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Home My WebLink AboutUNDERGROUND TANK-C-08/27/92 All of ~he following information MUST BI~ included in order for file applicalion to be processed: Tank(s), piping and dispraise(s), includ/ug lengfl~ aud dimemions Proposed sampling locations designated by flfi~ symbol ~ Nearest sn-eet or intm~.~ion Any water wells of sur/ace wa~ers wiflfin 100' rad/u~ of faciliw ~0~ -- North arrow ...... RES CE MANAGEMENT A NCY RANDALL L. ABBOTT ~ ~ Environmental Health Services Department /~ STEVE McCALLEY, REHS, DIRECTOR DIRECTOR Air Pollution Control District DAVID PRICE m ~ WILLIAM J. RODDY, APCO ASSISTANT DIRECTOR ~ Planning & Development Services Department ~D JAMES, AlCP, DIRECTOR ...... ENVIRONMENTAL-HEALTH~SERVICES'~DEPARTMENT i ...... ~.'- .~'~-.iU_-.-~ ..... August 27, 1992 R. M. O'Meara 421 East Belle Terrace Bakersfield, CA 93307 CLOSURE OF 2 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANKS LOCATED AT 421 EAST BELLE TERRACE IN BAKERSFIELD, CALIFORNIA. PERMIT # A1709-25/250006 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 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. Thank you for your cooperation in this matter. CARRIE GEORGI, HAZARDOUS MATERIALS SPECIALIST 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 FAX: (805) 861-3429 FILE CONTE.~ITS SUMMARY $c //~ ~ r~c . Activity Date # Of Tanks Comments ZL~r~s~z~ZOS ~CORD " ( ~TATE OF CAUFORNIA ~ STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERUIT APPLICATION - FORU A COUPLE'rE THIS FORU FOR EACH FACILITY/SITE MARK ONLY [] 1 NEW PERMIT [] 3 RENEWAL PERMIT [] 5 CHANGE OF INFORMATION ~ 7 PERMANENTLY CLOSED SITE ONE ITEM [] 2 INTERIM PERMIT [~] 4 AMENDED PERMIT [] 6 TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS - (MUST BE COMPLETED) DBA OR FACILITY NAME . .. NAME OF OPERATOR ADDRESS ....... ~ : ~ ......... I NEAREST CROSS S'~REET CJTY NAME . . STATE / ZIP CODE ..£' SITE PHONE # WITH AREA CODE TO INDICATE ~ CORPORATION I'---] INDIVIDUAL .[~ PARTNERSHIP [---'1 LOCAL-AGENCY I-'-] COUNTY*AGENCY ~ STATE-AGENCY r"'-I FEDERAL*AGENCY DISTRICTS US,NESS r--I , =s STATION r--I = D,STR,SUTOR IF INDIAN I#OF RESERVATION ~ 3 FARM i--'"'"1 4 PROCESSOR ~, 5 OTHER OR TRUST LANDSIi I EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY) · optional · . PHONE # WITH AREA CODE ~11 DAYS: NAME (LAST. FIRST] PHONE # WITH AREA CODE DAYS: NAME (LAST. FIRST] i '\ ' NIGHTS: NAME (LAST. FIRST) PHONE # WITH AREA CODE NIGHTS: NAME (LAST. FIRST] PHONE # WITH AREA CODE II. PROPERTY OWNER INFORMATION- {MUST BE COMPL~I'ED) MAiLiNG OR STREET ADDRESS v/ box 1) indicate ~ INDIVIDUAL [~] LOCAL-AGENCY ~ STATE-AGENCY CITY NAME. ~ , STATE.. i z,PrDE PHONE # WITH AREA CODE III. TANK OWNER INFORMATION - (MUST BE COMPLETES) NAME OF OWNER I CARE OF ADDRESS INFORMATION MAILING OR STREET ADDRESS .... ./ box t= indict 1---] INDIVIDUAL r~l LOCAL.AGENCY ~ STATE-AGENCY CITY NAME I STATE ZIP CODE ~ PHONE # WITH AREA CODE '"' ' "' ~/:' "~ ~¥, BOARD OF E~UAM~AT~ON UST b~.ORAG£ FEE ACCOUNT NUMBER - Call {~) 7~-~ if TY(TK) HO [~-]- I I V. LEGAL NOTIFICATION AND BILLING ADDRESS Legal notification and billing will be sent to the tank owner unless box I or II is checked. I CHECK ONE SOX INDICATING WHICH ABOVE ADDRESS SHOULD BE USED FOR LEGAL NOTIFICATIONS AND BILLING: I.[] II. [---] II1.[] THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT LOCAL AGENCY USE ONLY COUNq'Y It JURISDICTION It FACILITY It LOCATION CODE - O~ rtO~At. CENSUS IRACT # . OP rtO~At. CODE ~ OPTIONAL THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE PERMIT APPLICATION · FORM B, UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY. FORM A (9.90) FOROO33A-R2 ~TATE OF CAUFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. MARK ONLY [] 1 NEW PERMIT [] 3 RENEWAL PERMIT [] 5 CHANGE OF INFORMATION [] 7 PERMANENTLY CLOSED ON SITE ONE ITEM [] 2 INTERIM PERMIT [~ 4 AMENDED PERMIT [] 6 TEMPORARY TANK CLOSURE [] 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: ~'~"~ ! ~', ~ . ~ ~x *" ~x *':' i ,3 I. TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN c II. TANK CONTENTS IF A-1 IS MARKED, COMPLETE ITEM C. I--~laREGuLAR ~ 3 DIESEL [] 6 AVIATION GAS A. L~ I MOTOR VEHICLE FUEL [] 4 OIL B. C. ~ UNLEADEDL_J 4 GASAHOL [] 2 PETROLEUM [] 80 EMPTY [~,1 PRODUCT [] lb PREMIUM [] 7 METHANOL UNLEADED [] 5 JET FUEL [] 3 CHEMICAL PRODUCT [] 95 UNKNOWN [] 2 WASTE [] 2 LEADED [] 99 OTHER (DESCRIBE IN ITEM D. BELOW D. IF (A.1)IS NOT MARKED, ENTER NAME OF SUBSTANCE STORED C.A.S. #: III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, ANDC, ANDALLTHATAPPLIESINBOXD A. TYPE OF [] I DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER [] 95 UNKNOWN SYSTEM [] 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER IB. TANK [] 1 BARESTEEL [] 2 STAINLESS STEEL ~3 FIBERGLASS [] 4 STEELCLADW/FIBERGLASSREINFORCEDPLASTIC 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 LINING [] 5 GLASS LINING [] S UNLINED ~5 UNKNOWN [] ~9 OTHER IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES ~ NO~ D. CORROSION [] I 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 IF ABOVE GROUND OR U IF UNDERGROUND. BOTH IF APPLICABLE A. SYSTEM TYPE A~.U~ 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 [j'~5 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARESTEEL A U 2 STAINLESS STEEL A U 3 POLYVlNYL CHLORIDE(PVC)A U 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A [J 7 STEEL W/ COATING A U 8 100% METHANOL COMPATIBLEW/FRP (J'~, 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U 95 UNKNOWN A U 99 OTHER PROTECTION A ~ D. LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3MONITORINGINTERSTITIAL [] 99 OTHER V. TANK LEAK DETECTION [] O TANK TESTING [] 7 INTERSTITIAL MONITORING [] 91 NONE [] 95 UNKNOWN [] 9' OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE LAST USED (MO/DAY/YR) 2. ESTIMATED QUANTITY OF ~:~-;~., 3. WAS TANK FILLED WITH YES [] NO [] ~:.,, / ,/ ~ ~ SUBSTANCE REMAINING . GALLONS INERT MATERIAL ? THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT I APPLICANT'S NAME DATE (PRINTED & SIGNATURE) LOCAL AG ENCY USE ONLY THE STATE I.D. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW COUNTY # JURISDICTION # FACILITY # TANK # ~ORM S (9-~0) THIS FORM MUST BE ACCOMPANIED BY A PERMIT APPLICATION - FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FORO~4BR4 SI'ATE OF CAUFORNIA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM MARK ONLY [~ ! NEW PERMIT [] 3 RENEWAL PERMIT [] 5 CHANGE OF INFORMATION [] 7 PERMANENTLY CLOSED ON SITE~ ONE ITEM [~ 2 INTERIM PERMIT [] 4 AMENDED PERMIT [] 6 TEMPORARY TANK CLOSURE ~ 8 TANK REMOVED DBAOR FAClLITY NAME WHERE TANK IS INSTALLED: ~" ~ ? ~'; .: ~ ;, I. TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN II. TANK CONTENTS ~F A-1 IS MARKED, COMPLETE ITEM C. [] 2 PETROLEUM [] ~ EM.TY [] , PRCO~CT [] ,b PREMIUM [] 7 M~H*.OL UNLEADED [] 5 JET FUEL [] 3 CHEMICAL PRODUCT [] 95 UNKNOWN [] 2 WASTE [] 2 LEADED [] 99 OTHER (OESCRIBE IN ITEM D. BELOW D. IF iA.l)IS NOT MARKED. ENTER NAME OF SUBSTANCE STORED C.A.S. #: 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 [] g5 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 [] a 100% METHANOL COMPATIBLEW/FRP (PrimaryTank) [] g BRONZE [] 10 GALVANIZED STEEL [] g5 UNKNOWN [] 9g OTHER . [] , RUBBER L,NED [] ~ AL~O L,.,NG [] ~ EPOX~ L,NmNG[] , P. ENOL~ L,.,NG C. INTERIOR LINING [] 5 GLASS LINING ,~ 6 UNLINED [] 95 UNKNOWN [] 9g OTHER IS 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 CmCL~ A IFABOVEGROUNDOR U IF UNDERGROUND. BOTH IF APPLICABLE A, SYSTEMTYPE A~.