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!
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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