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Home My WebLink AboutUNDERGROUND TANK '" ST. ' = ";' '. CALIFORNIA .AVENUE VERIFIED PRIOR TO SALE ~[t' . CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT 2101 H STREET S. O. JOHNSON BAKERSFIELD, 93301 FIRE CHIEF January 4, 1994 326-3911 Mulock's Distributing 400 California Avenue Bakersfield, CA 93387-0025 CLOSURE OF 2 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANKS LOCATED AT 400 CALIFORNIA AVENUE, IN BAKERSFIELD, CALIFORNIA. PERMIT # BR0090 & BROO91 Dear Mulock's Distributing: This is to inform you that this department has reviewed the results for the preliminary assessment associated with the closure in place 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. Sincerely, Hazardous Materials Coordinator Underground Tank Program .... REH/dlm cc: B.J. Atkins ,. NEXT-FUNC: KEY: KEY D~T~ PROHPT KIPS ~flOLLINO SECURED ROLL INQUIRY P22241 ~TN 006 540 11 O0 1 ~CTIVE Roll 1 Use Code 3601 File No Lgnd ~G Presv NO APN 008 540 11 8 Lgl § 30 T 29 R 28 ~cr.es CPest SITE 400 C~LIFORNI~ ~V BAKERSFIELD BPS 50 5 UF NT O~ner HULOCK LIVING TRUST ~1 Doc 19915 8940 11/02/99 Bill 2450 BEECH ST B~KERSFIELD CA 93301 R.B.P. 01O0 99-1003581-00-6 TR~-No 001 505 . 001 505 001 001 CHG DT Chg Type Hineral Land/PI ~3,994 43,132 42,287 Imprvment 137,987 135,282 132,630 Other Imp Pets Prop Exmp Rmt Net Value 181,981 178,414 174,917 PFI=HELP 2=HENU 3=I~TRN 4=TOG 5=FUTR 9=BILL IO:UFL l l=BUS 12=EVTSEL PF13=NEW 14=iIPN HIST 15=OWNER5 16=EXEHPT 17=SUPPL 18=RI)I)R 19=I~OLL CORR PF20=PREV YE 21=NEXT YE~iR 22=PRT 23=NEXT 24=PREV 07/12/00 10:25 ASS~SO~ MAP NO.6z54~ ............ ~ ~ COUN~ OF KERN BAKERSFIELD FIRE DEPARTMENT N° , 1957, Sub Div.././~./~,~g~ Blk Lot. YOU are hereby required to make the following eorreetions at the above loeation: Cot. No '-?~/~ ~ ~ ~ ~ ~,/,. ~s~ ~ ~1~1I / Completion Dal.e for Corrections Inspector 326-3951 BAKERSFIELD FIRE DEPARTMENT N°_ '~ You are hereby required to make the following corrections the above location: at Cot. No ,~, ~;5" ~... [~:. Completion Date for Corrections ,,. . ~' ~ate A. ~ ~fi . Inspector re'. 326-3951 BAKERSFIELD FIRE DEPARTMENT N.° '~ 557 ~':sub ~iv./,Xh~_~ ~,k. ~t You are hereby required to make the following corrections at the above location: E~ co~. ~o + .[~' 'J":: ~. ~/~// '~ ~:... e~,.~l,' ~,.,: .A,,P~, ,,, p~ /4: >.~. ~ , j ~ ~ / ~:" ~,pc .... , >f~,,~e~ L~.'..,~ ,~q ~tZ~.7 ~.,~,~' t Completion Date for Corrections :,~.:: Date ~,'/, ~ ~.'~- ' ', ~: Inspector :' 32~-30E 1 ~ISRMIT ApPLIcATION' TOT 'E VAL OF AN ~!~ PERMIT No. ~rUND~-R~ROUND STORAGE TANK ii Bake~sQeld Fi~e Dept. UNDERGROUND STORAGE TANK PROGRAM SITE INFORMATION SITE /x~c,c,~-> ~/5~'P./15(..)'~G ADORESSHcc c_~rFLF ZIPCODE ~'??~'~APN FACILITY NAME ,~u~/~ ~rs T CROSS STREET ( /n~o~ ~ TANKOWNER/OPERATOR ¢.~. ~,~nr_~ ~~.~~'~PHONENo. ~ ~ ~ CITY Tio~ ZiP CODE MAILING ADDRESS ~ ~ CONTRACTOR INFORMATION COMPANY ,.;._¢,,, -~ .~',~ ,/~ PHONENo. 2d4~>%-o~... LICENSENo./~2~/ ~ ~ /~/25~P/~A' WORKMENS COMP N&. , ~- ¢~C. C~.;,~ PRELI~ANARY ASSE~ENT INFORMATION OO~PANY PHONE No. LIOENSE No. ADDRESS ~1~ ZIF OODE iNSURANOE OARRIER WORK~ENS OO~P No. TAN~ CLEANING INFORMATION . ~ ZIPOODE ~ ~ ADDRESS ~ ~ ~ ) .. C~ ~ ~ ~.~ ~d ~. WASTE ~RANSPORTER ~DENT~FICATiON NUMBER ~ rooM~~M~ NAME OF RINSTATE DISPOSAL FACILI~ ~,~ f ~ ADDRESS ~00 ~ ~ J ~ j~ ~ ~ -- ' I CI~x~,IIo~ZIP CODE ~ FACILI~ INDENTIFICATIO.N NUMBER ~ O~ ~ ~ ~ ~ TANK TRANSPORTER INFORMATION C'~. "" ~ '" COMPANY ~ PHONE No. ~ LICENSE No. ~ , ADDRESS ~' CI~ ~'-' ZiP CODE ~ TANK DESTINATION ~'~I~"~"~J-R~!''';x'h ~ ~'~ ' · " TANK INFORMATION TANK No. AGE VOLUME CHEMICAL DATES CHEMICAL RED ~ STORED PREVIOUSLY STORED THE APPLICANT HAS RECEIVED. UNDERSTANDS, AND WILL COMPLY WffH THE A1-rACHED CONDITIONS OF'THIS PERMff AND ANY OTHER STATE. LOCAL AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY. AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT. THIS APPLICATION BECOMES A PERMIT WHEN APPROVED ,~. Make checks payable to "CJl:~ of B~l~ersl~ejcl'' " CITY of BAKERSFIELD ,: ~" "WE CARE" FIRE OEPARTMENT 2101 H STREET S. O. JOHNSON November 24, 1993 8AKERSFIELO, 93301 FIRE CHIEF 326-3911 B.J. Atkins Atkins Environmental 23236 Lyons Avenue, Suite 207 Santa Clarita, CA 91321 Dear Mr. Atkins, Enclosed please find the approved permit to permanently close the underground storage tank located at Mulock's Distributing in Bakersfield. We do approve this tank to be abandoned in place because of the proximity to the radio tower. I-have also enclosed the conditions for abandonment of.underground storage tank within the City of Bakersfield, for your information. This does not address the details of abandonment in place however. 1. All residual hazardous wastes must be flushed from piping into tank and then 'removed from tank by a licensed hazardous waste hauler. All Fire Department and state and local Health Department requirements are to be observed. .The resultant hazardous waste must be transported under manifest to a state-approved disposal or treatment site. A copy of this manifest must be provided to the Bakersfield Fire Department, Hazardous Materials Division. 2. The top of the tank is to be exposed along its entire length unless under a building. 3. The fill drop tube is to be removed, and all lines attached to the tank disconnected with the exception of the vent line. The vent line shall be left attached and open during the entire abandonment procesS. 4. Tanks must not be filled or punctured until the inspector is present. Only excavation to expose the top of tank(s), removal of flammable/combustible liquids by pumping, and inerting may be done without a inspector present. 5. The tank muSt be inerted prior to filling by displacement using an inert gas such as carbon dioxide.. The oxygen level must be below 12% as verified by department meter. Example: Use of either carbon dioxide or dry ice -. 2 lbs per 100 gallon tank capacity or 20 lbs per 1,000' gallon tank capacity. Note: Dry ice' must be introduced four hours before department inspection. Warning-- If liquid or gas inerting agent is to - be used, the dispensing device muSt be bonded to tank. 6. All caps in the top of the tank are to be removed. If caps cannot be removed or do not exist, the tank must be punctured in a safe manner that minimizes deformation. At least two holes located a~~ opposite ends of the tank are required before the tank filling process can begin. 7. The tank must be filled, with a two-sack concrete mix. Only enough water to allow smooth flow and good compaction should be added to the concrete mix. The filling process must continue until the material flows from ali hotes in the top of the tank. ~Care must be taken in the filling process to prevent voids from occurring. 8. Vent line must be disconnected and tank capped,' 9. Backfill over tank must be cOmpacted to 90%. This office must have 48 hours notice prior to any steps that require inspection including the preliminary site assessment. If you have any questions, please do not hesitate to Call. Sincerely y~urs, . ' REH/dim attachments PERMIT APPLICATION FOF ~OVAL.OF AN i~i PERMIT No. UNDERGROUND STORAGE TANK ::: Bakersfield Fire Dept. HAZARDOUS MATERIALS DIVISION UNDERGROUND STORAGE TANK PROGRAM SITE INFORMATION SITE Mulock's Distributinq ADDRESS400 California ZIP CODE 93304 APN FACILITY NAME Mulock's Distributinq . CROSS STREET Union Avenue TANK OWNER/OPERATOR C.E. Mulock Testamen~.ary Trust PHONE No.805/327-2279 MAILING ADDRESS 400 California Street CITY Bakersfield ZIP CODE 93304 CONTRACTOR INFORMATION COMPANYAtkins Environmental H~LpIn~HONE No. 805/255-0622 LICENSE No. 168681-B ADDRESS 23236 Lyons Ave. ~207 CITY Newhall ZIP CODE 91321 INSURANCE CARRIER Hartford Underwriters WORKMEN$ COMP No. 72-WEC CP3528 Insurance Company PRELIMANARY ASSEMENT INFORMATION COMPANY PHONE No. LICENSE. No.' ADDRESS CITY ZIP CODE iNSURANCE CARRIER WORKMENS COMP NO. TANK CLEANING iNFORMATION COMPANY Sturgeon & Son, Inc. PHONE No.805/322-4408 ADDRESS 3511 Gilmore - CITY Bakersfield ZIP CODE 93308 WASTE TRANSPORTER IDENTIFICATION NUMBER CAD 004778742 NAME OF RINSTATE DISPOSAL FACILITY ~a±dlaw ADDRESS 2500 ~kez~ Road CITY Buttonwillow ZIP CODE93206 FACILITY INDENTIFICATION NUMBER CAD 000083121 ' TANK TRANSPORTER INFORMATION COMPANy Sturgeon & Son, Inc. PHONE No. 805/322'4408 LICENSE No. ADDRESS 3511 Gilmore CITYBakersfield ZIP CODE 93308 TANK DESTINATION B&D Salvaqe, 12301 E. Valley Blvd. E1 Monte,. CA 91732 TANK INFORMATION TANK No, AGE VOLUME CHEMICAL DATES CHEMICAL STORED STORED PREVIOUSLY STORED 2 17 yrs 550 gal empty '76-' 83 Gasoline THE APPLICANT HAS RECEDED, UNDERSTANOS, AND WILL COMPLY WffH THE ATTACHED CONDfflONS OF THIS PERMff AND ANY OTHER STATE, LOCAL AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, ANO TO THE BEST OF MY KNOWLEOGE, IS TRUE AND CORRECT. jAPP,ROVED' B~,..__...,j AP'PLICANT NAME (PRINT)~ANT SIGNATURE THIS APPLICATION BECOMESA PERMIT WHEN APPROVED Ma ke checks poyable to ."~ty o['Baher~l~eld" "WE CARE" FIRE DEPARTMENT 2101 H STREET S. D. JOHNSON BAKERSFIELD, 93301 FIRE CHIEF 326-3911 December 9, .1993 B.J. Atkins Atkins Environmental 23236 Lyons Avenue, Suite 207 Santa Clarita, CA 91321 Dear Mr. Atkins, Enclosed Please find the approved permit to permanently close the second underground storage tank located at Mulock's Distributing in Bakersfield. We do approve this tank to also be abandoned in place because of the proximity to the building. The condition for abandoning this tank in place, will be the same for the first tank. If you have any question, please do not hesitate to call. Ralph E. Huey Hazardous Materials Coordinator REH/dlm cc: Mark Turk State of California---Envi?onmental Protection Agency Form Ap[.xoved OMB No. 2050~)039 (Expires 9-30-g4) See Instructions on page 6. Department of Toxic Substances Control Please print or type. 'Form designed for use on elite (1~ Sacramento, California 1_ Generator's US EPA ID No .... /n Manifest Document No. 2. Page 1 Information in the shaded areas UNIFORM H AZARDOUS E.~ /~c'",O 0 /'~ l~ ~ Oi ~'~_ /, .~' ' - is not required by Federal bw. WASTE MANIFEST ~~I~~J~~E) ~ (_), .