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UNDERGROUND TANK-C-03/29/96
I III I IIII GREEN'S -INDUSTRIAL PAl NTING, INC. Ed Sweeney Manager PAINTING CLEANING · SANDBLASTING Fast, Quality, Efficient 3 LOCATIONS · 3045 E. Inland Empire Blvd. Ontario, CA 91764 (909) 987-1553 Fax (909) 944-7589 · 2508 E. Brundage Lane Bakersfield, CA 93307 (805) 323-8388 Fax (805) 323-7436 · P.O. Box 29459 Denver, CO 80229 (303) 466-3681 Fax (303) 466-1332 OPEN 7 DAYS SITE/FACILITY DIAGRAM FORM § NORTH SCALE:/~/~ $ BUS DNESS NAME: FLOOR: OF DATE:~/F~/~7 FACILITY NAME: '~ UNIT ~: OF (CHECK ONE) SITE DIAGRAM FACILITY DIAGRAM ~ ,-. ~ ....- .- -- '~' ... ,- .- '~' .-. ,,~.- -. .- "'>4, ... '~ ~,~n,.~ '~ (Inspec~o~:s Co~en~s): -OFFICIAL USE ONLY- SITE/FACILITY D I AGRAi~I FORM $ ~O~T~ SCA~.~:~USI~ESS ~AZ~:~.,~ ~..~r, O0~: / OF / DATE:,~/_~ /~? FACILITY NAME: ~ · UN'IT ~:/OF / (CHECK ONE) SITE DIAGRAM ~/ FACILITY DIAGRAM l (Inspector's Comments): -OFFICIAL USE ONLY- - §A - 2508 E. Bmndage L~e Bakersfield. CA Shop Shop 116 17 196 Modular Conference c~f~ 21 61 236 IF THERE IS AN AREA THAT YOU ARE IN THAT IS NOT LISTED PLEASE CALL 911! IN CASE OF ANY ON THE JOB INJURIES, WHEN THERE IS NO SUPERVISOR/SAFETY DIRECTOR AVAILABLE FOR MEDICAL AUTHORIZATION, USE THE FOLLOWING MEDICAL FACILITIES LISTED. IT IS THE EMPLOYEE'S RESPONSIBILITY TO REPORT ANY ON THE JOB INJURY TO THEIR FOREMAN/SUPERVISOR DURING WORKING HOURS ON THAT SAME DAY AND IT IS THE SUPERVISOR'S RESPONSIBILITY TO NOTIFY THE SAFETY DIRECTOR IMMEDIATELY! GENERAL HOSPITAL'S FOR INJURIES 1. VALLEY INDUSTRIAL MEDICAL GROUP 2501 "G" Street Bakersfield, CA 93301 DR. LARRY M. CH0, M.D. (805) 327-2225 2. MERCY HOSPITAL 2215 Truxtun Avenue Bakersfield, CA 93301 (805) 327-3371 (24 HR. SERVICE) 3. MEMORIAL HOSPITAL ~ 420 34th Street Bakersfield, CA 93301 (805) 327-1792 AMBULANCE 1o HALL AMBULANCE SERVICE - COVERS (BAKERSFIELD, 0ILDALE, ARVIN, LAMONT, FRAZIER PARK, (80~ 327-4111 TEHACHAPI & ROSEDALE) 2. DELANO AMBULANCE SERVICE - (COVERS DELANO ONLY) (805) 725-3374 3. MEDI-RIDE INC. - COVERS (LANCASTER) (805) 945-0838 4. WASCO AMBULANCE SERVICE - (COVERS WASCO ONLY) (805) 758-2222 5. TAFT AMBULANCE - (COVERS TAFT ONLY) (805) 763-4244 RECEIVED SEP 7 1991 Ans'd. . E BAKERSFIELD FIRE DEPARTMENT April 5, 1996 FIRE CHIEF MICHAEL R. KELLY Mr. Don Green ~MJ,,S,~VESE,VJCES Green's Industrial Painting 2101 'H' Street Bake~e~d,C^9330~ 2508 East Brundage Lane (805) 326-3941 FAX (805) 395-1349 Bakersfield, CA 93307 SUPP~SSJOUS.~V~CES CLOSURE OF ONE UNDERGROUND HAZARDOUS SUBSTANCE 2101 'H' Street Bakersfield, CA93301 STORAGE TANK LOCATED AT 2508 EAST BRUNDAGE LANE. ? (805) 326-3941 PERMIT # BR-0143 ; FAX (805) 395-1349 PREVENTION SERVICES Dear Mr. Green: 1715 Chester Ave. Bakersfield, CA 93301 c805] 326-3951 This is to inform you that this department has reviewed the results FAX(805)326-0576 for the preliminary assessment associated with the closure of the tanks located at the above stated address. ENVIRONMENTAL SERVICES ]715 Chester Ave, Based upon laboratory data submitted, this office is satisfied with the Bakersfield, CA 93301 (805) 326-3979 assessment performed and requires no further action at this time. FAX (805) 326~3576 If you have any questions regarding this matter, please contact me ,~2 Victor Street at (805) 326-3979. Bakersfield, CA 93308 (805] 399-4697 FAX (805) 39~-5763 Sincerely, I-Joward H. Wines, III Hazardous Materials Technician HHW/dlm cc: Jason Castillo, RWQCB Skip Dean, KES ° KERN ENVIRONMENTAL SERVICE March 20, 1996 " Mark Turk BA~RSFIELD FI~ DEPARTMENT O~ce of D~vironmental Se~ices 1715 Chester Aven. ue Bakersfield, California 93301 ~GA~ING: Underground Tank Remova~ Pe~it No. BR-O143 (~S ~oject No. 96- 4287B) Dear Mr. Turk: Regarding the above referenced underground tank removal for Green's Industrial Painting at 2508 East Brundage Lane, Bakersfield, California we are forwarding the following items for your records. 1. Soil sample analysis results BC Laboratory Nos. 96-02048-1 through 96-02048-4. 2. Sample chain of custody documentation and site sample location map. 3. Uniform Hazardous Waste Manifest No. 9559596Z 4. Bakersfield City Fire Department Certification Statement of Tank Decontamination. 5. Non-Hazardous Waste Hauler Record Bill of Lading. 6. Certificate of Destruction (Golden State Metals No. 10700). Feel fi'ee to contact Mr. Frank Rosenlieb or the undersigned should you require additional in. formation regarding this project. Sincerely, ' 'DEAN, R.E,A. Lead Technician · ~, HRD:bd ~ Enclosures c..t wi'5! ISKI?tLETIERSIBFD_3. 20 Post Office Box 5337, Bakersfield, California 93388 · (805) 589-5220 In California · (800) 332-5376 CHAJN OF CUSTODY RECORD ~dinfluLd~ Bill To: ~N E~RONME~ SE~CE P~ ~ce ~x ~7 , · ~ke~fieid, ~lEomia 9~88 In ~lEomia BC' LABORATORIES INC. .E RECEIPT FORM - Roy. No. 2-11/S6 SHIPPING SPECIFICATIONS . - I Ice [] SHIPPING CONTAINER Federal Express CI UPS [] Hand Delivery ~[" Chest Box ~ :BC Lab Field Service [] Other [] (Specify) Non Other [] (Specify) SAMPLE CONDITION Temperature °C Ice [] Blue Ice [] Non~ If temperature is not between 2 and 6 °C please explain: Custody Seals: Ice Chest D Containers [] NoneS. All samples received? No [] All samples intact? No [] Description match COC? Ye~, No CI SAMPLE CONTAINERS Sample # QT PE UNP PT PE UNP QT INORGANIC METALS PT INORGANIC METALS N FORMS SULFIDE NO~/NOt TOC TOX COD PHENOl. TRIP BLANK VOA VOA SET o,. & GREASi: ODOR RADIOLOGICAL BACT ii s2ste2sts27o ?, QT AMBER !! ~ oz. JAR !~ :32 02. JAR ~.ornpleted by: ~ IF:~W Peo~o ATA~DO C$~HB LAH~FORMS~AMREC .FRM I LABORATORIES Page Purgeable Aromatics and Total Petroleum Hydrocarbons KERN ENVIRONMENTAL SERVICES Date Reported: 02/28/96 P 0 BOX 5337 Date Received: 02/20/96 BAKERSFIELD, CA 93388 Laboratory No.: 96-02048-1 Attn: SKIP DEAN 589-5220 Sample Description: 96-4287B GREEN'S INDUSTRIAL PAINTING: SOUTH END OF TANK ~ 2' SAMPLED BY SKIP D~J%N Sample Matrix: Miscellaneous Date Collected: 02/20/96 ~ 02:55PM Date Extracted-8020: 02/23/96 Date Analyzed-8020: 02/23/96 Date Extracted-8015M(g): 02/23/96 Date Analyzed-8015M(g): 02/23/96 Practical Analys i s Report lng Quant i tat i Constituents Results Units Limit Benzene None Detected mg/kg 20. ,Toluene 330. mg/kg 20. Ethyl Benzene 150. mg/kg 20. Total Xylenes 1700. mg/kg 30. Total Petroleum Hydrocarbons (gas) 8000. mg/kg 3000. Surrogate % Recovery 85. % 70-130 TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015 ~?i,~i Individual constituents by EPA Method 5030/8020. Note: PQL's were raised due to high concentration of target analytes re~irin~ s~le dilution. All ~ul~ IIs~ In this m~d am for the exclus~e u. of t~ subm~lng pa~. BC ~m~des, I~. assumes no ms~nslbll~y ~r ~ I~emtlon, separation, detachment or thl~ pa~ Interpretation. ~q O0 ACI~; ~c. * ~eke~sfield, ~A ~0~ · [~05} ~-~1 q · FAX (~0~] ~T-q ~1 ~ LASORATOR{ES Page 1 TOTAL CONCENTRATIONS (California Code of Regulations, Title 22, Section 66261) KEP. N ENVIRONMENTAL SERVICES Date Reported: 03/01/96 P 0 BOX 5337 Date Received: 02/20/96 BAKERSFIELD, CA 93388 Laboratory No.: 96-02048-1 Attn: SKIP DEAN 589-5220 Sample Description: 96-4287B GREEN'S INDUSTRIAL PAINTING: SOUTH END OF TANK ® 2' SAMPLED BY SKIP DEAN Sampling Date/Time: 02/20/96 ~ 02:55PM Title 22 Waste Type: Type i: Millable Solid - No Free Liquid Regulatory Criteria Method STLC. TTLC Constituents Sample Results Units P.Q.L. Method mq/L mq/kq Lead None Detected mg/kg 2.5 SW-6010 5.0 1000. Comment: All above constituents are reported Results reported represent totals techniques to determine total levels. P.Q.L. = Practical Quantitation Limit (refers to of analyt~;i~ii quantifiable based on sample size used and analytical technique employed). STLC = Soluble Threshold Limit Concentration Methods Laboratory Director. '~¢ i~¢. ~iul~ Iilt~ In ~1~ ~ a~ for ~e exclu~ u~ ~ ~ lu~ ~. BC ~*, Inc, aseum~ no ~s~netbll~ ~ ~ ~, eepe~tlon, demch~nt or ~1~ ~ Inte~at~. 