~ 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 ~ 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORiOE (PVC)A U 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING A U 8 100% METHANOL COMPATIBLEW/FRP PROTECTION A;.'U.~ 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A tJ 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION [~] 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 INTERSTITIAL MONITORING [] 99 OTHER V. TANK LEAK DETECTION [] ! VISUAL CHECK [] 2 INVENTORY RECONCILIATION [] 3 VAPOR MONITORING [] 4 AUTOMATIC TANK GAUGING [] 5 GROUNDWATER MONITORING ~ 6 TANK TESTING [] 7 ,NTERSTITIALMONITORING [] 91 NONE [] 95 UNKNOWN [] 99 OTHER VI. TANK CLOSURE INFORMATION 1. ESTIMATED DATE LAS3~ USEO (MO/DAY/YR) I 2. ESTIMATED QUANTITY OF 3. WAS TANK FILLED WITH / i ~ '" I SUBSTANCE REMAINING ..~LLONS INERT MATERIAL ? YES [] NO [] THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT I APPLICANT'S NAME I DATE ] (PRINTED & SIGNATURE) LOCAL AGENCY USE ONLY THE STATE I.D. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW COUNTY # JURISDICTION # FACILITY # TANK # STATEhD.# ~ ~'" ' '";' '¢-'..---" PERMIT NUMBER m ~ ' PERMITAPPROVED BY/DATE I PERMIT EXPIRATION DATE ~ORM B (~.90) THIS FORM MUST BE ACCOMPANIED SY A PERMIT APPUCATION - FORM A, UNLESS A CURRENT FORM A HAS BEEN FILED. FOROO34B-R4 Petroleum Hydrocarbons 4211 EAST BELLE TERRACE Report-: 08/14/92 "' BAKERSFIELD, CA 93307 Lab ~: 7178-1 Attn.: JIM LESTER 000-0000 Sample Description: TANK REMOVAL: TANK ~1 ~ 2', SAMPLED 8-11-92 ® 3:00 PM BY JERRY MASON TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015 Individual constituents by EPA Method 5030/8020. Sample Matrix: Soil Date Sample Date Sample Date Analysis Collected: Received ® Lab: Completed: 08/11/92 08/11/92 08/13/92 . Minimum ~alysi s Reporting Reporting Constituents Results Units Level Benzene None Detected mg/kg ,-:~:- 0. 005 ~,~:.::'<~:~:?.:~ Toluene None Detected mg/kg - 0 ;005 '": :'" Ethyl Benzene None Detected mg/kg 0 ~005 ~:"~ ~::~ o-Xylene None Detected mg/kg 0. 005 m & p-Xylene None Detected mg/kg 0.005 Total Petrole~ Hydrocarbons (gas) None Detected mg/kg 1. -..,..~::,,.~.~ ':':' ~.~.: ::'-, California D.O.H.S. Cert. Department Supervisor 4 'l (.:X:'3 At,la'~ (:.':I:. · i'3al-m,, '~;fiG,Id. ["~A 9.'-.:J,..--.3C~3 · (8C)5) 327~491 I · FAX (8(3b----~ 327-1918 Petroletun Hydrocarbons 4211 EAST BELLE TERRACE ' ' 'Report: 08/14/92 - ' BAKERSFIELD, CA 93307 Lab ~: 7178-2 Attn.: JIM LESTER 000-0000 Sample Description: TANK REMOVAL: TANK ~1 ~ 6', SAMPLED 8-11-92 ~ 3:00 PM BY JERRY MASON TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015 Individual constituents by EPA Method 5030/8020. Sample Matrix: Soil Date Sample Date Sample Date Analysis Collected: Received ~ Lab: Completed: 08/11/92 08/11/92 08/13/92 Minimum Analysis Reporting Report Constituents Results Units Level Benzene None Detected mg/kg -'~--~ 0.005 Toluene None Detected mg/kg ' ''~ :'0. Ethyl Benzene None Detected mg/k9 0~005 o-Xylene None Detected mg/k9 0. 005 m & p-Xylene None Detected mg/k9 0.005 Total Petrole~ Hydrocarbons (gas) None Detected mg/k9 1. California D.O.H.S. Cert. ~1186 :':: '; Department Supervisc ' ' ~ Petroleum Hydrocarbons 4211 EAST BELLE TERRACE Report: 08~!7/92 BAKERSFIELD, CA 93307 Lab ~: 7228-1 Attn.: JIM LESTER 000-0000 Sample Description: TANK REMOVAL: TANK #2 EAST OF FENCE ~ 2' SOUTH END, SAMPLED 8-12-92 ® 3:30 PM BY JERRY MASON TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015 Individual constituents by EPA Method 5030/8020. Sample Matrix: Soil Date Sample Date SamPle Date Analysis Collected: Received ~ Lab: Completed: 08/12/92 08/12/92 08/14/92 Minimum Analysls Reportlng Reporting Constituents Results Units ..Level Benzene None Detected mg/kg -~. .. Toluene None Detected mg/kg Ethyl Benzene None Detected m~/k9 0 o-Xylene None Detected mg/kg .0. 005 m & p-Xylene None Detected mg/k9 0.005 Total Petrole~ Hydrocarbons (gas) None Detected. mg/kg California D.O.H.S. cert. Department Supervisor' Petroleum Hydrocarbons OMEARA AND-ROGERS ........................................ Date-of ....... ' .......... 4211 F2%ST BELLE TERRACE ..... Report: '08/17/92 BAKERSFIELD, CA 93307 Lab #: 7228-2 Attn.: JIM LESTER 000-0000 Sample Description: TANK REMOVAL: TANK ~2 EAST OF FENCE ~ .6' SOUTH END, SAMPLED 8-12-92 ® 3:30 PM BY JERRY MASON TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method Modified EPA 8015 Individual constituents by EPA Method 5030/8020. Sample Matrix: Soil Date Sample Date Sample Date Analysis Collected: Received ~ Lab: Completed: 08/12/92 08/12/92 08/14/92 ~'~~ 'Minimum Analysis Reporting Reporting Constituents Results Units Level Benzene None Detected mg/kg '%?? 0;,005 Toluene. None Detected mg/kg · ':'0. 005 W. thyl Benzene None Detected mg/kg 0'~'~5 "~'~ o-Xylene None Detected mg/kg 0. 005 m & p-Xylene None Detected mg/kg 0.005 Total Petrole~ Hydrocarbons (gas) None Detected mg/kg 1. California D.O.}{.S. Cert. #1186 Department Supervisor Petroleum Hydrocarbons '0MEARAAND RO(~ERS .................................... Date of .... ' .............. 4211 EAST BELLE TERRACE .......... Report: 08/17/92' BAKERSFIELD, CA 93307 Lab ~: 7228-3 Attn.: JIM LESTER 000-0000 Sample Description: TANK REMOVAL: TANK ~2 EAST OF FENCE ~ 2' MIDDLE, SAMPLED 8-12-92 3:30 PM BY JERRY MASON TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015 Individual constituents, by EPA Method 5030/8020. Sample Matrix: Soil Date Sample Date Sample Date Analysis Collected: Received ~ Lab: Completed: 08/12/92 08/12/92 08/14/92 Minim~ ~alysls Report Constituents Results Units Level Benzene None Detected m~/k~ Toluene None Detected m~/k~ 0 ~ 005 Ethyl Benzene None Detected m~/k~ o-Xylene None Detected m~/k~ O. m & p-Xylene None Detected m~/k~ O.OOS Total Petrole~ Hydrocarbons (~as) None Detected m~/k~ California D.O.H.S. Cert. ~1186 4 I r~)/%~:lns C~t. · E)nk~5~l,::t. CA 93c'30~ · (BO~] 327~1911 · FAX [F3(/5) 327-1918 L,~E~31::IATI31:llES Petroleum Hydrocarbons OMEARAAND-ROGERS ........................... ' .......... · Date of ...................................... 4211 EAST BELLE-TERRACE Report: 08/18/92 --- BAKERSFIELD, CA 93307 Lab %: 7228-4 Attn.: JIM LESTER 000-0000 Sample Description: TANK REMOVAL: TANK ~2 EAST OF FENCE e 6' MIDDLE, SAMPLED 8-12-92 3:30 PM BY JERRY MASON TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015 Individual constituents by EPA Method 5030/8020. Sample Matrix: Soil Date Sample Date Sample Date Analysis Collected: Received ~ Lab: Completed: Analysis Reporting Reporting Constituents Results Units Level Benzene None Detected mg/kg .~ <. 0. 005 Toluene None Detected mg/kg :'~0. 005 Ethyl Benzene None Detected mg/kg 0. 005 o-Xylene None Detected m~/k~ 0. 