Loading...
HomeMy WebLinkAboutBUSINESS PLAN 4/16/1990 BAKERSFIELD FIRE DEPARTMENT . /, ' '~ ~, /~ O BUREAU OF FIRE PREVENTION Do~e APPLICATION ^pplicotion No. In ¢on{ormity with provisions of ~rtinent ordinances, code~ ~nd/or regulations, opplication i~ m~de by: - Name of C~ny to display, store, install, use, o~rate, sell or handle materials or pr~esses involving or creating con- dition~ deemed~o~rdou~ to life or pro~r~ ~ follow~: ~' ~ ~ ~t~ri~d Repre~ntative ~:>:~:~.~ ~ ~ c/,o ~ ........... ~...:~...: ..... : ....................... .......... ~ ......... :.. GARY J. WICKS. 2700 M Slreet, Suite 300 Agency Director Bekerlfleld. CA 93301 (805) 861-3502 ~~~'~--.--.~--.~ Tel. phon. (805)861-3636 STEVE McCALLEY Telecopler (805) 861-3429 °-,- A NCY DEPARTMENTAL OF UNDERGROUND HAZARDOUS ~ [ ~ SUBSTANCES STORAGE FACILITY " ~ [ ~ ~ FACILITY NAME/ADDRESS: OWNER(S) NAME/ADDRESS: CONTRACTOR: Kalibur Engineering John B. Antonino Groundwater Remurces, Inc. 3109 Antonino 2143 Wingland Drive 5400 ~drin Ct. Bakersfield, CA .~ Bakersfield, CA Bakersfield, CA 93313 License ~520768 Phone: (805) 327-8697 Phone: (805) 835-7700 PERMIT FOR CLOSURE OF .. PERMIT EXPIRES July 10, 1990 ~ TANK(S) AT ABOVE APPROVAL DATE April 10, 1990 Hamrdous Materials SPecialist ..................... ............................ ~ ................................... POST ON PREMISES .......................................................................... CONDITIONS AS FOLLOWS: 1. It is the r~ponsibility o[ the Permitt~ to obtain p~mits which may be r~uired by other regulato~ agenci~ prior to be~nning work. (i.e., Cit,: Fire and Building Departmeata) 2. Permitt~ must notify the Hazardous Materials Management Program at (805) 86i-3636 two working days prior to tank removal or abandonmem in place to a~ange for r~uired inap~tiona(a). 3. Tank cl~ure activiti~ m~t be per K~n County Environmental Health and Fire Department approved metho~ ~ d~cfibed in Handb~k UT- 30. 4. It ia the contractor's r~naibility to know and adhere to all appli~ble la~ ~garding the handling, transportation or treatment of hazardou:, marsala. 5. Thc tank removal contractor must have a qualified company employ~ onsitc sup~ising the tank removal. Thc employ~ must have tank ~mova' expe~ence prior to working unsupe~iscd. 6. ff any contracto~ other than thee listed on permit and permit applicalion are to be utilized, pdor approval m~t ~ ~anted by the sp~ialis: listed on' the permit. Deviation from the submilted application is not 'allowed. ~. Soil Sampling: a. Tank size 1~ than or ~ual to 1,000 gallo~ - a minimum ~ two sampl~ must be retfi~ed Imm beneath the ~nt~ ~ the tank at depth:. ~ approximately two f~t and six f~t. b. Tank size g~t~ than 1,0~ to 10,000 gallons = a minimum of four sampi~ must ~ retrieved one-third of the way in from the ends e. each tank at depths of approximately two feet and six f~t. c. Tank size ~t~ than 10,000 gaHo~ - a minimum ~ six sampl~ must be retrieved on-fourth of the way in from the ends of each tan~. and beneath the cent~ of ~ch tank at depths of approximately two f~t and six f~t. 8. Soil Sampling (piping a~): A mi~dmum ~ two sampl~ must be retrieved at deplh~ ~ appmximat~y lwo f~t and six feet for ~e~ 15 linear f~t ~ pipe run and under'th~ dispens~ area. PERMIT FOR PERMANENT CLC, SUY~ PERMIT NUMBER A 1184-05 OF UNDERGROUND HAZARDOUS ADDENDUM SUBSTANCES STORAGE FACILITY 9. Soil Sample analysis: a. All soil samples retrieved from beneath gasoline (leaded/unladed) tanks and appurtenances must be analyzed for benzene, toluene, xylene, and total petroleum hydrocarbous. (for gasoline). b. All soil samples retrieved from beneath diesel tanks and appurtenances must be analyzed for total petroleum hydrocarbons (for diesel) and benzene.' c. Ail soil samples retrieved from beneath waste oil tanks and appurtenances must be analyzed for total organic halides, lead, oil and grease. d. Ail soil samples retrieved from beneath crude oil tanks and appurtenances must be analyzed for oil and grease. e. Ail soil samples retrieved from beneath tanks and appurtenances that contain unknown substances must be analyzed for a full range of .substances that may have been stored within thc tank. i0...~hc following timetable lists pre-and post-tank removal requirements: ACTIVITY ' DEADLINE Complete permit application At least two weeks prior to closure submitted to l-lazardous Materials Management Program . - '" Notification to inspector listed o~t permit of date .Two working days and time of closure and soil sampling Transportation and tracking forms sent to Hazardous No later than 5 working days for transportation and 14 working .Materials Management Program. Ail 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 of analysis Program 11. Purging/lnerting Conditions: a. Liquid shall be pumped from tank prior to purging such that less than 8 gallons of liquid remain in tank. (CSH&SC 4].700) 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 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 STORAGI~ TANKS Thin department in 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 overall job performance is consistent with permit requirements, applicable laws and safety standards. The following guidelines are offered to clarify the interests 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 by CAL-OSHA regulations. The job foreman is responsible [or the crew and any subcontractors on the job. Aa a general rule workers are not permitted in improperly sloped excavations or when unsafe conditions exist in the h0ie. 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 o[ 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 contractor~ will be held responsible for their post-removal paperwork. Tracking forms, hazardous-waste manifests and analyses 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 nec,-~,sary paperwork, an unmanageable backlog of incomplete cases results. If this continues, processing time for completing new closures will increase. Accepted BV:~ LF:cas \a 1184-05.ptc ~,~,~,.