-~ny-~-~§tions reg~d~n~-%h~'~e~u-lts,--please~contact ~ me..It
is your responsibility to notify your local. County Health
Department, Environmental Health, within thirty'(30) days of the
results of this test. This notification is required by the
California Administrative Code, Title 23 Waters, Chapter 3 Water
Resources Control Board, Sub-chapter 16 Underground Tank
Regulations, Article 4.30.
We have'enjoye~'~drking ~it~ foU 'on Zhis'-projecr~ .... If-you-'ne~d
any further information, please feel free to contact our officei'
Project ~anager
Enclosure
~ A & A TANK TESTING
~' ..-' 5630 DISTRICT BLVD., SUITE 102 , .
· " BAKERSFIELD, CALIFORNIA 92312 m'
TANK OWNER'S NAME A.C. ELECTRIC BATE OF TEST 08-26-88
ADDRESS OF TANK 610 34TH STREETf BAKERSFIELD~ CA PRODUCT IN ~ANK UNLEADED
LOC \ STN ID " "NONINAL CAPACITY 2000
TYPE OF PRODUCT UNLEADED 'il'tERHAL SENSOR BOX REA~IN6 22590 · TANK DIAHET 74
I, OBSERVED APl GRAVITY 60.8 DIGITS PER DEGREE IN RANGE
I SAMPLE T~P. (IN F) 94 OF EXPECTED CHANGE 312
I TEMP. IN TANK~A~ CIRCULATION (IN F) 97 DIFFERENCE -3
·. R E C I F R 0 C A t I457 PAGE~MBER 64
TANK OUA~IltF 2~02~ DIVIDE!) BY RECIPROCAL I457= COEFFICIENT OF EXPANSION 1,392587
...... COEFF; OF EXPANSION ....... 1;392587 --gIVIDED'B¥'gIGITS-- '- 312=-A FACTOR FOR THIS TEST "- 0.00~5
~ROSTATIC VOL~E TEtlPERAllJRE NET ~CUM.
PRESSURE MEASUR~ERT COMPENSATION VOL~E CX~
CONTROL CHANGE
ll(~AL
BEGIN RESTORED BEFORE AFTER RECOVERE]) +i:-.--Ji READING :CHANGE COMP, I'E~P AOJ
BASE READIN8 42 ~ ~- r~ '- ~590 ·
START H/L t, 42.0 42 960 960 ~Q.~O00? ~ 22603 13 0.05~ -0.059
2, 42,2 42 %0 965 = ~OOSc) :~.'. 22625 22 0,099
3, 42,3 42 120 140 ~,020~.'¢~ 22~39 14 0,0~3 -0,043
4, 42,3 42 140 160 ~ ~,020~ '=' 22655 16 0,072 -0,032
5, 42,3 42 160 180 ~ ~,020 ~ 22672 17 0,077 -0,057
6. 42,7 42 I80 225 ~i ~045 ?'~'~% 225~I 19 0.086 -0,041
7. 0'.0 42 0 0 0,000 ~,_j 22691 0 0.000 0.000
8. 0.0 42 0 0 0.000 · 22691 0 0,000 0.000
BASE READING. ·12.0 22691
START L/L I. 19.0 12.0 90 150 0.060 22712 22 0.099 -0.029
2. 12,2 12.0 150 225 0.075 22726 13 0.059 0,016 0.016
3. 13.2 12.0 225 300 0.075 22744 18 0.081 -0.006 O,OlO
4. I3.0 12.0 300 255 0.055 22756 12 0.054 0,001 0.01i
5. 13.0 12.0 355 410 0.055 22770 14 0.063 -0.008 0.003
TEST RESULTS 0.003
TECHNICIAN AT THE TINE OF TEST, ~HIS SYSTEM
.................. ~OE~'ffEET-N-F-P-~ *REgUIREHENTS ....................
CERTIFICATION 414811422 TIGHT SYSTEM.
