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HomeMy WebLinkAboutUNDERGROUND TANK #1-C-02/04/92  Environmental Health Service~ Department RANDALL L. ABBOTT STEVE mcC~a. LE¥, RE~S. OmECTOR DIRECTOR a~r Pollution Control District WILLIAM J. RODDY, APCO DAVID PRICE 111 ASSLSTANT DIRECTOR Planning & Development Sen~ces Oepa.-l~nent TED ,lAMES, AICP, DIRECTOR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT February 4, 1992 U. S. Army 4101 Chester Avenue Bakersfield, CA 93301 CLOSURE OF ! UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANK LOCATED AT 4101 CHESTER AVENUE IN BAKERSFIELD, CALIFORNIA. PERMIT # A1598-06/060028 This is to advise you that this Department has reviewed the project results for the preliminary assessment associated with the closure of the tank noted above. Based upon the sample results submitted, this Department is satisfied that the assessment is complete. Based on current requirements and policies, no further action is indicated at this time. It is important to note that this letter does not relieve you of further responsibilities mandated under the California Health and Safety Code and California Water Code if additional or previously unidentified contamination at the subject site causes or threatens to cause pollution or nuisance or is found to pose a significant threat to public health. Thank yo~/~or your co~eration in this matter. CHRIS FINBER~, HAZARDOUS~A~ERIALS SPECIALIST cc: McNabb Construction 4400 Ashe Road, Suite 213 Bakersfield, CA 93313 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636 FAX: (805) 861-3429 FACILITY: Ac~tvt~ Da=e # Of Tanks Com~en=s RESPONSE CHECKLIST Specialist reviewing the information returned: Date questionnaire was returned: ~/c~(~/~/ ! Facility Permit Number: Tanks located at the facility: Was a reply received for each substance code assigned to the facility? '~ Yes No Does the facility need to provide additional information ~ order for the monitoring alternative to be acceptable? Yes ~ No Describe what information is required: The monitoring altern~ativ.e picked by the facility representative is acceptable for the facility tanks.~ Yes . No (The monitoring alternative will be viewed as unacceptable if the alternative was not appropriate for the type of tank described on the facility profile or within the facility file. Example: The facility may wish to use the visual alternative for a tank that is not vaulted, or the tank size is not appropriate for the type of inventory monitoring chosen.) Additional Comments: '~ Information has been reviewed and placed within the database: Date entered within the database: ~/~~ Entered by (name): AEG:cas ~resoonse.lis DEPARTMENT OF THE ARMY HEADQUARTERS 7th INFANTRY DIVISION (LIG"~ AND FORT ORD, CALIFORNIA 93941-5000 September 10, 1991 REPLY TO A~ENTION OF: Environmental Health Se~vioes Department Attention: Ms. Amy ~een 2700 M Street, Suite ~00 Bake~sfield, C&lifo~ni& Dea~ Ms. ~een: Please ~efe~en~e you~ telephone conversation with Ms. Barbara S~hmitt of the Environmental B~aneh on August 13, 1991, ~onee~ning the underground sto~age tank at Bake~sfield U.S. A~ Reserve Cente~, 4101 Cheete~ Avenue, Bakersfield. On June ~8, 1991, we sent payment to ~ove~ pe~mitting fo~ this tank, and subsequently ~e~eived you~ package dated July.29, 1991, ~onee~ning ou~ monito~ing of the tank. As d~s~ussed ~n the ~efe~en~ed phone ~nve~sation, th~s underground tank ~s no longe~ In use and has been e~heduled fo~ ~emoval, which Is to oc~u~ by the end of Octobe~ 1991. Therefore we plan no monito~ng underground tank. Should you have any questions, please ~ontact Barbara Schmitt at (408)242-4505/2827. S~n~e~ely, Chief, Plans Division Directorate of Engineering and Housing MONITORING ALTERNATIVES QUESTIONNAIRE FOR MVF ,t FACILITY TANKS Owner's Address: FO ~ 0/~'b (~ ~ ~., c~?,l / Operator's Name: U ~ ~ ~ ~ / Pe~t Number (obtained from the facili~ profile sheet): 0 I Number of Tan~ which have been resigned the ~ Code: ~1 ~omation has been received and rehewed and the follo~ng summa~es the mo~to~g alternative which I have picked for the ~lta~ at t~ hc~. I real~e that the mo~to~g alternative mint be approved by the local agen~ before implementation. (Pla~ an X nero to the alternative picked). ~ 1. ~SU~ MO~O~G ~11 be utilized. (I can ~pect the emefior of aH tan~, ~thout ming emraordina~ pe~onnel protective equipment). ~ 2. ~-T~ L~L SENSOR ~11 be imtalled in each tan~ which are capable of detecting a leak of 0.2 gallom per hour. ~e semor will be reed to test the tank mouthy. ~e hcili~ ~11 ~SO COMPLE~ A T~K ~G~ ~ST ~RY ~E ~S~ utilizing a licemed tester who's method has been certified to detect a leak of 0.1 gallom per hour. ~ 3. ~-T~ L~L SENSOR has b~n imtalled in each tank, which is capable of detecting a leak of 0.2 gallom per hour. ~e semor ~11 be reed to test the tank monthly. ~e facili~ ~11 ~SO COMPL~ A T~K IN~G~ ~ST ~RY ~E ~S~ utilizing a licemed tester who's method hm been certified to detect a leak of 0.1 gallom per hour. Pm~de the follo~g infomation on the system installS: System Manufacturer: Sys~m M~el No.: Date Installed: -- SEE PAGE 2 FOR ADDITIONAL ALTERNATIVES .. MONITORING ALTERNATIVES QUESTIONNAIRE FOR MVF 3 FACILITY TANKS Permit No.: __ 4. VADOSE ZONE MONITORING will be utilized ALONG WITH ANNUAL TANK INTEGRITY TESTING. The facility will submit a proposal to the department for approval of the number, locations and design of monitoring wells which will be utilized to monitor the underground storage tank systems. Each monitoring well will be equipped with a continuous monitoring device. __ 5. VADOSE ZONE MONITORING will be ut'dized ALONG WITH ANNUAL TANK INTEGRITY TESTING. The facility has already installed monitoring wells, and would like to utilize them. A plot plan of their locations and a drawing showing their construction are enclosed. The facility does/does not have continuous monitoring equipment installed within each well. Provide information on the monitor which has been installed within each well: System Manufacturer: System Model No.: Date Installed: __ 6. MODIFIED INVENTORY CONTROL MONITORING (tank gauging 2 days