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UST INSP 10/21/92
HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 .... ; ......... TANK REMOVAL INSPECTION FORM FACILITY BROSSARD PROPERTY ADDRESS 2148 BRICYN LANE OWNER ROBERT BROSSARD PERMIT TO'OPERATE# 5757 CONTRACTOR WEGENER CONSTRUCTION CONTACT PERSON PAT MULHOFER LABORATORY ./0. C. /~-~ # OF SAMPLES /~ TEST METHODOLOGY 8020, 8015 - DIESEL, METHOD 5030 418.1 PRELIMANARY ASSESSMENT CO.B.C. LABS CONTACT PERSON CO2 RECIEPT ~ LEL% O 02% 6, PLOT PLAN CONDITION OF PIPING CONDITION OF SOIL .~) DATE INSPECTORS NAME y' ~ IGNATURE ' ..... ~ BAKERSFIELD FiR~E D~i)A~TMEHT ~' . - Dm~ - - . ',' · - . · APPLICATION. .... .: .-~./.. -;:~':.':~ .~. A~l~,o~ ..~NO" In Conformity: ~ 'with..ProvjSior~ of. pertinent O~dinances, coc~s-~and/~qr' ~.regulations, aPPlicat~i!s rnc~de_,,:.~.- :. display, store; inStall, use, operate, sell or handle' materials :Or: processes in i~g 'or :.'c ~ .-, .. ' dltions, deemed,hazardous'to'life or properly as fo~lows: ', ". -.~'~.. "i. ~;' . ~ · ~.'. '"'. i,i': . · -,. .;,.,.'_.' ..... : ~' .: , ',; · .,, ; ,. ;, ; · : .,- ,.. ; ."; · . ..:- ,,-.¥. · ~...~ : ~,~,~ ..~.~. ....................... ~.~..!.. ~ ..=...~. ..... ~ .... ~.~ ...................................... 22' .~__'~'.5__5 ....... ; ...... _ _ ~ ................ * INDUSTRIAL * PETROLEUM 208t BAKERSFIELD, CALIFORNIA CITY of BAKERSFIELD DVI FIRE DEPARTMENT 2101 H STREET S, D. JOHNSON October 2 i, 1 9 9 2 BAKERSFIELD, 93301 FIRE CHIEF 326-3911 Brossard Property P. O. Box 10688 Bakersfield, CA 93389 Attn: Ms. Nancy Brossard CLOSURE OF 3 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANKS LOCATED AT THE BROSSARD PROPERTY, 2148 BRICYN LANE, IN BAKERSFIELD, CALIFORNIA. PERMIT ~BR0061 ~ Dear Ms. Brossard, This is to inform you that this department has reviewed the results for the preliminary assessment associated with the closure of the tanks located at the above stated address. Based upon laboratory data submitted, this office is satisfied with the assessment performed and requires no further action at this time. This letter does not relieve you of any liability for past, present, or future operations. In addition, any future changes in site use may require further assessment or mitigation. It is the property owners responsibility to notify this department of any changes in site usage. If you have any questions regarding this matter, please contact me at (805)-326-3979. S i~ce~e ~.y, Z? uhw ,~ Hazardous Martial Specialist Underground Tank Program cc: Brian McNabb McNabb Construction 4400 Ashe Road, Suite 213 Bakersfield, CA 93313 FIRE DEPARTMENT 2101 H STREET S. D. JOHNSON BAKERSFIELD FIRE DEPARTMENT BAKERSFIELD, 93301 FIRE CHIEF HAZARDOUS MATERIAL DIVISION 326-3911 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 CERTIFICATION STATEMENT OF TANK DECONTAMINATION I, /L~ ~ l;~/~~ an authorized agent of name McNabb Construction Co. here by attest under penalty of contracting co. perjury that the tank(s) located at 2148 Bricyn Lane and address being removed under permit# BR - 0061 has been cleaned/decontaminated properly and a LEL (lower explosive limit) reading of no greater than 5% was measured immediately following the cleaning/decontamination process. date name (p~int) - ~f '-~ignatur~ akersfield Fire DePt~ ~ PEI~MIT N UNDERGROUND STORAGE TANK PROGRAM ,--'~ "? ..~ ~ ! ' PERMIT APPLICATION FOR REMOVAL OF AN UNDERGROUND STORAGE TANK SITE INFQRMATION Ch ._ m * .... FACIL!~ NAME ~~. ~ CR~ Si~EET ~~ ~. . - ' TANK O~NE~/OPERAT~R ~b~.~~~ ~NE No. ~~T . MAILING ADDRESS ~/,O, ~q~ ~0~ CI~ ~, ZIP CODE COMPANY ~~ ~~~ ~.PHONE No. ~--~.~LICENSE No.~ INSURANCE CARRIER ~ ~ ~ORKMENSCoMPN . g~l~ COMPANY r~,~ ,~ PHONE No. ~--~(_ LICENSENo. ~. AOO~SS. ~ ~ ~, ~ ~, Z~COOE INSURANCE CARRIER o~ ~ ~ORKMENS COMP No. ~ ~ TANK G~ANING ~O~MATI~ No. ADDRESS ~O( ~L~, _~- /CI~ ~, ZIP CODE WASTE TRANSPORTER IDENTIFICATION NUMBER ~ (LI~m NAME OF R~A~E ~SAL ~ACILI~ ~~ ADDRESS O~ I}~~ ~.~~ CI~ ~. ZIP CODE FACILI~ INDENTIFICATION NUMBER ~ ~0 ~51~ ~ '. TANK TRANSPO~}ER I~OR~TI~N ADDRESS ~1~ ~~ ~,~ ~1~ ~. ZIP~CO~ TANK DESTINATION ~~ ~~ '~ (~ ~. ~~ ~, ~ I TANK INFORMATION TANK No. AGE VOLUME CHEMICAL DATES CHEMICAL · S O PREVIOUSLY STORED THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE Al-rACHEl) CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL AND FEDEI?AL REGULATIONS. ~,~PPReVED BY: ~ APPLICA~IT NAMF (PRINT) . THIS APPLICATION BECOMES A PERMIT WHEN APPROVED Ptot Plan must show the following:' Roads ar~d//~lleys V/ 2. buildings )/' location/gl tanks, piping, and dispensers ~q' 4.'3' utilities ¢ ~ 7 / 5. sc^LE X,~ .7 ,..// 6. water wells (if on site) j~ ~' J 7. any other relevent information ~ HAZARDOUS MATERIALS DIVISIO"~ UNDERGROUND STORAGE TANK PROGRAM PERMIT APPLICATION FOR REMOVAL OF AN UNDERGROUND STORAGE TANK SITE INFQRMATION t"'l - ,-. r~ * -- SITE li~l~ ~ ADDRESS .~ '~-JO/;,~,~)~IP C~DE ~5~ AP" FACILI~NAME ~5~. ~ . CR~ STREET "~~ ~. TANK OWNER/OPERATOR ~ ~b~ ~ ~'~ ~ONE No. ~~{ ~ _ MAILING ADDRESS . ~,O, ~ ~0~ CI~ ~, ZIP CODE COMPANY ~C~ C~c~ L~.PHONE No. ADDRESS. ~ ~ ~, ~ ~ CI~ ~, ZIP ~E ~~" INSURANCE CARRIER ~ ~ WORKMENS COMP No. ~i~- pRELIMANARY ~SEMENTJNFORMATION COMPANY .~, ~..~ PHONE No. ~- ~/( LICENSE No. ~ ADDRESS ~[ C~ ~ C~, CIW ~ ZIP C'ODE _ff5~O6 INSURANCE CARRIER o~ ~ WORKMENS COMP No. ~ ~ TANK CLEANING ~OEMATI~ ~ ADDRESS q~ol ~L~. ~. . /c~w ~, Z~PCODE WASTETRANS~ORTER ~DENTIF~CAT~O'N'NUMBE~ , ~1(~ , - . NAME OF R~ATE DISPOSAL FACILI~ ~(~~ ~~ ADDRESS ~~~ ~ ~ ~ CIW ~. ZIP CODE ~~. FACILI~ INDENTIFICATION NUMBER ~ ~0 ~ I~ " TANK TRANSPOlaR I~OR~TI~N ~ ~ / ~ ~.~ COMPANY H~ ~',D. ~. PHONENo. ~~ UCENSENo. L.;~yO~ AOD~ESS '~ ~' ~.,, C~ ~. Z~PCO~ qs~ TANK INFORMATION TANK No. AGE VOLUME CHEMICAL DATES CHEMICAL .......... .-;: ........ ~ ................. · .................................... FOR OFFIC AL USE ONLY ............... x ................. :!::: :!;]:::!:::i:i:::~.'