005 m & p-Xylene None Detected m~/k~ 0.005 Total PetrOle~ Hydrocarbons (~as) None Detected m~/k~ 1. California D.O.H.S. Cert. ~1186 Department Supervi~ Petroleum Hydrocarbons 4211 EAST BELLE TERRACE Report: 08/18/92 BAKERSFIELD, CA 93307 Lab #: 7228-$ Attn.: JIM LESTER 000-0000 sample Description: TANK REMOVAL: TANK ~2 EAST OF FENCE ~ 2' NORTH END, SAMPLED 8-12-92 ~ 3:30 PM BY JERRY MASON TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015 Individual constituents by EPA Method 5030/8020. Sample Matrix: Soil Date Sample Date Sample Date Analysis Collected: Received ® Lab: Completed: 08/12/92 08/12/92 08/17/92 Minimum Analysis Reporting Reporting ~onstituents Results Units Level Benzene None Detected mg/kg Toluene None Detected mg/kg Ethyl Benzene None Detected mg/kg 0.005 o-Xylene' None Detected mg/kg 0.005 m & p-Xylene None Detected mg/kg 0.005 Total Petroleum Hydrocarbons (gas) None Detected mg/kg 1. California D.O.H.S. Cert. #1186 Department Supervisor Petroleum Hydrocarbons OMEARAAND-ROGERS ............................. Date of 4211 EAST BELLE TERRACE Report: 08/18/92 BAKERSFIELD, CA 93307 Lab ~: 7228-6 Attn.: JIM LESTER 000-0000 Sample Description: TANK REMOVAL: TANK.~2 EAST OF FENCE ~ 6' NORTH END, SAMPLED 8-12-92 ~ 3:30 PM BY JERRY MASON' TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015 Individual constituents by EPA Method 5030/8020. Sample Matrix: Soil Date Sample Date Sample Date Analysis Collected: Received ~ Lab: Completed: 08/12/92 08/12/92 08/17/92 Minimum Analysis Reporting Reporting Constituents Results units Level Benzene None Detected mg/kg 0. 005 Toluene None Detected mg/kg 0. 005 Ethyl Benzene None Detected mg/kg 0. 005 o-Xylene None Detected mg/kg 0. 005 m & p-Xylene None Detected mg/kg 0.005 Total Petroleum Hydrocarbons (gas) None Detected mg/kg 1. California D.O.H.S. Cert. ~1186 Department Supervisor . .; Stnte of California-~Health and Welfare Agency Soe Instructions on Back of Page 6 Department of Health Services Foreh. Approved· OMB No. 2050---0039 (Expires 9-30.,'~t1 and Front of r 7 Toxic Substances Control Division , ~ UNIFORM HAZARDOUS ~lllneratoes US EPA ID No. Document No. TM Information in the shaded areas WASTE MANIFEST ~,,I, .., In n ,~ I~, I = I -, I ~ I ,~ I = z I ~ I ~ I ,~ I ~ of 1 is nOt required by Federal law. 3. Generator's Name and Mailing Address ~' ~ ~ ~ ~ A. State M~n~l~ ~cum~t Number 0=~ .... .-, I I I I I I I I I I I I 5. Transpolar 1 Company Name . /5,., ~. j. :.~US ,EP~ I~ Number C. State Tmnap~er'a ID 7. Transpolar 2 Company Name 8. US EPA ID Number E. State T~o~er'm I~ '~. I I I I I I I I I I I I F.T~,o~,~, 9. Designated Facili~ Name and S~e Address 10. US EPA ID Number G. ~ate FB~'8 ~ ' ~ O~ ~C~ DR. 12. Containers ' ' 13. Total 14. 1 1. US DOT Description (Including Proper Shipping Name. Hazard Glass, and I~ Number) ~uanfity Unit Waste'No; No. Type Wt / Vol: .. s,,,, 22t:J.?" N ~ h b e b '~1 I F' I~ . ~. o I I I I I I I :' EPA/~ ;: I I I I I I I 15. Special Handling Inatru~ions and Additional Info~ation ~~ ~ ~8~) 458-3036 ~ ~' ~/'~' /~ I/~- ~L/'~,~ ~, ~S, ~ PRffiX~ O~ ~B ~ffiE ~ 10039 ~O~ GUIDE HO. 16. GENERATOR'S CE~FICA~: I hereby declare that the contents of this consignment are fully and accurately described above by proper 9hippi~ name and are classified, packed, ma~ed, and labeled, and are in all respects in proper condition for transpod by highway according to applicable inte~atio~al national government regulations. If I am a large quanll~ generator, I ce~i~ that I have a pro, ram tn place to reduce the volume and toxicity of waste generated to the degree I have datelined to be economically practicable and that I have sale.ed the practicable method of treatment, storage, or disposal current~ available to me which minimizes the present and future threat to human heath and the environment; OR, if I am a small quanti~ generator, I have made a ~ood faith effo~ to minimize my waste generation and select the best waste management method that is available t~.~d that I can afford. ~ ~ Printed/Typed Name][ Signat~e~T ....... .... -~/'~ '..[' :// /~//" //'/~ . · ~ [ [ [M°nth' Day[~ / ~ ,Year T 17. Tr~po~T'~le~ge~eceipt of MateNals ..~-'~ ~ R A Printed/Typed Name Signature Month Day Year N s .... '*' "" .. ~:' I ']' I I I' ~ 18. Transpoder 2 Acknowledgement of Receipt of Materials ~ Printed/Typed Name Signature Day Month Year E 19. Discrepancy Indication Space F A C I L I 20. Facility Owner or Operator Ce~Iflcation of receipt of hazardous materials covered by this manifest excelan Item 19. T OHS 8O22 A Do Not Write ~low This Line EPA 87~22 (Rev. 6-8~) Previous editions are obsolete. '.' ,;,;v. FSDF ~NO5 FHiS COPY FO OEHERAFOR WITHIN 30 DAYS ~,-°0 ~ 0 Date: /~T/G~ Work: Order {: EMO~ Trackin~ ~:' WO Category: Hazmats APN :__-__-__-__- WO T~e: -- Reimb.: Y / N .............. RP' Code: RESPONSIBLE RP CONTACT: ~P A~D~SS: ~/ ~P C~TY: ~~'~'~/J STA~: ~.~ Z~P: RP PHONE NOS.: ( ( INSPECTOR: ~WW/~- ~~ ~ ~T. ~' PROGR~: HMMP-Enforcement ~MMP-P~rmi DESCHIPTION: LOCATION: FACILITY NAME: REPORTING PERSON: PHONE NO COMMENTS: RF OURCF. AGENCY DIRECTOR DAVID PRICE [] .. WU. UAM j. ~zRNT DIRF..CTOR TED JAMES, AlC~, DIRECTOR ENVIRONMENTAL .HEALTH SERVICES DEPARTMENT **UNDERGROUND TANK D~SPO~[T[ON T~C~[NG RECORD** .- .. This fo~ ts ~o be resumed ~o ~he Kern County Envi~an~al Health 8e~ices DaDa~men~ ~tCh~n ~4 days of acceptance of ~he ~ank(s) by an a~proved dts~osal or recTcllng facJllty. The holder of ~he pemt~ ~t~h ~ha n~ber na~ed above responsible for insuring ~ha~ ~hts fo~ ts c~Dla~ed and returned. Da~e T~k('s) R~oved: ' · ~:/j-~ No. of Tank(s): Sec¢ion A To be ltl led ou~ by con~rac~or "decon~ina~lng" ~ank(s): Zlp: ~g,?~ 7 Tank ~lze L.E.L. Tank Size L.E.L. Authorized FeD~san~a~tve of ~he con~rac~or ca.tries by signing be]o~ ~ha~ ~he ~ank(s) have bean dacon~lna~ad tn accordance ~l~h Ke~ Count7 Environmen~a] Health Se~tcas DaDa~en~ re=u1 TIbia ~ To be ft]]ad ou~ and signed by an authorized representative of ~he approved dt~osa~ o~ ~cyc]tng fact]l~y acca~tng ~he ~ank(s): ' Fac1 ] t~y N~e: ~ · HAZL~NG ~STRUCTZONS: Fold and s~aD]e. F~: (~5)~1.34~ ,. STEVE McC,~r r ry. REHS. Di:IIECTOi~ DIRECTOR ~ ' ~*, Air POlk,tbS____ ' ' ""' ,. · ': ENVIRONMENTAL'HEALTH SERVICES DEPARTMENT .' '...,, Facility Name: ^ ~-r--/~.~ _~,/l~e~..v-~ ~; ~-'-~'.~v'_~ ///.::~?.. /__~<~. m ..... Kern County~Permit.#': ==UNDERGROUND TANK DISPOSITION TRACKING. RECORD== :' '';''~ . .. :-. This form is to be returned to '.the Kern County Environmental Health Services'i'::~!~"~'""'~':':: Depart:merit within 14 day~ of acceptance of..the-tank(s) by an a~roved d~s~osal~;?~ or recycling facility. The holder of:the pemtt wtth the n~ber noted above/dS?,f::.-..... responsible for ~nsu~ng ~ha~ gh~s.~:fom"ls c~leged and returned. :: .~.~;~.~. - .. . . ....; ~;~'~,~, Tank R~ov~[ Contractor~ ~'~'~ m ~%~& ~5, .r [,ic.,~/()/1 ~ Addr~s.~: ~/- ~ ~[/~'~K~ e-~ t Phone .:. ~o.~- ..~27-7~7/ ~ag~ T~nk(~) ~e~ov~d: ' ~-,//- ~' 8o. of T~nk(~): ~ ' · ....... Sectton ~ To be ftlled out bY con=rector ."deCOnt=~nattn9" tank(s) ".'' ..... ~"'~ . - ....... = '.~..~ ~.~. · ' · ' .:~'... ':."F ' '-: Tank "Decone~ina~ion" Con~rac~o~: ."'..'. :'~ ff '~V/ r ~'v~ .~., ~f-Z 5 ,~/-v,,-~ · ... ~.. '.. ;": Address: ,'~q~o/~q~,. "- ,, , 'Phone ~: _ ~fi,~.'//~/, .. .....,'.,: · . F .F"~' ;. ~ Tank Size L.E.L. -' .. Tank Size L.E.L. /', ~t~ ', ~ _2. ...................... . . , ,, :.' .,- ~,~', .... , ..., ,.:.:~', ~..., Authorized representative of the contractor ca.tries by signing below that the ~ank(s) have been decon~mtna~ed .tn accordance ~lgh Kern County Environmental:?'