4100 AcI~ Oc. · BakeP~field, CA ~3308 · (805) 327-4~11 · FAX (805) 32~-1 ~18 LABORATORIES Page Purgeable Aromatics and Total Petroleum Hydrocarbons KERN ENVIRONMENTAL SERVICES Date Reported: 02/28/96 P O BOX 5337 Date Received: 02/20/96 BAKERSFIELD, CA 93388 Laboratory No.: 96-02048-2 Attn: SKIP DEAN 589-5220 Sample Description: 96-4287B GREEN'S INDUSTRIAL PAINTING: SOUTH END OF TANK ~ 6' SAMPLED BY SKIP DEAN Sample Matrix: Miscellaneous Date Collected: 02/20/96 ® 03:00PM Date Extracted-8020: 02/23/96 Date Analyzed-8020: 02/23/96 Date Extracted-8015M(g): 02/23/96 Date Analyzed-8015M(g): 02/23/96 Practical Analysis Reporting Quantitation Constituents .... Results Units Limit Benzene None Detected mg/kg 0.005 Toluene 0.11 mt/kg 0.005 Ethyl Benzene 0.044 mt/kg 0.005 Total Xylenes 4.3 mg/kg 0.05 Total Petroleum Hydrocarbons (gas) 56. mg/kg 5. Surrogate % Recovery 99. % 70-130 TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015 '~'~il Individual constituents by EPA Method 5030/8020. Note: PQL's were raised due to high concentration of target analytes re~iring s~91e dilution. Califomia D.O.H.S. Cert. %1186 All results Ilet~ In this re~d are for the exclusive u~ of the submmlng ~. BC La~mtorles, Inc. assumes no ms~nslbll~ f~ ~ iHe~on, separation, detachment or thl~ pa~ In~rpmtatlon. ~1 ~ A~las C~. · Baken;fi~ld, CA 9330B. [B05~ 3~7-4911 · FAX IS05) 3~7-191B LABORATORIES Page 1 TOTAL CONCENTRATIONS (California Code of Regulations, Title 22, Section 66261) KERN ENVIRONMENTAL SERVICES Date Reported: 03/01/96 P 0 BOX 5337 Date Received: 02/20/96 BAKERSFIELD, CA 93388 Laboratory No.: 96-02048-2 Attn: SKIP DEAN 589-5220 Sample Description: 96-4287B GREEN'S INDUSTRIAL PAINTING: SOUTH END OF TANK ~ 6' SAMPLED BY SKIP DEAN Sampling Date/Time: 02/20/96 ~ 03:00PM Title 22 Waste Type: Type i: Millable Solid - No Free Liquid Regulatory Criteria Method STLC TTLC Constituents Sample Results Units P.Q.L. Method mg/L mg/kq Lead None Detected mg/kg 2.5 SW-6010 5.0 1000. Comment: All above constituents are reported s ~ampt~asis~~ .Results reported represent totals techniques to determine total levels. P.Q.L. = Practical Qu~titation Limit (refers to of analyte~;~ ~antifi~le based on s~le size used ~d analytical tec~i~e employed). STLC = Sol~le ~reshold Limit Concentration LaboratoW Director ~ ~%~ ~¢"~'~;~'~ All ~ ~ In ~1~ m~ am for the ex~u~e u~ ~ ~ ~ubm~ng ~. ~ ~ I~. a~sumes ao ~lbS~ ~ ~ ~n, ~parafon, demch~m or ~1~ ~ In~. 41 ~ A~las Or. · Bakersfield, CA 93308 · (805) 327-4911 · FAX (BO5) 327-1918 LABORATORIES Page Purgeable Aromatics and Total Petroleum Hydrocarbons KERN ENVIRONMENTAL SERVICES Date Reported: 02/28/96 P O BOX 5337 Date Received: 02/20/96 BAKERSFIELD, CA 93388 Laboratory No.: 96-02048-3 Attn: SKIP DEAN 589-5220 Sample Description: 96-4287B GREEN'S INDUSTRIAL PAINTING: NORTH END OF TANK ® 2' SAMPLED BY SKIP DEAN Sample Matrix: Miscellaneous Date Collected: 02/20/96 ~ 03:07PM Date Extracted-8020: 02/23/96 Date Analyzed-8020: 02/23/96 Date Extracted-8015M(g): 02/23/96 Date Analyzed-8015M(g): 02/23/96 Practical Analysis Reporting Quantitati Constituent s Results Units Limit Benzene None Detected mg/kg 0. 005 Toluene None Detected rog/kg 0. 005 Ethyl Benzene None Detected mg/kg 0. 005 Total Xylenes 0. 016 mg/kg 0.01 Total Petroleum Hydrocarbons (gas) 1.2 mg/kg 1. Surrogate % Recovery 102. % 70-130 TEST METHOD: TPH by D.O.H.S / L.U.F T. Manual Method Modified EPA 8015 '~? Individual constituents by EPA Method 5030/8020. California D.O.H S Cert ~1186 '~'~ ~ ~ All results Ilst~ In this ~pod am for the exclusive use of the .ubm~lng pa~. BO ~r.torle% Inc. assumes no msponslbll~ for ~ IlemUon, separation, deMchment or thl~ paw Interpmt~lon. ~1 O0 ~1~ ~C. · ~k~Pi~ld, ~A ~0~ · (~0~} ~-~I 1 · FAX (~0~) ~7-~ ~1 ~ LABORATORIES Page TOTAL CONCENTRATIONS (California Code of Regulations, Title 22, Section 66261) KERN ENVIRONMENTAL SERVICES Date Reported: 03/01/96 P O BOX 5337 Date Received: 02/20/96 BAKERSFIELD, CA 93388 Laboratory No.: 96-02048-3 Attn: SKIP DEAN 589-5220 Sample Description: 96-4287B GPd~EN'S INDUSTRIAL PAINTING: NORTH END OF TANK ® 2' SAMPLED BY SKIP DFJ%N Sampling Date/Time: 02/20/96 ® 03:07PM Title 22 Waste Type: Type i: Millable Solid - No Free Liquid Regulatory Criteria Method STLC TTLC Constituents Sample Results Units P,Q.L. Method mq/L mq/kq Lead None Detected mg/kg 2.5 SW-6010 5.0 1000. Comment: Ail above constituents are reported Results reported represent totals techniques to determine total levels. P.Q.L. = Practical Quantitation Limit (refers to amoun~ of anal~ quantifiable based on sample size used and analytical technique employed). STLC = Soluble Threshold Limit Concentration REFERENCES: ~'~'"~ SW = "Test Methods for Evaluating Wastes f~fsical/Che~al EPA-SW-846, Septe~er, 1986' 41 O0 A~las CC, · Bakersfield, CA 9330B · lB05] 3~7-491 LABORATORIES Page Purgeable Aromatics and Total Petroleum Hydrocarbons KERN ENVIRONMENTAL SERVICES Date Reported: 02/28/96 P O BOX 5337 Date Received: 02/20/96 BAKERSFIELD, CA 93388 Laboratory No.: 96-02048-4 Attn: SKIP DEAN 589-5220 Sample Description: 96-4287B GREEN'S INDUSTRIAL PAINTING: NORTH END OF TANK @ 6' SAMPLED BY SKIP DEAN Sample Matrix: Miscellaneous Date Collected: 02/20/96 ® 03:10PM Date Extracted-8020: 02/23/96 Date Analyzed-8020: 02/23/96 Date Extracted-8015M(g): 02/23/96 Date A~alyzed-8015M(g): 02/23/96 Practical Analysis Reporting Quantitati Constituents Results Units Limit Benzene None Detected mg/kg 0. 005 Toluene 0. 026 mg/kg 0. 005 Ethyl Benzene 0. 035 mg/kg 0. 005 Total Xylenes 0.43 mg/kg 0.01 Total Petroleum Hydrocarbons (gas) 5.0 mg/kg 1. Surrogate % Recovery 95. % 70-130 TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015 '~'i'i.i Individual constituents by EPA Method 5030/8020. California D.O.H.S. Cert. %1186 All msu~ Iis~ In this re~d sre for the exclusive u~ of the sullying MW. BC b~to~, I~. Bssu~s no ms~nslblll~ ~ ~ ~n, sepmstlon, ~tech~nt o* thl~ pe~ Inte,pmtetlon. 41 ~ Atlas Ct. · Bakersfield, CA 93308 - [805] 327-491 I · FAX [805] 327-1918 LABORATORIES Page TOTAL CONCENTRATIONS (California Code of Regulations, Title 22, Section 66261) KERN ENVIRONMENTAL SERVICES Date Reported: 03/01/96 P 0 BOX 5337 Date Received: 02/20/96 BAKERSFIELD, CA 93388 Laboratory No.: 96-02048-4 Attn: SKIP DEAN 589-5220 Sample Description: 96-4287B GREEN'S INDUSTRIAL PAINTING: NORTH END OF TANK ® 6' SAMPLED BY SKIP DEAN Sampling Date/Time: 02/20/96 ~ 03:10PM Title 22 Waste Type: Type i: Millable Solid - No Free Liquid Regulatory Criteria Method STLC TTLC Constituents Sampl.e Results Units P.Q.L. Method mq/L mq/kq Lead None Detected mg/kg 2.5 SW-6010 5.0 1000. Comment: Ail above constituents are reported o~r~&~ samp~%-~.basis.~~ Results reported represent totals (TTLC)~?&S~'sam~ techniques to dete~ine total levels. , . . P.Q.L. = Practical Quant~tatlon Lzmlt (refers to theOl.)least ~ou~ of analyte'~ ~antifi~le based on s~ple size used ~d analytical tec~i~e employed). STLC = Soluble ~reshold Limit Concentration NI ~u~ Ii~ In ~1~ m~d are for ~e exclu.~ u~ d ~ ~ ~. BC ~, Inc. ,ssu~ no ms~n.lbll~ ~ ~ a~, secretion, ~tach~nt or thl~ ~ Inte~mtbn. 41 O0 Ablas CC. · Bakersfield, CA 9330B, lB05) 3~7-~91 I · FAX Samples taken at 2' and 6' under tank 3,000 gallon underground storage tank Fence I ~'~[]~ [-~~-w/ Dispenser Office I Title: GREEN'S INDUSTRIAL PAINTING INC. 2508 East Brundage Lane Bakersfield, California Scale: None IDrawn By: Betsy Dunkel Date: 03/20/96'lRevised: KERN ENVIRONMENTAL SERVICE Post Office Box 5337 Sample Locations Bakersfield, CA 93388 Figure No. 00lIKES Project No. 96-4287B BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES' 1715 Chester Ave., Bakersfield, CA 93301 * ~*"*' '.) (805) 326-3979 ...:..: .-.,.*J~,., .!,. '~.':' ..~ CERTIFICATION STATEME~ OF T~ DECO~INATION an authorized agent of Name ...... ,~l~i~~ %~e~X~% here b~ attest under penalty of ~,~ ~ .... , ... ~ · . ~..,~(~'-~,"~- '; .:. :.... Contracting Co. ~'~,',f~'. ?~....~,.. .,., ,. ~.~ ,, ~ :~ .... :',.... , ~:.~['.:":j"*:'perJu~ that the tank(s) located at ~ and ~] ~[~:;:~'. ;~.., ':'bei'ng ) removed under permit $ ~ ~ ' O I q ~ has been ~:...: .... ~". :"'"' cleaned/decontaminated properl~ and a LEL (lower explosive 1/m/t) ~?~:.~:,readtng of no greater than 5% was measured t~edtately following [~:{g};~,~;~the ' .cleantng/decontaminat t on process. .~ .;.:... ~ . . - - -- City of Bakersfield ? ... .( . - FEB-15-1991~ l~:(DO GREEN'S INDUSTRIAL PTNG. 909 944 ?589 P.O1 PERMff lENT ~,a~u-*~,.~e~, ,.,,~, ,-.~,~. t715 Chester Ave. .~ Bakersfield, CA 9330 AMOUNT . AMOUNT .... .... ' ....... STATE SURCHARGE 86 ........... T~ TBS~G 83 ........... OO by TOTAL DU . FD1595 TOTAL P. 81 ,Giale of~ CaWomta--Envimmner~al Protection Agency . Form Apprc~l OMB No. 2~9 (Expim~ 9-30-9~) See Instructions on back 6. r~p~,m~, of To, k ~,b,,o,~, Co,,,~ ~ ~dnt Q~ type. Fof~ designed for u~e on elsie (12.pitch) Socromel~o, CGlifal~a ' UNIFORM HAZARDOUS ~, us EPA ID No. Mc~est ~xume., No. 2. P.ge 7. Tr~s~ner 2 ~mpany Name 8. US EPA ID Numar . I I. ~ ~T ~dp~ (i~ludi~ Pm~r ~ipping Na~, Hazard Clms, and ID Numar) 12. Co~al~ 13. T~al ti T c. o 15. ~ia[ Handling ]nitm~s ~ Add,~[ Inform~ ~ 16. OmaATm'S W~FI~TION: I hereby ~ nm ~ cram. of his Consign~m are ful~ a~ m~r~ ~ri~d a~ by pm~r ~ipping ~ a~ ar~f~j ~ked, ~rk~ ~ ~d, ~ are in afl ~e~ ~ pt~ c~g~ for trm~fl ~ hi~w~ mcordi~ ~ a~a~ I~e~ a~ ~al ~ ~s. ~ If I am a lar~ ~a~ ~r~or, I ce~ ~ I ha~ a pr~ram M pl~e ~ reduce ~e ~lume ~ ~xic~ of was~ ge~r~ed to ~e d~r~ I h~ d~rm~d to J ~o~al~ pr~cable ~d ~ I ha~ ~d ~e ~c~bk m~ of ~ent, stmage, or dis~ml curm~ availab~ to me ~i~ minimizes ~e pre~nt ~d f~re ~ ~r~ to hum~ h~ ~ ~e engraft; ~, ff I am a ~all qu~ g~r~r, I h~ ~ a ~ fa~ effo~ Io minimize my was~ g~r~ ~d ~1~ ~e ~ ....... w~ m~a~t m~od ~ Is a~ilab~ ~ ~ ~ ~ I can afford., - ~ ',. . ' 17. Tr~r ~ Xc~d~m'~t of RKe~t of ~er~h ' ,,, ';~ - .,' _// ' ~ ~ P~/TF~ ~ , / .. I SO~"/:.~" .' : -.: ............. [ 18.,, Tr~er 2 Ac~d~of R~eipt of ~er~b ~ ' ' ....... ~ c I ~ "20~ F~ ~c'or ~r~ Ce~fka~ of r~eipt of hazards m~s co.red.by ~is ~nlfest ~ce~ as ~d in I~m 19. ..ow D~ ~2A (I/9~ ' . Gr~m TRANSPORTER RETAINS EPA ~7~ .' , ,:.. ,:,,:, ... , ~ K /N' I t5 H I ...... " BILL OF LADING" ~3~!.... '...