.': :!:!:I: :~:~:!:~:~:~:~::~: ::: ~:!~:~::::; ::::::::::::::::::::::::::::I: :: :::::::::::::::::::::: · :~::: :~::!:::I:': ::':" ..:.:.:.v =================================================================== ::::::::::: ::I::::" '::':':';':': ::::::: :::" '.'~.' ::: ::::::::::::::::::::::::::::::::::::::::::::::::::: :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ::::::::::!' THE APPLICANT HAS RECEIVED. UNDERSTANDS. AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY~F PERJURY, AND TO THE BEST OF MY KNO'~',',~ TRUE AND CORRECT, JAPPR~VED BY: ~ APPLICANT NAME (PRINT) ~N>EI'C ~xlT $ ,G N~TU R E- THIS APPLICATION BECOMES A PERMIT WHEN APPROVED _PL©T PLAN/' Roads and Ileys ¢' Plot Plan must show the following: 2. buildingnd/~'as~' ' N 3. locationj~f tank~ piping, and dispensers 4. utilities~/~ ~ ' ~ · / , , 5. SCALE ~iL~ ' .:~':"'~" '" 6. 'water wells (if on site) X~J~-.~ ~/'/ 7. any other relevent information ~/' . Form Approved OMB No. 2060--O039 (Expirel 9-30-9 t) and Front of Page ? Toxic Subltancel Control Oivi~,ion 8aOremeflto California Pleaee print M tyl~. Fo~m de~.ed ~o~ uae on a#te4 IAoffch ~/pewnter). .,, "' WASTE MANIFEST ~.dHi~710101~'DlYlgll'/l~ ;, ...... i ~ i'r ~ I /,e~otrequh'edbyFedMa, li.. 3. Oener~of",l Name. 41od M~j,flng Addrall j J~{ I I't"q~' ~{""~.~,C~ . S. Tranoport~er I Compagy Hame , 6, US EPA ID Number 7, Trlnlpc~®r 2 ~ompeny Name 8. US EPA ID Number O, Deitgnated Facility Name~eed Site Addreaq [ I0. US EPA ID Number P'2)mmecd, a/ Dr, ye ,/ 12. Containers 13. ToIII 14. L t t. U8 DOT Dencriptlon (Including Prope~ Shipping Name, Hazard Claes, and ID Number) Quantity Unit W~Ie No. No. Type Wt / Vol N E b. Mite ;Z::..,i=.~ '. ::L.. R A EPA/CXflM.. · o I~ ~ IIII . d. :St~e:~::=:!~=':~ ii';" '" , '" """' "'"""° '"'"'""' '"' '""'°"" 3 ? i I[N[RA'I'OR'S CfI~'IPIC~'rloN: I hereby de©l&re that the contents of this consignment are fully and accurately described above by proper nhlpplng name and are ¢laeeitled, packed, marked, end labeled, end ere In ell respects in proper condition for transport by highway according to appflceble International and national government regulatlone. If I am · large quenlity generator, I ce~lfy thai I have a program In place to reduce the volume and toxicity of waste generated to the degree I,heve dete~ined to be economically practk:able and that I have aal®~ed the practicable method~)f trealmenl, atorsgn, or disposal currently available to me which minimizes the present and future threat to human health and the environment; O~, if I am a a/~all quantity generator, I have made a good faith effort to minimize my waste g®neration and select the bent waste management method that la available tc~e end Ihal I can afford, R A Printed/Typed Name [ Month Day ~ear N O lg. Transp'orte~ 2 Acknowledgement of Frec&lpt of Matedall ' ' '~"--' ' TR Printed/Typed Name I Signature Month Day Year I E . I I I I I I 19. DIscrepancy indication Speco F A C I L Ti 20. Fecilltyj Owner or Operate' Certiticetion/ol receipl of hazardous, materials covered _~y tht~ manifest except es note~ in item ti). ' : ~ ~22 A ~ Not Wr~e ~low ~is Line ,~fi e7~ Y'(R~. ~) Previous ~ffl~e ere ob~et~ ~= T$~ SENDS ~1S C~ TO ~ ~IN 30 DAYS . ~. ~. To= P.O. ~x ~, ~, ~ 9~12 N° 10342 GOLDEN STATE METALS, INC. DISPOSAL FORM P. O. Box 70158 · 2000 E. arundage Lane I Date / ,--,, .('~ ,19 Bakersfield. California 93387 Phone (805) 327-3559 · Fax (805) 327-5749 I - . ~'. --, I LI~=.~ ~ Contractor's , ,, I Phone No.. ADDRESS: ADDRESS: DESTINATION: G.S.M. · 2000 E. BRUNDAGE LANE · BAKERSFIELD, CA 93387 HAULER: LICENSE NO: ' ' , ~ TOTAL QTY GALLONS ~ERIAL NO. NET TONS 550 .24 1000 - 6 ft .61 INSPECTION ................................................................................... 2000 .97 [] RESIDUALS PRESENT (REJECT) 3000 1.32 ~ LEL READING / 5000 ' ' :~.4~ ' 9000 3.82 ~ SCRAP VALUE .... 12000 .................. ...................... TOTAL All fees Incurred are per load unless specified. Terms are net 30 days from receipt of tank. Contractor's signature represents acceptance of terms for payment, and confirms that tank removal complies with State laws. CONTRACTOR'S SIGNATURE CERTIFICATE OF TANK DISPOSAL / DESTRUCTION THIS tS TO CERT//FY '~HE RECEIPT AND ACCEPTANCE OF THE TANK(S) AS SPECIFIED ABOVE. ALL MATERIAL SPECIFIED WILL BE COMPLETELY DESTROYED~TR TRAP~CYCLING P~DSES ONLY.' -- AUT~IORIZEdREI~. ~ DATE WHITE ~ Con,actor Copy · YELLOW -- File Copy · PINK -- Permanent Copy ACKNOWLEDGEMENT R~PORT FOR 9068 10-07-92 ADDRESSES TO BE USED .......................... ................... '- ........................... REPORTS WILL BE SENT TO: MCNABB CONSTRUCTION CO 7808 OLCOTT AVE BAKERSFIELD, CA 93308 At=n: BRYAN MCNABB 399-4742 SAMPLES WERE SUBMITTED BY: B C LABORATORIES, INC. 4100 ATLAS CT. BAKERSFIELD, CA 93308 At=n: JERRY MASON 327-4911 BILL WILL BE SENT TO: MCNABB CONSTRUCTION CO 7808 OLCOTT AVE BAKERSFIELD, CA 93308 A==n:. 399-4742 SAMPLE DESCRIPTIONS ................................................................. -~ BC LAB NO RUSH DUB SAMPLE DESCRIPTION TO APPEAR ON REPORTS 9068-1 N TANK REMOVAL ON 2148 BRICYN, TARK ~1 SOUTH END 2FT., SAMPLED ON 10-07-92 FROM 12:00PM TO i:30PM BY JERRY MASON OF B C LABORATORIES, INC. COMMENTS: COPY OF MAP MUST GO WITH REPORT. 9068-2 N TANK REMOVAL ON 2148' BRICYN, TANK ~1 SOUTH END 6F~(~:~'~LED ON.¥' 10-07-92 FROM 12:00PM TO 1:30PM BY JERRY MASONOF B ~'~ LABORATORIES, INC. COMMENTS: COPY OF MAP MUST GO WITH REPORT. 9068-3 N TANK REMOVAL ON 2148 BRICYN, TANK #I¥'~'NORTH END 2FT?~?-~SAMPLED'.ON ' 10-07-92 FROM 12:00PM TO 1:30PM BY JERRy,?MASoN COMMENTS: COPY OF MAP MUST GO '~WITH .REPORT. ~'~if 9068-4 N TANK REMOVAL 0 ~-2 BRICYN, TA~K ~1 NORTH END 6FT., SAMPLED ON 10-07-92 FROM 12:00PM TO 1:30PM BY JERRY~ MASON OF.B. COMMENTS: COPY OF MAP MUST GO WITH REPORT. 9068-5. N TANK REMOVAL ON 2148 BRTCYN, T~NK #2 SOUTH END 2FT., S~oa~PLED ON 10-07-92 FROM 12:00PM TO 1:30PM BY JERRY I~SON OF B C L~BORATORIES, INC. COUNTS: COPY OF ~ MUST.., .'