. S 1 gnature. T t t 1 e '~ ' ' .... '?:" .Sectio~ ~ To be filled out and signed by. an authorized .representative of the ' '" approved disposal or ~cycltng'.factlt~y accepting the tank(s): ..... ..'.'.., :.:~;.:/~ ": :~.V'¥ · · Address:~. o .~ ~ I ,q ~ ' , ", Phone ~: ~C:'~- ?.~'7_,.7)7>-7 , ~.: Date Tank(s)./~ece~ved:~ ~":'[/-(~'2~ No. of T~hk(s)-" / -/Od,~) . S,,..ture=.~'~g?/'g~'."~F/~L~'~(Aut.o~i~ed ~e~re.e.t.,ive) Tit,e:/~/~,.. ~;~,':,, IL:,:', ~?/; · HAILING INSTRUCTIONS: Fold and s~aple. F.<X: (~51 ~1-3429 AU~ 07 ~9~ 16:~8 KCFD-, Transmi al Memo KERN COUNTY FIRE DEPARTMENT OFFICE MEMORANDUM TO: Carrie O~orgi DATE: August 7, 1992 Environmental Health FROM: St~,e Gage PHONE: 2~77 Flr~ Marshal SUBJECT: Undex3ro~d Tank Permit # A1T0~-:ZS The Kern County Fire Department has no problems with Mr. O'Meara reusing the fiber/lass underground ~el tank for salt water stora/e. If you have any other questions, please call me. /maw this facility. Previously ~heme C~nks hmve been underground stora[e tanks under the ~urizdia~ion of the Kern Oount~ ~nvironm~n~al Health Servic~ Department, A~ above ground ~anks ~he~ are no~ and ~ill remain under ~he Jurisdiction of ~he Xern County Fire Department. This jurizdiation inalu~ea documsnta~lo~x of the final dastina~ion of the ~ank(e) should mbove [round tmnk(s) status be determine ina~propriata bT.the'Fire De~artmen~ &~ a later date, Zf above ground tank s~a~ua is de~ermined in&pp~o~rlate copies of ~he documentation of the final destination of ~h~ tank(s) will be forwarded ~o ~he Environmental Health ~ervioea D~partment. ~.nn ,,~,, .qTRF. ET, SUIT~ 300 BAKERSFIELD, CALIFORNIA 9330 RES RCE MANAGEMENT Environmental Health Services Department RANDALL L. ABBOTT STEVE McCALLEY, REHS, DIRECTOR DIRECTOR Air Pollution Control District DAVID PRICE !!! WILLIAM J. RODDY, APCO ASSISTANT DIRECTOR Planning & Development Services Department TED JAMES, AICP, DIRECTOR ENVIRONMENTAL HEALTH .SERVICES DEPARTMENT PERMIT FOR PERMANENT CLOSURE PERMIT NUMBER A 1709-25 OF UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY FACILITY NAME/ADDRESS: OWNER(S) NAME/ADDRESS:' CONTRACTOR: O'Meara and Rogers R.M. O'Meara O'Meara and Rogers 421 East Belle Terrace 421 East Belle Terrace 421 East Belle Terrace Bakersfield, CA 93307 Bakersfield, CA 93307 Bakersfield, CA 93307 License #249735 Phone: (805) 327-7271 Phone: (805) 327-7271 PERMIT FOR CLOSURE OF PERMIT EXPIRES October 6, 1992 TWO TANKS AT ABOVE APPROVAL DATE July 6, 1992 LOCATION APPROVEDBY f ~arrie Georgi £ ' Hazardous Materials 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 the 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. Tank 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 have a qualified company employee on site 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 application are to be utilized, prior approval must be granted by the specialist listed on the permit. Deviation from the submitted application is not allowed. 7. Soil Sampling: a. Tank size lean than or equal to 1,000 gallons - a minimum of two samples must be retrieved from beneath the center of the tank at depths of approximately two feet and six feet. b. Tank size greater than 1,000 to 10,000 $allon~ - 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 one-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 at depths of approximately two feet and six feet for every 15 linear feet of pipe run and under the dispenser area. 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 FAX: (805) 861-3429 PERMIT FOR PERMANENT CLOSURE PERMIT NUMBER A OF UNDEROROUND HAZARDOUS ADDENDUM SUBSTANCES STORAGE FACILITY 9. Soil Sample analysis: a. All soil samples retrieved from beneath gasoline (leaded/unleaded) tanks and appurtenances must be analyzed for benzene, toluene, xylene, and total petroleum hydrocarbons (for gasoline). b. All soil samples retrieved [rom 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 the tank. 10. The following timetable lists pre- and post-tank removal requirements: ACTIVITY DE~LINE Complete permit application submitted At least two weeks prior to closure to Hazardous Materials Management Program Notification to inspector listed on 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. All 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. Purgingqnerting Conditions: a. Liquid shall be pumped from tank prior to purging such that le~ 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 health, safety, comfort or 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 STOIL~.GE TANKS This department is responsible for enforcing the Kern County Ordinance C..ode, Division 8 and state regulations pertaining to underground storage tanks. Representatives from this department respond to job sites during tank removais 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 ~xpectations 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 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 .iob 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 analyses documentation are necessary for each site in order to close a case tile 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. C~:~rw (hm~geor~a1709-25.ptc) KERN COUNTY RESOURCE MANAGEMENT AGENCY INTERNAL USE ONLY: PTA: ENVIRON1V~AL HEALTH SERV~ ~)EPAKT~ APPLICAT~F DATE' b '~ '~ 2700 "IV[' STREET, SUITE 300 -- # OF TANI~O ~~'~: '~ BAKERSFII~-I.r~, CAI.IPORNIA 9330! (805)861-3636 PIPING FT. TO ABJ~qDON: PTa: (FILL OUT ONE APPLICATION PER FACILITY) APPLICATION FOR PERMIT FOR PER~ CLOSURE/ABANDONMENT OF UNDERGROUND H Z RDOUS SU STANC STO A . FACILITY MS APPUCAUON MOVA aa [2 ANDONMmT A: FACILITY INFORMATION Project Contact: R. Michael O'Heoro [ Phone: 327-7271 [ T/R/SEC (Rural Locations): FacilityName:O'Mearo & Rogers I Address: 421 ~. Belle Terrace NearestCro$$ Phone #: 327-7271 I CitY. Bakersfield Zip: 93307 Street: Bunting Drive C~e~'R~ M~ O~Meqt'q Address:421 ~ Belle Terrace State: California Phone: 327-7271 [ City:. BakersField Zip: 93307 B: CO1VIRACTOR INFORMATION Tank Removal Contractog O'[.4eoro & Rogers Construction Co. [ Address:421 E. Belie Terr.' Stata: CA Phone #: 805/327-7271 [ City:. Bakersfield Zip:93307 July 1~2 lype A Policy ~t0278487-~2 Contractor Retrieving Sample: O'Ueara & Rogers Const. Co. Address: 421 F:. Belle lerr.I State: CA Phone #: 327-7271 City:. Bakersfield I Zip:~3307 Worker's Compemarion #: 0278487-~2 In.rorer: State Compensation Insur. Laboraw~thatwill_analy'~$ampl~: B. C. Lab Addr~: 4100 Atlas Ct. Phone #: 327-491! City:. Bakersfield I ZIP: ~3308 ¢: CHF..MIC~ INFORMATION Chemical Composition of Materials Stored: Tank# Volume Chemical Stored Date~ Stored Chemical Formerly Stored 1 1 _130o Col_ C~qnl ~n,~ 195g To 7/81 Only qasoline 2 15;ooo C~] C-'~nl ~n~ 7/81 To 8/91 Only qasoline To T6 D: Environmental lnformedon Water to facility provided by: Casa Loma Water Co. lis groundwater within 50 feet? Y or,(N .,~ No Nearest water well-Give di.~:mlce if wit~i. 500 feet: ~8~ef~h.~Joii type at facility:. Sandy Loam Basis for soil type and groundwater depth determi-~ion: Visual To~al number of samples to be an~zed: Ten ! Samples to be ~ualyzed ~or: C' -- *~P~lea~e Complete the Reverse Side of This Application Before Submitting For Review** :ERN C OU.N 1-_~ R E S..O~.U. R C E l~! A I'J.