NUMBER
THERMAL SENSOR
SERIAL NUMBER 1337
c 1700Flower Street K,'HN COUNTY HEALTH DEPARTMEN'I HEALTH OFFICER
I~akersfietd, California 93305 Leon M Hebertson,
~! ENVIRONMENTAL HEALTH DIVISION
Telephone (805) 861-3636
· . .. ~ ~ DIRECTOR OF ENVIRONMENTAL HEALTH
~' Vernon S. Retcherd
i NTERI M PERMI T . PERM]2 T~O6OOO6C
TO OPERATE :
I S S U E D: JULY 1, 1986
EXP X RES : JULY 1, 1989
UNDERGRouND HAZARDOUS SUBSTANCES
--- -'-~' STORAGE :-~F-AC--H,I-TY:-':----:- ..... - -*-~t~IMBEI~__OF.:~TANKS__=-_=2~
FACILITY: I OWNER:
A-C ELECTRIC COMPANY I AmC ELECTRIC COMPANY
601,34TH STREET I P.0. BOX 999
BAKERSFIELD, CA I BAKERSFIELD, CA 93302
TANK_~_ A__GE_~IN Y~_S__[ SUBSTANCE CODE PRESSURIZED PIPING?
I, 2 6 )[VF 2 NO
NOTE: ALL INTERIM REQUIREMENTS ESTABLISHED BY THE PERMITTING
AUTHORITY MUST BE MET DURING THE TERM DP THIS PERMIT
NON--TRANSFERABLE ~:~ POST ON PREMI SES
. . · ~ '.;' '~/.. ~; . , ~..
DA~'~IT ~K ~ ~: .'
$u1¥ 22, 1988 . ' . "
A.C. Electric
P,O. Box 999
Bakersfield, California 93302
ATTN: ' Jim Melton ,-
RE: 601 E. 34th Street, ~akerSfiel~', California
On June 2, 1988, a'Petro Tire System Test was.performed at 'the
above-referenced location. The test was performed .by Mike
Womack, A & A Technician, Certification #414811422. The NFPA
code 329.02 criteria for a tight system is a maximum gain or loss
of .05 gallons per hour. Because of the almost infinite
variables involved, this is intended to be a mathematical
tolerance and is not the permission q.~f_a,c.t_u~..1,,l~e.a~age.~ ....
uurzng ~ne s~and-pipe procedure, thA' mnternal liquidrh~drosta~ic
pressure applied to the underground t~k §;~ten~ i~,' g~'~ally two
to three times greater than normal liquid storage pressures.
This increase in hydrostatic pressure wiIl"~.~a~npli..f~'~the indicated
rate of leak accordingly. .~,,;~..~, .... ~-..
SYSTEM TEST '
TANK NO. 1 - East -- '
SIZE - 1,000 gallon steel tank
PRODUCT - Reuglar
The test showed a leakage of -.021 gallons per hr
Based on the above criteria, we find the system mathematically .
tight.
This concludes our test and °findings on Ju~ '2~i
have any questiOns regarding the results, please~contact'.::-!~ie'z.:.?,~it '.'
is your responsibility to notify .your ...,local . C'oun~y~/'~He~ith '.
..... ~:~Department, ~nvironmentat- Heati-h-,- within-thirty ~(30) ,~ay~'.' :-of -the::'.-'
results of this 'test. This notification 'is required-lbY~he
· California Administrative Code, Title 23 Waters, Chapter 3 ~Water
Resources -Control Board, Sub-chapter 16 Undergrotmd Tank
Regul~at:±ons,' Article 6.30,. · '-'. '
We h~ve enjoyed wOrking with you On this .'project, ' .If' 'y0u'-need
any further information, please feel-free to contact: 0U~r 0~fice~
Proj eot Manager ~ .
EnClosure
^
~, . A & A TANK TESTIN8 .....-.' ~ .~' ':~ '-'.":~..'
- _: ::'.'~, ' ~30 DISTRICT BLVO,, SUITE 103 · :. !::·,.L: =?-.:-i·.-~'?~i'?: '~'. ii'. 'j": i" .
· ,, "..,i:' L'. BAKERSFIELD, CALIFORNIA 93313 - '
· 'TANK O~INER'S tLAHE -"A C ELECTRIC -..' . . .- ' DATE DF TEST OB-Sun-SS ' "'..~i- -':L:~'.i .- -
ADnREsS OF TA~IK .- ..'.--. - 60! 3/tTfl STREET, BAKERSFIELD, CA ..... 'PRI)nUCT IN TAI4K REGULAR ~:: '-':: -: '. · · "~' '
LOC ~ 8TIi It) ""' ...... ' ':" ' ~ '- : NO)tINAL CAPACITY [000' ' 'L. -. --'~"
· TYPE OF PROOUCT ' SASOLINE .'. ' : '~ '.TBERHAL SENSOR BO](REAI)ING .. ': -' ; ,~:,'-" 18130.- '.. - TANK DIA,~ET~:R
TOTAL TAN.K I~UANTITY . !,090 .': ' ii.'".. -: TEflPERATURE BETI~EEN (IN F) : ' ' 'i': 'i' ].'.~?i78'.:' :'.] ~;' ' ' ."