.: GO~ WITH ~PORT..:.,.....,. 4100A~es Oc,. Bakersfielct CA 933C)~ · (IBC)5) 327-4911 · I=AX (BOb--') 327-1 91B ACKNOWLEDGEMENT REPORT FOR 9068 10-07-92 SAMPLE DESCRIPTIONS ........................................................................ BC LAB NO RUSH DUE S/tMPLE DESCRIPTION TO APPEAR ON REPORTS 9068-6 N TA/~K REMOVAL ON 2148 BRICYN TANK #2 SO[7~H END 6FT., SAMPLED ON 10-07-92 FROM 12:00PM TO 1:30PM BY JERRY MASON OF B C LABORATORIES, INC. COMMENTS: COPY OF MAP MUST GO WITH REPORT. 9068-7 N TANK REMOVAL ON 2148 BRICYN TANK %2 NORTH END 2FT., S~MPLED ON 10-07-92 FROM 12:00PM TO 1:30PM BY JERRY MASON OF B C.' LABORATORIES, INC. COMMeNTs: COPY OF MAP MUST GO WITH REPORT. 9068-8 N TANK REMOVAL ON 2148 BRICYN TANK ~2 NORTH END 6FT., SAMPLED ON 10-07-92 FROM 12:00PM TO 1:30PM BY JERRY MASON OF B C LABORATORIES, INC. COMMENTS: COPY OF MAP MUST GO WITH REPORT. 9068-9 N TA~K REMOVAL ON 2148 BRICYN, TANK #3 MIDDLE 2FT., SAMPLED ON 10-07.-92 FROM 12:00PM TO 1:30PM BY JERRY MASON OF B C COMME COPY OF MAP MUST GO WITH REPORT. 9068-10 N .~ TANK REMOVAL ON 2148 BRICYN T~/TK #3 MIDDLE 6FT., SAMPLED ON 10-07-9-2 FROM 12:00PM TO 1:30PM BY JERRY ~ASON OF B C LABORATORIES, INC. COMMENTS: COPY OF MAP MUST GO WITH REPORT. 9068-11 N TANK REMOVAL ON 2148 BRICYN, DISPENSER 2FT., SAMI~LEDON 10-07-92.'~ FROM 12:00PM TO 1:30PM BY JERRY MA~ON OF B C LABORATORIES, INC. COMMENTS: COPY OF MAP MUST GO WITH REPORT. 9068-12 N TANK REMOVAL ON 2148 BRICYN, DISPENSER 6FT., SAMI~LED ON 10-07-92 FROM 12:00PM TO I:30PM BY JERRY MASON'~.OF~'B. C LA~O~TORIES, INC. · REQUESTED ANALYSIS ...................... ~ .................................................. SAMPLES: 9068 - 1, 2, 3, 4, 5, 6, 7, 8, 11, 12 ............. ORGANICS: EPA 8020 - BTXE, EPA 8015 - TPH (dieS6'i)~ SAMPLES: 9068- 9, 10 ?''~ ~'~?'i! TOTAL: To~al Pe=roleum Hydrocarbons (IR) '&i . '.%% BC SAMPLING TIME: 1.50 HOURS ~.. .~, .,~ ~.~. ~ ......... ~ ....................... tlllt- ' ~-- ..... ' ' - ....... FROI'I 10,20,1992 10:43 NO,lO P, 2 Petroleum Hydrocarbons MCNABB CONSTRUCTION CO Date of 7808 OLCOTT AVE Report: 10/19/92 ~AY~RSFI~LD, CA 93508 Lab #: Attn.: BRYAN MCNABB Sample Description: TANK REMOVAL ON 2145 ~RICYN, TANK #1 SOUTH ~ND 2FT., SAMPLED ON 10~07-92 FROM 12:00PM TO i:30PM BY JERRY MASON OF ~ C LABORATORIES, INC. TEST METMOD: TPM by D.O.M.$. / L.U.F.T. Manual Method.- Modified EPA 8015 Individual constituents by EPA Method ~030/80~0. Sample Matrix: SoiI Date Sample Da~e SamDle Date Analysis Collected: R~ceived ~ Lab: Completed: 10/07/92 10/07/92 10/16/92 Minimum 'Analysis Reporting Repot=lng 'gonstit~n~s . ~$,sult~ ~ _ Level Benzene' None Detected mg/kg ".0.~005 '?: Toluene ~one De~ected mg/kg 0.005 E~hyl Benzene None Detected mg/kg 0.005 Total Xylenes None De=ected mg/kg 0.01 To~al Petroleu~ ~ydrocarbon~ (diesel) None Detected mg/k~ 20. California D.O,H.S. Cer=. #1186 Department SuperVL~or Report To: Analysis Requested Project #;~tq~' 0 City: ~Z~r.~-e.l~ Sampler Name: State: Zip:q'- Other: P~ne: Sample De~ription Date & T~e ~m~ed Comment: r¥~ 8illincj info: by: (Signature) by: Date: Time: &OCJ~ O'~ ~~' Name: (Signature) by: (Signalum)' Dale: l~ ~ ~:T% Address ~.~. C~y State Relinquish~ by: (~nalure) R~e~ by: (Signature) Da~e: Time: A~ent~n: ~~ Time: lJ~ Relinquished by: (Signature) ~ceiv~ ~: (S~natu~e) Date: Time: ~'~ ~ Miles: ~ ~ Reli~uished by: (Signature) Receded by: [Signature) Date: 31me: Sample Disposal P.O.~ Relinquish~ by: (S~nature) R~e~ by: (Signature) Date: Time: 10,20,1992 10:45 NO, lOP, 5 Petroieum Eydrocarbons MCNA~B CONSTRUCTION CO Date of ?808 OLCOTT AV~ Report: 10/2~/92 BAKERSFIELD, CA 9~308 Lab #: 9068-2 Attn.: BRYAN MCNABB 599°4742 Sample Descriptioll: T~K REM0V.~L ON 2~48 BRICYN, TANK #1 SOUTH END 6~T., SAMPLED ON 10-07-92 FRO~ 12:00PM TO 1:30PM BY JERRY MASON OF B C LA~0RATORIES, INC, TEST I4ETHOD: TPH by D.O.M.S. / L.U.F.T. Manual Method -.Modified EPA 80i5 Individual constituents by EPA Method 5030/8020. Sample Matrix: Soil Date Sample Date Sample Date Analysis Collected: Received ~ Lab: Completed: " Minimum "" Analysis ReDort in~ Repor~ ~enzene None Detected m~/k~ 0 Toluene None Detected m~/kg 0'. 00~ Ethyl Benzene None De~ected mg/k~ 0.005 Total Xylenes None Detected m~/kg 0.01 Total ~etroleum Hydrocarbons (diesel) None Detected m~/kg 20. California D,O.M.S. Cert. ~1186 Departmen~ Super~i~o~ i'ROM 10,'20,1992 10:45 N0,10 P, 6 Petroleum Hydrocarbons MCNABB. CONSTRUCTION CO Date of 7808 0LCOTTAV~ Report: 10/i9/92 ~AKERSFI~LD, CA 93308 Lab ~: 9068-3 Attn.: BRYAN MCNABB 399-4?42 Sample Description: TANK REMOVAL ON 2148 BRICYN, TANK ~1 NORTH END 2FT., SAM~LZD ON 10-07-92 FROM 12:00PM TO 1:~09~ ~Y JER/~Y MASON OF B C LABORATORIES, INC. TEST ~4~THOD: T~H by D.O'.H.S. / L.U.F.T. 5~nual Method - ~odifled EPA 801~ individual constituents by EPA Method ~030/8020. Sample MatriX: Soil Date Sample Da~e Sample Date ~:alysls. Collected:' Received ~ Lab: Completed: ... 10/07/92 '.. 10/07/92 10/16/92 ': ~,''' Minimum Analysis Reporting Reportin~ Con~ti.~ents _~esulta~ units. ..... Level Benzene None Detected mg/k~ 0~00~ Toluene None Detected mg/k~ 0.005 Ethyl Benzene None Detected mg/kg 0.00~ Total Xylenes None Detected mg/k~ 0.01 Total ~e~roleum Hydrocarbons (diesel) ~one Detec:ed '.mg/kg 20. California D.O.H.S. Cer~. ~1156 Petroleum HYdrocarbons MCNA~B CONSTRUCT/ON CO Date of ?808 0LCOTT AVE Report: 10/19/92, BAKERSFIELD, CA 93308 Lab ~: 9068-4 Attn.: BRYAN~CNABB 399-4742 Sample Description: 'TANK REMOVAL ON 2149 BR/CYN, TANK ~1 ~ORTH END 6FT., SAMPLED ON 10-07-92 FROH 12:00P~ TO 1:30DM ~Y JERRY MASON OF B C LkBORATORIES, INC. TEST M~THOD: TPH by D.O,H.S, / L.U,F.T. Manual Method - Modified EPA 801~ Individual constituents by ~PA M~thod 5030/8020, Sample Matrix: soil Date SamDle Date Sampl~ Date Collected: Raceived ® Lab: Completed: .. 