~ \ G E I~1 E N T AGENC'- EN~iRON~ENTI'HEALTH ~'ERV~CES DEPARTMEI 2700 M' ST'~EE~:[TE 300, BAKERSF[EL0, c~.g330t (805)8~ I.-3635 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE FACILITY * INSPECTION REPORT * PERMIT~ 250006:3 TIME .IN ..,~,! ~ ~TIME OUT NUMBER OF TA,NKj: 2 PERMIT POSTED? YES ..................... '~O ........................ .......................... T'~SPECTION DATE: ......................................... ~ ~'"~-'~"~'~-~ TYPE OF INSPECTION: ROUTINE ........ ~.~, REINSPECTION ......................... COMPL. AINT ...................... eAKERSFIELD. CA COMMENTS: ~ ITEM V I OLAT [ ON~/OBSERVAT IONS Intercepting an directing syst~ e. G~oundwater Monitoring f. Vado~e Z~e Monitoring" SECONDARY CONTAINMENT MONITORINgs?. .. ~ a. Liner b. Oouble-~alled tank c, Vault, a. Pressurized · ,. c. Gravity g. AiNTENANCE, GENERAL SAFETY, AND ~ OPERATING CONDITION OF FACILITY ' CgMMENTS/RECOMMENDATIONS ................ L.: ............................................................ ~ ............................ ~ ..................................................................... ~eEI NS~EOT.[ ON SOHEDU~EO? [NSPE,.TOR= ~. ~~"]]~ ........... REPORT RECE[VEO 8Y:( U. L~]]]][~ ............. 2700 "M" Street, Suite 275 Bakersfield, CA. 93301 (805) 861-3682 ,~/, P~-IASE I VAPOR RECOVERY INSPECTION FORM Company Mailing ~dress C,~ Inspector ~" ~ ~7' Notice Rec'd By . TANK ~1 T~K ~2 T~K ~3 TANK ~4 1. PRODUCT (U~ PUL, P, or R) 2. TANK LOCA~ON REFERENCE 3. BROKEN OR MISSING VAPOR CAP :. 4. BROKEN OR MISSING FILL CAP ..;;.:' ... 5. BROKEN CAM LOCK ON VAPOR CAP 6. FI~ CAPS NOT PROPERLY SEATED 7. VAPOR CAPS NOT PROPERLY SEATED . 8. GASKET MISSING FROM FILL C~ '; 9. GASKET MISSING FROM VAPOR CAP 10. FI~ ADAPTOR NOT TIGHT 11. VAPOR ADAPTOR NOT TIGHT 12. ~SKET BE~EEN ADAPTOR & FILL TUBE MISSING / IMPROPERLY SEATED 13. DRY BR~K GASKETS DETERIO~TED 14. EXCESSIVE VERTICAL PLAY IN COAXIAL FI~ TUBE 15. CO~L FILL TUBE SPRING MEC~NISM DEFECTIVE 16. TANK DEPTH M~SUREMENT TUBE LENG MEASUREUENT 18. DIFFERENCE (SHOULD BE 6" OR LESS) 19. OTHER WARNING: SYS~MS MARKED WI~ A CHECK ABOVE ARE IN VIO~ON OF KERN COUN~ NR POLLU~ON CONSOL · DIS~ICT RULE(S) 2~, 412 AND/OR 412.1. THE CALIFORNIA HEAL~ & SA~ CODE SPECIFIES PENAL~ES OF UP TO $1,~.~ PER DAY FOR EACH VIOLATION. ~PHONE (805) ~1-~2 CONCERNING FINAL RESOLU- ~ ~ON OF THE VIOLA~ON{S) 914~-101o APCD FILE .'-. ":"~'~ ,R E C E ~ I:>7 PAE~E 1 0,3/29/92 Invo~,¢e Nb~~. 1 ?505? [ 5:0~ pr,'~ KERN CO R~SOURCE NANAGENEN'I' AGENCY J 2700 '~' S~-eet: ~ B~k~s~e'Id, CA 93301 Type 0'¢ Or, der' N ~ (805) 861-3502 t ' I CASH REGISTER O'NEARA & ROGERS CONST. ~ Customer' P.O.~ Nth By JO~'de~ Date ~ Sh'~p O~te ~ V~a Teems ] H0629925 AJH ~ 06/29/92 ~ 06/29/92 ~OF NT ~' ............................................... I ................... I ................... t ................................................... I .... :- ,.ime Oemcr'JptSon Quantflty Pm~'ce Un'it O'isc Tota'I '::;'7:['... 'i ~751 UNDERGROUND TANKS CLOSE/ABAND. 1 850.00 E 650.00 us'r002 O~de~ Tota~ 650.00 Amount Due 650.00 P~ymen~ Nade By Check 650.00 THANK YOU~. RESPONSE CHECKLIST Specialist reviewing the information returned: ~E? 7'£/'~::'_ ~eC ~ / Date questionnaire was returned: ./~q/~'/ Facility Permit Number: c--~~ (a~ Tanks located at the facility: : Was a reply received for each substance code assigned to the facility? ,, ~TC-Yes No Does the facility need to provide additional information in order for the monitoring alternative to be acceptable? Yes ~ No Describe what information is required: , The monitoring alternative picked by the facility representative is acceptable for the facility tanks. C~'/<Yes No (The monitoring alternative will be viewed as unacceptable if the alternative was not appropriate for the type of tank described on the facility profile or within the facility file. Example: The facility may wish to use the visual alternative for a tank that is not vaulted, or the tank size is not appropriate for the type of inventory monitoring chosen.) Additional Comments: Information has been reviewed and placed within the database: Date entered within the database: /~. ~,~./c~/ Entered by (name): ~/~_..~~ ./~f~J./x~.. AEG:cas ~response.lis ENCLOSURE. CHECKLIST Facility ~.~/F 3 ...... Permit # 250006C This checklist is provided to ensure that all necessary packet enclosures were received. Please complete this form and return it to the Kern County Environmental Health Services Department, along with the Monitoring Alternatives Questionnaire, within 30 days of receipt. CI:rl~CK YES NO The packet I received contained: X 1. Cover letter. X 2. Facility Profile Sheet (provides Facility Permit Number and information on the underground storage tanks and piping, as provided on the application). The substance code in Colum #2 should be referenced when reviewilag the Monitoring Alternatives Fact Sheets and Ouestionnaires. X 3. A Monitoring Alternatives and Upgrade Requirements Fact Sheet for each substance code referenced on the Facility Profile Sheet. x 4. A Monitoring Alternatives Questionnaire for each substance code referenced on the Facility Profile Fact Sheet. Signature of Person Completing the Checklist R. Michael 0'Meara Title Pre_~ Date September 20t 1991 (grccn~chklst.1) ~-~:--. ~. .. MONITORING AL~ERNATiVES .... ..~QUESTIONNAIRE FOR MVF 3 FACILITY TANKS Facility Name: O'k~oro & Ro_oera ~.ona~r,,cJri~ra Cnmpony lulVF ~ Facility Address: 421 Eos'~ Belle: Terrace Bakersfield, CA 93307 Owner's Name: O'Meara & Rogers Construction Company Owner's Address: 421 Eaa't B~_ll~_ To_rrn~-o Bnl~orqf{olcl_ C~ 9'I'IC~7 Operator's Name: Gerald Coontz Permit Number (obtained from the facility profile sheet):. 250006C Number of Tanks which have been assigned the MVF3 Code: 2 All information has been received and reviewed and the following summarizes the monitoring alternative which I have picked for the MVF 3 tanks at this facility. I realize that the monitoring alternative must be approved by the local agency before implementation. (Place an X next to the alternative picked). __ 1. VISUAL MONITORING will be utilized. (I can inspect the exterior of all tanks, without using extraordinary personnel protective equipment). __ 2. IN-TANK LEVEL SENSOR will be installed in each tank, which are capable of detecting a leak of 0.2 gallons per hour. The sensor will be used to test the tank monthly. The facility will ALSO COMPLETE A TANK INTEGRITY TEST EVERY THREE YEARS, utilizing a licensed tester who's method has been certified to detect a leak of 0.1 gallons per hour. ~ 3. IN-TANK LEVEL SENSOR has been installed in each tank, which is capable of detecting a leak of 0.2 gallons per hour. The sensor will be used to test the tank monthly. The facility will ALSO COMPLETE A TANK INTEGRITY TEST EVERY THREE YEARS, utilizing a licensed tester who's method has been certified to detect a leak of 0.1 gallons per hour. Provide the following information on the system installed: System Manufacturer: System Model No.: Date Installed: -- SEE PAGE 2 FOR ADDITIONAL ALTERNATIVES .. MONITORING ALTERNATIVES QUESTIONNAIRE .