HomeMy WebLinkAboutUST REP. 2/9/1996Sub r~iv.,3~t Ca ~,,~_ . ~k. ~t
You are hereby required to make the following corrections
at the above l~aflon:
I
Completion Date for Corrections ~,/I~f /~
Inspector
326-3979
-
KERN COUNTY HEALTH DEPARI'~ENT
ENVIRONMENTAL HEALTH DIVISION ·
· MEETING/CONFERENCE RECORD
DATE: . ~) SUBJECT
CALL PLACED/RECEIVED BY:
/jr
5~LECT. I~DIcAi_. BILL!NG 805864E~457
p.~
10/2n,'~8 ll:~ ~ 32~ 0~78 BFD }{:~Z )iAT DIV ~o02
CITY OF BA~RSFIELD -~- ~Q ~q
OFFICE OF E~IRONMENTAL SERVICES '~ ~
1715 Chester Ave., Bake~field, CA (805) 326-~979 ~
PERMIT APPLICATION FOR
REMOVAl. OF AN UNDERGRO~D STOOGE TANK
51TFJNFORM, A'}'ION C .~ ""' /%, ^ '"'- '"
~,T~ _Zi~_~ ~52~_ ,..uu~,,ss e~_ t _~ {~¢.._ zm cot~ 75~-/_ ,~
^c C/'fv ' _ _ _
~o~'Ar~vL~.-t.,~.Yz~~_~._~p~o~ ~o.~.9{~ W~lrl' uce~sz sro.
coMpanY _ P,o~ ~o. __ ucz~s~ ~o.
nuu~ss c~ __ziP_
INSU~NCE C~R WO~N$ COMP NO.
TAWK CLIANIN~ IN~RMA!'IOW . ~ '
NAME OF RINSA~ DIS~L FAC~I~ ~~D~ 1 ~n_ ~-c~/'(' ~ ~
TA~K/~OR~ATIO~
TANK NO. AG~ XOLU~C STOR~ · $TO~D
." .-Jr ..].~.~' "" ' '; '~'~: '' ~ ; "~'." · :' · .... · .; ~g'... , '; ' . (',L'...'.' "
TI II~ txPl'l,ICa~r HAS RECDW;I). I ~Df~R$TA~S. ~ ~J. CO~'I.Y WrHI TI.~ Al'raClfl~O CONDI'OONS
P1HiMrr ANI) ANY t~ll IILR STA 13L I,{~AI, ~D FEDE~
.~ THIS ,~PPLICATiON BECOM~ A PERMIT ~I~N APPRO~D
ATTACHMENT # 5
UNDERGROUND TANKS
DOCUMENTATION OF DISPOSAL
Facility Name:-. Texaco Express Phone No.: 805-399-3770
Address: 3621 California Ave. City: Bakersfield
SIZE PRODUCT STORED DATE REMOVED
1. 2000 Gals waste oil 12-17-98
2. Gals
3. Gals
4. Gals
5. Gals
6. Gals
Tanks retained onsite for above ground storage ( )Yes ( X ) No
Tanks disposed of at a recycling/scrap facility ( )Yes ( ) No
Name: Petrosius Construction Address 1110 N. Cain St. City: Visalia
Tanks sold: ( )Yes (X) No
New Owner: Address City:
Nature of reuse of tanks:
SIGNATURE OF RECEIVING PARTY
Signatur _e .'-'~~.A~~ ~~ Date:
Print Name: Joe Petrosius
TEXACO STAR MART
SCALE' 1"=20'
LEGEND
~se APPROXIMATE
LOCATION OF
SOIL SAMPLES
, 12/17/98
/.. A.C. PARKING LOT
~ 1,000 GALLON WASTE
o,. T.~K RE.OV~
XPRESS LUBE
uJ ILl
I.-- I--
CONCRETE V-GUTTER ~
SOIL SAMPLE LOCATION MAP
CONSOLIDATED TESTING oogo4! ~
LABORATORIES, INC.
SOILS INVESTIGATION SOILS AND MATERIAL TES'HNG FIELD INSPECTIONS
PROJECT NO. ' 4304-98 COUNTY INSPECTOR .~owmgP ' ~ ~ N~
PROJECT[OCAT1ON Texaco Express, 3621 California Avenue, Bakersfield; CA.
· TRANSPORTED BY - "[XLruck COMMENTS "/,lo
or~
DEPTH OF DEPTH TO
SAMPLE · BOTTOM OF
STORAGE BELOW TANK/PIPELINE
· SAMPLE CONTAINER EXISTING BELOW EXISTING BATE/rIME ANALYSIS .-
NO. TEMP. GRADE GRADE SAMPLED REQUIRED
· REFER TO SOIL SAMPLE LOCATION MAP FOR SAMPLE LOCATIONS
/ CHAIN OF POSSESSION
1. CONSOLIDATED TESTING LA.BORATORIES, INC. /,~
A.c._-JLLATiO N DAT=J'rIN~
3.