per week) for underground storage tanks which have a total tank capacity of 2,000 gallons or less, that do not have metered dispensers; ALONG WITH AN ANNUAL TANK INTEGRITY TEST utilizing a licensed tester who's method has been certified to detect a leak of 0.1 gallons per hour. ~ 7. STANDARD INVENTORY CONTROL MONITORING (tank gauging 5-7 days per week) for underground storage tanks which dispense product from metered y~fo, i dispensers; ALONG WITH AN ANNUAL TANK INTEGRITY TEST utilizing a licensed tester who's method has been certified to detect a leak of 0.1 gallons per hour. Name of person completing this form: Title: Date: AEG:ch green~qucstion (' STATE OF CAUFORNiA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM A COMPLETE THIS FORM FOR EACH FACILITY/SITE I MARKONLY ~"-'] 1 NEWPERMIT i----] 3 RENE~VALPERMIT I~-I 5 CHANGE OF INFORMATION ~ 7 PERMANENTLY CLOSEO SITE ONE ITEM [] 2 INTERIM PERMIT [] 4 AMENDED PERMIT [] $ TEMPORARY SITE CLOSURE I. FACILITY/SITE INFORMATION & ADDRESS - (MUST BE COMPLETED) DBA OR FACILITY NAM~E NAME OF OPERATOR ADD.ESS I. '- NEARESTCRO STR' , cITY NAME STATE I ZiP CODE SITE PHON~ I WITH AREA CODE ~ CORPORATION ~ INDIVIDUAL I*~ PARTNERSHIP ~ LOCAL*AGENCY ~ COUNTY*AGEI~CY [~ STATE*AGENCY "~ FEDEFIAL-AGEHCY TO iNDICATE DISTRICTS EMERGENCY CONTACT PERSON (PRIMARY) EMERGENCY CONTACT PERSON (SECONDARY)- optional DAYS: NA~E (LAST, FIRST)/j j PHONE # WITH AREA CODE I DAYS: NAME (LAST, FIRST) PHONE # WITH AREA CODE NIGHTS: NAME (LAST, FIRSt) PHONE #WITH AREA CODEI NIGHTS: NAME (LAST. FIRST) PHONE # WITH AREA CODE II. PROPERTY OWNER INFORMATION- (MUST BE COMPLETED) NAME ~ .~, J CARE OF ADDRESS INFORMATION MAILING OR STREET ADDRESS /I ,.," box Io Indic, ale J-'-J INDIVIDUAL r'-J LOCAL-AGENCY C~] STATE-AGENCY 0 1 c_ {~ ,,~ ~'+~. ~ , ~ ,~ ~ ~ CORPORATION r'-'l PARTNERSHIP F--J COUNTY-AGENCY '[~FEDERAL-AGENCY III. TANK OWNER INFORMATION - (MUST BE COMPLETED) NAME OF OWNER/. I, j'~ J CARE OF ADDRES~ INFORMATION MAILING OR. STREET ADDRESS !J ,/ bm, I~i~llcam r-~ IHOIVIDUAL I'~ LOCAL.AGENCY [~ STATE-AGENCY CORPORATION i--I COUHTY-AGENCY IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER - Call (916) 739-2582 if questions arise. V. LEGAL NOTIFICATION AND BILLING ADDRESS Legal notificalion and billing will be senl Io lhe lank owner unless box I or II is checked. ~ CHECK ~NE 8~X ~NDICAT~NG WHICH AB~~E AD~RESS SH~ULD BE USE~ F~R LEGAL N~T~F~CAT~~NS AND B~LL~NG: I. [-~ I,. [---~ THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT LOCAL AGENCY USE ONLY COUh ,'TY # JURISDICTION # FACILITY # LOCATION CODE - OPTIONAL JCENSUS TRAOT# - OPTIONAL J SUPVISOR - DISTRICT CODE - OPTIONAL THIS FORM MUST BE ACCOMPANIED BY AT LEAST (1) OR MORE PERMIT APPLICATION - FORM B, UNLESS THIS IS A CHANGE OF SITE INFORMATION ONLY. FORM A (9-90) FOR0033A.R2 STATE OF CAUFORMA STATE WATER RESOURCES CONTROL BOARD UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM B COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM, MARK ONLY [] 1 NEW PERMIT [] 3 RENEWAL PERMIT [] 5 CHANGE OF INFORMATION ~[~, 7 PERMANENTLY CLOSED ON SITE ONEITEM [] 2 INTERIM PERMIT [] 4 AMENDED PERMIT [] 6 TEMPORARY TANK CLOSURE~, 8 TANK REMOVED DBA OR FACILITY NAME WHERE TANK IS INSTALLED: I. TANK DESCRIPTION COMPLETE ALL ~TEMS -- SPECIFY ~F UNKNOWN OWNER'S TANK L D. # i B. MANUFACTURED BY: U Z'~ ~ A. c. DATE ,NSTALLED~MO, DAY~'EAR) ~) ,~ .~:..,.~ ~ D. TANK CAPAC,TY ,, GALLONS: W"~ ~Vr~ "J II, TANK CONTENTS IF A-1 IS MARKED. COMPLETE ITEM C. A. ~ ~ MOTOR VE.,CLE ,UEL [] 40'L S. C. 'rsa'.. ,..EG,~,RuNLEAOED ~ 43 GAS*.oLD'ESEL [] 6 AV,AT,ONGAS [] 2 PETROLEUM [] ~0 EMPTY [~, PRODUCT [] ,bP"EM,UM [] ~ M~H'~OL UNLEADED [] 5 JET FUEL [] ~ CHEM,CAL PRODUCT [] ~, UNKNOWN [---] ~ WASTE [] 2 L~DED [] 00 OTHER (DESCR,,E ,N ~M D. BELOW D. ~F IA.~)~S NOT MARKED. ENTER NAME OF SUBSTANCE STORED C.A.S. #: II1. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOXES A, B, ANDC, ANDALLTHATAPPLIESINBOXD A. TYPE OF [] ~ OOUSLE WALL [] 3 SINGLE WALL W~TH EXTERIOR LINER [] gS UNKNOWN SYSTEM ,~ 2 SINGLE WALL [] 4 SECONDARY CONTAINMENT (VAULTED TANK) [] 99 OTHER B. TANK ~ ~ BARESTEEL [] 2 STAINLESS STEEL [] 3 FIBERGLASS [] 4 STEELCLAD W/FII~ERGLASSRE~NFORCEDPLASTIC MATERIAL [] 5 CONCRETE [] 6 POLYVINYL CHLORIDE [] 7 ALUMINUM [] 6 100°/, METHANOL COMPATIBLEW/FRP (Primary?ank) [] 9 SRONZE [] 10 GALVANIZED STEEL [] 95 UNKNOWN [] 99 OTHER [] ~ RUBSER UNED [] ~ AL~D UN~NG [] ~ EpoX~ UN,NG [] .~ PHENOL,; UN~NG 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 PROTECTION [] 91 NONE [] 95 UNKNOWN ~ 99 OTHER IV. PIPING INFORMATION C~RCLE A IFABOVEGROUNDOR U IF UNDERGROUND, BOTH IF APPLICABLE A. SYSTEM TYPE A ~1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 99 OTHER B. CONSTRUCTION A{~ SINGLE WALL A IJ 2 DOUBLE WALL A U 3 LINED TRENCH A U 95 UNKNOWN A U 99 OTHER C. MATERIAL AND A U 1 BARE STEEL A U 2 STAINLESS STEEL A IJ 3 POLYVINYL CHLORIDE (PVC)A U 4 FIBERGLASS PIPE CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL W/ COATING A U 8 100% METHANOL COMPATIBLEW/FRP PROTECTION A(~ 9 GALVANIZED STEEL A U 10 CATHODIC PROTECTION A IJ 95 UNKNOWN A U 99 OTHER D. LEAK DETECTION ~] $ AUTOMATIC LINE LEAK DETECTOR r~ 2 LINE TIGHTNESS TESTING [] 3MONITORINGINTERSTITIAL {~99 OTHER ~ V. TANK LEAK DETECTION [] 6 TANK TESTING [] 7 'NTERSTITIALMONITORING [] 9'1 NONE [] "5 UNKNOWN [] 99 OTHER VI. TANK CLOSURE INFORMATION ////,/C~. I SUBSTANCE REMAINING · GALLONS INERT MATERIAL ? THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT I APPLICAN'PS NAME DATE (PRINTED & SIGNATURE) LOCAL AGENCY USE ONLY THE STATE I.D. NUMBER IS COMPOSED OF THE FOUR NUMBERS BELOW COUNTY # JURISDICTION It FACILITY It TANK It PERMIT NUMBER,..