-, ..... , ........ . .... : ...... .,~ O~h~No,..~. , Straight ;BilliiiOf~;~adin'g'.:~L:,;$~' F~. s~.~. .: ~1~~ ' '.. ~b~ ~~~ ~w~ ~ ~ ~ ~ ~. It ~ mu~y ~~ ~ ~ my of ~ p~ty ~ ~H ~ ~ ~ of~ ~ ~~ .'"'~ ~~~.: ,~ , . ....:.,,,~ ~~,~ " .~ ~~ ~of~, -~ [ ~ [ C~k [ Subject~.~tiou I I . ] ~~~~ 2 ., .. · ~ - · ,.~ I ,I ' ~~~ , .. ~ .... ?" ' ",":":-,',," ' '1 '"'" '1 :--'~ ., ~~~ - '~'., ' '~ I I ~ ~ ..~ . :...~ ' . .: ".' ' " ' :" : ' :.' '.'' .~ i .. ~ ~ " .' " . ;. · '.h [ ' ~ ' : ' ; ' '...' .: .": '. '.:.:' '.....: ~:..'. '~' .., " ~ .... · : .... ~.. ' .'~'~';. .~'"'..~:-.'. .~". .. ..'~ .~ .".. : .:.. ~ ~. .. ~ . : . , . ....: , .,' ~ ......~.'..,.., .... .,.. -' " . . ".):, ~'; ,~i'~""'.., · ..~....... " I ~' " ' : " '' 'GOLDEN STA'~ETALS, INC. TAI . DISPOSAL FORM P. O. Box 70158 · E. Brundage Land I Date ,19 Bakersfield, California 03387 (~/~O Phone (805) 327-3559 · Fax (8051 327-5749 I Contractor's i ' Scrap Metals, Processing & Recycling License No. Contractor's Phone No. DESTINATION: G.S.M. · 2000 E.: BRUNDAI~IE LANE · BAKERSFIELD, CA 93387 HAULER: ~.. ~,..~ I MCENSE NO: __ NO: I d'~ QTY GALLONS SERIAL NO. NET TONS EHSD PERMIT 250 .14 55O .24 1000 - 6 ft .61 SPECTION 2o00 .eT I 3o00 [--~ RESIDUALS PRESENT (REJECT) 1.32 ' LEL RE. ADING 5000 . 2.42 OXYGEN CONTENT 7500 3.28 .+v ~ "~,:.:'""~ .................. < ......... "'?.'.'.'.'.'.'.'.'.'.'.v.'. "' .'.'.'.::.::::.:.:i -- 9000 3.82 12000 4.93 TOTAL All fees Incurred are per load unless specified. Terms sro 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 CERTIFY THE RECEIFIT AND ACCEPTANCE. OF THE TANK(S) AS SPECIFIEb ABOVE. ALL MATERIAL SPECIFIED WILL BE COMPLETELY DESTRO.,~'I~ FQR ~CRAP RE~Yt~LING PURPOSES ONLY.~t~ . ' WEIGHMASTER CERTIFI~.,ATE THIS IS TO CERTIFY that the following described commodlly was weighed, mealured, or counted by a welghmastar, whose signature Is on this certificate, who 18 recognized authority of eccur-cy, as prescribed bllGhapter 7 (comm®nclng w th Section 12700) of Dlvlsi'on the Callfornla Business and Professions Code. administered by the Division of Measurement Stand.of the CIIIfomll Department of Food and Agriculture. WEIGHMASTER CERTIFICATE TRUCK SCALE *'*'* * I N T A K E Purchased From: TICKET #: T18E~76 GOLDEN STATE METALS Rc#3qql KERN ENVIRONHENTAL SERVICE P.O. BOX 70158 P.O. BDX 5337 BAKERSFIELD, CA 93387 BAKERSFIELD CA 93388 Veh i 4P62225 I.D. # 4P62e~5 I.C. # 1e2860 Driver Order COHHODIT~ GROSS '.TARE'.!i:~: NET AD~ REASON Pb ~T i RD CNT RD ~6T RD EXT TANKS 413608 381008.'3260 3260 0 0 TOTALS 41360 3~,100 3260 3260 0 0 .GO GROSS EIGHHASTER: R.HERNAN]~EZ,DEPUTY TARE NEIGHHASTER: R.HERNANDEZ,,DEPUTY ~ Date In 02/~0196 :NET TONS : Time In 'l~:q2 : 1.6300 CUSTOHER SIGnaTURE ~ ~ate Out 0~/~01% ~ J T~me Out 1~:5~ ~ A:SCALE I B=SCALE 2 C=SCALE 3 D=SCALE 4 H=HANUAL MEIGHT ALL #EIGHTS NOT SPECIFIED ARE IN POUNDS ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (805) 326-3979 TANK REMOVAL INSPECTION FORM CONT~CTOR ~ ~.~ CONTACT PERSON ~,,~ LABO~TORY % OF S~PLES ~ TEST METHODOLOGY PRELI~ARY ASSESSMENT CO. ~% CONTACT PERSON CO~ RECIEPT ~ LEL% , ~ ~ O~% PLOT PL~ CONDITION OF TANKS CONDITION OF PIPING CONDITION OF SOIL COMMENTS ~ DATE INSPECTORS NAME SIGNATURE RECORD OF TELEPHONE CONVERSATION Location: ID# Business Name: Contact Name: Business Phone: "&-Z-'-5 - ~-~oc.-' FAX: InspeCtor's Name: Time of Call: Date: ! 7.~ ~/~--'~ Time: tO ! O # Min: ~--- Type of Call: Incoming [ ] Outgoing [ ] Returned [ ] Time Required to Complete Activity # Min: Green s 3045 E. INLAND EMPIRE BLVD. ~-~2508 E. BRUNDAGE LANE P.O. BOX 29459 ONTARIO, CA 91764 ~ BAKERSFIELD, CA 93307 DENVER, COLD 80229 (909) 987-1553 (805) 323-8388 (303) 466-3681 FAX # (909) 944-7589 FAX # (805) 323-7436 FAX # (303) 466-1332 . November 1, 1995 O.E.S. 1715 Chester Ave. Bakersfield, CA 93301 Tel# 805 326-3979 Attn: Mark Turk ~Re: Above Ground Fuel Tank In Response to our telephone conversation dated November 1, 1995, After the remaining fuel is used (approximately 2 weeks) the tank in question will be left on site but removed from service. Should you have any further questions, or need additional information please feel free to contact me at you convenience. Sincerely, Carl Porter, Manager STEEL PAINTERS Green' s 3045 E. INLAND EMPIRE BLVD. 2508 E. BRUNDAGE LANE P.O. BOX 29459 ONTARIO, CA 91764 BAKERSFIELD, CA 93307 DENVER, COLD 80229 (909) 987-1553 (805) 323-8388 (303) 466-3681 FAX # (909) 944-7589 FAX # (805) 323-7436 FAX # (303) 466-1332 November 1, 1995 O.E.S. 1715 Chester Ave. Bakersfield, CA 93301 Tel# 805 326-3979 Attn: Mark Turk Above Ground Fuel Tank .... In'-Response to 'our-telephone conversation dated ~NOvember 1, 1995, After the remaining'fuel is used (approximately 2 weeks) the tank in question will be left on site but removed from service. Should you have any further questions, or need additional information please feel free to contact me at you convenience. Sincerely, Carl Porter, Manager NOV 3 1995 STEEL PAINTERS FIRE SAFETY SERVICES & OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVE. · BAKERSFIELD, CA ° 93301 R.E. HUEY R.B. TOBIAS, HAZ-MAT COORDINATOR FiRE MARSHAL (805) 326-3979 (805) 326-3951 October 12, 1995 Don Green Greens Industrial Painting 2508 East Brundage Lane Bakersfield, CA 93307 Dear Mr. Green: It has come to our attention that you currently own property located at~50~8-~E~.t~-) ~Br_u.~_n_a_c~g_e-_Ea_0~_e,~Bakersfield, Ca. which contains one underground storage tank. Our records reveal that the tank has 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 October 31, 1995. If you have any questions, please call me at (805) 326-3979. Sincerely, Howard H. Wines, III Hazardous Materials Technician . ~ FIRE SAFETY SERVICES & OFFICE OF ENVIRONMENTAL SERVICES ,.~ .? 1715 CHESTER AVE.' '. BAKERSFIELD, CA · 93301 - SEP 2. 8 '1995. " .',"'""' '.' HAZ-MAT COORDINATOR FINAL NOTICE!!! - FIRE MARSHAL (805) 326-,1979 (805) 326-3951 REVOCATION OF UNDERGROUND STORAGE TANK'PERMIT WILL FOLLOW IN 30-DAYS IF VIOLATION PERSISTS " your i~rmit te Ol~rate beln9 re~eb~ (2SaSS.l(b) Calif~nla Health & Safety ~). · · 215-000-001327 GREENS INDUSTRIAL PAINTING 2508 E BRUNDAGE LN BAKERSFIELD, CA 93307 DONALD GREEN Dear Underground Storage Tank Owner: Our records indicate that your business does not have a Certification of Financial Responsibility on file with this office. Our records also indicate that you have been issued at least one waming letter prior to this notic~ Please forward either a copy of your existing State approved mechanism to show financial responsibility or else complete the attached Certification for Financial Responsibility form and return it to this office within 30 days. An attached letter from the State Water Resources Control Board lists the approved financial responsibility mechanisms required to pay for corrective actions resulting from leaking underground fuel tanks. Remember, most tank owners only have to show financial responsibility for at least $10,000 of clean up liability. The Underground Storage Tank Clean Up Fund (USTCF) may be used as the mechanism to cover the remaining accidental release liability. The total amounts of financial responsibility required (check boxes from section A of form) are as follows: If you don't sell product from your tanks, and you pump less than 10,000 gallons per month, check '$500,000 per occurrence". For owners of 101 or more petroleum underground storage tanks, check the '2 million dollar · annual aggregate" box. All other need only check the "1 million doliara annual aggregate'. If you have any questions, or would like help in completing the Certification of Financial Responsibility, please contact Howard Wines, Hazardous Materials Technician, at 326-3979. Sincerely, Hazardous Materials Coordinator REH/dlm attachments of BAKERSFIELD "WE CARE" January 30, 1995 FIRE DEPARTMENT 1715 CHESTER AVENUE M. R. KELLY BAKERSFIELD, 93301 .Ec.,EF WARNING! 