- FOR MVF 3 FACILITY TANKS ~- Permit No.: 250006C __ 4. VADOSE ZONE MONITORING will be utilized ALONG ~ ANNUAL TANK INTEGRITY TESTING. The facility will submit a proposal to the department for approval of the number, locations and design of monitoring wells which will be utilized to monitor the underground storage tank systems. Each monitoring well will be equipped with a continuous monitoring device. 5. VADOSE ZONE MONITORING will be utilized ALONG WITH ANNUAL TANK INTEGRITY TESTING. The facility has already installed monitoring wells, and would like to utilize them. A plot plan of their locations and a drawing showing their construction are enclosed. The facility does/does not have continuous monitoring equipment installed within each well. Provide information on the monitor which has been installed within each well: System Manufacturer: System Model No.: Date Installed: × 6. MODIFIED INVENTORY CONTROL MONITORING (tank gauging 2 days per week) for underground storage tanks which have a total tank capacity of 2,000 gallons or less, that do not have metered dispensers; ALONG WITH AN ANNUAL TANK INTEGRITY TEST utilizing a licensed tester who's method has been certified to detect a leak of 0.1 gallons per hour. X7. STANDARD INVENTORY CONTROL MONITORING (tank gauging 5-7 da~ per week) for underground storage tanks which dispense product from metered dispensers; ALONG ~ AN ANNUAL TANK INTEGRITY TEST utilizing a licensed tester who's method has been certified to detect a leak of 0.1 gallons per hour. Name of person completing this form: R.M. 0'lvteara Title: President Date: Sep'cember 20, 1971 AEG:ch grecn~quc~fion R E C E I P T PAGE 1 '! 2..,' 10/g 'I [n¥ofce Nbn. 1 B3gg$ g:l$ a~¥~ KERN CO RESOURCE MANAGEMENT .~GENCY 2700 'N' Street Deke~-sfle~d, CA g$$01 Type (805) 861-~502 CASH REGISTER O'MEARA & ROGER~ CON,TR. ~ ~~NDERGROUND TANK3 ANNUAl. FEE I 100.00 E '100.00 UGT001 Order Total 100.00 Amount Due 100.00 .... Payme~t Made By Check 100.00~. THANK YOU AND HAVE A NICE DAY! Envizo~mentaJ Hea}th Sen~ce~ D~ment RANDALL L. ABBO~ ~ McC~ ~ ~, ~S, D~OR DIRECTOR DASD PRICE ill ~ J. ~DDY. ~O ~T~ DI~CTOR ~ & ~t ~ ~t ~ J~. ~P, D~R ~ONMENT~ H~L~ SER~C~ DEP~~NT PE~IT TO OP~~ U~ERGROUND ~OUS STOOGE FACI~ Pe~t No.: 2~C S~te ~ No.: 1~36 hsu~ to: O'ME~ & ROGER CONST. CO. No. of T~:. 2 ~otion: 421 ~T BE~ ~R~CE B~RSF~LD, CA ~er: O'M~ R.M. 42~ E~T BELLE ~R~CE B~RS~D, CA 93307 Operator: GE~D COO~ 421 ~T BEL~ ~R~CE B~RS~E~, CA 93307 Fa~ Pro~e: Substan~ Tank Tank Y~r ~ piping Tank No. ~de ~n[ents ~paci~ Installed Pressurized? 1/1 M~ 3 G~OLiNE 1,~ UN~OWN NO-SCUTION 1/1~ M~ 3 UNLE~ED 15,~ 1981 UN~O~ This permit is granted subject to the conditions and prohibitions l/steal on the attached summary of conditions/prohibitions Steve McCalley Issue Date: November 4, 1991 Title: Director, Environmental Heal't'h-S~ervices Department Expiration Date: November 4, 1996 -- POST ON PREMISES -- NONTRANSFERABLE 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 FAX: (805) 861-34~9 HAZARDOUS UNDERGROUND STORAGE FACH.VI'Y PERMIT SUMMARY OF CONDITIONS/PROHIBITIONS CON/)ITIONS/PROHIBITIONS: 1. The facility owner and Operator must be familiar with all conditions specified within this permit and ' must meet any additional requirements to monitor, upgrade, or close the tanks and associated piping imposed by the permitting authority. 2. If the operator of the underground storage tank is not the owner, then the owner shall enter into a written contract with the operator, requiring the operator to monitor the underground storage tank; mnintnin appropriate records; and implement reporting procedures as required by the Department. 3. The facility owner and operator shah ensure that the facility has adequate financial responsibility insurance coverage, as mandated for all underground storage tanks containing petroleum, and supply proof of such coverage when requested by the permitting authority. 4. The facility owner must ensure that the annual permit fee is paid within 30 days of the invoice date. 5. The facility will be considered in violation and operating without a permit if annual permit fees are not received within 60 days of the invoice date. 6. The facility owner and/or operator shall review the leak detection requirements provided within thi~ permit. The monitoring alternative shall be implemented within 60 days of the permit issue date. 7. The facility underground storage tanks must be monitored, utilizing the option approved by the permitting authority, until the tank is closed under a valid, unexpired permit for closure. 8. Any inactive underground storage tank which is not being monitored, as approved by the permitting authority, is considered improperly closed. Proper closure is required and must be completed under a permit issued by the permitting authority. 9. The facility owner/operator must obtain a modification permit before: a. Uncovering any underground storage tank after failure of a tank integrity test. b. Replacement of piping. c. lining the interior of the underground storage tank. 10. The tank owner must advise the Environmental Health Services Department within 10 days of transfer of ownership. 11. Any change in state law or local ordinance may n__,_'_~_'-s,s_ itate a change in permit conditions. The owner/operator will be required to meet new conditions within 60 days of notification. 12. The owner and/or operator shall keep a copy of all monitoring records at the facility for a ~inimnm of three years, or as specified by the permitting authority. They may be kept off site if they can be obtained within 24 hours of a request made by the local authority. 13. The owner/operator must report any unauthorized release which escapes from the secondary containment, or from the primary containment if no secondap] containment exists, which increases the b_a?ard of fire or explosion or causes any deterioration of the secondary containment within 24 hours of discovery. ,~O:jr,v 2 MONITORING REQUIREM ENTS:(MVFaSuaZ) I. All underground storage tanks designated as MVF 3 within Page I of this permit shall be monitored utilizing ~h¢ following method: a. Standard Inventory Control Monitoring (Tank gauging five to seven days per week). Kern County Environmental Health Services Department forms shall be utilized unless a facility form can provide the same information and has been reviewed and approved by the Environmental Health Services Department. (Monitoring shall be completed in accordance with requirements summarized in Handbook UT-10.) AND b. Ail tanks shall be test~ annually utilizing a tank integrity test which has been certified as being capable of detecting a leak of 0.1 gallon per hour with a probability of detection of 95 percent and a probability of false alarm of 5 percent. The first test shah be completed before December 31, 1991, and subsequent tests completed each calendar year thereafter. Ail tank integrity tests completed after September 16, 1991, shall be completed under a valid, unexpired Permit to Test issued by the Environmental Health Services Department. 2. If present, all suction piping shall be monitored for the presence of air in the pipeline by observing the suction pumping system for the following indicators: a. The cost/quantity display wheels on the meter suction pump skip or jump during operation; b. The suction pump is operating, but no motor vehicle fuel is being pumped; c. The suction pump seems to overspeed when first turned on and then slows down as it begins to pump liquid; and d. A rattling sound in the suction pump and erratic flow indicating an air and liquid mixture. 