10/07/92 10/07/92 10/16/92 ' Minimum Analysis Reporting Reportin~ _C~___n.s.~ ~ ~uent s . .Re su i t s Uni ~ , La~a 1 Benzene None Detected mg/kg '"0 .'005 Toluene None Detected ' mg/kg 0 Ethyl Benzene None Detec=ed m~/kg 0.005 To~al Xylenes None Detected mg/kg 0.01 To~al Petroleum ~ydrocarbon~ (~iesel) None Detected mg/kg 20. Callfornia D.O.H.S. Cert. #118~ D~partment Supervi .......... - ...................... · ................................ · .................. ............... iROt4 10,20,1992 10:46 NO,10 P, 8 Petroleum Hydrocarbons. MCNABB CONSTRUCTION CO Date of 7808 OLCOTT AVE Report: 10/19/92 BAKERSFIELD, CA 95508 Lab ~: 90~8-$ Attn.: BRYAN MCNABB 399-~742 Sample Descr&ption: TAi~K REMOVAL O~ 2148 BRICYN, TANK ~2 SOUTH END 29T., SAMPLED ON 10-07-92 FROM 12:00PM TO 1:30PM BY JERRY MASON OF B C LABORATORIES, INC. TEST ~ETHOD: TBH by D.0.H.S~ / L.U.F.T, Manual Method - Modified EPA 8015 Individual constltuents by EPA Method 5030/8020. Sample Matrix: Soil Data Sample Date Sam~ole Date Analysis Collected: Received ~ Lab: Completed: ., Minimum Analy~ i s ~eport ing Report in Constituents _. ~8U!tS ..... ~ni~ .... Benzene None Detected m~/kg ".~ 0'. 005 Toluene None De~ected mg/k~ 0 J00~ Ethyl Benzene None Detected mg/kg 0.005 Total Xylenes None Detected mg/kg. 0.01 Total Petrole~ Hydrocarbons (diesel) 20. m~/kg 20. California D.O.M.S. Cert. Department Supervi~6~ FROM 10,20,1992 10 47 0,10 9 Petroleu~ }{ydrocarbone MCNABB CONSTRUCTION CO Date of ?808 OLCOTT AVE Report: 10/19/92 BAKERSFIELD, CA 93308 Lab ~: 9068-6 Attn.: BRYAN MCNABB .399-4742 SamDle Description: TA~K REMOVAL ON 2148 BRICYN, TANK #2 SOUTH END 6FT., SAMPLED ON 10-07-92 FROM i/:00PH TO I:BOPM BY jRRRY MASON OF B C LABORATORIES, INC. TEST METHOD: TPH by D.O.H,S. / L.U.F.T. 1;mnual Method - Modified ~PA 8015 Ind£vidual consti:uents by EPA MeKh°d 5030/8020. Sample Matrix: Soil Date Sample Date Sample Date Analysi$ Collected:. Received ~ Lab: Completed: : ..... ~0/07/9~ 10/07/92 ~0/~7/~ ...,.,',. Minimum Analysis ~e~orting Reporting ~o0stituents __. R~sul~s ..... Unite ...... Level __ ~enzene None Detected mg/k9 0.005 Toluene None Detected m~/kg 0.005 Ethyl Benzene None Detec=ed mg/kg 0.00~ Total Xylenes None Detected mg/k~ 0.01 Total Petrole~ Hydrocarbons (diesel) 'None Detected mg/kg 20 California D.O,H.S. Cert, #1186 " iROM 10,20,1992 10:47 N0,10 P,10 Petroleum Hydrocarbons MCNABB CONSTRUCTION CO Date of 7808 OLCOTTAVE Report: 10/19/92 BAKERSFIELD, CA 93308 Lab ~: 9068-7 At%n.: BRYAN MCNABB 399-47%2 SamDle Description: TANK REMOVAL ON 2148 BRICYN, TANK ~2 NORTH END 2FT., SAMPLED ON 10-07-92 FROM 12:00PM TO 1:30P~ BY JERRY MASON OF B C LABORATORIES, INC. TEST I~THOD: TPH by D.O.H.S. / L.U.~.T. Manual Method - Modified EPA 8015 Individual consti=uents by EPA Method 503'0/8020. Sample Matrix: Soll Date Sample Date Sample Date Analysis' Collected: Received · Lab: Completed: ' ' 10/07/92 10/07/92 10/17/92 ."..~ ''','~ Minimum Anaiys i $ Report lng Report Benzene None Detected m~/k~ ".'.~ 0.00'5 Toluene None De~ected mg/kg 0.00~ Ethyl ~enzene 0.007 m~/kg 0.005 Total Xylenes 0,04 mg/kg 0,01 Total Petroleum Hydrocarbons (diesel) None Detected m~/k~ 20. Californla D,O.H.S. Cert. Department Supervi~r 10,20,1992 10:48 NO,lO P,11 Pet~oleumRydroca~bons MCNABB CONSTRUCTION'CO Date of 7508 OLC0TT AV~ Report: 10/19/92 BAF, ERSFIELD, CA. 93308 Lab #; 9068.-8 Attn.: BRYA~MCNA~B ~99-4742 Sample Descrip=ion= T3~NK REMOVAL ON 2148 BRICYN, TANK ~2 NORTH EI~D 6FT., SAMPLED ON 10-07-92 FROM 12:00PM TO 1:30~ BY JERRY MASON OF B C ~J%BORATORIES, INC. TEST M~THOD: TPH by D.O.H.S.. / L.U.F.T, Manual Method - Modified EPA 8015 Individual con~tltuents by ~DA Method 5030/8020. Sample Matrmx: Sol1 Date Sample Date Sample Date Analysis Ana%ysis ReDortin~ ReDortin~' ~enzene None Detected Toluene None Detected m~/k~ 0.005 ~thy1 Benzene None Detected mg/kg 0.00~ To~a% Xylenes ~one DeCected To~al Petroleum ~ydrocarbons (diesel) None Detec~e~ mg/kg 20. CaT{~ornia D.O.~.$. Cert. Department Supervi~o~ FROM 10,20,1992 10:48 ~0,10 P,12 To:al Petrole%~ Mydrocarbons ~cNABB CONSTRUCTION CO Date of 7808 OLCOTTAVE ReDort: 10/12/92 ~AKERS~ZELD, CA 93308 Lab ~: 906B-9 A~=n.: BRYAN MCNABB 399-4742 Sample Description: TANK REMOVAL ON 2148 BRICYN, TANK #3 MIDDLE 2FT., SAMPLED ON 10-07-92 FROM 12:00PM TO 1:30~ BY JERRY MASON OF B C LABOP~TORIRS, INC. Sample Matrix: Soil Method Con~itue~t~s S~amDle Res~I.t__S_ ~nits ~.O.L. ~ Total Petroleum Hydrocarbons None DeteCted mg/kg 20. EPA-418.1 California D~O.H.S. Cer=. $11S6 10,20,1992 10:49 NO,lO P,15 Total Petroleum Hydrocarbons MCNABB CONSTRUCTION CO Date of ?~08 OLCOTTAVE Report: 10/12/92 BAY.~RSFIELD, CA 95208 Lab ~: 9068-10 Attn.: ~RYAN MCNABB 399-4742 Sample Description: TANK REMOVAL ON 2145 ~iCYN, TANK ~3 MIDDLE 6~T., SAMPLED ON 10-07-92 FROM 12:00PM TO ~:30PM BY JERRY MASON OF B C LABORATORIES, INC. Sample Zatrlx: Soll Method ~onstltuents Samgle Re~!_ts Unit____~s e.O-5. Tokai Pe'groleum Hydrocarbons None Detected. m~/k~ 20. EPA-¢i$.I Callfornia D.O.H.S. Cert. ~1186 DeDartment SuperviSor 10,20,1992 10:49 Petroleum ~ydrocarbons MCNA~B CONSTRUCTION CO Date of .7808 OLCOTT AVE Report: 10/19/92 BAKERSFIELD, CA 93308 Lab #: 9068-11 Attn.: BRYAN MCNAB~ 399-4942 Sample Description= TANK R~MOVAL ON 2148 BRICYN, DISPENSER 1FT., sAMPLED ON 10-07-92 FROM 12:009~ TO I:~0PM BY J~RRY MASON OF B C LABORATORIES, INC. TEST M~T~OD: T~H by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015 Individual constituents by EPA Method ~030/8020. Sample Matrix: Soil DaCe Sample Date Sample Dats Analysis Collected: Received ~ Lab: Completed: 10/07/92 10/07/92 10/17/92 Analysis Reporting Reporting ~ _ ~ Results ....... Units ..... Level , Benzen~ ~one De%toted mg/~g "0.005 Toluene None Detected mg/kg '0.005 £thyl Benzene None Detected mg/kg 0.005 To~al xylenes None Detected mg/k~ 0.01 Total Petroleum Hydrocarbons (diesel) None Detected mg/kg 20. California D~O.M.S. Cert. #1186 Department Superv£so~ Petroleum ~ydrocarbone MCNABB CONSTRUCTION CO Date Of 7808 OLCOTTAV~ Report: 10/19/92 BAKERSFIELD,' CA 9330~ Lab #: 9068-12 Attn.: BRYAN MCNABB 3'99-4742 Sample Description: TANK REMOVAL ON 21%8~BRICYN, DISPENSER 6FT., SAMPLED ON 10-07-92 FROM 12:00~M TO 1:30PM BY JERRY ~ASON OF B C LABORATORIES, INC. TEST METHOD: T~H by D.O.M.S. / L.U.F.T. ~anual Method - Modified EPA 801~ Individual constituents by EPA Method ~030/8020. Sample ~atri×: Soil Date Sample Date Sample Date Analysis Collected: Received ® Lab: Completed: 10/07/92 10/07/92 10/17/92 Minimum Analysis Reporting Reporting Constituents Res~.l.ts __ _ unit~ ~ Lev_el.. Benzene None Detected m~/kg ?. 