326-3911 CERTIFICATION OF FINANCIAL RESPONSIBILITY REQUIRED ;2 J. 5-000-0013::'7 [3REENS INDUSTRIAL PAINTING 2508 E BRUNDAGE LN BAKERSF ]:ELD, CA 93307 Dear Underground Storage Tank Owner: Our records indicate that your business does not have a Certification of Financial Responsibility on file with this office. Please forward either a copy of your existing State approved mechanism to show financial responsibility or else complete the attached Certification of Financial Responsibility form. An attached letter from the State Water Resources Control Board lists the approved financial responsibility mechanisms required to pay for corrective actions resulting from leaking underground fuel tanks. Remember, most tank owners only have to show financial responsibility for at least $10,000 of clean up liability. The Underground Storage Tank Clean Up Fund (USTCF) may be used as the mechanism to cover the remaining accidental release liability. The total amounts of financial responsibility required (check boxes from section A of form) are as follows: If you don't sell product from you tanks, and you pump less than 10,000 gallons per month, check "$500,000 per occurrence". Else, or if you are in the business of selling from your tanks, check "1 million dollars per occurrence". For owners of 101 or more petroleum underground storage tanks, check the "2 million dollar annual aggregate" box. All others need only check the "1 million dollars annual aggregate" box. Please be aware that failure to provide the financial responsibility document to this office within 30 days will result in your Permit to Operate being revoked. (25285.1 (b) California Health & Safety Code). " If you have any questions, or would like help in completing the Certification of Financial Responsibility, please contact Howard Wines, Hazardous Materials Technician, at 326-397g. Sincerely, Hazardous Materials Coordinator REH/dlm CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT 1715 CHESTER AVENUE a. R. KELLY BAKERSFIELD, 93301 FIRE CHIEF October 20, 1994 326-3911 GREEN'S INDUSTRIAL PAINTING DONALD GREEN 2508 E BRUNDAGE LN BAKERSFIELD, CA 93307 Dear Business Owner: This notice serves as a reminder that owners of underground storage tanks must be registered with the State of California Water Resources Control Board and renew that registration every five years. Our records indicate five years have passed since your last State registration pursuant to Section 25287 of the California Health and Safety Code. This means that for state registration renewal you must submit an Underground Storage Tank renewal application form, Forms A. B and C completed for each tank at this facility (forms included) and a state surcharge of $56.00 for each tank. Please make your check payable to the City of Bakersfield. You have 30 days from the date of this letter to complete and return these forms along with the state surcharge to 1715 Chester Ave., Bakersfield, Ca. 93301. If you have any questions or if we can be of any further assistance please don't hesitate to call 326-3979. Sincerely Yours, Ralph E. Huey Hazardous Materials Coordinator REH/ed / ermit Operat Underground Hazardous Materials Storage Facility CONDITIONS ~i P:~!~'~; ~ REVERSE SIDE HAZARDOUS MATERIALS DIVISION GREEN'S INDUSTRIAL PAINTING 1715 Chester Ave., 3rd Floor 2508 E. BRUNDAGE ~NE Bakersfield, CA 93301 (805) 326-3979 BAKERSFIELD, CA 93307 Approved by: ~tor Valid from: 12-22-93 to: 12-22-98 CONFIDENCE UST "Compliance With Confidence" SERVICES, INC. February 16, 1995 Hazardous Materials Division 1715 Chester Avenue, Third Floo~ Bakersfield, California 93301 Attn: Ralph E. Huey~ Hazardous Materials Coordinator Dear Mr. Huey: Enclosed please find original Application to Perform a Tightness Test and copy of "AES - SYSTEM II Precision Tank & Line Test Results Summary" regarding testing conducted February 6~ ~995, at Green's Industrial Painting of Bakersfield~ Inc.~ 2508 East Brundage Lane, Bakersfield, CA 93307. 'Yours truly, CONFIDENCE UST SERVICES, INC. Cheryl A. Youn~ Vice- r~siden~ Enclosures cc (w/o enclosure)~ GREEN'S INDUSTRIAL PAINTING OF BAKERSFIELD, INC. 2508 East Brundage Lane Bakersfield, CA 93307 Attn: Ed 417 Montclair Street · Bakersfield, CA 93309 (805) 631-3870 or (800) 339-9930 FAX (805) 631-3872 ~,r , ..r~ BAKERSFIELD FIRE DEPARTMENT X~k~X~X~~, Bakersfield, CA 93301 (805) 326-3979 1715 Chester Ave., Third Floor APPLICATION TO PERFORM A TIGHTNESS TEST Green's Industrial Painting- 2508 East Brundage Lane FACILITYof BakerSfieldr Inc. ADDRESS B~ersfield. ~A ~33~7 PERMIT TO-OPERATE ~ 230034C OPERATORS NAME Don Green OWNERS NAME Don Green NUMBER OF TANKS TO BE TESTED 1 IS PIPING GOING TO BE TESTED Yes TANK% VOLUME CONTENTS 1 3,000 Unleaded Confidence UST 417 Montclair Street TANK TESTINGCOMPANY Services. Inc. ADDRESS ~r~f~l~; c~ 93309-1796 TEST METHOD AES System II (Overfill/ NAME OF TESTER Douglas M. Young CERTIFICATION %' 86116 STATE REGISTRATION # 90-1076 DATE & TIME TEST IS TO BE CONDUCTED 2/6/95 at 9:00 a.m. Tank Test in9 BAKE~SF IELD. CA 805-854-1254 d~M~S -- SY~'TEIq 1' I nvoice Address: Tank Location:' W.O.#: BC525 REEN'S IND. PAINTING GREEN'S IND. PAINTING I.D. ~mbep: N/A 5c)8 E. BRUNDAGE 2508 E. BRUNDAGE Techflician:BWH AKE~SFIEt_D. CA. ~55¢)7 BAKERSFIELD, CA. Te~h.#: 88142 Va~: 1 ate: 2-~-~5 Time Stapt: OC?:O0 E~d: 25:15 County: KE acility Phone#: (~i~;05)32:}.*.-8388 G~und~ate~ Depth: 144"+ Blue Pr-ints: N/A ontact: ED ~te;Time system ~s ~illed: 12 HRS.+ Tank ~ill/Vent I Product T~pe Of Vapor Inches of Pu~ Tank ~nk Ca~a~ity P~uct Tank V~po,' Lines/ Line ~cove~y ,at~/T~ Type Material / / I JK 87UL PASS / FAIL / INC. I 0.0" SUCT. S~S dditional Info,-marion: TH~_ SYSTEM F'ASgES WITH THf~i PRODUCT I....EVE|_ 2" ABOVE HE ]'OF' OF- THE TANK. THE FOOT VALVE lIN THE SUCTION LINE IS NOT SEALING ~OF'EF~LY. PRODUCT L. INE IS INCONCLUSIVE. SITE LOG TIME _=t Up l~uip: 14: lO led Ppoduct Lines: 1~.::o5 led Vapor Lines: N/A led Vent lines: N/A led Turbine: N/A led Suction Pump: 14:05 iser's Instal led: N/A ) ALL PRODUCT LINES WERE TESTED USING THE PLT-1OOR ) Trois system and method meets the ct'itepia set ~th in ~I~P~ ) Any ~ailu~e listed above may requit~e further, action~ check ~ith a!l r'e~ulato~y ~gen~ies. Capypight ¢c) 1994 by AES~ Inc. Cali~Q~-nia O.T.T.L. Number : ~l--lObC? BRUCE W HINSLEY Cer'ti~ied Technician Signatur-e :~~_~~ Date AES/System II Pr~ecision leak Test Gpaph (OverFill Lg-75K) Invoice No.: BC525A Date: 02/0~/~5 Ti~ : 1~:00:07 Technician: BW~ Tank: I Tan~ Diametep(in): 7~ VolumeC~al): 5000 G~ade Level(in): 117 Pp~u~t L~el(in): 104 Wate~ Level On Tank(in): 0 S~eci~ic 8pavity: .75 ~e~icient 0~ E:.:pansion: Calibration Value(mi): 5C~0 Ohannel: 1 Level Segment. ~t-om: 25 To 275 T~p Segment ~pom: ~5 To 275 Change In Calibration Zone = 205 Calibpa~ion Unit(c~al/unit) = 0.00065 Startin9 Tempet-ature (F): 59.1108 Head Ppessure (psi (Btm) ~: 2.82 Supface Area(sq. in): 15.¢:) Temp. Chan.ge(F/h) : Level v~lume(gph): -0.2~ Temp. volume(.gph): O.C~C) Product Line(gph): SUCT. Net change (_gph) : ~esul t ---- >I~-A I L P/L ----> FAI. L :c)pyt-ight (c) 1~(:?.1.~ lC?~2 AES~ Bakers~ield~ California * Notes ** ,REEN'S :I:NDUSTRIAL. PAINTING 2508 E. BRUNDAGE ~AKERS~IELD, CA. "HIS IS A 21,.'IR. HIGH LEVEL TEST WITH A 500 ML. CALIBRATION. ~LL LINES ARE F:'I_OODED AND INCLUDED. AES/System XI Precision leak Test Gl-apb (OverKill Lg-75K) Invoice No.: BC525B Da~e: 02/06/95 Time : 18:12:46 Technician: BWH Tank: 1 Tank Diametep¢in): 79 Volume{gal): .5000 Gpade Level(in): 118 Product Level Cin}: Water-Level On Tank(in): 0 Specific G~avity: .75 Coefficient O~ Exl=ansion: Calibpation Value(mi).' 500 Channel: ! Level Se9ment Fpom: I To 250 Temp Se.~e~t Fr-om: I To 250 Chan.qe In Calibr-ation Zone = lC~ Calibration {J~it(gal/unit) = 0.006~5 Staptin9 Tempepatur-e (~): ~9.1719 Head P~-essure(psi CBtm)): 2.44 Sur-~ace A~ea(s~. in): 1~0.5 Temp. Change(F/h) : 0.001 Level volume(~ph): -0.1~ Temp. volume¢gph): 0.00 Ppoduct Line(gph): SUCT. Net change(gph) : -0. 16 ~esul t ---->FAIL P/L ----> I=-A I L :opy~-ight (c) I~?~1~ ~92 A~S~ Bakeps~ield, Cali{opnia * Notes ** F:~EEN'S INDUSTR.~AL PAINT 2508 F-. BRUNDAGE BA},:~ERSFIELD. CA. 'HIS IS A 2HR. MID LEVEL TEST WITH A 500 ML. CALIBRATION. RODUCT LEVEL IS 11" ABOVE THE TOP 0~ TH~ TANK. AES/System II Pr-ecision leak Test Graph (OverFill Lg-75K) Invoice No.: BC525C Date: 02/06/95 Time : 2~'> : 51.- 44 Technician: BWH Tank: I Tank Diameter{in): 79 Volume¢gal>: 3000 Grade Level (in): 118 P~oduct L~vel(in>: 81 Water Level 0~ Tank('in): 0 Specific Gravity: . 75 Coefficient 0~ Expansion: O. 000~8~ Calibpati~ Value(ml>: 500 Channel: 1 Level Segment From: 50 To 275 Tm Sesment From: 50 To 275 Change In Calibration Zone = .355 Calibration Unit(gal/unitt = 0.00052 Startin9 Temperature (F): ~9.1~) Head P~-essure(psi (Btm)): 2. ~9 Surface Area(sq. in): 12.0 Temp. Ch~ge(F/h) : -0.001 L~v~l volu~ (gph): ..... O. 02 Temp. voIume(9~h): 0.00 Produc~ Line(sph): SUCT. Net change (gph) : -0.02 ~esul t ----)-PASS P/L ----> I opyr-1ght (c~ 19~1, 1~2 AES~ Baket-s{ield~ Cali{ot-nia * Notes ** :~EEN'S INDUSTRIAL.. PAINT 2508 E. BRUNDAGE BAKERSFIELD, CA. HIS IS A 2 HR. LOW LEVEL TEST WITH A 500 ML. CALIBRATION. -.IE F:'RODU(]T LEVEL ~S 2" ABOVE THE TOF' OF THE TANK. FEB-l?-1995 08:53 GREEN'S INDUSTRIAL PTNG. 909 944 ?589 PoOl Green's Industrlai Painting, Inc. DATE SENT February 17, 1995 SENDING TO: COMPANY Bakersfield City Fire Department SUBJECT Gas Pump in Bakersfield, California FAX NUMBER (805)326-0576 ATTN: Howard NUMBER OF PAGES (INCLUDING THIS ONE) 2 IF YOU DID NOT RECEIVE ALL THE PAGES LISTED ABOVE CALL (909) 987-1553 AND ASK FOR SHELLEY GREEN **************************************** MESSAGE: THIS MESSAGE IS INTENDED FOR THE USE OF THE INDIVIDUAl. OR ENTITY TO WHICH IT 15 ADDRESSED, AND MAY OONTAIN INFORJiATION THAT IS PERSONAL AND CONFIDENTIAL. IF YOU ARE NOT THE INTENDED RECIPIENT, AGENT OR EMPLOYEE RESPONSIBLE FOR DELIVERING THE MESSAGE TO THE IkrFENDED RECIPIENT, YOU ARE HEREBY NOTIFIED TH~T ANy ~OPYING. DISSEMINATION OR DISTRIBUTION OF THIS ~OMMUNICATION IS STRIGq'LY PROHIBITED. IF Y(~J HAVE R~CEIVED THIS C~NICATION IN ERROR, PLEASE NOTIFY US BY TELEPHONE IMMEDIATELY AND RETURN THE ORIGINAL MESSAGE TO ~ AT THE ADDRE~ ABOVE VIA THE U,S. POSTAL SERVICE. THANK YOU. HAVE A NICE DAY FEB-l?