~ Bakersfield Fire Dept. ~ '* RECE~VEO  HazardoUs Materials Division 2130 "G" Street~ .{)EC 0 6 1990 Bakersfield, CA. 93301 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME: / u, r ~ ~ ~', ~ ~,1 ¢, MAILING ADDRESS: ' ~~ DUN 8/. BRADSTREET NUMBER: SIC CODE: PRIMARY ACTIVITY: OWNER: MAILING ADDRESS: SECTION 2: EMERGENCY NOTIFICATION: CONTACT TITLE BUS. PHONE' 24 HR. PHONE I' Bakersfield Fire Dept. · 'Hazardous Materials DiviSion . HAZARDOUS MATERIALS MANAGEMENT PLAN NUMBER OF EMPL©YESS: . MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: SECTION 4: EXEMPTION REQUEST:· I CERTIFY UNDER PENALTY C~F PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY· CODE" FOR THE FOLLOWING REASONS: ' ~, WE 'DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOus MATERIALS, BUT THE QUANTITIES 'AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES, OTHER.(SPECIFY REASON) . .' ... SECTION 5: CE"TIFiCATiON: I, r--~vr, ~ c_~ ~)~- CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS'INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HA~RDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC, 25500 ET AL.) AND THAT INACCURATE.INFORMATION CONSTITUTES PERJURY. SIGNATURE ' TITEE DATE F0159o Do herebT cert~ c._ · _z., that I have revzewed the attached Hazardous ~la%erials business'Dian (name of business. I and that it along with the attached additions corrections oonsti~ ~e ~u~ a complete and correct Business .Plan for my facility. siena%ute elate CITY of BAKERSFIELD '~ ~ NYE NT.O RY' Fa~, a~ ~9~icu~ture ~ Standard e,s~..s = , HAZARDOUS MATERI ALS I ~ith of Pw~ blth (C~k iii tMt !ppiy) .*' : - F~e Hazard ~ J R~ct~v~ty ~ ~ ~la [ ~ ~ Reline ~--J I~tite H~lth of P~su~ ~lth [ ~ F~re Hazard =-~ ~tivity [ ~ ~la~ [ ~ ~ Reline ~--' HHIth of Pr~Surl Nlalth C.rt~f~cG~ (Read and sJ~ after co~pJe~JnK a~] sectJons/ foc obt~?ing t~ ~nf~tlm. I ~lieve t~t t~ su~itt~ info~t*~ is t~. accurate, end cm~let~ // / ~ ~// . ' BUSINESS NR~E K~LI~J~..NGINEERING INC -ORII~TROL ID NI LO~CtTION '~'Q§ ANTONINO AY HIGH HAZARO RATING ~. OVERVIEW LAST CHANGE 0Z/ZZ/88 8Y EVAMC JURIS CODE Z~S-~)~l JURIS BAKERSFIELD ~TATION'Q! MAP PAGE tQ2 GRI'O Z3D~ FACILITY UNITS 1 HAZARD R~T!NG 2 RESPONSE SUMMARY 2~ SEC Z) NO PRIVATE RESPONSE TEAM EMERGENCY CONTACTS 2A SEC Z) 'UTILITY SHUTOFFS %A ~ A) GAS ? EAST OF SHOP 8) ELECTRICAL - NORTH WALL OF GHO~ C) WATER - WEST OF GATE OUTSIOE OP FENCE D) SPECIAL -'NONE E) LOCK 80X - NO Z. NOTIFICATION / PUBLICE~n~UATION' ~ LAST CHANGE / / 8Y < NO INFORMATION RECORDED FOR THIS SECTION MATERIAL SAFETY I]ATR S~,EMo, INC. (80S} G48-G8~ . · ._uCnTluN ~-~!OB RNTONIN0 Rg ~IIGt4 HRZARD RRTING Z ~.HAZ MAT T~glNING -SUMH~RY < NO INFORMATION ~ECOROED FOR THIg SE,.:I[,N > LOCAL EMEK-~ENCY MEDICAL ASSISTANCE : LAST CHANGE OZ/22/SB BY EVAMC ZA ~2~C §) OR. ~I,~GH MATERIAL SAFETY D~TA SYSTEHS. INC BU~.I[NE§B NAME KRLIB NGINEERING INC -DRILTROL ID N R 21~-~t~-00~0G4 LOCATION ~1~9 RNTONINO RV HIGH H~ZRRO R~T!NG F~CILITY UNIT R, OVERALL H~ZRRDOUS MATERIALS INVENTORY CHANGE eZ/ZZ/88 BY EVRMC ~B TYPE N~HE ' H~X ~T UNIT LOC~TI ON ~ONT~INMENT USE t PURE G~SOt. INE I~ 6~L HIG~ S~' BUILBING UNDE~ROUNB TANKS FUEL IB 'PERCE~T COHPONENTS HAZARD L~ST 118Z,~ t~.