(") / of / 7. Transporter 2 Company Name 8. US EPA ID Number ~E ~i~}~:;;~;J~>/?,?5}¢C~':'~bG~ I 1. US DOT Description (including Proper Shipping Name, Hazard Class, and ID Number} 12. Conta:ners 13. Total 14. Unit No. Type Quanti~ WI/Vol ~,l~e Z d. 0 15. Special Handling Instructions on.Additional InJormation ~ ~ ~ ~ Z ~ 16. GENERATOR'S CERTIFICATION: I hereby declare that ~e conten~ of ~e consignment are fully and accurately described above by proper shipping name and are classified, ~ packed, marked, and labeled, and are in all respects in proper condition for transport by highway according to applicable federal, state and international laws. ~ If I am a large quanti~ generator, I cedify ~at I have a program in place to reduce ~e volume and toxici~ of waste generated to the degree I have determined-to be ~ economically practiceble and that I have selected ~e practicable me~od of treatment, storage, or dispo~l currently availabie to me which minimizes ~e pre~nt and lucre ~ threat to human health and ~e environment; OR, if I am a small quanfi~ generator, I have made a good faith effort to minimize my waste generation and select the best ~ waste management me~od ~at is available to me and that I can afford. , 17. T rahs po .er ' Ackno~ed,emen/of Receipt of Materials ~~ '~¢5¢ R Pr~eb/Txped Name/1 o 18. Transpo~er 2 Acknowledgement of Receipt'ot Materials ~ Printed/Typed Name Signature Month Day ' Year 19. Discrepancy Indication Space A Z c I 20. Facili~ ~ner or Operator Ce~fication of receipt o~ hazardous materials covered by ~is manifest except as noted in Item 19. TPrinted/TypedName [signature { Mo~th Day Year Blue: GENERATOR SENDS TUIS COPY TO DTSC WITHIN 30 DAYS. DTSC 8022A (7/92) To: P.O. Box 400, Sacramento, CA 95812-0400 j EPA 87~22 J environmental H~r~ · Environmental Liability Prof~ion~ Site Assessment Report for Abandonment-in-Place and Permanent UST Closure Mulock's Distributing 400 California Avenue Bakersfield, California 93387-0025 Submitted to Bakersfield City Fire Department, December 20, 1993 LOP FILE NO. BR-O090 & BR-O091 23236 Lyons ~lve., Suite 207, Santa Clarita, C~I 91321 -- _(805) 255-0622 FAX (805) 255-_0590 _ Voice Mail '& pager (805): 253-61 A. Site Information This site assessment 'report is in reference to Closure Permit No. BR-0090 and BR- 0091, granted on November 24, 1993 and December 9, 1993 respectively, for two underground storage tanks. Closure permit No. BR-0090 is for abandonment in place of a 550 gallon .gasoline storage tank (Tank B) which is at the foot of a 270 foot communications tower at 400 California Street, Bakersfield, California. Closure permit No. BR-0091 is for abandonment in place of a second 550 gallon gasoline storage tank (Tank A) which is essentially beneath the footing of a building at the same address. (A copy of each permit is attached.) The responsible party for this site is Mr. E. J. Mulock of Mulock's Distributing, 400 California Street, Bakersfield, California 93387, Telephone 805/3272279. B. Facility Mai) o Site Map The subject site is located at 400 California Street, Bakersfield, California.' The location of the two tanks is indicated on the enclosed site and sampling map. The location of completed soil borings for sampling purposes are identified as follows: TANK A TANK B A-D-3' B-1-2' A-T-3' B-1-9A A-T-9' B~l-*15A A-T-15' o Vicinity Map The subject site is bounded by California Street .on the South, Railroad Tracks on the West, Fordco FoOds on the east, and a vacant lot to the north. Co Sam;)lin~ See site map for sampling locations. D. Chain of Custody As attached. E. Laboratory Results As attached. F. Conclusions and Recommendations The analytical results show that the concentration of Benzene, Toluene, Ethylbenzene. and Total Xylenes (BTEX) and Total Petroleum Hydrocarbons indicate that there have been no significant hydrocarbon releases. The BTEX values were all below 0.3 ppm, · and the TPH levels all well below 100 ppm (the highest being 52 ppm). Since the values are well below regulatory limits. (LUFT Manual), it is recommended that final approval for abandonment in place of both tanks be granted by the Bakersfield City Fire Department. Respectfully submitted, ins . AtMns Environmental H.E.L.P., In~ : F d--ooqo PERMIT APPLICATION FOF I~EMOVAL OF AN ::)i PERMIT No, 1500100 UNDERGROUND STORAGE TANK i Bakersfield. Fire Dept.' .................. ::s::::: ............................... ::::::::::::: ............................... s;:::;:::::::::::::I ......................................... :: .................................................... :: ........................................................ :: ........................................................ i' HAZARDOUS MATERIALS DIVISION UNDERGROUND STORAGE TANK PROGRAM SITE INFORMATION SITE Mulock's Distributinq ADDRESS 400 CaliforniaStZIP CODE 93304 APN FACILITY NAME Mulock's Distributing CROSS STREET Union Avenue TANK OWNER/OPERATOR C.E. Mulock Testamentary Trust PHONE No. 805/327-2279 MAltING ADDRESS 400 California Street CITY Bakersfield ZIP CODE93304 CONTRACTOR INFORMATION COMPANY Atkins Environmental HELpIn~HONE No, 805/255-0622 LICENSE No. 317503 ADDRESS 23236 Lyons Avenue ~207 CITYSanta Clarita ZIP CODE 91321 INSURANCE CARRIER Hartford Underwriters WORKMENS COMP No.72-WEC CP3528 Insurance Company ' PRELIMANARY ASSEMENT INFORMATION cOMPAN,Y . PHONE No. LICENSE No. ADDRESS CITY ZIP CODE INSURANCE CARRIER WORKMENS COMP No. TANK CLEANING INFORMATION COMPANY Sturqeon & Son, Inc. PHONE No. 805/322-4408 ADDRESS 3511 Gilmore CITY Bakersfield ZIP CODE93308 WASTE TRANSPORTER IDENTIFICATION NUMBER CAD 004778742 NAME OF RINSTATE DISPOSAL FACILITY Laidlaw ADDRESS 2500 Lakern Road CITYBUttonwillow ZiP CODE93206 FACILITY INDENTIFICATION NUMBER CAD 000083121 TANK. TRANSPORTER INFORMATION COMPANY n/a PHONE No. n/a LICENSE No. n/a ADDRESS n/a CITY n/a ZIP CODE n/a TANK DESTINATION Abandoned in place. TANK INFORMATION TANK No. 'AGE VOLUME CHEMICAL DATES CHEMICAL STORED STORED PREVIOUSLY STORED 1 17 yrs 550 gal Empty '76-' 83 Gasoline THE APPLICANT HAS RECEIVED. UNDERSTANDS, AND WILL COMPLY WiTH THE A'FI'ACHED CONDiTIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT. for E. J. Mulock THis APPLICATION BECOMES A PERMIT WHEN APPROVED Make checks payable to "City'ofBakersfield" ~PER~IIT APPLICATION' EMOVAL OF AN !i PERMIT No. UNDERGROUND STORAGE TANK ~!i Bakerst'ie]d Fi]ce Dept. UNDERGROUND STORAGE TANK PROGRAM SITE INFORMATION SlTE Mulock's Distributinq ADDRESS400 California ZiP CODE 93304 APN FACILITY NAME Mulock's Distributinq CROSS $TREETUnion Avenue TANK OWNER/OPERATOR C.E. Mulock Testamentary Trust PHONE No.805/327-2279 MAILING ADDRESS 400 California Street CITY Bakersfield ZIP CODE 93304 CONTRACTOR INFORMATION COMPANYAtkins Environmental HELpIn~HONE No. 805/255-0622 LICENSE No. 168681-B ADDRESS 23236 Lyons Ave. ~207 CITY Newhall ZIP CODE 91321 INSURANCE CARRIER Hartford Underwriters WORKMENS COMP No. 72-WEC CP3528 Insurance Company PRELIMANARY ASSEMENT INFORMATION COMPANY PHONE No. LICENSE No. ADDRESS CITY ZIP CODE INSURANCE CARRIER WORKMENS COMP No. TANK CLEANING INFORMATION COMPANY Sturqeon & Son, 'mc. PHONE No.805/322-4408 ADDRESS 3511 Gilmore CITY Bakersfield ZIP CODE 93308 WASTE TRANSPORTER IDENTIFICATION NUMBER CAD 004778742 NAME OF RINSTATE DISPOSAL FACILITY T_~idlaw ADDRESS 2500 L~kern Road CITY Buttonwillow ZIP CODECj3206 EACILITY INDENTIFICATION NUMBER C2Z) 000083121 TANK TRANSPORTER INFORMATION COMPANySturgeon & Son, Inc. PHONE No. 805/322-4408 LICENSE No. ADDRESS 3511 Gilmore CITYBakersfield ZIP CODE 93308 TANK DESTINATION B&D Salvage, 12301 E. Valley Blvd. 'El Monte,. CA 91732 TANK INFORMATION TANK No. AGE ' VOLUME CHEMICAL DATES CHEMICAL STORED STORED PREVIOUSLY STORED 2 17 yrs 550 gal empty '76-' 83 Gasoline I::::::i~i~ii~::~::::::}~::::::i!!~!i~::::ii~?:!ii...:.~ii::ii::::?:i::iii::i::~!~?:!::}iiiiii::~iii~!~::f:~!i~!~}~::!;~;~;~;~;~;~;~;~i:;:;~;~;i~i;i;i;};i~i;~;~;~;i;!;i~i~i~i;i;i;::;i;i;~;:;~;i;::;~::;::i}~i:::.i:.i:.i:~i:.::::i::i::?:::::!i!:??.!}f.f.i:.?.::::::::::::::::::::::::::::?:??.~i~i~i~i~i~i~i~i~!~!~!~!~i~i;::~i~i~i~?.~[~i~!~¢!?:?:~!;~!~:~:?~?:iiii~?:i::~::?;:?:~ii~i:?:~?:i:?:i::i}ii~i~i~%~i!iiiii?:ii~i~ii;~i~i;~:~:;:~:~:~:~:~:.;!~::~!~:??..iif?.f.i:?f:i~ii~::%i~F!:!:~:~:!:~:~:~:~:~:~:~:~:!:!:i:i:!s!i!i!i!~ THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE AT[ACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULATIONS. APPLICANT NAME ~A P PJ~O V E D'"B~_.~ ' (PRINT) SIGNATURE ~CANT I THIS APPLICATION BECOMES. A PERMIT WHEN APPROVED Make checks payable to "C~,ty of Bal~e~'sl~elcl" " Mulock's Distributing See In; ret Below Fill Tank A/Tube Former 550 ,_, ......... ~ Port Dispenser .gallon ~ ----~ .~ UST · [..A......T.i-~ ....... Trench Radio l~---l_~Form _er Dispensel' ~ · .A D Asphalt ~ . Tank B [] See j~~ sso Table UST Sampling Below Tmnch environmental Samples Mulock's Distributing. Tank A Samples From Tank B 400 California Street A-T-3 2,)', above tank B-1-2 A-T-9-. below tank B-l-gA Bakerfield, Ca. 93304 A-T-15 6' below tank B-1-15A A-D-3 2' below dispenser N/A Site & Sampling Map Chain of Custody Record Analytical Services Request COPY: Chain of Custody Record Analytical Services Request C' 'I]=:NT NAME ' ' ' ADDRESS/PHONE/FAX' / ' ANAL'~ES REQUESTED / PROIECT NA~E/LO~AT~ON "' CLIENT PROJECT NO. /. (~m~) DA~ ~ COPY: A~i~ S~ples YELLOW COPY: S~pler MULOCK'S DISTRIBUTING All Val'ues in mg/Kg = ppm TANK"A" SampleI.D. B T E X TPH A-D-3 'ND ND ND ND ND ,A-T-3 ND ND ND ND ND A-T-9 ND ND ND ND ND A-T. 15 ND ND ND ND ND TANK"B" Sample I.D. B T E X TPH B-1-2 ND 0.119 ND 0.065 52 B-1-9A ND ND ND ND 22 B-l-15A ND ND ND ND 19 5327 Wingfoot Drive Bakersfield, CA 9~306 (805) 872-4750 Laboratory Reeulte For = Date Received t 12/15/93 Mulock's Distributing Date Analyzed ~ 12/16/93 400 Califor'nia Ave. Analysb ~ J.S. Johnson Bakers£1eld, CA Lab No. 930148 sample Matrix ; SOils Benzene Toluene 8bhYlbenzene Xylenee Tot Pet Ryds mg/kg mg/kg mg/kg mg/kg mg/kg A-D-3' ND Nb ND 'ND ~D A-T-3' ND ND ND ND' ND A-T-9, ND ND ND ND ND A-T-l§~ ND ND ND ND ND ~ aecoverF 92 [14 I18 97 123 easo[ine ~11 Result~ RepOrted in Milllgrams Der Kilogram ND ~ Non Detectable ~ EPA 8020 (.001 mg/kg) · PA 8015 Modi£~e~ fo~ ~asol~ne (~ mg/kg) Analysis of ¥olatile Aromatics ~ EPA 8020 A~alyeis o~ ?eta! Petroleum Hydrocarbons ; EPA 8015 Modified for Gasoline Cer=lflca~e Number : ~7~9 Certified Full Service Off-Site Analytic. al Laboratories 5327 Wingfoot Drive Bskersfielcl, CA 93306 (805) 872--4750 Laboratory ~esults For ~ Date Received ~ 12/3/93 Mulock's Dis~ributin.g Date Analyzed ~ 12/4/93 400 California Ave. Analyst ~ J,S. Johnson Bakersfield, CA Lab No. 930141' sample Mat=ix ~ Soil~ Benzene Toluene Ebh¥1benzene Xylenes Tot Pet Hyds , mg/kg mg/kg mg/kg mg/kg mg/kg B-1-2' ND .il§ ND .06§ 92 B-l-gA ND ND ND ND 22 B-I-15A ND ND ND ND . 19 0A/QC Spikes · Recover~ 109 86 122 100 135 Oasoline All ~eaults Reported in MilIigrams per Kilogram ND = Non Detao~able ~ EPA.8020 (.00[ mg/kg) MPA 8015 Hod~ie~ for ~asol~ne (§ mg/kg) Analysis of Volatile Aromatics { MPA 8020 Analysis of Toba! Petroleum Hy~rouarbons ~ BPA 80[~ Mod{Eied fo~ Gasoline Certificat, e Nf~mber : E739 ~ s~~on' ~' o~ Chemis~ Certified Full Seh, ice On-Site AnalytX:al Laboratories Ol '3N'] S~i~9 391GON NO~ ~.£:£~ £66~-~-33G 'CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT 2101 H STREET S. D. JOHNSON BAKERSFIELD, 93301 FIRE CHIEF 326-3911 December 9, 1993 B.J. Atkins · Atkins Environmental 23236 Lyons Avenue, Suite 207 .. Santa Clarita, CA 91321 Dear Mr. Atkins, Enclosed please find the approved permit to permanently close the second underground storage tank located at Mulock's Distrib'uting in Bakersfield. We do approve this tank to also be abandoned in place because of the proximity to the building. The condition for abandoning this tank in place, will be the same for the first tank. If you have any question, please do not hesitate to call. Sincerely yours, Ralph E. Huey Hazardous Materials Coordinator REH/dlm cc: Mark Turk ~'ER MIT APPLICATION"FOIF~ EMOVAL OF. AN i~, PERMIT No. ,,/5'~/O (-- ii UNDERGROUND STORAGE TANK PROGRAM SITE INFORMATION SITE Hu~-~c~c> l'2/s,t~lfSo'tl'tVG ADDRESS dcC ~-L~ ZIPCODE ~~_APN FACILI~ NAME ,~u~./~ D~s ~ CROSS STREET t )mo~ ~ TANK OWNER/OPERATOR ~, ~,~r_~ ~~..~'~~E No. ~fl~ ~ ~.~. MAiLiNG ADDRESS ~~ CI~ ~ '~ ZIP CODE ~ ' CONTRACTOR INFORMATION COMPANY ~.