-1995 08:3~ GREEN'S INDUSTRIAL PTNP~. 909 944 ?589 P.02 Green's 3o4S E. INLAND EMPIRE BL, VO. 2509 F_. BRUNDAGE LANE P.O. BOX Z9459 ONTARIO, CA 91764 BAKERSFIELD, CA 93307 DENVER, COLD 80229 (909) 987-1553 (80,5) 323-8388 (303) 466-3681 FAX # (909) 944-'/'589 FAX # (805) 323-7436 FAX # (303) 466-1332 February 17, 1995 Bakersfield City FAre Department 1715 Chester Avenue Bakersfield, CA 93301 Te1:($05)326-3979 Fax:(805)326-0576 Attn: Howard Re: Gas Pump in Bakersfield, California. Dear Howard: This is to inform you that once we have used up the remaining gas in our gas pump, we will not refill it. We are not going to use this pump any longer. If you have any questions please do not hesitate to call [805)323-8388. Sincerely, Ed Sweeney ~/ Manager STEEL PAIh'TE RS UNDERGROUND STORAGE TANK UNAUTHORIZED RELEASE (LEAK) / CONTAMINATION SITE REPORT YES ~ ,0 REPORT BEEN F~LEO ? [] YES "~J~.-NO ::::iii:~i~AE~:~B/[t i~ ::~A~::l~i~th:ii~O~:.~i§ i~i~A~J~:~i~i~ii~:.~i~':~i~:. ~MPANY OR AGENCY NAME ADD~ESS c~ STA~ ZIP ~ NAME [ ~NT~T PERSON ~ PHONE ~RE~ C~ ST~ ~ C~ ~U~ ZIP CRO~ STREET L~AL AGENCY AGENCY N~E ~NTACT PERSON PHONE REG~N~ BOARD PHONE (~) NAME OUANTI~ LOST ~ UNKNOWN ~ DATE DI~VERED ~J HOW DIS~VER~ ~ INVENTORY ~NTR~ ~ SU~URFACE MONITORING ~ NUIS~CE CONDITIONS HAS DISC~RGE SEEN STOPPED ? ~ REPAIR TANK ~ CLUE TANK & FILL IN P~CE ~ CHANGE PR~EDURE ~ REP~CE T~K ~ O~E" SOURCE OF DI~HARGE CAUSE(S) ~ TANK~AK ~ UNK~WN ~ ~ERFILL ~RUP~R ~ SPILL ~ PIPING L~K ~ O~ER ~ ~RROSlON ~ UNKNOWN ~ OTHER CHECK ONE ONLY ~ UNDERMINED ~ ~OIL ONLY ~ GROUNDWATER ~ DRINKING WATER - (CHECK ONLY. IF WATER WELLS ~ AC~ALLY BEEN AFFEC~D) CHECK ONE ONLY ~ NO ACTION TArN ~ PR~IMINARY S~ A~E~MENT~RK~N SUBMI~ED ~ POLL~ION C~RAC~RI~TION ~ LE~ BEI~ ~NFIRMED ~ PR~IMINARY S~ A~E~MENT UNDERWAY ~ P~TCLE~UP MONITORING IN PROGRE~ ~ REMEDIA~ON P~N ~ CASE CLUED ~E~UP ~MPLE~D OR UNNECESSAR~ ~ CLE~UP UNDERWAY CHECK APPROPRIATE ACTION(S} ~ EXCAVA~&DIS~SE(ED) ~ REMOVE FREE PRODUCT (FP) ~ ENH~CEDBIODEG~DATION(I~ ~ CAPS'(CD) ~ E~AVATE&TREAT(E~ ~ PUMP&TREATGROUNDWA~R(G~ REP~CE SUPPLY (RS) ~ ~NTAINMENT BARRIER (CB) ~ NO AC~N REQUIRED (NA) ~ TREA~E~ AT H~P (HU) ~ VENT ~IL ~S) ~ V~UUM EXT~CT ~ ~ OTHER (O~ RECORD OF TELEPHONE CONVERSATION Location: ~-~'O Business Name: ~-~'~'' Business Phone: ~%~ - t2.% ct- FAX: Inspector's Name: Time of Call: Date: ?--//[//q ~' Time: ~; '~- # Min: Type of Call: Incoming ~ Outgoing [~] Returned [~ Content of Call: ~'~'~ ~/(/~/ "~ ~"~,? ~ '~,,~Lt ('eu~{/~' Time Required to Complete Activity # Min: BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION X~k~X~X~~, Bakersfield, CA 93301 (805) 326-3979 1715 Chester Ave., Third Floor APPLICATION TO PERFORM A TIGHTNESS TEST Green's Industrial Painting- 2508 East Brundage Lane FACILITYof Bakersfieldr Inc. ADDRESS Bakersfield. CA Q~7 PERMIT TO OPERATE # 230034C OPERATORS NAME Don Green OWNERS NAME DOD Green NUMBER OF TANKS TO BE TESTED 1 IS PIPING GOING TO'BE TESTED Yes TANK~ VOLUME CONTENTS 1 3,000 Unleaded Confidence UST 417 Montclair Street TANK TESTINGCOMPANY Services, Inc. ADDRESS ~=~e~; cA 97309-179~ TEST METHOD AES System II (Overfill) NAME OF TESTER Douglas M. Young CERTIFICATION %' 86116 STATE REGISTRATION % 90-1076 DATE & TIME TEST IS TO BE CONDUCTED 2/6/95 at 9:00 a.m. CONFIDENCE UST "Compliance With Confidence" SERVICES, INC. January 10, 1995 CITY OF BAKERSFIELD Hazardous Materials Division 1715 Chester Avenue~ Third Floor Bakersfield, California 93301 To Whom It May Concern: Enclosed please find original of Application to Perform a Tightness Test for appr°val~ along with our check in the amount of $55.00, as and for your permit fees herein. As you can seer the test is scheduled for February 6~ 1995~ at 9=00 a.m. at Green's Industrial Painting of Bakersfield~ Inc.~ 2508 East Brundage Lane~ Bakersfield, California 93307. Could you please return approved permit and receipt to our office at the above address? Should you have any questions~ please feel ~ree to contact me at 631-3870. Thank you for your attention herein. Yours truly~ CONFIDENCE UST SERVICES, INC. By Cheryl A. Young, Vic/e~resid~nt Enclosures 417 Montclair Street · Bakersfield, CA 93309 (805) 631-3870 or (800) 339-9930 FAX (805) 631-3872 Green's Industrial Painting, InC- . Ontal,,._.J 7 DAYS A W~.~/~ · Bakersfield · Denver 2508 E. Brundage Lane Bakersfield, CA 93307 (805) 323-8388 FAX (805) 323-7436 CORROSION FIGHTERS ED SWEENEY Shop Locations 3045 E. Inland Empire BI. .(909) 987-1553 Ontario, CA 91764 FAX (909) 944.7589 2508 E. Brundage Lane, (805) 323-8388 Bakersfield, CA 93307 FAX (805) 323-7436 P.O. Box 29459 (303) 466-3681 Denver, CO 80229 FAX (303) 466-1332 C(j~RECTION NOT Ii~iE BAKERSFIELD FIRE DEPARTMENT Sub rev. You are hereby required to make the following cor~ctions at the above location: Cot. No J Completion Date fo,' Corrections I t/~/~, /c~ ¢ Date I g,~ ) "-I / q ct '7/~!~, ~' /~'~/~,'~.~. ~ ~~ Ins~ctor 326-3979 UNDERGROUND STORAGE TJ iNSPECTION e ..... Baker, s,f,ield Fire Dept. FACILITY NAME (~eP_V~_~ -~ _v~"~l BUSINESS I.D. No. 215-000 FACILITY ADDRESS ~ ~ ~~O. CI~ ~~ ZiP CODE FACILI~ PHONE No. 5~ -~ ~ 'm '~ '~ INSPECTION DATE !~/~ ~01 Pr~ ~ TIME IN ~ '.~ TIME OUT ~<~ I.a ~,~ - In~ ~te INSPECTION ~PE: ~- / ROUTINE ~ FOLLOW-UP ~ -~, REQUIREMENTS ~ no ~a ym no ~a y~ no ~a la. F~s A & B Subm~ ~ '1 lb. F~ C Su~ ~ lc. O~mting F~ Pa~ ~ ~ ~-' '~' ld. Sate Sum~rge Pa~ ~ le. State~nt of Fina~al R~siEl~ Su~ ,,~ lf. W~en Contm~ E~ ~n ~ & O~mt~ to O~te UST T ~. ~1~ O~mti~ Pe~ 2b. - Appmv~ Wr~en Ro~ine Mon~o~ng Pr~ure -N ~ 2c. Una~ho~ Rel~ Res~n~ Plan I~ ~ A~ ~ n ~ ~p~ ~. Tank Int~ T~t in ~st 12 Months t 3b. Pr~u~ Piping Integri~ Test, in Last 12 Months ~. Su~ion Piping ~ghtness Test in Last 3 Yearn ~. Gmv~ FI~ Piping ~ghtne~ T~t in ~a 2 Y~m ~. T~t R~uEs Subm~ Within ~ Da~ / 3f. Dai~ ~sual Mon~oflng of Su~i~ Pr~u~ Piping -~-~ ~. ~nual Invento~ R~ncil~tion Each Mmth ~ ~. Annual Invento~ R~iliation Statement Su~ ~ ~. Metem Calibmt~ Annually ~ 5. W~y Manual Tank Gauging R~rds f~ Small Tan~ 6. Monthly Statistical Invento~ R~nciliati~ R~uEs 7. Mo~hly A~atic Tank Gauging R~u~s 8. Gr~ Water ~n~i~ . 9. ~ Mon~oring ~' 10. Continuous IntemtEial MonEoHng f~ Doubl~Wal~ Tan~ ~ 11. M~hani~l Line Leak Det~tom -~ ~ 12. El~tr~ic Line Leak Det~tom 13. Continuous Piping MonEoHng in Sum~ 14. A~omat~ Pump Shrift Ca~bil~ 15. Annual Maintenan~Calibmtion of Leak Det~ Equi~t ~ 16. Leak ~t~tion Equip~nt a~ T~ Meth~s Llst~ in L~t t 3 Se~ 17. Wr~en R~rds ~in~in~ ~ S~e -~L ~ · 18. Re~ Changes in U~g~Cond~i~s to O~mti~R~ Pr~ur~ of UST S~tem WRhin ~ Da~ 19. Re~ Una~ho~ Relea~ WRhin 24 Houm ~. Ap~ov~ UST S~tem Re,irs a~ U~rad~ 21. R~ds S~ Cat~ Pmt~t~n I~ ~. S~ur~ Mon~odng Wel~ ~. Dr~Tu~ ~ ~.~ RE-INSPECTION DAT~ .. RECEIVED BY: INSPECTOR: ~ O~ICE TELEPHONE ~o.. , Underground Hazardous Materials Storage Facility · CONDITION ~P;;~~J ~R, vERSE SIDE .:~::"::':..~:..i~:".~i~; ...... .-:i ........ ~:." .~ .... ::~.,:!:'i;!~ '"'::::il;:::: ;i~i~i~ili;;:.::~!ii::::i:!:i~;:i.:.:.;.'.:ii!iii::~: Tank Hazardous G.~ii:i~ ?ilili??::?;: ..... Y e a~iiiiiii!iii::~:.::::.. :ili ~-~l' a n k "~;:::;ii~?i iii'i:i!i!!!!i Piping Piping Piping Number Substance C~:~i~%':?" I n'~'{~ii~i~:?, ii :ii.? y p e M o ~i f~i~i~7::::i':i?!ili: Type Method Monitoring 01 GASOLINE ?:~ ~o ~?' :'::~?~h'E;~;~?:~s MIR~::::~?~(.::~ :~ ~: SWS SUCTION LTT · .~: ........ ;: ....,~.?-. :.. . '..',.:..: .....:;;: ...... ..:~:~'~.~'.:.? "'.:::;.:~o~d!t~nS;SUbje~ 'to change:::!n..~ulati~S,? Issued By: Bakersfield Fire Dept. '::%:;;::;;':;~'.';:?:?::"::?:';::;:;::::"';?:~;;;;;::;???/.?':::::;::~ ........ DONALD GREEN HAZARDOUS MATERIALS DIVISION GREEN'S INDUSTRIAL PAINTING 1715 Chester Ave., 3rd Floor ~akersfield, CA 93301 2508 E. BRUNDAGE ~NE (805) 326-3979 BAKERSFIELD, CA 93307 Coordinator Valid from: 12-22-93 to: 12-22-98 BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION /' 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST FACILiTy GREEN'S ~NDUSTRIAL PAINTADDRESS 2508 E. Brundage Lane PERMIT TO OPERATE ~ 230034C OPERATORS NAME Don Green OWNERS NAME Don Green NUMBER OF TANKS TO BE TESTED i IS PIPING GOING TO'BE TESTED Yes TANK~ VOLUME CONTENTS 1 3r000 Regular/Unleaded CONFIDENCE UST. 501 Workman St., Ste. 10 TANK TESTINGCOMPANYSERVICES, INC. ADDRESS Bakersfield, CA 93307 TEST METHOD AES System II (Overfill) 'NAME OF TESTERDouglas M. YOung CERTIFICATION %86116 STATE REGISTRATION %1076 DATE & TIME TEST iS TO BE CO}~UCTED 2/7/94.at 11:00 a.m. .... DATE BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST FACILiTy GREEN'S ~NDUSTRIAL PAINTADDRESS 2508 E. Brunda~e Lane PERMIT TO OPERATE ~ 230034C OPERATORS NAME Don Green OWNERS NAME Don Green NUMBER OF TANKS TO BE TESTED i IS PIPING GOING TO'BE TESTED Yes TANK~ VOLUME CONTENTS 1 · 3~000 Regular/Unleaded CONFIDENCE UST. 501 Workman St., Ste. lC TANK TESTINGCOMPANySERVICES, INC. ADDRESS Bakersfield, CA 93307 TEST METHOD AES System II (Overfill) NAM_EOF TESTERDouglas M. YOung CERTIFICATION~86116 STATE REGISTRATION ~1076 DATE & TIME TEST iS TO BE COndUCTED 2/7/94 at 11:00 a.m. ~.