Recaived 8y AFF~PJATION OAT'c/TiME
Porter'Zlle Office ' (209) 781-0571
Fax (209) 782-~389 S~orage container
603 E.. Worth Av~. 3& oF
Por~ecvil~e, CA 93257 Temperature at lab
01./07/99 THU 14:$$ F.,~ 209 851 9041 ADVANCED BIOTECH/BIOW0RL ~]002
'01/07/99 TRU ~4:$$ ~ 2~ 651 9o41 ADV.~CED 9IOTECH/BI0~0RL ~003
S~le ZD: 060il'O1
P.Q.L. ; ~:lcc~c~Z ;~gc~c~on L~;tc (~Ze~a ~o cae
~c~le ~aed ~ a~le s~e used ~ ~1~1
~LC = Toc~l T~eihold L~ic
gW = "Teac ~chod8 for ~v~C~n~ Sol~d Was~ee Ph~sical/~emical
~D~ Schulc z
01/07/99 THU 14:56 FAX 209 651 9041 ADViNCED BIOTECH/BIOWORL [~004
~Ccn: ~;CK B~ 309-?82-5308
P~ccic~l
B=~o~ ~one ~mcecce~
~c~~e ~e ~cecced ~g/k~ ~. o0~
~lcr~nzen~ ~e ~cecc~
~l~z~c~e M~e Detected ~/~
Chloco~o~ N~e ~cecc~d
~ib~or~ne ~e ~ececced ~/~ C .oo5
~i~hlo~t~l~c~c~e Nc~ De~e~ed ~/kg 0. o
~, ~-D~chlo~~e ~e Dececeed m~/kg
Z, 1-D~chZo~M~ ~e Decacce~ ~/kg O.
cx e - l, 2 -Dl~lor~e ~e DaCecced m~/k9 0, OOS
c~ - Z. 2 - DaehlD~eChe~ N~e Decec~ed ~/~ 0. 005
1,2-D=~lor~~e None uececced ~/k~
cis-1,3 -D~chl~z~ M~e Dece~ce~ ~9/k~ O. 005
~ch~l~ne ~ide N~e Dece~Ced ~/kg 0.01
1,1,2-Tr~loroe~e ~c~ ~cecced ~/kg ~. OCS
T=~chlor~C~ ~e Dececce~ m~/k~ 0.005
!. 1, 2
Vinyl ch~ori~ N~ Dececce~
QumZ~Cy C~1 Dace
Sq~oqare~ ~_ ~e~ C~Crol
l. 2-Dl~oroec~O-d% 27, 70-131
0t/07/99-..THU 1¢~57~AX 2(]9 651 9041 ADVANCED BIOTECIL'BIOWORL ~]005
--' ~ .................... ~o~lo~o T-~g~ P.IO/I~ ~-0~
01/O7799 THU 14:%~7 F~ 209 651 9041 ADVANCED BIOTECH/BIOWORL [~006
S~? LABORATORY
12'/,9 V. Ii~JlNDERSOM' ~r32s D&ce Rscmi.~'ed: 12/10/20
186, AZ ~l.;e~Lse: A~0345
Dep&rcmenc Superv~so:t:
uJ..,u~.,~:u J. uu J.~;~.~ t'.'LA zU~ ~C'J. ~U41 Yd)VA.~{(Ji:ID BIUI't!(Jit/~IUWORL. '.~]OOT
I~I~OI:~TOIRIES t)mge
A~ ~ 5~ 209-7{2-5308
T~le Z~ ~ ~e; ~e i; ~ll~le ~ol~d - ~= Free ~d
~d ~ .S ~/~ 2.s s~-~O ~.0 ~oo.
~i~es co ~;e~ine ~o~1 levels.
STLC ~ Sol.lo ~rem~ld LAmAc
~LC = Total Th=es~ld L~m~=
~ = .Tape ~ch~ ~or ~al~ci~ solid ~as~ea P~yfical/~mal ~s".
.... · ..~.o.r.~.x ~u~ oox ~U~l ADV.~NCED BIOTECE/BIOWORL ~005
LABORATORIES Page
~rol~,cile oxgaz-,.i e
~0~ ~e ~ec~ed mg/~ 000S
Chl~=~enz~ne No~e Pego~Ce~ mg/~ ~ OOS
Ch~Eo~ N~ DittOed m~/k~ O O0~
~lu~ech~e ~e ~ce~ed ~/~g 0 O1
~, 3-D~lor~nzene N~e ~ececce~ ~/k~ 0
l,~-Dtc~lor~nzena N~ Deceuce~ ~/k~ O OOS
D:chlo~lfL~r~c~e No~ ~gec=e~ ~/k~ O 005
1.1-Di~lur~C~ N~e Dececce~ ~/~ 0
a&s - I, 2 -~ichlor~chaue ~e D~cecCed m~/~ 0
==~ns - 1, ~ -D&~h~oegheno None Detected mg/k~ 0. O0S
~, l -Dl~lo~=o~e ~I Dece~e~ mS/kg 0. OOS
cr~n~- 1.3 -D~chloc~r~e~ N~e Detected mg/kg 0.