~.~, .~ ~,~ ,~./ PHONE No. ~?~-~ LICENSE No./~. ADDRESS ~~ ~yc~ ,~- ~b,re-'~cq CI~ ~'~~. ZIPCODE' ~3~/ INSURANC~'CA~RIER ~/~¢¢¢~O~P WORKMEN5 COMP No. ~' ~ PRELIMANA[Y ASSEMENT INFORMATION COMPANY PHONE No. LICENSE No. ADDRESS CI~ ZIP CODE INSURANCE CARRIER WORKMENS COMP No. COMPANY ¢~¢~¢ -~, ~O ~ ~, ADDRESS ~¢(I ~-I~¢~ ~ .. CI~ ~.~c~(~ ZiP CODE WASTE TRANSPORTER IDENTIFICATION NUMBER ~ ~o~~ NA'ME OF RINSTATE DISPOSAL FACILI~ ~ ~,~ ~ ~ ' ADDRESS ' ~O' ~~ ~-~ ' CI~c~'~,~0~ZIP~ .. CODE ~ FAC LI~ INDENTIF[CATION NUMBER . C_~ OO~O ~$ ~ ~ TANK TRANSPORTER INFORMATION ?:?" ':;:3." '.. ~.- ..... ' COMPANY ~ PHONE No. ~ LICENSE No. ADDRESS ~- CI~ ~' ZIP CODE ~ TANK DESTINATION ~ ~"'¢m~ AD -f¢t -' 'PL r~'¢ ~¢-" TANK INFORMATION ' TANK No. AGE VOLUME CHEMICAL DATES CHEMICAL ORED ~ STORED PREVIOUSLY STORED THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL coMpLY WITHTHE AiffACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STALE. LOCAL AND FEDERAL REGULATIONS. THIS FORM HAS BEEN C~OMPLETED U. NDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT. THIS APPLICATION BECOMES A PERMIT WHEN APPROVED Make checks payable to "City of Bakersfield" -. ' ~r Office Use Only '" F~t In SIO~I~: Ar~ Map ~ ': mm~"°n stain: NO~ PERMiT. APPLICATION FOI 'EMOVAL-QF AN ili PERMIT No. UNDERGROUND STORAGE TANK iii BakerSfield rite Dept. ' UNDERGROUND STORAGE TANK PROGRAM SITE INFORMATION SITE Mulock's Distributinq ADDRESS400 California ZIP CODE 93304 APN FACILITY NAME Mulock's Distributinq CROSS STREET Union Avenue TANK OWNER/OPERATOR C.E. Mulock Testamentary. Trust PHONE No. 805/327-2279 MAILING ADDRESS 400 California Street CITY Bakersfield ZiP CODE 93304 CONTRACTOR INFORMATION COMPANY Atkins Environmental HELpIn~IHONE No. 805/255-0622 LICENSE No. 168681-B ADDRESS 23236 Lyons Ave. ¢207 CiTY Newhall ZiP CODE 91321 INSURANCE CARRIER Hartford Underwriters WORKMENS COMP No. 72-WEC CP3528 Insurance Company PRELIMANARY ASSEMENT INFORMATION COMPANY PHONE No. LICENSE No. ADDRESS ~ " CITY ZiP CODE INSURANCE CARRIER WORKMENS COMP No. TANK CLEANING INFORMATION ~ COMPANY Sturqeon & Son, Inc, PHONE No.805/322-4408 ADDRESS 3511 Gilmore '- CITY Bakersfield ZIP CODE 93308 WASTE TRANSPORTER IDENTIFICATION NUMBER CAD 004?78?42 NAME OF RINSTATE DISPOSAL FACILITY Laidlaw ADDRESS 2500 ~kern Road CITY Buttonwillow ZIP CODE93206 FACILITY INDENTIFICATION NUMBER C~D 000083121 TANK TRANSPORTER INFORMATION COMPANy Sturgeon &. Son, Tn¢. PHONE No. 805/322-4408 LICENSE No. ADDRESS 3511 Gilmore CITYBakersfield ZiP CODE 93308 TANK DESTINATION B&D Salvaqe, 12301 E. Valley Blvd. E1 Monte, CA 91732 TANK'INFORMATION TANK No. AGE VOLUME CHEMICAL DATES CHEMICAL STORED STORED PREVIOUSLY STORED 2 17 yrs 550 gal empty '76-' 83 Gasoline THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATfACHEO CONDITIONS OF THIS RERMIT AND ANY Of HER STATE, LOCAL AND FEDERAL REGULATIONS. THIS FORM HAS SEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT. · 'APPROVED B_¥..~__ ; AF/PLICANT NAME (PRINT) ¢A"P~CANT SIGNATURE THIS APPLICATION BECOMES. A PERMIT WHEN APPROVED ' Make checks payable to "C~ty o~Bakersl~e~d" CITY of BAKERSFIELD "WE CARE'.' FIRE DEPARTMENT 2101 H STREET S. D. JOHNSON November 24, 1993 BAKERSFIELD, 93301 FIRE CHIEF 326-3911 B.J. Atkins Atkins Environmental 23236 Lyons Avenue, Suite 207 Santa Clarita, CA 91321 Dear Mr. Atkins, Enclosed please find the approved permit to permanently close the underground storage tank located at Mulock's Distributing in Bakersfield. We do approve this tank to be abandoned in place because of the proximity to the radio tower. I have also enclosed the conditions for abandonment of underground storage tank within the City of Bakersfield, for your information. This does not address the details of abandonment in place however. 1. All residual hazardous wastes must be flushed from piping into tank and then removed from tank by a licensed hazardous waste hauler. All Fire Department and state and local Health .Department requirements are to be observed. The resultant hazardous waste must be transported under manifest to a state-approved disposal or treatment site. A copy of this manifest must be provided to the Bakersfield Fire Department, .Hazardous Materials Division. 2. The top of the tank is to be exposed along its entire length unless under a building. 3. The fill drop tube is to be removed, and all lines attached to the tank disconnected with the exception of the vent line. The Vent line shall be left attached and open during the entire abandonment process. 4. Tanks must not be filled or punctured until the insPector is present. Only excavation to expose the top of tank(s), removal of flammable/combustible liquids, by pumping, and inerting may be done without a inspector present. 5. The tank must be inerted prior to filling by displacement using an inert gas such as carbon dioxide. The oxygen level must be below 12% as verified by department meter. Example: Use of either carbon dioxide or dry ice - 2 lbs per 100 gallon tank capacity or 20 lbs per 1,000 gallon tank capacity. Note: Dry ice must be introduced four hours before departm'ent inspection. Warning-- If liquid or gas inerting agent is to · be used, the dispensing device must be bonded to tank. 6. All caps in the top of the tank are to be removed. If caps cannot be removed or do not exist~ the tank must be punctured in a safe manner that minimizes deformation. At' least two holes located at- opposite ends of the tank are required before the tank filling process can begin. 7. The tank must be filled, with a two-sack concrete mix. Only enough water to allow smooth flow and good compaction should be added to the concrete mix. The filling process must continue until the material flows from all holes in the top · of the tank. Care must be taken .in the filling process to prevent voids from. occurring. 8. Vent line must be disconnected and tank capped. 9. Backfill over tank must be c°mpacted to 90%. This office must have 48 hours notice prior to any steps that require inspection including the preliminary site assessment. If you have any questions, please do not hesitate to call. Sincerely yours, REH/dlm attachments AKERSFIELD FIRE DEPARTME HAZARDOUS MATERIAL DIVISION 2130 G Street, Bakersfield, CA 93301 (805) 326-3979 TANK REMOVAL INSPECTION FoRM FACILITy. ~,.(~ ~%~a~.%~ ADDRESS 90~ C.I. ~va OWNER ~,V,'" >~l~-~ ~-~.~.~4ae~)'l~ PERMIT TO OPERATE~ CONT~CToR ~4~n~ Ka~..~~( ' CONTACT PERSON ~.T, D}k~3 LABO~TORY % OF SAMPLES ~ TEST METHODOLOGY ' PRELI~NARY ASSESSMENT CO. CONTACT PERSON CO~ RECIEPT LEL% -' 0~% PLOT PLAN CONDITION OF TANKS' , CONDITION OF PIPING CONDITION OF SOIL C(~MMENTS DATE INSPECTORS NAME SIGNATURE T ®K IN en v ire n tn en ta 1 H~z~r~ · Environmental Liability Professionals November 30, 1993 ~ Bakersfield Fire Department DFC ~ 7993 Hazardous Materials Division Underground Storage Tank Program By_ 2130 "G" Street Bakersfield, CA 93301 Attn: Mr. Ralph E. Huey Subj:Permit Application for a Second UST at Mulock's Distributing Facility, 400 California Street, Bakersfield Dear Mr. Huey: With reference to our permit application dated November 22, 1993 for one UST to be abandoned in place, we are now informed of the existence of a second UST located at the same property, approximately 200 feet south of the first tank. This is the only known remaining tank. It is also no longer in use and is identical in age, size, and former usage to the tank for which we have made the prior application. Enclosed please find an application for removal of this underground storage tank and our check for $483 payable to the "City of Bakersfield." Copies of the site plan, general liability and workers · compensation insurance coverage were forwarded with the previous application and are applicable for this tank as well. If you have any questions regarding this application, please contact the undersigned. Thank you for your expedient handling of this matter. .., Very truly yours, ~ tkins Environrnental B. 0..~tkins HELP LABS Enclosure 2889 Bunsen Avenue, Suite A (805) 644-1044 Ventura, CA 930,,03 FAX (805) 644-0236 23236 Lyons Ave., Suite 207, Santa Clarita, C,4-91~21.- (-865)-255--06~j~,.~ F, dX (805) 255-0590 Voice Mail & Pager (805) 253-6112 PERMIT APPLICATION ' EMOVAL-OF AN i! PERMIT No. UNDERGROUND STORAGE TAN K ii Bakersfield Fire Dept. ................. ~ ......................................... :::::::::::::::¥:¥ ';::::::::::::::::::::::::::::::: ..................................................................................... :: .......................... :: ........................ :'::::::::::::::: ¥: ............................................................. ~' HAZA R D O U S M ATE R I A L S D[VI SI O N " UNDERGROUND STORAGE TANK PROGRAM SITE INFORMATION SlTE'Mulock's Distributing ADDRESS400 California ZIP CODE 93304 APN FACILITY NAME Mulock's Distributinq CROSS STREETUnion Avenue TANK OWNER/OPERATOR C.E. Mulock Testamentary Trust PHONE No.8_05/327-2279 MAILING ADDRESS 400 California Street CITY Bakersfield ZiP CODE 93304 CONTRACTOR INFORMATION COMPANYAtkins Environmental HELpIn~HONE No. 805/255-0622 LICENSE No. 168681-B ADDRESS 23236 Lyons Ave. ~207 CITY Newhall ZIP CODE 91321 . INSURANCE CARRIER Hartford Underwriters ' WORKMEN$ COMP No. 72-WEC CP3528 Insurance Company PRELIMANARY ASSEMENT INFORMATION COMPANY PHONE No. LICENSE No. ADDRESS CITY ZIP CODE INSURANCE CARRIER WORKMENS COMP'No. TANK CLEANING INFORMATION COMPANY Sturgeon & Son, Thc. PHONE No.805/322-4408 ADDRESS 3511 G±lmore CITY Bakersf±eld ZiP CODE 93308 WASTE TRANSPORTER IDENTIFICATION NUMBER CAD 004778742 NAME OF RINSTATE DISPOSAL FACILITY ~aidlaw ADDRESS 2500 ~ke~-~ Road CITY Bu[tonwillow ZIP CODE93206 FACILITY INDENTIFICATION NUMBER CAD 000083121 TANK TRANSPORTER INFORMATION COMPANy Sturgeon & Son, Inc. PHONE No. 805/322'4408 LICENSE No. ADDRESS 3511 Gilmore CITYgakersfield ZIP CODE 93308 TANK DESTINATION 9&D Salvage, 12301 E. Valley Blvd. 'El Monte,' CA 91732 TANK INFORMATION TANK No. AGE VOLUME CHEMICAL DATES CHEMICAL STORED STORED PREVIOUSLY STORED 2 17 yrs 550 gal empty '76-' 83 Gasoline THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WFfH THE A~ACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULATIONS. THiS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJU.RY AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT. );APPROVED" B.Y_..-7"~- / AF~PLICANT NAME (PRINT) ,~,~T SIGNATURE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED .... Make checks payable to "City of Bakersfield" ...... T ®K I N S en v iro n rn en ta 1 Hazard & Environmental Liability Prdfessionals November 22, 1993 /{/0~/2 ~'/j/.~j Bakersfield Fire Department /YAP'./~4 L. ,O/i/ Hazardous Materials Division ' Underground Storage Tank Program 2130 "G" Street Bakersfield, CA 93301 Attn: Ralph E. Huey Subj: Permit Application for Removal of an UST at Mulock's Distributing ,_,, Dear Mr. Huey: .