- "~,. I".':',-;../ -"~J [ PERMIT EXPIRATION DATE h '-' ,, · /,:;?, ,'i-' PERMIT APPROVED BY/DATE FORM S (9-90) THIS FORM MUST BE ACCOMPANIED BY A PERMrr APPLICATION · FORM A, UNLESS A CURRENT FORM A NAS BEEN FILED. FOROO~4B-R4 LABO RATO RI ES, 1PHONE FAX 4100 ATLAS CT,, BAKERSFIELD, CALIFORNIA 93308 (805) 327.1918 Petroleum Hydrocarbons MCNABB CONSTRUCTION CO Date of 7808 OLCOTTAVE Report:- 11/25/91 BAKERSFIELD, CA 93308 Lab #: 12429-1 Attn.: BRYAN MCNABB 399-4742 Sample Description:, GASOLINE TANK 2' SAMPLE 4101 CHESTER AVE. BAKERSFIELD ARMY R;SERVE TANK PULL. SAMPLE WAS TAKEN ON 11-19-91 · 11:00AM BY CHRIS NICHOLS OF B C LABORATORIES, INC. TEST METHOD: TPH by D.O.H.S. / L.U.F.T. Manual Method - Modified EPA 8015 Individual constituents by EPA Method 5030/8020. Sample Matrix: Soil Date Sample Date Sample Date Analysis Collected: Received e Lab: Completed: 11/19/91 11/19/91 11/22/91 Minimum Analysis Reporting Reporting Constituents Results Units Level Benzene None Detected mg/kg 0.00S Toluene None Detected mg/kg 0.005. Ethyl Benzene None Detected mg/kg 0.005 o-Xylene None Detected mg/kg 0.005 m-Xylene None Detected mg/kg 0.005 p-Xylene None Detected mg/kg 0.005 Total Petroleum Hydrocarbons (gas) None Detected mg/kg 1. Comments: California D.O.H.S. Cert. #1186 Department Supervisor cc: KERN COUNTY ENVIRONMENTAL HEALTH SERVICE DEPT £NVItlON¥.~NT'AL LABORATORIES, INC. iYTROL~U¥ J' J' EGLIN, REEl. CHEM. ENGR. 4100 ATLAS CT., BAKERSFIELD, CALIFORNIA 93308 PHONE (805) 327.4911 FAX (805) 327'-1918 Petroleum H~drocarbons MCNABB CONSTRUCTION CO Date of 7808 OLCOTT AVE Report: 11/25/91 BAKERSFIELD, CA 93308 Lab #: 12429-2 Attn.: BRYAN MCNABB 399-4742 Sample Description: GASOLINE TANK 6t SAMPLE 4101 CHESTER AVE. BAKERSFIELD ARMY RESERVE TANK PULL. SAMPLE WAS TAKEN ON 11-19-91 · 11:00AM BY CHRIS NICHOLS OF B C LABORATORIES, INC. _ TEST METHOD: TPH by D.0.H.S. / L.U.F.T. Manual Method - Modified EPA 8015 Individual constituents by EPA Method 5030/8020. Sample Matrix: Soil Date Sample Date Sample Date Analysis Collected: Received · Lab: Completed: 1~/19/91 11/19/~1 11/25/91 Minimum Analysis Reporting Reporting Constituen~ Results Units Leve1 Benzene None Detected mg/kg 0.005 Toluene None Detected mg/kg 0.005 Ethyl Benzene None Detected . mg/kg 0.005 o-X¥1ene None Detected mg/kg 0.005 m-Xylene None Detected mg/kg 0.005 p-Xylene None Detected mg/kg 0.005 Total Petroleum Hydrocarbons (gas) None Detected mg/k9 1. Camaents: California D.O.H.S. Cert. #1186 Department Supervisor cc: KERN COUNTY ENVIRONMENTAL HEALTH SERVICE DEPT · ... ~, '~ Analysis Requested . . . ........ m . ~.~. ~ - '-~ ~ i : ' ; ~ ] ' .,,, . . I - , - B~ I~: Relimu~h~ ~: (~n~ ~ j R~b~ ~: ¢~nat~e) ' ~le: Tin ~ ~ ~, , , a~ess ~ ~~::y _ State ~e~,rc~s-ec ~,- :S:~- a;_:~ Re:.e .'~: ~:, 5 ~--.a:.:e: Da,e: T,. e~l~ ............. _1 Sample Ois~sal P.O.~ ~ ~ ~s~s~ ~ ~ · ~lum Io ~ . 8tare M C~IIIM~ie--HeelIh e~d WMfore Age,.~/ ~ SN Inltructlonl on ~ of Page 6 ~,,m~ ~ ~,~ F~ ~ ~ ~. ~9 (Exp~tl ~ and Front of~' 7 Tox~ gublllncel C~trol Division ~ ~. Trlfll~M 2 ~lfly ~M 8. U8 ~A ~ N~bM E. ~te T~I ~ F. 12. ~ta~m 13. Total 14. L A ' .-- ~AI~ GENE~TOR'S CER~: I hereby d~llre thet t~ c~t, M thio ~o~nm~l ire fui~ mad mccuret~ descflb~ I~e by Moper shipping name . ff I om I II~o qulnl~ ~t~. I c~i~ thlt I hl~ I priam iff ~oce to ~co t~ ~lume a~ tox~ of weste g~erst~ to l~ d~tee I have dele~ined to be ~mlcl~ FlCl~bb Ifld t~l I hive Mitred thl prlcticible mm~ of Irellmefll. Iloroge. ~ dioposal cuRont~ iviilab~ to me which minimizes Foe~t ~ f~we INOtl lo humeri ~o,h 8~ the efferdent; ~. ff I em I ~eff quent~ oe~ret~. I hive mede t O~d fsdh efta to minimize my woote gea~it~ end MI~ t~ ~lt wiite ~nlge~t meth~ thll I~ ivihb~ to ~ Bad thil I cia iffMd. NAR Prlnte~ped Nime~///~ ~ ~~~ Month /[~Day Yeae~ 0 ia. Transp~er 2 Ackno~edg~ent gl Receipt of Mlli~iIi ' ~ PdntodlTyped Name [ Signature Mont~ Oey Yea~ I I0. Oimcrepancy Indicali~ Spice EPAaT~2 ' F v ~j · L~ ~, TSDF ~NDS ~lS C~ TO ~S WITHIN 30 DAYS RES~RCE MANAGEMENT A~CY RANDALL L ABBOTT srEvE M~7~, DIRECTOR /~ Poa~. DAVID PRICE [] .. WILLIRM J. RODDY, ASSISTANT DIRF. CTOR Plamm~ & D~,~mmmt ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Facility Name: Ker. n County Permit, #: **UNDERGROUND. TANK 'DISPOS:i:TTON TRACKING RECORDS. '* "~: ThJs form is t,o 'be r.et,urned t,o t,he Kern C_ount,y Envir.onment, al Healt,h servi :"** :' Depart, merit, wtt,htn 14 days of accept, ance of' t,he t,ank(s) by an apl~roved dtsposal or~ r.ecyclln9 factltt,y. The' holder of' t, he permtt, wtth t,he number not, ed above · r.esl3ons~ble for ~nsur.ing t,hat, t,hts form Js comp]et,ed and r.et, ur.ned. Sect,io_n 1 To be fl~'ed out, by t,~nk r.emoval Date Tank(s) Removed:' HII I i No. ot' Tank(s): I I Secl:ton _2 To be ¢tlled out, by cont. ract,or "decont,aminat,tng" t,ank(s): T{~nk Size ~..E,/L. Tank Size L.E.L. Author.Jzed repr.esent,at,lve of t,he cont,ract,or, cert,Jftes by signing below t,hat, t,he t, ank(s)~3avaxbeen decont,amlnat,ed In accordance wit,h Kern Count,y Envir.onment, al Healt,h~e~_~,J~es DeDaJ~ment, reClUir.em_m___ep'cs. . ~ 3 To be 'Ft'l'led out, and stgned by an aut,hortzed r'epr.esent,at,lve o1, t,he approved dtsposa'l or r'ecycltng 1,act'ltt,y accept,lng t,he t,ank(s): Faci 1 ity J~me_.' ) ~ ~ ' (Aut.-'fiorlzed Represent,at,tve) " ... 2700 '?,t" STREET, SUITE 300 BAKERSF~ID, CAL/FO~IA 93301 (805) 861.3636 = = , HA]:L]:NG ]:NSTRUCTZONS: Fold and st,aple, FAX: (805)861.3429  Environmental Health Se~vice~ RANDALL L. ABBOTT STEVE McCALLEY, REHS, DIRECTOR Air Pollution Control DiVot .... DAVID PRICE Iii ........ " WILLIAM 4, /~.~T~ DIRECTOR l:~nnin~ & TED JAMES, AICP, ENVIRONM TAL HEALTH SERVICES DEPARTMENT PERMIT FOR p.ERMA_,XIF. IWI' CLOSURE PERMIT NUlVIBF.,R OF UNDEROROUND HAZARDOUS ". SUBSTANCES STORAOE FACILITY .... 1. It ~s the responsibility of thc P ..e3~lmtt.e(.' t.o. ohta~_'. ~.~ts which may be required by other zegula)ory ~g.en~ caes prior to be~!ng work 0.e., City F~ i i 2. Permittee must notify ,lie Hazardous Materials Management Program at (805) 861-3636 tw6 W0"rkini days p~i6r to tank removal'or abandonment"in' arrange for required inspections(s). ' - .. 3. Tank closure activities must be per Kern County Environmental Health and Fire Department approved methods as described in Handbook UT-30. 4. It is the contractor's responsibility to know and adhere to all applicable laws regarding the handling, transportation or treatment of hazardous materials. 5. The tank removal contractor must have a qualified company employee on site supervising the tank removal. The employee must have tank prior to working unsupervised. 