~Tichnt=~in~ DHY Tank; I Tank ~Hite~ Leve~ On Tink(~n) ~ · ,., ~::~e=tfl= 8~vt~yl .75 Coefft=ten~ Of Explnttont ~ . Chlnni Z I -~,? .. t?::. ......... , ......... {~!ng!: In Calibration Zone ""'- "-}fl~Pf~e. ~oalsq. ln)s le.i Teop. ChmngelF/h) s e.~13 ::.Level.}volume (gph) I --e. ~1 };~p..::VOIUll (gph) m ~. ~ P~o~c~ Line (gph) I SUCTION .~,.C~py~iEht (=) 1989 by AES, Inc. ~::'~ - .:..t~.. .. ~N~. ZNDUSTRZRL PRZNT ~ ~5~ E~ST BRUNDR~[ L~NE ~ B~KERSFZELD~ CR. ~I~ IS R HIGH LEVEL TEST N]TH ~ ~ Hi. CRL[BR~TZON. . PRODUCT LZNE Z6 FLOODED '~ (~[DF.I~E UST ~RVIC~S~ INC. 501 WORKMAN ST.#108 "' .... BAKER~FIELD~ CA PRECISI~ T~NK A LI~ TEST ~SULT5 ~~RY Invoice fldd~e~ T~nk Location, ~.0.$~ 141~ 8~'ENS INDUSTRIAL PAINT GREENS INDUSTRIAL PAINT I,D. Nulbe~, N/A ~8 E~ST BRUNDAGE LANE ~08 EAST BRUNDAGE LANE Techni~tan~D. YOUNG B~KERSFIELD~ CA 93307 BAKERSFIELD~ CA. Tech.~86116 D&~'el 0~-07-94 Ttee 8~a~l 08~00 Endl 10:1~ Count.y~ KE Fa~tltty Phone~ (805) 3a3-8388 Ground.atoP DepthJ 14~"+ Blue Petnts; N/A COpra=t, ED DatelTtse system was filled~ 6+ HOURS · :".~'{~. T~nk Fill~Vent ~odu~ ,Type Of ~apor lnche~ of Pump T~nk T~k ~tty ~od~ TInk Vapor Lines Line Reeow~y Hate~/Tank Type ~teri~l 5::?'.. ttSonal 'Inforlitlon: TEST TECHNICIR~ DOUG YOUNG O.T.T.L. ~90-.1076 ., · Y~:~ 8lIE LOG TIME ?j . s.~:: uP;'eq u i p: en: ee B.~d V~nt line~m YES BI:id Turbine m N/A B~ed SUction Puipl YES R~e~i-;. Zn~tal I ed m YES 5~:.~::,.' ..::-~,. .;(.[?-:~ aao, NFPR 3a9-67 and all applicable state and local codes. b)¢:.z~ny;;.:fitluPe lts~ed mbove lay Pequt~e fu~the~ act%on~ Che=k ~i~h .~: i~ - .-. .. BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST FACILITy GREEN'S ~NDUSTRIAL PAINTADDRE$S 2508 E. Brunda~e Lane PERMIT TO OPERATE # 230034C OPERATORS NAME Don Green OWNERS NAME Don Green NUMBER OF TANKS TO BE TESTED 1 IS PIPING GOING'TO"BE TESTED Yes TANK~ VOLUME CONTENTS 1 3r000 Regular/Unleaded CONFIDENCE UST. 501 Workman St., Ste. 10 TANK TESTINGCOMPANySERVICES, INC. ADDRESS Bakersfield, CA 93307 TEST METHOD AES System II (Overfill) NAME OF TESTERDouglas M. YOung CERTIFICATION ~86116 STATE REGISTRATION #1076 DATE & TIME TEST iS TO BE CONDUCTED 2/7/94 a't 11:00 a.m. BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL DIVISION (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST PERMIT TO OPERATE S Z~O O~d'~ OPERATORS NAME~~',(3 OWNERS NAME ... ~O AD ~__~'~ ~' NUMBER OF TANKS TO BE TESTED / IS PIPING GOING TO'BE TESTED · TANKS VOLUME CONTENTS TANK TESTING COMPANY ~'/b~H¢~ ~7-~-~ac~¢JADDRESS TEST METHOD N~E OF TESTER STATE REGIST~TION DATE & TIME TEST IS TO BE CO~UCTED ' / A~ ~no~ . DATE ~ZARDOUS ~TERIAL OIVIS~O,~ 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 APPLICATION TO PERFORM A TIGHTNESS TEST PERMIT TO OPE~TE ~ ~Z©©~S~/~ .... OPE~TORS N~E ~/~¥ OWNERS N~E '~n ~e-~ ~ NUMBER OF TANKS TO BE TESTED ] IS PIPING GOING TO' BE TESTED TANK% VOLUME CONTENTS TANK TESTING COMPANY TEST METHOD /~(~ Nr~E OF TESTER ~ace STATE *EGIST~TION DATE ~ TIME TEST IS TO SE CONOUCT~.D ~/~(~/O._~ O~oo · DATE SIGNATURE OF APPLICANT "' ' HAZARDOUS MATERIALS DIVISION --" 2130 G Street, Bakersfield, CA 93301 ~ . (805) 326-3970' r ~///U__ND_.ERG...__ROUND TANK QuEsT, o FACILITY/SITE No. OF TANKS Green's Industrial Pa{ntin9. Inc. ADD~ I N~RUT CR~ ST~ PARC~ ~.(OPTlO~ 2508 ~. B~und~qe ~ne I Hou~t Vernon C~ ~ME, ~A~ ~ CODE ~, · Ba~e=s ~eZd CA 93307 "',. ,'-~- /~XTO~D~ ~CO~ON ~INDNID~L OPA~IP ~L~LAG~O~ ~COU~AG~ ~A~AGENCY OF~LAG~CY EMERGENCY CONTACT PERSON (PRIMAR~ .~ EMERGENCY CONTA~ PERSON (SECONDAR~ optlon=l ~Y~ ~ME (~Sl. FI~ PHONE ~. WiTH AR~ CODE ~Y~ ~ME (~$T. FI~ PHONE ~. WITH AR~ CODE Green,, DonaZd (714) 987-[553 S~eeney~ ~ond (805) 366-6669 .,.:-S~eene~, E~ond (805) 366-6669 , '- II. PROPER~ OWNER INFORMATION (MUST BE COMPLETED), Don,'G~een - G~een~s Ind. ~IUNG OR ~TRE~ AODR~ ~ BOX ~ INDIVlD~L ~ L~AL AGENCY ~ STATE AGENCY ., 2508 ~. B~ndaqe' lane ~o~.o~ ~A~IP OCOUNWAG~CY ~FED~LAG~CY c~ ~ ~TA~ ~ ~PCO0~ I ~ON~.~A~COO~ Ba~e=s~e[d C~ IlL TANKOWNER INFORMATION (MUST BE COMPLETED) ~ME CARE ~ ADDR~ I~R~TION Don G~een ~IU~ OR ~RE~ ADDR~ ~ ~X ~ IND~ID~A[ ~ [~CAL AGENCY ~ STATE AGENCy ": 10900 Beechw°od vo ~NO~ .~PARTNE.SHIP Q COUN~ AGENCY 0 FEDS[ AG~CY " C~ ~ME ITATE I '~P CODE ~HONE ~. WITH AR~ CODE I ~' Alta Loma CA I 91701 (714) 987-0682 OWNER'S DATE VOLUME PRODUCT IN TANK No. INSTALLED STORED SERVICE YIN YIN .',':' ' Y/N' YIN YIN DO YOU HAVE FINANCIAL RESPONSIBILITY? YIN TYPE FILE CONTENTS INVENTORY Facility ' ~TL~ ~ /~~~ - '~~ ~J~~~ [] Permit to Operate % ~Permit to Operate Application ~3~$~ %Wanks/ Plot Plan ~- Date__///~/~ [] Construction Permit ~ - Date [] Construction Permit Application Date D Permit to Abandon ~ No. of Tan~s ' Date [] AppLication to Abandon tank (s) · Date [] Amended Permit Conditions Modification [] Annual Report Forms [] Copy of Written Contract Between Owner & Operator [] Inspection Reports [] Correspondence - Received Date Date Date .. Date F3 Correspondence - Mailed Date Date Date Date [] Unauthorized Release Reports [] Abandonment/Closure Reports [] Sampling/Lab Reports [] MVF Compliance Check (New Construction 'Checklist) [] STD Compliance Check (New Construction Checklist) [] MVF Plan Check (New Construction) [] STD Plan Check (New Construction) [] MVF Plan Check (Existing Facility) [] STD Plan Check (Existing Facility) [] "Incomplete Application" Form [] Permit Application Checklist [] Permit Instructions' [] Discarded [] Tightness Test Results Date ~' Date Date [] Monitoring Well Const-ruction Data/Pel~,its [] Environmental SensJ l~ivity .Data: [] Groundwater Dr.i lling, Boring Logs [] Location of Water Wells [] Statement of Underground Conduits Iii Plot Plan Featuring All Environmentally sensitive Data [] Photos [] Construction Drawings · Location: [] Half sheet, showing date received and tally of insuection time, etc [] Miscellaneous. 170OFIower Street KERN COUNTY HEALTH DEPARTMENT " HEALTH'OFFICER Bakersfield, California g3305 · . L,o. 'L ~' ,. Telephoneff..,: ii -.;~:'i(805)" ..861'3636. . "'."' ':.' '*. ENVIRONMENTAL. HEALTH. DIVISION ' . ' ~ ...... ~. _,.: . ~. .'::"~;:'~:~:"~:~ .,':~'~:":'~;'"'~-*~:L;~.~*~,:'' ~;~'~ .-.. .,=,' ~ . : ~ ,. :...-,.L.,; ~ ,~ 3./~,;~* .... :~ ~. .... TO .*OP~AT~ : S -EXP I RES.: J~'i''i990 UNDERGROUND HAZARDOUS SUBSTANCES ~";~'~' :"'";'~. ':3..'~-~?. ' /;"./. ,~;: STORAGE FACILITY. : ':. 0F '~'.'~ :~;J/~i~'~.' ~ ,'~...-~*~ L- 4;.~.~,-~'" ,,v,*.; i;.'~. L ~, · ,. - *' ".; ,'~,'~ ", [ ..~.,,.~,, ,~,~ - . ~* .:: ...... : ....... ?.~.,, { ..... ~:,,.~,~-~.~.~,3045EAST ~.':~G ~-STREE~,>'~ -~--~'~'~L~ ..' ~ ~.¥,;~',~:.*~,;~:;.-.~,~:?,~*.~:r'~'~.~: ~ ~ -~*' ~:. '~,-~ ~: -~ .7~r::;,~:,:~: :.';' ~: ~1.~'~ ?;'~'~:,~;z~?-~,~,~,~ ,';;,~[9~.~ ,NOTE. ALL INTERIN REQUIRENBNTS ESTABLIStIBD By";'TiiE 'PERHrm?r~'~;P~;:.~.i'~-::~?~?'~L~'~ . ,, ~,..,,.....y...AU~HORIIY,NUSI BE .NET. DURING THE TER~ .OF /~tlI. S 'PERNIT 'NON--TRANS~'ERABLE *** POS.T ON PREMI SES . . -.. '. , - :;,.. ~.::.'-;.' . . . -., . .. . ,' ;*'..... ~'i-' .... , .' . .. .-; ."*'"'~' ~.:-/....:.,.~.;. :.}j..~; ,~ .... . ~':,.. '~.....'.- ;.. · ... · 1. .' . , , :~.. · '-'~' .DATE.PE~iT ~I~D: FEB 6 1987...~ ";' .- .. .. : ;..,..: ? '. , } ',.>;'. , , . '. . ,; .. . · .... .. .: ~ . -;.' . - :. ";,.';,..~?.:,. · .;~ .... · : . ,. .. , : . ' . ' . .i.~:.' ~....-'.L.' "'~' .:" ... . : . ~ ~' . '::.~;' .~..,... -. · . . ~ ~ ,¢j'. -~ ... ..::.. '.,'/. .... ,.. . . - ....:- .. . : ~.~-' .'.. ;'. ., : .j* '..-';: : .'," ,.. ;J~} ....~: ~ . :..'.~.~-..... . ;.. :. ... .. .... .. ,;: ~ , .'?. .. ¢'..' :;..~... ': ,.'.;;:.. :.'- .: '.. :.' ... ..... .:'-.:.; .. . . = .. .... .'., . .'~'* .. .. . '~....'}' '.. .:.:;. :.'. :. , '. , .. , ~:...*"- .:..;. .- ;.'.' .~ . .-. '. :..'.::..;,~ ..... .... .'.- ...'. ~..~ ., ..:: ~; .~ .. ..~ '. . -. .. ,..'. ; , ~;.~. PERMIT CHECKLIST Facility ~r~mn'~ lm~,,ct~m] P~u~-g a~ n~kers£ield Permit This checklist is provided to ensure that all necessary packet enclosures were received and that the Permittee has obtained all necessary equipment to implement the first phase of monitoring .requirements. Please complete this form and return to KCHD in the self-addressed envelope provided within 30 days of receipt. Check: Yes No A. The packet I received contained: 1) Cover-..Letter. Permit Checklist. Interim Permit, Phase I Interim Permit Monitoring Requirements, Information Sheet (Agreement Between Owner .and Operator), Chapter 15 (KCOC #G-3941), Explanation of Substance Codes, w// Equipment Lists and Return Envelope. 