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HomeMy WebLinkAboutUNDERGROUND TANK #1-C-01/24/92 BAKERSFIELD FIRE DEPARTMENT /~ ..-'~"F HAZARDOUS MATERIAL DIVIS ION ~q~..~¥&~ 2130 G Street, Bakersfield, CA 93301 ~ (805) 326-3979 TANK REMOVAL INSPECTION FORM O~ER_~ 'B~L - PE~IT TO OPE~TE% CO~CTOR ~7~ CONTACT PERSON LABO~TORY .5~ ~ % OF S~PLES /O ,~~ TEST ~THODOLOGY ~~., ~~'/ ~/ ~~ ~~a~ ~ss~ss~ co. co~c~ ~so~ CO2 RECIEPT ~5 LEL% I/3t(~ .~ PLOT P~ CO~ITIONOFTANKs~' rU~/~-- /A;/~f CONDITION OF PIPING CONDITION OF SOIL COMMENTS "- ~" ,,~,~ ' 'DATE INSPECTORS ~4E / SIGNA~RE  ersfield Fire Dept. ~' PERMIT HA]~ous MATERIALS DIVISION ............ UNDERGROUND STORAGE TANK PROGRAM PERMIT APPLICATION FOR REMOVAL OF AN UNDERGROUND STORAGE TANK SITE INFORMATION n TANK OWNER/OPErATOR /~ ~/~ ~ PHONE No. CONTRACTOR I~FOEMATION ~ INSURANCE CARRIER ~~ ~z~ WORKMENS COMP No. ~/~ PEELIMANAEY ASSEMENT INFORMATION ' · COMPANY ~/~~ . PHONE No. ~-~~ LICENSE No. TANK CLEANING INFORMATION -- · NAME OF RINSTATE DISPOSAL FACILI~/~~ ~~ ~-' F A CILI~ INDENTIFIC A TION NUMBER ~/~~~/~ TANK TRANSPORT~ INFORMATION ~, COMPANY /~ ~ ~~ PHONE No. G~5- ~ ~ ~ UC~NSE No. TANK INFORMATION TANK No. AGE VOLUME CHEMICAL DATES CHEMICAL THE APPLICANT HAS RECEIVED. UNDERSTANDS, AND WILL COMPLY WITH THE ATrACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COI[4PLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT. /- APP'LICANT ~IGNATURE- .~APPRbVI~E~ BY:.--~/ APPLICANT NAME (PRINT) THIS APPLICATION BECOMES A PERMIT WHEN APPROVED BAKERSFIELD FIRE DEPARTMENT 2130 G Street, Bakersfield, CA (805) 326-3979 CERTIFICATION STATEMENT OF TANK DECONTAMINATION I, ~l~ ~/~ an authorized agent of name /~~~ ~C~_ ~~ here by ~attest under penalty of contracting co. perjury that the tank(s) located at~~l / ~~.. ~ and address being removed under has been' cleaned/decontaminated properly and a LEL (lower explosive limit) reading of no greater than 5% was measured i~ediately following the cleaning/decontamination process. name (print) . / '. '~i~nat. ure WEGENER \ A / CONSTRUCTION 0£C' t99! . ~ J ~'~ "? "" "-~ ?' ""~ ~ I ;'"' (:2 T [*~ K ~ F' ~ k"~ Z:. ~":i ]"s. ~..J LJ ~..~ .::::, ' '~ ~ 'T' E? ~ ........ ....~ .~....~ i ,~ ~' ~'" "'¥' F"F" ~")l H, ?, c".?:" ,'":z~ c', .... ................. ~ ~::: '" i::: ~:::'. '~' ..~..'~}'"'~ ~'" ?~ :i } ]'.'"~F: ~ ;, "~"u.i~::'~ ...................... i... ~ ~ ~ ~..) ~ ~ .,. ;.... ~.;~.. :~....~ . ....~ ~ ~ ,...~, . ?. ,, ~..,.,'" .,.'r ~,., ...... ~::~ ~...~ ........ ~ ~ :. ~'~,..,~/". ~', .,T .......... F:'F:'::3"{" :(:~: ? :L ::?{~ ;{ '7"~'::, F~: ;:~;, F:'( F}'T' ~:::'~....~:~.1 z~., ~'"¥..hC~ :~' T',~ ("¥:;' (";~ IF:;"FF¥';~ .... ~;.;.; ,,....,..~""~"~'"', i .. ,~.~ ~:{-~ f") F:' /:YT' (") F;"? :~:!::) :j: L_ :::~:;/2dYJl:::'L ~:::' ~..~:.,!~...~ ~_.. ', ,' ~'~.~. .::::, T ~"' F':["~::;.'}") :~: ::;:: L.. i..."/ ,: 1710 CALLoWAy BAKERSFIELD, CALIFORNIA 93312 (805) 589-5570 FAX (805) 589-1161 LIC. NO. 413913 _ N° 10143 GOLDEN STATE METALS, INC. TANK DISPOSAL FORM P. o. Box 70158 · 2000 E. Brundage Lane I Date ,19 Phone (805) 327-3559 · Fax (805) 327-5749 i Contractor's Scrap Metals, Processing & Recycling License No. · Phone No. JOB SITE: DESTINA~ON: G.S.M. · 2000 E. BRUNDAGE LANE · BAKERSFIELD, CA 93387 ,o: TOTAL C NK 2000 .g7 INSPECTION LEAN & DRY (ACCEPT), OR :=iii:?:!:~ii ...... ' ........................................................................................................................................................ [] RESIDUALS PRESENT (REJECT) 3000 ,1,.3,2. LEL READING sooo 2.42 ~ OXYGEN CONTENT 7soo 3.2s __ DISPOSAL FEE 90o0 3.82 12000 4.93 TOTAL All fees incurred are per load unless specified. Terms are net 30 days from receipt of tank. Contractor's signature represents acceptance of terms for payment, and confirms ~ ^ CERTIF_JC~TE OF TANK DISPOSAL / DESTRUCTION DATE WHITE-- Contractor Copy · YELLOW-- File Copy · PINK-- Permanent Copy See Instmctiofls on back of page 6. To~: Fo.n deWl;ined fo~ ~e on e~te (;~21:~ch h, pewr#eO. ,~:x~:~nefl~. Ca~omla UNIFORM HAZARDOUSi// /,.~ .,/,..,,~.~, /_ ~./j J 1. Genmato~. U5 EPA ID No. Nk3~est Oocta'm~ No. I 2. Page I J Infcxmatlo~ In 1he shaded cz~al k not required by Feclegal k:zw. END OF COHHERCI~L DR GLOVES, G~GLES AND PROTECTIVE CLOTHING T E A C DO NOT WRffE BELOW THIS UNE. c)Hs 8o22A O 2/9o) Write: TSDF SENDS IHIS COPY TO DHS WITHIN 30 DAYS. EPA 8/O0--22 :;: To: P.O. Box 3000, Socromento, CA 95812 Location of 'SamDlinq __ Collector Compan~: Compan~: ~ ~bor~to~ Address: Address: B~u~u!d, CA 93308 Telephone: ( ) Telephone: ( ) Telephone: ( 805 ) 393-3597 ~~ .~--~--7d9 FAX: ( 805 ) 393-3623 Samo!in~_ Method: Sample Type: Preservation Methods: Samo!e Ne. Date Time ~ Description Ana!vsis Recuested Laboratory - ': '~ ,, 4 ~o E ! Re linquished By: Company: Date: Received By: Company: Date: Relinquished By: Company: Date: Received By: Company: Date: Sheet of SMC Laboratory Analytical Chemistry Client Name: Wegener Construction Address : .1710 Calloway Drive Bakersfield, Ca. 93312 Attention : Jerry Hale Date samples received :11-12-91 Date analysis completed:il-15-91 Date of report :11-15-91 RESULTS OF ANALYSIS: ~4196 ID:001 ~. ugm/gm MDL,ugm/gm Benzene ND 0.005 · Toluene 0.015 0.005 Ethylbenzene 0.008 0.005 p-Xylene 0.009 0.005 m,o-Xylene 0.27 0.005 Isopropylbenzene 0.097 0.005 TPH (Gasoline) 6.8 1.0 ~4197 ID:002 6/ ugm/gm MDL,ugm/gm Benzene ND 0.005 Toluene 0 012 0 005 Ethylbenzene 0.008 0.005 p-Xylene 0.035 0.005 m-Xylene 0.029 0.005 o-Xylene 0.097 0.005 Isopropylbenzene 0.086 0.005 TPH (Gasoline) 4.6 1 0 Method of Analysis: 8020 MDL = Minimum Detection Level TPH = Total Petroleum Hydrocarbons ugm/gm = micrograms per gram (ppm) ND = None Detected Brian Miller Analytical Chemist 3155 Pegasus Drive · Bakersfield, CA 93308 ·(805) 393-3597 P.O. Box 80835 · Bakersfield, CA 93380 · FAX (805) 393-3623 RESULTS OF ANALYSIS {~:~:~4198 ID:003 A1 u~ra/gm MDL,u~m/gm Benzene ND 0.005 ?olueno 0.009 0.005 Ethylbenzene ND 0.005 p-Xylene 0.015 0.005 m,o-Xylenes ND 0.005 Isopropylbenzene ND 0.005 TPH (Gasoline) ND 1.0 ~4199 ID: 004 ugm/gm MDL, ugm/gm Benzene ND 0. 005 Toluene 0. 005 0. 005 Ethylbenzene ND 0. 005 p-Xylene ND 0. 005 m-Xylene ND O. 005 o-Xylene 0. 008 0. 005 Isopropylbenzene ND 0. 