3. Ail underground storage tanks shall be retrofitted with overspill containers which have a minimum capacity of 5 gallons; be protected from galvanic corrosion, if made of metal; and be equipped with a drain valve to allow the drainage of liquid back into the tank by December 1998, or as specified by the Environmental Health Services Department. 4. All equipment installed for leak detection shall be operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks (at least once per year) for operability or running condition. 5. An annual report shall be submitted to the Kern County Environmental Health Services Department each year after monitoring has been initiated. The owner/operator shall use the form provided within the Handbook UT-10. 6. If present, all pressurized piping systems shall install pressurized piping leak detection systems and ensure that they are capable of functioning as specified by the manufacturer. The mechanical leak detection systems must be capable of alerting the owner/operator of a leak by restricting or shutting off the flow of hazardous substances through the piping, or by triggering an audible or visual alarm, detecting three gallons or more per hour, per square inch, line pressure within one hour. 7. If present, all pressurized piping systems shall be tested annually unless the facility has installed the following: a. A continuous monitoring system within secondary containment. b. The continuous monitor is connected to an audible and visual alarm system and the pumping system. -c. --The continuous monitor shutS down the pump and activates the alarm system when a release is detected. d. The pumping system shuts down automatically if the continuous monitor fails or is disconnected. The first test shall be completed before December 31, 1991, and subsequent tests completed each calendar year thereafter. · " "~NVIRONME~T~.~-IEALTh SERVICES DEPARTM 270~ "M" ST~'~ET,'=~UITE'3~0'~ BAKERSFIELD, CA.93301 ..~:,, (80~)86~-3636 UNDERGROUNDHAZARDOUS SUBSTANCE STORAGE FACILITY * INSPECTION REPORT * T YES ..................... F A C I ~ i T Y A O O R E S S: ,~_~..]......[.~.~....~.~.~.~.[_..~.~.~.~.[ ............................................................................................................................................ o P ~ RAT C R S N A~ ~: ~.L.~A~.E~.=......~.-_~_= ................................................................................................................................................................................ CCNNENTS: .......................................................................................................................................................................................................................... ITEM VIOLATIONS/OBSERVATIONS a. Intercepting an di,ec~ing system S~andard Inventory Control "odified InventoPy ContPol d. In-tank Level Sensing Device f. Vado~e Zone MonitoPfng SECONOARY ~NTAINMENT MONITORING: a. Liner ". ~- - b. Oouble-Walled ~ank c, Yau]t ~ PIPING ~ONITORING: c. Gravity ~i~ OVERFILL PROTECTION: ~ TIGHTNESS TESING ~ NEW CONSTRUCTiON/MODIFICATIONS , ,AUTHO ZZ REL SE g. MAINTENANCE, GENERAL SAFETY, AND OPERATING CONDITION OF FACILITY CMNEN TS/RECOMMENDAT IONS "''~' C~TY' CONTROLi~ICT ,-. -- ... KERN AIR POLLUTION 2700 "M" Street, Suite 275 Bakersfield, CA. 93301 ~}05) 861-3682 PHASE I VAPOR RECOVERY INSPECTION FORM Company Mailing Address City < TAN TANK 1. PRODUCT (UL, PUL, P, or R). ~,,~.~ 7~,,0~. ~ ~_ . 2. TANK LOCATION RE:ERE~CE ~' ~a.~'r 3. BROKEN OR MISSING VAPOR CAP 4. BROKEN OR MISSING FILL CAP 5. BROKEN CAM LOCK ON VAPOR CAp 6. FILL CAPS NOT PROPERLY SEATED 7. VAPOR CAPS NOT PROPERLY SEATED 8. G,~KET MIS. SING FROMFILL CAP '* 9. GASKET MISSING FROM VAPOR CAP 10. FILL ADAPTOR NOT TIGHT 11. VAPOR ADAPTOR NOT TIGHT 12. GASKET BETWEEN ADAPTOR & FILL TUBE MISSING / IMPROPERLY SEATED 13. DRY BREAK GASKETS DETERIORATED 14. EXCESSIVE VERTICAL PLAY IN COAXIAL FILL TUBE 15. COAXIAL FILL TUBE SPRING ~ MECHANISM DEFECTIVE 16. TANK DEPTH MEASUREMENT 1~2'q' ~ ~'_ ) ~ 17. TUBE LENGTH MEASUREMENT j .~ ~7 18. DIFFERENCE (SHOULD BE 6" .OR LESS) 19. OTHER 20. COMMENTS: WARNING: SYSTEMS MARKED WITH A CHECK ABOVE ARE IN VIOLATION OF KERN COUNTY AIR POLLUTION CONTROL DISTRICT RULE(S) 209, 412 AND/OR 412.1. THE CALIFORNIA HEALTH & SAFETY CODE SPECIFIES PENALTIES OF UP TO $1,000.00 PER DAY FOR EACH VIOLATION. TELEPHONE (805) 861-3682 CONCERNING FINAL RESOLU- ****' TION OF THE VIOLATION(S) ************************************************** 0149-1o~o APCD FILE .... '"' ' .... ' 2f700 ;'M" Street, Suite 275 .Bakersfield, CA. 93301. · ; (805) 861-3682 PHASE II YAPOR~RECOVERY INSPECTION FORM Company Address City P K~'~'J--~ Zip NOZZLE # ! GAS GRADE NO77LE TYPE ~ ¢ 1. CERT. NOZZLE 2. CHECK VALVE N O 3. FACE SEAL Z Z 4. RING, RIVET L E 5. BELLOWS 6. SWIVEL(S) 7. FLOW LIMITER (EW) ,. 1. HOSE CONDITION V A 2. LENGTH P O 3. CONFIGURATION R 4. SWIVEL H O 5. OVERHEAD RETRACTOR S E 6. POWER/PILOT ON 7. SIGNS POSTED Key to system types: Key to deficiencies: NC= not certified, BTM broken BA=Balance HE =Healey M= missing, TO= torn, F= flat, TN= tangled RJ =Red Jacket GH--Gulf Hasselmann AD= needs adjustment, L= long, LO= loose, HI =Hirt - - HA =Hasstech S= short MA= misaligned, K= kinked, FR= frayed. ** INSPECTION RESULTS ** Key to inspection results: Blank= OK, 7= Repair within seven days, T= Tagged (nozzle tagged out-of-order until repaired) U= Taggable violation but left in use. VIOLATIONS: SYSTEMS MARKED WITH A "T OR U" CODE IN INSPECTION RESULTS, ARE IN VIOLATION OF KERN COUNTY AIR POLLUTION CONTROL DISTRICT RULE(S) 412 AND/OR 412.1. THE CALIFORNIA HEALTH & SAFETY CODE SPECIFIES PENALTIES OF UP TO $1,O00.00 PER DAY FOR EACH DAY OF VIOLATION. TELEPHONE (805) 861-3682 CONCERNING FINAL RESOLUTION OF THE VIOLATION. NOTE: CALIFORNIA HEALTH & SAFETY CODE SECTION 41960.2, REQUIRES THAT THE ABOVE LISTED 7-DAY DEFICIENCIES BE CORRECTED WITHIN 7 DAYS. FAILURE TO COMPLY MAY RESULT IN LEGAL ACTION ~ ~.l~,- -';, ~ APCD FILE ( 1700 Flower Street . COUNTY HEALTH DEPARTMEN~ HEALTH OFFICER t Bakersfield, Cellfornla 93305 Leon M Hebertson, M.D. Telephone (805)861-3636 ENVIRONMENTAL HEALTH DIVISION DIRECTOR OF ENVIRONMENTAL HEALTH , Vernon S. Relcherd ' I NTERI M PERMT *f PERM[ T~250006C TO OPERA'_PE : T S SUED : JULY 1, 1986 E XP T I~E S :JULY 1, ].989 UNDERGROUND HAZARDOUS SUBSTANCEs - STORAGE FACILITY ............. NUNBER-OF TANKS=-2 FACILITY: [ OWNER: O'NEARA & ROGER CONST. CO. [ O'NEARA, R.N. 421 EAST BELLE TERRACE [ 421 EAST BELLE TERRACE BAKERSFIELD, CA } BAKERSFIELD, CA 93307 TANK t A_G__EJIN YRSl SUBSTANCE CODE PRESSURIZED PIPING? 1 / 1 UNK NVF 3 NO 1/15 4 NVF 3 UNK NOTE: ALL INT'ERIN REQUIRENENTS ESTABLISHED BY THE PERNITTING ..' ,. AUTHORITY NUST BE NET DURING THE TERN OF THIS PERNIT NON--TRANSFERABLE * ~* POST ON PREMI SESi: DATE PERMIT CH~CK LIST RETURNED: Permit Ouest i onn~i re Normally, permits are sent to facility Owners but since many 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: For PERMIT # 250006C X 1. Send all information to Owner at the address listed on invoice (if Owner i~ different than Operator, it will be Owner's responsibility to provide Operator with pertinent information). 