6. I[ any contractors other than tho~e listed on permit and permit application are to be utilized, prior approval must be granted by the soeciallst permit. Deviation imm the submitted, application is not allowed. . :. a. Tank size le~ than or eqllal to 1~000 gallons a minimum of two samples must b~ retrieved from. beneath the center of the tank approximately two.feel an.d s.ix feet.: <.' ... . . . . b. Tank size greater than 1,000. to 10,000 gallons: a minimum of four samples must be retrieved one-third of the Way in fr~m the ends at depths of approximately two fee! and six feet. : . , ..., ,<,%???? c. Tank siz~ greater than 10,000 gallons = a min, imum, of six samples must be retrieved one-iota'th of the way in from the ends of each tank and the center of each tank at depths of approximately two feet and six feet. '..' ,:'> A minimurq of two samples must be ~trieved at depths of appro~_rn~tely two feet and six feet for every 15 linear feet of pipe run and under the dis~[ 861-3636 700 "M" STREET, SUITE a00 BAKERSFIELD, CALIFORNIA 93301 FAX: (805) 861-84 9 PRINTED ON RECYCLED PAPER PERMIT FOR PERMANENT CLOSURE OF UNDEROROUND HAZARDOUS SUBSTANCES STORAGE FACILITY a, All soil samples ret~eved from beneath gasoline (leaded/ualeaded) ~ and appurtenances mns~ be ~n~ty~ed for benzene, toinene,'i . petroleum hydrocarbona (for gasoline). , . b. All soil samples retrieved from beneath diesel tanks and ~ppurtennnces must be analyzed for total petroleum'hydrocarbons c. All soil samples retrieved from beneath waste oil tanks and appurtenances must be analyzed for total orgnnic halides, lead, oil and d. All soil samples retrieved f.rom beneath erude oil tanlm and appurtenances must be analyz~ for oil and' grease. . -, e. All soil samples retrieved L~m beneath tanks and appurtenan,c~, that contain unknown substances mu~t ~ analyzed for a full that may have been stored within the tank. .., . ., 10. The following timetable lists pre- and post-tank removal requirementS: - ... · A~ DEADL~ Complete permit application submitted ,, '.' , ,.'At least two weeks prior to cloaure :. ~ .'!.'.,i .' tranapertat~on and tracking forms sent to Hn~ndoua ', ' ~' ~. "-: No Inter than $ working days for 'irn~st~rtafion~ ~nd 14 workino' Mat..e~ls Management Program. 'All hn.srdoua .v.~s. te ,.: ,.: ,; .,,,:..: daya for the tracking form after, ~ removal ', '. , ' - ..... Sample analysis to Hn~ous Materials Management , =..., i . · i: 2.. No Inter than ' = ' '. · ', · a. Liquid shall be: b. Tank shall be ['l~6~gh vent I fit i~mst'lO feet ntmve grbimd level.' c. No'emission shall reiult in ixl0rs detectable at or'beyond property lin~. (Rule 419) d. No erosion shall ~ndang~ the health, safety",'~mfbrt'0r r~aose of any PerSOn.' ,' :'i. '.'i? e. Vent lines shall renmin attached to t~nk until the insPeCtor arrives to authorize removal. .. '~' '" REC. OMI~..NDATION$/GUIDELINIE8 FOR REMOVAL OF UNDERoROuND STORAOIt TANI~ . .:.:!!'i :'-' ~': This department is respeusible for enfot;~ing the Kern County Ord'n~fi~e Code~ Division 8 ';~'nd state to Representatives from this. department re~l~,nd to jOb site~ duri~ fi~ni;~removals tb ensure that th~'tanks are safe to that the is consistent with permit requirements, applicable ~ and sfif. etY ~.tan~."The following guidefines are offered' ;'ih~'interests nnd 1, Job site safety is one of our primary eoneerus, Excavations are inherently dangero~, It is the contractor's responsibilit~ to know and abide by regulatious, The job foreman is resPOnSible for the crew and a~y subcontractors on the job, As a general rule, workers are not permitted excavations or when unsafe conditiona exist in the hole, Tools and equipment are tO be used only for their designed function, For example,. are never subatituted for ladders. · 2. Properly lieeused contractors are assumed to understand the requirements of the permit issued. The job foreman is resPOnsible for knowing the conditions of the permit. Deviation from the permit conditions amy result in a stop-work order. Individual contractors will be field resPOnsible for their pe$. t-removui papenvo~ 'Tracking forma, hazardous waste 'mnn~f~ts neees~ry for each site in order to close a enseJile or,'M0ve it into mitisation. When contractors do not foHow'.'il~t:0~lgh 'oh, ne~ntv~ unnmnageable backlog of incomplete ~s resul~ If this continues, proeessmg tmae for complet~nz new closurea will incress~ .... ' Accepted By:, OWNER O~GENT : ' . ": DATE . ~.OSURE APPLICATION C ~I.~KLIST APPLICATION FOR TANK~ ~ R~VAL CLOSURE ZN ~CE A. FACILITY ZNFO~TZON~ APPROVEO ~ ,. DISAPPROVED CO~ENTS ~ B. CONTRACTOR INFORMATION: APPROVED ~ DISAPPROVED l. .~lJ? LICENSES CURRENT/CORRECT? (~ I NO 2. ALL WORKERS' CO,,Q.OI~,PENSATION/GENERAL LIABILITY INSURANCE CURRENT/CORRECT? '~JI NO :~. LABORATORY STATE-APPRO~ SPECIFIED ANALYSES?(~ / NO 4. Al ]; PREQUALIFICATIONS ME'r? ~(~1 NO COMMENTS: C. CHEMICAL INFORMATION: APPROVED /%~ DISAPPROVED COMMENTS: Do ENVIRONMENTAL INFORMATION: APPROVED/'"'-, DISAPPROVED COMMENTS: ~ E. DISPOSAL INFORMATION: APPROVED ',,,,,m~? DISAPPROVED COMMENTS: i '~/ F. PLOT PLAN: APPROVED ~ DISAPPROVED COMMENTS: ~ SUt4qARY: * ',' PLEASE SEE ALL .DISAPPROVED ITEMS-AND-COMMENTS ABOVE BEFORE RESUBMITTING CORRECTED APP~ATION~(//) ~ ~ /'//~//~ SITE INSPECTION: APPROVED~ O~SAPPROVED CO~ENTS ~ -- // INSPECTOR DATE ENVIRONMENTAL HEALTH SERVICES DEPARTNENT APPLICATION DATE: PTA: 2700 "M' STREET, SUITE 300 PIPING FT. TO ABANDCN: PTO:j~.O~C (FILL OUT ONE APPLICATION PER FACILITY} ...... APPLICATION FOR PERMIT FOR PERNANENT CLC)SURE?ABAND()NMENT OF UNDERGRCtJND HAZARDOUS SUBSTANCE STORAGE FACILITY THIS APPLICATION IS FOR REI~VAL, OR [] ABANDONMENT IN PLACE ~[CAL ~TI~ OF ~TERIALS STORED: T~K ~ VOLUNE ~JCAL 5TO~ _? ~7~ S~D_ ~ICAL FO~ERLY STORED .... TO TO R E C E I P T PAGE 1'1/15/91 Invofce Nbr'. 1 5288S 4:42 pm KERN COUNTY PLANNING & DEVELOPNIENT 2700 'N' Street Bakersfield, CA 93301 Type of Order W (805) 881-2615 CASH REGISTER NCNABB CONSTRUCTION [Hl115913 I YKN ) 11/~5/9~ I 1~/15/9~ IDD .CHK~2028 I NT Lin~ Description Quantity Price U~it Disc Total I 4751 UNDERGROUND TANK3 CLOSE/ABAND~ 1 550.00 E UST002 O,-der Tota3 Am~nC Due 850, Payment Made By Check 650.00: THANK YOU AND HAVE A NICE DAY!  