2) Standard Inventory Control Monitoring Handbook ~UT-IO. ~/ 3) The Following Forms: a) Inventory Recording sheet b) Inventory Reconciliation Sheet with summary on reverse c) Trend Analysi~ Worksheet __ 4) An Action Chart (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 Operator), and find owner's name and address, facility name and address, operator's name and address, substance codes, and number of tanks to be accurately listed (if "no" is checked, note appropriate corrections on the back side of this sheet). C. I have the following required equipment (as described on page 6 of Handbook): 1) Acceptable gauging, instrument 2) "Striker plate(s)" in tank(s) 3) Water-finding paste D. I have read the info.rmation on the enclosed "Information Sheet" pertaining to Agreements between Owner and Operator and hereby state that the owner of this facility is the operator (if "no" is 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 (if tanks are identical, one chart mill suffice; label chart(s) with corresponding tank numbers listed on permit). w/ F. As required on page 6 of Handbook ~UT-IO, all meters at this facility have had calibration checks within the last 30 days and were calibrated by a registered device repairman if 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 was started at this facility in accordance with procedures descri~f~d,in Handbe~k_#UT-lO. Date Started ~-f, ,~ /~ Signature of Person Completing Checklist: Title: S~ecretary 1700 Flower Street KERN COUNTY HEALTH DEPARTMENT HEALTH OFFICER Bakersfield, California 93305 Leon M Hebertson, M.D. Telephone ( 805 ) 861-3636 · ' ENVIRONMENTAL HEALTH DIVISION DIRECTOR OF ENVIRONMENTAL HEALTH Vernon S. Reichard Date: j~- ~--~ ~ Re: Permit Checklist Facility Permit # ~i~oo~/ Dear Tank Owner or Operator: ,This department has received the information you ~ere 'requested to return from your Standard Inventory Control permit Packet. The follo~_~_ng required items ~ere not included: Lacking notation of having required equipment (see below) Gauging Instrument Striker Plate ~ater-finding Paste If any of the above are checked an equipment supplier list will be enclosed with this letter Comments: Agreement between owner and operator (see attached if checked) Comments: Lacking Tank Calibration Chart(s) Comments: ~acking ~eter Calibration Check~s) Please submit the necessary information checked above ~4 daE~. Another permit checklist has been included for your convenience. I£ you have any questions or are having a problem acquiring necessary equipment or services please call me at (805) 861- 3636. Sincerely, Tom gele Environmental Health Specialist Hazardous ~aterlals ~anagement HbiblP - 500 DISTRICT OFFICES METER CALl BRATI ON CHECK ~ORM Facility: Green's Industrial Painting of Bkfd~ermit · 230@34~ Note: . 1. All meters must have callbr~tion checks a minimum of twice ~ y.ear, which may include checks done by the Department of Weights and Measures. 2, Before startin~ cali.bration runs, wet the calibration can with product and return product to storase. 3. Run 5 8al]ons with nozzle wide open into the can. Note gallons and cubic inches drawn, and return product to 9toraRe. 4. Run 5 Rallons with the nozzle one-half open into the can. Note 8allons and cubic inches drawn, and return product to storage. 5. After all product for one calibration check is returned to storage, remember to record the volume returned to storase in column 9 .of the Inventory Recordigg Sheet. 6. If the volume measured in a 5-gallon calibration can is more than 6 cubic inches above or below the 5-gallon mark, the meter requires calibration by a registered device repairman. Hose or Tank t/ Fast Flow { Slow Flow Volume Returned Calibration Device Repairman Date of Date/Time Pump # Product 5-Gallon Draft{ 5-Gallon Draft to StoraEe Required? Used for CalibRation i~ Cu. Inches G.al~ c Inches Gallons Yes :l u Calibration Owner or Operator Signature ..C.,-~,,~ , · _ o Calibrator s Si~nature ~],_Z'~' Coc'}~2L~,~-~,- Registration .~. ~. SUB~IT A COPY Off THIS FORM WITH ANNUAL REPORT. Kern County Health DepartO~ Permit No. ~-~,~ Division of Environmental l~e ch Ap ~ation Date December 29, 1986 1700 Flower Street, Bakersfield, CA 93305 . (805) 861-3636 APPLICATION FOR PERMIT TO OPERATE UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY ~ypg.Of Application (check): ONew Facilit¥[~Modification Of Facility,]Existing Facility']Transfer Of Ownership A. Emergency 24-Hour Contact {name, area code. phone): Days~ Ken Mize 805-323-8388 Nights Ed Sweeny. 805-366-6669 Facility Name Green's Industrial Paint,hq of Bakersfield No. Of Tanks one Type Of Business (check): OGasoline Station []Other (describe) Pain~inq Contractor Is Tank(s) Located On An Agricultural Farm? OYes (]No Is Tank(s) Used Primarily For Agricultural Purposes? [~Yes Facility Address 2508 East Brundaqe Lane Nearest Cross St. Morning Dr~ve & Kern T R SEC (Rural Locations Only) Canyon Owner Onnald ~n Contact'Person Donald Green Address 3045 East "G" Street, 0ntario CA Zip 91764 Telephone 714-987-1553 Operator Contact Person Address Zip Telephone B.Water To Facility Provided By California Water Service Depth to Groundwater ? Soil Characteristics At Facility ? Basis For Soil Type and Groundwater Depth Determinations ? C. Contractor CA Contractor's License N°. Address Zip Telephone Proposed Starting Date Proposed Completion Date Worker's Compensation Certification No. 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 Premium Diesel Waste Fuel Oil One [] ~l ~l ~l [] [] [] 0 [] [] [] [] [] [] [] [] CD' [] [] [] [] [] 0 '0 [] [] [] [] [] [] [] O' F. Chemical Composition Of Materials Stored (not necessary for motor vehicle fuels) Tank ~ Chemical Stored (non-commercial name) CAS # (if known) Chemical'Previously Stored (if different) G. Transfer O~f Ownership Date Of Transfer Previous Owner Previous Facility Name I, accept fully all obligations of Permit No. issued to I understand that the Permitting Authority may review and modify or terminate the transfer of 'the Permit to Operate this underground storage facility upon receiving this completed form. This form has been/6~pleted under penalt~ of perjury and to the best of mM knowledge ia true and correct.. '~ ~ "e ' 12-29-86 Sl~natur .... "",-, '" -. ~ ' T~.! President ~-~ TANK # ~ (FILL OUT SEPARATE FO ,{ EACIt TANK} FOR EACII SECTION, CIIECK ALL APPROPRIATE BOXES H. 1..Tank i~s: [] Vauli~d [] Non-Vaulted [] Double-Wall ~f] Single-Wall 2. Tank Material Carbon Steel [] Stainless 'Steel [] Polyvlnyl 'Chlo,'ide [] Fiberglass-Clad Steel [] Fiberglass-Reinforced Plastic [] Concrete' [] Aluminum [] Bronze [] Unknown [] Other (describe): 3. Primary Containment Date Installed Thickness (Inches)' capacity (Gallons) Manufacturer ? ? 3000 ? 4. Tank Secondary Containment [~] Double-Wall [] Synthetic Liner [] Lined Vault ~ None [] Unknown [']~ Other (describe): ManufaCtUrer: Material Thickness (Inches) Capacity (Gals.) §.'Tank Interior Lin}nC [] Rubber [~ Alkyd [] Epoxy [] Phenolic [] Glass [] Clay [] Unlined [] Unknown [] Other (describe): 6. Tank Corrosion Protection [] Galvanized [] Fiberglass-Clad [] Polyethylene Wrap [] Vinyl Wrapping [] Tar or Asphalt ~ Unk'nown [] None [] Other (describe): Cathodic Protection: [] None [] Impressed Current System [] Sacrificial Anode System [] Describe System & Equipment: 7. Leak Detection, Monitoring, and Interception a. Tank: [] Visual (vaulted tanks only) [] Groundwater Monitoring Well(s) [] Vadose Zone Monitoring Well(s) [] U-Tube Without Line,' [] U-Tube with Compatible Liner Directing Flow To Monitoring Well(s)* [] Vapor Detector'*['] Liquid Level Sensor* [] Conductivity Sensor* [] Pressure Sensor In Annular Space Of Double Wall Tank * ~ [] Liquid Retrieval.& Inspection From U-Tube, Monitoring Well Or Annular Space [] Daily Gauging & Inventory Reconciliation [] Periodic Tightness Testing [] None [] Unknown [] Other b. Piping: [] Flow-Restricting Leak Detector(s} For Pressurized Piping* [] Monitoring Sump With Raceway [] Sealed Concrete Raceway [] Half-Cu~ Compatible Pipe Raceway [] Synthetic Liner Raceway [] None [] Unknown [] Other · Describe Make & Model:. 8. Tank Tightness Has This Tank Been Tightness Tested? [] Yes [] No [] Unknown . Date Of Last Tightness Test November 11, 1986 Results Of Test Test Name '. Testing Company ASSOC. Evermenta] 9. Tank Repair Systems, Inc. Tank Repaired? ~r] Yes o~eNO ~8~nlcnown Date(s) Of Repair(s) OCt r 17, Describe Repairs Everyt~n9 was c~ecked and f~xed as necessary to past test. lo. Overfill Protection [] Operator Fills, Controls,. & Visually Monitors Level [] Tape Float Gauge [] Float Vent Valves [] Auto Shut-Off Controls [] Capacitance Sensor [] Sealed Fill Box ~ None [] Unknown [-] Other: List Make & Model For Above Devices a. Underground Piping: [] Yes [] No [] Unknown Material Thickness (inches) Diameter Manufacturer [] Pressure [] Suction [] Gravity Approx~imate Length Of Pipe Run b. Underground Piping Corrosion Protection: [] Galvanized [] Fiberglass-Clad [] Impressed Current [] Sacrificial Anode [~ Polyethylene Wrap [] Electrical Isolation [] Vinyl Wrap f-]Tar or Asphalt [~]. Unknown [] None [] Other (describe): c. underground Piping, Secondary Containment: [] Double-Wail [] Synthetic Liner System [] None [] Unknown [] Other (describe): · ~,IcCARTHY TANK & sTF,EL, CO. BOX ~Z68 3030 M ST, BAKERSF i ELD, CALIFORNIA - 93302 FA i rvie~ 4-6718 12/5/63 CAPACITY OF MC CAI{THY UNDERGROUND TANKS Depth 2000 J'~O00~ 4000 . Depth 2000 3000 4000 Inches Gal. //(.