~ Enclosed please find the above cited permit application package on behalf of Mulock's Distributing, located at 400 California Street, Bakersfield. It includes: · Signed Application; · Copies of Contractor's License; General Liability and Workmans Compensation Insurance policies, and · Site Safety Plan. Also enclosed is our check for $483 payable to the Bakersfield Fire Department, in payment of the required permit fee. If you have any questions regarding this correspondence, please call me at the telephone number listed below. Thank you for your prompt attention, we look lo,yard to working with the Bakersfield Fire Department. Enclosures cc: Mr. E. J. Mulock 23236 Lyons ~tve., Suite 207, Santa Clarita, CA 91321 -- (805) 255-0622 FAX (805) 255-0590 Voice Mail & Pager (805) 253-6112 .- ...... ,..._¥ . . _~ ~:., ;. :. HEALTH AND SAFETY PLAN (HSP) prepared for MULOCK'S DISTRIBUTING 400 California Avenue Bakersfield, California. 93304 Prepared by Atkins Environmental H.E.L.P., In~ 23236 Lyons Ave., Suite 207 Santa Clarita, CA 91321 (805)255-0622 November 5, 1999 TABLE OF CONTENTS PROJECT SUMMARY ' i EMERGENCY TELEPHONE NUMBERS AND CONTRACTOR CONTACTS . . ii HAZARDOUS MATERIALs DESCRIPTIONS ..................... iii 1.0 INTRODUCTION AND APPROVAL 1 2.0 STANDARD PROCEDURE FOR REPORTING EMERGENCIES ....... 2 3.0 HEALTH AND SAFETY PERSONNEL RESPONSIBILITIES ......... 3 4.0 MEDICAL SURVEILLANCE ............................ 4 5.0 EMPLOYEE TRAINING ' 4 6.0 HEALTH AND SAFETY TRAINING ........................ 5 7.0 SITE EVALUATION ' 5 8.0 GENERAL WORKSITE SAFETY ' ' 5 9.0 PERSONAL PROTECTIVE EQUIPMENT ..................... 8 10.0 ENVIRONMENTAL HAZARD MONITORING .................. 9 11.0 SPECIFIC MONITORING REQUIREMENTS .................. 10 12.0 EMERGENCY PROCEDURES ........................... 10 13.0 AVAILABILITY OF SITE SAFETY PLAN ~ 1 1 PROJECT SUMMARY Site Description: A currently idle underground gasoline storage tank. Project Description: Abandon in place a 550 gallon UST, extract'2-3 soil borings, monitor for hydrocarbon contamination at depth and collect soil samples in accordance with conditions for abandonment set forth by the City of Bakersfield Fire Department. Decontamination: Sampling equipment will be washed priOr to each use with non-phosphate detergent and double rinsed with deionized water or steam cleaned to avoid cross contamina- tion or clean unused equipment will be employed. Hazardous Materials Anticipated: As this was a gasoline handling facility, the presence of gasoline contaminated soil is possible. Other Health Risks: Mobile drilling equipment, backhoe; underground utilities. Air Monitoring: OVA or TLV appropriately calibrated' and/or a LEL meter. Personal Protection: Level D, clothing to be disposed of or washed after each Work day and prior to next use. Wind Direction Not necessary for this work. Indicator: HosPital Location: Mercy Hospital 2215 Truxton Avenue Bakersfield, CA 93301 (805) 632-5000 ' IN CASE' OF EMERGENCY CALL 911 EMERGENCY TELEPHONE NUMBERS AND CONTRACTOR CONTACTS POLICE, FIRE, PARAMEDICS, AMBULANCE ................... 911 805/632-5000 HOSPITAL ................................ Mercy Hospital 2215 Truxton Avenue BakerSfield, CA 93301 CONTRACT PROJECT MANAGER: Mr. B. J. Atkins ....................... 805/255-0622 PROJECT HEALTH AND SAFETY oFFICER: Mr. B. J. Atkins . . 805/255-0622 SITE SAFETY OFFICERS: Mr. B. J: Atkins ...................... 805/255-0622 NATIONAL RESPONSE CENTER .................... 800/424-9346 (Hazardous ChemiCal and Oil Spills; reporting) EPA RCRA HOTLINE ...... ' ...................... 800/424-9346 (Hazardous Waste Regulation Information Source) CALIFORNIA OFFICE OF EMERGENCY SERVICES.. ....... 800/852-7550 Clip MOTOR CARRIER SAFETY UNIT ................ 310/664-1108 cHEMTREC ' ' ' 800/424~9300 UNDERGROUND SERVICE ALERT ....... · ............. 800/422-4133 SPECTRUM, INC ............................... 818/365-9371 (Subsurface Utilities I.D.) TOXIC HAZARD INFORMATION SERVICES: California Department of Health Services Hazard Evaluation System Information Service .. ................................ 415/540-3014 CAL-OSHA Consultation Service .................... 310/861-9993 ii HAZARDOOS MATERIALS DESCRIPTIONS Gasoline OSHA PEL: 300 ppm slight health risk ACGIH PEL: 300 ppm extremely high flammability 'risk ACGIH STEL: 500 ppm insignificant reactivity risk Respirator Recommendation above 300 ppm: use positive pressure breathing apparatus when excessive air contamination exists Gasoline is a clear to yellowish or reddish aromatic liquid with a characteristic odor. It is'a volatile mixture of aromatiC and aliphatic hydrocarbons~. Leaded gasoline contains tetra ethyl lead~ Gasoline vapors are moderately poisonous and contain hazardous aromatic compounds including benzene, xylenes; and toluene. Aromatic compounds exist in gasoline as contaminants of the refining process and as horsepower additives. Gasoline is a flammable liquid and both liquid and vapor phases should be protected from sources of ignition. Gasoline is incompatible with oxidizing agents. Primary routes of expoSure include inhalation and ingestion'. Gasoline is also a skin irritant and can cause contact dermatitis. Inhalation or ingestion can cause central nervous system depression. Over exposure can cause .drowsiness, dizziness, disorientation, suffocation, severe irritation of eyes, mucous membranes, skin and lungs. In high concentrations, gasoline vapors can displace ambient air causing an oxygen deficient conditions. Tetra Ethyl Lead (as a gasoline constituent) OSHA PEL: 0.75 mg/m3 moderate health risk ACGIH PEL: 0.1 mg/m3 moderate flammability risk IDLH: 40 mg/m3 moderate reactivity risk Respirator Recommendation above 0.075 mg/m~: respirator with chemical cartridge protection above 0.75 mg/m3: self contained breathing apparatus Gloves: neoprene iii Tetra Ethyl Lead (TEL) is a colorless, oily liquid with a characteristic musty odor. TEL is often dyed red, orange, or blue. TEL has historically been added to gasoline'as an anti-knock additive (leaded gasoline). TEL is incomPatible with strong oxidizers, sulfuryl chloride, and potassium permanganate. TEL is highly poiSonous, and Will absorb into the blood through the skin. Other routes of exposure include inhalation, ingestion, and skin and/or eye contact. TEL is a suspected carcinogen. ASa gas or vapor TEL is toxic or extremely irritating even for a brief exposure and may cause skin/eye irritation, burns, headache, dizziness or convulsions, unconsciousness, and death. Target organs are central nervous system, cardiovascular system, kidneys, and eyes. Benzene (as a gasoline constituent) OSHA PEL: 10 ppm, ceiling 50 ppm moderate health risk ACGIH PEL: 10 ppm 'extremely high flammability risk NIOSH IDLH: treat as carcinogen' high reactivity risk' NIOSH PEL: 0.1 ppm,'15-min ceiling 1 ppm KNOWN TO THE STATE TO CAUSE CANCER Respirator Recommendation up to 10 ppm: supplied air respirator, self contained breathing apparatus up to 2000 ppm: supplied air respirator with full facepiece operated in pressure- demand mode or with.full facepiece, helmet or hood in continuous ~ flow mode. Gloves: Chemical resistant glov. es BenZene is a colorless liquid with a characteristic strong aromatic odor. It is incompatible with strong oxidizers, chlorine, and bromine with iron. Benzene is a leukemogen and a suspected carcinogen and is recommended to be treated as a carcinogen. Contact exposure to benzene can result in systemic poisoning after absorption into the skin and bloodstream. Other routes of exposure are inhalation, ingestion, and skin and/or eye contact. AS a gas or vapor benzene is toxic or extremely irritating even for a .brief exposure and may cause skin/eye irritation, headache, dizziness, cramps, muscle twitching, nausea, unconsciousness and death. Target organs are blood, central nervous system, skin, bone marrow, eyes, respiratory system. iv Toluene (as constituent of gasoline) OSHA PEL: 200 ppm, ceil 300 ppm moderate health risk ACGIH PEL: 100 ppm ~ high flammability risk IDLH: 2000 ppm insignificant reactivity risk NIOSH PEL: 100 ppm (10 hr), 10-min ceil 200 ppm KNOWN TO THE STATE TO CAUSE DEVELOPMENTAL REPRODUCTIVE TOXICITY Respirator Recommendation above 100 ppm: positive pressure breathing apparatus Toluene is a colorless liquid with a pungent,. sweet odor like benzene. It is incompatible with strong oxidizers. As a gas or vapor'tolUene is toxic or extremely irritating~ eVen for a brief exposure and may cause skin/eye irritation, fatigue, weakness, confusion, euphoria, headache, dilated pupils, lacrimation, nervousness, muscular fatigue, insomnia, paresthesia, dermatitis, photophobia, unconsciouSness and death. Routes of exposure include inhalation, ingestion, absorption to the blood through the skin, and skin and?or eye contact~ Target organs are central nervous system, liVer, kidneys and skin.. Eth¥1benzene (as a constituent of gasoline) OSHA PEL: 100 ppm moderate health risk ACGIH PEL: 100 ppm high flammability risk IDLH: 2000 ppm insignificant reactivity risk NIOSH PEL: 100 ppm Respirator Recommendation above 100 ppm up to 1000 ppm: respirator with organic vapor cartridge and full face piece Ethylbenzene is a colorless liquid with an aromatic odor. It is incompatible with strong oxidizers. As a gas or vapor ethylbenzene is harmful on prolonged exposure in high concentrations and may cause irritation of eyes upper respiratory system and mucous membranes, dilated pupils, nausea, vomiting, drowsiness, dizziness, disorientation, suffocation, unconsciousness, and death. Routes of exposure include inhalation, ingestion, and skin or eye contact. Target organs are eyes, upper respiratory system, skin and central nervous system. Xylenes (as a constituent of gasoline) osHA· PEL: 100 ppm moderate health risk ACGIH PEL: 100 ppm high flammability risk IDLH: 1000 ppm insignificant reactivity risk NIOSH PEL: 100 ppm (10 hr), .10 min ceil 200 ppm Xyienes are colorless liquids with an aromatic odor. Xylenes occur'in three isomers, the para, meta, and ortho isomers. Xylene isomers occur together, and are usually treated as total xylenes, rather than identifying' individual isomers. Xylenes are 'incompatible with s1~rong oxidizers. Symptoms of over exposure include dizziness, excitement, drowsiness, incoherence, staggering gait, irritation of the eyes, nose, and throat, corneal vacuolization, anorexia, nausea, vomiting, abdominal pain, and dermatitis. Routes of exposure '~ , include inhalation, ingestion, absorption to the blood through the skin, and skin and/or eye contact. Target organs are central nervous system, eyes, gastrointestinal tract, blood, liver, kidneys and skin. vi 1.0 INTRODUCTION AND APPROVAL Maintenance of a safe, hazard free worksite is of paramount importance. The provisions of this Health and Safety Plan are designed to protect the health and safety of personnel present on or in the vicinity of worksites during any potentially hazardous operations or conditions. Work practices to be followed to prevent injury of personnel in the vicinity of worksites are delineated in this Health and Safety 'Plan. Further, emergency procedures are described herein to protect the environment from any uncontrolled releases of hazardous materials which might take place during project work. The provisions of this Health and Safety Plan are to be observed by all contract and subcontract employees, & any other persons present at an Atkins Environmental H.E.I-P., Ina (AEH) worksite. This is especially true dudng any potentially hazardous operations on the