Envirotm~ntal Health Services Department RANDALL L. AB~ DIRECTOR Ai~ ~lMten Control ~t~ DAVID PRICE !Ii ~ a. RODOY, ~CO ~T~ DI~CTOR ~ a~, ~CP, DIe.OR ENVIRONMENTAL HEALTH SERVICES DEPARTMENT PERMIT TO OPERATE UNDERGROUND HAZARDOUS STORAGE FACILITY Permit No.: 060028C State ID No.: Issued to: BAKERSFIELD U.S. ARMY RESERVE No. of Tanks: 1 Location: 4101 CHESTER AVENUE BAKERSFIELD, CA Owner: D.E.I-I/I-IQ., TITI INF. DIV. (L) ATrN: AFZW/DE/PD FORT ORD, CA 93941-5777 Operator: U S ARMY BAKERSFIELD RESERVE CENTER 4101 CHESTER AVENUE BAKERSIELD, CA 93301 Facility Profile: Substance Tank Tank Year Is piping Tank No. Code Contents Capacity Installed Pressurize~l. ? 1 MVF 1 GASOLINE UNKNOWN LINK UNKNOWN This permit is granted subject to the conditions and prohibitions Listed on the atta~ed summa~ of conditions/prohibitions Title: mental Health S,.paees Department Expiration Date: September 23, 1996 -- POST ON PREMISES -- NONTRANSFERABLE 2700 "M" STREET, SUITE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861.3636 FAX: (805) 8&1-3429 HAZARDOUS UNDERGROUND STORAGE FACILITY PERMIT SUMMARY OF CONDITIONS/PROHIBITIONS CONDfTIONS/PROHIB FTIONS: 1. The facility owner and operator must be familiar with all conditions specified within this permit and must meet any additional requirements to monitor, upgrade, or close the tanks and associated piping imposed by the permitting authority. 2. If the operator of the underground storage tank is not the owner, then the owner shall enter into a written contract with the operator, requiring the operator to monitor the underground storage tank; maintain appropriate records; and implement reporting procedures as required by the Department. 3. The facility owner and operator shall ensure that the facility has adequate financial responsibility insurance coverage, as mandated for all underground storage tanks containing petroleum, and supply proof of such coverage when requested by the permitting authority. 4. The facility owner must ensure that the annual permit fee is paid within 30 days of the invoice date. 5. The facility will be considered in violation and operating without a permit if annual permit fees are not received within 60 days of the invoice date. 6. The facility owner and/or operator shall review the leak detection requirements provided within this permit. The monitoring alternative shall be implemented within 60 days of the permit issue date. 7. The facility underground storage tanks must be monitored, utilizing the option approved by the permitting authority, until the tank is closed under a valid, unexpired permit for closure. 8. Any inactive underground storage tank which is not being monitored, as approved by the permitting authority, is considered improperly closed. Proper closure is required and must be completed under a permit issued by the permitting authority. 9. The facility owner/operator must obtain a modification permit before: a. Uncovering any underground storage tank after failure of a tank integrity test. b. Replacement of piping. c. Lining the interior of the underground storage tank. 10. The tank owner must advise the Environmental Health Services Department within 10 days of transfer of ownership. 11. Any change in state law or local ordinance may necessitate a change in permit conditions. The owner/operator will be required to meet new conditions within 60 days of notification. 12. The owner and/or operator shall keep a copy of all monitoring records at the facility for a minimum of three years, or as specified by the permitting authority. They may be kept off site if they can be obtained within 24 hours of a request made by the local authority. 13. The owner/operator must report any unauthorized release which escapes from the secondary containment, or from the primary containment if no secondary containment exists, which increases the hazard of fire or explosion or causes any deterioration of the secondary containment within 24 hours of discovery. AEG:jva~ (greenkpermit. p2) 2 MONITORING REQUIREMENTS:(~sunt) 1. All underground storage tanks designated as MVF 1 within the first page of this permit shall be monitored utilizing the following method: a. Standard Inventory Control Monitoring (Tank gauging five to seven days per week). Kern County Environmental Health Services Department forms shah be utilized unless a facility form can provide the same information and has been reviewed and approved by the Environmental Health Services Department. (Monitoring shall be completed in accordance with require- ments summarized in Handbook UT10.) . This option cannot be used after January 1, 1993. AND b. All tanks shall be tested annually utilizing a tank integrity test which has been certified as being capable of detecting a leak of 0.1 gallons per hour with a probability of detection of 95 percent and a probability of false alarm of 5 percent. The first test shall be completed before December 31, 1991, and subsequent tests completed each calendar year thereafter. All tank integrity tests completed after September 16, 1991, shall be completed under a valid unexpired permit to test issued by the Environmental Health Services Department. c. After January 1, 1993, each tank shall be equipped with an in-tank level sensor, which is to be utilized on a monthly basis to monitor for releases. The equipment must be certified as capable of detecting 0.2 gallons per hour, defined at any normal operating product level in the underground storage tanks with a 95 percent probability of detection and a 5 percent probability of false alarm. d. (If present) Pressurized piping systems shall install pressurized piping leak detection systems and ensure that they are capable of functioning as specified by the manufacturer. The mechanical leak detection systems must be capable of alerting the owner/operator of a leak by restricting or shutting off the flow of hazardous substances through the piping, or by triggering an audible or visual alarm, detecting three gallons or more per hour per square inch line pressure within one hour. e. All pressurized piping systems shall be tested annually unless the facility has installed the following: 1. A continuous monitoring system within secondary containment. 