¢'GRSOLINE HIGH Z PURE KEROSENE SG GAL MoOERATE SE OF PROPERTY ORUMS OR BARRELS MET.. CLEANING ID .~ C~ P~R..=NF COMPONENTS HRZRRD LIST t~78.Q1 ~,Q KEROSENE ' MOOER~TE FIRE P,-,OIECT. u,.~ / WATER SUPPLIES LAST CHANGE / / ¢/¢¢'BY < NO INFORMRTION RECORDED FOR THIS ~ECTION > PAGE 3 1Z/19/88 Q9:47 MATERIAL SAFETY owrA SYSTEMS. INC. (805) ~48-G8~ ." BUSINESS N~ME K~LIBUR ENGINEERING INC -DRILTROL ID NUMBER 21S-000-0~10G4 D. EM~LOYEE NOTIFIC~T!DN / Eg~CU~TION L~T CHANGE 0Z/Z~/88 BY-EVAHC 3R SEC Z) NO EMPLOYEES SELF gOULD EVRCURTE MITIGATION ,~ PREVENTION / ABATEMENT 0-/-,~./8B BY EV~MC L~ST CFtRNGE ~ ~ ~ SEC l~ C~LL PIC FOR CLE~N ~ OF I.~RGE SPILL PRGE 4 lZ/IB/BB 0B:47 MRTERIAL. SAFETY DAT~ SYSTEMS, INC, <BOB) G48-GBQO " US iNESS N~E BUSINESS PL~ AS. A WHOL.E . FOR~ 2~ I. To avoid further action, return :his .form by: Z. TYPE/PRINT AN'$WER$ L",r 3. Answer the questions below for the business as a whole. 4. Me as brief ~d concise as possibie. SECTION 2: EMERGE!~CY ~OTIF!CAT!0NS In c~se of an emergency invoivin~ the release or' Chreacened release of a hazardous maceri~i, cull 91! and 1-800-852=?~50 or 1-916-427-4341. This will your' ioc~i fire degar~men~ and the St=~e Office of Emergency Se=v~ces as ~quired. by EMPLOYEES TO ~0T!F¥ IN CASE' OF NAME .~TITL~ -',~ [/__ OURING BUS. ERS. AFaR'BUS. ~S. B. Ph; Ph; ' SECTION 3: 50CATION OF UTILITY. s'rrUT.OF?$ FOR BUSINESS AS A WMOLE . O. SPECIAL: SECTION ,~: LOCAL EM. ERGE~iC*f .MEDICAL ASSISTANCE FOR YOUR BUSL%ESS .~S A WF[OLE AIo Z ' SECT. TON ~: ~Pr_,OYEE_ TRAI'~I~6 ~-[PLO~S ARE REQUIR~ TO ~ A PROG~I WEIC~ PROVIDES ~,~LO~S WI~ ~T~ ~N~ .... REFRES~R ~I~G rN ~E FOLLOW~NG AR~%S. -. ............... CIRCLE ~S OR ~O '' IXiTI~ '- A. ~ETHOBS FOR SAFE ~NDLING 0F ~ IALS : ........................................ ~S ~O ~S B. PROCEDb~ES FOR COORDINATING A~iVIT!ES ..... Wr~ RESFONSE AGE~CiES: .......................... ~S ~'0 ~S C. PROPER USE OF SAFE~f EQUIPME}~: .................. ~S NO ~S D. ~ERGE};Cf ~;ACUAT!0N PROCESURES' ~S h'O' ~S E. DO YOU ~INTA[N EMPLOYEE ~AIh'iNG RECORDS: ....... '~S NO. ~S SECTION T: ~Z~DOUS CIRCLE %S OR~ DOES YOUR 3L'Si>~ESS HANDLE HAZARDOUS >L~TE~!AL [~{ qu~xrrrrZs :Ess ~AX 50~ SOLID, ~M GALLONS OF A LIQUID. 0R Z00 CUBIC FEET OF A COMPRESSE3 GAS: ...... r unde~szand zhac zbis infor~azio~ w~i! be used Zo fulfill ~y firm's ob[is~zions under Zhe new California He~iZh and SAC=*', csde on Hazardous ~zeri~is (Div ~0 Ckau%er 6 95 Sec. 25500 EZ Al.) and Zbaz in~c:ur~ze information cons-Zi-~uzes 2erjurT. BAKERSFIELD CITY FIRE DEPART>IENT 2~30 "G" STREET BAKERSFIELD, CA 93301 .OFFiCTAL USE ONLY ID~ BUSINESS NAME: ' BUSINESS. PLAN SINGLE FAC ILI TxZ .UNIT F 0 R2Vl INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the.questions below for THE FACILITY UNIT LISTED BELOW 4.