0.005 Toluene None Detected mg/k~ ~' 0'."005 Ethyl .Benzene }~one Detected m~/kg 0. 005 Total Xylenes None Detected mg/kg 0.01 Total Petroleum ~yd~ocarbons (diesel) None Detected m~/kg 20. Callfornia D.O.I~.S. Cert. #1186 41 CIO Ar, lan C~,, B~lc.r-.~e~rJ, CA c:g.'D)O~, (E/Zo--~ D~.'F,'4.cJ'l I · FAX (~Ob-') 3~:~;-1 gl 8 CITY of BAKERsFIEL ] "WE CARE" FIRE DEPARTMENT 2101 H STREET S. D. JOHNSON June 2 3, 19 9 2 BAKERSFIELD, 93301 FIRE CHIEF 326-3911 Robert Brossard Bricyn Oil Company P.O. Box 10688 Bakersfield, CA 93389 Mr. Brossard, It has come to our attention that you. currently own property located at 2148 Bricyn Lane, Bakersfield, CA which contains three(3) underground storage, tanks. Our records reveal that the tanks have been out of service for more than ninety(90) days. Per 79.116(c) of the Uniform fire Code these tanks must be properly closed. Please make the necessary arrangements to properly close these tanks by September 1, 1992. If you have any questions, please call me at (805) 326-3.979. Sincerely, /2 ~ ~ Hazardous Material Specialist Underground Tank Program ~~. ............ !~. ~Bakersfield Fire Dept.~i ~i.~.~tt.'~,~i1 F~x. ZARDOUS MATERIALS DIVI~IO~ ~~~~ :~ 2130 G Street, Bakersfield, CA 933~1 ~~ (805) 326-3970 UNDERGROUND TANK QUESTIONNAIRE I. FACILIW/SlTE No. OF TANKS ~ ~A~S'~ ............ } - / BOX TO INDICATE ~CORPORA~ON ~IDUAL ~PARTNERSHIP ~[OCALAGENCYDIS~ICTS ~COUN~AGENCY ~ STATE AGENCY ~FEDE~LAGENCY Vl/zl l EMERGENCY CONTACT PERSON (PEIMAR~ EMERGENCY CONTACT PERSON (SECONDAE~ DAYS: NAME (~$T, PI~S~ PHONE ~. WIIH A~ CODE ~ DAYS: NAME (~$L FI~ PHONE No. WITH AR~ CODE II. P~OPERW OWNER INFORMATION (MUST BE COMPLETED) II1.TANKOWNEE INFORMATION (MUST BE COMPLETED) MAILING DE STREET ADDE~ ~ SOX ~DIVIDUA[ ~ lOCAl AGENCY ~ STATE AGENCY CI~ NAM~ STA~ ZIP COD~ PHONE No. WITH A~EA CODE OWNER"S DATE VOLUME PRODUCT IN TANK No. INSTALLED STORED. S ERY4 (~E~-T'~,, ~ ~' %~ Fill one segment out for each tank, unless all tanks and piping are constructed of t~ame materials, style andOpe, then only fill ~ one segment out. ~51ease identify tanks by owner ID #. I, TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN C. DATE INSTALLED (MO/DAYflEAR) D. TANK C~ACIU IN GALLONS: III, TANK CONSTRUCTION MARK ONE ITEM ONLY tN BOXES A, B, ANDC,~DALLTHATAPPLIESINBOXD A. ~PEOF ~ 1 DOUBLE WALL ~ 3 SINGLE WA~' WI~ E~ERIOR LINER a, T~K ~ 1 BARE STEEL ~ 2 STAINLESS S~EL ~ 3 FIBERG~SS MATERI~ ~ 5 CONCRE~ ~ 6 ~LWlNYL CHLORIDE ~ 7 ~UMINUM (PrimaryTank) ~ 9 BRON~ ~ 10 ~LVANI~DSTEEL ~ 95 UNKNOWN C. INTERIOR ~ 5 G~SS LINING ~ 8 UNLINED ~UNKNOWN ~ ~ O~ER UNING IS LINING MATERIAL ~MPATIBLE WITH I~.ME~ANOL? YES__ D. CORROSION ~ 1 ~LYE~YLENE W,AP ~ ~ATING .... ~ 3 VI~L WR~ . . ~ 4 FlaERG~S ,EINFORCED ~STIC PROTECTION ~ S CATHODIC PROTECTION ~ g~ NONE ~ gS UN~OWN IV. PIPING INFORMATION c~,c~ A IFABOVEG.OUNDOR U IFUNDERGROUNO. aO~IFAPPLICAaLE A. SYSTEMTYPE AU 1 SUCTION .~ 2~s~URE~ A U 3 GRAVlW O~ER B. CONSTRUCTION ~ ~ A U~ ~2 ~UBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U ~ O~ER C. MATERIAL AND A U 1 ~RE STE~ A U 2 STAINLESS STEEL ~~E (PVC)A U 4 FIBERG~S PIPE CORROSION A U 5 ~U~M S~ A U 6 CONCRE~ ~ S~EELW/~ A U 8 1~ ME~ANOL ~MPATIBLEW~RP PROTECTION ~~LVANI~D~ A U 10 CATHOD~CPRO~CTION . A U 95 UN~OW~ A U ~ O~ER D. LEAK DETECTION ~ AUTOMATIC LINE LEAK DE~CTOR ~2 LINE T~HTNESS TESTING ~3 INT~S~L ~N~OR[NG ~ 99 O~ER V. TANK LEAK D~ECTION I, TANK D ESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN C. DATE INSTALLED (MO/DAY, EAR) ~ D. TANK C~ACI~ IN G~NS: ' III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES ~ B. ANDC.~DALLTHATAPPLIESINBOXD A. ~PEOF ~ 1 DOUBLE WALL ~ 3 SINGLE WALL WI~ E~ERIOR LINER ~ 95 UNKNOWN SYSTEM ~'2 SINGLE WALL ~ 4 SECONDARY CONTAINMENT (VAUL~DTAN~ ~ 99 O~ER ~ ~ .,,~ STE~L ~ 2 ST*=,LESS STE~ ~ ~ na~RG~S ~ ~ ST~L C~D W~a~G~SS R~,FORC~D,L*ST~C B, T~K MATERIAL ~ 5 CONCRE~ ~ S POLWINYL CHLOmDE ~ 7 ~UMiNUM ~ 8 1~. ME~ANOL ~MPATIBLEW/FRP C. INTERIOR ~ 5 G~SS LINING ~ ~ UNLINED ~ .5 UNKNOWN ~ ~ O~ER LINING ~S UNiCa UATEmAL COU~AT~BLE W~TH ~. ~E~ANOL? YES~ NO~ D. CORROSION ~ 1 POLYETHYLENE WRAP ~ 2 COATING ~ 3 VINYL WR~ ~ 4 FIBERaL~S REINFORCED P~ST[C PROTECTION ~ s CATHODIC PRarECT~ON ~ .~ NONE ~ 9S uNKNOwN IV. PIPING INFORMATION aIRaL~ A IFABaVEGROUNDOR U ~FUNDERGROUNO, BO~IFAPPUCABLE A. SYSTEM TYPE A U ~ SUCTION A U e PRESSURE A U 3 GRAVI~ A U 99 O~ER B. CONSTRUCTION A U I SINGLE WALL A U 2 ~UBLE WALL A U 3 LINED TRENCH A U g5 UNKNOWN A U ~ O~ER A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A U 4 FIBERG~S PIPE C. MATERIAL AND CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING A U 8 10~/. ME~ANOL COMPATIBLEW/FRP PROTECTION A U g GALVANIZED STEEL A U 10 CATHODIC PROTECTION A U g5 UNKNOWN A U ~ OTHER D. LEAK DETECTION ~ 1 AUTOMATIC LINE LEAK DETECTOR ~ 2 LINE T~HTNESS TESTING ~ 3 INTERSTIT~L MONEORING ~ 99 O~ER . V. TANK LEAK DETECTION 1 VISUAL CHECK ~ 2 INVENTORY RECONCILIATION ~ 3 V*POR MONITORING ~ 4 AUTOMATIC TANK GAUGING ~ 5 GROUND WA~R MoNIToRING :F -~ 6 TANK TESTING ~ 7 tNTERSTITIALMONITORING ~ g, NONE ~ g, UNKNOWN ~ 9g OTHER I. TANK DESCRIPTION COMPLETE ,~ SPECIFY IF UNKNOWN A. OWNER'S TANK L D.