premises. safety at any worksite depends on stdct adherence to established safety protocols by all persOnnel present on the site. This is particularly important'when heavy'equipment is being operated, or construction activities are occurring in areas where potentially .toxic, flammable or explosive liquids, vapors, or particulate may be present, or confined space entries may be necessary. Recognizing that any of the above conditions may exist during geotechnical and/or hazardous wastesite investigations/remediations, comprehensive health and safety practices are prescribed herein for use by all AEH employees, subcontractors or authorized personnel. All authorized personnel entering a worksite are to be familiar with and understand the provisions of this plan. No unauthorized personnel are to be allowed on any AEH worksite. Any person on an Atkins Environmental H.E. LP., Inc. worksite violating the provisions of this plan will be required to cease any and all activities which violate the provisions of this plan or leave the worksite. Personnel asked to leave a worksite due to violation of this Health and Safety Plan will not be allowed to re-enter until it can be reasonably expected that further violations and/or safety hazards will not occur due to that individual's presence. Project Health and Safety Officer 2.0 STANDARD PROCEDURE FOR REPORTING EMERGENCIES If an incident should occUr on a worksite which results in conditions which threaten or impact the health and safety of personnel or the integrity of the environment, the following emergency Procedures shall be implemented. The procedures in this Health and Safety Plan are designed to accomplish the safe, orderly and immediate mitigation of uncontrolled incidents involving worksites. The objectives 'of these procedures are to provide medical attention for injured persons and protect the health and safety of uninjured persons. These procedures provide guidelines for site personnel to minimize the impact of unexpected, uncontrolled hazardous events on involved or potentially involved facilities and/or the environment. If an emergency condition should occur on an ~ltl~ins Envlro/~m¢~tal tt.E.L_P., Inc worksite, the Site Safety Officer will perform the following activities as necessary and appropriate: 1) Assume control of activities on-site, account for all worksite personnel, and determine whether injudes have occurred.' 2) Assign a responsible person to summon emergency services by dialing 911 from the closest telephone (identified during the pre-work site safety meeting), requesting emergency services as needed, and reporting to the Site Safety Officer to verify contact. 3) Organize and commence first aid activities for any injured persons and activities to secure and evacuate the worksite. 4) Designate an upwind location where site personnel can safely gather, lead personnel to that location or assign someone to do so, and account for all worksite employees. 5)' Assist emergency services personnel upon their arrival at the worksite as possible. 6) ~ Report the incident to the AEH Project 'Manager and/or Health and 'Safety Officer immediately. 7) Interview worksite personnel concerning the events prior to, dudng, and folloWing the incident and record all relev~ant comments. Prepare a comprehensive written report of the incident as soon as possible following the event, while events and conditions existing on the worksite and possibly leading to the incident are fresh in the Safety Officer's mind. 3.0 HEALTH AND SAFETY PERSONNEL RESPONSIBILITIES AEH Health and Safety Personnel will have pdmary responsibility for implementation of this Health and Safety Plan (HSP), and for the health .and safety of AEH employees on the worksite(s). AEH' subcontractors will retain pdmary responsibility for the health and safety of their employees, and for compliance with this HSP by their employees. All personnel present on AEH worksites are required, however, to defer to direct orders concerning worksite health and safety matters and compliance with this plan issued by the AEH Site Safety Officer or Health and Safety Officer.~ Pdmary on-site responsibility for the following activities rests with the AEH Site Safety Officer: 1) Verify that all project personnel have received the required training as set forth in this HSP. 2) Verify that all project Personnel. have received the required medical surveillance as set forth in this HSP. 3) Maintain 'worksite and workzone secudty (personnel access) and worksite access log. 4) Assure observance of proper safety and work practices by all personnel on-site and prepare reports of sedous infractions of safety practices by worksite personnel. 5) Direct or conduct required worksite exposure and emissions monitoring and maintain worksite monitoring log. 6) ~ Note conditions on-site which may require modification of this HSP, and make plan modifications when appropriate. 7) Enforce compliance with this HSP by all personnel on the worksite. 8) Conduct and document safety meetings pdor to commencement of worksite activities. 9) Vedfy proper use and maintenance of required personal protective clothing and equipment by all personnel on-site. 10) Direct emergency activities and prepare emergency .incident reports. 11)~ Notify AEH prOject Manager or Project Health and Safety Officer in the eVent of an emergency incident or personnel injury on the worksite. 12)Notify appropriate specified contact(s) in the event of an incident on-site with Potential to cause environmental impact. 13) Maintain site safety log containing: - Site Health and Safety Plan and addenda ' - documentation of employee training and medical program - worksite access log · - documentation of sedous safety infractions on,site - exposure and emissions monitoring log - safety meeting reports - worksite injury log - emergency in~:ident reports The responsibilities of the AEH Health and Safety Officer are: 1) Assure that activities of Site Safety Officer are conducted in compliance with this HSp. 2) Provide direction to Site Safety Officer in all safety related issues which occur on the worksite. 3) Review HSP modifications recommended by Site Safety Officer and determine appropriate actions. 4) Vedfy that notifications have been made in the event of an emergency. 5) Respond to emergency incidents on-site as necessary and possible, make recommendations to Project Manager and Site Safety Officer to avoid recurrence of incident when appropriate, and assist Site Safety Officer in preparation of emergency incident and personnel injury reports.' 4.0 MEDICAL SURVEILLANCE Employees present on any worksite where hazardous materials or wastes may be encountered must have receiVed an initial physical examination and participate in a medical .surveillance program which satisfies the requirements specified in Title 29 of the Code of Federal Regulations part' 1910.120 (29 CFR 1910.120); Hazardous Waste Operations and Emergency Response (HAZWOPER), if such employees may be required to enter an area where hazardous materials may be present, or if the emPloyee may come into contact with hazardous materials in the performance of their duties on the worksite. 5.0 EMPLOYEE TRAINING Employees present on any worksite where hazardous materials or wastes may be encountered must have received training in hazardous waste operations which satisfies the training requirements set forth 'in 29 CFR 1910..120, Hazardous Waste Operations and Emergency Response, if such employees may be-required to enter an area where hazardous materials 'may be present, or if the employee may come into contact with hazardous materials in the performance of his/her duties on the worksite. Employees Who received the required training more than one year prior to. worksite activities must have received "refresher" training as set forth in 29 CFR 1910.120 at least every 12 months since the original qualifying training program. 6.0 HEALTH AND SAFETY TRAINING Health and Safety personnel present on worksites where hazardous materials or wastes may be present, or where heavy equipment may be operated, must have received a minimum of four hours of instruction in Cardio-Pulmonary Resuscitation and four hours of instruction in First Aid procedures, and be certified by a competent' instructor or institution to have satisfactorily completed such training. 7.0 SITE EVALUATION This project involves the investigation of subsurface conditions at a facility or building housing organizations currently operating sales and service activities. Up to three soil borings will be performed for soil sample collection. Constituents of the materials which are of concern from a health and safety standpoint are discussed above. It is anticipated that exposures to these materials may be highly variable, depending on factors including wind speed and directiori, ambient temperature and humidity, worksite topography and activity, contaminant (~oncentrations and volume, and personal protective equipment in use. Hazard evaluations and plan modifications will be prepared by the AEH and/or the Project Health and Safety Officer or Site Safety Officer and appended to this Health and Safety Plan as additional information becomes available (if appropriate). 8.0 GENERAL WORKSlTE SAFETY Every project and every worksite has exclusive characteristics. The specific hazards presented by any particular project will be determined by the worksite and the specific tasks to be completed. It may be anticipated however, that certain hazards may be present at any worksite. These hazards include, but are not limited to: Slips, tdps, and falls, Injurious contact with heavy equipment, - Falling objects, - . Excavation cave-in, - Oxygen deficiency or asphyxiation hazard, - Confined space entry, - Fire, - Explosion, - Exposure to elements (heat and/or cold stress), and - Exposure to Potentially toxic airborne vapors, gases, o'r particulate. In order to protect potentially affected personnel from injury due to foreseeable hazards, the following safety practices are to be observed by all AEH personnel, and all personnel present on Atkins Environmental H. E. LP., In~ worksites at all times: All worksites are to be kept free of physical hazards, such as unnecessary tools and equipment, construction debris, sharp objects, broken glass, and any .other potential physical hazards not necessary for work currently being performed at the worksite. If articles/objects are present on-site which may create a physical hazard to personnel on-site, they are to be moved to an area where their presence will not impact work on the property. This area will be cordoned, off or containerized so that persons on-site are not likely to come into contact with those items unintentionally, and sustain injury. When not actively supervised, excavations are to be cordoned off with easily visible hazard tape and/°r other physical barrier(s) so that persons entedng the worksite will not be able to cross the barrier unknowingly and be injured. The level of site security and safety hazard presented by the excavation is to be considered in determining the nature of the barrier. To provide for site security, decontamination procedures, and minimization of exposure of the