~Be as BRIEF and CONCISE as possible. FACILITY UNIT~' FACILITY UNIT NAME: SECTION 1: MITIGATION z PREVEN"F!0NT ABATEMEN'r PROCEDbRRES ~/1 ? ?' ~ 7~ ~1~-~ ~ ~' SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS L%'iT 0.YLY SECTION 3: HAZARDOUS MATERIALS FOR TNIS In'IT A. Does thi.s' Facility Unit contain Hazardous MaterJa!~? ...... YES If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY '(white form ~4A-t) If Yes, complete a hazardous materials inventory form marked: T~¢DE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secr,~t form· List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMEI~GENCY RESPONDERS SECTION 6: LOCAT!O~ OF 5~ILITY SH%~-OFFS AT THIS b~IT ONLY. A NAT ~ ~'o .... ' · . oAa,',lxOPANa: B. ELECTRICAL: C. WATER D. SPECIAL: LOCK BOX: YES ' h'O r'= YES ~- , L,, .... 'ti :. : YES S .TTE PLAXS? ..... :,:,0 ..' ,'r~ 51qDc. o -,.:.... ...., ,,,-,~ FLOOR Dr , / r'0 IlAZARDoUs HAT.ER I ALS' I HVENTOI[Y' ~llr~lHE~;R NAFIE:': f. /HE~F/~ ~/~ OHNER HAHE: FACII, ITY UNIT ,l~i~i~l~;~;: ~7~ ~~/~ _. AIII)RESS~ FACILITY UNIT HAHE: .................. It~)1~1~ ~:_~_~_~ ~~ PIIONE f~ IOFFI(;IAI,oNhy USE CFII~5 TITLE ri-lc.e_ $ ONATURE: ~ ~ TITI, E:' , PIIONE f DII.S IIOIIRS: AFTER ,_ . T Et PIIONE f BUS IIOUR9: ~~ Bakersfield Fire Dep{~ i!i~!:.'~' ......... !~! .HAZARDOUS MATERIALS DIVISION ~:.~ .- 2130 G Street, Bakersfield, CA 93301 · ~ . (805): 326-3970 UNDERGROUND TANK QUESTIONNAIRE', I. FACILITY/SITE No. OF TANKS ~. NEAREST CROSS STREET ~ PARCEL No.(OPTIONAL) ' - CITY NAME STATE . ZIPCODE ~' BOX TO INDICATE [~J CORPORATION J~ INDIVIDUAL [~ PARTNERSHIP J~ LOCAL AGENCY DISTRICTS ~J COUNTY AGENCY J~J STATE AGENCY [~J FEDERAL AGENCY TYPE OF BUSINESS {~ 1 GAS STATION [~ 2 DISTRIBUTOR KERN COUNTY PERMIT [~ 3 FA RM I~ 4 PROC ESSOR 0 5 OTHER TO OPERATE No. · EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY) optional DAYS: NAME (LAST, FIRST) ' PHONE No. WITH AREA CODE DAYS: NAME (LAST. FIRST) PHONE No. WITH AREA CODE NIGHTS: NAME (LAST. FIRST) PHONE No. WITH AREA. CODE NIGHTS: NAME (LAST. FIRST) PHONE No. WITH AREA CODE II. PROPERTY OWNER INFORMATION (MUST BE COMPLETED) NAME CARE OF ADDRESS INFORMATION MAIL NG OR STREET ADDRESS ~/' BOX O INDIVIDUAL J~ LOCAL AGENCY Q STATE AGENCY TO INDICATE J~ PARTNERSHIP J~j COUNTY AGENCY J~J FEDERAL AGENCY CITY NAME STATE. ZIP CODE PHONE No. WITH AREA CODE III. TANKOWNER INFORMATION (MUST BE COMPLETED) NAME CARE OF ADDRESS INFORMATION MAILING OR STREET ADDRESS ~' BOX [~J INDIVIDUAL ~ LOCAL AGENCY J~ STATE AGENCY TO INDICATE J~ PARTNERSHIP J~J COUN1Y AGENCY [~ FEDERAL AGENCY CITY NAME STATE ZIP CODE PHONE NO. WITH AREA CODE OWNER'S DATE VOLUME PRODUCT IN TANK No, INSTALLED STORED SERVICE Y/N --Y/N YIN Y/N Y/N ~ " DO YOu HAVE FINANCIAL RESPONSIBILITY?