# ' B. MANUFACTURED . C. OATE INSTALLED (MO/DAY/YEAR) D. TANK CAPACITY IN GALLONS:t_'~ ~ IlL TANK CONSTRUCTION MARK ONE )TEM ONLY IN BOXES A, B, ANDC, ANDALLTHATAPPLIES~NSOXD 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 [~TAINLESS STEEL [] 3 FIBERGLASS [] 4 STEEL CLAD WI FIBERGLASS REINFORCED PLASTIC MATERIAL [] 5 CONCRETE [] 6 POLWlNYL CHLORIDE [] 7 ALUMINUM [] 8 10(~/o' METHANOL COMPATIBLEW/FRP (PrimaryTank) [] B BRONZE [] 10 GALVANIZED STEEL [] ~5 UNKNOWN [] go OTHER [] ~ RUBBER L,.ED [] ~ AL~D L~ [] ~ ~o~ L,.ING [] ~. P.ENOL~ L,N,NG C. INTERIOR [] 5 GLASS LINING [~'~NLINED [] 95 UNKNOWN [] 99 OTHER UNING IS LiNII~G'MATERIAL COMPATIBLE WITH 100% METHANOL ? YES ~ NO~ PROTECTION, [] 5~CATHODIC PROTEcTIoN L~ 91 NONE ..; ' '.'- 95 UNKNOWN [] 99 OTHER IV. PIPING INFORMATION ......c~m A IFABOVEGROUNDOR U IFUNOERGROUND, mOTH IFAPPLICABLE ~ '' - '':~-- A SYSTEM TYPE (~)~.~' .. A U 2 PRESSURE . A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION (~ i~NGLE-WA~ ~, U 2 DOUBLE WALL A U 3 L'NED TRENCH ' U 95 UNKNOWN ,~ U !~ OTHER - C. MATERIAL AND A U I BARE STEEL , A U 2 STAINLESS STEEL .~ U 3 POLYVINYL CHLORIDE (PVC)A IJ 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM ~ A~ U 8 CONCRETE .... ' 'A U 7 STEEL W/ COAT1NG A U 8 100% METHANOL COMPATIBLEW/FRP PROTECTION ~[~9~_~LV~ A U 10 CATHODICPROTECTIGN A U 95 UNKNOWN 'J~ O 99 OTHER D. LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR ~ LINE TIGHTNESS TESTING [] 3 INTERSTITIAL IWONffORING [] 99 OTHER V, TANK LEAK DETECTION [] , v,suAL c. Ec. I~ ,.V~NTONY RECO.C,L,AT,O. [] 3 VAPO..ON,TOR,.G []. ~OMA.C T*.K GAUG,.. I---I~ aROUND WA'~R MO.,TOR,NG [] . TANK TEST,.G [] ~ ,.~.STmA~MO.,TO.,.~ [] .. NONE [] ~ U.KNOW. [] ~ OTHER I, TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECIFY IF UNKNOWN A. OWNER'S TANK I. D. # B. MANUFACI!JRED C. DATE INSTALLED (MO/DAY/YEAR) D. TANK CAPACFP~ IN GALLONS: II1. 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 BARESTEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 4 STEELCLAD W/ FIBERGLASS REINFORCED PLASTtC MATERIAL [] 5 CONCRETE . [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 8 100% METHANOL COMPATIBLEW/FRP (PrimaryTank) [] 9 BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN [] gO OTHER [] ~ .UBBER LINED [] ~ AL~D Li. iN~ [] 3 EPOX~ L.N~NG [] ~ PHENOL~ 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 IF ABOVE GROUND OR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A U 1 SUCTION A U 2 PRESSURE A U 3 GRAVllY A U go OTHER B. CONSTRUCTION A U 1 SINGLE WALL· A U 2 DOUBLE' WALL A U 3 LINED TRENCH A U 95 UNKNOWN A D go OTHER C. MATERIAL AND A U I BARESTEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE(PVC)A U 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM R U 6 CONCRETE A U 7 STEEL W/ COATING .~, U 8 100% METHANOL COMPATIBLEW/FRP PROTECTION A U g GALVANIZED STEEL ,~ U 10 CATHODIC PROTECTION ,~ U 95 UNKNOWN A U 99 OTHER D, LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 INTERSTITIAL MONFFORiNG [] 99 OTHER V. TANK LEAK DETECTION I ~-)1 VISUAL CHECK [] 2 INvENToRY RECONCILIATION [] 3 VAPOR MONITORING [] 4 AUTOMATIOTANKGAUGING~-~ 5 GROUND WATER MONITORING [] 6 TANK TESTING [] 7 tNTERSTiTIAL MONITORING [] 01 NONE ' [] '5 UNKNOWN [] gg OTHE" FIt. F. ,JONTENT.%; INb~'IT¢)HY ~Permit to Operate /I ~~/~ ' / ' Date ~//,/~.... ~Construction Permit ~: Date ' -- ~Permlt to abandonl No. of Tanks ~..Dato ~ended PeEmlt Condi'tXons ~Pe~mit AppXication Fo~m, ~r - Tank S~eets, ~Io~ Pl~n~: ~ "' ~AppXlcatio~ to Abando~ 'tanks(s) Date ~Annual Re~o~t Fo[ms ~Copy of Written ContraCt Between 'Own'er' ~& Operator - - ~lnspect ion Reports ,, ~Correspondence - Received Date ~Correspondence - Nailed ............................ Da te ' ~ ' ~Unauthortzed Release Reports ~ Abandonment/Closure Reports .................. Sampl lng/Lab ~V~ C~pllance ~Check (NeW C°nSktuctf°n CheCklist) ....... ~STD C~pliance Check (New Construction Checklist) ~MVF elan Check (New Construction) ~STO elan Check (New Construction) ~VF elan Check (~xisting Facility) S~ elan CheCk (~xieti~ Facility) 'Incomplete A~l ication' ~eermit application Checklist ~eereit Instructions ,. ~Dtscacded ~Tl~htne~ Test Results -- ' - ~te' '-- ~to Date ~Monttorl~ Me~ Consttuctt0n Data/P~Fm~ts ......... OBnviro~enta~ SensitiVity Data~ Groufldwate OFilltng ao[tng Logs Location o Wate~ We~ls ~Statemeflt o~ Unde~g[oufld Conduits ~P~ot Plan Featu[tng A~] Envl~onmenta~Iy Sensitive 'Data OPhotos ~Const[uctfon Drawings Location: SHelf sheet showing date Icc,ired and tally '~ 1700 Flower Street R COUNTY HEALTH DEPARTM HEALTH OFFICER '% Bakersfield, California 93305 Leon M I-lebertson, M.D. Telephone (8~, 5) 861-3636 ENVIRONMENTAL HEALTH DIVISION DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Relchard I NTERI M PERMI T PERMI T~050051C TO OPERATE : I S S U S m: APRIL- 1, 1987 E X P I R E S : APRIL 1, 1989 UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY NUMBER OF TANKS= 3 FACILITY: [ OWNER: BRICYN 0IL COMPANY [ BRICYN 0IL COMPANY 2148 BRICYN LANE I 2148 BRICYN LANE BAKERSFIELD, CA I BAKERSFIELD, CA 93308 TANK # ~IN VRS~ SUBSTANCE CODE PRESSURIZED PIPINO? 1/EAST 4 MVF 1 UNK 2/WEST 4 MVF 1 UNK 3 4 NON-MVF 1 UNK NOTE: ALL iNTERIM REQUIREMENTS ESTABLISHED BY THE PERMITTING AUTHORITY MUST BE MET DURINO THE TERM OF THIS PERMIT NON--TRANSFERABLE *** POST ON PREMISES DATE PERMIT MAILED: '. DATE PERMIT CHECK LIST RETURNS: · Brieyn Oil Company Inc. 2148 Bricyn Lane · Bakersfield, CA 93308 Telephone {8051 395-0665' May 21, 1987 Health Officer, County of Kern Env~nmental Heath Div~ion 1700 Flower Street Bakersfield, California 93305 ATTENTION: Underground Tank Program Gentlemen: There are no calibration tables available at th~ time for Tank #3. We are checking to find out if it ~ possible to obtain the table. The tank i~ a 3500 gallon, stainless ste~ constructed. The tank contains 40Wt. S.A.E. Motor 0il (Newl. The piping ~ NON- Pr~surized. Sincerely, Robert Brossard, President RB/tw ~~ PERMIT CHECKLIST This checklist is provided to ensure that all necessary packet enclosures were received and that the Permlttee has obtained all necessary equipment to Implement the First phase of monitoring requirements. Please complete this Form and return to KGHD In the self-addressed envelope provided within 30 days of receipt. Check: Yes No A. The packet I received contained: 1) Cover Lette~ Permit Checklis~ Interim Permit, Phase I Interim Permit ~onttortng Requtrements~Informatlon Sheet~Agreement Between Owner and Operator), Chapter 15 (KCOC ~G-3941), Explanation of Substance Codes, Equipment Lists and Return Envelop~ ~' 2) Standard Inventory Control Monitoring Handbook ~UT-IO~ with the following Forms: ~) "Inventory Recording Sheet" vb) "Inventory Reconciliation Sheet with summary on reverse" .. ~) "Trend Analysis Worksheet" ~/ . 