~c~7!ene Chlo~ ~ ~=eeced ~/~ O,Ol
1,1, -,~ 2-Tecr~=hl~r~e~ N~ Decec=8~ mg/k~ 0 .
Te=ra~or~c~e No~ Dececce~ ~/~ 0.
X, i, ~-T=l~lo~oec~e ~e Decec=e~ ~/k~ · 0.00.5
1, I, 2-T~ic~lo~oec~e N~ ~cec~ed mg/k~ 0,005
~c~lor~l~=~ec~ne ~e Deck,cea ~/kg 0.005
l, 1,2-Trachloro-
Me=by1 - n-buc~lecher N~e D~=ec=~d ~/k~ 0. OOS
1, 2 -P~ =hloroech~e -d% 8~. VO -
Tol~e-d8 g 7. 81 - 1 L7
4 - Sr~of luocobenz~ne ~ ~, 74 - 12~
9041 ADV.~CED I~iOTECIt/BIOWORL ~00~
State of Ca(ifornia--Environmental Protection Agency
Form Approved OMB No. 2050-0039!lExpires 9-30-99) See Instructions on back at ,ge 6. Department of Toxic Substances Control
~'~- '~'rint or type. Form designed ~ ........ lite (12-pitch) rlter. S ....... to, California
1'~ ..... tor's US EPA ID No. Manifest D ...... t ~ 2. Page 1 Inf .... tion in the shaded .....
UNIFORM
HAZARDOUS
~ , is not required by Federal law.
3. Generator's Name and Mailing Address A. Stale Manifest Document Number
· .... 98573880
4. G ..... tor'sPhone( )~)~ 399 37?0 I I } I { f l
5. Transporter ] Company Nome 6. US EPA ID Number C. State Trans~der's ID
D~ Transponer;s Phone
7. Transporter 2 Company Nome 8. US EPA ID Number ........ ~'
9. Desifnate~d ~acili~ame an~ Site Address 10. US EPA ID Number G. State Facili~'s ID
3256 ~] ~;~S ~V~, FRES~O ~,~ 93722 '"~'"'~o~',~o,~
12. Containers 13. Total 14. Unit
11. US DOT Description (including Proper Shipping Name, Hazard CJass, and ID Number) No. Type Quanti~ Wt/Vol I. Was~ Number
a. ~ ~'~ ~ State
~. State ................
E EPA/Offer ....
c. State
O ~,/om~
II I Illl ,,
d. State
~/Oth~,
J. Additional Descriptions ~or Materials tbmd Above K, Hand~ing Codes ~or Wastes U~ted Above
.... ~'5. Special Handling Instructions and Additional Information
:{nvoice~21. t77 ~:;:erqm~c~ Res~ons<, Contact
t~Yea~:' qlow:.r; ~: ,~o<~qles Don
16. GENERATOR'S CERTIFICATION: ~ hereby dec1~re ~h~t the c~ntents ~f this c~nsignment are fu~y ~nd accur~te~y described a~ve by Pr~per shiP~ing name an~ ~re cbssi~ed~ P~cked~
marked, and labeled, and are in oil respects in proper condition for/ransportby highway according to applicable international an~ nafiona/government regulations.
If I am a large quantity generator, I cerfi~ that I have a program in place to reduce the volume and toxici~ of waste generated to the degree I hove determined to be economically
practicable and that I hove selecte~ the practicable method o~ treatment, storage, or disposal currently available to me which minimizes the present and future threat to human health
and the environment; QR if I am a small quantity generator I have mode a good faith effort to minimize my waste generation and select the best waste management method that is
~ avoil0~l~t~me'and th6t I ca~'~ff~}d. '
, L , ' .' f ' '~ '~" "-- ~ ,'
r Pr,nted/~ed~me t ' ,~ ....... ~ I S gnature , '.. ,'./ Mont~ Da~., ,Year
17. TranspOrter 1 Acknowle88emenf o~ Receipt o~ Materiels ...... ....
;~ Month Day Year
A Printed/Typed Name Siena ~ ~-h~...-r--~, " ,~
0 18. Transporter 2 Acknowledsement of Receipt of Materials k.
~RE Printed/Typed Name sig~6fbPE - Monthl I ] I IDay Year
19. Discrepancy Indication Space
F
A
C
I
L
I 20. Facili~ Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19.
Printed/Typed Name Signature ~ Mo~t~ Day Year
DTSC 8022A (4/97/ ': Yellow: GENERATOR RETAINS
EPA 8700--22