public to worksite contaminants, areas of the worksite shall be divided into functional workzones. Any area where contamination is suspected or known to.exist will be included in the Exclusion Zone or "Hot" Zone. An area concentric to the Exclusion Zone perimeter' where exposures significantly above background levels due to emissions from the worksite are reasonably expected will be identified as the. Contamination Reduction Zone. The Contamination Reduction Zone will contain the Contamination. Reduction Corddor where all decontamination procedures will take place. Personnel entedng the Contamination Reduction Corridor will be required to comply with all provisions of this Health and Safety Plan. Specific area delineations, decontamination procedures, site security procedures, etcetera, will be established (if' necessary) by the AtMns Environmental H.E. LP., Ina and/or the Project · Health and Safety Officer or Site Safety Officer prior to start of work.' No personnel are to enter the Contamination Reduction Zone except in the Contamination Reduction Corridor unless an emergency exists which makes entry necessary in order to avoid injury to persons within the Exclusion Zone, or to provide evacuation of injured personnel from the ExclUsion Zone. Smoking, and the use of lighted matches or 'open flames within the workzone is strictly prohibited at all times. Eating, drinking, chewing gum or tobacco, smoking, or any practice that increases the probability of hand-to-mouth transfer of matedal is prohibited in any area designated contaminated, or potentially contaminated. Whenever Worksite activities require the use of chemical 'protective equipment, but decontamination procedures do not include the presence and 'use of a field shower, individuals who have entered the exclusion zone should shower thoroughly as soon as possible after leaving the worksite, regardless of the apparent absence of contamination. In any case, hands and face must be thoroughly washed immediatelY upon leaving any potentially contaminated area. Contact with contaminated or suspected contaminated surfaces is to be avoided. Unless it is unavoidable, do not walk through puddles, over stockpiled materials, or on surfaces which show indications of potential contamination by hazardous substances. Do not kneel, sit, or place tools or other articles on contaminated containers, objects, or on the ground. If contact with potentially hazardous materials cannot be avoided, chemical protective equipment must be worn, and appropriate decontamination procedures followed. 6 All project personnel will be required to attend an initial safety meeting on-site prior to the start of any work on the first day of work on any project or worksite. Additional safety meetings will be held when unanticipated hazards are recognized before any work continues. Meetings will also be held any time the Site Safety Officer deems appropriate. Non-essential personnel will not be allowed in the Exclusion Zone, or in the Contamination Reduction Corddor dudng any potentially hazardous operations. Medicine can 'potentiate the effects of exposure to tOxic chemicals. Personnel taking prescription drugs should be cleared for work in potentially chemical-contaminated atmospheres, and for the use of personal protective equipment pdor to being assigned to such activities. Consumption of alcoholic beverages, or intoxication on AEH worksites is forbidden. Personnel found intoxicated will be banned from the site. Personnel in the EXclusion Zone must use the "buddy system." All personnel entedng the work zone must be adequately trained and thoroughly briefed on anticipated hazards, safety practices to be followed, emergency procedures, and communications. Visual contact-must be maintained between persons in the workzone. At no time should anyone enter an isolated area of the workzone without someone assigned to accompany that individual, or to maintain constant visual or communications contact with him/her. During hazardous operations, personnel in the workzone will act as safety backup for one-another. Communications using radios, hand signals, signs, or other means must be maintained between operations personnel. Emergency communications should be prearranged in case of radio failure, necessity for evacuation of site, or other emergency circumstances. Confined space entry, when necessary, is to be conducted according to the requirements of Title 8 of the California Code of Regulations, Sections 5156 through 5159 (8 CCR Sec. 5156- 5159). Confined space entry is never to be attempted without backup safety personnel present dudng the entry. All work practices use¢ on the worksite are to be in compliance with applicable provisions of Title 8 of the California Code of Regulations (General Industrial Safety Orders), and any other applicable regulations. 9.0 PERSONAL PROTECTIVE EQUIPMENT Chemical protective clothing and equipment will be worn .by all ,4tkins Inc. and subcontract personnel in any potentially contaminated work area. Minimum protective· clothing ensembles consisting of long pants, long-sleeved shirt, gloves, steel toe and shank boots, safety glasses or goggles and a'hard-hat (Level D protection) will be wom by all personnel within the Exclusion Zone and Contamination .Reduction Corridor on AEH worksites. Additional protective clothing consisting of Tyvek chemical protective suit, air-pUrifying respirator with organic vapor cartridges and pesticide pre-filters, and neoprene gloves (or other appropriate chemical protective gloves as designated by the Site Safety Officer) will be required when worksite air monitoring indicates a total hydrocarbon vapor concentration of 5 parts per million (ppm) or greater above background levels (Level C protection). Personnel performing operations which may result in contact with bulk hazardous materials at concentrations which may be.deleterious to health, or where a splash hazard exists, will be required to wear Saranex protective suits instead of Tyvek, as a minimum, due to the superior contact protection afforded by Saranex. The above persOnal protective equipment, at a minimum, is to be worn by all personnel in the · work zone on all AEH worksites. If emissions monitoring data or worksite conditions indicate that a higher level of personal protection than set forth above is necessary, the Site Safety OffiCer will require persons engaged in hazardous activities to upgrade to an appropriate level of protection. If a conflict should develOp regarding required chemical protective equipment in use on the. project, the National Institute for Occupational Safety and Health (NIOSH) "Pocket Guide to Chemical Hazards" is to be consulted to determine the minimum level of acceptable chemical protection. Species and concentrations of hazardous materials present and any other relevant factors are to be taken into consideration. In no instance shall personnel on an AEH worksite remain in an area where personal protective equipment is inadequate for the level of hazard present at the worksite. Personnel having facial hair, severe scarring, abnormal bone structure, or other facial features which interfere with a gas-tight, face-to-facepiece seal, will 'not be allowed to wear respiratory protective equipment or enter any area where the use of respiratory protection is required. All personnel involved in potentially hazardous activities on-site must be properly trained in the use of protective clothing and equipment.· ·Training shall consist of the proper use, care, and limitations of respiratory equipment as specified by 8 CCR Sec, 5144 and 29 CFR part 1910.120. All personnel who are required to wear respiratory protective 'devices must be fit tested as specified in 8 OCR 5144. All ,4tklns Envlronr~ental H.E. LP., _/nc and/or it's subcontraCt personnel wearing personal protective equipment shall have received, and submitted proof of, medical examinations and current participation in a medical monitoring program for the use of personal· protective · equipment prior to being assigned to projects requiring the use of personal protective equipment. This program shall comply with requirements identified elsewhere in this HSP. 10.0 ENVIRONMENTAL HAZARD MONITORING Ambient air monitoring is to be conducted for the presence of toxic or flammable vapors at /itkins Environmental I-I.~..L_P., I~ worksites where there is an expectation of this situation. Monitoring may be conducted using any appropriate real-time, direct-reading monitoring instrUment capable of detecting total hydrocarbon vapors in units readily related to the' Lower Explosive Limit (LEL) of vapors present in air. Monitoring is to be conducted at the start of work at each worksite, and is to continue during any work which presents the potential for contact with, or generation/liberation of toxic or flammable vapors. Work is to be suspended, all potential sources of ignition removed, and worksite ventilation or other appropriate engineering controls implemented, whenever 20% of LEL vapor concentration is measured at the worksite. All components of any ventilation system used for this purpose must be intrinsically safe such that contact of equipment and vapors will not present an explosion hazard. Work may be resumed when worksite air monitoring indicates flammable vapor concentrations have fallen below 10% of the LEL. Emergency activities, and activities to. secure Work in progress which would be compromised, or which would constitute a significant safety hazard if terminated immediately, may continue until such conditions present less hazard than the vapors present; at that time the worksite must be secured until safe to re-enter. Any work completed under these conditions must be conducted with appropriate safety measures implemented to compensate for the safety hazard present. In no instance may work continue on a worksite when; Flammable vapors are present at or above 30% of the LEL, or Potentially toxic materials are preSent at or above the Permissible Exposure Limit (PEL) of the most toxic contaminant present multiplied by the Protection Factor of the respiratory equipment in use, or - Toxic materials are present in concentrations which may cause hazardous exposures via .skin absorption, if chemical protective equipment in use would not protect personnel on the worksite from skin contact with these materials, or Toxic materials are present, from which the worksite personnel would not be protected bY the personal protective equipment in use. Monitoring for toxic emissions (hydrogen sulfide, carbon monoxide, tetra ethyl lead, organics, etc.) is to be conducted when they are known or reasonably expected to be present at the worksite at concentrations at or above the PEL for contaminants identified by the Occupational Safety and Health Administration (OSHA) in 29 CFR part 1910.1000, Appendix Z. Identification of specific monitoring requirements is set forth in section 11 of this HSP. Monitoring is to be conducted.using devices and sample trains capable of detecting hazardous species potentially present. When monitoring requirements fo.r specific contaminant species are in effect, sampling and analytical protocols implemented are to comply with NIOSH or OSHA methods. 