· Y/N TYPE ~ Fill one segmen~t for each tank, unless altanks and piping are constructed of tm same materials, style an~B~cype, then-only fill 'one segment out. please identify tanks ~by owner ID ~#. I. TANK DESCRIPTION' COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN '" A. OWNER'S TANK I.D.# .. " B. MANUFACTURED BY: '' C. DATE iNSTALLED (MO/DAY/YEAR) D. TANK ~APAClTY.IN GALLONS: ' III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, ANDC, ANDALLTHATAPPLIESINBOXD A. TYPE OF [] 1 DOUBLE WALL [] 3 SINGLE WAll WITH EXTERIOR LINER [] 95 UNKNOWN SYSTEM [] 2 SINGLE WALL [] 4. SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER B. TANK' [] 1 BARE STEE~ '[~ 2 STAINLESS STEEL [] 3 FIBERGLASS [] 4 STEEl'CLAD W/FIBERGLASS REINFORCED PLASTIC MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM '[] 8:100°/o METHANOL COMPATIBLEW/FRP '(PrimaryTank) [] 9 BRONZE [] 10 GAI~VANIZED STEEL [] 95 UNKNOWN [] 99 OTHER' [] BUS.ER L,NED [] 2 AL O L,N,NG [] . EPOXY LINING [] . PHENOL.: LIN,NG C. INTERIOR UN[NG [] 5 GLASS LINING [] 6 UNLINED [] '95 UNKNOWN [] 99 OTHER IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES_ NO__ D. CORROSION [] 1 POLYETHYLENE WRAP [] 2 COATING ?.~i' [] 3 VINYL WRAP ..'~ [] 4 FIBERGLASS REINFORCED PLASTIC PROTECTION [] 5 CATHODIC PROTECTION [] 91 NONE .... [] 95 UNKNOWN ~ [] 99 OTHER IV. PIPING INFORMATION C~RCLE A IFABOVEGROUNDOR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE ~. u 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U I SINGLE WALL- A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U I BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLoRIDE(PVC)A U 4 FIBERGLASs PIPE· CORROSION A U 5 ALUMINUM A U 6 CONCRETE A .U 7 STEEL Wl COATING A U 8,100% METHANOL COMPATIBLEW/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION ~ 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 INTERSTR'~AL MONITORING [] 99 OTHER V. TANK LEAK DETECTION [] 1 VISUAL CHECK [] 2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUNDWATER MONITORING 6 TANK TEST,NG [] 7 ,N RST,T, ALMON,TOR,NG [] NONE UNKNOWN [] O .ER I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWI~I A. OWNER'S TANK I. D. # B. MANUFACTURED BY: C. DATE INSTALLED (MO/DAY/YEAR) D. TANK CAPACITY IN GALLONS: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, ANDC, ANDALLTHATAPPLIESINBOXD A. TYPE OF [] '1 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN SYSTEM [] 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAULTEDTANIO [] gg OTHER B, TANK [] 1 BARE STEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 8 100°/o METHANOL COMPATIBLEW/FRP (PrimaryTank) [] 9 BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN [] 99 OTHER [] RUBBER L,NED [] AL D LI.I.G [] EPOX LIN.NG [] PHENOL": LINING C. INTERIOR [] 5 GLASS LINING [] 6 UNLINED [] 95 UNKNOWN [] 99 OTHER' LINING 'IS LINING MATERIAL COMPATIBLE WITH 100"/o METHANOL ? YES--:-'NO__ D. CORROSION [] I POLYETHYLENE WRAP [] 2 COATING. [] 3 VINYL WRAP [] 4 FIBERGLASS REINFORCED PLASTIC PROTECTION [-'--I 5 CATHODIC PROTECTION r---~. 