~.~ G'ai. ' Inches Gel. Gal, Gal, 1" 5 8 10 38' ' ! 034 1544 20 ! 4 2" 15 .22 29 39" 1068 '. 1596 2081 3" 27. 41 ' 53 ... 40" 1104 1649 2150 .4" 42 62 8] 41" 1138 17oo 2216 5" , 58 87 113 42" 1173 1750 228I 6" 76 114' 148 43" 12o6 1802 ' 23z;9 7" 96 143 186 44'' 124Z 1'854 2418 8" I 17 174 226 45" 1276 .1.904 2483 9" ! 38 206 269 46" 1309 1955 25/'~9 10" 162 241 314 47" 1341 2002 2610 11" 186 Z77 360 48" 1377 2056 2679 · [12" ~:~10 ~14 409 49" 1410 2105 2745 13" 236 ' 35~ .459 50" I442 2154 2807 14" 26~ 391 510 51i' .... '.1,'h.74 2201 '2869 15" 290 432 564 52" '1508 2250 29~4 16" 318 474 6t8 53" I530 2299 2996 17" 3/-f6 516 673 54" 1571 2344 3056 I8" 376 56i 732 55" J602 2391 3116. 19" ' 407 607 791 56" 1633 2438 3177 20" 436 65'0 8/~7 57" 1663 2482 3236 21" 467 696 907 58" 1692 2525 3292 22" 498 7~2 968 59" 1723 Z570 3350 23" 530 790 1030 60" 175 i 2612 3406 24" 5~%2 838 ! 092 61" 1777 2652 3458 ac n87 62" 25" 5-,,, v 1133 1810 27Ot 3521 26" 627 935 12 ;9 63" 1831 2731 3561 27" 661 985 1284 64" 1856 ;Z769 36i0 28" 694 1035 1349 65" 1881 2806 3658 ~9" 727 1084 1414 66" 1900 2837 3697 30" 762 !135 1479 67" 1927 2875 3747 31" 795 1185 1547 65'" i948 2906 3788 32" 830 1235- ]612 69" 1968 29"j6 3828 33". 864 1288 1678 70" 1987 2964 386L; ,/-,7 7 2005 2991 3898 35" 930 1390 ,8,3 2020 3013 3927 '36" 967 1441 1880 73" 2033 3033 3954 37'I JO15 1513 1972 74 2044 .3049 3975 75" 2052 3061 3990 75-~" 2054 3064 3994 141-20 SWl/4 Of SEC. 34 '[' 29 S.R.'2BE. "SCHOOl. Dl$'r. 56'70 t41-20 (~)MR4.5 9,4C. ~ 1~.~ 7 ~C. HAZARDOUS MATERIAL DIVISION 2130 G S=reet,'Bakersfield, CA 9330f (805) 326-3979 HAZ. ~. DI~. TANK# VOLUME CON~ENTS Associated Environmental' Systems, Inc. P.O. Box 80427 , Bake'rsfield, CA 93380 (805) 393-2212 AES -- SYSTEM II PRECISION TANK & LINE TEST RESULTS SUMMARY Invoice Address: Tank Location: W.O.~$: 16083 GREENS INDUSTRIAl_ PAINT GREENS TNDUSTRIAL I.D. Number: N/A 2508 E. BRUNDAGE LANE 2508 E. BRUNDAGE LANE Technician:BNL BAKERSFIELD CALIF 93307 BAKERSFIELD CALIF Tech.~:89165 Van,:Oil7 Date: 02/28/92 Time ~'ba~t: 08:00 ~nd: 12:00 ~ounty~ KE Facility Phone~: 1-805-323-8388 ~roundwater Depth: N/A Blue Prin~s: N/A ~-~ o' o 00 Contact: ED SWEENEY Date~'l'ime system was filled: v:,_/~7/9~ 17: Tank Fill/Vent Product Type Of Vapor Inches of Pump Tank Tank Capacity Product Tank Vapor Lines Line Recovery Water/Tank Type Material 1 3K R/UL PASS PASS PASS PH-1 0 0 SUC S W S Additional Information: 'SITE LOS TIME Set Up Equip: 08:10 Bled Product Lines:~ 08:15 Bled Vapor Lines: N/A Bled Vent lines: 08:20 Bled Turbine: N/A Bled Suction Pump: 08:i5 Risers Installed: N/A a) This system and me,hod mee~s the criteria set forth in NFPA b) Any failure lis~ed above may require further ~ction, check with all regulatory agencies. Copyrigh~ (~)1989 by AES, Inc.. IRWIN~NS~ Signature : ~t~ ~ Da~e · ?'"'.5 ?'~:...~. ~ ~:,., ".:~',..,',.::~:".~:."~:.:'/'~?:~:"~:,>/ ,~ · ~.:~;. ~',. . ~ .... .' ". · ASSOCIATEI~ ENVIRONMENTAL SYSTEMS 2588 E, BRUNDflGE GREENS IHDUSTRIAL PAIHT 3K R/UL N ..... ,.~. VENT ~, Si ~"--~ Lagou~ For' '?' AES/Syst em II P~cision leak Test Graph (O~-Fill) ~nvoice No.: 16083 Date: 02/2E~/92 'Time : 10:3].:20 Technician: BNL Tank: ]. Tank Diameter(in): 79 Volume(gal): 3000 Grade Level(in): 117 Produc~ Level(in): 115 Water Level On Tank(in): 0 Specific Gravity: .75 Coefficient ,Of ~xpansion: 0~0006775 Oalibration Value(mi): 500 Channel: Level Segment From: 1 To 250 Temp Segment From: 1 To 300 ~hange In Calibration Zone = 277 C, alibration Unit(ga'l/unit) = 0.00048 Start lng' Temperature (F): 44. 914 Head Pressure (psi (Btm)): 3. 11 Surface Area(sq. in): 11.0 Temp. ~hange(F/h>' : -0.~63 Level volume(gph>: -0. 15 ~ Temp. volume (Bph) ~ -0. 12 Produc~ Line (~ph): SUC Net change (gph) : ~ -0.03 Copyright (e) 1989 by AES~ Inc, ** Notes ** GREENS INDLJS'FRIAL PAINT , 2508 E. BRUNDAGE , BAKERSFIELD CALIF. FIRST AND SECOND HOURS. Green's 3045 E, INLAND EMPIRE BLVD. RECEIVED 2508 E. BRUNOAGE LANE' ONTARIO, CA 91764 BAKERSFIELD, CA 93307 (714) 987-1553 (805) 323-8388 FAX# (714)g44-758g FEB I 0 1!9_2 AX# (805)32 -7 8 HAZ. MAT. DIV. MONITORING PLAN 1. THE 3 THOUSAND GALLON GAS TANK IS MONITORED ON AN ANUAL BASIS. 2. ALL MONITORING IS DONE BY CERTIFIED PRESCISION LEAK TEST COMPANY. 3. THE LOCATION OF THE TEST IS DONE AT THE SITE OF THE TANK WHICH IS LOCATED AT 2508 BRUNDAGE LANE, BAKERSFIELD, CA, 93307 4. THE NAME OF THE COMPANY THAT LAST PERFORMED A TANK TEST-W~--*- 5. THE REPORTING FORMAT IS A CERTIFICATION FORM. 6. PREVENTIVE MAINTENCE IS DONE BY HAVING OUR TANK CHECKED REGULARLY BY AN INSPECTION FIRM AND ANY REPAIRS NEEDED ARE "*'~ DONE IMEDIATLY. 7. NO TRAINING IS REQUIRED FOR OPERATION DUE TO THE TYPE OF PUMP USED. THE STYLE OF PUMP IS THE SAME AS ALL GAS STATION PUMPS. SINCE ALL MONITORING IS DONE BY AN OUTSIDE SERVICE THERE IS NO NEED TO TRAIN ANY GREENS PERSONAL FOR INSPECTION PURPOSES. 8. SHOULD THERE BE ANY SPILL OR LEAK AROUND THE TANK THE TANK WOULD BE REMOVED AND ALL CONTAMINATED DIRT WOULD BE REMOVED AND TAKEN TO A TOXIC WASTE SITE. THIS ALSO WOULD BE PERFORMED BY AN OUTSIDE SERVICE, PROBABLY THE SAME COMPANY THAT REMOVES OUR PAINT WASTE. 9. THE NAMES OF THE PERSONS RESPONSIBLE FOR AUTHORIZING ANY WORK NECESSARY UNDER THE RESPONSE PLAN WOULD BE: DON'GREEN - PRESIDEN~ ~- ED SWEENY - MANAGER CORROSION FIGHTERS ~ ~,~::~ ~ Bakersfield Fire Dept. ~i'~i~' ! .' 2130 G Street, Bake~.sfleld, CA 93301 v~ 00~ (805) 326 3970 R E ~/"~ UNDERGROUND TAt~K_Q~EST[ONNAIRE ALI(~ 5 1991 I. FACILITY/SITE No. OF TANKS I' ~ Green's Industrial Paintino. Inc. ADDRESS NEAREST CROSS STREET PARCEL No.(OPTiONAL) 2_508 E. Brundage Lane Mount Vernon CITY NAME . STATE ZIP CODE Bakersfield CA 93307 ~' BOX TO INDICATE [~CORPORATION [~ INDIVIDUAL [~ PARTNERSHIP [~ LOCAL AGENCY DISTRICTS O COUNW AGENCY [~ STATE AGENCY [~ FEDERAL AGENCY I _?P~_OFBU~I_.ESS . O! GAS_~TA,O. ~.O2~STRI,OT. OR ...... I~ O FA.M O P.OCEsso. ,O,,ERI'OOPE "ENO' EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY) optional DAYS: NAME (LAS[ FIRST) PHONE No. WITH AREA CODE DAYS: NAME (LAST, FIRST) PHONE No. WITH AREA CODE Green., Donald (714) 987-1553 Sweene¥, Edmond (805) 366-6669 NIGHTS: NAME (LAST. FIRST) PHONE No. WITH AREA CODE NIGHTS: NAME (LAST. FIRST) PHONE No. WITH AREA CODE Sweene¥, P..dmond (805) 366-6669 I1. PROPERTY OWNER INFORMATION (MUSI BE COMPLEIED) NAME I CARE OF ADD.E~S INFORMATION I Don·-Green - Green's Ind. Paintin~ MA,UNG OR STRES ADDRESSI~ BOX :Q ~ND,V~DUAL Q LOCAL AGENCY Q STATE AGE,CY Brunda~e Lane TO,NDICATE ~PARTNERSH~P Q COUNTY AGENCY QFEDERALAGENCY 2508 E. CITY NAME STATE ZIP CODE I PHONE No, WITH AREA CODE BakerSfield CA 93307 t (805) 323-8388 III. IANKOWNER INFORMATION (MUST BE COMPLETED) NAME CARE OF ADDRESS INFORMATION Don Green MAILING OR STREET ADDRESS ~' BOX ~ INDIVIDUAL [~ LOCAL AGENCY ~ STATE AGENCY TO INDICATE ~PARTNERSHIP ~ COUNTY AGENCY [~ FEDERAL AGENCY 10900 Beechwood .... CITY NAME ............... i STATE' ZIPCODE -- i PHONE No. WITH AREA CODE Alta Loma I CA I 91701 I (714) 987-0682 OWNER'S DATE VOLUME PRODUCT IN TANK No. INSTALLED STORED SERVICE YIN Y/N YIN YIN Y/N DO YOU HAVE FINANCIAL RESPONSIBILITY? Y/N TYPE ~ "1:~ ~NK DESCRIPTION COMPLETt ITEMS- SPEClFY IF UNKNOWN A. OWNER'S TANK L D. # B. MANUFACTURED BY: IlL TANK CONSTRUCTION MARK ONE I~M ONLY IN BOXES ~ B. ANOC.~DALLTHATAPPLIESINBOXO A. ~PE OF ~ 1 ~UBLE WALL ~ 3 SIDLE W~ WI~ E~ERIOR LINER ~ g5 UNKNOWN SYSTEM ~ 2 SINGLE WALL ~ 4 SECONDARY ~NTNNMENT (VAUL~DTAN~ ~B. TANK ~ 1 BARESTEEL ~ 2 STAINLESS S~EL ~ 3 FIBERG~S ~ 4 STEELC~D W/FIBERG~SSREINFORCEDPL~TIC MATERI~ ~ 5 CONCRETE ~ 6 ~LWlNYL CHLORIDE ~ 7 ~UMINUM ~ 8 1~ ME~ANOL COMPATIBLEW/FRP (PrimaryTa.k) ~ 9 BRON~ ~ 10 ~LVANI~D S~ C. INTERIOR LINING ~ s ~ LI.~NG ~ e UNLINED IS uNING MATERIAL ~MPATIBLE ~TH 1~ ME~ANOL ? YES~ NO~ D. CORROSION ' ~ ~ ~LYE~YLENE WR~ ~ 2 ~ATING ~ 3 ~L WR~ ~ 4 FIBERG~S REINFORCED P~STIC PROTEC~ON, ~ 5 CATH~IC PROTECT~ ~ 9~ ~NE : IV. PIPING INFORMATION c~,c~ A IFASOVEGROUNOOR U IFUNDE~UND. aO~IFA~ICA~ _ A. SYSTEM_TXPE. _ A~ 1 SUCTION A ~ 2 PRESSURE A ~ 3 G~VlW A ~ ~ O~ER B. CONSTRUCTION A U 1 SINGLE WALL A ~ 2 ~UBLE WALL A ~ 3 LINED TRENCH A ~ 95 UNKNOWN A ~ ~ O~ER. C. MATERIAL AND A U 1 ~RE STEEL A ~ 2 STAINLESS S~EL A ~ 3 ~LWI~L CHLORIDE (PVC) A ~ 4 FIBERG~S PIPE CORROSION A U 5 ~UMINUM A' ~ 6 ~NCRE~ - A ~ 7 ST~LWI~A~NG A U 8 1~ M~OL ~MPATIBLEW/FRP . PROTE~ION A ~ 9 ~LVANI~D S~EL A ~ I0 CATHODIC PROTECTION A ~ 95 UN~O~ A U ~ O~ER ' B. LEAK D~ECTION ~.~ AUTOMATIC LINE LEAK DE~CTOR ~ 2 LINET~H~ESSTESTI~ ~NEORtNG ,, V. TANK LEAK D~ECTION ~ 1 VISUAL CHECK ~ ~ IN~NTORY RE~NCILIATION ~ 3 VAPOR MONITORING ~ 4 ~TOMATIC TANK ~UGING ~ 5 GROUND WA~R MONITORING