2. The continuous monitor is connected to an audible and visual alarm system and the pumping system. 3.. The continuans monitor shuts down the pump and activates the alarm system when a release is detected. 4. The pumping system shuts down automatically if the continuous monitor fails or is disconnected. The first test shall be completed before December 31, 1991, and subsequent tests completed each calendar year thereafter. 2. All equipment installed for leak detection shall be operated and maintained in accordance with manufacturer's instructions, including routine maintenance and service checks (at least once per year) for operability or running condition. 3. A monitoring response plan shall be developed and submitted to the department for review and approval within 90 days of the issuance date of this permit. 4. An annual report shall be submitted to the Kern County Environmental Health Services Department each year after monitoring has been initiated. The owner or operator shall use the form provided along with the permit, unless another has received prior approval. 5. (If present) Suction piping shall be monitored for the presence of air in the pipeline by observing the suction pumping system for the following indicators: a. The cost/quantity display wheels on the meter suction pump skip or jump during operation; b. The suction pump is operating, but no motor vehicle fuel is being pumped; c. The suction pump seems to over speed when first turned on and then slows down as it begins to pump liquid; and d. A rattling sound in the suction pump and erratic flow, indicating an air and liquid mixture. R E C E ! P · PAGE 07/31/91 Invoice Nbr. 1 55?00 10:06 am KERN COUNTY PLANNING & DEVELOPMENT 2700 'M' $~ree~ Bakersfield, CA 83301 Type o~ Order (805) a61-2615 CASH REGISTER DEPT OF ARMY .... ....~_~....= ............................................................ /~Cua~omeP~'P'~O-# I Wtn S~ IO~de~ Date I 3h~p Date J V~a { Term= ~1060028C-911" I YKN I 0?/el/gl I 0?/31/g~ I ' I NT Quan~y P~ce Un~ D~=c I 3398 UNDERGROUND ·ANKS ANNUAL FEE 6 50.00 E 300.00 UST001 2 3398 UNDERGROUND ·ANKS ANNUAL FEE 1 ~4.00 E 44.00 UST001 3 PAYMENT FOR 87-g0 FEES O~de~ To~a] 344.00 Amount DuG 344.00 Payment Made By Check 344.00 THANK YOU AND HAVE A NZCE DAY! Environmental Senaitivity .,ection Time i () ', ''~" UNDERGROUND HAZARDOUS SUBSTANCE STORAGE FACILITY t * INSPECTION REPORT * No. of Tanks I I, Information on Permi~Application Corr.~? Y. ~. No Permit Po..~'/ Y e,~ No 77. Type of In--ion: Routine Complaint Rein~ion V ITEM VIOLATIONS NOTED 1. Primary Containment Monitoring: (~odifi~ Inv~ntoff Cont;ol Monitoring d. In-Tank Level ~nsing Device e. Groun~ater Monitoring f. Vad~ Zone Monitoring a. Line~ b. Doubl,-Walled Tank c. Vault 3. Piping Monitoring: a. Pre~riz~ ~ction ~ c. Gravity . I ' 4. ~e~ill Prote~ion 7. CIo~re/Abandonment / 8, Unauthorized Relea~ ~ ~*~ Operating Condition of Facility Comments/Recommendations: Reinspection scheduled? Yes '~'N, No Approximate Reinspection Date ~ ' INSPECTOR: ' REPORT RECEIVED BY: 1" H.alth 5.0 4~3 ~70 ~7.s71 (~ K E RN COU N ~m,y. R E$OU RC E M/k~l~ A G El',4 EN T AG IE[N C ENVIRONMENIm~,~HEALTH SERVICES DEPART~ 2?00 "~" STREE../~SU~TE 300, BAKERSF{ELD, (805)861-3636 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE FAC{L{TY ~ 1NSPECTION REPORT BAKERSFIELD, CA ,:]PERATORS NANE:U S ARMY BAKERSFIELD RESERVE CENTER Z TEM V~OLAT~ONS%OBSERVATIONS a. intercepting an directing system b. S~andard {nventory Control c. Modified Inventery Contre] d. In-tank Level Sensing Device e. Groundwater Monitoring f. Vadose Zone ~onitoring 2. SECONOARY CONTAINMENT MONITORING: ~ ~ a. L~ner b. Ooub]e-NaS]ed tank c. 3. P~P~NG NON{TORIN6: a. Pressurized b. Suction c. Gravity 5. TIGHTNESS TESIN~ 6. ;IEW CONSTRUCTION/MODIFICATIONS 7. CLOSURE/ABANDONMENT K~_ ~l~ ~u ~~ ~, 8. UNAUTHORIZED RELEASE g,MAINTENANCE, GENERAL SAFETY, AND OPERATING CONDITION OF FACILITY ................ ~c .................. ,~ ......... ~.~..~ ................. ~~ ................. ~~ .......... ~,~,~ ........................................................... ~ " .~ ... ~ ........................... DEPARTMENT OF THE ARMY ,~u^m~ ~ ~;~ mws~0, (uG~ K0 FORT FO~T ORD, ~ALIFORNIA August 4, 1989 ATT~qlqON Plans Division ~ane Warren Hazardous Materials Management Program Kern County Health Department 1415 Truxton Avenue Bakers;ield, Cali;ornia 9~gl Dear Ms. Warren: The Department o~ the ~rmy, O~ice o~ The ~udge Advocate General, is currently reviewing State and County underground tank permit ~ee assessments on Department o~ Defense (DOD) installations in California. The permit ~ee assessment review is being conducted to determine i~ Fort Ord's (and all DOD installations') permit ~ee assesSments are reasonable service charges or a tax. The agencies of the United States Government may not pay taxes to the State or any of its subdivision. In general terms, a fee is a charge for services which are provided and a tax is an involuntary exaction mandated by the State Legislature to provide for the support of the government or its programs. Fort Ord cannot pay the Underground tank ~ees listed on permit numbers ~6g~2SC-SS and ~6~e28C-89 ~or Bakersfield Army Reserve Center until the question o~ whether the amounts assessed ~airly re~lect the cost o~ the benefits received by the ~ederal government is resolved. I respectfully request that your o~ice provide Fort Ord a detailed written account which: 1) specifically states how underground tank permit Tee revenues gained Trom Bakersfield Army Reserve Center are spent; and 2) provides particularized information on the cost o~ benefits/services Bakersfield Army Reserve Center receives ~rom its underground tank permits. The current permit ~ees cannot be paid until this information is reviewed and it is determined that the permit charges (in all or part) are not a tax. IT you have any questions co~oj~erning this matter, please contact