':---QBSERVEO-AP¥BR~U!TY-=~-:- -':~'=~58,~ ]-.--~-..'!--. "-. DIBITS P~ !)E~REE TN R~iiBE~-==- =:- ..... '-?---~-.-:~?.~-i~ . .. ,.
SAHPLE TE~, lin F) 83 : DF EXPECTEl) CHANGE . ~. . '.' .....
TEflP. ilt TA~IK AFTER CIRCULATIOI~ (IN F) ; ??,& ' ' DIFFERENCE ' ; S~ ' '' . ... ' '
REC !P ROCA. L 1~9~ · PABENUliBER
T~ttt( IIUA~IT~ l,O?O DIVIDF. I) By REEiPROCAL I~98 = £1)EFFIcIENT OF EXPAItSION- ::
C(]EFF. 'I)F EXPANSION 0.730S63 - ' ;DIVI~ BY OISZTS ~E[ --'A FACTOR FOR Ti(IS TEST
...... . ............ .-_ 'o.ooa3
HY1)ROSTATIC VOLUI~E TEMPERATURE' ' I{ET ~CCU~.
PRESSURE I~EASUREqENT COHPENSATION ' VOL~E
COlITROL CHANG'
· .: ' : : · . ' VOLUHE 'TflERNAL .' : :.-: . ' .. '
· - . - '' :-. 'i .- REP~CE~- · SEJ'tSOR · :'~:-' : . . .. '
~ASE:REMINB.,,. - "~ ;' --'.. <:.-.. . ;. :_ · 18130 ' :. '.'.".:,; :~..~, :: _',.. - ' '
. · : '.; - ' , . . . . - . - = ,. -. ...;- ~ "; ~,
- .. ~ :-;.;~.. :,.;.-_. ::: .. ~
~, ~E,O ~E -. .165 ' l~5 0,000 ~8~7~ "ES ' .0,~8 .. -0,058 ·
3. ~E.3 qe 165 ~0 O.OE5 I8192 ~I :O':Oq8 -O.Oe3
~. ~3.0 4e 190 e~5 0.055 I8~18 e6 *.0.060 -0.005
?.
BASE REAOIN6 I2.0 18~18 . "'
START L/L 1. ~3.1 1~.0 0 ~5 0.0~5' 18239 ~ e! O.O~B -
e. 13.0 te.O ~5 ~0 O.Oq5 18ES~ e3 0.053 -0,008
' 3. 13.0 1~.0 90 i35 0.0~5. 18~8! 19 ~O.O~q 0.001 ,-0.~:'.:
q, i~,9 1~.o 135 i75 o,o~ .1B3ot * ao o,oa6 ~.oo6
5. I~,9 I~.0 175 ~I5 ~ 0.0~0 .,. I83~ ~1 '~.O{B' ~.QOB -0.0~
TEST RESULTS
- ~ERTtFt~ATiON- ~I~8!~ ........... T~HT ~; .............................. : .... ~ .............................
NU~BER
T~R~AL S~SDR
SERIAL NUHBER 1760
\ PERMIT CHECKLIST
· ' ' * ~"-
This checklist is provided to ensure that I ngc packet enclosures were received
and that the Permittee has obtained' all neces~s~,~9~'~lpment to Implement the first phase of
monitoring requirements.
Please complete this form and retur'~ to KCItD In the self-addressed envelope provided
within 30 days of recetpt,-=::~ . ~--~ ....... --:--. _ -: ...... : .... - .... -
Check:
Yes No
A.'The packet I received contained:
1) Cover Letter, Permit Checklist, Interim Permit, Phase I Interim Permit
............... Monitoring Requirements, .Information _Sheet (Azreemen{, Be~ween.~,O~ner- and--
Operator), Chapter -15 (K~oc ~3-3941), Exp'lan~tion of Substance COdes,
Equipment Lists and Return Envelope.
2) Standard Inventory Control Monitoring Handbook #UT-10.