91 NONE [] 95 UNKNOWN [] 99 OTHER IV. PIPING INFORMATION C~RCLE A IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A U I SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYV~NYL CHLORIDE(PVC)A IJ 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING A U 8 100°/o METHANOL COMPATtBLEW/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A IJ 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR .L-~ 2 LINE TIGHTNESS TESTING [] 3 INTERSTITIAL MONITORING [] 99 OTHER V. TANK LEAK DETECTION t=' .~_ 1 vISUAL CHECK ~ 2 INVENTORY RECONCILIATION ~ 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUND WATER MONIT~]RING i '.) 6 TANK TEST'NO ~ 7 INTERSTTALMON'TOmNG ~ gl NONE [] g5 UNKNOWN ~ [] 9g OTHER I. TANK DESCRIPTION SPECIFY IF UNKNOWN A. OWNER'S TANK t.D.# B. MANUFACTURED BY: C. DATE INSTALLED (MO/DAY/YEAR) . D. TANK CN3AClTY IN GALLONS: . III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, ANDC, ANDALLTHATAPPLIESINSOXD · A. TYPE OF [] 1 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER ' [] 95 UNKNOWN SYSTEM [] 2 SINGLE WALL [], 4' SECONDARY ~CONTAINMENT (VAULTED TANK) [] 99 OTHER B,.' TANK [] .1~ BARE STEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 4 STEEL CLAD. W/FIBERGLASS REINFORCED PLASTIC MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE []. 7 ALUMINUM [] 8 100% METHANOL COMPATISLEW/FRP (PrimaryTank) [] 9 BRONZE [] 10 GALVANIZED STEEL L.~' 95 UNKNOWN [] 99 OTHER [] ~., · R'UaSE. UNED [],2 ALKYD ',.,.G ~ [] 3 ~OX~ L~.",~ · [] '. PHENOL,C LINING C. INTERIOR lINING [--'-)'.' 5. GLASS LINING [] 0 UNLINED [] 95 UNKNOWN [] 99 OTHER - IS MNING'~MATERIAL COMPATIBLE WITH 100% METHANOL ? YES- NO__ ' '-' D. CORROSION :~' [] 1- POLYETHYLENE WRAP [] 2 COATING "~ ~ , ~:.,)'--"l 3 ~NYL WRAP [] 4 FIBERGLASS REINFORCED PLASTIC PROTECTION [] 5,,.~,.,~CATHODIC PROTECTION [] Bl-, NONE ,[~,?.~ ~;~;-F-~ 95 UNKNOWN [] 99 OTHER · ..... IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND OR U IFUNDERGROUND. BOTH IF APPLICABLE · ~'-~'.:¥:~';2771.~. A. SYSTEM TYPE A. U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL AU 3 LINED TRENCH A U 95-UNKNOWN A U 99 OTHER ' C. MATERIAL AND A~ U 1~ BARESTEEL · ~A U 2 STAINLEss STEEL A U 3 POLYVINYL CHLORIDE(PVC)A U 4 FIBERGLASS PIPE ,.,:~!= ~:J!~'" CORROSION A U 5 ALUMINUM A; U 6 CONCRETE -;~' ;/J~ U. 7.%STEELWlCOAllNG A' U 8 100% METHANOL COMPATIBLEW/FRP "~ PROTECTION A U 9 GALVANIZED STEEL A, [I, 10 CATHODIC PROTECTION ~ ":A U 95 UNKNOWN ' '"'A U 99 OTHER ':~.r':.' :~'~'' O. LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [---). 3 INTERSTR'tAL MONITORING [] 99 OTHER V. TANK LEAK DETECTION [] ~, v,suAL CHECK [] :' ,NV~NTORY RECONC,L,AT'ON [] 3 VAPOR MON',TOR,.G [] '..