Mr. Frank Vogl, Environmental~i~e at ¢4~8) 242-4505. COL, CE DEH Copy Furnished: ! Cdr~ Bakers;ield U.S. Army Reserve Center ATTN: AFZW=EH~PM~BR AFRC, Los Alamitos, CA 90720 K~ERN COUNTY HEALTH DEPARTMENT 2700 M Street HEALTH OFFICER Bakersfield, California ENVIRONMENTAL HEALTH DIVISION Leon M Hebertson, M.D. Mailing Address: DIRECTOR OF ENVIRONMENTAL HEALTH 1415 Truxtun Avenue Vernon S. Relchard Bakerslleld, California 93301 (805) 861-3636 Hay 20, 1989 Commander-Building 7 USASD AFZW-EH-PM BR AFRC Los Alamitos, California 90720 Dear Madam or Sir: This letter is an official notice of your non-compliance with state and county laws relating to underground tanks. Upon review of our records, it was discovered that the 1988 Permit to Operate fees for Bakersfield U.S. Army Reserve, 4101 Chester Avenue, Bakersfield, California were not paid. Enclosed is a copy of 1988's invoice plus the 50% late penalty required by county ordinance. The second invoice is for this year's Permit to Operate fees. These invoices must be paid within 30 days to avoid further penalties and/or legal action. Be advised that these fees must be paid even if the tanks are no lonuer in use. If the tanks are not in use, a permit for permanent closure must be obtained from this office. Permanent closure requires eJ. ther removal or closure in place of your tanks and assessment by soil sampling to determine whether there has been environmental damage as a result of unauthorized releases of hazardous substances from your tank site. The specific requirements for these activities are in Handbook #UT-30, available with your application. No closure activity can be~in prior to the issuance of a permit ~p_m_ this office. If you have any questions or feel this assessment is in error, or if you would like an application and our handbook on permanent closure please call me at (805)861-3636. Your prompt attention to this very important matter is appreciated. Sincerely, Hazardous Materials Inspector Hazardous Materials Management Program OISTRICT OFFICES Delano · Lamon[ · Lake I~ .~,~lla · Moiave · GARY J. WICKS 2700 M Street, Suite 300 Agency Director Bakersfield. CA 93301 STEVE(805) McCALLEy861'3502 .'?~~ ' "',~*..' .../:.-.~'~ :~: :¥: ~'.*.... TelephoneTelecopler (805)(805) 861-3636861.3429 Director DEPART MENTAL August 17, 1989 Department of the Army HeadqUarters 7th Infantry Division (Light) and Fort Ord Attn: Leo M. Laska Fort Ord, CA 93941-5000 Dear Col. Laska: An interim permit to operate was sent to Commander-Building ? in Los Alamitos, California for the U. S. Army Reserve in Bakersfield, California, in February 1987. The information enclosed~specifying~the monitoring reouireme~mnts for the facility ~a~ mailed alonq w~th the interim pe~mit__~A copy of the local~ o~~hce regulating underground storage tanks in Kern County is ~ enclosed. The ordinance was designed to meet the minimum intent of State law ~~i~,~,Chapter 6.? of the Health and Safety Code. The U. S. Army Reserve facility is currently out of compliance with State and County laws regulating underground tanks. The Permit to O~ra~ fees for 1988, and 1989, were not Paid. A copy ~2~i. ~ 50% pen~}ty are enclosed. These invoices must be paid before the facility will be considered permitted, and in compliance with the la~s referred to in this letter. Zf you have any questions, feel free to call me at (805) 86~, 3636. Sincerely, Amy E. Green, R.E.H.S. Hazardous Materials Specialist Hazardous Materials Management Program AEG:jg enclosures BF.O~IF. ST IrOrM I. ~ING: Rough Drntl (~ingle ~nced} ~ l~tterhead - Final (~lngle ~paeed) Memorafldmu Oilier Form (please lllclude) lT. MAIL: Regular Mall .. Ce,llled wllh Relnrn Response Fedex! ~presm (overnighl) Olher Fax m: ENVELOPES: llo,Ie Io: llegular Manila Enclose Self Addressed Stamped IlL FILING: Make a file for File search for File in fileroom Other IV. COPIES: # DIs{rll)ute: Collate Staple District Staff Paper clip Progr-m ISlanagers Return ..... copies Io sender Chiefs , COl)les to ()tiler Other REMARKS: Tll!.q IS A Ill(;l[ I)IllOIIITY Iql¢)./F. CT ~CON'I'ACT N()NA or ,I()IIN) CORRECTIONS REVISIONS .i:.:'" "' 'i~o0'.~we, st,eet KERN COUNTY HEALTH DEPARTMENT ;'... ':;L...,H,:E,ALTHoFF'cE" ,'"'"'" ":! :' aaksrsf!eld, California 93305 ' , ,' : .: :...,?: /.- ..,':~:;:~i~.~..'.~ M H~,b,eris(~n, M.D...,.: ',': ::.:';.. " · .' :'.,, ,Telephone (805)881-3636 . ENVIRONMENTAL HEALTH DIVISION " * .:",' . ': ';4'¥.!::':-~.'-:: *.: : '- ','.,'::;:~'¢?,,':;:~ :'.' :',- · ' , - :~, 4 ';:' .~'.','~ .- ' · ' -.: ~' ,i..~. {' .~;;.';'I · ~,, · ~ , v- .. ........ . .... .i :''~ · x~..~-~ , , · · :.. . ~,~ ..... · DI!~IE..C~.R OF ENVIRONMENTAL HEALTH~..~ [VDERGR'OUND HAZARDOUS,'SUB'STANOEs ~~~/ ' ' · '.. '"'~.:':' ' ' ' -" ." :':,::'..':'-- . , ,... . : . .. %~~~/ ','- ,.....' - . ., / FAC~.LITY: : .'. . " -O,NER:' : '..':,}.:/'~."' ':'~..,:'-:";;:~'::': ' .BAKERSFIELD U.S. ARMY RESERVE { COM~ANDER-BUI.L~ING..7 '"'"::."'.::~':. .'"~:.:':.:?~ .4.1'01, Cf[ESTER AVENUE { .USASD AFZ~-EH4PN"BR AFRC .?.'...?;(. BA~SaSFZ~LD, CA ' ' I LOS .AhA~ITOs ;"::dA 90720" ':~'( . .. , . . ... .;..':/:':.' . ,... : .... · . . : ~, '.. ,..j..:j ...~.-.. ,. ~.:...%~; ' .: .. TANK'.=' '"'"' AGEIIN YRS~ '' .., suB'ST~NcE:''O ''C DE ":.-?-:~"~"2'";'::'"'~'"""'"; ..-PRE. 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'." . .", '.'~ ' "':,:';~:':'?-;~?~ 'C;.,'.:: .;~.~':'?~:; ?'.. :;' -".~ - %:,.;*~,~,T4:~?~¢~,~:~C ~ '~ .' .' ' ..;.;': .' ~'.'.;". . : .' . ' '.. ~ :.E,:-:-;, :.. :'~.',;'.,?,a~;::'. '. ' ?. -' .. ' ' ,' . "' .'. · ': '. -?" ;.;-;:'3:'f~ * -;" ;~.~ ?.".. ~. · ~' .'" : ..... ',"::'~:'h'..'.. :' 5" · '~...· .: .:..'~ ..; .] · , ~..,.' .?:.~ .:, '-,.,::, :: .' ..: ', ' ', ..... · - - ',: ?'..".' ,z- ..." .:~;?:.' ':.: ~: . ..... .' . -- :, . .?~-.;'...,,..'.:¢:;..,,. '(:''.-;':.".::¢ '.:: ,~. : · ". · :::'::"~ . :: "¢:. ':.'~'/'L.¥.,:' '.. · . '. ' -' --: ..' · %?.:;?'::.>...~'.';:~.~:.¥;':;.~¢/':'.-'.,' :.j - ,...-.. · .'.'.7-.:?. '.:?'."': " j'~'.'. ":" :(~T:':.; .'." ' '..'!~"5 ',":.'. ..... '. '.'C.'""" .""" ' ' " .... - (' ':':,:..' ;:?:":'~:¢':'?:",":: , ' ' -'"' :'¢: :' ..:'"-.? '" .... . f' ~" .