3) The Following Forms: . .
a) InventorYRecordtngSheet
b) Inventory Reconciliation-Sheet wi{h"su~mary off'reverse
c.) Trend.Analysis Worksheet
.e~ 4) An ictlSn'ch~rt'(to post at fa~tlity)-
~ B. I have examined the information on my Interim Permit, Phase I Monitoring
Requirements, and Information Sheet (Agreement between O~ner and Operator), and
find o~ner's name and address, facility name and address, .~perator-*s name' and
address, substance codes, and number of tanks to be accurately listed (if 'no"
is checked, note appropriate corrections on the back side of this sheet).
C. I have the following required equipment (as described on page 6 of Handbook):
1) Acceptable gauging instrument
2) "Striker plate(s)" in tank(s)
3) Water-finding paste
D. I have read the information on the enclosed "Information Sheet" pertaining to
Agreements between O~ner and Operator and hereby state that the o~ner of this
facility is the operator (if "no" is checked, attach a copy of a~reement between
o~ner and operator).
/ E. I have enclosed a copy.of Calibration Charts for all tanks at this facility (if
tanks are identical, one chart will suffice; label chart(s) wit~ corresponding
tank numbers listed on permit).
~ F. As required on page 6 of Handbook SUT-I~, all meters at this facility have had
calibration checks within the last $0 days and were calibrated by a registered
device repairman ~f out of tolerance (all meter calibrations must be recorded on
"Meter Calibration Check Form" found in the Appendix of Handbook).
F/ 0. Standard Inventory Control Monitoring was started at this facility in
accordance
with procedures described in Handbook SUT-IO.
Date-Started ?.Z%_
$~nature off Person Complet~nK~Checkl~s._,~
Title:'_''_' '
Date:
Permi ~ Quest i onnai ~e
Owners live outside Kern County, they may 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 the following before
returning this form with payment:
1. Send all information 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 cub mak;. copy of permit for
Owner).
Kern County Health Departme~ f~ Permi~.f~-~& ,,~;(~; &~_. ~
Division ot Enviro~en~l He~ A~lication~ae. 3-19-85
1700 Flo~r Street, Bakersfield, ~ 93305
~' '~PLI~TION ~R PE~IT ~ OP~TE ~E~R~
~~US SUBST~CES S~E FACILI~
~ o~ Application (ch~k):
~w Facility ~ification'of Facility ~isti~ Facility ~a~fer of ~er~ip
A. ~ergen~ 24-~ur Contact (n~e, area ~e, ~one): ~ ino~s J. ~exander (805~327-0973
Nigh~ Thomas J. ~exander (805)32~-188~
.... ~a~i~ty_ ~ ..... ~-C Electric .Company .... ~~-T~=~2- _
-- ~ of B~iness (check): ~Iine S~t[oH ~er (~e~rt~) Electrical. Contractor
Is T~k(s) ~cat~ on ~ ~ricultural Fa~? ~Y~ ~
Is Tank(s) Us~ ~i~rily for ~ricul~ral ~r~ses? ~Yes ~
Facility ~dre~ 601 34th Street N~rest Cro~ St. San Di~s Street
T ~ R SEC (R~al ~atio~ ~ly)
~r E~-~c J. 2~cx~r ~d ~~'C ~ ~n~ct ~r~ Same
~ress 601 34th Street Zi~ 93302 ~le~o~ (805) 327-0973 ' ~
...... 0~rator Same _.. CoD~ ~r~ --- ii-Same ....... --
~e~ Zi~ Tele~ (805) 327~973
~r ~ ~acili~ Pr~id~ by Calffe~nia'WaferaSe~ic~ Co.~ ~' G~o~~ ~E~o~
~il ~racteristics' at ~ctlitY Sand -
~SiS for Soil ~ ~ Gro~ter ~P~ ~temi~tio~ De"te~ed at installation 1979
C. C~tractor ~ ~ntractor' s ~e ~.
~dre~ Zip Tmle~
Pro~ S~rti~ ~ Pro~s~ c~eti~ ~te ....
~rker's C~~ti~ Certificati~ ~ -- I~urer .' -' "
D. If ~is ~mit Is For ~ification Of ~ ~isti~ ~cility, Briefly ~ri~ ~ifi~ti~
Pro~
E. T~(s) S~re (~k all ~t a~ly).:
T~ ~. ~s~ Pr~uct ~tor Vehicle Unlead~ R~ular Pr~i~ Dle~l '~s~
o o
O O O 0
O 0 O
.~. ~i~l ~siti~ of ~terials Stor~ (~t ~es~ry for ~tor v~icle ~ls)
T~ , C~.l Stor~ {n~c~rcial ~e) ~ , (if ~--) ~.l~~
G. Transfer of Ownership
Date of~-anSfer Previous Owner
Previous Facility Name
I, accept fully all obligations of pemit' No. issued to
. I understand that the Pemitting Authority ~y ~eview and
modify or terminate the transfer of the Permit to Operate this t~alerf]rmmd storage
facility upon receivi_r3g~ this completed form.