3) ~odi[ted Inventory Control Monitoring Handbook ~UT-15~ ~ith [orm: "Quarterly Modified Inventory Control 9heet" with "Quarterly Summary on reverse" ~. ' ~ ... 4) An Action Chart For each inventory method (to post at facility) ~ B. I have examined the information on my Interim Permit, Phase I Monitoring Requirements, and Information Sheet (Agreement between Owner and Opera,tot), 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 (1[ "no" is checked, note appropriate corrections on the back side of this sheet). C. I have the Following required equipment (as described in Handbooks under "BeFore Starting") 1) Acceptable gauging instrument 2) "Striker ~late(s)" tn tank(s) 8) Water-finding paste D. I have read the Information on the enclosed "Information Sheet" pertaining to Agreements between Owner and Operator and hereby state that the owner oF this facility is the operator (lf "no" ls checked, attach a copy of agreement between owner and operator). ~E. I have enclosed a copy of Calibration Charts for all tanks at this facility tanks are Identical, one chart will suffice; label chart(s) with corresponding tank numbers listed on permit). F. As required on page 6 of Handbook ~UT-IO, all meters at this facility have had calibration checks within the last 30 days .~d were calibrated by a registered device repairman 1~ out of tolerance (all meter calibrations must be recorded on "Meter Calibration Check Form" found In the Appendix of Handbook). · ~ G. Standard inventory Control Monitoring (Handbook {UT-10) and Modified Inventory Control Monitoring (Handbook ~UT-15) were started at this facility In accordance ,lth requirements described on interim permit conditions. , ~I]~TER CALIBRATION CHECK FORM Facility: ~2~. v- . ,.9-: _ f-~ ~.. Permit # 1. All meters must have callbratlo~ checks a minimum of twice a ~ear, which Include checks done bF the Department of'Weights and Measures. 2. Before starting calibration runs, wet the~ calibration can with product and return product to storage. 3. Run 5 gallons with nozzle wide open Into the can. Note gallons and .cubic Inches drawn, and return product to storage. 4. Run 5 ~allons with the nozzle one-half open into t~e can. Note gallons and cubic inches drawn, and return product to storage.. 5. After sll product for one calibration check Is returned to storage, rese~ber to record the volu~e returned to storage la column 9 of the Inventory Recording Sheet. 6. If the volume ~easured tn a 5.-g~llon calibration can ts aore than ~'cubic Laches above or below the 5~galloa ~ark, the ~eter requires calibration by a registered device repairman. Date/TimelHOSe o--~Tank #/{ Fast Flow Slow Flow Volume Returned ion Device Repairman Date of Pump t[ProductL5-Gallon Draft 5-Gallon Draft to Stora Used for Calibration [Gals Cu. Inches (kl~ Cu. Inches Gallons Calibration Owner or Operator Si ~ gnature Calibrator's Signature ion · /~ ~ff~ SUBMIT A COPY OF THIS FORM H ANNUAL REPORT. _,Division o£ Environmental H~ Application Date ~ 1700 Flower Street, Bakersfield, CA 93305 APPLICATION FOR PERMIT TO OPERATE UNDERGROUND' HAZARDOUS SUBSTANCES STORAGE FACILITY Type Ri. Application (check): [-]New Facility [-]M~dification of Facility ~JExistincj Facility [-[Transfer of Ownership A. Emergency 24-Hour Contact (name, area code, phone): Days~/.~,$~.~=.~/~,{,t~:__?~/_¥~..~, Is Tank(s) Located on an Agricultural Farm? VTYes []No Is Tank(s) Used Primarily for ;~gricultural Purposes? I-lYes ~No n T . R ' - SE~' (Rut 1 Locations (~ly) Operator ,.~_~. Contact Person Basis for Soil Type and Groundwater pth De~min'ations C..Contractor ~.~L' /-~:~£4~,~Y CA Con~ractor's License NO. Proposed Starting DaCe pr~d Completion Date Worker' s C~mpensation certi~icat~i'on "! Insurer - D. If This Pemit Is For Modification Of An Existir~j Facility, Briefly D~rib~ M~difieatio~s E. Tank(s) Store (check all that aI4~ly): Tank ! Wast~ Product Motor Vehicle Unleaded Re~,ular Pr~mit~ D. iesal Waste ~.Ch~mica! C~mposi~ion of Materials Stored (not necessary for motor v~hi¢l~ fu~ls) Tank ! Ch~l~a! S~or~ ~o~=c~.,rcial nam~1 CAS, ! (l~, kn~m} G. Transfer of O~nershiD Date o~ ~'~nsfer /t<,//~ Previous O~ner Previous Facility Name I, accept f~II'y all' o'Sl'lqationS of mrm-l-~ No. ~ issued to . I understand that the Permitting Authority may review and modi-fy or te~mina'te the transfer of the Permit to Operate this c~tdergro~d storage facility upon receiving this completed form. This form has ~en completed under penalty of perjury and to the best of my knowledge is true and corr,~t. ./ ,, TANK ~ (FILL OUT SEPARATE FORM ~EA~%I TANK) FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES H. 1. Tank is: [-]Vaulted FJ~] Non-Vau 1 ted [qDouble-Wal 1 ~]Sirlgle-Wal 1 2. Ta~ Material Carbon Steel [-]Stainless Steel [~Polyvinyl Chloride [2]Fiberglass-Clad Steel Fiberglass-Reinforced Plastic [] Concrete [] Alumin~n [] Bronze []Unknown Other (describe) 3. Prima. r}, Containment Este IOstalled Thickqess (Inches) Capacity (Gallons) M~nufacturer 4. ,Tank ~ Contair~nent [~Double-Wall ~]Synthetic Liner []Lined Vault ~]None [-]Unknown I-IOther (describe) :. Manufacturer: ['lMaterial Thickness (Inches) Capacity (Gals.) 5. Tank Interior ~ ---~R~ber [[]Alkyd []Epoxy []Phenolic []Glass [qClay []]Unlined [']Other (describe): 6. Tank Corrosion Protection --~[GalvaniLzed ~ass-Clad []Polyethylene Wrap ['lVinyl Wral~)ir~] ~Tar or Asphalt D-]Unknown []None []-]Other (describe): Cathodic Protection: [~None []Impressed Current System ~Sacrlfl¢tal /~e System DescrY'kc System & Equipment: 7. Leak Detection, Monitoring, and Interceptic~J a. Tank: l-]Visual (vaulted "tanks only) [-IGroundwater Monitorirg' Well ~lVadose Zone Monitoring Well(s) D'ltl-Tube Without Liner U-Tube with C~gpatible Liner Directing Flow to Monitorirg We.Il(s)* Vapor Detector* [~Liquid Level Sensort [-]Conductivity Sensor* [] Pressure Sensor in Annular Space of Double Wall Tank- [] Liquid l%etrieval & Inspection Fr~m U-Tube, Monitoring Well or A~nular S~ace [] Daily_G~,uging & Inventory .Reconciliation [] Peri/o~ic Tightness Testing b. Piping: Flow-Restricting Leak/DetectOr(s) for Pressurized 'Piping' []Monitoring S~p with Race~y []Sealed Concrete Rece~y l'7Half-Cut Cmpatible Pipe Raceway []Synthetic Liner Race~my [] Unkno~m [] Other *Describe Make & Model: 8. Tank ~ l~as This Tanl(-Been Tightness Test}ed? ~]Yes []No l-lUnkno~n. _ Date of Last/~.Tightness Test ,~¢/.¢/ Results of Tes~t//?/,p//.,~=o :f?' Test Name. -~'//~/ /,///-.! ~, .. '"- ' ~ ~sting Ccmpany/~Sj_, 6~'~,~?~ 9, Tank ~ ~ Repaired? []Yes [~No []Unknown Date(s) of Repair(s) Describe Repairs 10. Overfill Protection ~Operator ~ Controls, & Visually Monitors Iuevel []Tape Float Gauge [']Float Vent Valves [] Auto Shut- Off Controls Capacitance Sensor [-ISealed Fill Box ~None UlUnkno~n Other: List Make & Model For Above Devices 11. Piping a. tlmderground Piping: ~]Yes D-]No D-]Unknown Material/~m~/~/,.~-f/_~ . ... _ S .,~ . Thickness (inches) Diameter ~ // Manufacturer []Pressure [-]suction ~]Gravity Approximate Length 6'~ Pipe ~ b. Underground Piping Corrosion Protection : []Galvanized [~Fiberglass-Clad [-]Impressed Current []Sacrificial Anode I-IPolyethylene Wrap DElectrical Isolation []Vinyl Wrap []Tar or Asphalt [-IUnkno~l []None [~Other (describe)..: ~,e--~d.//~_,e/'r..7-,e_- P/.ny~J4: _ --. , ~ _ . /.~:: /7'// /.':."~/ /.)t,1'~~. c. Underground Piping, Secondary Conta~ment: ~, ,~,~,o ~.,,~, C1Double-Wall []Synthetic Liner System ~INone []Unknown []Other (describe): TANK ~ ~(/~3~' (FILL OUT SEPARATE FORM FOR EACH TANK) FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES H. [. Tank is: [']Vaulted ~;~Non-Vaulted rqDouble-Wall r'lsingle-Wall 2. Ta~ Material --~Carbon Steel 0 Stainless Steel O Polyvinyl Chloride O Fiberglass-Clad Steel Fiberglass-Reinforced Plastic [] Concrete [] Al~inum [] Bronze []Unknown Other {describe) 3. Primary Containment Date Igstalled Thickness/,(Inches) Capacity (Gallons) ~anuf~acturer 4. Tan____~k Seg0ndary Contatr~aent []Double-Wall []'Synthetic Liner []Lined Vault []None [-]Unknown [-]Other (describe): Manufacturer: OMaterial Thic'kness (Inches) Capacity (Gals.) 5. Tank Interior Lining --]~Rubber OAlkyd [:]Epoxy OPhenolic []Glass OClay ~i~Unlinmd Otlnknown DOther (describe): · 6. Tank Corrosion Protection ---~rGal~aniZed --~l~'~ass-Clad DPolyethylene Wrap []Vinyl Wrapping []Tar or Asphalt r-lunknown PqNone [:]Other (describe): Cathodid Protection: ~lNone []:]Impressed Current System r'lSacrlfiClal ;~o~e System DeSCribe' System & Equipment: 7. Leak Detection, Monitoring, and IntercePfion ......... ~. Yank: ~]Visua~ (vaulted ~-~ks on'ly) ' [qGroundwater Monitorin~' OVadose Zone Monitoring Well(s) [']U-Tube Without Liner [~U-Tube with Ca~.patible Liner Directin9 Flow to Monitoring Vapor Detector' O Liquid Level Sensor* O Conductivit~ Sensor" Pressure Sensor in Annular Space of Double Wall Tankl Liquid l%strieval & Inspection Fraa U-Tube, Monitoring Well or Annular Space 1Dally Gauging & Inventory Reconciliation, [] Periodic TightneS~ Testing b, Piping= Flow-Restricting Leak 'Detector(s) for Pressurized Pl~Ing [-I Monitoring Sa~p with tuscany []:]Sealed Concrete Race~¥ nflalf-Cut Ca~patible Pipe Pace~ay nsTnthetic Liner Race~ay I'lgone []Unknown []Other *Describe Make & I~x~el.. 8. ~en Tightness Tested? [~Yes ONo •Unknown~ ~ . Date of Las~ Tightness Test ~/~/ Results' of Test///~/?~O ~/ 9. Tank Repair ' ~ . ' []Ye= []Unknown · Date(s) of Repair(s) Describe Repairs 10. Overfill Protection []Operator Fills, Controls, & Visually Monitors [~vel []Tape Float Gauge r~Float Vent Valves [] Auto Shut- Off Controls '[-]Capacitance. Sensor []Sealed Fill Box ~lNone [:]Unknown [qOtb~r.. List Make & Model Fo¢ Above Devices a. Underground Piping= ~Yes. [~No []Unknown Material/~/_z~7-E/~_dT.~7-~ .... Thickness (Jnches) Diameter ~ // Manufacturer' []Pressure []Suction []Gravity Approximate Length of' Pipe b. Underground P~ping Corrosion Protection : []Galvanized []Fiberglass-Clad []Impressed Current r'~sacrifl¢ial Anode nPolyethylene Wrap ~Electrical Isolation r~vinyl Wrap ~Tar or Asphalt []Unknown []None ~Other (describe) :/f~//~?-z~ ~/~/~04 /3/r~/ /~/~ c. Underground Plpirg, Secondary Containment: .~' ' R/~;/) []Double-Wall []Synthetic Liner System ~None IIUnknown []Other (describe]: P~.m; ~ #050'051C fl. 1. ~ ~ Tank is: OVa~lte~ oNon-Vaulte~ ODouble-Nall ~Si~l~all (1,~ G~Re) Max. 3500 W~k Test ~e ~sti~ ~(s) of ~i~(s) OTa~ Fl~t ~ O~t Vent Valvm Giu~ ~ut- Off ~ols O~ess~e o~tion O~avity ~ox~ ~ oi ~ ~ 5' to 6' Permi ~ Oues ~i onnai re Normally,- permits are sent to facility Owners but since m~ny 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 ~eturntng this form with payment: For PERHIT 1. Send all information to Owner at the address listed on invoice (lf Owner is different than Operator, it will be Owner's responsibility to provide Operator with pertinent Information). 2. Send all information to Owner at the following corrected address: 3. Send all information to Operator: Name: Address: (Operator can make copy of permit for Owner).