~.;" '' '~ t'~ -' . ,' -" '' ; -" ~-"' ' :',";~;~"..~'~;- ',";~,' :, ' ' , - '- . "; ' ' ': ,'..j.:;':.: ..,~' .... .. . . -- :.. .:.. :. . ,:':~. .. ., .~...(.; .~.. - : ,:' ...' :;:; ' ."L2~..'~ - -: . .: .,. ~ .. '.,.'.)~; . :. , ~.. ......... ' .-,..:. ('" ..; :-"'.: Z: :-"'-', . - ' .... ' '>:5 ':' .~ ' I~ .:",. ~.;¢" :;~.'.,'~;~:~: ' ' ' . ..... ;· ~, ':',.~. +:.-'.,.:. ::.:.¢:? . , . . .- . ./~....;. : : :: .'.... . -: ..'":.., : 7.. ¢i ~ ". ~ ' .: ....::,.:,,,, :. "' .j:"-' ...... ,. ::-. .'... . -.. . . ..,..... :.. ....... . ..-..., ,:.~ ,. ,: ,' .. ,.... ;'.1~ -' . : . : . . , .... % , . .~ ¢,.~;.... c,:- ,.,, -.- .~. ,., ,., .: ..'~..:.. - . , . ... .... ...: . ..., "~'"~?:" ' ~'r?: '~':: ' '"' "?" ~: "'¢~ [' ~¢~¢~ ' ':': ' ;' ' ' ' - .... ' ":"'¢'i ...... ":., :," ....... · - ':" . ?.'¢.'.,:.' ""' """:"" "v.':;..¢~¢? ;..;:,"" ......... ~''' ''' "'~:';:"'¢'"; ' "' "['~'~"'~v';' .'...:: i ,.".,:" .~. ~ .,., . :~, "'' . ' ' -- /,".'~-.,," :" ..'. ? '~;:;~ . . .., . ~.~ .- :. , . ..~ .:' ...:. .;.' .- . .... '::~ .... ,.'-. .:: .;-,~. ~;*~ :.'-, .... . . . ..-. :::~,~'.. ~,.?,.? ,.<-.. . ~ j:%' : - , - ·'" ;:':;.~'~5 :'. ..' .... ~'- . '.C.h,' .... . ....... ,.. .~?~:.:'. .': ,. ?,::.? . .,., .' .... .. .. . . ,, ., ,... . :,~ ~ ~.~. ~" '~ .~ ~, ; ~ , ., · .. ;~': '"~C~"'~ "t~,~",":" :~ ' : '" " '" : ~" ~":/ .,: · ~.~',.. ..;-.~.¢..,.... ,. .. .. , ', ';:, · ,?~. ". F'. ~ - . .' ' ' ; ~, . ~'.~. ~"h; ~ : ...... ' ,~. ~,,.'.' ..,:. '.. ,:¢~. : Application D~ ~ ~f{~t_ ~ Kern County Health Department ~ Division of Environmental Heal 1700 Flower Street, Bakersfiel~ , CA 93305 APPLICATION FOR PEI~MIT TO OPERATE UNDERGROUND HAZARDOUS SUBSTANCES STORAGE FACILITY Type of Application (checK): [~Ne-~ Fa~ili'fy ['lModification of Facility ~isting Facility ~]Transfer of Ownership A. ~ergency 24-Hour Contact (name, area code, phone): Days~.~ ) ~F~!-~.) - Night~ Type of Busine'ss~eCk): [~fGasoline Station ~]Ofher~(describe) - - - .. Is Tank(s) Located on an Agricultural Farm? [~Yes ~ Facility Address L[ ~OJ ~6~ ~¥~.'' Nearest Cross St. ~..~ T Ii - SE~ (l~al Locations Oqly) operator ~<-. r~' Contact Person - ' ' zip Telepho~ ~- Address ~. t~ater tn Facility Provided by ~t4~c~ Depth to' Groundwater Soil ~aracteristics' at Facility ',~~m ' ~asis for Soil Type and Ground~rater Depth Deteminations ..U' C. Contractor M ..;~. . ...... ' CA Contractor's License No. Addr ess . Z fp Telephoto Proposed S~artih~ Date ~roposed Caupl'e'tion Worker' s Cauper~atio~ Certification ! Insurer D. If This Permit Is For ~kxtification Of An Existing Facility, Briefly Describe ~dificati~r~ eroposed ,, , E. Tank(s) Store (check all that apply): Tank ! W.a..ste Producer ~tor Vehicle Unleaded ~ .egular Premitme Diesel Waste F. Chemical Composi. tion of Materials Stored (rNot necessary for motor vehicle fuels) Tank ! Chemical Stored (non-c.o~merci.al name) CAS ~ (if know~) Chemical Previo~sl¥ Stored , ( if "di fferent) G. Transfer of Ownership Pete Of ~-ansfer ~, ~, .. Previous Owner Previous Facility Name I, accept fully all 'obligations of Permit No. issued to · I understand that the Permitting Authority may review and ~ifY' or terminate the transfer of the Permit to O~rate this ~m~dergrotmd storage facility upon receiving this completed form. This form has been ¢~mpleted under penalty of perjuryj~p~oA.t~o~)~,~.;of my knowledge is true and cor~ect. Supv. [nvironmenta) EnEF. Signature TitleDi'r. Engineering & Housin&te . TANK ~ ~ ..... (FILL OUT SEPARATE FORM FOR ~CH TANK) FOR EACH ~SECTION, CHECK ALL A~.~PROPRIATE BOXES H. 1. Tank is: [']Vaulted []Non-Vaulted ~']Double-Wal 1 [-] Singl.e-Wal 1 2. ~ Material ---~-Carbon Steel [] Stainless Steel [] Polyvinyl Chloride [2] Fiberglassj~lad Steel B Fiberglass-Reinforced Plastic [] Concrete [] Al~m~in~ Bronze ~nknown Other (describe) 3. Primary Containment Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer 4. Tank Secondary containment __/' []D0uble-Wall [1Synthetic Liner []Lined Vault []None ~Unknown [] Other (describe): Manufacturer: []Material ~hiCkness (Inches) Capacity (Gals.) 5. Tank Interior-Lining ---~R6bb~r ~]Alkyd DEpoxy DPhenolic []Glass Dclay Dunlined ~known [-]Other (describe): 6. Tank Corrosion Protection --~Galva,ized -]~'~--~rass-Clad [][~l~thylene Wrap [~Vin¥1 Wrapgi~] []Tar orAsphalt ~gnknown []']None [-]Other (describe) .- Cathodic Protection: '~None DImpressed Current System ~l~acrlf'i~'lal Descr~ System & Equi[:ment: 7. Leak Detection, Monitoring, and Interce~)tion ~. 'T~nk: [2]Vis~ed' ~-~s ohl~) [~Groundwater Monitorirg' Wmll(s) []Vadose Zone Monitori~g Well(s) D-[U-Tube Without Liner _ U-Tube. with C~patible Liner Dlrectin~ Flow to Monitorirg We.Il(s)* Vapor Detector* [] Liquid Level Sensor [] Conductivit~ Sensora [] Pressure Sensor in Annular Space of Double Wall Tank- [-1 Liquid Retrieval & Inspection From U-Tube, Monitoring Well or Annular Space l Dail¥ C~uging & Inventory Reconciliation []Periodic Tightness Testir~ None ~ Unknown [] Other,. b. Piping: r'iFlow-Restricting Leak Detector(-~) f-0~ '~ressur{~-ed Piping' [2lMonitoring S~p with Race~y DSealed Concrete Race~y nkn lf-Cut C~patible Pipe Race~ay D Synthetic Liner Race~ay ~lNone own [._ .~er *Describe Make & I~le~' Date of L~st Tightness Test Results of Test Test g~me T~st. ing Ccmpen¥ 9. Tank ~ ~ Repaired? l"lYes D-]No 131~known r~ate(s) o~ Repair(s) Describe Repairs 10. C~/erfill Protection []Operator ~il~S, Controls, & Visually Monitors Leve! []Tape Float GaL~je l-IFlo~t Vent Valves l-lAuto Sh_.u~ Off Controls  lCapacitance Ser~3r I'lsealed Fill Box []None I~Jnknown Other: List Make & l~le:]. Fo~ ~3ve Devices 11. Piping / a. Underground Piping: I-lYes [~No ~]nknown Material Thickness (inches) Diameter Manufacturer [2]Pressure [-]Suc~'ion ' []Gravity Approximate Length o'f' 'Pipe ~ b. Underground Piping Corrosion Protection : []Galvanized [-1Fiberglass-Clad ~]Impressed Current [-]Sacrificial Anode n lyethylene Wrap ~Electrical Isolation Dvin¥1 wrap [~]Tar or Asphalt known []None DOther (describe): c. Underground Piping, Secondary Containment: / []Double-Wall ~Synthetic Liner System [']None~known [-]Other (describe):