This form has been completed under penalty of perjury and to the best of my knowledge is
true and correct.
Facili[y Name a-C Electric~omp_any Permit No.
TANK ~ ( (FILL OUT SEPARATE FORM F EAcH TANK)
FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES
H. 1. Tank is: [~Vaul't~ ~Non-Vaulted ~]Double-Wall []Single-Wall
~-]Carbon Steel []Stainless Steel r~polyvinyl Chloride []-]Fiberglass-Clad Steel
~ Fiberglass-Reinforced Plastic [] Concrete [] Al~in~n [] Bronze []Unknown
[] Other (describe)
3..Primary Containment
Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer
4. Tank Secondary Co~{tainment ~ ' ~---' ' ....
[]Double-Wall FqSynthetic Liner '[]Lined Vault ~-]None ~Unknown
[]Other (describe): Manufacturer:
[]Material Thickness (Inches) Capacity (Gals.)
5. Tank Interior L. ininq -
---~R6bber [-~Alkyd []EpOxy []Phenolic []Glass []Clay ~]t~lined ~t~kno~
[]']Other (describe):
.... 6...-Tank Corrosion Protection
---~Galvanized-[~Fiberglass-Clad []Polyethylene Wrap ~]Vinyl Wrappin~
[]Tar or Asphalt []Unknown ~None [-]Other (describe):
Cathodic Protection: ['~None []Impressed Current System ~lSacrificlal 9~ode System
Describe System & Equi~ent:
7. Leak Detection, .Monitoring, and Interception
a. Tank: []Visual (vaulted tanks only) [-[Groundwater Monitorirg'
[]Vadose Zone Monitoring Well(s) ~]U-Tube Without Liner
U-Tube with C~.~.patible L~ner Directirg Flow to Monitorirg Nell (s)
~-]~_Vapor Detector* [] Liquid Level Sensor* [] Conductivit~ Sensor*
[] Pressure Sensor in Annular Space of Double Wall Tank
[] Liquid l%~trieval & Inspection From U-Tube,~onitoring Well or Annular Space
[] Daily Gauging & Inventory Reconciliation LJ Periodic T~ghtness Testing
[]None [] Unknown [] Other Monitored by dail7 §as usea§e ~-log
b. Piping: Flow-Restricting Leak Detector(s) for Pressurized Piping'
[]Monitoring S~p with Race~y [']Sealed Concrete Raceway
[]Half-Cut Compatible Pipe Raceway []Synthetic Lirler Raceway
[] Unknown [] Other
*Describe Make & Model:
8. Tank Tightness
l~is Tank Been Tightness Tested? [~Yes []No ~Unknowfl
Date of Last Tightness Test Results of Test
Test Name Testing Ccmpany
9. Tank Repair
Tank Repaired? []Yes ~No []Unknown
Date(s) of Repair(s)
Describe Repairs
10. Overfill Protection
~Operator F--~s, Controls, & Visually Monitors Level
[]Tape Float Gauge []Float Vent Valves []Auto Shut- Off Controls
r-]Capaci~ance Sensor []Sealed Fill Box [~None [-]unkno~
, []Other:
List Make & Model 'For Above Devices
a. Underground Piping: ~Yes ['7No ~Unknown Material
Thickness (inches) Diameter Manufacturer
[]Pressure k-]Suction ~Gravity Approximate Length of Pipe Blxt 14 feet
...... _~_b Underground_~ipinq[ .Corrosion_Prot~cti~n~ ·
~Galvanized []Fiberglass-Clad ['~Imp~essed Current [-]Sacrificial Anode
[]Polyethylene Wrap [-~Electrical Isolation ~Vinyl Wrap [~Tar or Asphalt
[]Unknown []None []Other (describe):
c. Underground Piping, Secondary Containment:
[~Double-Wall []Synthetic Liner System []None )~Unknown
[-]Other (describe):
Facility Name A-C Electri ompany Permit No.