005 ~._~ TPH (Gasoline) 2.6 1.0 ~4200 ID:005 ugm/gm , MDL,ugm/gm Benzene ND 0.005 Toluene 0.007 0.005 Ethylbenzene ND 0.005 p-Xylene ND 0.005 m-Xylene 0.006 0.005 o-Xylene ND 0.005 ~ I Isopropylbenzene ND 0.005 TPH (Gasoline) ND 1.0 Brian Miller Analytical Chemist RESULTS OF ANALYSIS ~4201 ID:006 ~ ugm/gm MDL,ugm/gm Benzene ND 0.005 Toluene 0.008 0.005 Ethylbenzene ND 0.005 p-Xylene 0.008 0.005 m,o-Xylenes 0.009 0.005 Isopropylbenzene ND 0.005 TPH (Gasoline) ND 1.0 -- ~ ~4202 ID:007 ~ ugm/gm MDL,ugm/gm Benzene ND 0.005 Toluene 0.007 0.005 Ethylbenzene ND 0.005 p-Xylene ND 0.005 m-Xylene 0.006 0.005 o-Xylene ND 0.005 Isopropylbenzene ND 0.005 TPH (Gasoline) ND 1.0 '~ ~4203 ID:008 L[ ugm/gm . MDL,ugm/gm Benzene ND 0.005 Toluene 0.012 0.005 [ Ethylbenzene ND 0.005 1 p-Xylene ND 0.005 m-Xylene 0.012 0.005 o-Xylene 0.008 0.005 Isopropylbenzene ND 0.005 ~ TPH (Gasoline) ND 1.0 Brian Miller Analytical Chemist SMC Laboratory Analytical Chemistry Client Name: Wegener Construction Address: 1710 Calloway Bakersfield, CA 93312 Attention: Mr. Jerry Hale Date Samples Received : 11-12-91 Date Analysis Completed: 11-14-91 Date of Report : 11-14-91 RESULTS OF ANALYSIS TOTAL LEAD Sample ~ ID uqm/qm MRL,uqm/gm 4204 009 ND 10. 4205 010 ND 10. Method of Analysis: 3050/7420 MRL = Minimum Reporting Level ugm/gm = micrograms per gram ND = none detected Ang~ la Horton Analytical Chemist 3155 Pegasus Drive · Bakersfield, CA 93308 · (805) 393-3597 P.O. Box 80835 · Bakersfield. CA 93380 · FAX (805) 393-3623 SMC Laboratory Analytical Chemistry Client Name: Wegener Construction Address: 1710 Calloway Bakersfield, CA 93312 Date Samples Received : 11-12-91 Date Analysis Completed: 11-13-91 Date of Report : 11-13-91 Attn: Mr. Jerry Hale RESULTS OF ANALYSIS TOTAL PETROLEUM HYDROCARBONS (Oil and Grease) sample ~ ID mq/kq MDL, mq/kq 4204 009 ND 5.0 4205 010 ND 5.0 Method of Analysis: 418.1 ND = None Detected mg/kg = milligrams per kilogram MDL = Minimum Detection Limit An~ela Horton Analytical Chemist 3155 Pegasus Drive · Bakersfield. CA 93308 · (805) 393-3597 P.O. Box 80835 · Bakersfield, CA 93380 · FAX (805) 393-3623 SMC Laboratory Analytical Chemistry Client Name: Wegener Contruction Address : 1710 Calloway Bakersfield, CA 93312 Attention : Mr. Jerry Hale Date Samples Received : 11-12-91 Date Analysis Completed: 11-18-91 Date of Report : 11-19-91 RESULTS OF ANALYSIS TOTAL ORGANIC HALIDES (TOX) Sample ~ ID uqm/qm MDL,uqm/gm ~4204 009 13. 10 4205 010 41. 10 Method of Analysis: EPA 9020 MDL = Minimum Detection Level ugm/gm = micrograms per gram ND = none detected An~e~a Horton Analytical Chemist 3155 Pegasus Drive · Bakersfield, CA 93308 · (805) 393-3597 P.O. Box 80835 · Bakersfield, CA 93380 · · FAX (805) 393-3623 CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT 2101 H STREET S. D. JOHNSON January 24, 1992 BAKERSFIELD, 93301 FIRE CHIEF 326-3911 Dave Blouin 3301 Wood Lane, Unit D Bakersfield, CA 93309 CLOSURE OF 4 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANKS LOCATED AT THE NORTHEAST CORNER OF CHESTER AVENUE AND 2nd STREET, IN BAKERSFIELD, CALIFORNIA. PERMIT # BR0030 Dear Mr. Blouin, This is to'inform you that this department has reviewed the results for the preliminary assessment associated with the closure of the tanks located at the above stated address. Based upon laboratory data submitted, this office is satisfied with the assessment performed and requires no further action at this time. This letter does not relieve you of any liability for past, present, or future operations. In addition, any future changes in site use may require further assessment or mitigation. It is the property owners responsibility to notify this department of any changes in site usage. If you have any questions regarding this matter, please contact me at (805)-326-3797. SJ/nce~'e:%y, · Hazardous Material Specialist Underground Tank Program