9 Specific m°nitodng requirements, and indications of toxic matedal exposures established by such monitoring, will be evaluated by the Site Safety Officer and the AEH/Project Health. and Safety Officer. Appropriate personal protective equipment and/or work practice requirements will also be determined. In no event will exposures to potentially toxic materials be allowed to involve any Atkins Environmental H.E. LP., Inc: or subcontract worksite personnel (at or in excess of established OSHA PEL's) when appropriate personal protective equipment is not in use. Monitoring for atmospheric oxygen concentration, carbon monoxide, flammable vapor, and hydrogen sulfide is to be conducted prior to, and continuously throughout, any confined space entry activity. If oxygen concentration in the confined space is determined to be 19.5% oxygen or less, entry is not to be conducted without supplied-air breathing apparatus. If personnel have entered a confined space,_ and the oxygen concentration within the area falls to 19.5%, personnel are to 'evacuate immediately, and shall not re-enter without supplied air unless oxygen concentration has been determined to be greater than 19.5%, but not more than 25%. If air monitoring indicates an oxygen concentration in worksite air of 25% or greater, worksite activities are to be suspended due to significantly increased danger of fire and explosion. Re-entry shall not be accomplished until air monitoring indicates an atmospheric oxygen concentration between 19.5% and 21% oxygen. When atmospheric oxygen is present at greater than 25%, and cannot be lowered by available engineering controls; the Site Safety. Officer is to be consulted to determine whether adequate safety procedures can be implemented for work in oxygen-rich atmOspheres. If the area cannot be safely re-entered considering the oxygen concentration present and work to be accomplished, no entrY may be attempted. All crew members will be trained in the recognition and prevention of heat stress illness. Whenever the environmental heat stress conditions exist at the site (workers in chemical protective clothing, high ambient temperatures, physically demanding work duties, poorly conditioned, elderly or overweight workers) work-rest schedules will be used to avert the development of heat stress illness. Also, shaded rest areas and cool beverages will be made available to the work crews. 11.0 SPECIFIC MONITORING REQUIREMENTS Specific monitoring requirements additional to standard monitoring requirements, set forth elsewhere in this safety plan, are not being imposed for this project at this time. 12.0 EMERGENCY PROCEDURES Prior to the start of work, provisions are to be established for emergency treatment of project personnel in the event of on-site injury. The name, address, and telephone number of the nearest appropriate medical facility and ambulance service, set forth in Section 2.0 of this plan, are to be posted conspicuously on-site. If highly toxic materials are suspected to be present on-site, and chemical protective clothing is in usel this information must'be communicated to these facilities so that detoxification and emergency treatment provisions can be established. If the medical facility lacks toxicological treatment capability, arrangements should be made for consultant services. 10 Emergency showers, eye wash fountains, sanitary facilities, and first aid station will be provided on the worksite, as appropriate to' work to be conducted. California .Code of Regulations, Title 8 provisions, and project hazard analysis shall be used to determine worksite necessities in these respects. The Site Safety Officer will have been trained in the principals and practice of Cardiopulmonary Resuscitation and' Multi-Media Emergency First Aid. 13.0 AVAILABILITY OF SITE SAFETY PLAN A copy of this plan is available to all personnel on-site. Atkins Environmental H.E. LP., Ina and subcontract employees are required to familiarize themSelVes with all conditions set forth herein prior to start of work at any worksite. Subcontractor personnel are to be made aware of this plan, its provisions, and their responsibility to comply with it pdor to work. 11 CITY of BAKERSFIELD "WE CARE" F~RE OEPARTMENT - 2101 H STREET .S.O. JOHNSON July 2, 1993 ~' BAKERSFIELO, 93301 FIRE CHIEF 326-3911 MULOCKS DISTRIBUTING INC. 400 CALIFORNIA AVE. BAKERSFIELD, CA 93304' RE: Monitoring requirements for underground storage tanks. Dear Business Owner: Our records reveal that no precision tank testing has been performed on th~ underground storage tank located at 400 California Ave. Section 2643 2(A) of Article 4; Title 23, Div. 3, Chapter 16, CCR., requires that all underground tanks that do not utilize automated leak detection shall have a precision tank test annually. Additionally, pressurized piping shall be tested annually and non- pressurized piping shall be tested every three years. Pipeline leak detectors and automated leak detection systems also have to be certified'to be in working order on an annual basis. Please make arrangements to bring the tanks into compliance with state law. ~ -' If you ~e any questions, please call me at (805) 326-3979. Sincere ~, Hazardous Materials Coordinator Underground Tank Program ~ Bakersfield Fire Dep~ ~~ wWAZARD¢)US MATERI,.ALS DIVISION ~) 2130 G Street, Bakersf,eld, CA 93301 \~~~ ..~' (805) 326-3970 , ~0 UNDERGROUND TANK ~IONNAIRE RECEIVED DBA OR FAClUW NAME NAME ~EEATOR ~0 Oal[fo~a A~e. U~ ~ BOX TO INDICATE ~ COR~BON ~INDIVIDUAL ~ PAR~ERSHIP ~ LOCAL AGENCY DISTRIC~ ~COUNW AGENCY ~ STATE AGENCY ~ FEDERAL AGENCY Q3FARM Q,,.oc~o. Q~o~. ,oo.~T~. 8123001 EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY) optional I DAYS: NAME (LAST. FIRST) PHONE NO. WITH AREA CODE 79I DAYS:NAME(LAST. FIRST) PHONE No. WITH AREA CODE · 5 Mulock Eller~ (805) 527-22 NIGHTS: NAME (LAST, FIRST) PHONE No, WITH AREA CODE NIGHTS: NAME (LAST, FIRST) PHONE No. WITH AREA CODE 7 Mulock Eller~ (805) $25-557z~ II. PROPERTY OWNER INFORMATION (MUST BE COMPLETED) NAME CARE OF ADDRESS INFORMATION C*E. Mulock Testam~entary Trust ~tOO Oalife~ta Ava; Ra~.~.ft~.l&;9~Oa MAILING OR STREET ADDRESS ~' BOX ~ INDIVIDUAL [~ LOCAL AGENCY [~ STATE AGENCY ' PoOoBox 70025 Bakerafteld,Ga. 9~!;SrfD'cATE aPARTNERSHIP QCOUNWAGENCY ~FEDERALAGENCY CI1Y NAME STATE ZIP CODE PHONE No. WITH AREA CODE Bakersfield Ca. 9~87 (~05) 527-2279 H~. TANKOWNER ~NFORMAT~.ON (MUST BE COMPLETED) NAME CARE OF AODRESS ,NFORMAT,ON P,.OBox 7002.5 TO,ND,CATE ~PA"THERSH,P UCOUN'Y AGENCY ~FEDERAL AGENCY CITY NAME i STATE ZiP CODE PHONE No. WITH AEEA CODE Sakersfield Ca. 9.~87 (8e,5) ~27-2279 OWNER'S DATE VOLUME PRODUCT IN TANK No. INSTALLED STORED SERVICE ~ 1 ~976 --550--Gal. Oe__-_~!ine y(N)O Y/N Y/N Y/N YIN Y/N DO YOU HAVE FINANCIAL RESPONSIBILITY? Y/N TYPE Yes Liability Insurance ._~'/'~ Fill one segment out for each tank, unless al~tanks and piping are constructed .of ~same materials, style an~ype, then only fill i.- one segment out.Wplease identify tanks by owner ID ~. I. TANK DESCRIPTION COMPLETE ALL ITEMS - SPECIFY IF UNKNOWN III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN COXES A. 8. AND C. ~D ALL THAT APPLIES IN BOX D A. ~PE OF ~ ~ DOUBLE WALL ~ 3 SINGLE WA~ WI~ E~ERIOR LINER ~ 95 UNKNOWN SYSTEM ~ 2 SINGLE WALL ~ 4 SECONDARY CONTAINMENT (VAUL~DTAN~ ~ 990~ER B. TANK ~ ~ 8ARESTEEL ~ 2 STAINLE~ STEEL ~ 3 FIGERG~S ~ 4 STEEL C~D WI FIBERGLA~ REIN~RCEDP~STIC aATERI~ ~ 5 CONCRETE ~ 6 ~LWlNYL CHLORIDE ~ 7 ~UMINUM ~ 8 1~, ME~ANOL ~MPATIBLEW~RP C. INTERIOR ~ s G~ uN~NG '-~ S UNUNEO ~ 9S UN~OWN ~ ~ O~E. UNING IS LI~I~G MATERIAL COMPATIBLE WITH 1~ ME~ANOL ? YES__ NO__ ., D. CORROSION ~ I ~LYE~YLENE WRAP ~ 2 ~ATING ~:~ ~ 3 VI~L WR~ .,'~ ~ 4 FIBERG~S REINFORCED ~STIC PROTEC~ON ~ 5 CATHODIC PROTECTION ~ 91 NONE .... ~ 95 UN~OWN ~ ~ ~ O~ER IV. PIPING INFORMATION CIRCE A IFABOVEGROUNDOR U IF UNDERGROUND, SOTH IF APPLICABLE ~ 1 SUCTION ~ A [J 2 PRESSURE A [I 3 GRAVI'P¢ A U 99 oTHER A. SYSTEM TYPE B. CONSTRUCTION A U I SINGLE WALL A U, 2 DOUBLE WALL A IJ 3 LINED TRENCH UNKNOWN A U OTHER C. MATERIAL. AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A U 4 FIBERGLASS PiPE CORROSION _ A U 5 ALUMINUM A [J 6 CONCRETE A U 7 STEEL Wl COATING A U 8 100"/. METHANOL COMPATIBLEW/FRP PROTECTION ' "A U 9-C_~ALV.~NIZED sTEEL A U 10 CATHODIC PROTEcTIONA(~igsUNKNOWN A U 99 OTHER D. LEAK DETECTION [] 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TiGHTNESS TESTING [] 3 iNTERSTITIAL MONITORING [] 99 OTHER V. TANK LEAK'I~ETI~CTIoN v,SUAL CHECK [] 2',NVENTORY RECONC,L,AT,O. [] VAPOR MON,TOR,NG [] AUTOMAT,CTAN [] GROUND WA R MON TOR,NG I' [] 6 TANK TESTING [] 7 INT~RSTITIALMONITORING [] 91 NONE [] 95 UNKNOWN [] 99 OTHER I. TANK DESCRIPTION COMPLETE ALL ITEMS -- SPECI~ ~F UNKNO~ A. OWNER'S TANK.'J.'-D.-~' - - B. MANUFAC'I~IRED BY: - ~ -' C. DATE INSTALLED (MO/DAY/YEAR) D. TANK CAPACITY IN GALLONS: III. TANK' CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A. B, ANDC, ANDALLTHATAPPLIESINBOXD A. TYRE 0[: ' [] 1 DOUBLE WALL [] 3 SINGLE WALL WITH EXTERIOR LINER _ . [] 95 UNKNOWN ' SYSTEM ~' 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAULTEDT~NK) ~ [] §9.OTHER ~. ~- ~ B. 'TAI~K [] 1 BARE STEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 8 100% METHANOL COMPATISLEW/FRP (PrimaryTank) [~ 9-BRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN [] 990~THER © - [] 1 RUBBER LINED [] 2 ALKYD LINING 3 EPOXY LINING [] 4 PHENOUC LINING C. INTERIOR ~ 5 GLASS LINING [] 6 UNLINED [] 95 UNKNOWN [] 99 OTHER LINING IS LINING MATERIAL COMPATIBLE WITH 100% METHANOL ? YES ~ NO__ D. CORROSION - [] 1 POLYETHYLENE WRAP [] 2 COATING [] 3 VINYL WRAP [] 4 FIBERGLASS REINFORCED PLASTIC PROTECTION [] 5 CATHODIC PRO¥~CTIoN-~"~ 91 NONE ' [] 95'_IJ~NKNOWN [] 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 [J 2 PRESSURE A U 3 GRAVITY A tJ 99 OTHER B. CONSTRUCTION A U 1 SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A IJ 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U ~ ~ARE STEEL A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE (PVC)A il 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING A U 8 IO{~A METHANOL COMPATIBLEW/FRP PROTECTION A I) 9 GALVANIZED STEEL A ~ 10 CATHODIC PROTECTION A ~ 95 UNKNOWN A ~ 99 OTHER --D. LEAK DETECTION [~ 1 AUTOMATIC LINE LEAK DETECTOR [] 2 LINE TIGHTNESS TESTING [] 3 INTERSTITtALMoNiTORiNG [] 99 OTHER V. TANK LEAK DETECTION .'- - t I-_-~_, 1 VISUAL CHECK [~ 2 INVENtORy RECONCILIATION ~ 3 VAPOR MONITORING [] 4 AUTOMATIC fA~.GAUG[N(~ [] 5 GROUNDWATER MONITORING f-~ [] ~ OT. ER ,_. I 6 TANK TESTING ~ 7 INTERSTITIAL MONITORING ~ 91 NONE [] 95 UNKNOWN May 9, 1991 Mr. E.J. Mulock Mulock°s Distributing P.O. Box 70025 Bakersfield, Ca. 93387 Dear Mr. Mulock: Per our conversation, attached please find a blank business plan and inventory form for your gasoline at Mulocks Distributing Co. Please complete these forms and return them to: 213~ G Street Bakersfield, Ca. 93301 by May 31, 1991. If you have any questions please d~n't hesitate to call. Sincerely, RalPh E. Huey Hazardous .Materials Coordinator REH:vp Enclosures FIt. E ,_'ONTEN'rs INV,'=~IT Date [~JPe~mit to Operate I /~'~::)/(~) Date r-JconstructJon Perm-lEt ! , I~lPermit to abandont -- No. of Ta~ks Date r~Amended Permit Conditions . _~_3Perm.Lt &ppttcatton Form, __~ [ ' Tank S~neets, [::]&pptication to Abandon t~anks(s) Date .... *l-~Xnnual Roi)crt Forms {::]Copy of Written Contract Between Owne'r & O~erat~r ' I-JZnePe.Ction Reports _ , ~]Co~espon4ence - Received .... .. Dats riCer reapondence' - Mailed ' ' - ' .... Da ....... Date thor ta~d Release B Uflau , · ~ - -- Abandonmen~/Cloeu~e Reports . , , ? , I'lsampl Lng/Lab ReS)orCa . - I'I#vF Compliance Check (Mew '"COni'tr~ctt'on' Checklmist} 1::]57D Compliance Check (Now Constructton Checklist) ~#VL' Plan Check (Mew Construction) r15TD Plan Check (lieu Construction} I'IMVF Plan Check (~xisting Facility) F'IS?D Plan Chock (.existing Facility) ~"Xncompiete Application" Form ' r'lPermlt Application Checklist Be[mlt Instructions I-IDa acarded Tightness Teat Relultl ..... Date - -..'