TANK ~ 2 (FILL OUT SEPARATE FORM FOR EA~ TANK) FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES .
H. 1. Tank is: [-]VaUlted [~]Non-Vaulted [']Double-Wall [-~Single-Wall
2. -Ta---~-~ Material
[~Carbon Steel [~ Stainless- Steel [] Polyvinyl Chloride [] Fiberglass-Clad Steel
~] Fiberglass-Reinforced Plastic [] Concrete [] Alunin~ [] Bronze []Unknown
[] Other (describe)
3. ,Primary Containment
Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer
4. Tank Secondary Co~{tainment
[]Double-Wall ~lSynthetic £iner '[']Lined Vault [None [-~Unknown '~.
[] Other (describe): Manufacturer:
[]Material Thickness (Inches) Capacity (Gals.)
5. Tank Interior Linin~
DRubber []Alkyd []EpOxy []Phenolic []Glass []Clay k-]unlined []unknown
[]Other (describe):
.... 6. '-Tank Corrosion Protection L_ .... .
--~Galvanized ~ass-Clad []Pol~thylene Wrap []Vinyl
[]Tar or Asphalt []unknown []None []Other (describe}:
Cathodic Protection: []None- []Impressed Current System ~lSacrificial Anode System
DeSCribe System & Equipment:
7. Leak Detection, Monitoring, and Interception
a. Tank: []Visual (vaulted tanks only) [qGroundwster Monitorirg' W~ll(s)
[]Vadose Zone Monitoring ~ell(s) []U-Tube Without Liner
~[]U-Tube with Cc~.patible Liner Directing Flow to Monitorirg Win.il(s)*
Vapor Detector* [] Liquid Level Sensor* [] Conductivit~ Sensor'
[] Pressure Sensor in Annular Space of Double Wall Tank
[ Li.~.id_Bmt.rieval & Inspection From U-Tube,_Monitoring Well or Annular Space
Daily Gauging & Inventory Reconciliation [2] Periodic Tightness Testin~
[]None [] Unknown [] Other Monitored by daily gas useage log
b. Pipirg: Flow-Restricting Leak Detector(s) for Pressurized Pipits'
[]Monitoring S~p with Raceway []Sealed Concrete Race~y
· []Half-Cut Compatible Pipe Raceway []Synthetic Liner Race~ay []None
[] Unknown [] Other
*Describe Make & Model:
8. Tank Tightness
sl~This Tan~ Been Tightness Tested? DYes []No []Unknown
Date of Last Tightness Test Results of Test
Test Name Testing C~mpany
9. Tank Re~air
Tank Repaired? []Yes ~o []Unknown
Date(s) of ~pair(s)
Describe Repairs
10. Overfill Protection
[~qOperator Fills, Controls, & Visually Monitors level
[]Tape Float Gauge []Float Vent Valves []Auto Shut- Off Controls
[~]Capaci~ance Sensor DSealed Fill Box []None []Unknown
[]Other: List Make & Model 'For Above Devices
11. Piping
a. Underground Piping: [Yes []No []Unknown Material
Thickness (inches) Diameter Manufacturer
[]Pressure [Suct'fon ~Gravity Approximate bength of Pipe ~
b~'--Underground--Pipin~-Corro~ion Pf0tecffon ': ........................
~Galvanized []Fiberglass-Clad []Impressed Current []Sacrificial Anode
[]Polyethylene Wrap [~Electrical Isolation [~Vinyl Wrap []Tar or Asphalt
[]Unknown []None []Other (describe):
c. Underground Piping, Secondary Contaimnent:
[]Double-Wall []Synthetic Liner System []None ~X]Unknown
[]Other (describe):
i
.................. ~ _ cei_~a~c~en ,.O.nd _o~o _~'e him
I~L~ ._-za~,~tf~_~. 4mmV-._. ~ ....... '".;i... ...........
............ ~._.;_~o .,,.~~,~_~~~:o~~_s~0' ...
. .~-~ ~~ ~'~ .............
................................. ~ ............................
DATE.
...., . .. ~ONEO.
OF
'~ RETURNED
j PHONE YOUR:CALL
· '.i AREA OOOE NUMBER EXTENSION . . ,
· ., " MEssAGE " ~'° ·
· . ' ." WILL:CALL
· : .,~. AGAIN
CAME TO
SEE YOU
"1 WANTS 'TO ' .' · ·
· .. 'SEE Y0U
· ... '_' SIGNED TOPS FORM 4r'