~TOMATIOT=K=UG,NG [] ~ GROUNOWATE. MON,'rOR,NG [] ~ TANK TESTING . [] ~' ,.TERST~'.ALMON~TOR,NG F'71~B"' ,',,ONE - [] ~ U.KNoW. [] ~ OTHER I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN ~ A. oWNER'S TANK L D.~ B. MANUFACTURED BY: ' C. DATE INSTALLED (MO/DAY/YEAR) D. TANK CAPACITY IN GALLONS: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B, ANDC. ANDALLTHATAPPLIESINBOXD A. TYPE OF [] 1 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN SYSTEM [] 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT-(VAULTEDTANK) [] 99 OTHER B. TANK [] 1 BARESTEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 4 STEELCLAD W/ FISERGLASS REINFORCED PLASTIC MATERIAL [] 5 CONCRETE. [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 8 100% METHANOL COMPATIBLEW/FRP (PrimaryTank) [] 9 BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN [] 99 OTHER [] 1 RUBBER LINED · [] 2 ALKYD LINING [] 3 EPOXY LINING [] 4 PHENOLIC LINING C. INTERIOR [] 5 GLASS LINING [] 6 UNLINED [] 95 UNKNOWN [] 99 OTHER LINING tS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES__ NO__ D. CORROSION [] 1 POLYETHYLENE WRAP [] 2 COATING [] 3 VINYL WRAP [] 4 FIBERGLASS REINFORCED PLASTIC PROTECTION [] 5 CATHODIC PROTECTION [] 91 NONE [] 95' UNKNOWN [] 99 OTHER IV. PIPING INFORMATION C~RCLE A IFABOVEGROUNDOR U IF UNDERGROUND. B~OTHIFAPPLICASLE A. SYSTEM TYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A U 1 SINGLE·WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U I BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE(PVC)A U 4 FIBERGLASS PIPE CORROSION A [J 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING A U 8 100'/o METHANOL COMPATIBLEW/FRP PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION AU 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR ['~ 2 LINE TIGHTNESS TESTING [] 3 INTERSTITIAL MONITORING [~ gg OTHER V. TANK LEAK DETECTION I_[] 1 vIsuAL CHECK [~' 2 INVENTORY RECON~IUATION [] 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GRouNDWATER MONITORING{ [] ~ TANK'TEST,NG ' [] ~ ,NTERST,T,ALMON,TOR,NG []., .NONE [] ~ UNKNOWN [] ~ OTHER '1 TO: H.R. t[ELLY, FiRE CHIEF FROM' R.E. HUEY, HAZ MAT COORDINATOR SUBJECT: HAZ MAT FEE SCHEDULE THE FOLLOWING IS THE REVISED FEE SCHEDULE FOR HAZARDOUS MATERIAL HANDLERS, EFFECTIVE 12-08-87. · PREVIOUS HAZARD FEE SCHEDULE RATING .SCHEDULE - VOLUME A~MOUNT ' ' AMOUNT ' LOW A 55-1000 $ 50 B 1000-I0000 100 C 10000-100000 150 D 100000 PLUS 200 MODERATE E 55-1000 75 F 1000-10000 I~0 G 10000-100000 H 100000 PLUS ~7'--260~ $ 300 HIGH I 55-1000 100 J 1000-10000 200 K 10000-100000 280 300 L 100000 PLUS 2?5 400 EXTREMELY M 55 - 1000 150 HAZARDOUS N 1000-10000 2S0 300 O 10000-100000 2.?5 450 ~vv~ PLUS ~v 600 THE REVISED SCHEDULE HAS HAD A MINIMAL EFFECT ON OVER ALL REVENUES. DROPPING THE AVERAGE FEE PER HANDLER TO $128.36 FROM THE PREVIOUS $136.17. THIS WILL REDUCE THE BILLING AMOUNT FOR THE FIRST 67S RECORDS FRoM $92,0?5 TO $86,??0. THE ESTIMATED TOTAL· REVENUES FOR HAZARDOUS MATERIALS WILL BE BETWEEN SI15,000 AND $1"0 000 REH/ED/ ~ -