2. Send all information to Owner at the following corrected address: 3. Send all information to Operator: Name: Address: (Operator can make 'copy of permit for Owner). Kern County Health Department Division or Environmental Hea? Application 1700 Flower Street, Bakersfielu 93305 APPLICATION FOR PERMIT TO OPERATE UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY T_~ o_~f Application (check): [']New Facility ~]Modification of Facility [~Existing Facility [']Transfer of Ownership A. ~ergency 24-Hour Contact (name, area code, phone): Days R.M. O'Meara 80~-327-727] Night~. M. O'~.~r~ 805-327-727] Facility Name O'k~eqra & Ro~ers Construction.CompqnE No. of Tanks TWo, (2) Type of Busine§s (c}{e'c'k): ~lGa'soI'lne stat'ion ~]Other (deSCribe) Oilf~e!d Const. CompanY. Is Tank(s) Located on an Agricultural Farm? Is Tank(s) Used Primarily for Agricultural Purposes? ii]Yes ~]No Facility Address 421 East Belle Terrace Nearest Cross St. Union Avenue T R SEC (Rural Locat'ions (~ly) Owner R.M. O'Mear~ Contact Perso~ R. Michael O'Meara ~ddress42] East Belle Terrace Bakersfield Z'ip 93307 Telephone 805-327-727] Operator Same Contact Person ......... Address Zip Telephone B. Water to Facility Provided by c--- I------ h,-~-- Soil Characteristics at Pacilit~ ................. e-.., .. Basis for Soil Type and Groundwater Depth Determinations C. Contractor CA Contractor' s License No. Address Zip Telephome Proposed Starting Date Propose~] Completion Date , '~ , ...... Worker' s C~mpensation Certifi6ati~ [ Insurer D. If This Permit Is For Modification Of An Existing Facility, Briefly Describe Modifications Proposed E. Tank(s) Store (check all that apply): Tank ! Waste Product Motor Vehicle Unleaded Regular Premitm Diesel Waste F. Chemical Ccmposi, tion of Materials Stored (not necessary for motor vehicle fuels) Tank S Chemical Stored (non-co~mercial name) CAS S (if kno~m)~' St~red G. Transfer of Ownership Dste o-~-ansfer Previous Owner Previous Facility Name I, accept fUll'y all Obligat'ions of ~mit No. issued to · I understand that the pemitting Authority may review amd ~i'fy or terminate the transfer of the Permit to Operate this ~a%der~ro~d storage facility upon receiving this c~mpleted form. This form has been c~mpleted under penalty of perjury and to the best of my knowledge is true and correct. Stgnat _ . _ _~ ~/~_,~....~.__, . ~ Titlev. Pr.~A.nt Date 3-27-85 Facility Name O'b~nrn ~. ~no, r~ Cnn~fr,mf. lnn Company Permit T~K ~ ~,1 (FILL OUT ~EP~TE FO~ F6~ T~K) ~R ~ SE~ION, ~ECK ~ ~PROPRIATE ~XES H. 1. Tank is: ~Vault~ ~Vault~ ~uble-Wall ~Si~le~all 2. ~ ~terial ~Car~n Stol ~ Stainless Steel ~l~inyl C~oride ~Fi~rglass~l~ Steel Fi~rglass-Reinforc~ Plastic ~Congrete ~ ~in~ ~ Bronze ~k~ Other (de~r i~) 3. Priory Contai~nt ~te Install~ ~ic~ess (Inches) Ca,city (~11o~) ~nufacturer 10 ~uae ] 000 4. Tank SecOndary Conta[~nt ~l~Wall ~thetic Liner ~Lin~ Vault ~ne ~o~ ~Other (descri~): . ...... ~ufacturer: ~ter ial ~ic~ess (Inc~s) Ca,city (~ls.) 5. Tank Interior Lini~ ~~r ~kyd ~xy ~enolic ~Glass ~Clay )~li~' ~o~ ~Other (de~ri~): 6. Tank Corrosion Protectfon ~Galvan~z~ ~a~-Cl~ ~l~yle~ ~ap ~Vinyl ~Tar or ~p~lt ~k~ ~No~ ~her (de~ri~) Cath~ic Protection: ~ne ~es~ ~rent S~t~ ~r{'~i~'lal ~e ~t~ ~ri~ Syst~ & ~ui~ent: 7. Leak ~t~tion, ~nitori~, and Interception a. Ta~: ~vi~i (vault~ t~ks only) ~Gro~ter ~nitorl~' ~ll(s) ~Vadose Zone ~nitori~ ~ll(s) ~~ Wi~ut ~ner ~U-~ wi~ C~tible Liner Dir~ti~ Flow ~ Va~r ~t~torn ~ Li~id ~vel ~n~r ~ Co~tivity ~ Pressure ~r in ~ular S~ce of ~uble Wall Ta~- uid ~tri~al & Ins~ction Fr~ U-T~,~nitori~ ~11 or ly ~i~ & I~entory Re~nciliation ~ri~io ~None ~o~ ~ b. Pipit: Fl~Restricti~ ~ak ~t~tor(s) for Pre~uriz~ Pipit' ~nitori~ ~p ~th ~ce~y ~al~ ~crete ~ce~y lf~t C~tible Pi~ ~ce~y ~t~tic Li~ no~ ~ ~er '*~ri~ ~ & ~el': 8. Tank Tightness ~is ~ ~en Tigh~ess ~st~? ~Yes ~ ~o~ ~te of ~ Tightne~ Test Results of Test ~e ~sti~ C~ny ~ Re~ir~? ~Yes ~ ~kno~ ~te(s) of ~ir(s) ~ri~ Re, irs 10. ~erfill Protection ~rator Fills, Controls, & Vis~lly Monitors ~vel ~Ta~ Ft~t ~e ~Fl~t Vent Valves ~Auto S~t~ff Controls ~citance ~r ~al~ Fill ~x ~ne ~o~ ~Other: List ~ & ~el F~ ~e ~ices 11. Pipi~ a. ~dergro~d Pipit: ~Yes ~ ~o~ ~terial Thickne~ (i~hes) Dieter ~nufacturer ~essure ~tf0n ~Gravity ~roxi~te b. Unde~o~ Pipi~ Corrosi~ Prot~ti~ : ~lvanized ~Fi~rglass~l~ ~ess~ ~rrent ~crificial ~e ~Polye~yle~ Wrap ~Electrical I~lati~ ~Vinyl Wrap ~Tar or ~lt ~Un~o~ ~None ~her (de~ri~): c. Undergro~ Pipit, Seco~ary Contai~nt: ~l~all ~~etic Liner ~st~ ~ne ~no~ ~Other (de~rl~): Facility Name O'geara & Rogers Construc%ion Company Permit No. TANK J (FILL OUT HEPARATE FORM TANK) FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES H. 1. Tank is: [-]Vaulted ~]Non-Vaulted ~]Double-Wall I-]Single-Wall 2. ~ Material o rbon Steel ri stainless steel ~Polyvinyl Chloride []Fiberglass-Clad Steel 'berglass-Reinforced Plastic [] Concrete [] Al~inum [] Bronze I-JUnk/lawn her (describe) 3. Primary Containment Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer 198 ] 15,000 Owens-Corninq 4. Tank SecOndary Co~{ta'i'nment []-----~uble-Wall- [1Synthetic Liner []Lined Vault ~ne r]unkno~ [-]Other (describe): Manufacturer: [Material Thickness. (Inches) Capacity (Gals.) 5. Tank Interior Lining --~Rubbe~ [']Alkyd []']Epoxy []Phenolic []Glass []Clay [tt~lined [][~knom~l []Other (describe): 6. Tank Corrosion~Pr°t~a --~Galvantzed ss-Clad []Poll~thylene Wrap [~Vinyl Wrappir~ ~lTar or Asphalt []Unkncma~ []None []Other (describe): Cathodic Protection: ~iNone []Impressed Current System [~Criflcf&l )~m~de System 'Describe System & Equil~aent: , , 7. L__eak. Detection, Monitorin~j, .and Int~ a. Tan-k: [']Visual (vaulted ~an~ only) [2]Ground~ater Monitoring' ~ell(s) [Vadose Zone Monitoring Well(s) []U-Tube Without Liner []U-Tube with Ccm. patible Liner Dlrectirg Flow to Monitoring [] Vapor Detector* [] Liquid Level Sensor* ['~ Conductivity [] Pressure Sensor in Annular Space of Double Wall Tank- iuid [%strieval & Inspection From U-Tube, Monitorir~g Well or A~lnular Si~ace ly Ga~ging & Inventory Reconciliation ['~Periodic Ti~htness [] None [] Unkno~ [2] Other b. Piping: Flow-Restricting Leak Detector(s) for Pressurized Piping' []Monitorii~3 S~p with Race~y []Sealed Concrete Race~y f~t Compatible Pipe Raceway [] Synthetic Liner Race~y []No~ own F'[ Other ~Describe Make & Nodel:' Date of Last Tightness Test Results of Test Test Name Testing Company 9. Tank ~ ~ Repal red? [] Yes [~]No []Unknown Date(s) of Repair(s) Describe Repairs 10. Overfill Protection ['Operator FilI's'~ Controls, & Visually Monitors Level ~]Tape Float Gau~e []Float Vent Valves ~Auto Shut- Off Controls B Capacitance Sensor []Sealed Fill Box [2INane ~known Other: List Make & Model For Above Devices 11. Piping a. 'Underground Piping: [~Yes [~No [~Unknown Material Thickness (inches) Diameter Manufacturer ~Pressure [Suc~i°n' ~Gravity Approximate Length of Pipe b. Under~ound Piping Corrosion Protection : ~,alvanized []Fiberglass-Clad []Impressed Current [~Sacrificial A~ode []Polyethylene Wrap [-]Electrical Isolation [~Vinyl Wrap [~Tar or As[~lalt []Unknown r~None [-]Other (describe): c. Underground Piping, Secondary Containment: []Double-Wall []Synthetic Liner System []None~Unkn []Other (describe):