. Data Date [:]Monitoring Nell Constructl'on Dal~/P~mI't~s " [:]V-nvironmental SenaitEvity Data: ._ B Gzoundwatec Drilling, Boring Logs Location of klate~ Nells r'~statement o~ Underground Conduits' ~3Plot Plan Featuring All environmentally Sensitive Data l-IPhoCos r'lconstructlon DraWings Location: I-IHa1E sheet showing date received and tally off inspection t[me~ ~t~c I:] Iqt sca! laneous .. Permit Questionnaire .=::~-.;-..-::--: Normally, . permits are_.__aeu_t- to ..... fac. i. li~t.y Owners :.but .since .... many Owners live outside Ke'rn County, they may choose to have the permits sent to the Operators of the facili.t¥ where they are to be posted'. Please fill in Permit ~ 'and check one of the following before returning this form with payment: For PERMIT # , /'~'~)0 I ~ -~-~.':-'~""~'~-~'~'~'~'~-"'~o Owner at the address r listed on invoice (if ~ner is different than Operator, it will be Owner's responsibility to provide Operator with pertinent information). ' 2. Send all information to Owner at the followin8 corrected address: 3. Send all information to Operator: Name: Address: (Operator cai, make copy of perml: for Owner). · ~?oo F~owe, Stroet COUNTY HEALTH DEl ~' HEALTH OFFICER Bakersfield, California 93305 Leon M Hebertson, M.D. ENVIRONMENTAL HEALTH DIVISION '' .. Te ephone (805) 861-3636 . , .., ' ~ DIRECTOR OF ENVIRONMENTAL HEALTH · " .~ Vernon S. Reichard ., . · -,- -.-""~=,"- "" ,=,'~-~M-,' T~ ~':'/~,"~,~./~.'W,~X~.x/r'~~ i" P,,'-RM',' T~'~.' 5 Oo. m~a~ous. _______ ---~,,---~-c~s .k~~~'~~ '" .'' .~.-"~ .- .-'..;"J~..'-~'"./~.i'.~_i., UNDERGROUND '~"' . ..... "~'~'NOTE' A~ INTERIM ~EQOI~EMENTS .EST~ISHED BY THE PE~ITTING ,,%j:~:..,~:,.~'?.~.~.k ~.. ~: .',.~'?~.-~..',.',~:a.:h,~.~'~.~,~.~.:.AUTHORITY MUST ~BE MET ,DURING THE =, . . · ...~ '. ,..?'.,- . . ,. ' DA~ m~[T ~[~,~= JUL 1 6 1986 '" ' ...... .., .... ..... -. ;..~. .. .. .: .:.'.... · :.....(. :' ........., ' , ,'. ,~ .~ '.".. ~ .. ~.: .'. . ..- : . ,~ .~- ., , ... . . . · ,' , " '- -t'.~.:'..:~"' "~ ' .~ .-., .. .. ... · ,..,.. .-~ ,.;: .... .~ .'-. ., ' . . . . . _ .. . . ...,~.:..~, .. ,...., .,.. ,~ .,,,./ . ... . . · -,:..... . ....'....,..<...f:..,.~ ~ .. .~ ., ..-,... · ,..,~ ~-..,~;~ ,,.,.: ~, ~ ....~.~, ? :.~.:~ · . Kern Coun't¥ HeAlth Departmi ( Division of Envirorm~ental ~J~l'th. Applicatio~ata . 1700 Flower. Street, Bakersfield, CA 93305 /~'~(~ / ' APPLICATION FOR PERMIT TO OPERATE UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY Type of Application (check): DNew Facility ['~Modification o'f Facility ~Ex.isting Facility ['~Transfer of Ownership' A. Emergency 24-Hour Contact (name, area code, phone): Days ~' ~Z7- Z Z 7~ " Type of' Business (check): DGasolin'e Station ~Other' (deSCribe) ~ Is Tank(s) Located on an Agricultural Farm? DYes Is Tank(s) Used Primarily for _Agricultural ~urposes? DYes Facility Address ~:~ ~4~.;~';% ~Ru~ra~al Nearest Cross St. ~t~ ,T __ ~ R SE.C ( Locations ~ly) Addr ess ~ ' Zip Telelmhone .~.4-~ ' B. Water to Facility prOVided by ]~~~~~~pth tn' Groundwater Soil Characteristics at Facility~ - Basis for Soil Type, and Groundwater Dep/h Determinations C. Contractor CA Contractor's License No. Address Zip Telephone Proposed Startir~3 Date Proposed Canpletion Date Worker's Ccmpensation Certification ! Insurer D. If This Permit Is For Modification Of An Existing Facility, Sriefly DeSCribe Modifications Proposed .... E. Tank(s) Store (check all tha~ apply): Tank ! Waste Product Motor Vehicle Unleaded Regular Premi~ Diesel Waste F. Chemical C~mposition 'of Materials' Stored (not necessary for motor vehicle fuels). Tank ~ Chemical Stored (non-cotm~ercial name) CAS ~ (if known) Chemical Previo~..ly Stored (if different) G. TranSfer of Ownership. Date of Transfer Previous Owner · Previous Facility Name I, accept fully all obligations of Permit No. issued to · ! understand that the Permitting Authority may review and modi'fy or termi'na't'e the transfer of the Permit to Operate this ~dergro~d storage faci. 1 ity_U_[~o_n_r__ecefv~.n~._this .completed .~orm._ ............................. . .......... . _. This form has been c~mpleted under penalty of perjury and to the best of my knowledge is true and correct. . TANK ~ (FILL OUT ,%EPARATE FORM E~H TANK) FOR EACH SECTION, CHECK ALL APPROPRIATE BOXES H. 1. Tank is: [~Vaulted [']Non-Vaulted ~Dguble-Wall ~Slngle-Wall [']Carbon Steel ~Stainless Steel E]Polyvinyl Chloride -[]Fiberglass-Clad Steel ~] Fiberglass-Reinforced Plastic [] Concrete []] Alu. inure [] Bronze []Unkmown [] Other (describe) 3. Primary Containment D~te Installed Thickness (Inches) Capacity (Gallons) Manufacturer 4. Tank Secondary Coh~ainmenc []Double-Wall [] Synthetic Liner []Lined Vault []None [~n'*kno~n [] Other (descr ibe): Manufacturer: []Material Thickness (Inches) Capacity (Gals.) 5. Tank Interior 'Lining ~U~'~kn ' ---~Rubber []Alkyd []Epoxy []Phenolic []Glass []Clay []~nlined own []]Other (describe): ._.~.i ....... 6 .....Tank. Corrosion Protection ................. -**.... ............ - ......... . ............................... ~ .... ..... - --]~Galvani*Zed ~ass-Clad []Polyethylene Wrap []Vinyl Wrapping Cathodic Protection:~= []Impressed Current SFatem ~l~a%'rificia~ At. de System Describe System & Equipment: 7. Leak Detection, Monitorinc~, and Interception a. Tank: ~Visual (vaulted tanks only) Ii]Groundwater Monitorin]* Well(s) [-]Vadose Zone Monitoring Well(s) []U-Tube Without Liner []~U-Tube with Compatible Liner Directin~ Flow to Monitorirr] well(s)* Vapor Detector* [] Liquid Level Sensor* ~ Conductiuit]~ Sensor* [] Pressure Sensor in Annular Space of Double Wall Tank [] Liquid Retrieval & ~nspection From U-Tube, Monitoring Well or Annular Space Re co nc i 1 [] Daily ~u~ing & Inventory . i_ation.~ [] Periqdic Tightness Testir~ · []None ' her VR. DOR. . b. Piping: Flow-Restricting Leak D~ec~r('S)- for Pre~ssur~ze~ Piping []Monitoring sump with Race~y []Sealed Concrete Raceway []Half-C~t Compatible Pipe Raceway []Synthetic Liner .Raceway []None ~93nknown [] Other *Describe Make & Model: 8. Tank Tightness l~iS T~nk' Been Tightness Tested? ~¥es · []No ~Unknown Date of Last Tightness Test Results of Test Test Name Testing Company 9. Tank Repair Tank Repaired? []Yes ~No []Unknown Date(s) of Repair(s) Describe Repairs ' - 10. Overfill Protection ~--Operator Fills, Controls, & Visually Monitors Level [~Tape Float Gau~e []Float Vent Valves [] Auto Shut- Off Controls []Capacitance Sensor* []Sea'led 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 Approximate Length o'f' ~ipe b.. Underground Piping_ Corrosion Protection : [~Galvanized Ii]Fiberglass-Clad ~Impressed Current [-]Sacrificial Anode []Polyethylene Wrap ~Electrical Isolation ~]Vinyl Wrap ~Tar or Asphalt []Unknown []None [-]Other (describe): c. Underground Pipirz], Secondary Containment: []Double-Wall []Synthetic Liner 5~;stem ~]None [qUnknow~ []Other (describe): · . ,NOU 5 '93 0:~0 STUART A. WRIGHT INS. PAGE.00~ I#FORHATION PAGE .gORKERS COHPE~SAT[ON AND EMPLOYERS LIABILITY POLECY ' NEC HARTFORD UNDERMR[TER$ INSURANCE CONPANY HARTFORD PLAZAp HARTFORD CONNECTICUT POLICY NO: 7Z gEC CP35Z8 OZ RENEHAL I. NA~O INSURED AN0 ATKINS ENV[RQNHEN'TAL HAILING ADDRESSI INC.~ Z~Z36 LYeS AVE THE NAHED INSURED IS: SANTA ~ARITA, CAe FE]N ~.~ 999000000 OTXER gOtKPLACES NOT SHONN' A~VE; AS STATEO ANO ELSEgHEKE ~N C~[FOKN[A STANDARD TIHE AT THE [HSUREOS HAILING ADDRESS PROOUCEReS COOEA Z5285~ PROOUCER~S NA~E: STUART A NRIGHT ~ ASSOC INS SER¥$ PREVIOUS poLICY NO: 72 MEC CP3528 POLICY PROVISIONS FORA NO: NC O0 O0 O0 (HA, HI, N~t TX ONLY), NC O0 O0 O0 A 8US[NESS OF NAMED INSURED~ ENVIKONHENTAL CONSULTANT OFFe AUDIT PERXO0I ANNUAL TOTAL ESTIMATED ANNUAL PREHIU~ $1,185 O£POSI/ PREHIUH $1tld5 POLICY NiNIHUN PREMIUM $i.000 CA (INCLUDES INCREASE0'LINIT NINe COUNTERSIGNED 6I ' AUTHOR FORM ~C.O0 O0 01 T (PRINTED IN CONTJNUED ON NEXT PAGE 08-28-93 7Z ~EC CP35Z8 ([1-01-9~) X O?Z - 0001733~ ~NOU 5 '~3 0:~0 STUART A. WRIGHT INS. PAGE.003 ~ tNFORMATXOI+ P&I;E (C~TINU~O~ .ICY ~: 72 ~C CP35~ ~.A. .H~RS' CD~E~ATIGN ~SURANCEz PART ONE OF ~HE P~ICY APPLIES TO T~ HOR&ERS CO~ENSATION LAM DF T~ STATES LISTED HEKE: CA 6. EMPLOYERS LIABILITY IHSURANCEI PART THO QF THE POLICY APPLIES TO WORK IN EACH STATE'LISTED IN ITEM 3. A. THE LIMITS OF OUR LIABILITY UNDER PAR; T#O AREI BOOILY INJURY BY ACC[OENT $IpO00,O00 EACH ACC;DENT 80OILY INJURY 8Y DIS;ASE $1,000~000 POI.~C~ LIMIT BDOIL¥ INJURT 8Y D[SEASE ;:~$1~O00. O~O,EACH EHPLDY~E Ce OTHER SLATES INSURANCE - PAR; THREE OF THE POLICY APPLIES [g TH~ STATE$~ IF AN¥~ L[S[EO NEREt D, THIS'POLICY INCLUDES THESE ENDORSEMENTS AND SCHEDULESA NC O00~ O~ 1GZZ~O ZO ~C O~ 03 03 ~C Oq 03 01 ~C O~ 03 60 NC 99 01 02 THE PREN[UH FOR THIS POLICy NXLL BE DETERNINED 6Y OUR MANUALS 'OF RULES,. CL&SSIFICATIONS~ RATES ANO RATING PLANS. ALL INFOgMATION REQUIRED 15 S6BJEC[ TO VERIFICATION'AND CHANGE DY AUOITo CLASSIFICATION ESTIMATED RATES PER ESTAMATEO CODE NUaBE~ A~D 10TAL ANNYAL SXO0 OF ANNUAL OESCR[PT[ON REHUNEgAT[ON REMUNERATION PRE~IUH ~51! [F ANY ANALTT[CAL OR TESTZ~G LABORATORIES - INCLUOING OUTS[DE OPERATIONS - N.OoCo - 87~ ~1,~00 1.~0 577 SALESPERSONS - OUTSIDE 8510 61,800 098 606 CLERICAL OFFICE EMPLDYEES'N O C TOTAL ESTIMATED ANNUAL STANOARO PREHIUH 1~183 GENL FUND EHPLOTER ASSESSNENT O, lZST PERCENT FRAUD ASSESSNENT 0o09b05 PERCENT 1 TOTAL ESTIMATED ANNUAL PREMIUM lm185 POLICY HININUH PREMIUM $1,000 CA FORM NC O0 O0 01 T PRINTED IN UeSoA 08-28-93 72 ~EC CP3528 (11-01-9~) 072 - 0001T335 'NOU 5 'S3 0:~! STUART A. WRIGHT INS. - B& THIS OECLARATIONS PAGE WITH FORH 4~OA AND OTHER FORM5 AND 80 IF'ANY, ~SSUED TO FORM A PART HEREOF,. COMPLETES THE BELOW NUNBERED CY SPECTRUH POLICY PROGRAH-6PECIAL POLtCY SBA INSURER; HARTFORD FIRE INSURANCE COHPANY HARTFORD PLAZA, HARTFORD, CONNECTICUT POLIC. Y NO, ?B SBA D E C L A R A T I O N 8 ATK~NS ENVIRONMENTAL H,E,L,P~, INC, ~3~3& LYONS AVE, I N & M E D I N B U R E D A N D ~ANTA CLARITA, LO5 ANGELES H. A I L I N G A D D R E S'S; CA, 913~1 P O L I ~ Y p E R Z 0 D~ 1~/01/93 11/01/¥4 : ~:0~ A,fl, STANDARD T~HE AT INCEPTION EXPiRAtION YEAR LOCATION OF DESIGNATED PREHISE8, P R 0 D U C E R ' S C O D Et ~.8~ P R 0 D U C E R '-$ N A H E: STUART A*HRIGHT ~ A~SOC INS SER~S P R E V ! O U 5 P 0 L ! ¢ Y N O, 7~. SBA CY50~6 ~' T H E N A N E D I N S U R E D I 8: CORP T O T A L A N N U A L P R E fl I U R [ SI $934 IFORII SP-3-1T (NSi PI~INTED tN U.S,A. PAGE I (CONTZNUED ON NEXT PAGE) State of California CONTRACTORS STATE LICENSE BOARD Ucense Number Entit7 CORP Cla$ I 1/30/94